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[PMID]:28343286
[Au] Autor:Liu NX; Pollanen MS
[Ad] Endereço:Ontario Forensic Pathology Service & Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
[Ti] Título:A mimic of sexually-motivated homicide: insect stings and heat exhaustion in a forest.
[So] Source:Forensic Sci Med Pathol;13(2):213-216, 2017 Jun.
[Is] ISSN:1556-2891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We report the case a woman who was found dead in a forest. The body was nude and the position of the body suggested a sexually motivated homicide. We concluded that death was not related to homicide, but was related to the conjunction of environmental factors, including insect stings, and acute psychosis. A medicolegal death investigation with postmortem examination was undertaken to determine cause of death. At the scene, the body was supine with legs spread apart and the knees flexed, exposing the external genitalia. There were multiple apparent bruises on the body and neck. At autopsy, based on macroscopic and microscopic examination, the apparent bruises were found to be hemorrhagic insect bites. No significant injuries were present and no semen was found. Death appeared to be related to heat exhaustion and innumerable insect stings. Investigation of the medical history revealed longstanding schizoaffective disorder with episodic psychotic decompensations. In the past, during an acute psychotic episode the decedent removed her clothing and ran wildly in a forest, until she was rescued in a state of exhaustion and marked agitation, and taken to hospital for treatment. We concluded that the same circumstances had been repeated but with a fatal outcome. This case is an example of a mimic of sexually-motivated homicide and is a reminder to forensic pathologists to avoid tunnel vision. We need to be skeptical of the allure of common sense based on first impressions of the scene and the body. Forensic pathologists must be unafraid to scientifically explore improbable, but true, alternate explanations.
[Mh] Termos MeSH primário: Exaustão por Calor/complicações
Mordeduras e Picadas de Insetos/complicações
Posicionamento do Paciente
[Mh] Termos MeSH secundário: Animais
Evolução Fatal
Feminino
Florestas
Temperatura Alta/efeitos adversos
Seres Humanos
Meia-Idade
Transtornos Psicóticos/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170327
[St] Status:MEDLINE
[do] DOI:10.1007/s12024-017-9850-0


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[PMID]:28002684
[Au] Autor:Suvi S; Timpmann S; Tamm M; Aedma M; Kreegipuu K; Ööpik V
[Ad] Endereço:a Institute of Sport Sciences and Physiotherapy, Estonian Centre of Behavioral and Health Sciences, University of Tartu, 50090 Tartu, Estonia.
[Ti] Título:Effects of caffeine on endurance capacity and psychological state in young females and males exercising in the heat.
[So] Source:Appl Physiol Nutr Metab;42(1):68-76, 2017 Jan.
[Is] ISSN:1715-5320
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:Acute caffeine ingestion is considered effective in improving endurance capacity and psychological state. However, current knowledge is based on the findings of studies that have been conducted on male subjects mainly in temperate environmental conditions, but some physiological and psychological effects of caffeine differ between the sexes. The purpose of this study was to compare the physical performance and psychological effects of caffeine in young women and men exercising in the heat. Thirteen male and 10 female students completed 2 constant-load walks (60% of thermoneutral peak oxygen consumption on a treadmill until volitional exhaustion) in a hot-dry environment (air temperature, 42 °C; relative humidity, 20%) after caffeine (6 mg·kg ) and placebo (wheat flour) ingestion in a double-blind, randomly assigned, crossover manner. Caffeine, compared with placebo, induced greater increases (p < 0.05) in heart rate (HR) and blood lactate concentrations in both males and females but had no impact on rectal or skin temperatures or on walking time to exhaustion in subjects of either gender. Caffeine decreased (p < 0.05) ratings of perceived exertion and fatigue in males, but not in females. In females, but not in males, a stronger belief that they had been administered caffeine was associated with a shorter time to exhaustion. In conclusion, acute caffeine ingestion increases HR and blood lactate levels during exercise in the heat, but it has no impact on thermoregulation or endurance capacity in either gender. Under exercise-heat stress, caffeine reduces ratings of perceived exertion and fatigue in males but not in females.
[Mh] Termos MeSH primário: Cafeína/uso terapêutico
Suplementos Nutricionais
Exercício
Fadiga/prevenção & controle
Fadiga Mental/prevenção & controle
Substâncias para Melhoria do Desempenho/uso terapêutico
Resistência Física
[Mh] Termos MeSH secundário: Adulto
Desempenho Atlético
Estudos Cross-Over
Método Duplo-Cego
Exercício/psicologia
Teste de Esforço
Tolerância ao Exercício
Fadiga/sangue
Fadiga/etiologia
Feminino
Exaustão por Calor/sangue
Exaustão por Calor/etiologia
Exaustão por Calor/prevenção & controle
Temperatura Alta/efeitos adversos
Seres Humanos
Ácido Láctico/sangue
Masculino
Fadiga Mental/sangue
Fadiga Mental/etiologia
Caracteres Sexuais
Caminhada
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Performance-Enhancing Substances); 33X04XA5AT (Lactic Acid); 3G6A5W338E (Caffeine)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170125
[Lr] Data última revisão:
170125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE
[do] DOI:10.1139/apnm-2016-0206


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[PMID]:27018470
[Au] Autor:Canpolat U; Bayazit Y; Aytemir K
[Ad] Endereço:Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
[Ti] Título:Brugada Syndrome Unmasked by Heat Exhaustion.
[So] Source:Ann Noninvasive Electrocardiol;22(1), 2017 Jan.
[Is] ISSN:1542-474X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Brugada syndrome (BrS) as an established channelopathy can be unmasked by various triggers like drugs, fever, etc. Herein, we presented a female patient in whom type 1 Brugada pattern on admission electrocardiography might be unmasked by heat exhaustion.
[Mh] Termos MeSH primário: Síndrome de Brugada/diagnóstico
Exaustão por Calor
[Mh] Termos MeSH secundário: Eletrocardiografia
Feminino
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160329
[St] Status:MEDLINE
[do] DOI:10.1111/anec.12356


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[PMID]:27549864
[Au] Autor:Demissie Y; Ketema T
[Ad] Endereço:Department of Biology, College of Natural Sciences, Jimma University, Jimma, Ethiopia.
[Ti] Título:Complicated malaria symptoms associated with Plasmodium vivax among patients visiting health facilities in Mendi town, Northwest Ethiopia.
[So] Source:BMC Infect Dis;16(1):436, 2016 Aug 22.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Malaria is still a major health problem in some parts of the world. Plasmodium falciparum is the common pathogenic parasite and is responsible for majority of malaria associated deaths. Recently the other benign parasite, P. vivax, is reported to cause life threatening severe malaria complications. Thus, this study was aimed to assess incidence of severe malaria symptoms caused by P. vivax parasite in some malaria endemic areas of Ethiopia. MATERIALS AND METHODS: Presumptive malaria patients (all age groups) seeking medication at the selected health facilities in Mendi town, Northwest Ethiopia, were recruited for the study. Socio-demographic, clinical and parasitological characteristics were assessed following standard procedures. Data was analyzed using descriptive statistics, chi-square test and relative risk. RESULTS: Of the 384 patients enrolled in the study for P. vivax mono-infection, 55 (14.3 %) of them were fulfilled at least one of the WHO criteria for severe malaria indicators. Some of these clinical manifestations were: prostration 14 (25.45 %), persistent vomiting 9 (16.36 %), respiratory distress 6 (10.9 %), hypoglycemia 5 (9.1 %), hyperpyrexia 8 (14.5 %), and severe anemia 13 (23.63 %). Differences in parasite load did not affect the frequency of some severe malaria symptoms. However, severe anemia, prostration, and persistent vomiting were significantly affected (P < 0.05) by relatively higher load of parasitemia, (OR = 3.8, 95 % CI, 1.1-13.7; OR = 4.4, 95 % CI, 1.4-13.9; and OR = 7, 95 % CI, 1.8-27.4) respectively. CONCLUSION: P.vivax associated severe malaria symptoms observed in this study is supportive evidence for the notion that P.vivax is no longer benign parasite but rather virulent. Thus, to meet international and regional targets of malaria eradication, a holistic prevention and control approaches should be designed.
[Mh] Termos MeSH primário: Malária Vivax/epidemiologia
Plasmodium vivax/isolamento & purificação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Anemia/etiologia
Criança
Pré-Escolar
Etiópia/epidemiologia
Feminino
Instalações de Saúde
Exaustão por Calor/etiologia
Seres Humanos
Incidência
Lactente
Malária Falciparum/epidemiologia
Malária Falciparum/parasitologia
Malária Vivax/complicações
Malária Vivax/parasitologia
Masculino
Meia-Idade
Razão de Chances
Carga Parasitária
Plasmodium falciparum/isolamento & purificação
Vômito/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160824
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-016-1780-z


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[PMID]:26873949
[Au] Autor:Smith S; Elliot AJ; Hajat S; Bone A; Smith GE; Kovats S
[Ad] Endereço:Real-time Syndromic Surveillance Team, Public Health England, Birmingham, UK.
[Ti] Título:Estimating the burden of heat illness in England during the 2013 summer heatwave using syndromic surveillance.
[So] Source:J Epidemiol Community Health;70(5):459-65, 2016 May.
[Is] ISSN:1470-2738
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The burden of heat illness on health systems is not well described in the UK. Although the UK generally experiences mild summers, the frequency and intensity of hot weather is likely to increase due to climate change, particularly in Southern England. We investigated the impact of the moderate heatwave in 2013 on primary care and emergency department (ED) visits using syndromic surveillance data in England. METHODS: General practitioner in hours (GPIH), GP out of hours (GPOOH) and ED syndromic surveillance systems were used to monitor the health impact of heat/sun stroke symptoms (heat illness). Data were stratified by age group and compared between heatwave and non-heatwave years. Incidence rate ratios were calculated for GPIH heat illness consultations. RESULTS: GP consultations and ED attendances for heat illness increased during the heatwave period; GPIH consultations increased across all age groups, but the highest rates were in school children and those aged ≥75 years, with the latter persisting beyond the end of the heatwave. Extrapolating to the English population, we estimated that the number of GPIH consultations for heat illness during the whole summer (May to September) 2013 was 1166 (95% CI 1064 to 1268). This was double the rate observed during non-heatwave years. CONCLUSIONS: These findings support the monitoring of heat illness (symptoms of heat/sun stroke) as part of the Heatwave Plan for England, but also suggest that specifically monitoring heat illness in children, especially those of school age, would provide additional early warning of, and situation awareness during heatwaves.
[Mh] Termos MeSH primário: Efeitos Psicossociais da Doença
Exaustão por Calor
Temperatura Alta/efeitos adversos
Vigilância da População/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Serviço Hospitalar de Emergência
Inglaterra/epidemiologia
Feminino
Hospitalização
Seres Humanos
Lactente
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170203
[Lr] Data última revisão:
170203
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160214
[St] Status:MEDLINE
[do] DOI:10.1136/jech-2015-206079


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[PMID]:26585173
[Au] Autor:Brearley M
[Ad] Endereço:National Critical Care and Trauma Response Centre matt.brearley@nt.gov.au.
[Ti] Título:Cooling Methods to Prevent Heat-Related Illness in the Workplace.
[So] Source:Workplace Health Saf;64(2):80, 2016 Feb.
[Is] ISSN:2165-0969
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The common practice of workers resting in the shade to dissipate body heat can be complemented by ingestion of crushed ice or immersion in temperate water to rapidly lower core body temperature.
[Mh] Termos MeSH primário: Exaustão por Calor/prevenção & controle
Temperatura Alta/efeitos adversos
Doenças Profissionais/prevenção & controle
[Mh] Termos MeSH secundário: Seres Humanos
Imersão
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170216
[Lr] Data última revisão:
170216
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:151121
[St] Status:MEDLINE
[do] DOI:10.1177/2165079915613353


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[PMID]:26694445
[Au] Autor:Ho HC; Knudby A; Huang W
[Ad] Endereço:Department of Geography, Simon Fraser University, Burnaby, BC V5A 1S6, Canada. hohungh@sfu.ca.
[Ti] Título:A Spatial Framework to Map Heat Health Risks at Multiple Scales.
[So] Source:Int J Environ Res Public Health;12(12):16110-23, 2015 Dec 18.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:In the last few decades extreme heat events have led to substantial excess mortality, most dramatically in Central Europe in 2003, in Russia in 2010, and even in typically cool locations such as Vancouver, Canada, in 2009. Heat-related morbidity and mortality is expected to increase over the coming centuries as the result of climate-driven global increases in the severity and frequency of extreme heat events. Spatial information on heat exposure and population vulnerability may be combined to map the areas of highest risk and focus mitigation efforts there. However, a mismatch in spatial resolution between heat exposure and vulnerability data can cause spatial scale issues such as the Modifiable Areal Unit Problem (MAUP). We used a raster-based model to integrate heat exposure and vulnerability data in a multi-criteria decision analysis, and compared it to the traditional vector-based model. We then used the Getis-Ord G(i) index to generate spatially smoothed heat risk hotspot maps from fine to coarse spatial scales. The raster-based model allowed production of maps at spatial resolution, more description of local-scale heat risk variability, and identification of heat-risk areas not identified with the vector-based approach. Spatial smoothing with the Getis-Ord G(i) index produced heat risk hotspots from local to regional spatial scale. The approach is a framework for reducing spatial scale issues in future heat risk mapping, and for identifying heat risk hotspots at spatial scales ranging from the block-level to the municipality level.
[Mh] Termos MeSH primário: Cidades/estatística & dados numéricos
Mudança Climática/mortalidade
Mudança Climática/estatística & dados numéricos
Calor Extremo/efeitos adversos
Exaustão por Calor/etiologia
Temperatura Alta/efeitos adversos
Populações Vulneráveis/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Canadá/epidemiologia
Criança
Pré-Escolar
Monitoramento Ambiental
Europa (Continente)/epidemiologia
Feminino
Exaustão por Calor/epidemiologia
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Modelos Teóricos
Medição de Risco
Federação Russa/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1607
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151224
[St] Status:MEDLINE
[do] DOI:10.3390/ijerph121215046


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[PMID]:26641244
[Au] Autor:Romeo Upperman C; Parker J; Jiang C; He X; Murtugudde R; Sapkota A
[Ad] Endereço:Maryland Institute for Applied Environmental Health, University of Maryland School of Public Health, College Park, Maryland, United States of America.
[Ti] Título:Frequency of Extreme Heat Event as a Surrogate Exposure Metric for Examining the Human Health Effects of Climate Change.
[So] Source:PLoS One;10(12):e0144202, 2015.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Epidemiological investigation of the impact of climate change on human health, particularly chronic diseases, is hindered by the lack of exposure metrics that can be used as a marker of climate change that are compatible with health data. Here, we present a surrogate exposure metric created using a 30-year baseline (1960-1989) that allows users to quantify long-term changes in exposure to frequency of extreme heat events with near unabridged spatial coverage in a scale that is compatible with national/state health outcome data. We evaluate the exposure metric by decade, seasonality, area of the country, and its ability to capture long-term changes in weather (climate), including natural climate modes. Our findings show that this generic exposure metric is potentially useful to monitor trends in the frequency of extreme heat events across varying regions because it captures long-term changes; is sensitive to the natural climate modes (ENSO events); responds well to spatial variability, and; is amenable to spatial/temporal aggregation, making it useful for epidemiological studies.
[Mh] Termos MeSH primário: Mudança Climática
Monitoramento Epidemiológico
Exaustão por Calor/epidemiologia
Temperatura Alta
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1606
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151208
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0144202


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[PMID]:26636675
[Au] Autor:Yin P; Xu J; He S; Liu F; Yin J; Wan C; Mei C; Yin Y; Xu X; Xia Z
[Ad] Endereço:CAU-BUA TCVM Teaching and Researching Team, College of Veterinary Medicine, China Agricultural University (CAU), Beijing, PR China.
[Ti] Título:Endoplasmic Reticulum Stress in Heat- and Shake-Induced Injury in the Rat Small Intestine.
[So] Source:PLoS One;10(12):e0143922, 2015.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We investigated the mechanisms underlying damage to rat small intestine in heat- and shake-induced stress. Eighteen Sprague-Dawley rats were randomly divided into a control group and a 3-day stressed group treated 2 h daily for 3 days on a rotary platform at 35°C and 60 r/min. Hematoxylin and eosin-stained paraffin sections of the jejunum following stress revealed shedding of the villus tip epithelial cells and lamina propria exposure. Apoptosis increased at the villus tip and extended to the basement membrane. Photomicrographs revealed that the microvilli were shorter and sparser; the nuclear envelope invaginated and gaps in the karyolemma increased; and the endoplasmic reticulum (ER) swelled significantly. Gene microarray analysis assessed 93 differentially expressed genes associated with apoptosis, ER stress, and autophagy. Relevant genes were compiled from the Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) databases. Forty-one genes were involved in the regulation of apoptosis, fifteen were related to autophagy, and eleven responded to ER stress. According to KEGG, the apoptosis pathways, mitogen-activated protein kinase(MAPK) signaling pathway, the mammalian target of rapamycin (mTOR) signaling pathway, and regulation of autophagy were involved. Caspase3 (Casp3), caspase12 (Casp12), and microtubule-associate proteins 1 light chain 3(LC3) increased significantly at the villus tip while mTOR decreased; phosphorylated-AKT (P-AKT) decreased. ER stress was involved and induced autophagy and apoptosis in rat intestinal damage following heat and shake stress. Bioinformatic analysis will help determine the underlying mechanisms in stress-induced damage in the small intestine.
[Mh] Termos MeSH primário: Estresse do Retículo Endoplasmático
Regulação da Expressão Gênica
Exaustão por Calor/metabolismo
Intestino Delgado/metabolismo
Sistema de Sinalização das MAP Quinases
Vibração/efeitos adversos
[Mh] Termos MeSH secundário: Animais
Caspase 12/biossíntese
Caspase 3/biossíntese
Perfilação da Expressão Gênica
Exaustão por Calor/patologia
Intestino Delgado/patologia
Masculino
Proteínas Associadas aos Microtúbulos/biossíntese
Análise de Sequência com Séries de Oligonucleotídeos
Fosforilação
Proteínas Proto-Oncogênicas c-akt/biossíntese
Ratos
Ratos Sprague-Dawley
Serina-Treonina Quinases TOR/biossíntese
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (LC3 protein, rat); 0 (Microtubule-Associated Proteins); EC 2.7.1.1 (TOR Serine-Threonine Kinases); EC 2.7.1.1 (mTOR protein, rat); EC 2.7.11.1 (Proto-Oncogene Proteins c-akt); EC 3.4.22.- (Casp12 protein, rat); EC 3.4.22.- (Casp3 protein, rat); EC 3.4.22.- (Caspase 12); EC 3.4.22.- (Caspase 3)
[Em] Mês de entrada:1606
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151205
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0143922


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[PMID]:26260877
[Au] Autor:Scalley BD; Spicer T; Jian L; Xiao J; Nairn J; Robertson A; Weeramanthri T
[Ad] Endereço:Public Health Division, Department of Health, Government of Western Australia.
[Ti] Título:Responding to heatwave intensity: Excess Heat Factor is a superior predictor of health service utilisation and a trigger for heatwave plans.
[So] Source:Aust N Z J Public Health;39(6):582-7, 2015 Dec.
[Is] ISSN:1753-6405
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine which measures of heatwave have the greatest predictive power for increases in health service utilisation in Perth, Western Australia. METHODS: Three heatwave formulas were compared, using Poisson or zero-inflated Poisson regression, against the number of presentations to emergency departments from all causes, and the number of inpatient admissions from heat-related causes. The period from July 2006 to June 2013 was included. A series of standardised thresholds were calculated to allow comparison between formulas, in the absence of a gold standard definition of heatwaves. RESULTS: Of the three heatwave formulas, Excess Heat Factor (EHF) produced the most clear dose-response relationship with Emergency Department presentations. The EHF generally predicted periods that resulted in a similar or higher rate of health service utilisation, as compared to the two other formulas, for the thresholds examined. CONCLUSIONS: The EHF formula, which considers a period of acclimatisation as well as the maximum and minimum temperature, best predicted periods of greatest health service demand. The strength of the dose-response relationship reinforces the validity of the measure as a predictor of hazardous heatwave intensity. IMPLICATIONS: The findings suggest that the EHF formula is well suited for use as a means of activating heatwave plans and identifies the required level of response to extreme heatwave events as well as moderate heatwave events that produce excess health service demand.
[Mh] Termos MeSH primário: Desastres
Serviço Hospitalar de Emergência/estatística & dados numéricos
Calor Extremo
Hospitalização/estatística & dados numéricos
Temperatura Alta/efeitos adversos
[Mh] Termos MeSH secundário: Austrália
Serviço Hospitalar de Emergência/utilização
Exaustão por Calor/epidemiologia
Transtornos de Estresse por Calor/epidemiologia
Seres Humanos
Modelos Teóricos
Austrália Ocidental/epidemiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160115
[Lr] Data última revisão:
160115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150812
[St] Status:MEDLINE
[do] DOI:10.1111/1753-6405.12421



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