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Assessing the public health benefits of PM2.5 and O3 reduction using air Q+ and Benmap-CE tools: a case study in Arak, Iran 使用空气Q+和Benmap-CE工具评估PM2.5和O3减少的公共卫生效益:以伊朗阿拉克为例研究
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-24 DOI: 10.1007/s00484-026-03150-3
Maryam Salehi, Amir Almasi Hashiani, Seyed Hamed Mirhoseini

Air pollution, primarily resulting from industrial activities and the combustion of fossil fuels, poses a significant health risk in Arak due to elevated levels of PM2.5 and ozone. This study aims to quantify the health impacts of these pollutants and assess the potential benefits that could be realized through a reduction in their concentrations. The study employs the World Health Organization (WHO) AirQ+ and the Environmental Protection Agency’s BenMAP-CE models to estimate the number of premature deaths and illnesses associated with exposure to PM2.5 and O3 in Arak from 2017 to 2019. Data from air quality monitoring stations were analyzed, and health impact functions were used to assess the mortality rates linked to each pollutant. During 2017–2019, PM2.5 concentrations exceeding WHO guidelines were associated with an estimated 729 (95% CI: 499–947), 654 (95% CI: 447–851), and 460 (95% CI: 313–602) premature deaths in 2017, 2018, and 2019, respectively, among adults aged ≥ 30 years (approximately 294,000–298,000 individuals). Achieving the WHO annual PM2.5 guideline (10 µg/m³) could prevent an average of 614 premature deaths per year in this population, while a uniform 30% reduction in O₃ concentrations over the study period could avert approximately 145 additional deaths. The AirQ + and BenMAP-CE models produced comparable results, confirming their effectiveness in health impact assessments. These findings underscore the urgent need for the implementation of effective air quality management policies in Arak and highlight the health impacts associated with air pollution.

主要由工业活动和化石燃料燃烧造成的空气污染,由于PM2.5和臭氧水平升高,在阿拉克构成重大健康风险。本研究旨在量化这些污染物对健康的影响,并评估通过降低其浓度可能实现的潜在效益。该研究采用了世界卫生组织(世卫组织)的AirQ+和环境保护局的BenMAP-CE模型来估计2017年至2019年阿拉克与PM2.5和O3暴露相关的过早死亡和疾病数量。分析了来自空气质量监测站的数据,并使用健康影响函数来评估与每种污染物相关的死亡率。在2017 - 2019年期间,超过世卫组织指南的PM2.5浓度与2017年、2018年和2019年年龄≥30岁的成年人(约294,000-298,000人)中分别估计有729例(95% CI: 499-947)、654例(95% CI: 447-851)和460例(95% CI: 313-602)过早死亡相关。达到世界卫生组织的年度PM2.5指南(10微克/立方米)可以在这个人群中平均每年防止614人过早死亡,而在研究期间,O₃浓度均匀减少30%可以避免大约145人额外死亡。AirQ +和BenMAP-CE模型产生了可比较的结果,证实了它们在健康影响评估中的有效性。这些调查结果强调迫切需要在阿拉克实施有效的空气质量管理政策,并强调与空气污染有关的健康影响。
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引用次数: 0
Does the predominance of central sensitization alter the effect of balneotherapy combined with conventional physical therapy in patients with chronic low back and knee pain? 中枢致敏的优势是否会改变按摩疗法联合常规物理疗法治疗慢性腰膝疼痛患者的效果?
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-24 DOI: 10.1007/s00484-026-03157-w
Dilek Ulusoy Özkan, Musa Polat

Various methods, including balneotherapy, are employed in the management of patients with chronic pain. This research investigated the effect of the predominance of central sensitization on responses to balneotherapy applied together with conventional physical therapy in patients with chronic low back and knee pain. This prospective study included 75 patients with chronic low back or knee pain, classified as having predominant central sensitization (n = 35) or not (n = 40). All participants received a three-week course of whole-body balneotherapy combined with conventional physical therapy, including transcutaneous electrical nerve stimulation, hot pack, and therapeutic ultrasound. Pain intensity, as the primary outcome, was assessed using the visual analogue scale (VAS), while quality of life and emotional status were evaluated using the Short Form-12 (SF-12) and the Hospital Anxiety and Depression Scale (HADS), respectively. Disability associated with chronic pain was evaluated using the Roland Morris Disability Questionnaire in patients with low back pain and the Knee Injury and Osteoarthritis Outcome Score (KOOS) in those with knee pain. Changes in outcomes over time and between groups were analyzed using linear mixed-effects models. Improvement in the VAS, SF-12 Physical and Mental Component, HADS-Depression, and HADS-Anxiety scores was observed in both groups post-treatment (between p < 0.01 and p = 0.015). Also, post-treatment improvement in disability scores was observed in both groups (between p < 0.01 and 0.021). Group × time interaction was observed only for the SF-12 mental component score, in favor of the predominant central sensitization group (ΔΔ = 5.95, 95% CI 1.31 to 10.59, p = 0.013). No significant group × time interaction was observed for other outcomes (range: 0.10–0.97). Applied together with physical therapy agents with balneotherapy can reduces pain severity and disability levels, and increases their quality of life in patients with chronic pain with and without predominant central sensitization. Improvements in mental health–related quality of life were more pronounced in patients with predominant central sensitization.

各种方法,包括浴疗,被用于治疗慢性疼痛患者。本研究探讨了中枢致敏的优势对balnetherapy联合常规物理疗法治疗慢性腰膝疼痛患者的反应的影响。这项前瞻性研究包括75例慢性腰痛或膝关节疼痛患者,分为主要中枢致敏(n = 35)和非中枢致敏(n = 40)。所有参与者接受为期三周的全身按摩疗法结合常规物理疗法,包括经皮神经电刺激、热敷和治疗性超声。疼痛强度作为主要指标,采用视觉模拟量表(VAS)进行评估,而生活质量和情绪状态分别采用短表12 (SF-12)和医院焦虑和抑郁量表(HADS)进行评估。对腰痛患者使用Roland Morris残疾问卷,对膝痛患者使用膝关节损伤和骨关节炎结局评分(oos)评估慢性疼痛相关的残疾。使用线性混合效应模型分析结果随时间和组间的变化。两组治疗后VAS、SF-12身心成分、hads -抑郁和hads -焦虑评分均有改善(p < 0.05)
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引用次数: 0
Natural and artificial abiotic factors: impacts on the seminal quality of Dorper rams in a semiarid region 自然和人工非生物因素对半干旱区杜泊公羊精液质量的影响。
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-24 DOI: 10.1007/s00484-026-03138-z
Gabriel Thales Barboza Marinho, Héliton Pandorfi, Marcos Vinícius da Silva, Weslley Amaro da Silva, Raquel Desenzi, André Mariano Batista, Gledson Luiz Pontes de Almeida, Cristiane Guiselini, Alex Souza Moraes

The climatic conditions of northeastern Brazil can induce heat stress, reducing the weight, production, and reproductive rates of sheep. This study aimed to analyze the dynamics of abiotic factors, comfort indices on the seminal quality of Dorper sheep under normal local meteorological conditions and adiabatic evaporative cooling. The study involved 20 rams aged 18 ± 2 months, weighing an average of 70 ± 3 kg, raised in a semiarid region of Brazil from April to June 2023. The animals were kept in an open pen for 22 days and for 43 days under the influence of an adiabatic evaporative cooling system (AECS). Air temperature (AT, ºC), relative humidity (RH, %), and black globe temperature (BGT, ºC) were monitored every 15 min daily, with semen collected and analyzed every three weeks, totaling four collections. Thermal characterization of the pen was determined by temperature and humidity indices, black globe temperature and humidity, and specific enthalpy (kJ kg-1). Semen characteristics were analyzed using a completely randomized design with two treatments and 20 replicates, with means compared using the t-test (p ≤ 0.05). Meteorological variables and comfort indices underwent descriptive statistical analysis. Principal Component Analysis (PCA) was applied to these variables and seminal characteristics. During the driest periods, AECS increased pen RH by 8% and reduced AT by 1.24 °C, maintaining THI values below critical levels. The PCA revealed that only sperm plasma membrane integrity (PMI) significantly responded to environmental changes, increasing by 16% during AECS operation, allowing a regression model with R² greater than 0.72 for estimating PMI.

巴西东北部的气候条件会引起热应激,降低羊的体重、产量和繁殖率。本研究旨在分析在当地正常气象条件和绝热蒸发冷却条件下,非生物因子、舒适指标对杜泊羊精液质量的动态影响。该研究涉及2023年4月至6月在巴西半干旱地区饲养的20只公羊,年龄为18±2个月,平均体重为70±3公斤。采用绝热蒸发冷却系统(AECS),分别饲养22天和43天。每天每15分钟监测一次空气温度(AT,ºC)、相对湿度(RH, %)和黑球温度(BGT,ºC),每3周采集和分析一次精液,共4次采集。采用温湿度指标、黑球温湿度、比焓(kJ kg-1)测定笔的热特性。精液特征分析采用完全随机设计,2个处理,20个重复,均数比较采用t检验(p≤0.05)。气象变量和舒适度指标进行描述性统计分析。主成分分析(PCA)应用于这些变量和种子特征。在最干旱的时期,AECS将笔头相对湿度提高了8%,将AT降低了1.24°C,将THI值维持在临界水平以下。主成分分析显示,只有精子质膜完整性(PMI)对环境变化有显著响应,在AECS手术期间增加了16%,允许R²大于0.72的回归模型来估计PMI。
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引用次数: 0
Small gains, large losses: range shifts of the hoverfly Dioprosopa clavata (Fabricius, 1794) (Diptera: Syrphidae) to 2100 小得大失:食蚜蝇diprosopa clavata (fabicius, 1794)(双翅目:食蚜蝇科)至2100年的活动范围变化。
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-24 DOI: 10.1007/s00484-026-03147-y
Janderson Batista Rodrigues Alencar, João Paulo Nunes, Matheus Augusto do Nascimento, Alessandre Pereira-Colavite, Adeilson de Melo Silva, Clarissa Rosa

Climate change is rapidly reshaping species distributions and threatening ecosystem services, yet continent-wide forecasts for Neotropical hoverflies are virtually absent. Here, we present the first large-scale ecological niche modeling assessment for Dioprosopa clavata (Fabricius, 1794), a key syrphid with dual ecological roles in pollination and aphid control. Using 1,214 curated occurrences and an ensemble of MaxEnt, DOMAIN, and GLM, we combined climatic and physiographic predictors (elevation, compound topographic index, profile curvature) to project suitability under SSP2–4.5 (intermediate) and SSP5–8.5 (high-end) scenarios for 2021–2040 and 2081–2100. Models showed excellent predictive performance, with climate explaining ~ 71% of model contribution and physiography ~ 29%, highlighting the buffering role of topographic heterogeneity. Near-term projections retained most of the current range (≈ 88–89% stability), but late-century forecasts revealed dramatic contractions, up to 43.5% habitat loss under SSP5–8.5, particularly in tropical lowlands of northern South America and Central America. These losses were accompanied by increased spatial fragmentation and modest poleward and upslope gains, suggesting climate-driven range shifts toward cooler, higher-elevation refugia. Our findings indicate that D. clavata habitats will decline most severely where pollination and pest control services are most needed, agricultural regions of tropical South America, potentially reducing local ecosystem service provision. By identifying priority areas for connectivity and microclimatic refugia, this study offers a mechanical aware forecast and actionable hypotheses to guide field validation, monitoring programs, and climate-smart conservation strategies for an understudied yet functionally crucial pollinator group.

气候变化正在迅速改变物种分布,威胁生态系统服务,但对新热带食蚜蝇的全大陆预测实际上是缺失的。本文首次对具有传粉和防治蚜双重生态作用的棘蚜(diprosopa clavata, fabicius, 1794)进行了大规模生态位模型评价。利用1214个事件和MaxEnt, DOMAIN和GLM集合,我们结合气候和地理预测因子(海拔,复合地形指数,剖面曲率)来预测2021-2040年和2081-2100年SSP2-4.5(中级)和SSP5-8.5(高端)情景下的适宜性。模型表现出优异的预测效果,气候对模型贡献的贡献率为71%,地形对模型贡献的贡献率为29%,突出了地形异质性的缓冲作用。近期预测保持了目前的大部分范围(≈88-89%的稳定性),但世纪末的预测显示,在SSP5-8.5下,栖息地损失高达43.5%,特别是在南美洲北部和中美洲的热带低地。这些损失伴随着空间破碎化的增加以及向极地和上坡方向的适度增加,表明气候驱动的范围向更冷、更高海拔的避难所转移。我们的研究结果表明,在最需要授粉和害虫防治服务的热带南美洲农业地区,clavata栖息地的减少最为严重,可能会减少当地生态系统服务的提供。通过确定连接和小气候避难所的优先区域,本研究提供了一个机械感知的预测和可操作的假设,以指导现场验证,监测计划和气候智能保护策略,为未充分研究但功能至关重要的传粉者群体提供指导。
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引用次数: 0
Biometeorological conditions at Polish Antarctic Station (King George Island, West Antarctica) according to Universal Thermal Climate Index, 2013–2023 2013-2023年基于通用热气候指数的波兰南极站(西南极洲乔治王岛)生物气象条件
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-20 DOI: 10.1007/s00484-025-03099-9
Joanna Plenzler, Katarzyna Piotrowicz, Małgorzata Owczarek

The Universal Thermal Climate Index (UTCI) was used to estimate thermal stress for humans in the South Shetland Islands (West Antarctica), the region in Antarctica with the highest number of scientific stations and visiting tourists. This was done to analyze the duration of comfortable weather conditions, which are crucial for conducting fieldwork and other outdoor tasks. The UTCI is one of the most commonly used climate thermal indices, but it had not previously been calculated for any region in Antarctica. The research was based on hourly data (air temperature, humidity, global solar radiation and wind speed) derived from the Henryk Arctowski Polish Antarctic Station between 2013 and 2023. The range of hourly UTCI values indicates conditions ranging from no thermal stress to extreme cold stress, with predominant strong cold stress (–26.9 to − 13.0 °C; 40.5% of cases) and very strong cold stress (–39.9 to − 27.0 °C; 25.3% of cases). In such conditions, it is recommended that physical activity is increased and that the extremities and face are protected from the cold while working outside, as well as increasing the thermo-isolation properties of clothing. The same thermal stress class remains for more than one day sporadically. The most favourable conditions for spending time outside (without thermal stress or with slight cold stress), which lasted 7–9 consecutive hours, occurred rarely and only from December to March. Due to high wind speed, some UTCI values fall outside the thermal stress scale; nevertheless, the authors classified these as extreme cold stress and suggest developing the UTCI formula to make it more applicable in regions where very high wind speed occur.

通用热气候指数(UTCI)用于估计南设得兰群岛(南极洲西部)人类的热应力,该地区拥有最多的科考站和游客。这样做是为了分析舒适天气条件的持续时间,这对于进行野外工作和其他户外任务至关重要。UTCI是最常用的气候热指数之一,但以前没有对南极洲的任何地区进行过计算。这项研究基于2013年至2023年波兰南极站的每小时数据(气温、湿度、全球太阳辐射和风速)。每小时UTCI值的范围表示从无热应力到极端冷应力的情况,主要是强冷应力(-26.9至- 13.0°C, 40.5%的病例)和极强冷应力(-39.9至- 27.0°C, 25.3%的病例)。在这种情况下,建议增加体力活动,并在室外工作时保护四肢和面部免受寒冷,同时增加衣服的隔热性能。偶有相同的热应力等级持续一天以上的情况。户外活动(无热胁迫或有轻微冷胁迫)持续7-9小时的最有利条件很少出现,仅在12月至3月出现。由于风速较大,部分UTCI值落在热应力尺度之外;然而,作者将这些归类为极端冷应力,并建议开发UTCI公式,使其更适用于风速非常高的地区。
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引用次数: 0
Amaranthus hybridus improved heat-induced oxidative stress and hormonal alterations in rat ovaries 苋菜可改善大鼠卵巢热诱导的氧化应激和激素变化。
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-18 DOI: 10.1007/s00484-025-03061-9
Tomilola Debby Olaolu, Teniola Esther Durojaiye, Ukpanyang Otu Joseph, Tinuola Owoso, Damilare Emmanuel Rotimi, Oluyomi Stephen Adeyemi

Long-term heat exposure as a result of global warming, has become a threat to the overall human well-being and in particular the reproductive health of females. This research, therefore, investigated the ameliorative effect of Amaranthus hybridus aqueous leaf extract on the ovarian function of rats exposed to heat for 21 days. Twenty (20) healthy female rats of Wistar strain were randomly distributed into control group (distilled water), heat-exposed rats (group 2) were exposed to 39–40 °C heat for 4 h/day using two (100 Watts) bulbs to produce heat, group 3 animals were exposed to heat and administered with 55 mg/kg bw of A. hybridus aqueous leaf extract, while group 4 received only A. hybridus aqueous leaf extract. The experiment was for 21 days. From the result, heat exposure caused a decrease in the body weight, protein level as well as decrease in the levels of antioxidant molecules superoxide dismutase (SOD), catalase (CAT)), reduced glutathione (GSH), and nuclear factor erythroid 2-related factor 2 (Nrf2). There was an increase in the levels of cortisol, malondialdehyde (MDA) and nitric oxide (NO) in the animals exposed to heat. However, when the animals were administered with A. hybridus extract had reduced MDA and cortisol and increase in catalase and SOD activity as well as the LH and prolactin levels. The findings of the study indicated the occurrence of oxidative damage and suggested that extended exposure to high temperatures had disadvantageous impacts on the animals.

全球变暖造成的长期热暴露已成为对人类整体福祉,特别是女性生殖健康的威胁。因此,本研究考察了苋花水提物对热置21 d大鼠卵巢功能的改善作用。选取Wistar品系健康雌性大鼠20只,随机分为对照组(蒸馏水),热暴露组(2组)用2个(100瓦)灯泡加热39 ~ 40℃,加热4 h/d, 3组加热后给予55 mg/kg bw的马杂花水提取物,4组只给予马杂花水提取物。试验期21 d。结果表明,热暴露导致大鼠体重、蛋白质水平下降,抗氧化分子超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、还原性谷胱甘肽(GSH)和核因子红细胞2相关因子2 (Nrf2)水平下降。暴露在高温下的动物皮质醇、丙二醛(MDA)和一氧化氮(NO)的水平都有所增加。然而,当给动物服用杂交草提取物时,MDA和皮质醇降低,过氧化氢酶和SOD活性以及LH和催乳素水平升高。研究结果表明,氧化损伤的发生,并表明长期暴露在高温下对动物有不利影响。
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引用次数: 0
The short effect of ambient temperature on childhood asthma and wheezing: a combination of a nested case-control study and a case-crossover study 环境温度对儿童哮喘和喘息的短期影响:巢式病例对照研究和病例交叉研究的结合。
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-17 DOI: 10.1007/s00484-026-03140-5
Jiatao Zhang, Shuoxin Bai, Shaoqian Lin, Yanling Wu, Fangyi Wang, Yuxiu Liang, Zhiping Wang

Although the incidence of childhood asthma and wheezing (AW) is increasing worldwide, the impact of ambient temperature on this is unclear. An infant birth cohort was established, and the children were followed up until two years of age. During this period, the exposure levels to atmospheric factors were individually evaluated on a daily basis as well as covariates information was collected. Both a nested case-control study and a case-crossover design were embedded to control for confounding bias and cross-validate the association between ambient temperature and childhood AW. A total of 5819 children in the birth cohort completed two years of follow-up, and 84 children were diagnosed with AW. The HRs for short-term high temperature on childhood AW were 1.659 (95% CI: 1.314, 2.095), 2.341 (95% CI: 1.712, 3.200), and 3.367 (95% CI: 1.987, 5.703) at a lag of 3, 2, and 1 days, respectively, by the distributed lag non-linear model based on the nested case-control study. The high temperature was further validated to be significantly associated with childhood AW during the 3 days before the onset, by the generalized additive model based on the case-crossover design.

虽然世界范围内儿童哮喘和喘息(AW)的发病率正在增加,但环境温度对其的影响尚不清楚。建立了一个婴儿出生队列,并对这些孩子进行了随访,直到他们两岁。在此期间,每天对大气因素的暴露水平进行单独评估,并收集协变量信息。采用嵌套病例-对照研究和病例-交叉设计来控制混杂偏倚,并交叉验证环境温度与儿童AW之间的关联。出生队列中共有5819名儿童完成了两年的随访,其中84名儿童被诊断为AW。基于嵌套病例对照研究的分布滞后非线性模型显示,在滞后3天、2天和1天时,儿童AW短期高温的HRs分别为1.659 (95% CI: 1.314、2.095)、2.341 (95% CI: 1.712、3.200)和3.367 (95% CI: 1.987、5.703)。基于病例交叉设计的广义加性模型进一步验证了高温与发病前3天儿童AW的显著相关。
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引用次数: 0
A critical systematic narrative review of the WBGT index for heat stress assessment in diverse climatic regions: insights from Iran 对用于不同气候区域热应激评估的WBGT指数的批判性系统叙述综述:来自伊朗的见解。
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-17 DOI: 10.1007/s00484-025-03093-1
Seyed Mahdi Mousavi, Habibollah Dehghan, Saeid Yazdanirad

Heat stress is a major occupational hazard in hot environments. This narrative review evaluated the limitations of the Wet Bulb Globe Temperature (WBGT) index across different climatic zones and explored alternative or complementary indices. We searched PubMed, Scopus, Web of Science, and SID for articles published between January 2013 and December 2024 with English and Persian language. Keywords used in the search included “WBGT”, “Wet Bulb Globe Temperature”, “heat stress index”, “occupational exposure”, and “Iran climate” (Boolean combinations). After removing duplicated papers and screening the remained articles by two independent reviewers, 42 papers were included for qualitative synthesis. In arid/dry regions, WBGT tended to underestimate physiological strain (low wet-bulb temperature despite high radiant heat), while in humid coastal areas, it sometimes overestimated the heat strain risk (high wet-bulb temperature but complex interactions with airflow and clothing). Comparative analyses showed UTCI and PHS can improve physiological prediction in specific contexts, but it requires more data and equipment. WBGT remains practical for many workplaces, but country- or climate-specific calibration, integration with physiological monitoring (e.g., heart rate), and hybrid approaches are recommended to improve worker protection.

热应激是高温环境中主要的职业危害。这篇叙述性的综述评估了全球湿球温度(WBGT)指数在不同气候带的局限性,并探索了替代或补充指数。我们检索了PubMed、Scopus、Web of Science和SID,检索了2013年1月至2024年12月期间发表的英语和波斯语文章。搜索中使用的关键词包括“WBGT”、“全球湿球温度”、“热应激指数”、“职业暴露”和“伊朗气候”(布尔组合)。经两位独立审稿人剔除重复论文并筛选剩余文章后,纳入42篇论文进行定性综合。在干旱/干燥地区,WBGT倾向于低估生理应变(低湿球温度,高辐射热),而在潮湿的沿海地区,它有时高估热应变风险(高湿球温度,但与气流和衣服的复杂相互作用)。对比分析表明,UTCI和PHS可以改善特定情况下的生理预测,但需要更多的数据和设备。WBGT对许多工作场所仍然是实用的,但建议针对国家或气候进行特定校准,与生理监测(如心率)相结合,并采用混合方法来改善对工人的保护。
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引用次数: 0
Dynamic impacts of face masks and walking duration on pedestrian thermal comfort in shaded outdoor environments during summer 夏季遮阳室外环境下口罩和步行时间对行人热舒适的动态影响
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-17 DOI: 10.1007/s00484-026-03136-1
Xiwen Feng, Kunquan Dai, Xinying Lai, Jiaxin Lu, Zhaosong Fang

The normalization of mask-wearing in the post-pandemic era has raised concerns regarding its potential thermal burden during outdoor physical activities, especially in hot and humid climates. This study examines the combined effects of face mask type (no mask, surgical mask, and KN95 mask) and walking duration on physiological responses and thermal comfort in shaded outdoor environments during summer. Field experiments were conducted in Guangzhou with 28 participants walking at three speeds (1.2, 1.4, and 1.6 m/s). Key physiological parameters (mean skin temperature, heart rate, tympanic temperature) and subjective thermal comfort votes (respiratory sensation, facial thermal sensation, and overall thermal sensation) were recorded. Findings revealed that mask-wearing had negligible effects on core physiological indicators due to compensatory thermoregulation but significantly elevated subjective discomfort, particularly with KN95 masks. A linear increase in thermal discomfort was observed with prolonged walking, reaching up to 1.3 units in thermal sensation votes after 30 min. A dynamic thermal comfort prediction model was developed by integrating static PET-based and walking-induced components, achieving high predictive accuracy (R² > 0.78). These results underscore the importance of incorporating mask effects and exposure duration into urban outdoor thermal planning and pedestrian design guidelines in hot-humid regions.

在大流行后时代,戴口罩的常态化引发了人们对户外体育活动期间,特别是在炎热潮湿的气候下,戴口罩可能造成的热负担的担忧。本研究考察了夏季遮阳室外环境中,口罩类型(无口罩、外科口罩和KN95口罩)和步行时间对生理反应和热舒适的综合影响。在广州,28名被试以3种速度(1.2、1.4和1.6 m/s)行走。记录主要生理参数(平均皮肤温度、心率、鼓室温度)和主观热舒适投票(呼吸感觉、面部热感觉和整体热感觉)。研究结果显示,由于代偿性体温调节,戴口罩对核心生理指标的影响可以忽略不计,但显着增加了主观不适感,特别是使用KN95口罩。长时间步行观察到热不适的线性增加,30分钟后热感觉投票达到1.3单位。结合静态pet和步行诱导因子,建立了动态热舒适预测模型,预测精度较高(R²> 0.78)。这些结果强调了将掩膜效应和暴露时间纳入湿热地区城市室外热规划和行人设计指南的重要性。
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引用次数: 0
Real-world outcomes during sulfurous balneotherapy in osteoarthritis: retrospective analysis 骨关节炎硫磺按摩治疗的实际结果:回顾性分析。
IF 2.6 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2026-02-17 DOI: 10.1007/s00484-026-03148-x
Elisabetta Ferrara, Manela Scaramuzzino, Giovanna Murmura, Giuseppe Balice, Bruna Sinjari

Real-world evidence on the effectiveness of balneotherapy in osteoarthritis remains limited. This study evaluated patient-reported outcomes collected during routine sulfurous balneotherapy practice. A retrospective analysis was conducted using routinely collected data from 90 consecutive patients with knee (n = 45), hip (n = 30), or hand (n = 15) osteoarthritis who underwent a standard 12-day balneotherapy protocol at the Saturnia Thermal Center (October 2023). Outcomes included pain intensity assessed with the Visual Analog Scale (VAS), functional disability measured using the Health Assessment Questionnaire (HAQ), and psychological well-being evaluated with the General Health Questionnaire–12 (GHQ-12). Within-group changes were analyzed using paired t-tests (p < 0.05). Results: VAS scores decreased from 65.0 ± 18.0 mm to 60.5 ± 17.5 mm (Δ = −4.5 mm, p < 0.001), corresponding to 22.5% of the established minimal clinically important difference. HAQ scores improved significantly from baseline to day 12 (mean change − 1.0, p < 0.001), exceeding the instrument’s minimal clinically important difference. GHQ-12 scores also decreased significantly (p < 0.001). No adverse events were reported. Conclusions: In routine clinical practice, sulfurous balneotherapy was associated with statistically significant improvements in pain, functional disability, and psychological well-being. While short-term pain reduction remained below established clinical significance thresholds, the intervention demonstrated a favorable safety profile. These observational findings warrant confirmation in controlled studies with longer treatment durations and follow-up.

现实世界中关于骨关节炎疗法有效性的证据仍然有限。本研究评估了在常规硫磺疗法实践中收集的患者报告的结果。回顾性分析使用常规收集的90例膝关节(n = 45)、髋关节(n = 30)或手部(n = 15)骨关节炎患者的数据,这些患者在Saturnia热中心(2023年10月)接受了标准的12天浴疗方案。结果包括用视觉模拟量表(VAS)评估疼痛强度,用健康评估问卷(HAQ)测量功能残疾,用一般健康问卷-12 (GHQ-12)评估心理健康状况。采用配对t检验分析组内变化(p < 0.05)。结果:VAS评分从65.0±18.0 mm降至60.5±17.5 mm (Δ = - 4.5 mm, p < 0.001),相当于最小临床重要差异的22.5%。从基线到第12天,HAQ评分显著改善(平均变化- 1.0,p < 0.001),超过了仪器的最小临床重要差异。GHQ-12评分也显著下降(p < 0.001)。无不良事件报告。结论:在常规的临床实践中,硫磺疗法与疼痛、功能残疾和心理健康的改善有统计学意义。虽然短期疼痛减轻仍低于既定的临床意义阈值,但干预措施显示出良好的安全性。这些观察性发现有理由在较长治疗时间和随访的对照研究中得到证实。
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International Journal of Biometeorology
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