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Asymmetric responses of EVI and tree ring growth to extreme climate on the northeastern margin of the Tibetan Plateau 青藏高原东北部边缘地区经济脆弱性指数和树环生长对极端气候的非对称响应。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-10-02 DOI: 10.1007/s00484-024-02786-3
Mengyuan Wei, Liang Jiao, Peng Zhang, Ruhong Xue, Xuge Wang, Qian Li

Extreme climate events have increased in terms of their amplitudes, frequency and severity, greatly affecting ecosystem functions and the balance of the global carbon cycle. However, there are still uncertainties about how extreme climate change will affect tree growth. This study characterized the responses of tree growth to extreme climate on the northeastern Tibetan Plateau from 2000 to 2020. Meanwhile, a back propagation neural network was used to predict tree growth trends under two future emission scenarios from 2020 to 2050. This study revealed that: (1) the tree-ring width index (RWI) showed a decreasing trend (− 0.04/decade) in the eastern region, but the enhanced vegetation index (EVI) showed an increasing trend (0.05/decade) from 2000 to 2020. While both RWI and EVI in the middle and western regions showed increasing trends. (2) The responses of RWI and EVI to extreme climate were regionally asymmetric. In the eastern region, extreme precipitation inhibited tree radial growth, while extreme warm nights promoted tree canopy growth. In two other regions, both extreme precipitation and extreme warm nights promoted tree growth. (3) The model predicts that there was no significant change in RWI and EVI in the western region, but both RWI and EVI showed an increasing trend in the middle and eastern regions under the low emission scenario. Under the high emission scenario, the growth of tree stem and canopy in all three regions shows a general decreasing trend. The results of this study both improved the understanding of the differences in carbon allocation between tree stem (RWI) and canopy (EVI) and identified vulnerability thresholds for tree populations.

极端气候事件的幅度、频率和严重程度都在增加,极大地影响了生态系统功能和全球碳循环的平衡。然而,极端气候变化对树木生长的影响仍存在不确定性。本研究描述了青藏高原东北部从2000年到2020年树木生长对极端气候的响应。同时,利用反向传播神经网络预测了 2020 至 2050 年两种未来排放情景下的树木生长趋势。研究结果表明(1) 2000 至 2020 年,东部地区的树环宽度指数(RWI)呈下降趋势(- 0.04/十年),但增强植被指数(EVI)呈上升趋势(0.05/十年)。而中西部地区的 RWI 和 EVI 均呈上升趋势。(2)RWI 和 EVI 对极端气候的响应呈现区域不对称。在东部地区,极端降水抑制了树木径向生长,而极端暖夜则促进了树冠生长。在另外两个地区,极端降水和极端暖夜都促进了树木的生长。(3)根据模式预测,在低排放情景下,西部地区的 RWI 和 EVI 没有显著变化,但中部和东部地区的 RWI 和 EVI 均呈上升趋势。在高排放情景下,三个地区的树干和树冠生长量总体呈下降趋势。这项研究的结果既加深了人们对树木茎干(RWI)和树冠(EVI)碳分配差异的理解,又确定了树木种群的脆弱性阈值。
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引用次数: 0
Effect of various temperature indicators on patients’ hospitalization with cardiovascular diseases in Zhangye city, China 各种温度指标对中国张掖市心血管疾病患者住院治疗的影响。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-30 DOI: 10.1007/s00484-024-02793-4
Xin Zhao, Xin Li, Jiyuan Dong

This study assessed the impact of various temperature indices, including mean temperature (MT), diurnal temperature range (DTR), and temperature changes between neighboring days (TCN) on hospitalization rates for cardiovascular system diseases among residents of Zhangye City, a typical western city in China. The Quasi-Poisson generalized additive regression model (GAM) in conjunction with a distributed lag nonlinear model (DLNM) was applied to estimate the association of temperature indices with CVD hospitalization rates in Zhangye City during the periods of 2015–2021. The exposure–response relationship and relative risk were discussed and stratified analyses by age and gender were conducted. We found that the hospitalization rates of cardiovascular disease (CVD) patients in Zhangye City was significantly related to different temperature indicators (MT, DTR, TCN). Both low and high MT, DTR, and TCN increased the risk of cardiovascular disease (CVD) among residents. Besides, different demographic populations exhibited distinct sensitivities to temperature conditions. Relevant authorities should devise corresponding preventive and control measures to protect vulnerable populations.

本研究评估了各种气温指数(包括平均气温(MT)、昼夜温差(DTR)和相邻日气温变化(TCN))对中国典型西部城市张掖市居民心血管系统疾病住院率的影响。应用准泊松广义加性回归模型(GAM)结合分布滞后非线性模型(DLNM)估算了2015-2021年间张掖市气温指数与心血管病住院率的关系。讨论了暴露-反应关系和相对风险,并按年龄和性别进行了分层分析。我们发现,张掖市心血管疾病(CVD)患者的住院率与不同温度指标(MT、DTR、TCN)显著相关。低和高的MT、DTR和TCN都会增加居民罹患心血管疾病(CVD)的风险。此外,不同人群对温度条件的敏感性也不同。相关部门应制定相应的防控措施,保护易感人群。
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引用次数: 0
Orthopaedic patients’ emergency department attendance behavior in relation to weather conditions: temperature, rain, day and time, and regional thursday effect 骨科病人急诊室就诊行为与天气条件的关系:温度、雨水、日期和时间以及地区性周四效应。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-30 DOI: 10.1007/s00484-024-02789-0
Levent Bayam, Kadir Oznam, Aysenur Guler, Eren Uyan, Mehmet Erdem

Great variation was noticed in emergency department (ED) afflux in relation to daily weather conditions, including difficulties in arranging the correct number of orthopaedic on-calls on the floor. This study aimed to quantify the association between the number of patients referred to the orthopaedic team from the ED and weather conditions, particularly daily temperature and rain. Data were obtained from a large state research hospital’s ED attendance. Weather information for the local area for the year was obtained from the regional meteorological office. Data were evaluated using descriptive statistics, with one-way analysis of variance for the relationship between the day of the week and patient numbers, the Pearson test for correlations between daily ED patient flow and daily temperature and the Spearman correlation test for correlations between daily patient flow and daily rain status. A positive and meaningful correlation existed between daily patient influx and daily temperature, along with a negative correlation between daily patient flow and daily rain. Throughout the year, significantly more patients were referred to the orthopaedic team on Thursdays than on any other day of the week. Patients tended to visit the ED more on warm days and days without rain. These results may help in organising daily, monthly or seasonal on-call orthopaedic team requirements despite the challenges. Incorporating climate forecasts into planning the on-call service might help alleviate the stress on the team.

人们注意到急诊科(ED)的病人流量与每天的天气条件有很大的关系,包括难以在楼层安排正确数量的骨科值班人员。本研究旨在量化从急诊室转诊到骨科团队的病人数量与天气条件(尤其是每天的气温和雨水)之间的关联。数据来自一家大型国立研究医院的急诊室出诊情况。当地一年的天气信息来自地区气象局。数据评估采用了描述性统计、单因素方差分析、皮尔逊检验和斯皮尔曼相关检验,前者用于分析一周中的哪一天与患者人数之间的关系,后者用于分析急诊室日患者流量与日气温之间的相关性,后者用于分析日患者流量与日降雨量之间的相关性。每日病人流量与每日气温之间存在有意义的正相关,而每日病人流量与每日雨量之间则存在负相关。全年中,周四转诊到骨科团队的病人明显多于一周中的任何一天。在温暖的日子和无雨的日子里,患者往往会更多地前往急诊室就诊。尽管存在挑战,但这些结果可能有助于组织每日、每月或每季的骨科团队值班需求。将气候预报纳入待命服务计划可能有助于减轻团队的压力。
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引用次数: 0
High aerospora levels and associated atmospheric circulation patterns: Pretoria, South Africa. 高浓度气孢子虫和相关的大气环流模式:南非比勒陀利亚。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-28 DOI: 10.1007/s00484-024-02781-8
S J Roffe, L B Ajikah, J John, R M Garland, K Lehtipalo, M K Bamford

At high exposure levels, airborne pollen grains and fungal spores (termed aerospora hereafter), can trigger severe allergic respiratory diseases. For South Africa's administrative capital Pretoria, which boasts dense vegetation within a large urban forest, it is valuable from a health perspective to understand daily atmospheric circulation patterns associated with high aerospora levels. Therefore, we utilised a daily aerospora grain count dataset collected in Pretoria from 08/2019-02/2023 to investigate atmospheric circulation patterns (derived from ERA5 reanalysis sea level pressure [SLP] and 500 hPa geopotential height [zg500] fields) associated with high-risk aerospora levels (aerospora grain count > 90th percentile). Concentrated during October-May, there were 128 high-risk days, with 69.6% of days occurring in November, February and April. Although generally above-average mid-tropospheric subsidence levels prevailed over Pretoria during high-risk days, no single distinct atmospheric circulation pattern was associated with these high-risk days. Therefore, using Principal Component Analysis, we classified 14 Circulation Weather Types (CWTs) for October-May months between 08/2019-02/2023 to assess which CWTs most frequently occurred during high-risk days. Three CWTs had a statistically significant proportion of high-risk days - collectively they occurred during 37.1% of days studied, yet accounted for 45.3% of high-risk days. Among these CWTs, two CWTs were similarly associated with surface and mid-tropospheric high-pressure conditions, while the third was associated with a surface and mid-tropospheric trough. By comparing our CWT classification to daily synoptic charts (from the South African Weather Service), our classification can be used to identify days with potentially high allergenicity risk over Pretoria.

空气中的花粉粒和真菌孢子(以下称为气孢子)接触水平较高时,会引发严重的过敏性呼吸道疾病。南非行政首都比勒陀利亚拥有茂密的城市森林植被,从健康角度来看,了解与高气孢子水平相关的每日大气环流模式非常有价值。因此,我们利用 2019 年 8 月至 2023 年 2 月期间在比勒陀利亚收集的每日气孢子虫粒数数据集,研究与高风险气孢子虫水平(气孢子虫粒数大于第 90 百分位数)相关的大气环流模式(源自 ERA5 再分析海平面气压 [SLP] 和 500 hPa 位势高度 [zg500] 场)。集中在 10 月至 5 月期间,共有 128 个高风险日,其中 69.6% 的高风险日发生在 11 月、2 月和 4 月。虽然在高风险日期间,比勒陀利亚上空的中对流层下沉水平普遍高于平均水平,但这些高风险日与单一的明显大气环流模式无关。因此,利用主成分分析法,我们对 2019-02/2023 年 08 月至 2023 年 10-5 月期间的 14 种环流天气类型(CWT)进行了分类,以评估哪些 CWT 最常出现在高风险日。据统计,有三种 CWT 在高风险天数中所占比例很大--它们总共出现在 37.1% 的研究天数中,但却占了 45.3% 的高风险天数。在这些 CWT 中,有两个 CWT 同样与地表和对流层中层的高压条件有关,而第三个 CWT 则与地表和对流层中层的低谷有关。通过将我们的 CWT 分类与南非气象局的每日天气图进行比较,我们的分类可用于识别比勒陀利亚上空潜在的高过敏风险日。
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引用次数: 0
Forecasting thermal stress for sports tourists at the 2026 FIFA World Cup 预测 2026 年国际足联世界杯期间体育游客的热应力。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-28 DOI: 10.1007/s00484-024-02785-4
Christopher Craig, Ismail Karabas

This study explores thermal stress conditions (i.e. heat, humidity, sunlight exposure) sports tourists can expect when attending the 2026 FIFA World Cup. Sports tourism’s growth is driven by international mega-events like FIFA World Cups and Olympic Games. With planning ongoing for the 2026 FIFA World Cup football (soccer) tournament, what remains unstudied are the heat conditions spectators can expect at the 16 host stadiums in the United States, Mexico, and Canada. The inquiry is important considering (1) the tournament is taking place in warm-weather months of June and July, (2) thermal stress contributes to heat-related illnesses like heat stroke, and (3) many destination-bound tourists will be at elevated risk to heat. Accordingly, we report historical and forecasted thermal stress levels documenting expected conditions at each host stadium. Notably, forecasts indicate worsening thermal stress compared to long-term means, providing support for the study’s methodology. Practical implications and limitations are provided.

本研究探讨了体育游客在参加 2026 年国际足联世界杯时可能遇到的热应力条件(即热量、湿度、阳光照射)。国际足联世界杯和奥运会等国际大型赛事推动了体育旅游的增长。2026 年国际足联世界杯足球赛的规划工作正在进行中,但观众在美国、墨西哥和加拿大的 16 个主办体育场所能期待的炎热条件仍未得到研究。考虑到:(1)比赛将在 6 月和 7 月的温暖天气月份举行;(2)热应力会导致中暑等热相关疾病;(3)许多前往目的地的游客将面临更高的高温风险,因此这项调查非常重要。因此,我们报告了历史和预测的热应力水平,记录了每个主办体育场的预期情况。值得注意的是,与长期平均水平相比,预测结果显示热应力在不断恶化,这为研究方法提供了支持。我们还提供了实际意义和局限性。
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引用次数: 0
Outdoor thermal sensation scale through biometeorological assessment for semi-arid climate. 通过生物气象评估确定半干旱气候下的室外热感量表。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-25 DOI: 10.1007/s00484-024-02788-1
Hardik H Gajjar, Deepesh Upadhyay, Manzoor Hussain, Jai Devi Jeyaraman

Extreme temperatures in urban areas cause discomfort leading to a rise in health risks, like heat-related mortality (hyperthermia). It is, hence, important to have a comfortable thermal environment. Assessing outdoor thermal comfort is challenging and complicated due to its dependencies on biometeorological and psychological factors. This study investigates the outdoor thermal comfort in Ahmedabad, a city with semi-arid climate in India through biometeorological measurements and thermal comfort surveys. The study carried out thermal comfort surveys of 1620 subjects spread across the city in 2022-23 covering all the seasons. The temperature and relative humidity were in the range of 21.6 °C to 44.9 °C and 8 to 86% respectively. About 43% of the subjects felt thermally comfortable during the survey. Based on the survey results, the annual neutral Physiological Equivalent Temperature (PET) obtained was 27.5 °C, and the comfortable PET range was between 21.1 °C and 33.9 °C which covers a wide range. Neutral PET for summer and winter seasons obtained were similar, which indicates winters are getting milder and people of Ahmedabad are getting more adaptive towards warmer temperature. These results hold special significance as there is limited research on outdoor thermal comfort in such climate zone of India.

城市地区的极端气温会引起不适,导致健康风险上升,如与热相关的死亡(高热惊厥)。因此,拥有一个舒适的热环境非常重要。由于室外热舒适度取决于生物气象和心理因素,因此评估室外热舒适度具有挑战性和复杂性。本研究通过生物气象测量和热舒适度调查,研究了印度半干旱气候城市艾哈迈达巴德的室外热舒适度。研究在 2022-23 年期间对遍布全市的 1620 名受试者进行了热舒适度调查,涵盖了所有季节。温度和相对湿度范围分别为 21.6 °C 至 44.9 °C 和 8% 至 86%。调查期间,约 43% 的受访者感觉温度舒适。根据调查结果,全年的中性生理等效温度为 27.5 °C,舒适的生理等效温度范围在 21.1 °C至 33.9 °C之间,范围很广。夏季和冬季获得的中性生理等效温度相似,这表明冬季越来越温和,艾哈迈达巴德人对较高温度的适应性也越来越强。这些结果具有特殊意义,因为对印度此类气候区室外热舒适度的研究十分有限。
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引用次数: 0
Reliability of urban microclimate simulations: spatio-temporal validation through intra-urban canyon transects for outdoor thermal comfort analysis 城市小气候模拟的可靠性:通过城市内峡谷横断面进行时空验证,用于室外热舒适度分析。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-24 DOI: 10.1007/s00484-024-02784-5
B. M. De Quadros, I. Pigliautile, A. L. Pisello, E. Krüger, M. O. Mizgier

Mitigating Urban Heat Island (UHI) intensity in cities through adaptative strategies has become an urgent need, as UHI are also exacerbated by climate change impacts imputable to anthropogenic actions. This study addresses the need for reliable simulation models to analyze outdoor thermal comfort (OTC) in future or alternative scenarios. The aim of the present study is to contribute to the validation of CFD urban microclimate simulations by employing intra-urban canyon transects as an alternative or a complementary approach to fixed stations. To accomplish this, we developed a cost-effective monitoring unit to carry out transects on a pre-defined route (1), devised the area of interest (2), elaborated a simulation model in ENVI-met (3), and proposed different validation methods for comparative analyses (4). Results indicate that temporal validated simulation tended to underestimate thermal indices in the morning and night and overestimate them in the afternoon, while spatio-temporal validation under a human-centric comfort approach via wearable sensing notably improved accuracy. Moderate to very strong agreement between simulation and measurement data in summer (Willmot’s d ~ 0.70, d ~ 0.81) and very strong agreement in winter (d ~ 0.79, d ~ 0.96), with low error magnitudes in summer (RMSE ~ 0.91℃ and 9.59%, MBE ~ 0.23℃ and 9.10%) have been found. In winter, such figures were RMSE ~ 0.71℃ and 3.51%, MBE ~ 0.00℃ and 0.98%, for the spatio-temporal validated model. This research contributes to enhancing the reliability of relatively affordable CFD urban microclimate simulations, supporting its scale up for policymakers in implementing effective strategies for OTC.

通过适应性战略减轻城市热岛(UHI)强度已成为当务之急,因为人类活动造成的气候变化影响也会加剧 UHI。本研究需要可靠的模拟模型来分析未来或替代情景下的室外热舒适度(OTC)。本研究的目的是通过采用城市内峡谷横断面作为固定站点的替代或补充方法,为验证 CFD 城市微气候模拟做出贡献。为此,我们开发了一种经济有效的监测装置,用于在预先确定的路线上进行横断面测量(1),设计了感兴趣的区域(2),在 ENVI-met 中建立了一个模拟模型(3),并提出了不同的验证方法进行比较分析(4)。结果表明,经过时间验证的模拟往往低估了上午和夜间的热指数,而高估了下午的热指数,而通过可穿戴传感技术以人为中心的舒适度方法进行的时空验证则显著提高了准确性。在夏季,模拟数据与测量数据之间存在中度到极高的一致性(Willmot's d ~ 0.70,d ~ 0.81),在冬季则存在极高的一致性(d ~ 0.79,d ~ 0.96),夏季的误差幅度较低(RMSE ~ 0.91℃和 9.59%,MBE ~ 0.23℃和 9.10%)。在冬季,时空验证模型的 RMSE ~ 0.71℃ 和 3.51%,MBE ~ 0.00℃ 和 0.98%。这项研究有助于提高价格相对低廉的 CFD 城市微气候模拟的可靠性,为决策者实施有效的 OTC 战略提供支持。
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引用次数: 0
Climate change impacts on livestock in Brazil 气候变化对巴西牲畜的影响。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-23 DOI: 10.1007/s00484-024-02778-3
Ferreira N. C. R., Andrade R. R., Ferreira L. N.

Brazilian livestock provides a significant fraction of the food consumed globally, making the country one of the largest producers and exporters of meat, milk and eggs. However, current advances in the production of protein from Brazilian animal origin may be directly impacted by climate change and the resulting biophysical effects. Therefore, it is strategically consistent to develop measures to deal with the resulting environmental heat stress on domesticated animal species, especially the need in developing countries. This work aims to (1) evaluate the impacts of climate change on livestock (cattle-dairy, cattle-beef, goats, sheep, pigs, poultry-general) in different regions of Brazil and (2) discuss possible response strategies, associated with animal comfort and welfare. From our results, we can draw better strategies to mitigate the impacts of climate change on livestock production. The results presented show an increase of high heat stress in South and Southeast and an increase of extreme heat stress in North and Central-West areas of Brazil. The rise in extreme heat stress tends to occur mostly during spring and summer and tends to vary considering the different evaluated species. Within the evaluated species, the ones that seem to be more affected by climate changes are Poultry, pigs, cattle-beef and general (temperature-humidity index value). The differences between the results for the five geographic regions in Brazil suggests that different mitigation measures need to be considered to cope with future heat stress in livestock. To ensure the long-term success of Brazil's influence on the global market for proteins of animal origin, it must achieve sustainable production systems more intensively.

巴西的畜牧业提供了全球消费的大部分食物,使该国成为肉类、牛奶和鸡蛋的最大生产国和出口国之一。然而,目前巴西动物源蛋白质生产的进步可能会受到气候变化及其产生的生物物理效应的直接影响。因此,制定措施来应对由此对驯养动物物种造成的环境热应激,特别是发展中国家的需要,在战略上是一致的。这项工作旨在:(1) 评估气候变化对巴西不同地区家畜(奶牛、肉牛、山羊、绵羊、猪、普通家禽)的影响;(2) 讨论与动物舒适度和福利相关的可能应对策略。从我们的研究结果中,我们可以得出更好的战略,以减轻气候变化对畜牧业生产的影响。研究结果表明,巴西南部和东南部的高热应激有所增加,北部和中西部地区的极端热应激有所增加。极端热应激的增加主要发生在春季和夏季,并因评估的物种而异。在所评估的物种中,受气候变化影响较大的似乎是家禽、猪、牛-牛肉和一般物种(温湿度指数值)。巴西五个地理区域结果之间的差异表明,需要考虑不同的缓解措施,以应对未来牲畜的热应激。为确保巴西在全球动物源性蛋白质市场上的长期影响力,巴西必须更深入地实现可持续生产系统。
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引用次数: 0
Elucidating the effect of heat stress on milk production and composition in Jersey crossbred cows using test day records integrated with NASA POWER satellite data 利用与 NASA POWER 卫星数据相结合的测试日记录,阐明热应激对泽西杂交奶牛产奶量和成分的影响。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-23 DOI: 10.1007/s00484-024-02774-7
Indrajit Gayari, Mokidur Rahman, Sylvia Lalhmingmawii, Ajoy Mandal

The present study was undertaken to determine the effect of heat stress on milk production (test day milk yield) and compositional traits (fat%, protein%, fat yield, protein yield) as well as to observe the pattern of response to increasing heat load on these traits in Jersey crossbred cows, maintained at ICAR-National Dairy Research Institute, Eastern Regional Station, Kalyani, West Bengal, India. The weather information, obtained from the NASA POWER database based on the location of the farm latitude and longitude, was used to calculate the Temperature Humidity Index (THI). To analyze the data, a linear model was fitted to the milk production and compositional records, which were adjusted for additive genetic effect of animal, permanent environmental effect of animals and known environmental sources of variations. Subsequently, a segmented linear regression model was fitted, and the least squares estimates of production and composition traits in different classes of THI were used as the dependent variable. Two THI break-points (BP) for milk yield and one THI BP for fat yield, protein %, and protein yield were found. The first and second BP for milk yield was at THI 59 and 77, respectively, with a significant decline in milk yield of -0.04 kg/unit of THI at second BP. The BP for fat and protein yield was at THI 76, with a decline rate of -1.18 and − 0.61 g/unit of THI increase, respectively. The findings revealed the significant adverse effects of THI on milk production and composition traits in Jersey crossbred cattle.

本研究旨在确定热应激对泽西杂交奶牛产奶量(测试日产奶量)和组成性状(脂肪率、蛋白质率、脂肪产量、蛋白质产量)的影响,并观察热负荷增加对这些性状的响应模式。根据牧场纬度和经度位置从 NASA POWER 数据库获取的天气信息用于计算温度湿度指数(THI)。为了分析数据,对牛奶产量和成分记录进行了线性模型拟合,并对动物的遗传效应、动物的永久环境效应和已知的环境变化源进行了调整。随后,拟合了一个分段线性回归模型,并将 THI 不同等级中产量和成分性状的最小二乘法估计值作为因变量。结果发现,产奶量有两个THI断点(BP),脂肪产量、蛋白质%和蛋白质产量有一个THI断点(BP)。产奶量的第一个和第二个 BP 分别位于 THI 59 和 77,在第二个 BP 时,产奶量显著下降,每单位 THI 为-0.04 千克。脂肪和蛋白质产量的 BP 值为 THI 76,每增加一个 THI 单位,下降率分别为-1.18 克和-0.61 克。研究结果表明,THI 对泽西杂交牛的产奶量和组成性状有明显的不利影响。
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引用次数: 0
Comparison of effectiveness of extracorporeal shock wave therapy and peloidotherapy in patients with plantar fasciitis: a prospective, randomized, controlled study 比较体外冲击波疗法和骨盆疗法对足底筋膜炎患者的疗效:一项前瞻性随机对照研究。
IF 3 3区 地球科学 Q2 BIOPHYSICS Pub Date : 2024-09-23 DOI: 10.1007/s00484-024-02787-2
Emine Akdere, Savaş Karpuz, Ramazan Yılmaz, Halil Ekrem Akkurt, Halim Yılmaz

Although peloidotherapy and ESWT are effective treatments for plantar fasciitis, there is no comprehensive research that directly compares their effectiveness. Our study aimed to compare the effectiveness of ESWT and peloidotherapy on pain, quality of life and functional status in individuals diagnosed with plantar fasciitis (PF). A total of 78 patients, aged between 18 and 65 years, diagnosed with PF after a thorough anamnesis and physical examination and experiencing heel pain for at least 3 months or longer and who presented to the Clinic between January 2021 and January 2023, were included in the study. Patients were randomly allocated to two groups. The peloidotherapy group received 15 sessions of peloid therapy five days a week for three weeks, while the ESWT group received three sessions of radial-type ESWT once a week for three weeks. Additionally, all patients were given a home exercise program. All patients were evaluated three times for treatment efficacy. Pain levels were assessed using the Visual Analog Scale (VAS) and Heel Tenderness Index (HTI), functional status and quality of life were assessed using the Foot Ankle Outcome Score (FAOS) and Short Form 36 (SF-36), respectively. In both treatment groups, there was a statistically significant improvement in VAS, HTI, FAOS and SF-36 scores at the end of treatment and during the one-month follow-up, compared to the initial baseline values. A statistically significant difference in favor of peloidotherapy was observed in post-treatment symptom and pain scores (p = 0.046). However, this difference did not persist at the one-month follow-up. Both active treatment methods were similarly effective and no superiority was observed between them (p > 0.05). Peloidotherapy and ESWT treatments, along with a home exercise program, were found to be effective for patients with plantar fasciitis. In the conservative treatment of PF, both peloidotherapy and ESWT can be recommended as effective and reliable options.

尽管骨盆疗法和 ESWT 是治疗足底筋膜炎的有效方法,但目前还没有直接比较这两种疗法疗效的全面研究。我们的研究旨在比较 ESWT 和类骨盆疗法对确诊足底筋膜炎(PF)患者的疼痛、生活质量和功能状态的疗效。本研究共纳入 78 名患者,年龄在 18 岁至 65 岁之间,经过全面的病史和体格检查后确诊为足底筋膜炎,足跟疼痛至少持续 3 个月或更长时间,并在 2021 年 1 月至 2023 年 1 月期间就诊。患者被随机分配到两组。骨盆疗法组接受每周五天、为期三周、共 15 次的骨盆疗法,而 ESWT 组接受每周一次、为期三周、共三次的径向型 ESWT。此外,所有患者都接受了家庭锻炼计划。所有患者均接受了三次疗效评估。疼痛程度采用视觉模拟量表(VAS)和足跟触痛指数(HTI)进行评估,功能状态和生活质量分别采用足踝结果评分(FAOS)和简表 36(SF-36)进行评估。与最初的基线值相比,两个治疗组在治疗结束时和一个月的随访期间的VAS、HTI、FAOS和SF-36评分都有统计学意义上的显著改善。在治疗后的症状和疼痛评分方面,观察到了有利于骨盆环形疗法的统计学差异(p = 0.046)。然而,这种差异在一个月的随访中并未持续。两种积极治疗方法的疗效相似,没有发现优劣之分(p > 0.05)。研究发现,髓核疗法和 ESWT 治疗以及家庭锻炼计划对足底筋膜炎患者有效。在足底筋膜炎的保守治疗中,骨盆疗法和 ESWT 都是有效而可靠的选择。
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International Journal of Biometeorology
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