Climate change & extreme weather vulnerability assessment framework.

Science.gov (United States)

2012-12-01

The Federal Highway Administrations (FHWAs) Climate Change and Extreme Weather Vulnerability : Assessment Framework is a guide for transportation agencies interested in assessing their vulnerability : to climate change and extreme weather event...

Extreme Weather Events and Climate Change Attribution

Energy Technology Data Exchange (ETDEWEB)

Thomas, Katherine [National Academy of Sciences, Washington, DC (United States)

2016-03-31

A report from the National Academies of Sciences, Engineering, and Medicine concludes it is now possible to estimate the influence of climate change on some types of extreme events. The science of extreme event attribution has advanced rapidly in recent years, giving new insight to the ways that human-caused climate change can influence the magnitude or frequency of some extreme weather events. This report examines the current state of science of extreme weather attribution, and identifies ways to move the science forward to improve attribution capabilities. Confidence is strongest in attributing types of extreme events that are influenced by climate change through a well-understood physical mechanism, such as, the more frequent heat waves that are closely connected to human-caused global temperature increases, the report finds. Confidence is lower for other types of events, such as hurricanes, whose relationship to climate change is more complex and less understood at present. For any extreme event, the results of attribution studies hinge on how questions about the event's causes are posed, and on the data, modeling approaches, and statistical tools chosen for the analysis.

Health-related quality of life for extremely low birth weight adolescents in Canada, Germany, and the Netherlands

NARCIS (Netherlands)

Verrips, E.; Vogels, T.; Saigal, S.; Wolke, D.; Meyer, R.; Hoult, L.; Verloove-Vanhorick, S.P.

2008-01-01

OBJECTIVE.The goal was to compare health-related quality of life of 12- to 16-year-old adolescents born at an extremely low birth weight in regional cohorts from Ontario (Canada), Bavaria (Germany), and the Netherlands. METHODS. Patients were extremely low birth weight survivors from Canada,

Permissive weight bearing in trauma patients with fracture of the lower extremities: prospective multicenter comparative cohort study.

Science.gov (United States)

Kalmet, Pishtiwan H S; Meys, Guido; V Horn, Yvette Y; Evers, Silvia M A A; Seelen, Henk A M; Hustinx, Paul; Janzing, Heinrich; Vd Veen, Alexander; Jaspars, Coen; Sintenie, Jan Bernard; Blokhuis, Taco J; Poeze, Martijn; Brink, Peter R G

2018-02-02

The standard aftercare treatment in surgically treated trauma patients with fractures around or in a joint, known as (peri)- or intra-articular fractures of the lower extremities, is either non-weight bearing or partial weight bearing. We have developed an early permissive weight bearing post-surgery rehabilitation protocol in surgically treated patients with fractures of the lower extremities. In this proposal we want to compare our early permissive weight bearing protocol to the existing current non-weight bearing guidelines in a prospective comparative cohort study. The study is a prospective multicenter comparative cohort study in which two rehabilitation aftercare treatments will be contrasted, i.e. permissive weight bearing and non-weight bearing according to the AO-guideline. The study population consists of patients with a surgically treated fracture of the pelvis/acetabulum or a surgically treated (peri)- or intra-articular fracture of the lower extremities. The inclusion period is 12 months. The duration of follow up is 6 months, with measurements taken at baseline, 2,6,12 and 26 weeks post-surgery. ADL with Lower Extremity Functional Scale. Outcome variables for compliance, as measured with an insole pressure measurement system, encompass peak load and step duration. This study will investigate the (cost-) effectiveness of a permissive weight bearing aftercare protocol. The results will provide evidence whether a permissive weight bearing protocol is more effective than the current non-weight bearing protocol. The study is registered in the Dutch Trial Register ( NTR6077 ). Date of registration: 01-09-2016.

Percutaneous evacuation of diffuse pulmonary interstitial emphysema by lung puncture in a baby with extremely low birth weight: a case report

Directory of Open Access Journals (Sweden)

Watanabe Masahiro

2012-09-01

Full Text Available Abstract Introduction Pulmonary interstitial emphysema is a serious complication of mechanical ventilation and can become life-threatening if progression occurs. Therapeutic lung puncture is a treatment option for severe pulmonary interstitial emphysema but has a limited use in babies with extremely low birth weight. We present a case of pulmonary interstitial emphysema in a Japanese baby (1-day-old boy with extremely low birth weight. The emphysema was successfully decompressed by therapeutic lung puncture performed with a trocar catheter. Case presentation The baby was born with a weight of 420g, which, to the best of our knowledge, is the lowest reported birth weight among babies with pulmonary interstitial emphysema. A chest X-ray on postnatal day 2 revealed pulmonary interstitial emphysema, which gradually progressed to diffuse pseudocystic changes. His condition became life-threatening despite the use of high-frequency oscillatory ventilation and lateral decubitus positioning. We evacuated the pulmonary interstitial emphysema by lung puncture with a trocar catheter to avoid respiratory and cardiovascular collapse. This resulted in adequate evacuation of the emphysema and a dramatic improvement in his clinical condition. Conclusions Therapeutic lung puncture performed with a trocar catheter is beneficial in babies with extremely low birth weight and diffuse pulmonary interstitial emphysema. This treatment option may be broadly applicable, especially in an emergency situation.

Extreme Weight-Control Behaviors and Suicide Risk among High School Students

Science.gov (United States)

Johnson, Emily R.; Weiler, Robert M.; Barnett, Tracey E.; Pealer, Lisa N.

2016-01-01

Background: Suicide is the third leading cause of death for people ages 15-19. Research has established an association across numerous risk factors and suicide, including depression, substance abuse, bullying victimization, and feelings of alienation. However, the connection between disordered eating as manifested in extreme weight-control…

Weight Changes in General Practice

DEFF Research Database (Denmark)

Køster-Rasmussen, Rasmus

2015-01-01

INTRODUCTION: This PhD thesis is about weight changes. What determines long-term weight changes in the adult general population? Is it possible that weight loss may not always be healthy? The present clinical guidelines for general practice advice most overweight persons and patients with type 2 ...... lifestyle changes like for instance Mediterranean diet and increased exercise....

Changes in the probability of co-occurring extreme climate events

Science.gov (United States)

Diffenbaugh, N. S.

2017-12-01

Extreme climate events such as floods, droughts, heatwaves, and severe storms exert acute stresses on natural and human systems. When multiple extreme events co-occur, either in space or time, the impacts can be substantially compounded. A diverse set of human interests - including supply chains, agricultural commodities markets, reinsurance, and deployment of humanitarian aid - have historically relied on the rarity of extreme events to provide a geographic hedge against the compounded impacts of co-occuring extremes. However, changes in the frequency of extreme events in recent decades imply that the probability of co-occuring extremes is also changing, and is likely to continue to change in the future in response to additional global warming. This presentation will review the evidence for historical changes in extreme climate events and the response of extreme events to continued global warming, and will provide some perspective on methods for quantifying changes in the probability of co-occurring extremes in the past and future.

THE EXTREME WEIGHTS IN THE INDEX PORTFOLIO OF CONSTANT-PROPORTION STRATEGIES

Directory of Open Access Journals (Sweden)

Yury F. Kasimov

2018-01-01

Full Text Available This paper analyzes the optimal of constant proportion index portfolio strategies. They are also called passive strategies which are becoming more common in Russia and abroad. They are significantly cheaper to implement than active strategies. In addition, as practice shows, in the long term they are more profitable and less risky. The main problem in these strategies is the choice of the proportions in which the investor allocates his capital between risky and risk-free assets. In constant proportion index portfolio the weight of risk asset remains constant throughout investment period. For this purpose, the investor with a certain frequency restores the desired balance between risky and risk-free assets. Each period at the beginning of which such recovery occurs is called the re-balancing period. In the case of strategies with index portfolios, risky assets are the shares of the index fund, and risk-free assets are the deposits in reliable bank or government bonds. According on the daily value of units of these funds and the annual interest rate for the 11-year period, using a specially developed program optimal weight index funds in the portfolios has been found. Parameters of the analyzed portfolios are: length of the investment period (from one year to 10 years and the frequency of weight rebalancing (month, quarter, year. The sequence of optimal weights and the corresponding optimum yield for consecutive investment periods with a specified frequency of re-balancing were determined for each fund. It was found that in almost all cases, the optimal weights of fund equals the extreme values 0 or 1. Also, the frequencies of these values in the selected sequence is about the same for all funds. This empiric fact can be conventionally called the principle of extremeness or “all or nothing” principle. 

Weight Changes in General Practice.

Science.gov (United States)

Køster-Rasmussen, Rasmus

2017-06-01

This PhD thesis is about weight changes. What determines long-term weight changes in the adult general population? Is it possible that weight loss may not always be healthy? The present clinical guidelines for general practice advice most overweight persons and patients with type 2 diabetes to lose weight. Are the guidelines based on firm evidence?   METHODS: The back-bone of the thesis is constituted by three scientific articles based on three different population based cohort studies. Multivariable modeling and other epidemiological methods were used.   RESULTS: Article 1 examined weight changes in the general population in relation to smoking status, and proposed a graphical 'smoking cessation weight change model', demonstrating the importance of time, age and smoking status in relation to long-term weight changes. Article 2 suggested new methods to improve the processing of dietary data. It was demonstrated how median imputation for missing values and assumptions about standard portion sizes were inferior to stochastic methods conditioning on information about physiology of the individual. Article 3 evaluated the influence of prospectively planned intentional weight loss on long-term morbidity and mortality in patients with type 2 diabetes. Therapeutic intentional weight loss supervised by a medical doctor was not associated with reduced morbidity or mortality. In the general population the dietary intake of fructose and soft drinks sweetened with sugar was not associated with weight change over 9 years. Weight gain rates were large in young adults and incrementally smaller in middle aged adults. Subjects more than 60 years lost weight on average. Historical weight data suggest that the body weight increases throughout life to the age of 60-65years. A study with simulated data indicates that bias in baseline BMI may misleadingly have favored weight loss in earlier cohort studies of intentional weight loss and mortality.   DISCUSSION: The findings regarding

Public perceptions of climate change and extreme weather events

Science.gov (United States)

Bruine de Bruin, W.; Dessai, S.; Morgan, G.; Taylor, A.; Wong-Parodi, G.

2013-12-01

Climate experts face a serious communication challenge. Public debate about climate change continues, even though at the same time people seem to complain about extreme weather events becoming increasingly common. As compared to the abstract concept of ';climate change,' (changes in) extreme weather events are indeed easier to perceive, more vivid, and personally relevant. Public perception research in different countries has suggested that people commonly expect that climate change will lead to increases in temperature, and that unseasonably warm weather is likely to be interpreted as evidence of climate change. However, relatively little is known about whether public concerns about climate change may also be driven by changes in other types of extreme weather events, such as exceptional amounts of precipitation or flooding. We therefore examined how perceptions of and personal experiences with changes in these specific weather events are related to public concerns about climate change. In this presentation, we will discuss findings from two large public perception surveys conducted in flood-prone Pittsburgh, Pennsylvania (US) and with a national sample in the UK, where extreme flooding has recently occurred across the country. Participants completed questions about their perceptions of and experiences with specific extreme weather events, and their beliefs about climate change. We then conducted linear regressions to predict individual differences in climate-change beliefs, using perceptions of and experiences with specific extreme weather events as predictors, while controlling for demographic characteristics. The US study found that people (a) perceive flood chances to be increasing over the decades, (b) believe climate change to play a role in increases in future flood chances, and (c) would interpret future increases in flooding as evidence for climate change. The UK study found that (a) UK residents are more likely to perceive increases in ';wet' events such

Weight Status in the First 2 Years of Life and Neurodevelopmental Impairment in Extremely Low Gestational Age Newborns.

Science.gov (United States)

Belfort, Mandy B; Kuban, Karl C K; O'Shea, T Michael; Allred, Elizabeth N; Ehrenkranz, Richard A; Engelke, Stephen C; Leviton, Alan

2016-01-01

To examine the extent to which weight gain and weight status in the first 2 years of life relate to the risk of neurodevelopmental impairment in extremely preterm infants. In a cohort of 1070 infants born between 23 and 27 weeks' gestation, we examined weight gain from 7-28 days of life (in quartiles) and weight z-score at 12 and 24 months corrected age (in 4 categories: Weight gain in the lowest quartile from 7-28 days was not associated with higher risk of adverse outcomes. Children with a 12-month weight z-score weight z-score weight z-score at 24 months with adverse outcomes were attenuated with exclusion of children with motor impairment. Excluding children who have gross motor impairment appears to eliminate the association of low weight status with neurodevelopmental impairments at 2 years in extremely preterm infants. Copyright © 2016 Elsevier Inc. All rights reserved.

Scrotal enteric fistula in an extremely low birth weight premature neonate

Directory of Open Access Journals (Sweden)

Caitlin A. Smith

2018-03-01

Full Text Available Congenital inguinal hernia is a common condition in the pediatric population. Incarceration of inguinal hernias is known to result in significant morbidity such as necrotic bowel, and if not recognized promptly, has the potential to present as a scrotal fecal fistula. We present an extremely low birth weight premature male infant who developed spontaneous fecal drainage from his right scrotum.

Changes in muscle strength after diet-induced weight reduction in adult men with obesity: a prospective study

Directory of Open Access Journals (Sweden)

Kim B

2017-05-01

Full Text Available Bokun Kim,1 Takehiko Tsujimoto,2,3 Rina So,4 Xiaoguang Zhao,5 Sechang Oh,6,7 Kiyoji Tanaka2 1Faculty of Sports Health Care, Inje University, Gyeongsangnamdo, Republic of Korea; 2Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki, 3Faculty of Human Sciences, Shimane University, Shimane, 4Research Center for Overwork-Related Disorders, National Institute of Occupational Safety and Health, Kawasaki, Kanagawa, 5Doctoral Program in Sports Medicine, Graduate School of Comprehensive Human Sciences, 6Faculty of Medicine, University of Tsukuba, 7The Center of Sports Medicine and Health Sciences, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan Background and objective: The benefits of weight reduction for musculoskeletal disorders are well understood. Steep declines in muscle mass following considerable weight reduction can decrease muscle strength and, consequently, physical performance. However, only a limited number of studies have examined the changes in muscle mass and strength in the context of interventional weight reduction programs. Thus, we investigated the influence of muscle mass decrease caused by diet-induced weight reduction on muscle strength in obese men.Methods: A total of 24 men with obesity (body mass index [BMI]: 29.2 ± 2.6 kg/m2; age: 52.4 ± 10.0 years attended a 12-week weight reduction program that implemented dietary restrictions. Each participant underwent assessments of body weight (by a digital scale, body composition (by whole-body dual-energy X-ray absorptiometry [DEXA], and upper and lower extremity muscle strength (by a hand-held dynamometer and a Biodex System 3 dynamometer, respectively before and after the program.Results: The program led to significant reductions of 10.5% of weight and 6.1% of lower extremity muscle mass. Similarly, lower extremity muscle strength (measured using a Biodex System 3 dynamometer was significantly decreased (isometric 60° peak torque decreased by 10% and

Diffusion-weighted imaging of tumor recurrencies and posttherapeutical soft-tissue changes in humans

International Nuclear Information System (INIS)

Baur, A.; Huber, A.; Reiser, M.; Arbogast, S.; Duerr, H.R.; Zysk, S.; Wendtner, C.; Deimling, M.

2001-01-01

The aim of this study was to examine soft tissue tumor recurrences and posttherapeutic soft tissue changes in humans with a diffusion-weighted steady-state free precession (SSFP) sequence. Twenty-four patients with 29 pathologies of the pelvis or the extremities were examined. The lesions were classified as follows: group 1, recurrent viable tumors (n = 10); group 2, postoperative hygromas (n = 7); and group 3, posttherapeutic reactive inflammatory muscle changes (n = 12). The sequence protocol in these patients consisted of short tau inversion recovery images, T2-weighted spin-echo (SE), pre- and postcontrast T1-weighted SE images and the diffusion-weighted SSFP sequence. The signal loss on diffusion-weighting was evaluated visually on a four-grade scale and quantitatively. The signal intensities were measured in regions of interest and a regression analysis was performed. Statistical analyses was performed utilizing the Student's t-test. The signal loss was significantly higher for hygromas and edematous muscle changes than for recurrent tumors (p < 0.001) indicating higher diffusion of water protons. The regression coefficient was -0.11 (mean) for tumors. Hygromas had a significantly higher signal loss than inflammatory edematous muscle changes (p < 0.01). The regression coefficients were -0.29 (mean) for hygromas and -0.22 (mean) for edematous muscle changes. The SSFP sequence seems to be a suitable method for diffusion-weighted imaging of the musculoskeletal system in humans. These preliminary results suggest that the signal loss and the regression coefficients can be used to characterize different types of tissue. (orig.)

Neonatal bartter syndrome in an extremely low birth weight baby

Directory of Open Access Journals (Sweden)

Deeparaj Hegde

2017-01-01

Full Text Available Early diagnosis of Bartter syndrome (BS in the neonatal period is a clinical challenge, more so in an extremely low birth weight (ELBW baby because of the inherent renal immaturity and the associated difficulty in fluid management. However, once a diagnosis is made, the disorder is known to respond well to fluid and electrolyte management, prostaglandin inhibitors, and potassium-sparing diuretics. Herein, we report a case of neonatal BS in a very premature ELBW infant.

Changes in Extreme Events and the Potential Impacts on National Security

Science.gov (United States)

Bell, J.

2017-12-01

Extreme weather and climate events affect human health by causing death, injury, and illness, as well as having large socio-economic impacts. Climate change has caused changes in extreme event frequency, intensity and geographic distribution, and will continue to be a driver for changes in the future. Some of the extreme events that have already changed are heat waves, droughts, wildfires, flooding rains, coastal flooding, storm surge, and hurricanes. The pathways connecting extreme events to health outcomes and economic losses can be diverse and complex. The difficulty in predicting these relationships comes from the local intricacies of societal and environmental factors that influences the level of exposure. The goal of this presentation is to discuss the national security implications of changes in extreme weather events and demonstrate how changes in extremes can lead to a host cascading issues. To illustrate this point, this presentation will provide examples of the various pathways that extreme events can increase disease burden and cause economic stress.

Management and outcome of extremely low birth weight infants

Directory of Open Access Journals (Sweden)

Apostolos Papageorgiou

2014-06-01

Full Text Available Survival of extremely low birth weight (ELBW and extremely premature (EP infants has shown consistent improvement thanks to advances and innovations in perinatal and neonatal care. Regionalization, with high-risk deliveries in a tertiary perinatal center, offers the coordinated, collaborative, expert and specialized care needed by these mothers and their infants. Despite decreasing rates of the major neonatal morbidities observed in recent years, these continue still to be significant for ELBW/EP infants, impacting their overall prognosis. After NICU discharge and in the first years of life, issues with health, growth and development are common. In school age and adolescence, problems with behavior, socialization and cognition are prevalent. Adult outcomes of ELBW/EP need further clarity, emphasizing the importance for consistent long-term follow-up for this special cohort. Proceedings of the 10th International Workshop on Neonatology · Cagliari (Italy · October 22nd-25th, 2014 · The last ten years, the next ten years in Neonatology Guest Editors: Vassilios Fanos, Michele Mussap, Gavino Faa, Apostolos Papageorgiou

The 'Effects of Transfusion Thresholds on Neurocognitive Outcome of Extremely Low Birth-Weight Infants (ETTNO)' Study

DEFF Research Database (Denmark)

Reinholdt, Jes; Veiergang, Gitte

2012-01-01

Background: Infants with extremely low birth weight uniformly develop anemia of prematurity and frequently require red blood cell transfusions (RBCTs). Although RBCT is widely practiced, the indications remain controversial in the absence of conclusive data on the long-term effects of RBCT....... Objectives: To summarize the current equipoise and to outline the study protocol of the 'Effects of Transfusion Thresholds on Neurocognitive Outcome of extremely low birth-weight infants (ETTNO)' study. Methods: Review of the literature and design of a large pragmatic randomized controlled trial...... of restrictive versus liberal RBCT guidelines enrolling 920 infants with birth weights of 400-999 g with long-term neurodevelopmental follow-up. Results and Conclusions: The results of ETTNO will provide definite data about the efficacy and safety of restrictive versus liberal RBCT guidelines in very preterm...

Adiposity, post-diagnosis weight change, and risk of cardiovascular events among early-stage breast cancer survivors.

Science.gov (United States)

Cespedes Feliciano, Elizabeth M; Kwan, Marilyn L; Kushi, Lawrence H; Weltzien, Erin K; Castillo, Adrienne L; Caan, Bette J

2017-04-01

Little research examines whether adiposity or post-diagnosis weight changes influence Cardiovascular disease (CVD) among breast cancer patients for whom effects may differ due to treatment and recovery. We studied Stage I-III breast cancer survivors 18 to  diagnosis and weight and waist circumference (WC) around 24 months post diagnosis. Using Cox models for time to incident coronary artery disease, heart failure, valve abnormality, arrhythmia, stroke, or CVD death, we examined at-diagnosis body mass index (BMI, n = 3109) and post-diagnosis WC (n = 1898) and weight change (n = 1903, stable, ±5 to  diagnosis, 25% of women gained and 14% lost ≥10-lbs; mean (SD) WC was 90 (15) cm. Over a median of 8.28 years, 915 women developed CVD. BMI 25-30-kg/m 2 (vs. BMI diagnosis weight change had no association with CVD. Extreme adiposity and any elevation in WC increased risk of CVD among breast cancer survivors; however, changes in weight in the early post-diagnosis period were not associated with CVD. Survivors with high WC and existing CVD risk factors should be monitored.

Asymptotically extremal polynomials with respect to varying weights and application to Sobolev orthogonality

Science.gov (United States)

Díaz Mendoza, C.; Orive, R.; Pijeira Cabrera, H.

2008-10-01

We study the asymptotic behavior of the zeros of a sequence of polynomials whose weighted norms, with respect to a sequence of weight functions, have the same nth root asymptotic behavior as the weighted norms of certain extremal polynomials. This result is applied to obtain the (contracted) weak zero distribution for orthogonal polynomials with respect to a Sobolev inner product with exponential weights of the form e-[phi](x), giving a unified treatment for the so-called Freud (i.e., when [phi] has polynomial growth at infinity) and Erdös (when [phi] grows faster than any polynomial at infinity) cases. In addition, we provide a new proof for the bound of the distance of the zeros to the convex hull of the support for these Sobolev orthogonal polynomials.

Changes in observed climate extremes in global urban areas

International Nuclear Information System (INIS)

Mishra, Vimal; Ganguly, Auroop R; Nijssen, Bart; Lettenmaier, Dennis P

2015-01-01

Climate extremes have profound implications for urban infrastructure and human society, but studies of observed changes in climate extremes over the global urban areas are few, even though more than half of the global population now resides in urban areas. Here, using observed station data for 217 urban areas across the globe, we show that these urban areas have experienced significant increases (p-value <0.05) in the number of heat waves during the period 1973–2012, while the frequency of cold waves has declined. Almost half of the urban areas experienced significant increases in the number of extreme hot days, while almost 2/3 showed significant increases in the frequency of extreme hot nights. Extreme windy days declined substantially during the last four decades with statistically significant declines in about 60% in the urban areas. Significant increases (p-value <0.05) in the frequency of daily precipitation extremes and in annual maximum precipitation occurred at smaller fractions (17 and 10% respectively) of the total urban areas, with about half as many urban areas showing statistically significant downtrends as uptrends. Changes in temperature and wind extremes, estimated as the result of a 40 year linear trend, differed for urban and non-urban pairs, while changes in indices of extreme precipitation showed no clear differentiation for urban and selected non-urban stations. (letter)

Evaluation of climate change impact on extreme hydrological event ...

International Development Research Centre (IDRC) Digital Library (Canada)

Changes in hydrological extremes will have implications on the design of future hydraulic structures, flood plain development, and water resource management. This study assesses the potential impact of climate change on extreme hydrological events in the Akaki River catchment area in and around Addis Ababa city.

Changes in extreme regional sea level under global warming

NARCIS (Netherlands)

Brunnabend, S. E.; Dijkstra, H. A.; Kliphuis, Michael; Bal, Henri E.; Seinstra, Frank J.; van Werkhoven, Ben; Maassen, J.; van Meersbergen, Maarten

2017-01-01

An important contribution to future changes in regional sea level extremes is due to the changes in intrinsic ocean variability, in particular ocean eddies. Here, we study a scenario of future dynamic sea level (DSL) extremes using a high-resolution version of the Parallel Ocean Program and

Changes in Indices of Daily Temperature and Precipitation Extremes ...

African Journals Online (AJOL)

It's a known fact that climate change will bring about increases in the occurrence of weather extreme events such as elevated temperature, drought, and floods; most especially in areas classified as hotspots to climate change – such as northwest Nigeria. This study investigates trends in extreme temperature and ...

Peritoneal drainage does not stabilize extremely low birth weight infants with perforated bowel: data from the NET Trial.

Science.gov (United States)

Rees, Clare M; Eaton, Simon; Khoo, A Kate; Kiely, Edward M; Pierro, Agostino

2010-02-01

Proponents of peritoneal drainage (PD) hypothesize that it allows stabilization before laparotomy. We examined this hypothesis by comparing clinical status before and after either PD or primary laparotomy (LAP). In an ethically approved, international, prospective randomized controlled trial (2002-2006), extremely low birth weight (drainage does not immediately improve clinical status in extremely low birth weight infants with bowel perforation. The use of PD as a stabilizing or temporizing measure is not supported by these results. Copyright 2010 Elsevier Inc. All rights reserved.

Transcriptome and network changes in climbers at extreme altitudes.

Directory of Open Access Journals (Sweden)

Fang Chen

Full Text Available Extreme altitude can induce a range of cellular and systemic responses. Although it is known that hypoxia underlies the major changes and that the physiological responses include hemodynamic changes and erythropoiesis, the molecular mechanisms and signaling pathways mediating such changes are largely unknown. To obtain a more complete picture of the transcriptional regulatory landscape and networks involved in extreme altitude response, we followed four climbers on an expedition up Mount Xixiabangma (8,012 m, and collected blood samples at four stages during the climb for mRNA and miRNA expression assays. By analyzing dynamic changes of gene networks in response to extreme altitudes, we uncovered a highly modular network with 7 modules of various functions that changed in response to extreme altitudes. The erythrocyte differentiation module is the most prominently up-regulated, reflecting increased erythrocyte differentiation from hematopoietic stem cells, probably at the expense of differentiation into other cell lineages. These changes are accompanied by coordinated down-regulation of general translation. Network topology and flow analyses also uncovered regulators known to modulate hypoxia responses and erythrocyte development, as well as unknown regulators, such as the OCT4 gene, an important regulator in stem cells and assumed to only function in stem cells. We predicted computationally and validated experimentally that increased OCT4 expression at extreme altitude can directly elevate the expression of hemoglobin genes. Our approach established a new framework for analyzing the transcriptional regulatory network from a very limited number of samples.

Changes in extreme events and the potential impacts on human health.

Science.gov (United States)

Bell, Jesse E; Brown, Claudia Langford; Conlon, Kathryn; Herring, Stephanie; Kunkel, Kenneth E; Lawrimore, Jay; Luber, George; Schreck, Carl; Smith, Adam; Uejio, Christopher

2018-04-01

Extreme weather and climate-related events affect human health by causing death, injury, and illness, as well as having large socioeconomic impacts. Climate change has caused changes in extreme event frequency, intensity, and geographic distribution, and will continue to be a driver for change in the future. Some of these events include heat waves, droughts, wildfires, dust storms, flooding rains, coastal flooding, storm surges, and hurricanes. The pathways connecting extreme events to health outcomes and economic losses can be diverse and complex. The difficulty in predicting these relationships comes from the local societal and environmental factors that affect disease burden. More information is needed about the impacts of climate change on public health and economies to effectively plan for and adapt to climate change. This paper describes some of the ways extreme events are changing and provides examples of the potential impacts on human health and infrastructure. It also identifies key research gaps to be addressed to improve the resilience of public health to extreme events in the future. Extreme weather and climate events affect human health by causing death, injury, and illness, as well as having large socioeconomic impacts. Climate change has caused changes in extreme event frequency, intensity, and geographic distribution, and will continue to be a driver for change in the future. Some of these events include heat waves, droughts, wildfires, flooding rains, coastal flooding, surges, and hurricanes. The pathways connecting extreme events to health outcomes and economic losses can be diverse and complex. The difficulty in predicting these relationships comes from the local societal and environmental factors that affect disease burden.

Possible future changes in extreme events over Northern Eurasia

Science.gov (United States)

Monier, Erwan; Sokolov, Andrei; Scott, Jeffery

2013-04-01

In this study, we investigate possible future climate change over Northern Eurasia and its impact on extreme events. Northern Eurasia is a major player in the global carbon budget because of boreal forests and peatlands. Circumpolar boreal forests alone contain more than five times the amount of carbon of temperate forests and almost double the amount of carbon of the world's tropical forests. Furthermore, severe permafrost degradation associated with climate change could result in peatlands releasing large amounts of carbon dioxide and methane. Meanwhile, changes in the frequency and magnitude of extreme events, such as extreme precipitation, heat waves or frost days are likely to have substantial impacts on Northern Eurasia ecosystems. For this reason, it is very important to quantify the possible climate change over Northern Eurasia under different emissions scenarios, while accounting for the uncertainty in the climate response and changes in extreme events. For several decades, the Massachusetts Institute of Technology (MIT) Joint Program on the Science and Policy of Global Change has been investigating uncertainty in climate change using the MIT Integrated Global System Model (IGSM) framework, an integrated assessment model that couples an earth system model of intermediate complexity (with a 2D zonal-mean atmosphere) to a human activity model. In this study, regional change is investigated using the MIT IGSM-CAM framework that links the IGSM to the National Center for Atmospheric Research (NCAR) Community Atmosphere Model (CAM). New modules were developed and implemented in CAM to allow climate parameters to be changed to match those of the IGSM. The simulations presented in this paper were carried out for two emission scenarios, a "business as usual" scenario and a 660 ppm of CO2-equivalent stabilization, which are similar to, respectively, the Representative Concentration Pathways RCP8.5 and RCP4.5 scenarios. Values of climate sensitivity and net aerosol

Serum magnesium in the first week of life in extremely low birth weight infants.

LENUS (Irish Health Repository)

Noone, D

2012-01-01

Evidence that antenatal administration of magnesium sulfate (MgSO(4)) to women in preterm labor may confer fetal neuroprotection is growing. MgSO(4) crosses the placenta and can affect the neonate. Magnesium homeostasis in extremely low birth weight (ELBW) infants remains to be clarified.

Riparian responses to extreme climate and land-use change scenarios.

Science.gov (United States)

Fernandes, Maria Rosário; Segurado, Pedro; Jauch, Eduardo; Ferreira, Maria Teresa

2016-11-01

Climate change will induce alterations in the hydrological and landscape patterns with effects on riparian ecotones. In this study we assess the combined effect of an extreme climate and land-use change scenario on riparian woody structure and how this will translate into a future risk of riparian functionality loss. The study was conducted in the Tâmega catchment of the Douro basin. Boosted Regression Trees (BRTs) were used to model two riparian landscape indicators related with the degree of connectivity (Mean Width) and complexity (Area Weighted Mean Patch Fractal Dimension). Riparian data were extracted by planimetric analysis of high spatial-resolution Word Imagery Layer (ESRI). Hydrological, climatic and land-use variables were obtained from available datasets and generated with process-based modeling using current climate data (2008-2014), while also considering the high-end RCP8.5 climate-change and "Icarus" socio-economic scenarios for the 2046-2065 time slice. Our results show that hydrological and land-use changes strongly influence future projections of riparian connectivity and complexity, albeit to diverse degrees and with differing effects. A harsh reduction in average flows may impair riparian zones while an increase in extreme rain events may benefit connectivity by promoting hydrologic dynamics with the surrounding floodplains. The expected increase in broad-leaved woodlands and mixed forests may enhance the riparian galleries by reducing the agricultural pressure on the area in the vicinity of the river. According to our results, 63% of river segments in the Tâmega basin exhibited a moderate risk of functionality loss, 16% a high risk, and 21% no risk. Weaknesses and strengths of the method are highlighted and results are discussed based on a resilience perspective with regard to riparian ecosystems. Copyright © 2016 Elsevier B.V. All rights reserved.

A "small-changes" workplace weight loss and maintenance program: examination of weight and health outcomes.

Science.gov (United States)

Zinn, Caryn; Schofield, Grant M; Hopkins, Will G

2012-10-01

To compare the effect of "small-changes" and "usual care" workplace interventions on weight loss and to investigate the effect of small changes with or without maintenance on weight and health outcomes. Overweight/obese employees at two New Zealand worksites received a 12-month usual-care intervention (n = 53), followed by a 12-month small-changes intervention (n = 102). Small changes comprised a 12-week component, followed by 9 months of maintenance, implemented at only one worksite. Magnitudes of effects were assessed via a threshold of -5% (weight loss) and standardization (health outcomes). Small changes showed beneficial weight loss relative to usual care in both worksites. For small-changes interventions, worksites reduced weight (12 weeks) and maintained lost weight (12 months). One in every three participants lost 5% or more weight. Some improvements in health outcomes were shown. Regardless of maintenance, the small-changes intervention was successful in sustaining weight loss.

Outcome of extremely low birth weight infants who received delivery room cardiopulmonary resuscitation.

Science.gov (United States)

Wyckoff, Myra H; Salhab, Walid A; Heyne, Roy J; Kendrick, Douglas E; Stoll, Barbara J; Laptook, Abbot R

2012-02-01

To determine whether delivery room cardiopulmonary resuscitation (DR-CPR) independently predicts morbidities and neurodevelopmental impairment (NDI) in extremely low birth weight infants. We conducted a cohort study of infants born with birth weight of 401 to 1000 g and gestational age of 23 to 30 weeks. DR-CPR was defined as chest compressions, medications, or both. Logistic regression was used to determine associations among DR-CPR and morbidities, mortality, and NDI at 18 to 24 months of age (Bayley II mental or psychomotor index blindness, or deafness). Data are adjusted ORs with 95% CIs. Of 8685 infants, 1333 (15%) received DR-CPR. Infants who received DR-CPR had lower birth weight (708±141 g versus 764±146g, PCPR had more pneumothoraces (OR, 1.28; 95% CI, 1.48-2.99), grade 3 to 4 intraventricular hemorrhage (OR, 1.47; 95% CI, 1.23-1.74), bronchopulmonary dysplasia (OR, 1.34; 95% CI, 1.13-1.59), death by 12 hours (OR, 3.69; 95% CI, 2.98-4.57), and death by 120 days after birth (OR, 2.22; 95% CI, 1.93-2.57). Rates of NDI in survivors (OR, 1.23; 95% CI, 1.02-1.49) and death or NDI (OR, 1.70; 95% CI, 1.46-1.99) were higher for DR-CPR infants. Only 14% of DR-CPR recipients with 5-minute Apgar score CPR is a prognostic marker for higher rates of mortality and NDI for extremely low birth weight infants. New DR-CPR strategies are needed for this population. Copyright © 2012 Mosby, Inc. All rights reserved.

Early Working Memory in Children Born With Extremely Low Birth Weight: Assessed by Object Permanence

OpenAIRE

Lowe, Jean; MacLean, Peggy C.; Shaffer, Michele L.; Watterberg, Kristi

2009-01-01

Object permanence is considered the earliest method for assessing working memory. Factors affecting object permanence performance in a sample of two hundred and thirty-three 18- to 22-month olds born with extremely low birth weight were examined. It was hypothesized that object permanence would be directly related to emotional and attention regulation, that children with lower birth weight and higher illness severity would have more difficulty on the object permanence task, and that no ethnic...

DNA Methylation Changes in the IGF1R Gene in Birth Weight Discordant Adult Monozygotic Twins

DEFF Research Database (Denmark)

Tsai, Pei-Chien; Van Dongen, Jenny; Tan, Qihua

2015-01-01

persists into adulthood. To investigate this further, we performed epigenome-wide association analyses of blood DNA methylation using Infinium HumanMethylation450 BeadChip profiles in 71 adult monozygotic (MZ) twin pairs who were extremely discordant for birth weight. A signal mapping to the IGF1R gene (cg...... were not significant. However, a meta-analysis across the four independent samples, in total 216 birth-weight discordant MZ twin pairs, showed a significant positive association between birth weight and DNA methylation differences at IGF1R (random-effects meta-analysis p = .04), and the effect...... was particularly pronounced in older twins (random-effects meta-analysis p = .008, 98 older birth-weight discordant MZ twin pairs). The results suggest that severe intra-uterine growth differences (birth weight discordance >20%) are associated with methylation changes in the IGF1R gene in adulthood, independent...

Physical activity, obesity, weight change, and risk of atrial fibrillation: the Atherosclerosis Risk in Communities study.

Science.gov (United States)

Huxley, Rachel R; Misialek, Jeffrey R; Agarwal, Sunil K; Loehr, Laura R; Soliman, Elsayed Z; Chen, Lin Y; Alonso, Alvaro

2014-08-01

Physical activity (PA) has previously been suggested to attenuate the risk of atrial fibrillation (AF) conferred by excess body weight and weight gain. We prospectively examined the relationship between body size, weight change, and level of PA in a biracial cohort of middle-aged men and women. Baseline characteristics on risk factor levels were obtained on 14 219 participants from the Atherosclerosis Risk in Communities Study. AF incidence was ascertained from 1987 to 2009. Adjusted Cox proportional hazards models were used to estimate the associations between body mass index, waist circumference, relative weight change, and PA level with incident AF. During follow-up, there were 1775 cases of incident AF. Body mass index and waist circumference were positively associated with AF as was weight loss/gain of >5% initial body weight. An ideal level of PA had a small protective effect on AF risk and partially attenuated the risk of AF associated with excess weight in men but not women: compared with men with a normal body mass index, the risk of AF in obese men with an ideal, intermediate, and poor level of PA at baseline was increased by 37%, 129%, and 156% (Pinteraction=0.04). During follow-up, PA did not modify the association between weight gain and risk of AF. Obesity and extreme weight change are risk factors for incident AF, whereas being physically active is associated with a small reduction in risk. In men only, being physically active offset some, but not all, of the risk incurred with excess body weight. © 2014 American Heart Association, Inc.

Past and future changes in extreme sea levels and waves

Digital Repository Service at National Institute of Oceanography (India)

Lawe, J.A.; Woodworth, P.L.; Knutson, T.; McDonald, R.E.; Mclnnes, K.L.; Woth, K.; Von Storch, H.; Wolf, J.; Swail, V.; Bernier, N.B.; Gulev, S.; Horsburgh, K.J.; Unnikrishnan, A.S.; Hunter, J.R.; Weisse, R.

of Extreme Sea Level 11.3.1 An Introduction to Storms Both mid-latitude and tropical storms are associated with extremes of sea level. Storm surges are generated by low atmospheric pressure and intense winds over the ocean. The latter also cause high wave... timescales, extremes and mean-sea-level change are both major factors in determining coastal evolution including the development of coastal ecosystems. It will be seen below that, although it is difficult to determine how mean sea level has changed...

Weight loss methods and changes in eating habits among successful weight losers.

Science.gov (United States)

Soini, Sirpa; Mustajoki, Pertti; Eriksson, Johan G

2016-01-01

Changes in several lifestyle related factors are required for successful long-term weight loss. Identification of these factors is of major importance from a public health point of view. This study was based upon findings from the Finnish Weight Control Registry (FWCR), a web-based registry. In total, 316 people were recruited and 184 met the study inclusion criteria. The aims of this study were to assess means and typical changes in eating habits associated with successful long-term weight loss. Half of the participants (48%) reported that they lost weight slowly primarily with dietary changes. Self-weighing frequency was high, 92% was weighing themselves at least once a week during the weight loss phase, and 75% during the maintenance phase. Dietary aspects associated with successful weight loss and weight maintenance included an increase in intake of vegetables, a reduction in frequency of eating candies and fast food, regular meal frequency and application of the Plate model. Both slow and fast weight loss may lead to successful long-term results and weight maintenance. A decrease in energy intake was achieved by reducing intake of energy-dense food, applying the Plate model and by regular meal frequency. Key messages Successful long-term weight loss is associated with a reduction in intake of energy-dense food. A more regular meal frequency and a high frequency of self-weighing seem to be helpful.

Heterosis and direct effects for Charolais-sired calf weight and growth, cow weight and weight change, and ratios of cow and calf weights and weight changes across warm season lactation in Romosinuano, Angus, and F cows in Arkansas.

Science.gov (United States)

Riley, D G; Burke, J M; Chase, C C; Coleman, S W

2016-01-01

The use of Brahman in cow-calf production offers some adaptation to the harsh characteristics of endophyte-infected tall fescue. Criollo breeds, such as the Romosinuano, may have similar adaptation. The objectives were to estimate genetic effects in Romosinuano, Angus, and crossbred cows for their weights, weights of their calves, and ratios (calf weight:cow weight and cow weight change:calf weight gain) across lactation and to assess the influence of forage on traits and estimates. Cows ( = 91) were bred to Charolais bulls after their second parity. Calves ( = 214) were born from 2006 to 2009. Cows and calves were weighed in early (April and June), mid- (July), and late lactation (August and October). Animal was a random effect in analyses of calf data; sire was random in analyses of cow records and ratios. Fixed effects investigated included calf age, calf sex, cow age-year combinations, sire breed of cow, dam breed of cow, and interactions. Subsequent analyses evaluated the effect of forage grazed: endophyte-free or endophyte-infected tall fescue. Estimates of maternal heterosis for calf weight ranged from 9.3 ± 4.3 to 15.4 ± 5.7 kg from mid-lactation through weaning ( cow) were -6.8 ± 3.0 and -8.9 ± 4.2 kg for weights recorded in April and June. Calf weights and weight gains from birth were greater ( cows grazing endophyte-free tall fescue except in mid-summer. Cow weight change from April to each time was negative for Angus cows and lower ( Cows grazing endophyte-free tall fescue were heavier ( cows had the lowest ( cow weight change:calf weight gain, indicating an energy-deficit condition. Cows grazing endophyte-free tall fescue had more negative ( cow weight, 7.9 ± 3.0 to 15.8 ± 5.0 kg for cow weight change, and 0.07 ± 0.03 to 0.27 ± 0.1 for cow weight change:calf weight gain. Direct Romosinuano effects ranged from 14.8 ± 4.2 to 49.8 ± 7.7 kg for cow weight change and 0.2 ± 0.04 to 0.51 ± 0.14 for cow weight change:calf weight gain. The adaptive

Dynamically-downscaled projections of changes in temperature extremes over China

Science.gov (United States)

Guo, Junhong; Huang, Guohe; Wang, Xiuquan; Li, Yongping; Lin, Qianguo

2018-02-01

In this study, likely changes in extreme temperatures (including 16 indices) over China in response to global warming throughout the twenty-first century are investigated through the PRECIS regional climate modeling system. The PRECIS experiment is conducted at a spatial resolution of 25 km and is driven by a perturbed-physics ensemble to reflect spatial variations and model uncertainties. Simulations of present climate (1961-1990) are compared with observations to validate the model performance in reproducing historical climate over China. Results indicate that the PRECIS demonstrates reasonable skills in reproducing the spatial patterns of observed extreme temperatures over the most regions of China, especially in the east. Nevertheless, the PRECIS shows a relatively poor performance in simulating the spatial patterns of extreme temperatures in the western mountainous regions, where its driving GCM exhibits more uncertainties due to lack of insufficient observations and results in more errors in climate downscaling. Future spatio-temporal changes of extreme temperature indices are then analyzed for three successive periods (i.e., 2020s, 2050s and 2080s). The projected changes in extreme temperatures by PRECIS are well consistent with the results of the major global climate models in both spatial and temporal patterns. Furthermore, the PRECIS demonstrates a distinct superiority in providing more detailed spatial information of extreme indices. In general, all extreme indices show similar changes in spatial pattern: large changes are projected in the north while small changes are projected in the south. In contrast, the temporal patterns for all indices vary differently over future periods: the warm indices, such as SU, TR, WSDI, TX90p, TN90p and GSL are likely to increase, while the cold indices, such as ID, FD, CSDI, TX10p and TN10p, are likely to decrease with time in response to global warming. Nevertheless, the magnitudes of changes in all indices tend to

Quantifying population exposure to airborne particulate matter during extreme events in California due to climate change

OpenAIRE

A. Mahmud; M. Hixson; M. J. Kleeman

2012-01-01

The effect of climate change on population-weighted concentrations of particulate matter (PM) during extreme events was studied using the Parallel Climate Model (PCM), the Weather Research and Forecasting (WRF) model and the UCD/CIT 3-D photochemical air quality model. A "business as usual" (B06.44) global emissions scenario was dynamically downscaled for the entire state of California between the years 2000–2006 and 2047–2053. Air quality simulations were carried out for ...

Efficacy of a "small-changes" workplace weight loss initiative on weight and productivity outcomes.

Science.gov (United States)

Zinn, Caryn; Schofield, Grant M; Hopkins, Will G

2012-10-01

The effect of weight reduction on workplace productivity is unknown. We have investigated a "small-changes" workplace weight loss intervention on weight and productivity outcomes. Overweight/obese employees at two New Zealand worksites (n = 102) received the 12-week intervention. One site received an extra 9-month weight-maintenance component. Magnitudes of effects on weight and productivity were assessed via standardization. Both groups reduced weight at 12 weeks and maintained lost weight at 12 months. There were small possible improvements in productivity at one worksite and trivial reductions at the other by 12 weeks, with little subsequent change during maintenance in either group. At an individual level, weight change was associated with at most only small improvements or small reductions in productivity. Workplace weight loss initiatives may need to be more intensive or multidimensional to enhance productivity.

Neurodevelopmental sequelae in premature newborns with extremely low weight and with very low weight at two years of age who left the Neonatal Intensive Care Unit of the Hospital Nacional Edgardo Rebagliati Martins 2009-2014

Directory of Open Access Journals (Sweden)

Carmen Fernández Sierra

2017-02-01

Full Text Available Objective: The purpose of this study is to describe the neurodevelopmental sequelae in premature newborns with extremely low weight and with very low weight at two years of age who left the Neonatal Intensive Care Unit of the Hospital Nacional Edgardo Rebagliati Martins. Materials and methods: A descriptive, retrospective, cross-sectional study in a population of 190 premature newborns with extremely low weight and with very low weight born from January 2009 to June 2014 who left the Neonatal Intensive Care Unit and took part in the follow-up program. The psychomotor development, sensorineural hearing loss, retinopathy of prematurity, presence of cerebral palsy and convulsive syndrome were assessed. Results: The average weight at birth was 1,180.53 ± 212.40 grams with a gestational age of 29.86 ± 2.33 weeks, and 51.58% of the newborns were male. Forty-two point six three percent (42.63% of the premature newborns with very low weight showed retardation of psychomotor development; 25.26%, retinopathy; 13.68%, sensorineural hearing loss; 3.68%, cerebral palsy; and 3.68%, convulsive syndrome. Fifty-two point two seven percent (52.27% of the premature newborns with extremely low weight showed retardation of psychomotor development; 50%, retinopathy; 15.91%, sensorineural hearing loss; and 2.27%, convulsive syndrome. Conclusions: Retardation of psychomotor development and retinopathy were the most important complications shown by premature newborns with extremely low weight and with very low weight at two years of age.

Expected impacts of climate change on extreme climate events

International Nuclear Information System (INIS)

Planton, S.; Deque, M.; Chauvin, F.; Terray, L.

2008-01-01

An overview of the expected change of climate extremes during this century due to greenhouse gases and aerosol anthropogenic emissions is presented. The most commonly used methodologies rely on the dynamical or statistical down-scaling of climate projections, performed with coupled atmosphere-ocean general circulation models. Either of dynamical or of statistical type, down-scaling methods present strengths and weaknesses, but neither their validation on present climate conditions, nor their potential ability to project the impact of climate change on extreme event statistics allows one to give a specific advantage to one of the two types. The results synthesized in the last IPCC report and more recent studies underline a convergence for a very likely increase in heat wave episodes over land surfaces, linked to the mean warming and the increase in temperature variability. In addition, the number of days of frost should decrease and the growing season length should increase. The projected increase in heavy precipitation events appears also as very likely over most areas and also seems linked to a change in the shape of the precipitation intensity distribution. The global trends for drought duration are less consistent between models and down-scaling methodologies, due to their regional variability. The change of wind-related extremes is also regionally dependent, and associated to a poleward displacement of the mid-latitude storm tracks. The specific study of extreme events over France reveals the high sensitivity of some statistics of climate extremes at the decadal time scale as a consequence of regional climate internal variability. (authors)

Changing precipitation extremes and flood risk over the conterminous U.S.

Science.gov (United States)

Lettenmaier, D. P.

2017-12-01

On the basis of first principles, precipitation extremes should increase in a warming climate. Effectively, the atmospheric "heat engine" is expected to turn over more rapidly as the climate warms, due to increased water holding capacity of the atmosphere. Most climate models reflect this behavior, and project that precipitation extremes should increase, at roughly the Clausius-Clapyron rate. From a societal standpoint though, changing precipitation extremes in and of themselves aren't necessarily a concern - rather, the question of societal interest is "are and/or will flood extremes change". Flood extremes of course respond to precipitation extremes, but they are affected by a number of other factors, among them being the duration of precipitation relative to catchment size and channel features, storm orientation relative to catchment orientation, soil characteristics, and antecedent hydrologic conditions. Various studies have shown that over both the conterminous U.S. and globally, there have been slight increases in precipitation extremes (i.e., more than would be expected due to chance. On the other hand, evidence for increases in flooding are less pervasive. I review past work in this area, and suggest the nature of studies that might be conducted going forward to better understand the likely signature of changing precipitation extremes on flooding.

Climate change and extreme events in weather

Digital Repository Service at National Institute of Oceanography (India)

RameshKumar, M.R.

reported that the climate based extreme weather event is increasing throughout the world. One of the major chal- lenges before the scientists is to determine whether the ob- served change in extreme weather events exceeds the vari- ability expected through... was recorded in July 1943 on the hills of Mewar and Merwara. Unprecedent flood in Ajmer and Merwara devasted 50 villages and took a toll of 5000 lives (De et al., 2005). Severe Floods occurred to Godavari and Tungabhadra rivers in the last week of August...

Quantifying population exposure to airborne particulate matter during extreme events in California due to climate change

OpenAIRE

A. Mahmud; M. Hixson; M. J. Kleeman

2012-01-01

The effect of climate change on population-weighted concentrations of particulate matter (PM) during extreme pollution events was studied using the Parallel Climate Model (PCM), the Weather Research and Forecasting (WRF) model and the UCD/CIT 3-D photochemical air quality model. A "business as usual" (B06.44) global emissions scenario was dynamically downscaled for the entire state of California between the years 2000–2006 and 2047–2053. Air quality simulations were carried out for 1008 days ...

Ghrelin gene: identification of missense variants and a frameshift mutation in extremely obese children and adolescents and healthy normal weight students.

Science.gov (United States)

Hinney, Anke; Hoch, Anne; Geller, Frank; Schäfer, Helmut; Siegfried, Wolfgang; Goldschmidt, Hanspeter; Remschmidt, Helmut; Hebebrand, Johannes

2002-06-01

Ghrelin induces obesity via central and peripheral mechanisms. Administration of ghrelin leads to increased food intake and decreased fat utilisation in rodents. Ghrelin levels are decreased in obese individuals. Recently, a polymorphism (Arg-51-Gln) within the ghrelin gene (GHRL) was described to be associated with obesity. We screened the GHRL coding region in 215 extremely obese German Children and adolescents (study group 1) and 93 normal weight students (study group 2) by single strand conformation polymorphism analysis (SSCP). We found the two previously described single nucleotide polymorphisms (SNP: Arg-51-Gln and Leu-72-Met) in similar frequencies in study groups 1 and 2 (allele frequencies were: 0.019 and 0.016 for the 51-Gln allele and 0.091 and 0.086 for the 72-Met allele, respectively). Hence, we could not confirm the previous finding. Additionally, two novel variants were identified within the coding region: (1) We detected one healthy normal weight individual with a frameshift mutation (2bp deletion at codon 34). This frameshift mutation affects the coding region of the mature ghrelin. Hence, it is highly likely that the normal weight student is haplo-insufficient for ghrelin. (2) An A to T transversion leads to an amino acid exchange from Gln to Leu at amino acid position 90. The frequency of the 90-Leu allele was significantly higher in the extremely obese children and adolescents (0.063) than in the normal weight students (0.016; nominal p = 0.011). Additionally, we genotyped 134 underweight students and 44 normal weight adults for this SNP. Genotype frequencies were similar in extremely obese children and adolescents, underweight students and normal weight adults (p > 0.8). In conclusion, we identified four sequence variants in the coding region of the ghrelin gene in individuals belonging to different weight extremes. A frameshift mutation was detected in a normal weight individual. None of the variants seem to influence weight regulation.

Projected Changes in Temperature Extremes in China Using PRECIS

Directory of Open Access Journals (Sweden)

Yujing Zhang

2017-01-01

Full Text Available Temperature extremes can cause disastrous impacts on ecological and social economic systems. China is very sensitive to climate change, as its warming rate exceeds that of the global mean level. This paper focused on the spatial and temporal changes of the temperature extremes characterized by the 95th percentile of maximum temperature (TX95, the 5th percentile of the minimum temperature (TN5, high-temperature days (HTD and low-temperature days (LTD. The daily maximum and minimum temperatures generated by PRECIS under different Representative Concentration Pathways (RCPs are used in the research. The results show that: (1 Model simulation data can reproduce the spatial distribution features of the maximum temperature (Tmax and minimum temperature (Tmin as well as that of the extreme temperature indices; (2 By the end of the 21st century (2070–2099, both the Tmax and Tmin are warmer than the baseline level (1961–1990 in China and the eight sub-regions. However, there are regional differences in the asymmetrical warming features, as the Tmin warms more than the Tmax in the northern part of China and the Tibetan Plateau, while the Tmax warms more than the Tmin in the southern part of China; (3 The frequency of the warm extremes would become more usual, as the HTD characterized by the present-day threshold would increase by 106%, 196% and 346%, under RCP2.6, RCP4.5 and RCP8.5, respectively, while the cold extremes characterized by the LTD would become less frequent by the end of the 21st century, decreasing by 75%, 90% and 98% under RCP2.6, RCP4.5 and RCP8.5, respectively. The southern and eastern parts of the Tibetan Plateau respond sensitively to changes in both the hot and cold extremes, suggesting its higher likelihood to suffer from climate warming; (4 The intensity of the warm (cold extremes would increase (decrease significantly, characterized by the changes in the TX95 (TN5 by the end of the 21st century, and the magnitude of the

Climate Extreme Events over Northern Eurasia in Changing Climate

Science.gov (United States)

Bulygina, O.; Korshunova, N. N.; Razuvaev, V. N.; Groisman, P. Y.

2014-12-01

During the period of widespread instrumental observations in Northern Eurasia, the annual surface air temperature has increased by 1.5°C. Close to the north in the Arctic Ocean, the late summer sea ice extent has decreased by 40% providing a near-infinite source of water vapor for the dry Arctic atmosphere in the early cold season months. The contemporary sea ice changes are especially visible in the Eastern Hemisphere All these factors affect the change extreme events. Daily and sub-daily data of 940 stations to analyze variations in the space time distribution of extreme temperatures, precipitation, and wind over Russia were used. Changing in number of days with thaw over Russia was described. The total seasonal numbers of days, when daily surface air temperatures (wind, precipitation) were found to be above (below) selected thresholds, were used as indices of climate extremes. Changing in difference between maximum and minimum temperature (DTR) may produce a variety of effects on biological systems. All values falling within the intervals ranged from the lowest percentile to the 5th percentile and from the 95th percentile to the highest percentile for the time period of interest were considered as daily extremes. The number of days, N, when daily temperatures (wind, precipitation, DTR) were within the above mentioned intervals, was determined for the seasons of each year. Linear trends in the number of days were calculated for each station and for quasi-homogeneous climatic regions. Regional analysis of extreme events was carried out using quasi-homogeneous climatic regions. Maps (climatology, trends) are presented mostly for visualization purposes. Differences in regional characteristics of extreme events are accounted for over a large extent of the Russian territory and variety of its physical and geographical conditions. The number of days with maximum temperatures higher than the 95% percentile has increased in most of Russia and decreased in Siberia in

Cardiovascular Responses to Psychosocial Stress Reflect Motivation State in Adults Born at Extremely Low Birth Weight

Directory of Open Access Journals (Sweden)

Karen J. Mathewson PhD

2015-03-01

Full Text Available Background. Adults born extremely preterm appear to have more difficulty managing the stresses of early adulthood than their term-born peers. Objective. To examine the effects of being born at extremely low birth weight (ELBW; birth weight < 1000 g versus at full term on cardiovascular responses to stress. Method. Cardiovascular responses were elicited during administration of a widely used laboratory stressor, the Trier Social Stress Test (TSST. Results. Term-born adults exhibited a larger decrease in total peripheral resistance and larger increase in cardiac output for TSST performance, reflecting greater resilience, than did ELBW adults. Furthermore, in ELBW participants but not controls, cardiovascular responses were correlated with anxiety, suggesting that their responses reflected feelings of stress. Conclusions. Skills-training and practice with relevant stressors may be necessary to increase the personal resources of ELBW participants for managing stress as they transition to adulthood.

[Effect of extensively hydrolyzed formula on growth and development of infants with very/extremely low birth weight].

Science.gov (United States)

Gu, Chun-Yan; Jiang, Hui-Fen; Wang, Jin-Xiu

2017-08-01

To study the effect of extensively hydrolyzed formula on the growth and development in very low birth weight (VLBW) and extremely low birth weight (ELBW) infants. A total of 375 VLBW or ELBW infants were enrolled and divided into an observation group (187 infants) and a control group (188 infants) using a random number table. The infants in the observation group were given extensively hydrolyzed formula, and when the amount of extensively hydrolyzed formula reached 10 mL/time, it was changed to the standard formula for preterm infants. The infants in the control group were given standard formula for preterm infants. Both groups were fed for 4 consecutive weeks and were compared in terms of incidence rate of feeding intolerance, time to establish full enteral feeding, time to complete meconium excretion, number of spontaneous bowel movements, growth and development, motilin level at 4 and 10 days after feeding, and incidence rate of infection. Compared with the control group, the observation group had a lower rate of feeding intolerance (Pdevelopment, and reduce the incidence of infection in VLBW and ELBW infants.

Gluconeogenesis is not regulated by either glucose or insulin in extremely low birth weight infants receiving total parenteral nutrition

Science.gov (United States)

The objective was to determine potential factors regulating gluconeogenesis (GNG) in extremely low birth weight infants receiving total parenteral nutrition. Seven infants (birth weight, 0.824 +/- 0.068 kg; gestational age, 25.4 +/- 0.5 weeks; postnatal age, 3.3 +/- 0.2 days) were studied for 11 hou...

Climate Change: A New Metric to Measure Changes in the Frequency of Extreme Temperatures using Record Data

Science.gov (United States)

Munasinghe, L.; Jun, T.; Rind, D. H.

2012-01-01

Consensus on global warming is the result of multiple and varying lines of evidence, and one key ramification is the increase in frequency of extreme climate events including record high temperatures. Here we develop a metric- called "record equivalent draws" (RED)-based on record high (low) temperature observations, and show that changes in RED approximate changes in the likelihood of extreme high (low) temperatures. Since we also show that this metric is independent of the specifics of the underlying temperature distributions, RED estimates can be aggregated across different climates to provide a genuinely global assessment of climate change. Using data on monthly average temperatures across the global landmass we find that the frequency of extreme high temperatures increased 10-fold between the first three decades of the last century (1900-1929) and the most recent decade (1999-2008). A more disaggregated analysis shows that the increase in frequency of extreme high temperatures is greater in the tropics than in higher latitudes, a pattern that is not indicated by changes in mean temperature. Our RED estimates also suggest concurrent increases in the frequency of both extreme high and extreme low temperatures during 2002-2008, a period when we observe a plateauing of global mean temperature. Using daily extreme temperature observations, we find that the frequency of extreme high temperatures is greater in the daily minimum temperature time-series compared to the daily maximum temperature time-series. There is no such observable difference in the frequency of extreme low temperatures between the daily minimum and daily maximum.

Weight Changes following the Diagnosis of Type 2 Diabetes

DEFF Research Database (Denmark)

Olivarius, Niels de Fine; Siersma, Volkert Dirk; Køster-Rasmussen, Rasmus

2015-01-01

Aims: The association between recent and more distant weight changes before and after the diagnosis of type 2 diabetes has been little researched. The aim of this study is to determine the influence of patients’ weight history before diabetes diagnosis on the observed 6-year weight changes after...... diagnosis. Methods: A clinical cohort study combined with self-reported past weight history. In total 885 patients aged ≥40 years and newly diagnosed with clinical type 2 diabetes were included. Body weight was measured immediately after diabetes diagnosis and again at the 6-year follow up examination...... weight change after diagnosis. Conclusions: During the first on average 5.7 years after diagnosis of type 2 diabetes, patients generally follow a course of declining average weight, and these weight developments are related primarily to recent weight changes, body mass index, and age, but not to the more...

Transcriptome and network changes in climbers at extreme altitudes

DEFF Research Database (Denmark)

Chen, Fang; Zhang, Wei; Liang, Yu

2012-01-01

Extreme altitude can induce a range of cellular and systemic responses. Although it is known that hypoxia underlies the major changes and that the physiological responses include hemodynamic changes and erythropoiesis, the molecular mechanisms and signaling pathways mediating such changes are lar...

Identification of Climate Change with Generalized Extreme Value (GEV) Distribution Approach

International Nuclear Information System (INIS)

Rahayu, Anita

2013-01-01

Some events are difficult to avoid and gives considerable influence to humans and the environment is extreme weather and climate change. Many of the problems that require knowledge about the behavior of extreme values and one of the methods used are the Extreme Value Theory (EVT). EVT used to draw up reliable systems in a variety of conditions, so as to minimize the risk of a major disaster. There are two methods for identifying extreme value, Block Maxima with Generalized Extreme Value (GEV) distribution approach and Peaks over Threshold (POT) with Generalized Pareto Distribution (GPD) approach. This research in Indramayu with January 1961-December 2003 period, the method used is Block Maxima with GEV distribution approach. The result showed that there is no climate change in Indramayu with January 1961-December 2003 period.

Can model weighting improve probabilistic projections of climate change?

Energy Technology Data Exchange (ETDEWEB)

Raeisaenen, Jouni; Ylhaeisi, Jussi S. [Department of Physics, P.O. Box 48, University of Helsinki (Finland)

2012-10-15

Recently, Raeisaenen and co-authors proposed a weighting scheme in which the relationship between observable climate and climate change within a multi-model ensemble determines to what extent agreement with observations affects model weights in climate change projection. Within the Third Coupled Model Intercomparison Project (CMIP3) dataset, this scheme slightly improved the cross-validated accuracy of deterministic projections of temperature change. Here the same scheme is applied to probabilistic temperature change projection, under the strong limiting assumption that the CMIP3 ensemble spans the actual modeling uncertainty. Cross-validation suggests that probabilistic temperature change projections may also be improved by this weighting scheme. However, the improvement relative to uniform weighting is smaller in the tail-sensitive logarithmic score than in the continuous ranked probability score. The impact of the weighting on projection of real-world twenty-first century temperature change is modest in most parts of the world. However, in some areas mainly over the high-latitude oceans, the mean of the distribution is substantially changed and/or the distribution is considerably narrowed. The weights of individual models vary strongly with location, so that a model that receives nearly zero weight in some area may still get a large weight elsewhere. Although the details of this variation are method-specific, it suggests that the relative strengths of different models may be difficult to harness by weighting schemes that use spatially uniform model weights. (orig.)

Early weight loss predicts weight loss treatment response regardless of binge-eating disorder status and pretreatment weight change.

Science.gov (United States)

Barnes, Rachel D; Ivezaj, Valentina; Pittman, Brian P; Grilo, Carlos M

2018-04-10

Individuals seeking weight loss treatment have diverse pretreatment weight trajectories, and once enrolled, individuals' response to weight loss treatments also varies greatly and may be influenced by the presence of binge-eating disorder (BED). Reported average weight losses may obscure these considerable differences. This study examined whether BED status and different weight-related change variables are associated with successful weight loss treatment outcomes in a controlled treatment study. Participants (N = 89) with overweight/obesity, with and without BED, participated in a 3-month weight loss trial in primary care with 3- and 12-month follow-ups. We tested the prognostic significance of four weight-related change variables (the last supper, early weight loss, pretreatment weight trajectory, weight suppression) on outcomes (weight loss-overall, weight loss-"subsequent," weight loss during second half of treatment). Early weight loss was positively associated with weight loss-overall at post-treatment, and at 3-month and 12-month follow-up. Early weight loss was positively associated with weight loss-subsequent at post-treatment only. No other weight-related variables were significantly associated with weight loss. Models including BED status and treatment condition were not significant. Participants with early weight loss were more likely to continue losing weight, regardless of BED status or treatment condition. The results highlight the importance of early dedication to weight loss treatment to increase the likelihood of positive outcomes. © 2018 Wiley Periodicals, Inc.

Weight change and incident diabetes: addressing an unresolved issue

NARCIS (Netherlands)

Jacobs-van der Bruggen, M.A.M.; Spijkerman, A.M.W.; Baal, van P.H.M.; Baan, C.A.; Feskens, E.J.M.; Picavet, H.S.J.; A, van der A.D.; Verschuren, W.M.M.

2010-01-01

The impact of weight change on diabetes incidence remains unclear. To clarify the role of weight change as a risk factor for diabetes, the authors assessed the association between weight change and diabetes incidence conditional upon either initial or attained body mass index (BMI). They used 7,837

Projecting changes in regional temperature and precipitation extremes in the United States

OpenAIRE

Justin T. Schoof; Scott M. Robeson

2016-01-01

Regional and local climate extremes, and their impacts, result from the multifaceted interplay between large-scale climate forcing, local environmental factors (physiography), and societal vulnerability. In this paper, we review historical and projected changes in temperature and precipitation extremes in the United States, with a focus on strengths and weaknesses of (1) commonly used definitions for extremes such as thresholds and percentiles, (2) statistical approaches to quantifying change...

General movements in the first fourteen days of life in extremely low birth weight (ELBW) infants

NARCIS (Netherlands)

de Vries, N. K. S.; Erwich, J. J. H. M.; Bos, A. F.

2008-01-01

Objective: To assess the quality of general movements (GMs) in the first fourteen days of life in relation to obstetric and postnatal risk factors and neurodevelopmental outcome in extremely low birth weight (ELBW) infants. Study design: The GMs of nineteen infants were assessed on days 2, 4, 6, 10

High frequencies of elevated alkaline phosphatase activity and rickets exist in extremely low birth weight infants despite current nutritional support

Science.gov (United States)

Osteopenia and rickets are common among extremely low birth weight infants (ELBW, <1000 g birth weight) despite current practices of vitamin and mineral supplementation. Few data are available evaluating the usual course of markers of mineral status in this population. Our objectives in this study w...

Early corticosteroid treatment does not affect severity of unconjugated hyperbilirubinemia in extreme low birth weight preterm infants

NARCIS (Netherlands)

Hulzebos, Christian V.; Bos, Arend F.; Anttila, Eija; Hallman, Mikko; Verkade, Henkjan J.

Aim: To determine the relationship between early postnatal dexamethasone (DXM) treatment and the severity of hyperbilirubinemia in extreme low birth weight (ELBW) preterm infants. Methods: In 54 ELBW preterm infants, total serum bilirubin concentrations (TSB) and phototherapy (PT) data during the

Research frontiers in climate change: Effects of extreme meteorological events on ecosystems

International Nuclear Information System (INIS)

Jentsch, A.; Jentsch, A.; Beierkuhnlein, C.

2008-01-01

Climate change will increase the recurrence of extreme weather events such as drought and heavy rainfall. Evidence suggests that modifications in extreme weather events pose stronger threats to ecosystem functioning than global trends and shifts in average conditions. As ecosystem functioning is connected with ecological services, this has far-reaching effects on societies in the 21. century. Here, we: (i) present the rationale for the increasing frequency and magnitude of extreme weather events in the near future; (ii) discuss recent findings on meteorological extremes and summarize their effects on ecosystems and (iii) identify gaps in current ecological climate change research. (authors)

Serum levels of fetal antigen 1 in extreme nutritional States

DEFF Research Database (Denmark)

Andries, Alin; Niemeier, Andreas; Støving, Rene K

2012-01-01

Objective. Recent data suggest that fetal antigen (FA1) is linked to disorders of body weight. Thus, we measured FA1 serum levels in two extreme nutritional states of morbid obesity (MO) and anorexia nervosa (AN) and monitored its response to weight changes. Design. FA1 and insulin serum...

College Freshman Stress and Weight Change: Differences by Gender

Science.gov (United States)

Economos, Christina D.; Hildebrandt, M. Lise; Hyatt, Raymond R.

2008-01-01

Objectives: To examine how stress and health-related behaviors affect freshman weight change by gender. Methods: Three hundred ninety-six freshmen completed a 40-item health behavior survey and height and weight were collected at baseline and follow-up. Results: Average weight change was 5.04 lbs for males, 5.49 lbs for females. Weight gain was…

Allocation of feed based on individual dairy cow live weight changes: I: Feed intake and live weight changes during lactation

DEFF Research Database (Denmark)

Bossen, Dorte; Weisbjerg, Martin Riis; Munksgaard, Lene

2009-01-01

based on automatic milking (AMS). The objective was to examine the relationship between feed intake and live weight changes in response to the three feeding strategies examined. All cows were allowed a combination of a mixed ration (MR) and individually separately offered concentrate (ISC) in the AMS......) or late (MR2-L) change to a low energy ration. The early and late change was defined as a live weight gain after live weight minimum of 15 and 35 kg respectively for DR/DH and 11 and 25 kg respectively for DJ. Peak energy intake obtained by primiparous cows and cows of DJ was not significantly higher......Based on individual cow live weight changes, feeding strategies were designed for individual feeding of dairy cows in loose-housing systems and examined in a four-year production trial including 115 Danish Red (DR), 91 Danish Holstein (DH) and 93 Danish Jersey (DJ). Cows were kept in a dairy system...

Changes in weight control behaviors and hedonic hunger during a 12-week commercial weight loss program.

Science.gov (United States)

O'Neil, Patrick M; Theim, Kelly R; Boeka, Abbe; Johnson, Gail; Miller-Kovach, Karen

2012-12-01

Greater use of key self-regulatory behaviors (e.g., self-monitoring of food intake and weight) is associated with greater weight loss within behavioral weight loss treatments, although this association is less established within widely-available commercial weight loss programs. Further, high hedonic hunger (i.e., susceptibility to environmental food cues) may present a barrier to successful behavior change and weight loss, although this has not yet been examined. Adult men and women (N=111, body mass index M±SD=31.5±2.7kg/m(2)) were assessed before and after participating in a 12-week commercial weight loss program. From pre- to post-treatment, reported usage of weight control behaviors improved and hedonic hunger decreased, and these changes were inversely associated. A decrease in hedonic hunger was associated with better weight loss. An improvement in reported weight control behaviors (e.g., self-regulatory behaviors) was associated with better weight loss, and this association was even stronger among individuals with high baseline hedonic hunger. Findings highlight the importance of specific self-regulatory behaviors within weight loss treatment, including a commercial weight loss program developed for widespread community implementation. Assessment of weight control behavioral skills usage and hedonic hunger may be useful to further identify mediators of weight loss within commercial weight loss programs. Future interventions might specifically target high hedonic hunger and prospectively examine changes in hedonic hunger during other types of weight loss treatment to inform its potential impact on sustained behavior change and weight control. Copyright © 2012 Elsevier Ltd. All rights reserved.

Pneumoretroperitoneum and Perirenal Air Associated With Pneumothorax in an Extremely Low-Birth-Weight Infant

Directory of Open Access Journals (Sweden)

Belma Saygili Karagol

2011-02-01

Full Text Available Pneumothorax-associated pneumoretroperitoneum and perirenal air have rarely been reported in infants. We report a case of an extremely low-birth-weight infant who developed pneumoretroperitoneum and perirenal air associated with tension pneumothorax and deteriorated acutely despite prompt pleural water-seal vacuum drainage system insertion. Our aim in presenting this case report is to emphasize keeping in mind that there could be extrapleural air leaks, such as pneumoretroperitoneum in patients with pneumothorax.

Climate Change Extreme Events: Meeting the Information Needs of Water Resource Managers

Science.gov (United States)

Quay, R.; Garfin, G. M.; Dominguez, F.; Hirschboeck, K. K.; Woodhouse, C. A.; Guido, Z.; White, D. D.

2013-12-01

Information about climate has long been used by water managers to develop short term and long term plans and strategies for regional and local water resources. Inherent within longer term forecasts is an element of uncertainty, which is particularly evident in Global Climate model results for precipitation. For example in the southwest estimates in the flow of the Colorado River based on GCM results indicate changes from 120% or current flow to 60%. Many water resource managers are now using global climate model down scaled estimates results as indications of potential climate change as part of that planning. They are addressing the uncertainty within these estimates by using an anticipatory planning approach looking at a range of possible futures. One aspect of climate that is important for such planning are estimates of future extreme storm (short term) and drought (long term) events. However, the climate science of future possible changes in extreme events is less mature than general climate change science. At a recent workshop among climate scientists and water managers in the southwest, it was concluded the science of climate change extreme events is at least a decade away from being robust enough to be useful for water managers in their water resource management activities. However, it was proposed that there are existing estimates and records of past flooding and drought events that could be combined with general climate change science to create possible future events. These derived events could be of sufficient detail to be used by water resource managers until such time that the science of extreme events is able to provide more detailed estimates. Based on the results of this workshop and other work being done by the Decision Center for a Desert City at Arizona State University and the Climate Assessment for the Southwest center at University of Arizona., this article will 1) review what are the extreme event data needs of Water Resource Managers in the

Bordetella bronchiseptica Pneumonia in an Extremely-Low-Birth-Weight Neonate

Directory of Open Access Journals (Sweden)

Yuk Joseph Ting

2011-12-01

Full Text Available Bordetella bronchiseptica, a gram-negative coccobacillus, is a common veterinary pathogen. In both domestic and wild animals, this bacterium causes respiratory infections including infectious tracheobronchitis in dogs and atrophic rhinitis in swine. Human infections are rare and have been documented in immunocompromised hosts. Here, we describe an extremely-low-birth-weight infant with B. bronchiseptica pneumonia. This is the first report that describes the microorganism's responsibility in causing nosocomial infection in a preterm neonate. He recovered uneventfully after a course of meropenem. It is possible that the bacteria colonize the respiratory tracts of our health care workers or parents who may have had contact with pets and then transmitted the bacterium to our patient. Follow-up until 21 months of age showed normal growth and development. He did not suffer from any significant residual respiratory disease.

Weight Control: Attitudes of Dieters and Change Agents.

Science.gov (United States)

Parham, Ellen S.; And Others

1991-01-01

Survey explores attitudes toward weight loss/weight control among 2 groups of change agents--40 dietitians and 42 fitness instructors--and among 96 people trying to lose weight. Significant differences were found in terms of importance in weight control of diet, drugs, exercise, religion, and will power; in importance of being of normal weight;…

Psychosocial work environment factors and weight change

DEFF Research Database (Denmark)

Gram Quist, Helle; Christensen, Ulla; Christensen, Karl Bang

2013-01-01

BACKGROUND: Lifestyle variables may serve as important intermediate factors between psychosocial work environment and health outcomes. Previous studies, focussing on work stress models have shown mixed and weak results in relation to weight change. This study aims to investigate psychosocial...... factors outside the classical work stress models as potential predictors of change in body mass index (BMI) in a population of health care workers. METHODS: A cohort study, with three years follow-up, was conducted among Danish health care workers (3982 women and 152 men). Logistic regression analyses...... predicted weight loss among men. Associations were generally weak, with the exception of quality of leadership, age, and cohabitation. CONCLUSION: This study of a single occupational group suggested a few new risk factors for weight change outside the traditional work stress models....

Effects of Progressive Body Weight Support Treadmill Forward and Backward Walking Training on Stroke Patients' Affected Side Lower Extremity's Walking Ability.

Science.gov (United States)

Kim, Kyunghoon; Lee, Sukmin; Lee, Kyoungbo

2014-12-01

[Purpose] The purpose of the present study was to examine the effects of progressive body weight supported treadmill forward and backward walking training (PBWSTFBWT), progressive body weight supported treadmill forward walking training (PBWSTFWT), progressive body weight supported treadmill backward walking training (PBWSTBWT), on stroke patients' affected side lower extremity's walking ability. [Subjects and Methods] A total of 36 chronic stroke patients were divided into three groups with 12 subjects in each group. Each of the groups performed one of the progressive body weight supported treadmill training methods for 30 minute, six times per week for three weeks, and then received general physical therapy without any other intervention until the follow-up tests. For the assessment of the affected side lower extremity's walking ability, step length of the affected side, stance phase of the affected side, swing phase of the affected side, single support of the affected side, and step time of the affected side were measured using optogait and the symmetry index. [Results] In the within group comparisons, all the three groups showed significant differences between before and after the intervention and in the comparison of the three groups, the PBWSTFBWT group showed more significant differences in all of the assessed items than the other two groups. [Conclusion] In the present study progressive body weight supported treadmill training was performed in an environment in which the subjects were actually walked, and PBWSTFBWT was more effective at efficiently training stroke patients' affected side lower extremity's walking ability.

Weight Watchers on prescription: An observational study of weight change among adults referred to Weight Watchers by the NHS

Directory of Open Access Journals (Sweden)

Aston Louise M

2011-06-01

Full Text Available Abstract Background The scale of overweight and obesity in the UK places a considerable burden on the NHS. In some areas the NHS has formed partnerships with commercial companies to offer weight management services, but there has been little evaluation of these schemes. This study is an independent audit of the Weight Watchers NHS Referral scheme and evaluates the weight change of obese and overweight adults referred to Weight Watchers (WW by the NHS. Method Data was obtained from the WW NHS Referral Scheme database for 29,326 referral courses started after 2nd April 2007 and ending before 6th October 2009 [90% female; median age 49 years (IQR 38 - 61 years; median BMI 35.1 kg/m2 (IQR 31.8 - 39.5 kg/m2. Participants received vouchers (funded by the PCT following referral by a healthcare professional to attend 12 WW meetings. Body weight was measured at WW meetings and relayed to the central database. Results Median weight change for all referrals was -2.8 kg [IQR -5.9 - -0.7 kg] representing -3.1% initial weight. 33% of all courses resulted in loss of ≥5% initial weight. 54% of courses were completed. Median weight change for those completing a first course was -5.4 kg [IQR -7.8 - -3.1 kg] or -5.6% of initial weight. 57% lost ≥5% initial weight. Conclusions A third of all patients who were referred to WW through the WW NHS Referral Scheme and started a 12 session course achieved ≥5% weight loss, which is usually associated with clinical benefits. This is the largest audit of NHS referral to a commercial weight loss programme in the UK and results are comparable with other options for weight loss available through primary care.

Introduction to the special issue: Observed and projected changes in weather and climate extremes

Directory of Open Access Journals (Sweden)

John E. Hay

2016-03-01

Full Text Available This Special Issue documents not only the more recent progress made in detecting and attributing changes in temperature and precipitation extremes in the observational record, but also in projecting changes in such extremes at regional and local scales. It also deals with the impacts and other consequences and implications of both the historic and anticipated changes in extreme weather and climate events. Impact assessments using both dynamical downscaling and statistical modelling for two tropical cyclones are reported, as well as for storm surge and extreme wave changes. The Special Issue concludes with a consideration of some policy implications and practical applications arising from our relatively robust understanding of how the build up of greenhouse gases in the Earth’s atmosphere affects weather and climate extremes.

Weight Change and Risk of Hyperglycemia in Elderly Women

DEFF Research Database (Denmark)

Møller, Katrine Dragsbæk; Neergaard, Jesper; Christiansen, Claus

2017-01-01

Background Hyperglycaemia increases the risk of type 2 diabetes, heart disease and stroke, and is influenced by weight. However, the impact of preceding weight change on blood glycemia levels in late-life is less well understood. Aim We studied the interplay between weight change and risk of hype...

Quantifying the consequences of changing hydroclimatic extremes on protection levels for the Rhine

Science.gov (United States)

Sperna Weiland, Frederiek; Hegnauer, Mark; Buiteveld, Hendrik; Lammersen, Rita; van den Boogaard, Henk; Beersma, Jules

2017-04-01

The Dutch method for quantifying the magnitude and frequency of occurrence of discharge extremes in the Rhine basin and the potential influence of climate change hereon are presented. In the Netherlands flood protection design requires estimates of discharge extremes for return periods of 1000 up to 100,000 years. Observed discharge records are too short to derive such extreme return discharges, therefore extreme value assessment is based on very long synthetic discharge time-series generated with the Generator of Rainfall And Discharge Extremes (GRADE). The GRADE instrument consists of (1) a stochastic weather generator based on time series resampling of historical f rainfall and temperature and (2) a hydrological model optimized following the GLUE methodology and (3) a hydrodynamic model to simulate the propagation of flood waves based on the generated hydrological time-series. To assess the potential influence of climate change, the four KNMI'14 climate scenarios are applied. These four scenarios represent a large part of the uncertainty provided by the GCMs used for the IPCC 5th assessment report (the CMIP5 GCM simulations under different climate forcings) and are for this purpose tailored to the Rhine and Meuse river basins. To derive the probability distributions of extreme discharges under climate change the historical synthetic rainfall and temperature series simulated with the weather generator are transformed to the future following the KNMI'14 scenarios. For this transformation the Advanced Delta Change method, which allows that the changes in the extremes differ from those in the means, is used. Subsequently the hydrological model is forced with the historical and future (i.e. transformed) synthetic time-series after which the propagation of the flood waves is simulated with the hydrodynamic model to obtain the extreme discharge statistics both for current and future climate conditions. The study shows that both for 2050 and 2085 increases in discharge

Temporal and Spatial Pattern of Changes of Extreme Precipitation in the Middle and Lower Yangtze River Basin (YRB) during 1960 to 2012

Science.gov (United States)

Wu, Y.; Wu, S.; Wen, J.; Xu, M.; Tan, J.

2013-12-01

The Yangtze River is the longest river in China, with its river basin covering an area of 1.8 million sq km, encompassing about one fifth of China's total territory, one third of the nation's total population, and one quarter of its total arable land. Flooding resulted from extreme precipitation has always been a major problem for the middle and lower part of the YRB, particularly during the monsoon season of eastern China from May to August. Meanwhile, the relatively dense population and large cities in this region make the floods more deadly and costly. In this study we aim to establish the temporal and spatial patterns of changes in extreme precipitation in the middle and lower YRB using daily precipitation data from 71 stations in the area from 1960 to 2012. It is hoped that this study will provide useful information for better flood control. In this study, we defined and examined three major indices. Extreme precipitation frequency is defined as number of days per year with precipitation exceeding the 95th percentile for the base period of 1961 - 1990. Extreme precipitation amount is defined as the total amount of precipitation from these days. Extreme precipitation intensity is defined as the amount divided by frequency. We used non-parametric Thiel-Sen method to estimate the rate of change at each station, and Mann-Kendall test for the significance of the trend. Using Thiessen polygons, we also calculated the area-weighted mean of station trends to get the total trend for the entire study area. Abrupt changes in the time series was detected by using Mann-Kendall test and the Moving-t test methods. Our results show that there is an increasing trend of for the frequency, amount, and intensity of extreme precipitation in the study region. Of the three indicators, the extreme precipitation amount increased most, and its abrupt change point happened in1987. Between the period before and after 1987, the mean annual amount, intensity and frequency of extreme

Interactions of Mean Climate Change and Climate Variability on Food Security Extremes

Science.gov (United States)

Ruane, Alexander C.; McDermid, Sonali; Mavromatis, Theodoros; Hudson, Nicholas; Morales, Monica; Simmons, John; Prabodha, Agalawatte; Ahmad, Ashfaq; Ahmad, Shakeel; Ahuja, Laj R.

2015-01-01

Recognizing that climate change will affect agricultural systems both through mean changes and through shifts in climate variability and associated extreme events, we present preliminary analyses of climate impacts from a network of 1137 crop modeling sites contributed to the AgMIP Coordinated Climate-Crop Modeling Project (C3MP). At each site sensitivity tests were run according to a common protocol, which enables the fitting of crop model emulators across a range of carbon dioxide, temperature, and water (CTW) changes. C3MP can elucidate several aspects of these changes and quantify crop responses across a wide diversity of farming systems. Here we test the hypothesis that climate change and variability interact in three main ways. First, mean climate changes can affect yields across an entire time period. Second, extreme events (when they do occur) may be more sensitive to climate changes than a year with normal climate. Third, mean climate changes can alter the likelihood of climate extremes, leading to more frequent seasons with anomalies outside of the expected conditions for which management was designed. In this way, shifts in climate variability can result in an increase or reduction of mean yield, as extreme climate events tend to have lower yield than years with normal climate.C3MP maize simulations across 126 farms reveal a clear indication and quantification (as response functions) of mean climate impacts on mean yield and clearly show that mean climate changes will directly affect the variability of yield. Yield reductions from increased climate variability are not as clear as crop models tend to be less sensitive to dangers on the cool and wet extremes of climate variability, likely underestimating losses from water-logging, floods, and frosts.

Detection and Attribution of Climate Change : From global mean temperature change to climate extremes and high impact weather.

CERN Multimedia

CERN. Geneva

2013-01-01

This talk will describe how evidence has grown in recent years for a human influence on climate and explain how the Fifth Assessment Report of the Intergovernmental Panel on Climate Change concluded that it is extremely likely (>95% probability) that human influence on climate has been the dominant cause of the observed global-mean warming since the mid-20th century. The fingerprint of human activities has also been detected in warming of the ocean, in changes in the global water cycle, in reductions in snow and ice, and in changes in some climate extremes. The strengthening of evidence for the effects of human influence on climate extremes is in line with long-held basic understanding of the consequences of mean warming for temperature extremes and for atmospheric moisture. Despite such compelling evidence this does not mean that every instance of high impact weather can be attributed to anthropogenic climate change, because climate variability is often a major factor in many locations, especially for rain...

Climate Extremes and Land-Use Change: Effects on Ecosystem Processes and Services

Science.gov (United States)

Bahn, Michael; Erb, Karlheinz; Hasibeder, Roland; Mayr, Stefan; Niedertscheider, Maria; Oberhuber, Walter; Tappeiner, Ulrike; Tasser, Erich; Viovy, Nicolas; Wieser, Gerhard

2016-04-01

Extreme climatic events, in particular droughts and heatwaves, have significant impacts on ecosystem carbon and water cycles and a range of related ecosystem services. It is expected that in the coming decades the return intervals and severities of extreme droughts will increase substantially and may result in the passing of thresholds of ecosystem functioning, potentially causing legacy effects, which are so far poorly understood. Observational evidence suggests that different land cover types (forest, grassland) are differently influenced by extreme drought, but there is a lack of knowledge whether and how future, increasingly severe climate extremes will affect their concurrent and lagged responses, as well as land-use decisions determining future shifts in land cover. The ClimLUC project aims to understand how extreme summer drought affects carbon and water dynamics of mountain ecosystems under different land uses, and to analyse implications for ecosystem service provisioning. Overall, we hypothesize that land-use change alters the effects of extreme summer drought on ecosystem processes and the related services, grassland responding more rapidly and strongly but being more resilient to extreme drought than forest. To address the aims and hypotheses, we will 1) test experimentally how (a) a managed, (b) an abandoned mountain grassland and (c) an adjacent subalpine forest respond to a progressive extreme drought and will analyse threshold responses of carbon and water dynamics and their implications for ecosystem services (timber and fodder production, carbon sequestration, water provisioning); 2) quantify carry-over effects of the extreme event on ecosystem processes and services; 3) project and attribute future carbon and water cycle responses to extreme drought and related socio-economic changes, based on a process-based dynamic general vegetation model; 4) analyse the interrelation between land-use changes and the occurrence and severity of past and future

Prospective Analysis of Pulmonary Hypertension in Extremely Low Birth Weight Infants

Science.gov (United States)

Bhat, Ramachandra; Salas, Ariel A.; Foster, Chris; Carlo, Waldemar A.

2012-01-01

OBJECTIVES: Pulmonary hypertension is associated with bronchopulmonary dysplasia in extremely low birth weight (ELBW) infants and contributes to morbidity and mortality. The objective was to determine the prevalence of pulmonary hypertension among ELBW infants by screening echocardiography and evaluate subsequent outcomes. METHODS: All ELBW infants admitted to a regional perinatal center were evaluated for pulmonary hypertension with echocardiography at 4 weeks of age and subsequently if clinical signs suggestive of right-sided heart failure or severe lung disease were evident. Management was at discretion of the clinician, and infants were evaluated until discharge from the hospital or pre-discharge death occurred. RESULTS: One hundred forty-five ELBW infants (birth weight: 755 ± 144 g; median gestational age: 26 weeks [interquartile range: 24–27]) were screened from December 2008 to February 2011. Overall, 26 (17.9%) were diagnosed with pulmonary hypertension at any time during hospitalization (birth weight: 665 ± 140 g; median gestational age: 26 weeks [interquartile range: 24–27]): 9 (6.2%) by initial screening (early pulmonary hypertension) and 17 (11.7%) who were identified later (late pulmonary hypertension). Infants with pulmonary hypertension were more likely to receive oxygen treatment on day 28 compared with those without pulmonary hypertension (96% vs 75%, P Pulmonary hypertension is relatively common, affecting at least 1 in 6 ELBW infants, and persists to discharge in most survivors. Routine screening of ELBW infants with echocardiography at 4 weeks of age identifies only one-third of the infants diagnosed with pulmonary hypertension. Further research is required to determine optimal detection and intervention strategies. PMID:22311993

Climate extremes drive changes in functional community structure.

Science.gov (United States)

Boucek, Ross E; Rehage, Jennifer S

2014-06-01

The response of communities to climate extremes can be quite variable. Much of this variation has been attributed to differences in community-specific functional trait diversity, as well as community composition. Yet, few if any studies have explicitly tested the response of the functional trait structure of communities following climate extremes (CEs). Recently in South Florida, two independent, but sequential potential CEs took place, a 2010 cold front, followed by a 2011 drought, both of which had profound impacts on a subtropical estuarine fish community. These CEs provided an opportunity to test whether the structure of South Florida fish communities following each extreme was a result of species-specific differences in functional traits. From historical temperature (1927-2012) and freshwater inflows records into the estuary (1955-2012), we determined that the cold front was a statistically extreme disturbance, while the drought was not, but rather a decadal rare disturbance. The two disturbances predictably affected different parts of functional community structure and thus different component species. The cold front virtually eliminated tropical species, including large-bodied snook, mojarra species, nonnative cichlids, and striped mullet, while having little affect on temperate fishes. Likewise, the drought severely impacted freshwater fishes including Florida gar, bowfin, and two centrarchids, with little effect on euryhaline species. Our findings illustrate the ability of this approach to predict and detect both the filtering effects of different types of disturbances and the implications of the resulting changes in community structure. Further, we highlight the value of this approach to developing predictive frameworks for better understanding community responses to global change. © 2014 John Wiley & Sons Ltd.

Extreme daily precipitation in Western Europe with climate change at appropriate spatial scales

NARCIS (Netherlands)

Booij, Martijn J.

2002-01-01

Extreme daily precipitation for the current and changed climate at appropriate spatial scales is assessed. This is done in the context of the impact of climate change on flooding in the river Meuse in Western Europe. The objective is achieved by determining and comparing extreme precipitation from

Virtual screening by a new Clustering-based Weighted Similarity Extreme Learning Machine approach.

Science.gov (United States)

Pasupa, Kitsuchart; Kudisthalert, Wasu

2018-01-01

Machine learning techniques are becoming popular in virtual screening tasks. One of the powerful machine learning algorithms is Extreme Learning Machine (ELM) which has been applied to many applications and has recently been applied to virtual screening. We propose the Weighted Similarity ELM (WS-ELM) which is based on a single layer feed-forward neural network in a conjunction of 16 different similarity coefficients as activation function in the hidden layer. It is known that the performance of conventional ELM is not robust due to random weight selection in the hidden layer. Thus, we propose a Clustering-based WS-ELM (CWS-ELM) that deterministically assigns weights by utilising clustering algorithms i.e. k-means clustering and support vector clustering. The experiments were conducted on one of the most challenging datasets-Maximum Unbiased Validation Dataset-which contains 17 activity classes carefully selected from PubChem. The proposed algorithms were then compared with other machine learning techniques such as support vector machine, random forest, and similarity searching. The results show that CWS-ELM in conjunction with support vector clustering yields the best performance when utilised together with Sokal/Sneath(1) coefficient. Furthermore, ECFP_6 fingerprint presents the best results in our framework compared to the other types of fingerprints, namely ECFP_4, FCFP_4, and FCFP_6.

Past and future climate change in the context of memorable seasonal extremes

Directory of Open Access Journals (Sweden)

T. Matthews

2016-01-01

Full Text Available It is thought that direct personal experience of extreme weather events could result in greater public engagement and policy response to climate change. Based on this premise, we present a set of future climate scenarios for Ireland communicated in the context of recent, observed extremes. Specifically, we examine the changing likelihood of extreme seasonal conditions in the long-term observational record, and explore how frequently such extremes might occur in a changed Irish climate according to the latest model projections. Over the period (1900–2014 records suggest a greater than 50-fold increase in the likelihood of the warmest recorded summer (1995, whilst the likelihood of the wettest winter (1994/95 and driest summer (1995 has respectively doubled since 1850. The most severe end-of-century climate model projections suggest that summers as cool as 1995 may only occur once every ∼7 years, whilst winters as wet as 1994/95 and summers as dry as 1995 may increase by factors of ∼8 and ∼10 respectively. Contrary to previous research, we find no evidence for increased wintertime storminess as the Irish climate warms, but caution that this conclusion may be an artefact of the metric employed. It is hoped that framing future climate scenarios in the context of extremes from living memory will help communicate the scale of the challenge climate change presents, and in so doing bridge the gap between climate scientists and wider society.

Climate change : Behavioral responses from extreme events and delayed damages

NARCIS (Netherlands)

Ghidoni, Riccardo; Calzolari, Giacomo; Casari, Marco

2017-01-01

Understanding how to sustain cooperation in the climate change global dilemma is crucial to mitigate its harmful consequences. Damages from climate change typically occur after long delays and can take the form of more frequent realizations of extreme and random events. These features generate a

Climate Change : Behavioral Responses from Extreme Events and Delayed Damages

NARCIS (Netherlands)

Ghidoni, Riccardo; Calzolari, G.; Casari, Marco

2017-01-01

Understanding how to sustain cooperation in the climate change global dilemma is crucial to mitigate its harmful consequences. Damages from climate change typically occurs after long delays and can take the form of more frequent realizations of extreme and random events. These features generate a

Temperature extremes in a changing climate: Drivers and feedbacks (Invited)

Science.gov (United States)

Seneviratne, S. I.; Davin, E. L.; Hirschi, M.; Mueller, B.; Orlowsky, B.; Orth, R.; Wilhelm, M.

2013-12-01

Global warming increases the occurrence probability of hot extremes, and improving the predictability of such events is thus becoming of critical importance (e.g. Seneviratne et al. 2012). This presentation provides an overview of past and projected changes in hot extremes on the global and regional scale, and of the respective drivers and feedbacks responsible for their occurrence. In particular, soil moisture-temperature feedbacks have been identified as major drivers for hot extremes (e.g. Seneviratne et al. 2006, 2010; Hirschi et al. 2011). Recently, a global study (Mueller and Seneviratne 2012) has shown that wide areas of the world display a strong relationship between the number of hot days in the regions' hottest month and preceding precipitation deficits. These findings suggest that effects of soil moisture-temperature coupling are geographically more widespread than commonly assumed, with for instance large hot spots of soil moisture-temperature coupling in the Southern Hemisphere. Further results indicate that this relationship could be better used in the context of seasonal forecasting, allowing an early warning of impending hot summers (Mueller and Seneviratne 2012, Orth and Seneviratne 2013). In addition, the role of soil moisture-climate feedbacks for climate projections will also be discussed (e.g. Orlowsky and Seneviratne 2012; Seneviratne et al., 2013). Finally, we will address the relevance of the identified feedbacks in the context of urban climate, as well as potential relevant impacts of other land-climate interactions (e.g. from modifications in surface albedo). References: Hirschi, M., et al., 2011: Observational evidence for soil-moisture impact on hot extremes in southeastern Europe. Nature Geosci., 4, 17-21, doi:10.1038/ngeo1032. Mueller, B., and S.I. Seneviratne, 2012: Hot days induced by precipitation deficits at the global scale. Proc. Natl Acad. Sci., 109 (31), 12398-12403, doi: 10.1073/pnas.1204330109. Orth, R. and S.I. Seneviratne

[Changes in body weight of the university students at university].

Science.gov (United States)

Soto Ruiz, María Nelia; Aguinaga Ontonso, Inés; Canga Armayor, Navidad; Guillén-Grima, Francisco; Hermoso de Mendoza, Juana; Serrano Monzo, Inmaculada; Marín Fernández, Blanca

2015-06-01

One of the strategies for the prevention of the obesity is the identification of critical periods of gain weight. Some studies confirm gain weight during the university period. The purpose of the present study was to determine the changes in the body weight of the university students in Navarre. Prospective cohort study. Public University of Navarre and the University of Navarre, in Pamplona. Study examined weight change among 452 students attending at university in Pamplona, during first and third course. Four hundred and fifty two students completed the questionnaire. Weight and height were measures and body mass index was calculated. The mean body weight increased 0,600 kg, 1,8 kg for males and no change in body weight was observed in female. 44,7 % of students gained weight (60,8 % of men and 36,8 % of women), and the gain weight was of 3,4 kg. University years are a critical factor for the gain weight, particularly males. Consideration of this, is necessary the development of effective weight gain prevention strategies during the university. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

Assessing future climatic changes of rainfall extremes at small spatio-temporal scales

DEFF Research Database (Denmark)

Gregersen, Ida Bülow; Sørup, Hjalte Jomo Danielsen; Madsen, Henrik

2013-01-01

Climate change is expected to influence the occurrence and magnitude of rainfall extremes and hence the flood risks in cities. Major impacts of an increased pluvial flood risk are expected to occur at hourly and sub-hourly resolutions. This makes convective storms the dominant rainfall type...... in relation to urban flooding. The present study focuses on high-resolution regional climate model (RCM) skill in simulating sub-daily rainfall extremes. Temporal and spatial characteristics of output from three different RCM simulations with 25 km resolution are compared to point rainfall extremes estimated...... from observed data. The applied RCM data sets represent two different models and two different types of forcing. Temporal changes in observed extreme point rainfall are partly reproduced by the RCM RACMO when forced by ERA40 re-analysis data. Two ECHAM forced simulations show similar increases...

Weight changes in euthyroid patients undergoing thyroidectomy.

Science.gov (United States)

Jonklaas, Jacqueline; Nsouli-Maktabi, Hala

2011-12-01

Thyroidectomized patients frequently report weight gain resistant to weight loss efforts, identifying their thyroidectomy as the event precipitating subsequent weight gain. We wished to determine whether recently thyroidectomized euthyroid patients gained more weight over 1 year than matched euthyroid patients with preexisting hypothyroidism. We performed a retrospective chart review of subjects receiving medical care at an academic medical center. One hundred twenty patients had their weight and thyroid status documented after thyroidectomy and achievement of euthyroidism on thyroid hormone replacement, and one year later. Three additional groups of 120 patients with preexisting hypothyroidism, no thyroid disease, and thyroid cancer were matched for age, gender, menopausal status, height, and weight. Anthropometric data were documented at two time points 1 year apart. We compared the weight changes and body mass index changes occurring over a 1-year period in the four groups. Patients with recent postsurgical hypothyroidism gained 3.1 kg during the year, whereas matched patients with preexisting hypothyroidism gained 2.2 kg. The patients without thyroid disease and those with iatrogenic hyperthyroidism gained 1.3 and 1.2 kg, respectively. The weight gain in the thyroidectomized group was significantly greater than that in the matched hypothyroid group (p-value 0.004), the group without thyroid disease (p-value 0.001), and the patients with iatrogenic hyperthyroidism (p-value 0.001). Within the thyroidectomized group, the weight gain in menopausal women was greater than in either premenopausal women (4.4 vs. 2.3 kg, p-value 0.007) or men (4.4 vs. 2.5 kg, p-value 0.013). Patients who had undergone thyroidectomy in the previous year did, in fact, gain more weight than their matched counterparts with preexisting hypothyroidism. In addition, all patients with hypothyroidism, even though treated to achieve euthyroidism, experienced more weight gain than both

Effects of land cover change on temperature and rainfall extremes in multi-model ensemble simulations

Directory of Open Access Journals (Sweden)

A. J. Pitman

2012-11-01

Full Text Available The impact of historical land use induced land cover change (LULCC on regional-scale climate extremes is examined using four climate models within the Land Use and Climate, IDentification of robust impacts project. To assess those impacts, multiple indices based on daily maximum and minimum temperatures and daily precipitation were used. We contrast the impact of LULCC on extremes with the impact of an increase in atmospheric CO₂ from 280 ppmv to 375 ppmv. In general, consistent changes in both high and low temperature extremes are similar to the simulated change in mean temperature caused by LULCC and are restricted to regions of intense modification. The impact of LULCC on both means and on most temperature extremes is statistically significant. While the magnitude of the LULCC-induced change in the extremes can be of similar magnitude to the response to the change in CO₂, the impacts of LULCC are much more geographically isolated. For most models, the impacts of LULCC oppose the impact of the increase in CO₂ except for one model where the CO₂-caused changes in the extremes are amplified. While we find some evidence that individual models respond consistently to LULCC in the simulation of changes in rainfall and rainfall extremes, LULCC's role in affecting rainfall is much less clear and less commonly statistically significant, with the exception of a consistent impact over South East Asia. Since the simulated response of mean and extreme temperatures to LULCC is relatively large, we conclude that unless this forcing is included, we risk erroneous conclusions regarding the drivers of temperature changes over regions of intense LULCC.

Future changes in hydro-climatic extremes in the Upper Indus, Ganges, and Brahmaputra River basins.

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Wijngaard, René R; Lutz, Arthur F; Nepal, Santosh; Khanal, Sonu; Pradhananga, Saurav; Shrestha, Arun B; Immerzeel, Walter W

2017-01-01

Future hydrological extremes, such as floods and droughts, may pose serious threats for the livelihoods in the upstream domains of the Indus, Ganges, Brahmaputra. For this reason, the impacts of climate change on future hydrological extremes is investigated in these river basins. We use a fully-distributed cryospheric-hydrological model to simulate current and future hydrological fluxes and force the model with an ensemble of 8 downscaled General Circulation Models (GCMs) that are selected from the RCP4.5 and RCP8.5 scenarios. The model is calibrated on observed daily discharge and geodetic mass balances. The climate forcing and the outputs of the hydrological model are used to evaluate future changes in climatic extremes, and hydrological extremes by focusing on high and low flows. The outcomes show an increase in the magnitude of climatic means and extremes towards the end of the 21st century where climatic extremes tend to increase stronger than climatic means. Future mean discharge and high flow conditions will very likely increase. These increases might mainly be the result of increasing precipitation extremes. To some extent temperature extremes might also contribute to increasing discharge extremes, although this is highly dependent on magnitude of change in temperature extremes. Low flow conditions may occur less frequently, although the uncertainties in low flow projections can be high. The results of this study may contribute to improved understanding on the implications of climate change for the occurrence of future hydrological extremes in the Hindu Kush-Himalayan region.

Future changes in hydro-climatic extremes in the Upper Indus, Ganges, and Brahmaputra River basins.

Directory of Open Access Journals (Sweden)

René R Wijngaard

Full Text Available Future hydrological extremes, such as floods and droughts, may pose serious threats for the livelihoods in the upstream domains of the Indus, Ganges, Brahmaputra. For this reason, the impacts of climate change on future hydrological extremes is investigated in these river basins. We use a fully-distributed cryospheric-hydrological model to simulate current and future hydrological fluxes and force the model with an ensemble of 8 downscaled General Circulation Models (GCMs that are selected from the RCP4.5 and RCP8.5 scenarios. The model is calibrated on observed daily discharge and geodetic mass balances. The climate forcing and the outputs of the hydrological model are used to evaluate future changes in climatic extremes, and hydrological extremes by focusing on high and low flows. The outcomes show an increase in the magnitude of climatic means and extremes towards the end of the 21st century where climatic extremes tend to increase stronger than climatic means. Future mean discharge and high flow conditions will very likely increase. These increases might mainly be the result of increasing precipitation extremes. To some extent temperature extremes might also contribute to increasing discharge extremes, although this is highly dependent on magnitude of change in temperature extremes. Low flow conditions may occur less frequently, although the uncertainties in low flow projections can be high. The results of this study may contribute to improved understanding on the implications of climate change for the occurrence of future hydrological extremes in the Hindu Kush-Himalayan region.

Weight change in a commercial web-based weight loss program and its association with website use: cohort study.

Science.gov (United States)

Neve, Melinda; Morgan, Philip J; Collins, Clare E

2011-10-12

There is a paucity of information in the scientific literature on the effectiveness of commercial weight loss programs, including Web-based programs. The potential of Web-based weight loss programs has been acknowledged, but their ability to achieve significant weight loss has not been proven. The objectives were to evaluate the weight change achieved within a large cohort of individuals enrolled in a commercial Web-based weight loss program for 12 or 52 weeks and to describe participants' program use in relation to weight change. Participants enrolled in an Australian commercial Web-based weight loss program from August 15, 2007, through May 31, 2008. Self-reported weekly weight records were used to determine weight change after 12- and 52-week subscriptions. The primary analysis estimated weight change using generalized linear mixed models (GLMMs) for all participants who subscribed for 12 weeks and also for those who subscribed for 52 weeks. A sensitivity analysis was conducted using the last observation carried forward (LOCF) method. Website use (ie, the number of days participants logged on, made food or exercise entries to the Web-based diary, or posted to the discussion forum) was described from program enrollment to 12 and 52 weeks, and differences in website use by percentage weight change category were tested using Kruskal-Wallis test for equality of populations. Participants (n = 9599) had a mean (standard deviation [SD]) age of 35.7 (9.5) years and were predominantly female (86% or 8279/9599) and obese (61% or 5866/9599). Results from the primary GLMM analysis including all enrollees found the mean percentage weight change was -6.2% among 12-week subscribers (n = 6943) and -6.9% among 52-week subscribers (n = 2656). Sensitivity analysis using LOCF revealed an average weight change of -3.0% and -3.5% after 12 and 52 weeks respectively. The use of all website features increased significantly (P Web-based weight loss program is likely to be in the range of

Weight change and workplace absenteeism in the HealthWorks study.

Science.gov (United States)

VanWormer, Jeffrey J; Linde, Jennifer A; Harnack, Lisa J; Stovitz, Steven D; Jeffery, Robert W

2012-01-01

Little is known about the relationship between weight change and workplace absenteeism. The purpose of this study was to examine the degree to which weight change predicted 2-year absenteeism. A longitudinal analysis of 1,228 employees enrolled in a worksite-randomized controlled trial was performed. Participants were all working adults in the Minneapolis, MN, area (USA). The final model indicated a significant interaction between weight change and baseline BMI. The difference in absenteeism ranged from (mean ± SE) 3.2 ± 1.2 days among healthy weight employees who maintained their weight to 6.6 ± 1.1 days among obese employees who gained weight (and slightly higher among healthy weight employees who lost weight). The adjusted model also indicated that participants who were male, not depressed, nonsmokers, and had lower baseline absenteeism had significantly less workplace absenteeism relative to participants who were female, depressed, smokers, and had higher baseline absenteeism. Absenteeism was generally low in this sample, but healthy weight employees who maintained their body weight over 2 years had the fewest number of sick days. More research is needed in this area, but future workforce attendance interventions may be improved by focusing on the primary prevention of weight gain in healthy weight employees. Copyright © 2012 S. Karger GmbH, Freiburg.

Weight Change and Workplace Absenteeism in the HealthWorks Study

Science.gov (United States)

VanWormer, Jeffrey J.; Linde, Jennifer A.; Harnack, Lisa J.; Stovitz, Steven D.; Jeffery, Robert W.

2014-01-01

Objective Little is known about the relationship between weight change and workplace absenteeism. The purpose of this study was to examine the degree to which weight change predicted 2-year absenteeism. Methods A longitudinal analysis of 1,228 employees enrolled in a worksite-randomized controlled trial was performed. Participants were all working adults in the Minneapolis, MN, area (USA). Results The final model indicated a significant interaction between weight change and baseline BMI. The difference in absenteeism ranged from (mean ± SE) 3.2 ± 1.2 days among healthy weight employees who maintained their weight to 6.6 ± 1.1 days among obese employees who gained weight (and slightly higher among healthy weight employees who lost weight). The adjusted model also indicated that participants who were male, not depressed, nonsmokers, and had lower baseline absenteeism had significantly less workplace absenteeism relative to participants who were female, depressed, smokers, and had higher baseline absenteeism. Conclusion Absenteeism was generally low in this sample, but healthy weight employees who maintained their body weight over 2 years had the fewest number of sick days. More research is needed in this area, but future workforce attendance interventions may be improved by focusing on the primary prevention of weight gain in healthy weight employees. PMID:23108493

Projected changes in climate extremes over Qatar and the Arabian Gulf region

Science.gov (United States)

Kundeti, K.; Kanikicharla, K. K.; Al sulaiti, M.; Khulaifi, M.; Alboinin, N.; Kito, A.

2015-12-01

The climate of the State of Qatar and the adjacent region is dominated by subtropical dry, hot desert climate with low annual rainfall, very high temperatures in summer and a big difference between maximum and minimum temperatures, especially in the inland areas. The coastal areas are influenced by the Arabian Gulf, and have lower maximum, but higher minimum temperatures and a higher moisture percentage in the air. The global warming can have profound impact on the mean climate as well as extreme weather events over the Arabian Peninsula that may affect both natural and human systems significantly. Therefore, it is important to assess the future changes in the seasonal/annual mean of temperature and precipitation and also the extremes in temperature and wind events for a country like Qatar. This study assesses the performance of the Coupled Model Inter comparison Project Phase 5 (CMIP5) simulations in present and develops future climate scenarios. The changes in climate extremes are assessed for three future periods 2016-2035, 2046-2065 and 2080-2099 with respect to 1986-2005 (base line) under two RCPs (Representative Concentrate Pathways) - RCP4.5 and RCP8.5. We analyzed the projected changes in temperature and precipitation extremes using several indices including those that capture heat stress. The observations show an increase in warm extremes over many parts in this region that are generally well captured by the models. The results indicate a significant change in frequency and intensity of both temperature and precipitation extremes over many parts of this region which may have serious implications on human health, water resources and the onshore/offshore infrastructure in this region. Data from a high-resolution (20km) AGCM simulation from Meteorological Research Institute of Japan Meteorological Agency for the present (1979-2003) and a future time slice (2075-2099) corresponding to RCP8.5 have also been utilized to assess the impact of climate change on

Factors affecting development of motor skills in extremely low birth weight children.

Science.gov (United States)

O'Connor, Anna R; Birch, Eileen E; Spencer, Rand

2009-01-01

The aim of this study is to analyze the impact of ophthalmic and neonatal factors on motor development in extremely low birth weight (ELBW) children. Sixty-four ELBW children at least 3 years of age were recruited. Visual acuity (VA) was assessed using the Teller acuity cards (TACs) and a letter test, if possible. A validated questionnaire assessing 25 fine (part A) and 20 gross motor (part B) skills was administered to the parents. Data were collected on retinopathy of prematurity (ROP) zone, intraventricular haemorrhage (IVH), length of stay in hospital, and number of days on oxygen. Abnormal TAC acuity was associated with significantly lower scores on both parts A and B (part A: 21.5 versus 11.8, p development, particularly fine motor development.

Extreme climatic events in relation to global change and their impact on life histories

Directory of Open Access Journals (Sweden)

Juan MORENO, Anders Pape Møller

2011-06-01

Full Text Available Extreme weather conditions occur at an increasing rate as evidenced by higher frequency of hurricanes and more extreme precipitation and temperature anomalies. Such extreme environmental conditions will have important implications for all living organisms through greater frequency of reproductive failure and reduced adult survival. We review examples of reproductive failure and reduced survival related to extreme weather conditions. Phenotypic plasticity may not be sufficient to allow adaptation to extreme weather for many animals. Theory predicts reduced reproductive effort as a response to increased stochasticity. We predict that patterns of natural selection will change towards truncation selection as environmental conditions become more extreme. Such changes in patterns of selection may facilitate adaptation to extreme events. However, effects of selection on reproductive effort are difficult to detect. We present a number of predictions for the effects of extreme weather conditions in need of empirical tests. Finally, we suggest a number of empirical reviews that could improve our ability to judge the effects of extreme environmental conditions on life history [Current Zoology 57 (3: 375–389, 2011].

Major rapid weight loss induces changes in cardiac repolarization

DEFF Research Database (Denmark)

Vedel-Larsen, Esben; Iepsen, Eva Winning; Lundgren, Julie

2016-01-01

INTRODUCTION: Obesity is associated with increased all-cause mortality, but weight loss may not decrease cardiovascular events. In fact, very low calorie diets have been linked to arrhythmias and sudden death. The QT interval is the standard marker for cardiac repolarization, but T-wave morphology...... analysis has been suggested as a more sensitive method to identify changes in cardiac repolarization. We examined the effect of a major and rapid weight loss on T-wave morphology. METHODS AND RESULTS: Twenty-six individuals had electrocardiograms (ECG) taken before and after eight weeks of weight loss......A1c (pweight loss induces changes in cardiac repolarization. Monitoring of MCS during calorie restriction makes it possible to detect repolarization changes with higher discriminative power than the QT-interval during major rapid weight...

Impact of climate change on extreme rainfall events and flood risk

Indian Academy of Sciences (India)

The analysis of the frequency of rainy days, rain days and heavy rainfall days as well as one-day extreme rainfall and return period has been carried out in this study to observe the impact of climate change on extreme rainfall events and flood risk in India. The frequency of heavy rainfall events are decreasing in major parts ...

Extreme Drought-induced Trend Changes in MODIS EVI Time Series in Yunnan, China

International Nuclear Information System (INIS)

Huang, Kaicheng; Zhou, Tao; Zhao, Xiang

2014-01-01

Extreme climatic events triggered by global climate change are expected to increase significantly hence research into vegetation response is crucial to evaluate environmental risk. Yunnan province, locating in southwest China, experienced an extreme drought event (from autumn of 2009 to spring of 2010), with the lowest percentage rainfall anomaly and the longest non-rain days in the past 50 years. This study aimed to explore the characteristics and differences in the response to drought of four land cover types in Yunnan province, including forest, grassland, shrub, and cropland during the period 2001-2011. We used remote sensing data, MODIS-derived EVI (Enhanced Vegetation Index) to study the vegetation responses to this extreme drought event. The EVI time series were decomposed into trend, seasonal and remainder components using BFAST (Breaks For Additive Seasonal and Trend) which accounts for seasonality and enables the detection of trend changes within the time series. The preliminary results showed that: (1) BFAST proved to be capable of detecting drought-induced trend changes in EVI time series. (2) Changes in the trend component over time consisted of both gradual and abrupt changes. (3) Different spatial patterns were found for abrupt and gradual changes. (4) Cropland exhibited an abrupt change, due to its sensitivity to severe drought, while the forest seemed least affected by the extreme drought

Weight change associated with the use of migraine-preventive medications.

Science.gov (United States)

Taylor, Frederick R

2008-06-01

Medications administered long term, such as those used for migraine prophylaxis, are often associated with weight change as a side effect. Such effects may compromise general health status, exacerbate coexisting medical conditions, and affect medication adherence. Weight gain should be of particular concern in patients with migraine, as there is evidence that overweight and obese patients with migraine are at risk for an increased frequency and severity of migraine attacks. This article reviews weight-change data from recent clinical studies of migraine-preventive medications in children, adolescents, and adults with migraine. A PubMed search was conducted for English-language articles published between January 1970 and November 2007. Among the search terms were migraine prevention, migraine prophylaxis, migraine treatment, antidepressant drug, beta-adrenergic-receptor blockers, antiepileptic drug, anticonvulsant drug, weight gain, and weight loss. Studies that reported weight-change data (gain, loss, or neutral) were included. When available, double-blind, placebo-controlled studies were selected for review. Open-label, retrospective or prospective trials may also have been included. Most of the migraine-preventive medications classified by the United States Headache Consortium as group 1 based on the high level of evidence for their efficacy--for instance, amitriptyline, propranolol, and divalproex sodium-have been associated with varying degrees of weight gain. The exceptions are timolol, which is weight neutral, and topiramate, which is associated with weight loss. Among the drugs that have been associated with weight gain, a higher incidence of weight gain was observed with amitriptyline and divalproex sodium than with propranolol. Weight-change effects require careful consideration when selecting migraine-preventive medications, and weight should be monitored carefully over the course of any migraine treatment plan.

Relationship of night and shift work with weight change and lifestyle behaviors.

Science.gov (United States)

Bekkers, Marga B M; Koppes, Lando L J; Rodenburg, Wendy; van Steeg, Harry; Proper, Karin I

2015-04-01

To prospectively study the association of night and shift work with weight change and lifestyle behaviors. Workers participating in the Netherlands Working Conditions Cohort Study (2008 and 2009) (N = 5951) reported night and shift work, weight and height. Groups included stable night or shift work, from day work to night or shift work, from night or shift work to day work, and no night or shift work in 2008 and 2009. Regression analyses were used to study association changes in night and shift work with weight change and changes in lifestyle behaviors. A larger weight change was seen in normal-weight workers changing from day to shift work (β = 0.93%; 95% confidence interval, 0.01 to 1.85) compared with stable no shift workers. No further associations of night and shift work with weight change were observed, neither in normal-weight, overweight, and obese workers. Despite the fact that starting night or shift work is associated with some unhealthy lifestyle habits, this study did not confirm a positive association of night and shift work with weight change over 1 year, except for normal-weight workers moving from day to shift work.

Have human activities changed the frequencies of absolute extreme temperatures in eastern China?

Science.gov (United States)

Wang, Jun; Tett, Simon F. B.; Yan, Zhongwei; Feng, Jinming

2018-01-01

Extreme temperatures affect populous regions, like eastern China, causing substantial socio-economic losses. It is beneficial to explore whether the frequencies of absolute or threshold-based extreme temperatures have been changed by human activities, such as anthropogenic emissions of greenhouse gases (GHGs). In this study, we compared observed and multi-model-simulated changes in the frequencies of summer days, tropical nights, icy days and frosty nights in eastern China for the years 1960-2012 by using an optimal fingerprinting method. The observed long-term trends in the regional mean frequencies of these four indices were +2.36, +1.62, -0.94, -3.02 days decade-1. The models performed better in simulating the observed frequency change in daytime extreme temperatures than nighttime ones. Anthropogenic influences are detectable in the observed frequency changes of these four temperature extreme indices. The influence of natural forcings could not be detected robustly in any indices. Further analysis found that the effects of GHGs changed the frequencies of summer days (tropical nights, icy days, frosty nights) by +3.48 ± 1.45 (+2.99 ± 1.35, -2.52 ± 1.28, -4.11 ± 1.48) days decade-1. Other anthropogenic forcing agents (dominated by anthropogenic aerosols) offset the GHG effect and changed the frequencies of these four indices by -1.53 ± 0.78, -1.49 ± 0.94, +1.84 ± 1.07, +1.45 ± 1.26 days decade-1, respectively. Little influence of natural forcings was found in the observed frequency changes of these four temperature extreme indices.

Permissive hypotension in extremely low birth weight infants (≤1000 gm).

Science.gov (United States)

Ahn, So Yoon; Kim, Eun Sun; Kim, Jin Kyu; Shin, Jeong Hee; Sung, Se In; Jung, Ji Mi; Chang, Yun Sil; Park, Won Soon

2012-07-01

We performed this study to evaluate the safety of permissive hypotension management in extremely low birth weight infants (ELBWIs). Medical records of all inborn ELBWIs admitted to Samsung Medical Center from January 2004 to December 2008 were reviewed retrospectively. Of a total of 261 ELBWIs, 47 (18%) required treatment for hypotension (group T), 110 (42%) remained normotensive (group N), and 104 (40%) experienced more than one episode of hypotension without treatment (group P) during the first 72 hours of life. Treatment of hypotension included inotropic support and/or fluid loading. Birth weight and Apgar scores were significantly lower in the T group than the other two groups. In the N group, the rate of pathologically confirmed maternal chorioamnionitis was significantly higher than other two groups, and the rate was higher in the P group than the T group. After adjusting for covariate factors, no significant differences in mortality and major morbidities were found between the N and P groups. However, the mortality rate and the incidence of intraventricular hemorrhage (≥stage 3) and bronchopulmonary dysplasia (≥moderate) were significantly higher in the T group than the other two groups. Long term neurodevelopmental outcomes were not significantly different between the N and P groups. Close observation of hypotensive ELBWIs who showed good clinical perfusion signs without intervention allowed to avoid unnecessary medications and resulted in good neurological outcomes.

Impact of extreme weather events and climate change for health and social care systems.

Science.gov (United States)

Curtis, Sarah; Fair, Alistair; Wistow, Jonathan; Val, Dimitri V; Oven, Katie

2017-12-05

This review, commissioned by the Research Councils UK Living With Environmental Change (LWEC) programme, concerns research on the impacts on health and social care systems in the United Kingdom of extreme weather events, under conditions of climate change. Extreme weather events considered include heatwaves, coldwaves and flooding. Using a structured review method, we consider evidence regarding the currently observed and anticipated future impacts of extreme weather on health and social care systems and the potential of preparedness and adaptation measures that may enhance resilience. We highlight a number of general conclusions which are likely to be of international relevance, although the review focussed on the situation in the UK. Extreme weather events impact the operation of health services through the effects on built, social and institutional infrastructures which support health and health care, and also because of changes in service demand as extreme weather impacts on human health. Strategic planning for extreme weather and impacts on the care system should be sensitive to within country variations. Adaptation will require changes to built infrastructure systems (including transport and utilities as well as individual care facilities) and also to institutional and social infrastructure supporting the health care system. Care sector organisations, communities and individuals need to adapt their practices to improve resilience of health and health care to extreme weather. Preparedness and emergency response strategies call for action extending beyond the emergency response services, to include health and social care providers more generally.

Temporal changes in morality attributed to heat extremes for 57 cities in Northeast Asia.

Science.gov (United States)

Lee, Whanhee; Choi, Hayon Michelle; Kim, Dahye; Honda, Yasushi; Guo, Yue-Liang Leon; Kim, Ho

2018-03-01

Recent studies have reported that heat-related mortality decreased by adaptation during decades. However, since the frequency of extreme heat events is increasing, it is difficult to conclude with certainty that the heat mortality burden is decreasing. To examine temporal changes in mortality attributed to heat extremes in Northeast Asia, we collected temperature and mortality data covering the years 1972-2012 from 57 cities of 3 countries (Taiwan, Korea, and Japan) in Northeast Asia. Poisson regression curves were fitted to the data from each city. The temporal changes in heat-mortality association were estimated with a time-varying distributed lag non-linear model. Heat extremes were defined as temperatures greater than the 97.5th percentiles of city-specific average temperatures. Attributable deaths were calculated considering temporal variations in exposure and relative risk. The estimates were then pooled through meta-analysis. The results show that the mortality risk on extreme heat days declined during the study period in all countries. However, as summer temperatures in Japan have shown more heat extremes over time, the mortality risk attributed to heat increased during 2003-2012 (0.32%) compared with 1972-1981 (0.19%). Thus, to assess the total health burden due to heat extremes related to climate change, public health strategies should focus on the temporal variation in heat-mortality association as well as changes in the distribution of heat extremes overtime. Copyright © 2017 Elsevier B.V. All rights reserved.

Perceived weight status may contribute to education inequalities in five-year weight change among mid-aged women.

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Siu, Jessica; Giskes, Katrina; Shaw, Jonathan; Turrell, Gavin

2011-06-01

To examine education differences in five-year weight change among mid-aged adults, and to ascertain if this may be due to socioeconomic differences in perceived weight status or weight control behaviours (WCBs). Data were used from the Australian Diabetes, Obesity and Lifestyle Study. Mid-aged men and women with measured weights at both baseline (1999-2000) and follow-up (2004-2005) were included. Percent weight change over the five-year interval was calculated and perceived weight status, WCBs and highest attained education were collected at baseline. Low-educated men and women were more likely to be obese at baseline compared to their high-educated counterparts. Women with a certificate-level education had a greater five-year weight gain than those with a bachelor degree or higher. Perceived weight status or WCBs did not differ by education among men and women, however participants that perceived themselves as very overweight had less weight gain than those perceiving themselves as underweight or normal weight. WCBs were not associated with five-year weight change. The higher prevalence of overweight/obesity among low-educated women may be a consequence of greater weight gain in mid-adulthood. Education inequalities in overweight/obesity among men and women made be due (in part) to overweight or obese individuals in low-educated groups not perceiving themselves as having a weight problem. © 2011 The Authors. ANZJPH © 2011 Public Health Association of Australia.

21st Century Changes in Precipitation Extremes Based on Resolved Atmospheric Patterns

Science.gov (United States)

Gao, X.; Schlosser, C. A.; O'Gorman, P. A.; Monier, E.

2014-12-01

Global warming is expected to alter the frequency and/or magnitude of extreme precipitation events. Such changes could have substantial ecological, economic, and sociological consequences. However, climate models in general do not correctly reproduce the frequency distribution of precipitation, especially at the regional scale. In this study, a validated analogue method is employed to diagnose the potential future shifts in the probability of extreme precipitation over the United States under global warming. The method is based on the use of the resolved large-scale meteorological conditions (i.e. flow features, moisture supply) to detect the occurrence of extreme precipitation. The CMIP5 multi-model projections have been compiled for two radiative forcing scenarios (Representative Concentration Pathways 4.5 and 8.5). We further analyze the accompanying circulation features and their changes that may be responsible for shifts in extreme precipitation in response to changed climate. The application of such analogue method to detect other types of hazard events, i.e. landslides is also explored. The results from this study may guide hazardous weather watches and help society develop adaptive strategies for preventing catastrophic losses.

Weight change in control group participants in behavioural weight loss interventions: a systematic review and meta-regression study

Directory of Open Access Journals (Sweden)

Waters Lauren

2012-08-01

Full Text Available Abstract Background Unanticipated control group improvements have been observed in intervention trials targeting various health behaviours. This phenomenon has not been studied in the context of behavioural weight loss intervention trials. The purpose of this study is to conduct a systematic review and meta-regression of behavioural weight loss interventions to quantify control group weight change, and relate the size of this effect to specific trial and sample characteristics. Methods Database searches identified reports of intervention trials meeting the inclusion criteria. Data on control group weight change and possible explanatory factors were abstracted and analysed descriptively and quantitatively. Results 85 trials were reviewed and 72 were included in the meta-regression. While there was no change in control group weight, control groups receiving usual care lost 1 kg more than control groups that received no intervention, beyond measurement. Conclusions There are several possible explanations why control group changes occur in intervention trials targeting other behaviours, but not for weight loss. Control group participation may prevent weight gain, although more research is needed to confirm this hypothesis.

Parental motivation to change body weight in young overweight children.

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Taylor, Rachael W; Williams, Sheila M; Dawson, Anna M; Haszard, Jillian J; Brown, Deirdre A

2015-07-01

To determine what factors are associated with parental motivation to change body weight in overweight children. Cross-sectional study. Dunedin, New Zealand. Two hundred and seventy-one children aged 4-8 years, recruited in primary and secondary care, were identified as overweight (BMI ≥ 85th percentile) after screening. Parents completed questionnaires on demographics; motivation to improve diet, physical activity and weight; perception and concern about weight; parenting; and social desirability, prior to being informed that their child was overweight. Additional measures of physical activity (accelerometry), dietary intake and child behaviour (questionnaire) were obtained after feedback. Although all children were overweight, only 42% of parents perceived their child to be so, with 36% indicating any concern. Very few parents (n 25, 8%) were actively trying to change the child's weight. Greater motivation to change weight was observed for girls compared with boys (P = 0.001), despite no sex difference in BMI Z-score (P = 0.374). Motivation was not associated with most demographic variables, social desirability, dietary intake, parenting or child behaviour. Increased motivation to change the child's weight was observed for heavier children (P < 0.001), those who were less physically active (P = 0.002) and more sedentary (P < 0.001), and in parents who were more concerned about their child's weight (P < 0.001) or who used greater food restriction (P < 0.001). Low levels of parental motivation to change overweight in young children highlight the urgent need to determine how best to improve motivation to initiate change.

Growth Curve Analysis and Change-Points Detection in Extremes

KAUST Repository

Meng, Rui

2016-05-15

The thesis consists of two coherent projects. The first project presents the results of evaluating salinity tolerance in barley using growth curve analysis where different growth trajectories are observed within barley families. The study of salinity tolerance in plants is crucial to understanding plant growth and productivity. Because fully-automated smarthouses with conveyor systems allow non-destructive and high-throughput phenotyping of large number of plants, it is now possible to apply advanced statistical tools to analyze daily measurements and to study salinity tolerance. To compare different growth patterns of barley variates, we use functional data analysis techniques to analyze the daily projected shoot areas. In particular, we apply the curve registration method to align all the curves from the same barley family in order to summarize the family-wise features. We also illustrate how to use statistical modeling to account for spatial variation in microclimate in smarthouses and for temporal variation across runs, which is crucial for identifying traits of the barley variates. In our analysis, we show that the concentrations of sodium and potassium in leaves are negatively correlated, and their interactions are associated with the degree of salinity tolerance. The second project studies change-points detection methods in extremes when multiple time series data are available. Motived by the scientific question of whether the chances to experience extreme weather are different in different seasons of a year, we develop a change-points detection model to study changes in extremes or in the tail of a distribution. Most of existing models identify seasons from multiple yearly time series assuming a season or a change-point location remains exactly the same across years. In this work, we propose a random effect model that allows the change-point to vary from year to year, following a given distribution. Both parametric and nonparametric methods are developed

Changes in precipitation extremes projected by a 20-km mesh global atmospheric model

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Akio Kitoh

2016-03-01

Full Text Available High-resolution modeling is necessary to project weather and climate extremes and their future changes under global warming. A global high-resolution atmospheric general circulation model with grid size about 20 km is able to reproduce climate fields as well as regional-scale phenomena such as monsoonal rainfall, tropical and extratropical cyclones, and heavy precipitation. This 20-km mesh model is applied to project future changes in weather and climate extremes at the end of the 21st century with four different spatial patterns in sea surface temperature (SST changes: one with the mean SST changes by the 28 models of the Coupled Model Intercomparison Project Phase 5 (CMIP5 under the Representative Concentration Pathways (RCP-8.5 scenario, and the other three obtained from a cluster analysis, in which tropical SST anomalies derived from the 28 CMIP5 models were grouped. Here we focus on future changes in regional precipitation and its extremes. Various precipitation indices averaged over the Twenty-two regional land domains are calculated. Heavy precipitation indices (maximum 5-day precipitation total and maximum 1-day precipitation total increase in all regional domains, even where mean precipitation decrease (Southern Africa, South Europe/Mediterranean, Central America. South Asia is the domain of the largest extreme precipitation increase. In some domains, different SST patterns result in large precipitation changes, possibly related to changes in large-scale circulations in the tropical Pacific.

Dietary patterns and changes in body weight in women.

Science.gov (United States)

Schulze, Matthias B; Fung, Teresa T; Manson, Joann E; Willett, Walter C; Hu, Frank B

2006-08-01

Our objective was to examine the association between adherence to dietary patterns and weight change in women. Women (51,670, 26 to 46 years old) in the Nurses' Health Study II were followed from 1991 to 1999. Dietary intake and body weight were ascertained in 1991, 1995, and 1999. A Western pattern, characterized by high intakes of red and processed meats, refined grains, sweets and desserts, and potatoes, and a prudent pattern, characterized by high intakes of fruits, vegetables, whole grains, fish, poultry, and salad dressing, were identified with principal component analysis, and associations between patterns and change in body weight were estimated. Women who increased their Western pattern score had greater weight gain (multivariate adjusted means, 4.55 kg for 1991 to 1995 and 2.86 kg for 1995 to 1999) than women who decreased their Western pattern score (2.70 and 1.37 kg for the two time periods), adjusting for baseline lifestyle and dietary confounders and changes in confounders over time (p < 0.001 for both time periods). Furthermore, among women who increased their prudent pattern score, weight gain was smaller (multivariate-adjusted means, 1.93 kg for 1991 to 1995 and 0.66 kg for 1995 to 1999) than among women who decreased their prudent pattern score (4.83 and 3.35 kg for the two time periods) (p < 0.001). The largest weight gain between 1991 and 1995 and between 1995 and 1999 was observed among women who decreased their prudent pattern score while increasing their Western pattern score (multivariate adjusted means, 6.80 and 4.99 kg), whereas it was smallest for the opposite change in patterns (0.87 and -0.64 kg) (p < 0.001). Adoption of a Western dietary pattern is associated with larger weight gain in women, whereas a prudent dietary pattern may facilitate weight maintenance.

Changes in temperature and precipitation extremes in western central Africa, Guinea Conakry, and Zimbabwe, 1955-2006

Science.gov (United States)

Aguilar, E.; Aziz Barry, A.; Brunet, M.; Ekang, L.; Fernandes, A.; Massoukina, M.; Mbah, J.; Mhanda, A.; Do Nascimento, D. J.; Peterson, T. C.; Thamba Umba, O.; Tomou, M.; Zhang, X.

2009-01-01

Understanding how extremes are changing globally, regionally, and locally is an important first step for planning appropriate adaptation measures, as changes in extremes have major impacts. The Intergovernmental Panel on Climate Change's synthesis of global extremes was not able to say anything about western central Africa, as no analysis of the region was available nor was there an adequate internationally exchanged long-term daily data set available to use for analysis of extremes. This paper presents the first analysis of extremes in this climatically important region along with analysis of Guinea Conakry and Zimbabwe. As per many other parts of the world, the analysis shows a decrease in cold extremes and an increase in warm extremes. However, while the majority of the analyzed world has shown an increase in heavy precipitation over the last half century, central Africa showed a decrease. Furthermore, the companion analysis of Guinea Conakry and Zimbabwe showed no significant increases.

Inpatient weight loss as a precursor to bariatric surgery for adolescents with extreme obesity: optimizing bariatric surgery.

Science.gov (United States)

Koeck, Emily; Davenport, Katherine; Barefoot, Leah C; Qureshi, Faisal G; Davidow, Daniel; Nadler, Evan P

2013-07-01

As the obesity epidemic takes its toll on patients stricken with the disease and our health care system, debate continues regarding the use of weight loss surgery and its long-term consequences, especially for adolescents. One subset of patients regarding whom there is increased controversy is adolescents with extreme obesity (BMI > 60 kg/m(2)) because the risk of complications in this weight category is higher than for others undergoing bariatric surgery. Several strategies have been suggested for this patient group, including staged operations, combined operations, intragastric balloon use, and endoluminal sleeve placement. However, the device options are often not available to adolescents, and there are no data regarding staged or combined procedures in this age group. All adolescents with BMI >60 kg/m(2) referred to our program were evaluated for inpatient medical weight loss prior to laparoscopic sleeve gastrectomy. The program utilizes a multidisciplinary approach with a protein-sparing modified fast diet, exercise, and behavioral modification. Three patients completed the program, and each achieved significant preoperative weight loss through the inpatient program and successfully underwent bariatric surgery. Presurgical weight loss via an inpatient program for adolescents with a BMI >60 kg/m(2) results in total weight loss comparable to a primary surgical procedure alone, with the benefit of decreasing the perioperative risk.

Weight Loss Surgery

Science.gov (United States)

Weight loss surgery helps people with extreme obesity to lose weight. It may be an option if you cannot lose weight ... obesity. There are different types of weight loss surgery. They often limit the amount of food you ...

Diet quality, physical activity, smoking status, and weight fluctuation are associated with weight change in women and men.

Science.gov (United States)

Kimokoti, Ruth W; Newby, P K; Gona, Philimon; Zhu, Lei; Jasuja, Guneet K; Pencina, Michael J; McKeon-O'Malley, Catherine; Fox, Caroline S; D'Agostino, Ralph B; Millen, Barbara E

2010-07-01

The effect of diet quality on weight change, relative to other body weight determinants, is insufficiently understood. Furthermore, research on long-term weight change in U.S. adults is limited. We evaluated prospectively patterns and predictors of weight change in Framingham Offspring/Spouse (FOS) women and men (n = 1515) aged > or =30 y with BMI > or = 18.5 kg/m2 and without cardiovascular disease, diabetes, and cancer at baseline over a 16-y period. Diet quality was assessed using the validated Framingham Nutritional Risk Score. In women, older age (P Diet quality interacted with former smoking status (P-interaction = 0.02); former smokers with lower diet quality gained an additional 5.2 kg compared with those with higher diet quality (multivariable-adjusted P-trend = 0.06). Among men, older age (P smoking (P smoking status (P smoking status in men were stronger predictors of weight change than diet quality among FOS adults. Women who stopped smoking over follow-up and had poor diet quality gained the most weight. Preventive interventions need to be sex-specific and consider lifestyle factors.

A plant's perspective of extremes: terrestrial plant responses to changing climatic variability.

Science.gov (United States)

Reyer, Christopher P O; Leuzinger, Sebastian; Rammig, Anja; Wolf, Annett; Bartholomeus, Ruud P; Bonfante, Antonello; de Lorenzi, Francesca; Dury, Marie; Gloning, Philipp; Abou Jaoudé, Renée; Klein, Tamir; Kuster, Thomas M; Martins, Monica; Niedrist, Georg; Riccardi, Maria; Wohlfahrt, Georg; de Angelis, Paolo; de Dato, Giovanbattista; François, Louis; Menzel, Annette; Pereira, Marízia

2013-01-01

We review observational, experimental, and model results on how plants respond to extreme climatic conditions induced by changing climatic variability. Distinguishing between impacts of changing mean climatic conditions and changing climatic variability on terrestrial ecosystems is generally underrated in current studies. The goals of our review are thus (1) to identify plant processes that are vulnerable to changes in the variability of climatic variables rather than to changes in their mean, and (2) to depict/evaluate available study designs to quantify responses of plants to changing climatic variability. We find that phenology is largely affected by changing mean climate but also that impacts of climatic variability are much less studied, although potentially damaging. We note that plant water relations seem to be very vulnerable to extremes driven by changes in temperature and precipitation and that heat-waves and flooding have stronger impacts on physiological processes than changing mean climate. Moreover, interacting phenological and physiological processes are likely to further complicate plant responses to changing climatic variability. Phenological and physiological processes and their interactions culminate in even more sophisticated responses to changing mean climate and climatic variability at the species and community level. Generally, observational studies are well suited to study plant responses to changing mean climate, but less suitable to gain a mechanistic understanding of plant responses to climatic variability. Experiments seem best suited to simulate extreme events. In models, temporal resolution and model structure are crucial to capture plant responses to changing climatic variability. We highlight that a combination of experimental, observational, and/or modeling studies have the potential to overcome important caveats of the respective individual approaches. © 2012 Blackwell Publishing Ltd.

Impact of climate change on the stream flow of the lower Brahmaputra: trends in high and low flows based on discharge-weighted ensemble modelling

Directory of Open Access Journals (Sweden)

A. K. Gain

2011-05-01

Full Text Available Climate change is likely to have significant effects on the hydrology. The Ganges-Brahmaputra river basin is one of the most vulnerable areas in the world as it is subject to the combined effects of glacier melt, extreme monsoon rainfall and sea level rise. To what extent climate change will impact river flow in the Brahmaputra basin is yet unclear, as climate model studies show ambiguous results. In this study we investigate the effect of climate change on both low and high flows of the lower Brahmaputra. We apply a novel method of discharge-weighted ensemble modeling using model outputs from a global hydrological models forced with 12 different global climate models (GCMs. Our analysis shows that only a limited number of GCMs are required to reconstruct observed discharge. Based on the GCM outputs and long-term records of observed flow at Bahadurabad station, our method results in a multi-model weighted ensemble of transient stream flow for the period 1961–2100. Using the constructed transients, we subsequently project future trends in low and high river flow. The analysis shows that extreme low flow conditions are likely to occur less frequent in the future. However a very strong increase in peak flows is projected, which may, in combination with projected sea level change, have devastating effects for Bangladesh. The methods presented in this study are more widely applicable, in that existing multi-model streamflow simulations from global hydrological models can be weighted against observed streamflow data to assess at first order the effects of climate change for specific river basins.

Weighted approximation with varying weight

CERN Document Server

Totik, Vilmos

1994-01-01

A new construction is given for approximating a logarithmic potential by a discrete one. This yields a new approach to approximation with weighted polynomials of the form w"n"(" "= uppercase)P"n"(" "= uppercase). The new technique settles several open problems, and it leads to a simple proof for the strong asymptotics on some L p(uppercase) extremal problems on the real line with exponential weights, which, for the case p=2, are equivalent to power- type asymptotics for the leading coefficients of the corresponding orthogonal polynomials. The method is also modified toyield (in a sense) uniformly good approximation on the whole support. This allows one to deduce strong asymptotics in some L p(uppercase) extremal problems with varying weights. Applications are given, relating to fast decreasing polynomials, asymptotic behavior of orthogonal polynomials and multipoint Pade approximation. The approach is potential-theoretic, but the text is self-contained.

Three-year weight change in successful weight losers who lost weight on a low-carbohydrate diet.

Science.gov (United States)

Phelan, Suzanne; Wyatt, Holly; Nassery, Shirine; Dibello, Julia; Fava, Joseph L; Hill, James O; Wing, Rena R

2007-10-01

The purpose of this study was to evaluate long-term weight loss and eating and exercise behaviors of successful weight losers who lost weight using a low-carbohydrate diet. This study examined 3-year changes in weight, diet, and physical activity in 891 subjects (96 low-carbohydrate dieters and 795 others) who enrolled in the National Weight Control Registry between 1998 and 2001 and reported >or=30-lb weight loss and >or=1 year weight loss maintenance. Only 10.8% of participants reported losing weight after a low-carbohydrate diet. At entry into the study, low-carbohydrate diet users reported consuming more kcal/d (mean +/- SD, 1,895 +/- 452 vs. 1,398 +/- 574); fewer calories in weekly physical activity (1,595 +/- 2,499 vs. 2,542 +/- 2,301); more calories from fat (64.0 +/- 7.9% vs. 30.9 +/- 13.1%), saturated fat (23.8 +/- 4.1 vs. 10.5 +/- 5.2), monounsaturated fat (24.4 +/- 3.7 vs. 11.0 +/- 5.1), and polyunsaturated fat (8.6 +/- 2.7 vs. 5.5 +/- 2.9); and less dietary restraint (10.8 +/- 2.9 vs. 14.9 +/- 3.9) compared with other Registry members. These differences persisted over time. No differences in 3-year weight regain were observed between low-carbohydrate dieters and other Registry members in intent-to-treat analyses (7.0 +/- 7.1 vs. 5.7 +/- 8.7 kg). It is possible to achieve and maintain long-term weight loss using a low-carbohydrate diet. The long-term health effects of weight loss associated with a high-fat diet and low activity level merits further investigation.

Temperature extremes in Europe: mechanisms and responses to climatic change

International Nuclear Information System (INIS)

Cattiaux, Julien

2010-01-01

Europe witnessed a spate of record-breaking warm seasons during the 2000's. As illustrated by the devastating heat-wave of the summer 2003, these episodes induced strong societal and environmental impacts. Such occurrence of exceptional events over a relatively short time period raised up many questionings in the present context of climate change. In particular, can recent temperature extremes be considered as 'previews' of future climate conditions? Do they result from an increasing temperature variability? These questions constitute the main motivations of this thesis. Thus, our work aims to contribute to the understanding of physical mechanisms responsible for seasonal temperature extremes in Europe, in order to anticipate their future statistical characteristics. Involved processes are assessed by both statistical data-analysis of observations and climate projections and regional modeling experiments. First we show that while the inter-annual European temperature variability appears driven by disturbances in the North-Atlantic dynamics, the recent warming is likely to be dissociated with potential circulation changes. This inconsistency climaxes during the exceptionally mild autumn of 2006, whose temperature anomaly is only half explained by the atmospheric flow. Recent warm surface conditions in the North-Atlantic ocean seem to substantially contribute to the European warming in autumn-winter, through the establishment of advective and radiative processes. In spring-summer, since both advection by the westerlies and Atlantic warming are reduced, more local processes appear predominant (e.g. soil moisture, clouds, aerosols). Then the issue of future evolution of the relationship between North-Atlantic dynamics and European temperatures is addressed, based on climate projections of the International Panel on Climate Change. Multi-model analysis, using both flow-analogues and weather regimes methods, show that the inconsistency noticed over recent decades is

Projections of future extreme weather losses under changes in climate and exposure

NARCIS (Netherlands)

Bouwer, L.M.

2013-01-01

Many attempts are made to assess future changes in extreme weather events due to anthropogenic climate change, but few studies have estimated the potential change in economic losses from such events. Projecting losses is more complex as it requires insight into the change in the weather hazard but

Influence of climate variability versus change at multi-decadal time scales on hydrological extremes

Science.gov (United States)

Willems, Patrick

2014-05-01

Recent studies have shown that rainfall and hydrological extremes do not randomly occur in time, but are subject to multidecadal oscillations. In addition to these oscillations, there are temporal trends due to climate change. Design statistics, such as intensity-duration-frequency (IDF) for extreme rainfall or flow-duration-frequency (QDF) relationships, are affected by both types of temporal changes (short term and long term). This presentation discusses these changes, how they influence water engineering design and decision making, and how this influence can be assessed and taken into account in practice. The multidecadal oscillations in rainfall and hydrological extremes were studied based on a technique for the identification and analysis of changes in extreme quantiles. The statistical significance of the oscillations was evaluated by means of a non-parametric bootstrapping method. Oscillations in large scale atmospheric circulation were identified as the main drivers for the temporal oscillations in rainfall and hydrological extremes. They also explain why spatial phase shifts (e.g. north-south variations in Europe) exist between the oscillation highs and lows. Next to the multidecadal climate oscillations, several stations show trends during the most recent decades, which may be attributed to climate change as a result of anthropogenic global warming. Such attribution to anthropogenic global warming is, however, uncertain. It can be done based on simulation results with climate models, but it is shown that the climate model results are too uncertain to enable a clear attribution. Water engineering design statistics, such as extreme rainfall IDF or peak or low flow QDF statistics, obviously are influenced by these temporal variations (oscillations, trends). It is shown in the paper, based on the Brussels 10-minutes rainfall data, that rainfall design values may be about 20% biased or different when based on short rainfall series of 10 to 15 years length, and

Azithromycin in the extremely low birth weight infant for the prevention of Bronchopulmonary Dysplasia: a pilot study

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Anstead Michael I

2007-06-01

Full Text Available Abstract Background Azithromycin reduces the severity of illness in patients with inflammatory lung disease such as cystic fibrosis and diffuse panbronchiolitis. Bronchopulmonary dysplasia (BPD is a pulmonary disorder which causes significant morbidity and mortality in premature infants. BPD is pathologically characterized by inflammation, fibrosis and impaired alveolar development. The purpose of this study was to obtain pilot data on the effectiveness and safety of prophylactic azithromycin in reducing the incidence and severity of BPD in an extremely low birth weight (≤ 1000 grams population. Methods Infants ≤ 1000 g birth weight admitted to the University of Kentucky Neonatal Intensive Care Unit (level III, regional referral center from 9/1/02-6/30/03 were eligible for this pilot study. The pilot study was double-blinded, randomized, and placebo-controlled. Infants were randomized to treatment or placebo within 12 hours of beginning mechanical ventilation (IMV and within 72 hours of birth. The treatment group received azithromycin 10 mg/kg/day for 7 days followed by 5 mg/kg/day for the duration of the study. Azithromycin or placebo was continued until the infant no longer required IMV or supplemental oxygen, to a maximum of 6 weeks. Primary endpoints were incidence of BPD as defined by oxygen requirement at 36 weeks gestation, post-natal steroid use, days of IMV, and mortality. Data was analyzed by intention to treat using Chi-square and ANOVA. Results A total of 43 extremely premature infants were enrolled in this pilot study. Mean gestational age and birth weight were similar between groups. Mortality, incidence of BPD, days of IMV, and other morbidities were not significantly different between groups. Post-natal steroid use was significantly less in the treatment group [31% (6/19] vs. placebo group [62% (10/16] (p = 0.05. Duration of mechanical ventilation was significantly less in treatment survivors, with a median of 13 days (1–47

Addressing extreme precipitation change under future climates in the Upper Yangtze River Basin

Science.gov (United States)

Yang, Z.; Yuan, Z.; Gao, X.

2017-12-01

Investigating the impact of climate change on extreme precipitation accurately is of importance for application purposes such as flooding mitigation and urban drainage system design. In this paper, a systematical analysis framework to assess the impact of climate change on extreme precipitation events is developed and practiced in the Upper Yangtze River Basin (UYRB) in China. Firstly, the UYRB is gridded and five extreme precipitation indices (annual maximum 3- 5- 7- 15- and 30-day precipitation) are selected. Secondly, with observed precipitation from China's Ground Precipitation 0.5°×0.5° Gridded Dataset (V2.0) and simulated daily precipitation from ten general circulation models (GCMs) of CMIP5, A regionally efficient GCM is selected for each grid by the skill score (SS) method which maximizes the overlapped area of probability density functions of extreme precipitation indices between observations and simulations during the historical period. Then, simulations of assembled efficient GCMs are bias corrected by Equidistant Cumulative Distribution Function method. Finally, the impact of climate change on extreme precipitation is analyzed. The results show that: (1) the MRI-CGCM3 and MIROC-ESM perform better in the UYRB. There are 19.8 to 20.9% and 14.2 to 18.7% of all grids regard this two GCMs as regionally efficient GCM for the five indices, respectively. Moreover, the regionally efficient GCMs are spatially distributed. (2) The assembled GCM performs much better than any single GCM, with the SS>0.8 and SS>0.6 in more than 65 and 85 percent grids. (3) Under the RCP4.5 scenario, the extreme precipitation of 50-year and 100-year return period is projected to increase in most areas of the UYRB in the future period, with 55.0 to 61.3% of the UYRB increasing larger than 10 percent for the five indices. The changes are spatially and temporal distributed. The upstream region of the UYRB has a relatively significant increase compared to the downstream basin, while

Climate change impact assessment of extreme precipitation on urban flash floods – case study, Aarhus, Denmark

DEFF Research Database (Denmark)

Madsen, Henrik; Sunyer Pinya, Maria Antonia; Rosbjerg, Dan

projections for estimation of changes in extreme rainfall characteristics. Climate model projections from 20 regional climate models (RCM) from the ENSEMBLES data archive were used in the analysis. Two different estimation methods were applied, using, respectively, a direct estimation of the changes...... in the extreme value statistics of the RCM data, and application of a stochastic weather generator fitted to the changes in rainfall characteristics from the RCM data. The results show a large variability in the projected changes in extreme precipitation between the different RCMs and the two estimation methods...

Vulnerability of solar energy infrastructure and output to extreme events: Climate change implications (Conference paper)

OpenAIRE

Patt, A.; Pfenninger, S.; Lilliestam, J.

2010-01-01

This paper explores the potential vulnerability of solar energy systems to future extreme event risks as a consequence of climate change. We describe the three main technologies likely to be used to harness sunlight -- thermal heating, photovoltaic (PV), and concentrating solar power (CSP) -- and identify critical extreme event vulnerabilities for each one. We then compare these vulnerabilities with assessments of future changes in extreme event risk levels. We do not identify any vulnerabili...

Trajectories of psychopathology in extremely low birth weight survivors from early adolescence to adulthood: a 20-year longitudinal study.

Science.gov (United States)

Van Lieshout, Ryan J; Ferro, Mark A; Schmidt, Louis A; Boyle, Michael H; Saigal, Saroj; Morrison, Katherine M; Mathewson, Karen J

2018-04-18

Individuals born extremely preterm are exposed to significant perinatal stresses that are associated with an increased risk of psychopathology. However, a paucity of longitudinal studies has prevented the empirical examination of long-term, dynamic effects of perinatal adversity on mental health. Here, internalizing and externalizing problems from adolescence through adulthood were compared in individuals born at extremely low birth weight (ELBW; 2,500 g). Internalizing and externalizing data were collected over 20 years in three waves, during adolescence, young adulthood, and adulthood. Growth models were used to compare longitudinal trajectories in a geographically based sample of 151 ELBW survivors and 137 NBW control participants born between 1977 and 1982 matched for age, sex, and socioeconomic status at age 8. After adjusting for sex, socioeconomic and immigrant status, and family functioning, ELBW survivors failed to show the normative, age-related decline in internalizing problems over time relative to their NBW peers (β = .21; p Self-esteem (but not physical health, IQ, or maternal mood) partially mediated the association between ELBW status and internalizing problems. Extremely low birth weight survivors experienced a blunting of the expected improvement in depression and anxiety from adolescence to adulthood. These findings suggest that altered physiological regulatory systems supporting emotional and cognitive processing may contribute to the maintenance of internalizing problems in this population. © 2018 Association for Child and Adolescent Mental Health.

Linking increases in hourly precipitation extremes to atmospheric temperature and moisture changes

International Nuclear Information System (INIS)

Lenderink, Geert; Van Meijgaard, Erik

2010-01-01

Relations between hourly precipitation extremes and atmospheric temperature and moisture derived for the present-day climate are studied with the aim of understanding the behavior (and the uncertainty in predictions) of hourly precipitation extremes in a changing climate. A dependency of hourly precipitation extremes on the daily mean 2 m temperature of approximately two times the Clausius-Clapeyron (CC) relation is found for temperatures above 10 deg. C. This is a robust relation obtained in four observational records across western Europe. A dependency following the CC relation can be explained by the observed increase in atmospheric (absolute) humidity with temperature, whereas the enhanced dependency (compared to the CC relation) appears to be caused by dynamical feedbacks owing to excess latent heat release in extreme showers. Integrations with the KNMI regional climate model RACMO2 at 25 km grid spacing show that changes in hourly precipitation extremes may indeed considerably exceed the prediction from the CC relation. The results suggests that increases of + 70% or even more are possible by the end of this century. However, a different regional model (CLM operated at ETHZ) predicts much smaller increases; this is probably caused by a too strong sensitivity of this model to a decrease in relative humidity.

Extreme weather events in Iran under a changing climate

Science.gov (United States)

Alizadeh-Choobari, Omid; Najafi, M. S.

2018-01-01

Observations unequivocally show that Iran has been rapidly warming over recent decades, which in sequence has triggered a wide range of climatic impacts. Meteorological records of several ground stations across Iran with daily temporal resolution for the period 1951-2013 were analyzed to investigate the climate change and its impact on some weather extremes. Iran has warmed by nearly 1.3 °C during the period 1951-2013 (+0.2 °C per decade), with an increase of the minimum temperature at a rate two times that of the maximum. Consequently, an increase in the frequency of heat extremes and a decrease in the frequency of cold extremes have been observed. The annual precipitation has decreased by 8 mm per decade, causing an expansion of Iran's dry zones. Previous studies have pointed out that warming is generally associated with more frequent heavy precipitation because a warmer air can hold more moisture. Nevertheless, warming in Iran has been associated with more frequent light precipitation, but less frequent moderate, heavy and extremely heavy precipitation. This is because in the subtropical dry zones, a longer time is required to recharge the atmosphere with water vapour in a warmer climate, causing more water vapour to be transported from the subtropics to high latitudes before precipitations forms. In addition, the altitude of the condensation level increases in a warmer climate in subtropical regions, causing an overall decrease of precipitation. We argue that changing in the frequency of heavy precipitation in response to warming varies depending on the geographical location. Warming over the dry subtropical regions is associated with a decrease in the frequency of heavy precipitation, while an increase is expected over both subpolar and tropical regions. The warmer climate has also led to the increase in the frequency of both thunderstorms (driven by convective heating) and dust events over Iran.

Weight-Control Methods, 3-Year Weight Change, and Eating Behaviors: A Prospective Nationwide Study of Middle-Aged New Zealand Women.

Science.gov (United States)

Leong, Sook Ling; Gray, Andrew; Haszard, Jillian; Horwath, Caroline

2016-08-01

The effectiveness of women's weight-control methods and the influences of dieting on eating behaviors remain unclear. Our aim was to determine the association of various weight-control methods at baseline with weight change to 3 years, and examine the association between baseline weight-control status (trying to lose weight, trying to prevent weight gain or no weight-control attempts) and changes in intuitive eating and binge eating at 3 years. A nationally representative sample of 1,601 New Zealand women (40 to 50 years) was recruited and completed a self-administered questionnaire at baseline regarding use of variety of weight-control methods. Information on demographic characteristics, weight, height, food habits, binge eating, and intuitive eating were collected at baseline and 3 years. Linear and logistic regression models examined associations between both weight status and weight-control methods at baseline and weight change to 3 years; and baseline weight-control status and change in intuitive eating from baseline to 3 years and binge eating at 3 years. χ(2) tests were used to cross-sectionally compare food habits across the weight status categories at both baseline and 3 years. Trying to lose weight and the use of weight-control methods at baseline were not associated with change in body weight to 3 years. There were a few differences in the frequency of consumption of high-energy-density foods between those trying to lose or maintain weight and those not attempting weight control. Trying to lose weight at baseline was associated with a 2.0-unit (95% CI 0.7 to 3.4, P=0.003) reduction in intuitive eating scores by 3 years (potential range=21 to 105), and 224% (odds ratio=3.24; 95% CI 1.69 to 6.20; Pfoods. Dieting may reduce women's ability to recognize hunger and satiety cues and place women at increased risk of binge eating. Copyright © 2016 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Uncertainties in extreme precipitation under climate change conditions

DEFF Research Database (Denmark)

Sunyer Pinya, Maria Antonia

of adaptation strategies, but these changes are subject to uncertainties. The focus of this PhD thesis is the quantification of uncertainties in changes in extreme precipitation. It addresses two of the main sources of uncertainty in climate change impact studies: regional climate models (RCMs) and statistical...... downscaling methods (SDMs). RCMs provide information on climate change at the regional scale. SDMs are used to bias-correct and downscale the outputs of the RCMs to the local scale of interest in adaptation strategies. In the first part of the study, a multi-model ensemble of RCMs from the European ENSEMBLES...... project was used to quantify the uncertainty in RCM projections over Denmark. Three aspects of the RCMs relevant for the uncertainty quantification were first identified and investigated. These are: the interdependency of the RCMs; the performance in current climate; and the change in the performance...

Prognostic value of weight change in chronic obstructive pulmonary disease

DEFF Research Database (Denmark)

Prescott, E; Almdal, T; Mikkelsen, K L

2002-01-01

An association between low body mass index (BMI) and poor prognosis in patients with chronic obstructive pulmonary disease (COPD) has been found in a number of studies. The prevalence and prognostic importance of weight change in unselected subjects with COPD was examined. Subjects with COPD...... change: in the normal-to-underweight (BMI or = 25), best survival was seen in stable weight. A high proportion of subjects with chronic obstructive pulmonary disease experienced a significant weight loss......, which was associated with increased mortality. The results support further intervention studies that aim at avoiding weight loss in normal-to-underweight chronic obstructive pulmonary disease patients....

Extreme Events in China under Climate Change: Uncertainty and related impacts (CSSP-FOREX)

Science.gov (United States)

Leckebusch, Gregor C.; Befort, Daniel J.; Hodges, Kevin I.

2016-04-01

Suitable adaptation strategies or the timely initiation of related mitigation efforts in East Asia will strongly depend on robust and comprehensive information about future near-term as well as long-term potential changes in the climate system. Therefore, understanding the driving mechanisms associated with the East Asian climate is of major importance. The FOREX project (Fostering Regional Decision Making by the Assessment of Uncertainties of Future Regional Extremes and their Linkage to Global Climate System Variability for China and East Asia) focuses on the investigation of extreme wind and rainfall related events over Eastern Asia and their possible future changes. Here, analyses focus on the link between local extreme events and their driving weather systems. This includes the coupling between local rainfall extremes and tropical cyclones, the Meiyu frontal system, extra-tropical teleconnections and monsoonal activity. Furthermore, the relation between these driving weather systems and large-scale variability modes, e.g. NAO, PDO, ENSO is analysed. Thus, beside analysing future changes of local extreme events, the temporal variability of their driving weather systems and related large-scale variability modes will be assessed in current CMIP5 global model simulations to obtain more robust results. Beyond an overview of FOREX itself, first results regarding the link between local extremes and their steering weather systems based on observational and reanalysis data are shown. Special focus is laid on the contribution of monsoonal activity, tropical cyclones and the Meiyu frontal system on the inter-annual variability of the East Asian summer rainfall.

A longitudinal study to explain strategies to change weight and muscles among normal weight and overweight children.

Science.gov (United States)

McCabe, M P; Ricciardelli, L A; Holt, K

2005-12-01

Previous research has indicated that both boys and girls strive for a slim body, with boys having an additional focus on a muscular body build. The current study was designed to evaluate the utility of a biopsychosocial model to explain body image and body change strategies among children. The study evaluated changes over time in body image and strategies to lose weight and increase muscles among 132 normal weight and 67 overweight boys (mean age = 9.23 years) and 158 normal weight and 55 overweight girls (mean age = 9.33 years). The predictive role of BMI, positive and negative affect, self-esteem and perceived sociocultural pressures to lose weight or increase muscle on body image and body change strategies over a 16 month period was evaluated. All participants completed the questionnaire on both occasions. The results demonstrated that both overweight boys and girls were more likely to be dissatisfied with their weight, place more importance on their weight, engage in more strategies to lose weight as well as perceive more pressure to lose weight. Overweight boys and girls were also more likely to report lower levels of self-esteem and positive affect, and higher levels of negative affect, and reported a reduction in their self-esteem over time. Regression analyses demonstrated that among overweight boys, low self-esteem and high levels of perceived pressure to lose weight predicted weight dissatisfaction; for overweight girls, weight dissatisfaction was also predicted by low levels of self-esteem. The implication of these findings in terms of factors contributing to the adoption of health risk behaviors among children is discussed.

The Relationship of Maternal Prepregnancy Body Mass Index and Pregnancy Weight Gain to Neurocognitive Function at Age 10 Years among Children Born Extremely Preterm.

Science.gov (United States)

Jensen, Elizabeth T; van der Burg, Jelske W; O'Shea, Thomas M; Joseph, Robert M; Allred, Elizabeth N; Heeren, Tim; Leviton, Alan; Kuban, Karl C K

2017-08-01

To assess the association between maternal prepregnancy body mass index and adequacy of pregnancy weight gain in relation to neurocognitive function in school-aged children born extremely preterm. Study participants were 535 ten-year-old children enrolled previously in the prospective multicenter Extremely Low Gestational Age Newborns cohort study who were products of singleton pregnancies. Soon after delivery, mothers provided information about prepregnancy weight. Prepregnancy body mass index and adequacy of weight gain were characterized based on this information. Children underwent a neurocognitive evaluation at 10 years of age. Maternal prepregnancy obesity was associated with increased odds of a lower score for Differential Ability Scales-II Verbal IQ, for Developmental Neuropsychological Assessment-II measures of processing speed and visual fine motor control, and for Wechsler Individual Achievement Test-III Spelling. Children born to mothers who gained an excessive amount of weight were at increased odds of a low score on the Oral and Written Language Scales Oral Expression assessment. Conversely, children whose mother did not gain an adequate amount of weight were at increased odds of a lower score on the Oral and Written Language Scales Oral Expression and Wechsler Individual Achievement Test-III Word Reading assessments. In this cohort of infants born extremely preterm, maternal obesity was associated with poorer performance on some assessments of neurocognitive function. Our findings are consistent with the observational and experimental literature and suggest that opportunities may exist to mitigate risk through education and behavioral intervention before pregnancy. Copyright © 2017 Elsevier Inc. All rights reserved.

Modification of Hidden Layer Weight in Extreme Learning Machine Using Gain Ratio

Directory of Open Access Journals (Sweden)

Anggraeny Fetty Tri

2016-01-01

Full Text Available Extreme Learning Machine (ELM is a method of learning feed forward neural network quickly and has a fairly good accuracy. This method is devoted to a feed forward neural network with one hidden layer where the parameters (i.e. weight and bias are adjusted one time randomly at the beginning of the learning process. In neural network, the input layer is connected to all characteristics/features, and the output layer is connected to all classes of species. This research used three datasets from UCI database, which were Iris, Breast Wisconsin, and Dermatology, with each dataset having several features. Each characteristic/feature of the data has a role in the process of classification levels, starting from the most influencing role to non-influencing at all. Gain ratio was used to extract each feature role on each datasets. Gain ratio is a method to extract feature role in order to develop a decision tree structure. In this study, ELM structure has been modified, where the random weights of the hidden layer were adjusted to the level of each feature role in determining the species class, so as to improve the level of training and testing accuracy. The proposed method has higher classification accuracy rate than basic ELM on all three datasets, which were 99%, 96%, and 82%, respectively.

MRI findings of neurilemmoma of the extremities: Pathologic correlation

Energy Technology Data Exchange (ETDEWEB)

Choi, Choong Gon; Kang, Heung Sik; Kim, Joo Wan; Kim, Ho Chul [Seoul National University College of Medicine, Seoul (Korea, Republic of); Suh, Kyung Jin [Kyungpook Natioanl University College of Medicine, Daegu (Korea, Republic of); Song, Chi Sung [Seoul City Boramae Hospital, Seoul (Korea, Republic of)

1993-07-15

Neurilemmomas of the extremities are nerve sheath tumors involving peripheral nerves of the extremities. We analyzed MR images of 16 surgically proved tumors in 12 patients and compared the MR images with gross pathologic specimens in two tumors (2/16). Spin echo T1-weighted images were obtained in all the patients but T2-weighted images were obtained in six patients with a gradient echo technique. Gadolinium dimeglumine enhanced T1-weighted images were obtained in 11 patients (15/16). Signal on T1-weighted images was iso or slightly higher than that of the adjacent muscles. Signal on T2-weighted images ranged from homogeneous high to heterogeneous. After Gadolinium injection, all the 15 tumors showed enhancement. Small sized tumors were enhanced homogeneously but there was a tendency to be enhanced heterogeneously to the central portion with peripheral rim enhancement as the size of the tumors increased. Pathologically, the enhanced portion was correlated the with solid portion of the tumors. Also encapsulation of the mass (12/16), suspended nerve strings (9/16) and bony erosion(1/16) were detected. MR characteristics of neurilemmoma include heterogeneity on enhanced T1 and T2 weighted images, encapsulation, and suspended nerve strings. Signal heterogeneity on enhanced T1 and T2 weighted images may be attributed to the variable cellularity, cystic changes, vascularity and focal hemorrhage of the tumors.

MRI findings of neurilemmoma of the extremities: Pathologic correlation

International Nuclear Information System (INIS)

Choi, Choong Gon; Kang, Heung Sik; Kim, Joo Wan; Kim, Ho Chul; Suh, Kyung Jin; Song, Chi Sung

1993-01-01

Neurilemmomas of the extremities are nerve sheath tumors involving peripheral nerves of the extremities. We analyzed MR images of 16 surgically proved tumors in 12 patients and compared the MR images with gross pathologic specimens in two tumors (2/16). Spin echo T1-weighted images were obtained in all the patients but T2-weighted images were obtained in six patients with a gradient echo technique. Gadolinium dimeglumine enhanced T1-weighted images were obtained in 11 patients (15/16). Signal on T1-weighted images was iso or slightly higher than that of the adjacent muscles. Signal on T2-weighted images ranged from homogeneous high to heterogeneous. After Gadolinium injection, all the 15 tumors showed enhancement. Small sized tumors were enhanced homogeneously but there was a tendency to be enhanced heterogeneously to the central portion with peripheral rim enhancement as the size of the tumors increased. Pathologically, the enhanced portion was correlated the with solid portion of the tumors. Also encapsulation of the mass (12/16), suspended nerve strings (9/16) and bony erosion(1/16) were detected. MR characteristics of neurilemmoma include heterogeneity on enhanced T1 and T2 weighted images, encapsulation, and suspended nerve strings. Signal heterogeneity on enhanced T1 and T2 weighted images may be attributed to the variable cellularity, cystic changes, vascularity and focal hemorrhage of the tumors

The relative importance among anthropogenic forcings of land use/land cover change in affecting temperature extremes

Science.gov (United States)

Chen, Liang; Dirmeyer, Paul A.

2018-05-01

Land use/land cover change (LULCC) exerts significant influence on regional climate extremes, but its relative importance compared with other anthropogenic climate forcings has not been thoroughly investigated. This study compares land use forcing with other forcing agents in explaining the simulated historical temperature extreme changes since preindustrial times in the CESM-Last Millennium Ensemble (LME) project. CESM-LME suggests that the land use forcing has caused an overall cooling in both warm and cold extremes, and has significantly decreased diurnal temperature range (DTR). Due to the competing effects of the GHG and aerosol forcings, the spatial pattern of changes in 1850-2005 climatology of temperature extremes in CESM-LME can be largely explained by the land use forcing, especially for hot extremes and DTR. The dominance of land use forcing is particularly evident over Europe, eastern China, and the central and eastern US. Temporally, the land-use cooling is relatively stable throughout the historical period, while the warming of temperature extremes is mainly influenced by the enhanced GHG forcing, which has gradually dampened the local dominance of the land use effects. Results from the suite of CMIP5 experiments partially agree with the local dominance of the land use forcing in CESM-LME, but inter-model discrepancies exist in the distribution and sign of the LULCC-induced temperature changes. Our results underline the overall importance of LULCC in historical temperature extreme changes, implying land use forcing should be highlighted in future climate projections.

Early working memory in children born with extremely low birth weight: assessed by object permanence.

Science.gov (United States)

Lowe, Jean; MacLean, Peggy C; Shaffer, Michele L; Watterberg, Kristi

2009-04-01

Object permanence is considered the earliest method for assessing working memory. Factors affecting object permanence performance in a sample of two hundred and thirty-three 18- to 22-month olds born with extremely low birth weight were examined. It was hypothesized that object permanence would be directly related to emotional and attention regulation, that children with lower birth weight and higher illness severity would have more difficulty on the object permanence task, and that no ethnic/racial differences would be found, as this is considered a culturally unbiased task. Attainment of object permanence had a significant positive association with emotional and attention regulation, even after controlling the medical severity and socioeconomic factors. More girls than boys passed the object permanence items. There was no ethnic/racial difference on object permanence. Our findings indicate that object permanence may be a culturally fair way of assessing development, and emotional and attention regulation are potential avenues of intervention for such skill.

An Analysis of Weight Change in Filters

National Research Council Canada - National Science Library

Reilly, Matthew; Fultz, George; Gschwender, Lois

2006-01-01

... to evaluate possible sources of error. Many sources of weight change exist, including particulate and water accumulation from air, buildup of static electricity causing interference with the metal microbalance pan, and removal...

Interdecadal Change in Extreme Precipitation over South China and Its Mechanism

Institute of Scientific and Technical Information of China (English)

NING Liang; QIAN Yongfu

2009-01-01

Based on the daily precipitation data taken from 17 stations over South China during the period of 1961 2003, a sudden change in summer extreme precipitation events over South China in the early 1990s along with the possible mechanism connected with the anomalies of the latent heat flux over the South China Sea and the sensible heat flux over the Indochina peninsula are examined. The results show that both the annual and summer extreme precipitation events have obvious interdecadal variations and have increased significantly since the early 1990s. Moreover, the latent heat flux over the South China Sea and the sensible heat flux over the Indochina peninsula also have obvious interdecadal variations consistent with that of the extreme precipitation, and influence different months' extreme precipitation, respectively. Their effects are achieved by the interdecadal increases of the strengthening convection over South China through the South China Sea Summer Monsoon.

Exposure to overprotective parenting and psychopathology in extremely low birth weight survivors.

Science.gov (United States)

Day, K L; Dobson, K G; Schmidt, L A; Ferro, M A; Saigal, S; Boyle, M H; Van Lieshout, R J

2018-03-01

Extremely low birth weight (ELBW; overprotective (i.e., controlling and intrusive) parenting, which is hypothesized to contribute to the risk for mental disorders. Despite the increased risk for anxiety disorders and decreased risk for alcohol or substance use disorders seen in ELBW survivors, no research has examined the impact of parenting. This study investigated if overprotective parenting mediates links between ELBW birth status and psychiatric disorders in adulthood. Participants included ELBW survivors born in 1977-1982 and matched normal birth weight (≥2,500 g) control participants (ELBW n = 81; normal birth weight n = 87) prospectively followed in Ontario, Canada. These individuals retrospectively reported on whether either of their parents was overprotective using the Parental Bonding Instrument. Presence of a current anxiety disorder and of current alcohol or substance use disorders was assessed using the Mini International Neuropsychiatric Interview at age 29-36 years. Path analysis showed that overprotective parenting was a significant mediator of the association between ELBW status and risk for an anxiety disorder in adulthood and the risk for an alcohol or substance use disorder in adulthood in ELBW survivors. Overprotective parenting accounted for 53% of the association between ELBW status and the risk for an anxiety disorder in adulthood and 26% of the association between ELBW status and alcohol or substance use disorders. Overprotective parenting accounted for a substantial proportion of the increased risk for anxiety and alcohol or substance use disorders in adulthood in ELBW survivors. Despite their perceived vulnerabilities, it is important that the parents of ELBW survivors be supported in their attempts to facilitate their children's pursuit of independence during childhood and beyond. © 2017 John Wiley & Sons Ltd.

Estimation of the impact of climate change-induced extreme precipitation events on floods

Science.gov (United States)

Hlavčová, Kamila; Lapin, Milan; Valent, Peter; Szolgay, Ján; Kohnová, Silvia; Rončák, Peter

2015-09-01

In order to estimate possible changes in the flood regime in the mountainous regions of Slovakia, a simple physically-based concept for climate change-induced changes in extreme 5-day precipitation totals is proposed in the paper. It utilizes regionally downscaled scenarios of the long-term monthly means of the air temperature, specific air humidity and precipitation projected for Central Slovakia by two regional (RCM) and two global circulation models (GCM). A simplified physically-based model for the calculation of short-term precipitation totals over the course of changing air temperatures, which is used to drive a conceptual rainfall-runoff model, was proposed. In the paper a case study of this approach in the upper Hron river basin in Central Slovakia is presented. From the 1981-2010 period, 20 events of the basin's most extreme average of 5-day precipitation totals were selected. Only events with continual precipitation during 5 days were considered. These 5-day precipitation totals were modified according to the RCM and GCM-based scenarios for the future time horizons of 2025, 2050 and 2075. For modelling runoff under changed 5-day precipitation totals, a conceptual rainfall-runoff model developed at the Slovak University of Technology was used. Changes in extreme mean daily discharges due to climate change were compared with the original flood events and discussed.

Identifying evidence of climate change impact on extreme events in permeable chalk catchments

Science.gov (United States)

Butler, A. P.; Nubert, S.

2009-12-01

The permeable chalk catchments of southern England are vital for the economy and well being of the UK. Not only important as a water resource, their freely draining soils support intensive agricultural production, and the rolling downs and chalk streams provide important habitants for many protected plant and animal species. Consequently, there are concerns about the potential impact of climate change on such catchments, particularly in relation to groundwater recharge. Of major concern are possible changes in extreme events, such as groundwater floods and droughts, as any increase in the frequency and/or severity of these has important consequences for water resources, ecological systems and local infrastructure. Studies of climate change impact on extreme events for such catchments have indicated that, under medium and high emissions scenarios, droughts are likely to become more severe whilst floods less so. However, given the uncertainties in such predictions and the inherent variability in historic data, producing definitive evidence of changes in flood/drought frequency/severity poses a significant challenge. Thus, there is a need for specific extreme event statistics that can be used as indicators of actual climate change in streamflow and groundwater level observations. Identifying such indicators that are sufficiently robust requires catchments with long historic time series data. One such catchment is the River Lavant, an intermittent chalk stream in West Sussex, UK. Located within this catchment is Chilgrove House, the site of the UK’s longest groundwater monitoring well (with a continuous record of water level observations of varying frequency dating back to 1836). Using a variety of meteorological datasets, the behaviour of the catchment has been modelled, from 1855 to present, using a 'leaky aquifer' conceptual model. Model calibration was based on observed daily streamflow, at a gauging station just outside the town of Chichester, from 1970. Long

Bone metabolism in adolescent girls with eating disorders and weight loss: independent effects of weight change, insulin-like growth factor-1 and oestradiol.

Science.gov (United States)

Swenne, Ingemar; Stridsberg, Mats

2015-03-01

Adolescents with eating disorders (ED) are at risk of developing osteoporosis if weight is not recovered. Previous investigations do not separate the effects of weight change per se from those of concomitant hormonal changes. In this investigation serum osteocalcin (OC), C-terminal telopeptide of collagen (CTX), insulin-like growth factor-1 (IGF-1) and oestradiol were measured at assessment of 498 girls with ED and during weight gain of 59 girls. At assessment, OC concentrations were associated independently with weight (change), IGF-1 and oestradiol. Low weight, a high rate of weight loss and the hormone concentrations were associated with low OC. Low weight and high rate of weight loss were associated with high CTX concentrations but there were no associations independent of weight (change) with the hormones. During weight recovery, OC and CTX were independently and positively associated with weight, weight gain, IGF-1 and oestradiol. Bone metabolism markers are related to weight change independently of IGF-1 and oestradiol during both weight loss and weight gain. During weight gain, when pubertal development and growth are resumed there is an additional independent positive association between the markers and IGF-1 and oestradiol. These relationships are strongest in premenarcheal girls.

Longitudinal impact of weight misperception and intent to change weight on body mass index of adolescents and young adults with overweight or obesity.

Science.gov (United States)

Rancourt, Diana; Thurston, Idia B; Sonneville, Kendrin R; Milliren, Carly E; Richmond, Tracy K

2017-12-01

Accurate perception of one's weight status is believed to be necessary to motivate weight loss intention and subsequent weight loss among those with overweight/obesity. This proposed pathway, however, is understudied in longitudinal research. This study examined the indirect effect of weight change intention on the relationship between weight status perception and BMI change among adolescents with overweight/obesity. Participants included 2664 adolescents with overweight/obesity (52% female) from the National Longitudinal Study of Adolescent Health. Longitudinal associations between Wave II weight status perception (accurate versus misperception) and intent to change weight (i.e., gain, lose, stay the same) on BMI change (Wave II-Wave IV) were examined using multiple linear regression. Indirect effects of weight change intention were investigated using the Monte Carlo method. Analyses were stratified by gender. Accurate perceivers (81.0% female; 60.1% male) were more likely than misperceivers (i.e., perception of "about the right weight") to report weight loss intention (p<0.001). Among females, weight status misperception and weight loss intention individually were associated with smaller (β=-1.37, 95% CI [-2.64, -0.10]) and greater (β=1.18, 95% CI [0.11, 2.25]) BMI gains, respectively. Among males, fully adjusted models suggested that weight status misperception was associated with significantly smaller gains in BMI over time (β=-1.51, 95% CI [-2.38, -0.63]). Weight change intention did not emerge as an indirect effect for either gender. Although weight status misperception was protective against weight gain, weight change intention did not provide an explanation for this relationship. Copyright © 2017 Elsevier Ltd. All rights reserved.

A plant’s perspective of extremes: Terrestrial plant responses to changing climatic variability

Science.gov (United States)

Reyer, C.; Leuzinger, S.; Rammig, A.; Wolf, A.; Bartholomeus, R. P.; Bonfante, A.; de Lorenzi, F.; Dury, M.; Gloning, P.; Abou Jaoudé, R.; Klein, T.; Kuster, T. M.; Martins, M.; Niedrist, G.; Riccardi, M.; Wohlfahrt, G.; de Angelis, P.; de Dato, G.; François, L.; Menzel, A.; Pereira, M.

2013-01-01

We review observational, experimental and model results on how plants respond to extreme climatic conditions induced by changing climatic variability. Distinguishing between impacts of changing mean climatic conditions and changing climatic variability on terrestrial ecosystems is generally underrated in current studies. The goals of our review are thus (1) to identify plant processes that are vulnerable to changes in the variability of climatic variables rather than to changes in their mean, and (2) to depict/evaluate available study designs to quantify responses of plants to changing climatic variability. We find that phenology is largely affected by changing mean climate but also that impacts of climatic variability are much less studied but potentially damaging. We note that plant water relations seem to be very vulnerable to extremes driven by changes in temperature and precipitation and that heatwaves and flooding have stronger impacts on physiological processes than changing mean climate. Moreover, interacting phenological and physiological processes are likely to further complicate plant responses to changing climatic variability. Phenological and physiological processes and their interactions culminate in even more sophisticated responses to changing mean climate and climatic variability at the species and community level. Generally, observational studies are well suited to study plant responses to changing mean climate, but less suitable to gain a mechanistic understanding of plant responses to climatic variability. Experiments seem best suited to simulate extreme events. In models, temporal resolution and model structure are crucial to capture plant responses to changing climatic variability. We highlight that a combination of experimental, observational and /or modeling studies have the potential to overcome important caveats of the respective individual approaches. PMID:23504722

Equity weighting and the marginal damage costs of climate change

Energy Technology Data Exchange (ETDEWEB)

Anthoff, David [The Economic and Social Research Institute, Dublin (Ireland)]|[International Max Planck Research School on Earth System Modelling, Hamburg (Germany)]|[Research Unit Sustainability and Global Change, Hamburg University and Centre for Marine and Atmospheric Science, Hamburg (Germany); Hepburn, Cameron [Smith School of Enterprise and the Environment, and James Martin Institute, Said Business School, University of Oxford, and New College, Oxford (United Kingdom); Tol, Richard S.J. [The Economic and Social Research Institute, Dublin (Ireland)]|[Research Unit Sustainability and Global Change, Hamburg University and Centre for Marine and Atmospheric Science, Hamburg (Germany)]|[Institute for Environmental Studies, Vrije Universiteit, Amsterdam (Netherlands)]|[Engineering and Public Policy, Carnegie Mellon University, Pittsburgh, PA (United States)

2009-01-15

Climate change will give rise to different impacts in different countries, and different countries have different levels of development. Equity-weighted estimates of the (marginal) impact of greenhouse gas emissions reflect these differences. This paper analyses the impact of equity weighting on the marginal damage cost of carbon dioxide emissions, and reaches four main conclusions. First, equity-weighted estimates are substantially higher than estimates without equity-weights; equity-weights may even change the sign of the social cost estimates. Second, estimates differ by two orders of magnitude depending on the region to which the equity weights are normalised. Third, equity-weighted estimates are sensitive to the resolution of the impact estimates. Depending on the assumed intra-regional income distribution, estimates may be more than twice as high if national rather than regional impacts are aggregated. Fourth, variations in the assumed inequality aversion have different impacts in different scenarios, not only because different scenarios have different emissions and hence warming, but also because different scenarios have different income differences, different growth rates, and different vulnerabilities. (author)

Equity weighting and the marginal damage costs of climate change

International Nuclear Information System (INIS)

Anthoff, David; Hepburn, Cameron; Tol, Richard S.J.

2009-01-01

Climate change will give rise to different impacts in different countries, and different countries have different levels of development. Equity-weighted estimates of the (marginal) impact of greenhouse gas emissions reflect these differences. This paper analyses the impact of equity weighting on the marginal damage cost of carbon dioxide emissions, and reaches four main conclusions. First, equity-weighted estimates are substantially higher than estimates without equity-weights; equity-weights may even change the sign of the social cost estimates. Second, estimates differ by two orders of magnitude depending on the region to which the equity weights are normalised. Third, equity-weighted estimates are sensitive to the resolution of the impact estimates. Depending on the assumed intra-regional income distribution, estimates may be more than twice as high if national rather than regional impacts are aggregated. Fourth, variations in the assumed inequality aversion have different impacts in different scenarios, not only because different scenarios have different emissions and hence warming, but also because different scenarios have different income differences, different growth rates, and different vulnerabilities. (author)

Serum Levels of Fetal Antigen 1 in Extreme Nutritional States

Science.gov (United States)

Andries, Alin; Niemeier, Andreas; Støving, Rene K.; Abdallah, Basem M.; Wolf, Anna-Maria; Hørder, Kirsten; Kassem, Moustapha

2012-01-01

Objective. Recent data suggest that fetal antigen (FA1) is linked to disorders of body weight. Thus, we measured FA1 serum levels in two extreme nutritional states of morbid obesity (MO) and anorexia nervosa (AN) and monitored its response to weight changes. Design. FA1 and insulin serum concentrations were assessed in a cross-sectional study design at defined time points after gastric restrictive surgery for 25 MO patients and 15 women with AN. Results. Absolute FA1 serum levels were within the assay normal range and were not different between the groups at baseline. However, the ratio of FA1/BMI was significantly higher in AN. FA1 was inversely correlated with BMI before and after weight change in AN, but not in MO patients. In addition, MO patients displayed a significant concomitant decrease of FA1 and insulin with the first 25% of EWL, while in AN patients a significant increase of FA1 was observed in association with weight gain. Conclusion. FA1 is a sensitive indicator of metabolic adaptation during weight change. While FA1 serum levels in humans generally do not correlate with BMI, our results suggest that changes in FA1 serum levels reflect changes in adipose tissue turnover. PMID:22844611

Body weight changes in elderly psychogeriatric nursing home residents

NARCIS (Netherlands)

Knoops, K.T.B.; Slump, E.; Groot, de C.P.G.M.; Wouters-Wesseling, W.; Brouwer, M.L.; Staveren, van W.A.

2005-01-01

Objective. This study was undertaken to identify predictors of body weight change in nursing home patients with possible to severe dementia. Methods. For 24 weeks, 108 elderly residents of a nursing home were followed. Body weight was measured every 2 weeks. Other anthropometric characteristics,

Means and extremes: building variability into community-level climate change experiments.

Science.gov (United States)

Thompson, Ross M; Beardall, John; Beringer, Jason; Grace, Mike; Sardina, Paula

2013-06-01

Experimental studies assessing climatic effects on ecological communities have typically applied static warming treatments. Although these studies have been informative, they have usually failed to incorporate either current or predicted future, patterns of variability. Future climates are likely to include extreme events which have greater impacts on ecological systems than changes in means alone. Here, we review the studies which have used experiments to assess impacts of temperature on marine, freshwater and terrestrial communities, and classify them into a set of 'generations' based on how they incorporate variability. The majority of studies have failed to incorporate extreme events. In terrestrial ecosystems in particular, experimental treatments have reduced temperature variability, when most climate models predict increased variability. Marine studies have tended to not concentrate on changes in variability, likely in part because the thermal mass of oceans will moderate variation. In freshwaters, climate change experiments have a much shorter history than in the other ecosystems, and have tended to take a relatively simple approach. We propose a new 'generation' of climate change experiments using down-scaled climate models which incorporate predicted changes in climatic variability, and describe a process for generating data which can be applied as experimental climate change treatments. © 2013 John Wiley & Sons Ltd/CNRS.

Seniors' body weight dissatisfaction and longitudinal associations with weight changes, anorexia of aging, and obesity: results from the NuAge Study.

Science.gov (United States)

Roy, Mathieu; Shatenstein, Bryna; Gaudreau, Pierrette; Morais, José A; Payette, Hélène

2015-03-01

We examined longitudinal associations between weight dissatisfaction, weight changes, anorexia of aging, and obesity among 1,793 seniors followed over 4 years between 2003 and 2009. Obesity prevalence (body mass index [BMI] ≥ 30) and prevalence/incidence of weight dissatisfaction, anorexia of aging (self-reported appetite loss), and weight changes ≥5% were assessed. Predictors of weight loss ≥5%, anorexia of aging, and weight dissatisfaction were examined using logistic regressions. Half of seniors experienced weight dissatisfaction (50.6%, 95% confidence interval [CI] = [48.1, 53.1]). Anorexia of aging and obesity prevalence was 7.0% (95% CI = [5.7, 8.3]) and 25.1% (95% CI = [22.9, 27.3]), whereas incidence of weight gain/loss ≥5% was 6.6% (95% CI = [1.3, 11.9]) and 8.8% (95% CI = [3.3, 14.3]). Weight gain ≥5% predicts men's subsequent weight dissatisfaction (odds ratio [OR] = 6.66, 95% CI = [2.06, 21.60]). No other association was observed. Weight dissatisfaction is frequent but not associated with subsequent eating disorders. In men, weight gain predicted weight dissatisfaction. Seniors' weight dissatisfaction does not necessarily equate weight changes. Due to its high prevalence, it is of public health interest to understand how seniors' weight dissatisfaction may impact health. © The Author(s) 2014.

Change in Body Weight Does Not Mediate the Relationship Between Exercise and Smoking Cessation Among Weight-Concerned Women Smokers.

Science.gov (United States)

Emery, Rebecca L; Levine, Michele D; Cheng, Yu; Marcus, Marsha D

2015-09-01

Exercise has received attention as a method to prevent or reduce postcessation weight gain. However, little is known about how weight changes following quit attempts contribute to the relationship between exercise and smoking cessation. The present study assessed how exercise relates to cessation and whether initial changes in exercise after quitting smoking promote cessation through attenuated weight gain. Weight-concerned women smokers (N = 342) receiving cessation treatment provided biochemical validation of cessation, reported weekly exercise activities, and were weighed at 1, 3, and 6 months following treatment initiation. Survival analyses were used to determine time to and risk of relapse among women who reported engaging in varied levels of exercise at baseline. A mediation analysis was used to examine whether the effect of initial changes in exercise on longer-term cessation was driven by change in weight. All analyses were adjusted for relevant covariates. Women smokers who reported high levels of exercise at baseline were less likely to relapse and returned to smoking more gradually than did women who reported low levels of exercise. Change in weight did not mediate the relationship between exercise and cessation. Cessation interventions utilizing an exercise component may have to develop exercise regimens of either higher duration or greater intensity to produce beneficial cessation outcomes, particularly when targeting sedentary smokers. Given that change in weight did not mediate the relationship between exercise and cessation, it is likely that other mediational processes are involved. © The Author 2014. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Features of Physical and Neuro-Psychological Development of Children with Low, Very Low and Extremely Low Birth Weight in Different Age Periods of Life

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I. A. Deev

2016-01-01

Full Text Available Analysis of features of physical and neuro-psychological development of children with low, very low and extremely low birth weight in different age periods is carried out according to cohort studies of newborns with different gestational age and birth weight, presented in electronic databases PubMed and Medscape. It is revealed that the overwhelming number of children with low, very low and extremely low birth weight, gain physical and neuro- psychological development impairments, hearing and vision disorders of varying severity, violation of motor function, intelligence and cognitive skills infringement in an older age. In this regard, it is actual not only to develop new neonatal reanimation and intensive care technologies, but also to ensure adequate prevention of preterm birth in the group of women with a high degree of perinatal risk. All this will further allow preventing increase in children with disabling conditions number among premature infants.

Early docosahexaenoic and arachidonic acid supplementation in extremely-low-birth-weight infants.

Science.gov (United States)

Robinson, Daniel T; Caplan, Michael; Carlson, Susan E; Yoder, Rachel; Murthy, Karna; Frost, Brandy

2016-10-01

Extremely-low-birth-weight (ELBW) infants accrue large deficits in docosahexaenoic acid (DHA) and arachidonic acid (ARA) and require improved supplementation strategies. We hypothesized that once daily DHA+ARA drops applied to buccal mucosa will increase blood levels. Thirty ELBW infants were randomized to receive DHA 20 mg/kg/d + ARA 40 or 60 mg/kg/d + ARA 120 mg/kg/d or placebo within 72 h of age for 8 wk duration. Red blood cell phospholipid levels of DHA (primary) and ARA (secondary) were measured at 2 and 8 wk of age. Twenty-eight survivors with a median birth weight of 806 g completed dosing and sampling. Red blood cell levels were similar between the three groups at 2 wk (DHA: 4.62 wt% (interquartile range (IQR) 4.1-5.5) for all, P = 0.29 between groups; ARA: 21.1 wt% (IQR 18.78-22.6) for all, P = 0.41 between groups) and 8 wk (DHA: 6.0 wt% (IQR 5.1-7.1) for all, P = 0.57 between groups; ARA: 20.1 wt% (IQR 18.3-23.1) for all, P = 0.63 between groups). DHA in all infants showed a median increase of 31% from 2 to 8 wk (P 0.6). Daily buccal DHA and ARA supplements did not affect fatty acid levels in ELBW infants.

Projected changes to short- and long-duration precipitation extremes over the Canadian Prairie Provinces

Science.gov (United States)

Masud, M. B.; Khaliq, M. N.; Wheater, H. S.

2017-09-01

The effects of climate change on April-October short- and long-duration precipitation extremes over the Canadian Prairie Provinces were evaluated using a multi-Regional Climate Model (RCM) ensemble available through the North American Regional Climate Change Assessment Program. Simulations considered include those performed with six RCMs driven by the National Centre for Environmental Prediction (NCEP) reanalysis II product for the 1981-2000 period and those driven by four Atmosphere-Ocean General Circulation Models (AOGCMs) for the current 1971-2000 and future 2041-2070 periods (i.e. a total of 11 current-to-future period simulation pairs). A regional frequency analysis approach was used to develop 2-, 5-, 10-, 25-, and 50-year return values of precipitation extremes from NCEP and AOGCM-driven current and future period simulations that respectively were used to study the performance of RCMs and projected changes for selected return values at regional, grid-cell and local scales. Performance errors due to internal dynamics and physics of RCMs studied for the 1981-2000 period reveal considerable variation in the performance of the RCMs. However, the performance errors were found to be much smaller for RCM ensemble averages than for individual RCMs. Projected changes in future climate to selected regional return values of short-duration (e.g. 15- and 30-min) precipitation extremes and for longer return periods (e.g. 50-year) were found to be mostly larger than those to the longer duration (e.g. 24- and 48-h) extremes and short return periods (e.g. 2-year). Overall, projected changes in precipitation extremes were larger for southeastern regions followed by southern and northern regions and smaller for southwestern and western regions of the study area. The changes to return values were also found to be statistically significant for the majority of the RCM-AOGCM simulation pairs. These projections might be useful as a key input for the future planning of urban

Weighted Domain Transfer Extreme Learning Machine and Its Online Version for Gas Sensor Drift Compensation in E-Nose Systems

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Zhiyuan Ma

2018-01-01

Full Text Available Machine learning approaches have been widely used to tackle the problem of sensor array drift in E-Nose systems. However, labeled data are rare in practice, which makes supervised learning methods hard to be applied. Meanwhile, current solutions require updating the analytical model in an offline manner, which hampers their uses for online scenarios. In this paper, we extended Target Domain Adaptation Extreme Learning Machine (DAELM_T to achieve high accuracy with less labeled samples by proposing a Weighted Domain Transfer Extreme Learning Machine, which uses clustering information as prior knowledge to help select proper labeled samples and calculate sensitive matrix for weighted learning. Furthermore, we converted DAELM_T and the proposed method into their online learning versions under which scenario the labeled data are selected beforehand. Experimental results show that, for batch learning version, the proposed method uses around 20% less labeled samples while achieving approximately equivalent or better accuracy. As for the online versions, the methods maintain almost the same accuracies as their offline counterparts do, but the time cost remains around a constant value while that of offline versions grows with the number of samples.

The motivation to be sedentary predicts weight change when sedentary behaviors are reduced.

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Epstein, Leonard H; Roemmich, James N; Cavanaugh, Meghan D; Paluch, Rocco A

2011-02-22

Obesity is correlated with a sedentary lifestyle, and the motivation to be active or sedentary is correlated with obesity. The present study tests the hypothesis that the motivation to be active or sedentary is correlated with weight change when children reduce their sedentary behavior. The motivation to be active or sedentary, changes in weight, and accelerometer assessed physical activity were collected for 55 families with overweight/obese children who participated in a nine-week field study to examine behavior and weight change as a function of reducing sedentary behavior. Children were studied in three 3-week phases, baseline, reduce targeted sedentary behaviors by 25% and reduce targeted sedentary behaviors by 50%. The targeted sedentary behaviors included television, video game playing, video watching, and computer use. The reinforcing value of sedentary behavior but not physical activity, was correlated with weight change, as losing weight was associated with lower reinforcing value of sedentary behaviors. Reducing sedentary behavior was not associated with a significant change in objectively measured physical activity, suggesting the main way in which reducing sedentary behavior influenced weight change is by complementary changes in energy intake. Estimated energy intake supported the hypothesis that reducing sedentary behaviors influences weight by reducing energy intake. These data show that the motivation to be sedentary limits the effects of reducing sedentary behavior on weight change in obese children. © 2011 Epstein et al; licensee BioMed Central Ltd.

The motivation to be sedentary predicts weight change when sedentary behaviors are reduced

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Paluch Rocco A

2011-02-01

Full Text Available Abstract Background Obesity is correlated with a sedentary lifestyle, and the motivation to be active or sedentary is correlated with obesity. The present study tests the hypothesis that the motivation to be active or sedentary is correlated with weight change when children reduce their sedentary behavior. Methods The motivation to be active or sedentary, changes in weight, and accelerometer assessed physical activity were collected for 55 families with overweight/obese children who participated in a nine-week field study to examine behavior and weight change as a function of reducing sedentary behavior. Children were studied in three 3-week phases, baseline, reduce targeted sedentary behaviors by 25% and reduce targeted sedentary behaviors by 50%. The targeted sedentary behaviors included television, video game playing, video watching, and computer use. Results The reinforcing value of sedentary behavior but not physical activity, was correlated with weight change, as losing weight was associated with lower reinforcing value of sedentary behaviors. Reducing sedentary behavior was not associated with a significant change in objectively measured physical activity, suggesting the main way in which reducing sedentary behavior influenced weight change is by complementary changes in energy intake. Estimated energy intake supported the hypothesis that reducing sedentary behaviors influences weight by reducing energy intake. Conclusions These data show that the motivation to be sedentary limits the effects of reducing sedentary behavior on weight change in obese children. Trial registration ClinicalTrials.gov: NCT00962247

Como minimizar a lesão pulmonar no prematuro extremo: propostas Strategies to minimize lung injury in extremely low birth weight infants

Directory of Open Access Journals (Sweden)

Cleide Suguihara

2005-03-01

Full Text Available OBJETIVO: Apresentar uma revisão das principais causas da nova displasia broncopulmonar e as estratégias utilizadas para diminuir sua incidência nos prematuros extremos. FONTES DOS DADOS: Para essa revisão, pesquisas foram feitas na MEDLINE (1996 a outubro de 2004, no Cochrane Database, em resumos da Society for Pediatric Research e recentes conferências sobre o tema. SÍNTESE DOS DADOS: A tecnologia e os novos conhecimentos científicos têm aumentado significantemente a sobrevida de prematuros extremos. Esse aumento da sobrevida resultou em aumento da incidência de displasia broncopulmonar. Atualmente, a displasia broncopulmonar é mais freqüentemente observada em recém-nascidos OBJECTIVE: To review the main causes of new bronchopulmonary dysplasia and the strategies utilized to decrease its incidence in extremely low birth weight infants. DATA SOURCES: For this review a MEDLINE search from 1966 to October 2004, the Cochrane Database, abstracts from the Society for Pediatric Research and recent meetings on the topic were used. SUMMARY OF FINDINGS: The survival of extremely low birth weight infants has increased significantly due to improvement in both scientific knowledge and technology. This improvement in survival has therefore resulted in an increased incidence of bronchopulmonary dysplasia. The characteristics of bronchopulmonary dysplasia in extremely low birth weight infants, the so called "new" bronchopulmonary dysplasia are quite different from the classic bronchopulmonary dysplasia described by Northway. This new bronchopulmonary dysplasia has a multifactorial etiology, which includes volutrauma, atelectrauma, oxygen toxicity and lung inflammation. Therapy such as prenatal corticosteroids, exogenous surfactant, nasal continuous positive airway pressure, new mechanical ventilation modalities and gentle ventilation have been used in attempts to decrease lung injury severity. CONCLUSIONS: In order to prevent lung injury in

Weight training, aerobic physical activities, and long-term waist circumference change in men.

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Mekary, Rania A; Grøntved, Anders; Despres, Jean-Pierre; De Moura, Leandro Pereira; Asgarzadeh, Morteza; Willett, Walter C; Rimm, Eric B; Giovannucci, Edward; Hu, Frank B

2015-02-01

Findings on weight training and waist circumference (WC) change are controversial. This study examined prospectively whether weight training, moderate to vigorous aerobic activity (MVAA), and replacement of one activity for another were associated with favorable changes in WC and body weight (BW). Physical activity, WC, and BW were reported in 1996 and 2008 in a cohort of 10,500 healthy U.S. men in the Health Professionals Follow-up Study. Multiple linear regression models (partition/substitution) to assess these associations were used. After adjusting for potential confounders, a significant inverse dose-response relationship between weight training and WC change (P-trend weight training (-0.67 cm, 95% CI -0.93, -0.41) than for MVAA (-0.33 cm, 95% CI -0.40, -0.27), other activities (-0.16 cm, 95% CI -0.28, -0.03), or TV watching (0.08 cm, 95% CI 0.05, 0.12). Substituting 20 min/day of weight training for any other discretionary activity had the strongest inverse association with WC change. MVAA had the strongest inverse association with BW change (-0.23 kg, 95% CI -0.29, -0.17). Among various activities, weight training had the strongest association with less WC increase. Studies on frequency/volume of weight training and WC change are warranted. © 2014 The Obesity Society.

Reprogramming the body weight set point by a reciprocal interaction of hypothalamic leptin sensitivity and Pomc gene expression reverts extreme obesity

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Kavaljit H. Chhabra

2016-10-01

Conclusions: Pomc reactivation in previously obese, calorie-restricted ArcPomc−/− mice normalized energy homeostasis, suggesting that their body weight set point was restored to control levels. In contrast, massively obese and hyperleptinemic ArcPomc−/− mice or those weight-matched and treated with PASylated leptin to maintain extreme hyperleptinemia prior to Pomc reactivation converged to an intermediate set point relative to lean control and obese ArcPomc−/− mice. We conclude that restoration of hypothalamic leptin sensitivity and Pomc expression is necessary for obese ArcPomc−/− mice to achieve and sustain normal metabolic homeostasis; whereas deficits in either parameter set a maladaptive allostatic balance that defends increased adiposity and body weight.

Relations of hedonic hunger and behavioral change to weight loss among adults in a behavioral weight loss program utilizing meal-replacement products.

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Theim, Kelly R; Brown, Joshua D; Juarascio, Adrienne S; Malcolm, Robert R; O'Neil, Patrick M

2013-11-01

Greater self-regulatory behavior usage is associated with greater weight loss within behavioral weight loss treatments. Hedonic hunger (i.e., susceptibility to environmental food cues) may impede successful behavior change and weight loss. Adult men and women (N = 111, body mass index M ± SD = 35.89 ± 6.97 kg/m(2)) were assessed before and after a 15-week lifestyle change weight loss program with a partial meal-replacement diet. From pre- to post-treatment, reported weight control behavior usage improved and hedonic hunger decreased, and these changes were inversely related. Individuals with higher hedonic hunger scores at baseline showed the greatest weight loss. Similarly, participants with lower baseline use of weight control behaviors lost more weight, and increased weight control behavior usage was associated with greater weight loss-particularly among individuals with low baseline hedonic hunger. Further study is warranted regarding the significance of hedonic hunger in weight loss treatments.

Evaluation of modeled changes in extreme precipitation in Europe and the Rhine basin

International Nuclear Information System (INIS)

Haren, Ronald van; Oldenborgh, Geert Jan van; Lenderink, Geert; Hazeleger, Wilco

2013-01-01

In this study, we investigate the change in multi-day precipitation extremes in late winter in Europe using observations and climate models. The objectives of the analysis are to determine whether climate models can accurately reproduce observed trends and, if not, to find the causes of the difference in trends. Similarly to an earlier finding for mean precipitation trends, and despite a lower signal to noise ratio, climate models fail to reproduce the increase in extremes in much of northern Europe: the model simulations do not cover the observed trend in large parts of this area. A dipole in the sea-level pressure trend over continental Europe causes positive trends in extremes in northern Europe and negative trends in the Iberian Peninsula. Climate models have a much weaker pressure trend dipole and as a result a much weaker (extreme) precipitation response. The inability of climate models to correctly simulate observed changes in atmospheric circulation is also primarily responsible for the underestimation of trends in the Rhine basin. When it has been adjusted for the circulation trend mismatch, the observed trend is well within the spread of the climate model simulations. Therefore, it is important that we improve our understanding of circulation changes, in particular related to the cause of the apparent mismatch between observed and modeled circulation trends over the past century. (letter)

Observed changes in extremes of daily rainfall and temperature in Jemma Sub-Basin, Upper Blue Nile Basin, Ethiopia

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Worku, Gebrekidan; Teferi, Ermias; Bantider, Amare; Dile, Yihun T.

2018-02-01

Climate variability has been a threat to the socio-economic development of Ethiopia. This paper examined the changes in rainfall, minimum, and maximum temperature extremes of Jemma Sub-Basin of the Upper Blue Nile Basin for the period of 1981 to 2014. The nonparametric Mann-Kendall, seasonal Mann-Kendall, and Sen's slope estimator were used to estimate annual trends. Ten rainfall and 12 temperature indices were used to study changes in rainfall and temperature extremes. The results showed an increasing trend of annual and summer rainfall in more than 78% of the stations and a decreasing trend of spring rainfall in most of the stations. An increase in rainfall extreme events was detected in the majority of the stations. Several rainfall extreme indices showed wetting trends in the sub-basin, whereas limited indices indicated dryness in most of the stations. Annual maximum and minimum temperature and extreme temperature indices showed warming trend in the sub-basin. Presence of extreme rainfall and a warming trend of extreme temperature indices may suggest signs of climate change in the Jemma Sub-Basin. This study, therefore, recommended the need for exploring climate induced risks and implementing appropriate climate change adaptation and mitigation strategies.

Climate Change, Extreme Weather Events, and Human Health Implications in the Asia Pacific Region.

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Hashim, Jamal Hisham; Hashim, Zailina

2016-03-01

The Asia Pacific region is regarded as the most disaster-prone area of the world. Since 2000, 1.2 billion people have been exposed to hydrometeorological hazards alone through 1215 disaster events. The impacts of climate change on meteorological phenomena and environmental consequences are well documented. However, the impacts on health are more elusive. Nevertheless, climate change is believed to alter weather patterns on the regional scale, giving rise to extreme weather events. The impacts from extreme weather events are definitely more acute and traumatic in nature, leading to deaths and injuries, as well as debilitating and fatal communicable diseases. Extreme weather events include heat waves, cold waves, floods, droughts, hurricanes, tropical cyclones, heavy rain, and snowfalls. Globally, within the 20-year period from 1993 to 2012, more than 530 000 people died as a direct result of almost 15 000 extreme weather events, with losses of more than US$2.5 trillion in purchasing power parity. © 2015 APJPH.

Changes and Attribution of Extreme Precipitation in Climate Models: Subdaily and Daily Scales

Science.gov (United States)

Zhang, W.; Villarini, G.; Scoccimarro, E.; Vecchi, G. A.

2017-12-01

Extreme precipitation events are responsible for numerous hazards, including flooding, soil erosion, and landslides. Because of their significant socio-economic impacts, the attribution and projection of these events is of crucial importance to improve our response, mitigation and adaptation strategies. Here we present results from our ongoing work.In terms of attribution, we use idealized experiments [pre-industrial control experiment (PI) and 1% per year increase (1%CO2) in atmospheric CO2] from ten general circulation models produced under the Coupled Model Intercomparison Project Phase 5 (CMIP5) and the fraction of attributable risk to examine the CO2 effects on extreme precipitation at the sub-daily and daily scales. We find that the increased CO2 concentration substantially increases the odds of the occurrence of sub-daily precipitation extremes compared to the daily scale in most areas of the world, with the exception of some regions in the sub-tropics, likely in relation to the subsidence of the Hadley Cell. These results point to the large role that atmospheric CO2 plays in extreme precipitation under an idealized framework. Furthermore, we investigate the changes in extreme precipitation events with the Community Earth System Model (CESM) climate experiments using the scenarios consistent with the 1.5°C and 2°C temperature targets. We find that the frequency of annual extreme precipitation at a global scale increases in both 1.5°C and 2°C scenarios until around 2070, after which the magnitudes of the trend become much weaker or even negative. Overall, the frequency of global annual extreme precipitation is similar between 1.5°C and 2°C for the period 2006-2035, and the changes in extreme precipitation in individual seasons are consistent with those for the entire year. The frequency of extreme precipitation in the 2°C experiments is higher than for the 1.5°C experiment after the late 2030s, particularly for the period 2071-2100.

Perfluoroalkyl substances and changes in body weight and resting metabolic rate in response to weight-loss diets

DEFF Research Database (Denmark)

Liu, Gang; Dhana, Klodian; Furtado, Jeremy D

2018-01-01

in body weight and resting metabolic rate (RMR) in a diet-induced weight-loss setting. METHODS AND FINDINGS: In the 2-year POUNDS Lost randomized clinical trial based in Boston, Massachusetts, and Baton Rouge, Louisiana, that examined the effects of energy-restricted diets on weight changes, baseline...... and 24 months. Participants lost an average of 6.4 kg of body weight during the first 6 months (weight-loss period) and subsequently regained an average of 2.7 kg of body weight during the period of 6-24 months (weight regain period). After multivariate adjustment, baseline PFAS concentrations were...... not significantly associated with concurrent body weight or weight loss during the first 6 months. In contrast, higher baseline levels of PFASs were significantly associated with a greater weight regain, primarily in women. In women, comparing the highest to the lowest tertiles of PFAS concentrations...

[Changes in the outcome for infants, with birth weight under 500 grams, at our department (First Department of Obstetrics and Gynecology, Semmelweis University, Budapest)].

Science.gov (United States)

Varga, Péter; Jeager, Judit; Harmath, Ágnes; Berecz, Botond; Kollár, Tímea; Pete, Barbara; Magyar, Zsófia; Rigó, János; Romicsné Görbe, Éva

2015-03-08

The mortality and morbidity of extremely low birth weight infants (birth weight below 1000 grams) are different from low birth weight and term infants. The Centers for Disease Control statistics from the year 2009 shows that the mortality of preterm infants with a birth weight less than 500 grams is 83.4% in the United States. In many cases, serious complications can be expected in survivals. The aim of this retrospective study was to find prognostic factors which may improve the survival of the group of extremely low birth weight infants (<500 grams). Data of extremely low birth weight infants with less than 500 grams born at the 1st Department of Obstetrics and Gynecology, Semmelweis University between January 1, 2006 and June 1, 2012 were analysed, and mortality and morbidity of infants between January 1, 2006 and December 31, 2008 (period I) were compared those found between January 1, 2009 and June 1, 2012 (period II). Statistical analysis was performed with probe-t, -F and -Chi-square. Survival rate of extremely low birth weight infants less than 500 grams in period 1 and II was 26.31% and 55.17%, respectively (p = 0.048), whereas the prevalence of complications were not significantly different between the period examined. The mean gestational age of survived infants (25.57 weeks) was higher than the gestational age of infants who did not survive (24.18 weeks) and the difference was statistically significant (p = 0.0045). Education of the team of the Neonatal Intensive Care Unit, professional routine and technical conditions may improve the survival chance of preterm infants. The use of treatment protocols, conditions of the Neonatal Intensive Care Unit and steroid prophylaxis may improve the survival rate of extremely low birth weight infants.

Statistical assessment of changes in extreme maximum temperatures over Saudi Arabia, 1985-2014

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Raggad, Bechir

2018-05-01

In this study, two statistical approaches were adopted in the analysis of observed maximum temperature data collected from fifteen stations over Saudi Arabia during the period 1985-2014. In the first step, the behavior of extreme temperatures was analyzed and their changes were quantified with respect to the Expert Team on Climate Change Detection Monitoring indices. The results showed a general warming trend over most stations, in maximum temperature-related indices, during the period of analysis. In the second step, stationary and non-stationary extreme-value analyses were conducted for the temperature data. The results revealed that the non-stationary model with increasing linear trend in its location parameter outperforms the other models for two-thirds of the stations. Additionally, the 10-, 50-, and 100-year return levels were found to change with time considerably and that the maximum temperature could start to reappear in the different T-year return period for most stations. This analysis shows the importance of taking account the change over time in the estimation of return levels and therefore justifies the use of the non-stationary generalized extreme value distribution model to describe most of the data. Furthermore, these last findings are in line with the result of significant warming trends found in climate indices analyses.

Prospective weight change and colon cancer risk in male US health professionals

DEFF Research Database (Denmark)

Thygesen, Lau Caspar; Grønbaek, Morten; Johansen, Christoffer

2008-01-01

Epidemiological studies are remarkably consistent, especially among men, in showing that overweight and obesity [body mass index (BMI) >25] are associated with increased risk of colon cancer. However, no prospective studies address the influence of weight change in adulthood on subsequent colon...... cancer risk. In this study, we investigated whether weight change influences colon cancer risk utilizing prospectively collected weight data. We included 46,349 men aged 40-75 participating in the Health Professionals Follow-Up Study. Questionnaires including items on weight were completed every second......-year period, we documented 765 cases of colon cancer. Cumulative mean BMI >22.5 was associated with significantly increased risk of colon cancer. The short-term weight change in the prior 2 to 4 years was positively and significantly associated with risk [HR = 1.14 (95% confidence interval, 1...

Behavior Change Strategies for Successful Long-Term Weight Loss: Focusing on Dietary and Physical Activity Adherence, Not Weight Loss

Science.gov (United States)

Hongu, Nobuko; Kataura, Martha P.; Block, Linda M.

2011-01-01

This article helps Extension professionals guide individuals in a successful long-term weight loss program. A program should focus on behavioral changes (improving eating habits and physical activity), not just weight loss. In order to do this, Extension professionals should implement behavior change strategies that motivate individuals to…

Observed change in extreme daily rainfalls in the French Mediterranean

Science.gov (United States)

Ribes, Aurélien; Thao, Soulivanh; Vautard, Robert; Dubuisson, Brigitte; Somot, Samuel; Colin, Jeanne; Planton, Serge; Soubeyroux, Jean-Michel

2017-04-01

In spite of a relatively dry mean climate, the Mediterranean regions in Southern France use to experience heavy rainfalls over short durations - typically a few minutes to one day. Here we examine long-term trends in the historical record of extreme precipitation events occurring over the French Mediterranean area, where many long homogeneous time-series are available. Extreme events are considered in terms of their intensity, frequency, extent and precipitated volume. Changes in intensity are analysed via an original statistical approach where the annual maximum rainfall observed at each measurement station are aggregated into a univariate time-series, according to their statistical dependence. This procedure substantially enhances the signal-to-noise ratio. The mean intensity increase is significant and estimated at +22% (+7% to +39% at the 90% confidence level) over the 1961-2015 period. Given the observed warming over the considered area, this increase is consistent with a rate of about one to three times that implied by the Clausius-Clapeyron relationship. Changes in frequency and other spatial features are investigated through a Generalised Linear Model. Changes in frequencies for events exceeding high thresholds (about 200mm in one day) are found to be significant, typically near a doubling of the frequency, but with large uncertainties in this risk ratio. The area affected by severe events and the water volume precipitated during those events also exhibit significant trends, with an increase by a factor of about 4 for a 200mm threshold, again with large uncertainties. All diagnoses consistently point toward an intensification of the most extreme events during the last decades. We argue that the diagnosed trends can hardly be explained without invoking the human influence on climate.

Climate change impacts on extreme events in the United States: an uncertainty analysis

Science.gov (United States)

Extreme weather and climate events, such as heat waves, droughts and severe precipitation events, have substantial impacts on ecosystems and the economy. However, future climate simulations display large uncertainty in mean changes. As a result, the uncertainty in future changes ...

Predicting short-term weight loss using four leading health behavior change theories

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Barata José T

2007-04-01

Full Text Available Abstract Background This study was conceived to analyze how exercise and weight management psychosocial variables, derived from several health behavior change theories, predict weight change in a short-term intervention. The theories under analysis were the Social Cognitive Theory, the Transtheoretical Model, the Theory of Planned Behavior, and Self-Determination Theory. Methods Subjects were 142 overweight and obese women (BMI = 30.2 ± 3.7 kg/m2; age = 38.3 ± 5.8y, participating in a 16-week University-based weight control program. Body weight and a comprehensive psychometric battery were assessed at baseline and at program's end. Results Weight decreased significantly (-3.6 ± 3.4%, p Conclusion The present models were able to predict 20–30% of variance in short-term weight loss and changes in weight management self-efficacy accounted for a large share of the predictive power. As expected from previous studies, exercise variables were only moderately associated with short-term outcomes; they are expected to play a larger explanatory role in longer-term results.

How do pregnancy-related weight changes and breastfeeding relate to maternal weight and BMI-adjusted waist circumference 7 y after delivery?

DEFF Research Database (Denmark)

Kirkegaard, Helene; Stovring, Henrik; Rasmussen, Kathleen M

2014-01-01

of breastfeeding are unknown. OBJECTIVE: The objective was to examine how prepregnancy weight, gestational weight gain, postpartum weight changes, and breastfeeding influence maternal weight and body mass index-adjusted waist circumference (WCBMI) 7 y after delivery. DESIGN: This was a prospective cohort study......; 87% of this effect was mediated through later weight changes. For both outcomes, a small inverse association was observed for breastfeeding duration. This was strongest for WCBMI, for which 97% of the effect was direct, ie, not mediated through postpartum weight. CONCLUSIONS: These findings show...... that postpartum weight retention at 6 mo and weight gain from 6 to 18 mo postpartum contribute equally to adverse maternal anthropometric measures 7 y after delivery. Breastfeeding duration may have a beneficial effect....

Evaluation of Weight Change During Carboplatin Therapy in Dogs With Appendicular Osteosarcoma.

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Story, A L; Boston, S E; Kilkenny, J J; Singh, A; Woods, J P; Culp, W T N; Skorupski, K A; Lu, X

2017-07-01

The prevalence of cancer cachexia in veterinary medicine has not been studied widely, and as of yet, no definitive diagnostic criteria effectively assess this syndrome in veterinary patients. (1) To determine the patterns of weight change in dogs with appendicular osteosarcoma treated with amputation and single-agent carboplatin during the course of adjuvant chemotherapy; and (2) to determine whether postoperative weight change is a negative prognostic indicator for survival time in dogs with osteosarcoma. Eighty-eight dogs diagnosed with appendicular osteosarcoma. Animals were accrued from 3 veterinary teaching hospitals. Retrospective, multi-institutional study. Dogs diagnosed with appendicular osteosarcoma and treated with limb amputation followed by a minimum of 4 doses of single-agent carboplatin were included. Data analyzed in each patient included signalment, tumor site, preoperative serum alkaline phosphatase activity (ALP), and body weight (kg) at each carboplatin treatment. A slight increase in weight occurred over the course of chemotherapy, but this change was not statistically significant. Weight change did not have a significant effect on survival. Institution, patient sex, and serum ALP activity did not have a significant effect on survival. Weight change was not a prognostic factor in these dogs, and weight loss alone may not be a suitable method of determining cancer cachexia in dogs with appendicular osteosarcoma. Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

Factors Associated With Weight Change in Online Weight Management Communities: A Case Study in the LoseIt Reddit Community.

Science.gov (United States)

Pappa, Gisele Lobo; Cunha, Tiago Oliveira; Bicalho, Paulo Viana; Ribeiro, Antonio; Couto Silva, Ana Paula; Meira, Wagner; Beleigoli, Alline Maria Rezende

2017-01-16

Recent research has shown that of the 72% of American Internet users who have looked for health information online, 22% have searched for help to lose or control weight. This demand for information has given rise to many online weight management communities, where users support one another throughout their weight loss process. Whether and how user engagement in online communities relates to weight change is not totally understood. We investigated the activity behavior and analyze the semantic content of the messages of active users in LoseIt (r/loseit), a weight management community of the online social network Reddit. We then explored whether these features are associated with weight loss in this online social network. A data collection tool was used to collect English posts, comments, and other public metadata of active users (ie, users with at least one post or comment) on LoseIt from August 2010 to November 2014. Analyses of frequency and intensity of user interaction in the community were performed together with a semantic analysis of the messages, done by a latent Dirichlet allocation method. The association between weight loss and online user activity patterns, the semantics of the messages, and real-world variables was found by a linear regression model using 30-day weight change as the dependent variable. We collected posts and comments of 107,886 unique users. Among these, 101,003 (93.62%) wrote at least one comment and 38,981 (36.13%) wrote at least one post. Median percentage of days online was 3.81 (IQR 9.51). The 10 most-discussed semantic topics on posts were related to healthy food, clothing, calorie counting, workouts, looks, habits, support, and unhealthy food. In the subset of 754 users who had gender, age, and 30-day weight change data available, women were predominant and 92.9% (701/754) lost weight. Female gender, body mass index (BMI) at baseline, high levels of online activity, the number of upvotes received per post, and topics discussed

Mortality and Morbidity of Extremely Low Birth Weight Infants in the Mainland of China: A Multi-center Study

Science.gov (United States)

Lin, Hui-Jia; Du, Li-Zhong; Ma, Xiao-Lu; Shi, Li-Ping; Pan, Jia-Hua; Tong, Xiao-Mei; Li, Qiu-Ping; Zhou, Jian-Guo; Yi, Bing; Liu, Ling; Chen, Yun-Bing; Wei, Qiu-Fen; Wu, Hui-Qing; Li, Mei; Liu, Cui-Qing; Gao, Xi-Rong; Xia, Shi-Wen; Li, Wen-Bin; Yan, Chao-Ying; He, Ling; Liang, Kun; Zhou, Xiao-Yu; Han, Shu-Ping; Lyu, Qin; Qiu, Yin-Ping; Li, Wen; Chen, Dong-Mei; Lu, Hong-Ru; Liu, Xiao-Hong; Liu, Hong; Lin, Zhen-Lang; Liu, Li; Zhu, Jia-Jun; Xiong, Hong; Yue, Shao-Jie; Zhuang, Si-Qi

2015-01-01

Background: With the progress of perinatal medicine and neonatal technology, more and more extremely low birth weight (ELBW) survived all over the world. This study was designed to investigate the short-term outcomes of ELBW infants during their Neonatal Intensive Care Unit (NICU) stay in the mainland of China. Methods: All infants admitted to 26 NICUs with a birth weight (BW) patent ductus arteriosus, intraventricular hemorrhage, periventricular leukomalacia, bronchopulmonary dysplasia, retinopathy of prematurity was 26.2%, 33.7%, 6.7%, 48.1%, and 41.4%, respectively. Ventilator associated pneumonia was the most common hospital acquired infection during hospitalization. Conclusions: Our study was the first survey that revealed the present status of ELBW infants in the mainland of China. The mortality and morbidity of ELBW infants remained high as compared to other developed countries. PMID:26481740

Weight change and physical function in older women: findings from the Nun Study.

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Tully, C L; Snowdon, D A

1995-12-01

To investigate the association between change in weight and decline in physical function in older women. Longitudinal study of a defined population of Catholic sisters (nuns) whose weight and function were assessed twice, an average of 584 days apart. Unique life communities (convents) located throughout the United States. 475 Catholic sisters who were 75 to 99 years of age (M = 82.1, SD = 4.8) and were independent in at least one Activity of Daily Living (ADL) at the first assessment of weight and function. None. At each assessment, weight, ADLs, and cognitive function were evaluated as part of the Nun Study--a longitudinal study of aging and Alzheimer's disease. Annual percent weight change was calculated using weights from the two assessments, as well as the number of days that elapsed between assessments. Mean weight at first assessment was 140 pounds (range 78 to 232, SD = 27). The mean annual percent weight change was 0.1% (range 22% loss to 16% gain, SD = 3.8). Age- and initial weight-adjusted findings indicated that those participants with an annual percent weight loss of 3% or greater had 2.7 to 3.9 times the risk of becoming dependent in each ADL, compared to the sisters with no weight change. The elevated risk persisted in those who were mentally intact or were independent in their eating habits. Monitoring of weight may be an easy and inexpensive method of identifying older individuals at increased risk of disability.

Disseminated candidemia refractory to caspofungin therapy in an infant with extremely low birth weight

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Meng-Ju Li

2012-01-01

Full Text Available Systemic fungal infections have high morbidity and mortality rates in neonates, especially neonates with an extremely low birth weight (ELBW. Here, we describe a 21-day-old ELBW female infant with an amphotericin B-unresponsive congenital Candida albicans infection that was treated with caspofungin. Blood sterilization was performed during the first episode, but a second episode of candidemia occurred after the discontinuation of caspofungin. Blood sterilization was again performed during the second round of caspofungin treatment, but fungal endocarditis and renal fungal balls still developed during the second episode. Caspofungin can be considered for invasive candidiasis in premature infants, especially in life-threatening situations. As for the focal lesions, more aggressive treatments other than just parenteral antibiotics should be considered. The literature regarding caspofungin therapy for neonatal candidiasis is also reviewed.

Transportation system resilience, extreme weather and climate change : a thought leadership series

Science.gov (United States)

2014-09-01

This report summarizes key findings from the Transportation System Resilience, Extreme Weather and Climate Change thought leadership series held at Volpe, the National Transportation Systems Center from fall 2013 to spring 2014.

Changes in body weight, body composition, and eating attitudes in high school wrestlers.

Science.gov (United States)

Shriver, Lenka Humenikova; Betts, Nancy Mulhollen; Payton, Mark Edward

2009-08-01

Many wrestlers engage in chronic dieting and rapid "weight cutting" throughout the year to compete in a category below their natural weight. Such weight-management practices have a negative influence on their health and nutritional status, so the National Wrestling Coaches Association implemented a new weight-management program for high school wrestlers in 2006. The purpose of this study was to determine whether seasonal changes in weight, body fat, and eating attitudes occur among high school wrestlers after the implementation of the new weight-management rule. Fifteen high school wrestlers participated in the study. Their weight, body composition, and eating attitudes were measured preseason, in-season, and off-season. Body fat was assessed using dual-energy X-ray absorptiometry. Attitudes toward dieting, food, and body weight were assessed using the Eating Attitude Test (EAT). No significant changes in body fat were detected from preseason to off-season. Weight increased from preseason to in-season (p < .05) and off-season (p < .05). Although the EAT score did not change significantly from preseason to off-season, 60% reported "thinking about burning up calories when exercising" during preseason, and only 40% felt that way during the season (p < .05) and 47% during, off-season (p < .05). The wrestlers experienced a significant weight gain from preseason to off-season with no significant changes in body fat. Their eating attitudes did not change significantly from preseason to off-season in this study, but further research using a large sample of high school wrestlers is warranted to confirm these findings.

Association between Anxiety Levels and Weight Change in the Multiethnic Study of Atherosclerosis

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Katherine Rieke

2014-01-01

Full Text Available Objective. To examine the association between anxiety and weight change in a multiethnic cohort followed for approximately 10 years. Methods. The study population consisted of participants of the multiethnic study of atherosclerosis who met specified inclusion criteria (n = 5,799. Weight was measured at baseline and four subsequent follow-up exams. Anxiety was analyzed as sex-specific anxiety quartiles (QANX. The relationship between anxiety level and weight change was examined using a mixed-effect model with weight as the dependent variable, anxiety and time as the independent variables, and adjusted for covariates. Results. Average annual weight change (range was −0.17 kg (−6.04 to 4.38 kg for QANX 1 (lowest anxiety, −0.16 kg (−10.71 to 4.45 kg for QANX 2, −0.15 kg (−8.69 to 6.39 kg for QANX 3, and −0.20 kg (−7.12 to 3.95 kg for QANX 4 (highest anxiety. No significant association was noted between QANX and weight change. However, the highest QANX was associated with a −2.48 kg (95% CI = −3.65, −1.31 lower baseline weight compared to the lowest QANX after adjustment for all covariates. Conclusions. Among adults, age 45–84, higher levels of anxiety, defined by the STPI trait anxiety scale, are associated with lower average baseline weight but not with weight change.

Future changes in Asian summer monsoon precipitation extremes as inferred from 20-km AGCM simulations

Science.gov (United States)

Lui, Yuk Sing; Tam, Chi-Yung; Lau, Ngar-Cheung

2018-04-01

This study examines the impacts of climate change on precipitation extremes in the Asian monsoon region during boreal summer, based on simulations from the 20-km Meteorological Research Institute atmospheric general circulation model. The model can capture the summertime monsoon rainfall, with characteristics similar to those from Tropical Rainfall Measuring Mission and Asian Precipitation-Highly-Resolved Observational Data Integration Towards Evaluation. By comparing the 2075-2099 with the present-day climate simulations, there is a robust increase of the mean rainfall in many locations due to a warmer climate. Over southeastern China, the Baiu rainband, Bay of Bengal and central India, extreme precipitation rates are also enhanced in the future, which can be inferred from increases of the 95th percentile of daily precipitation, the maximum accumulated precipitation in 5 consecutive days, the simple daily precipitation intensity index, and the scale parameter of the fitted gamma distribution. In these regions, with the exception of the Baiu rainband, most of these metrics give a fractional change of extreme rainfall per degree increase of the lower-tropospheric temperature of 5 to 8.5% K-1, roughly consistent with the Clausius-Clapeyron relation. However, over the Baiu area extreme precipitation change scales as 3.5% K-1 only. We have also stratified the rainfall data into those associated with tropical cyclones (TC) and those with other weather systems. The AGCM gives an increase of the accumulated TC rainfall over southeastern China, and a decrease in southern Japan in the future climate. The latter can be attributed to suppressed TC occurrence in southern Japan, whereas increased accumulated rainfall over southeastern China is due to more intense TC rain rate under global warming. Overall, non-TC weather systems are the main contributor to enhanced precipitation extremes in various locations. In the future, TC activities over southeastern China tend to further

Weight and body composition change over a six-week holiday period.

Science.gov (United States)

Wagner, D R; Larson, J N; Wengreen, H

2012-03-01

Change in weight and body composition was assessed over a six-week holiday period. Baseline testing occurred the Monday or Tuesday prior to Thanksgiving Day (November 24 or 25, 2008), and the post-holiday assessment was the Monday or Tuesday after New Year's Day (January 5 or 6, 2009). Thirteen men and 21 women ranging in age from 23-61 years completed the study. The majority of participants (24 of 34) perceived that they had gained weight, and four did gain ≥2 kg. However, despite some changes to dietary and exercise habits, on average there was no difference between pre-holiday weight (74.0±17.8 kg) and post-holiday weight (73.9±18.1 kg), nor between pre-holiday body fat percentage (25.4±9.0%) and post-holiday body fat percentage (25.4±8.9%). Despite a perception of substantial weight gain, body weight and body fat remained unchanged over a six-week holiday period.

Extreme Precipitation and Runoff under Changing Climate in Southern Maine

Energy Technology Data Exchange (ETDEWEB)

Yan, Eugene [Argonne National Lab. (ANL), Argonne, IL (United States); Jared, Alissa [Argonne National Lab. (ANL), Argonne, IL (United States); Mahat, Vinod [Argonne National Lab. (ANL), Argonne, IL (United States); Picel, Mark [Argonne National Lab. (ANL), Argonne, IL (United States); Verner, Duane [Argonne National Lab. (ANL), Argonne, IL (United States); Wall, Thomas [Argonne National Lab. (ANL), Argonne, IL (United States); Moges, Edom M. [Washington State Univ., Pullman, WA (United States); Demissie, Yonas K. [Washington State Univ., Pullman, WA (United States); Pierce, Julia [Argonne National Lab. (ANL), Argonne, IL (United States)

2016-12-01

The quantification of extreme precipitation events is vitally important for designing and engineering water and flood sensitive infrastructure. Since this kind of infrastructure is usually built to last much longer than 10, 50, or even 100 years, there is great need for statistically sound estimates of the intensity of 10-, 50-, 100-, and 500-year rainstorms and associated floods. The recent assessment indicated that the intensity of the most extreme precipitation events (or the heaviest 1% of all daily events) have increased in every region of the contiguous states since the 1950s (Melillo et al. 2014). The maximum change in precipitation intensity of extreme events occurred in the northeast region reaching 71%. The precipitation extremes can be characterized using intensity-duration-frequency analysis (IDF). However, the current IDFs in this region were developed around the assumption that climate condition remains stationary over the next 50 or 100 years. To better characterize the potential flood risk, this project will (1) develop precipitation IDFs on the basis of both historical observations and future climate projections from dynamic downscaling with Argonne National Laboratory’s (Argonne’s) regional climate model and (2) develop runoff IDFs using precipitation IDFs for the Casco Bay Watershed. IDF development also considers non-stationary distribution models and snowmelt effects that are not incorporated in the current IDFs.

Reduced brachial flow-mediated vasodilation in young adult ex extremely low birth weight preterm: a condition predictive of increased cardiovascular risk?

Science.gov (United States)

Bassareo, P P; Fanos, V; Puddu, M; Demuru, P; Cadeddu, F; Balzarini, M; Mercuro, G

2010-10-01

Sporadic data present in literature report how preterm birth and low birth weight constitute the risk factors for the development of cardiovascular diseases in later life. To assess the presence of potential alterations to endothelial function in young adults born preterm at extremely low birth weight (Cesarea, Israel). Endothelial function was significantly reduced in ex-ELBW subjects compared to C (1.94 +/- 0.37 vs. 2.68 +/- 0.41, p < 0.0001). Moreover, this function correlated significantly with gestational age (r = 0.56, p < 0.0009) and birth weight (r = 0.63, p < 0.0001). The results obtained reveal a significant decrease in endothelial function of ex-ELBW subjects compared to controls, underlining a probable correlation with preterm birth and low birth weight. Taken together, these results suggest that an ELBW may underlie the onset of early circulatory dysfunction predictive of increased cardiovascular risk.

Gender-related clinical and immunological features of extremely low birth weight infants

Directory of Open Access Journals (Sweden)

G. N. Chistyakova

2016-01-01

Full Text Available Examinations were made in 35 boys and 39 girls with extremely low birth weight in order to identify gender-related clinical and immunological features. A comparison group consisted of 31 full-term newborns with early uncomplicated adaptation. The investigators determined the number of lymphocyte subpopulations and cytokine-producing cells (CD3+INF-γ+, CD3+IL-4+ by flow cytometry and the serum levels of cytokines (IL-4, IFN-γ and neopterin by enzyme immunoassay. A study of immunological parameters revealed that the boys had a smaller number of CD3+, CD4+, and CD8+ subpopulations, a reduced content of CD3+IL-4+ cells at birth, and low IL-4 production on the first day of life compared to the full-term neonates. The girls were recorded to have higher levels of neopterin and B cells on the first day of life, the quantitative characteristics of T lymphocytes were consistent with those in the full-term infants. The findings are indicative of the greater functional immaturity of the immune system in the preterm boys. 

Weighted Moments Estimators of the Parameters for the Extreme Value Distribution Based on the Multiply Type II Censored Sample

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Jong-Wuu Wu

2013-01-01

Full Text Available We propose the weighted moments estimators (WMEs of the location and scale parameters for the extreme value distribution based on the multiply type II censored sample. Simulated mean squared errors (MSEs of best linear unbiased estimator (BLUE and exact MSEs of WMEs are compared to study the behavior of different estimation methods. The results show the best estimator among the WMEs and BLUE under different combinations of censoring schemes.

Extremes temperatures and enthalpy in Finland and Sweden in a changing climate

International Nuclear Information System (INIS)

Venaelaeinen, A.; Saku, S.; Jylhae, K.; Nikulin, G.; Kjellstroem, E.; Baerring, L.

2009-06-01

Though risks caused by harsh weather conditions are taken into account in the planning of nuclear power plants, some exceptional weather events or combination of different events may prevent normal power operation and simultaneously endanger safe shutdown of the plant. Extreme weather events could influence, for example, the external power grid connection, emergency diesel generators (blockage of air intakes), ventilation and cooling of electric and electronics equipment rooms and the seawater intake. Due to the influence of an intensified greenhouse effect the climate is changing rapidly during the coming decades and this change is expected to have an influence also on the occurrence of extreme weather events. In this report we have examined extreme temperatures. Enthalpy is a parameter that combines air temperature and air humidity and it is used in the design of air conditioning systems. Therefore, we have included also return levels of enthalpy in our analysis. The influence of climate change on extreme temperatures is analysed based on regional climate model simulations. The reoccurrence times of high temperatures combined with high air humidity was analysed based on measurements made at five Finnish and three Swedish meteorological stations. Based on the observational records we find the 10 year return level of daily maximum temperature to be around 32 deg. C and the 100 year return level around 35 deg. C. If we look the return levels of warm and humid conditions then for example in Helsinki the 10 year return level of one week mean temperature in case mean air humidity is above 80% is 20.1 deg. C. The 10 year return level of daily maximum enthalpy is around 60 kJ/kg and the 100 year return level almost 70 kJ/kg. According to the climate model simulations the largest increase of 50-year return level of daily maximum temperature is found in southern Sweden and south-western Finland. By the end of this century the increase can be 3-5 deg. C. The largest change

Extremes temperatures and enthalpy in Finland and Sweden in a changing climate

Energy Technology Data Exchange (ETDEWEB)

Venaelaeinen, A.; Saku, S.; Jylhae, K. (Finnish Meteorological Institute (Finland)); Nikulin, G.; Kjellstroem, E.; Baerring, L. (Swedish Meteorological Institute (Sweden))

2009-06-15

Though risks caused by harsh weather conditions are taken into account in the planning of nuclear power plants, some exceptional weather events or combination of different events may prevent normal power operation and simultaneously endanger safe shutdown of the plant. Extreme weather events could influence, for example, the external power grid connection, emergency diesel generators (blockage of air intakes), ventilation and cooling of electric and electronics equipment rooms and the seawater intake. Due to the influence of an intensified greenhouse effect the climate is changing rapidly during the coming decades and this change is expected to have an influence also on the occurrence of extreme weather events. In this report we have examined extreme temperatures. Enthalpy is a parameter that combines air temperature and air humidity and it is used in the design of air conditioning systems. Therefore, we have included also return levels of enthalpy in our analysis. The influence of climate change on extreme temperatures is analysed based on regional climate model simulations. The reoccurrence times of high temperatures combined with high air humidity was analysed based on measurements made at five Finnish and three Swedish meteorological stations. Based on the observational records we find the 10 year return level of daily maximum temperature to be around 32 deg. C and the 100 year return level around 35 deg. C. If we look the return levels of warm and humid conditions then for example in Helsinki the 10 year return level of one week mean temperature in case mean air humidity is above 80% is 20.1 deg. C. The 10 year return level of daily maximum enthalpy is around 60 kJ/kg and the 100 year return level almost 70 kJ/kg. According to the climate model simulations the largest increase of 50-year return level of daily maximum temperature is found in southern Sweden and south-western Finland. By the end of this century the increase can be 3-5 deg. C. The largest change

Weight change and all-cause mortality in older adults: A meta-analysis

Science.gov (United States)

This meta-analysis of observational cohort studies examined the association between weight change (weight loss, weight gain, and weight fluctuation) and all-cause mortality among older adults. We used PubMed (MEDLINE), Web of Science, and Cochrane Library to identify prospective studies published in...

Adolescent smoking, weight changes, and binge-purge behavior: associations with secondary amenorrhea.

Science.gov (United States)

Johnson, J; Whitaker, A H

1992-01-01

The association of secondary amenorrhea with extreme forms of substance use, weight control, and exercise in nonrepresentative samples raises questions as to whether adolescents in the general population who engage in these behaviors are at increased risk for secondary amenorrhea. We examined the prevalence and behavioral correlates of secondary amenorrhea in a county-wide high school population of 2544 girls aged 13 to 18. A survey questionnaire, which elicited menstrual history as well as weight history, weight control practices, level of exercise, and use of cigarettes, wine, and beer, was administered during school hours; absentees were also surveyed. The completion rate was 91%. The 1-year prevalence of secondary amenorrhea was 8.5%. Secondary amenorrhea was associated with smoking one or more packs of cigarettes per day (adjusted relative risk [RRa] = 1.96, 1.21-3.10), with multiple binge-eating behaviors in combination with laxative use or self-induced vomiting (RRa = 4.17, 2.54-6.32), and with weight fluctuation due to weight control (RRa = 2.59, 1.33-4.79). There was no association between amenorrhea and alcohol consumption or exercise level. Estimates of attributable risk are provided and indicate that bulimic behaviors and cigarette smoking may result in a considerable excess of cases of secondary amenorrhea in an adolescent population.

Climate Change Impacts on the Upper Indus Hydrology: Sources, Shifts and Extremes.

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A F Lutz

Full Text Available The Indus basin heavily depends on its upstream mountainous part for the downstream supply of water while downstream demands are high. Since downstream demands will likely continue to increase, accurate hydrological projections for the future supply are important. We use an ensemble of statistically downscaled CMIP5 General Circulation Model outputs for RCP4.5 and RCP8.5 to force a cryospheric-hydrological model and generate transient hydrological projections for the entire 21st century for the upper Indus basin. Three methodological advances are introduced: (i A new precipitation dataset that corrects for the underestimation of high-altitude precipitation is used. (ii The model is calibrated using data on river runoff, snow cover and geodetic glacier mass balance. (iii An advanced statistical downscaling technique is used that accounts for changes in precipitation extremes. The analysis of the results focuses on changes in sources of runoff, seasonality and hydrological extremes. We conclude that the future of the upper Indus basin's water availability is highly uncertain in the long run, mainly due to the large spread in the future precipitation projections. Despite large uncertainties in the future climate and long-term water availability, basin-wide patterns and trends of seasonal shifts in water availability are consistent across climate change scenarios. Most prominent is the attenuation of the annual hydrograph and shift from summer peak flow towards the other seasons for most ensemble members. In addition there are distinct spatial patterns in the response that relate to monsoon influence and the importance of meltwater. Analysis of future hydrological extremes reveals that increases in intensity and frequency of extreme discharges are very likely for most of the upper Indus basin and most ensemble members.

Climate Change Impacts on the Upper Indus Hydrology: Sources, Shifts and Extremes

Science.gov (United States)

Immerzeel, W. W.; Kraaijenbrink, P. D. A.; Shrestha, A. B.; Bierkens, M. F. P.

2016-01-01

The Indus basin heavily depends on its upstream mountainous part for the downstream supply of water while downstream demands are high. Since downstream demands will likely continue to increase, accurate hydrological projections for the future supply are important. We use an ensemble of statistically downscaled CMIP5 General Circulation Model outputs for RCP4.5 and RCP8.5 to force a cryospheric-hydrological model and generate transient hydrological projections for the entire 21st century for the upper Indus basin. Three methodological advances are introduced: (i) A new precipitation dataset that corrects for the underestimation of high-altitude precipitation is used. (ii) The model is calibrated using data on river runoff, snow cover and geodetic glacier mass balance. (iii) An advanced statistical downscaling technique is used that accounts for changes in precipitation extremes. The analysis of the results focuses on changes in sources of runoff, seasonality and hydrological extremes. We conclude that the future of the upper Indus basin’s water availability is highly uncertain in the long run, mainly due to the large spread in the future precipitation projections. Despite large uncertainties in the future climate and long-term water availability, basin-wide patterns and trends of seasonal shifts in water availability are consistent across climate change scenarios. Most prominent is the attenuation of the annual hydrograph and shift from summer peak flow towards the other seasons for most ensemble members. In addition there are distinct spatial patterns in the response that relate to monsoon influence and the importance of meltwater. Analysis of future hydrological extremes reveals that increases in intensity and frequency of extreme discharges are very likely for most of the upper Indus basin and most ensemble members. PMID:27828994

Climate Change Impacts on the Upper Indus Hydrology: Sources, Shifts and Extremes.

Science.gov (United States)

Lutz, A F; Immerzeel, W W; Kraaijenbrink, P D A; Shrestha, A B; Bierkens, M F P

2016-01-01

The Indus basin heavily depends on its upstream mountainous part for the downstream supply of water while downstream demands are high. Since downstream demands will likely continue to increase, accurate hydrological projections for the future supply are important. We use an ensemble of statistically downscaled CMIP5 General Circulation Model outputs for RCP4.5 and RCP8.5 to force a cryospheric-hydrological model and generate transient hydrological projections for the entire 21st century for the upper Indus basin. Three methodological advances are introduced: (i) A new precipitation dataset that corrects for the underestimation of high-altitude precipitation is used. (ii) The model is calibrated using data on river runoff, snow cover and geodetic glacier mass balance. (iii) An advanced statistical downscaling technique is used that accounts for changes in precipitation extremes. The analysis of the results focuses on changes in sources of runoff, seasonality and hydrological extremes. We conclude that the future of the upper Indus basin's water availability is highly uncertain in the long run, mainly due to the large spread in the future precipitation projections. Despite large uncertainties in the future climate and long-term water availability, basin-wide patterns and trends of seasonal shifts in water availability are consistent across climate change scenarios. Most prominent is the attenuation of the annual hydrograph and shift from summer peak flow towards the other seasons for most ensemble members. In addition there are distinct spatial patterns in the response that relate to monsoon influence and the importance of meltwater. Analysis of future hydrological extremes reveals that increases in intensity and frequency of extreme discharges are very likely for most of the upper Indus basin and most ensemble members.

Improvement of Zinc Coating Weight Control for Transition of Target Change

Energy Technology Data Exchange (ETDEWEB)

Chen, Chien Ming; Lin, Jeong Hwa; Hsu, Tse Wei; Lin, Rui Rong [China Steel Corporation, Kaohsiung (China)

2010-06-15

The product specification of the Continuous Hot Dip Galvanizing Line (CGL) changes and varies constantly with different customers' requirements, especially in the zinc coating weight which is from 30 to 150 g/m{sup 2} on each side. Since the coating weight of zinc changes often, it is very important to reduce time spent in the transfer of target values changed for low production cost and yield loss. The No.2 CGL in China Steel Corporation (CSC) has improved the control of the air knife which is designed by Siemens VAI. CSC proposed an experiment design which is an L{sub 9}(3{sup 4}) orthogonal array to find the relations between zinc coating weight and the process parameters, such as the line speed, air pressure, gap of air knife and air knife position. A non-linear regression formula was derived from the experimental results and applied in the mathematical model. A new air knife feedforward control system, which is coupled with the regression formula, the air knife control system and the process computer, is implemented into the line. The practical plant operation results have been presented to show the transfer time is obviously shortened while zinc coating weight target changing and the product rejected ratio caused by zinc coating weight out of specification is significantly reduced from 0.5% to 0.15%.

Electric-field-induced extremely large change in resistance in graphene ferromagnets

Science.gov (United States)

Song, Yu

2018-01-01

A colossal magnetoresistance (˜100×10^3% ) and an extremely large magnetoresistance (˜1×10^6% ) have been previously explored in manganite perovskites and Dirac materials, respectively. However, the requirement of an extremely strong magnetic field (and an extremely low temperature) makes them not applicable for realistic devices. In this work, we propose a device that can generate even larger changes in resistance in a zero-magnetic field and at a high temperature. The device is composed of graphene under two strips of yttrium iron garnet (YIG), where two gate voltages are applied to cancel the heavy charge doping in the YIG-induced half-metallic ferromagnets. By calculations using the Landauer-Büttiker formalism, we demonstrate that, when a proper gate voltage is applied on the free ferromagnet, changes in resistance up to 305×10^6% (16×10^3% ) can be achieved at the liquid helium (nitrogen) temperature and in a zero magnetic field. We attribute such a remarkable effect to a gate-induced full-polarization reversal in the free ferromagnet, which results in a metal-state to insulator-state transition in the device. We also find that the proposed effect can be realized in devices using other magnetic insulators, such as EuO and EuS. Our work should be helpful for developing a realistic switching device that is energy saving and CMOS-technology compatible.

Acculturation and weight change in Asian-American children: Evidence from the ECLS-K:2011.

Science.gov (United States)

Diep, Cassandra S; Baranowski, Tom; Kimbro, Rachel T

2017-06-01

Despite relatively low rates of overweight and obesity among Asian-American children, disparities exist based on acculturation, socioeconomic status, and Asian ethnicity. The purpose of this study was to examine the association between acculturation and weight change in Asian-American children. Secondary aims were to compare changes by Asian ethnic group and acculturation x socioeconomic status. Participants included 1200 Asian-American children from the Early Childhood Longitudinal Study, Kindergarten Class of 2010-11, a longitudinal study of U.S. children attending kindergarten in 2010-2011. Multinomial logistic regressions were conducted to predict weight change based on body mass indices in kindergarten (spring 2011) and second grade (spring 2013): consistently healthy weight, consistently overweight/obese, healthy weight change, and unhealthy weight change. Models included demographic, household, socioeconomic status, and acculturation measures, specifically mother's English proficiency and percentage of life spent in the U.S. Overall, 72.3% of children were at healthy weights in kindergarten and second grade. Of all Asian ethnic groups, Filipino children had the highest rate of being consistently overweight/obese (24.8%) and the lowest rate of being consistently healthy weight (62.9%). In addition, mother's English proficiency predicted unhealthy weight change (OR: 0.83; 95% CI: 0.75-0.92) and healthy weight change (OR: 0.75; 95% CI: 0.65-0.86), relative to "consistently healthy weight." English proficiency also predicted being consistently overweight/obese for children with less educated mothers. Findings enhance our understanding of obesity disparities within Asian Americans and highlight the need to disaggregate the population. Obesity interventions are needed for Filipino children and families with low socioeconomic status but high English proficiency. Copyright © 2017 Elsevier Inc. All rights reserved.

Contributions of natural climate changes and human activities to the trend of extreme precipitation

Science.gov (United States)

Gao, Lu; Huang, Jie; Chen, Xingwei; Chen, Ying; Liu, Meibing

2018-06-01

This study focuses on the analysis of the nonstationarity characteristics of extreme precipitation and their attributions in the southeastern coastal region of China. The maximum daily precipitation (MDP) series is extracted from observations at 79 meteorological stations in the study area during the first flood season (April-June) from 1960 to 2012. The trends of the mean (Mn) and variance (Var) of MDP are detected using the Generalized Additive Models for Location, Scale, and Shape parameters (GAMLSS) and Mann-Kendall test. The contributions of natural climate change and human activities to the Mn and Var changes of MDP are investigated using six large-scale circulation variables and emissions of four greenhouse gases based on GAMLSS and a contribution analysis method. The results demonstrate that the nonstationarity of extreme precipitation on local scales is significant. The Mn and Var of extreme precipitation increase in the north of Zhejiang, the middle of Fujian, and the south of Guangdong. In general, natural climate change contributes more to Mn from 1960 to 2012 than to Var. However, human activities cause a greater Var in the rapid socioeconomic development period (1986-2012) than in the slow socioeconomic development period (1960-1985), especially in Zhejiang and Guangdong. The community should pay more attention to the possibility of extreme precipitation events and associated disasters triggered by human activities.

The effects of changing exercise levels on weight and age-relatedweight gain

Energy Technology Data Exchange (ETDEWEB)

Williams, Paul T.; Wood, Peter D.

2004-06-01

To determine prospectively whether physical activity canprevent age-related weight gain and whether changing levels of activityaffect body weight. DESIGN/SUBJECTS: The study consisted of 8,080 maleand 4,871 female runners who completed two questionnaires an average(+/-standard deviation (s.d.)) of 3.20+/-2.30 and 2.59+/-2.17 yearsapart, respectively, as part of the National Runners' Health Study.RESULTS: Changes in running distance were inversely related to changes inmen's and women's body mass indices (BMIs) (slope+/-standard error(s.e.): -0.015+/-0.001 and -0.009+/-0.001 kg/m(2) per Deltakm/week,respectively), waist circumferences (-0.030+/-0.002 and -0.022+/-0.005 cmper Deltakm/week, respectively) and percent changes in body weight(-0.062+/-0.003 and -0.041+/-0.003 percent per Deltakm/week,respectively, all P<0.0001). The regression slopes were significantlysteeper (more negative) in men than women for DeltaBMI and Deltapercentbody weight (P<0.0001). A longer history of running diminishedthe impact of changing running distance on men's weights. When adjustedfor Deltakm/week, years of aging in men and years of aging in women wereassociated with increases of 0.066+/-0.005 and 0.056+/-0.006 kg/m(2) inBMI, respectively, increases of 0.294+/-0.019 and 0.279+/-0.028 percentin Delta percentbody weight, respectively, and increases of 0.203+/-0.016and 0.271+/-0.033 cm in waist circumference, respectively (allP<0.0001). These regression slopes suggest that vigorous exercise mayneed to increase 4.4 km/week annually in men and 6.2 km/week annually inwomen to compensate for the expected gain in weight associated with aging(2.7 and 3.9 km/week annually when correct for the attenuation due tomeasurement error). CONCLUSIONS: Age-related weight gain occurs evenamong the most active individuals when exercise is constant.Theoretically, vigorous exercise must increase significantly with age tocompensate for the expected gain in weight associated withaging.

SU-G-JeP3-04: Estimating 4D CBCT from Prior Information and Extremely Limited Angle Projections Using Structural PCA and Weighted Free-Form Deformation

International Nuclear Information System (INIS)

Harris, W; Yin, F; Zhang, Y; Ren, L

2016-01-01

Purpose: To investigate the feasibility of using structure-based principal component analysis (PCA) motion-modeling and weighted free-form deformation to estimate on-board 4D-CBCT using prior information and extremely limited angle projections for potential 4D target verification of lung radiotherapy. Methods: A technique for lung 4D-CBCT reconstruction has been previously developed using a deformation field map (DFM)-based strategy. In the previous method, each phase of the 4D-CBCT was generated by deforming a prior CT volume. The DFM was solved by a motion-model extracted by global PCA and a free-form deformation (GMM-FD) technique, using data fidelity constraint and the deformation energy minimization. In this study, a new structural-PCA method was developed to build a structural motion-model (SMM) by accounting for potential relative motion pattern changes between different anatomical structures from simulation to treatment. The motion model extracted from planning 4DCT was divided into two structures: tumor and body excluding tumor, and the parameters of both structures were optimized together. Weighted free-form deformation (WFD) was employed afterwards to introduce flexibility in adjusting the weightings of different structures in the data fidelity constraint based on clinical interests. XCAT (computerized patient model) simulation with a 30 mm diameter lesion was simulated with various anatomical and respirational changes from planning 4D-CT to onboard volume. The estimation accuracy was evaluated by the Volume-Percent-Difference (VPD)/Center-of-Mass-Shift (COMS) between lesions in the estimated and “ground-truth” on board 4D-CBCT. Results: Among 6 different XCAT scenarios corresponding to respirational and anatomical changes from planning CT to on-board using single 30° on-board projections, the VPD/COMS for SMM-WFD was reduced to 10.64±3.04%/1.20±0.45mm from 21.72±9.24%/1.80±0.53mm for GMM-FD. Using 15° orthogonal projections, the VPD/COMS was

SU-G-JeP3-04: Estimating 4D CBCT from Prior Information and Extremely Limited Angle Projections Using Structural PCA and Weighted Free-Form Deformation

Energy Technology Data Exchange (ETDEWEB)

Harris, W; Yin, F; Zhang, Y; Ren, L [Duke University Medical Center, Durham, NC (United States)

2016-06-15

Purpose: To investigate the feasibility of using structure-based principal component analysis (PCA) motion-modeling and weighted free-form deformation to estimate on-board 4D-CBCT using prior information and extremely limited angle projections for potential 4D target verification of lung radiotherapy. Methods: A technique for lung 4D-CBCT reconstruction has been previously developed using a deformation field map (DFM)-based strategy. In the previous method, each phase of the 4D-CBCT was generated by deforming a prior CT volume. The DFM was solved by a motion-model extracted by global PCA and a free-form deformation (GMM-FD) technique, using data fidelity constraint and the deformation energy minimization. In this study, a new structural-PCA method was developed to build a structural motion-model (SMM) by accounting for potential relative motion pattern changes between different anatomical structures from simulation to treatment. The motion model extracted from planning 4DCT was divided into two structures: tumor and body excluding tumor, and the parameters of both structures were optimized together. Weighted free-form deformation (WFD) was employed afterwards to introduce flexibility in adjusting the weightings of different structures in the data fidelity constraint based on clinical interests. XCAT (computerized patient model) simulation with a 30 mm diameter lesion was simulated with various anatomical and respirational changes from planning 4D-CT to onboard volume. The estimation accuracy was evaluated by the Volume-Percent-Difference (VPD)/Center-of-Mass-Shift (COMS) between lesions in the estimated and “ground-truth” on board 4D-CBCT. Results: Among 6 different XCAT scenarios corresponding to respirational and anatomical changes from planning CT to on-board using single 30° on-board projections, the VPD/COMS for SMM-WFD was reduced to 10.64±3.04%/1.20±0.45mm from 21.72±9.24%/1.80±0.53mm for GMM-FD. Using 15° orthogonal projections, the VPD/COMS was

Changes in birth weight between 2002 and 2012 in Guangzhou, China.

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Yong Guo

Full Text Available Recent surveillance data suggest that mean birth weight has begun to decline in several developed countries. The aim of this study is to examine the changes in birth weight among singleton live births from 2002 to 2012 in Guangzhou, one of the most rapidly developed cities in China.We used data from the Guangzhou Perinatal Health Care and Delivery Surveillance System for 34108 and 54575 singleton live births with 28-41 weeks of gestation, who were born to local mothers, in 2002 and 2012, respectively. The trends in birth weight, small (SGA and large (LGA for gestational age and gestational length were explored in the overall population and gestational age subgroups.The mean birth weight decreased from 3162 g in 2002 to 3137 g in 2012 (crude mean difference, -25 g; 95% CI, -30 to -19. The adjusted change in mean birth weight appeared to be slight (-6 g from 2002 to 2012 after controlling for maternal age, gestational age, educational level, parity, newborn's gender and delivery mode. The percentages of SGA and LGA in 2012 were 0.6% and 1.5% lower than those in 2002, respectively. The mean gestational age dropped from 39.2 weeks in 2002 to 38.9 weeks in 2012. In the stratified analysis, we observed the changes in birth weight differed among gestational age groups. The mean birth weight decreased among very preterm births (28-31 weeks, while remained relatively stable among other gestational age subcategories.Among local population in Guangzhou from 2002 to 2012, birth weight appeared to slightly decrease. The percentage of SGA and LGA also simultaneously dropped, indicating that newborns might gain a healthier weight for gestational age.

[Etiological and exacerbation factors for COPD. Body weight loss].

Science.gov (United States)

Yokoyama, Akihito

2016-05-01

Hunger or malnutrition is not only a historical issue but also a current problem worldwide. Biological responses to hunger are evolutionary prepared in our body, including energy generation by degradation of body proteins. Extreme weight loss (malnutrition) can cause air space enlargement in human and rodents. However, the changes in rodents could be reversible, since refeeding could repair the pathology. On the other hand, weight loss is a common feature in patients with more severe COPD. Complex factors, such as increased energy consumption, decreased food uptake by low grade inflammation, socio-economic factors and so on, are involved in weight loss. Weight loss in patients with COPD also increases the risk of exacerbation, hospitalization, and death.

Future Precipitation Extremes in China Under Climate Change and Their Possible Mechanisms by Regional Climate Model and Earth System Model Simulations

Science.gov (United States)

Qin, P.; Xie, Z.

2017-12-01

Future precipitation extremes in China for the mid and end of 21st century were detected with six simulations using the regional climate model RegCM4 (RCM) and 17 global climate models (GCM) participated in the coupled Model Intercomparison Project Phase 5 (CMIP5). Prior to understanding the future changes in precipitation extremes, we overviewed the performance of precipitation extremes simulated by the CMIP5s and RCMs, and found both CMIP5s and RCMs could capture the temporal and spatial pattern of the historical precipitation extremes in China. In the mid-future period 2039-2058 (MF) and far-future 2079-2098 (FF), more wet precipitation extremes will occur in most area of China relative to the present period 1982-2001 (RF). We quantified the rates of the changes in precipitation extremes in China with the changes in air surface temperature (T2M) for the MF and FF period. Changes in precipitation extremes R95p were found around 5% K-1 for the MF period and 10% K-1 for the FF period, and changes in maximum 5 day precipitation (Rx5day) were detected around 4% K-1 for the MF period and 7% K-1 for the FF period, respectively. Finally, the possible physical mechanisms behind the changes in precipitation extremes in China were also discussed through the changes in specific humidity and vertical wind.

Cyclones and extreme windstorm events over Europe under climate change: Global and regional climate model diagnostics

Science.gov (United States)

Leckebusch, G. C.; Ulbrich, U.

2003-04-01

More than any changes of the climate system mean state conditions, the development of extreme events may influence social, economic and legal aspects of our society. This linkage results from the impact of extreme climate events (natural hazards) on environmental systems which again are directly linked to human activities. Prominent examples from the recent past are the record breaking rainfall amounts of August 2002 in central Europe which produced widespread floodings or the wind storm Lothar of December 1999. Within the MICE (Modelling the Impact of Climate Extremes) project framework an assessment of the impact of changes in extremes will be done. The investigation is carried out for several different impact categories as agriculture, energy use and property damage. Focus is laid on the diagnostics of GCM and RCM simulations under different climate change scenarios. In this study we concentrate on extreme windstorms and their relationship to cyclone activity in the global HADCM3 as well as in the regional HADRM3 model under two climate change scenarios (SRESA2a, B2a). In order to identify cyclones we used an objective algorithm from Murry and Simmonds which was widely tested under several different conditions. A slight increase in the occurrence of systems is identified above northern parts of central Europe for both scenarios. For more severe systems (core pressure Spain) a shift to more deep cyclones connected with an increasing number of strong wind events is found.

Height, weight, weight change and risk of breast cancer in Rio de Janeiro, Brazil

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Anelise Bezerra de Vasconcelos

Full Text Available CONTEXT: The relationship between body size and breast cancer still remains controversial in considering menopausal status. OBJECTIVE: To evaluate the association of height, weight and weight changes with breast cancer in the city of Rio de Janeiro, Brazil. DESIGN: Case-control study. SETTING: National Cancer Institute (INCA, Rio de Janeiro, Brazil, and State University of Rio de Janeiro (UERJ. SAMPLE: 177 incident cases of invasive breast cancer admitted to the main hospital of INCA between May 1995 and February 1996, and 377 controls recruited from among female visitors to the same hospital. MAIN MEASUREMENTS: Height and weight were measured and information on maximum weight, weight at ages 18 and 30 years, and potential risk factors were ascertained by interview at the hospital. RESULTS: Height was not related to risk of breast cancer among both pre and postmenopausal women. Nevertheless, women in this study were shorter than in studies that have found a positive association. Premenopausal women in the upper quartile of recent body mass index (BMI and maximum BMI showed a reduced risk of breast cancer (P for trend <= 0.03. Weight loss between ages 18 and 30 years and from 18 years to present was also associated with breast cancer among premenopausal women. CONCLUSIONS: These findings may merely indicate the known association between leanness and breast cancer. Further studies should explore the role of weight loss on breast cancer risk.

Reference chart for relative weight change to detect hypernatraemic dehydration

NARCIS (Netherlands)

Dommelen, P. van; Wouwe, J.P. van; Breuning-Boers, J.M.; Buuren, S. van; Verkerk, P.H.

2007-01-01

Objective: The validity of the rule of thumb that infants may have a weight loss of 10% in the first days after birth is unknown. We assessed the validity of this and other rules to detect breast-fed infants with hypernatraemic dehydration. Design: A reference chart for relative weight change was

Defining the role of dietary intake in determining weight change in patients with cancer cachexia.

Science.gov (United States)

Nasrah, R; Kanbalian, M; Van Der Borch, C; Swinton, N; Wing, S; Jagoe, R T

2018-02-01

Weight loss is a cardinal feature of cachexia and is frequently associated with reduced food intake and anorexia. It is still unclear how much reduced food intake contributes to cancer-related weight loss and how effective increasing dietary energy and protein is in combating this weight loss. The relationship between weight change and both diet and change in dietary intake, was examined in patients with advanced stage cancer referred to a multidisciplinary clinic for management of cancer cachexia. A retrospective study of data for each of the first three clinic visits for patients seen between 2009 and 2015. Data on weight change, dietary intake and change in dietary intake were compared. Regression analysis was used to determine independent explanatory factors for weight change, including the impact of appetite level and a marker of systemic inflammation. Of 405 eligible patients, 320 had data on dietary intake available. Dietary intake varied widely at baseline: 26.9% reported very poor diet and only 17% were consuming recommended levels of energy and protein. A highly significant positive correlation was found between dietary energy or protein intake and weight change, both before and after being seen in the clinic. Anorexia was also significantly correlated with weight loss at each clinic visit. However, there was no similar overall correlation between change in dietary intake and change in weight. Many patients with advanced cancer and weight loss are consuming diets that would likely be insufficient to maintain weight even in healthy individuals. Higher consumption of protein and energy correlates with greater weight gain, but it is impossible to predict the response to increased nutritional intake when patients are first assessed. There is a pressing need to improve understanding of factors that modulate metabolic responses to dietary intake in patients with cancer cachexia. Copyright © 2016 Elsevier Ltd and European Society for Clinical Nutrition and

Associations between change in sedentary behavior and outcome in standard behavioral weight loss treatment.

Science.gov (United States)

Kerrigan, Stephanie G; Call, Christine; Schaumberg, Katherine; Forman, Evan; Butryn, Meghan L

2018-03-01

Sedentary behavior, particularly in prolonged periods, is an important determinant of health. Little research exploring changes in sedentary behavior during behavioral weight loss programs exists. This study evaluated the magnitude of changes in total and prolonged sedentary behavior and how these changes related to changes in weight and cardiovascular outcomes during a behavioral weight loss program. Participants (n = 450) in two lifestyle modification programs underwent assessments of sedentary behavior (by accelerometry), weight, waist circumference, blood pressure, and resting heart rate at baseline and after 6 months of treatment. Sedentary behavior was defined as both total and prolonged (≥30 continuous minutes) sedentary minutes/day. Reductions in total and prolonged sedentary time were significant and were accounted for by increases in moderate-to-vigorous physical activity (MVPA). Only changes in MVPA significantly predicted change in weight when entered into a model simultaneously with changes in sedentary behavior. Changes in total and prolonged sedentary time were not associated with changes in waist circumference, heart rate, or blood pressure. Change in sedentary time was not independently associated with change in health outcomes during a behavioral weight loss treatment. High variability in changes in sedentary time indicate that individual differences may be important to examine. Reducing sedentary time may not be powerful enough to impact these health outcomes above the effects of other changes made during these programs; alternatively, it may be that increasing focus in treatment on reducing sedentary time may engender greater decreases in sedentariness, which could lead to better health outcomes.

The Relationship of Maternal Prepregnancy Body Mass Index and Pregnancy Weight Gain to Neurocognitive Function at Age 10 Years among Children Born Extremely Preterm

NARCIS (Netherlands)

Jensen, Elizabeth T; van der Burg, Jelske W; O'Shea, Thomas M; Joseph, Robert M; Allred, Elizabeth N; Heeren, Tim; Leviton, Alan; Kuban, Karl C K

OBJECTIVE: To assess the association between maternal prepregnancy body mass index and adequacy of pregnancy weight gain in relation to neurocognitive function in school-aged children born extremely preterm. STUDY DESIGN: Study participants were 535 ten-year-old children enrolled previously in the

Assessment of climate change impact on hydrological extremes in two source regions of the Nile River Basin

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M. T. Taye

2011-01-01

Full Text Available The potential impact of climate change was investigated on the hydrological extremes of Nyando River and Lake Tana catchments, which are located in two source regions of the Nile River basin. Climate change scenarios were developed for rainfall and potential evapotranspiration (ETo, considering 17 General Circulation Model (GCM simulations to better understand the range of possible future change. They were constructed by transferring the extracted climate change signals to the observed series using a frequency perturbation downscaling approach, which accounts for the changes in rainfall extremes. Projected changes under two future SRES emission scenarios A1B and B1 for the 2050s were considered. Two conceptual hydrological models were calibrated and used for the impact assessment. Their difference in simulating the flows under future climate scenarios was also investigated.

The results reveal increasing mean runoff and extreme peak flows for Nyando catchment for the 2050s while unclear trend is observed for Lake Tana catchment for mean volumes and high/low flows. The hydrological models for Lake Tana catchment, however, performed better in simulating the hydrological regimes than for Nyando, which obviously also induces a difference in the reliability of the extreme future projections for both catchments. The unclear impact result for Lake Tana catchment implies that the GCM uncertainty is more important for explaining the unclear trend than the hydrological models uncertainty. Nevertheless, to have a better understanding of future impact, hydrological models need to be verified for their credibility of simulating extreme flows.

Predictors and correlates for weight changes in patients co-treated with olanzapine and weight mitigating agents; a post-hoc analysis

Directory of Open Access Journals (Sweden)

Heinloth Alexandra N

2009-03-01

Full Text Available Abstract Background This study focuses on exploring the relationship between changes in appetite or eating behaviors and subsequent weight change for adult patients with schizophrenia or bipolar disorder treated with olanzapine and adjunctive potential weight mitigating pharmacotherapy. The aim is not to compare different weight mitigating agents, but to evaluate patients' characteristics and changes in their eating behaviors during treatment. Identification of patient subgroups with different degrees of susceptibility to the effect of weight mitigating agents during olanzapine treatment may aid clinicians in treatment decisions. Methods Data were obtained from 3 randomized, double-blind, placebo-controlled, 16-week clinical trials. Included were 158 patients with schizophrenia or bipolar disorder and a body mass index (BMI ≥ 25 kg/m2 who had received olanzapine treatment in combination with nizatidine (n = 68, sibutramine (n = 42, or amantadine (n = 48. Individual patients were analyzed for categorical weight loss ≥ 2 kg and weight gain ≥ 1 kg. Variables that were evaluated as potential predictors of weight outcomes included baseline patient characteristics, factors of the Eating Inventory, individual items of the Eating Behavior Assessment, and the Visual Analog Scale. Results Predictors/correlates of weight loss ≥ 2 kg included: high baseline BMI, low baseline interest in food, and a decrease from baseline to endpoint in appetite, hunger, or cravings for carbohydrates. Reduced cognitive restraint, increase in hunger, and increased overeating were associated with a higher probability of weight gain ≥ 1 kg. Conclusion The association between weight gain and lack of cognitive restraint in the presence of increased appetite suggests potential benefit of psychoeducational counseling in conjunction with adjunctive pharmacotherapeutic agents in limiting weight gain during antipsychotic drug therapy. Trial Registration This analysis was not

Predictors and correlates for weight changes in patients co-treated with olanzapine and weight mitigating agents; a post-hoc analysis.

Science.gov (United States)

Stauffer, Virginia L; Lipkovich, Ilya; Hoffmann, Vicki Poole; Heinloth, Alexandra N; McGregor, H Scott; Kinon, Bruce J

2009-03-28

This study focuses on exploring the relationship between changes in appetite or eating behaviors and subsequent weight change for adult patients with schizophrenia or bipolar disorder treated with olanzapine and adjunctive potential weight mitigating pharmacotherapy. The aim is not to compare different weight mitigating agents, but to evaluate patients' characteristics and changes in their eating behaviors during treatment. Identification of patient subgroups with different degrees of susceptibility to the effect of weight mitigating agents during olanzapine treatment may aid clinicians in treatment decisions. Data were obtained from 3 randomized, double-blind, placebo-controlled, 16-week clinical trials. Included were 158 patients with schizophrenia or bipolar disorder and a body mass index (BMI) > or = 25 kg/m2 who had received olanzapine treatment in combination with nizatidine (n = 68), sibutramine (n = 42), or amantadine (n = 48). Individual patients were analyzed for categorical weight loss > or= 2 kg and weight gain > or = 1 kg. Variables that were evaluated as potential predictors of weight outcomes included baseline patient characteristics, factors of the Eating Inventory, individual items of the Eating Behavior Assessment, and the Visual Analog Scale. Predictors/correlates of weight loss > or = 2 kg included: high baseline BMI, low baseline interest in food, and a decrease from baseline to endpoint in appetite, hunger, or cravings for carbohydrates. Reduced cognitive restraint, increase in hunger, and increased overeating were associated with a higher probability of weight gain > or = 1 kg. The association between weight gain and lack of cognitive restraint in the presence of increased appetite suggests potential benefit of psychoeducational counseling in conjunction with adjunctive pharmacotherapeutic agents in limiting weight gain during antipsychotic drug therapy. This analysis was not a clinical trial and did not involve any medical intervention.

Gestational and postpartum weight change patterns in mothers with eating disorders.

Science.gov (United States)

Zerwas, Stephanie C; Von Holle, Ann; Perrin, Eliana M; Cockrell Skinner, Asheley; Reba-Harrelson, Lauren; Hamer, Robert M; Stoltenberg, Camilla; Torgersen, Leila; Reichborn-Kjennerud, Ted; Bulik, Cynthia M

2014-11-01

Although pregnancy can be associated with adaptive changes in weight and eating behaviour for women with eating disorders, less is known about whether these changes are maintained in the postpartum period. We used a longitudinal design to examine gestational and postpartum weight trajectories in mothers with and without eating disorders in the Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institute of Public Health. Fifty-six women reported anorexia nervosa (AN), 636 bulimia nervosa, 3327 binge eating disorder and 69 eating disorder not otherwise specified, purging type. The referent group included 61,233 mothers with no eating disorder. We used a mixed effects model to predict weight change over time by eating disorder subtype. Mothers with AN, bulimia nervosa, binge eating disorder and eating disorder not otherwise specified had greater increases in body mass index (BMI) during pregnancy and greater decreases in BMI over the first 6 months postpartum. Women with AN shifted from the underweight BMI range before pregnancy to the normal weight range at 36 months postpartum Patterns of maternal weight gain and retention during the perinatal period vary across eating disorder subtype and warrant clinical attention. Copyright © 2014 John Wiley & Sons, Ltd and Eating Disorders Association.

Morbidity in extreme low birth weight newborns hospitalized in a high risk public maternity

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Derijulie Siqueira Sousa

Full Text Available Abstract Objectives: to determine the prevalence of the most common morbidities in extremely low birth weight (ELBW infants hospitalized in a newborn intensive care unit (NICU and to evaluate the influence of these morbidities through the length of in-hospital stay. Methods: observational, longitudinal, prospective and analytical study in a high risk reference maternity NICU from Sergipe, realized with 158 ELBW infants admitted between March 2014 and April 2015. The analysis of the hospitalization time was realized through the Kaplan-Meier method. Results: the average weight of premature was 785,2g ± 138,2g. The gestational age vary from 22 to 35 weeks and the average was 26,8 weeks. Of those admitted at NICU, sixty three (39,9% were discharged and 95 (60,1% died. The time of hospitalization was influenced for morbidities as: patent ductus arteriosus (PDA, intraventricular hemorrhage and sepsis. Acute respiratory distress syndrome was the most common complication (157 - 99,4%. The incidence of persistent arterial duct, intraventricular hemorrhage, sepsis, hypothermia, hypoglycemia and retinopathy of prematurity was 39,2%, 17,1%, 32,3%,50,3%, 52,3% e 16,6% respectively. Conclusions: the morbidities from respiratory tract, cardiac, neurological and infectious were the most prevalent, whilst PDA, intraventricular hemorrhage and sepsis were the morbidities that significantly influenced the time of hospitalization.

Characterizing long-term patterns of weight change in China using latent class trajectory modeling.

Directory of Open Access Journals (Sweden)

Lauren Paynter

Full Text Available Over the past three decades, obesity-related diseases have increased tremendously in China, and are now the leading causes of morbidity and mortality. Patterns of weight change can be used to predict risk of obesity-related diseases, increase understanding of etiology of disease risk, identify groups at particularly high risk, and shape prevention strategies.Latent class trajectory modeling was used to compute weight change trajectories for adults aged 18 to 66 using the China Health and Nutrition Survey (CHNS data (n = 12,611. Weight change trajectories were computed separately for males and females by age group at baseline due to differential age-related patterns of weight gain in China with urbanization. Generalized linear mixed effects models examined the association between weight change trajectories and baseline characteristics including urbanicity, BMI category, age, and year of study entry.Trajectory classes were identified for each of six age-sex subgroups corresponding to various degrees of weight loss, maintenance and weight gain. Baseline BMI status was a significant predictor of trajectory membership for all age-sex subgroups. Baseline overweight/obesity increased odds of following 'initial loss with maintenance' trajectories. We found no significant association between baseline urbanization and trajectory membership after controlling for other covariates.Trajectory analysis identified patterns of weight change for age by gender groups. Lack of association between baseline urbanization status and trajectory membership suggests that living in a rural environment at baseline was not protective. Analyses identified age-specific nuances in weight change patterns, pointing to the importance of subgroup analyses in future research.

Impact of Climate Change on Hydrologic Extremes in the Upper Basin of the Yellow River Basin of China

Directory of Open Access Journals (Sweden)

Jun Wang

2016-01-01

Full Text Available To reveal the revolution law of hydrologic extremes in the next 50 years and analyze the impact of climate change on hydrologic extremes, the following main works were carried on: firstly, the long duration (15 d, 30 d, and 60 d rainfall extremes according to observed time-series and forecast time-series by dynamical climate model product (BCC-CSM-1.1 were deduced, respectively, on the basis that the quantitative estimation of the impact of climate change on rainfall extremes was conducted; secondly, the SWAT model was used to deduce design flood with the input of design rainfall for the next 50 years. On this basis, quantitative estimation of the impact of climate change on long duration flood volume extremes was conducted. It indicates that (1 the value of long duration rainfall extremes for given probabilities (1%, 2%, 5%, and 10% of the Tangnaihai basin will rise with slight increasing rate from 1% to 6% in the next 50 years and (2 long duration flood volume extremes of given probabilities of the Tangnaihai basin will rise with slight increasing rate from 1% to 6% in the next 50 years. The conclusions may provide technical supports for basin level planning of flood control and hydropower production.

Skill and independence weighting for multi-model assessments

International Nuclear Information System (INIS)

Sanderson, Benjamin M.; Wehner, Michael; Knutti, Reto

2017-01-01

We present a weighting strategy for use with the CMIP5 multi-model archive in the fourth National Climate Assessment, which considers both skill in the climatological performance of models over North America as well as the inter-dependency of models arising from common parameterizations or tuning practices. The method exploits information relating to the climatological mean state of a number of projection-relevant variables as well as metrics representing long-term statistics of weather extremes. The weights, once computed can be used to simply compute weighted means and significance information from an ensemble containing multiple initial condition members from potentially co-dependent models of varying skill. Two parameters in the algorithm determine the degree to which model climatological skill and model uniqueness are rewarded; these parameters are explored and final values are defended for the assessment. The influence of model weighting on projected temperature and precipitation changes is found to be moderate, partly due to a compensating effect between model skill and uniqueness. However, more aggressive skill weighting and weighting by targeted metrics is found to have a more significant effect on inferred ensemble confidence in future patterns of change for a given projection.

Wearing a safety harness during treadmill walking influences lower extremity kinematics mainly through changes in ankle regularity and local stability

Directory of Open Access Journals (Sweden)

Decker Leslie M

2012-02-01

Full Text Available Abstract Background Wearing a harness during treadmill walking ensures the subject's safety and is common practice in biomedical engineering research. However, the extent to which such practice influences gait is unknown. This study investigated harness-related changes in gait patterns, as evaluated from lower extremity kinematics during treadmill walking. Findings Healthy subjects (n = 10 walked on a treadmill at their preferred speed for 3 minutes with and without wearing a harness (LiteGait®, Mobility Research, Inc.. In the former condition, no weight support was provided to the subjects. Lower extremity kinematics was assessed in the sagittal plane from the mean (meanRoM, standard deviation (SDRoM and coefficient of variation (CoVRoM of the hip, knee, and ankle ranges of motion (RoM, as well as from the sample entropy (SampEn and the largest Lyapunov exponent (LyE of the joints' angles. Wearing the harness increased the meanRoM of the hip, the SDRoM and the CoVRoM of the knee, and the SampEn and the LyE of the ankle. In particular, the harness effect sizes for both the SampEn and the LyE of the ankle were large, likely reflecting a meaningful decline in the neuromuscular stabilizing control of this joint. Conclusions Wearing a harness during treadmill walking marginally influences lower extremity kinematics, resulting in more or less subtle changes in certain kinematic variables. However, in cases where differences in gait patterns would be expressed through modifications in these variables, having subjects walk with a harness may mask or reinforce such differences.

Observed changes in seasonal heat waves and warm temperature extremes in the Romanian Carpathians

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Micu, Dana; Birsan, Marius-Victor; Dumitrescu, Alexandru; Cheval, Sorin

2015-04-01

Extreme high temperature have a large impact on environment and human activities, especially in high elevation areas particularly sensitive to the recent climate warming. The climate of the Romanian Carpathians became warmer particularly in winter, spring and summer, exibiting a significant increasing frequency of warm extremes. The paper investigates the seasonal changes in the frequency, duration and intensity of heat waves in relation to the shifts in the daily distribution of maximum temperatures over a 50-year period of meteorological observations (1961-2010). The paper uses the heat wave definition recommended by the Expert Team on Climate Change Detection and Indices (ETCCDI) and exploits the gridded daily dataset of maximum temperature at 0.1° resolution (~10 km) developed in the framework of the CarpatClim project (www.carpatclim.eu). The seasonal changes in heat waves behavior were identified using the Mann-Kendall non-parametric trend test. The results suggest an increase in heat wave frequency and a lengthening of intervals affected by warm temperature extremes all over the study region, which are explained by the shifts in the upper (extreme) tail of the daily maximum temperature distribution in most seasons. The trends are consistent across the region and are well correlated to the positive phases of the East Atlantic Oscillation. Our results are in good agreement with the previous temperature-related studies concerning the Carpathian region. This study was realized within the framework of the project GENCLIM, financed by UEFISCDI, code PN-II 151/2014.

The push-off test: development of a simple, reliable test of upper extremity weight-bearing capability.

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Vincent, Joshua I; MacDermid, Joy C; Michlovitz, Susan L; Rafuse, Richard; Wells-Rowsell, Christina; Wong, Owen; Bisbee, Leslie

2014-01-01

Longitudinal clinical measurement study. The push-off test (POT) is a novel and simple measure of upper extremity weight-bearing that can be measured with a grip dynamometer. There are no published studies on the validity and reliability of the POT. The relationship between upper extremity self-report activity/participation and impairment measures remain an unexplored realm. The primary purpose of this study is to estimate the intra and inter-rater reliability and construct validity of the POT. The secondary purpose is to estimate the relationship between upper extremity self-report activity/participation questionnaires and impairment measures. A convenience sample of 22 patients with wrist or elbow injuries were tested for POT, wrist/elbow range of motion (ROM), isometric wrist extension strength (WES) and grip strength; and completed two self-report activity/participation questionnaires: Disability of the Arm, Shoulder and the Hand (DASH) and Work Limitations Questionnaire (WLQ-26). POT's inter and intra-rater reliability and construct validity was tested. Pearson's correlations were run between the impairment measures and self-report questionnaires to look into the relationship amongst them. The POT demonstrated high inter-rater reliability (ICC affected = 0.97; 95% C.I. 0.93-0.99; ICC unaffected = 0.85; 95% C.I. 0.68-0.94) and intra-rater reliability (ICC affected = 0.96; 95% C.I. 0.92-0.97; ICC unaffected = 0.92; 95% C.I. 0.85-0.97). The POT was correlated moderately with the DASH (r = -0.47; p = 0.03). While examining the relationship between upper extremity self-reported activity/participation questionnaires and impairment measures the strongest correlation was between the DASH and the POT (r = -0.47; p = 0.03) and none of the correlations with the other physical impairment measures reached significance. At-work disability demonstrated insignificant correlations with physical impairments. The POT test provides a reliable and easily

Attribution of Extreme Rainfall from Landfalling Tropical Cyclones to Climate Change for the Eastern United States

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Liu, M.; Yang, L.; Smith, J. A.; Vecchi, G. A.

2017-12-01

Extreme rainfall and flooding associated with landfalling tropical cyclones (TC) is responsible for vast socioeconomic losses and fatalities. Landfalling tropical cyclones are an important element of extreme rainfall and flood peak distributions in the eastern United States. Record floods for USGS stream gauging stations over the eastern US are closely tied to landfalling hurricanes. A small number of storms account for the largest record floods, most notably Hurricanes Diane (1955) and Agnes (1972). The question we address is: if the synoptic conditions accompanying those hurricanes were to be repeated in the future, how would the thermodynamic and dynamic storm properties and associated extreme rainfall differ in response to climate change? We examine three hurricanes: Diane (1955), Agnes (1972) and Irene (2011), due to the contrasts in structure/evolution properties and their important roles in dictating the upper tail properties of extreme rainfall and flood frequency over eastern US. Extreme rainfall from Diane is more localized as the storm maintains tropical characteristics, while synoptic-scale vertical motion associated with extratropical transition is a central feature for extreme rainfall induced by Agnes. Our analyses are based on ensemble simulations using the Weather Research and Forecasting (WRF) model, considering combinations of different physics options (i.e., microphysics, boundary layer schemes). The initial and boundary conditions of WRF simulations for the present-day climate are using the Twentieth Century Reanalysis (20thCR). A sub-selection of GCMs is used, as part of phase 5 of the Coupled Model Intercomparison Project (CMIP5), to provide future climate projections. For future simulations, changes in model fields (i.e., temperature, humidity, geopotential height) between present-day and future climate are first derived and then added to the same 20thCR initial and boundary data used for the present-day simulations, and the ensemble is

Climate change impact assessment on urban rainfall extremes and urban drainage: Methods and shortcomings

DEFF Research Database (Denmark)

Willems, P.; Arnbjerg-Nielsen, Karsten; Olsson, J.

2012-01-01

Cities are becoming increasingly vulnerable to flooding because of rapid urbanization, installation of complex infrastructure, and changes in the precipitation patterns caused by anthropogenic climate change. The present paper provides a critical review of the current state-of-the-art methods...... for assessing the impacts of climate change on precipitation at the urban catchment scale. Downscaling of results from global circulation models or regional climate models to urban catchment scales are needed because these models are not able to describe accurately the rainfall process at suitable high temporal...... and spatial resolution for urban drainage studies. The downscaled rainfall results are however highly uncertain, depending on the models and downscaling methods considered. This uncertainty becomes more challenging for rainfall extremes since the properties of these extremes do not automatically reflect those...

Multi-model Projection of July-August Climate Extreme Changes over China under CO2 Doubling. Part Ⅰ:Precipitation

Institute of Scientific and Technical Information of China (English)

LI Hongmei; FENG Lei; ZHOU Tianjun

2011-01-01

Potential changes in precipitation extremes in July-August over China in response to CO2 doubling are analyzed based on the output of 24 coupled climate models from the Twentieth-Century Climate in Coupled Models (20C3M) experiment and the 1％ per year CO2 increase experiment (to doubling) (lpctto2x) of phase 3 of the Coupled Model Inter-comparison Project (CMIP3). Evaluation of the models' performance in simulating the mean state shows that the majority of models fairly reproduce the broad spatial pattern of observed precipitation. However, all the models underestimate extreme precipitation by ～50％. The spread among the models over the Tibetan Plateau is ～2-3 times larger than that over the other areas.Models with higher resolution generally perform better than those with lower resolutions in terms of spatial pattern and precipitation amount. Under the lpctto2x scenario, the ratio between the absolute value of MME extreme precipitation change and model spread is larger than that of total precipitation, indicating a relatively robust change of extremes. The change of extreme precipitation is more homogeneous than the total precipitation. Analysis on the output of Geophysical Fluid Dynamics Laboratory coupled climate model version 2.1 (GFDL-CM2.1) indicates that the spatially consistent increase of surface temperature and water vapor content contribute to the large increase of extreme precipitation over contiguous China,which follows the Clausius-Clapeyron relationship. Whereas, the meridionally tri-polar pattern of mean precipitation change over eastern China is dominated by the change of water vapor convergence, which is determined by the response of monsoon circulation to global warming.

The Future of Coral Reefs Subject to Rapid Climate Change: Lessons from Natural Extreme Environments

Directory of Open Access Journals (Sweden)

Emma F. Camp

2018-02-01

Full Text Available Global climate change and localized anthropogenic stressors are driving rapid declines in coral reef health. In vitro experiments have been fundamental in providing insight into how reef organisms will potentially respond to future climates. However, such experiments are inevitably limited in their ability to reproduce the complex interactions that govern reef systems. Studies examining coral communities that already persist under naturally-occurring extreme and marginal physicochemical conditions have therefore become increasingly popular to advance ecosystem scale predictions of future reef form and function, although no single site provides a perfect analog to future reefs. Here we review the current state of knowledge that exists on the distribution of corals in marginal and extreme environments, and geographic sites at the latitudinal extremes of reef growth, as well as a variety of shallow reef systems and reef-neighboring environments (including upwelling and CO2 vent sites. We also conduct a synthesis of the abiotic data that have been collected at these systems, to provide the first collective assessment on the range of extreme conditions under which corals currently persist. We use the review and data synthesis to increase our understanding of the biological and ecological mechanisms that facilitate survival and success under sub-optimal physicochemical conditions. This comprehensive assessment can begin to: (i highlight the extent of extreme abiotic scenarios under which corals can persist, (ii explore whether there are commonalities in coral taxa able to persist in such extremes, (iii provide evidence for key mechanisms required to support survival and/or persistence under sub-optimal environmental conditions, and (iv evaluate the potential of current sub-optimal coral environments to act as potential refugia under changing environmental conditions. Such a collective approach is critical to better understand the future survival of

Influence of diseases and metabolic disorders on cow weight changes

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Šárka Podlahová

2012-10-01

Full Text Available Requirements on increasing economic efficiency of cattle breeding force farmers to use the latest up-to-datetechnology for monitoring and management of farming quality. Regular weighing and data processing can forinstance discover mistakes that can indicate defects, e.g. nutrition deficiencies, incorrect embryonic development,health problems, demanding nursing intervention. The aim of the research was to monitor manifestations of diseasesand metabolic disorders in the course of weight curve based on data from an automated system for weighing the liveweight of dairy cows. There was used in the weighing unit for milking robots Astronaut A3 (Lely company to obtainweight data of individual cows. There were selected dairy cows with the longest period of lactation or already dryingoff, and especially dairy cows with various health problems for study. Limiting values of weight changes wereestablished after assembling a general equation of mass curve. In the sphere of the diseases there was manifestedonly ketosis in the weight curves with a loss of 10.2 kg / day (38% weight loss. The results of the study will beapplied for compiling algorithm that will be implemented in the complete management system of cattle breeding,monitoring the dairy cows every day and highlight possible deviations exceeding of physiological changes in weight.

Socioeconomic Attainment of Extremely Low Birth Weight Survivors: The Role of Early Cognition.

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Dobson, Kathleen G; Ferro, Mark A; Boyle, Michael H; Schmidt, Louis A; Saigal, Saroj; Van Lieshout, Ryan J

2017-03-01

To determine: (1) if childhood cognitive and academic abilities mediate the association between being born at extremely low birth weight (ELBW) and socioeconomic attainment at age 29 to 36 years; (2) which cognitive abilities (IQ, verbal abilities, fluid intelligence, mathematical abilities, or academic achievement) most strongly mediate this association; and (3) if the mediating role of cognition is different in ELBW survivors with significant neurosensory impairment (NSI). A prospective, longitudinal cohort of 100 Canadian ELBW survivors born between 1977 and 1982 and 89 normal birth weight comparison participants were used to examine the mediating role of childhood cognition by using 5 cognitive mediators assessed at age 8 years (overall IQ, verbal IQ, performance IQ, quantitative ability, and academic achievement) on socioeconomic attainment at adulthood. Socioeconomic attainment was defined as personal annual earnings and full-time employment assessed via self-report at age 29 to 36 years. Mediation models revealed that childhood cognition mediated the association between ELBW status and income attainment, with mathematical abilities and overall IQ each accounting for 26% of the direct effect. Mediated effects were not statistically significant in full-time employment models. For both outcomes, the mediating effect of cognition was stronger for ELBW survivors with NSI. Childhood cognitive abilities partially mediate associations between ELBW status and adult income attainment. Early life cognition is a critical predictor of socioeconomic attainment in ELBW survivors, particularly in those born with NSI. Interventions aimed at enhancing early cognition in ELBW survivors may help optimize their later socioeconomic attainment. Copyright © 2017 by the American Academy of Pediatrics.

Weight training, aerobic physical activities, and long-term waist circumference change in men

DEFF Research Database (Denmark)

Mekary, Rania A; Grøntved, Anders; Despres, Jean-Pierre

2015-01-01

OBJECTIVE: Findings on weight training and waist circumference (WC) change are controversial. This study examined prospectively whether weight training, moderate to vigorous aerobic activity (MVAA), and replacement of one activity for another were associated with favorable changes in WC and body ...

Unhealthy weight control behaviors mediate the association between weight status and weight-specific health-related quality of life in treatment-seeking youth who are obese.

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Lim, Crystal S; Gowey, Marissa A; Cohen, Megan J; Silverstein, Janet; Janicke, David M

2017-03-01

Examine whether unhealthy and extreme weight control behaviors (WCBs) mediate the relationship between youth weight status and disease-specific health-related quality of life (HRQOL) in treatment-seeking youth who are overweight and obese (OV/OB). 82 youth 10-17 years of age who were OV/OB and attending an outpatient obesity-related medical appointment completed measures assessing unhealthy and extreme WCBs and disease-specific HRQOL. Parents completed a demographic questionnaire and medical staff measured youth height and weight. Regression analyses revealed that unhealthy WCBs mediated the associations between youth weight status and emotional and social avoidance disease-specific HRQOL, such that higher body mass index (BMI) predicted unhealthy WCBs, which were ultimately associated with poorer emotional and social HRQOL. Mediation analyses were not significant for total, physical, teasing/marginalization, and positive attributes disease-specific HRQOL. In addition, extreme WCBs did not mediate the association between youth weight status and any subscales of the disease-specific HRQOL measure. Weight status is an important predictor of disease-specific HRQOL in OV/OB youth; however, the association with emotional and social HRQOL is partially accounted for by youth engagement in unhealthy WCBs. Clinicians and researchers should assess WCBs and further research should explore and evaluate appropriate intervention strategies to address unhealthy WCBs in pediatric weight management prevention and treatment efforts.

Changes in Weight, Sedentary Behaviour and Physical Activity during the School Year and Summer Vacation

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Chiaki Tanaka

2018-05-01

Full Text Available Background: To examine bidirectional associations between body weight and objectively assessed sedentary behaviour (SB and physical activity (PA during the school year and summer vacation. Methods: Participants were 209 Japanese boys and girls (9.0 ± 1.8 years at baseline. SB and PA were measured using triaxial accelerometry that discriminated between ambulatory and non-ambulatory PA, screen time measured by questionnaire during the school-term was evaluated in May and the summer vacation, and relative body weight measured in May and just after the end of summer vacation. Results: There were no significant relationships between changes in SB or PA and changes in body weight. However, higher relative body weight at baseline was associated with decreased non-ambulatory moderate PA (p = 0.049, but this association was slightly diminished after adjusting for change in SB (p = 0.056. Longer screen time at baseline was also associated with increased relative body weight (p = 0.033. Conclusions: The present study revealed that body weight might be particularly influential on non-ambulatory moderate PA while SB, PA or changes in these variables did not predict changes in body weight. Moreover, screen time during the school year is a predictor of change in relative body weight during the subsequent summer vacation.

Early weight changes after birth and serum high-molecular-weight adiponectin level in preterm infants.

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Yoshida, Tomohide; Nagasaki, Hiraku; Asato, Yoshihide; Ohta, Takao

2011-12-01

Extra-uterine growth retardation (EUGR) is associated with an increased risk for cardiometabolic diseases later in life. The aim of the present study was to examine the relationship between early weight change after birth in preterm infants and adiponectin (adn) multimeric complexes. Subjects included 28 preterm infants born between weeks 24 and 33 of gestation. Serum adn multimeric complexes and the anthropometric parameters were measured in preterm infants at birth and at corrected term. Bodyweight (BW) decreased during the first week of life, with birthweight restored at approximately 19 days after birth. Nineteen of the subjects had EUGR at corrected term. Total (T)-adn, high-molecular-weight (H)-adn, and the ratio of H-adn to T-adn (H/T-adn) were significantly elevated at corrected term than at birth. Postmenstrual age, birthweight, birth length and lowest BW after birth were positively correlated with H-adn and H/T-adn. Weight reduction after birth was negatively correlated with H-adn. Age to restore birthweight was negatively correlated with T-adn, H-adn and H/T-adn. Stepwise multiple regression analysis indicated age to restore birthweight as the major predictor of T-adn and H-adn. Early weight changes after birth may alter serum adn level in preterm infants at corrected term. The appropriate nutritional support in the early postnatal period could reduce the prevalence of EUGR and the future risk for cardiometabolic diseases. © 2011 The Authors. Pediatrics International © 2011 Japan Pediatric Society.

Climate change impacts on rainfall extremes and urban drainage: state-of-the-art review

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Willems, Patrick; Olsson, Jonas; Arnbjerg-Nielsen, Karsten; Beecham, Simon; Pathirana, Assela; Bülow Gregersen, Ida; Madsen, Henrik; Nguyen, Van-Thanh-Van

2013-04-01

Under the umbrella of the IWA/IAHR Joint Committee on Urban Drainage, the International Working Group on Urban Rainfall (IGUR) has reviewed existing methodologies for the analysis of long-term historical and future trends in urban rainfall extremes and their effects on urban drainage systems, due to anthropogenic climate change. Current practises have several limitations and pitfalls, which are important to be considered by trend or climate change impact modellers and users of trend/impact results. The review considers the following aspects: Analysis of long-term historical trends due to anthropogenic climate change: influence of data limitation, instrumental or environmental changes, interannual variations and longer term climate oscillations on trend testing results. Analysis of long-term future trends due to anthropogenic climate change: by complementing empirical historical data with the results from physically-based climate models, dynamic downscaling to the urban scale by means of Limited Area Models (LAMs) including explicitly small-scale cloud processes; validation of RCM/GCM results for local conditions accounting for natural variability, limited length of the available time series, difference in spatial scales, and influence of climate oscillations; statistical downscaling methods combined with bias correction; uncertainties associated with the climate forcing scenarios, the climate models, the initial states and the statistical downscaling step; uncertainties in the impact models (e.g. runoff peak flows, flood or surcharge frequencies, and CSO frequencies and volumes), including the impacts of more extreme conditions than considered during impact model calibration and validation. Implications for urban drainage infrastructure design and management: upgrading of the urban drainage system as part of a program of routine and scheduled replacement and renewal of aging infrastructure; how to account for the uncertainties; flexible and sustainable solutions

The nonstationary impact of local temperature changes and ENSO on extreme precipitation at the global scale

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Sun, Qiaohong; Miao, Chiyuan; Qiao, Yuanyuan; Duan, Qingyun

2017-12-01

The El Niño-Southern Oscillation (ENSO) and local temperature are important drivers of extreme precipitation. Understanding the impact of ENSO and temperature on the risk of extreme precipitation over global land will provide a foundation for risk assessment and climate-adaptive design of infrastructure in a changing climate. In this study, nonstationary generalized extreme value distributions were used to model extreme precipitation over global land for the period 1979-2015, with ENSO indicator and temperature as covariates. Risk factors were estimated to quantify the contrast between the influence of different ENSO phases and temperature. The results show that extreme precipitation is dominated by ENSO over 22% of global land and by temperature over 26% of global land. With a warming climate, the risk of high-intensity daily extreme precipitation increases at high latitudes but decreases in tropical regions. For ENSO, large parts of North America, southern South America, and southeastern and northeastern China are shown to suffer greater risk in El Niño years, with more than double the chance of intense extreme precipitation in El Niño years compared with La Niña years. Moreover, regions with more intense precipitation are more sensitive to ENSO. Global climate models were used to investigate the changing relationship between extreme precipitation and the covariates. The risk of extreme, high-intensity precipitation increases across high latitudes of the Northern Hemisphere but decreases in middle and lower latitudes under a warming climate scenario, and will likely trigger increases in severe flooding and droughts across the globe. However, there is some uncertainties associated with the influence of ENSO on predictions of future extreme precipitation, with the spatial extent and risk varying among the different models.

‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management

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Andrew P. Hills

2013-05-01

Full Text Available Obesity is associated with numerous short- and long-term health consequences. Low levels of physical activity and poor dietary habits are consistent with an increased risk of obesity in an obesogenic environment. Relatively little research has investigated associations between eating and activity behaviors by using a systems biology approach and by considering the dynamics of the energy balance concept. A significant body of research indicates that a small positive energy balance over time is sufficient to cause weight gain in many individuals. In contrast, small changes in nutrition and physical activity behaviors can prevent weight gain. In the context of weight management, it may be more feasible for most people to make small compared to large short-term changes in diet and activity. This paper presents a case for the use of small and incremental changes in diet and physical activity for improved weight management in the context of a toxic obesogenic environment.

Effects of social contact and zygosity on 21-y weight change in male twins.

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McCaffery, Jeanne M; Franz, Carol E; Jacobson, Kristen; Leahey, Tricia M; Xian, Hong; Wing, Rena R; Lyons, Michael J; Kremen, William S

2011-08-01

Recent evidence indicates that social contact is related to similarities in weight gain over time. However, no studies have examined this effect in a twin design, in which genetic and other environmental effects can also be estimated. We determined whether the frequency of social contact is associated with similarity in weight change from young adulthood (mean age: 20 y) to middle age (mean age: 41 y) in twins and quantified the percentage of variance in weight change attributable to social contact, genetic factors, and other environmental influences. Participants were 1966 monozygotic and 1529 dizygotic male twin pairs from the Vietnam-Era Twin Registry. Regression models tested whether frequency of social contact and zygosity predicted twin pair similarity in body mass index (BMI) change and weight change. Twin modeling was used to partition the percentage variance attributable to social contact, genetic, and other environmental effects. Twins gained an average of 3.99 BMI units, or 13.23 kg (29.11 lb), over 21 y. In regression models, both zygosity (P social contact (P change. In twin modeling, social contact between twins contributed 16% of the variance in BMI change (P change. Frequency of social contact significantly predicted twin pair similarity in BMI and weight change over 21 y, independent of zygosity and other shared environmental influences.

A Prospective Study of Depression and Weight Change After Kidney Transplant.

Science.gov (United States)

Stanfill, Ansley; Hathaway, Donna; Bloodworth, Robin; Cashion, Ann

2016-03-01

Kidney transplant recipients have great risk for gaining significant weight (upward of 10 kg) in the first year posttransplant. Clinical depression can occur in response to life situations and is associated with weight gain. To explore the association between demographic characteristics, weight change, and depression posttransplantation. Secondary data analysis on longitudinal data collected for a larger observational study. Demographic characteristics, weight, and Center for Epidemiologic Studies Depression Scale (CES-D) data were obtained at baseline (BL) (time of transplantation), 6, and 12 months posttransplant. The CES-D scores were compared among time points using means, standard deviations, correlations, t tests, and chi-square as well as by multiple regression modeling. Regional transplant center in the mid-south United States. Forty-seven kidney transplant recipients (55% female, 57% African American, mean age 52.5 years). Weight change ranged from -18.1 to +24.8 kg. In all, 62% reported baseline CES-D scores indicative of depression, with lower scores indicating less psychological distress at 6 and 12 months (47% and 49%, respectively). We found no significant differences among CES-D scores at any time point. Regression models found age, race, gender, and weight change to be predictive of CES-D scores at 6 months (P = .04, R (2) = .137). Age was the most influential (P = .008), with older individuals more likely to obtain higher CES-D scores. Since the experience of depression is common at transplant and during the first year, it is important that transplant recipients be evaluated for depression early in the recovery period. © 2016, NATCO.

Weight change in middle adulthood and breast cancer risk in the EPIC-PANACEA study

DEFF Research Database (Denmark)

Emaus, Marleen J; van Gils, Carla H; Bakker, Marije F

2014-01-01

.3 years. Annual weight change was categorized using quintiles taking quintile 2 and 3 as the reference category (-0.44 to 0.36 kg/year). Multivariable Cox proportional hazards regression analysis was used to examine the association. 205,723 women were included and 4,663 incident breast cancer cases were......Long-term weight gain (i.e., weight gain since age 20) has been related to higher risk of postmenopausal breast cancer, but a lower risk of premenopausal breast cancer. The effect of weight change in middle adulthood is unclear. We investigated the association between weight change in middle...... diagnosed during a median follow-up of 7.5 years (from second weight assessment onward). High weight gain (Q5: 0.83-4.98 kg/year) was related to a slightly, but significantly higher breast cancer risk (HRQ5_versus_Q2/3 : 1.09, 95% CI: 1.01-1.18). The association was more pronounced for breast cancer...

Risk factors of extubation failure in extremely low birth weight infants: a five year retrospective analysis.

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Lee, Chao-Yi; Su, Bai-Horng; Lin, Tsung-Wen; Lin, Hung-Chih; Li, Tsai-Chung; Wang, Nai-Phon

2002-01-01

Extubation failure is one of the most serious complications in extremely low birth weight infants (ELBWI) on mechanical ventilation therapy. We performed a 5-year retrospective analysis to realize the status of extubation failure in ELBWI. Extubation failure was defined as requirements of re-intubation within 72 hours after extubation. The extubation failure rate was 21% (29/138). The mean birth body weight was 808.3 +/- 140.4 gm. The mean gestational age was 25.8 +/- 1.2 wks. The incidence of chronic lung disease (CLD) in infants with extubation failure was 100% (29/29). Apnea of prematurity 49% (14/29) and post-extubation atelectasis 39% (11/29) were the most common reasons for reintubation. The major microbiology findings which correlated with nosocomial pneumonia in infants with extubation failure were Acinetobacter baumanni (21%), Klebsiella pneumonia (21%), Pseudomonas aeroginosa (14%), and Methicillin resistant staphylococcus aureus (14%). In conclusion, post-extubation atelectasis and apnea were the most common reasons for reintubation. ELBWI with extubation failure had higher incidences of post-extubation atelectasis, CLD, and nosocomial pneumonia. Further prospective studies are needed in order to clarify the appropriate extubation program for ELBWI and to prevent post-extubation atelectasis and nosocomial pneumonia.

Diet Change After Sleeve Gastrectomy Is More Effective for Weight Loss Than Surgery Only.

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Rossell, Joana; González, Marta; Mestres, Núria; Pardina, Eva; Ricart-Jané, David; Peinado-Onsurbe, Julia; Baena-Fustegueras, Juan Antonio

2017-10-01

Bariatric surgery with or without diet change has become one of the most effective treatments for obesity. The objective of this study was to observe the effects of vertical sleeve gastrectomy (VSG) and diet change in Sprague-Dawley rats on both body and tissue weights. Eighteen rats were fed with a standard chow diet (SCD) (C group), and 36 rats were fed with a high-fat diet (HFD) (diet-induced obesity (DIO) group). After 8 weeks, the animals underwent VSG, sham surgery or no surgery (NS). After surgery, a third of the rats fed with the HFD changed to the SCD (DIO + C group). Body weight, food and energy intake were recorded daily during the experiment (12 weeks). Food efficiency (%) (FE) was determined from weekly weight gain and weekly kilocalorie consumed measurements. The DIO group had higher and significant weight gain than the C group at the time of surgery (p weight loss (WL) was observed in the DIO + C-VSG group, during the 4 weeks after surgery. Adipose tissues in the DIO + C-VSG group were drastically reduced and had a weight similar to those in the C-VSG group. VSG and the diet change combination led to a greater WL, which was maintained during the 4 weeks post-surgery, leading to a normalization of body weight. VSG and diet change also affected most of the tissues, not only adipose, showing a global change in whole body composition.

Reliability, validity, and minimal detectable change of the push-off test scores in assessing upper extremity weight-bearing ability.

Science.gov (United States)

Mehta, Saurabh P; George, Hannah R; Goering, Christian A; Shafer, Danielle R; Koester, Alan; Novotny, Steven

2017-11-01

Clinical measurement study. The push-off test (POT) was recently conceived and found to be reliable and valid for assessing weight bearing through injured wrist or elbow. However, further research with larger sample can lend credence to the preliminary findings supporting the use of the POT. This study examined the interrater reliability, construct validity, and measurement error for the POT in patients with wrist conditions. Participants with musculoskeletal (MSK) wrist conditions were recruited. The performance on the POT, grip isometric strength of wrist extensors was assessed. The shortened version of the Disabilities of the Arm, Shoulder and Hand and numeric pain rating scale were completed. The intraclass correlation coefficient assessed interrater reliability of the POT. Pearson correlation coefficients (r) examined the concurrent relationships between the POT and other measures. The standard error of measurement and the minimal detectable change at 90% confidence interval were assessed as measurement error and index of true change for the POT. A total of 50 participants with different elbow or wrist conditions (age: 48.1 ± 16.6 years) were included in this study. The results of this study strongly supported the interrater reliability (intraclass correlation coefficient: 0.96 and 0.93 for the affected and unaffected sides, respectively) of the POT in patients with wrist MSK conditions. The POT showed convergent relationships with the grip strength on the injured side (r = 0.89) and the wrist extensor strength (r = 0.7). The POT showed smaller standard error of measurement (1.9 kg). The minimal detectable change at 90% confidence interval for the POT was 4.4 kg for the sample. This study provides additional evidence to support the reliability and validity of the POT. This is the first study that provides the values for the measurement error and true change on the POT scores in patients with wrist MSK conditions. Further research should examine the

Climate Change and Hydrological Extreme Events - Risks and Perspectives for Water Management in Bavaria and Québec

Science.gov (United States)

Ludwig, R.

2017-12-01

There is as yet no confirmed knowledge whether and how climate change contributes to the magnitude and frequency of hydrological extreme events and how regional water management could adapt to the corresponding risks. The ClimEx project (2015-2019) investigates the effects of climate change on the meteorological and hydrological extreme events and their implications for water management in Bavaria and Québec. High Performance Computing is employed to enable the complex simulations in a hydro-climatological model processing chain, resulting in a unique high-resolution and transient (1950-2100) dataset of climatological and meteorological forcing and hydrological response: (1) The climate module has developed a large ensemble of high resolution data (12km) of the CRCM5 RCM for Central Europe and North-Eastern North America, downscaled from 50 members of the CanESM2 GCM. The dataset is complemented by all available data from the Euro-CORDEX project to account for the assessment of both natural climate variability and climate change. The large ensemble with several thousand model years provides the potential to catch rare extreme events and thus improves the process understanding of extreme events with return periods of 1000+ years. (2) The hydrology module comprises process-based and spatially explicit model setups (e.g. WaSiM) for all major catchments in Bavaria and Southern Québec in high temporal (3h) and spatial (500m) resolution. The simulations form the basis for in depth analysis of hydrological extreme events based on the inputs from the large climate model dataset. The specific data situation enables to establish a new method for `virtual perfect prediction', which assesses climate change impacts on flood risk and water resources management by identifying patterns in the data which reveal preferential triggers of hydrological extreme events. The presentation will highlight first results from the analysis of the large scale ClimEx model ensemble, showing the

Haematology, serum biochemistry and organ weight changes of ...

African Journals Online (AJOL)

A total of fifty Wistar albino rats weighing 50-60g were randomly allocated to five dietary treatments in a completely randomized design to investigate the haematology, serum biochemistry and organ weight changes on diets containing processed dehulled jack bean. Four diets containing 10% crude protein were formulated ...

Weight change from 3-year observational data: findings from the worldwide schizophrenia outpatient health outcomes database.

Science.gov (United States)

Bushe, Chris J; Slooff, Cees J; Haddad, Peter M; Karagianis, Jamie L

2012-06-01

Weight change data from randomized clinical trials are often of limited duration and trials do not always report a full range of clinically relevant categorical end points. We conducted a post hoc analysis of data from the observational Worldwide Schizophrenia Outpatient Health Outcomes database (2000-2005) on weight change in 4,626 patients completing 3 years of antipsychotic monotherapy with amisulpride, clozapine, olanzapine, quetiapine, risperidone, and oral and depot first-generation antipsychotics (FGAs). Reported outcomes included mean and categorical weight changes and the trajectories of different measures of weight change. Mean weight gain was lowest with amisulpride (1.8 kg; 95% CI, 0.2-3.3) and highest with olanzapine (4.2 kg; 95% CI, 3.9-4.5). Weight change for all antipsychotics was most rapid during the first 6 months; subsequent weight change was slower but did not plateau. All drugs showed considerable individual variation in weight change. The proportion losing ≥7% of their baseline bodyweight was highest with quetiapine (10%; 95% CI, 7%-16%) and lowest with depot FGAs (5%; 95% CI, 3%-10%). Between 7% and 15% of patients moved into an overweight or obese body mass index (kg/m2)category (≥25). The degree of weight gain varied between antipsychotics. All antipsychotics were associated with significant (≥7%) weight loss and gain from baseline. The mean rate of weight gain was maximal during the first 6 months but continued over 3 years without a plateau in this specific cohort. Patients should receive regular monitoring of weight throughout treatment. © Copyright 2012 Physicians Postgraduate Press, Inc.

Impact of Early Nutrition on Body Composition in Children Aged 9.5 Years Born with Extremely Low Birth Weight

Directory of Open Access Journals (Sweden)

Sonja Stutte

2017-02-01

Full Text Available To evaluate body composition, metabolism and growth as well as their interaction with early nutrition in former extremely low birth weight infants (ELBW, we assessed qualitative and quantitative nutritional intake during initial hospitalization and infantile growth parameters in 61 former ELBW infants with a birth weight <1000 g. In two follow-up exams, physical and biochemical development were measured at 5.7 and at 9.5 years. At the second follow-up, in addition to biochemical reassessment, body composition was analyzed by dual-energy x-ray absorptiometry (DEXA. Protein intake between birth and discharge was associated with weight gain in the first six months of life (r = 0.51; p < 0.01. Weight catch-up preceded height catch-up. Protein intake in early infancy correlated highly significantly with abdominal fat mass (r = 0.49; p < 0.05, but not with lean body mass at 9.5 years (r = 0.30; not significant (n.s.. In contrast to nutrient intake, birth weight was associated with lean body mass (r = 0.433; p < 0.001. Early protein and carbohydrate intake were associated with high-density lipoprotein (HDL-cholesterol, and early catch-up growth correlated with fasting insulin at follow-up. Stepwise linear regression demonstrated that protein intake predicted fat mass (p < 0.05, whereas only gender and birth weight standard deviation score (SDS contributed significantly to lean body mass variation (p < 0.05. Our results suggest an important impact of early nutrient intake on body composition and metabolism in later childhood in ELBW children.

Feasibility of Using an Arm Weight-Supported Training System to Improve Hand Function Skills in Children With Hemiplegia.

Science.gov (United States)

Krishnaswamy, Swetha; Coletti, Daniel J; Berlin, Hilary; Friel, Kathleen

This investigation was a pilot feasibility trial evaluating the use of an arm-weight-supported training device to improve upper-extremity function in children with hemiplegia. A single-group within-subject design was used. Participants were 6 children ages 7-17 yr with upper-extremity weakness secondary to hemiplegia. The intervention consisted of 15-18 treatment sessions using an arm-weight-supported training device with the affected upper extremity. Fine motor function was assessed using the Jebsen-Taylor Hand Function Test, the Box and Block Test, and the Assisting Hand Assessment. We examined participants' interactions with the device and assessment scores pre- and postintervention. Five of the 6 children exhibited some changes after the therapy. The system required significant modifications to ensure appropriate positioning. The arm-weight-supported system may be viable for therapeutic use. Future studies should use randomized controlled designs and compare effectiveness of weight-supported training with that of other rehabilitation strategies. Copyright © 2016 by the American Occupational Therapy Association, Inc.

Gestational Weight Gain and Interpregnancy Weight Change in Adolescent Mothers.

Science.gov (United States)

Whelan, Emily; Armson, B Anthony; Ashley-Martin, Jillian; MacSween, Kayla; Woolcott, Christy

2017-06-01

To examine the association between gestational weight gain (GWG) and interpregnancy weight change (IPWC) in adolescent mothers (younger than 20 years), and to determine if this association differs from adult women (aged 20-35 years). Retrospective cohort study. We included 3055 adolescents and 17,090 adult women with singleton pregnancies recorded in the Nova Scotia Atlee Perinatal Database with a subsequent pregnancy occurring between 2003 and 2014. GWG in the first pregnancy was categorized as below, within, or above the current Institute of Medicine recommendations. IPWC was defined as the difference between the prepregnancy weights of the 2 pregnancies. Analyses were adjusted for parity, body mass index in the first pregnancy, and time between pregnancies. Relative to adolescents with GWG within the recommendations, those who gained below had a 2.7 kg (95% confidence interval [CI], 1.4-3.9) lower mean IPWC whereas those who gained above had a 4.2 kg (95% CI, 3.3-5.1) higher mean IPWC. Smaller differences in IPWC between GWG categories were observed in adult women; relative to those with GWG within the recommendations, adults who gained below had a 1.3 kg (95% CI, 0.9-1.7) lower mean IPWC and those who gained above had a 2.9 kg (95% CI, 2.6-3.2) higher mean IPWC. Mean IPWC differed across GWG categories and the differences were greater in adolescents than in adult women. This difference should be considered when assessing whether specific GWG recommendations are needed for adolescents. Copyright © 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

Investigating NARCCAP Precipitation Extremes via Bivariate Extreme Value Theory (Invited)

Science.gov (United States)

Weller, G. B.; Cooley, D. S.; Sain, S. R.; Bukovsky, M. S.; Mearns, L. O.

2013-12-01

We introduce methodology from statistical extreme value theory to examine the ability of reanalysis-drive regional climate models to simulate past daily precipitation extremes. Going beyond a comparison of summary statistics such as 20-year return values, we study whether the most extreme precipitation events produced by climate model simulations exhibit correspondence to the most extreme events seen in observational records. The extent of this correspondence is formulated via the statistical concept of tail dependence. We examine several case studies of extreme precipitation events simulated by the six models of the North American Regional Climate Change Assessment Program (NARCCAP) driven by NCEP reanalysis. It is found that the NARCCAP models generally reproduce daily winter precipitation extremes along the Pacific coast quite well; in contrast, simulation of past daily summer precipitation extremes in a central US region is poor. Some differences in the strength of extremal correspondence are seen in the central region between models which employ spectral nudging and those which do not. We demonstrate how these techniques may be used to draw a link between extreme precipitation events and large-scale atmospheric drivers, as well as to downscale extreme precipitation simulated by a future run of a regional climate model. Specifically, we examine potential future changes in the nature of extreme precipitation along the Pacific coast produced by the pineapple express (PE) phenomenon. A link between extreme precipitation events and a "PE Index" derived from North Pacific sea-surface pressure fields is found. This link is used to study PE-influenced extreme precipitation produced by a future-scenario climate model run.

Changes in glucose-elicited blood metabolite responses following weight loss and long term weight maintenance in obese individuals with impaired glucose tolerance.

Science.gov (United States)

Geidenstam, Nina; Danielsson, Anders P H; Spégel, Peter; Ridderstråle, Martin

2016-03-01

Weight loss improves insulin sensitivity and glucose tolerance in obese subjects with impaired glucose tolerance (IGT), but the long term dynamic effects on blood metabolites other than glucose during an oral glucose tolerance test (OGTT), are largely unknown. Here, we studied changes in OGTT-elicited metabolite patterns in obese subjects during a diet-induced weight loss study. Blood samples from 14 obese individuals with IGT were collected at 0, 30 and 120 min during a standard 75 g OGTT at baseline (BMI 44 ± 2 kg/m(2)), after weight loss (BMI 36 ± 2 kg/m(2)) and after weight maintenance (BMI 35 ± 2 kg/m(2)). Serum metabolite levels were analyzed by gas chromatography/mass spectrometry and compared to a lean glucose tolerant group. Changes in the OGTT-elicited metabolite patterns occurred differentially during weight loss and weight maintenance. Enhanced suppression of aromatic amino acids were associated with decreased insulinogenic index observed after weight loss (tyrosine: r=0.72, p=0.013; phenylalanine: r=0.63, p=0.039). The OGTT-elicited suppression and/or lack of increase in levels of glutamate, glutamine, isoleucine, leucine, and the fatty acids laurate, oleate and palmitate, improved towards the lean profile after weight maintenance, paralleling an improvement in glucose tolerance. The greater heterogeneity in the response before and after weight loss in the obese, compared to lean subjects, was markedly reduced after weight maintenance. Diet-induced weight loss followed by weight maintenance results in changes in metabolite profiles associated with either hepatic insulin sensitivity or peripheral glucose tolerance. Our results highlight the importance of evaluating the effects of weight loss and weight maintenance separately. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Association Between Use of Cannabis in Adolescence and Weight Change into Midlife

DEFF Research Database (Denmark)

Jin, Lexie Zhiyan; Rangan, Anna; Mehlsen, Jesper

2017-01-01

Cannabis use has been found to stimulate appetite and potentially promote weight gain via activation of the endocannabinoid system. Despite the fact that the onset of cannabis use is typically during adolescence, the association between adolescence cannabis use and long-term change in body weight...... is generally unknown. This study aims to examine the association between adolescence cannabis use and weight change to midlife, while accounting for the use of other substances. The study applied 20 to 22 years of follow-up data on 712 Danish adolescents aged between 15 and 19 years at baseline. Self......-reported height and weight, cannabis, cigarette and alcohol use, socioeconomic status (SES) and physical activity levels were assessed in baseline surveys conducted in 1983 and 1985. The follow-up survey was conducted in 2005. In total 19.1% (n = 136) of adolescents reported having used/using cannabis. Weight...

Sensitivity of intensity modulated proton therapy plans to changes in patient weight

International Nuclear Information System (INIS)

Albertini, Francesca; Bolsi, Alessandra; Lomax, Antony J.; Rutz, Hans Peter; Timmerman, Beate; Goitein, Gudrun

2008-01-01

Purpose: A retrospective study to investigate the sensitivity of intensity modulated proton therapy (IMPT) to changes in body weight occurring during the course of radiotherapy for patients treated in the sacral region. Materials and methods: During therapy, important weight gain and loss were observed for two patients treated to para-spinal tumors, which resulted in both patients being re-scanned and re-planned. Both patients were treated as part of their therapy, with a narrow-angle IMPT (NA-IMPT) plan delivering a 'dose hole' around the cauda equina (CE), which was mainly formed through modulation of Bragg peaks in depth. To investigate the impact of these weight changes on the proton range and delivered dose, the nominal fields were re-calculated on the new CT data sets. Results were analyzed by comparing these new plans with those originally delivered and by calculating changes in range and delivered doses in target volumes and normal tissues. Results: Maximum differences in proton range in the CE region of up to +8 mm and -13 mm, respectively, for the patient who gained weight and for the patient who lost weight, increased the maximum dose to the CE by only 2%. This indicates that both IMPT plans were relatively insensitive to substantial range uncertainties. Even greater differences in range (16 mm) in the planning target volume only slightly affected its dose homogeneity (differences in V 90% of 6% in the worst case). Nevertheless, some large undesired local dose differences were observed. Conclusions: We demonstrated, that, at least for the two analyzed cases, NA-IMPT plans are less sensitive to weight variations than one may expect. Still, we would advise to calculate new plans in case of substantial change in weight for patients treated in the sacral region, primarily due to the presence of new hot/cold area

Anatomy-driven design of a prototype video laryngoscope for extremely low birth weight infants

Science.gov (United States)

Baker, Katherine; Tremblay, Eric; Karp, Jason; Ford, Joseph; Finer, Neil; Rich, Wade

2010-11-01

Extremely low birth weight (ELBW) infants frequently require endotracheal intubation for assisted ventilation or as a route for administration of drugs or exogenous surfactant. In adults and less premature infants, the risks of this intubation can be greatly reduced using video laryngoscopy, but current products are too large and incorrectly shaped to visualize an ELBW infant's airway anatomy. We design and prototype a video laryngoscope using a miniature camera set in a curved acrylic blade with a 3×6-mm cross section at the tip. The blade provides a mechanical structure for stabilizing the tongue and acts as a light guide for an LED light source, located remotely to avoid excessive local heating at the tip. The prototype is tested on an infant manikin and found to provide sufficient image quality and mechanical properties to facilitate intubation. Finally, we show a design for a neonate laryngoscope incorporating a wafer-level microcamera that further reduces the tip cross section and offers the potential for low cost manufacture.

Improved Extreme Learning Machine and Its Application in Image Quality Assessment

Directory of Open Access Journals (Sweden)

Li Mao

2014-01-01

Full Text Available Extreme learning machine (ELM is a new class of single-hidden layer feedforward neural network (SLFN, which is simple in theory and fast in implementation. Zong et al. propose a weighted extreme learning machine for learning data with imbalanced class distribution, which maintains the advantages from original ELM. However, the current reported ELM and its improved version are only based on the empirical risk minimization principle, which may suffer from overfitting. To solve the overfitting troubles, in this paper, we incorporate the structural risk minimization principle into the (weighted ELM, and propose a modified (weighted extreme learning machine (M-ELM and M-WELM. Experimental results show that our proposed M-WELM outperforms the current reported extreme learning machine algorithm in image quality assessment.

Changes in skeletal muscle gene expression consequent to altered weight bearing

Science.gov (United States)

Booth, F. W.; Kirby, C. R.

1992-01-01

Skeletal muscle is a dynamic organ that adapts to alterations in weight bearing. This brief review examines changes in muscle gene expression resulting from the removal of weight bearing by hindlimb suspension and from increased weight bearing due to eccentric exercise. Acute (less than or equal to 2 days) non-weight bearing of adult rat soleus muscle alters only the translational control of muscle gene expression, while chronic (greater than or equal to 7 days) removal of weight bearing appears to influence pretranslational, translational, and posttranslational mechanisms of control. Acute and chronic eccentric exercise are associated with alterations of translational and posttranslational control, while chronic eccentric training also alters the pretranslational control of muscle gene expression. Thus alterations in weight bearing influence multiple sites of gene regulation.

Characteristic changes in heat extremes over India in response to global warming using CMIP5 model simulations

Science.gov (United States)

Kundeti, K.; Chang, H. H.; T V, L. K.; Desamsetti, S.; Dandi, A. R.

2017-12-01

A critical aspect of human-induced climate change is how it will affect climatological mean and extremes around the world. Summer season surface climate of the Indian sub continent is characterized by hot and humid conditions. The global warming can have profound impact on the mean climate as well as extreme weather events over India that may affect both natural and human systems significantly. In this study we examine very direct measure of the impact of climate change on human health and comfort. The Heat stress Index is the measure of combined effects of temperature and atmospheric moisture on the ability of the human body to dissipate heat. It is important to assess the future changes in the seasonal mean of heat stress index, it is also desirable to know how the future holds when it comes to extremes in temperature for a country like India where so much of outdoor activities happen both in the onshore/offshore energy sectors, extensive construction activities. This study assesses the performance of the Coupled Model Inter comparison Project Phase 5 (CMIP5) simulations in the present and develops future climate scenarios. The changes in heat extremes are assessed for three future periods 2016-2035, 2046-2065 and 2080-2099 with respect to 1986-2005 (base line) under two RCP's (Representative Concentrate Pathways) - RCP4.5 and RCP8.5. In view of this, we provide the expected future changes in the seasonal mean heat stress indices and also the frequency of heat stress exceeding a certain threshold relevant to Inida. Besides, we provide spatial maps of expected future changes in the heat stress index derived as a function of daily mean temperature and relative humidity and representative of human comfort having a direct bearing on the human activities. The observations show an increase in heat extremes over many parts in this region that are generally well captured by the models. The results indicate a significant change in frequency and intensity of heat extremes

Allocation of feed based on individual dairy cow live weight changes. II

DEFF Research Database (Denmark)

Bossen, Dorte; Weisbjerg, Martin Riis

2009-01-01

early or late (strategy MR2-E and MR2-L). The early and late changes were defined as a live weight gain after live weight minimum at 15 and 35 kg, respectively, for DR/DH and 11 and 25 kg, respectively, for DJ. When MR energy concentration was changed, cows on the MR2 strategies were offered 3 kg per...

Association Between Use of Cannabis in Adolescence and Weight Change into Midlife.

Directory of Open Access Journals (Sweden)

Lexie Zhiyan Jin

Full Text Available Cannabis use has been found to stimulate appetite and potentially promote weight gain via activation of the endocannabinoid system. Despite the fact that the onset of cannabis use is typically during adolescence, the association between adolescence cannabis use and long-term change in body weight is generally unknown. This study aims to examine the association between adolescence cannabis use and weight change to midlife, while accounting for the use of other substances. The study applied 20 to 22 years of follow-up data on 712 Danish adolescents aged between 15 and 19 years at baseline. Self-reported height and weight, cannabis, cigarette and alcohol use, socioeconomic status (SES and physical activity levels were assessed in baseline surveys conducted in 1983 and 1985. The follow-up survey was conducted in 2005. In total 19.1% (n = 136 of adolescents reported having used/using cannabis. Weight gain between adolescence and midlife was not related to cannabis exposure during adolescence in either crude or adjusted models, and associations were not modified by baseline alcohol intake or smoking. However, cannabis use was significantly associated with cigarette smoking (p<0.001 and alcohol intake (p<0.001 and inversely associated with physical activity levels (p = 0.04. In conclusion, this study does not provide evidence of an association between adolescence cannabis use and weight change from adolescence to midlife.

Indomethacin prophylaxis or expectant treatment of patent ductus arteriosus in extremely low birth weight infants?

Science.gov (United States)

Cordero, L; Nankervis, C A; Delooze, D; Giannone, P J

2007-03-01

Indomethacin prophylaxis or expectant treatment are common strategies for the prevention or management of symptomatic patent ductus arteriosus (sPDA). To compare the clinical responses of extremely low birth weight (ELBW) infants to indomethacin prophylaxis with that of other infants who were managed expectantly by being treated with indomethacin or surgically only after an sPDA was detected. Retrospective cohort investigation of 167 ELBW infants who received indomethacin prophylaxis (study) and 167 ELBW infants (control) treated expectantly who were matched by year of birth (1999 to 2006), birth weight, gestational age (GA) and gender. Mothers of the two groups of infants were comparable demographically and on the history of preterm labor, pre-eclampsia, antepartum steroids and cesarean delivery. Study and control infants were similar in birth weight, GA, low 5 min Apgar scores, surfactant administration, the need for arterial blood pressure control, bronchopulmonary dysplasia and neonatal mortality. Necrotizing enterocolitis, spontaneous intestinal perforations, intraventricular hemorrhage grade III to IV, periventricular leukomalacia and stage 3 to 5 retinopathy of prematurity occurred also with similar frequency in both groups of infants. In the indomethacin prophylaxis group, 29% of the infants developed sPDA, and of them 38% responded to indomethacin treatment. In the expectantly treated group, 37% developed sPDA, and of them 59% responded to indomethacin treatment. Overall, surgical ligation rate for sPDA was similar between both groups of patients. In our experience, indomethacin prophylaxis does not show any advantages over expectant early treatment on the management of sPDA in ELBW infants. Although no deleterious effects were observed, prophylaxis exposed a significant number of infants who may have never developed sPDA, to potential indomethacin-related complications.

Observed changes in extreme precipitation in Poland: 1991-2015 versus 1961-1990

Science.gov (United States)

Pińskwar, Iwona; Choryński, Adam; Graczyk, Dariusz; Kundzewicz, Zbigniew W.

2018-01-01

Several episodes of extreme precipitation excess and extreme precipitation deficit, with considerable economic and social impacts, have occurred in Europe and in Poland in the last decades. However, the changes of related indices exhibit complex variability. This paper analyses changes in indices related to observed abundance and deficit of precipitated water in Poland. Among studied indices are maximum seasonal 24-h precipitation for the winter half-year (Oct.-March) and the summer half-year (Apr.-Sept.), maximum 5-day precipitation, maximum monthly precipitation and number of days with intense or very intense precipitation (respectively, in excess of 10 mm or 20 mm per day). Also, the warm-seasonal maximum number of consecutive dry days (longest period with daily precipitation below 1 mm) was examined. Analysis of precipitation extremes showed that daily maximum precipitation for the summer half-year increased for many stations, and increases during the summer half-year are more numerous than those in the winter half-year. Also, analysis of 5-day and monthly precipitation sums show increases for many stations. Number of days with intense precipitation increases especially in the north-western part of Poland. The number of consecutive dry days is getting higher for many stations in the summer half-year. Comparison of these two periods: colder 1961-1990 and warmer 1991-2015, revealed that during last 25 years most of statistical indices, such as 25th and 75th percentiles, median, mean and maximum are higher. However, many changes discussed in this paper are weak and statistically insignificant. The findings reported in this paper challenge results based on earlier data that do not include 2007-2015.

Estimating 4D-CBCT from prior information and extremely limited angle projections using structural PCA and weighted free-form deformation for lung radiotherapy.

Science.gov (United States)

Harris, Wendy; Zhang, You; Yin, Fang-Fang; Ren, Lei

2017-03-01

To investigate the feasibility of using structural-based principal component analysis (PCA) motion-modeling and weighted free-form deformation to estimate on-board 4D-CBCT using prior information and extremely limited angle projections for potential 4D target verification of lung radiotherapy. A technique for lung 4D-CBCT reconstruction has been previously developed using a deformation field map (DFM)-based strategy. In the previous method, each phase of the 4D-CBCT was generated by deforming a prior CT volume. The DFM was solved by a motion model extracted by a global PCA and free-form deformation (GMM-FD) technique, using a data fidelity constraint and deformation energy minimization. In this study, a new structural PCA method was developed to build a structural motion model (SMM) by accounting for potential relative motion pattern changes between different anatomical structures from simulation to treatment. The motion model extracted from planning 4DCT was divided into two structures: tumor and body excluding tumor, and the parameters of both structures were optimized together. Weighted free-form deformation (WFD) was employed afterwards to introduce flexibility in adjusting the weightings of different structures in the data fidelity constraint based on clinical interests. XCAT (computerized patient model) simulation with a 30 mm diameter lesion was simulated with various anatomical and respiratory changes from planning 4D-CT to on-board volume to evaluate the method. The estimation accuracy was evaluated by the volume percent difference (VPD)/center-of-mass-shift (COMS) between lesions in the estimated and "ground-truth" on-board 4D-CBCT. Different on-board projection acquisition scenarios and projection noise levels were simulated to investigate their effects on the estimation accuracy. The method was also evaluated against three lung patients. The SMM-WFD method achieved substantially better accuracy than the GMM-FD method for CBCT estimation using extremely

Impacts of climate change on rainfall extremes and urban drainage systems: A review

DEFF Research Database (Denmark)

Arnbjerg-Nielsen, Karsten; Willems, P.; Olsson, J.

2013-01-01

A review is made of current methods for assessing future changes in urban rainfall extremes and their effects on urban drainage systems, due to anthropogenic-induced climate change. The review concludes that in spite of significant advances there are still many limitations in our understanding of...... drainage infrastructure considering climate change impacts and co-optimizing these with other objectives will become ever more important to keep our cities habitable into the future. © IWA Publishing 2013....

Changes in Survival and Neonatal Morbidity in Infants with a Birth Weight of 750 g or Less

NARCIS (Netherlands)

Claas, M. J.; Bruinse, H. W.; van der Heide-Jalving, M.; Termote, J. U. M.; de Vries, L. S.

2010-01-01

Background: Improvement in perinatal and neonatal care has resulted in increased survival of extremely low birth weight (ELBW) infants. Objectives: To describe survival and neonatal morbidity in a cohort of ELBW infants, to compare two consecutive 5-year periods, and compare appropriate (AGA) with

Psychological changes following weight loss in overweight and obese adults: a prospective cohort study.

Directory of Open Access Journals (Sweden)

Sarah E Jackson

Full Text Available Participation in weight loss programs is often associated with improved wellbeing alongside reduced cardio-metabolic risk. In contrast, population-based analyses have found no evidence of psychological benefits of weight loss, but this may be due to inclusion of healthy-weight individuals. We therefore examined cardio-metabolic and psychological changes following weight loss in a cohort of overweight/obese adults.Data were from 1,979 overweight and obese adults (BMI ≥ 25 kg/m(2; age ≥ 50 y, free of long-standing illness or clinical depression at baseline, from the English Longitudinal Study of Ageing. Participants were grouped according to four-year weight change into those losing ≥ 5% weight, those gaining ≥ 5%, and those whose weight was stable within 5%. Logistic regression examined changes in depressed mood (eight-item Center for Epidemiologic Studies Depression score ≥ 4, low wellbeing (Satisfaction With Life Scale score <20, hypertension (systolic blood pressure ≥ 140 mmHg or anti-hypertensives, and high triglycerides (≥ 1.7 mmol/l, controlling for demographic variables, weight loss intention, and baseline characteristics.The proportion of participants with depressed mood increased more in the weight loss than weight stable or weight gain groups (+289%, +86%, +62% respectively; odds ratio [OR] for weight loss vs. weight stable = 1.78 [95% CI 1.29-2.47]. The proportion with low wellbeing also increased more in the weight loss group (+31%, +22%, -4%, but the difference was not statistically significant (OR = 1.16 [0.81-1.66]. Hypertension and high triglyceride prevalence decreased in weight losers and increased in weight gainers (-28%, 4%, +18%; OR = 0.61 [0.45-0.83]; -47%, -13%, +5%; OR = 0.41 [0.28-0.60]. All effects persisted in analyses adjusting for illness and life stress during the weight loss period.Weight loss over four years in initially healthy overweight/obese older adults was associated with reduction in cardio

Climatic changes of extreme precipitation in Denmark from 1872 to 2100

DEFF Research Database (Denmark)

Arnbjerg-Nielsen, Karsten; Gregersen, Ida Bülow; Sunyer Pinya, Maria Antonia

of climate change impacts from anthropogenic effects can be established based on projections of daily precipitation. These estimates have then been further downscaled to enable urban pluvial inundation calculations using different statistical downscaling and extreme value analysis techniques. . From...... of precipitation extremes. The objective is to establish cities that are resilient to pluvial floods by means of a gradual upgrading of the drainage capacity in combination with a structured risk management approach. Using the regional climate model (RCM) data repositories from PRUDENCE and ENSEMBLES, estimates....... These results are important for the extrapolation to future events. Currently efforts are dedicated to constructing similar models based on outputs from climate models, but the models are complicated due to the fact that the correlation structure of high-resolution precipitation in the climate models deviates...

Relationship Between Changes in Fat and Lean Depots Following Weight Loss and Changes in Cardiovascular Disease Risk Markers.

Science.gov (United States)

Clifton, Peter M

2018-04-04

Gluteofemoral fat mass has been associated with improved cardiovascular disease risk factors. It is not clear if loss of this protective fat during weight loss partially negates the effect of loss of visceral fat. The aim of this study was to examine regional fat loss in a large weight-loss cohort from one center and to determine if fat loss in the leg and total lean tissue loss is harmful. We combined the data from 7 of our previously published 3-month weight-loss studies and examined the relationship between regional fat and lean tissue loss and changes in cardiovascular disease risk factors in 399 participants. At baseline, leg fat was positively associated with high-density lipoprotein cholesterol in women and inversely with fasting triglyceride level in both sexes. Abdominal lean tissue was also related to systolic blood pressure in men. Changes in regional fat and lean tissue were positively associated with changes in glucose, insulin, total cholesterol, triglycerides, low-density lipoprotein cholesterol and systolic and diastolic blood pressure ( r =0.11-0.22, P lean tissue dominating in multivariate regression. After adjustment for total weight or total fat change, these relationships disappeared except for a positive relationship between arm and lean leg mass loss and changes in triglycerides and systolic blood pressure. Loss of leg fat and leg lean tissue was directly associated with beneficial changes in cardiovascular disease risk markers. Loss of lean tissue may not have an adverse effect on cardiovascular disease risk, and measures to retain lean tissue during weight loss may not be necessary. © 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

Cascading effects of climate extremes on vertebrate fauna through changes to low-latitude tree flowering and fruiting phenology.

Science.gov (United States)

Butt, Nathalie; Seabrook, Leonie; Maron, Martine; Law, Bradley S; Dawson, Terence P; Syktus, Jozef; McAlpine, Clive A

2015-09-01

Forest vertebrate fauna provide critical services, such as pollination and seed dispersal, which underpin functional and resilient ecosystems. In turn, many of these fauna are dependent on the flowering phenology of the plant species of such ecosystems. The impact of changes in climate, including climate extremes, on the interaction between these fauna and flora has not been identified or elucidated, yet influences on flowering phenology are already evident. These changes are well documented in the mid to high latitudes. However, there is emerging evidence that the flowering phenology, nectar/pollen production, and fruit production of long-lived trees in tropical and subtropical forests are also being impacted by changes in the frequency and severity of climate extremes. Here, we examine the implications of these changes for vertebrate fauna dependent on these resources. We review the literature to establish evidence for links between climate extremes and flowering phenology, elucidating the nature of relationships between different vertebrate taxa and flowering regimes. We combine this information with climate change projections to postulate about the likely impacts on nectar, pollen and fruit resource availability and the consequences for dependent vertebrate fauna. The most recent climate projections show that the frequency and intensity of climate extremes will increase during the 21st century. These changes are likely to significantly alter mass flowering and fruiting events in the tropics and subtropics, which are frequently cued by climate extremes, such as intensive rainfall events or rapid temperature shifts. We find that in these systems the abundance and duration of resource availability for vertebrate fauna is likely to fluctuate, and the time intervals between episodes of high resource availability to increase. The combined impact of these changes has the potential to result in cascading effects on ecosystems through changes in pollinator and seed

Thyroid hormones and changes in body weight and metabolic parameters in response to weight loss diets: the POUNDS LOST trial.

Science.gov (United States)

Liu, G; Liang, L; Bray, G A; Qi, L; Hu, F B; Rood, J; Sacks, F M; Sun, Q

2017-06-01

The role of thyroid hormones in diet-induced weight loss and subsequent weight regain is largely unknown. To examine the associations between thyroid hormones and changes in body weight and resting metabolic rate (RMR) in a diet-induced weight loss setting. Data analysis was conducted among 569 overweight and obese participants aged 30-70 years with normal thyroid function participating in the 2-year Prevention of Obesity Using Novel Dietary Strategies (POUNDS) LOST randomized clinical trial. Changes in body weight and RMR were assessed during the 2-year intervention. Thyroid hormones (free triiodothyronine (T3), free thyroxine (T4), total T3, total T4 and thyroid-stimulating hormone (TSH)), anthropometric measurements and biochemical parameters were assessed at baseline, 6 months and 24 months. Participants lost an average of 6.6 kg of body weight during the first 6 months and subsequently regained an average of 2.7 kg of body weight over the remaining period from 6 to 24 months. Baseline free T3 and total T3 were positively associated, whereas free T4 was inversely associated, with baseline body weight, body mass index and RMR. Total T4 and TSH were not associated with these parameters. Higher baseline free T3 and free T4 levels were significantly associated with a greater weight loss during the first 6 months (Ppressure, glucose, insulin, triglycerides and leptin at 6 months and 24 months (all P<0.05). In this diet-induced weight loss setting, higher baseline free T3 and free T4 predicted more weight loss, but not weight regain among overweight and obese adults with normal thyroid function. These findings reveal a novel role of thyroid hormones in body weight regulation and may help identify individuals more responsive to weight loss diets.

The impact of anthropogenic land use and land cover change on regional climate extremes.

Science.gov (United States)

Findell, Kirsten L; Berg, Alexis; Gentine, Pierre; Krasting, John P; Lintner, Benjamin R; Malyshev, Sergey; Santanello, Joseph A; Shevliakova, Elena

2017-10-20

Land surface processes modulate the severity of heat waves, droughts, and other extreme events. However, models show contrasting effects of land surface changes on extreme temperatures. Here, we use an earth system model from the Geophysical Fluid Dynamics Laboratory to investigate regional impacts of land use and land cover change on combined extremes of temperature and humidity, namely aridity and moist enthalpy, quantities central to human physiological experience of near-surface climate. The model's near-surface temperature response to deforestation is consistent with recent observations, and conversion of mid-latitude natural forests to cropland and pastures is accompanied by an increase in the occurrence of hot-dry summers from once-in-a-decade to every 2-3 years. In the tropics, long time-scale oceanic variability precludes determination of how much of a small, but significant, increase in moist enthalpy throughout the year stems from the model's novel representation of historical patterns of wood harvesting, shifting cultivation, and regrowth of secondary vegetation and how much is forced by internal variability within the tropical oceans.

Mapping probabilities of extreme continental water storage changes from space gravimetry

Science.gov (United States)

Kusche, J.; Eicker, A.; Forootan, E.; Springer, A.; Longuevergne, L.

2016-12-01

Using data from the Gravity Recovery and Climate Experiment (GRACE) mission, we derive statistically robust 'hotspot' regions of high probability of peak anomalous - i.e. with respect to the seasonal cycle - water storage (of up to 0.7 m one-in-five-year return level) and flux (up to 0.14 m/mon). Analysis of, and comparison with, up to 32 years of ERA-Interim reanalysis fields reveals generally good agreement of these hotspot regions to GRACE results, and that most exceptions are located in the Tropics. However, a simulation experiment reveals that differences observed by GRACE are statistically significant, and further error analysis suggests that by around the year 2020 it will be possible to detect temporal changes in the frequency of extreme total fluxes (i.e. combined effects of mainly precipitation and floods) for at least 10-20% of the continental area, assuming that we have a continuation of GRACE by its follow-up GRACE-FO. J. Kusche et al. (2016): Mapping probabilities of extreme continental water storage changes from space gravimetry, Geophysical Research Letters, accepted online, doi:10.1002/2016GL069538

Intensity changes in future extreme precipitation: A statistical event-based approach.

Science.gov (United States)

Manola, Iris; van den Hurk, Bart; de Moel, Hans; Aerts, Jeroen

2017-04-01

Short-lived precipitation extremes are often responsible for hazards in urban and rural environments with economic and environmental consequences. The precipitation intensity is expected to increase about 7% per degree of warming, according to the Clausius-Clapeyron (CC) relation. However, the observations often show a much stronger increase in the sub-daily values. In particular, the behavior of the hourly summer precipitation from radar observations with the dew point temperature (the Pi-Td relation) for the Netherlands suggests that for moderate to warm days the intensification of the precipitation can be even higher than 21% per degree of warming, that is 3 times higher than the expected CC relation. The rate of change depends on the initial precipitation intensity, as low percentiles increase with a rate below CC, the medium percentiles with 2CC and the moderate-high and high percentiles with 3CC. This non-linear statistical Pi-Td relation is suggested to be used as a delta-transformation to project how a historic extreme precipitation event would intensify under future, warmer conditions. Here, the Pi-Td relation is applied over a selected historic extreme precipitation event to 'up-scale' its intensity to warmer conditions. Additionally, the selected historic event is simulated in the high-resolution, convective-permitting weather model Harmonie. The initial and boundary conditions are alternated to represent future conditions. The comparison between the statistical and the numerical method of projecting the historic event to future conditions showed comparable intensity changes, which depending on the initial percentile intensity, range from below CC to a 3CC rate of change per degree of warming. The model tends to overestimate the future intensities for the low- and the very high percentiles and the clouds are somewhat displaced, due to small wind and convection changes. The total spatial cloud coverage in the model remains, as also in the statistical

Gene expression changes governing extreme dehydration tolerance in an Antarctic insect

Science.gov (United States)

Teets, Nicholas M.; Peyton, Justin T.; Colinet, Herve; Renault, David; Kelley, Joanna L.; Kawarasaki, Yuta; Lee, Richard E.; Denlinger, David L.

2012-01-01

Among terrestrial organisms, arthropods are especially susceptible to dehydration, given their small body size and high surface area to volume ratio. This challenge is particularly acute for polar arthropods that face near-constant desiccating conditions, as water is frozen and thus unavailable for much of the year. The molecular mechanisms that govern extreme dehydration tolerance in insects remain largely undefined. In this study, we used RNA sequencing to quantify transcriptional mechanisms of extreme dehydration tolerance in the Antarctic midge, Belgica antarctica, the world’s southernmost insect and only insect endemic to Antarctica. Larvae of B. antarctica are remarkably tolerant of dehydration, surviving losses up to 70% of their body water. Gene expression changes in response to dehydration indicated up-regulation of cellular recycling pathways including the ubiquitin-mediated proteasome and autophagy, with concurrent down-regulation of genes involved in general metabolism and ATP production. Metabolomics results revealed shifts in metabolite pools that correlated closely with changes in gene expression, indicating that coordinated changes in gene expression and metabolism are a critical component of the dehydration response. Finally, using comparative genomics, we compared our gene expression results with a transcriptomic dataset for the Arctic collembolan, Megaphorura arctica. Although B. antarctica and M. arctica are adapted to similar environments, our analysis indicated very little overlap in expression profiles between these two arthropods. Whereas several orthologous genes showed similar expression patterns, transcriptional changes were largely species specific, indicating these polar arthropods have developed distinct transcriptional mechanisms to cope with similar desiccating conditions. PMID:23197828

N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change.

Science.gov (United States)

Kwasnicka, Dominika; Dombrowski, Stephan U; White, Martin; Sniehotta, Falko F

2017-06-01

Behaviour change interventions are effective in supporting individuals to achieve clinically significant weight loss, but weight loss maintenance (WLM) is less often attained. This study examined predictive variables associated with WLM. N-of-1 study with daily ecological momentary assessment combined with objective measurement of weight and physical activity, collected with wireless devices (Fitbit™) for six months. Eight previously obese adults who had lost over 5% of their body weight in the past year took part. Data were analysed using time series methods. Predictor variables were based on five theoretical themes: maintenance motives, self-regulation, personal resources, habits, and environmental influences. Dependent variables were: objectively estimated step count and weight, and self-reported WLM plan adherence. For all participants, daily fluctuations in self-reported adherence to their WLM plan were significantly associated with most of the explanatory variables, including maintenance motivation and satisfaction with outcomes, self-regulation, habit, and stable environment. Personal resources were not a consistent predictor of plan adherence. This is the first study to assess theoretical predictions of WLM within individuals. WLM is a dynamic process including the interplay of motivation, self-regulation, habit, resources, and perceptions of environmental context. Individuals maintaining their weight have unique psychological profiles which could be accounted for in interventions.

The need of the change of the conceptualisation of hydrologic processes under extreme conditions – taking reference evapotranspiration as an example

Directory of Open Access Journals (Sweden)

S. Liu

2015-06-01

Full Text Available What a hydrological model displays is the relationships between the output and input in daily, monthly, yearly and other temporal scales. In the case of climate change or other environment changes, the input of the hydrological model may show a gradual or abrupt change. There have been numerous documented studies to explore the response of output of the hydrological models to the change of the input with scenario simulation. Most of the studies assumed that the conceptualisation of hydrologic processes will remain, which may be true for the gradual change of the input. However, under extreme conditions the conceptualisation of hydrologic processes may be completely changed. Taking an example of the Allen's formula to calculate crop reference evapotranspiration (ET0 as a simple hydrological model, we analyze the alternation of the extreme in ET0 from 1955 to 2012 at the Chongling Experimental Station located in Hebei Province, China. The relationships between ET0 and the meteorological factors for the average values, minimum (maximum values at daily, monthly and annual scales are revealed. It is found the extreme of the output can follow the extreme of the input better when their relationship is more linear. For non-liner relationship, the extreme of the input cannot at all be reflected from the extreme of the output. Relatively, extreme event at daily scale is harder to be shown than that at monthly scale. The result implicates that a routine model may not be able to catch the response to extreme events and it is even more so as we extrapolate models to higher temperature/CO2 conditions in the future. Some possible choices for the improvements are suggested for predicting hydrological extremes.

Air pollution or global warming: Attribution of extreme precipitation changes in eastern China—Comments on "Trends of extreme precipitation in Eastern China and their possible causes"

Science.gov (United States)

Wang, Yuan

2015-10-01

The recent study "Trends of Extreme Precipitation in Eastern China and Their Possible Causes" attributed the observed decrease/increase of light/heavy precipitation in eastern China to global warming rather than the regional aerosol effects. However, there exist compelling evidence from previous long-term observations and numerical modeling studies, suggesting that anthropogenic pollution is closely linked to the recent changes in precipitation intensity because of considerably modulated cloud physical properties by aerosols in eastern China. Clearly, a quantitative assessment of the aerosol and greenhouse effects on the regional scale is required to identify the primary cause for the extreme precipitation changes.

Potential changes in the extreme climate conditions at the regional scale: from observed data to modelling approaches and towards probabilistic climate change information

International Nuclear Information System (INIS)

Gachon, P.; Radojevic, M.; Harding, A.; Saad, C.; Nguyen, V.T.V.

2008-01-01

The changes in the characteristics of extreme climate conditions are one of the most critical challenges for all ecosystems, human being and infrastructure, in the context of the on-going global climate change. However, extremes information needed for impacts studies cannot be obtained directly from coarse scale global climate models (GCMs), due mainly to their difficulties to incorporate regional scale feedbacks and processes responsible in part for the occurrence, intensity and duration of extreme events. Downscaling approaches, namely statistical and dynamical downscaling techniques (i.e. SD and RCM), have emerged as useful tools to develop high resolution climate change information, in particular for extremes, as those are theoretically more capable to take into account regional/local forcings and their feedbacks from large scale influences as they are driven with GCM synoptic variables. Nevertheless, in spite of the potential added values from downscaling methods (statistical and dynamical), a rigorous assessment of these methods are needed as inherent difficulties to simulate extremes are still present. In this paper, different series of RCM and SD simulations using three different GCMs are presented and evaluated with respect to observed values over the current period and over a river basin in southern Quebec, with future ensemble runs, i.e. centered over 2050s (i.e. 2041-2070 period using the SRES A2 emission scenario). Results suggest that the downscaling performance over the baseline period significantly varies between the two downscaling techniques and over various seasons with more regular reliable simulated values with SD technique for temperature than for RCM runs, while both approaches produced quite similar temperature changes in the future from median values with more divergence for extremes. For precipitation, less accurate information is obtained compared to observed data, and with more differences among models with higher uncertainties in the

Antarctic Climate Change: Extreme Events Disrupt Plastic Phenotypic Response in Adélie Penguins

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Lescroël, Amélie; Ballard, Grant; Grémillet, David; Authier, Matthieu; Ainley, David G.

2014-01-01

In the context of predicted alteration of sea ice cover and increased frequency of extreme events, it is especially timely to investigate plasticity within Antarctic species responding to a key environmental aspect of their ecology: sea ice variability. Using 13 years of longitudinal data, we investigated the effect of sea ice concentration (SIC) on the foraging efficiency of Adélie penguins (Pygoscelis adeliae) breeding in the Ross Sea. A ‘natural experiment’ brought by the exceptional presence of giant icebergs during 5 consecutive years provided unprecedented habitat variation for testing the effects of extreme events on the relationship between SIC and foraging efficiency in this sea-ice dependent species. Significant levels of phenotypic plasticity were evident in response to changes in SIC in normal environmental conditions. Maximum foraging efficiency occurred at relatively low SIC, peaking at 6.1% and decreasing with higher SIC. The ‘natural experiment’ uncoupled efficiency levels from SIC variations. Our study suggests that lower summer SIC than currently observed would benefit the foraging performance of Adélie penguins in their southernmost breeding area. Importantly, it also provides evidence that extreme climatic events can disrupt response plasticity in a wild seabird population. This questions the predictive power of relationships built on past observations, when not only the average climatic conditions are changing but the frequency of extreme climatic anomalies is also on the rise. PMID:24489657

Antarctic climate change: extreme events disrupt plastic phenotypic response in Adélie penguins.

Directory of Open Access Journals (Sweden)

Amélie Lescroël

Full Text Available In the context of predicted alteration of sea ice cover and increased frequency of extreme events, it is especially timely to investigate plasticity within Antarctic species responding to a key environmental aspect of their ecology: sea ice variability. Using 13 years of longitudinal data, we investigated the effect of sea ice concentration (SIC on the foraging efficiency of Adélie penguins (Pygoscelis adeliae breeding in the Ross Sea. A 'natural experiment' brought by the exceptional presence of giant icebergs during 5 consecutive years provided unprecedented habitat variation for testing the effects of extreme events on the relationship between SIC and foraging efficiency in this sea-ice dependent species. Significant levels of phenotypic plasticity were evident in response to changes in SIC in normal environmental conditions. Maximum foraging efficiency occurred at relatively low SIC, peaking at 6.1% and decreasing with higher SIC. The 'natural experiment' uncoupled efficiency levels from SIC variations. Our study suggests that lower summer SIC than currently observed would benefit the foraging performance of Adélie penguins in their southernmost breeding area. Importantly, it also provides evidence that extreme climatic events can disrupt response plasticity in a wild seabird population. This questions the predictive power of relationships built on past observations, when not only the average climatic conditions are changing but the frequency of extreme climatic anomalies is also on the rise.

Financial market response to extreme events indicating climatic change

Science.gov (United States)

Anttila-Hughes, J. K.

2016-05-01

A variety of recent extreme climatic events are considered to be strong evidence that the climate is warming, but these incremental advances in certainty often seem ignored by non-scientists. I identify two unusual types of events that are considered to be evidence of climate change, announcements by NASA that the global annual average temperature has set a new record, and the sudden collapse of major polar ice shelves, and then conduct an event study to test whether news of these events changes investors' valuation of energy companies, a subset of firms whose future performance is closely tied to climate change. I find evidence that both classes of events have influenced energy stock prices since the 1990s, with record temperature announcements on average associated with negative returns and ice shelf collapses associated with positive returns. I identify a variety of plausible mechanisms that may be driving these differential responses, discuss implications for energy markets' views on long-term regulatory risk, and conclude that investors not only pay attention to scientifically significant climate events, but discriminate between signals carrying different information about the nature of climatic change.

Perceived stress and anhedonia predict short-and long-term weight change, respectively, in healthy adults.

Science.gov (United States)

Ibrahim, Mostafa; Thearle, Marie S; Krakoff, Jonathan; Gluck, Marci E

2016-04-01

Perceived stress; emotional eating; anhedonia; depression and dietary restraint, hunger, and disinhibition have been studied as risk factors for obesity. However, the majority of studies have been cross-sectional and the directionality of these relationships remains unclear. In this longitudinal study, we assess their impact on future weight change. Psychological predictors of weight change in short- (6month) and long-term (>1year) periods were studied in 65 lean and obese individuals in two cohorts. Subjects participated in studies of food intake and metabolism that did not include any type of medication or weight loss interventions. They completed psychological questionnaires at baseline and weight change was monitored at follow-up visits. At six months, perceived stress predicted weight gain (r(2)=0.23, P=0.02). There was a significant interaction (r(2)=.38, P=0.009) between perceived stress and positive emotional eating, such that higher scores in both predicted greater weight gain, while those with low stress but high emotional eating scores lost weight. For long-term, higher anhedonia scores predicted weight gain (r(2)=0.24, P=0.04). Depression moderated these effects such that higher scores in both predicted weight gain but higher depression and lower anhedonia scores predicted weight loss. There are different behavioral determinants for short- and long-term weight change. Targeting perceived stress may help with short-term weight loss while depression and anhedonia may be better targets for long-term weight regulation. Copyright © 2016 Elsevier Ltd. All rights reserved.

21st Century Changes in Precipitation Extremes Over the United States: Can Climate Analogues Help or Hinder?

Science.gov (United States)

Gao, X.; Schlosser, C. A.

2013-12-01

Global warming is expected to alter the frequency and/or magnitude of extreme precipitation events. Such changes could have substantial ecological, economic, and sociological consequences. However, climate models in general do not correctly reproduce the frequency and intensity distribution of precipitation, especially at the regional scale. In this study, gridded data from a dense network of surface precipitation gauges and a global atmospheric analysis at a coarser scale are combined to develop a diagnostic framework for the large-scale meteorological conditions (i.e. flow features, moisture supply) that dominate during extreme precipitation. Such diagnostic framework is first evaluated with the late 20th century simulations from an ensemble of climate models participating in the Coupled Model Intercomparison Project Phase 5 (CMIP5), and is found to produce more consistent (and less uncertain) total and interannaul number of extreme days with the observations than the model-based precipitation over the south-central United States and the Western United States examined in this study. The framework is then applied to the CMIP5 multi-model projections for two radiative forcing scenarios (Representative Concentration Pathways 4.5 and 8.5) to assess the potential future changes in the probability of precipitation extremes over the same study regions. We further analyze the accompanying circulation features and their changes that may be responsible for shifts in extreme precipitation in response to changed climate. The results from this study may guide hazardous weather watches and help society develop adaptive strategies for preventing catastrophic losses.

The effect of smoking habit changes on body weight: Evidence from the UK.

Science.gov (United States)

Pieroni, Luca; Salmasi, Luca

2016-03-01

This paper evaluates the causal relationship between smoking and body weight through two waves (2004-2006) of the British Household Panel Survey. We model the effect of changes in smoking habits, such as quitting or reducing, and account for the heterogeneous responses of individuals located at different points of the body mass distribution by quantile regression. We test our results by means of a large set of control groups and investigate their robustness by using the changes-in-changes estimator and accounting for different thresholds to define smoking reductions. Our results reveal the positive effect of quitting smoking on weight changes, which is also found to increase in the highest quantiles, whereas the decision to reduce smoking does not affect body weight. Copyright © 2015 Elsevier B.V. All rights reserved.

Limitations and pitfalls of climate change impact analysis on urban rainfall extremes

DEFF Research Database (Denmark)

Willems, P.; Olsson, J.; Arnbjerg-Nielsen, Karsten

Under the umbrella of the IWA/IAHR Joint Committee on Urban Drainage, the International Working Group on Urban Rainfall (IGUR) has reviewed existing methodologies for the analysis of long-term historical and future trends in urban rainfall extremes and their effects on urban drainage systems, due...... to anthropogenic climate change. Current practices have several limitations and pitfalls, which are important to be considered by trend or climate change impact modellers and users of trend/impact results. Climate change may well be the driver that ensures that changes in urban drainage paradigms are identified...... and suitable solutions implemented. Design and optimization of urban drainage infrastructure considering climate change impacts and co-optimizing with other objectives will become ever more important to keep our cities liveable into the future....

Potential impacts of climate change on extreme precipitation over four African coastal cities

CSIR Research Space (South Africa)

Abiodun, BJ

2017-08-01

Full Text Available This study examines the impacts of climate change on characteristics of extreme precipitation events over four African coastal cities (Cape Town, Maputo, Lagos and Port Said) under two future climate scenarios (RCP4.5 and RCP8.5). Fourteen indices...

[Relationship between body weight status in early adulthood and body weight change at middle age in adults and type 2 diabetes mellitus].

Science.gov (United States)

Zhou, Long; Zhao, Liancheng; Li, Ying; Guo, Min; Wu, Yangfeng

2016-03-01

To explore the relationship between weight status in early adulthood and body weight change at middle age in adults and type 2 diabetes mellitus (T2DM). The data of 14 population samples from China Multicenter Collaborative Study of Cardiovascular Epidemiology conducted in 1998 were used. Approximately 1 000 men and women in each sample were surveyed for cardiovascular disease risk factors, including body weight at age 25 years. The body mass index (BMI) at the age 25 years was calculated. The association between body weight in early adulthood and body weight change at middle age and T2DM was examined by using logistic regression model. The incidence of T2DM in low weight group (BMIweight group (BMI: 18.5-23.9 kg/m(2)), overweight group (BMI: 24.0-27.9 kg/m(2)) and obese group (BMI:≥28.0 kg/m(2)) at 25 years old were 2.4%(30/1263), 2.8%(266/9562), 4.0%(70/1739) and 6.4% (7/110), respectively (P value for trendincidence of T2DM for adults with weight change 12.5 kg at middle age were 2.5% (18/712), 1.3%(21/1629), 2.1%(48/2330), 2.3%(59/2585), 3.7%(94/2518), and 4.6% (133/2900) respectively. (P value for trend weight gain were positively correlated with T2DM after adjusted other risk factors (all P values for trend weight gain at middle age were both independently associated with the increased risk of T2DM in middle-aged men and women.

Changes in infant disposable diaper weights at selected intervals post-wetting.

Science.gov (United States)

Carlisle, Joan; Moore, Amanda; Cooper, Alyssa; Henderson, Terri; Mayfield, Debbie; Taylor, Randa; Thomas, Jennifer; Van Fleet, Laduska; Askanazi, David; Fineberg, Naomi; Sun, Yanhui

2012-01-01

Pediatric acute care nurses questioned the practice of weighing disposable infant diapers immediately after voiding. This study asked the research question, "Does volume of saline, diaper configuration, and/or size of diaper statistically effect changes in diaper weights over time?" The method was an experimental, laboratory model. Pre-set volumes of saline were added to disposable diapers that were then left folded or unfolded. Each diaper was weighed immediately post-wetting and re-weighed at hourly intervals for seven hours. Data were analyzed using a repeated measures analysis of variance (RMANOVA) with balanced data (F-test). Diaper weight changes over time were statistically significant for all time points and for all volumes regardless of diaper size; however, the changes in weight were small and without clinical significance. It is appropriate to weigh diapers at the end of eight hours without risk of altering subsequent fluid management of patients in open-air, non-humidified environments. This practice has led to more efficient use of nurses' time with fewer interruptions for patients and families.

Changes in Climate Extremes and Catastrophic Events in the Mongolian Plateau from 1951 to 2012

DEFF Research Database (Denmark)

Wang, Lei; Yao, Zhi-Jun; Jiang, Liguang

2016-01-01

The spatiotemporal changes in 21 indices of extreme temperature and precipitation for the Mongolian Plateau from 1951 to 2012 were investigated on the basis of daily temperature and precipitation data from 70 meteorological stations. Changes in catastrophic events, such as droughts, floods, and s...

The role of body weight, fat distribution and weight change in ethnic differences in the 9-year incidence of hypertension

NARCIS (Netherlands)

Grootveld, Laura R.; van Valkengoed, Irene G. M.; Peters, Ron J. G.; Ujcic-Voortman, Joanne K.; Brewster, Lizzy M.; Stronks, Karien; Snijder, Marieke B.

2014-01-01

To investigate the role of body composition (body weight, fat distribution and weight change over time) in ethnic differences in the incidence of hypertension in an ethnic Dutch, South Asian Surinamese and African Surinamese background population living in the Netherlands. We included 361

Genetic and environmental relationships between change in weight and insulin resistance: the Healthy Twin Study.

Science.gov (United States)

Song, Yun-Mi; Lee, Kayoung; Sung, Joohon

2014-06-01

We aimed to investigate the association between weight change from 20 years of age and insulin resistance (IR), and genetic and environmental relationships between these traits. In 594 Korean twins and family members (209 men, 385 women, 44.0 ± 10.8 years old), the percentage of weight change was calculated using self-reported body weight at 20 years of age and currently measured bodyweight. IR traits were assessed using fasting plasma glucose and insulin, the homeostasis model assessment of IR index (HOMA-IR), and the quantitative insulin sensitivity check index (QUICKI). Linear mixed analysis was applied after adjusting for household, body mass index (BMI) at the age of 20 years, age, sex, alcohol, smoking, physical activity, and caloric intake. Heritabilities and genetic and environmental correlations were estimated after adjusting for covariates. In 55 monozygotic twin pairs discordant for HOMA-IR level by >0.3, a conditional logistic regression analysis was conducted regarding weight change. Increases in glucose, insulin, and HOMA-IR and a decrease in QUICKI were associated with a higher percentage of weight change (p change since 20 years old, after adjusting for lifestyle-related factors. In conclusion, both genetic and environmental influences played significant roles in the positive association between weight change from 20 years of age and IR.

Changes in water and beverage intake and long-term weight changes: results from three prospective cohort studies.

Science.gov (United States)

Pan, A; Malik, V S; Hao, T; Willett, W C; Mozaffarian, D; Hu, F B

2013-10-01

To examine the long-term relationship between changes in water and beverage intake and weight change. Prospective cohort studies of 50013 women aged 40-64 years in the Nurses' Health Study (NHS, 1986-2006), 52987 women aged 27-44 years in the NHS II (1991-2007) and 21988 men aged 40-64 years in the Health Professionals Follow-up Study (1986-2006) without obesity and chronic diseases at baseline. We assessed the association of weight change within each 4-year interval, with changes in beverage intakes and other lifestyle behaviors during the same period. Multivariate linear regression with robust variance and accounting for within-person repeated measures were used to evaluate the association. Results across the three cohorts were pooled by an inverse-variance-weighted meta-analysis. Participants gained an average of 1.45 kg (5th to 95th percentile: -1.87 to 5.46) within each 4-year period. After controlling for age, baseline body mass index and changes in other lifestyle behaviors (diet, smoking habits, exercise, alcohol, sleep duration, TV watching), each 1 cup per day increment of water intake was inversely associated with weight gain within each 4-year period (-0.13 kg; 95% confidence interval (CI): -0.17 to -0.08). The associations for other beverages were: sugar-sweetened beverages (SSBs) (0.36 kg; 95% CI: 0.24-0.48), fruit juice (0.22 kg; 95% CI: 0.15-0.28), coffee (-0.14 kg; 95% CI: -0.19 to -0.09), tea (-0.03 kg; 95% CI: -0.05 to -0.01), diet beverages (-0.10 kg; 95% CI: -0.14 to -0.06), low-fat milk (0.02 kg; 95% CI: -0.04 to 0.09) and whole milk (0.02 kg; 95% CI: -0.06 to 0.10). We estimated that replacement of 1 serving per day of SSBs by 1 cup per day of water was associated with 0.49 kg (95% CI: 0.32-0.65) less weight gain over each 4-year period, and the replacement estimate of fruit juices by water was 0.35 kg (95% CI: 0.23-0.46). Substitution of SSBs or fruit juices by other beverages (coffee, tea, diet beverages, low-fat and whole milk) were all

The effect of wheelchair propulsion style on changes in time spent in extreme wrist orientations after a bout of fatiguing propulsion.

Science.gov (United States)

Zukowski, Lisa A; Hass, Chris J; Shechtman, Orit; Christou, Evangelos A; Tillman, Mark D

2017-10-01

This study compared how wheelchair propulsion styles affect changes in percentage of time spent in extreme wrist orientations, which have been associated with median nerve injury, after a fatiguing bout of propulsion. Twenty novice, non-disabled adult males learned arcing (ARC) and semicircular (SEMI) propulsion styles and utilised each to perform a wheelchair fatigue protocol. ARC and SEMI did not significantly differ in terms of changes after the fatigue protocol in percentage of time spent in extreme flexion/extension or radial/ulnar deviation at the push phase beginning or end. A pattern was observed, although not significant, of greater increases in percentage of time spent in extreme wrist extension and ulnar deviation during the push phase beginning and ulnar deviation during the push phase end while utilising SEMI relative to ARC. This study evinces that individual differences are greater than observed changes in extreme wrist orientations for both propulsion styles. Practitioner Summary: How wheelchair propulsion styles change with fatigue in terms of extreme wrist orientations was examined. This study evinces that individual differences are greater than observed changes in extreme wrist orientations for both propulsion styles and point towards the need for future research on individual differences utilising propulsion styles.

Regional Brain Biometrics at Term-Equivalent Age and Developmental Outcome in Extremely Low-Birth-Weight Infants.

Science.gov (United States)

Melbourne, Launice; Murnick, Jonathan; Chang, Taeun; Glass, Penny; Massaro, An N

2015-10-01

This study aims to evaluate individual regional brain biometrics and their association with developmental outcome in extremely low-birth-weight (ELBW) infants. This is a retrospective study evaluating term-equivalent magnetic resonance imaging (TE-MRI) from 27 ELBW infants with known developmental outcomes beyond 12 months corrected age. Regional biometric measurements were performed by a pediatric neuroradiologist blinded to outcome data. Measures included biparietal width, transcerebellar diameter (TCD), deep gray matter area (DGMA), ventricular dilatation, corpus callosum, and interhemispheric distance. The relationship between regional biometrics and Bayley-II developmental scores were evaluated with linear regression models. The study cohort had an average±standard deviation birth weight of 684±150 g, gestational age of 24.6±2 weeks and 48% males. DGMA was significantly associated with both cognitive and motor outcomes. Significant associations were also observed between TCD and corpus callosum splenium with cognitive and motor outcomes, respectively. Other biometric measures were not associated with outcome (p>0.05). DGMAbiometrics reflecting impaired deep gray matter, callosal, and cerebellar size is associated with worse early childhood cognitive and motor outcomes. DGMA may be the most robust single biometric measure to predict adverse developmental outcome in preterm survivors. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Learning Disabilities in Extremely Low Birth Weight Children and Neurodevelopmental Profiles at Preschool Age.

Science.gov (United States)

Squarza, Chiara; Picciolini, Odoardo; Gardon, Laura; Giannì, Maria L; Murru, Alessandra; Gangi, Silvana; Cortinovis, Ivan; Milani, Silvano; Mosca, Fabio

2016-01-01

At school age extremely low birth weight (ELBW) and extremely low gestational age (ELGAN) children are more likely to show Learning Disabilities (LDs) and difficulties in emotional regulation. The aim of this study was to investigate the incidence of LDs at school age and to detect neurodevelopmental indicators of risk for LDs at preschool ages in a cohort of ELBW/ELGAN children with broadly average intelligence. All consecutively newborns 2001-2006 admitted to the same Institution entered the study. Inclusion criteria were BW disabilities, genetic abnormalities, and/or a Developmental Quotient below normal limits (learning disabilities at school age was investigated through a parent-report questionnaire at children's age range 9-10 years. Neurodevelopmental profiles were assessed through the Griffiths Mental Development Scales at 1 and 2 years of corrected age and at 3, 4, 5, and 6 years of chronological age and were analyzed comparing two groups of children: those with LDs and those without. At school age 24 on 102 (23.5%) of our ELBW/ELGAN children met criteria for LDs in one or more areas, with 70.8% comorbidity with emotional/attention difficulties. Children with LDs scored significantly lower in the Griffiths Locomotor and Language subscales at 2 years of corrected age and in the Personal-social, Performance and Practical Reasoning subscales at 5 years of chronological age. Our findings suggest that, among the early developmental indicators of adverse school outcome, there is a poor motor experimentation, language delay, and personal-social immaturity. Cognitive rigidity and poor ability to manage practical situations also affect academic attainment. Timely detection of these early indicators of risk is crucial to assist the transition to school.

Screening for autism in preterm children with extremely low and very low birth weight

Science.gov (United States)

Dudova, Iva; Kasparova, Martina; Markova, Daniela; Zemankova, Jana; Beranova, Stepanka; Urbanek, Tomas; Hrdlicka, Michal

2014-01-01

Background Studies of children with very low birth weight (VLBW, 1,000–1,500 g) and extremely low birth weight (ELBW, less than 1,000 g) indicate that this population seems to be at increased risk of autism spectrum disorder (ASD). Methods Parents of 101 VLBW and ELBW children (age 2 years, corrected for prematurity) agreed to participate in the study and signed informed consents; however, parents of only 75 children (44 boys, 31 girls) completed the screening questionnaires. The screening battery included the Modified Checklist for Autism in Toddlers (M-CHAT), Communication and Symbolic Behavior Scales Developmental Profile Infant-Toddler Checklist (CSBS-DP-ITC), and the Infant/Toddler Sensory Profile (ITSP). Children with disabilities were excluded. All children who screened positive on any of the screening tools were subsequently invited for a detailed assessment. Results Thirty-two children (42.7%) screened positive on at least one of the screening questionnaires. The screening tool with the most positive results was the CSBS-DP-ITC (26 positive screens), followed by the M-CHAT (19 positive screens) and the ITSP (11 positive screens). Of the 32 children who tested positive, 19 participated in the detailed follow-up assessment. A diagnosis of ASD was confirmed in eight of the 19 children. ASD prevalence, calculated from those 19 children and those with negative screening results (43 children), yielded a prevalence of 12.9% in the sample. The difference in frequency of positive screens between the tests was significant (P=0.011). In pair comparisons, ITSP was found to be significantly less positive than CSBS-DP-ITC (P=0.032). No significant differences were found between the M-CHAT and CSBS-DP-ITC or between the M-CHAT and ITSP. Conclusion The results strongly support the hypothesis of an increased prevalence of autism in children with a birth weight less than 1,500 g. PMID:24627633

Further outlooks: extremely uncomfortable; Die weiteren Aussichten: extrem ungemuetlich

Energy Technology Data Exchange (ETDEWEB)

Resenhoeft, T.

2006-07-01

Climate is changing extremely in the last decades. Scientists dealing with extreme weather, should not only stare at computer simulations. They have also to turn towards psyche, seriously personal experiences, knowing statistics, relativise supposed sensational reports and last not least collecting more data. (GL)

Night eating and weight change in middle-aged men and women

DEFF Research Database (Denmark)

Andersen, Gregers Stig; Stunkard, Albert J.; Sørensen, Thorkild I.A.

2004-01-01

-94 too. Subjects working night shifts were excluded. MEASUREMENTS: Night eating in 1987-88, 5-y preceding and 6-y subsequent weight change. RESULTS: In total, 9.0% women and 7.4% men reported 'getting up at night to eat'. Obese women with night eating experienced an average 6-y weight gain of 5.2 kg (P=0...

Blood profile of proteins and steroid hormones predicts weight change after weight loss with interactions of dietary protein level and glycemic index.

Directory of Open Access Journals (Sweden)

Ping Wang

2011-02-01

Full Text Available Weight regain after weight loss is common. In the Diogenes dietary intervention study, high protein and low glycemic index (GI diet improved weight maintenance.To identify blood predictors for weight change after weight loss following the dietary intervention within the Diogenes study.Blood samples were collected at baseline and after 8-week low caloric diet-induced weight loss from 48 women who continued to lose weight and 48 women who regained weight during subsequent 6-month dietary intervention period with 4 diets varying in protein and GI levels. Thirty-one proteins and 3 steroid hormones were measured.Angiotensin I converting enzyme (ACE was the most important predictor. Its greater reduction during the 8-week weight loss was related to continued weight loss during the subsequent 6 months, identified by both Logistic Regression and Random Forests analyses. The prediction power of ACE was influenced by immunoproteins, particularly fibrinogen. Leptin, luteinizing hormone and some immunoproteins showed interactions with dietary protein level, while interleukin 8 showed interaction with GI level on the prediction of weight maintenance. A predictor panel of 15 variables enabled an optimal classification by Random Forests with an error rate of 24±1%. A logistic regression model with independent variables from 9 blood analytes had a prediction accuracy of 92%.A selected panel of blood proteins/steroids can predict the weight change after weight loss. ACE may play an important role in weight maintenance. The interactions of blood factors with dietary components are important for personalized dietary advice after weight loss.ClinicalTrials.gov NCT00390637.

Changes in Weight Loss, Health Behaviors, and Intentions among 400 Participants Who Dropped out from an Insurance-Sponsored, Community-Based Weight Management Program

Directory of Open Access Journals (Sweden)

Sam J. Zizzi

2016-01-01

Full Text Available The majority of weight management research is based on data from randomized controlled studies conducted in clinical settings. As these findings are translated into community-based settings, additional research is needed to understand patterns of lifestyle change and dropout. The purpose of this study was to examine reasons for and consequences associated with dropout (or removal from an insurance-funded weight management program. Using a mixed methods approach with objectively measured changes in body weight and attendance along with quantitative and qualitative survey data, patterns of intention and behavior change were explored. The results from a sample of 400 respondents support the idea that there are both positive and negative consequences of program participation. Overall, 1 in 5 respondents lost a clinically significant amount of weight during the program (>5% of baseline body weight and 1 in 3 experienced a positive consequence, while only 6% expressed a negative outcome of participation. Additionally, nearly 90% of all of the consequences that emerged from the data were positive. Attitude change was a major theme, including positive health intentions, perceived success, learning skills, and new appreciation of exercise.

Detecting and taking into account possible impacts of climate change on hydrological extremes

International Nuclear Information System (INIS)

Renard, B.

2008-01-01

Climate change is widely considered as a reality by scientists. Nevertheless, impacts on hydrological extremes are more difficult to observe and to forecast. The aim of this thesis is to answer the following questions: How to detect changes in hydro-climatic series? What are the observed changes for extreme discharges in France? How to take into account possible changes in frequency analysis? These objectives refer to both local and regional scales. This paper describes the developments related to the third question. In a first step, the concept of return period is revisited in a non-stationary context. Frequency analysis methods are then updated in order to account for evolutions in time. This is achieved by modelling trends affecting the distribution parameters. Parameter estimation uses the Bayesian formalism, which is a convenient tool for quantifying the uncertainty related to the stationarity hypothesis. This approach can be generalized at the regional scale, by means of non-stationary regional models. Such models are more general than the model underlying the index flood method. However, results of such a regional analysis are affected by the spatial dependence existing between studied sites. Impacts of this dependence on quantile estimates are highlighted, and a first approach is proposed in order to explicitly model spatial dependence. (author)

Responses in live weight change to net energy intake in dairy cows

DEFF Research Database (Denmark)

Jensen, Charlotte; Østergaard, Søren; Bertilsson, Jan

2015-01-01

The objective of this analysis was to estimate the effect of increased energy intake on daily live weight changes during the first 100 days of lactation of primiparous and multiparous cows. A data set with 78 observations (treatment means) was compiled from 6 production trials from Denmark, Norway...... or multiparous. Feed ration energy values were recalculated by use of NorFor to obtain consistent energy expression in all trials as opposed to the varying feed evaluation systems used in original analysis of trials. Regression analysis with linear and quadratic effects were performed on live weight...... change were made by linear mixed effects model with trial as random factor. For both primiparous and multiparous cows there was an increasing curvilinear response at a decreasing rate to increased net energy intake and the daily live weight change at day 30 was negative and at day 90 it was positive...

Relationship of night and shift work with weight change and lifestyle behaviors

NARCIS (Netherlands)

Bekkers, M.B.M.; Koppes, L.L.J.; Rodenburg, W.; Steeg, H. van; Proper, K.I.

2015-01-01

Objective: To prospectively study the association of night and shift work with weight change and lifestyle behaviors. Methods: Workers participating in the Netherlands Working Conditions Cohort Study (2008 and 2009) (N = 5951) reported night and shift work, weight and height. Groups included stable

Relationship of night and shift work with weight change and lifestyle behaviors.

NARCIS (Netherlands)

Bekkers, M.B.M; Koppes, L.L.J.; Rodenburg, W.; Steeg, H. van; Proper, K.I.

2015-01-01

Objective: To prospectively study the association of night and shift work with weight change and lifestyle behaviors. Methods: Workers participating in the Netherlands Working Conditions Cohort Study (2008 and 2009) (N = 5951) reported night and shift work, weight and height. Groups included stable

Relationship of Night and Shift Work With Weight Change and Lifestyle Behaviors

NARCIS (Netherlands)

Bekkers, M.B.M.; Koppes, L.L.J.; Rodenburg, W.; van Steeg, H.; Proper, K.I.

2015-01-01

Objective: To prospectively study the association of night and shift work with weight change and lifestyle behaviors. Methods: Workers participating in the Netherlands Working Conditions Cohort Study (2008 and 2009) (N = 5951) reported night and shift work, weight and height. Groups included stable

Association between FTO variant and change in body weight and its interaction with dietary factors

DEFF Research Database (Denmark)

Vimaleswaran, Karani S; Ängquist, Lars; Hansen, Rikke D

2012-01-01

Although FTO is an established obesity-susceptibility locus, it remains unknown whether it influences weight change in adult life and whether diet attenuates this association. Therefore, we investigated the association of FTO-rs9939609 with changes in weight and waist circumference (WC) during 6......-analyses, FTO-rs9939609 was associated with BMI (β (SE), 0.17 (0.08) kg·m(-2)/allele; P = 0.034) and WC (0.47 (0.21) cm/allele; P = 0.026) at baseline, but not with weight change (5.55 (12.5) g·year(-1)/allele; P = 0.66) during follow up. In the CNC-analysis, FTO-rs9939609 was associated with increased risk...... of being a weight-gainer (OR: 1.1; P = 0.045). We observed no interaction between FTO-rs9939609 and dietary fat, protein and carbohydrate, and GI on BMI and WC at baseline or on change in weight and WC. FTO-rs9939609 is associated with BMI and WC at baseline, but association with weight gain is weak...

Structural changes in the knee during weight loss maintenance after a significant weight loss in obese patients with osteoarthritis

DEFF Research Database (Denmark)

Henriksen, M; Christensen, R; Hunter, D J

2014-01-01

OBJECTIVE: To compare structural knee joint changes in obese patients with knee osteoarthritis (OA) that after an intensive weight loss therapy were randomized to continuous dietetic support, a specialized knee exercise program, or 'no attention' for 1 year. METHODS: 192 obese individuals with knee...... OA underwent an intensive 16-week weight loss program with subsequent randomization to one of the three treatment groups. Changes in cartilage loss, bone marrow lesions (BMLs), synovitis, and effusion were assessed using semi quantitative assessments of magnetic resonance imaging (MRI) obtained...... (difference: -0.21 [95%CI -0.40:-0.03]) and "no attention" (difference: -0.26 [95%CI -0.44:-0.07]) groups. CONCLUSION: In this 1 year follow-up after weight-loss in obese knee OA patients, we found a potentially increased number of BMLs in the exercise group compared to the diet and no attention groups...

Special health care needs explains the effect of extremely low birth weight on math but not language achievement.

Science.gov (United States)

Litt, Jonathan S; Minich, Nori; Taylor, H Gerry; Hack, Maureen

2017-12-01

Extremely low birth weight (ELBW; math achievement compared to normal birth weight (NBW) peers. SHCN are associated with poor academic achievement among NBW children. We hypothesize that SHCN explain the effect of ELBW on math achievement. We compared age 14 Woodcock-Johnson Calculation standard scores between 181 ELBW infants and 115 NBW controls. Persistent SHCN included: 1) prescription medication or equipment use, 2) subspecialty or therapeutic service use, or 3) hospitalization. We used nonlinear marginal effects models to decompose the total effect of ELBW on math into the following 4 components: the effect of ELBW controlling for SHCN, the effect of SHCN controlling for ELBW, effect modification by SHCN, and mediated interaction where SHCN is both causal mediator and effect modifier. Models were adjusted for sociodemographic factors. ELBW adolescents had lower mean math scores than NBW peers (81.3 vs. 96.4). SHCN were more common among ELBW adolescents (54.1% vs. 27%). The total effect of ELBW on math scores was -15.7 points (95% CI -21.0, -10.5). The effect of birth weight alone was -7.6 points (95% CI -13.7, -1.4); the effect of SHCN alone was negligible. SHCN interaction and mediated interaction effects each accounted for 25% of the total effect. Birth weight alone explains only half of the effect of ELBW on math achievement. We found evidence of effect modification and mediation by SHCN. Understanding these explanatory pathways may lead to targeted interventions for improved outcomes. Copyright © 2017. Published by Elsevier B.V.

Maternal weight change from prepregnancy to 7 years postpartum

DEFF Research Database (Denmark)

Kirkegaard, Helene; Stovring, Henrik; Rasmussen, Kathleen M

2015-01-01

OBJECTIVE: We studied the influence of maternal behavior on weight change from prepregnancy to 7 years postpartum. METHODS: We used linear regression to study the independent and combined associations between self-reported behavior in pregnancy (dietary intake, leisure-time exercise, sedentary...... activity, smoking) and postpartum (breastfeeding duration and smoking) on weights at 6 months, 18 months, and 7 years postpartum. RESULTS: Women's average 7-year weight gain was 2.07 kg, with 23% gaining >5 kg. Multivariable analyses suggested that women with healthier dietary intake, more leisure......-time exercise, less sedentary behavior, and longer duration of breastfeeding on average gained 1.66 kg [95% confidence interval (CI): 1.40; 1.91] with a significantly reduced odds [OR 0.56 (95% CI: 0.49; 0.64)] of gaining >5 kg from prepregnancy to 7 years postpartum compared to women with none or one...

Global crop yield response to extreme heat stress under multiple climate change futures

Science.gov (United States)

Deryng, D.; Conway, D.; Ramankutty, N.; Price, J.; Warren, R.

2014-12-01

Extreme heat stress during the crop reproductive period can be critical for crop productivity. Projected changes in the frequency and severity of extreme climatic events are expected to negatively impact crop yields and global food production. This study applies the global crop model PEGASUS to quantify, for the first time at the global scale, impacts of extreme heat stress on maize, spring wheat and soybean yields resulting from 72 climate change scenarios for the 21st century. Our results project maize to face progressively worse impacts under a range of RCPs but spring wheat and soybean to improve globally through to the 2080s due to CO2 fertilization effects, even though parts of the tropic and sub-tropic regions could face substantial yield declines. We find extreme heat stress at anthesis (HSA) by the 2080s (relative to the 1980s) under RCP 8.5, taking into account CO2 fertilization effects, could double global losses of maize yield (dY = -12.8 ± 6.7% versus -7.0 ± 5.3% without HSA), reduce projected gains in spring wheat yield by half (dY = 34.3 ± 13.5% versus 72.0 ± 10.9% without HSA) and in soybean yield by a quarter (dY = 15.3 ± 26.5% versus 20.4 ± 22.1% without HSA). The range reflects uncertainty due to differences between climate model scenarios; soybean exhibits both positive and negative impacts, maize is generally negative and spring wheat generally positive. Furthermore, when assuming CO2 fertilization effects to be negligible, we observe drastic climate mitigation policy as in RCP 2.6 could avoid more than 80% of the global average yield losses otherwise expected by the 2080s under RCP 8.5. We show large disparities in climate impacts across regions and find extreme heat stress adversely affects major producing regions and lower income countries.

Global crop yield response to extreme heat stress under multiple climate change futures

International Nuclear Information System (INIS)

Deryng, Delphine; Warren, Rachel; Conway, Declan; Ramankutty, Navin; Price, Jeff

2014-01-01

Extreme heat stress during the crop reproductive period can be critical for crop productivity. Projected changes in the frequency and severity of extreme climatic events are expected to negatively impact crop yields and global food production. This study applies the global crop model PEGASUS to quantify, for the first time at the global scale, impacts of extreme heat stress on maize, spring wheat and soybean yields resulting from 72 climate change scenarios for the 21st century. Our results project maize to face progressively worse impacts under a range of RCPs but spring wheat and soybean to improve globally through to the 2080s due to CO 2 fertilization effects, even though parts of the tropic and sub-tropic regions could face substantial yield declines. We find extreme heat stress at anthesis (HSA) by the 2080s (relative to the 1980s) under RCP 8.5, taking into account CO 2 fertilization effects, could double global losses of maize yield (ΔY = −12.8 ± 6.7% versus − 7.0 ± 5.3% without HSA), reduce projected gains in spring wheat yield by half (ΔY = 34.3 ± 13.5% versus 72.0 ± 10.9% without HSA) and in soybean yield by a quarter (ΔY = 15.3 ± 26.5% versus 20.4 ± 22.1% without HSA). The range reflects uncertainty due to differences between climate model scenarios; soybean exhibits both positive and negative impacts, maize is generally negative and spring wheat generally positive. Furthermore, when assuming CO 2 fertilization effects to be negligible, we observe drastic climate mitigation policy as in RCP 2.6 could avoid more than 80% of the global average yield losses otherwise expected by the 2080s under RCP 8.5. We show large disparities in climate impacts across regions and find extreme heat stress adversely affects major producing regions and lower income countries. (paper)

Water-borne diseases and extreme weather events in Cambodia: review of impacts and implications of climate change.

Science.gov (United States)

Davies, Grace I; McIver, Lachlan; Kim, Yoonhee; Hashizume, Masahiro; Iddings, Steven; Chan, Vibol

2014-12-23

Cambodia is prone to extreme weather events, especially floods, droughts and typhoons. Climate change is predicted to increase the frequency and intensity of such events. The Cambodian population is highly vulnerable to the impacts of these events due to poverty; malnutrition; agricultural dependence; settlements in flood-prone areas, and public health, governance and technological limitations. Yet little is known about the health impacts of extreme weather events in Cambodia. Given the extremely low adaptive capacity of the population, this is a crucial knowledge gap. A literature review of the health impacts of floods, droughts and typhoons in Cambodia was conducted, with regional and global information reviewed where Cambodia-specific literature was lacking. Water-borne diseases are of particular concern in Cambodia, in the face of extreme weather events and climate change, due to, inter alia, a high pre-existing burden of diseases such as diarrhoeal illness and a lack of improved sanitation infrastructure in rural areas. A time-series analysis under quasi-Poisson distribution was used to evaluate the association between floods and diarrhoeal disease incidence in Cambodian children between 2001 and 2012 in 16 Cambodian provinces. Floods were significantly associated with increased diarrhoeal disease in two provinces, while the analysis conducted suggested a possible protective effect from toilets and piped water. Addressing the specific, local pre-existing vulnerabilities is vital to promoting population health resilience and strengthening adaptive capacity to extreme weather events and climate change in Cambodia.

Water-Borne Diseases and Extreme Weather Events in Cambodia: Review of Impacts and Implications of Climate Change

Directory of Open Access Journals (Sweden)

Grace I. Davies

2014-12-01

Full Text Available Cambodia is prone to extreme weather events, especially floods, droughts and typhoons. Climate change is predicted to increase the frequency and intensity of such events. The Cambodian population is highly vulnerable to the impacts of these events due to poverty; malnutrition; agricultural dependence; settlements in flood-prone areas, and public health, governance and technological limitations. Yet little is known about the health impacts of extreme weather events in Cambodia. Given the extremely low adaptive capacity of the population, this is a crucial knowledge gap. A literature review of the health impacts of floods, droughts and typhoons in Cambodia was conducted, with regional and global information reviewed where Cambodia-specific literature was lacking. Water-borne diseases are of particular concern in Cambodia, in the face of extreme weather events and climate change, due to, inter alia, a high pre-existing burden of diseases such as diarrhoeal illness and a lack of improved sanitation infrastructure in rural areas. A time-series analysis under quasi-Poisson distribution was used to evaluate the association between floods and diarrhoeal disease incidence in Cambodian children between 2001 and 2012 in 16 Cambodian provinces. Floods were significantly associated with increased diarrhoeal disease in two provinces, while the analysis conducted suggested a possible protective effect from toilets and piped water. Addressing the specific, local pre-existing vulnerabilities is vital to promoting population health resilience and strengthening adaptive capacity to extreme weather events and climate change in Cambodia.

Reliability of 4-meter and 10-meter walk tests after lower extremity surgery.

Science.gov (United States)

Unver, Bayram; Baris, Refik Hilmi; Yuksel, Ertugrul; Cekmece, Senol; Kalkan, Serpil; Karatosun, Vasfi

2017-12-01

To investigate the test-retest reliability of the 4-meter walk test (4 MWT) and 10-meter walk test (10 MWT) in patients undergoing lower extremity surgery during inpatient rehabilitation. In all, 102 patients with total hip arthroplasty (THA), total knee arthroplasty (TKA), lower extremity fracture (LEF) and soft tissue operation were recruited. Patients performed two 4 MWT and two 10 MWT trials on the same day. The same researcher performed all the measurements to avoid inter-rater variability. The 4 MWT and 10 MWT were shown to have excellent test-retest reliability. The ICCs for the 4 MWT and 10 MWT were found as 0.94 and 0.95, respectively. The SEMs for the 4 MWT and 10 MWT were 2.0 and 5.5 seconds, respectively. The smallest real difference at the 95% confidence level (SRD95) was 5.5 seconds for the 4 MWT and 12.2 seconds for 10 MWT and SRD95 percentage was 31.2 for the 4 MWT and 28.5 for the 10 MWT. Both the 4 MWT and the 10 MWT have excellent reliability in patients undergoing lower extremity surgery such as TKA, THA, LEF and soft tissue operation during inpatient rehabilitation. Clinicians and researchers can be confident that changes above the SRD95s for the different patient groups, for both sexes and with regard to weight-bearing status, represent a real clinical change in rehabilitation process. Implications for Rehabilitation The 4 MWT and the 10 MWT are simple methods and were also shown to be reliable measurement methods in many patient groups. This study illustrates that the test-retest reliability of the 4 MWT and 10 MWT are excellent in patients undergoing lower extremity surgery during inpatient rehabilitation (ICC: 0.94 for 4 MWT, ICC: 0.95 for 10 MWT). Clinicians and researchers can be confident that changes above the SRD95s for the different patient groups, for both sexes and with regard to weight-bearing status represent a real clinical change in rehabilitation process.

Evaluation of modeled changes in extreme precipitation in Europe and the Rhine basin

NARCIS (Netherlands)

Haren, van R.; Oldenborgh, van G.J.; Lenderink, G.; Hazeleger, W.

2013-01-01

In this study, we investigate the change in multi-day precipitation extremes in late winter in Europe using observations and climate models. The objectives of the analysis are to determine whether climate models can accurately reproduce observed trends and, if not, to find the causes of the

Is there any role for terlipressin in the extremely low birth weight infant with refractory septic shock?

Directory of Open Access Journals (Sweden)

Francesca Bissolo

2012-10-01

Full Text Available Terlipressin, a synthetic long-acting analogue of vasopressin, has been investigated as a second line vasopressor in adults and children with refractory septic shock, i.e. not responding to fluid resuscitation and high-dose catecholamine administration. Little experience is available about the safety and efficacy of terlipressin in term and preterm newborns. We report the case of an extremely low birth weight infant with severe septic shock, unresponsive to fluids, noradrenalin and hydrocortisone, in whom terlipressin was attempted as a rescue drug. Despite three doses of terlipressin, administered 6-hourly, the patient remained profoundly hypotensive and eventually died. Further studies are required before any recommendation on the use of terlipressin in term or preterm newborns with septic shock can be made.

Weight Change over the Course of Binge Eating Disorder Treatment: Relationship to Binge Episodes and Psychological Factors.

Science.gov (United States)

Pacanowski, Carly R; Mason, Tyler B; Crosby, Ross D; Mitchell, James E; Crow, Scott J; Wonderlich, Stephen A; Peterson, Carol B

2018-05-01

Treatment for binge eating disorder (BED), a condition associated with both excess adiposity and psychological distress, has not typically produced significant weight loss despite reducing binge eating. Characterizing factors that promote or inhibit weight loss in individuals with co-occurring BED and obesity may help explain overall nonsignificant weight changes during treatment. In this study, 189 adults with BED participated in a randomized clinical trial evaluating the efficacy of 5 months of cognitive behavioral therapy. Assessments included measured height and weight at baseline, midtreatment, end of treatment (EOT), and 6-month follow-up, the Eating Disorder Examination interview, and questionnaires. During treatment, there was a mean weight gain of 1.3 ± 12.0 lb. Twenty-two percent of the sample lost ≥ 5 lb, and 25% of the sample gained ≥ 8 lb. Results showed that baseline objective binge eating episodes predicted weight over treatment. Changes in weight were significantly positively related to concurrent changes in shape concern, weight concern, and disinhibition, but not binge eating episodes. Changes in objective binge eating episodes from baseline to EOT were associated with changes in weight from EOT to follow-up. Further investigation of eating behavior during BED treatment to understand the energy balance contributions to weight change or stability is warranted. © 2018 The Obesity Society.

Biogeophysical Impacts of Land-Use Change on Climate Extremes in Low-Emission Scenarios: Results From HAPPI-Land

Science.gov (United States)

Hirsch, Annette L.; Guillod, Benoit P.; Seneviratne, Sonia I.; Beyerle, Urs; Boysen, Lena R.; Brovkin, Victor; Davin, Edouard L.; Doelman, Jonathan C.; Kim, Hyungjun; Mitchell, Daniel M.; Nitta, Tomoko; Shiogama, Hideo; Sparrow, Sarah; Stehfest, Elke; van Vuuren, Detlef P.; Wilson, Simon

2018-03-01

The impacts of land use have been shown to have considerable influence on regional climate. With the recent international commitment to limit global warming to well below 2°C, emission reductions need to be ambitious and could involve major land-use change (LUC). Land-based mitigation efforts to curb emissions growth include increasing terrestrial carbon sequestration through reforestation, or the adoption of bioenergy crops. These activities influence local climate through biogeophysical feedbacks, however, it is uncertain how important they are for a 1.5° climate target. This was the motivation for HAPPI-Land: the half a degree additional warming, prognosis, and projected impacts—land-use scenario experiment. Using four Earth system models, we present the first multimodel results from HAPPI-Land and demonstrate the critical role of land use for understanding the characteristics of regional climate extremes in low-emission scenarios. In particular, our results show that changes in temperature extremes due to LUC are comparable in magnitude to changes arising from half a degree of global warming. We also demonstrate that LUC contributes to more than 20% of the change in temperature extremes for large land areas concentrated over the Northern Hemisphere. However, we also identify sources of uncertainty that influence the multimodel consensus of our results including how LUC is implemented and the corresponding biogeophysical feedbacks that perturb climate. Therefore, our results highlight the urgent need to resolve the challenges in implementing LUC across models to quantify the impacts and consider how LUC contributes to regional changes in extremes associated with sustainable development pathways.

Expected changes in future temperature extremes and their elevation dependency over the Yellow River source region

Directory of Open Access Journals (Sweden)

Y. Hu

2013-07-01

Full Text Available Using the Statistical DownScaling Model (SDSM and the outputs from two global climate models, we investigate possible changes in mean and extreme temperature indices and their elevation dependency over the Yellow River source region for the two future periods 2046–2065 and 2081–2100 under the IPCC SRES A2, A1B and B1 emission scenarios. Changes in interannual variability of mean and extreme temperature indices are also analyzed. The validation results show that SDSM performs better in reproducing the maximum temperature-related indices than the minimum temperature-related indices. The projections show that by the middle and end of the 21st century all parts of the study region may experience increases in both mean and extreme temperature in all seasons, along with an increase in the frequency of hot days and warm nights and with a decrease in frost days. By the end of the 21st century, interannual variability increases in all seasons for the frequency of hot days and warm nights and in spring for frost days while it decreases for frost days in summer. Autumn demonstrates pronounced elevation-dependent changes in which around six out of eight indices show significant increasing changes with elevation.

Climate change scenarios of precipitation extremes in Central Europe from ENSEMBLES regional climate models

Czech Academy of Sciences Publication Activity Database

Gaál, Ľ.; Beranová, R.; Hlavčová, K.; Kyselý, Jan

2014-01-01

Roč. 2014, č. 943487 (2014), s. 1-14 ISSN 1687-9309 Institutional support: RVO:67179843 ; RVO:68378289 Keywords : precipitation extremes * regional climate models * climate change Subject RIV: EH - Ecology, Behaviour Impact factor: 0.946, year: 2014

Psychosocial work environment factors and weight change: a prospective study among Danish health care workers.

Science.gov (United States)

Gram Quist, Helle; Christensen, Ulla; Christensen, Karl Bang; Aust, Birgit; Borg, Vilhelm; Bjorner, Jakob B

2013-01-17

Lifestyle variables may serve as important intermediate factors between psychosocial work environment and health outcomes. Previous studies, focussing on work stress models have shown mixed and weak results in relation to weight change. This study aims to investigate psychosocial factors outside the classical work stress models as potential predictors of change in body mass index (BMI) in a population of health care workers. A cohort study, with three years follow-up, was conducted among Danish health care workers (3982 women and 152 men). Logistic regression analyses examined change in BMI (more than +/- 2 kg/m(2)) as predicted by baseline psychosocial work factors (work pace, workload, quality of leadership, influence at work, meaning of work, predictability, commitment, role clarity, and role conflicts) and five covariates (age, cohabitation, physical work demands, type of work position and seniority). Among women, high role conflicts predicted weight gain, while high role clarity predicted both weight gain and weight loss. Living alone also predicted weight gain among women, while older age decreased the odds of weight gain. High leadership quality predicted weight loss among men. Associations were generally weak, with the exception of quality of leadership, age, and cohabitation. This study of a single occupational group suggested a few new risk factors for weight change outside the traditional work stress models.

Comparison of weight changes following unilateral and staged bilateral STN DBS for advanced PD.

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Lee, Eric M; Kurundkar, Ashish; Cutter, Gary R; Huang, He; Guthrie, Barton L; Watts, Ray L; Walker, Harrison C

2011-09-01

Unilateral and bilateral subthalamic nucleus deep brain stimulation (STN DBS) in Parkinson's disease (PD) result in weight gain in the initial postoperative months, but little is known about the changes in weight following unilateral and staged bilateral STN DBS over longer time intervals. A case-control comparison evaluated weight changes over 2 years in 43 consecutive unilateral STN DBS patients, among whom 25 elected to undergo staged bilateral STN DBS, and 21 age-matched and disease severity matched PD controls without DBS. Regression analyses incorporating age, gender, and baseline weight in case or control were conducted to assess weight changes 2 years after the initial unilateral surgery. Unilateral STN DBS and staged bilateral STN DBS patients gained 3.9 ± 2.0 kg and 5.6 ± 2.1 kg versus their preoperative baseline weight (P < 0.001, respectively) while PD controls without DBS lost 0.8 ± 1.1 kg. Although bilateral STN DBS patients gained 1.7 kg more than unilateral STN DBS patients at 2 years, this difference was not statistically significant (P = 0.885). Although there was a trend toward greater weight gain in staged bilateral STN DBS patients versus unilateral patients, we found no evidence for an equivalent or synergistic increase in body weight following placement of the second DBS electrode.

Perfluoroalkyl substances and changes in body weight and resting metabolic rate in response to weight-loss diets: A prospective study

Science.gov (United States)

Furtado, Jeremy D.; Liang, Liming; Qi, Lu; Bray, George A.; DeJonge, Lilian; Coull, Brent

2018-01-01

Background The potential endocrine-disrupting effects of perfluoroalkyl substances (PFASs) have been demonstrated in animal studies, but whether PFASs may interfere with body weight regulation in humans is largely unknown. This study aimed to examine the associations of PFAS exposure with changes in body weight and resting metabolic rate (RMR) in a diet-induced weight-loss setting. Methods and findings In the 2-year POUNDS Lost randomized clinical trial based in Boston, Massachusetts, and Baton Rouge, Louisiana, that examined the effects of energy-restricted diets on weight changes, baseline plasma concentrations of major PFASs were measured among 621 overweight and obese participants aged 30–70 years. Body weight was measured at baseline and 6, 12, 18, and 24 months. RMR and other metabolic parameters, including glucose, lipids, thyroid hormones, and leptin, were measured at baseline and 6 and 24 months. Participants lost an average of 6.4 kg of body weight during the first 6 months (weight-loss period) and subsequently regained an average of 2.7 kg of body weight during the period of 6–24 months (weight regain period). After multivariate adjustment, baseline PFAS concentrations were not significantly associated with concurrent body weight or weight loss during the first 6 months. In contrast, higher baseline levels of PFASs were significantly associated with a greater weight regain, primarily in women. In women, comparing the highest to the lowest tertiles of PFAS concentrations, the multivariate-adjusted mean weight regain (SE) was 4.0 (0.8) versus 2.1 (0.9) kg for perfluorooctanesulfonic acid (PFOS) (Ptrend = 0.01); 4.3 (0.9) versus 2.2 (0.8) kg for perfluorooctanoic acid (PFOA) (Ptrend = 0.007); 4.7 (0.9) versus 2.5 (0.9) kg for perfluorononanoic acid (PFNA) (Ptrend = 0.006); 4.9 (0.9) versus 2.7 (0.8) kg for perfluorohexanesulfonic acid (PFHxS) (Ptrend = 0.009); and 4.2 (0.8) versus 2.5 (0.9) kg for perfluorodecanoic acid (PFDA) (Ptrend = 0.03). When

Extreme Rapid Weight Loss and Rapid Weight Gain Observed in UK Mixed Martial Arts Athletes Preparing for Competition.

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Matthews, Joseph John; Nicholas, Ceri

2017-04-01

There is a lack of research documenting the weight-making practices of mixed-martial-arts (MMA) competitors. The purpose of the investigation was to quantify the magnitude and identify the methods of rapid weight loss (RWL) and rapid weight gain (RWG) in MMA athletes preparing for competition. Seven athletes (mean ± SD, age 24.6 ± 3.5 yrs, body mass 69.9 ± 5.7 kg, competitive experience 3.1 ± 2.2 yrs) participated in a repeated-measures design. Measures of dietary intake, urinary hydration status, and body mass were recorded in the week preceding competition. Body mass decreased significantly (p < .0005) from baseline by 5.6 ± 1.4 kg (8 ± 1.8%). During the RWG period (32 ± 1 hr) body mass increased significantly (p < .001) by 7.4 ± 2.8 kg (11.7 ± 4.7%), exceeding RWL. Mean energy and carbohydrate intake were 3176 ± 482 kcal・day -1 and 471 ± 124 g・day -1 , respectively. At the official weigh-in 57% of athletes were dehydrated (1033 ± 19 mOsmol・kg -1 ) and the remaining 43% were severely dehydrated (1267 ± 47 mOsmol・kg -1 ). Athletes reported using harmful dehydration-based RWL strategies, including sauna (43%) and training in plastic suits (43%). Results demonstrated RWG greater than RWL, this is a novel finding and may be attributable to the 32 hr duration from weigh-in till competition. The observed magnitude of RWL and strategies used are comparable to those which have previously resulted in fatalities. Rule changes which make RWL impractical should be implemented with immediate effect to ensure the health, safety and wellbeing of competitors.

Who will lose weight? A reexamination of predictors of weight loss in women

Directory of Open Access Journals (Sweden)

Barata José T

2004-08-01

Full Text Available Abstract Background The purpose of this study was to analyze pretreatment predictors of short-term weight loss in Portuguese overweight and obese women involved in a weight management program. Behavioral and psychosocial predictors were selected a priori from previous results reported in American women who participated in a similar program. Methods Subjects were 140 healthy overweight/obese women (age, 38.3 ± 5.9 y; BMI, 30.3 ± 3.7 kg/m2 who participated in a 4-month lifestyle weight loss program consisting of group-based behavior therapy to improve diet and increase physical activity. At baseline, all women completed a comprehensive behavioral and psychosocial battery, in standardized conditions. Results Of all starting participants, 3.5% (5 subjects did not finish the program. By treatment's end, more than half of all women had met the recomended weight loss goals, despite a large variability in individual results (range for weight loss = 19 kg. In bivariate and multivariate correlation/regression analysis fewer previous diets and weight outcome evaluations, and to a lesser extent self-motivation and body image were significant and independent predictors of weight reduction, before and after adjustment for baseline weight. A negative and slightly curvilinear relationship best described the association between outcome evaluations and weight change, revealing that persons with very accepting evaluations (that would accept or be happy with minimal weight change lost the least amount of weight while positive but moderate evaluations of outcomes (i.e., neither low nor extremely demanding were more predictive of success. Among those subjects who reported having initiated more than 3–4 diets in the year before the study, very few were found to be in the most successful group after treatment. Quality of life, self-esteem, and exercise variables did not predict outcomes. Conclusions Several variables were confirmed as predictors of success in short

Linking Early Adversity, Emotion Dysregulation, and Psychopathology: The Case of Extremely Low Birth Weight Infants

Directory of Open Access Journals (Sweden)

Lauren A. Drvaric

2013-01-01

Full Text Available The ability to regulate emotion is a crucial process that humans utilize in order to adapt to the demands of environmental constraints. Individuals exposed to early adverse life events such as being born at an extremely low birth weight (ELBW, 501–1000 g are known to have problems regulating emotion which have been linked to the development of psychopathology in this population. Recent studies have used psychophysiological measures, such as electroencephalogram (EEG and cardiac vagal tone, to index emotion regulatory processes. The purpose of this paper was three-fold: (1 to investigate the relation between ELBW and emotion regulation issues (pathway 1, (2 to review studies investigating the relation between early emotion regulation and later internalizing problems (pathway 2; and (3 to provide a model in which two psychophysiological measures (i.e., frontal EEG asymmetry and cardiac vagal tone are suggested to understand the proposed conceptual pathways in the relation between ELBW and psychopathology.

Long-term weight changes in obese young adult men and subsequent all-cause mortality

DEFF Research Database (Denmark)

Zimmermann, E; Berentzen, T L; Ängquist, Lars Henrik

2013-01-01

change and all-cause mortality in a broad range of body mass index (BMI) in young men.METHODS:Among 362200 Danish draftees, examined between 1943 and 1977, all obese (BMI 31.0 kg m(-2); n=1930), and a random 1% sample of the others (n=3601) were identified at a mean age of 20 years (range: 18-25 years......BACKGROUND:Although the expectation is that weight gain increases mortality and weight loss among those overweight reduces mortality, results on weight gain and mortality in young adults are conflicting, and weight loss is less explored. We investigated the association between long-term weight......). All the obese and half the controls were re-examined between 4 and 40 years later (mean age 35 years). Weight changes were defined as: weight loss 0.1 kg m(-2) per year. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated using Cox regression.RESULTS:Among the 908 obese and 1073...

Decadal changes in extreme daily precipitation in Greece

Directory of Open Access Journals (Sweden)

P. T. Nastos

2008-04-01

Full Text Available The changes in daily precipitation totals in Greece, during the 45-year period (1957–2001 are examined. The precipitation datasets concern daily totals recorded at 21 surface meteorological stations of the Hellenic National Meteorological Service, which are uniformly distributed over the Greek region. First and foremost, the application of Factor Analysis resulted in grouping the meteorological stations with similar variation in time. The main sub groups represent the northern, southern, western, eastern and central regions of Greece with common precipitation characteristics. For representative stations of the extracted sub groups we estimated the trends and the time variability for the number of days (% exceeding 30 mm (equal to the 95% percentile of daily precipitation for eastern and western regions and equal to the 97.5% percentile for the rest of the country and 50 mm which is the threshold for very extreme and rare events. Furthermore, the scale and shape parameters of the well fitted gamma distribution to the daily precipitation data with respect to the whole examined period and to the 10-year sub periods reveal the changes in the intensity of the precipitation.

(When and where) Do extreme climate events trigger extreme ecosystem responses? - Development and initial results of a holistic analysis framework

Science.gov (United States)

Hauber, Eva K.; Donner, Reik V.

2015-04-01

In the context of ongoing climate change, extremes are likely to increase in magnitude and frequency. One of the most important consequences of these changes is that the associated ecological risks and impacts are potentially rising as well. In order to better anticipate and understand these impacts, it therefore becomes more and more crucial to understand the general connection between climate extremes and the response and functionality of ecosystems. Among other region of the world, Europe presents an excellent test case for studies concerning the interaction between climate and biosphere, since it lies in the transition region between cold polar and warm tropical air masses and thus covers a great variety of different climatic zones and associated terrestrial ecosystems. The large temperature differences across the continent make this region particularly interesting for investigating the effects of climate change on biosphere-climate interactions. However, previously used methods for defining an extreme event typically disregard the necessity of taking seasonality as well as seasonal variance appropriately into account. Furthermore, most studies have focused on the impacts of individual extreme events instead of considering a whole inventory of extremes with their respective spatio-temporal extents. In order to overcome the aforementioned research gaps, this work introduces a new approach to studying climate-biosphere interactions associated with extreme events, which comprises three consecutive steps: (1) Since Europe exhibits climatic conditions characterized by marked seasonality, a novel method is developed to define extreme events taking into account the seasonality in all quantiles of the probability distribution of the respective variable of interest. This is achieved by considering kernel density estimates individually for each observation date during the year, including the properly weighted information from adjacent dates. By this procedure, we obtain

Assessing the Implications of Changing Extreme Value Distributions of Weather on Carbon and Water Cycling in Grasslands

Science.gov (United States)

Brunsell, N. A.; Nippert, J. B.

2011-12-01

As the climate warms, it is generally acknowledged that the number and magnitude of extreme weather events will increase. We examined an ecophysiological model's responses to precipitation and temperature anomalies in relation to the mean and variance of annual precipitation along a pronounced precipitation gradient from eastern to western Kansas. This natural gradient creates a template of potential responses for both the mean and variance of annual precipitation to compare the timescales of carbon and water fluxes. Using data from several Ameriflux sites (KZU and KFS) and a third eddy covariance tower (K4B) along the gradient, BIOME-BGC was used to characterize water and carbon cycle responses to extreme weather events. Changes in the extreme value distributions were based on SRES A1B and A2 scenarios using an ensemble mean of 21 GCMs for the region, downscaled using a stochastic weather generator. We focused on changing the timing and magnitude of precipitation and altering the diurnal and seasonal temperature ranges. Biome-BGC was then forced with daily output from the stochastic weather generator, and we examined how potential changes in these extreme value distributions impact carbon and water cycling at the sites across the Kansas precipitation gradient at time scales ranging from daily to interannual. To decompose the time scales of response, we applied a wavelet based information theory analysis approach. Results indicate impacts in soil moisture memory and carbon allocation processes, which vary in response to both the mean and variance of precipitation along the precipitation gradient. These results suggest a more pronounced focus ecosystem responses to extreme events across a range of temporal scales in order to fully characterize the water and carbon cycle responses to global climate change.

Evolution caused by extreme events.

Science.gov (United States)

Grant, Peter R; Grant, B Rosemary; Huey, Raymond B; Johnson, Marc T J; Knoll, Andrew H; Schmitt, Johanna

2017-06-19

Extreme events can be a major driver of evolutionary change over geological and contemporary timescales. Outstanding examples are evolutionary diversification following mass extinctions caused by extreme volcanism or asteroid impact. The evolution of organisms in contemporary time is typically viewed as a gradual and incremental process that results from genetic change, environmental perturbation or both. However, contemporary environments occasionally experience strong perturbations such as heat waves, floods, hurricanes, droughts and pest outbreaks. These extreme events set up strong selection pressures on organisms, and are small-scale analogues of the dramatic changes documented in the fossil record. Because extreme events are rare, almost by definition, they are difficult to study. So far most attention has been given to their ecological rather than to their evolutionary consequences. We review several case studies of contemporary evolution in response to two types of extreme environmental perturbations, episodic (pulse) or prolonged (press). Evolution is most likely to occur when extreme events alter community composition. We encourage investigators to be prepared for evolutionary change in response to rare events during long-term field studies.This article is part of the themed issue 'Behavioural, ecological and evolutionary responses to extreme climatic events'. © 2017 The Author(s).

Extreme weather events: Should drinking water quality management systems adapt to changing risk profiles?

Science.gov (United States)

Khan, Stuart J; Deere, Daniel; Leusch, Frederic D L; Humpage, Andrew; Jenkins, Madeleine; Cunliffe, David

2015-11-15

Among the most widely predicted and accepted consequences of global climate change are increases in both the frequency and severity of a variety of extreme weather events. Such weather events include heavy rainfall and floods, cyclones, droughts, heatwaves, extreme cold, and wildfires, each of which can potentially impact drinking water quality by affecting water catchments, storage reservoirs, the performance of water treatment processes or the integrity of distribution systems. Drinking water guidelines, such as the Australian Drinking Water Guidelines and the World Health Organization Guidelines for Drinking-water Quality, provide guidance for the safe management of drinking water. These documents present principles and strategies for managing risks that may be posed to drinking water quality. While these principles and strategies are applicable to all types of water quality risks, very little specific attention has been paid to the management of extreme weather events. We present a review of recent literature on water quality impacts of extreme weather events and consider practical opportunities for improved guidance for water managers. We conclude that there is a case for an enhanced focus on the management of water quality impacts from extreme weather events in future revisions of water quality guidance documents. Copyright © 2015 Elsevier Ltd. All rights reserved.

Global observed long-term changes in temperature and precipitation extremes: A review of progress and limitations in IPCC assessments and beyond

OpenAIRE

Lisa V. Alexander

2016-01-01

The Intergovernmental Panel on Climate Change (IPCC) first attempted a global assessment of long-term changes in temperature and precipitation extremes in its Third Assessment Report in 2001. While data quality and coverage were limited, the report still concluded that heavy precipitation events had increased and that there had been, very likely, a reduction in the frequency of extreme low temperatures and increases in the frequency of extreme high temperatures. That overall assessment had ch...

The Associations of Maternal Weight Change with Breastfeeding, Diet and Physical Activity During the Postpartum Period.

Science.gov (United States)

López-Olmedo, Nancy; Hernández-Cordero, Sonia; Neufeld, Lynnette M; García-Guerra, Armando; Mejía-Rodríguez, Fabiola; Méndez Gómez-Humarán, Ignacio

2016-02-01

To determine the association between breastfeeding practices, diet and physical activity and maternal postpartum weight. This was a secondary data analysis of a randomized community trial on beneficiaries of the Programa de Desarrollo Humano Oportunidades, recently renamed Prospera (n = 314 pregnant women), without any diseases that could affect body weight. Generalized estimating equations were used to determine the association between postpartum weight change and changes in diet, physical activity and type of breastfeeding. The mean postpartum weight change from the first to the third month was 0.6 ± 2.2 kg. Women who breastfed exclusively for 3 months had a 4.1 (SE = 1.9) kg weight reduction in comparison with women who did not provide exclusive breastfeeding or who discontinued breastfeeding before 3 months (p = 0.04). There was no association between postpartum weight change and physical activity (p = 0.24) or energy intake (p = 0.06). Exclusive breastfeeding was associated with maternal postpartum weight reduction. These results reinforce the World Health Organization recommendation of exclusive breastfeeding during the first 6 months of life in order to reduce the risk of weight retention or weight gain in postpartum women. It has been well established that exclusive breastfeeding is beneficial for both infants and mothers, but promoting breastfeeding as a strategy to promote postpartum weight loss is of paramount importance, especially in countries like Mexico where excessive weight in women of reproductive age is a public health problem.

To the limit of extreme malnutrition

DEFF Research Database (Denmark)

Frølich, Jacob; Buskbjerg, Camilla Viola; Støving, Rene K

2016-01-01

Extreme malnutrition with body mass index (BMI) as low as 10 kg/m(2) is not uncommon in anorexia nervosa, with survival enabled through complex metabolic adaptations. In contrast, outcomes from hunger strikes and famines are usually fatal after weight loss to about 40% below expected body weight...... malnutrition has not previously been reported. The present case emphasizes the importance of adherence...

Psychosocial risk factors, weight changes and risk of obesity: the Copenhagen City Heart Study

DEFF Research Database (Denmark)

Iversen, Louise Bagger; Strandberg-Larsen, Katrine; Prescott, Eva

2012-01-01

The aim of the study was to establish the effects of a range of psychosocial factors on weight changes and risk of obesity. The study population consisted of the 4,753 participants in the third (1991-1994) and fourth wave (2001-2003) of the Copenhagen City Heart Study, Denmark. At baseline...... the participants were asked comprehensive questions on major life events, work stress, vital exhaustion, social network, economic hardship, and intake of sleep medication. Weight and height were measured by health professionals. Weight changes and incident obesity was used as outcome measures. The participants...... in the associations between social network, economic hardship and weight gain or obesity. The number of psychosocial risk factors, as an indicator for clustering, was not associated with weight gain or obesity. In conclusion, major life events and vital exhaustion seem to play a role for weight gain and risk...

The impact of CO2 fertilization and historical land use/land cover change on regional climate extremes

Science.gov (United States)

Findell, Kirsten; Berg, Alexis; Gentine, Pierre; Krasting, John; Lintner, Benjamin; Malyshev, Sergey; Santanello, Joseph; Shevliakova, Elena

2017-04-01

Recent research highlights the role of land surface processes in heat waves, droughts, and other extreme events. Here we use an earth system model (ESM) from the Geophysical Fluid Dynamics Laboratory (GFDL) to investigate the regional impacts of historical anthropogenic land use/land cover change (LULCC) and the vegetative response to changes in atmospheric CO2 on combined extremes of temperature and humidity. A bivariate assessment allows us to consider aridity and moist enthalpy extremes, quantities central to human experience of near-surface climate conditions. We show that according to this model, conversion of forests to cropland has contributed to much of the upper central US and central Europe experiencing extreme hot, dry summers every 2-3 years instead of every 10 years. In the tropics, historical patterns of wood harvesting, shifting cultivation and regrowth of secondary vegetation have enhanced near surface moist enthalpy, leading to extensive increases in the occurrence of humid conditions throughout the tropics year round. These critical land use processes and practices are not included in many current generation land models, yet these results identify them as critical factors in the energy and water cycles of the midlatitudes and tropics. Current work is targeted at understanding how CO2 fertilization of plant growth impacts water use efficiency and surface flux partitioning, and how these changes influence temperature and humidity extremes. We use this modeling work to explore how remote sensing can be used to determine how different forest ecosystems in different climatological regimes are responding to enhanced CO2 and a warming world.

Comparison of different statistical downscaling methods to estimate changes in hourly extreme precipitation using RCM projections from ENSEMBLES

DEFF Research Database (Denmark)

Sunyer Pinya, Maria Antonia; Gregersen, Ida Bülow; Rosbjerg, Dan

2015-01-01

change method for extreme events, a weather generator combined with a disaggregation method and a climate analogue method. All three methods rely on different assumptions and use different outputs from the regional climate models (RCMs). The results of the three methods point towards an increase...... in extreme precipitation but the magnitude of the change varies depending on the RCM used and the spatial location. In general, a similar mean change is obtained for the three methods. This adds confidence in the results as each method uses different information from the RCMs. The results of this study...

The Relationship between Changes in Weight Status and Insulin Resistance in Youth