Climate Change: Effects on the Older Adult

The effects of climate change include floods, hurricanes, heat waves, and fires; these natural disasters can result in respiratory, cardiovascular, and psychological harm in older adults, who experience the highest morbidity and mortality during heat waves. Advanced practice registered nurses (APRNs) need education on preparing, assessing, and treating older adults for climate-change disasters, especially heat waves. This article will help APRNs understand the effects of climate-change events on the vulnerable older adults and advocates for the need to integrate health effects of climate change into curricula, practicums, policy, and research agendas.     

Patients seeking symmetrical recontouring for “Perceived” deformities in the width of the face and skull

This article describes plastic surgery patients who sought symmetrical recontouring of the width of the face and skull. The basic demographic and personality characteristics of these facial width deformity (FWD) patients and the surgical procedures performed on them are discussed. Details of the surgical and psychological management of three representative cases are given. Speculative conclusions regarding the general characteristics of the FWD population are offered. Suggestions are proposed for a combined surgical-medical psychotherapeutic collaboration in managing these patients.     

Chronic exposure by ingestion of environmentally relevant doses of 226Ra leads to transient growth perturbations in fathead minnow (Pimephales promelas,Rafinesque, 1820)

Abstract

Purpose: To assess the impact of environmentally relevant levels of ingested ²²⁶Ra on a common freshwater fish species.

Methods: Fathead minnow (Pimephales promelas, Rafinesque) were obtained at the first feeding stage and established on a commercial fish food diet containing ²²⁶Ra in the activity range 10 mBq/g^?1, –10,000 mBq/g^?1. They remained on this diet for 24 months and were sampled invasively at 1,6,18 and 24 months to assess growth, biochemical indices and accumulated dose and non-invasively also at 12 and 15 months to assess growth.

Results: Fish fed 10 and 100 mBq/g^?1 diet showed a small transitory deregulation of growth at 6 and 12 months. Fish fed higher activities showed less significant or insignificant effects. There was a trend at 18 months which was stronger at 24 months for the population distribution to change in all of the ²²⁶Ra fed groups so that smaller fish were smaller and bigger fish were bigger than the controls. There were also significant differences in the ratios of protein:DNA at 24 months which were seen as a trend but were not significant at earlier time points.

Conclusions: Fish fed a radium diet for 2 years show a small and transitory growth dysregulation at 6 and 12 months. The effects predominate at the lower activities suggesting hormetic or homeostatic adjustments. There was no effect on growth of exposure to the high activities ²²⁶Ra. This suggests that radium does not have a serious impact on the ecology of the system and the level of radium that would be transferred to humans is very low. The results may be important in the assessment of long-term environmental impacts of ²²⁶Ra exposure.     

The health impacts of international migration on Mexican women

Abstract

Mexican migration to the USA is a phenomenon that affects a significant number of Mexican households. In the area of health, considerable research has been devoted to international migrants, but less is known about the health impacts of migration on other household members, particularly the wives of migrants. I used data from the Mexican Migration Project to investigate the health impacts of having a migrant husband. As part of my analysis I explored the relationship between the husbands’ migration and several health conditions and behaviours among the wives. In contrast to existing research on the subject, I also considered whether the amount of time the husband spent in the US mediates the relationship between migration and health. Finally, I addressed the possibility that the wives of migrants differ in their initial health endowments from the wives of non-migrants. I found that despite having similar initial health endowments, the wives of migrants have poorer mental health, a higher prevalence of heart disease, and they are more likely to be obese or overweight than the wives of non-migrants.     

Do self‐efficacy and depression predict oral impacts on daily performances across time? A 2‐yr follow‐up of students in Tanzania

This study aimed to assess the longitudinal validity of the oral impacts on daily performance (OIDP) and to identify psychosocial determinants, in terms of self‐efficacy and depressive symptoms, of the OIDP across time. Following conceptual frameworks of oral health, it was hypothesized that sociodemographic, clinical, and psychosocial factors predict oral impacts across time at both population‐ averaged and person‐specific levels. Whether the effects of sociodemographic and clinical factors were accounted for, totally or in part, by psychosocial factors were also investigated. Self administered questionnaires and oral clinical examinations at baseline (2009) and follow‐up (2011) were completed by 1,714 and 727 secondary school students, respectively. Generalized equalized equations and a random intercept model were used to account for the dependency in repeated observations. Mean OIDP change scores were negative (worsened) among those who reported worsened self‐reported oral health. Psychosocial, clinical, and sociodemographic factors were independently associated with oral impacts at the population‐averaged and person‐specific levels. Mediation of sociodemographic and clinical variables according to psychosocial variables was not observed. Satisfactory longitudinal evaluative properties of the OIDP, and independent effects of psychosocial factors on oral impacts across time, were confirmed among secondary school students in Tanzania.     

A Fully Coupled Simulation of Planar Deposition Flow and Fiber Orientation in Polymer Composites Additive Manufacturing

Numerical studies for polymer composites deposition additive manufacturing have provided significant insight promoting the rapid development of the technology. However, little of existing literature addresses the complex yet important polymer composite melt flow–fiber orientation coupling during deposition. This paper explores the effect of flow–fiber interaction for polymer deposition of 13 wt.% Carbon Fiber filled Acrylonitrile Butadiene Styrene (CF/ABS) composites through a finite-element-based numerical approach. The molten composite flow in the extrusion die plus a strand of the deposited bead contacting the deposition substrate is modelled using a 2D isothermal and incompressible Newtonian planar flow model, where the material deposition rate is ~110 mm/s simulating a large scale additive manufacturing process. The Folgar–Tucker model associated with the Advani–Tucker orientation tensor approach is adopted for the evaluation of the fiber orientation state, where the orthotropic fitted closure is applied. By comparing the computed results between the uncoupled and fully coupled solutions, it is found that the flow-orientation effects are mostly seen in the nozzle convergence zone and the extrusion-deposition transition zone of the flow domain. Further, the fully coupled fiber orientation solution is highly sensitive to the choice of the fiber–fiber interaction coefficient CI, e.g., assigning CI as 0.01 and 0.001 results in a 23% partial relative difference in the predicted elastic modulus along deposition direction. In addition, Structural properties of deposited CF/ABS beads based on our predicted fiber orientation results show favorable agreements with related experimental studies.     

The changing risk and burden of wildfire in the United States

Recent dramatic and deadly increases in global wildfire activity have increased attention on the causes of wildfires, their consequences, and how risk from wildfire might be mitigated. Here we bring together data on the changing risk and societal burden of wildfire in the United States. We estimate that nearly 50 million homes are currently in the wildland–urban interface in the United States, a number increasing by 1 million houses every 3 y. To illustrate how changes in wildfire activity might affect air pollution and related health outcomes, and how these linkages might guide future science and policy, we develop a statistical model that relates satellite-based fire and smoke data to information from pollution monitoring stations. Using the model, we estimate that wildfires have accounted for up to 25% of PM_2.5 (particulate matter with diameter <2.5 μm) in recent years across the United States, and up to half in some Western regions, with spatial patterns in ambient smoke exposure that do not follow traditional socioeconomic pollution exposure gradients. We combine the model with stylized scenarios to show that fuel management interventions could have large health benefits and that future health impacts from climate-change–induced wildfire smoke could approach projected overall increases in temperature-related mortality from climate change—but that both estimates remain uncertain. We use model results to highlight important areas for future research and to draw lessons for policy.     

Health impacts of bushfire smoke exposure in Australia

Smoke exposure from bushfires, such as those experienced in Australia during 2019–2020, can reach levels up to 10 times those deemed hazardous. Short‐term and extended exposure to high levels of air pollution can be associated with adverse health effects, although the most recent fires have brought into sharp focus that several important knowledge gaps remain. In this article, we briefly identify and discuss the existing Australian evidence base and make suggestions for future research.     

Fine-scale ecological and economic assessment of climate change on olive in the Mediterranean Basin reveals winners and losers

The Mediterranean Basin is a climate and biodiversity hot spot, and climate change threatens agro-ecosystems such as olive, an ancient drought-tolerant crop of considerable ecological and socioeconomic importance. Climate change will impact the interactions of olive and the obligate olive fruit fly (Bactrocera oleae), and alter the economics of olive culture across the Basin. We estimate the effects of climate change on the dynamics and interaction of olive and the fly using physiologically based demographic models in a geographic information system context as driven by daily climate change scenario weather. A regional climate model that includes fine-scale representation of the effects of topography and the influence of the Mediterranean Sea on regional climate was used to scale the global climate data. The system model for olive/olive fly was used as the production function in our economic analysis, replacing the commonly used production-damage control function. Climate warming will affect olive yield and fly infestation levels across the Basin, resulting in economic winners and losers at the local and regional scales. At the local scale, profitability of small olive farms in many marginal areas of Europe and elsewhere in the Basin will decrease, leading to increased abandonment. These marginal farms are critical to conserving soil, maintaining biodiversity, and reducing fire risk in these areas. Our fine-scale bioeconomic approach provides a realistic prototype for assessing climate change impacts in other Mediterranean agro-ecosystems facing extant and new invasive pests.The Mediterranean Basin is a climate change (1) and biodiversity (2) hot spot where substantial warming is predicted in the next few decades (3). A 2 °C increase in average temperature is a widely used metric for assessing risks associated with global warming and as a policy reference, and this level of warming will likely occur in the Basin between 2030 and 2060 (4) with unknown biological and economic impact on major crop systems. Small differences in average climate warming are predicted for the Basin by A1B and higher greenhouse-gases (GHG) forcing scenarios within the 2050 time horizon (5).A major agro-ecosystem in the Basin is olive (Olea europaea L.), an ancient ubiquitous crop of considerable socioeconomic importance (6). A detailed review of methods used to assess the impact of weather and of climate change on the olive system is given in SI Appendix. Most of the crop is used to produce olive oil, with Basin countries producing 97% of the world supply (International Olive Council, www.internationaloliveoil.org/). Olive is a long-lived drought-tolerant species limited by frost and high temperatures, and to a lesser extent by low soil fertility and soil water (7). Temperatures <−8.3 °C damage olive and limit its northward distribution, whereas annual rainfall <350 mm y⁻¹ limits its distribution in arid regions. Commercial olive production occurs in areas with >500 mm rainfall y⁻¹ (SI Appendix, Fig. S1). Climate models predict increased temperatures for the Mediterranean Basin in response to increasing [GHG], but only a weak negative trend in precipitation and no trend in evaporation are predicted (8). Growth rates in some plants will increase with [CO₂] within their thermal and moisture limits (7, 9), but the response for olive is unknown.Mainstream assessments of climate change impact on agricultural and other ecosystems have omitted trophic interactions (10). Here we include the effects of climate change on olive phenology, growth, and yield, and on the dynamics and impact of its obligate major pest, the olive fruit fly [Bactrocera oleae (Rossi)]. The thermal limits of olive and the fly differ and affect the trophic interactions (11) crucial to estimating the bioeconomic impact of climate change in olive across the Basin.Previous assessments of climate change on heterothermic species have used ecological niche modeling (ENM) approaches that characterize climatically a species’ geographic range based on observed aggregate weather data in areas of its recorded distribution (for olive, see, e.g., ref. 12). ENMs are often used to predict the distribution of the species in response to climate change (13) despite serious deficiencies including the inability to include trophic interactions (14). Moreover, the implicit mathematical and ecological assumptions of ENMs hinder biological interpretation of the results (15).As an alternative we use mechanistic physiologically based demographic models (PBDMs) that explicitly capture the weather-driven biology of interacting species (e.g., ref. 16) and predict the geographic distribution and relative abundance of species across time and space independent of species distribution records using extant and climate change weather scenarios as drivers for the system. The explicit assumptions in PBDMs have heuristic value, and bridge the gap between long run field experiments used to study global change biology and the narrow methodological and conceptual bases of ENM approaches commonly used in macroecology (17, 18). These attributes are essential for assessing the bioeconomic consequences of climate warming on trophic interactions across large landscapes.Linked PBDMs for olive and olive fly in a geographic information system (GIS) context (11) (Fig. 1 and SI Appendix, Fig. S2) are used to estimate the fine-scale ecological and economic impact of climate warming on olive yield and fly infestation across the Basin using baseline daily weather (scenario ) simulated under observed [GHG], and the increasing [GHG] A1B emissions scenario () of the Intergovernmental Panel on Climate Change (IPCC) (Materials and Methods and SI Appendix, SI Materials and Methods).Open in a separate windowFig. 1.Multitrophic biology of the olive/olive fly system. (A) Dry matter flow in olive and to olive fly, and (B) dynamics of olive fly number (see ref. 22).