scholarly journals SCIENTIFIC, ORGANIZATIONAL AND METHODOLOGICAL APPROACHES TO THE FORMATION AND IMPLEMENTATION OF PROGRAMS TO COUNTER THE ADVERSE EFFECTS OF GLOBAL CLIMATE CHANGES ON THE POPULATION HEALTH OF THE RUSSIAN FEDERATION

2018 ◽  
Vol 97 (11) ◽  
pp. 1005-1010 ◽  
Author(s):  
Yu. A. Rakhmanin ◽  
I. P. Bobrovnitskiii ◽  
Maksim Yu. Yakovlev

Introduction. The article presents scientific and organizational-methodical approaches to the formation and implementation of programs to counter the adverse effects of global climate change on the population health of Russia. According to the results of the study of the relationship between the number of exacerbations of chronic diseases of the circulatory system and the observed meteorological and geomagnetic parameters, the need to develop methods for the determination of the physiological mechanisms of meteorological factors, as well as assessing the individual risks of their influence followed by the use of corrective programs, is shown. Material and Methods. There are presented results of the survey of 168 patients with circulatory system diseases receiving sanatorium-resort treatment. Results. The data obtained showed in most cases (76.8%, 129 people), weather dependence to be manifested in the form of a general deterioration in the well-being of patients. During the physiological examination, the most frequent signs of meteosensitivity were: increased blood pressure - 67.8% (114 people), headache - 41.6% (70 people), sleep disturbance - 47% (79 people), joint pain and muscles - 43.4% (73 people). Discussion. The obtained data allowed us to confirm the prospect of creating a mathematical model for the development of increased meteosensitivity in response to the impact of adverse meteorological factors with the subsequent formation of recommendations for its use in personalized programs of sanatorium-resort treatment of meteo-dependent diseases. Conclusion. The results of the study confirm the need to develop a concept for the development of the scientific direction “environmental medicine”.

2019 ◽  
Vol 98 (2) ◽  
pp. 125-134 ◽  
Author(s):  
N. V. Zaitseva ◽  
D. A. Kiryanov ◽  
M. Yu. Tsinker ◽  
V. G. Kostarev

Introduction. Search solutions to strategic tasks aimed at preservation of population health in the Russian Federation requires an increase in the productivity and efficiency of public administration, including that performed by control and surveillance organizations. Material and methods. The article focuses on an algorithm for assessing the efficiency of control and surveillance activities performed by Federal Service for Surveillance over Consumer Rights Protection and Human Well-being organizations and authorities. The authors calculated population morbidity and mortality rate associated with adverse effects produced by the environment and prevented due to control and surveillance activities by Federal Service for Surveillance over Consumer Rights Protection and Human Well-being. The calculation was based on certain regularities related to the interaction between compartments in a tripartite system “ Federal Service for Surveillance over Consumer Rights Protection and Human Well-being activities - environmental objects quality - population health”. The authors also suggest indices that can help to estimate the productivity of activities performed by Federal Service for Surveillance over Consumer Rights Protection and Human Well-being and its managerial resources. Spatial classification and typologization of the RF regions was performed as per a set of parameters with k-means cluster analysis. Results. The suggested approaches were tested in research on the productivity of control and surveillance activities aimed at a decrease in a population mortality and morbidity rate in the RF regions caused by neoplasms and circulatory system diseases and associated with the environment quality. The authors estimated a contribution made by Federal Service for Surveillance over Consumer Rights Protection and Human Well-being activities on providing sanitary-epidemiologic well-being in the achievement of target figures on population mortality caused by neoplasms and circulatory system diseases. Discussion. There are vital tasks that need to be solved if we wish to increase the productivity of Federal Service for Surveillance over Consumer Rights Protection and Human Well-being activities as per criteria that reflect prevented population health losses caused by the sanitary-epidemiologic situation. Finding solutions to these tasks requires creating a system of additional managerial actions aimed at improving the quality of environmental objects; it can be done due to the redistribution of resources spent on the performance of Federal Service for Surveillance over Consumer Rights Protection and Human Well-being activities. The task is an optimization one and is an object for further research and publications by the authors. Conclusion. Analytical techniques described in the article are universal and are not confined to a specific social-economic system or a public administration system. It makes wide implementation of the suggested approaches quite possible; they can be applied to estimate contributions made by various public authorities in achievement of target figures.


2021 ◽  
Vol 20 (3) ◽  
pp. 26-36
Author(s):  
Andrey A. Lobanov ◽  
Sergey V. Andronov ◽  
Anatoliy D. Fesyun ◽  
Andrey P. Rachin ◽  
Irina A. Grishechkina ◽  
...  

There are indications, contraindications and risks of the climatotherapy application. The impact of weather factors on the human body during the period of sanatorium-resort treatment is not only able to trigger the mechanisms of sanogenesis, but also cause a breakdown in adaptation and a deterioration in the course of cardiovascular diseases. According to various domestic sources, pronounced weather sensitivity is observed in 80-85% of patients with common diseases of the circulatory system. Aim. To assess the influence of biotropic weather conditions on the occurrence of exacerbation and progression of meteorological diseases of the circulatory system associated with the passage of sanatorium-resort treatment in another region, in order to draw up a personalized forecast of the exacerbations progression as well as to develop programs for the prevention and treatment of weatherdependent circulatory system diseases. Material and methods. Two series of studies were conducted on a single patient population: a study of adaptation depending on the climatic conditions of the residence region r(n=200) and a retrospective study on symptoms – weather events linkage, the relationship of symptoms with a region of sanatorium-resort treatment (n=148). Designs of retrospective and longitudinal prospective clinical trials were used. To evaluate the presence of weather factors and patient complaints linkage, the method of hierarchical agglomerative clustering was used. The ARIMA moving variable method was used to assess risks and build predictive models. Results. The greatest impact on the well-being of patients with hypertension treated in Sanatorium and Resort Complex «Vulan», a scientific and clinical branch of the National Medical Research Center of Rehabilitation and Balneology, are rapid changes in atmospheric pressure (1.7 points out of 3 maximums possible) and temperature (1.3 points), “magnetic storms” (1.9 points), as well as high atmospheric pressure (1.2 points), the least influence is frost (0.2 points) and snow (0.1 points). Patients with essential hypertension who came to undergo sanatorium-resort treatment in the Southern Federal District (FD) (Gelendzhik) showed pronounced adaptive changes, manifested in an increase in the amplitude of changes in subjective indicators from 3-5 to 10-14 days of treatment. Adaptation of patients who arrived from the Central FD and the Ural FD was distinguished by the onset of the adaptive changes peak on the 3 day and attenuation of adaptive reactions by 10-14th days. In patients coming from the Southern FD, the adaptive reactions were poorly expressed, had no significant peaks and subsided on 10-14th days. Conclusion. The severity of meteopathic reactions depends on the region of the patient’s residence, the region of the sanatoriumresort treatment, the duration of the patient’s staying in the resort area. The questionnaire and the self-control diary developed in the course of the study allow an adequate assessment of the meteorological factors influence on the human body.


2018 ◽  
Vol 7 (5) ◽  
pp. 229-236
Author(s):  
О. P. Volosovets ◽  
S. P. Kryvopustov ◽  
T. О. Kryuchko ◽  
M. О. Gonchar ◽  
A. E. Abaturov ◽  
...  

Daedalus ◽  
2021 ◽  
Vol 150 (4) ◽  
pp. 7-26
Author(s):  
Allen Isaacman ◽  
Muchaparara Musemwa

Abstract This essay explores the multiple ways in which the nexuses between water scarcity and climate change are socially and historically grounded in ordinary people's lived experiences and are embedded in specific fields of power. Here we specifically delineate four critical dimensions in which the water crises confronting the African continent in an age of climate change are clearly expressed: the increasing scarcity, privatization, and commodification of water in urban centers; the impact of large dams on the countryside; the health consequences of water shortages and how they, in turn, affect other aspects of people's experiences, sociopolitical dynamics, and well-being, broadly conceived; and water governance and the politics of water at the local, national, and transnational levels. These overarching themes form the collective basis for the host of essays in this volume that provide rich accounts of conflicts and struggles over water use and how these tensions have been mitigated.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Elhoussaine Bouras ◽  
Lionel Jarlan ◽  
Said Khabba ◽  
Salah Er-Raki ◽  
Alain Dezetter ◽  
...  

AbstractThe present work aims to quantify the impact of climate change (CC) on the grain yields of irrigated cereals and their water requirements in the Tensift region of Morocco. The Med-CORDEX (MEDiterranean COordinated Regional Climate Downscaling EXperiment) ensemble runs under scenarios RCP4.5 (Representative Concentration Pathway) and RCP8.5 are first evaluated and disaggregated using the quantile-quantile approach. The impact of CC on the duration of the main wheat phenological stages based on the degree-day approach is then analyzed. The results show that the rise in air temperature causes a shortening of the development cycle of up to 50 days. The impacts of rising temperature and changes in precipitation on wheat yields are next evaluated, based on the AquaCrop model, both with and without taking into account the fertilizing effect of CO2. As expected, optimal wheat yields will decrease on the order of 7 to 30% if CO2 concentration rise is not considered. The fertilizing effect of CO2 can counterbalance yield losses, since optimal yields could increase by 7% and 13% respectively at mid-century for the RCP4.5 and RCP8.5 scenarios. Finally, water requirements are expected to decrease by 13 to 42%, mainly in response to the shortening of the cycle. This decrease is associated with a change in temporal patterns, with the requirement peak coming two months earlier than under current conditions.


2012 ◽  
Vol 51 (8) ◽  
pp. 1441-1454 ◽  
Author(s):  
Sachiho A. Adachi ◽  
Fujio Kimura ◽  
Hiroyuki Kusaka ◽  
Tomoshige Inoue ◽  
Hiroaki Ueda

AbstractIn this study, the impact of global climate change and anticipated urbanization over the next 70 years is estimated with regard to the summertime local climate in the Tokyo metropolitan area (TMA), whose population is already near its peak now. First, five climate projections for the 2070s calculated with the aid of general circulation models (GCMs) are used for dynamical downscaling experiments to evaluate the impact of global climate changes using a regional climate model. Second, the sensitivity of future urbanization until the 2070s is examined assuming a simple developing urban scenario for the TMA. These two sensitivity analyses indicate that the increase in the surface air temperature from the 1990s to the 2070s is about 2.0°C as a result of global climate changes under the A1B scenario in the Intergovernmental Panel on Climate Change’s Special Report on Emissions Scenarios (SRES) and about 0.5°C as a result of urbanization. Considering the current urban heat island intensity (UHII) of 1.0°C, the possible UHII in the future reaches an average of 1.5°C in the TMA. This means that the mitigation of the UHII should be one of the ways to adapt to a local temperature increase caused by changes in the future global climate. In addition, the estimation of temperature increase due to global climate change has an uncertainty of about 2.0°C depending on the GCM projection, suggesting that the local climate should be projected on the basis of multiple GCM projections.


CNS Spectrums ◽  
2006 ◽  
Vol 11 (S9) ◽  
pp. 4-4
Author(s):  
Barry Gidal ◽  
John J. Barry

Quality-of-life issues in healthcare have come to be of paramount importance for a population that increasingly expects healthcare not only to treat major illnesses but also to optimize normal levels of physical and psychosocial functioning and overall well-being. Healthcare providers have also increasingly appreciated the impact that adverse effects of treatment can have on quality of life, as well as on compliance with and the effectiveness of treatment.Many functional impairments and adverse treatment effects take the form of clinical complaints that patients and caregivers typically report to their healthcare providers without prompting. Other adverse effects are not so obviously clinical or treatment-related, and patients may not be inclined or may even be reluctant to bring them up when talking with the provider. Impairment of sexual function is a problem of this kind.Sexual dysfunction appears to be common and frequently underrecognized in certain patient populations. For example, it has been estimated that 25% to 63% of women and 10% to 52% of men with epilepsy have some form of sexual dysfunction, yet in clinical reviews of sexual disorders, epilepsy is not listed as one of the medical conditions commonly associated with impaired sexual function.


2020 ◽  
Author(s):  
Birthe Macdonald ◽  
Gizem Hülür

Abstract Background and Objectives The current COVID-19 pandemic and social distancing measures are an extreme stressor that might result in negative emotional experiences and feelings of loneliness. However, it is possible that social relationships might have a protective effect. In the present study, we examine how the COVID-19 pandemic affected older adults’ well-being and loneliness, and the role of structural and functional characteristics of social relationships. Research Design and Methods We use data from 99 older adults in Switzerland who participated (a) in a three-week micro-longitudinal study on social relationships and well-being in 2019 and (b) in a weekly online survey during four weeks of the COVID-19 lockdown. Results Our findings show that the global pandemic had substantial adverse effects on older adults’ emotional well-being and loneliness. In addition, aspects of social relationships were related to loneliness both before and during the pandemic. Only one functional feature of social relationships (satisfaction with communication during the pandemic) buffered adverse effects of the major stressful event. Discussion and Implications Although the social distancing measures during COVID-19 presented a major stressor for older adults’ well-being and loneliness, being able to maintain social communication to a satisfactory level during that time reduced this effect. Therefore, enabling older adults to stay in touch with their social circle based on their personal preferences might reduce the impact that any future lockdown might have on their well-being.


2020 ◽  
Vol 26 (2-3) ◽  
pp. 68-74
Author(s):  
V.V. Ruden' ◽  
◽  
V.I. Diachyschyn ◽  

Aim. A substantiation by the types of morbidity of biostatistic tendencies in the development of hypertonic disease and its involvement in the existing pathologies of the class of diseases of the circulatory system among the population of Ukraine. Material and Methods. An epidemiological, cross-sectional, continuous, prospective study was conducted with the use of statistical data of the Health Statistics Center of the Ministry of Health of Ukraine and the State Statistics Service of Ukraine (1993 and 2017), summarizing and processing them in spreadsheets of Microsoft Office Excel 2016 using retrospective, biostatistical and abstract research methods, as well as methods of copying, deductive awareness, structural-logical analysis and systematic principles. Results and Discussion. The results clearly indicated a steady increase in all forms of hypertonic disease among the population of Ukraine over the studied time period by Рincr=119.8%, when in 2017 this pathology affected ngen=10,388,376 persons, with the prevalence indicator Рgen= 29,844.1о/оооо, which testified that every fourth citizen had a case of hypertonic disease, whereas hypertonic disease accompanied ischemic heart disease in Рpr=40.4% of cases, - cerebrovascular disease in Рpr=23.1% of cases and - strokes in Рpr= 35.8% of cases. Conclusions. It is established that hypertonic disease is one of the most prevalent diseases of the cardiovascular system and has a direct negative impact on of socio-economic well-being and resource provision for society and, based on achievements in etiopathology, diagnostics and treatment, requires the highest governmental structures of the state to undertake prompt and adequate managerial preventive actions aimed at strengthening the health of patients with hypertonic disease and of changing the lifestyle of the population in consideration of established risk factors in the occurrence of this pathology. Keywords: circulatory system diseases, hypertonic disease, general and primary morbidity, tendencies, involvement, ischemic heart disease, cerebrovascular disease, stroke


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