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Curvature and hydrophobic forces drive oligomerization and modulate activity of rhodopsin in membranes.

G protein-coupled receptors (GPCRs) are essential components of cellular signaling pathways. They are the targets of many current pharmaceuticals and are postulated to dimerize or oligomerize in cellular membranes in conjunction with their functional mechanisms. We demonstrate using fluorescence resonance energy transfer how association of rhodopsin occurs by long-range lipid-protein interactions due to geometrical forces, yielding greater receptor crowding. Constitutive association of rhodopsin is promoted by a reduction in membrane thickness (hydrophobic mismatch), but also by an increase in protein/lipid molar ratio, showing the importance of interactions extending well beyond a single annulus of boundary lipids. The fluorescence data correlate with the pK(a) for the MI-to-MII transition of rhodopsin, where deprotonation of the retinylidene Schiff base occurs in conjunction with helical movements leading to activation of the photoreceptor. A more dispersed membrane environment optimizes formation of the MII conformation that results in visual function. A flexible surface model explains both the dispersal and activation of rhodopsin in terms of bilayer curvature deformation (strain) and hydrophobic solvation energy. The bilayer stress is related to the lateral pressure profile in terms of the spontaneous curvature and associated bending rigidity. Transduction of the strain energy (frustration) of the bilayer drives protein oligomerization and conformational changes in a coupled manner. Our findings illuminate the physical principles of membrane protein association due to chemically nonspecific interactions in fluid lipid bilayers. Moreover, they yield a conceptual framework for understanding how the tightly regulated lipid compositions of cellular membranes influence their protein-mediated functions.

Animals↗

Super-helix model: a physiological model for gravitaxis of Paramecium.

A new model explaining the gravitactic behavior of Paramecium is derived on the basis of its mechanism of gravity sensing. Paramecium is know to have depolarizing mechanoreceptor ion channels in the anterior and hyperpolarizing channels in the posterior of the cell. This arrangement may lead to bidirectional changes of the membrane potential due to the selective deformation of the anterior and posterior cell membrane responding to the orientation of the cell with respect to the gravity vector; i.e., negative- and positive-going shifts of the potential due to the upward and downward orientation, respectively. The orientation dependent changes in membrane potential, in combination with the close coupling between the membrane potential and ciliary locomotor activity, may allow the changes in swimming direction along the otherwise simple helical swimming path in the following manner: an upward shift of the axis of helical swimming occurs by decreasing the pitch angle due to channel-dependent hyperpolarization in upward-orienting cells, and an upward shift of the swimming helix occurs by increasing the cell's pitch angle due to depolarization in downward-orienting cells. Computer simulation of the model demonstrated that the cell can swim upward along the "super-helical" trajectory consisting of a small helix winding helically along an axis parallel to the gravity vector.

Animals↗

Atomic resolution structures of the core domain of avian sarcoma virus integrase and its D64N mutant.

Six crystal structures of the core domain of integrase (IN) from avian sarcoma virus (ASV) and its active-site derivative containing an Asp64 --> Asn substitution have been solved at atomic resolution ranging 1.02-1.42 A. The high-quality data provide new structural information about the active site of the enzyme and clarify previous inconsistencies in the description of this fragment. The very high resolution of the data and excellent quality of the refined models explain the dynamic properties of IN and the multiple conformations of its disordered residues. They also allow an accurate description of the solvent structure and help to locate other molecules bound to the enzyme. A detailed analysis of the flexible active-site region, in particular the loop formed by residues 144-154, suggests conformational changes which may be associated with substrate binding and enzymatic activity. The pH-dependent conformational changes of the active-site loop correlates with the pH vs activity profile observed for ASV IN.

Amino Acid Substitution↗

Storage stability of simulator ethanol solutions for vapor-alcohol control tests in breath-alcohol analysis.

We conducted a one-year stability study on aqueous alcohol simulator solution, stored in sealed polyethylene bottles at 4 degrees C and at room temperature. Thirty-nine aliquots of simulator solution with a VAC target value of 0.079 +/- 0.010 g/210 L were stored and analyzed independently monthly at two locations: The University of Oklahoma HSC Toxicology Laboratories (OUHSC) and Oklahoma Department of Public Safety Alcohol and Drugs Countermeasures Unit (DPS/ADCU). Paired Intoxilyzer 5000 Evidential Breath-Alcohol Analyzers + Guth Breath Test Simulators were used to measure 20 consecutive VACs generated at 34 degrees C with individual simulator solution aliquots, followed by VAC control tests in triplicate. Control tests at OUHSC were carried out with a NIST-traceable compressed ethanol/nitrogen gas mixture with a validated label ethanol concentration of 0.085 g/210 L +/- 2% at 760 torr. Control tests at DPS/ADCU were carried out with simulator-generated vapor-alcohol samples with a validated VAC of 0.10 +/- 0.01 g/210 L. The measurement results were analyzed by standard statistical methods with a STATGRAPHICS Plus for Windows Version 6.0 microcomputer statistics program. No significant changes occurred during the one-year study period in the concentration of the aqueous simulator alcohol solution, as reflected by close agreement of the mean results of each set of 20 consecutive VAC analyses. The summary descriptive statistics for the VAC measurements were OUHSC (4 degrees C) mean +/- SD = 0.077 +/- 0.0004 g/210 L, median = 0.077, mode = 0.077, span = 0.075-0.079; DPS/ADCU (4 degrees C) mean +/- SD = 0.079 +/- 0.0013 g/210 L, median 0.079, mode = 0.078, span = 0.077-0.081; DPS/ADCU (Room Temp.) mean +/- SD = 0.078 +/- 0.0011 g/210 L, median = 0.078, mode = 0.078, span = 0.076-0.080. All OUHSC and DPS/ADCU VAC control tests were within acceptable target value ranges. The least squares linear regression model equations for y (= VAC, g/210) upon x (= time in months) were OUHSC (4 degrees C) y = 0.077 - 0.000021x; DPS/ADCU (4 degrees C) y = 0.079 + 0.000032x; and DPS/ADCU (Room Temp.) y = 0.078 + 0.000038x. The essentially zero slopes for all 3 models signify that no significant change occurred in the alcohol concentrations of all 39 simulator solutions aliquots measured over the 1-year study period, for either 4 degrees C or room temperature storage. The Pearson correlation coefficients for the above three regression models were R = -0.20, 0.10, and 0.13, respectively; each value is close to zero, confirming the absence of significant statistical relationship between VACs and passage of time. The coefficients of determination for the above three regression models were 4.3%, 1.0%, and 1.7%, respectively. These statistics indicate that the fitted models explain only 1 to 4% of the small total variability in the VAC as a function of time. ANOVA statistics for each of the three sets of VAC test results yield a P-value greater than 0.10, indicating that there is not a statistically significant relationship between VAC and the passage of time, at a 90% or higher confidence level. We conclude that the ethanol concentration of simulator alcohol solutions stored in sealed polyethylene bottles, at either 4 degrees C or normal room temperature, does not change significantly for at least one year after preparation, and that a correct initial VAC target value will remain valid during that time period.

Breath Tests↗

Relationships of weight and height with age in hybrid Holstein-Friesian/Guzera females.

Serial data on live weights, height at withers and the weight/height ratio of 263 cows (3 to 9 years old) and 196 heifers (2 to 5 years old) were studied. The animals were of six red and white Holstein-Friesian (HF)/Guzera crosses (1/4, 1/2, 5/8, 3/4, 7/8 and > or = 31/32 HF-expected gene fraction). Separate analyses were performed for cows and heifers using the Proc Mixed of the SAS package. Models included the fixed effects of farm, season, reproductive and lactation status, two-factor interactions, quadratic regressions on age and age x crossbred group interaction, as continuous co-variables and regressions on the HF gene fraction and on breed heterozygosity, plus the animal random effect. Only heifer growth in height and weight/height was linear with age. In all three traits in both categories the individual additive-dominance model explained the variation between crossbred groups. The breed additive difference was not significant (P > 0.05) for cow and heifer live weight and for heifer weight/age ratio. Heterosis was significant for all traits except height of cows. Linear and quadratic regression coefficients for cows, were, respectively, for live weight, 35.20 +/- 5.23 kg/year and -1.54 +/- 0.43 kg/year2, for withers height, 2.49 +/- 0.29 cm/year and -0.15 +/- 0.02 cm/year2 and for weight/height, 0.22 +/- 0.04 kg/cm/year and -0.01 +/- 0.003 kg/cm/year2. Corresponding values for heifers were, for live weight, 153.46 +/- 37.06 kg/year and -15.69 +/- 4.91 kg/year2, while only linear coefficients applied to withers height (1.63 +/- 0.43 cm/year) and weight/height (0.16 +/- 0.03 kg/cm/year).

Age Factors↗

Estimation of unmeasured particulate air pollution data for an epidemiological study of daily respiratory morbidity.

The standard approach to government-mandated aerometric monitoring of airborne particulates across North America is to sample every sixth day year round. However, such data are inadequate for epidemiological studies which aim to examine daily time series relationships of particulate air pollution to respiratory health responses. The aim of the present study was to estimate missing daily particulate matter < or = 2.5 and < or = 10 microns in aerometric diameter (PM2.5 and PM10) and sulfate (SO4(2-) to a degree sufficiently accurate and reliable to allow the use of these estimates, along with the measured data, in an investigation of the relationship of air pollution to respiratory hospital admissions in Montreal during the 1980s. Prediction equations were developed for May through October periods using available daily levels of predictor variables which included: relative humidity-corrected light extinction coefficient (bext) derived from airport visual range sightings, coefficient of haze (COH), SO2, NOx, CO, O3, wind speed, wind direction, barometric pressure (BP), temperature, relative humidity, and total precipitation. Three fourths of the available gravimetric particulate data were used to develop prediction models, while the remaining fourth was used to test the reliability of the model (holdout data). All final models explained over 70% of the variability in the particulate air pollutants and were reliable when tested against the holdout data. The strongest (P < 0.001) and most consistent predictors were bext, COH, and O3 measured on the same day as the particulate, and BP lagged 1 day in the past. Other selected variables were same day NOx, BP, and minimum temperature. Although the present approach to the estimation of missing particulate air pollution may increase the level of exposure misclassification, it does allow for the use of existing network databases in epidemiological studies of daily air pollution health effects even though particulate data is only measured on certain days.

Air Pollutants↗

Emotional reactivity and debilitating beliefs during hospitalization predict future adjustment to first myocardial infarction in men.

Research efforts are being made to identify personality and cognitive variables predictive of poor adjustment following myocardial infarction. Sixty-two male patients were examined after a first and uncomplicated myocardial infarction to determine whether dispositional emotional reactivity and debilitating beliefs measured during hospitalization can predict work engagement, social activities involvement, and ambulation/independence six months later. A structural model with direct paths between emotional reactivity, debilitating beliefs, and the above outcomes, as well as partial mediation of emotional distress and illness preoccupation, was tested using the CALIS procedure. The model explained 33%, 48% and 82% of the variance in the three outcomes, respectively. Work engagement was indirectly related through emotional distress to earlier emotional reactivity and debilitating beliefs. Social activities involvement was both directly and indirectly related through emotional distress to debilitating beliefs; and also indirectly related through emotional distress to emotional reactivity. Ambulation/independence was directly and negatively related to debilitating beliefs. Prolonged emotional distress was predicted by emotional reactivity and debilitating beliefs. Illness preoccupation turned out to be an independent outcome that was positively related to emotional reactivity. Thus, measuring dispositional emotional reactivity and debilitating beliefs at the hospitalization stage may be helpful in detecting patients at risk of poor future adjustment.

Adult↗

Relaxation vs. cognitively oriented therapies for dental fear.

Cognitive therapy has been reported for the treatment of dental phobia, but comparisons with other behavioral treatments are scarce. This study investigated the outcome of two modes of treatment for phobic dental fear. Relaxation and cognitively oriented therapy were compared in a sample of 112 adult fearful dental patients. The patient made questionnaire assessments of background and outcome variables, and the specialist dentist rated successful/non-successful outcome. It was shown that a higher number of patients who received cognitively oriented therapy completed the treatment program, while anxiety was more reduced among patients who received relaxation-oriented therapy. Dropout during the initial phobia therapy with a psychologist was related to lower motivation (willingness to engage in treatment), while failures during dental treatment after the completion of therapy were related to higher levels of general fear and anxiety. A multiple logistic regression model explaining 67% of the variance revealed that the risk of failure was only slightly increased by general fears, while patients with low (below median) motivation ran a 3.6-times-higher risk of dropping out. In conclusion, it was shown that the two treatment methods were both effective in reducing dental phobic reactions. However, while cognitively oriented therapy resulted in a higher number of patients completing therapy, relaxation-oriented treatment generally resulted in a more significant reduction in dental fear as well as in general anxiety and fear. Motivation was found to be a significant predictor of successful treatment outcome.

Acute Disease↗

Understanding participation in an asthma self-management program.

STUDY OBJECTIVE: Asthma education programs improve asthma treatment results significantly. Low participation rate is a recurrent problem that impedes the efficiency of those programs. The purpose of this study was to investigate social cognitive determinants of the intention to participate in an asthma self-management program. DESIGN: Structured interview. SETTING: Outpatient clinic, University Hospital Gasthuisberg, Leuven, Belgium. PATIENTS: One hundred seven asthmatic outpatients (mean age 42 years; 35% male). INTERVENTIONS: Patients received a standard explanation about the asthma program, were invited to participate, and were questioned about their beliefs about the program offered. MEASUREMENTS AND RESULTS: A social cognitive framework (attitude, social influence, and self-efficacy model) was used to compose a structured interview that was administered to assess the patients' attitude toward the program (perceived benefits), their social influence, and self-efficacy expectations to participate (perceived barriers). Asthma-related health behavior and clinical and demographic characteristics were evaluated by means of questionnaires. Fifty-nine percent of the patients expressed the intention to participate. Logistic regression analysis resulted in a model explaining 72% of the variance of intentions (Nagelkerke R(2) = 0.72). Having few structural barriers to participate was a significant predictor of participation (odds ratio [OR], 12.5; 95% confidence interval, 5.2 to 19.3), next to believing in the personal benefits of the program (OR, 7.6; 95% confidence interval, 2.4 to 12.5), social influence (OR, 3.3; 95% confidence interval, 1.3 to 8.4), and education level (OR, 2.7; 95% confidence interval, 1.3 to 5.6). CONCLUSIONS: Recruitment of patients with asthma for an educational program should emphasize personal benefits of the program, should include patients' social network, and should consider the impact of structural barriers on participation behavior.

Adult↗

Contribution of craniofacial risk factors in increasing apneic activity among obese and nonobese habitual snorers.

STUDY OBJECTIVE: To determine the role of craniofacial risk factors in increasing apneic activity between nonobese and obese habitual snorers. DESIGN: Cross-sectional. SETTING: Care-seeking volunteers identified through advertisements, and referral-based volunteers from two sleep centers serving the greater Cleveland area. PATIENTS: The study included 142 habitual snorers (mean +/- SD, 45.5 +/- 10.6 years, 68% men; 20% African-Americans) MEASUREMENTS AND RESULTS: Apneic activity was determined using unattended home sleep monitoring to assess the respiratory disturbance index (RDI). Independent variables included body mass index, cranial index, facial index, and 13 anatomic variables (lateral and frontal cephalometric radiographs were used to characterize craniofacial hard and soft tissues). A linear regression model explained approximately 54% and 53% of the variation in RDI (log transformed) scores for the nonobese and obese groups, respectively. The largest predictor of RDI in the nonobese group was tongue length, followed by alignment of the middle cranial fossa, and age. In the obese group, the largest predictor of RDI was hyoid to mandibular plane, followed by tongue length. CONCLUSIONS: Measurements of soft tissues of the oropharynx (especially the tongue) are more closely associated with increased apneic activity. In addition, the hard tissue anatomic limits of the oropharynx may place nonobese individuals in the at-risk group. Therefore, anatomic relationships that are temporally stable may be useful to predict apneic activity in later years.

Adult↗

Ovine fetal growth curves in twin pregnancy: ultrasonographic assessment.

PURPOSE OF INVESTIGATION: The fetal-lamb model is a fundamental tool for developing clinical applications for the treatment of human fetal pathology (e.g., open fetal surgery). Accurate estimation of gestational age is important to avoid size-related problems during surgery. METHODS: To evaluate the effect of twinning on ovine fetal growth, we followed seven twin pregnancies in Comiso ewes from mating through parturition. Fetal growth indexes (muzzle-occipital and mean abdominal diameters, abdominal circumference, femoral and humeral length) were measured weekly using perimammary ultrasonography and analyzed with a linear quadratic regression model based on natural logarithms of each parameter and fetal age. RESULTS: The model explained > 90% of the variability observed, with determination coefficients of 95% (femoral length, abdominal circumference), 94% (abdominal diameter, humeral length), and 89% (muzzle-occipital diameter). CONCLUSION: Mean birth weight was lower than that reported for singleton fetal lambs, as it is in bigeminal pregnancies in humans, despite the uterine and placental differences between these two species. With the exception of slightly earlier growth deceleration, curves for head and long-bone growth resembled those for singleton ovine fetuses. Ovine fetal growth patterns (like those of humans) in singleton and twin pregnancies are similar.

Abdomen↗

[DARC/PELCO structure activity relationships of aldosterone agonists and antagonists].

To detect the sites essential for binding affinity, we use the DARC/PELCO topological correlation search method and apply it to 52 17-spirolactone or 17-hydroxymethylcarbonyl steroids, aldosterone agonists or antagonists. The optimal model explains 98% of the total variance with a precision close to experimental. The main favourable contributions come from direct substitutions on rings C and D of the steroidal skeleton, the most unfavourable from those on rings A and B. The secondary structural modifications - modifications of existing substituents or second substitutions on the focus - have a slight deactivating influence, except the simultaneous existence of two contiguous double bonds on the 11 beta chain. Structures predicted to have a high affinity are built up by combining the most favourable structural elements: 9 alpha-F, 11 beta-allenyl, delta 11, 12 and 15 beta-, 16 beta-CH2. Some are predicted to have an affinity 100- to 1000-fold higher than aldosterone.

Aldosterone↗

Simple developmental programs of gene expression and cellular composition of lymphoid organs at the origin of natural tolerance.

Self-tolerance is acquired in the embryonic/perinatal period, but new lymphocytes (that will have to distinguish between self and nonself) continue to be produced throughout life, after both self and nonself are present. This makes it impossible for natural tolerance to rely on recessive mechanisms. Recent observations on "dominant tolerance" have led to the hypothesis that natural tolerance is established as a consequence of simple developmental programs for gene expression and cellular composition of primary lymphoid organs. In development, the cellular composition of the thymus is predominantly epithelial, allowing for the positive selection and activation of "high avidity" self-reactive T cells that are not deleted because antigen presentation by haemopoietic cells is limiting. Such T cells, activated in that environment, display effector functions of a regulatory type that are maintained in the periphery upon restimulation by tissue peptides shared with the thymic epithelium. Recent thymic emigrants with specificity for tissue-specific antigens that are absent from the thymus will first encounter their ligands in the context of the "regulatory cell" recognition of ubiquitous peptides and are thus recruited into similar regulatory activities. In contrast, thymic emigrants with specificity for nonself antigens (absent during the perinatal period) are not activated intrathymically, reach the periphery as resting cells, and move out of the time window of susceptibility to functional recruitment. These will react "de novo" upon encounter of the respective antigens and will acquire the class of effector functions determined by the peripheral microenvironment in which they are activated. This strategy, which explains the thymic dependence of peripheral tissue-specific tolerance, may be re-enforced by developmental restrictions in cytokine gene expression, and it will ensure the establishment and maintenance of T-cell tolerance through the dynamic storage of a distributed memory of the embryonic self. B lymphocytes that are produced in the embryonic/perinatal period characteristically rearrange and express a few V-genes very predominantly. These V-genes encode antibodies with unique properties of "connectivity" to other V-regions, making it possible to establish a network that limits clonal expansions and/or terminal differentiation to antibody production. Self-reactive B cells are thus recruited into such a network which, by contributing to the molecular environment of the body and to the selection of emergent repertoires, leads to deletion of connected cells and to the "normalization" of the adult antibody repertoires. Natural autoantibody repertoires in the adult are thus recursively maintained, stable and continuously adjusted to the thresholds of single cell deletion and to the alterations in the body composition. The activity of self-specific regulatory T cells contributes to limiting clonal expansion and inhibiting somatic mutation of self-reactive B cells. This model explains a number of observations that were not included in the "clonal" and "recessive" tolerance views, and offers suggestions on mechanisms in physiological autoimmunity and pathology.

Animals↗

Morphology predicts suction feeding performance in centrarchid fishes.

Suction feeding fish differ in their capacity to generate subambient pressure while feeding, and these differences appear to relate to morphological variation. We developed a morphological model of force transmission in the fish head and parameterized it with measurements from individual fish. The model was applied to 45 individuals from five species of centrarchid fishes: Lepomis macrochirus, Lepomis punctatus, Lepomis microlophus, Micropterus salmoides and Pomoxis nigromaculatus. Measurements of epaxial cross-sectional area, epaxial moment arm, buccal area and buccal area moment arm were combined to estimate pressure generation capacity for individual fish. This estimation was correlated with pressure measured in fish feeding on elusive prey to test the model's ability to predict pressure generation from morphology. The model explained differences in pressure generation found among individuals (P<0.001, r2=0.71) and produced a realistic estimate of normalized muscle stress during suction feeding (68.5+/-6.7 kPa). Fish with smaller mouths, larger epaxial cross-sectional area and longer epaxial moments, such as L. macrochirus (bluegill sunfish), generated lower pressures than fish with larger mouths, smaller cross-sectional area and shorter moments, such as M. salmoides (largemouth bass). These results reveal a direct trade-off between morphological requirements of feeding on larger prey (larger mouth size relative to body depth) and the ability to generate subambient pressure while suction feeding on elusive prey.

Analysis of Variance↗

Roentgen recognition of acute plastic bowing of the forearm in children.

Traumatic bowing of one or both forearm bones in children represents an acute plastic deformation of bone. Plastic curvatures have been produced in the dog ulna, but have been recognized only recently in man. The biomechanics and histologic changes of the experimental model explain the roentgenological features found in children with traumatically bowed bones: (1) broad fixed curvatures which hold fractures in angulation and resist orthopedic reduction; (2) absence of periosteal new bone formation following the injury; and (3) partial correction of the plastic corvature by cortical remodeling in young children. In a series of 17 patients, eight children had bowing of the ulna with an angulated fracture of the radius, five had bowing of the radius with an angulated ulna fracture, and four children had both the radius and ulna bowed without fracture. Manipulative reduction in the majority of children with fractures failed to reduce the plastic curvature, causing partial loss of pronation and supination.

Adolescent↗

Control of development: role of regulatory nucleotides synthesized by membranes of Bacillus subtilis in initiation of sporulation.

A model explaining the mechanism of initiation of differentiation is presented. It is based on the finding that sporulation in B. subtilis can be induced by the same nutrient deficiencies that also induce the synthesis of highly phosphorylated nucleotides. Two of these nucleotides are synthesized by membrane vesicles. Synthesis can be inhibited by the same metabolites of glucose that also inhibit sporulation. It is concluded, therefore, that the plasma membrane synthesizes unusual nucleotides in response to nutrient deficiencies. By several as yet unknown steps, these nucleotides then cuase changes in the metabolism of the organism leading to the formation of spores. Both structure and mechanism of synthesis of adenosine hexaphosphate, pppAppp, have been elucidated by use of ATP analogues.

Adenine Nucleotides↗

Modelling of environmental lead contributors to blood lead in human.

The Second National Health and Nutrition Examination Survey (NHANES II) is the only representative national study of body burden of lead where detailed concurrent information is available on a number of geographic and socio-economic factors. To date, however, reliable information on concurrent local environmental lead exposure for the sample has been lacking. In this study, we have identified and utilized previously unused concurrent lead exposure data. Our exposure data include time and region specific information on sales of lead from gasoline and ambient air-lead measurements from the United States Environmental Protection Agency (EPA). In addition, we have included information on lead consumed in food from the United States Food and Drug Administration (FDA). Our results indicate weak but significant associations between state sales of lead from gasoline and blood lead. In addition, we found a significant association between ambient air lead measurements and blood-lead concentrations. Socio-economic factors and life-style factors were significantly related to blood lead, controlling for other possible confounders. Overall, our model explained 34% of the variance in blood-lead levels, which is a significant improvement compared to the maximum of 25% from other studies using the NHANES II data. The study substantiates prior findings that the majority of the variance in overall blood lead is significantly related to lead sources other than gasoline. From a public health perspective, it is therefore imperative that lead screening programs be continued and focused on multiple sources of lead, including lead in gasoline. The study supports prior findings of a continuous decrease in blood lead, independent of decreases of lead from gasoline.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

The use of a complex thermohygrometric index in predicting adverse health effects in Athens.

Mortality and morbidity indices are known to depend on changes in meteorological conditions. In Athens, severe adverse health effects following extreme heat conditions have been reported. The usefulness has been investigated of the complex thermohygrometric index (THI), a simple index based on maximum daily temperature and relative humidity, in predicting the health effects of specific meteorological conditions. The values of THI were found to correlate well with more complex bioclimatic indices; the THI could successfully replace temperature and humidity in predicting the daily number of deaths through multiple linear regression modelling. Thus the introduction of THI levels more than 28.5 degrees C and between 26.5 and 28.5 degrees C, through dummy variables, in a regression model explained 40% of the variability in the number of deaths during the months of July and August. During days with THI values less than 26.5 degrees C the mean number of deaths was 33.5, compared to 41.8 when THI was between 26.5 and 28.5 degrees C. The daily number of deaths increased to 108.2 when THI exceeded 28.5 degrees C. From this study, the exact level of THI at which public health measures must be taken was not clear and more work is needed to identify it. However, given its simplicity, the use of THI for predicting meteorological conditions which are adverse to health would appear to be promising in preventive medicine and in health services planning.

Greece↗