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Journal of Environmental Management Aug 2021Climate change increases risks to natural and human systems. Green infrastructure (GI) has been increasingly recognized as a promising nature-based solution for climate... (Review)
Review
Climate change increases risks to natural and human systems. Green infrastructure (GI) has been increasingly recognized as a promising nature-based solution for climate change adaptation, mitigation, and other societal objectives for sustainable development. Although the climate contribution of GI has been extensively addressed in the literature, the linkages between the climate benefits and associated co-benefits and trade-offs remain unclear. We systematically reviewed the evidence from 141 papers, focusing on their climate benefits, relevant co-benefits and trade-offs, and the GI types that provide such climate (co-)benefits. This study presents a comprehensive overview of the links between climate benefits, co-benefits and types of GI, categorized along a green-grey continuum so that researchers/practitioners can find information according to their topic of interest. We further provide an analysis of trade-offs between various GI benefits. 'Bundles' of major co-benefits and trade-offs for each climate benefit can be identified with recommendations for strategies to maximize benefits and minimize trade-offs. To promote climate-resilient pathways through GI, it is crucial for decision-makers to identify opportunities to deliver multiple ecosystem services and benefits while recognizing disservices and trade-offs that need to be avoided or managed.
Topics: Acclimatization; Adaptation, Physiological; Climate Change; Conservation of Natural Resources; Ecosystem; Humans
PubMed: 33932834
DOI: 10.1016/j.jenvman.2021.112583 -
High Altitude Medicine & Biology Jun 2018Bailey, Damian Miles, Benjamin S. Stacey, and Mark Gumbleton. A systematic review and meta-analysis reveals altered drug pharmacokinetics in humans during acute exposure... (Meta-Analysis)
Meta-Analysis
A Systematic Review and Meta-Analysis Reveals Altered Drug Pharmacokinetics in Humans During Acute Exposure to Terrestrial High Altitude-Clinical Justification for Dose Adjustment?
UNLABELLED
Bailey, Damian Miles, Benjamin S. Stacey, and Mark Gumbleton. A systematic review and meta-analysis reveals altered drug pharmacokinetics in humans during acute exposure to terrestrial high altitude-clinical justification for dose adjustment? High Alt Med Biol. 19:141-148, 2018.
OBJECTIVE
While physiological responses during acute ascent to terrestrial high altitude (HA) have the potential to alter the pharmacokinetics (PKs) that define absorption and disposition of medicinal drugs, there have been no systematic reviews and meta-analyses performed to date.
METHODS
We conducted a systematic literature search in June 2017 using NCBI PubMed, EMBASE, Web of Science, and Ovid MEDLINE databases to identify relevant observational studies. Studies were deemed eligible based on the following criteria: (1) participants: healthy, nonacclimatized male or female lowlanders (born and bred at sea level) and (2) environment: exposure to low altitude (LA, ≤600 m), followed by terrestrial high altitude (HA, ≤24 hours to ≥2500 m), the time course specifically selected to avoid interpretive complications associated with erythrocytosis. All PK parameters were standardized to be in the same units and the weighted standardized mean difference (SMD) calculated using a combination of fixed and random effects models with heterogeneity evaluated using χ and I statistics.
RESULTS
Of 20,840 studies reviewed, 6 prospective cohort studies (n = 75) qualified for inclusion, with participants exposed to a mean altitude of 4025 (mean) ± 380 (SD) m. We observed increases for absorption half-life (SMD: 0.40, 95% CI: 0.01-0.80, p = 0.04], elimination half-life (SMD: 0.89, 95% CI: 0.30-1.48, p = 0.003), and erythrocyte binding (SMD: 0.52, 95% CI: 0.16-0.88, p = 0.004) and reduction in clearance (SMD: -0.56, 95% CI: -1.13 to 0.00, p = 0.05).
CONCLUSIONS
Collectively, these findings reveal impairments in both oral absorption and corresponding clearance of the, although limited, sample of drugs at HA that may potentially require closer patient monitoring and dose adjustments to maintain therapeutic efficacy and avoid incidental toxicity.
Topics: Absorption, Physiological; Acclimatization; Adult; Altitude; Erythrocytes; Female; Half-Life; Humans; Male; Metabolic Clearance Rate; Middle Aged; Pharmacokinetics; Prospective Studies
PubMed: 29620950
DOI: 10.1089/ham.2017.0121 -
BMJ Open Apr 2020This review aimed to describe the epidemiology of all heat-related illnesses in women compared with men in the armed forces and to identify gender-specific risk factors...
OBJECTIVES
This review aimed to describe the epidemiology of all heat-related illnesses in women compared with men in the armed forces and to identify gender-specific risk factors and differences in heat tolerance.
DESIGN
A systematic review of multiple databases (MEDLINE, Emcare, CINAHL, PsycINFO, Informit and Scopus) was conducted from the inception of the databases to 1 April 2019 using the preferred reporting items for systematic review and meta-analysis guidelines.
ELIGIBILITY CRITERIA
All relevant studies investigating and comparing heat illness and heat tolerance in women and men in the armed forces were included in the review.
RESULTS
Twenty-four studies were included in the systematic review. The incidence of heat stroke in women ranged from 0.10 to 0.26 per 1000 person-years, while the incidence of heat stroke ranged from 0.22 to 0.48 per 1000 person-years in men. The incidence of other heat illnesses in women compared with men ranged from 1.30 to 2.89 per 1000 person-years versus 0.98 to 1.98 per 1000 person-years. The limited evidence suggests that women had a greater risk of exertional heat illness compared with men. Other gender-specific risk factors were slower run times and body mass index. Although there was a higher proportion of women who were heat intolerant compared with men, this finding needs to be interpreted with caution due to the limited evidence.
CONCLUSION
The findings of this review suggest that men experienced a slightly higher incidence of heat stroke than women in the armed forces. In addition, the limited available evidence suggests that a higher proportion of women were heat intolerant and being a female was associated with a greater risk of exertional heat illnesses. Given the limited evidence available, further research is required to investigate the influence of gender differences on heat intolerance and heat illness.
Topics: Female; Heat Stress Disorders; Heat Stroke; Humans; Incidence; Male; Military Personnel; Risk Factors; Sex Distribution; Sex Factors; Thermotolerance
PubMed: 32265238
DOI: 10.1136/bmjopen-2019-031825 -
International Journal of Molecular... Nov 2023Brassinosteroids (BRs), the sixth major phytohormone, can regulate plant salt tolerance. Many studies have been conducted to investigate the effects of BRs on plant salt... (Meta-Analysis)
Meta-Analysis Review
Promotion of Ca Accumulation in Roots by Exogenous Brassinosteroids as a Key Mechanism for Their Enhancement of Plant Salt Tolerance: A Meta-Analysis and Systematic Review.
Brassinosteroids (BRs), the sixth major phytohormone, can regulate plant salt tolerance. Many studies have been conducted to investigate the effects of BRs on plant salt tolerance, generating a large amount of research data. However, a meta-analysis on regulating plant salt tolerance by BRs has not been reported. Therefore, this study conducted a meta-analysis of 132 studies to elucidate the most critical physiological mechanisms by which BRs regulate salt tolerance in plants from a higher dimension and analyze the best ways to apply BRs. The results showed that exogenous BRs significantly increased germination, plant height, root length, and biomass (total dry weight was the largest) of plants under salt stress. There was no significant difference between seed soaking and foliar spraying. However, the medium method (germination stage) and stem application (seedling stage) may be more effective in improving plant salt tolerance. BRs only inhibit germination in Solanaceae. BRs (2 μM), seed soaking for 12 h, and simultaneous treatment with salt stress had the highest germination rate. At the seedling stage, the activity of Brassinolide (CHO) was higher than that of Homobrassinolide (CHO), and post-treatment, BRs (0.02 μM) was the best solution. BRs are unsuitable for use in the germination stage when Sodium chloride is below 100 mM, and the effect is also weakest in the seedling stage. Exogenous BRs promoted photosynthesis, and antioxidant enzyme activity increased the accumulation of osmoregulatory and antioxidant substances and reduced the content of harmful substances and Na, thus reducing cell damage and improving plant salt tolerance. BRs induced the most soluble protein, chlorophyll a, stomatal conductance, net photosynthetic rate, Glutathione peroxidase, and root-Ca, with BRs causing Ca signals in roots probably constituting the most important reason for improving salt tolerance. BRs first promoted the accumulation of Ca in roots, which increased the content of the above vital substances and enzyme activities through the Ca signaling pathway, improving plant salt tolerance.
Topics: Brassinosteroids; Antioxidants; Salt Tolerance; Chlorophyll A; Seedlings; Plant Roots
PubMed: 38003311
DOI: 10.3390/ijms242216123 -
Journal of Travel Medicine 2012Acetazolamide has been reported to be effective in the prevention of acute mountain sickness (AMS). Our aim was to conduct a systematic review of randomized,... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Acetazolamide has been reported to be effective in the prevention of acute mountain sickness (AMS). Our aim was to conduct a systematic review of randomized, placebo-controlled trials of acetazolamide in the prevention of AMS.
METHODS
Studies were identified by searching the MEDLINE, Embase, Cochrane Clinical Trials Register, and ClinicalTrials.gov databases. Primary end point was difference in incidence of AMS between acetazolamide and placebo groups.
RESULTS
Acetazolamide prophylaxis was associated with a 48% relative-risk reduction compared to placebo. There was no evidence of an association between efficacy and dose of acetazolamide. Adverse effects were often not systematically reported but appeared to be common but generally mild. One study found that adverse effects of acetazolamide were dose related.
CONCLUSIONS
Acetazolamide is effective prophylaxis for the prevention of symptoms of AMS in those going to high altitude. A dose of 250 mg/day has similar efficacy to higher doses and may have a favorable side-effect profile.
Topics: Acclimatization; Acetazolamide; Acute Disease; Altitude Sickness; Amines; Brain Edema; Carbonic Anhydrase Inhibitors; Dose-Response Relationship, Drug; Humans; Mountaineering; Pulmonary Edema; Treatment Outcome
PubMed: 22943270
DOI: 10.1111/j.1708-8305.2012.00629.x -
High Altitude Medicine & Biology Jun 2016Ramirez-Sandoval, Juan C., Maria F. Castilla-Peón, José Gotés-Palazuelos, Juan C. Vázquez-García, Michael P. Wagner, Carlos A. Merelo-Arias, Olynka Vega-Vega,... (Review)
Review
Ramirez-Sandoval, Juan C., Maria F. Castilla-Peón, José Gotés-Palazuelos, Juan C. Vázquez-García, Michael P. Wagner, Carlos A. Merelo-Arias, Olynka Vega-Vega, Rodolfo Rincón-Pedrero, and Ricardo Correa-Rotter. Bicarbonate values for healthy residents living in cities above 1500 m of altitude: a theoretical model and systematic review. High Alt Med Biol. 17:85-92, 2016.-Plasma bicarbonate (HCO3(-)) concentration is the main value used to assess the metabolic component of the acid-base status. There is limited information regarding plasma HCO3(-) values adjusted for altitude for people living in cities at high altitude defined as 1500 m (4921 ft) or more above sea level. Our aim was to estimate the plasma HCO3(-) concentration in residents of cities at these altitudes using a theoretical model and compare these values with HCO3(-) values found on a systematic review, and with those venous CO2 values obtained in a sample of 633 healthy individuals living at an altitude of 2240 m (7350 ft). We calculated the PCO2 using linear regression models and calculated plasma HCO3(-) according to the Henderson-Hasselbalch equation. Results show that HCO3(-) concentration falls as the altitude of the cities increase. For each 1000 m of altitude above sea level, HCO3(-) decreases to 0.55 and 1.5 mEq/L in subjects living at sea level with acute exposure to altitude and in subjects acclimatized to altitude, respectively. Estimated HCO3(-) values from the theoretical model were not different to HCO3(-) values found in publications of a systematic review or with venous total CO2 measurements in our sample. Altitude has to be taken into consideration in the calculation of HCO3(-) concentrations in cities above 1500 m to avoid an overdiagnosis of acid-base disorders in a given individual.
Topics: Acclimatization; Acid-Base Equilibrium; Adult; Altitude; Bicarbonates; Cities; Female; Healthy Volunteers; Humans; Male; Models, Theoretical; Reference Values
PubMed: 27120676
DOI: 10.1089/ham.2015.0097 -
Physiological Reports Jun 2023Physiological properties and function of the lymphatic system is still somewhat of a mystery. We report the current knowledge about human lymphatic vessel contractility... (Review)
Review
Physiological properties and function of the lymphatic system is still somewhat of a mystery. We report the current knowledge about human lymphatic vessel contractility and capability of adaptation. A literature search in PubMed identified studies published January 2000-September 2022. Inclusion criteria were studies investigating parameters related to contraction frequency, fluid velocity, and lymphatic pressure in vivo and ex vivo in human lymphatic vessels. The search returned 2885 papers of which 28 met the inclusion criteria. In vivo vessels revealed baseline contraction frequencies between 0.2 ± 0.2 and 1.8 ± 0.1 min , velocities between 0.008 ± 0.002 and 2.3 ± 0.3 cm/s, and pressures between 4.5 (range 0.5-9.2) and 60.3 ± 2.8 mm Hg. Gravitational forces, hyperthermia, and treatment with nifedipine caused increases in contraction frequency. Ex vivo lymphatic vessels displayed contraction frequencies between 1.2 ± 0.1 and 5.5 ± 1.2 min . Exposure to agents affecting cation and anion channels, adrenoceptors, HCN channels, and changes in diameter-tension properties all resulted in changes in functional parameters as known from the blood vascular system. We find that the lymphatic system is dynamic and adaptable. Different investigative methods yields alternating results. Systematic approaches, consensus on investigative methods, and larger studies are needed to fully understand lymphatic transport and apply this in a clinical context.
Topics: Humans; Lymphatic System; Lymphatic Vessels; Adaptation, Physiological; Acclimatization
PubMed: 37269161
DOI: 10.14814/phy2.15697 -
Sports Medicine (Auckland, N.Z.) Jul 2014Studies have demonstrated that longer-term heat acclimation training (≥8 heat exposures) improves physical performance. The physiological adaptations gained through... (Review)
Review
BACKGROUND
Studies have demonstrated that longer-term heat acclimation training (≥8 heat exposures) improves physical performance. The physiological adaptations gained through short-term heat acclimation (STHA) training suggest that physical performance can be enhanced within a brief timeframe.
OBJECTIVE
The aim of this systematic review was to determine if STHA training (≤7 heat exposures) can improve physical performance in healthy adults.
DATA SOURCES
MEDLINE, PubMed, and SPORTDiscus™ databases were searched for available literature.
STUDY SELECTION
Studies were included if they met the following criteria: STHA intervention, performance measure outcome, apparently healthy participants, adult participants (≥18 years of age), primary data, and human participants.
STUDY APPRAISAL
A modified McMaster critical appraisal tool determined the level of bias in each included study.
RESULTS
Eight papers met the inclusion criteria. Studies varied from having a low to a high risk of bias. The review identified aerobic-based tests of performance benefit from STHA training. Peak anaerobic power efforts have not been demonstrated to improve.
LIMITATIONS
At the review level, this systematic review did not include tolerance time exercise tests; however, certain professions may be interested in this type of exercise (e.g. fire-fighters). At the outcome level, the review was limited by the moderate level of bias that exists in the field. Only two randomized controlled trials were included. Furthermore, a limited number of studies could be identified (eight), and only one of these articles focused on women participants.
CONCLUSIONS
The review identified that aerobic-based tests of performance benefit from STHA training. This is possibly through a number of cardiovascular, thermoregulatory, and metabolic adaptations improving the perception of effort and fatigue through a reduction in anaerobic energy release and elevation of the anaerobic threshold. These results should be viewed with caution due to the level of available evidence, and the limited number of papers that met the inclusion criteria of the review. STHA training can be applied in the team-sport environment during a range of instances within the competitive season. A mixed high-intensity protocol may only require five sessions with a duration of 60 min to potentially improve aerobic-based performance in trained athletes.
Topics: Acclimatization; Adaptation, Physiological; Body Temperature Regulation; Cardiovascular Physiological Phenomena; Energy Metabolism; Hot Temperature; Humans; Perception; Physical Education and Training; Physical Endurance; Physical Exertion; Sex Factors; Time Factors; Water-Electrolyte Balance
PubMed: 24817609
DOI: 10.1007/s40279-014-0178-6 -
Journal of Strength and Conditioning... May 2020Cormier, P, Freitas, TT, Rubio-Arias, JÁ, and Alcaraz, PE. Complex and contrast training: Does strength and power training sequence affect performance-based adaptations... (Meta-Analysis)
Meta-Analysis
Cormier, P, Freitas, TT, Rubio-Arias, JÁ, and Alcaraz, PE. Complex and contrast training: Does strength and power training sequence affect performance-based adaptations in team sports? A systematic review and meta-analysis. J Strength Cond Res 34(5): 1461-1479, 2020-The aims of this meta-analysis were to examine the effects of 2 different strength and power training sequences (complex: CPX; and contrast: CNT, training) on performance-based adaptations in team sports {lower-body strength (1 repetition maximum [1RM]), vertical jump (VJ), sprinting, and change of direction (COD) ability}, as well as identify factors potentially affecting said adaptations (i.e., athlete level, type of sport, intensity, and duration). CPX is the combination training that alternates biomechanically similar high load weight training exercises with lighter load power exercises, set for set (e.g., squats followed by countermovement jumps). CNT is the combination training where all high load strength exercises are performed at the beginning of the session and all lighter load power exercises at the end. After an electronic database search (PubMed, SPORTDiscus, and WoS), a total of 27 articles were included in the meta-analysis. The effects on outcomes were expressed as standardized mean differences (SMDs). Baseline to postintervention overall results for the studied variables: (a) 1RM: large effects for CPX (SMD = 2.01, 95% confidence interval [CI] 1.18-2.84) and CNT (SMD = 1.29, 95% CI 0.61-1.98); (b) VJ: large effects for CPX (SMD = 0.88, 95% CI 0.42-1.34) and medium effects for CNT (SMD = 0.55, 95% CI 0.29-0.81); (c) sprint: large effects for CPX (SMD = -0.94, 95% CI -1.33 to -0.54) and small effects for CNT (SMD = -0.27, 95% CI -0.92 to 0.39); and (d) COD: large effects for CPX (SMD = -1.17, 95% CI -1.43 to -0.90) and medium effects for CNT (SMD = -0.68, 95% CI -1.20 to -0.15). Regarding the studies that contained a control group: (a) 1RM: large effects for CPX (SMD = 1.61, 95% CI 1.12-2.10) and CNT (SMD = 1.38, 95% CI 0.30-2.46); (b) VJ: large effects for CPX (SMD = 0.85, 95% CI 0.45-1.25) and medium for CNT (SMD = 0.50, 95% CI 0.19-0.81); (c) sprint: medium effects for CPX (SMD = -0.69, 95% CI -1.02 to -0.36) and CNT (SMD = -0.51, 95% CI -0.90 to -0.11); and (d) COD: large effects for CPX (SMD = -0.83, 95% CI -1.08 to -0.59), and there were no control groups for CNT. In conclusion, both training interventions may lead to positive performance-based adaptations in team-sports with CPX interventions potentially leading to slightly greater effects.
Topics: Acclimatization; Adaptation, Physiological; Athletes; Athletic Performance; Humans; Muscle Strength; Resistance Training; Sports
PubMed: 32084104
DOI: 10.1519/JSC.0000000000003493 -
Reviews on Environmental Health Dec 2023To analyze case reports with individual patient data belonging to the Armed Forces submitted to specific physical or military combat training that was affected by... (Review)
Review
OBJECTIVES
To analyze case reports with individual patient data belonging to the Armed Forces submitted to specific physical or military combat training that was affected by rhabdomyolysis and identify factors that influenced the diagnosis and clinical evolution of the syndrome.
CONTENT
We conducted a systematic review following the PRISMA guidelines and registered on PROSPERO (CRD42021242465). We searched MedLine (via PubMed), Scopus, Cochrane, Lilacs, SciELO, CINAHL, Web of Science, SPORTDiscus, ScienceDirect, and PEDro databases for studies that reported cases of military personnel affected by rhabdomyolysis.
SUMMARY AND OUTLOOK
Thirteen studies met the inclusion criteria. Forty-nine individual cases of rhabdomyolysis were analyzed. From them, it was possible to identify several associated factors, which were responsible for developing rhabdomyolysis in military personnel. Thirty military personnel (60%) practiced physical training and 20 (40%) practiced specific military combat training. The creatine kinase (CK) peak ranged from 1,040 to 410,755 U/L, with an average of 44.991 U/L, and 14 (28%) of the cases reported alteration of renal function and four militaries (8%) evolved to death condition. Physical activities performed strenuously and without proper planning conditions such as room temperature, the period without adequate water intake, the amount of equipment used during the activity contributed to the development of rhabdomyolysis in the cases of military personnel analyzed in the present study. Therefore, it is recommended that future studies investigate the relationship between the prevalence of rhabdomyolysis cases and the severity of its consequence when associated with progressive methods of training, hydration control, acclimatization to austere environments, monitoring for the existence of hereditary diseases, and control of the use of supplementary nutritional substances.
Topics: Humans; Military Personnel; Rhabdomyolysis; Exercise; Risk Factors; Creatine Kinase; Biomarkers
PubMed: 35852130
DOI: 10.1515/reveh-2022-0038