☆ 3.8 Review

Heatwave Definition and Impact on Cardiovascular Health: A Systematic Review

PUBLIC HEALTH REVIEWS (2023)

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Article Biochemistry & Molecular Biology

Heat-related mortality in Europe during the summer of 2022

Joan Ballester et al.

Summary: This study quantified the burden of heat-related mortality in Europe during the summer of 2022, the hottest on record. The results showed over 61,000 heat-related deaths across 35 European countries, with Italy, Spain, and Germany having the highest numbers. Women had 56% more heat-related deaths than men, with higher rates in certain age groups. The study highlights the need to strengthen existing heat surveillance platforms, prevention plans, and long-term adaptation strategies.

NATURE MEDICINE (2023)

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Article Public, Environmental & Occupational Health

Impact of heat waves and cold spells on cause-specific mortality in the city of Sao Paulo, Brazi

Sara Lopes de Moraes et al.

Summary: The study revealed that heat waves and cold spells increase cause-specific mortality, with varying impacts under different definitions. Men are more likely to die from cerebrovascular diseases and ischemic stroke during these extreme temperature events, while women are more susceptible to dying from ischemic heart diseases.

INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH (2022)

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Article Environmental Sciences

The Effects of Heatwaves on Human Morbidity in Primary Care Settings: A Case-Crossover Study

Mahmoud Alsaiqali et al.

Summary: This study examines the acute effects of heatwaves on human morbidities in primary care settings. The findings suggest that heatwaves are associated with increased heat-related morbidities and decreased respiratory infection risk. However, there is no significant association with cardiovascular diseases. It is concluded that primary care settings may not be suitable for studying acute life-threatening morbidities.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

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Article Environmental Sciences

Impacts of air temperature and its extremes on human mortality in Shanghai, China

Xing Bi et al.

Summary: Global climate change has led to increased variability in air temperature and more extreme weather events. This study analyzed the relationship between daily air temperature and mortality in Shanghai in 2003, a particularly hot year. The results showed a V-shaped association between cause-specific mortality and daily air temperature, with different temperature thresholds for different age groups and mortality categories. Heat waves and cold spells in 2003 resulted in excess mortality, particularly among the elderly.

URBAN CLIMATE (2022)

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Article Environmental Sciences

The effect of apparent temperature on hospita admissions for cardiovascular diseases in rural areas of Pingliang, China

Guangyu Zhai et al.

Summary: There is an association between apparent temperature and the risk of cardiovascular disease hospital admissions in rural areas of Pingliang, northwest China. Heat provides a protective effect, while cold weather significantly increases the risk of hospital admissions for cardiovascular disease, with men and adults being more sensitive to the cold effect. Prevention measures should be taken to mitigate this adverse effect.

ANNALS OF AGRICULTURAL AND ENVIRONMENTAL MEDICINE (2022)

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Article Public, Environmental & Occupational Health

Time series study on the effects of daily average temperature on the mortality from respiratory diseases and circulatory diseases: a case study in Mianyang City

Hongju Guo et al.

Summary: This study aims to explore the effects of extreme temperature events on mortality from respiratory and circulatory diseases in a less developed city in western China. The study found that both low and high temperatures increased the risk of disease-related deaths, with the effects of cold temperatures lasting longer than heat waves.

BMC PUBLIC HEALTH (2022)

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Article Environmental Sciences

Cause-specific cardiovascular disease mortality attributable to ambient temperature: A time-stratified case-crossover study in Jiangsu province, China

Ruijun Xu et al.

Summary: Exposure to non-optimum ambient temperature is significantly associated with increased risk of cause-specific cardiovascular disease mortality, with a substantial burden of CVD mortality attributable to non-optimum temperatures, especially in older and widowed adults. The mortality burden varies significantly across specific types of CVD, with most deaths attributed to moderate cold temperature.

ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY (2022)

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Article Environmental Sciences

Individual socioeconomic status as a modifier of the association between high ambient temperature and hospital admissions: a time series study in Hong Kong, 2010-2019

Yi Tong Guo et al.

Summary: This study examines the impact of individual socioeconomic status on the association between ambient temperature and hospitalizations, and finds that individual SES is an important modifier of high temperature-hospitalization associations among the elderly in Hong Kong.

ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH (2022)

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Article Environmental Sciences

Impact of Short-Term Exposure to Extreme Temperatures on Mortality: A Multi-City Study in Belgium

Claire Demoury et al.

Summary: Temperature has a significant impact on health, with both low and high temperatures associated with increased risk of cardiovascular and respiratory mortality. The sensitivity to temperature varies among different age groups and genders, and individuals living in developed areas are more vulnerable to high temperatures. There is no confounding effect of air pollutants on the results.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

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Article Environmental Sciences

Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece

Daphne Parliari et al.

Summary: This study assessed the effects of temperature on daily mortality in the urban area of Thessaloniki, Greece. It found a J-shaped relationship between temperature and mortality, with the highest risk for respiratory and cardiovascular causes. Cold effects had longer lags, while heat effects were short-lived.

ATMOSPHERE (2022)

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Article Construction & Building Technology

Is dense or sprawl growth more prone to heat-related health risks? Spatial regression-based study in Delhi, India

Suvamoy Pramanik et al.

Summary: The study found a strong positive correlation between densification and heat-related risk, and identified spatial interconnections between urban morphologies and heat-related risk. These findings are important for the discussion on densification versus sprawling growth and for effective heat-resilient land use planning.

SUSTAINABLE CITIES AND SOCIETY (2022)

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Review Cardiac & Cardiovascular Systems

Climatic influences on cardiovascular diseases

Maurizio Giuseppe Abrignani et al.

Summary: Classical risk factors only partially explain the variations in cardiovascular disease incidence. Other unknown factors, such as meteorological factors, may also influence the rates of different heart diseases. The relation between temperature and cardiovascular disease incidence and mortality follows a "U" shape. Exposure to cold, heat, and heat waves is associated with an increased risk of acute coronary syndromes, and other climate variables may also be related to fatal and non-fatal cardiovascular disease occurrence. The limitation of these studies is the lack of data on individual exposure to weather parameters.

WORLD JOURNAL OF CARDIOLOGY (2022)

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Article Environmental Sciences

Heat exposure and cardiovascular health outcomes: a systematic review and meta-analysis

Jingwen Liu et al.

Lancet Planetary Health (2022)

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Review Environmental Sciences

High Temperatures and Cardiovascular-Related Morbidity: A Scoping Review

Kendra R. Cicci et al.

Summary: The objective of this review was to assess the relationships between high temperatures and cardiovascular disease-related hospital encounters, finding that there may be associations with total CVD, AMI, and ischemic stroke, but the links are inconsistent. Age, sex, and gender may modify the relationship between high temperatures and cardiovascular disease morbidity.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

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Article Medicine, General & Internal

Effect modification of greenness on the association between heat and mortality: A multi-city multi-country study

Hayon Michelle Choi et al.

Summary: This study examined the impact of greenspace levels on the relationship between temperature and mortality on a global scale. The findings suggest that cities with higher greenspace levels have lower heat-related mortality risk. Increasing greenspace is associated with a decrease in heat-related deaths.

EBIOMEDICINE (2022)

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Article Medicine, General & Internal

Non-optimum temperature increases risk and burden of acute myocardial infarction onset: A nationwide case-crossover study at hourly level in 324 Chinese cities

Yixuan Jiang et al.

Summary: This study examined the associations between ambient temperature and acute myocardial infarction (AMI) based on the time of symptom onset. The results showed that the risks of overall AMI and its subtypes increased almost monotonically as ambient temperature declined. The effects of extremely low temperature were immediate and lasted up to almost 3 weeks. The excess risks of AMI onset were observed during specific periods in different regions, with the burden of AMI attributable to non-optimum temperature varying between heating and non-heating regions. The study provided robust evidence of the significant triggers of AMI onset by non-optimum ambient temperature and estimated the disease burden after accounting for spatial and seasonal heterogeneity.

ECLINICALMEDICINE (2022)

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Article Environmental Sciences

Temporal trends of the association between ambient temperature and cardiovascular mortality: a 17-year case-crossover study

Peng Lu et al.

Summary: The study found that the association between cold temperature and cardiovascular mortality decreased in Queensland, Australia between 1997 and 2013, while no declines were observed for hot temperatures. Men, people over 84 years old, those living in low and middle socioeconomic areas, and those living in hot climate areas demonstrated increased susceptibility to hot temperatures.

ENVIRONMENTAL RESEARCH LETTERS (2021)

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Article Emergency Medicine

Extreme weather conditions as a gender-specific risk factor for acute myocardial infarction

Calvin Lukas Kienbacher et al.

Summary: The study found that low temperature significantly increases the risk of myocardial infarction in males, but no gender-specific effect was observed in warm weather.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2021)

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Article Environmental Sciences

Contrasting patterns of temperature related mortality and hospitalization by cardiovascular and respiratory diseases in 52 Spanish cities

Carmen Iniguez et al.

Summary: This study found that temperature is associated with increased risk of cardiovascular and respiratory disease mortality, with a greater attributable fraction of cold exposure in hospitalizations. Therefore, specific measures should be taken to prevent temperature-related deaths.

ENVIRONMENTAL RESEARCH (2021)

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Article Environmental Sciences

Temporal changes in associations between high temperature and hospitalizations by greenspace: Analysis in the Medicare population in 40 U.S. northeast counties

Seulkee Heo et al.

ENVIRONMENT INTERNATIONAL (2021)

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Article Multidisciplinary Sciences

Risk of ambulance services associated with ambient temperature, fine particulate and its constituents

Yu-Kai Lin et al.

Summary: The study evaluated the real-time health outcomes of ambulance services in Kaohsiung City in association with ambient temperature and mass concentrations of total PM2.5 level and constituents. Chest pain and OHCA ambulance services were significantly associated with extreme temperatures, while total PM2.5 levels had effects on lying at public and respiratory distress ambulance services. Elemental carbon showed stronger associations with increased ambulance services compared to other constituents.

SCIENTIFIC REPORTS (2021)

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Article Environmental Sciences

The role of extreme temperature in cause-specific acute cardiovascular mortality in Switzerland: A case-crossover study

Apolline Saucy et al.

Summary: The study found an increased risk of cardiovascular mortality associated with extreme temperatures, particularly for specific diseases such as myocardial infarctions and hypertension, with older women being a vulnerable group affected by heat-related mortality. Socio-economic status and education level of older women also play a role in the risk of heat-related mortality. Additionally, PM2.5 was found to increase the risk of heat-related mortality for heart failure.

SCIENCE OF THE TOTAL ENVIRONMENT (2021)

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Article Health Care Sciences & Services

Using logic regression to characterize extreme heat exposures and their health associations: a time-series study of emergency department visits in Atlanta

Shan Jiang et al.

Summary: Logic regression is a useful statistical method for identifying important characteristics of extreme heat exposures and their impact on adverse health outcomes, which can help enhance future heat warning systems and response plans.

BMC MEDICAL RESEARCH METHODOLOGY (2021)

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Article Environmental Sciences

Extreme temperature and out-of-hospital-cardiac-arrest. Nationwide study in a hot climate country

Hannan Kranc et al.

Summary: The study found that temperature, humidity, and heat index are related to out-of-hospital cardiac arrest (OHCA), with high temperatures and low humidity being risk factors for OHCA.

ENVIRONMENTAL HEALTH (2021)

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Review Surgery

The PRISMA 2020 statement: An updated guideline for reporting systematic reviews

Matthew J. Page et al.

Summary: The PRISMA 2020 statement, an updated version of the 2009 statement, includes new reporting guidance that reflects advances in research methods. This article introduces the PRISMA 2020 27-item checklist and related information.

INTERNATIONAL JOURNAL OF SURGERY (2021)

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Review Environmental Sciences

Is there an association between hot weather and poor mental health outcomes? A systematic review and meta-analysis

Jingwen Liu et al.

Summary: This systematic review aimed to summarize the epidemiological evidence on the effects of high ambient temperatures and heatwaves on mental health-related mortality and morbidity. The study found associations between heat exposures and various mental health outcomes, with varying effects observed depending on the definition of heatwaves. Subgroup analyses revealed heterogeneity in the effects of heat exposure on different populations.

ENVIRONMENT INTERNATIONAL (2021)

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Article Environmental Sciences

The association between temperature and cause-specific mortality in the Klang Valley, Malaysia

Ahmad Norazhar Mohd Yatim et al.

Summary: This study aimed to investigate the relationship between daily temperature and mortality in the Klang Valley, Malaysia from 2006 to 2015. The findings showed that extreme high temperatures had a significant impact on individuals with respiratory diseases, the elderly, and women, with heat effects being immediate and cold effects being delayed and lasting longer. Extreme temperatures did not drastically change the temperature-mortality risk estimates before and after adjustments for air pollutants levels.

ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH (2021)

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Article Multidisciplinary Sciences

Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China

Na Li et al.

Summary: Limited evidence exists regarding the association between apparent temperature (AT) and hospital admissions for acute cardiac events. The study found that low AT had a prolonged effect on admissions for acute cardiac events and ACS, while high AT only had an effect on the current day. Female and older patients were more susceptible to the cold effect. Additionally, STEMI admissions showed greater sensitivity to high AT, while NSTE-ACS admissions were more sensitive to low AT.

SCIENTIFIC REPORTS (2021)

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Article Cardiac & Cardiovascular Systems

Association of Daily Mean Temperature and Temperature Variability With Onset Risks of Acute Aortic Dissection

Xinyu Yu et al.

Summary: The study confirmed that extremely cold temperatures significantly increased the risk of AAD, highlighting the importance of early prevention and timely diagnosis of the disease.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2021)

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Article Medicine, General & Internal

Heat-related cardiovascular morbidity and mortality in Switzerland: a clinical perspective

Florian Schulte et al.

Summary: Previous studies have shown an increase in cardiovascular mortality and a decrease in emergency hospital admissions during hot days. The opposing effects may be explained by volume depletion and vasodilation from heat stress, particularly in patients using diuretic and antihypertensive drugs, especially in the elderly. Therefore, clinical guidelines should consider strict therapy monitoring of such medication during heat waves.

SWISS MEDICAL WEEKLY (2021)

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Article Public, Environmental & Occupational Health

Extreme temperatures and cardiovascular mortality: assessing effect modification by subgroups in Ganzhou, China

Wei Zhang et al.

Summary: In Ganzhou, China, there is a J-shaped relationship between average temperature and cardiovascular mortality, with extremely low temperatures significantly increasing the risk of cardiovascular death with a delayed effect. The impact of cold temperatures on cardiovascular mortality varies in different population groups, such as those with cerebrovascular diseases, males, individuals over 65 years old, and married individuals.

GLOBAL HEALTH ACTION (2021)

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Article Public, Environmental & Occupational Health

Heat wave-related mortality in Sweden: A case-crossover study investigating effect modification by neighbourhood deprivation

Daniel Oudin Astrom et al.

SCANDINAVIAN JOURNAL OF PUBLIC HEALTH (2020)

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Article Environmental Sciences

Heat wave intensity and daily mortality in four of the largest cities of Spain

Dominic Roye et al.

ENVIRONMENTAL RESEARCH (2020)

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Article Multidisciplinary Sciences

Ambulance Services Associated with Extreme Temperatures and Fine Particles in a Subtropical Island

Yu-Chun Wang et al.

SCIENTIFIC REPORTS (2020)

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Article Environmental Sciences

Statistical Modelling of Temperature-Attributable Deaths in Portuguese Metropolitan Areas under Climate Change: Who Is at Risk?

Monica Rodrigues et al.

ATMOSPHERE (2020)

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Article Biophysics

Hot and cold weather based on the spatial synoptic classification and cause-specific mortality in Sweden: a time-stratified case-crossover study

Osvaldo Fonseca-Rodriguez et al.

INTERNATIONAL JOURNAL OF BIOMETEOROLOGY (2020)

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Article Meteorology & Atmospheric Sciences

Dynamics of concurrent and sequential Central European and Scandinavian heatwaves

C. Spensberger et al.

QUARTERLY JOURNAL OF THE ROYAL METEOROLOGICAL SOCIETY (2020)

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Article Environmental Sciences

Projections of temperature-related cause-specific mortality under climate change scenarios in a coastal city of China

Shaohua Gu et al.

ENVIRONMENT INTERNATIONAL (2020)

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Article Environmental Sciences

Extreme temperatures and mortality in Kuwait: Who is vulnerable?

Barrak Alahmad et al.

SCIENCE OF THE TOTAL ENVIRONMENT (2020)

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Article Multidisciplinary Sciences

Increasing trends in regional heatwaves

S. E. Perkins-Kirkpatrick et al.

NATURE COMMUNICATIONS (2020)

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Article Environmental Sciences

Heatwave-Related Mortality Risk and the Risk-Based Definition of Heat Wave in South Korea: A Nationwide Time-Series Study for 2011-2017

Cinoo Kang et al.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2020)

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The Mortality Risk and Socioeconomic Vulnerability Associated with High and Low Temperature in Hong Kong

Sida Liu et al.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2020)

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Article Environmental Sciences

Evaluating Mortality Response Associated with Two Different Nordic Heat Warning Systems in Riga, Latvia

Kerstin Pfeifer et al.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2020)

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Heatwaves, medications, and heat-related hospitalization in older Medicare beneficiaries with chronic conditions

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Impact of Extreme Temperatures on Ambulance Dispatches Due to Cardiovascular Causes in North-West Spain

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INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2020)

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Evidence for Urban-Rural Disparity in Temperature-Mortality Relationships in Zhejiang Province, China

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Impact of Extremely Hot Days on Emergency Department Visits for Cardiovascular Disease among Older Adults in New York State

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INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2019)

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Review Biodiversity Conservation

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JAMA NETWORK OPEN (2019)

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HEART (2018)

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Review Clinical Neurology

Ambient Temperature and Stroke Risk Evidence Supporting a Short-Term Effect at a Population Level From Acute Environmental Exposures

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STROKE (2018)

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The association between ambient temperature and mortality in South Africa: A time-series analysis

Noah Scovronick et al.

ENVIRONMENTAL RESEARCH (2018)

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Zhiwei Xu et al.

SCIENCE OF THE TOTAL ENVIRONMENT (2018)

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Article Environmental Sciences

Number of Heat Wave Deaths by Diagnosis, Sex, Age Groups, and Area, in Slovenia, 2015 vs. 2003

Simona Percic et al.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2018)

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Article Medicine, General & Internal

Short-term association between ambient temperature and acute myocardial infarction hospitalizations for diabetes mellitus patients: A time series study

Holly Ching Yu Lam et al.

PLOS MEDICINE (2018)

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Editorial Material Environmental Sciences

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ENVIRONMENT INTERNATIONAL (2018)

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Mortality burden attributable to heatwaves in Thailand: A systematic assessment incorporating evidence-based lag structure

Cunrui Huang et al.

ENVIRONMENT INTERNATIONAL (2018)

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Association between extreme temperature and acute myocardial infarction hospital admissions in Beijing, China: 2013-2016

Xiaole Liu et al.

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Nick Obradovich et al.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2018)

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Renjie Chen et al.

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Influence of heat wave definitions to the added effect of heat waves on daily mortality in Nanjing, China

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Short-Term Effect of Ambient Temperature and the Risk of Stroke: A Systematic Review and Meta-Analysis

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A comprehensive catalogue and classification of human thermal climate indices

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The Excess Heat Factor: A Metric for Heatwave Intensity and Its Use in Classifying Heatwave Severity

John R. Nairn et al.

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Article Public, Environmental & Occupational Health

Climate change effects on human health: projections of temperature-related mortality for the UK during the 2020s, 2050s and 2080s

Shakoor Hajat et al.

JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH (2014)

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Article Environmental Sciences

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