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1.
Environ Res ; 234: 116530, 2023 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-37394172

RESUMO

BACKGROUND: The adverse health impacts of climate change are increasingly apparent and the need for adaptation activities is pressing. Risks, drivers, and decision contexts vary significantly by location, and high-resolution, place-based information is needed to support decision analysis and risk reduction efforts at scale. METHODS: Using the Intergovernmental Panel on Climate Change (IPCC) risk framework, we developed a causal pathway linking heat with a composite outcome of heat-related morbidity and mortality. We used an existing systematic literature review to identify variables for inclusion and the authors' expert judgment to determine variable combinations in a hierarchical model. We parameterized the model for Washington state using observational (1991-2020 and June 2021 extreme heat event) and scenario-driven temperature projections (2036-2065), compared outputs against relevant existing indices, and analyzed sensitivity to model structure and variable parameterization. We used descriptive statistics, maps, visualizations and correlation analyses to present results. RESULTS: The Climate and Health Risk Tool (CHaRT) heat risk model contains 25 primary hazard, exposure, and vulnerability variables and multiple levels of variable combinations. The model estimates population-weighted and unweighted heat health risk for selected periods and displays estimates on an online visualization platform. Population-weighted risk is historically moderate and primarily limited by hazard, increasing significantly during extreme heat events. Unweighted risk is helpful in identifying lower population areas that have high vulnerability and hazard. Model vulnerability correlate well with existing vulnerability and environmental justice indices. DISCUSSION: The tool provides location-specific insights into risk drivers and prioritization of risk reduction interventions including population-specific behavioral interventions and built environment modifications. Insights from causal pathways linking climate-sensitive hazards and adverse health impacts can be used to generate hazard-specific models to support adaptation planning.


Assuntos
Calor Extremo , Temperatura Alta , Fatores de Risco , Morbidade , Temperatura , Mudança Climática
2.
Glob Chang Biol ; 21(12): 4548-60, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26207729

RESUMO

The dynamic global vegetation model (DGVM) MC2 was run over the conterminous USA at 30 arc sec (~800 m) to simulate the impacts of nine climate futures generated by 3GCMs (CSIRO, MIROC and CGCM3) using 3 emission scenarios (A2, A1B and B1) in the context of the LandCarbon national carbon sequestration assessment. It first simulated potential vegetation dynamics from coast to coast assuming no human impacts and naturally occurring wildfires. A moderate effect of increased atmospheric CO2 on water use efficiency and growth enhanced carbon sequestration but did not greatly influence woody encroachment. The wildfires maintained prairie-forest ecotones in the Great Plains. With simulated fire suppression, the number and impacts of wildfires was reduced as only catastrophic fires were allowed to escape. This greatly increased the expansion of forests and woodlands across the western USA and some of the ecotones disappeared. However, when fires did occur, their impacts (both extent and biomass consumed) were very large. We also evaluated the relative influence of human land use including forest and crop harvest by running the DGVM with land use (and fire suppression) and simple land management rules. From 2041 through 2060, carbon stocks (live biomass, soil and dead biomass) of US terrestrial ecosystems varied between 155 and 162 Pg C across the three emission scenarios when potential natural vegetation was simulated. With land use, periodic harvest of croplands and timberlands as well as the prevention of woody expansion across the West reduced carbon stocks to a range of 122-126 Pg C, while effective fire suppression reduced fire emissions by about 50%. Despite the simplicity of our approach, the differences between the size of the carbon stocks confirm other reports of the importance of land use on the carbon cycle over climate change.


Assuntos
Agricultura , Sequestro de Carbono , Carbono/análise , Mudança Climática , Incêndios , Agricultura Florestal , Simulação por Computador , Ecossistema , Modelos Teóricos , Estados Unidos
3.
Healthc Financ Manage ; 59(6): 78-83, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17240669

RESUMO

Minimize surprises on your financial statement by adopting a model for integrated risk management that: Examines interrelationships among operations, investments, and financing. Incorporates concepts of the capital asset pricing model to manage unexpected volatility


Assuntos
Administração Financeira de Hospitais/organização & administração , Modelos Organizacionais , Gestão de Riscos , Fatores de Risco , Estados Unidos
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