Use of emergency services in response to a flood: an account of the aftermath of the May 2023 flood in Romagna, Italy.

Background: Extreme weather events due to human activities have significantly increased the frequency and severity of hydrological disasters like floods, impacting human health and healthcare systems worldwide. This study analyses the patterns of emergency service utilisation of the May 2023 flood in Romagna, Italy, and specifically investigates the differences in emergency department (ED) visits and mortality between individuals exposed and not exposed to the flood.

Methods: A retrospective cohort study was conducted including 813 724 citizens of Romagna, Italy, from 15 May to 31 August 2023 (ie, 14 weeks after flood inception).

How Does Physical Activity Modulate Hormone Responses?

Physical activity highly impacts the neuroendocrine system and hormonal secretion. Numerous variables, both those related to the individual, including genetics, age, sex, biological rhythms, nutritional status, level of training, intake of drugs or supplements, and previous or current pathologies, and those related to the physical activity in terms of type, intensity, and duration of exercise, or environmental conditions can shape the hormonal response to physical exercise. The aim of this review is to provide an overview of the effects of physical exercise on hormonal levels in the human body, focusing on changes in concentrations of hormones such as cortisol, testosterone, and insulin in response to different types and intensities of physical activity.

Acute effect of an intervention with open and closed kinetic chain muscle strength exercises on postural control and muscle power in elderly people: A randomized clinical trial.

Introduction: Aging causes changes in stance control and muscle function. However, strength exercises can mitigate these negative effects. Intervention practices are classified into open kinetic chain (OKC) and closed kinetic chain (CKC), but it is unclear whether there are differences between them regarding muscle power and balance in the older people.

How to account for spatial trade-offs in planning for urban climate adaptation? Optimizing green and grey infrastructures.

Urban Nature-Based Solutions have emerged as sound strategies for urban climate change adaptation, but they lack effective decision-support tools. This paper proposes a decision-support framework that relies on Multi-Objective Optimization (MOO), the consideration of actual space availability, the consideration of the simultaneous objectives of climate change adaptation and water management, the integration of demand for co-benefits, and the participatory exploration of trade-offs for decision-makers. The MOO is applied to the case study of the French city of Bordeaux, to identify the optimal location of Groundwater Recharge Infrastructures (GRI) that include Nature-Based Solutions.