Klézio Silva Monte, Alexandre Cunha Costa, Clara Beatriz Costa da Silva, Rafaella Pessoa Moreira
{"title":"Association of a hotter climate with lower wind speed and increased cardiovascular hospitalizations in a tropical dryland","authors":"Klézio Silva Monte, Alexandre Cunha Costa, Clara Beatriz Costa da Silva, Rafaella Pessoa Moreira","doi":"10.1007/s00484-025-02949-w","DOIUrl":"10.1007/s00484-025-02949-w","url":null,"abstract":"<div><p>Climate change can lead to an increase in major adverse cardiovascular events (MACE), but little is known about the long-term effects of this change on the prevalence of hospitalizations for stroke and acute myocardial infarction (AMI) in tropical drylands. Therefore, this study evaluated the association between trends in stroke and AMI hospitalizations and climatic variables (CVs) (2008–2019) in a large tropical semi-arid region at municipality scale. Initially, the trend components of the monthly time series for hospitalizations due to stroke, AMI, and CVs were calculated. Then, the association between the trends in stroke and AMI hospitalizations and CVs was analyzed using a generalized additive model. Finally, the study investigated whether the trends in stroke and AMI hospitalizations and CVs for each municipality were increasing, decreasing, or insignificant. Among the 14 municipalities studied, all showed a significant association between stroke and AMI hospitalizations and CVs, with the association being more pronounced for AMI than for stroke. Overall, MACE showed an increasing trend, with 10 municipalities exhibiting an increasing trend for stroke and 12 for AMI. The increasing trend in stroke and AMI was associated with a rising trend in air temperature and with a declining trend in wind speed. No consistent pattern was found for absolute humidity and precipitation. This study supports the need to implement strategies for the prevention of MACE, considering the impact of climate change, such as monitoring open space meteorological variables, extreme heat campaigns, and the implementation of urban green spaces.</p></div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 8","pages":"2035 - 2044"},"PeriodicalIF":2.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144155455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. G. Theron, T. S. Brand, S. W. P. Cloete, J. H. C. van Zyl
{"title":"Evaluating potential direct and carry-over weather effects on production performance in a divergently selected Merino flock","authors":"P. G. Theron, T. S. Brand, S. W. P. Cloete, J. H. C. van Zyl","doi":"10.1007/s00484-025-02946-z","DOIUrl":"10.1007/s00484-025-02946-z","url":null,"abstract":"<div>\u0000 \u0000 <p>Climate change and the associated changing weather patterns provide a global challenge to livestock producers. Due to the lack of information on the exact relationship between weather patterns and production output, livestock producers may struggle to adjust to these changing environmental conditions. This study therefore evaluated the feasibility of modelling the impact of weather conditions both within and across production seasons on production output in two divergently selected lines of Merino ewes. Production data collected from the high and low line of the Elsenburg Merino flock between 1993 and 2021 were related to weather data recorded by a weather station on the farm. The weather data included temperature, relative humidity and rainfall readings. Multiple linear regressions between uncorrelated weather variables and production parameters (conception, lambing, multiple offspring and survival percentages, average weaning weight and weight weaned per ewe) were derived to quantify the relationship between weather and production. Within production season, weather conditions during mating significantly affected lambing (R<sup>2</sup> = 0.332) and multiple offspring percentages (R<sup>2</sup> = 0.316) in the high line and lambing percentage (R<sup>2</sup> = 0.205) in the low line. Lambing period weather affected average weaning weight in the high line (R<sup>2</sup> = 0.230) and survival percentage in the low line (R<sup>2</sup> = 0.193). Significant amounts of the variation (R<sup>2</sup> = 0.180–0.306) in various production traits for both lines were also accounted for by the fitting of regression models of weather conditions in the preceding year to current production performance. This indicates the presence of weather-related carry-over effects. It therefore appears that using weather data to predict production output, both within and between production seasons, may be a viable management tool to aid producers in decision making. More work is required before these models are suitable for general uptake.</p>\u0000 </div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 8","pages":"1999 - 2012"},"PeriodicalIF":2.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144155456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comprehensive review of dermatological and cosmeceutical manifestations of thermal water and future insights","authors":"Shamsa Kanwal, Enass Y. Osman, Imen Khiari","doi":"10.1007/s00484-025-02937-0","DOIUrl":"10.1007/s00484-025-02937-0","url":null,"abstract":"<div><p>Balneotherapy is a widely accepted and well-practiced treatment modality for dermatological diseases in many countries worldwide. The use of balneotherapy approaches for skin disease management is continuously increasing, but the mechanism by which thermal water affects the treatment of different dermatological conditions has not been fully explored. This comprehensive review seeks to consolidate scientific findings regarding the effects of thermal water in the treatment of different skin diseases, such as psoriasis, atopic dermatitis, acne, ichthyosis, and lichen planus, as well as its cosmeceutical effects, drawing from both in vitro and in vivo research. This review analyzed both in vitro and in vivo studies to validate the anti-inflammatory, immunomodulatory, and antioxidant potential of thermal water in dermatology. Thermal water exhibits these properties, making it beneficial for treating various skin conditions and enhancing cosmeceutical effects.\" Many studies have strongly demonstrated the therapeutic benefits of different thermal waters for the successful treatment of many skin diseases, and these materials have been incorporated into cosmetics for skin hydration and anti-aging and anti-wrinkle effects. The physicochemical and microbial characteristics of thermal water contribute to its therapeutic properties, with sulfurous water being particularly effective due to their favorable mineral composition and antioxidative effects.Although the cosmetic properties of thermal water are well described, further research is needed to identify specific mineral and microbial profiles for incorporation into cosmetic products and to integrate advanced technologies and approaches to increase the effectiveness of formulated products. <b>S</b>hould aim to clarify the underlying mechanisms of action of thermal waters, investigate optimal treatment protocols, and assess their long-term efficacy. Longitudinal clinical trials are also needed to assess the long-term benefits and safety of these treatments, paving the way for standardized protocols in dermatological care.</p><h3>Graphical Abstract</h3>\u0000<div><figure><div><div><picture><source><img></source></picture></div></div></figure></div></div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 8","pages":"1783 - 1817"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hongran Ma, Furong Qu, Jiyuan Dong, Jiancheng Wang
{"title":"Association between the temperature difference and acute exacerbation of chronic obstructive pulmonary disease in Lanzhou, China","authors":"Hongran Ma, Furong Qu, Jiyuan Dong, Jiancheng Wang","doi":"10.1007/s00484-025-02947-y","DOIUrl":"10.1007/s00484-025-02947-y","url":null,"abstract":"<div><p>The aim of this study was to use the distributed lag non-linear model (DLNM) to investigate the association between temperature differences (including temperature change between neighboring days (TCN) and diurnal temperature range (DTR)) and acute exacerbation of chronic obstructive pulmonary disease (AECOPD) outpatient visits. We also stratify by sex (male, female) and age (< 65 years, 65–74 years and ≥ 75 years). The results showed that the maximum relative risk (RR) of low temperature for AECOPD outpatient visits was 1.175 (95% CI: 1.095–1.261) at lag 0. Risk estimates showed that the RR of AECOPD outpatient visits with extremely high DTR at lag 10 days was 1.017 (95% CI: 1.001–1.035). As for TCN, the risk of outpatient in AECOPD patients was found when exposed to low TCN with the most significant single-day effect at lag 0 (RR = 1.051, 95% CI: 1.016–1.088). Overall, the elderly (≥ 75 years) and males were more susceptible to lower temperature, lower TCN, and higher DTR than females, patients aged < 65 years and patients aged 65–74 years. This study concluded that exposure to low temperature, high DTR and low TCN were associated with an increased risk of AECOPD outpatient visits, indicating that patients with AECOPD need to take proactive actions in the face of temperature variation. Special consideration should be given to vulnerable populations, including males and the elderly (≥ 75 years).</p></div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 8","pages":"2013 - 2033"},"PeriodicalIF":2.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leonel Avendaño-Reyes, Ulises Macías-Cruz, M. Ángeles López-Baca, Vielka J. Castañeda-Bustos, Arnulfo Vicente-Pérez, Miguel Á. Gastélum-Delgado, José A. Aguilar-Quiñonez, Peter Robinson, José A. Roque-Jiménez, Miguel Mellado, Jorge H. Siller
{"title":"Determining the most effective shade system based on physiological and productive performance of Bos taurus bulls in a subtropical climate","authors":"Leonel Avendaño-Reyes, Ulises Macías-Cruz, M. Ángeles López-Baca, Vielka J. Castañeda-Bustos, Arnulfo Vicente-Pérez, Miguel Á. Gastélum-Delgado, José A. Aguilar-Quiñonez, Peter Robinson, José A. Roque-Jiménez, Miguel Mellado, Jorge H. Siller","doi":"10.1007/s00484-025-02945-0","DOIUrl":"10.1007/s00484-025-02945-0","url":null,"abstract":"<div><p>The aim was to identify the best of four shade systems based on the physiological and productive responses of <i>Bos taurus</i> bulls in a subtropical climate. A total of 804 bulls from <i>Bos taurus</i>, <i>Bos indicus</i>, and their crosses were randomly allotted to 12 pens (<i>n</i> = 67 bulls/pen), which were randomly assigned to one of four treatments (3 pens/treatment): (1) Conventional shade (CSS), (2) double shade (DSH), (3) dome without fans (DNF), and (4) dome with fans (DWF). Five <i>Bos taurus</i> bulls per pen were randomly selected for physiological evaluation and collection of blood samples. Productive responses included feedlot performance, carcass traits and meat quality. The climate was judged as “moderate heat stress”. Morning respiration frequency was lower in CSS and DWF bulls than in DNF and DSH bulls, but was the lowest in DWF bulls by the afternoon. Bulls under DWF had the lowest surface temperatures of head, loin, shoulder, rump and belly, as well as the highest triiodothyronine concentrations. Glucose concentration tended to be the lowest in DNF bulls, while chloride concentration tended to be higher in CSS bulls than in DSH and DNF bulls. The DNF bulls had the highest feed intake, while DWF and DSH bulls had better feed efficiency than CSS bulls. Marbling was higher in CSS and DSH than in DNF bulls, and meat from CSS bulls had less lightness than that from DNF and DWF bulls. Therefore, the most effective shade for <i>Bos taurus</i> bulls under moderate heat stress is the dome with fans as it improved thermoregulation, metabolic activity and feed efficiency.</p></div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 8","pages":"1987 - 1998"},"PeriodicalIF":2.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Warming unsynchronised tree radial growth and regional vegetation canopy growth in semi-arid areas of north-eastern China——a case of Pinus sylvestris var. mongolica in plantation","authors":"Xin Gao, Junxia Li, Wenjun Sun, Zhenju Chen","doi":"10.1007/s00484-025-02944-1","DOIUrl":"10.1007/s00484-025-02944-1","url":null,"abstract":"<div><p>Exploring the synchronisation between radial growth from a specific tree species and the regional vegetation canopy growth covering a certain area (obtained from remote sensing data) and their climate responses contributes towards clarifying the influence of climate change on aboveground forest biomass. We assessed the variation and correlation between the radial growth of <i>Pinus sylvestris</i> var. <i>mongolica</i> (<i>PM</i>) and regional vegetation canopy growth along with their climate responses in the semi-arid area of northeastern China, investigating the synchronisation and temperature limitation of the two growths. We also clarified the variation in the synchronisation of radial and canopy growth in a warming climate. The radial growth of <i>PM</i> and canopy growth of regional vegetation increased significantly. Positive correlations between tree-ring width index (RWI) and leaf area index (LAI) during May and June were higher than those during the rest of the months and month-combinations of a year. The synchronisation of the radial growth and the canopy growth significantly increased along increasing gradients of latitude, and significantly decreased along increasing gradients of temperature. Radial and canopy growth were limited in July by minimum temperatures in the northern high-latitude sample sites (cold and arid) of the study area. Warming induced the unsynchronised radial and canopy growth in the semi-arid area. The synchronous change of the two growth types will weak in the study area in the future; the decoupling of tree growth is expected to occur earlier in the cold, dry areas than in the warm, wet areas. Weakened or broken statistical linkages, such as the synchronisation between the radial growth of a tree species and the canopy growth of the regional vegetation, indicate that the decreased effectiveness of a specific tree radial growth as an indicator of regional vegetation growth complicates the up- or down-scale assessment of forest biomass dynamics and its carbon sequestration potential.</p></div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 8","pages":"1969 - 1985"},"PeriodicalIF":2.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisco Maraver, Jose M. Carbajo, Francisco Armijo, Lourdes Aguilera, Ana Isabel Martin-Megias, Miguel Angel Fernandez-Toran, María Virginia Fernandez-Gonzalez, María Lorena Vela
{"title":"Evaluation of climate, water and peloid of the Pink Lagoon of Torrevieja and its possible use in thalassotherapy","authors":"Francisco Maraver, Jose M. Carbajo, Francisco Armijo, Lourdes Aguilera, Ana Isabel Martin-Megias, Miguel Angel Fernandez-Toran, María Virginia Fernandez-Gonzalez, María Lorena Vela","doi":"10.1007/s00484-025-02940-5","DOIUrl":"10.1007/s00484-025-02940-5","url":null,"abstract":"<div><p>The Pink Lagoon in Torrevieja is found in the Bajo Segura region of the province of Alicante (Spain). This exorheic lake of marine sedimentary origin was connected to the Mediterranean Sea up until Quaternary times. Today it acts as a salt flat, receiving water from its neighbouring Lagoon La Mata and brine from washing of the El Pinoso quarry. The purpose of the work is to study its environmental resources: the factors of the climate, the physicochemical properties and the composition of the waters, the thermal and textural characteristics of the natural peloid, and assess their possible use as thalassotherapeutic agents. The results obtained: marine climate; hypothermal water of strong mineralization (390 g/l), hypersaline, rich in magnesium sodium chloride and extremely hard; and lime muds of mineral sediment mainly organic with a low water content and scarce hardness and adhesiveness. They allow their application in thalassotherapy, obtaining the best results in musculoskeletal and skin disorders.</p></div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 8","pages":"1943 - 1956"},"PeriodicalIF":2.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Heat in the transport sector: measured heat exposure and interventions to address heat-related health impacts in the minibus taxi industry in South Africa.","authors":"Caradee Y Wright, Thandi Kapwata, Siyathemba Kunene, Ngwako Kwatala, Nomfundo Mahlangeni, Tracey Laban, Candice Webster","doi":"10.1007/s00484-025-02935-2","DOIUrl":"https://doi.org/10.1007/s00484-025-02935-2","url":null,"abstract":"<p><p>High temperatures, heat and heatwaves are being experienced more frequently and with greater intensity in many parts of the world, including South Africa, and record-breaking maximum temperatures are becoming more common. Exposure to heat has adverse impacts on human health and wellbeing. The transport sector and its users are vulnerable to heat both inside vehicles as well as in places where people wait for public transport. We sought to assess the temperatures experienced in minibus taxis, a common mode of transport in South Africa and in minibus taxi ranks as well as the heat-related perceptions of minibus taxi drivers working in the Chesterville Taxi Association in Durban. We also observed heat-related elements in minibus taxi ranks. Data from temperature loggers showed that temperatures inside minibus taxis reached up to 39 °C and were between 3-4 °C warmer than outdoors. For around 11 h every day, temperatures inside minibus taxis were warmer than 27 °C - the temperature that is linked to heat-health symptoms. Taxi drivers (N = 16) all agreed they feel hot in the minibus taxi and more than 90% said they drink water to try to cool down. Taxi ranks were lacking in supply of drinking water and shade for minibus taxis and seating. With the projected increase in temperatures caused by climate change, it is imperative to co-develop mitigation and adaptation strategies to minimise heat-related human health impacts in minibus taxis and taxi ranks especially in low- and middle-income countries.</p>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effectiveness of a 3-week spa therapy on the 6-month mobility and functional ability of patients with knee osteoarthritis: the ANGELLO randomized controlled trial","authors":"Romain Forestier, Françoise Debiais, Natacha Michel, Romain Schueller, Christine Juhel","doi":"10.1007/s00484-025-02927-2","DOIUrl":"10.1007/s00484-025-02927-2","url":null,"abstract":"<div><p>Spa therapy is a potential treatment for knee osteoarthritis (KOA). The primary objective of this randomized controlled trial (RCT) was to investigate the effectiveness of a 3-week spa therapy intervention on the 6-month change in function (mobility and functional ability) of KOA patients. Secondary objectives examined the effectiveness of the intervention on KOA-related pain, stiffness, overall symptoms severity, and patient’s quality of life. Community-dwelling adults, aged 50–80 years-old with KOA were randomized to spa therapy intervention or control (usual care) group. The primary outcome measure was assessed using the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) function subscale. Other outcome measures were the WOMAC pain subscale and a pain visual analog scale, the WOMAC stiffness subscale, the WOMAC total scores, the EQ-5D-3 L for quality-of-life, and patient reported outcomes. Among the 173 individuals randomized, 145 (<i>n</i> = 74 in spa therapy, mean age 67.5 ± 6.4, 67.6% women; <i>n</i> = 71 in controls, mean age 68.3 ± 6.7, 64.8% women) were analyzed. A significant between-group mean difference of 11.7 points in the WOMAC function subscale, favoring the spa therapy group, was found at six months follow-up (primary outcome measure). The intervention was effective in significantly improving most secondary outcomes, including the WOMAC stiffness, pain (and pain visual analog scale) and total scores, as well as the minimum clinically meaningful changes in KOA symptoms, and patient’s quality of life. Improvements were achieved during the intervention period and remained significant over the 6-month follow-up. This work demonstrated the effectiveness of spa therapy in KOA treatment.</p></div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 7","pages":"1715 - 1724"},"PeriodicalIF":2.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Büşra Şirin Ahısha, Selma Akkaya Arı, Nurdan Paker, Nur Kesiktaş, Yasemin Barut
{"title":"Comparison of the efficacy of peloid therapy and paraffin treatment in carpal tunnel syndrome","authors":"Büşra Şirin Ahısha, Selma Akkaya Arı, Nurdan Paker, Nur Kesiktaş, Yasemin Barut","doi":"10.1007/s00484-025-02941-4","DOIUrl":"10.1007/s00484-025-02941-4","url":null,"abstract":"<div><p>Carpal tunnel syndrome (CTS) is a common neuropathy caused by median nerve compression at the wrist, managed with treatments like splinting, physical therapy, injections, and surgery. This study aimed to compare the effectiveness of paraffin and peloid therapies combined with night splint use in reducing symptom severity, improving functional status, and enhancing electrophysiological findings in patients with mild to moderate CTS.</p><p>Sixty patients with mild to moderate CTS scheduled for paraffin or peloid therapy with night splint use were included. Symptom severity was assessed using the Visual Analog Scale (VAS) and the Boston Carpal Tunnel Syndrome Questionnaire’s Symptom Severity Scale (BSSS). Functional status was evaluated with the Functional Status Scale (BFSS). Electrophysiological parameters, including distal sensory latency (DSL), distal motor latency (DML), sensory nerve action potential (SNAP), compound muscle action potential (CMAP), sensory conduction velocity (SCV), and motor conduction velocity (MCV), were measured via electromyography (EMG). Assessments were performed at baseline, and at the 4th and 12th weeks post-treatment. Both therapies significantly improved VAS and BSSS scores at the 4th and 12th weeks (<i>p</i> < 0.05). Functional status improved only in the paraffin group (<i>p</i> < 0.05). Electrophysiological improvements in DSL and DML were significant in the paraffin group (<i>p</i> < 0.05), while no significant changes were noted in the peloid group. Between-group comparisons showed significant differences in DSL, DML, and SCV in favor of paraffin (<i>p</i> < 0.05). Paraffin and peloid therapies with night splint use reduce CTS symptom severity, but paraffin is superior in improving function and nerve conduction.</p></div>","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":"69 8","pages":"1957 - 1967"},"PeriodicalIF":2.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}