
Dallas heat islands study reveals city's hottest neighborhoods
The City of Dallas has released new data from a multi-year study into heat islands to better understand how different neighborhoods experience extreme heat.
The data, collected through sensors mounted on cars driven across the city, shows a steep difference in temperatures depending on where you are. Some neighborhoods were found to be up to 12 degrees hotter than others. These areas are known as "heat islands."
"It could be the same time in two different neighborhoods, and one could be much hotter," said Paul White II, interim director of Dallas' Office of Environmental Quality and Sustainability. "To me, the major finding was the presence of trees and how significant they are."
White said that the study confirms what many environmental experts have long suspected: areas with more pavement, less tree canopy, poor airflow, and higher levels of pollution are much more vulnerable to heat.
"A lot of that is caused by development... lots of pavement, very little greenery," he said. "It's critical to understanding how extreme heat impacts Dallas."
Some of the hottest neighborhoods identified in the study include Oak Cliff, Bishop Arts, the Medical District, Downtown, Oak Lawn, and parts of North Dallas.
Kathy Stewart, a Dallas City Councilwoman who chairs the city's Parks, Trails and Environment Committee, said she hopes the new data will help guide future decisions around heat mitigation.
"This is a health issue. It's not just a nice to have," Stewart said. "If we increase our tree canopy and add green spaces, especially in areas with a lot of concrete, then I think we can bring those temperatures down."
Dallas has experimented with other heat mitigation strategies in the past, like using reflective concrete on certain roads. But Stewart said planting trees remains the most effective long-term solution.
There's already some progress. The city recently moved up four spots in the national ParkScore rankings and now sits at No. 34, which officials say reflects efforts to increase green space and improve access to parks.
City leaders are urging residents to look at the heat island data for themselves and to be aware of how their neighborhoods might be affected, especially as triple-digit temperatures return. The city also uses this information to determine where to place cooling centers during heat emergencies.
In the meantime, health officials recommend limiting time outdoors on extremely hot days, staying hydrated, and seeking shade whenever possible.
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Medscape
6 minutes ago
- Medscape
The Most Vicious Cycle of All: Cardiac PTSD
Just surviving a major cardiac event is an achievement, but of course getting through whatever initial resuscitation and procedures necessary are merely the first steps. As a patient embarks on their rehabilitation journey, one incredibly dangerous setback cardiologists must be on the lookout for is cardiac posttraumatic stress disorder (PTSD). This remarkably common complication — according to a 2004 study published in Critical Care Medicine , as many as 27% of those who survive cardiac events may develop PTSD — can not only cause noncompliance with medication and other ongoing treatment modalities but also put the patient at an increased risk for a second cardiac event. 'In the aftermath of cardiac arrest or a heart attack, one of the most overlooked aspects of recovery is the emotional toll it takes, said Srihari S. Naidu, MD, a professor of medicine at New York Medical College and director of the Cardiac Cath Labs at the Westchester Medical Center Health Network, both in Valhalla, New York. 'The experience can be deeply traumatic, not just for the patient, but for their loved ones as well. Despite this, mental health remains one of the least systematically addressed components of cardiac care.' One problem, Naidu said, is that we 'still, we lack standardized approaches to routinely screen, diagnose, and treat PTSD in this vulnerable population.' Indeed, the American Heart Association identified this as a problem in its 2020 scientific statement, Sudden Cardiac Arrest Survivorship. In this publication, the association said the coordination of multidisciplinary care, to include emotional care, must start as early as within the ICU, but that it needs to continue throughout the recovery period. Srihari S. Naidu, MD 'Without a coordinated plan during hospitalization to assess both short- and long-term recovery needs, we risk missing the broader picture,' said Naidu, who is also the president of the Society for Cardiovascular Angiography and Interventions. 'In my experience, the outpatient clinic visit is often the first, and sometimes the only, opportunity to uncover these issues, which may manifest as anxiety or persistent thoughts about the event, or a variety of unrelated symptoms.' James Jackson, MD, director of Behavioral Health and professor of medicine and psychiatry at Vanderbilt University in Nashville, Tennessee, said the symptoms are all united by one thing: The fact that the patient has the source of their trauma with them at all times. 'If you're carrying your heart around with you and the heart is the source of the trauma, you're constantly reminded, right? And if your cardiac event developed out of the blue, the concern is it could develop out of the blue again, right? So you're carrying this trauma around with you. It's a constant reminder,' he said. 'The trauma is not parked somewhere in the rear view. The trauma is sort of in the present and even in the future.' Symptom-wise, this trauma manifests itself in a variety of ways and can often go overlooked due to the focus on the physical recovery, Naidu said. 'During follow-up, subtle cues begin to emerge; patients who seem emotionally distant, who have trouble sleeping, or who avoid talking about what happened (can be red flags),' he said. 'PTSD doesn't always present dramatically.' Sometimes, Naidu said, it's the patient who suddenly bursts into tears when recalling the event. Other times, it's the one who avoids follow-ups, skips cardiac rehab, or steers clear of anything that reminds them of the hospital. Early symptoms may include hypervigilance, nightmares, intrusive memories, emotional numbness, and avoidance. The Cycle Folds Onto Itself When you break it down and look at triggering factors, it's not hard to understand how PTSD becomes a self-fulfilling prophecy. 'Often with patients in a cardiac context, they get quite anxious. Their heart starts beating fast, and then they really worry. And so their response to that is, I'm going to withdraw. I'm going to disengage,' Jackson said. While physical activity or exercise often helps reduce stress, patients are often short of breath and are reminded how it felt when they were having the attack. James Jackson, MD 'And so if they start to exercise, it's all well and good,' Jackson said. 'But as soon as they get slightly short of breath, even if they're fine physiologically, as soon as they get short of breath, they're going to shut that down. And this is just one example, but it becomes a very isolating sort of process.' Patients left in this sustained crisis state experience a significantly diminished overall quality of life, and a study led by Antonia Seligowski and published in the March 2024 issue of Brain, Behavior, and Immunity found that PTSD after cardiac arrest significantly increases the risks for both major adverse cardiovascular events and all-cause mortality within just 1 year of discharge. This is supported by the findings of Donald Edmondson, MD, associate professor of behavioral medicine in medicine and psychiatry at Columbia University Irving Medical Center, New York City, both in his 2013 study published in the American Heart Journal and in research he has done since. 'Over the years now, we've studied cardiac patients, both acute coronary syndrome, so myocardial infarction, as well as cardiac arrest and stroke,' Edmondson said. 'What we see is that between 15 and 30% of patients will screen positive for PTSD due to that cardiac event 1 month later. Those who screen positive for PTSD are at least at doubled risk, if not greater, for having another cardiac event or dying within the year after that first cardiac event.' These outcomes highlight how critical it is to address PTSD early and effectively, Naidu said. 'As cardiologists, we often focus on optimizing medications, procedures, and physical rehabilitation, but without integrating behavioral support, we're missing a major part of the healing process,' he said. PTSD and cardiovascular disease have a well-documented relationship: PTSD can worsen cardiovascular risk, and in turn, living with heart disease can amplify psychological stress. Jackson said that there are behavioral health approaches at work in other areas that may be useful for cardiac events that are not sudden onset. 'There's a general sort of a movement afoot called prehab,' Jackson said. 'The general idea about prehab would be, 'Hey, you're going to have this surgery. We think that it's going to knock your brain down. So we're going to try to do some brain training with you before the surgery, and we think that in doing that, we're going to build your reserve up.' Is There a Type? Although a 2022 study led by Sophia Armand and published in the Journal of Cardiovascular Nursing showed that younger age, female sex, and high levels of acute stress at the time of the event to be significant risk factors for developing PTSD after cardiac arrest. There's no one overarching 'profile' in terms of who's likely to develop PTSD after any cardiac event. Naidu has his hunches, though. Donald Edmondson, MD 'I would say that I suspect cardiac arrest is more frequently associated with PTSD than other types of cardiac events. Compared to conditions like myocardial infarction or unstable angina, the psychological impact of cardiac arrest, particularly when complicated by anoxic brain injury, tends to be more profound,' Naidu said, cautioning that individual risk factors should be weighed in every case. 'Anoxic injury significantly increases the risk of depression, anxiety, and PTSD, often for an uncertain duration.' At Columbia, Edmondson said there are two indicators that together predict a high risk for a cardiac patient developing PTSD. 'They tend to pay close attention to their cardiac sensations and catastrophize them,' Edmondson said of the patients who go on to develop PTSD. 'Initially, in the ER [emergency room], they're extremely distressed. Then, post event, they'll say over the past 4 weeks, when I feel my heart beating fast, I worry that I'm having another heart attack. Or if I feel short of breath, I worry that I'm going to die.' 'Having those two predictors together, so initial high distress in the emergency department and this sort of high, what we call interoceptive bias, those two things together place people at high risk for developing PTSD at that 1-month period (after their cardiac event).' Regardless, more research must be done on this extremely risky and highly debilitating mental health issue that's so deeply entwined with its cardiac trigger. 'More focused studies are needed to better understand the timing, risk factors, and mechanisms behind these symptoms, and to develop standardized strategies for early screening, intervention, and long-term psychological support,' said Naidu. 'An urgent need exists to screen for and treat PTSD, not just for mental health but to help prevent repeat hospitalizations and improve long-term cardiovascular outcomes.'
Yahoo
9 minutes ago
- Yahoo
Everett police save grade school's camping trip from cancellation
The Brief Olivia Park Elementary's fifth-grade camping trip at Camp Killoqua was saved by the Everett Police Department, which provided male chaperons to meet the required student-to-adult ratio. Officer Wade Wyrick and other Everett officers volunteered their time, allowing students to experience outdoor education and see law enforcement in a positive light. The camp offers unique experiences for students from a high-crime neighborhood, emphasizing community involvement and support from local police. STANWOOD, Wash. - Olivia Park Elementary School was on the brink of canceling its fifth-grade camping trip. That is until the Everett Police Department stepped up just in time to save it. "That's what we do — Everett Police. If we have to step up, we do it for the community and especially for the kids. I think every kid deserves to go to camp," said Wade Wyrick, an officer with Everett Police Department. The south Everett students are staying overnight at Camp Killoqua, located in Stanwood, as part of the school's three-day outdoor education program. The opportunity is funded through a state grant. What they're saying "The food is really good. Overall, I'm just glad to be here with my friends. I'm glad that most of them got to come," said Cecilia, a student attending the camp. "It is the talk of fifth grade from the time they get to school until now," said school counselor Stacy Goody. "It's an experience I wish every single kid in the entire world could get." The backstory The school almost did not get the experience. Goody said 2024 was their first time attending camp, and they did not have enough male chaperons to meet the required student-to-adult ratio. "Male chaperons have been very challenging. So, last year we were very close, up until the day before we left, very close to not being able to come," said Goody. In a panic, the school reached out to Everett PD, and police chief John DeRousse answered their call for chaperon help. However, for the 2025 trip, the school ran into the same problem. On the brink of canceling once again, this time four male Everett officers stepped in, including Wyrick. The officer even brought his own Killoqua stories. "All the kids deserve a chance to go to Camp Killoqua. I think it was a blast. I have great memories from it. And once I heard that they were going to have to cancel it, I thought, well, if I can help prevent that, then let's do it," said Wyrick. "I think it was really nice of them, even with their own time and all that, to come over here and help us so that we would get to have this experience as fifth graders," said Cecilia. It's a breath of fresh air for Cecilia and her classmates, much different from the halls of their school in a neighborhood that's high in crime. "Camp provides them with a lot of unique experiences that a lot of these kids have never had and are kind of hard to get normally," said Tristan Pearson, lead outdoor education instructor at Camp Killoqua. It's not just the outdoor experience the officers are helping the kids have by being their chaperon, it's also a chance for young people to see another side of their local law enforcement. "I think it's really important that the kids see us in a different light. I'm not wearing my uniform, I'm not wearing a badge. I'm just a guy," said Wyrick. "The fact that we stepped up and did something off duty shows that we want to be part of our community, not only behind the badge, but within the community to help out too." "Went above and beyond to make sure that he had guys who could be here for us," said Goody. "Very, very thankful for Everett PD because we would not be here without them. We would have had to cancel." The Source Information in this story comes from original reporting by FOX 13 Seattle reporter Franque Thompson. Travis Decker manhunt: 'Remote' areas of 5 WA counties told to lock doors Former Army squadmate shares insight into Travis Decker's military past Miles Hudson found guilty on 2 counts of reckless driving in Seattle Key figures from Bryan Kohberger's youth summoned to Idaho for student murders trial Rochester dog training facility owner accused of killing employee during video shoot To get the best local news, weather and sports in Seattle for free, sign up for the daily FOX Seattle Newsletter. Download the free FOX LOCAL app for mobile in the Apple App Store or Google Play Store for live Seattle news, top stories, weather updates and more local and national news.


Medscape
24 minutes ago
- Medscape
Pediatric HS Linked to Obesity, Acne, Other Comorbidities
A meta-analysis of 19 studies found that pediatric patients with hidradenitis suppurativa (HS) show an increased rate of medical and psychiatric comorbidities, including obesity. METHODOLOGY: Researchers conducted a systematic review and meta-analysis of 19 observational studies (14 US studies), which included 17,267 pediatric patients with HS (76.7% girls; mean age, 12-17 years) and 8,259,944 pediatric patients without HS. The primary outcome was the prevalence of comorbidities in pediatric patients with HS. The main categories included metabolic, endocrinologic, inflammatory, psychiatric, dermatologic, and genetic comorbidities. TAKEAWAY: In the meta-analysis, the most prevalent condition in patients with HS was acne vulgaris (43%), followed by obesity (37%), anxiety (18%), and hirsutism (14%). Obesity showed moderate certainty association with HS in children, with prevalence ratios ranging up to 2.48, odds ratios ranging from 1.27 to 2.68, and hazard ratios up to 1.52 ( P < .001). < .001). Researchers also found a probable association between depression and HS (moderate certainty), with all studies reporting a higher incidence among patients with HS. An association with diabetes was reported in three studies (low certainty). IN PRACTICE: 'Given the significant risk of chronic comorbidities and negative sequelae in pediatric HS, our findings highlight a need for comprehensive comorbidity screening clinical guidelines in this population and emphasize the involvement of multidisciplinary teams to achieve this,' the study authors wrote. SOURCE: The study was led by Samiha T. Mohsen, MSc, University of Toronto, Toronto, and was published online on June 11 in JAMA Dermatology . LIMITATIONS: Several of the included studies were graded as low quality, and most studies did not compare the risks of comorbidities between the two groups. Most of the studies were from the US, which could limit generalizability. Significant heterogeneity was reported across the studies. DISCLOSURES: The funding source was not disclosed. Three authors reported receiving grants, personal fees, and honoraria from multiple pharmaceutical companies, including AbbVie, Novartis, UCB, Incyte, Novartis, Celltrion, Leo Pharma, Pfizer, Sanofi, and the Pediatric Dermatology Research Alliance. Other authors reported no conflicts of interest.