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Introduction: Sick building syndrome (SBS) refers to non-specific complaints, including upper-respiratory irritative symptoms, headaches, fatigue, and rash, which are usually associated with a particular building by their temporal pattern of occurrence and clustering among inhabitants or colleagues. The aim of the study was to determine the association between the clinical manifestations of sick building syndrome with outdoor pollutants and airborne pollen. Methods: It was a descriptive and prospective observational study conducted from November 2021 to April 2022. It included subjects over 18 years old who completed an online survey on sick building syndrome (general symptoms, nasal, ocular, oropharyngeal, and skin symptoms) presented at home, housing information and personal history. The APS-330 from Pollen Sense ® was used to obtain data on pollen in the air and the local pollution monitoring system (SIMA) to obtain information regarding pollutants. For statistical analysis, SPSS version 16 was used. Results: A total of 402 surveys were included; 91% of the subjects reported having at least 1 symptom. Females presented more general symptoms (fatigue and headache) than males. Subjects with a personal history of atopy showed a higher prevalence of practically all symptoms. Airborne pollen exposure was positively associated with mucosal symptoms in eyes and nose. Outdoor fungi spore exposure was positively associated with oculo-nasal and cutaneous symptoms in the scalp. Conclusion: This study found significant associations with female gender and a history of atopy, which suggests a higher risk for these subjects. Despite the limitations of the study, we can conclude that there is an association between the clinical manifestations of sick building syndrome with indoor and outdoor pollution.

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Este artigo problematiza o caso de Brotas, município do estado de São Paulo, que mesmo com seu pioneirismo no ecoturismo e práticas corporais de aventura em ambientes naturais, especialmente relacionados ao rio Jacaré-Pepira, recentemente vem sofrendo com impactos ambientais e ameaça de suas paisagens. Inspirado no método etnográfico, que combina interação virtual, conversas presenciais, observação participante e análise documental, esse estudo analisa a mobilização dos trabalhadores do lazer de aventura, mais especificamente do rafting, pela conservação ambiental de sua cidade a partir do ano de 2020. Constata-se que, apesar de avanços em políticas públicas efetivas, persistem desafios que levaram a períodos de seca extrema alternados com inundações, deslizamentos de terra e assoreamento. Identificou-se a importância dos profissionais de lazer na produção de informações para o poder público, reivindicações aos suspeitos, conscientização da população e articulação coletiva para manter a integridade ambiental e o turismo e o esporte como vetores de desenvolvimento sustentável, embora encontre divergências de posicionamentos entre seus agentes.

This paper problematizes the case of Brotas, a city in the state of São Paulo/Brazil, which, despite its pioneering rolein ecotourism and adventurous body practicesin natural environments, especially related to the Jacaré-Pepira river, has recently been suffering from environmental impacts and threats to its landscapes.Inspired by the ethnographic methodcombining virtual interaction, face-to-face conversations, participant observation and documentary analysis, this studyinvestigates the mobilization of adventure leisure workers, more specifically rafting,for the environmental conservation from the year 2020 onwards. Despite advances in effective public policies, challengespersistthat have led to periods of extreme drought alternating with floods, landslides andsiltation. The importance of leisure professionals in the production of information for public authorities, claims against suspects, publicawareness and collective articulationto maintain environmental integrity and tourism and sport as vectors ofsustainable developmentwas identified, although divergences in positionswere found. among its agents.

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Microalgae are a promising renewable feedstock that can be produced on non-arable land using seawater. Their biomass contains proteins, lipids, carbohydrates, and pigments, and can be used for various biobased products, such as food, feed, biochemicals, and biofuels. For such applications, the production costs need to be reduced, for example, by improving biomass productivity in photobioreactors. In this study, Picochlorum sp. (BPE23) was cultivated in a prototype of a novel outdoor V-shaped photobioreactor on Bonaire (12°N, 68°W). The novel photobioreactor design was previously proposed for the capture and dilution of sunlight at low-latitude locations. During several months, the biomass productivity of the local thermotolerant microalgae was determined at different dilution rates in continuous dilution and batch dilution experiments, without any form of temperature control. Reactor temperatures increased to 35°C-45°C at midday. In the continuous dilution experiments, high average biomass productivities of 28-31 g m-2 d-1 and photosynthetic efficiencies of 3.5%-4.3% were achieved. In the batch dilution experiments, biomass productivities were lower (17-23 g m-2 d-1), as microalgal cells likely experienced sudden light and temperature stress after daily reactor dilution. Nonetheless, dense cultures were characterized by high maximum photosynthetic rates, illustrating the potential of Picochlorum sp. for fast growth under outdoor conditions.

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PURPOSE: The literature exploring individual differences in self-rated health has grown fast in recent years. Self-rated health (SRH) is a good indicator of general health status. This empirical study explores the association between outdoor air pollution and SRH in Chile. This type of analysis is infrequent in Latin America. METHODS: We used objective and subjective air pollution measures. The first corresponds to PM2.5, and the latter to the perception of a high level of air pollution. Drawing on data from two independent and repeated nationwide surveys over the period 2006-2017 at the individual level in Chile, we performed repeated cross-sectional analyses for each year of survey application. Ordered Logit (OL) and Logit (L) multivariate models were used to investigate the association between SRH and air pollution measures, considering other socioeconomic and demographic covariates. RESULTS: We found that the higher is the level of air pollution, the lower the SRH in Chile, regardless of whether air pollution is physically measured or perceived by respondents. The results were consistent over the years in the sign and significance of regression coefficients using two surveys and two forms of the outcome variable. CONCLUSIONS: Our findings add evidence that air pollution is a relevant determinant of SRH. In addition, they show that subjective measures of air pollution can be as reliable as physical measures in the analysis of the association between air pollution and human health.

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The aim of this study was to investigate the effectiveness of supervised and unsupervised physical training programs using outdoor gym equipment on the lifestyles of elderly people. METHODS: physically independent elderly people were randomly distributed into three groups: supervised training (n: 20; ST), unsupervised training (n: 20; UT) and control (n: 20; C). The ST and UT groups completed a 12-week program, with exercises performed three times a week. The ST group underwent weekly 30 min sessions consisting of a 5 min warm-up (walking at 60% of HRmax), followed by 20 sets of 30, "monitored by a metronome with 30" of passive recovery between sets and a five-minute cool-down. The following equipment was used: elliptical, rowing, surfing and leg press. The UT group was instructed to freely attend the gym and train spontaneously using the same equipment used by ST. Lifestyle changes were evaluated using a questionnaire containing specific domains. RESULTS: no significant differences were identified in the domains for family, physical activity, nutrition, smoking, sleep, behavior, introspection, work and overall score; however, the values corresponding to the alcohol domain for the ST and UT groups were lower (p < 0.05) than the C group, remaining even lower after the 12 weeks of intervention. Time effect (p < 0.05) was found only in the ST group for the physical domains, sleep, behavior and overall score. CONCLUSION: elderly people submitted to supervised and unsupervised physical exercise programs using outdoor gym equipment present positive changes in lifestyle parameters compared to physical inactive elderly people.

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It is well-documented that carbonyl compounds have adverse effects on human health. On the other hand, these oxygenated volatile organic compounds (OVOCs) are precursors of secondary pollutants such as tropospheric ozone or peroxy acetyl nitrate (PAN). In particular, formaldehyde, the simplest carbonyl, is the most abundant carbonyl in the air generated from the degradation of most volatile organic compounds (VOCs). This work presents for the first time the characterization and determination of levels of carbonyl compounds by passive monitoring performed from April-December 2021 in the city of Córdoba, Argentina, the second most populated Mediterranean city located in the center of the country. Annual concentrations, considering the 11 carbonyls measured, were in the range of 0.13-8.75 µgm-3. Formaldehyde and acetaldehyde were the carbonyls detected in the highest annual average concentrations of 4.44 ± 1.75 µgm-3 and 3.85 ± 1.44 µgm-3, respectively. These carbonyls represent a contribution of around 40-57% on total carbonyls measured. Statistical analysis to determine significant differences and Pearson correlations with the meteorological parameters were performed. Spring and summer were found to be the seasons with the highest carbonyl concentration linked to forest fire episodes, especially in springtime. The values for the C1/C2 and C2/C3 ratios showed that sources of carbonyl formation are anthropogenic. In addition, the prop-Equiv concentration was determined, where formaldehyde and acetaldehyde were the main producers of tropospheric ozone. The ozone formation potential (OFP) showed that spring and summer are the seasons where carbonyls contribute to the formation of tropospheric ozone.This study represents a first approach of the carbonyl concentration in the city and of the influence of meteorological parameters on the behavior of carbonyls.

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Faced with the need for isolation of most people to reduce the transmission of COVID-19, a great concern for the well-being of the population has resurfaced. Considering the numerous benefits of outdoor activities to human health and well-being, we assessed whether the quality of the experience of recreational divers in a marine protected area (MPA) was impacted during the pandemic. We applied a semi-structured questionnaire to divers, collected their socioeconomic profile, preferences, motivations, experiences, and compared the results with those obtained in the previous season. We found that the quality of the recreational diver's experience remained high even during one of the world's biggest health crises. This suggests that the combination of contact with a preserved environment and the adaptation of regulations in favor of visitor safety was enough to stimulate positive experiences. Therefore, we highlight the importance of investing in adaptive management so that MPAs continue to promote ecosystem services such as human health and subjective well-being. Management implications: •Quality of experience for recreational divers remained high and was unaffected after the first major wave of COVID-19 cases.•Through adaptive tourism management, MPAs can promote positive experiences even in challenging contexts.•High impact of environmental attributes on the quality of divers' experience reinforces that threats to ecosystems are social impacts.•Socially unequal access to benefits generated by MPAs may negatively influence population's support for these areas.•Efforts are needed to strengthen the equity of distribution of positive social impacts in MPAs.•Potential to provide positive experiences for users must be seen beyond economic value, but as an investment in the population's subjective well-being.

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This study aimed to compare the association between two types of housing, compost barns (CB) vs. outdoor soil-bedded yard (OD), and udder hygiene and mastitis indicators in Holstein dairy cows calving in autumn (n = 31) and spring (n = 27). After calving, cows were transferred to a pasture-based system with half-time confinement in one of two treatments: CB or OD. The udder hygiene score (UHS) was evaluated monthly and on days after rainfall over the entire lactation period. Individual somatic cell count (SCC) was determined throughout lactation, and the prevalence of intramammary infection (IMI) was estimated. Cows confined in OD presented higher UHS compared to cows in CB (p < 0.05) in both calving seasons. After rains, autumn-calving cows in OD were dirtier than on days without previous rain (OR = 1.85, CI 95%: 1.1-3.1; p < 0.02). However, no differences in IMI and clinical mastitis were found between OD and CB cows in either calving season.

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This article presents the outdoor and synthetic performance data concerning the main electrical parameters estimated from the I-V curve for three photovoltaic technologies (HIT, m-Si and CIGS) and the weather conditions (irradiance, ambient and panel temperature). Synthetic data were generated by simulating in OpenModelica software the impact of weather conditions on device performance, considering an irradiance range between 50 and 1300 W/m2. The outdoor data corresponds to the performance of the evaluated PV modules in outdoor tests in Medellin-Colombia for ten months using capacitive I-V tracers. In both cases, different capacitor values were considered to evaluate the effect on the I-V curve behavior of devices.

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Pregnancies are a critical window period for environmental influences over the mother and the offspring. There is a growing body of evidence associating indoor and outdoor air pollution exposure to adverse pregnancy outcomes such as preterm birth and hypertensive disorders of pregnancy. Particulate matter (PM) could trigger oxi-inflammation and could also reach the placenta leading to placental damage with fetal consequences. The combination of strategies such as risk assessment, advise about risks of environmental exposures to pregnant women, together with nutritional strategies and digital solutions to monitor air quality can be effective in mitigating the effects of air pollution during pregnancy.

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We compared broiler chicken welfare in free-range (FR) and intensive indoor (IN) systems using the Welfare Quality® Protocol. Ten FR and 11 IN farms in Brazil were assessed. Results are shown as either scores ranging from 0 to 100, where higher scores indicate better welfare, or prevalence, where lower prevalence indicates better welfare. In FR, the median prevalence was lower than in IN for mortality (2.0% vs. 4.7%, p = 0.0262), culling (0.0% vs. 0.6%, p = 0.0168), ascites (0.0% vs. 0.17%, p = 0.0431). Median welfare scores on FR farms were better for plumage cleanliness (100 vs. 59, p = 0.0001), panting or huddling (100 vs. 29, p = 0.0001), lameness (81 vs. 19, p = 0.0001), hock burn (93 vs. 37, p = 0.0001), footpad dermatitis (35 vs. 26, p = 0.0018). However, FR scores were worse for litter quality (34 vs. 100, p = 0.0003), dust (53 vs. 78, p = 0.0002), breast blisters (90 vs. 100, p = 0.0077), touch test (70 vs. 99, p = 0.0082). Better emotional states were observed in FR (p < 0.001). Even though there is room for welfare improvement in both systems, the number of welfare indicators with better results was superior in FR than in IN farms.

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This brief background highlights Brazil as a 'climate-health hotspot', i.e. a country where climate affects local populations negatively through multiple pathways (Di Napoli et al. BMC Public Health 22(1):1-8, 2022). Knowledge gaps still need to be filled concerning the various climaterelated dimensions of tourism, vector-borne diseases, mortality and morbidity in urban centers in the country (Krüger et al. Int J Biometeorol 66(7):1297-1315, 2022). Motivated by this, the first Brazilian Symposium on Human Biometeorology (Simpósio Brasileiro de Biometeorologia Humana 2022) was organized and held at the Federal University of Rio Grande do Norte (UFRN) in Natal, northeastern Brazil, between July 4 and 8, 2022. The symposium was organized as a hybrid event by a committee composed of researchers acting in different regions of the country, and who had an ongoing research collaboration on matters related to human biometeorology. The event was partly sponsored by the ISB and partly self-supported by the organizers and institutions involved. The symposium aimed to promote the development of the research area on human biometeorology in Brazil in facing challenges imposed by a globally and locally changing climate. To achieve this, the symposium focused on five main topics of discussion: a) climate-driven diseases; b) thermal comfort, urban and architectural biometeorology; c) atmospheric pollution and health; d) climate change; e) climate, health and climate change. This summary highlights the main findings, future research directions, and policy implications in each topic from the presentations and panel discussions.

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Resumo Considerando as mudanças climáticas e o impacto das temperaturas elevadas na saúde humana, especialmente devido ao aquecimento global, são relevantes as ações de prevenção ao calor voltadas aos trabalhadores que laboram a céu aberto. Neste ensaio, são apresentados resultados de recentes pesquisas, bem como destacadas inovações tecnológicas para monitoramento do calor no Brasil. Também são expostas reflexões sobre o futuro do trabalho a céu aberto diante das mudanças climáticas. O trabalho a céu aberto é em geral caracterizado por atividades pesadas, que geram elevado calor metabólico. Contudo, são escassos os esforços no campo da Saúde e Segurança do Trabalho para a busca de alternativas que minimizem ou eliminem os efeitos do calor para os trabalhadores. Além disso, as alternativas de proteção dos trabalhadores são reduzidas. O Monitor IBUTG é apresentado como inovação tecnológica de monitoramento remoto do calor em ambiente a céu aberto. Apesar das medidas de controle previstas em lei para proteção dos trabalhadores submetidos ao calor, em razão do aquecimento global, serão necessários intervenções inovadoras e controles especiais da exposição ao calor nos ambientes externos. Portanto, é desejável maior empenho na produção de conhecimento com vistas a fomentar a elaboração ou o aprimoramento de políticas públicas.

Abstract Given the current climate change and high-temperature impact on human health, especially due to global warming, actions for heat prevention focused on outdoor workers are relevant. This essay presents the results of recent research and highlights technological innovations for heat monitoring in Brazil. Also, it reflects on the future of outdoor work given climate change. Outdoor work is generally characterized as heavy, leading to higher metabolic heat production. However, Occupational Safety and Health have made few efforts to find alternatives to minimize or eliminate heat impact on workers. Moreover, the worker's protection alternatives are reduced. WBGT Monitor is presented as a technological innovation for remote heat monitoring in outdoor environments. Despite the control measures provided to workers subjected to heat, global warming demands innovative interventions and special exposure controls at outdoor workplaces. Thus, an increased commitment to knowledge production to elaborate or improve public policy is desirable.

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RESUMO Segundo a literatura, um inventário preciso da distribuição das idades de melhor desempenho nas diferentes disciplinas do atletismo pode proporcionar uma informação ímpar na altura de se produzirem planos e programas de treino de longo prazo para eventos ao mais alto nível. O presente estudo tem como objetivo identificar a idade de melhor desempenho dos atletas participantes nos campeonatos de Portugal de atletismo, com referência às disciplinas e setores que caracterizam a competição. Foram consideradas todas as participações medalhadas (pista coberta - PC, n = 2310; ar livre - AL, n = 3161). Os intervalos de confiança para a idade média dos atletas medalhados foram obtidos com recurso ao método de Equações de Estimação Generalizadas. Os resultados indicaram a média de idades, (i) PC, mais baixa no salto com vara feminino (21.60 anos) e no salto em comprimento masculino (24.42 anos), e mais elevada nos 3000 m marcha feminino (25.18 anos) e nos 5000 m marcha masculino (29.70 anos); (ii) AL, mais baixa no salto em comprimento feminino (22.90 anos) e nos 200 m masculino (23.46 anos), e mais elevada nos 5000 m feminino (27.55 anos) e 10000 m marcha masculino (32.23 anos). Os resultados sugerem que as idades de melhor desempenho ocorrem (i) PC, entre os 23 e os 24 anos nas atletas femininas, e os 24 e os 25 nos atletas masculinos; (ii) AL, entre os 23 e os 25 anos nas atletas femininas, e os 24 e 26 anos nos atletas masculinos. O conhecimento objetivo das idades de melhor desempenho nos campeonatos de Portugal de atletismo, por sexo e disciplina, poderá ser uma informação útil para uma gestão eficiente de talentos e das carreiras desportivas.

ABSTRACT According to the literature, a precise inventory of the distribution of the best-performing ages in the different athletics disciplines can provide unique information when producing long-term training plans and programs for events at the highest level. This study aims to identify the age at which athletes participating in the Portuguese athletics championships performed best, with reference to the disciplines and sectors that characterize the competition. All medal-winning participations were considered (indoor track and field, n = 2310; outdoor track and field, n = 3161). Confidence intervals for the average age of medal-winning athletes were obtained using the Generalized Estimating Equations method. The results indicated that the average ages were (i) Indoor track and field - lower in the women's pole vault (21.60 years) and men's long jump (24.42 years), and higher in the women's 3000 m run (25.18 years) and men's 5000 m race walk (29.70 years); (ii) Outdoor track and field - lower in the women's long jump (22.90 years) and men's 200m (23.46 years), and higher in the women's 5000 m (27.55 years) and men's 10000 m race walk (32.23 years). The results suggest that the best-performing ages are (i) Indoor track and field - between 23 and 24 years old in female athletes and 24 and 25 years old in male athletes; (ii) Outdoor track and field - between 23 and 25 years old in female athletes, and 24 and 26 years old in male athletes. Objective knowledge of the best-performing ages in the Portuguese athletics championships by gender and discipline could be useful information for efficient talent and career management.

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This study investigated the impact of Moringa oleifera Lam. meal (MOM) on meat nutritional properties and bone quality of slow-growing layer-type male chickens raised in semi-intensive conditions. A total of 198, 72-d-old Dominant Blue D 107 male chickens, with an average weight of 1093 ± 15.2 g, were randomly assigned to three dietary treatments supplemented with 0, 3, and 6% of MOM that corresponded to T1, T2, and T3, respectively. Each treatment, consisting of six replicated floor pens of 11 birds, had access to the outdoors for 49 days. The results showed that breast muscle ash percentage was significantly greater (P ≤ 0.05) in T2 in comparison to the T1 group. Meat dry matter, protein, and fat content were not influenced by the treatments (P > 0.05). Regardless of the treatments, oleic acid (C18:1N9C) was numerically more abundant in the breast than in the leg muscle. Alternatively, femoral and tibial lengths were shorter (P ≤ 0.05) in birds fed 3% MOM than the two other groups. Moreover, birds fed with MOM had greater tibial diameter (P ≤ 0.05) than those that were fed without MOM. In addition, bone ash content and phosphorous amount were significantly higher (P ≤ 0.05) in birds fed 6% MOM compared to those fed without MOM. The data of this study indicate that up to 6% of MOM may be added to the diet of slow-growing layer-type male chickens raised with outdoor access under tropical conditions to improve bone quality traits.

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Seaweed aquaculture is affected by natural and anthropogenic stressors, which put the biomass productivity of the cultures at risk. Seaweed biomass for commercial purposes, principally in pharmaceutical and/or nutraceutical applications, needs to be free of pollutants; therefore, controlled cultures have relevance in regulating the quality of biomass. The aim of this work was to demonstrate the successful utilization of controlled outdoor cultures to remove excess heavy metal accumulation in Gracilaria chilensis, an important commercial seaweed farming model. Specifically, we designed a simple and operational heavy metal depuration protocol, utilizing seawater and tap water removal, which permitted the concentration reduction of 10 heavy metals, including As, Cu, and Cd but not Zn, from the biomass at 7 days of culture. The percentage of depuration of the heavy metals ranged from 32 to 92% at 7 days, which was maintained throughout 21 days of culture. During the culture period, the monitored physicochemical parameters (temperature, salinity, and dissolved oxygen, among others) remained stable, with an increase in the daily growth rate (DGR% d-1) of the biomass recorded after 14 days of culture. Consequently, the experimental setup was successful for heavy metal depuration, which highlights the importance of controlled outdoor cultures as important tools of sustainability.

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Outdoor thermal comfort (OTC) surveys require synchronous monitoring of meteorological variables for direct comparisons against subjective thermal perception. The Universal Thermal Climate Index (UTCI) is a feasible index as it integrates meteorological conditions as a single value irrespective of urban morphological attributes or biological sex, age and body mass. ERA5-HEAT (Human thErmAl comforT) is a downloadable reanalysis dataset providing hourly grids of UTCI climate records at 0.25° × 0.25° spatial resolution from 1979 to present. We here evaluate for the first time whether it is possible to use ERA5-HEAT data as a proxy for the UTCI measured onsite during OTC surveys. A dataset comprising 1640 survey responses gathered over 14 OTC campaigns in Curitiba, Brazil (25°26'S, 49°16'W) was analysed. We assessed the bias obtained between the Dynamic Thermal Sensation, an index derived from the UTCI, and the thermal sensation reported by survey participants by considering locally measured meteorological variables and ERA5-HEAT reanalysis data. As ERA5-HEAT data are given on an hourly basis, prediction bias can be greatly reduced when accounting for survey responses close to the hour. In terms of seasons, the fall and winter seasons have diminished mean bias, though with larger spread than in summer. In terms of UTCI stress categories, prediction bias is lower for the thermal comfort range. When comparing reanalysis data against WMO station data as proxy candidates for survey field data, the former presented lower bias, less spread in terms of standard deviation and higher correlation to in situ data.

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The effects of outdoor access, stocking density, and age on broiler behavior, stress, and health indicators in a tropical climate were assessed over two seasons, winter and summer. Two hundred and forty Cobb500 male chickens were allocated to one of four treatments, with six replicates of ten birds in each: low stocking density indoors with outdoor access (LO); high stocking density indoors with outdoor access (HO); low stocking density indoors without outdoor access (LI); and high stocking density indoors without outdoor access (HI). Scan sampling was used to record their behavior both indoors and outdoors. At 28 and 42 days old, blood samples were obtained to determine the heterophil to lymphocyte (H/L) ratio. At 42 days old, chickens were culled and inspected for footpad dermatitis (FPD), and bone quality was examined. Their spleens and bursas of Fabricius were collected and weighed, relative to carcass weight (RW). A factorial analysis was used to test the effects of season (winter or summer), outdoor access (with or without), stocking density (low: 5 animals/m2 or high: 10 animals/m2), and age (28 or 42 days) on the behavior and stress and health indicators. There were no major effects of providing outdoor access on behavior, except that resting was reduced by providing outdoor access to older birds and those at low stocking densities inside. Resting was also greater in indoor and high-density treatments during winter. The bursa of Fabricius was heavier in summer in outdoor birds. The tibia bones were shorter in the outdoor birds. Heterophil numbers were greater in the outdoor treatments in summer but not in winter. These results indicate that outdoor access can increase activity in some situations, and potentially increase bone strength, but it may also increase the risk of stress, particularly heat stress in summer.

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OBJECTIVES: To evaluate myopia risk factors, mainly outdoor exposure and reading habits, in a country with low prevalence of myopia (Buenos Aires Province, Argentina). METHODS: Consecutive children interviewed in a clinical private practice setting were autorefracted under cycloplegia with cyclopentolate 1%. Their parents consented to fill a questionnaire about schooling, tutorial classes, outdoor exposure, reading habits, and cellphone use, both on weekdays and weekends. The Spanish questionnaire was based on past English questionnaires of myopia clinical trials. The spherical equivalent of the right eye was used for the refractive distribution. The average daily hours spent for each activity were calculated. RESULTS: This study involved 115 children aged 10.48 ±â€¯3.65 years (range 5-18 years), with 56.5% being girls. Children had 8 h of schooling per day in 62.6% of cases, and only 14.8 % had tutorial classes after school. There were 38.3% myopes (<-0.50 D), 24.3% hyperopes (>+2.00 D) and the rest were emmetropes. The mean time that these children spent outdoors per day was 3.94 ±â€¯1.45 h (27.60 ±â€¯10.16 h per week). The total mean time spent reading and writing per day was 1.50 ±â€¯0.98 h, and that spent using cellphones and tablets was 2.43 ±â€¯1.66 h. CONCLUSION: In an environment with low myopia prevalence, children spend almoast 4 h per day outdoors, much more than the usual recommendation of 2 h a day for myopia prevention.

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