Chereshnev V.A. (Institute of Immunology and Physiology of the Ural Branch of the RAS), Gamburtsev A.G.(Institute of the Physics of the Earth RAS), Sigachev A.V. (The station of emergency care, Moscow ) ATLAS OF TEMPORAL VARIATIONS. EMERGENCY CALL DYNAMICS FOR THE LAST FIVE YEARS IN MOSCOW

In the five volumes of the Atlas of Temporal Variations of Natural, Anthropogenic, and Social Processes, a significant place is allotted to issues related to the influence of natural, anthropogenic, and social factors on human health. В пяти томах Атласа временных вариаций природных, антропогенных и социальных процессов большое место занимают вопросы, связанные с влиянием внешних факторов – природных, техногенных и социальных - на состояние здоровья людей.

The Atlases pursue two main goals. The first of them is scientific and consists in discovering the unknown behavior pattern of natural and social processes. The second, practical, aim is to ensure the preservation of mankind and the biosphere. Преследуются две цели: научная – установить неизвестные ранее закономерности в протекании природных и социальных процессов и практическая – способствовать сохранению человечества и биосферы.

We investigate the dynamics of the time series of the number emergency calls (NEC) to the ambulance service of Moscow with a daily survey for a variety of diseases during a period 04/ /2011 Мы исследуем ряды вызовов скорой помощи (ВСП) Москвы с апреля 2006 по ноябрь 2011

We will consider seasonal and weekly changes, annual New Year celebrations, and the anomalously hot summer of 2010 have been revealed Мы рассмотрим сезонные и недельные ритмы, изменения связанные с встречей Нового года и с аномальной жарой 2010 г

We are going emergence features of dynamics of time series, and to understand as they are connected with external influences Стремимся выявить особенности динамики временных рядов, и понять как они связаны с внешними воздействиями

Time series

Hypertonic disease Aggravation of hypertonic disease and hypertonic cris Myocardial infarction Stable and unstable angina pectoris Chronic ischemic heart disease

Cardiac dysrhythmia Acute cardiovascular deficiency Stroke Hypotension Epilepsy

Respiratory diseases Acute Respiratory Infection of rhinitis, sinusitis, front ARVI Flu Acute bronchitis

Time-spectral Diagrams We see seasonal and weekly rhithmes СВАН-диаграммы. Выделяются сезонный и недельный ритмы

Stable and unstable angina pectoris Myocardial infarction

Acute cardiovascular deficiency Aggravation of hypertonic disease

Cardiac dysrhythmia coronary heart disease

Epilepsy diabetes

stomach ulcer and 12-perstny gut stomach ulcer and normal childbirth 12-perstny gut

Weekly rhythms

Cause and effect links between diseases and external influences Причинно-следственные связи между заболеваниями и воздействующими факторами

Seasonal rhythm determine of wide and rapid changes in atmospheric pressure and temperature especially in the winter on the background of low temperature, wind and reduced illumination. The changes can reach 30 gPa and more during one day in the Winter. Сезонный ритм обусловлен разницей в динамике Т и Р летом и зимой. Зимой в течение суток перепады могут достигать 30 гПа и выше. А в дни когда перепады более 10 гПа вызывают скорую помощью.

The time series of P for Moscow do not have an annual rhythm where as it observes for Т and dispersion Р Ряды Р для Москвы не имеют годового ритма, а ряды Т и дисперсии Р имеют atmospheric pressure air temperature

Phase portraits Фазовые портреты

Р Spring SUMMER Autumn Winter

ТºТº

Ураган в Москве летом 1998 г. Hurricane Hurricane in Moscow in the summer of 1998.

Some features in the dynamics of ambulance calls for men and women of different ages Черты динамики вызовов Скорой помощи для мужчин и женщин разного возраста

Cardiac dysrhythmia >60 MEN Women

Myocardial infarction MEN Women >60

Hypertonic disease

Stroke

Hypotension

Pneumonia

Gastritis, duodenitis

Flu

Frustrated calls

Myocardial infarction Men Women > 60

Aggravation of hypertonic disease Women  60 Men

> 60 Stroke

Hypotension > 60

Meeting of new year

diseases of vessels of a brain nervous breakdowns

Hypertonic disease cardiovascular diseases

Comparison of twomonth fragments of the time series of ambulance calls concerning the aggravation of hypertonic disease in Moscow between the years when the New Year holidays were absent or present.

The Hot Summer 2010

Out-of-hospital pneumonia Nervous diseases Stroke Hypotension Tonsillitis

Patients with a hypertension and cardiovascular diseases didn't react to abnormally hot summer Hypertonic disease 2009

Patients with a diseases react to abnormally hot summer: Nervous diseases Stroke Hypotension Tonsillitis 2010

Dynamics of the number of emergency calls in the Central Clinical Hospital RAS, 14 years ).

Timeseries specifics associated with seasonal changes, the hot summer of 2010 and some socials factors. Итак мы поняли, что динамика вызовов Скорой помощи в большой степени связана с внешними факторами – сменой сезонов, жарким летом 2010 и с некоторыми социальными воздействиями

The work was supported by the RAS Presidium program Basic Sciences for Medicine. We are grateful to the Puchkov Ambulance and Emergency Care Station, Moscow, for the materials made available to us. Thank You very much!