Udall Foundation

Abstract Climatic frost indicators, including the dates of the last spring frost (LSF), the dates of the first fall frost (FFF), and the length of the frost‐free season (FFSL), are critical factors in anthropogenic and natural ecosystem management and can be directly calculated from daily minimum temperatures. Daily minimum temperature from the Applied Climate Information System was used to determine long‐term trends of frost indicators across the U.S. Southern Great Plains. The results demonstrated statistically significant trends of earlier LSF in eastern Kansas, western and eastern Oklahoma, and eastern Texas from 1950 to 2017. However, significantly later FFF trends and longer FFSL trends were mainly identified in eastern Oklahoma and eastern Texas. Overall, the region was characterized by the trends toward earlier LSF, later FFF, and longer FFSL from 1950 to 2017. In addition, the choice of time period in the climatic time series played an important role in LSF, FFF, and FFSL trends. Furthermore, the results from the correlation analysis of LSF and FFF with multiple climate indices indicated that the increasing trends in the spring Arctic Oscillation (AO) were consistent with the earlier onset of spring in Kansas and Texas, and the fall Atlantic Multidecadal Oscillation (AMO) was positively correlated with the later FFF dates in Kansas.

Follow-up data on future coronary events was collected on 6,500 patients who had undergone stress testing; 1,327 of these exhibited ventricular premature contractions (VPCs) associated with one or more phases of treadmill stress testing (TSTs). Eighty-three percent of all patients tested had known or suspected cardiovascular disease. The annual incidence of new coronary events (myocardial infarction, angina, cardiac death) during a five year follow-up was 1.7% among 1,067 patients without VPCs or ischemic ST changes, 6.4% in 758 patients with VPCs alone, 9.5% among 609 patients with ischemic ST changes alone and 11.4% in 569 patients with VPCs plus ischemic ST changes. The significance of VPCs associated with the TSTs rests largely upon the clinical status of the persons tested. VPCs observed among patients referred for TSTs for the evaluation of known or suspected cardiovascular disease, with or without ischemic ST abnormalities, represent a definite risk factor for future coronary events.