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J. Biomedical Science and Engineering, 2011, 4, 426-434 JBiSE doi:10.4236/jbise.2011.46054 Published Online June 2011 (http://www.SciRP.org/journal/jbise/). Published Online June 2011 in SciRes. http://www.scirp.org/journal/JBiSE Twenty years study of solar, geomagnetic, cosmic ray activity links with monthly deaths number (n-850304) Eliyahu Stoupel1,2, Ramune Kalediene3, Jadviga Petrauskiene3, Skirmante Starkuviene3, Evgeny Abramson4, Peter Israelevich5, Jaqueline Sulkes4 1Division of Cardiology, Rabin Medical Center, Petah Tiqwa, Israel; 2Sackler Faculty of Medicine, Tel Aviv University, Te l Aviv, Israel; 3Department of Medical Management, Lithuanian University of Health Sciences, Kaunas, Lithuania; 4Management Data Center, Rabin Medical Center, Petah Tiqwa, Israel; 5Department of Geophysics & Planetary Science, Tel Aviv University, Tel Aviv, Israel. Email: stoupel@inter.net.il Received 8 April 2011; revised 25 April 2011; accepted 10 May 2011. ABSTRACT The interrelationship between human life and death at the end of the XX and beginning of the XXI centu- ries is the topic of this study. The aim of the study is to study links between time, Solar (SA), Geomagnetic (GMA) and Cosmic Ray (CRA) (Neutron) activity and monthly deaths distribution from all and six subgroups of death causes in years 1990-2009 for ad- ditional clarification of the role of exogenic factors in human homeostasis. Methods and patients: 850304 deaths (44657 men, 400647 woman) and 6 subgroups were studied in 240 consecutive months in the Re- public of Lithuania in relation to the months of year (1 - 12), 4 indices of SA (Sunspot number and Solar Flux), 3 indices of GMA (planetary and regional for the Middle Latitudes), and CRA described by Neu- tron activity on the Earth's surface-remains of crushed atoms in the high space levels and measured by Imp/min. The cosmophysical data came from Space Science Institutions in the USA, Russia and Finland. Statistical analysis of the results for monthly comparison are presented. Results: It was a signifi- cant and inverse relationship of monthly deaths number for both gender with CRA and SA, less with GMA. It was a significant drop of deaths from IHD and suicides. Oncology deaths also sho w similarity in their timing with other groups. A strong inverse rela- tionship was seen in monthly death number from IHD and Stroke. (r = -0.76, p < 0.0001), woman show more seasonality in death's distribution. Most deaths show annual rhythm with acrophase in February. Only Suicide pick appears in the summer months. Conclusion: at the beginning of the XXI century, in addition to accepted risk factors, environmental physical activity is linked to timing of death. Cosmic Ray (Neutron) activity is one of the main regulators of this relationship. Stroke related deaths are becom- ing a more prominent cause in the collection of car- diovascular deaths. Suicide related deaths show a drop, possibly related to a massive trend for immi- gration in the high risk group of the population. The precise mechanism of action of the studied physical factors needs additional studies. Keywords: Deaths; Geomagnetic; Solar; Cosmic Ray; Neutron; Activity 1. INTRODUCTION Life exists in four power fields: gravitation; electromagnetic; weak nuclear power; strong nuclear power. These factors in differe nt way s influence l ife, incl uding hum an hom eostasis. Human life has a start-conception, and finish-death, all components of li fe. The aim of this study was to explore links between levels of three physical factors related to the mentioned power fields Solar (SA), Geomagnetic (GMA) and, opposite to them, Cosmic Ray (CRA) activity and monthly distribution of human deaths number. The progress in space exploration and computerization of related physical and medical data provide now better opportunities fror such study. 2. METHODS Data of the National Archive of the Republic of Lithua- nia for twenty years, 1990-2009 (240 consecutive months) was used. Monthly deaths distribution of 850304 pe rsons (449657 men and 400647 women) was analyzed. Smaller groups of deaths—parts of the total group, were also studied: Ischemic Heart Disease (IHD, n-300046), E. Stoupel et al. / J. Biomedical Science and Engineering 4 (2011) 426-434 Copyright © 2011 SciRes. JBiSE 427 Stroke (CVA, n-104243) and ratio between these two death groups monthly, Accidents (n-80486), Traffic Ac- cidents (n-18532), Suicide (n-28005), deaths from ma- lignancies (Oncologic deaths) (n-154311), Diabetes Mellitus (DM) (n-5417); an additional, artificial, group of Non Cardiovascular deaths (n-446015) was obtained, excluding from the Total deaths number deaths from IHD and CVA—two major cardiovascular killers. All comparisons were made for total and both gender death. The cosmophysical data (SA, GMA and CRA monthly indices) was obtained from the National Oceanic At- mospheric Administration, National Geophysical Data Center, USA, National Space Weather Prediction Center, USA, IZMIRAN Institute of the Russian Academy of Sciences, Russia, Oulu University Neutron Monitoring Station, Finland. For SA and GMA International indices of their activity were studied (1-7)—(Sunspot number, Solar flux), for GMA planetary and regional indices for the Middle Latitude (Ap., Cp., Am.) were used. For CRA Neutron activity in impulses per minute (imp/min) was used. The Neutrons are remains of atoms crushed by Cosmic Rays in the higher Space. The SA and GMA are serving as shields defending the Earth from CRA; their activities are inverse related. 3. STATISTICS Pearson correlation coefficients (p) and their probabili- ties (r) for all physical parameters and monthly death numbers were obtained. Probabilities at 95% and higher were described as significant; probabilities of 94% - 90% were included in the Strong trends to significance category. Correlation with probability less than 90% was mentioned as Non Significant (NS). In addition, multi- factor analysis was performed building prediction mod- els for total and each pathology related deaths group, including the Intercept and significant factors for each prediction model and their probabilities. 4. RESULTS First of all we checked the interrelationship between the three main studied physical factors at the 240 months of this study: SA and GMA were correlated at r = 0.50, p < 0.0001; SA and CRA (Neutron) activity were inverse related at r = -0.85, p < 0.0001 and, the same way, GMA and CRA (Neutron) activity at r = -0.66, p < 0.0001, a remembrance that SA and GMA serve as a shield for our planet fro m CRA. Table s 1 and 2 present the results for total deaths and all subgroups for all fatalities and, separate, for each gender, and dynamics of IHD/CVA monthly ratio at the studied 240 months. Table 3 includes data for On cology deaths. Table 4—for deaths related to DM. Table 5 pre- sents results of multifactor analysis, prediction models. Some facts emerge observing the results: yearly drop in deaths number from IHD and S u i c i d e . A growing role of Stroke in Cardiovascular mortality related deaths that is very significant at rise, in compari- son with fatalities from IHD. It’s a sudden change in Suicide relationship with stu- died physical factors that were very clear and impressive from1990 until 2005, loosing significan ce at 2007-2008. A relative weak relationship of the studied physical fac- tors are seen for IHD (most patients dying at home with poor verification of the event). The IHD relationship is undergoing some change in the multifactor analysis sec- tion, but demands attention in the chapter discussing the results of this study. Between the physical factors studied the role of CRA (Neutron) activity is remarkable. The interaction of CRA with SA is following most of the observed death groups and is emerging as a principal factor of environmental forces regulating role in human homeostasis. 5. DISCUSSION This long term study confirms results of a number of previous ob servations on links between timing of hu man death and environmental physical factors [8-15]. Results of this study are also reflecting the drop in IHD mortality in the last years [16]. IHD relationship with the mentioned physical factors in this study is clearer in the multifactor analysis part of the study. In this study IHD links with the physical factors are less prominent than in many studies related to Acute Myocardial Infarction (AMI), Sudden Cardiac Death (SCD), Cardiac Arrhythmia and other cardiovascular emergencies [17-27]. This can be explained by the fact that most of deaths in this group occurred at home and the verification of the cause of death was not satisfactory. This was confirmed by a group of physicians in the region were the data was collected: a great part of deaths oc- curred at time of alcohol intoxication; heart failure related deaths were also included in this group [28]. Better con- trolled studies of deaths in patients admitted to hospital and pathogenesis components of deaths from IHD (AMI, VT, VF related SCD, other for ms of Cardiac Arrhyth mia and Acute Cardiac Events) show highly significant rela- tionship by timing with the level of CRA (Neutron) ac- tivity, SA and GMA [10-12,22-28 ]. Studies published in the XX century mostly concen- trated on SA, GMA [8,10,1 1,12,14]. CRA activity related studies came later. It was shown that blood coagulation and inflammation indices are higher on high (active, stormy) GMA levels [14,22,23,25]. But extremely high (stormy) GMA days are a rare phenomena. In the last 25 years they were reg- istered only at 3.5% - 6.5% of days, at average, in 25 years (since 1983) 4.38% of such days yearly (400 days E. Stoupel et al. / J. Biomedical Science and Engineering 4 (2011) 426-434 Copyright © 2011 SciRes. JBiSE 428 E. Stoupel et al. / J. Biomedical Science and Engineering 4 (2011) 426-434 Copyright © 2011 SciRes. JBiSE 429 E. Stoupel et al. / J. Biomedical Science and Engineering 4 (2011) 426-434 Copyright © 2011 SciRes. JBiSE 430 Tabl e 3. Oncology deaths and monthly cosmophysical activity. Lithuania, 1989-2009 (252 months). Parameters Total M F Year 0.67 0.515 0.62 < 0.0001 < 0.0001 < 0.0001 0.11 N.S. 0.133 Month /1-12/ 0.08 0.039 -0.39 -0.35 -0.295 Sunspot No. < 0.0001 < 0.0001 < 0.0001 -0.39 -0.35 -0.3 Smoothed Sunspot N o. < 0.0001 < 0.0001 < 0.0001 -0.33 -0.3 -0.246 Solar Flux < 0.0001 < 0.0001 0.0001 -0.335 -0.3 -0.25 Adjusted Solar Flux < 0.0001 < 0.0001 < 0,0001 GMA: -0.29 -0.28 -0.19 Ap. < 0,0001 0.0001 0.003 -0.31 -0.29 -0.235 Cp. < 0.0001 0.0001 0.0002 -0.29 -0.28 -0.205 Am. < 0.0001 0.0001 0.0014 Cosmic Ray: 0.33 0.32 0.23 Moscow < 0.000 1 < 0.0001 0.0029 0.34 0.33 0.23 Oulu < 0.0001 < 0.0001 0.0023 Deaths No. 154311 86767 67544 of high active-stormy-IV0 GMA activity in 25 years). Most of days (about 42%) are at the weakest—Quiet GMA, accompanied by their antagonist-higher CRA (Neutron) activity [1,3]. So, despite the recognition of the “equilibrium para- digm in clinical cosmobiology” [13]—inverse action of SA, GMA and CRA on our planet and humans, most of days (in the last decades) are under low GMA and higher CRA (Neutron) activity influence. Neutron activity, as it follows from many studies pub- lished in recent years, [18-21,28-33] is one of the leading physical powers [34-36] and is linked with the timing of human death. The universal (not only limited to cardiovascular pa- thology) role of this factor can be seen in the results of timing of Oncology deaths. Here the heart standstill is only a final step of different groups of different patholo- gies and localizations [26]; this is also presented as a part of this study related to Oncology. The group of Total deaths, Stroke related and other death groups also show significant connections with CRA-Neutron activity. A very strong change is seen in the monthly IHD/ Stroke related deaths ratio since 1990. The role of Stroke is becoming more and more important with the time, and its prevention and treatment needs more and more atten- tion by the health au thorities in the coming years. Stroke development includes many pathogenesis mechanisms; some are similar to IHD natural history (the role of lipids, high blood pressure, thrombosis, embolism, atrial fibril- lation etc.), but in the Stroke deaths group the correlation with the studied cosmophysical factors are much more clear [10,12,14,17,22-25]. Maybe more deaths taking place in hospital, better medical documentation and less diagnostic errors were factors making the Stroke related data much stronger related to environmental physical activity in this study. It's remarkable the domination of woman in both (IHD, Stroke) groups, what is not specific for Western countries, but is widely seen in Eastern Europe, were men life ex- pectancy is much shorter than woman [38] (64 for men, 74 for woman in Lithuania), and men deaths are concen- trated in specific parts of pathology (accidents, traffic accidents, alcoholism and alcohol overuse related deaths, suicide etc.). [30,31,38]. This study is an additional con- firmation of these studies. We must also put attention on the group of Suicides, a cause of deaths that Lithuania was one of the leaders in the last decades [30,31]. Until year 2005 (since 1990) it was a very clear relationship of monthly Suicide related deaths number and the studied physical factors [30,31]. In the last couple of years it was. 1) A yearly drop in the number of Suicides; 2) A much weaker link with the studied physical fac- tors; 3) All this was occurring together with massive emi- gration (more than 10% of the total population, first of all, the social unwell, relatively young (18-34 y. old) population-predominantly unemployed, to Western Europe (Ireland, UK, Spain and other). This population was the biggest reserve for Suicide, but not from other causes [39]. In our opinion it can explain some of the observed changes in the last couple of years in this death group. For example at 1990-2005 the yearly Suicide deaths number yearly was still significantly rising (p = 0.02), Correlation with SA close to r = -05, p < 0.0001; with CRA (Neutron) activity, r = 0.31, p < 0.0001. At 1990- 2007 not significant yearly relatio nship of Suicide deaths number was seen, still significant, but weaker, with SA (inverse) and CRA (Neutron) activity. In this study (1990-2009) a yearly drop in death number from Sui- cides (r = -0.20, p = 0.0019) and all long time observed relationship with the physical factors disappeared. Considering the way of Neutron action on the path- ways of Cardiac Arrhythmia, the damage of coronary artery plaque's in AMI and some cellular damage in other E. Stoupel et al. / J. Biomedical Science and Engineering 4 (2011) 426-434 Copyright © 2011 SciRes. JBiSE 431 Ta b le 4 . Monthly deaths distribution from diabetes mellites (dm) links with environmental physical activity. Lithuania, 1990-2009. Deaths of Diabetes Mellites Patients Parameter Male Female All Lithuania Total Death Number 0.31 0.35 0.44 Year p < 0.0001 p < 0.0001 p < 0.0001 N.S. -0.19 Month N.S N.S. N.S. p = 0.0036 -0.16 -0.15 -0.202 -0.35 Sunspot No. p = 0.01 p = 0.02 p = 0.0016 p < 0.0001 -0.15 -0.15 -0.15 -0.33 Smoothed Sunspot Number p = 0.01 p = 0.02 p = 0.02 p < 0.0001 -0.15 -0.12 -0.15 -0.29 Solar Flux 2800MGH 10.7 cm p = 0.1 p = 0.059 p = 0.02 p < 0.0001 -0.11 -0.13 -0.16 -0.32 Adjusted Solar Flux p = 0.08 p = 0.04 p = 0. 01 p < 0.0001 GMA Indices: Ap. N.S. N.S. N.S. N.S. Cp. N.S. N.S. N.S. N.S. Am. N.S. N.S. N.S. N.S. CRA—Neutron Activity (imp./min.) 0.32 Oulu N.S. N.S. N.S. p < 0.0001 0.3 Moscow N.S. N.S. N.S. p < 0.0001 Death Number 2152 3134 5417 850304 1990-2009 Table 5. Prediction of monthly deaths distribution links with environmental physical activity. Lithuania, 1990-2009. Variable Estimate Std. Error p-ValueVariable EstimateStd. Error p-Value Total Suicide Intercept 29273.0 8572.5 0.0008 Intercept 3057.6 805.9 0.0002 Year -12.914 4.296 0.0029 Year -1.4 0.55 0.0008 Month -21.0823 5.889 0.0004 Sunspot No. 0.407 0.17 0.018 Sunspot No. -9.387 1.818 < 0,0001 Solar Flux -0.688 0.161 < 0.0001 Solar Flux 6.485 1.74 0.0002 Cosmic Ray 0.07 0. 0178 < 0,0001 IHD Non Cardiovascular Intercept 71735.0 7337.4 < 0.0001Intercept -33714.0 7504.1 < 0.0001 Year -35.39 3.68 < 0.0001Year 17.83 3.75 < 0.0001 Month -14.67 3.74 0.0001 Sunspot No. -2.13 0.29 < 0.0001 Sunspot No. 5.9 45 1.002 < 0.0001Ap. 7.62 2.39 0.0017 Solar Flux 5.37 0.96 < 0.0 0 0 1Diabetes Mellitus Stroke Intercept -833.5 124.3 < 0.0001 Intercept -4947.7 1286.2 0.0002 Year 0.44 0.062 < 0.0001 Year 2.527 0.641 0.0001 Sunspot No. -0.025 0.011 0.0223 Month -3.738 0.858 < 0.0001 Cosmic Ray -0.0043 0.0013 0.0007 Sunspot No. -0.89 0.272 0.0013 Solar Flux 0.997 0.257 0.0001 Cosmic Ray 0.061 0. 023 0.01 Accidents Intercept -15737.0 1734.6 < 0.0001 Year 8.505 0.868 < 0.0001 Month 3.308 1.24 0.0086 Sunspot No. -1.24 0.153 < 0,0001 Cosmic Ray -0.145 0.017 < 0.0001 Traffic Accidents Intercept 4529.1 469.5 < 0.0001 Year -2.205 0.239 < 0.0001 Month 4.045 0.3569 < 0.0001 Cosmic Ray -0.011 0.0033 0.0009 E. Stoupel et al. / J. Biomedical Science and Engineering 4 (2011) 426-434 Copyright © 2011 SciRes. JBiSE 432 cases, we can presume one of the Neutron acting ways is ability to invade human tissue proportional to hydrogen atoms presence there, interaction with H+ (41) (a radical that lipids and vulnerable atheroma's—plaque's are rich) and transformation of Neutrons to Protons, that attack cell nuclei and damage tissues [40,41,42]. An additional way of SA effects can be particles ar- riving with the Solar wind and their effects on enzymes and their function [43]. Changes in the enzyme function can also change the normal metabolism and provoke unexpected reaction of the human body, immunologic changes that are described for changes in SA and GMA [44,45]. This can bring to pathologic responses of the human organism to usually “normal” triggers. The way GMA is affecting blood coagulation (platelet aggrega- tion, count, fibrinogen level etc.), inflammation (C- Re- active Protein) and many immunologic mechanisms (immunoglobulins, phospholipids) are published [14, 22,23,44,45]. The World epidemics of Diabetes Mellitus (DM) is sober represented by death number in this study. An ex- planation for the relative small numbers of DM related victims can be a long complications list. in the natural history of DM. They often serve as immediate cause of death-Hypertension, Renal failure, Vascular occlusions in the heart, brain, Peripheral vascular disease and di- minish the numb er of D M related deaths. It's also known about circannual rhythms in deaths distribution concentratin g (in the Middle Latitud es of the Northern hemisphere): most IHD and CVA deaths occur in the winter (February) months, traffic accidents victims at the late autumn-start of winter and suicide acrophase in the summer (June-July) [46]. This is shown in the monthly deaths disposition (1-12) included in this study. A great step forward understanding the origin of high energy CRA was made in recent publications (2007), connecting them with close to our galaxy, but extraga- lactic, black hole radiation [47]. It seems that life is o ptimal when the environ ment is at moderate activity level that prevents the me ntioned factors not to achieve critical levels for human health. It's espe- cially important for the sick and el derly popul ation. 100 years after A. Tchizhevsky formulated the possi- bilities of Solar influences on human life [48], Clinical Cosmobiology, using the achievements of Space explo- ration and data computerization presents new data for understanding the nature of physical environment effects on human life and death—a part of life. Here we can quote A. Einstein word s “The Human will is free only in bounds of a determined cosmic system” [49]. 6. 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