Understanding the relationships between temperature, MEI, SPI, and CO2 concentration is important as they measure the major influencers of California’s regional climate: temperature, ENSO, precipitation, and atmospheric CO2. In this article, the authors analyzed temperature, Multivariate El Niño-Southern Oscillation Index (MEI), and Standard Precipitation Index (SPI) data from the San Francisco Bay Area from 1971 to 2016. They also analyzed CO2 records from Mauna Loa, HI for the same time period, along with the annual temperature anomalies for the Bay Area.

Cardiac autonomic and structural changes may occur in temporal lobe epilepsy patients and contribute to the risk of sudden unexpected death in epilepsy patients. Choi and colleagues reviewed clinical charts to obtain patients’ lifetime seizure count, antiepileptic drug use, and history of heart disease, followed by transthoracic echocardiogram to calculate left ventricle dimensions, ejection fraction, and left ventricle mass. By comparing epilepsy patients to control subjects, they found that epilepsy patients had thinner left ventricle walls and smaller ejection fraction, but with no significant difference in left ventricle mass.