The creation of this study was driven by my belief in the importance of transforming and reimagining human-nature relationships for sustainable futures and my interest in understanding the implementation of nature-based learning in schools. Through observations of children in an outdoor education setting, I sought to answer the following research questions: “How do children that have engaged in nature-based learning view themselves in relation to nature?” and “What can be observed about children’s personal understandings of nature and their personal relationships with nature in their writing and drawings?” This study was implemented with participants in third grade outdoor education classes at a local charter school in South Phoenix using multiple participatory research methods. My findings add to an existing body of knowledge and research focused on understanding children’s relationships with nature and the impacts of nature-based learning. In the conclusion of this paper, I pose additional questions about conceptualizing children’s relationships with nature and exploring their nature connectedness through research, share reflections on my personal relationship with nature, and discuss how my observations support benefits of nature-based learning as argued by existing scholarship.

Climate change is a well-known global threat to societal systems; however, its effects on the health of individuals are often less evident. Physicians who aim to properly treat patients holistically must be educated on the various forms of illness and disease projected to be exacerbated by climate change. Without this necessary climate education, physicians run the risk of being unable to fulfill the most sacred charge of the Hippocratic oath: Do No Harm. To ensure that physicians moving forward are prepared to face this new global health threat, the prevalence of climate change in current medical school curricula must be examined. Content analysis of publicly available medical school curricula in the Southwest U.S. was done using ChatGPT to track the frequency of climate health search terms. Medical school curricula analyzed included mandatory degree programs as well as optional dual degree programs or pathways for medical student education. Researchers found that medical schools within the Southwest region of the United States are not sufficiently preparing students to mitigate the regional effects of climate change on the health of patients. Mandatory medical degree curriculum does not sufficiently educate on climate health issues, nor is it present in Utah, New Mexico, or Colorado. Optional degrees and pathways are available to medical students to enroll in and may be sufficient to educate a medical student, but are not enticing enough to sufficiently educate all medical students. Some medical schools have recently conducted revisals of their mandatory curriculum and still show a lack of education available about climate health issues. The lack of educational resources for future providers could lead to detrimental health outcomes for patients, and medical schools in development should take the lead in educating their students about climate health issues.

Climate change is a well-known global threat to societal systems; however, its effects on the health of individuals are often less evident. Physicians who aim to properly treat patients holistically must be educated on the various forms of illness and disease projected to be exacerbated by climate change. Without this necessary climate education, physicians run the risk of being unable to fulfill the most sacred charge of the Hippocratic oath: Do No Harm. To ensure that physicians moving forward are prepared to face this new global health threat, the prevalence of climate change in current medical school curricula must be examined. Content analysis of publicly available medical school curricula in the Southwest U.S. was done using ChatGPT to track the frequency of climate health search terms. Medical school curricula analyzed included mandatory degree programs as well as optional dual degree programs or pathways for medical student education. Researchers found that medical schools within the Southwest region of the United States are not sufficiently preparing students to mitigate the regional effects of climate change on the health of patients. Mandatory medical degree curriculum does not sufficiently educate on climate health issues, nor is it present in Utah, New Mexico, or Colorado. Optional degrees and pathways are available to medical students to enroll in and may be sufficient to educate a medical student, but are not enticing enough to sufficiently educate all medical students. Some medical schools have recently conducted revisals of their mandatory curriculum and still show a lack of education available about climate health issues. The lack of educational resources for future providers could lead to detrimental health outcomes for patients, and medical schools in development should take the lead in educating their students about climate health issues.

Human exposure to extreme heat is becoming more prevalent due to increasing urbanization and changing climate. In many extreme heat conditions, thermal radiation (from solar to emitted by the surrounding) is a significant contributor to heating the body, among other modes of heat transfer. Therefore, accurately measuring radiative heat flux on a human body is becoming increasingly important for calculating human thermal comfort and heat safety in extreme conditions. Most often, radiant heat exchange between the human body and surroundings is quantified using mean radiant temperature, T_mrt. This value is commonly measured using globe or cylindrical radiometers. It is based on radiation absorbed by the surface of the radiometer, which can be calculated using a surface energy balance involving both convection and emitted radiation at steady state. This convection must be accounted for and is accomplished using a traditional heat transfer coefficient correlation with measured wind speed. However, the utilized correlations are based on wind tunnel measurements and do not account for any turbulence present in the air. The latter can even double the heat transfer coefficient, so not accounting for it can introduce major errors in T_mrt. This Thesis focuses on the development, and testing of a cost-effective heated cylinder to directly measure the convection heat transfer coefficient in field conditions, which can be used for accounting convection in measuring T_mrt using a cylindrical radiometer. An Aluminum cylinder of similar dimensions as that of a cylindrical radiometer was heated using strip heaters, and the surface temperature readings were recorded to estimate the convection heat transfer coefficient, h. Various tests were conducted to test this concept. It was observed that heated cylinders take significantly less time to reach a steady state and respond to velocity change quicker than existing regular-sized globe thermometers. It was also shown that, for accurate estimation of h, it is required to measure the outer surface temperature than the center temperature. Furthermore, the value calculated matches well in range with classic correlations that include velocity, showing proof of concept.

The human body has temperature-regulating mechanisms working to maintain body core temperature around 37°C. This ensures optimal bodily function. Disruption to core temperature however, initiates a cascade of events to return to baseline. The objective of this study is to evaluate the efficacy of cooling strategies to induce the fastest reductions in core temperature. The study was set up as a randomized field study. Core temperature was measured using an E-Celsius core temperature capsule. Environmental conditions were measured using a Kestrel heat stress tracker. Following completion of a heat-stress protocol, participants underwent one of the four randomized cooling protocols. These cooling protocols consisted of: 1) wearing an ice vest (18°C), 2) applying an icy towel directly to the back of the neck (24°C) in combination with hand/forearm water immersion (15°C), 3) a combination of ice vest, icy towel and hand/forearm water immersion, or 4) sitting in a thermoneutral room (20°C). In all cooling interventions, participants consumed 16oz of an ice slurry (0°C) within 10 minutes of the initiation of the protocol. The control group consumed only room temperature water- ad libitum. A total of 10 active males (25 ± 3 years old) reported no difference between baseline body core temperatures after each heating intervention (P=0.23). Average core temperature and heart rate differed, though not statistically significant between treatments (P>0.05). No significant differences were noted between cooling rates (P=0.51). Skin temperature (Tsk) average and decrement was found to be statistically significant (P<0.001).

Heat acclimatization can be induced by targeting a core temperature 38.5°C for at least 60 minutes per day lasting 5 to 21 days, complementary to normal exercise activity. However, consistently meeting this threshold on consecutive days may be difficult for athletes. The objective of this study was to evaluate the efficacy of four single-bout heating protocols to reach a core temperature 38.5°C. The study was set up as a non-randomized field study, factoring in the September-October outdoor desert conditions, Tempe, AZ, USA. Environmental conditions were measured using a Kestrel heat stress tracker. Protocols were constituted out of 3 elements: PAS – passive heat exposure in a tent (54±1°C), EH - exercise in hot condition with high intensity interval training (HIIT) outdoors in the heat in a tent with a ventilator (43±1°C), EM – exercise in moderate conditions with HIIT indoors (22±0.4°C). All participants performed protocols in the following order: 1) PAS 60-min; 2) EH-PAS (EH 30-min + PAS 30-min); 3) EH 60-min, and 4) EM 60-min. A cycle ergometer was used for HIIT (2-min warm-up followed by 7x2-min sprints with 2-min relative rest between sprints during the first 30 min and stationary cycling for the second 30 min), with a self-selected workload at 80-100 rpm and similar heart rate (HR) response during exercise testing for EH: 146±10, EM: 142±13, and EH-PAS: 142±13 (P>0.05). A total of 10 active male students (25±3 years old) reported no difference between protocols for baseline Tc (P=0.37) and HR (P=0.28). During the first 30-min, Tc was significantly different between protocols (average ranging from 37.3-37.6°C, P=0.01), but from a practical perspective, differences were limited. During the second 30-min session, the Tc for EH (38.5±0.4°C) and EH-PAS (38.6±0.4°C) were significantly higher from EM (38.1±0.4°C) and PAS alone (37.8±0.4°C), P<0.001. The average HR (bpm) was significantly lower in PAS (110±17) and EH (136±13) during the second half of the protocols compared to the EH (151±10) and EM (149±16), P<0.001. In conclusion, exercise alone vs. a combination of exercise and passive heating in hot conditions resulted both in a body temperature 38.5°C, but the combination was more efficient since participants exercised for only 30-minutes.

Ultraviolet (UV) radiation is the most well-known cause of skin cancer, and skin cancer is the most common type of cancer in the United States. People are exposed to UV rays when they engage in outdoor activities, particularly exercise, which is an important health behavior. Thus, researchers and the general public have shown increasing interest in measuring UV exposures during outdoor physical activity using wearable sensors. However, minimal research exists at the intersection of UV sensors, personal exposure, adaptive behavior due to exposures, and risk of skin damage. Three studies are presented in this dissertation: (1) a state-of-the-art review that synthesizes the current academic and grey literature surrounding personal UV sensing technologies; (2) the first study to investigate the effects of specific physical activity types, skin type, and solar angle on personal exposure in different outdoor environmental contexts; and (3) a study that develops recommendations for future UV-sensing wearables based on follow-up interviews with participants from the second study, who used a wrist-worn UV sensor while exercising outdoors. The first study provides recommendations for 13 commercially available sensors that are most suitable for various types of research or personal use. The review findings will help guide researchers in future studies assessing UV exposure with wearables during physical activity. The second study outlines the development of predictive models for individual-level UV exposure, which are also provided. These models recommend the inclusion of sky view factor, solar angle, activity type, urban environment type, and the directions traveled during physical activity. Finally, based on user feedback, the third study recommends that future UV-sensing wearables should be multi-functional watches where users can toggle between showing their UV exposure results in cumulative and countdown formats, which is intuitive and aesthetically pleasing to users.