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    Wyświetlanie 1-5 z 5
    Tytuł:
    Travel to altitude with neurological disorders
    Autorzy:
    Angelini, Corrado
    Giardini, Guido
    Falla, Marika
    Powiązania:
    https://bibliotekanauki.pl/articles/2098265.pdf
    Data publikacji:
    2021-07-21
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    altitude
    mountaineering
    migraine
    stroke
    epilepsy
    seizures
    Parkinson disease
    Opis:
    The present review examines several neurological conditions and the problems posed by travelling to high altitude, and in particular whether the underlying disease is likely to worsen. The neurological conditions include migraine and other types of headaches, transient ischemia of the brain, occlusive cerebral artery diseases, intracranial haemorrhage and vascular malformations, intracranial space occupying mass, multiple sclerosis, peripheral neuropathies, neuromuscular disorders, epileptic seizures, dementia and Parkinson’s disease. Attempts will be made to classify the risk posed by each condition and to provide recommendations regarding medical evaluation, advice for or against travelling to altitude and effective prophylactic measures. Some individual cases should only be advised after careful examination and risk evaluation either in an outpatient mountain medicine service or by a physician with knowledge of travelling and high altitude risks. Recent developments in diagnostic methods and treatment of neurological conditions are also mentioned.
    Źródło:
    Health Promotion & Physical Activity; 2021, 15, 2; 29-39
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    • odwiedzone
    Tytuł:
    Sportspecific performance diagnosis in ski mountaineering — comparison of a sportspecific cardiopulmonary exercise test on a treadmill versus outdoors and at altitude, a pilot study
    Autorzy:
    Schöffl, Isabelle
    Bliemsrieder, Bernhard
    Küpper, Thomas
    Schöffl, Volker
    Powiązania:
    https://bibliotekanauki.pl/articles/2098272.pdf
    Data publikacji:
    2021-09-28
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    spiroergometry
    performance testing
    ski mountaineering
    exercise testing
    CPEC
    Opis:
    Background: Ski mountaineering is a competitive sport that has gained popularity during the last years. As most competitions are held in altitudes between 1500 m and 3500 m, a considerable amount of training occurs at various hypobaric hypoxia degrees. It was establishing a sport-specific cardiopulmonary exercise protocol using standard ski mountaineering equipment on a treadmill. This study investigated altitude’s effects on a self-regulated incremental exercise field test at 3100 m with this protocol.Methods: Six athletes were tested (24.2 ± 4.2 years) from the German Ski Mountaineering National Team with a portable telemetric cardiopulmonary exercise test equipment. First, an incremental indoor step test with skis on a treadmill (altitude 310 m) and four days later outdoor on glacier snow (3085 m) after three days of acclimatization. All athletes were exposed to repetitive intermittent hypoxia during the weeks before the test. Standard cardiopulmonary exercise parameters were recorded while individual training zones were defined according to ventilatory thresholds.Results: In highly trained athletes, mean V̇O2peak (72/ml kg KG/min) was reduced by 25% or 9% per 1000 m altitude gain and by 18% and 23% at the first and second ventilatory thresholds, respectively. Mean maximum heart rate and the heart rate at the ventilatory thresholds were reduced at altitude compared to sea-level, as was the O2pulse.Conclusion: Due to distinctive individual reactions to hypoxia, cold, etc., an individual and sport-specific field performance analysis, representing the daily training environment, is highly useful in world-class athletes for precise training control. Our self-regulated cardiopulmonary field protocol could well prove to serve in such a way.
    Źródło:
    Health Promotion & Physical Activity; 2021, 16, 3; 16-25
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    An analysis of commercially recommended profiles for normobaric preacclimatization
    Autorzy:
    Tannheimer, Markus
    Lechner, Raimund
    Powiązania:
    https://bibliotekanauki.pl/articles/2098231.pdf
    Data publikacji:
    2021-03-02
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    acute mountain sickness (AMS)
    high attitude
    acclimatization
    normobaric hypoxia
    trekking
    expedition mountaineering
    Opis:
    Introduction: Normobaric hypoxic training (NHT) for preacclimatization at home has found its way into commercial expedition mountaineering. Portable NH-generators produce a normobaric hypoxic gas mixture that can be inhaled using breathing masks at rest or during exercise or it can be pumped into lightweight tents for sleeping. These devices can be rented from commercial companies.Materials and methods: Prior to an expedition to Manaslu (8163 m) NHT was used for preacclimatization over a period of 10 days. Our regimen involved a greater increase in sleeping altitude (10 nights to reach 5400 m) than recommended by the rental company (30 nights to reach 3900 m). Results: No incidents occurred during NHT. Our regimen induced sufficient acclimatization to Manaslu Base Camp (4900 m), as evidenced by the fact that none of the expedition members suffered from AMS although they reached base camp within 2 days from Kathmandu – by helicopter flight to 3500 m and a one day walk the next day. Eight days after leaving Kathmandu, camp III was reached at 6850 m.Conclusions: At natural altitudes above 2500 m an increase of sleeping altitude should not exceed 300-500 m per day. Below 2500 m, there are no restrictions. It is therefore unclear why the company recommends such a slow increase in sleeping altitude. In our opinion, it is not necessary for healthy persons to start with a sleeping altitude below 2500 m. In contrast to natural altitudes, NH exposure can be instantly stopped if symptoms occur. Therefore, it seems safe to expose healthy persons to more liberal normobarichypoxic conditions.
    Źródło:
    Health Promotion & Physical Activity; 2021, 14, 1; 25-29
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Risk Management and First Aid Knowledge of Trekkers in Nepal
    Autorzy:
    Lechner, K.
    Scharfenberg, C.
    Hettlich, E.M.
    Giet, S.
    Morrison, Audry
    Schöffl, Volker
    Küpper, Thomas
    Powiązania:
    https://bibliotekanauki.pl/articles/2098189.pdf
    Data publikacji:
    2020-12-07
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    trekking
    alpinizm
    aklimatyzacja
    zarządzanie ryzykiem
    choroba wysokościowa
    mountaineering emergencies
    acute mountain sickness
    acclimatization
    risk management
    Opis:
    Background: Trekking in Nepal is popular and generally safe. However preventable trekking injuries and deaths are often the result of poor risk managementand lack of skills – i.e. acute mountain sickness (AMS) and specific First Aid (FA). Shlim and Gallie’s reviews in 1992 and 2004 of trekking deaths here found a fivefold higher risk for fatal outcomes in organized trekking tours (OT) compared to independently organised trekkers (IT), including preventable deaths (i.e. AMS). Our survey sought to identify the AMS, FA and risk management knowledge/skills of OT and IT whilst trekking in Nepal. Methods: Based on previous pilot studies at the Khumbu region in Nepal, and on risk management information provided by leading German trekking operators, a survey was conducted using two questionnaires: one each for OT and IT.The study site was Manang (3,500m) in Annapurna region, Nepal. All trekkers passing through this site who volunteered their participation were included. For evaluation descriptive statistical methods and non-parametric tests were used. Results: 442 questionnaires were completed (155 OT; 287 IT). Mean agewas 36.4 +/– 12.0y and 61% were male. Mountaineering experience was low and FA training was scarce in both groups. IT (92.7%) followed acclimatization recommendations and 59.2% carried AMS medication, compared respectively to OT at 63.2% and 25.2%. Only 27.1% of OT had repatriation plans for a medical emergency. Conclusions: Most of OT and IT were inexperienced in mountaineering and in mountain emergencies. The preparedness of OT overall was inadequate and over-reliant on the organisers whose skills may also be inadequate when responding to an emergency. Responsible trekking should require that more than one person in a group have adequate, up-to-date riskassessment/management and FA skills specific to the trek, and in particular an understanding of altitude profile, AMS, and individual abilities.
    Źródło:
    Health Promotion & Physical Activity; 2020, 13, 4; 21-24
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Practicability of Enteritis – prevention in Trekking and Mountaineering at High Altitude by Systematic Hand Disinfection
    Autorzy:
    Ulmer, Hans-Volkhart
    Risse, Julia
    Küpper, Thomas
    Powiązania:
    https://bibliotekanauki.pl/articles/2098191.pdf
    Data publikacji:
    2020-12-07
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Tematy:
    wspinaczka górska
    biegunka
    profilaktyka zakażeń pokarmowych
    dezynfekcja rąk
    higiena rąk
    trekking
    mountaineering
    diarrhea
    enteritis prevention
    hand disinfection
    hand gel
    Opis:
    Introduction: The hygienic conditions during trekking or mountaineering at high altitudes are reduced, especially regarding defecation and hand hygiene. An additional problem exists in regions above the snowline, especially in highly frequented regions: snow may be contaminated by faecal microbes, causing diarrhea. Prevention against faecal-oral infections must include not only disinfection of drinking water, but hand disinfection, too, e.g. by a water-free hand gel. The practicability of this measure was tested during a Himalaya expedition on the way to Mt. Everest. Material and methods: 10 participants were instructed to use Stokosept-Gel, an alcohol based skin disinfectant, at least prior to meals, after using a toilet and after handling boot-laces and to note each use (including additional occasions). Results: A very good practicability of using the hand gel, which was absorbed quickly (ca. ¼ min) was reported. 100 ml were sufficient for at least 2 weeks and there were no side effects or problems at the skin. During the mountaineering phase which included a total of 250 person days in the field no diarrhea occurred. Conclusion: We conclude that using such hand gels is – additional to other procedures – a very practical prevention against diarrhea in mountaineering at high altitude.
    Źródło:
    Health Promotion & Physical Activity; 2020, 13, 4; 25-28
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-5 z 5

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