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    Wyświetlanie 1-6 z 6
    Tytuł:
    Acute mountain sickness, two cases and their treatment in the field
    Autorzy:
    Karinen, Heikki M.
    Tikkanen, Heikki O.
    Powiązania:
    https://bibliotekanauki.pl/articles/2180093.pdf
    Data publikacji:
    2012-06-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    high altitude
    acute mountain sickness
    altitude illness
    Opis:
    Objective: The number of lowland dwellers traveling at high altitudes has greatly increased in recent decades. Business travelers flying to La Paz or Lhasa are at risk of altitude illnesses, similarly to miners and soldiers transported to high altitudes. Traveling to high altitude requires adaptation and if this process fails due to too rapid an ascent rate or susceptibility of the climber, acute mountain sickness (AMS) may result. Doctors and nurses in travel clinics, health centers and occupational health care clinics may face patients asking advice on how to plan their trips or manage AMS, or the health care personnel may take part in a travel to high altitude environment. Methods: Two patients, aged 29 and 47 years, who fulfilled the criteria for AMS were studied. The clinical findings and treatment in the field are described including the review of the current recommendations for prevention and treatment of AMS. Results: Both patients developed a severe AMS due to too rapid ascent and their denial of the symptoms. Conclusions: Prevention is the safest and the most efficient method in the care concerning AMS. Realizing the risk of mountain sickness, active inquiry about the symptoms and correctly timed reaction to them, in other words interrupting the ascent or descending, help to reduce and even to prevent the development of serious problems.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2012, 25, 3; 304-309
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The impact of sleeping in an elevated upper body position during acclimatization to high altitude on acute mountain sickness and pulmonary artery systolic pressure
    Autorzy:
    Graß, Maren
    Apel, Christian
    Bertsch, Daniela
    Cerfontaine, Carina
    van der Giet, Michael
    van der Giet, Simone
    Haunolder, Miriam
    Hundt, Nina
    Jäger, Julia
    Kühn, Christian
    Museol, Sonja
    Timmermann, Lisa
    Wernitz, Knut
    Gieseler, Ulf
    Morrison, Audry
    Schöffl, Volker
    Küpper, Thomas
    Powiązania:
    https://bibliotekanauki.pl/articles/34671004.pdf
    Data publikacji:
    2024-02-28
    Wydawca:
    Akademia Tarnowska
    Tematy:
    acute mountain sickness
    pulmonary artery systolic pressure
    sleeping positions
    acclimatization
    Opis:
    Background: The effect of sleeping positions during acclimatization to high altitude on Acute Mountain Sickness (AMS) and High Altitude Pulmonary Edema (HAPE) is unknown. We tested whether sleeping with the upper body raised by 5° reduces prevalence and severity of symptoms of AMS as well as of elevated pulmonary artery systolic pressure (PASP) values as a risk factor of HAPE. Methods: Randomly assigning trekking tourist volunteers n = 44 (25 m, 19 f; mean age 42.9 yr) sleeping at 4280 m or 5170 m to the experimental group (upper body elevated by 5°), or to the control group. After exclusion of other reasons for AMS-like symptoms those assumed to be related to AMS were rated by Lake Louise Score questionnaire in the evening and the following morning of the study. Transthoracic echocardiography was performed on both occasions to estimate PASP. Results: In the study group, symptoms of AMS were significantly reduced in younger subjects (p = 0.021), prevalence of AMS was reduced in women (p = 0.156), and PASP values were significantly reduced in older subjects and men (p = 0.032; p = 0.031 respectively). Conclusion: Results suggest that sleeping with the upper body in elevated position during a high altitude ascent may benefit those suffering from AMS or at risk of HAPE due to elevated PASP values.
    Źródło:
    Health Promotion & Physical Activity; 2023, 25, 4; 1-8
    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:
    Zagrożenia zdrowotne związane z uprawianiem turystyki wysokogórskiej
    Health risks in high altitude mountaineering
    Autorzy:
    Piotrowska, Beata
    Majchrzak, Kinga
    Żarska, Henryka
    Żarski, Tadeusz P.
    Powiązania:
    https://bibliotekanauki.pl/articles/987072.pdf
    Data publikacji:
    2014
    Wydawca:
    Szkoła Główna Gospodarstwa Wiejskiego w Warszawie. Wydawnictwo Szkoły Głównej Gospodarstwa Wiejskiego w Warszawie
    Tematy:
    turystyka wysokogórska
    zagrożenia zdrowotne
    choroba wysokościowa
    high altitude mountaineering
    health dangers
    acute mountain sickness.
    Opis:
    Turystyka wysokogórska jest formą turystyki kwalifikowanej, która cieszy się coraz większą popularnością wśród Polaków. Jednakże jej uprawianie wiąże się z koniecznością przygotowania kondycyjnego zarówno fizycznego, jak i psychicznego oraz wymaga znajomości zagrożeń zdrowotnych, jakie niosą ze sobą wspinaczki wysokogórskie. W niniejszym artykule scharakteryzowano najbardziej niebezpieczne choroby związane z uprawianiem tego rodzaju turystyki, spowodowane rozrzedzeniem powietrza i niedotlenieniem w warunkach wysokogórskich oraz zaburzenia spowodowane przez inne czynniki. Celem niniejszego artykułu jest przestawienie wyników badań ankietowych, przeprowadzonych wśród polskich turystów wyjeżdżających w tereny górskie. Badania dotyczyły charakterystyki wyjazdów wysokogórskich oraz świadomości polskich turystów w zakresie zagrożeń zdrowotnych. Ponadto obejmowały także analizę zaburzeń zdrowia, z którymi najczęściej spotkali się polscy turyści oraz sposobów radzenia sobie z nimi.
    High altitude mountaineering is a form of qualified tourism, which is becoming more and more popular among Poles. However, practicing this kind of tourism involves the preparation and improvement of both the physical and mental condition and requires knowledge of the health risks associated with high-altitude climbing. In this article the most dangerous diseases related to this type of tourism were characterized by dividing them into diseases caused by low air density and hypoxia at high altitudes, and health disorders caused by other factors. The aim of this paper is to present the results of surveys conducted among Polish tourists, who venture into mountain areas. The survey’s main concerns were the characteristics of high mountain trips and the awareness of health risks among Polish tourists. It also included the analysis of the health problems, which most frequently affect Polish tourists and the methods of dealing with them.
    Źródło:
    Turystyka i Rozwój Regionalny; 2014, 1; 89-99
    2353-9178
    Pojawia się w:
    Turystyka i Rozwój Regionalny
    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:
    Portable hyperbaric chambers for the treatment of altitude disease
    Przenośne komory hiperbaryczne w leczeniu chorób wysokościowych
    Autorzy:
    Küpper, Thomas
    Gieseler, Ulf
    Milledge, Jim
    Morrison, Audry
    Schöffl, Volker
    Powiązania:
    https://bibliotekanauki.pl/articles/12721265.pdf
    Data publikacji:
    2022
    Wydawca:
    Akademia Tarnowska
    Tematy:
    choroba wysokościowa
    AMS
    HAPE
    HACE
    obrzęk płuc
    obrzęk mózgu
    altitude disease
    acute mountain sickness
    high altitude pulmonary edema
    high altitude cerebral edema
    Opis:
    Portable hyperbaric chambers are a therapeutic option for altitude disease in the mountains. By an increase of the oxygen partial pressure the patient’s symptoms ameliorate significantly. Portable hyperbaric chambers may be used as ‘stand alone therapy’ as well as in combination with other therapeutic options. Here we present the recommendation how to use the device and how to avoid problems. The recommendation has been agreed by all members of the medical commission of the world umbrella organization Union Internationale des Associations d’Alpinisme (UIAA MedCom).
    Źródło:
    Health Promotion & Physical Activity; 2022, 20, 3; 36-40
    2544-9117
    Pojawia się w:
    Health Promotion & Physical Activity
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-6 z 6

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