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https://www.readbyqxmd.com/read/28810963/treating-decompression-sickness-military-flight-simulation-site-community-hospital-partnership
#1
Whitney C Rhodes, George Hertner, Robert Price, Lani Finck, Claudia Temmer, Tracy Cushing, Kathleen Flarity
BACKGROUND: High-altitude flight simulation familiarizes military trainees with the symptoms of hypoxia to prepare them for emergency situations. Decompression sickness (DCS) can occur as a result of these simulations. In cases when ground-level supplemental oxygen does not resolve symptoms, hyperbaric oxygen (HBO) therapy is indicated. Many military hyperbaric chambers have been closed because of cost reductions, necessitating partnerships with community hospitals to ensure access to treatment...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28798201/remote-ischemic-preconditioning-does-not-prevent-acute-mountain-sickness-after-rapid-ascent-to-3450-m
#2
Marc M Berger, Franziska Macholz, Lukas Lehmann, Daniel Dankl, Marcel Hochreiter, Bernhard Bacher, Peter Bärtsch, Heimo Mairbäurl
Remote ischemic preconditioning (RIPC) has been shown to protect remote organs, such as the brain and the lung, from damage induced by subsequent hypoxia or ischemia. Acute mountain sickness (AMS) is a syndrome of non-specific neurologic symptoms and in high altitude pulmonary edema excessive hypoxic pulmonary vasoconstriction (HPV) plays a pivotal role. We hypothesized that RIPC protects the brain from AMS and attenuates the magnitude of HPV after rapid ascent to 3450 m. Forty non-acclimatized volunteers were randomized into 2 groups...
August 10, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28772091/riding-high-into-the-danger-zone-a-review-of-potential-differences-in-chemical-exposures-in-fighter-pilots-resulting-from-high-altitude-and-g-forces
#3
Matthew W Linakis, Kathleen M Job, Xiaoxi Liu, Scott C Collingwood, Heather A Pangburn, Darrin K Ott, Catherine M T Sherwin
When in flight, pilots of high performance aircraft experience conditions unique to their profession. Training flights, performed as often as several times a week, can expose these pilots to altitudes in excess of 15 km (~50,000 ft, with a cabin pressurized to an altitude of ~20,000 ft), and the maneuvers performed in flight can exacerbate the G-forces felt by the pilot. While the pilots specifically train to withstand these extreme conditions, the physiologic stress could very likely lead to differences in the disposition of chemicals in the body, and consequently, dangerously high exposures...
August 3, 2017: Expert Opinion on Drug Metabolism & Toxicology
https://www.readbyqxmd.com/read/28712261/application-of-living-high-training-low-enhances-cardiac-function-and-skeletal-muscle-oxygenation-during-submaximal-exercises-in-athletes
#4
Hun-Young Park, Sang-Seok Nam
PURPOSE: The aim of this study was to determine the efficiency of the application of living high-training low (LHTL) on cardiac function and skeletal muscle oxygenation during submaximal exercises compared with that of living low-training low (LLTL) in athletes. METHODS: Male middle- and long-distance runners (n = 20) were randomly assigned into the LLTL group (n = 10, living at 1000-m altitude and training at 700-1330-m altitude) and the LHTL group (n = 10, living at simulated 3000-m altitude and training at 700-1330-m altitude)...
March 31, 2017: Journal of Exercise Nutrition & Biochemistry
https://www.readbyqxmd.com/read/28698346/acute-mountain-sickness-arterial-oxygen-saturation-and-heart-rate-among-tibetan-students-who-reascend-to-lhasa-after-7-years-at-low-altitude-a-prospective-cohort-study
#5
Gonggalanzi, Labasangzhu, Espen Bjertness, Tianyi Wu, Hein Stigum, Per Nafstad
OBJECTIVES: The aim of the present study was to estimate the incidence of acute mountain sickness (AMS) and address the changes in arterial oxygen saturation (SaO2) and heart rate (HR) in native Tibetans who reascend to the high-altitude city of Lhasa (3658 m) after a 7-year stay at low altitude. METHODS: We followed two cohorts of students aged 17-21 years (859 Native Tibetan and 801 Han Chinese), travelling from lowland China until 3 days after their arrival in highland city of Lhasa...
July 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28674605/changes-in-running-economy-respiratory-exchange-ratio-and-vo2max-in-runners-following-a-10-day-altitude-training-camp
#6
Sebastian R Diebel, Ian Newhouse, David S Thompson, Vineet B K Johnson
Running economy (RE) and VO2max are important predictors of endurance performance for elite and semi-elite endurance athletes, with RE being an appropriate predictor in a homogenous running population. Altitude training has been observed to change RE (mL.kg(-1).min(-1)), and VO2max due to alterations resulting from acclimatization. This study tracked changes in RE and VO2max before and after a 10-day altitude training camp at 1828 meters. VO2max, RE expressed calorically, and respiratory exchange ratio (RER), were measured below anaerobic threshold (AT) to observe differences between pre-and post-altitude training...
2017: International Journal of Exercise Science
https://www.readbyqxmd.com/read/28626339/effects-of-2-week-intermittent-training-in-hypobaric-hypoxia-on-the-aerobic-energy-metabolism-and-performance-of-cycling-athletes-with-disabilities
#7
Sang-Hoon Kim, Ho-Jung An, Jung-Hyun Choi, Yong-Youn Kim
[Purpose] The present study aimed at examining changes in aerobic energy metabolism and performance in cycling athletes after 2 weeks of intermittent training in a multistep hypobaric hypoxia environment. [Subjects and Methods] We also aimed at using the findings to propose an efficient training program in hypobaric hypoxia for endurance athletes with disabilities. The study participants were three cycling athletes with physical disabilities from the Korean national team (A, B, and C athletes). They underwent complex (repetition, interval, and continued) training with a roller-type cycle in a multistep hypobaric hypoxia environment (simulated altitude, 4,000 m above sea level)...
June 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28626333/peripheral-circulation-indicators-in-veteran-trail-runners
#8
Alexander Bolotin, Vladislav Bakayev
[Purpose] Competitive sport places strict demands on the cardiovascular systems of veteran trail runners. Our research objective was to evaluate the dynamics of microcirculation parameters of veteran runners in hypoxic and mid-altitude conditions. [Subjects and Methods] Seven male runners from Russia and Italy between the ages of 50 and 60 years were examined whilst competing at mid-altitude (1,500-2,000 m above sea level). The same runners were examined in a simulated mid-altitude hypoxic environment, which was a hypoxic chamber with 16% oxygen concentration, for 720 minutes...
June 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28620311/physiological-adaptations-to-hypoxic-vs-normoxic-training-during-intermittent-living-high
#9
Stefan De Smet, Paul van Herpt, Gommaar D'Hulst, Ruud Van Thienen, Marc Van Leemputte, Peter Hespel
In the setting of "living high," it is unclear whether high-intensity interval training (HIIT) should be performed "low" or "high" to stimulate muscular and performance adaptations. Therefore, 10 physically active males participated in a 5-week "live high-train low or high" program (TR), whilst eight subjects were not engaged in any altitude or training intervention (CON). Five days per week (~15.5 h per day), TR was exposed to normobaric hypoxia simulating progressively increasing altitude of ~2,000-3,250 m...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28577258/-beet-ing-the-mountain-a-review-of-the-physiological-and-performance-effects-of-dietary-nitrate-supplementation-at-simulated-and-terrestrial-altitude
#10
Oliver Michael Shannon, Kerry McGawley, Linn Nybäck, Lauren Duckworth, Matthew John Barlow, David Woods, Mario Siervo, John Paul O'Hara
Exposure to altitude results in multiple physiological consequences. These include, but are not limited to, a reduced maximal oxygen consumption, drop in arterial oxygen saturation, and increase in muscle metabolic perturbations at a fixed sub-maximal work rate. Exercise capacity during fixed work rate or incremental exercise and time-trial performance are also impaired at altitude relative to sea level. Recently, dietary nitrate (NO3(-)) supplementation has attracted considerable interest as a nutritional aid during altitude exposure...
June 2, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28575822/a-national-scale-flood-hazard-mapping-methodology-the-case-of-greece-protection-and-adaptation-policy-approaches
#11
Nektarios N Kourgialas, George P Karatzas
The present work introduces a national scale flood hazard assessment methodology, using multi-criteria analysis and artificial neural networks (ANNs) techniques in a GIS environment. The proposed methodology was applied in Greece, where flash floods are a relatively frequent phenomenon and it has become more intense over the last decades, causing significant damages in rural and urban sectors. In order the most prone flooding areas to be identified, seven factor-maps (that are directly related to flood generation) were combined in a GIS environment...
December 1, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28572749/the-effect-of-acute-pomegranate-extract-supplementation-on-oxygen-uptake-in-highly-trained-cyclists-during-high-intensity-exercise-in-a-high-altitude-environment
#12
Emma May Crum, Ahmad Munir Che Muhamed, Matthew Barnes, Stephen Robert Stannard
BACKGROUND: Recent research has indicated that pomegranate extract (POMx) may improve performance during aerobic exercise by enhancing the matching of vascular oxygen (O2) provision to muscular requirements. POMx is rich in ellagitannin polyphenols and nitrates (NO3(-)), which are both associated with improvements in blood flow and O2 delivery. Primarily, this study aimed to determine whether POMx improves performance in a cycling time trial to exhaustion at 100%VO2max (TTE100%) in highly-trained cyclists...
2017: Journal of the International Society of Sports Nutrition
https://www.readbyqxmd.com/read/28556384/migraine-associated-with-altitude-results-from-a-population-based-study-in-nepal
#13
M Linde, L Edvinsson, K Manandhar, A Risal, T J Steiner
BACKGROUND AND PURPOSE: A 1988 pilot study in Peru suggested an association between migraine and chronic exposure to high altitude. This study provides epidemiological evidence corroborating this. METHODS: In a cross-sectional nationwide population-based study, a representative sample of Nepali-speaking adults were recruited through stratified multistage cluster sampling. They were visited at home by trained interviewers using a culturally adapted questionnaire...
August 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28522767/individual-hemoglobin-mass-response-to-normobaric-and-hypobaric-live-high-train-low-a-one-year-crossover-study
#14
Anna Hauser, Severin Troesch, Jonas J Saugy, Laurent Schmitt, Roberto Cejuela-Anta, Raphael Faiss, Thomas Steiner, Neil Robinson, Grégoire P Millet, Jon Peter Wehrlin
PURPOSE: To compare individual hemoglobin mass (Hbmass) changes following a live high-train low (LHTL) altitude training camp under either normobaric hypoxia (NH) or hypobaric hypoxia (HH) conditions in endurance athletes. METHODS: In a crossover design with a one-year washout, 15 male triathletes randomly performed two 18-d LHTL training camps in either HH or NH. All athletes slept at 2250 m and trained at altitudes < 1200 m. Hbmass was measured in duplicate with the optimized carbon monoxide rebreathing method before (pre-) and immediately after (post-) each 18 d training camp...
May 18, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28518008/latent-presentation-of-decompression-sickness-after-altitude-chamber-training-in-an-active-duty-flier
#15
James Gentry, Juan Rango, Jianzhong Zhang, Shane Biedermann
BACKGROUND: Decompression sickness (DCS) is a potential danger and risk for both divers and aircrew alike. DCS is also a potential side effect of altitude (hypobaric) chamber training as well and can present long after training occurs. Literature review shows that altitude chamber induced DCS has approximately a 0.25% incidence. CASE REPORT: A 32-yr-old, active duty military member developed symptoms of DCS 3 h after his hypobaric chamber training. Unfortunately, he did not seek treatment for DCS until 48 h after the exposure...
April 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28479953/effects-of-simulated-altitude-on-maximal-oxygen-uptake-and-inspiratory-fitness
#16
Nicole C Biggs, Benjamin S England, Nicole J Turcotte, Melissa R Cook, Alyne L Williams
Aerobic exercise at altitude has shown an increase in maximal oxygen uptake. Similar effects have been replicated by way of simulated altitude training, which have influenced various advances in the field of exercise science. Elevation Training Masks© (ETM) claim to stimulate cardiorespiratory fitness improvements similar to training at altitude, however, there is little research to support this claim. The purpose of this study was to research the effect that a hypoxia-inducing mask would have on cardiorespiratory fitness and pulmonary function through the use of a high intensity interval training (HIIT) running program...
2017: International Journal of Exercise Science
https://www.readbyqxmd.com/read/28479950/the-effects-of-a-10-day-altitude-training-camp-at-1828-meters-on-varsity-cross-country-runners
#17
Sebastian R Diebel, Ian Newhouse, David S Thompson, Vineet B K Johnson
Altitude training has been shown to alter blood lactate (BL) levels due to alterations resulting from acclimatization. This study aims to estimate the impact of altitude training on BL changes immediately following an incremental treadmill test and during recovery before and after 10-day altitude training at approximately 1828 meters. Eight varsity cross-country runners performed an incremental treadmill test (ITT), pre and post-altitude training. Resting and post-warm-up BL values were recorded. During ITT, heart rate (HR), oxygen saturation (SpO2), and time to exhaustion were monitored...
2017: International Journal of Exercise Science
https://www.readbyqxmd.com/read/28474702/-hemoglobin-changes-hb-in-miners-exposed-to-high-altitude-and-associated-factors
#18
Christian R Mejia, Dante M Quiñones-Laveriano, Raúl Gomero, Luis Pérez-Pérez
AIM: To determine the variation of hemoglobin (Hb) in two groups of miners working at different altitudes. METHODOLOGY: A longitudinal study conducted in a private company. Hb was obtained from entrance exams and annual checks of workers at two locations: at sea level and at Peruvian highlands (4,100 m), taken by trained staff and equipment calibrated to environmental conditions. We analyzed variations in the course of the years with the PA-GEE statistical test; p values were obtained...
March 2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28469753/the-effect-of-acute-and-chronic-exposure-to-hypobaric-hypoxia-on-loaded-squat-jump-performance
#19
Amador García-Ramos, Paulino Padial, Blanca De la Fuente, Javier Argüelles-Cienfuegos, Juan Bonitch-Góngora, Belén Feriche
The present study aimed (1) to compare loaded squat jump performance after an acute and chronic exposure to a moderate natural altitude between normoxia and hypobaric hypoxia conditions, and (2) to analyze the effect of an altitude training camp on loaded jump squat development. Sixteen male swimmers (17.1 ± 0.8 years) took part in a 17-day training camp at a natural moderate altitude. They were randomly tested in counterbalanced order on days 1 and 3 in normoxia and hypoxia (pretest) and on days 15 and 17 again in normoxia and hypoxia (posttest)...
February 2017: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28453305/a-clinician-guide-to-altitude-training-for-optimal-endurance-exercise-performance-at-sea-level
#20
Keren Constantini, Daniel P Wilhite, Robert F Chapman
Constantini, Keren, Daniel P. Wilhite, and Robert F. Chapman. A clinician guide to altitude training for optimal endurance exercise performance at sea level. High Alt Med Biol. 18:93-101, 2017.-For well over 50 years, endurance athletes have been utilizing altitude training in an effort to enhance performance in sea level competition. This brief review will offer the clinician a series of evidence-based best-practice guidelines on prealtitude and altitude training considerations, which can ultimately maximize performance improvement outcomes...
June 2017: High Altitude Medicine & Biology
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