At What Height Do You Consider Preventative Treatment for Acute Mountain Sickness?

Discussion Acute mountain sickness (AMS) is a well-known problem for some people who travel to high altitude, especially altitudes> 2500 m (~8200 feet). Symptoms include headache, nausea or emesis, shortness of breath, dizziness, fatigue, difficulty sleeping and poor appetite. The incidence in adults ranges from 25% at 2975 m to up to 75% at 5896 m. The incidence in children is less clear but it appears that children are more susceptible at 45% for 16-19 year olds for similar altitudes. Risk factors are numerous including age, gender, obesity, ascent rate, altitude for sleeping, previous exposure to high altitude, previous AMS, and history of cardiopulmonary disease. Different studies show physical fitness may or may not be a risk factor. One study of teenage children found for children 11-13 years old, male gender and increased body mass index increased the risk for AMS. This was for an ascent from 25 m to 3386 m over 3 days in Taiwan. Physical fitness was not associated with AMS occurrence in this study. AMS definitions for research and other purposes often use the Lake Louise AMS score which was created in 1991. It looks at presence of headache and at least 1 other symptom including gastrointestinal symptoms (i.e. anorexia, nausea or emesis), fatigue or weakness, dizziness or lightheadedness and difficulty sleeping. HACE (high altitude cerebral edema) and HAPE (high altitude pulmonary edema) severity are also defined. Criteria can be found here and here. Children born ...
Source: - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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Authors: Zynat J, Li S, Ma Y, Han L, Ma F, Zhang Y, Xing B, Wang X, Guo Y Abstract Background: The interrelation between obesity and autoimmune thyroid diseases is complex and has not been confirmed. The aim of the present study was to observe the relationship between thyroid autoimmunity and obesity, especially abdominal obesity, in a large population. Methods: A total of 2253 residents who had lived in Xinjiang for more than 3 years were enrolled. Serum thyroid hormone concentration, thyroid autoantibodies, lipid parameters, Weight, height, and waist and hip circumference were measured. Results: The preva...
Source: International Journal of Endocrinology - Category: Endocrinology Tags: Int J Endocrinol Source Type: research
Source: Surgery for Obesity and Related Diseases - Category: Surgery Source Type: research
Source: Surgery for Obesity and Related Diseases - Category: Surgery Source Type: research
Source: Surgery for Obesity and Related Diseases - Category: Surgery Source Type: research
Selwan D. Barbat, Kyle J. Thompson, Enayetur Raheem, Iain H. Mckillop, Nicholas Dugan, Abdelrahman Nimeri
Source: Surgery for Obesity and Related Diseases - Category: Surgery Tags: Continuing medical education program Source Type: research
Thoughts on the following case: Morbidly obese patient in ICU, thick neck+Covid, respiratory failure, high vent settings (20 PEEP, 70% FiO2). Called by ICU attending to exchange ETT because it becomes kinked when turning the patient prone, and randomly when turning the patient's head in certain directions when supine. Patient also with severe angioedema of the tongue, which is protruding several centimeters from the mouth, firm, immobile, making access to the oropharynx impossible. Patient... Difficult Airway - Covid, Angioedema, ETT Exchange
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
In this study, we evaluate the efficacy of Tracnil™, a combination of myo-inositol with folic acid and vitamin D3, in resolving acne in overweight women of menstruation age displaying normal hormone levels. It is a single-arm study conducted at 2 centers including 33 women with acne, hirsutism, and menstrual irregularities. Acne and hirsutism were assessed by manual lesion count, modified Cook's scale, and modified Ferriman-Gallwey hirsutism score (mFGHS). Hormone levels and safety parameters were assessed throughout the study. Our results show that Tracnil™ monotherapy could drastically reduce acne-related les...
Source: Dermatology Research and Practice - Category: Dermatology Tags: Dermatol Res Pract Source Type: research
Credit: Martina Martelloni / INTERSOSBy Elena L. PasquiniROME, Apr 9 2020 (IPS-Partners) Behind the Tiburtina Station, in the East of Rome, with just a small covered area protecting from the inclemency of the weather, sleeping close to each other is the only way to stay warm. A boy of Ivorian origin is alone, far from everyone, in the centre of the sidewalk, exposed to a freezing wind. ‘He told me he preferred to die of cold than to get infected, because he was very scared and he knew that it was not safe for him to be close to the others’, Dr. Antonella Torchiaro told Degrees of Latitude. She is a physician o...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Aid Health Humanitarian Emergencies Source Type: news
In this study, we investigated the effect that ECD had on the lipid metabolism induced by high-fat diet in C57BL/6 mice. Body weight, body length, and abdominal circumference were detected. Blood lipid content was measured via biochemical assay kit. The gene and protein expression of PPARγ and LPL in visceral fat and skeletal muscle of mice was measured by real-time PCR and western blot. The research discovered that the phlegm-resolving effect that ECD had on high-fat diet mice was mainly manifested as reduced body weight, Lee's index, abdominal circumference, and level of TG and TC. Meanwhile, we observed significan...
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Conclusions: Acupuncture appears to be an effective treatment modality for TTH, but the credibility of the results is limited owing to the generally low methodological quality and evidence quality in the included SRs/MAs. PMID: 32256645 [PubMed]
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
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