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    Wyświetlanie 1-9 z 9
    Tytuł:
    Femoral neck stress fracture during sport climbing
    Autorzy:
    Küpper, Thomas
    Rutten, Steven
    Morrison, Audry
    Schöffl, Volker
    Tematy:
    wspinaczka sportowa
    urazy
    diagnoza
    rehabilitacja
    fizjoterapia
    złamania
    sport climbing
    injury
    diagnosis
    rehabilitation
    physiotherapy
    occult fracture
    Pokaż więcej
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Powiązania:
    https://bibliotekanauki.pl/articles/2098278.pdf  Link otwiera się w nowym oknie
    Opis:
    While the epiphyseal stress fracture of the finger’s middle phalanx is a known sport-specific injury occurring only in adolescent climbers, and in other locations it’s rare, no femoral neck stress fracture (FNSF) in sports climbing has yet been reported. An experienced female sport climber (37y, 160 cm, 45 kg, BMI 17.5) suffered from pain in the left inguinal region while climbing, and later, also required a stick to walk. Routine radiography missed the FNSF and it was many weeks before a MRI accurately provided that diagnosis. The time between the X-ray and MRI should have been minimized as it resulted in a delayed diagnosis, unnecessary pain and delayed healing. In this situation the initial clinical investigation, the patient’s history and the X-ray did not lead to a clear diagnosis, and the initial treatment was ineffective. Further investigation by MRI and / or CT scans should have taken place sooner and would have been essential.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Tropical infections as occupational diseases – labor inspectorate physicians’ aspects of a complex problem
    Autorzy:
    Jansing, Paul J.
    Morrison, Audry
    Heggie, Travis W.
    Küpper, Thomas
    Tematy:
    tropical diseases
    occupational diseases
    travel medicine
    malaria
    diagnosis
    prevention
    surveillance
    compensation
    Pokaż więcej
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Powiązania:
    https://bibliotekanauki.pl/articles/2098245.pdf  Link otwiera się w nowym oknie
    Opis:
    Background: Occupational physicians work directly with individual employees regarding diseases that has been caused or exacerbated by workplace factors. However, employees are increasingly required to travel for their work, including to tropical countries where they risk exposure to diseases they would not normally encounter at home (i.e., malaria). Such disease/s may also take days to months to incubate before becoming symptomatic, even after their return home, thus delaying and complicating the diagnosis. Proving this was an occupational disease with respective sick leave entitlement or compensation can be challenging. There is a lack of data concerning occupational diseases caused by tropical infections.Material and methods: Employee case records for the period 2003-2008 from the State Institute for Occupational Health and Safety of North-Rhine Westphalia in Germany were analysed and assessed within Germany’s regulatory framework. These records included Germany’s largest industrial zone.Results: From 2003-2008the suspected cases of “tropical diseases and typhus”, categorized as occupational disease “Bk 3104” in Germany, have decreased significantly. A high percentage of the suspected cases was accepted as occupational disease, but persistent or permanent sequelae which conferred an entitlement to compensation were rare.Conclusion: There is scope to improve diagnosis and acceptance of tropical diseases as occupational diseases. The most important diseases reported were malaria, amoebiasis, and dengue fever. Comprehensive pre-travel advice and post-travel follow-ups by physicians trained in travel and occupational health medicine should be mandatory. Data indicate that there is a lack of knowledge on how to prevent infectious disease abroad.
    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
    Tematy:
    choroba wysokościowa
    AMS
    HAPE
    HACE
    obrzęk płuc
    obrzęk mózgu
    altitude disease
    acute mountain sickness
    high altitude pulmonary edema
    high altitude cerebral edema
    Pokaż więcej
    Wydawca:
    Akademia Tarnowska
    Powiązania:
    https://bibliotekanauki.pl/articles/12721265.pdf  Link otwiera się w nowym oknie
    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).
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Extreme sleep fragmentation for 11 consecutive days and nights does not significantly alter total sleep time, and sleep stage distribution, during the continuous alpine downhill skiing world record
    Autorzy:
    Gindulis, Mirco
    Netzer, Nikolaus
    Burtscher, Martin
    Gatterer, Hannes
    Schmidt, Christian
    Morrison, Audry
    Küpper, Thomas
    Tematy:
    ćwiczenia
    regeneracja
    odporność
    sport
    fazy snu
    deprywacja snu
    fragmentacja snu
    ekspedycja
    continuous exercise
    recovery
    resilience
    sleep stages
    sleep deprivation
    sleep fragmentation
    expeditions
    Pokaż więcej
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Powiązania:
    https://bibliotekanauki.pl/articles/2098282.pdf  Link otwiera się w nowym oknie
    Opis:
    Introduction: Extreme levels of sleep deprivation, fragmentation and management, are major problems in many sportive disciplines, ultramarathons, polar or extreme altitude expeditions, and in space operations.Material and methods: Polysomnographic (PSG) data was continuously recorded (total sleep time and sleep stage distribution) in a 34-year-old male whilst performing the new world record in long-term downhill skiing. He napped only during the short ski lift rides for 11 days and nights. Results: After an initial period of complete sleep deprivation for 24 hours, total sleep time and the total times of non-REM and REM achieved during the lift rides returned to standard values on the second day. PSG data revealed an average sleep time per 24 hours of 6 hours and 6 minutes. During daylight sleep was rarely registered. The subject experienced only two minor falls without injury and immediately resumed skiing. Conclusion: In a healthy, trained, elite male athlete, sleep fragmentation over 11 consecutive days did not significantly impair the sleep, motor or cognitive skills required to perform a continuous downhill skiing world record after an initial adaptation phase
    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
    Tematy:
    trekking
    alpinizm
    aklimatyzacja
    zarządzanie ryzykiem
    choroba wysokościowa
    mountaineering emergencies
    acute mountain sickness
    acclimatization
    risk management
    Pokaż więcej
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Powiązania:
    https://bibliotekanauki.pl/articles/2098189.pdf  Link otwiera się w nowym oknie
    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.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The epidemiology of injuries and the first aid knowledge of via ferrata climbers in the European Alps
    Autorzy:
    Küpper, Thomas
    Heggie, Travis
    Kühn, Christian
    Schwarz, Ulrich
    Schöffl, Volker
    Morrison, Audry
    Kühn, Julia
    Maciejczyk, Marcin
    Bibro, Marta
    Tematy:
    via ferrata climbing
    injuries
    first aid knowledge
    European Alps
    Pokaż więcej
    Wydawca:
    Akademia Tarnowska
    Powiązania:
    https://bibliotekanauki.pl/articles/62355131.pdf  Link otwiera się w nowym oknie
    Opis:
    Background: Via ferrata (VF) climbing is an increasingly popular mountain activity in the European Alps. The purpose of this study was to determine the nature of injuries incurred by VF climbers and to understand the extent of their First Aid (FA) knowledge and training. Materials and methods: A questionnaire-based cohort study was performed at two alpine locations. Data included basic data (age, gender, climbing activities, exercise), 18 multiple choice questions with 5 answers each concerning First Aid (FA) knowledge and a self-rating of FA knowledge. Statistics were performed with non-parametric tests. Results: 391 questionnaires were completed. Sunburns (23.9%), contusions (17.7%), open wounds (13.1%), and exhaustion-related injuries were the most reported incidents. Exhaustion was the most common emergency call. Only 52% of climbers wore helmets and gloves, less than 25% had adequate physical conditioning, and 28.1% reported having no FA training. The most common causes of emergencies were weather conditions (19%), stumbles (18.6%), falls (13.4%), and fatigue and deficiency in concentration (13.4%). Only 11 of the surveyed climbers scored 75% on their FA knowledge questions. VF climbers showed significant less FA knowledge than alpine mountaineers. They scored quite high on questions related to general FA but low on questions related to high altitude sickness, back, and thoracic injuries. Conclusions: VF climbers should seek out FA training every two years with an emphasis placed on sunburns, contusions, open wounds, and exhaustion injuries. The training should also emphasize the prevention of back and thoracic trauma and developing rescue strategies.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The Borg Scale at high altitude
    Autorzy:
    Küpper, Thomas
    Heussen, N.
    Morrison, Audry
    Schöffl, Volker
    Basnyat, Buddha
    Hillebrandt, David
    Milledge, Jim
    Steffgen, Jürgen
    Meier, Beate
    Tematy:
    Borg Scale
    perceived exertion
    high altitude
    exercise physiology
    exercise testing
    Pokaż więcej
    Wydawca:
    Państwowa Wyższa Szkoła Zawodowa w Tarnowie
    Powiązania:
    https://bibliotekanauki.pl/articles/2098238.pdf  Link otwiera się w nowym oknie
    Opis:
    Introduction: The Borg Scale for perceived exertion is well established in science and sport to keep an appropriate level of workload or to rate physical strain. Although it is also often used at moderate and high altitude, it was never validated for hypoxic conditions. Since pulse rate and minute breathing volume at rest are increased at altitude it may be expected that the rating of the same workload is higher at altitude compared to sea level.Material and methods: 16 mountaineers were included in a prospective randomized design trial. Standardized workload (ergometry) and rating of the perceived exertion (RPE) were performed at sea level, at 3,000 m, and at 4,560 m. For validation of the scale Maloney-Rastogi-test and Bland-Altmann-Plots were used to compare the Borg ratings at each intensity level at the three altitudes; p < 0.05 was defined as significant.Results: In Bland-Altmann-Plots more than 95% of all Borg ratings were within the interval of 1.96 x standard deviation. There was no significant deviation of the ratings at moderate or high altitude. The correlation between RPE and workload or oxygen uptake was weak.Conclusion: The Borg Scale for perceived exertion gives valid results at moderate and high altitude – at least up to about 5,000 m. Therefore it may be used at altitude without any modification. The weak correlation of RPE and workload or oxygen uptake indicates that there should be other factors indicating strain to the body. What is really measured by Borg’s Scale should be investigated by a specific study.
    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
    Tematy:
    acute mountain sickness
    pulmonary artery systolic pressure
    sleeping positions
    acclimatization
    Pokaż więcej
    Wydawca:
    Akademia Tarnowska
    Powiązania:
    https://bibliotekanauki.pl/articles/34671004.pdf  Link otwiera się w nowym oknie
    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.
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Trekking with non-cardiovascular preexisting health conditions at altitude
    Autorzy:
    Küpper, Thomas
    Apel, Christian
    Bertsch, Daniela
    Cerfontaine, Carina
    van der Giet, Michael
    van der Giet, Simone
    Graß, Maren
    Haunolder, Miriam
    Heussen, Nicole M.
    Hundt, Nina
    Jäger, Julia
    Kühn, Christian
    Morrison, Audry
    Timmermann, Lisa
    Wernitz, Knut
    Gieseler, Ulf
    Schöffl, Volker
    Musiol, Sonja
    Teległów, Aneta
    Szymczak, Robert
    Tematy:
    trekking
    prevention
    diseases
    Nepal
    altitude
    pre-existing diseases
    travel medicine
    Pokaż więcej
    Wydawca:
    Akademia Tarnowska
    Powiązania:
    https://bibliotekanauki.pl/articles/62382066.pdf  Link otwiera się w nowym oknie
    Opis:
    Aim: An epidemiological assessment of the preexisting health conditions of trekkers in the Solu-Khumbu region / Mount Everest (Nepal) to inform preventative and future pre-travel advice. Material and methods: Adult volunteers (n = 350, 122 female, mean age 42.7 y (SD = 13.5), 35% aged 50 y+) completed a comprehensive health survey followed by a basic medical examination while trekking at 2800–5160 m. Cardiological problems were excluded. Results: Only 51% sought some kind of medical pre-travel advice, and 150 reported one or more preexisting health conditions (predominately orthopaedic and trauma surgery n = 91). Many did not receive some, or all, of the recommended vaccinations. AMS symptoms were reported by 213, 59/350 took acetazolamide, and 53 didn’t factor in any acclimatisation days. None of the volunteers undertook specific muscular training before their trek (i.e. hiking with a rucksack the same weight as on trek), though 257/350 participated in some sport regularly back home. In those experiencing “a current pain” (n = 135), 64 had cephalgia, 28 had knee pain, 13 had shoulder pain, and more. Alcohol abuse or dependence was probable in 30/84 assessed; and 26/350 were occasional or regular users of recreational drugs. Existing or past nicotine abuse was reported by 104/350 with an average consumption of 14.8 cigarettes a day, and 25 continued to smoke during the trek with an average SpO₂ value of 90.9% (SD 3.8) vs. 90.5% (SD 4.4) in non-smokers. In 308 who provided their height and weight, 219 had a normal BMI, and 76 had pre-adiposity. Conclusion: The preexisting health conditions of trekkers included a broad spectrum of diagnoses and fitness. Exacerbations of some of these conditions can be consequential when compounded by remote locations, AMS and limited or no access to comprehensive health care. Most would have benefited from comprehensive pre-travel medical advice. 
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-9 z 9

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