Risk factors for high-altitude headache upon acute high-altitude exposure at 3700 m in young Chinese men: a cohort study.

BackgroundThis prospective and observational study aimed to identify demographic, physiological and psychological risk factors associated with high-altitude headache (HAH) upon acute high-altitude exposure.MethodsEight hundred fifty subjects ascended by plane to 3700 m above Chengdu (500 m) over a period of two hours. Structured Case Report Form (CRF) questionnaires were used to record demographic information, physiological examinations, psychological scale, and symptoms including headache and insomnia a week before ascending and within 24 hours after arrival at 3700 m. Binary logistic regression models were used to analyze the risk factors for HAH.ResultsThe incidence of HAH was 73.3%. Age (p =0.011), physical labor intensity (PLI) (p =0.044), primary headache history (p <0.001), insomnia (p <0.001), arterial oxygen saturation (SaO2) (p =0.001), heart rate (HR) (p =0.002), the Self-Rating Anxiety Scale (SAS) (p <0.001), and the Epworth Sleepiness Scale (ESS) (p <0.001) were significantly different between HAH and non-HAH groups. Logistic regression models identified primary headache history, insomnia, low SaO2, high HR and SAS as independent risk factors for HAH.ConclusionsInsomnia, primary headache history, low SaO2, high HR, and high SAS score are the risk factors for HAH. Our findings will provide novel avenues for the study, prevention and treatment of HAH

Cerebral hemodynamic characteristics of acute mountain sickness upon acute high-altitude exposure at 3,700 m in young Chinese men.

PURPOSE: We aimed at identifying the cerebral hemodynamic characteristics of acute mountain sickness (AMS). METHODS: Transcranial Doppler (TCD) sonography examinations were performed between 18 and 24 h after arrival at 3,700 m via plane from 500 m (n = 454). A subgroup of 151 subjects received TCD examinations at both altitudes. RESULTS: The velocities of the middle cerebral artery, vertebral artery (VA) and basilar artery (BA) increased while the pulsatility indexes (PIs) and resistance indexes (RIs) decreased significantly (all p < 0.05). Velocities of BA were higher in AMS (AMS+) individuals when compared with non-AMS (AMS-) subjects (systolic velocity: 66 ± 12 vs. 69 ± 15 cm/s, diastolic velocity: 29 ± 7 vs. 31 ± 8 cm/s and mean velocity, 42 ± 9 vs. 44 ± 10 cm/s). AMS was characterized by higher diastolic velocity [V d_VA (26 ± 4 vs. 25 ± 4, p = 0.013)] with lower PI and RI (both p = 0.004) in VA. Furthermore, the asymmetry index (AI) of VAs was significantly lower in the AMS + group [-5.7 % (21.0 %) vs. -2.5 % (17.8 %), p = 0.016]. The AMS score was closely correlated with the hemodynamic parameters of BA and the V d_VA, PI, RI and AI of VA. CONCLUSION: AMS is associated with alterations in cerebral hemodynamics in the posterior circulation rather than the anterior one, and is characterized by higher blood velocity with lower resistance. In addition, the asymmetry of VAs may be involved in AMS

Age as a risk factor for acute mountain sickness upon rapid ascent to 3,700 m among young adult Chinese men.

BackgroundThe aim of this study was to explore the relationship between age and acute mountain sickness (AMS) when subjects are exposed suddenly to high altitude.MethodsA total of 856 young adult men were recruited. Before and after acute altitude exposure, the Athens Insomnia Scale score (AISS) was used to evaluate the subjective sleep quality of subjects. AMS was assessed using the Lake Louise scoring system. Heart rate (HR) and arterial oxygen saturation (SaO2) were measured.ResultsResults showed that, at 500 m, AISS and insomnia prevalence were higher in older individuals. After acute exposure to altitude, the HR, AISS, and insomnia prevalence increased sharply, and the increase in older individuals was more marked. The opposite trend was observed for SaO2. At 3,700 m, the prevalence of AMS increased with age, as did severe AMS, and AMS symptoms (except gastrointestinal symptoms). Multivariate logistic regression analysis showed that age was a risk factor for AMS (adjusted odds ratio [OR] 1.07, 95% confidence interval [CI] 1.01-1.13, P<0.05), as well as AISS (adjusted OR 1.39, 95% CI 1.28-1.51, P<0.001).ConclusionThe present study is the first to demonstrate that older age is an independent risk factor for AMS upon rapid ascent to high altitude among young adult Chinese men, and pre-existing poor subjective sleep quality may be a contributor to increased AMS prevalence in older subjects

4-Methyl­morpholinium bromide

The six-membered ring in the title salt, C5H12NO+·Br−, has a chair conformation. In the crystal, the cations are linked to the anions by N—H⋯Br hydrogen bonds

بررسی حیطه‌های موجود در فرم‌های ارزشیابی از دیدگاه دانشجویان در دانشگاه علوم پزشکی زنجان در سال تحصیلی 86- 87

زمینه و هدف: ارزشیابی استادان متداول‌ترین روش جهت سنجش کیفیت آموزش می‌باشد. دانشجویان بیش از دست‌اندرکاران در جریان روند آموزش قرار‌دارند بنابراین با نظرخواهی از آنان دیدگاه کاملی برای مسئولین در مورد نقاط قوت و ضعف استادان به‌دست می‌آید. هدف از این پژوهش بررسی حیطه‌های موجود در فرم‌های ارزشیابی از دیدگاه دانشجویان در دانشکده‌های پزشکی، پیراپزشکی و پرستاری و مامایی می‌باشد. روش بررسی: این تحقیق به صورت توصیفی انجام گرفت. 1683 برگ ارزشیابی دانشجویان از استادان هیأت علمی (73 نفر) مربوط به دانشکده‌های پزشکی، پیراپزشکی و پرستاری- مامایی بررسی شد. پرسش‌نامه‌ی دانشجویان پزشکی حاوی 15 سؤوال و دانشجویان پیراپزشکی و پرستاری مامایی 21 سؤوال بود که بر اساس مقیاس لیکرات از حیطه‌های مختلف مقرراتی، علمی و آموزشی، نظارتی و نگرشی تشکیل شده بود. نمرات سؤوالات از نمره‌ی 100 محاسبه شد، نمرات بالاتر بیانگر عملکرد مطلوب‌تراستادان می‌باشد. تجزیه و تحلیل داده‌ها به‌صورت آمار توصیفی با نرم‌افزار SPSS انجام شد. یافته‌ها: نتایج نشان داد مقایسه در سطوح کلی بین دانشکده‌ها، دانشکده‌ی پیراپزشکی با میانگین کل و انحراف معیار 61/3 ±50/85 نسبت به سایر دانشکده‌ها برتری دارد. دانشکده‌ی پیراپزشکی در حیطه‌ی مقرراتی با میانگین و انحراف معیار 89/3±01/91، دانشکده‌ی پزشکی در حیطه‌ی نگرشی با میانگین و انحراف معیار 45/5±48/90 و دانشکده‌ی پرستاری مامایی در حیطه‌ی مقرراتی با میانگین و انحراف معیار 25/4±34/88 بیشترین امتیاز را داشتند. نتیجه‌نهایی نشان می‌دهد، حیطه‌ی علمی و آموزشی نسبت به سایر حیطه‌ها در سطح پایین‌تر می‌باشد. نتایج حیطه‌ها (علمی و آموزشی، نظارتی و نگرشی) بین دانشکده‌ها معنی‌دار می‌باشد (0001/0=P). نتیجه‌گیری: به نظر می‌رسد با برنامه‌ریزی جهت برگزاری کارگاه‌های آموزشی، روش تدریس و تحقیق جهت ارتقای آموزش استادان، اعطا‌ی فرصت مطالعاتی و تشویق انجام کارهای تحقیقاتی و پژوهشی گام مؤثری جهت ارتقای سطح علمی و بالاخره عملکرد بالای استادان خواهد بود

PeP: a Point enhanced Painting method for unified point cloud tasks

Point encoder is of vital importance for point cloud recognition. As the very beginning step of whole model pipeline, adding features from diverse sources and providing stronger feature encoding mechanism would provide better input for downstream modules. In our work, we proposed a novel PeP module to tackle above issue. PeP contains two main parts, a refined point painting method and a LM-based point encoder. Experiments results on the nuScenes and KITTI datasets validate the superior performance of our PeP. The advantages leads to strong performance on both semantic segmentation and object detection, in both lidar and multi-modal settings. Notably, our PeP module is model agnostic and plug-and-play. Our code will be publicly available soon