Strengthening altitude knowledge: a delphi study to define minimum knowledge of altitude illness for laypersons traveling to high altitude

Introduction: A lack of knowledge among laypersons about the hazards of high-altitude exposure contributes to morbidity and mortality from acute mountain sickness (AMS), high-altitude cerebral edema (HACE), and high-altitude pulmonary edema (HAPE) among high-altitude travelers. There are guidelines regarding the recognition, prevention, and treatment of acute-altitude illness for experts, but essential knowledge for laypersons traveling to high altitudes has not been defined. We sought expert consensus on the essential knowledge required for people planning to travel to high altitudes. Methods: The Delphi method was used. The panel consisted of two moderators, a core expert group and a plenary expert group. The moderators made a preliminary list of statements defining the desired minimum knowledge for laypersons traveling to high altitudes, based on the relevant literature. These preliminary statements were then reviewed, supplemented, and modified by a core expert group. A list of 33 statements was then presented to a plenary group of experts in successive rounds. Results: It took three rounds to reach a consensus. Of the 10 core experts invited, 7 completed all the rounds. Of the 76 plenary experts, 41 (54%) participated in Round 1, and of these 41 a total of 32 (78%) experts completed all three rounds. The final list contained 28 statements in 5 categories (altitude physiology, sleeping at altitude, AMS, HACE, and HAPE). This list represents an expert consensus on the desired minimum knowledge for laypersons planning high-altitude travel. Conclusion: Using the Delphi method, the STrengthening Altitude Knowledge initiative yielded a set of 28 statements representing essential learning objectives for laypersons who plan to travel to high altitudes. This list could be used to develop educational interventions

Measured air overpressures, soil-particle pressures, and slumps during the pre-ASIAGO U2Ar stemming experiment

On November 15, 1976, Lawrence Livermore Laboratory completed its first comprehensive stemming experiment for measuring downhole parameters while varying fill material and rate. Stemming can be defined as backfilling a hole in which a device has been placed to prevent leakage of radioactive materials or gases to the surface. A computer code is being developed for stemming operations, and this experiment was designed to measure parameters under different stemming conditions so the code could be verified and modified. The experiment was conducted in the lower half of a steel-cased, 4-ft-diam, 2000-ft-deep hole at Nevada Test Site. The two stemming materials used in the experiment, Overton sand and LLL II mix, were tested at three fill rates. Significant results of this experiment included successful measurement of downhole air overpressures, vertical and horizontal soil-particle pressures, and temperature. Vertical soil-particle pressures were higher than expected. All surface measurements were valid. The slump-displacement measurements system provided a timing mark to indicate the occurrence of a slump. A major slump occurred on the third day of stemming; a minor slump occurred on the fourth day

Nickel--chromium strain gages for cryogenic stress analysis of superconducting structures in high magnetic fields

Evaluation and calibration measurements were performed on commercial nickel-chromium metal-foil strain gages in a high-magnetic-field (12 T), liquid-helium (4.2 K) environment. The purpose was to fully characterize strain gages for use at cryogenic temperatures in high magnetic fields. In this study, the magnetoresistance of a number of strain gages was measured in three orthogonal directions at mechanical strain levels to 8900 ..mu..m/m. As a result, a unique calibration curve was defined for magnetoresistance strain errors that is independent of strain level and field direction to 12 T at 4.2 K. A current strain-gage application is the measurement of superconductor mechanical properties. These gages will soon be used in the stress analysis of superconducting fusion magnets during cooldown from ambient temperatures and during operation at 4.2 K with magnetic fields to 12 T