Association between smoking and the risk of acute mountain sickness： a meta-analysis of observational studies

Background: People rapidly ascending to high altitudes(>2500m) may suffer from acute mountain sickness(AMS). The association between smoking and AMS risk remains unclear. Therefore, we performed a meta-analysis to evaluate the association between smoking and AMS risk.Methods: The association between smoking and AMS risk was determined according to predefined criteria established by our team. Meta-analysis was conducted according to the PRISMA guidelines. We included all relevant studies listed in the Pub Med and Embase databases as of September 2015 in this meta-analysis and performed systemic searches using the terms "smoking", "acute mountain sickness" and "risk factor". The included studies were required to provide clear explanations regarding their definitions of smoking, the final altitudes reached by their participants and the diagnostic criteria used to diagnose AMS. Odds ratios(ORs) were used to evaluate the association between smoking and AMS risk across the studies, and the Q statistic was used to test OR heterogeneity, which was considered significant when P<0.05. We also computed 95% confidence intervals(CIs). Data extracted from the articles were analyzed with Review Manager 5.3(Cochrane Collaboration, Oxford, UK).Results: We used seven case-control studies including 694 smoking patients and 1986 non-smoking controls to analyze the association between smoking and AMS risk. We observed a significant association between AMS and smoking(OR=0.71, 95% CI 0.52–0.96, P=0.03).Conclusion: We determined that smoking may protect against AMS development. However, we do not advise smoking to prevent AMS. More studies are necessary to confirm the role of smoking in AMS risk.

Therapeutic intervention against deacclimatization to high altitude

The incidence of deacclimatization to high altitude syndrome(DAHAS) prevailed up to 80% in highland troops, and 100% in manual workers, and severe DAHAS could significantly affects patients' health, work and life. So it is imperative to develop effective prevention and treatment measures for DAHAS. The present review analyzes effective prophylactic and therapeutic measures against DAHAS, implemented at our hospital.

Formation of transgressive anorthosite seams in the Bushveld Complex via tectonically induced mobilisation of plagioclase-rich crystal mushes

The formation of anorthosites in layered intrusions has remained one of petrology＇s most enduring enigmas. We have studied a sequence of layered chromitite, pyroxenite, norite and anorthosite overlying the UG2 chromitite in the Upper Critical Zone of the eastern Bushveld Complex at the Smokey Hills platinum mine. Layers show very strong medium to large scale lateral continuity, but abundant small scale irregularities and transgressive relationships. Particularly notable are irregular masses and seams of anorthosite that have intrusive relationships to their host rocks. An anorthosite layer locally transgresses several 10 s of metres into its footwall, forming what is referred to as a ＂pothole＂ in the Bushveld Complex. It is proposed that the anorthosites formed from plagioclase-rich crystal mushes that originally accumulated at or near the top of the cumulate pile. The slurries were mobilised during tectonism induced by chamber subsidence, a model that bears some similarity to that generally proposed for oceanic mass flows. The anorthosite slurries locally collapsed into pull-apart structures and injected their host rocks. The final step was down-dip drainage of Fe-rich intercumulus liquid, leaving behind anorthosite adcumulates.