Temporal patterns of three sympatric pheasant species in the Nanling Mountains: N-mixture modeling applied to detect abundance

Background:The reliability of long‑term population estimates is crucial for conservation and management purposes.Most previous studies assume that count indices are proportionally related to abundance;however,this assumption may not hold when detection varies spatially and temporally.We examined seasonal variations in abundance of three bird species(Cabot’s Tragopan Tragopan caboti,Silver Pheasant Lophura nycthemera,and Whitenecklaced Partridge Arborophila gingica)along an elevational gradient,using N‑mixture models that take into account imperfect detection in our bird data.Methods:Camera‑trapping was used to monitor temporal activity patterns of these species at Guangdong Nanling National Nature Reserve from December 2013 to November 2017(4 seasons per year).For abundance analysis(N‑mixture modeling),we divided a year into 4 seasons,i.e.3 months per season,and performed the analysis by season.Elevation was incorporated into the N‑mixture model as a covariate that may affect abundance.We compared the N‑mixture model with a null model(no covariate model)and selected the better model based on AIC values to make an inference.Results:From 24 sampling sites,we obtained 6786 photographs of 8482 individuals of 44 bird species and 26 mammal species.Silver Pheasant was photographed much more frequently and showed higher temporal activity frequency than White‑necklaced Partridge or Cabot’s Tragopan.Silver Pheasant was camera‑captured most frequently in summer,and other two species in winters.All three species had two daytime activity peaks:between 6:00 a.m.and 10:00 a.m.,and between 5:00 p.m.and 7:00 p.m.,respectively.Our estimated abundance and detection probability from the N‑mixture model were variable by season.In particular,all three species showed greater abundance in summer than in winter,and estimated abundance patterns of all three species were more similar with observed cameratrapping counts in summers.Moreover,in winter,elevation had a positive impact on abundance of Silver Pheasant and Cabot’s Tragopan,but not on White‑necklaced Partridge.Conclusions:Our results demonstrate that the N‑mixture model performed well in the estimation of temporal population abundance at local fixed permanent plots in mountain habitat in southern China,based on the modeling of repeated camera‑trapping counts.The seasonal differences in abundance of the three endemic bird species and the strong effect of elevation on abundance of two species in winter were only indicative of variations in spatio‑temporal distribution within species and between species.In identifying suitable habitat for endemic pheasants,the positive elevational effect also suggests that more attention should be paid to conservation of areas with higher elevation in the Nanling Mountains.

Reconstructed annual glacier surface mass balance in theányêmaqên Mountains,Yellow River source,based on snow line altitude

Annual mass balance is an important factor that reflects glacier change and glacier meltwater resources.In this study,we analyzed the changes in glacier area,snow line altitude(SLA)and surface elevation in theányêmaqên Mountain region using multisource remote sensing data.Then,the annual mass balance of two glaciers was reconstructed by using SLA-mass-balance gradient method.The results showed that the glacier area in theányêmaqên Mountains decreased by 29.4 km2from 1985 to 2017.The average SLAs of the Halong Glacier and Yehelong Glacier were approximately 5290 m and 5188 m,respectively.The glacier mass balance for the two glaciers from 1990 to 2020 was-0.71 m w.e.a^(-1) and-0.63 m w.e.a^(-1),respectively.Our results indicate that SLA is an important indicator of glacier changes,and a long sequence of SLAs can more accurately reconstruct the glacier mass balance of the glacier.The mean annual glacial meltwater-fed streamflow is 1.45×10^(7)m^(3) and 1.12×10^(7)m^(3),respectively.Sensitivity analysis indicates that summer air temperature plays a leading role in regard to the influential climatic factors of glacial retreat in theányêmaqên Mountains.This highlights the potential of the methodology for application on reconstructing annual glacier surface mass balance at larger scales without direct measurements.

Geochemistry of Sediments from a Subalpine Lake Sedimentary Succession in the Western Nanling Mountains,Southern China:Implications for Catchment Weathering During the Last 15400 Years

In the present work,15400 yr old geochemical records of a core from the subalpine Daping swamp are presented with the aim to examine the relationship between the chemical weathering and the climatic changes in the region of the western Nanling Mountains,China.The climate of the study region was deeply controlled by the East Asian summer monsoon.The results indicate that,in the past 15400 yrs,the values of chemical index of alteration(CIA)ranged from 73.9%to 88.2%(mean:85.3%),suggested a medium and high intensity of chemical weathering.The local exogenous clastic materials,which were derived from the weathered residues,played a key role in contributing towards the sediments.Since the climate-induced chemical weathering exerted strong influences on the geochemical features of weathered residues,the geochemical characteristics of the sediments were deeply impacted by climatic conditions.Wetter and warmer conditions would favor increased chemical weathering,resulting in more leaching of soluble and mobile elements(e.g.,Ba and Sr)and leaving the resistant and immobile elements(e.g.,Al and Ti)enriched in the weathered residues.These materials were then eroded and transported into the lake,and led to the sediments characterized by the characteristic of having depleted soluble elements.In contrast,dry and cold conditions would result in an opposite trend.In this sense,the geochemical records can serve as proxies to indicate changes of chemical weathering intensity,which were closely related to the evolution of summer monsoon.

Content, Density, Illuviation Mode and Depth of CaCO₃in Soils of Semiarid-Arid Qilian Mountains—An Altitude Sequence Study of the Hulugou Watershed

The parental material of soils in the Qilian Mountains of northwest China is mainly aeolian loess containing CaCO3 which may remain in soils under the semiarid-arid climate. To disclose the CaCO3 characteristics change with the altitude and the terrain attributes, we surveyed 18 soil profiles in an altitude sequence from 3076 m to 4510 m in the Hulugou Watershed in the Qilian Mountains, measured CaCO3 contents of all genetic horizon samples, analyzed the densities, illuviation modes and depths of CaCO3 in the profiles, extracted values of the terrain attributes of the profiles including altitude slope, aspect, plane curvature, profile curvature and terrain wetness index (TWI) from the 90 m resolution SRTM3 DEM data on ArcGIS 9.3 platform. We found that CaCO3 weighted content of the profiles ranged from 1.30 g·kg-1 to 93.09 g·kg-1, CaCO3 density from 0.05 kg/m2 to 75.69 kg/m2, CaCO3 illuviation depth from 12 cm to 54 cm. CaCO3 illuviation modes could be divided into three types, i.e., no illuviation mode in which the profile has only A horizon or CaCO3 content -1, middle illuviation mode in which CaCO3 accumulated in a middle horizon, and down illuviation mode in which CaCO3 content increases with the depth. CaCO3 weighted content, density and illuviation depth had significant correlation with certain terrain attributes. In general, the altitude sequence is an effective way to study CaCO3 characteristics in the alpine region, and the data of terrain attributes which can influence the precipitation and its redistribution in soil are potential in predicting soil CaCO3 characteristics in the alpine region.

Climate response and radial growth of Pinus tabulaeformis at different altitudes in Qilian Mountains

In order to test whether the relationship between climate and the radial growth of trees is affected by altitude,altitude variability and time stability of climate-influenced radial growth of a dominant conifer,Chinese pine(Pinus tabulaeformis),in the eastern Qilian Mountains were studied against the background of climate change using dendrochronology.Results show that 1)droughts at the end of the growing season of last year and during the early and middle growing season of the current year were the main limiting factors for the radial growth of Chinese pine at two altitude gradients;this was determined by analyzing the relationship between tree-ring width chronologies and climate factors.2)The sensitivity of the radial growth of trees to climate change gradually decreased and was affected more by drought stress at a lower altitude.3)An unstable divergence response was observed in the radial growth at the two altitudes,in response to controlling climatic factors;this observation was based on the moving correlation analysis of growth/climate relationships,and the aggravation of drought stress caused by increasing temperature was the main reason.4)The growth rate of Chinese pine at the two altitudes increased at first and then decreased,as measured by basal area increment(BAI)modeling.Future temperature rises may have significant effects on mountain forest ecosystems in arid and semi-arid regions.Effective management and protection measures should be taken,according to the response patterns of trees to climate change at different altitude gradients.

Grain-size distribution characteristics of red sandy sediments in Dongjiang River valley,southern Nanling Mountains,during the MIS2 stage

Layer LJ3 of Linjiang stratigraphic section in Dongjiang River valley in the south of the Nanling Mountains is a set of red sandy sediments.Measured by thermoluminescence(TL) dating,it was found to be formed in MIS2-9,500 ± 800 yr to 19,600 ± 1,800 yr B.P.After analy-sis of the grain sizes of the 16 samples(LJ3-100 to LJ3-85) in this layer,it was discovered that(1) The contents of each grain group in dif-ferent samples are similar.(2) The values of Md,Mz,,Sk,and Kg vary from LJ3-100 to LJ3-85 in a narrow range.(3) The segments of each sample in the accumulative curves extend parallel with similar slopes.All the three aspects reveal the Aeolian characteristics of Layer LJ3.Therefore,it is thought that Layer LJ3 consists of red sandy sediments formed in MIS2 in the south of Nanling Mountain,which reflects the arid climate at that time.

Variation in δ^(15)N of a lacustrine sedimentary sequence in the Nanling Mountains and its potential implication for climatic conditions over the past ~16000 years

Although extensive studies have been performed on nitrogen isotopes in lake sediments,understanding the complexity of the δ~15N variation related to past environmental and climatic conditions still remains unclear.Supported by multi-proxy records including litho-units,organic carbon isotopes,ration of total organic carbon and total nitrogen,organic matter content,bulk dry density,the accumulation rate of organic matter,median grain size,magnetic susceptibility,and Rb/Sr and Ca/Mg ratios obtained from a sedimentary sequence in a small lake(i.e.,Dahu Swamp) in the eastern Nanling Mountains in South China,we deduce that variation in the δ15N values results primarily from the sources of organic matter,which are significantly influenced by climatic conditions over the past ~16 000 years.A low(or high) lake level resulting from dry(or wet) conditions would lead to more(or fewer) vascular plant remains in the sediments and stronger(or weaker) denitrification associated with hypolimnetic anoxia,resulting in lower(or higher) δ15N values.In addition,dry(or wet) conditions would favor weakened(or strengthened) biogeochemical activity in the catchment,which could result in less(or more) external input of15N-enriched OM,thus leading to decreased(or increased) δ15N values.Our results indicate that the lake sediment δ15N record in the Nanling Mountains has the potential to provide valuable insight into past East Asian monsoon climatedriven environmental changes.

How do altitude and soil properties influence the taxonomic and phylogenetic structure and diversity of Brazilian páramo vegetation?

Altitude and environmental variables such as edaphic properties are considered determinants of species distribution and community composition in mountain ecosystems.Here,we aimed to outline the effects of distinct mountain peaks,altitude and soil properties on community composition,species density,phylogenetic structure and diversity of angiosperm páramo communities from the Serra do Brigadeiro State Park,Minas Gerais,southeastern Brazil.For that,we identified all angiosperm species found in 300 plots(1 m×1 m)from three mountain peaks,measured soil depth and analyzed soil fertility and texture in each plot.To reduce the number of soil variables and species composition,we computed principal coordinates based on soil properties and principal coordinates based on species-plot matrix for each plot.Furthermore,we computed the standard effect sizes of the mean phylogenetic pairwise distance and the mean nearest phylogenetic taxon distance for each plot to investigate differences in the degree of relatedness among coexisting species.We compared differences in response variables between peaks and modelled them in function of altitude and principle components of soil properties using mixed effect models.Species density and phylogenetic diversity differed between peaks,but,contrary to the previous findings,no relationships between species richness or phylogenetic diversity and altitude or soil properties were found,indicating that further investigations are necessary to understand the altitude-biodiversity relationship in Brazilian páramo vegetation.Community composition differed between peaks and depended on altitude,soil properties and interactions between them,indicating that upward shifting of bioclimatic conditions due to climate changes may alter communities of this ecosystem.Phylogenetic structure differed between peaks and was influenced by altitude and soil properties.As phylogenetic clustering increased with altitude,eventual upward movements of species in Brazilian páramo vegetation due to climate change may alter community composition and the degree of relatedness among coexisting species,increasing the risk of species from higher altitudes to disappear.Therefore,conservation priorities arise for higher landscape portions,where these high altitude species may find refuges.

Serum testosterone levels and excessive erythrocytosis during the process of adaptation to high altitudes

Populations living at high altitudes （HAs）, particularly in the Peruvian Andes, are characterized by a mixture of subjects with erythrocytosis （16 g dl-1〈haemoglobin （Hb）≤21 gdl-1） and others with excessive erythrocytosis （EE） （Hb〉21 g dl-1）. Elevated haemoglobin values （EE） are associated with chronic mountain sickness, a condition reflecting the lack of adaptation to HA. According to current data, native men from regions of HA are not adequately adapted to live at such altitudes if they have elevated serum testosterone levels. This seems to be due to an increased conversion of dehydroepiandrosterone sulphate （DH EAS） to testosterone. Men with erythrocytosis at HAs show higher serum androstenedione levels and a lower testosterone/androstenedione ratio than men with EE, suggesting reduced 17beta-hydroxysteroid dehydrogenase （17beta-HSD） activity. Lower 17beta-HSD activity via A4-steroid production in men with erythrocytosis at HA may protect against elevated serum testosterone levels, thus preventing EE. The higher conversion of DHEAS to testosterone in subjects with EE indicates increased 17beta-HSD activity via the A5-pathway. Currently, there are various situations in which people live （human biodiversity） with low or high haemoglobin levels at HA. Antiquity could be an important adaptation component for life at HA, and testosterone seems to participate in this process.

Association between physiological responses after exercise at low altitude and acute mountain sickness upon ascent is sex-dependent

Background:Acute mountain sickness(AMS)is the mildest form of acute altitude illnesses,and consists of nonspecific symptoms when unacclimatized persons ascend to elevation of≥2500 m.Risk factors of AMS include:the altitude,individual susceptibility,ascending rate and degree of pre-acclimatization.In the current study,we examined whether physiological response at low altitude could predict the development of AMS.Methods:A total of 111 healthy adult healthy volunteers participated in this trial;and 99(67 men and 32 women)completed the entire study protocol.Subjects were asked to complete a 9-min exercise program using a mechanically braked bicycle ergometer at low altitude(500 m).Heart rate,blood pressure(BP)and pulse oxygen saturation(SpO2)were recorded prior to and during the last minute of exercise.The ascent from 500 m to 4100 m was completed in 2 days.AMS was defined as≥3 points in a 4-item Lake Louise Score,with at least one point from headache wat 6–8 h after the ascent.Results:Among the 99 assessable subjects,47(23 men and 24 women)developed AMS at 4100 m.In comparison to the subjects without AMS,those who developed AMS had lower proportion of men(48.9%vs.84.6%,P<0.001),height(168.4±5.9 cm vs.171.3±6.1 cm,P=0.019),weight(62.0±10.0 kg vs.66.7±8.6 kg,P=0.014)and proportion of smokers(23.4%vs.51.9%,P=0.004).Multivariate regression analysis revealed the following independent risks for AMS:female sex(odds ratio(OR)=6.32,P<0.001),SpO2 change upon exercise at low altitude(OR=0.63,P=0.002)and systolic BP change after the ascent(OR=0.96,P=0.029).Women had larger reduction in SpO2 after the ascent,higher AMS percentage and absolute AMS score.Larger reduction of SpO2 after exercise was associated with both AMS incidence(P=0.001)and AMS score(P<0.001)in men but not in women.Conclusions:Larger SpO2 reduction after exercise at low altitude was an independent risk for AMS upon ascent.Such an association was more robust in men than in women.Trial registration:Chinese Clinical Trial Registration,ChiCTR1900025728.Registered 6 September 2019.

Hydrogen Therapy Reduces Oxidative Stress-associated Risks Following Acute and Chronic Exposure to High-altitude Environment

Low pressure,low oxygen concentration,and intense ultraviolet（UV）radiation in high-altitude environments,can cause oxidative stress which can trigger mountain sickness.A recent study demonstrated that hydrogen gas with a good permeability in biological membranes can treat various disorders by exerting its selective anti-oxidation and anti-inflammatory effects,indicating that hydrogen therapy plays a role in scavenging free radicals and in balancing oxidation and anti-oxidation systems of ceils. Therefore, we hypothesize that inhaling low-dose hydrogen or drinking hydrogen-saturated water is a novel and simple method to prevent and treat oxidative stress injury caused by low pressure, low oxygen concentration and intense UV radiation in plateaus, thus reducing the risk of mountain sickness.

Correlation between blood pressure changes and AMS, sleeping quality and exercise upon high-altitude exposure in young Chinese men

Background: Excessive elevation of arterial blood pressure(BP) at high altitude can be detrimental to our health due to acute mountain sickness(AMS) or some AMS symptoms. This prospective and observational study aimed to elucidate blood pressure changes induced by exposure to high-altitude hypoxia and the relationships of these changes with AMS prevalence, AMS severity, sleep quality and exercise condition in healthy young men.Methods: A prospective observational study was performed in 931 male young adults exposed to high altitude at 3,700 m(Lhasa) from low altitude(LA, 500 m). Blood pressure measurement and AMS symptom questionnaires were performed at LA and on day 1, 3, 5, and 7 of exposure to high altitude. Lake Louise criteria were used to diagnose AMS. Likewise, the Athens Insomnia Scale(AIS) and the Epworth Sleepiness Scale(ESS) were filled out at LA and on day 1, 3, and 7 of exposure to high altitude.Results: After acute exposure to 3,700 m, diastolic blood pressure(DBP) and mean arterial blood pressure(MABP) rose gradually and continually(P<0.05). Analysis showed a relationship with AMS for only MABP(P<0.05) but not for SBP and DBP(P>0.05). Poor sleeping quality was generally associated with higher SBP or DBP at high altitude, although inconsistent results were obtained at different time(P<0.05). SBP and Pulse BP increased noticeably after high-altitude exercise(P<0.05).Conclusions: Our data demonstrate notable blood pressure changes under exposure to different high-altitude conditions: 1) BP increased over time. 2) Higher BP generally accompanied poor sleeping quality and higher incidence of AMS. 3) SBP and Pulse BP were higher after high-altitude exercise. Therefore, we should put more effort into monitoring BP after exposure to high altitude in order to guard against excessive increases in BP.

High altitude medicine in China in the 21st century Opportunities and challenges

China has the largest plateau, Qinghai-Tibet Plateau, where inhabited the most high altitude populations. Moreover, millions of people from plain areas come to the plateau for travel and work purposes and the number of the newcomers has been increasing every year. The hypoxic environment of plateau raised a series of related health issues in the new immigrants, so have created a special medical discipline- High Altitude Medicine. Over the past decades, researches on high altitude medicine have never being ceased in China, and lots of research findings have been reported. Application and practice of these achievements have greatly decreased the mobility and mortality of highaltitude diseases, however, there remained lots of questions to be elucidated. In view of this, the authors were granted a special project from the National Health and Family Planning Commission of China, and conducted a multi-center, prospective, on-scene high altitude medicine study for the acute mountain sickness. Some innovative findings were achieved, and the parameters for diagnosis and application conditions were proposed. Furthermore, the different diagnoses and treatment effects were compared, and a more standardized, reasonable scheme was drawn up. Regarding the unbalanced medical resources in the vast high altitude area, an application system for the public and the army has been established. In the 21 st century, innovations in China and novel research approaches have provided great opportunities for the development of high altitude medicine. It is believed that the researchers in China are able to catch the opportunities and address the challenges.

Industrial Poverty Alleviation Model in Southwestern High-altitude Mountainous Areas of China——A Case Study of Industrial Poverty Alleviation of Xueshan Township in Luquan County of Yunnan Province through Planting Codonopsis pilosula

Due to the severe restrictions of natural conditions and ecological environment,high-altitude mountainous areas usually become the " hard bones" in the battle against poverty. Xueshan Township,Luquan Yi and Miao Autonomous County of Yunnan Province,located in the alpine valley of Jinsha River,is a major township with wide and deep poverty,and the incidence of poverty is up to 45. 00%. In recent years,Xueshan Township has insisted on the battle against poverty,made effort to develop the Codonopsis pilosula industry,and successfully developed a road to poverty alleviation through C. pilosula industry,and formed a unique industrial poverty alleviation model by the end of 2018,the incidence of poverty dropped to 0. 74%. Based on field survey and interview,this paper analyzes and summarizes the specific practices,main results,practical experience and promotion and application measures of the poverty alleviation model of C. pilosula planting industry in Xueshan Township,in the hope of providing certain reference for the targeted poverty alleviation in similar areas in Yunnan Province and other provinces of China.

Altitude-dependent distribution of 137Cs in the environment:a case study of Aragats massif, Armenia

This paper considers the distribution of technogenic 137Cs and naturally occurring radionuclides:238 U,232 Th and40 R concentrations in soils and 137Cs in atmospheric dry depositions by altitudinal belts of the Aragats mountain massif,Republic of Armenia.Undisturbed soil samples were collected at altitudes from 1000 to 3200 m.For the determination of geochemical variability,two soil sampling campaigns were undertaken.Atmospheric dry depositions were sampled from five stations at1100-3200 m collected onto organic fiber filters between June and December 2016.137Cs activity was measured using a high-purity Germanium detector coupled to a multichannel analyzer(Canberra).Results indicated that specific activity of 137Cs in soils at 1000 m is495-528 Bq m^-2,andat3200 mis10,500-11,470 Bq m^-2.No correlation observed for 137Cs versus naturally occurring radionuclides,which varies in distribution by altitude.Specific activities of 137Cs in dry atmospheric depositions varies from 1.06 at 846 m to2.37 Bq m^-2 per quarter at 3200 m and increases as the altitude increases.Activities of 137Cs in soil and dry atmospheric deposition correlated significantly,and 137Cs activity in soils and atmospheric dry depositions decrease as the absolute altitude decreases.The 50-year effective dose from exposure to 137Cs fallout varies with altitude from 0.007 to 1.42 m Sv.

Effects of altitude on county economic development in China

Mountain regions play an increasingly essential role in global sustainable development, and the related sustainable development issues have attracted increasing attention. There are obvious vertical spatial differentiation phenomena in both natural and socio-economic fields with altitude being a key factor affecting the economic development of mountain regions. However, the exact influence of altitude is still unknown. Based on the county scale, this paper used the gravitational potential energy model to evaluate the effects of altitude on economic development in China. The results indicate that the high-altitude areas were the depression areas of county economic development, and county economic density showed a decreasing trend with the increase of altitude. County economic density respectively decreased by 0.10%, 0.04% and 0.02% with every 1% increase in altitude in 2000, 2005 and 2010. Here we demonstrate that high altitude has negative effect on county economy, although the negative effect presented a downward trend. The results also showed that increasing capital and labor investments could reduce the negative effect of high altitude on county economy. In 2010, with every 1% increase in capital and labor density, county economic density increased by 0.62% and 0.83%, respectively. The effects of altitude were the results of multidimensional factors. The fundamental approach to reduce the negative effects of high altitude is to combine the ecological environment and resources to develop characteristic industries. The construction of infrastructure should be strengthened, which can promote the occurrence of the contra-flow of people, logistics and capital, and promote the balanced development of county economy.

Ataxia,acute mountain sickness,and high altitude cerebral edema

Previous investigations suggest that ataxia is common and often one of the most reliable warning signs of high altitude cerebral edema(HACE). The aim of this study was to investigate the diagnostic role of ataxia in acute mountain sickness(AMS)and HACE among mountain rescuers on the quake areas,and in approaching the relation between AMS and HACE. After the earthquake on April 14,2010,approximately 24 080 lowland rescuers were rapidly transported from sea level or lowlands to the mountainous rescue sites at 3 750 ~ 4 568 m,and extremely hardly worked for an emergency treatment after arrival. Assessments of acute altitude illness on the quake areas were using the Lake Louise Scoring System. 73 % of the rescuers were found to be developed AMS. The incidence of high altitude pulmonary edema(HAPE)and HACE was 0.73 % and 0.26 %,respectively,on the second to third day at altitude. Ataxia sign was measured by simple tests of coordination including a modified Romberg test. The clinical features of 62 patients with HACE were analyzed. It was found that the most frequent,serious neurological symptoms and signs were altered mental status(50/62,80.6 %)and truncal ataxia(47/62,75.8 %). Mental status change was rated slightly higher than ataxia,but ataxia occurred earlier than mental status change and other symptoms. The earliest sign of ataxia was a vague unsteadiness of gait,which may be present alone in association with or without AMS. Advanced ataxia was correlated with the AMS scores,but mild ataxia did not correlate with AMS scores at altitudes of 3 750~4 568 m. Of them,14 patients were further examined by computerized tomographic scanning of the brain and cerebral magnetic resonance imagines were examined in another 15 cases. These imaging studies indicated that the presence of the cerebral edema was in 97 % of cases who were clinically diagnosed as HACE(28/29). Ataxia seems to be a reliable sign of advanced AMS or HACE,so does altered mental status.

Rong Shuan Jiao Nang in the treatment of acute mountain sickness and high altitude myocardial ischemic syndrome in Yushu

To evaluate the therapeutic effects of Rong Shuan Jiao Nang (RSJN) on treatment of acute mountain sickness (AMS) and high altitude myocardial ischemic syndrome in workers in Yushu,three groups were studied: group A (60 patients with AMS,given RSJN),group B (15 patients with altitude myocardial ischemic syndrome, given RSJN),and group C (control,without drugs). All studied subjects were lowland workers who were first time entry to Yushu for work at an altitude of 4 250 m. During the course of treatment,a routing physical examination was performed,AMS Lake Louise Scores were estimated,arterial oxygen saturation (SaO2),electrocardiography and hemoglobin concentration were measured before and after using RSJN for 10 days. In group A,the effective rate was 68 %,symptomatic improvement in 54 cases (90 %) within 5 days. In group B,the effective rate was 93 %,episodes of angina pectoris stopped in 12 patients within 3 ~ 7 days,one lasted 8 days. After treatment, the level of SaO2 increased 15.5 %,21.8 % and 5.6 % in group A,group B and group C,respectively. RSJN taken at the start of the arrival at Yushu can decrease AMS scores and facilitate cure. If taken after the illness has begun,RSJN may help lessen symptoms,especially effectively improved angina pectoris of the high altitude myocardial ischemic syndrome. Symptoms usually subside after 3 ~ 8 days. RSJN should be continually used for at least 7 days after ascent.

Pathophysiological changes in mitochondria of mammalian exposed to hypoxia at high altitude

As human beings ascend to high altitude,a number of reactions may occur against hypoxic injuries.These hypoxic responses are related to intake,transportation and utility of the oxygen.As a crucial subcellular organelle of oxygen utility,mitochondrion is a central link of high altitude acclimatization,adaptation and mountain sicknesses.In this review,we discussed the recent advances in researches on hypoxic mitochondrial responses at high altitude.