Suggested predictive indices for high altitude pulmonary oedema.

A study was conducted to evaluate the responses of chemoreceptors and pulmonary vascular bed to hypoxia, on two groups of soldiers exposed to similar altitudes, one group which did not suffer from high altitude (HA) maladies (Gp A) and the other when exposed to similar altitudes suffered from HA maladies (Gp B high altitude pulmonary edema--susceptible group (HAPE-S). Aim of this study was to find out whether these two tests could be used as a screening test for soldiers and sojourners proceeding to HA. Chemoreceptor responses were evaluated by hypoxic ventilatory response (HVR) test and the pulmonary vascular responses were studied by recording pulmonary artery pressure (PAP) changes under simulated hypoxia by breathing hypoxic gas mixtures (HGM) in both the groups. It was observed that HAPE-S subjects showed a reduced HVR response and an increase in PAP (systolic, diastolic, and mean). While Gp A subjects showed an increase in ventilation of 11.39 +/- 3.36 L, the same in Gp B subjects was 3.51 +/- 2.65 L. Thus, the comparison of increase in ventilation following HVR test between the two groups was highly significant. Under hypoxic gas mixture (HGM) breathing, systolic pressure of 28.2 +/- 6.9 and 52.6 +/- 11.0 mm Hg; diastolic pressure of 11.4 +/- 3.8 and 23.6 +/- 5.8 mm Hg and mean pressure of 17.6 +/- 4.3 and 35.0 +/- 7.4 mm Hg were recorded in pulmonary arteries in Gp A and Gp B subjects, respectively. Gp B subjects showed a highly significant increase in all the three pulmonary pressures under HGM breathing.

Clinical observations on tropical men during their sojourn over the Arctic region.

In the present study, besides a detailed clinical evaluation, roentgenographic changes in cardio-respiratory system in Indian soldiers (IS) during their 60 days stay at the arctic have been observed. These results have been compared with the responses at Delhi (before cold acclimatisation) and on return to Delhi (deacclimatisation). An attempt has also been made to compare the same physiological variables with those of Russian Migrants (RM) and Russian Natives (RN) in the arctic region to review significant differences if any. Heart Rate (HR) did not show much change; there was a tendency to increase in both systolic and diastolic blood pressure; and Kerdo's index inclined towards increased sympathetic activity in IS. X-ray chest (PA View) did not show any appreciable change in the lungs in the three groups. One subject amongst IS showed cardiac enlargement and RN subjects showed prominence of pulmonary artery and pulmonary vascular markings. All these physiological changes aim at increasing the cardiac output to overcome the ill effects of cold. Pneumopathy, a clinical condition of increased pulmonary haemodynamics could have resulted in the prominence of pulmonary artery and pulmonary blood flow in the RN. Most of the physiological changes reverted to the baseline value on return to Delhi thus proving that there were no permanent changes during short stay at extreme cold conditions.

Lung function in middle distance adolescent runners.

Lung functions (FVC, FEV1, ERV, IC AND MVV) were evaluated in 14 boys and 11 girls practising for middle distance running events in the age range of 13 to 17 years before and after one year training. The findings suggest that during adolescence, development of lung under proper nutritional and health conditions is governed by the process of growth with negligible additional effect of physical activity. However, physical exercises during growth may help in developing a reduced resistance to expiration and a greater endurance in respiratory muscles.

Height-weight relationship in young healthy Indian girls.

The relationship between height and weight in young healthy Indian girls (8--18 years) was developed. It is concluded that the relationship of the form:log w = 0.98 h + 0.14 holds good to the data on height h (in metres) and weight w (in kilograms) for this group of subjects, the logarithm is taken to the base 10. The results of the present study show that Ehrenberg's equation of the form : log w = 0.8 h + 0.4 may not be extended upto the age of 18 years in young healthy Indian girls.

Effect of glucose electrolyte ingestion on physiological changes due to severe heat stress.

Severe heat stress experienced by aircrew during summer months can cause deterioration in performance. Acute heat stress can also lead to dehydration and loss of electrolytes. Previous studies emphasised the need of K+ replacement. This study was carried out to determine the effect of glucose electrolyte ingestion (ELECTRAL) on thermal strain parameters. Ten healthy male subjects in the age group of 19-43 years were exposed to an acute thermal environment of 50 degrees C Tdb with relative humidity of 30% for 40 min. twice each day on two different days with an interval of one hour in between the exposures. At the beginning of rest period electrolyte solution was ingested during electrolyte trials and water under control trials. Physiological parameters of Tsk, T or, HR and electrolyte concentration of Na+ and K+ in sweat did not show any significant difference in both the trials. Sweat loss was significantly higher during electrolyte trials.