2 resultados para forced expiratory volume

em Publishing Network for Geoscientific


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The impact of acute altitude exposure on pulmonary function is variable. A large inter-individual variability in the changes in forced expiratory flows (FEFs) is reported with acute exposure to altitude, which is suggested to represent an interaction between several factors influencing bronchial tone such as changes in gas density, catecholamine stimulation, and mild interstitial edema. This study examined the association between FEF variability, acute mountain sickness (AMS) and various blood markers affecting bronchial tone (endothelin-1, vascular endothelial growth factor (VEGF), catecholamines, angiotensin II) in 102 individuals rapidly transported to the South Pole (2835 m). The mean FEF between 25 and 75% (FEF25-75) and blood markers were recorded at sea level and after the second night at altitude. AMS was assessed using Lake Louise questionnaires. FEF25-75 increased by an average of 12% with changes ranging from -26 to +59% from sea level to altitude. On the second day, AMS incidence was 36% and was higher in individuals with increases in FEF25-75 (41 vs. 22%, P = 0.05). Ascent to altitude induced an increase in endothelin-1 levels, with greater levels observed in individuals with decreased FEF25-75. Epinephrine levels increased with ascent to altitude and the response was six times larger in individuals with decreased FEF25-75. Greater levels of endothelin-1 in individuals with decreased FEF25-75 suggest a response consistent with pulmonary hypertension and/or mild interstitial edema, while epinephrine may be upregulated in these individuals to clear lung fluid through stimulation of beta2-adrenergic receptors.

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Variations in global ice volume and temperature over the Cenozoic era have been investigated with a set of one-dimensional (1-D) ice-sheet models. Simulations include three ice sheets representing glaciation in the Northern Hemisphere, i.e. in Eurasia, North America and Greenland, and two separate ice sheets for Antarctic glaciation. The continental mean Northern Hemisphere surface-air temperature has been derived through an inverse procedure from observed benthic d18O records. These data have yielded a mutually consistent and continuous record of temperature, global ice volume and benthic d18O over the past 35 Ma. The simple 1-D model shows good agreement with a comprehensive 3-D ice-sheet model for the past 3 Ma. On average, differences are only 1.0°C for temperature and 6.2 m for sea level. Most notably, over the 35 Ma period, the reconstructed ice volume-temperature sensitivity shows a transition from a climate controlled by Southern Hemisphere ice sheets to one controlled by Northern Hemisphere ice sheets. Although the transient behaviour is important, equilibrium experiments show that the relationship between temperature and sea level is linear and symmetric, providing limited evidence for hysteresis. Furthermore, the results show a good comparison with other simulations of Antarctic ice volume and observed sea level.