High Altitude Medicine and Physiology / Edition 4

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Overview

More than half a century has passed since man first stood on the summit of Mount Everest, and the story of man's attempts to climb higher and higher unaided is one of the more colourful and exciting in medicine and physiology. The past few decades have seen an explosion in the interest in mountain pursuits in general, as increasing numbers of people take to the mountains for day trips and longer excursions. As a result, doctors face ever expanding challenges in dealing with the changes in human physiology and particular medical conditions that arise from exposure to altitude and cold.

Building on the success and reputation of previous editions the fourth edition includes major changes in the scientific content, with updates in many areas. The area of genetics has assumed great importance, along with other advances in molecular biology and medicine, and these are incorporated throughout the text. There are also new or improved sections on women and children at high altitude, the role of vascular endothelial growth factor, neurological disorders at high altitude, athletic training using high altitude, high altitude pulmonary edema, and the problems of patients with pre-existing disease. Other new features include summary boxes highlighting important concepts, and increased tabulation of key data for rapid reference. Despite the addition of new material, the authors have avoided the text become unwieldy and less readable with prudent pruning of existing material.

High Altitude Medicine and Physiology remains invaluable reading for any doctor accompanying an expedition to altitude or advising patients on a visit to altitude, and for those physicians and physiologists who study our dependence on oxygen. The aim of the highly-respected authors, joined following the retirement of Michael Ward by Robert Schoene - to provide a text that will help physicians continue to improve the health and safety of all people who visit, live or work in the cold, thin air of high mountains - is undoubtedly met by this new edition.

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Editorial Reviews

From the Publisher

"(This book) has been rigorously updated with several new additions, including sections on women and children at high altitude, neurological disorders, athletic training to prepare for altitude and more. All of which will undoubtedly help doctors stay abreasy of this continually changing area of specialism."

The Geographical Magazine

"With this edition, High Altitude Medicine and Physiology retains its place as the leading scholarly text on the subject."

Ken Zafren, Wilderness and Environmenal Medicine

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Product Details

  • ISBN-13: 9780340913444
  • Publisher: Taylor & Francis
  • Publication date: 4/27/2007
  • Series: A Hodder Arnold Publication Series
  • Edition description: New Edition
  • Edition number: 4
  • Pages: 480
  • Product dimensions: 9.80 (w) x 7.20 (h) x 1.10 (d)

Meet the Author

John B. West MD PhD DSc FRCP FRACP, Professor of Medicine & Physiology, the School of Medicine, University of California, San Diego, USA

Robert B. Schoene MD, Clinical Professor of Medicine, the School of Medicine, University of California, San Diego, USA

James S. Milledge Md FRCP, Formerly Consultant Respiratory Physician and Medical Director, Northwick Park Hospital, Harrow, UK

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Table of Contents

History
The atmosphere
Geography and the human response to altitude
Altitude acclimatization and deterioration
Ventilatory response to hypoxia and carbon dioxide
Pulmonary gas exchange
Cardiovascular system
Hematology
Blood-gas transport and acid-base balance
Peripheral tissues
Exercise
Limiting factors at extreme altitude
Sleep
Nutrition, metabolism and intestinal function
Endocrine and renal systems at altitude
Central nervous system
High altitude populations
Acute mountain sickness
High altitude cerebral edema
High altitude pulmonary edema
Chronic mountain sickness and high altitude pulmonary hypertension
Other altitude-related conditions: neurovascular disorders, eye conditions,altitude cough, anesthesia at altitude
The physiology and pathology of heat and cold
Pre-existing medical conditions at altitude
Women at altitude
Extremes of age at altitude: Children and the elderly
Commuting to high altitude for commercial and other activities
Athletes and altitude
Clinical lessons from high altitude
Practicalities of field studies
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