On Apr 30, 7:10 am, ironjustice <teamtan...@hotmail . com > wrote: kill
kids .. old people and pregnant women and fetuses <<
Might as well throw in more groups of people they kill on a regular
basis ..
"Young, fit climbers or trekkers"
"Many climbers have died of HAPE when they were mistakenly treated for
pneumonia"
I guess this might be all the pneumonia .. COPD .. bronchitis we see
down here .. on level ground caused by erythrocytosis ..
* w w w .basecampmd . com /expguide/hape.shtml
HAPE - High Altitude Pulmonary Edema
Another form of severe altitude illness is High Altitude Pulmonary
Edema, a potentially deadly condition that develops because the lung
arteries develop excessive pressure in response to low oxygen,
resulting in overflow of fluid in the lungs. Though it often occurs
with AMS, it is not felt to be related and the classic signs of AMS
may be absent. Signs and symptoms of HAPE include any of the
following:
- Extreme fatigue
- Breathlessness at rest
- Fast, shallow breathing
- Cough, possibly productive of frothy or pink sputum
- Gurgling or rattling breaths
- Chest tightness, fullness, or congestion
- Blue or gray lips or fingernails
- Drowsiness
HAPE usually occurs on the second night after an ascent, and is more
frequent in young, fit climbers or trekkers.
In some persons, the hypoxia of high altitude causes constriction of
some of the blood vessels in the lungs, shunting all of the blood
through a limited number of vessels that are not constricted. This
dramatically elevates the blood pressure in these vessels and results
in a high-pressure leak of fluid from the blood vessels into the
lungs. Exertion and cold exposure can also raise the pulmonary blood
pressure and may contribute to either the onset or worsening of HAPE.
Immediate descent is the treatment of choice for HAPE; unless oxygen
is available delay may be fatal. Descend to the last elevation where
the victim felt well upon awakening. Descent may be complicated by
extreme fatigue and possibly also by confusion (due to inability to
get enough oxygen to the brain); HAPE frequently occurs at night, and
may worsen with exertion. These victims often need to be carried.
It is common for persons with severe HAPE to also develop HACE,
presumably due to the extremely low levels of oxygen in their blood
(equivalent to a continued rapid ascent).
HAPE usually resolves rapidly with descent, and one or two days of
rest at a lower elevation may be adequate for complete recovery. Once
the symptoms have fully resolved, cautious re-ascent is acceptable.
Summary of HAPE treatment
DESCENT, rest, oxygen, rehydration, and for severe cases, nifedipine,
salmeterol, acetazolamide, sildenafil or tadalafil and dexamethasone
may be used. Nifedipine, acetazolamide, sildenafil/tadalafil and
dexamethasone have all been shown to lower the pulmonary hypertensive
response to hypoxia, but they are prescription medicines for a good
reason -- they may be hazardous to use without appropriate medical
supervision and advice. Salmeterol is more commonly used as an asthma
medication, but it also can hasten the body's ability to re-absorb
edema fluid that clogs up the airways in HAPE. It is also a
prescription medication in most of the world.
HAPE can be confused with a number of other respiratory conditions:
High Altitude Cough and Bronchitis are both characterized by a
persistent cough with or without sputum production. There is no
shortness of breath at rest, no severe fatigue. Normal oxygen
saturations (for the altitude) will be measured if a pulse oximeter is
available.
Pneumonia can be difficult to distinguish from HAPE. Fever is common
with HAPE and does not prove the patient has pneumonia. Coughing up
green or yellow sputum may occur with HAPE, and both can cause low
blood levels of oxygen. The diagnostic test (and treatment) is descent
- HAPE will improve rapidly. If the patient does not improve with
descent, then consider antibiotics. HAPE is much more common at
altitude than pneumonia, and more dangerous; many climbers have died
of HAPE when they were mistakenly treated for pneumonia.
Asthma might also be confused with HAPE. Fortunately, asthmatics seem
to do better at altitude than at sea-level. If you think it's asthma,
try asthma medications, but if the person does not improve fairly
quickly assume it is HAPE and treat it accordingly..
Who loves ya.
Tom
Jesus Was A Vegetarian!
* tinyurl . com /2r2nkh
Man Is A Herbivore!
* tinyurl . com /a3cc3
DEAD PEOPLE WALKING
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> On Apr 30, 6:31 am, pa...@ferris . com wrote:
> There is no such "iron hypothesis" with which to agree.
> <<
>
> Explain the clinical trial .. then .. since it has been PROVEN iron in
> excess causes diabetes .. where is the iron coming from.
> You talk the big talk but cannot seem to come up with even a ..
> pathetic .. explanation.
> How come.
> Eh ..
> Because .. ?
> You are a stupid .. medical .. professional .. who cannot seem to do
> anything but experiments which would make Mengele .. cringe.
>
> You kill kids .. old people and pregnant women and fetuses
>
> Isn't that .. right ..
>
> * w w w .clinicaltrials.gov/show/NCT00230087
>
> Iron Depletion Therapy for Type 2 DM and NAFLD
>
> This study is currently recruiting patients.
> Verified by National Institute of Diabetes and Digestive and Kidney
> Diseases (NIDDK) March 2006
>
> Sponsored by: National Institute of Diabetes and Digestive and Kidney
> Diseases (NIDDK)
> Information provided by: National Institute of Diabetes and Digestive
> and Kidney Diseases (NIDDK)
> ClinicalTrials.gov Identifier: NCT00230087
>
> Purpose
>
> The purpose of this study is to find out whether lowering the amount
> of
> iron in the body will result in less resistance to insulin and
> improved
> liver function in patients with type 2 diabetes mellitus and
> non-alcoholic fatty liver disease. This may result in better diabetes
> control and/or a decrease in the amount of liver fat.
> Condition Intervention Phase
> Non-Alcoholic Fatty Liver Disease
> Diabetes Mellitus
> Procedure: iron depletion by phlebotomy
> Phase II
>
> MedlinePlus related topics: Diabetes
>
> Study Type: Interventional
> Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled,
> Single Group Assignment, Efficacy Study
>
> Official Title: Iron Depletion Therapy for Patients With Type 2
> Diabetes Mellitus and Non-Alcoholic Fatty Liver Disease
>
> Further study details as provided by National Institute of Diabetes
> and
> Digestive and Kidney Diseases (NIDDK):
> Primary Outcomes: · Improved insulin sensitivity as determined by:;
> (1) hyperinsulinemic euglycemic clamp method; (2) HOMA model-
> determined by the OGTT method
> Secondary Outcomes: · Change in serum aminotransferase levels; ·
> Change in levels of serum, plasma and urinary markers of oxidative
> stress; · Changes in intrahepatic and intraabdominal fat content as
> determined by CT scan; · Change in serum levels of proinflammatory
> cytokines (ie IL-6, TnF-aR2)
> Expected Total Enrollment: 15
> Study start: September 2005; Expected completion: January 2008
> Last follow-up: October 2007; Data entry closure: December 2007
>
> Nonalcoholic fatty liver disease (NAFLD) is a common liver disease in
> the United States. NAFLD can lead to severe liver disease in some
> patients. Patients with NAFLD develop resistance to the normal action
> of insulin. Insulin is important for processing sugar and fat and
> increased resistance to insulin leads to fat in the liver. There is a
> correlation between the amount of iron in a person's body and the
> ability of insulin to work properly. Several small studies suggest
> that
> removal of iron may improve both diabetes and NAFLD by lowering
> insulin
> resistance.
>
> The goal of this pilot study is to determine the effect of iron
> depletion on insulin sensitivity in patients with type 2 diabetes
> mellitus and non-alcoholic fatty liver disease. This study will be
> performed as an ancillary P&F study to the NASH CRN; all participants
> will be recruited from the NASH CRN Database Study. Secondary outcome
> measures will include the effect of iron depletion on hepatic
> necroinflammation, markers of oxidative stress and intrahepatic fat
> content. Insulin resistance will be directly measured using a two-
> step
> hyperinsulinemic euglycemic clamp procedure, before and after iron
> depletion by phlebotomy. Oral glucose tolerance tests will also be
> performed in order to evaluate the efficacy of using the indirect,
> but
> less cumbersome, HOMA model to derive values of insulin resistance in
> this patient cohort. This study will advance our understanding of the
> role of body iron stores in the pathophysiology of type 2 diabetes
> mellitus and non-alcoholic fatty liver disease. If iron depletion
> results in improved insulin sensitivity, reduced hepatic
> necroinflammation and/or intrahepatic fat content, a large scale,
> randomized, controlled trial of iron depletion in patients with type
> 2
> diabetes mellitus and non-alcoholic fatty liver disease will be
> planned.
>
> Eligibility
>
> Ages Eligible for Study: 18 Years - 65 Years, Genders Eligib=
le
> for Study: Both
> Criteria
> Inclusion Criteria
>
> Histological evidence of NAFLD and enrollment in NASH CRN Database
> Study
> Type 2 DM treated with diet or a stable dose of non-insulin
> sensitizing
> oral hypoglycemic agents for > 3 mo.
> Hemoglobin HbA1c level = 8 %
> Serum ALT levels =1.3 x ULN
> Between 18-65 years of age
> Exclusion Criteria
>
> Hereditary hemochromatosis or hepatic iron overload defined as any of
> the following:
>
> 2+ iron on hepatic iron staining
> Hepatic Iron Index = 1.9
> C282Y homozygous or C282Y/H63D compound heterozygous HFE genotype
> Use of insulin or thiazolidinediones for the treatment of diabetes
> Use of anti-NASH drugs (thiazolidinediones, vitamin E, UDCA, SAM-e,
> betaine, milk thistle, gemfibrozil, anti-TNF therapies, probiotics)
> Serum ferritin <50µg/L
> Serum transferrin-iron saturation <10 %
> Hemoglobin <10 mg/L
> Hematocrit <38 %
> Voluntary blood donation or therapeutic phlebotomy within the
> previous
> twelve months (except routine lab tests)
> Pregnant or lactating women
> Prior history of coronary artery disease, myocardial infarction,
> exertional dyspnea or chronic chest pain at rest.
> Evidence of myocardial infarction as determined by an ECG
> Location and Contact Information
>
> Please refer to this study by ClinicalTrials.gov identifier
> NCT00230087
>
> Jim E Nelson, PhD 206-221-4537 jam...@medicine.washingto=
n.edu
> Virginia Mugford, BS 206-221-4538
> virgin...@medicine.washington.edu
>
> Washington
> University of Washington Medical Center, Seattle, Washingto=
n,
> 98195, United States; Recruiting
> Jim Nelson, PhD 206-221-4537 jam...@medicine.washington.edu
>
> Study chairs or principal investigators
>
> Kris V Kowdley, MD, Principal Investigator, University of
> Washington
>
> More Information
>
> Study ID Numbers: DK 61728-S1
> Last Updated: March 6, 2006
> Record first received: September 29, 2005
> ClinicalTrials.gov Identifier: NCT00230087
> Health Authority: United States: Federal Government
> ClinicalTrials.gov processed this record on 2006-06-28
>
> U.S. National Library of Medicine, Contact NLM Customer Service
> National Institutes of Health, Department of Health & Human Services
> Copyright, Privacy, Accessibility, Freedom of Information Act
>
> Who loves ya.
> Tom
>
> Jesus Was A Vegetarian! * tinyurl . com /2r2nkh
>
> Man Is A Herbivore! * tinyurl . com /a3cc3
>
> DEAD PEOPLE WALKING * tinyurl . com /zk9fk