scholarly journals Local Porters in Nepal: Acute Mountain Sickness and Load Weight of Cargo Carrying

2021 ◽  
Vol 3 (1) ◽  
pp. 85-95
Author(s):  
Wendy Hillman

Local porters who haul burdens for trekkers are understudied and underappreciated for the labour they do in Nepal. Their susceptibility to Acute Mountain Sickness (AMS) along with the weight of the loads they haul and carry in return for meagres payment, contribute to the difficulties of their very austere and under-resourced employment. They are frequently underpaid for their efforts. Acknowledgement by government organizations and trekking business owners could make their employment more viable by giving them a higher wage in spite of their occupation struggles. Data was gathered from 31 porters completing instruction at a Nepali Porters’ training establishment, based in Kathmandu, Nepal. The research used semi-structured in-depth interviews. Participants participated in a 45-60-minute interview, which was recorded at the field site. All the interviews were documented and then transcribed into English by a bilingual Nepali PhD student. The data was coded using a hierarchical, thematic coding structure approach. Findings showed that porters knew about and had experienced AMS, and that their work of carrying heavy cargoes for trekkers and trekking companies were often not compliant with prescribed kilogram load limits.

2004 ◽  
Author(s):  
S. R. Muza ◽  
D. Kaminsky ◽  
C. S. Fulco ◽  
L. E. Banderet ◽  
A. Cymerman

2020 ◽  
pp. bjophthalmol-2020-317717
Author(s):  
Tou-Yuan Tsai ◽  
George Gozari ◽  
Yung-Cheng Su ◽  
Yi-Kung Lee ◽  
Yu-Kang Tu

Background/aimsTo assess changes in optic nerve sheath diameter (ONSD) at high altitude and in acute mountain sickness (AMS).MethodsCochrane Library, EMBASE, Google Scholar and PubMed were searched for articles published from their inception to 31st of July 2020. Outcome measures were mean changes of ONSD at high altitude and difference in ONSD change between subjects with and without AMS. Meta-regressions were conducted to investigate the relation of ONSD change to altitude and time spent at that altitude.ResultsEight studies with 248 participants comparing ONSD from sea level to high altitude, and five studies with 454 participants comparing subjects with or without AMS, were included. ONSD increased by 0.14 mm per 1000 m after adjustment for time (95% CI: 0.10 to 0.18; p<0.01). Restricted cubic spline regression revealed an almost linear relation between ONSD change and time within 2 days. ONSD was greater in subjects with AMS (mean difference=0.47; 95% CI: 0.14 to 0.80; p=0.01; I2=89.4%).ConclusionOur analysis shows that ONSD changes correlate with altitude and tend to increase in subjects with AMS. Small study number and high heterogeneity are the limitations of our study. Further large prospective studies are required to verify our findings.


1989 ◽  
Vol 8 (3) ◽  
pp. 143-148 ◽  
Author(s):  
S M Otis ◽  
M E Rossman ◽  
P A Schneider ◽  
M P Rush ◽  
E B Ringelstein

2001 ◽  
Vol 2 (4) ◽  
pp. 509-514 ◽  
Author(s):  
Allen Cymerman ◽  
Stephen R. Muza ◽  
Beth A. Beidleman ◽  
Dan T. Ditzler ◽  
Charles S. Fulco

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