{"id":1654,"date":"2021-07-19T18:53:35","date_gmt":"2021-07-19T22:53:35","guid":{"rendered":"http:\/\/altitudeclinic.com\/blog\/?p=1654"},"modified":"2024-04-18T11:58:16","modified_gmt":"2024-04-18T15:58:16","slug":"ams-hape-hace-a-view-from-the-high-andes","status":"publish","type":"post","link":"https:\/\/altitudeclinic.com\/blog\/2021\/07\/ams-hape-hace-a-view-from-the-high-andes\/","title":{"rendered":"AMS, HAPE, HACE: A view from the High Andes"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1654\" class=\"elementor elementor-1654\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4721c2a5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4721c2a5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3feee9f1\" data-id=\"3feee9f1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ad59700 elementor-widget elementor-widget-text-editor\" data-id=\"2ad59700\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><\/p>\n<p>\u00a0<\/p>\n<p>Much to many world scientists&#8217; surprise, a group of sea-level &#8220;<strong>International high altitude experts<\/strong>&#8221; who defend a different point of view, wrote to the Chief Editor of the prestigious journal Respiratory Physiology and Neurobiology questioning our article: &#8220;<strong><em><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1569904821000136\" target=\"_blank\" rel=\"noreferrer noopener\">Acute Mountain Sickness, High Altitude Pulmonary Edema, and High Altitude Cerebral Edema: A view from the High Andes<\/a><\/em><\/strong>&#8221; by <a href=\"https:\/\/altitudeclinic.com\/blog\/2021\/07\/who-is-prof-dr-gustavo-zubieta-calleja\/\" target=\"_blank\" rel=\"noreferrer noopener\">Prof. Dr. Gustavo Zubieta-Calleja<\/a> [his<a href=\"https:\/\/altitudeclinic.com\/CV.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"> CV<\/a>] and Dr. Natalia Zubieta-DeUrioste, published in Volume 287, May 2021 of the Respiratory Physiology &amp; Neurobiology. Available as a Pre-print <a href=\"https:\/\/www.researchgate.net\/publication\/350780985_Acute_Mountain_Sickness_High_Altitude_Pulmonary_Edema_High_Altitude_Cerebral_Edema_An_enhanced_view_from_the_High_Andes_-_La_Paz_Bolivia_3500m#fullTextFileContent\" target=\"_blank\" rel=\"noreferrer noopener\">here<\/a>. A full Journal printed scan version is available on request from the authors. Please send us an <a href=\"mailto:gzubietajr@gmail.com\" target=\"_blank\" rel=\"noreferrer noopener\">email<\/a>.<\/p>\n<p><\/p>\n<p><\/p>\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"585\" height=\"422\" class=\"wp-image-1656\" src=\"https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2021\/07\/AMS-HAPE-photo.jpg\" alt=\"\" srcset=\"https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2021\/07\/AMS-HAPE-photo.jpg 585w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2021\/07\/AMS-HAPE-photo-300x216.jpg 300w\" sizes=\"(max-width: 585px) 100vw, 585px\" \/>\n<p>\u00a0<\/p>\n<figcaption>full version copy available on request from authors at gzubietajr@gmail.com<\/figcaption>\n<\/figure>\n<p><\/p>\n<p>The <a href=\"https:\/\/zuniv.net\/pub\/AMS_HAPE_questions_answered_Mar2_2021.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">questions asked were properly answered with evidence-based medicine by the authors<\/a> in a letter to the publishers. In order to find a solution, it was decided to stamp &#8220;<strong>RETRACTION&#8221;<\/strong> on the article (which would block the possibility of citations).<\/p>\n<p><\/p>\n<p><\/p>\n<p>Interestingly, the same article received multiple congratulations and support. Simultaneously, the prestigious International Journal of Environmental Research and Public Health with an Impact Factor of 3.3 asked the author for an extension of the paper. Consequently, &#8220;<a href=\"https:\/\/www.mdpi.com\/1660-4601\/18\/14\/7619\" target=\"_blank\" rel=\"noreferrer noopener\"><em><strong>The Oxygen Transport Triad in High-Altitude Pulmonary Edema: A Perspective from the High Andes<\/strong><\/em><\/a>&#8221; was published. In it, several of the questions are addressed.<\/p>\n<p><\/p>\n<p>Many scientists from around the world are giving their support asking for a <strong>NO RETRACTION <\/strong>of the paper, as any questioning should follow a standard course through a Letter to the Editor.<\/p>\n<p><\/p>\n<p><span style=\"color: #800000;\"><strong>Some comments of support by very distinguished scientists of include:<\/strong><\/span><\/p>\n<p><\/p>\n<p>Dear Gustavo<br \/>You have taken the right step for world scholars&#8217; opinion to the journal.<br \/>I am always with you and will be.<br \/>It is disgusting to see some Western scientists&#8217; attitudes towards Latin America and South Asian community fellow colleagues.<br \/>Science always prevails with experience, observation, and truth. Yes I agree that nothing is a universal truth in science and that is the beauty of science but &#8216;<span style=\"color: #ff00ff;\">what I think is always right and there will not be any &#8220;alternate hypothesis&#8221; is a shallow mindset of a few people who never tested their own hypothesis in other environments<\/span>.<br \/>Your research and honesty are beyond any doubt. You are not only a great scientist but also a great physician with credibility.<br \/>I did not find anything wrong or unscientific in this interesting thought-provoking research article with facts and deep logical analysis. To me, it is a great Science and I shall teach your alternate but strong theories and explanations to my University students without hesitations as a great novel contribution of high altitude biology.<br \/>I believe your work is a part of the progress of science for serving humanity!<\/p>\n<p><\/p>\n<p>I not only oppose the idea of this great publication retraction but also condemn it.<\/p>\n<p>Regards<\/p>\n<p><\/p>\n<p>Kusal K.Das, PhD, FRSB<br \/>Distinguished Chair Professor in Vascular Physiology<br \/>Laboratory of Vacular Physiogy and Medicine<br \/>Faculty of Medicine<br \/>BLDE ( Deemed to be University ), Vijayapur,<br \/>Karnataka, India (560m)<br \/>Former Vising Professor<br \/>School of Medicine<br \/>University of Leeds, UK<br \/>( 2014 &#8211; 2016 )<br \/>Hony.Fellow<br \/>Karnataka Academy of Science &amp; Technogy<br \/>Government of Karnataka<br \/>President<br \/><a href=\"https:\/\/www.thesaap.org\/about-saap\/president-s-message.html\">South Asian Association of Physiologists ( HO. University of Colombo )<\/a>.<br \/>President&#8217;s message, above.<br \/>Member of International Union of Physiological Sciences (IUPS)<br \/>IUPS is the world body of physiologists with 84 countries and hundred societies<\/p>\n<p><\/p>\n<p><\/p>\n<hr class=\"wp-block-separator is-style-wide\" \/>\n<p><\/p>\n<p>Dear\u00a0Gustavo,<br \/><span style=\"color: #ff00ff;\">I fully support your publication<\/span>. My details are as follows.<\/p>\n<p><strong><em>Prof. Praveen Sharma<\/em><\/strong><em>\u00a0 \u00a0\u00a0\u00a0<strong>\u00a0<\/strong><\/em><br \/><em>PhD (Med), FACBI, FAMS, FAACC<\/em><br \/><em>Professor of Biochemistry,<\/em><br \/><em>(Former Head Biochemistry,<\/em><br \/><em>Dean (Research) &amp; Controller of Examinations),<\/em><br \/><em>All India Institute of Medical Sciences,\u00a0<\/em><br \/><em>Jodhpur-342005 ( India)<\/em><br \/><em>President ACBI (2003-2004 and 2014-2015)<br \/>President, InSLAR (2017 to date)<br \/>Chair, IFCC-CCLM (2020-to date)<\/em><br \/><em>Director, South East Asia on WASPaLM Board (2021 to date)<\/em><br \/><em>Editor-in-Chief, IJCB (2006 to date),<br \/>Chairman, APFCB Congress and Conferences (2019 to date)<\/em><br \/><em>Chairman, APFCB Communication committee\u00a0(2010-2019)<br \/>Chief Editor, APFCB News (2010-2019)<br \/>Director, NRCLPI, Jodhpur (2014 to date)<br \/>Assessor (NABL )<br \/>International Lead Assessor (AERSSC)<\/em><br \/><em>Mobile:+91-8003996869<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 +91-9414044562<\/em><strong><em><br \/>Email:\u00a0 \u00a0\u00a0<a href=\"mailto:praveensharma55@gmail.com\" target=\"_blank\" rel=\"noreferrer noopener\">praveensharma55@gmail.com<\/a><\/em><\/strong><br \/><em><strong>\u00a0<a href=\"mailto:sharmapr@aiimsjodhpur.edu.in\" target=\"_blank\" rel=\"noreferrer noopener\">sharmapr@aiimsjodhpur.edu.in<\/a><\/strong><\/em><\/p>\n<p><\/p>\n<hr class=\"wp-block-separator\" \/>\n<p><\/p>\n<hr class=\"wp-block-separator is-style-wide\" \/>\n<p><\/p>\n<p>Someone has to pioneer the road to higher consciousness through scientific exploration. You have. <span style=\"color: #ff00ff;\">Your paper is stellar and ahead of its time<\/span>. <br \/>There was a saying in the 1960s I abide by: \u201ckeep on keeping on.\u201d <br \/>Be proud of your forward-thinking ideals. Westerners will catch up to you in time.<\/p>\n<p><\/p>\n<p><a href=\"\/\/www.ernestrossi.com\/kathrynrossi\/about.html\">Dr. Kathryn Rossie, PhD<\/a><br \/>Clinical Psychologist<br \/>Researcher<br \/>Author, Publisher, and Editor<br \/>Consultant: International level. Private Practice Consultation: California.<br \/>Professor of the Neuroscience Institute for Psychotherapists of San Lorenzo Maggiore, Italy.<br \/>Chief Financial Officer (CFO) and Vice President:<br \/>The Ernest Lawrence Rossi Non-Profit Foundation for Psychosocial Genomics Research<br \/>Board of Directors: The Milton H. Erickson Foundation Press<br \/>Founding Director of the Milton H. Erickson Institue of the California Central Coast (MHE-CCC)<\/p>\n<p><\/p>\n<hr class=\"wp-block-separator is-style-wide\" \/>\n<p><\/p>\n<p><span style=\"color: #ff00ff;\">All high altitude researchers in India including <strong>HPRC (High Altitude Physiology Research Cell, Darjeeling), high altitude research facilities St John&#8217;s team, Defense Institute of Physiology and Allied Sciences (DIPAS)<\/strong><\/span> are all in support of the research paper published by Professor Gustavo et al. We require scientific community to take this concept forward without any bias and come out with the most appropriate guidance documents to manage chronic Hypoxia.<br \/>With regards,<\/p>\n<p><\/p>\n<p><strong>Dr Thuppil Venkatesh<\/strong><br \/>President<br \/>International Society of Chronic Hypoxia<br \/>CEO and Director<br \/>Chairman Indian Society for Lead awareness and research and <br \/>Director <br \/>The National Referral Center for Lead Poisoning Prevention in India (<strong>NRCLPI<\/strong>)<br \/>Foundation for Quality India (FQI)<br \/>The Lead Man of India <br \/>Professor Emeritus <br \/>Biochemistry Department St John\u2019s Medical College <br \/>Bangalore, India<\/p>\n<p><\/p>\n<p><\/p>\n<hr class=\"wp-block-separator is-style-wide\" \/>\n<p><\/p>\n<p>Dear\u00a0Gustavo,\u00a0<\/p>\n<p><\/p>\n<p>Thank you for the materials you sent me.\u00a0I need some time to study these materials more closely, delving into the arguments and comparing them.\u00a0<\/p>\n<p><\/p>\n<p>Being a specialist in some intracellular molecular mechanisms of adaptation to hypoxia, I will not take the responsibility to\u00a0take part in the discussion\u00a0on issues of respiratory physiology and practical medicine.\u00a0\u00a0<\/p>\n<p><\/p>\n<p>However, in any case,<span style=\"color: #ff00ff;\"> I consider the precedent of\u00a0retraction of the\u00a0already published\u00a0article\u00a0extremely dangerous.\u00a0This not only destroys constructive scientific discussion, based on the freedom of publication by each of the side of its position and arguments. This also threatens us with an Orwellian dystopia of an unpredictable changing past<\/span>. This precedent is especially dangerous in conditions when more and more scientific journals have only an electronic version and are not published in paper form.\u00a0<span style=\"color: #ff00ff;\">With this approach, we can get a situation where, with each change of the prevailing concepts in science, articles previously published in electronic journals will &#8220;disappear&#8221; as if they never existed<\/span>.\u00a0<\/p>\n<p><\/p>\n<p>Of course, I join\u00a0to letter to the Chief Editor and Publishers asking for NO RETRACTION.<\/p>\n<p><\/p>\n<p>Sincerely,\u00a0\u00a0<\/p>\n<p><\/p>\n<p><strong> Dr. Sergei Alexandrovich Stroev, PhD <\/strong><br \/>I.P. Pavlov Institute of Physiology of Russian Academy of Sciences, Russia (2000-2015), University of Tampere, School of Medicine, Finland (2001-2014).<\/p>\n<p><\/p>\n<p>P.S. By the way, I was somewhat surprised by point 4 of your opponents&#8217; objections, where they state: \u00ab<em>\u201cadaptation\u201d must be limited to genetically transmissible changes because they are integrated into the gene pool of a particular population or species<\/em>\u00bb.\u00a0<\/p>\n<p><\/p>\n<p>My thesis, which I successfully defended in\u00a0University of Tampere\u00a0was called\u00a0\u201cThe role of endogenous protein antioxidants in neuronal adaptation to hypobaric hypoxia\u201d.<\/p>\n<p><\/p>\n<p><a href=\"https:\/\/trepo.tuni.fi\/bitstream\/handle\/10024\/95013\/978-951-44-9354-6.pdf?sequence=1&amp;isAllowed=y\">https:\/\/trepo.tuni.fi\/bitstream\/handle\/10024\/95013\/978-951-44-9354-6.pdf?sequence=1&amp;isAllowed=y<\/a><\/p>\n<p><\/p>\n<p>The dissertation dealt with adaptation to hypoxia of cells and the organism\u00a0as a whole at the level of regulation of the expression of individual proteins\u00a0without any\u00a0genetically transmissible changes (I will not vouch for epigenetic changes in this model &#8211; I have not studied this issue).\u00a0And the term &#8220;adaptation&#8221; in this sense of an individual, not related to genetic changes, adaptation did not cause any objections from highly professional opponent, reviewers and many specialists who were present at the defense of the thesis.<\/p>\n<p><\/p>\n<p>Many other authors use this term in the same meaning, for example:\u00a0<\/p>\n<p><\/p>\n<p>Samoilov M.O. Brain and adaptation. Molecular and cellular mechanisms.\u00a0St. Petersburg,\u00a0<\/p>\n<p><\/p>\n<p>1999. 272 p. (In Russian).\u00a0<\/p>\n<p><\/p>\n<p>Portnichenko\u00a0V.I.,\u00a0Nosar\u00a0V.I.,\u00a0Sydorenko\u00a0A.M.,\u00a0Portnichenko\u00a0A.H.,\u00a0Man&#8217;kovs&#8217;ka\u00a0I.M.\u00a0<\/p>\n<p><\/p>\n<p>Continuous adaptation of rats to hypobaric hypoxia prevents stressor hyperglycemia and\u00a0optimizes mitochondrial respiration under acute hypoxia. Fiziol Zh. 2012 b. 58(5): 56-64 (In\u00a0Ukrainian, summary in English).\u00a0<\/p>\n<p><\/p>\n<p>Meerson F., Pozharov V., Minyailenko T. Superresistance against hypoxia after\u00a0<\/p>\n<p><\/p>\n<p>preliminary adaptation to repeated stress. J Appl Physiol. 1994. 76(5): 1856-1861.\u00a0<\/p>\n<p><\/p>\n<p>Lukyanova L.D., Sukoyan G.V., Kirova Y.I. Role of proinflammatory factors, nitric\u00a0<\/p>\n<p><\/p>\n<p>oxide, and some parameters of lipid metabolism in the development of immediate adaptation to\u00a0hypoxia and HIF-1\u03b1 accumulation. Bull Exp Biol Med. 2013. 154(5): 597-601.\u00a0<\/p>\n<p><\/p>\n<p>Lu G., Ding D., Shi M. Acute adaptation of mice to hypoxic hypoxia. Biol Signals Recept.\u00a01999. 8(4-5): 247-255.\u00a0<\/p>\n<p><\/p>\n<p><\/p>\n<p><strong><em>49 world distinguished scientists have supported the quality of this article. We are most thankful !<\/em><\/strong><\/p>\n<p><\/p>\n<p><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b14b528 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b14b528\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-557133a\" data-id=\"557133a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-64311d0 elementor-widget elementor-widget-text-editor\" data-id=\"64311d0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>See the letter of support by <br \/>49\u00a0<a href=\"https:\/\/zuniv.net\/pub\/LetterofsupportHA12.pdf\">outstanding scientists here. <\/a><\/h3>\n<p>as of Aug 5, 2021<\/p>\n<p>We also have great support from a <a href=\"https:\/\/www.change.org\/p\/editores-y-editoras-de-elsevier-apoyo-del-art%C3%ADculo-latinoamericano-que-no-se-retracte-de-la-editorial-elsevier?recruiter=996919455&amp;utm_source=share_petition&amp;utm_campaign=share_for_starters_page&amp;utm_medium=whatsapp&amp;utm_content=washarecopy_29968460_es-419%3A0&amp;recruited_by_id=27ee8fb0-c459-11e9-bbba-27a01dcd2142\">growing number of people<\/a> 1,789 as of Aug 20, 2021 that also support our article.<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a911496 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a911496\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7370c34\" data-id=\"7370c34\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cfcf961 elementor-widget elementor-widget-text-editor\" data-id=\"cfcf961\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b style=\"font-family: inherit; font-size: 24px; font-style: inherit; color: var( --e-global-color-text );\"><img decoding=\"async\" class=\"aligncenter size-large wp-image-2002\" src=\"https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-2-705x1024.jpg\" alt=\"\" width=\"474\" height=\"688\" srcset=\"https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-2-705x1024.jpg 705w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-2-206x300.jpg 206w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-2-768x1116.jpg 768w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-2.jpg 881w\" sizes=\"(max-width: 474px) 100vw, 474px\" \/> <img decoding=\"async\" class=\"aligncenter size-large wp-image-2003\" src=\"https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-1-1-780x1024.jpg\" alt=\"\" width=\"474\" height=\"622\" srcset=\"https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-1-1-780x1024.jpg 780w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-1-1-229x300.jpg 229w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-1-1-768x1008.jpg 768w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2024\/04\/Resp-Fisiolo-and-Neurobiology-1-1.jpg 975w\" sizes=\"(max-width: 474px) 100vw, 474px\" \/>The original article was printed in the Volume 287, May 2021 of the Respiratory Physiology and Neurobiology journal<\/b><\/p>\n<p><b style=\"font-family: inherit; font-size: 24px; font-style: inherit; color: var( --e-global-color-text );\">\u00a0<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d5c9615 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d5c9615\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c96ef9a\" data-id=\"c96ef9a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42166f9 elementor-widget elementor-widget-text-editor\" data-id=\"42166f9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We have just published our latest enhanced version in the top level Journal <b>Reviews on Environmental Health, responding to the observations made by those 17 &#8220;sea level high-altitude experts&#8221;.<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a60b570 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a60b570\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-13d941e\" data-id=\"13d941e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-64139ea elementor-widget elementor-widget-text-editor\" data-id=\"64139ea\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<figure id=\"attachment_1877\" aria-describedby=\"caption-attachment-1877\" style=\"width: 474px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-1877\" src=\"https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2022\/05\/HAPE-HACE-AMS-ANDES-1024x202.jpg\" alt=\"\" width=\"474\" height=\"94\" srcset=\"https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2022\/05\/HAPE-HACE-AMS-ANDES-1024x202.jpg 1024w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2022\/05\/HAPE-HACE-AMS-ANDES-300x59.jpg 300w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2022\/05\/HAPE-HACE-AMS-ANDES-768x152.jpg 768w, https:\/\/altitudeclinic.com\/blog\/wp-content\/uploads\/2022\/05\/HAPE-HACE-AMS-ANDES.jpg 1422w\" sizes=\"(max-width: 474px) 100vw, 474px\" \/><figcaption id=\"caption-attachment-1877\" class=\"wp-caption-text\">Our latest publication May 2022<\/figcaption><\/figure>\n<p>The link to this article is:&nbsp;<\/p>\n<p><a href=\"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/reveh-2021-0172\/html\" target=\"_blank\">https:\/\/www.degruyter.com\/document\/doi\/10.1515\/reveh-2021-0172\/html<\/a><br><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The questions asked were properly answered with evidence-based medicine by the authors in a letter to the publishers. In order to find a solution, it was decided to stamp &#8220;RETRACTION&#8221; on the article (which would block the possibility of citations). Interestingly, the same article received multiple congratulations and support. Simultaneously, the prestigious International Journal of &hellip; <a href=\"https:\/\/altitudeclinic.com\/blog\/2021\/07\/ams-hape-hace-a-view-from-the-high-andes\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">AMS, HAPE, HACE: A view from the High Andes<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":1656,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,11],"tags":[],"class_list":["post-1654","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adaptation","category-scientific-publications"],"_links":{"self":[{"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/posts\/1654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/comments?post=1654"}],"version-history":[{"count":69,"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/posts\/1654\/revisions"}],"predecessor-version":[{"id":2006,"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/posts\/1654\/revisions\/2006"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/media\/1656"}],"wp:attachment":[{"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/media?parent=1654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/categories?post=1654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/altitudeclinic.com\/blog\/wp-json\/wp\/v2\/tags?post=1654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}