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https://www.readbyqxmd.com/read/29241231/influence-of-repetitive-diving-in-freshwater-on-pressure-equalization-and-eustachian-tube-function-in-recreational-scuba-divers
#1
Stefanie Jansen, Manuela Boor, Moritz F Meyer, Eberhard D Pracht, Ruth Volland, Heinz D Klünter, Karl-Bernd Hüttenbrink, Dirk Beutner, Maria Grosheva
INTRODUCTION: We investigated the effect of repetitive pressure exposure during freshwater dives on Eustachian tube function and the middle ear, assessed by the Eustachian tube function test (ETFT). METHODS: This prospective observational cohort study included 23 divers over three consecutive days of diving in freshwater lakes in Nordhausen, Germany. Participants underwent otoscopy and ETFT before the first dive, between each dive and after the last dive. ETFT included regular tympanometry (R-tymp), tympanometry after Valsalva (V-tymp) and after swallowing (S-tymp)...
December 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/29241230/influence-of-repetitive-diving-in-saltwater-on-pressure-equalization-and-eustachian-tube-function-in-recreational-scuba-divers
#2
Moritz F Meyer, Manuela Boor, Stefanie Jansen, Eberhard D Pracht, Moritz Felsch, Heinz D Klünter, Karl-Bernd Hüttenbrink, Dirk Beutner, Maria Grosheva
INTRODUCTION: We investigated in a prospective, observational trial the feasibility of using the Eustachian tube function test (ETFT) to measure the effect of repetitive pressure exposure during open seawater dives on Eustachian tube function. METHODS: The study included 28 adult divers during six consecutive days of diving in the Red Sea. Participants underwent otoscopy and ETFT before the first dive, between each dive and after the last dive. ETFT included regular tympanometry (R-tymp), tympanometry after Valsalva (V-tymp) and after swallowing (S-tymp)...
December 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/29220368/increased-sediment-load-during-a-large-scale-dam-removal-changes-nearshore-subtidal-communities
#3
Stephen P Rubin, Ian M Miller, Melissa M Foley, Helen D Berry, Jeffrey J Duda, Benjamin Hudson, Nancy E Elder, Matthew M Beirne, Jonathan A Warrick, Michael L McHenry, Andrew W Stevens, Emily F Eidam, Andrea S Ogston, Guy Gelfenbaum, Rob Pedersen
The coastal marine ecosystem near the Elwha River was altered by a massive sediment influx-over 10 million tonnes-during the staged three-year removal of two hydropower dams. We used time series of bathymetry, substrate grain size, remotely sensed turbidity, scuba dive surveys, and towed video observations collected before and during dam removal to assess responses of the nearshore subtidal community (3 m to 17 m depth). Biological changes were primarily driven by sediment deposition and elevated suspended sediment concentrations...
2017: PloS One
https://www.readbyqxmd.com/read/29214659/2d-speckle-tracking-echocardiography-of-the-right-ventricle-free-wall-in-scuba-divers-after-single-open-sea-dive
#4
Zora Susilovic-Grabovac, Ante Obad, Darko Duplančić, Ivana Banić, Denise Brusoni, Piergiuseppe Agostoni, Ivica Vuković, Zeljko Dujic, Darija Bakovic
The presence of circulating gas bubbles and their influence on pulmonary and right heart hemodynamics was reported after uncomplicated self-contained underwater breathing apparatus (SCUBA) dive(s). Improvements in cardiac imaging have recently focused great attention on the right ventricle (RV). The aim of our study was to evaluate possible effects of a single air SCUBA dive on RV function using 2D speckle tracking echocardiography in healthy divers after single open sea dive to 18 meters of seawater, followed by bottom stay of 47 minutes with a direct ascent to the surface...
December 7, 2017: Clinical and Experimental Pharmacology & Physiology
https://www.readbyqxmd.com/read/29161314/conventional-and-technical-diving-surveys-reveal-elevated-biomass-and-differing-fish-community-composition-from-shallow-and-upper-mesophotic-zones-of-a-remote-united-states-coral-reef
#5
Roldan C Muñoz, Christine A Buckel, Paula E Whitfield, Shay Viehman, Randy Clark, J Christopher Taylor, Brian P Degan, Emma L Hickerson
The world's coral reefs appear to be in a global decline, yet most previous research on coral reefs has taken place at depths shallower than 30 m. Mesophotic coral ecosystem (depths deeper than ~30 m) studies have revealed extensive, productive habitats and rich communities. Despite recent advances, mesophotic coral ecosystems remain understudied due to challenges with sampling at deeper depths. The few previous studies of mesophotic coral ecosystems have shown variation across locations in depth-specific species composition and assemblage shifts, potentially a response to differences in habitat or light availability/water clarity...
2017: PloS One
https://www.readbyqxmd.com/read/29117262/benthic-colonization-in-newly-ice-free-soft-bottom-areas-in-an-antarctic-fjord
#6
Cristian Lagger, Natalia Servetto, Luciana Torre, Ricardo Sahade
Extended glacier retreat is among the main consequences of the rapid warming of the West Antarctic Peninsula. Particularly, in the inner part of Potter Cove (South Shetland Islands, Antarctica) large areas are now exposed to open sea conditions owing to the retreat of Fourcade glacier. During the 2010 austral summer, underwater photographic surveys were undertaken by SCUBA diving up to 30 m in these new ice-free areas 80 m from the glacier front. Our main aim was to investigate colonization and early succession of the benthic assemblages on soft-bottom areas...
2017: PloS One
https://www.readbyqxmd.com/read/29116696/spinal-decompression-sickness-in-an-artisanal-diving-fisherman-in-yucat%C3%A3-n-mexico-a-case-report
#7
Daniel Popa, Walter Chin, Oswaldo Huchim-Lara, Ian Grover
Artisanal fishermen around the world employ scuba and surface-supplied diving for their livelihoods and often undergo provocative dive profiles due to economic pressures. Consequently, rates of decompression sickness (DCS) are much greater than in recreational scuba divers. Here we present the case of a surface-supplied diving fisherman from the Yucatán Peninsula of Mexico, who suffered a significant episode of spinal DCS and underwent hyperbaric oxygen therapy treatments, with a favorable outcome. Additionally, we review the proposed mechanisms underlying spinal DCS...
2017: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29116695/repetitive-freshwater-diving-risk-factors-and-prevalence-of-barotrauma
#8
Stefanie Jansen, Moritz Friedo Meyer, Manuela Boor, Ruth Volland, Eberhard Daniel Pracht, Heinz Dieter Klünter, Karl-Bernd Hüttenbrink, Dirk Beutner, Maria Grosheva
OBJECTIVE: The aim was to investigate the influence of repetitive scuba diving in fresh water on the middle ear mucosa. The prevalence of middle ear barotrauma (MEB) and risk factors for MEB were evaluated. STUDY DESIGN: Prospective cohort study, Level of evidence 1b. METHODS: During three days, 23 divers made 144 repetitive dives in a freshwater lake. Participants underwent otoscopic examinations and were questioned about ENT-related complaints in the morning before the first dive, in between the dives and after the last dive...
2017: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29116694/efficacy-of-the-u-s-navy-treatment-tables-in-treating-dcs-in-103-recreational-scuba-divers
#9
Walter Chin, Ellie Joo, Scott Ninokawa, Daniel A Popa, Derek B Covington
Despite the fact that current decompression schedules reduce the risk of decompression sickness (DCS), recreational scuba divers continue to experience DCS. Therapy outcomes in these divers are difficult to track. Our study aims to understand the efficacy of the United States Navy (USN) Treatment Tables (5, 6, 6A, 9) in providing symptomatic relief among recreational scuba divers. We conducted a single-center retrospective review of recreational divers treated from 2003 to 2013. A total of 187 divers were identified: 84 divers were excluded, and the charts of the remaining 103 divers were independently reviewed by three clinicians...
2017: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29109872/severe-decompression-illness-case-report-prehospital-recognition-and-regional-transport-considerations
#10
Julie Estrada, David Meurer, Kevin De Boer, Karl Huesgen
A 46-year-old male presented to our tertiary care emergency department (ED) with shortness of breath and chest pain following an uneventful four-hour SCUBA dive at 100 feet. His prehospital emergency medical services (EMS) assessment revealed transient hypotension and hypoxia. He later developed progressive skin mottling. Serology was significant for acute kidney injury, transaminitis, hemoconcentration, and hypoxia on an arterial blood gas. Computed tomography (CT) angiography demonstrated intravascular gas throughout the mesenteric and pulmonary arteries as well as the portal venous system...
2017: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/29056141/the-economy-of-shark-conservation-in-the-northeast-pacific-the-role-of-ecotourism-and-citizen-science
#11
Peter A Mieras, Chris Harvey-Clark, Michael Bear, Gina Hodgin, Boone Hodgin
Historically sharks have been seen either as a source of income through harvesting, or as a nuisance and danger. The economic value of sharks has traditionally been measured as the total value of sharks caught for liver oil, fins, or meat for consumption. Sharks have also been killed to near extinction in cases where they were seen as a threat to fisheries on other species. This is illustrated by the mass extermination of Basking Sharks (Cetorhinus maximus) in British Columbia. They were seen as a nuisance to fishermen as they got entangled in gill nets during the salmon fishing season...
2017: Advances in Marine Biology
https://www.readbyqxmd.com/read/28991099/nonsurgical-management-of-retained-needlefish-jaw
#12
Clarissa Kum, Jessica R Chang, Anna M Gruener, Timothy J McCulley
While scuba diving, the left medial canthus of a 53-year-old man was pierced by a needlefish. He immediately lost vision in his left eye. An orbital computed tomographic scan showed the needlefish jaw in the left optic canal. The left medial orbit was explored surgically but no foreign object was removed. One month later, MRI confirmed the presence of the retained needlefish jaw. A conservative approach was taken and the patient remained stable over 3 months of follow-up.
October 4, 2017: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://www.readbyqxmd.com/read/28974936/dive-risk-factors-gas-bubble-formation-and-decompression-illness-in-recreational-scuba-diving-analysis-of-dan-europe-dsl-data-base
#13
Danilo Cialoni, Massimo Pieri, Costantino Balestra, Alessandro Marroni
Introduction: The popularity of SCUBA diving is steadily increasing together with the number of dives and correlated diseases per year. The rules that govern correct decompression procedures are considered well known even if the majority of Decompression Sickness (DCS) cases are considered unexpected confirming a bias in the "mathematical ability" to predict DCS by the current algorithms. Furthermore, little is still known about diving risk factors and any individual predisposition to DCS. This study provides an in-depth epidemiological analysis of the diving community, to include additional risk factors correlated with the development of circulating bubbles and DCS...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28967810/scuba-diving-death-always-due-to-drowning-two-forensic-cases-and-a-review-of-the-literature
#14
I Aquila, F Pepe, M Manno, P Frati, S Gratteri, V Fineschi, P Ricci
Scuba diving is an increasingly common recreational activity. We describe the physiopathology of barotrauma in two cases where death was caused by pulmonary barotrauma while diving. An inspection and autopsy were carried out in both cases. The autopsy data were supported by post-mortem radiological investigation. Histological and toxicological analyses were also carried out, and dive computer and tank manometer analysis performed. In both cases, the cause of death was attributable to arterial gas embolism, resulting from pulmonary barotrauma subsequent to pulmonary over-distension...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28928667/thirty-five-day-fluoxetine-treatment-limits-sensory-motor-deficit-and-biochemical-disorders-in-a-rat-model-of-decompression-sickness
#15
Caroline Cosnard, Sébastien De Maistre, Jacques H Abraini, Laurent Chazalviel, Jean-Eric Blatteau, Jean-Jacques Risso, Nicolas Vallée
According to the OECD statistical base for 2014, anti-depressants will, on average, be distributed at a rate of 62 daily doses per 1,000 inhabitants for the 25 countries surveyed (Health at a glance: Europe 2014; OECD Health Statistics; World Health Organization and OECD Health Statistics, 2014). Divers must be concerned. On another hand, divers are potentially exposed to decompression sickness including coagulation inflammation and ischemia, which can result in neurological lesions or even death. The purpose of this study is to assess whether chronic treatment with anti-depressants may represent a contraindication to the practice of an at-risk activity, such as, scuba diving, or even presents a benefit by attenuating the severity of the symptoms...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28926608/epibenthic-and-mobile-species-colonisation-of-a-geotextile-artificial-surf-reef-on-the-south-coast-of-england
#16
Roger J H Herbert, Ken Collins, Jenny Mallinson, Alice E Hall, Josephine Pegg, Kathryn Ross, Leo Clarke, Tom Clements
With increasing coastal infrastructure and use of novel materials there is a need to investigate the colonisation of assemblages associated with new structures, how these differ to natural and other artificial habitats and their potential impact on regional biodiversity. The colonisation of Europe's first artificial surf reef (ASR) was investigated at Boscombe on the south coast of England (2009-2014) and compared with assemblages on existing natural and artificial habitats. The ASR consists of geotextile bags filled with sand located 220m offshore on a sandy sea bed at a depth of 0-5m...
2017: PloS One
https://www.readbyqxmd.com/read/28880140/-diving-accident-induced-arterial-gas-embolism
#17
P D Nijk, T P van Rees Vellinga, J M van Lieshout, M I Gaakeer
BACKGROUND: During scuba diving, nitrogen dissolves into the body tissues due to elevated pressure under water. During a sudden drop in pressure due to a rapid return to the water surface, arterial gas embolism can arise from pulmonary barotrauma. In a later phase, nitrogen bubbles can also arise in the venous circulation (decompression sickness). Arterial bubbles can incur vascular damage, obstruction, hypoxia and infarction. CASE DESCRIPTION: A 53-year-old healthy sport diver presented at the emergency department in a hypovolemic shock with progressive paresis of all the extremities...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28868598/turkish-recreational-divers-a-comparative-study-of-their-demographics-diving-habits-health-and-attitudes-towards-safety
#18
COMPARATIVE STUDY
Bengusu Mirasoglu, Samil Aktas
INTRODUCTION: In Turkey, scuba diving has become more popular and accessible in the past decade and there has been a commensurate rise in the number of certified divers. This new generation of recreational divers has not been described in detail previously. The aim of this study was to profile this group, while investigating any gender differences and making comparisons with the global diving community. METHODS: Turkish dive club members and diving forum⁄blog readers were invited to complete an online questionnaire investigating their demography, medical issues and diving history and habits...
September 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/28868594/chain-of-events-analysis-for-a-scuba-diving-fatality
#19
John Lippmann, Christopher Stevenson, David McD Taylor, Jo Williams, Mohammadreza Mohebbi
INTRODUCTION: A scuba diving fatality usually involves a series of related events culminating in death. Several studies have utilised a chain of events-type analysis (CEA) to isolate and better understand the accident sequence in order to facilitate the creation of relevant countermeasures. The aim of this research was to further develop and better define a process for performing a CEA to reduce potential subjectivity and increase consistency between analysts. METHODOLOGY: To develop more comprehensive and better-defined criteria, existing criteria were modified and a template was created and tested using a CEA...
September 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/28864135/reliability-of-right-to-left-shunt-screening-in-the-prevention-of-scuba-diving-related-decompression-sickness
#20
Emmanuel Gempp, Marianne Lyard, Pierre Louge
OBJECTIVES: The aim of this study was to investigate the relationship between right-to-left shunt (RLS) and the clinical features of decompression sickness (DCS) in scuba divers and to determine the potential benefit for screening this anatomical predisposition in primary prevention. METHODS: 634 injured divers treated in a single referral hyperbaric facility for different types of DCS were retrospectively compared to 259 healthy divers. All subjects had a RLS screening by contrast Transcranial Doppler (TCD) ultrasound according to a standardized method...
December 1, 2017: International Journal of Cardiology
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