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Diving related illnesses

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https://www.readbyqxmd.com/read/27368044/pathophysiological-and-diagnostic-implications-of-cardiac-biomarkers-and-antidiuretic-hormone-release-in-distinguishing-immersion-pulmonary-edema-from-decompression-sickness
#1
Pierre Louge, Mathieu Coulange, Frederic Beneton, Emmanuel Gempp, Olivier Le Pennetier, Maxime Algoud, Lorene Dubourg, Pierre Naibo, Marion Marlinge, Pierre Michelet, Donato Vairo, Nathalie Kipson, François Kerbaul, Yves Jammes, Ian M Jones, Jean-Guillaume Steinberg, Jean Ruf, Régis Guieu, Alain Boussuges, Emmanuel Fenouillet
Immersion pulmonary edema (IPE) is a misdiagnosed environmental illness caused by water immersion, cold, and exertion. IPE occurs typically during SCUBA diving, snorkeling, and swimming. IPE is sometimes associated with myocardial injury and/or loss of consciousness in water, which may be fatal. IPE is thought to involve hemodynamic and cardiovascular disturbances, but its pathophysiology remains largely unclear, which makes IPE prevention difficult. This observational study aimed to document IPE pathogenesis and improve diagnostic reliability, including distinguishing in some conditions IPE from decompression sickness (DCS), another diving-related disorder...
June 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27142948/food-and-meals-in-caring-institutions-a-small-dive-into-research
#2
Kai Victor Hansen
Purpose - With the growing older population, the increasing interest in the elderly's eating habits and the meal situation go hand in hand and are challenges in many countries, including Norway. The purpose of this paper is to investigate, part of an ongoing project in Norway, address four categories of elderly people: healthy elderly (HE), old people with home care, elderly living in institutions, and critical ill elderly. Design/methodology/approach - The aim of this study was to investigate related articles concerning food and the elderly in the four identified categories, defining six different meal experience categories to disclose possible gaps in the research in terms of core product, room, personal service, company, atmosphere, and management control systems (MCS)...
May 9, 2016: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/26687311/cerebrospinal-fluid-markers-of-central-nervous-system-injury-in-decompression-illness-a-case-controlled-pilot-study
#3
Pashtun Shahim, Per Arnell, Andreas Kvarnström, Anders Rosén, Daniel Bremell, Lars Hagberg, Kaj Blennow, Henrik Zetterberg
INTRODUCTION: Decompression sickness (DCS) may cause a wide variety of symptoms, including central nervous system (CNS) manifestations. The main objective of this study was to examine whether DCS is associated with neuronal injury, and whether DCS could result in altered amyloid metabolism. METHODS: Seven, male divers with DCS and seven age-matched controls were included in the study. All the divers were treated by recompression but the controls did not receive hyperbaric oxygen...
December 2015: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/26165529/cutis-marmorata-in-decompression-illness-may-be-cerebrally-mediated-a-novel-hypothesis-on-the-aetiology-of-cutis-marmorata
#4
Tom Cpm Kemper, R Rienks, P Jam van Ooij, R A van Hulst
INTRODUCTION: Cutaneous decompression sickness (DCS) is often considered to be a mild entity that may be explained by either vascular occlusion of skin vessels by bubbles entering the arterial circulation through a right-to-left shunt or bubble formation due to saturated subcutaneous tissue during decompression. We propose an alternative hypothesis. METHODS: The case is presented of a 30-year-old female diver with skin DCS on three separate occasions following relatively low decompression stress dives...
June 2015: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/26165526/persistent-patent-foramen-ovale-pfo-implications-for-safe-diving
#5
EDITORIAL
Peter Germonpré
Diving medicine is a peculiar specialty. There are physicians and scientists from a wide variety of disciplines with an interest in diving and who all practice 'diving medicine': the study of the complex whole-body physiological changes and interactions upon immersion and emersion. To understand these, the science of physics and molecular gas and fluid movements comes into play. The ultimate goal of practicing diving medicine is to preserve the diver's health, both during and after the dive. Good medicine starts with prevention...
June 2015: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/25999860/beluga-delphinapterus-leucas-granulocytes-and-monocytes-display-variable-responses-to-in-vitro-pressure-exposures
#6
Laura A Thompson, Tracy A Romano
While it is widely known that marine mammals possess adaptations which allow them to make repetitive and extended dives to great depths without suffering ill effects seen in humans, the response of marine mammal immune cells to diving is unknown. Renewed interest in marine mammal dive physiology has arisen due to reports of decompression sickness-like symptoms and embolic damage in stranded and by-caught animals, and there is concern over whether anthropogenic activities can impact marine mammal health by disrupting adaptive dive responses and behavior...
2015: Frontiers in Physiology
https://www.readbyqxmd.com/read/25741935/health-protection-and-risks-for-rescuers-in-cases-of-floods
#7
Nataša Janev Holcer, Pavle Jeličić, Maja Grba Bujević, Damir Važanić
Floods can pose a number of safety and health hazards for flood-affected populations and rescuers and bring risk of injuries, infections, and diseases due to exposure to pathogenic microorganisms and different biological and chemical contaminants. The risk factors and possible health consequences for the rescuers involved in evacuation and rescuing operations during the May 2014 flood crisis in Croatia are shown, as well as measures for the prevention of injuries and illnesses. In cases of extreme floods, divers play a particularly important role in rescuing and first-response activities...
March 2015: Arhiv za Higijenu Rada i Toksikologiju
https://www.readbyqxmd.com/read/25606654/-fewer-cases-of-decompression-sickness-in-v%C3%A3-stra-g%C3%A3-taland-eight-years-of-statistics-show-a-reduced-number-of-consultations-and-treatments
#8
Sandra Wenneberg, Per Arnell, Nicklas Oscarsson, Hans Örnhagen
During the period 2005 to 2012, a total of 340 consultations (phone calls and/or visits) regarding possible decompression illness were recorded at the two hospitals with recompression chambers in the Västra Götaland region, Sweden. An analysis of the data showed a trend towards fewer consultations and recompression treatments. A similar trend has been observed in many other countries. Possible reasons for this reduction in the number of cases are discussed. Most of the patients only present relatively mild signs and symptoms at the time of consultation...
September 17, 2014: Läkartidningen
https://www.readbyqxmd.com/read/25478296/the-risks-of-scuba-diving-a-focus-on-decompression-illness
#9
Jennifer Hall
Decompression Illness includes both Decompression Sickness (DCS) and Pulmonary Overinflation Syndrome (POIS), subsets of diving-related injury related to scuba diving. DCS is a condition in which gas bubbles that form while diving do not have adequate time to be resorbed or "off-gassed," resulting in entrapment in specific regions of the body. POIS is due to an overly rapid ascent to the surface resulting in the rupture of alveoli and subsequent extravasation of air bubbles into tissue planes or even the cerebral circulation...
November 2014: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/25355537/a-twelve-year-longitudinal-study-of-neuropsychological-function-in-non-saturation-professional-divers
#10
Rita Bast-Pettersen, Øivind Skare, Karl-Christian Nordby, Marit Skogstad
OBJECTIVES: Our main aim was to study the long-term neuropsychological effects of non-saturation diving. Further, we aimed to investigate whether neuropsychological performance was predictive of subsequent diving accidents and diving status. METHODS: In this prospective longitudinal study, we enrolled 50 male diving students (mean age 25.3 years) at a diving school and followed them up six and 12 years later (43 and 37 divers, respectively). At each wave of the study, divers completed a comprehensive neuropsychological test battery and answered questionnaires on cumulative number of dives, incidents of decompression illness (DCI) and professional diver status...
August 2015: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/25331122/a-case-study-of-the-new-york-city-2012-2013-influenza-season-with-daily-geocoded-twitter-data-from-temporal-and-spatiotemporal-perspectives
#11
Ruchit Nagar, Qingyu Yuan, Clark C Freifeld, Mauricio Santillana, Aaron Nojima, Rumi Chunara, John S Brownstein
BACKGROUND: Twitter has shown some usefulness in predicting influenza cases on a weekly basis in multiple countries and on different geographic scales. Recently, Broniatowski and colleagues suggested Twitter's relevance at the city-level for New York City. Here, we look to dive deeper into the case of New York City by analyzing daily Twitter data from temporal and spatiotemporal perspectives. Also, through manual coding of all tweets, we look to gain qualitative insights that can help direct future automated searches...
2014: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/25311317/is-there-a-need-for-more-diving-science-for-divers
#12
EDITORIAL
Costantino Balestra
No abstract text is available yet for this article.
September 2014: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/25253599/-in-process-citation
#13
Sandra Wenneberg, Nicklas Oscarsson, Per Arnell, Hans Ornhagen
During the period 2005 to 2012, a total of 340 consultations (phone calls and/or visits) regarding possible decompression illness were recorded at the two hospitals with recompression chambers in the Västra Götaland region, Sweden. An analysis of the data showed a trend towards fewer consultations and recompression treatments. A similar trend has been observed in many other countries. Possible reasons for this reduction in the number of cases are discussed. Most of the patients only present relatively mild signs and symptoms at the time of consultation...
September 23, 2014: Läkartidningen
https://www.readbyqxmd.com/read/25115903/brain-damage-in-commercial-breath-hold-divers
#14
Kiyotaka Kohshi, Hideki Tamaki, Frédéric Lemaître, Toshio Okudera, Tatsuya Ishitake, Petar J Denoble
BACKGROUND: Acute decompression illness (DCI) involving the brain (Cerebral DCI) is one of the most serious forms of diving-related injuries which may leave residual brain damage. Cerebral DCI occurs in compressed air and in breath-hold divers, likewise. We conducted this study to investigate whether long-term breath-hold divers who may be exposed to repeated symptomatic and asymptomatic brain injuries, show brain damage on magnetic resonance imaging (MRI). SUBJECTS AND METHODS: Our study subjects were 12 commercial breath-hold divers (Ama) with long histories of diving work in a district of Japan...
2014: PloS One
https://www.readbyqxmd.com/read/24924550/neuroimaging-of-diving-related-decompression-illness-current-knowledge-and-perspectives
#15
REVIEW
J Kamtchum Tatuene, R Pignel, P Pollak, K O Lovblad, A Kleinschmidt, M I Vargas
Diving-related decompression illness is classified into 2 main categories: arterial gas embolism and decompression sickness. The latter is further divided into types 1 and 2, depending on the clinical presentation. MR imaging is currently the most accurate neuroimaging technique available for the detection of brain and spinal cord lesions in neurologic type 2 decompression sickness. Rapid bubble formation in tissues and the bloodstream during ascent is the basic pathophysiologic mechanism in decompression illness...
November 2014: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/24851549/a-retrospective-cohort-study-of-lidocaine-in-divers-with-neurological-decompression-illness
#16
Robert P Weenink, Markus W Hollmann, Astrid Zomervrucht, Pieter-Jan A M van Ooij, Robert A van Hulst
Lidocaine is the most extensively studied substance for adjuvant therapy in neurological decompression illness (DCI), but results have been conflicting. In this retrospective cohort study, we compared 14 patients who received adjuvant intravenous lidocaine for neurological decompression sickness and cerebral arterial gas embolism between 2001 and 2011 against 21 patients who were treated between 1996 and 2001 and did not receive lidocaine. All patients were treated with hyperbaric oxygen (HBO2) therapy according to accepted guidelines...
March 2014: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/24687484/ultrasound-detection-of-vascular-decompression-bubbles-the-influence-of-new-technology-and-considerations-on-bubble-load
#17
REVIEW
S Lesley Blogg, Mikael Gennser, Andreas Møllerløkken, Alf O Brubakk
INTRODUCTION: Diving often causes the formation of 'silent' bubbles upon decompression. If the bubble load is high, then the risk of decompression sickness (DCS) and the number of bubbles that could cross to the arterial circulation via a pulmonary shunt or patent foramen ovale increase. Bubbles can be monitored aurally, with Doppler ultrasound, or visually, with two dimensional (2D) ultrasound imaging. Doppler grades and imaging grades can be compared with good agreement. Early 2D imaging units did not provide such comprehensive observations as Doppler, but advances in technology have allowed development of improved, portable, relatively inexpensive units...
March 2014: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/24649715/initial-review-of-the-u-s-navy-s-pressurized-submarine-escape-training-outcomes
#18
Seth W O'Donnell, Wayne G Horn
The U.S. Navy reinstituted pressurized submarine escape training (PSET) for submarine sailors in 2009 after a nearly 30-year absence. This training addresses escape from a disabled submarine at depth with the use of the Beaufort, Ltd. Mk 10 Submarine Escape and Immersion Equipment (SEIE) suit. Training is classified as "high-risk" due to previous U.S. and foreign navy experience with training-associated morbidity and mortality, particularly from diving-related illness. To reduce risk, medical screening procedures are performed...
January 2014: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/24472678/underwater-and-hyperbaric-medicine-as-a-branch-of-occupational-and-environmental-medicine
#19
Young Il Lee, Byeong Jin Ye
Exposure to the underwater environment for occupational or recreational purposes is increasing. As estimated, there are around 7 million divers active worldwide and 300,000 more divers in Korea. The underwater and hyperbaric environment presents a number of risks to the diver. Injuries from these hazards include barotrauma, decompression sickness, toxic effects of hyperbaric gases, drowning, hypothermia, and dangerous marine animals. For these reasons, primary care physicians should understand diving related injuries and assessment of fitness to dive...
2013: Annals of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/24365363/neurology-and-diving
#20
REVIEW
E Wayne Massey, Richard E Moon
Diving exposes a person to the combined effects of increased ambient pressure and immersion. The reduction in pressure when surfacing can precipitate decompression sickness (DCS), caused by bubble formation within tissues due to inert gas supersaturation. Arterial gas embolism (AGE) can also occur due to pulmonary barotrauma as a result of breath holding during ascent or gas trapping due to disease, causing lung hyperexpansion, rupture and direct entry of alveolar gas into the blood. Bubble disease due to either DCS or AGE is collectively known as decompression illness...
2014: Handbook of Clinical Neurology
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