Polish Hyperbaric Research最新文献

{"title":"Cerebral Gas Embolism in the Course of Mildly Symptomatic Pulmonary Barotrauma in a Scuba Diver","authors":"B. Kierznikowicz, S. Teresínski","doi":"10.2478/phr-2020-0008","DOIUrl":"https://doi.org/10.2478/phr-2020-0008","url":null,"abstract":"Abstract The paper presents a case of pulmonary barotrauma in a scuba diver. Swallowing water and respiratory arrest during the ascent caused the trauma. Symptoms from the respiratory system (including the Behnke’s symptom) appeared several minutes after the completion of the dive and were not severe. However, symptoms from the peripheral nervous system, which appeared later, increased rapidly until the seizure episode and loss of consciousness. Hyperbaric treatment was applied in a decompression chamber on board the ship from which the dive was conducted. The treatment resulted in complete remission of symptoms without any consequences.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"71 1","pages":"41 - 44"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45292013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of Basal Cell Carcinoma – Observations of One Department","authors":"Agnieszka Borzęcka-Sapko, P. Siermontowski, Mateusz Mleczko, A. Borzęcki","doi":"10.2478/phr-2020-0011","DOIUrl":"https://doi.org/10.2478/phr-2020-0011","url":null,"abstract":"Abstract Introduction. Basal cell carcinoma is the most common malignant skin cancer. It is one of the so-called nonmelanoma skin cancers, the incidence of which has increased rapidly worldwide in recent years. Unfortunately, the National Cancer Registry in Poland does not classify basal cell skin cancer separately. Therefore, the precise data on the incidence in the population remain unknown. Work objective. Retrospective analysis of the incidence of basal cell carcinoma in NZOZ Med-Laser in Lublin in the years 2005 – 2015 depending on gender, age group, place of residence (urban-rural) and clinical form of the disease. Material and methodology. The data of NZOZ Med-Laser from the years 2005 - 2015 were used in the study. The data concern all patients with histopathologically diagnosed basal cell carcinoma, who during the period covered by the study were consulted either as outpatients or hospitalised in an institution providing dermatological services under contract with the National Health Fund (NFZ). Patients were divided into several groups depending on gender, age and place of residence. All groups were compared quantitatively and the results are shown in the figures below. Results. The data collected indicate that between 2005 and 2015 a total of 922 patients with basal cell carcinoma received dermatological treatment. Over the years, there has been a clear increase in the number of patients with basal cell carcinoma. The disease occurred mainly in people over 59 years of age, with the majority of women living in cities. The most common locations of the cancer are nose, cheeks, forehead and temporal area. Histopathologically, solidum, superficiale, exulceratum and pseudoadenoides were the most frequently diagnosed forms. Conclusions. Basal cell carcinoma of the skin is frequent in our society. Its incidence has been increasing in recent years. Therefore, action should be taken to create consistent international registries to gather reliable epidemiological data that would show the scale of the problem, which we are dealing with almost all over the world.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"71 1","pages":"55 - 66"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44520823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Movement Screening as a Predictor of Injury in Highly Trained Female’s Martial Arts Athletes","authors":"Zenati Yacine, Benbernou Othmane, B. Adel, S. Mohamed, Benchehida Aabdelkader, Cherara Lalia","doi":"10.2478/phr-2020-0012","DOIUrl":"https://doi.org/10.2478/phr-2020-0012","url":null,"abstract":"Abstract Objective. This research examines the emerging role of FMS™ in the context of predicting lower extremity injury in females University athletes. The secondary purpose of this study is to investigate the differences between FMS performance comparisons between three martial arts sports to establish baseline comparisons. Method. Forty-seven university female athletes were recruited for this study, The data collected was separated into three groups based on their sports discipline (judo N=17 age: 19±4, wrestling N=15 age: 18±5, karate N=15 age: 19±3), Independent t-tests were performed on each group with significance being set at P<0.05 to determine difference in FMS™ scores between injured and non injured athletes during the successive competitive seasons. One-way analyses of variances were used to determine if there was a significant difference between sports, ‘body parts injured’ groups, and ‘mechanisms of injury’ groups. Results. One-way analysis of variance revealed no statistically significant difference between the two (ankle, knee) injury groups, and non-injury group (F2,54= 2.34; p=0.106). There was no statistical difference between the pre-season FMS™ scores of the injured and non-injured groups (t47 = -1.68; P=.100; d=0.52; 95%CI: -0.11, 1.15). Finally, strong evidence of FMS score was found when comparing the three sports with one-way ANOVAs (F=5.83, df= 2, 54, p=0.005). Conclusion. One of the more significant findings to emerge from this study is that FMS™ has emerged as a powerful tool for identifying lower extremity injury in female athletes. Further investigation and experimentation into FMS™ are strongly recommended before implementing them into a pre-participation physical examination (PPE) for combat sports. What is now needed is a cross-national study involving other sports.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"71 1","pages":"67 - 74"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43614241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Formal and Professional Requirements for Medical, Paramedical and Technical Staff of Hyperbaric Centres. Part 2","authors":"P. Siermontowski, S. Skrzyński","doi":"10.2478/phr-2020-0001","DOIUrl":"https://doi.org/10.2478/phr-2020-0001","url":null,"abstract":"Abstract This two-part article reviews the current legal situation of professional personnel implementing hyperbaric procedures other than those used for diving. Numerous inconsistencies between the existing legal acts and the lack of legal regulations concerning procedures not financed from the State budget are shown. The first significant problem was the lack of mutual correlation of various regulations of the Minister of Health concerning hyperbaric diseases, as well as incoherence with medical and nursing specialisation programs in force in Poland. The second problem is the lack of requirements in the documents of the Ministry of Health for medical staff other than doctors and nurses, including technical staff, necessary for the implementation of a safe oxybarotherapy procedure. The situation is clearer with respect to technical personnel than in relation to medical personnel. There are provisions which strictly define the qualifications of such staff for a very narrow group of technical personnel. Although they deal with issues related to the use of hyperbaric chambers in diving, to date no other separate regulations have been developed for medical applications of hyperbaric therapy. Unfortunately, both in centres financed by the National Health Fund and in private centres, no-one observes these regulations because there is no such formal requirement. The same applies to occupational research (occupational medicine) for all groups of personnel involved in hyperbaric oxygen therapy treatments. It was also found that medical hyperbaric centres not seeking funding from the budget (the National Health Fund) do not have even minimum qualification requirements for the medical staff working there. Furthermore, there is no knowledge of the requirements set out in other legal acts other than those concerning medicine.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"70 1","pages":"7 - 20"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69246906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on the Time of Visual Muscular Response in Divers During Diving","authors":"A. Dolatkowski, K. Dęga, S. Klajman, J. Torbus","doi":"10.2478/phr-2020-0005","DOIUrl":"https://doi.org/10.2478/phr-2020-0005","url":null,"abstract":"Abstract The paper presents a continuation of studies on the influence of increased ambient pressure on the eye-muscle reflex. Using the same methods, the research was carried out in real conditions, i.e. during dives in water. Dives were performed in classical equipment with air as a breathing mix at depths of 10, 20, 30, 40, 50 and 60 m. It was found that statistically significant differences in the time of eye-muscle reflexes occur during the transition from 0 to 10, from 40 to 50 and 50 to 60 meters of overpressure. In the conclusions, it was found that the prolongation of reflex time is much greater than in hyperbaric chamber studies. As in previous studies, toxic effects of components of the breathing mixture, especially nitrogen, were considered the main cause.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"70 1","pages":"53 - 58"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46376169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of the Flushing Method on the Stable Oxygen Content in the Scr1 Crabe Breathing Loop in the Decompression Phase","authors":"A. Woźniak","doi":"10.2478/phr-2020-0002","DOIUrl":"https://doi.org/10.2478/phr-2020-0002","url":null,"abstract":"Abstract Maintaining a stable oxygen content in the breathing loop of the diving apparatus with a semi-closed respiratory circuit is essential for the safety of underwater mine clearance operations. This article discusses the influence of modified methods of flushing the breathing apparatus on the quality of the breathing loop ventilation process. The problem of flushing an apparatus is presented in light of the Polish Naval Academy’s change from statistical to deterministic decompression schedules, based on the model of apparatus ventilation, oxygen toxicity hazard and decompression. The examination and determination utilising the required accuracy of the method used for flushing the breathing loop of the device allowed to assess the stable oxygen content during the decompression phase. The assumptions were verified based on a system for measuring oxygen content in the breathing loop.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"70 1","pages":"21 - 42"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44300728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compensatory Paraoxonase and Arylesterase Levels in Hyperbaric Oxygen Treatment of Sudden Sensorineural Hearing Loss","authors":"E. Eren, N. Yılmaz, Furkan Yıldırım, O. Giray","doi":"10.2478/phr-2020-0004","DOIUrl":"https://doi.org/10.2478/phr-2020-0004","url":null,"abstract":"Abstract Objective: Paraoxonase1 (PON1) and Arylesterase (ARE) levels are associated with reduced risk of atherosclerosis. The functional status of high density lipoprotein (HDL) is closely related to the PON1/ARE enzyme activity. Functional changes in treatment of sudden sensorineural hearing loss (SSNHL) may be achieved by post-translational modification of lipid metabolism induced by hyperbaric oxygen therapy (HBOT). Methods: Men patients with SSNHL who met the research criteria were included in the study. HBOT was performed on average 30 sessions. Laboratory measurements were made at the beginning and end of HBOT for the same patients. Serum levels of PON1/ARE and routine lipid laboratory parameters were measured to determine possible changes in SSNHL after HBOT. Results: In this study, a reducing effect on PON1 enzyme amount of long-term HBOT was detected. The serum PON1 amount of patients with SSNHL was 19.7 ± 2.7 ng / mL (mean ± SD) before HBOT, and the serum PON1 decreased to 17.0 ± 2.1 ng / mL (mean ± SD) after 30 sessions of HBOT. This decrease in PON1 levels was statistically significant (p =0.035). There was also a statistically significant decrease in the enzyme activity of ARE in the SSNHL patients (p=0.024). Conclusion: This preliminary study showed a significant decrease in serum PON1/ARE enzyme content in SSNLH patients with HBOT. In fact, it can be assumed that HBOT has no adverse effect on HDL functionality. However, the decrease in PON1 level by HBOT with 30 or more sessions may be important for the antioxidant function of HDL.It may possibly cause post-translational changes in antioxidant defense mechanisms due to increased oxidative stress with HBOT. In conclusion, larger clinical studies are needed to determine the possible effects of HBOT on HDL-related PON1/ARE functionality in SSNHL.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"70 1","pages":"47 - 52"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42763766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on the Possibility of Treating Streptococcal Infections with Hyperbaric Oxygenation","authors":"W. Wolański","doi":"10.2478/phr-2020-0003","DOIUrl":"https://doi.org/10.2478/phr-2020-0003","url":null,"abstract":"Abstract The aim of the study was to determine the effect of the application of hyperbaric oxygen therapy on the course of an infection with group A type T-3 hemolytic β streptococcus. Experiments were carried out on Porton white mice and in vitro blood plates. General and local infections with streptococci were induced in animals. The infected animals were treated with hyperbaric oxygenation. The lethal effect of infection was significantly inhibited using hyperbaric oxygenation on the first and second day following the infection.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"70 1","pages":"43 - 46"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41862134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the Operation of the Piechcin Diving Centre (Piechcin Base) in the Opinion of Respondents","authors":"J. Cichowska","doi":"10.2478/phr-2019-0024","DOIUrl":"https://doi.org/10.2478/phr-2019-0024","url":null,"abstract":"Abstract This paper presents an in-depth (in comparison to the pilot studies conducted in 2017) analysis of the offering of the Piechcin recreational dive area. The intention was to check whether the current service offering translates into customer satisfaction, and the activities undertaken on site correlate with the reasons why divers choose this place. In addition, it was established whether the proposal to introduce additional facilities for visitors to the site would translate into their return to the location. The main obstacles to the lack of frequent implementation of dives in Piechcin and infrastructural problems of the reservoir were identified. Particular attention has been paid to the competences and creativity of the organiser of this form of recreation, since personal potential is often a determinant of the success of the business (including in particular ensuring the safety of visitors).","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"69 1","pages":"110 - 97"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46785415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poland’s Path Towards Decompression Realisation in Underwater Works Part II. Decompression Tables for Commercial Deep-Sea Diving in Poland","authors":"S. Skrzyński","doi":"10.2478/phr-2019-0019","DOIUrl":"https://doi.org/10.2478/phr-2019-0019","url":null,"abstract":"Abstract In the article the author presents the specificity of decompression of deep-sea dives in relation to methods used in underwater works, with particular emphasis on commercial diving in our country. In the 50 - 90 m depth zone in the Polish offshore area, decompression was used in underwater works (works below the depth of 50 m) based on tables designed for bell diving. The technical, organisational and formal conditions of these underwater works corresponded to the national diving potential. The implementation of decompression, particularly in deep-sea dives, provides the possibility of performing it in many different ways. They, in turn, are the result of experience, diving technique, organisation and specificity of underwater works. The article presents the implementation of decompression from the executive side of underwater deep-sea works developed and carried out by the Department of Underwater Works Technology of the Naval Academy in cooperation with the Navy until 2001 and civil companies to date.","PeriodicalId":40385,"journal":{"name":"Polish Hyperbaric Research","volume":"69 1","pages":"45 - 62"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44634925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}