Undersea and Hyperbaric Medicine最新文献

Effect of hyperbaric oxygen therapy on diabetes-related oral complications. 高压氧疗法对糖尿病相关口腔并发症的影响。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Busra Dilara Altun, Selin Gamze Sümen, Melisa Öçbe, Asim Dumlu

{"title":"Effect of hyperbaric oxygen therapy on diabetes-related oral complications.","authors":"Busra Dilara Altun, Selin Gamze Sümen, Melisa Öçbe, Asim Dumlu","doi":"","DOIUrl":"","url":null,"abstract":"Background: Diabetes Mellitus is a chronic disease characterized by uncontrolled blood sugar levels, which lead to end-organ damage. While the diagnosis and treatment of its complications have been extensively studied, the effect of Hyperbaric Oxygen Therapy (HBO2) on diabetes-related oral complications remains unexplored.Aim: This prospective clinical study aims to investigate the effect of HBO2 on diabetes-related oral complications.Methods: Twenty patients diagnosed with diabetic foot ulcers and scheduled for HBO2 were included in this study. We recorded stimulated and unstimulated saliva pH, buffering capacity, flow rate, and subjective symptoms such as dry mouth, halitosis, taste loss, difficulty swallowing, and clinical examination findings before HBO2 and after the 21st session.Results: Upon comparing the findings, we observed a significant decrease in dry mouth and halitosis, periodontal disease severity, and healing of candida-related stomatitis and angular cheilitis. Despite not reaching statistical significance for other saliva parameters, the unstimulated salivary flow rate increased to normal limits (0.3-0.4 ml/min) in 6 out of 8 patients with a flow rate of less than 0.25 ml/min.Conclusion: Our study investigated the effect of HBO2 on diabetes-related oral complications for the first time, highlighting symptomatic relief for dry mouth and halitosis. Although our results are insufficient to report a definitive benefit, they underscore the need for further research on the oral health effects of HBO2.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advanced high pressure hyperbaric techniques in tunnelling. 隧道施工中的先进高压氧技术。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Donald Lamont, Andrew Colvin, Adrian Heili, Tony Ridley, Roy Slocombe, Jurg Wendling

引用次数: 0

Controlled CMS Data Demonstrates a Cost and Clinical Advantage for Hyperbaric Oxygen for Radiation Cystitis. CMS 控制数据显示高压氧治疗放射性膀胱炎具有成本和临床优势。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

John J Feldmeier, John P Kirby, Helen B Gelly, Marc Robins, John Peters, Peter Gruhn, Sarmistha Pal

{"title":"Controlled CMS Data Demonstrates a Cost and Clinical Advantage for Hyperbaric Oxygen for Radiation Cystitis.","authors":"John J Feldmeier, John P Kirby, Helen B Gelly, Marc Robins, John Peters, Peter Gruhn, Sarmistha Pal","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Increasing cancer survivorship, in part due to new radiation treatments, has created a larger population at risk for delayed complications of treatment. Radiation cystitis continues to occur despite targeted radiation techniques.Materials and methods: To investigate value-based care applying hyperbaric oxygen (HBO2) to treat delayed radiation cystitis, we reviewed public-access Medicare data from 3,309 patients from Oct 1, 2014, through Dec 31, 2019. Using novel statistical modeling, we compared cost and clinical effectiveness in a hyperbaric oxygen group to a control group receiving conventional therapies.Results: Treatment in the hyperbaric group provided a 36% reduction in urinary bleeding, a 78% reduced frequency of blood transfusion for hematuria, a 31% reduction in endoscopic procedures, and fewer hospitalizations when study patients were compared to control. There was a 53% reduction in mortality and reduced unadjusted Medicare costs of $5,059 per patient within the first year after completion of HBO2 treatment per patient. When at least 40 treatments were provided, cost savings per patient increased to $11,548 for the HBO2 study group compared to the control group. This represents a 37% reduction in Medicare spending for the HBO2-treated group. We also validate a dose-response curve effect with a complete course of 40 or more HBO2 treatments having better clinical outcomes than those treated with fewer treatments.Conclusion: These data support previous studies that demonstrate clinical benefits now with cost- effectiveness when adjunctive HBO2 treatments are added to routine interventions. The methodology provides a comparative group selected without bias. It also provides validation of statistical modeling techniques that may be valuable in future analysis, complementary to more traditional methods.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute effects of apnea bouts on hemoglobin concentration and hematocrit: a systematic review and meta-analysis. 呼吸暂停对血红蛋白浓度和血细胞比容的急性影响：系统回顾和荟萃分析。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Omar López-Rebenaque, Luis Solís-Ferrer, José Fierro-Marrero, Francisco de Asís-Fernández

{"title":"Acute effects of apnea bouts on hemoglobin concentration and hematocrit: a systematic review and meta-analysis.","authors":"Omar López-Rebenaque, Luis Solís-Ferrer, José Fierro-Marrero, Francisco de Asís-Fernández","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This study aimed to systematically analyze the existing literature and conduct a meta-analysis on the acute effects of apnea on the hematological response by assessing changes in hemoglobin (Hb) concentration and hematocrit (Hct) values.Methods: Searches in Pubmed, The Cochrane Library, and Web of Science were carried out for studies in which the main intervention was voluntary hypoventilation, and Hb and Hct values were measured. Risk of bias and quality assessments were performed.Results: Nine studies with data from 160 participants were included, involving both subjects experienced in breath-hold sports and physically active subjects unrelated to breath-holding activities. The GRADE scale showed a \"high\" confidence for Hb concentration, with a mean absolute effect of 0.57 g/dL over control interventions. \"Moderate\" confidence appeared for Hct, where the mean absolute effect was 2.45% higher over control interventions. Hb concentration increased to a greater extent in the apnea group compared to the control group (MD = 0.57 g/dL [95% CI 0.28, 0.86], Z = 3.81, p = 0.0001) as occurred with Hct (MD = 2.45% [95% CI 0.98, 3.93], Z = 3.26, p = 0.001).Conclusions: Apnea bouts lead to a significant increase in the concentration of Hb and Hct with a high and moderate quality of evidence, respectively. Further trials on apnea and its application to different settings are needed.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quantification of referrals received at two emergency-capable hyperbaric medicine centers. 对两家具备急救能力的高压氧医学中心收到的转诊进行量化。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Kinjal Sethuraman, Michael Tom, Kin Wah Chew, Jonathan Romero-Casilla, Kevin Hardy

引用次数: 0

UHMS Position Statement: Physician's Duties in Hyperbaric Medicine - 99183. UHMS 立场声明：医生在高压氧治疗中的职责 - 99183。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Matthew Kelly, Helen Gelly, Owen O'Neill, Dag Shapshak

{"title":"UHMS Position Statement: Physician's Duties in Hyperbaric Medicine - 99183.","authors":"Matthew Kelly, Helen Gelly, Owen O'Neill, Dag Shapshak","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The Undersea and Hyperbaric Medical Society (UHMS) is at the forefront of advancing medical knowledge and promoting patient safety in the field of hyperbaric medicine. In the dynamic landscape of healthcare, physicians' critical role in overseeing hyperbaric oxygen treatment (HBO2) cannot be overstated. This position statement aims to underscore the significance of physician involvement in delivering HBO2 and articulate UHMS's commitment to maintaining the highest standards of care and safety for patients undergoing hyperbaric treatments.Abstract: Hyperbaric oxygen treatment demands a meticulous approach to patient management. As the complexity of hyperbaric patients continues to evolve, the direct oversight of qualified physicians becomes paramount to ensuring optimal patient outcomes and safeguarding against potential risks. In this statement, we outline the key reasons physician involvement is essential in every facet of HBO2, addressing the technical intricacies of the treatment and the broader spectrum of patient care.Rationale: Physician oversight for hyperbaric oxygen treatment is rooted in the technical complexities of the treatment and the broader responsibilities associated with clinical patient care. The responsibilities outlined below delineate services intrinsic to the physician's duties for treating patients undergoing hyperbaric oxygen treatments.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute aortic dissection during scuba diving. 潜水时急性主动脉夹层。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Youichi Yanagawa, Hiromichi Ohsaka, Shoichiro Yatsu, Satoru Suwa

{"title":"Acute aortic dissection during scuba diving.","authors":"Youichi Yanagawa, Hiromichi Ohsaka, Shoichiro Yatsu, Satoru Suwa","doi":"","DOIUrl":"","url":null,"abstract":"A 60-year-old man with hypertension and dyslipidemia complained of chest pain upon ascending from a maximum depth of 27 meters while diving. After reaching the shore, his chest pain persisted, and he called an ambulance. When a physician checked him on the doctor's helicopter, his electrocardiogram (ECG) was normal, and there were no bubbles in his inferior vena cava or heart on a portable ultrasound examination. The physician still suspected that he had acute coronary syndrome instead of decompression illness; therefore, he was transported to our hospital. After arrival at the hospital, standard cardiac echography showed a flap in the ascending aorta. Immediate enhanced computed tomography revealed Stanford type A aortic dissection. The patient obtained a survival outcome after emergency surgery. To our knowledge, this is the first reported case of aortic dissection potentially associated with scuba diving. It highlights the importance of considering aortic dissection in patients with sudden-onset chest pain during physical activity. In addition, this serves as a reminder that symptoms during scuba diving are not always related to decompression. This report also suggests the usefulness of on-site ultrasound for the differential diagnosis of decompression sickness from endogenous diseases that induce chest pain. Further clinical studies of this management approach are warranted.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hyperbaric oxygen (HBO₂) therapy in thermal burn injury revisited. Pressure does matter. Review. 热烧伤中的高压氧疗法（HBO2）再探。压力确实很重要。回顾。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Christian Smolle, Daniel Auinger, Jörg Lindenmann, Josef Smolle, Freyja-Maria Smolle-Juettner, Lars-Peter Kamolz

{"title":"Hyperbaric oxygen (HBO2) therapy in thermal burn injury revisited. Pressure does matter. Review.","authors":"Christian Smolle, Daniel Auinger, Jörg Lindenmann, Josef Smolle, Freyja-Maria Smolle-Juettner, Lars-Peter Kamolz","doi":"","DOIUrl":"","url":null,"abstract":"For over five decades, many experimental and clinical studies have shown predominantly positive but controversial results on the efficacy of hyperbaric oxygen (HBO2) therapy in burns. The study aimed to define a common denominator or constellations, respectively, linked to the effects of HBO2 in burns with a special focus on dosage parameters. Based on original work since 1965, species, number of individuals, type of study, percentage of total body surface area (TBSA), region, depth of burn, causative agent, interval between burn and first HBO2 session, pressure, duration of individual session, number of HBO2 sessions per day, cumulative number of HBO2 sessions and type of chamber were assessed. Out of 47 publications included, 32 were animal trials, four were trials in human volunteers, and 11 were clinical studies. They contained 94 experiments whose features were processed for statistical evaluation. 64 (67.4%) showed a positive outcome, 16 (17.9%) an ambiguous one, and 14 (14.7%) a negative outcome. The only factor independently influencing the results was pressure with ATA (atmospheres absolute) lower than 3 ATA being significantly associated with better outcomes (p=0.0005). There is a dire need for well-designed clinical studies in burn centers equipped with hyperbaric facilities to establish dedicated treatment protocols.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inner ear decompression sickness after a routine dive and recompression chamber drill. 例行潜水和减压舱演习后出现内耳减压病。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Dale Parsons, Edward Utz, Grant Kidd, Gina Virgilio

引用次数: 0

Nathanial Henshaw: Not history's pioneering hyperbaric practitioner. 纳撒尼尔-亨肖并非历史上的高压氧治疗先驱。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-02-01

Richard Clarke

{"title":"Nathanial Henshaw: Not history's pioneering hyperbaric practitioner.","authors":"Richard Clarke","doi":"","DOIUrl":"","url":null,"abstract":"A widely accepted belief is that Nathaniel Henshaw was the first practitioner of hyperbaric medicine. He is said to have constructed the first hyperbaric chamber where he treated several disorders and provided opportunities to prevent disease and optimize well-being. While there is little doubt Henshaw was the first to conceptualize this unique medical technology, careful analysis of his treatise has convinced this writer that his was nothing more than a proposal. Henshaw's air chamber was never built. He would have failed to appreciate how its structural integrity could be maintained in the presence of enormous forces generated by envisioned changes in its internal pressure and, likewise, how its door could effectively seal the chamber during hypo-and hyperbaric use. Henshaw would have also failed to appreciate the limitations of his two proposed measuring devices and the toxic nature of one. Neither of these would have provided any quantitative information. The impracticality of his proposed method of compressing and decompressing the chamber is readily apparent. So, too, the likely toxic accumulation of carbon dioxide within the unventilated chamber during lengthy laborious periods required to operate it. Henshaw recommended pressures up to three times atmospheric pressure and durations for acute conditions until their resolution. Such exposures would likely result in fatal decompression sickness upon eventual chamber ascent, a condition of which nothing was known at the time. It would be another 170 years before a functional air chamber would finally become a reality. Henshaw's legacy, then, is limited to the concept of hyperbaric medicine rather than being its first practitioner.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0