Undersea and Hyperbaric Medicine最新文献_第5页

Complications After Covid-19 Infection In Singapore Military Divers: A Retrospective Cohort Study. 新加坡军事潜水员感染 Covid-19 后的并发症：回顾性队列研究

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-03-01

Nah Chung Wei, Kwek Wei Ming

{"title":"Complications After Covid-19 Infection In Singapore Military Divers: A Retrospective Cohort Study.","authors":"Nah Chung Wei, Kwek Wei Ming","doi":"","DOIUrl":"","url":null,"abstract":"Studies suggest that COVID-19 infections may have longer-term and more significant complications, even with mild or absent symptoms. This may predispose divers to pulmonary barotrauma, arterial gas embolisms, and reduced exercise tolerance, and impact physical and cognitive performance during diving. Military diving is physically, physiologically, and psychologically taxing on the individual. This study aims to assess the incidence of complications after COVID-19 infections in a cohort of active military divers and the incidence of diving-related injuries such as decompression sickness and barotrauma following recovery from acute COVID-19 infections. A single-center, retrospective cohort study of complications after COVID-19 infections was done in a cohort of the Republic of Singapore Navy (RSN) Naval Diving Unit (NDU) Divers and involved the collection of retrospective data for 329 military divers who were diagnosed with COVID-19 infection from 25 Mar 2020 and 13 Feb 2023. We found no clinical or subclinical complications after COVID-19 infection in our fully vaccinated, low-risk population of NDU divers after asymptomatic or mild COVID-19 infection. There were also no incidences of diving-related injuries related to COVID-19 after recovery from the acute illness. Based on the study results, it is recommended that all military divers with asymptomatic or mild COVID-19 infections return to military diving activities immediately after recovery from acute COVID-19 infection with resolution of symptoms. As existing guidelines recommend, divers with moderate to critical COVID-19 infection should be reviewed by a diving physician and undergo necessary investigations before returning to military diving.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"51 3","pages":"221-229"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330974","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

Stroke on ECG: a cerebral T-wave change secondary to acute carbon monoxide poisoning. 心电图显示脑卒中：急性一氧化碳中毒继发脑 T 波改变。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-03-01

Xin Xiao, Xiuna Jing, Yun Zhao, Fei Yao, Qing Sun

引用次数: 0

Mass Carbon Monoxide Poisoning on a Train in Italy, March 1944. History Reconstructed. 1944 年 3 月，意大利一列火车上的大规模一氧化碳中毒事件。历史重构。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2024-03-01

Neil B Hampson

引用次数: 0

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":"51 2","pages":"101-106"},"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":"51 2","pages":"145-157"},"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

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":"51 2","pages":"v-viii"},"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 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":"51 2","pages":"173-184"},"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

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":"51 2","pages":"185-187"},"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