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Arterial gas embolism in a breath-hold diver 憋气潜水员动脉气体栓塞
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2023-01-01 DOI: 10.22462/01.01.2023.35
Ryan A Gall, R. Rahimi
An arterial gas embolism (AGE) is a potentially fatal complication of scuba diving that is related to insufficient exhalation during ascent. During breath-hold diving, an arterial gas embolism is unlikely because the volume of gas in the lungs generally cannot exceed the volume at the beginning of the dive. However, if a diver breathes from a gas source at any time during the dive, they are at risk for an AGE or other pulmonary overinflation syndromes (POIS). In this case report, a breath-hold diver suffered a suspected AGE due to rapidly ascending without exhalation following breathing from an air pocket at a depth of approximately 40 feet.
动脉气体栓塞(AGE)是一种潜在的致命的水肺潜水并发症,与上升过程中呼气不足有关。在屏气潜水时,不太可能发生动脉气体栓塞,因为肺部的气体量通常不会超过潜水开始时的体积。然而,如果潜水员在潜水过程中的任何时候从气源呼吸,他们就有发生AGE或其他肺部过度充气综合征(POIS)的风险。在这个案例报告中,一名屏住呼吸的潜水员在大约40英尺的深度从一个气穴呼吸后迅速上升而没有呼气,因此疑似年龄。
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引用次数: 0
Hyperbaric oxygen therapy for treatment of COVID-19-related parosmia: a case report 高压氧治疗新冠肺炎相关性鼻咽癌1例报告
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2023-01-01 DOI: 10.22462/01.01.2023.25
L. Krimus, H. Syed, Anton Marinov, Hance Clarke, R. Katznelson
Parosmia is a qualitative olfactory dysfunction characterized by distortion of odor perception. Traditional treatments for parosmia include olfactory training and steroids. Some patients infected with COVID-19 have developed chronic parosmia as a result of their infection. Here we present the case of a patient who developed parosmia after a COVID-19 infection that was not improved by traditional treatments but found significant improvement after hyperbaric oxygen therapy.
嗅觉缺失症是一种定性的嗅觉功能障碍,其特征是嗅觉感知的扭曲。嗅觉缺失的传统治疗方法包括嗅觉训练和类固醇。一些感染COVID-19的患者因感染而患上慢性腮腺炎。在这里,我们提出了一个病例,患者在COVID-19感染后出现了腮腺畸形,传统治疗方法没有改善,但在高压氧治疗后有了显著改善。
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引用次数: 0
Jin 晋国
4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2023-01-01 DOI: 10.22462/01.00.2023.5
Yintao Chang, Qianyu Han, Xiaochen Bao, Mingdong Wang, Yuxiang Jin, Siang Zhang, Xuewei Zhao, Yiqun Fang, Lei Xue
Background: To investigate therapeutic effects of hydrogen-rich saline (HRS) combined with hyperbaric oxygen (HBO) in an experimental rat model of Acute Lung Injury (ALI). Methods: 40 Male Sprague-Dawlay rats were randomly divided into sham, LPS, LPS + HBO, LPS + HRS and LPS + HBO + HRS groups. ALI was induced by an intratracheal injection of LPS, then the rats were respectively given single agent treatment of HBO or HRS or HBO + HRS treatment. The treatments were continued for 3 days in such experimental rat model of ALI. At the end of experiment, the lung pathological , inflammatory factors , and cell apoptosis in the pulmonary tissue were detected by Tunel method and cell apoptosis rate was calculated accordingly. Results: In the groups treated with HBO + HRS, pulmonary pathological data, wet-dry weight ratio and inflammatory factors of pulmonary tissues and aveolar lavage fluid were signficantly superiror to those of the sham group(P<0.05). Cell apoptosis detection revealed that no matter single agent treatment of HRS or HBO, or combination treatment , could all alleviate cell apoptosis, and HRS combined with HBO treatment was obviously superior to single treatment(P<0.05). Conclusions: HRS or HBO single treatment could decrease inflammatory cytokines release in lung tissue, reduce accumulation of oxidative products and alleviate apoptosis of pulmoanry cells, then lead to positive therapeutic effects on ALI induced by LPS. Furthermore, HBO combined with HRS treatment presented a synergy effect on cell apoptosis decrease, and a declined trend in inflammatory cytokines release and related inflammatory products generation, compared with single treatment.
背景:探讨富氢盐水(HRS)联合高压氧(HBO)对实验性大鼠急性肺损伤(ALI)模型的治疗作用。方法:40只雄性Sprague-Dawlay大鼠随机分为假手术组、LPS组、LPS + HBO组、LPS + HRS组和LPS + HBO + HRS组。通过气管内注射LPS诱导大鼠ALI,然后分别给予HBO或HRS单药治疗或HBO + HRS治疗。持续治疗3 d。实验结束时,采用Tunel法检测大鼠肺组织病理、炎症因子及细胞凋亡情况,计算细胞凋亡率。结果:HBO + HRS治疗组肺病理数据、肺组织及肺泡灌洗液的干湿比、炎性因子均显著优于假手术组(P<0.05)。细胞凋亡检测显示,无论是单药治疗HRS还是HBO,还是联合治疗,均能缓解细胞凋亡,且HRS联合HBO治疗明显优于单药治疗(P<0.05)。结论:HRS或HBO单药治疗均可降低肺组织炎症因子的释放,减少氧化产物的积累,减轻肺细胞的凋亡,从而对LPS诱导的ALI有积极的治疗作用。此外,HBO联合HRS治疗与单独治疗相比,在细胞凋亡减少方面具有协同效应,炎症因子释放和相关炎症产物产生呈下降趋势。
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引用次数: 1
Crossings: Dr. Peter Bennett and Dr. Claes Lundgren 交叉:彼得·班尼特医生和克拉斯·朗格伦医生
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2022-07-01 DOI: 10.22462/07.08.2022.13
We said farewell and thank you to two giants in dive medicine this year: Dr. Peter Bennett and Dr. Claes Lundgren. They leave the proverbial big shoes for us to fill – and a wealth of good works and fond memories.
我们向今年潜水医学的两位巨人彼得·班尼特博士和克拉斯·朗格伦博士告别并表示感谢。他们为我们留下了众所周知的大鞋子——以及大量的好作品和美好的回忆。
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引用次数: 0
Crossing - obituaries: An editorial note 交叉-讣告:一篇社论
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2022-03-01 DOI: 10.22462/03.04.2022.12
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引用次数: 0
Letter: Vein discoloration after administration of hydroxocobalamin 字母:静脉变色后给予羟钴胺素
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2022-03-01 DOI: 10.22462/03.04.2022.9
L. Weaver, K. Deru
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引用次数: 0
ASM 2022 Abstracts Part II ASM 2022摘要第二部分
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2022-03-01 DOI: 10.22462/03.04.2022.10
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引用次数: 0
2022 UHMS Annual Scientific Meeting Abstracts and Author Index 2022年UHMS年度科学会议摘要和作者索引
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2022-01-01 DOI: 10.22462/01.02.2022.9
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引用次数: 0
Letter: Consideration of the numerous etiologies of carbon monoxide exposures 信:一氧化碳暴露的众多病因的考虑
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2021-10-01 DOI: 10.22462/07.08.2021.12
D. Covington, Richa Wardhan, C. Giordano
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引用次数: 0
Swim performance with and without snorkel and the underlying energetic differences 游泳表现有和没有通气管和潜在的能量差异
IF 0.9 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Pub Date : 2021-10-01 DOI: 10.22462/07.08.2021.1
N. Schellart
Swimming requires frequent lifting and rotating of the head to inhale. A snorkeler saves energy by avoiding this maneuver, but the snorkel adds breathing work due to air flow resistance. The needed power of these head movements has never been examined, although the extra power of breathing through a snorkel was studied recently. This study aimed: 1) to model the work of vertically lifting and rotating in comparison with the breathing work added by a snorkel; 2) to compare heart rate (HR) and velocity (v) while swimming under both conditions; 3) to evaluate the results for surface-swimming divers. Presumably the power when using a snorkel is less, and the difference in power predicts the difference in swimming velocity. Kinematics of head lifting and rotation, and the difference between the hydrodynamics were modeled. A swim test lasting 12 minutes at maximum speed (Cooper swim test) was performed in a pool by nine recreational divers in the front crawl style, with face mask but without fins. All subjects performed the test both with and without snorkel. The average velocity with a snorkel, 0.72±0.09 m∙s-1, was 4.4±3.9% higher than without (p=0.008), but HR (144±16 bpm) showed no difference (0.8±3.4%). The model based on our subjects’ performance showed that 7.5% of the total power is spent in the inhaling maneuver while crawling and 2.7% while snorkeling. Theoretically this would allow the snorkeler to swim 5.2% faster. It is concluded that snorkeling is energetically advantageous as well as for divers swimming on the surface.
游泳需要经常抬起和旋转头部来吸气。浮潜者通过避免这种动作来节省能量,但由于气流阻力,浮潜增加了呼吸功。这些头部运动所需的力量从未被研究过,尽管最近研究了通过通气管呼吸的额外力量。本研究的目的是:1)模拟垂直升降和旋转的功,并与通气管增加的呼吸功进行比较;2)比较两种情况下游泳时的心率(HR)和速度(v);3)对水面游泳潜水员的结果进行评价。据推测,使用通气管时的功率较小,而功率的差异预示着游泳速度的差异。建立了头部升降和旋转的运动学模型,并对二者的流体力学差异进行了建模。9名休闲潜水员在游泳池中进行了12分钟的最大速度游泳试验(库珀游泳试验),他们采用前爬泳方式,戴口罩,不戴脚蹼。所有受试者都进行了有和没有通气管的测试。通气后平均流速为0.72±0.09 m∙s-1,比未通气时高4.4±3.9% (p=0.008),但心率(144±16 bpm)差异无统计学意义(0.8±3.4%)。基于实验对象表现的模型显示,爬行时吸入动作消耗了总能量的7.5%,浮潜时则消耗了2.7%。理论上,这将使浮潜者的游泳速度提高5.2%。结果表明,浮潜不仅有利于潜水者在水面上游泳,而且对能量也有好处。
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引用次数: 0
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Undersea and Hyperbaric Medicine
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