Scubadoc’s Ten Foot Stop

May 4, 2010

Undercurrent Online Update

Filed under: Uncategorized — admin @ 9:28 am

Undercurrent Online Update

For Non-Subscribers May 3, 2010
Undercurrent Logo
Consumer Reporting for the Scuba Diving Community since 1975

OMS Recalls 20,000 BCs:

Ocean Management Systems is recalling 20,000 BCs after they discovered the seal ring can crack, posing a drowning risk. The BCs were sold in black or red between May 2006 and August 2008. The item and serial numbers for recall are here ; check for the numbers printed on the warning label, in the BC’s non-inflation area. Take the BC back to an OMS dealer for new parts to be installed free of charge, call OMS at 877-791-0315, or e-mail recall@omsdive.com


Gulf Coast Alert

Dive shops along Florida’s east coast are on alert and monitoring the oil spill in the Gulf of Mexico. Pensacola is an area of concern for clean-up teams but Douglas Hammock, captain of the H20 Below, says the spill is not yet affecting his trips to the U.S.S. Oriskany. “It’s still over 100 miles away,” he told us on April 29. “The majority of it seems to be headed toward the mouth of the Mississippi.” Bob Holston at Dive Key West doesn’t expect any effects in his area for at least the next week. “Because of the southeastern winds, it’s now north of what is known as the ‘Loop Current.’ However, if it got below that, we can expect the currents to spread the damage into the Florida Keys and up along the eastern seaboard.” Check daily updates at www.noaa.gov.


There’s a Cockroach in My Regulator: Shipping May 15:

We’re putting the finishing touches on our brand-new, 256-page book that’s filled with the best of the unusual, entertaining and jaw-dropping stories Undercurrent has published. They’re true, often unbelievable and always fascinating, like the stingray that gave the diver a hickey, and an exploding tank that yielded $150,000 of cannabis. We’re offering it to you now for the pre-production price of just $17.95. (Shipping/handling is $5 for U.S. resident, $9.95 for Canada; California residents add $1.80 for sales tax.) Go to Undercurrent and click on “Editor’s Book Pick of the Month” for details and to order online.


TUSA Regulator Recall

Tabata USA is recalling about 250 TUSA RS-670 regulators, sold in the U.S. between May and September 2009. The first-stage’s balance chamber plug can loosen from the regulator, causing a high-pressure leak and creating unstable pressure. The recall regulators have the following serial numbers: UR600022 through UR600029, UR600031 through UR600103, UR6000637 through UR6000676, UR600708 through UR600716, UR600737 through UR600776. Go to an authorized dealer for inspection and replacement, call TUSA at 800-482-2282 between 8:30 a.m. and 5 p.m., or e-mail info@tusa.com.


Dive Club Members:

Every diver you know ought to be getting our monthly email, especially so they’re updated on important safety issues. Send your club members’ names and emails to me at PublisherBenD@undercurrent.org and I will add them to our email list to get free monthly emails.


What Is It with Divers and Ironing?:

Some divers seem to think the best way to get into the Guinness Book of World Records is to participate in “extreme underwater ironing.” Now Key Largo wants to beat the record and has rescheduled its ironing event from May 1 to June 12. Organizers hope to attract 100 ironing divers in order to break the current record of 86 participants, currently held by British scuba divers. They’ll iron underwater for 10 minutes near the Christ of the Deep statue. Event details: www.fkrm.com/underwater-ironing.


iPads for Dive Photographers:

Is this new Apple device worth buying for better underwater photography? DivePhotoGuide’s Jason Heller and Matt Weiss give their perspective as dive photographers on its usefulness. In this five-minute video , they talk about using the iPad for slide shows and video; its apps, accessories and wireless ability; and whether it’s worth taking on your next dive trip.


Death in the Galapagos:

Why was a dive site with a strong current picked as the first dive on this Galapagos Aggressor II trip? It was a fatal first dive for a 23-year-old kindergarten teacher from Galveston, TX. Another diver on that trip tells the story of her death, and questions whether liveaboards are taking divers with too little experience on too-challenging dives. Read it free – go to Undercurrent and click on “Death in the Galapagos.


How a Diver Stumped Airport Security: What You Can Learn From Our Online Blogs:

Undercurrent contributor John Bantin wrote about his recent experience with U.S. airport security, and how he was one of the lucky few to be selected for a hand search of his checked baggage. Havoc ensued – - here’s a sample: “My BC was withdrawn and inexplicably held up to the light. They examined my extending emergency flag. Inside my fins, they found my very ominous-looking dive masks. They examined my hexagonal wrenches, my spanners and my diving knife until they finally found something really suspicious.” What was it? Find out, along with the other TSA pitfalls Bantin experienced, by reading his blog post “Fortress America: Heightened Security for Flights to the USA.” His posts, and those of our other diving expert contributors, can be found by going to Undercurrent and clicking on “Blogs.”


What You’re Missing in This Month’s Undercurrent:

Buddy Dive Resort, Bonaire: Freedom for solo diving photographers . . . diving for amphorae on Turkey’s Mediterranean coast . . . how to get good underwater photos with digital compacts . . . a fatal first dive in the Galapagos . . . Undercurrent puts a stop to Caribbean dive guides killing flamingo tongues . . . how to spice up local diving . . . problems with peeing in drysuits . . . and much more.


Coming Up in Undercurrent:

A unique hideaway in Honduras . . . a not-so-fantastic trip to Raja Ampat . . . aboard the AquaCat in the Bahamas. . . why it’s worth considering a house rental over a hotel room on your next dive trip . . . our annual “Why Divers Die” reports . . . a price-fixing lawsuit against two Catalina dive operators … why divers pay more for life insurance . . . and much, much more.

Ben Davison, editor/publisher
Contact Ben

Our May Issue
Featuring:
• Buddy Dive Resort, Bonaire
• Death to Flamingo Tongues?
• Fethiye and Kas, Turkey
• TUSA Regulator Recall
• How A Diver Stumped Airport Security
• Underwater Photos with Digital Compacts
• Judge Calls Mistrial For a “Too Taxing” Stranded-Diver Case
• Do You Think Local Diving is Boring?
• Local Dive Highlights: Graveyards, Shark Teeth, Bowling Alleys
• Problems with Peeing in Drysuits
• Flotsam & Jetsam

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March 17, 2010

Diving Safety Officer needed for OSU

Filed under: News, Uncategorized — admin @ 12:18 pm

Greetings,
We have initiated a search to replace our retiring Diving Safety Officer.  Would you post this opportunity to your website, bulletin board and forward to any list serves that may be interested or have knowledge of others who may be interested in this position?  Any assistance you can provide in helping us get the word out about this important position would be greatly appreciated.
OSU Office of the Vice President for Research is seeking an experienced Professional
Faculty position as Diving Safety Officer (DSO). This is a part-time, 12 month fixed
term position (20 hours a week) salary is commensurate with education and experience.
The DSO is responsible for, but not limited to, the oversight and conduct of OSU
academic and research diving operations and will provide diving instruction to faculty,
staff, and graduate students. To apply and for a complete position announcement see:
http://oregonstate.edu/jobs, posting 0005374. Closes 04/09/10. OSU is AA/EOE.
Thank you,
Bruce Marbin

Position in combat casualty research open

Filed under: News, Uncategorized — admin @ 12:01 pm

I am trying to fill a position for the USN in Portsmouth.  Combat casualty care research.  Hyperion just got a contract with the USN to help with research activities for BUMED.  We don’t have much presence in Portsmouth, Virginia.  Trying to make some contacts and work with staffing agencies and the like.

This could be a pretty good opportunity for someone recently retired from the Navy.  If you know anybody please forward this email.

Do you know of any good ways to reach out to this community?

Call anytime.

Link to our website:  www.hyperionbiotechnology.com

Thanks!

John Kalns, Ph.D.

Vice-President and Chief Scientific Officer

Hyperion Biotechnology, Inc.

Cell 210.857.4478

Science. Solution.

February 9, 2010

Undercurrent Online Update

Filed under: Uncategorized — admin @ 9:38 am

U N D E R C U R R E N T   O N L I N E    U P D A T E
F O R    N O N – S U B S C R I B E R S


Undercurrent — Consumer Reporting for
the Scuba Diving Community since 1975
www.undercurrent.org

Dive News

February 9, 2010

You have received this message because you have signed up on our website to receive this email or you are a former subscriber or Online Member of Undercurrent . If you had a username associated with this email address, it is Removal instructions are below.

Subscribers/Online Members can get all the articles
from the current issue of Undercurrent here

Mares is Recalling All Nemo Air Computers: If you’ve got one, contact your dealer now. Mares issued a recall last summer for the slow-leaking O-rings on the Nemo Air computer’s Quick Connector hose, but it turns out the replacement O-ring issued wasn’t the solution. On February 1, Mares announced another recall for the entire hose. “We designed a new quick disconnect system to replace it,” Mares’ national sales manager Steve Lamphear told Undercurrent. All Nemo Air dive computers need this replacement so contact a Mares dealer to get the hose replacement, free of charge. If you want Mares to do the replacement, call Customer Service at 800-874-3326 and give them your computer’s serial number for shipping info.

Undercurrent Blogs: If you haven’t been following our blogs, you’ll get plenty of information, laughs and education from guest bloggers like Bret Gilliam, the deepest air diver ever; Doc Vikingo, peripatetic columnist; Burt Jones and Maurine Shimlock, who just completed an excellent book on Raja Ampat; John Bantin, the equipment editor for Diver magazine; and many, many more. Go to Undercurrent and click on blogs.

And A Regulator Recall From TUSA: It’s taking back RS-670 regulators sold between May and September 2009 because loosening of the BLC plug on the first stage may cause a high-pressure leak. Affected units have first stage serial numbers between 22 and 29, 31 and 103, 637 and 676, 708 and 716, and 737 and 776. Take your regulator back to the dealer, or contact TUSA at info@tusa.com or call 800-482-2282 to mail it back for repair, covered under warranty.

Great Free Online Dive Medicine Book: Carl Edmonds, co-founder of Australia’s Diving Medical Centre, alerted us that his formerly out-of-print book Diving Medicine for Scuba Divers has just been updated for 2010 and, better yet, is available to download for free online: (http://www.divingmedicine.info/divingmedicine/Welcome.html). This classic book, which Edmonds co-authored, deals with dive-specific health issues, their causes, first-aid and prevention. You can download any of the 43 chapters, from Panic and Fatigue to Drugs and Diving, one at a time, or the entire book. Edmonds encourages you to download his book onto a CD/DVD to take with you on your next dive trip, or just pass on to fellow divers.

Coral Reefs Need Your Foreign Currency: Admit it. You’ll never use those foreign bills in the bottom of your drawer, so send them to us to convert into greenbacks and apply them to a project to save our oceans and reefs. It’s tax-deductible and I’ll send you a receipt for your contribution greater than $50 (Undercurrent is a 501c3 organization and contributions are tax-deductible). So far, we have outfitted a sailboat so rangers can stop night poachers on Belize reefs, and helped build a school in Fiji, for which the chiefs established marine-protected areas totaling 3,010 acres and a 4,752-acre forest preserve. Send the bills to me: Ben Davison, P.O. Box 3020, Sausalito, CA, 94965. And feel free to include a tax-deductible personal check made out to Undercurrent as well. If divers don’t save the reefs, who will?

A New Online Guide for Underwater Photographers: Here’s a new site underwater photographers of all levels can check out for tips. Underwater Photography Guide (http://www.uwphotographyguide.com) offers an online tutorial book from Santa Monica-based diver and photographer Scott Gietler – check out the Chapter Index to get straight to info on wide-angle optics, image sharpness, post-processing and more. Every week, Gietler posts new articles on photography theory and technique, and equipment reviews. Or sign up for a monthly e-mail newsletter. All information is free to read.

Kudos To Louie Psihoyos And The Cove: Psihoyos, the National Geographic photographer turned filmmaker, has been winning a slew of awards for his feature-length documentary, a stealth effort by divers to document the dolphin slaughter at Taiji, Japan. The Cove won Best Documentary at the Critics Choice Awards, and the Directors Guild of America named Psihoyos the best documentary director of 2009. Now The Cove is an Oscar nominee for Best Documentary. See if it wins on March 7; and The Cove is now available on DVD. P.S.: I helped Louie raise $20,000 to subtitle The Cove in Japanese for distribution in Japan.

What You’re Missing in the February Issue: Subscribers and Members can download the entire issue or individual articles. , and read about:

Read an Issue: I want you to see a full copy of Undercurrent’s monthly newsletter; you can do so on our home page at Undercurrent. Right now, if you sign up to have it delivered to your email address each month, I’ll send you a free, 480-page, 2010 Travelin Diver’s Chapbook, chock full of reviews of hundreds of resorts and liveaboards worldwide – go to http://www.undercurrent.org/cbook2010 (previous Online Members can get the same offer and keep their old username/password by going to https://www.undercurrent.org/secure/UCnow/OMaccountCenter.php?omcoupon=c14 )

My Report From The Copenhagen Conference: I attended the entire U.N. Climate Change conference, held in Copenhagen in December, taking in dozens of presentations and talking to experts about the environmental impact on the oceans. Will any significant changes come from it? Read my report for free in the February issue – go to Undercurrent and click on “A Diver’s Report from Copenhagen.”

Diving the World: A Guide to the World’s Most Popular Dive Sites: Authors Beth and Shaun Tierney describe 220 dive sites in 19 nations, along with site maps, country reviews, seasonal dive information, destination ratings, preferred dive operators and liveaboards, good travel information and hundreds of color photos. If you’re interested in the Caribbean, you won’t find much besides the Yucatan, Honduras, Belize and Grenada. But the key countries in the Pacific and Indian Ocean are all covered. If you’re an adventurous traveler, there’s a lot of good reading here. Go to Undercurrent, click on “Books” and buy it through us; you get it from Amazon.com and our profits go to conserve coral reefs.

Do Alcohol and Stingrays Mix?: According to Grand Cayman officials, they can with no detrimental effect. In December, they granted liquor, music and dancing licenses for a floating bar to be built on the waters near Grand Cayman’s Stingray City. Read points of view from both the protestors and the businessman building the bar in our article “Grand Cayman Officials Say Alcohol and Stingrays Do Mix,” available for free at Undercurrent.

Coming in Future Issues:

  • The isolated isles of Honduras: Cayos Cochinos,
  • The WWII wrecks of Saipan,
  • Buddys on Bonaire,
  • Secret diving in Turkey,
  • A new Sea of Cortez liveaboard,
  • New dangers of rebreather diving
  • Digital camera tips for good underwater photos
  • Why divers are hanging up their fins
  • Join the hunt for lionfish in the Caribbean
  • The extremes one diver took to get customer service from Scubapro
  • and much, much more..

Ben Davison, editor/publisher
Contact Ben


Website News

Diving Discounts: We have a number of special deals from dive operators worldwide on our website’s Special Offer page that could be just what you’re looking for. These include:

  • 10-20% discounts on M/Y Manthiri (Maldives),
  • $850/wk diving in Utila, Honduras,
  • A write-your-own diving safari in Bal especially for UW photographersi, and
  • Buying a large villa with pool in Bali in front of one of the world’s best dive spots.

See them all here and check back there periodically as new offers are being added constantly.

Get Notified of New Divers’ Blogs: See what you’ve been missing from leading industry pundits: John Bantin, Bret Gilliam, Ben Davison, Bob Halstead, Burt Jones & Maurine Shimlock, and Doc Vikingo — there’s lots of provocative posts since our last update. If you want to keep up with these, we can now notify you by email whenever there’s a new post (1-2/week) — just sign up here

Dave Eagleray, webmaster


Note: Our travel writers never announce their purpose, are unknown to the destination, and receive no complimentary services or compensation from the dive operators or resort. Dive trips listed in our emails must be offered by a well-regarded operation that has been reviewed positively by our readers. The operator must include a special offer for Undercurrent subscribers and supporters. Undercurrent is a 501 (c)(3) not-for-profit organization and in some cases the operator has made a donation.


HELP A BUDDY OUT:
forward this message to another diver here: this link

November 13, 2009

Decompression Sickness: Recently Added Articles in the Medical Literature

Filed under: Publication, Uncategorized — admin @ 12:56 pm

Neurological symptoms after a provocative dive: spinal DCS or anterior spinal artery syndrome?

Uzun G, Cakar E, Kiralp MZ, Carli A, Durmu? O, Senol MG, Mutluo?lu M, Uz O, Dinçer U, Ozçakar L.

Aviat Space Environ Med. 2009 Oct;80(10):898-9.PMID: 19817244 [PubMed - indexed for MEDLINE]Related articles

2.

Resolution and severity in decompression illness.

Vann RD, Denoble PJ, Howle LE, Weber PW, Freiberger JJ, Pieper CF.

Aviat Space Environ Med. 2009 May;80(5):466-71. Review.PMID: 19456008 [PubMed - indexed for MEDLINE]Related articles

3.

Sponge divers of the Aegean and medical consequences of risky compressed-air dive profiles.

Toklu AS, Cimsit M.

Aviat Space Environ Med. 2009 Apr;80(4):414-7.PMID: 19378916 [PubMed - indexed for MEDLINE]Related articles

4.

Cerebral magnetic resonance imaging of compressed air divers in diving accidents.

Gao GK, Wu D, Yang Y, Yu T, Xue J, Wang X, Jiang YP.

Undersea Hyperb Med. 2009 Jan-Feb;36(1):33-41.PMID: 19341126 [PubMed - indexed for MEDLINE]Related articles

5.

Recompression treatment for decompression illness: 5-year report (2003-2007) from National Centre for Hyperbaric Medicine in Poland.

Kot J, Si?ko Z, Micha?kiewicz M, Lizak E, Góralczyk P.

Int Marit Health. 2008;59(1-4):69-80.PMID: 19227740 [PubMed - indexed for MEDLINE]Related articles

6.

Guiding principles in choosing a therapeutic table for DCI hyperbaric therapy.

Antonelli C, Franchi F, Della Marta ME, Carinci A, Sbrana G, Tanasi P, De Fina L, Brauzzi M.

Minerva Anestesiol. 2009 Mar;75(3):151-61. Review.PMID: 19221544 [PubMed - indexed for MEDLINE]Related articlesFree article

7.

Pre-dive normobaric oxygen reduces bubble formation in scuba divers.

Castagna O, Gempp E, Blatteau JE.

Eur J Appl Physiol. 2009 May;106(2):167-72. Epub 2009 Feb 14.PMID: 19219451 [PubMed - indexed for MEDLINE]Related articles

8.

Spinal decompression sickness presenting as partial Brown-Sequard syndrome and treated with robotic-assisted body-weight support treadmill training.

Moreh E, Meiner Z, Neeb M, Hiller N, Schwartz I.

J Rehabil Med. 2009 Jan;41(1):88-9.PMID: 19197576 [PubMed - indexed for MEDLINE]Related articles

9.

Bubble formation and endothelial function before and after 3 months of dive training.

Pontier JM, Guerrero F, Castagna O.

Aviat Space Environ Med. 2009 Jan;80(1):15-9.PMID: 19180853 [PubMed - indexed for MEDLINE]Related articles

10.

Perfluorocarbon emulsions as a promising technology: a review of tissue and vascular gas dynamics.

Spiess BD.

J Appl Physiol. 2009 Apr;106(4):1444-52. Epub 2009 Jan 29. Review.PMID: 19179651 [PubMed - indexed for MEDLINE]Related articles

11.

A pilot study evaluating surfactant on eustachian tube function in divers.

Duplessis C, Fothergill D, Gertner J, Hughes L, Schwaller D.

Mil Med. 2008 Dec;173(12):1225-32.PMID: 19149344 [PubMed - indexed for MEDLINE]Related articles

12.

Bubble trouble: a review of diving physiology and disease.

Levett DZ, Millar IL.

Postgrad Med J. 2008 Nov;84(997):571-8. Review.PMID: 19103814 [PubMed - indexed for MEDLINE]Related articles

13.

Effects of tetrahydrobiopterin on venous bubble grade and acute diving-induced changes in cardiovascular function.

Glavas D, Bakovic D, Obad A, Palada I, Breskovic T, Valic Z, Brubakk AO, Dujic Z.

Clin Physiol Funct Imaging. 2009 Apr;29(2):100-7. Epub 2008 Dec 4.PMID: 19076728 [PubMed - indexed for MEDLINE]Related articles

14.

MRI findings and clinical outcome in 45 divers with spinal cord decompression sickness.

Gempp E, Blatteau JE, Stephant E, Pontier JM, Constantin P, Pény C.

Aviat Space Environ Med. 2008 Dec;79(12):1112-6.PMID: 19070307 [PubMed - indexed for MEDLINE]Related articles

15.

On beginning a second century of decompression sickness research: where are we and what comes next?

Kayar SR.

Aviat Space Environ Med. 2008 Nov;79(11):1071-2.PMID: 18998492 [PubMed - indexed for MEDLINE]Related articles

16.

Relation between right-to-left shunts and spinal cord decompression sickness in divers.

Gempp E, Blatteau JE, Stephant E, Louge P.

Int J Sports Med. 2009 Feb;30(2):150-3. Epub 2008 Sep 4. Erratum in: Int J Sports Med. 2009 Feb;30(2):153. PMID: 18773377 [PubMed - indexed for MEDLINE]

September 8, 2009

American Baromedical Corporation of West Palm Beach, FL

Filed under: Uncategorized — admin @ 3:40 pm
For Immediate Release

American Baromedical Corporation of West Palm Beach, FL
Acquires Best Publishing Company of Flagstaff, AZ


August 1, 2009  – West Palm Beach, Florida USA – American Baromedical Corporation (ABC) (www.AmericanBaromedical.com) purchased Best Publishing Company (
www.bestpub.com) in an acquisition that expands the capabilities of both companies, that specialize in wound care, hyperbaric oxygen, and diving medicine.

Best Publishing Company is devoted to=2 0diving publications, wound care, and hyperbaric medical books.  The Company was founded in 1966 by Jim and Susan Joiner and has become the world’s largest and most respected publisher of professional and educational books on diving, hyperbaric medicine, and wound care.  Best Publishing has nearly 200 titles in print around the world.

ABC is a national provider of contracted services for wound care and hyperbaric oxygen therapy in hospitals and freestanding clinics.  ABC publishes the Hyperbaric Medicine Today magazine (www.hyperbaricmagazine.com) and owns 1-800-Wound-Center, a national phone referral network of wound care centers (www.1800WoundCenter.org).

ABC and Best Publishing have merged to become the world’s largest resource on wound care, diving, and hyperbaric oxygen therapy.  Best Publishing will remain under the direction of Jim and Susan Joiner.

Contact: Ken Locklear, American Baromedical Corporation
Phone:   (561) 333-2392
Email: kennethlocklear@aol.com

September 7, 2009

Scuba Diving Problems with Gases and Pressure – Chapter 4 – CO2 Retention

Filed under: Uncategorized — admin @ 10:58 am

Chapter 4

CO2 Retention in Scuba Diving

CO2 retention with it’s attendant dangers of death from convulsions and hypoxia (low oxygen level) is primarily of concern to the scuba diver due to “skip breathing”. Other sources of CO2 retention are breath-hold diving, breathing in a sealed environment, faulty regulator, exercise at extreme depth and using contaminated air.

Symptoms include rapid respiration in 4-6%, rapid pulse rate, shortness of breath in 7-10% and convulsions and unconsciousness in 11-20%.

The CO2 level in the blood is unchanged by the ambient pressure (i.e., the depth) per se, since the partial pressure of carbon dioxide in a scuba diver’s blood is a function only of metabolism and the rate and depth of breathing - the same factors that determine blood CO2 concentration on land.

All of the CO2 that’s developed during breathing underwater is exhaled in the bubbles from scuba apparatus and does not increase with depth as do other gases, such as nitrogen, oxygen, CO and hydrocarbons. Abnormal carbon dioxide accumulation in the blood can occur from too high a level of metabolism (such as from exercise at depth) and/or inadequate breathing (usually not breathing deep enough or skip breathing). The medical term for high carbon dioxide in the blood is hypercapnia; when the level is high enough it can cause “CO2 toxicity,” which can lead to shortness of breath, headache, confusion and drowning (depending on severity).

Elevated CO2 levels play a significant role in oxygen toxicity and in nitrogen narcosis.

The acceptable CO2 level for diving operations is 1.5% surface equivalent (10.5 mmHg); the acceptable level for hyperbaric chamber operations is one that allows a vent schedule of 4scfm/person displacement.

With the increased usage of closed circuit scuba diving, mainly by the military-but recently by more and more civilian divers, there is the possibility of hypercarbia (high CO2 levels), among other medical considerations.

Signs and symptoms that need to be observed are hyperventilation, shortness of breath and tachycardia (rapid heart beat), headache and excessive sweating, mental impairment and finally , unconsciousness.

This hypercarbia comes about due to malfunction of the CO2 absorbent canisters and can be avoided by decreasing the exercise rate, watch out for the operating limits of the canister, checking for leaks at the start of the dive and not reusing the absorbent.

==============================================================================

August 6, 2009

SOS Hyperlite Releases Lighter Portable Hyperbaric Chamber

Filed under: News, Uncategorized — admin @ 10:20 am

According to a press released received from SOS Hyperlite, the new portable hyperbaric chamber is a vital life saving piece of equipment to treat pressure related illnesses such as decompression sickness. This equipment is designed for advanced and technical diving, for emergency response units and especially for use in remote locations.

The unit has now benefited from a major upgrade that incorporates innovative braiding technology. The expertise has been developed in a Joint Venture with RFD Beaufort Ltd., leaders in the field of inflatable life saving technology.

The 2009 model is one third lighter, more durable and packs into one case rather than two. it is fully operational within 10 minutes, and the patient can be treated on-site, or be transferred under pressure during treatment to a nearby medical center, depending upon circumstances.

The new unit continues to be built to internationally recognized medical device standards and remains the only non-metallic folding pressure vessel with such approvals. It is widely in use by the US military and Coast Guard and by other military, emergency services and dive teams in many countries around the world.

For further information please contact Paul Selby on +44 (0) 845 263 8155 or by email to paul@hyperlite.co.uk.

soshyperlite

=======================================================================

June 15, 2009

Hyperbaric Oxygenation References from Sunny Sonnenrein

Filed under: Uncategorized — admin @ 9:54 am

A single exposure to hyperbaric oxygen increases levels of circulating nucleosomes but does not induce mononuclear cell apoptosis in divers.
MED 09-31 200919462751 NDN- 230-0973-3081-8

AUTHORS- Weber, S U; Koch, A; Siekmann, U; Neitzel, C; Stouber, F; Hoeft, A; Schroeder, S

JOURNAL NAME- Undersea Hyperb Med
VOLUME 36
NUMBER 2
PUBLICATION DATE- 2009 Mar-Apr
PP 117-25
DOCUMENT TYPE- Journal Article; Research Support, Non-U.S. Gov’t
JOURNAL CODE- 9312954
JOURNAL SUBSET- MEDJSIM; MEDJSS
ISSN- 1066-2936
CORPORATE AUTHOR- Department of Anesthesiology and Intensive Care Medicine, University of Bonn Medical Center, Bonn, Germany.
PUBLICATION COUNTRY- United States
LANGUAGE- English

Recent reports that hyperbaric oxygenation (HBO2) induced apoptosis in T-cell lines raised concern about a possible immunosuppressive effect of HBO2. Nucleosomes, DNA fragments wrapped around a histone core, have been observed in the circulation in diseases with increased cell death such as sepsis. Our aim was to investigate, whether HBO2 increases circulating nucleosomes as a marker of cell death and induces apoptosis of peripheral blood mononuclear cells in vivo. After informed consent 29 healthy volunteers were exposed to a 30 minute dive at 2.8 atmospheres absolute in a pressure chamber under resting conditions, while breathing 100% oxygen. Samples were obtained before and 24 hours after exposure. Circulating nucleosomes were measured in serum. Caspase-3 activation, Bcl-2 expression and mRNA of Bcl-2, Bcl-xl and Bax were analyzed in mononuclear cell extracts. Nucleosomes were elevated markedly 24h after exposure (p<0.01), while caspase-3 was not activated significantly. mRNA levels of Bcl-2, Bcl-xl and Bax were not altered. In conclusion, while evidence of elevated levels of circulating nucleosomes was found, mononuclear cell apoptosis was not affected by a single exposure to hyperbaric oxygen


===================================

Bread mold osteomyelitis in the femur.
MED 09-31 200919472954 NDN- 230-0975-9327-4

AUTHORS- Wilkins, Ross M; Hahn, David B; Blum, Raymond

JOURNAL NAME- Orthopedics
VOLUME 32
NUMBER 5
PUBLICATION DATE- 2009 May
PP 362
DOCUMENT TYPE- Journal Article
JOURNAL CODE- 7806107
JOURNAL SUBSET- MEDJSIM
ISSN- 1938-2367
CORPORATE AUTHOR- Denver Clinic for Extremities at Risk, Presbyterian/St. Luke’s Medical Center, Denver, Colorado 80218, USA.
PUBLICATION COUNTRY- United States
LANGUAGE- English

Rhizopus osteomyelitis is an uncommon and often fatal infection that usually occurs in immunocompromised patients. The infection is commonly referred to as “bread mold.” The usual course of treatment is Amphotericin B, debridement, and, if needed, amputation of the affected limb. This article details a rare case of postoperative Rhizopus osteomyelitis in an otherwise healthy patient. The patient originally presented at another institution for anterior cruciate ligament repair after a ski injury. Postoperatively, he developed clinical evidence of infection. He was referred to our institution with stiffness and swelling in the knee as well as weight loss and decreased range of motion. Fluid collection was visible on magnetic resonance imaging. Arthroscentesis was cultured for fungus and bacteria, and the fungal cultures were positive for Rhizopus species. An attempt at limb salvage was made. Debridement, use of a cement spacer loaded with Amphotericin B, systemic antifungal therapy, and 23 hyperbaric oxygen treatments were used to eradicate the disease. Four surgeries were needed to eradicate the disease, and 10 months after initial presentation, the patient had a distal femoral endoprosthesis placed in his leg. Laboratory tests returned to normal and frozen sections were negative for fungus. At 3-year follow-up, the patient reported a musculoskeletal functional score of 50% and had no evidence of recurrent infection.

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Decision process to assess medical equipment for hyperbaric use.

Burman F, Sheffield R, Posey K.

DAN Southern Africa, Cape Town, South Africa.

Undersea Hyperb Med. 2009 Mar-Apr;36(2) :137-44.

There are very few items of medical equipment specifically designed for hyperbaric use; and little information is available about medical equipment already tested for hyperbaric use. Hyperbaricists are usually left to their own devices in making a determination about the safe and effective use of standard medical equipment in the hyperbaric setting. This article proposes a logical and systematic process to arrive at this determination. The process involves seven steps beginning with a need assessment and ending with endorsement by appropriate individuals. The discussion of decision steps includes identifying risk elements, compliance with safety standards, testing, and documentation.

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Deletion of mouse MsrA results in HBO-induced cataract: MsrA repairs mitochondrial cytochrome c.

Brennan LA, Lee W, Cowell T, Giblin F, Kantorow M.

Biomedical Sciences Department, Charles E Schmidt College of Biomedical Science, Florida Atlantic University, Boca Raton, FL, USA.

Mol Vis. 2009 May 15;15:985-99.

PURPOSE: Considerable evidence indicates a role for methionine sulfoxide reductase A (MsrA) in lens cell resistance to oxidative stress through its maintenance of mitochondrial function. Correspondingly, increased protein methionine sulfoxide (PMSO) is associated with lens aging and human cataract formation, suggesting that loss of MsrA activity is associated with this disease. Here we tested the hypothesis that loss of MsrA protein repair is associated with cataract formation. To test this hypothesis we examined the effect of MsrA deletion on lens opacity in mice treated with hyperbaric oxygen, identified lens mitochondrial proteins oxidized upon deletion of MsrA and determined the ability of MsrA to repair the identified proteins. METHODS: Wild-type and MsrA knockout mice were treated or not treated with 100 treatments of hyperbaric oxygen (HBO) over an 8 month period and lenses were examined by in vivo light scattering measurements documented by slit-lamp imaging. Co-immunoprecipitat ion of MsrA was conducted against five specific protein representatives of the five complexes of the electron transport chain in addition to cytochrome c (cyt c). Cyt c in lens protein from the knockout and wild-type lenses was subjected to cyanogen bromide (CNBr) cleavage to identify oxidized methionines. Methionine-specific CNBr cleavage was used to differentiate oxidized and un-oxidized methionines in cyt c in vitro and the ability of MsrA to restore the activity of oxidized cyt c was evaluated. Mass spectrometry analysis of cyt c was used to confirm oxidation and repair by MsrA in vitro. RESULTS: HBO treatment of MsrA knockout mice led to increased light scattering in the lens relative to wild-type mice. MsrA interacted with four of the five complexes of the mitochondrial electron transport chain as well as with cyt c. Cyt c was found to be aggregated and degraded in the knockout lenses consistent with its oxidation. In vitro analysis of oxidized cyt c revealed the presence of two oxidized methionines (met 65 and met 80) that were repairable by MsrA. Repair of the oxidized methionines in cyt c restored the activity of cytochrome c oxidase and reduced cytochrome c peroxidase activity. CONCLUSIONS: These results establish that MsrA deletion causes increased light scattering in mice exposed to HBO and they identify cyt c as oxidized in the knockout lenses. They also establish that MsrA can restore the in vitro activity of cyt c through its repair of PMSO. These results support the hypothesis that MsrA is important for the maintenance of lens transparency and provide evidence that repair of mitochondrial cyt c by MsrA could play an important role in defense of the lens against cataract formation.

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Dying to play video games: carbon monoxide poisoning from electrical generators used after hurricane Ike.
MED 09-32 200919482736 NDN- 230-0977-7425-4

AUTHORS- Fife, Caroline E; Smith, Latisha A; Maus, Erik A; McCarthy, James J; Koehler, Michelle Z; Hawkins, Trina; Hampson, Neil B

JOURNAL NAME- Pediatrics
VOLUME 123
NUMBER 6
PUBLICATION DATE- 2009 Jun
PP e1035-8
DOCUMENT TYPE- Journal Article; Research Support, U.S. Gov’t, P.H.S.
JOURNAL CODE- 0376422
JOURNAL SUBSET- MEDJSAIM; MEDJSIM
ISSN- 1098-4275
CORPORATE AUTHOR- Department of Medicine, Division of Cardiology, University of Texas Health Science Center, 6431 Fannin St, MSB 1.247, Houston, TX 77030, USA. caroline.e.fife@uth.tmc.edu
PUBLICATION COUNTRY- United States
LANGUAGE- English

BACKGROUND: Carbon monoxide (CO) poisoning is common after major storms because of loss of electrical power and use of alternate fuel sources for heat and electricity. In past epidemics of hurricane-related CO poisoning, the source has typically been gasoline-powered electrical generators. Although it is typically believed that generators were used to power air conditioning and refrigeration, this report demonstrates an unsuspected reason for their use. PATIENTS AND METHODS: After Hurricane Ike’s landfall in September 2008, major power outages were associated with an epidemic of CO poisoning from electrical generators, as expected. Staff at Memorial Hermann Hospital-Texas Medical Center treated or telephone-triaged cases from the Houston area. A review of the details of those cases forms the basis of this report. RESULTS: Memorial Hermann Hospital-Texas Medical Center staff treated or triaged 37 individuals exposed to CO from gasoline-powered electrical generators in 13 incidents in the first 36 hours after landfall of the hurricane. Notably, 54% (20 of 37) of the patients were under the age of 18 years. Symptoms ranged from mild to severe, with 1 child dying at the scene. Eleven patients were treated with hyperbaric oxygen Among 9 incidents in which the reason for generator use was determined, 5 were due to generators powering video games or televisions to watch movies or programs. These 5 incidents in which video games were being powered accounted for 75% (15 of 20) of the pediatric poisonings. CONCLUSIONS: Generator-related CO poisoning is indeed common during power outages after hurricanes. However, generators are commonly being used to provide electricity to power entertainment devices for children, such as video games. Additional public education about CO risk is needed, perhaps directed at older children and teenagers through the schools in regions susceptible to hurricanes.

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Effectiveness of hyperbaric oxygen therapy in management of sudden hearing loss.
MED 09-31 200919138452 NDN- 230-0975-8989-2

AUTHORS- Cekin, E; Cincik, H; Ulubil, S A; Gungor, A

JOURNAL NAME- J Laryngol Otol
VOLUME 123
NUMBER 6
PUBLICATION DATE- 2009 Jun
PP 609-12
DOCUMENT TYPE- Journal Article
JOURNAL CODE- 8706896
JOURNAL SUBSET- MEDJSAIM; MEDJSIM
ISSN- 1748-5460
CORPORATE AUTHOR- Department of Otolaryngology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, Istanbul, Turkey. iecekin@yahoo.com
PUBLICATION COUNTRY- England
LANGUAGE- English

OBJECTIVE: To evaluate the effectiveness of hyperbaric oxygen therapy in the management of sudden hearing loss. STUDY DESIGN: Patients with sudden hearing loss were divided into study and control groups. The 36 patients in the study group were treated with hyperbaric oxygen therapy in addition to standard medical therapy, whereas the 21 patients in the control group were treated with only standard medical therapy. SUBJECTS AND METHODS: Both groups were treated with standard therapy, comprising prednisolone starting at a dose of 1 mg/kg and reducing over three weeks. Patients in the study group received hyperbaric oxygen therapy in addition to standard drug therapy. RESULTS: Success rates were 78.95 per cent in the study group and 71.30 per cent in the control group. However, this difference was not statistically significant (p > 0.05). CONCLUSIONS: Considering the cost of hyperbaric oxygen therapy and its inconvenience to patients, this treatment should only be considered in patients suffering sudden hearing loss if there are contraindications to standard medical treatment.

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Effects of hyperbaric oxygen on intrauterine hypoxic-ischemic brain damage in neonatal rats.
MED 09-31 200919470263 NDN- 230-0974-7688-4

AUTHORS- Chen, Jing; Chen, Yan-Hui

JOURNAL NAME- Zhongguo Dang Dai Er Ke Za Zhi
VOLUME 11
NUMBER 5
PUBLICATION DATE- 2009 May
PP 380-3
DOCUMENT TYPE- English Abstract; Journal Article
JOURNAL CODE- 100909956
JOURNAL SUBSET- MEDJSIM
ISSN- 1008-8830
CORPORATE AUTHOR- Department of Pediatrics, Union Hospital Affiliated to Fujian Medical University, Fuzhou 350001, China. yanhui, 0655@126.com.
PUBLICATION COUNTRY- China
LANGUAGE- Chinese

OBJECTIVE: The application and the efficacy of hyperbaric oxygen (HBO) in hypoxic-ischemic brain damage (HIBD) remain controversial. This study aimed to explore the effects of HBO on brain functional outcome and possible repair mechanisms in neonatal rats with intrauterine HIBD in aspects of the number of survived neurons and the central nervous electrophysiological conduction velocityo.METHODS: A rat model of intrauterine HIBD was preparedo.Subjects were divided into four groups at randomo.HIBD, HBO-treated HIBD group, normal control and HBO-treated normal control. After 24 hrs of the operationo.the two HBO-treated groups received HBO treatment (0.02 MPao.1 hr/d) for 14 days. When the rats were 4 weeks oldo.the electrophysiological changes in the central nervous system (CNS) were observed by brainstem auditory evoked potential (BAEP) for assessing brain function. Hematoxylin and eosin (HE) staining and Nissl,s stainting were employed to observe the pathological change and the number of neurons in the hippocampus. RESULTS: The peak latency of waves II and IV and the interpeak latency of waves I-IV in the HBO-treated HIBD group were shortened compared with those in the untreated HIBD group (P< 0.05). HE staining displayed that the pathological injuries in the hippocampus were alleviated in the HBO-treated HIBD group when compared with the untreated HIBD group. Nissl,s staining showed that survived neurons in the HBO-treated HIBD group were more than the untreated HIBD group (P< 0.05). The HBO-treated control group showed increased survived neurons compared with the untreated control group (P< 0.05). CONCLUSIONS: Early HBO treatment might improve brain functional outcome through increasing synaptic transmission efficiency, improving central nervous electrophysiological conduction velocity and reducing neuron death in neonatal rats with intrauterine HIBD.

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Evaluation of Artificial Dermis Neovascularization in an Avascular Wound.

Baynosa RC, Browder LK, Jones SR, Oliver JA, Van Der Harten CA, Stephenson LL, Wang WZ, Khiabani KT, Zamboni WA.

Division of Plastic Surgery, Microsurgery and Hyperbaric Laboratory, University of Nevada School of Medicine.

Soft tissue coverage for avascular wounds is necessary in reconstructive surgery. Several authors have demonstrated successful treatment of problem wounds using artificial dermis. This study evaluates in an animal model the potential for neovascularization of artificial dermis in devascularized and avascular wound beds. Forty rats were assigned to four groups: (1) control, full-thickness skin graft was replaced on the vascular wound bed; (2) Integra, Integra placed over the full-thickness wound; (3) fascia, the spinotrapezius fascia exposed and Integra placed over the wound; and (4) fascia/Parafilm, a Parafilm layer placed under the raised fascia with Integra over the fascia. Laser Doppler readings were taken at baseline over the intact skin and then over the created wound beds. Biopsies of the full-thickness skin graft and the neodermis were obtained on postoperative day 14 and histologically evaluated for neovascularization. The laser Doppler readings confirmed the nature of the surgically created, poorly vascularized and avascular wound beds. Subsequent biopsies of the artificial dermis in these wound beds, however, demonstrated active neovascularization. This study demonstrates that Integra artificial dermis can serve as an effective dermal substitute in avascular wounds. Lateral ingrowth of capillaries into the dermal substitute may explain the successful integration of this artificial dermis.

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Evaluation of the therapeutic effect of hyperbaric oxygenation and erythropoietin in the treatment of chronic heart failure using myocardial perfusion scintigraphy G-SPECT
MED 09-32 200919489477 NDN- 230-0977-9227-2

AUTHORS- Baskot, Branislav; ZivkoviA., Miodrag; TepiA., Sandra; ObradoviA., Slobodan

JOURNAL NAME- Vojnosanit Pregl
VOLUME 66
NUMBER 5
PUBLICATION DATE- 2009 May
PP 399-402
DOCUMENT TYPE- English Abstract; Journal Article
JOURNAL CODE- 21530700R
JOURNAL SUBSET- MEDJSIM
ISSN- 0042-8450
CORPORATE AUTHOR- Vojnomedicinska akademija, Institut za nuklearnu medicinu, Beograd, Srbija. baskotbranislav@yahoo.com
PUBLICATION COUNTRY- Serbia
LANGUAGE- Serbo-Croatian (Cyrillic)

BACKGROUND: The most important predictors of long-term survival in patients with cardiac ischemic disease are left ventricular ejection fraction, left ventricular volumes, infarction size, presence and extent of residual myocardial ischemia. One of the most important recent developments in single photon emission computed tomography (SPECT) myocardial perfusion imaging is the ability to acquire these studies in conjunction with electrocardiogram (ECG) gating (G-SPECT). The ability to asses radionuclide myocardial perfusion and function with ECG G-SPECT imaging has revolutionized this field of nuclear cardiology. Study with G-SPECT development algorithms permits to quantify measures of left ventricular (LV) volume, ejection fraction (LVEF) and even regional myocardial wall motion and thickening. The American Society of Nuclear Cardiology (ASNC) in its position paper from March 1999 recommends the routine incorporation of G-SPECT during cardiac perfusion scintigraphy. CASE REPORT: We presented a 70-year-old male with ischemic heart disease (dilatative, cardiomyopathy and absolute arrhythmia). He was few times hospitally treated by medicamentous therapy with no evidence of improvement. After hospital treatment, we included hyperbaric oxygenation (HBO) and erythropoietin injections. Hyperbaric oxygenation was carried out in a monoplace hyperbaric chamber , BLK S-303, by a graduated protocol for patients with severe heart insufficiency, totally 15 treatments. Recombinant erythropoietin beta (RecormonR F. Hoffmann-La Roche) was applied deeply subcutaneously, every second day from 2000 IU to totally 16000 IU. Before the therapy G-SPECT study was performed with 99m technetium-MIBI, and we obtained the functional parameters and perfusion of the left ventricle to follow-up the therapy effects. The study was performed by an ADAC-VERTEX PLUS-EPIC two-head gamma camera with dedicated quantitatively algorithm Auto-QUANT. The results of LVEF were 15%, with severity abnormal motion and wall thickening for all segments. Left ventricle end-diastolic volume was 393 ml (normal < 142 ml), and LV end-systolic volume was 334 ml (normal < 65 ml). Four months after the therapy G-SPECT showed improvement in any parameters; LVEF 25%, with improvement in wall motion (normalized wall motion in the anterior, lateral area, and proximal septum) and wall thickening, LV end-diastolic volume was 390 ml, LV end-systolic volume was 289 ml. CONCLUSION: Using G-SPECT method before and after the therapy with hyperbaric oxygenation and erythropoietin we obtained objective improvement and good therapy effects in the treatment of chronic heart insufficiency.

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Hemodynamic changes in rat leg muscles during tourniquet-induced ischemia-reperfusio n injury observed by near-infrared spectroscopy.

Kim JG, Lee J, Roe J, Tromberg BJ, Brenner M, Walters TJ.

Laser Microbeam and Medical Program, Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, CA 92612, USA.

Physiol Meas. 2009 May 13;30(7):529- 540

In this study, we hypothesized that non-invasive continuous wave near-infrared spectroscopy (CWNIRS) can determine the severity or reversibility of muscle damage due to ischemia/reperfusio n (I/R), and the results will be highly correlated with those from physical examination and histological analysis. To test this hypothesis, we performed CWNIRS measurements on two groups of male Sprague-Dawley rats ( approximately 400 g) that underwent 2 h (n = 6) or 3 h (n = 7) of pneumatic tourniquet application (TKA). Tissue oxyhemoglobin [HbO(2)] and deoxyhemoglobin [Hb] concentration changes were monitored during the 2 h or 3 h of 250 mmHg TKA and for an additional 2 h post-TKA. Rats were euthanized 24 h post-TKA and examined for injury, edema and viability of muscles. Contralateral muscles served as controls for each animal. In both groups, [HbO(2)] dropped immediately, then gradually decreased further after TKA and then recovered once the tourniquet was released. However, releasing after 2 h of TKA caused [HbO(2)] to overshoot above the baseline during reperfusion while the 3 h group continued to have lower [HbO(2)] than baseline. We found a significant correlation between the elapsed time from tourniquet release to the first recovery peak of [HbO(2)] and the muscle weight ratio between tourniquet and contralateral limb muscles (R = 0.86). Hemodynamic patterns from non-invasive CWNIRS demonstrated significant differences between 2 h and 3 h I/R. The results demonstrate that CWNIRS may be useful as a non-invasive prognostic tool for conditions involving vascular compromise such as extremity compartment syndrome.

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Long-term posaconazole treatment and follow-up of rhino-orbital-cerebral mucormycosis in a diabetic girl.
MED 09-32 200918828793 NDN- 230-0979-2326-5

AUTHORS- Tarani, Luigi; Costantino, Francesco; Notheis, Gundula; Wintergerst, Uwe; Venditti, Mario; Di Biasi, Claudio; Friederici, Donata; Pasquino, Anna Maria

JOURNAL NAME- Pediatr Diabetes
VOLUME 10
NUMBER 4
PUBLICATION DATE- 2009 Jun
PP 289-93
DOCUMENT TYPE- Journal Article
JOURNAL CODE- 100939345
JOURNAL SUBSET- MEDJSIM
ISSN- 1399-5448
CORPORATE AUTHOR- Pediatric Department, University La Sapienza, Rome, Italy. luigi.tarani@uniroma1.it
PUBLICATION COUNTRY- Denmark
LANGUAGE- English

To demonstrate that the 2-yr clinical follow-up of our patient strongly suggests that long-term therapy with posaconazole (POS) is safe and beneficial in treatment and prevention of relapses of, otherwise fatal, central nervous system mucormycosis. Mucormycosis is a very rare opportunistic mycotic infection of diabetic children. We present the 30-month follow-up of a 12-yr-old girl affected by diabetic ketoacidotic coma, complicated by rhinocerebral mucormycosis and successfully treated with POS at the initial daily dose of 5 mg/kg t.i.d. with fatty food for 3 wk, followed by a daily dose of 10 mg/kg in four doses for 2 months and then 20 mg/kg/d in four doses for 16 months and in two doses for further 5 months. The previous amphotericin B, granulocyte colony-stimulating factor, hyperbaric oxygen and nasal and left maxillary sinus surgical debridement therapy was ineffective in stopping the progression of the infection to the brain. The patient improved within 10 d with reduced ocular swelling and pain, and 6 months after therapy stop, she is in good health and cultures are sterile. This article demonstrates that POS may be a useful drug in mucormycosis in children. We also strongly draw the attention to the main preventive procedure against invasive fungal infection that is the correct management of antidiabetic therapy that prevents the predisposing temporary neutrophils activity deficit, contributing to a better survival rate of diabetic children.

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Hyperbaric oxygen pretreatment according to the gas micronuclei denucleation hypothesis reduces neurologic deficit in decompression sickness in rats.

Katsenelson K, Arieli R, Arieli Y, Abramovich A, Feinsod M, Tal D.

Israel Naval Medical Institute.

J Appl Physiol. 2009 May 21.

During sudden or too rapid decompression, gas is released within supersaturated tissues in the form of bubbles, the cause of decompression sickness (DCS). It is widely accepted that these bubbles originate in the tissue from preexisting gas micronuclei. Pretreatment with hyperbaric oxygen (HBO) has been hypothesized to shrink the gas micronuclei, thus reducing the number of emerging bubbles. The effectiveness of a new HBO pretreatment protocol on neurological outcome was studied in rats. This protocol was found to carry the least danger of oxygen toxicity. Somatosensory evoked potentials (SSEPs) were chosen to serve as a measure of neurologic damage. SSEPs in rats given HBO pretreatment before a dive were compared with SSEPs from rats not given HBO pretreatment and SSEPs from non-dived rats. The incidence of abnormal SSEPs in the animals subjected to decompression without pretreatment (1013 kPa for 32 min followed by decompression) was 78%. In the pretreatment group (HBO at 304 kPa for 20 min followed by exposure to 1013 kPa for 33 min and decompression) this was significantly reduced to 44%. These results call for further study of the pretreatment protocol in higher animals. Key words: diving, gas bubbles, gas micronuclei, somatosensory evoked potentials.

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Nursing home wound care: The case for hyperbaric medicine
INF 09-22 1732112041 NDN- 258-0195-6508-8

AUTHORS- Finn, Mary Pat

JOURNAL NAME- Long-Term Living
VOLUME 58
NUMBER 5
PUBLICATION DATE- 2009-05-01
PP 24,26-27
3 PAGES
DOCUMENT TYPE- Periodical
JOURNAL CODE- INUH
ISSN- 1940-9958
COPYRIGHT OWNER- Medquest Communications Inc. May 2009
SPECIAL FEATURE- Photographs
LANGUAGE- English

Given that wound care management is an essential element of nursing home care protocols, the industry is beginning to look to technology to assist in this constant war on wounds. One technology which is not new to healthcare but emerging as a treatment modality in nursing homes is hyperbaric oxygen therapy (HBOT), a method of administering pure oxygen at greater than atmospheric pressure. HBOT is used to treat a wide variety of conditions. Currently, Medicare approves the treatment of 15 conditions to include diabetic wounds, radiation tissue damage, osteomyelitis refractory, skin grafts and flaps, necrotizing soft tissue infections, crush injuries, acute traumatic ischemias, air or gas embolisms, carbon monoxide poisoning, smoke inhalation, decompression sickness, severe anemia, and cyanide poisoning. A paradigm shift needs to take place in the nursing home industry. The technology is available to make 21st-century wound care available in the long-term care setting.

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Paradoxal gazous embolism in hepatic trauma. Contribution of hyperbaric oxygenotherapy.

[Article in French]

Ann Fr Anesth Reanim. 2009 Jun 2.

Thuile C, Buys S, Idabouk L, Sanchez P, Genestal M.

Service de réanimation polyvalente, CHU de Toulouse-Purpan, place du Docteur-Baylac, TSA 70034, 31059 Toulouse cedex 9, France.

A young man was admitted for a polytraumatism associating head trauma and blunt abdominal trauma with hepatic injury. He was managed with a damage control surgery with a perihepatic packing. During the second look surgery, he developed a paradoxal gazous embolism by air aspiration in the sus-hepatic vein. This has never been described before in such traumatism. The patient presented a respiratory distress, a circulatory shock due to right infarction and an intracranial hypertension with bilateral mydriasis. He was immediately treated by hyperbaric oxygenotherapy. The evolution was good and he recovered without sequelae.

PMID: 19497704

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Pharmacokinetic investigation of increased efficacy against malignant gliomas of Carboplatin combined with hyperbaric oxygenation.
MED 09-31 200919465788 NDN- 230-0973-8146-4

AUTHORS- Suzuki, Yu; Tanaka, Katsuyuki; Negishi, Daisuke; Shimizu, Makiko; Yoshida, Yasuyuki; Hashimoto, Takuo; Yamazaki, Hiroshi

JOURNAL NAME- Neurol Med Chir (Tokyo)
VOLUME 49
NUMBER 5
PUBLICATION DATE- 2009 May
PP 193-7
DOCUMENT TYPE- Journal Article
JOURNAL CODE- 0400775
JOURNAL SUBSET- MEDJSIM
ISSN- 1349-8029
CORPORATE AUTHOR- Department of Neurosurgery, St. Marianna University School of Medicine.
PUBLICATION COUNTRY- Japan
LANGUAGE- English

The efficacy of intravenous administration of 400 mg carboplatin/m(2) body surface area over 60 minutes combined with hyperbaric oxygenation (HBO) therapy (0.2 MPa for 60 min) was investigated in 6 Japanese patients (aged 36-67 years) with malignant or brainstem gliomas. Plasma ultra-filtrate samples were analyzed by high-performance liquid chromatography to evaluate the relationship between efficacy and pharmacokinetics. Brain tumor response was evaluated by magnetic resonance imaging as a function of maximum plasma concentration, area under the curve, or mean residence time (MRT) for carboplatin. The MRT for carboplatin in the complete or partial response group (mean +/- standard deviation 4.3 +/- 1.7 hrs; 6 courses in 3 patients) was significantly longer (p < 0.05) than that in the progressive disease group (2.4 +/- 0.1 hrs; 3 courses in 3 patients), but maximum plasma concentration and area under the curve showed no differences. These results suggest that HBO therapy prolongs the biological residence time of carboplatin. MRT for carboplatin may be useful for predicting continuation or modification of chemotherapy and/or clinical antitumor effects in patients with malignant gliomas.

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Recent advances in the management of mucormycosis: from bench to bedside.
MED 09-31 200919435437 NDN- 230-0975-8641-9

AUTHORS- Spellberg, Brad; Walsh, Thomas J; Kontoyiannis, Dimitrios P; Edwards, John; Ibrahim, Ashraf S

JOURNAL NAME- Clin Infect Dis
VOLUME 48
NUMBER 12
PUBLICATION DATE- 2009 Jun 15
PP 1743-51
DOCUMENT TYPE- Journal Article; Research Support, N.I.H., Extramural; Research Support, N.I.H., Intramural
JOURNAL CODE- 9203213
JOURNAL SUBSET- MEDJSIM
ISSN- 1537-6591
CORPORATE AUTHOR- Division of Infectious Diseases, Los Angeles Biomedical Research Institute at Harbor-University of California at Los Angeles Medical Center, 1124 West Carson St., RB2, Torrance, CA 90502, USA. bspellberg@labiomed.org
CONTRACT OR GRANT NUMBER- R01 AI063503.AI.NIAID NIH HHS; R21 AI064716.AI.NIAID NIH HHS
PUBLICATION COUNTRY- United States; United States; United States
LANGUAGE- English

Recent therapeutic advances have the potential to improve outcomes of mucormycosis. Lipid formulations of amphotericin B (LFAB) have evolved as the cornerstone of primary therapy for mucormycosis. Posaconazole may be useful as salvage therapy, but it cannot be recommended as primary therapy for mucormycosis on the basis of available data. Preclinical and limited retrospective clinical data suggest that combination LFAB-echinocandin therapy may improve survival during mucormycosis. A definitive trial is needed to confirm these results. Combination therapy with LFAB and the iron chelator, deferasirox, also improved outcomes in animal models of mucormycosis. In contrast, combination polyene-posaconazole therapy was of no benefit in preclinical studies. Adjunctive therapy with recombinant cytokines, hyperbaric oxygen , and/or granulocyte transfusions can be considered for selected patients. Early initiation of therapy is critical to maximizing outcomes; recent developments in polymerase chain reaction technology are advancing early diagnostic strategies. Prospective, randomized clinical trials are needed to define optimal management strategies for mucormycosis.

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Retinal artery embolization during carotid angioplasty and carotid artery stenting.
MED 09-31 200919465793 NDN- 230-0973-8151-4

AUTHORS- Yamasaki, Hiroyuki; Matsubara, Shunji; Sasaki, Isao; Nagahiro, Shinji

JOURNAL NAME- Neurol Med Chir (Tokyo)
VOLUME 49
NUMBER 5
PUBLICATION DATE- 2009 May
PP 213-6
DOCUMENT TYPE- Journal Article
JOURNAL CODE- 0400775
JOURNAL SUBSET- MEDJSIM
ISSN- 1349-8029
CORPORATE AUTHOR- Department of Neurosurgery, Mizunomiyako Hospital.
PUBLICATION COUNTRY- Japan
LANGUAGE- English

A 69-year-old man presented with a rare case of retinal artery embolization, which occurred as a complication of carotid angioplasty and carotid artery stenting performed for recurrent cerebral infarction. Magnetic resonance imaging and angiography showed right internal carotid artery stenosis with ulceration. Carotid angioplasty and carotid artery stenting were performed using the distal protection system with the PercuSurge GuardWire. However, just after dilation, the patient complained of ocular pain and blurred vision on the right, which was subsequently diagnosed as retinal artery embolization. Heparin was given for 15 hours after stenting, and aspirin and ticlopidine medication were continued. The patient received hyperbaric oxygen therapy for 1 week. The patient’s blurred vision gradually improved, but visual field defect remained. Debris was probably flushed into the external carotid artery, and passed through an anastomosis into the ophthalmic artery, resulting in retinal artery embolization.

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Possible application of hyperbaric oxygen technology in the management of urogenital and renal diseases.

Al-Waili NS, Butler GJ, Lee BY, Cary Z, Petrillo R.

Life Support Technology Groups, Chronic Wound Care and Hyperbaric Center, Mount Vernon Hospital, Sound Shore Health System; Department of Medicine, Mount Vernon Hospital; and Department of Surgery, New York Medical College, Westchester, New York, USA.

J Med Eng Technol. 2009 May 29:1-9.

The purpose of this report is to explore possible therapeutic use of hyperbaric oxygen (HBO(2)) technology on renal and urogenital diseases. HBO(2) reduces inflammation, immunity and inflammatory cytokines, stimulates wound repair and angioneogenesis, maintains tissue oxygenation, increases antioxidant enzymes and heals tissue hypoxia and radionecrosis. A literature review of peer-reviewed articles that address HBO(2), genitourological diseases, renal disease, and dialysis was performed. The paper reviews complications of renal diseases, dialysis, clinical applications of HBO(2), and effect of HBO(2) on renal and urogenital diseases. HBO(2) was used successfully to treat calcific uraemic arteriolopathy, and in many cases of acute renal failure. This technique is particularly useful in the treatment of intractable haemorrhagic cystitis secondary to pelvic radiation therapy and Fournier’s gangrene. Clearly HBO(2) might play a role in the management of urogenital diseases, urinary bladder dysfunction and diseases, testicular pathology, renal diseases, and post-traumatic ischaemic injury and/or impaired wound healing and infections. The possible role of HBO(2) for autoimmune diseases, uraemic osteodystrophy or neuropathy due to chronic renal diseases is discussed. The clinical application of this technology is expanding and the various biological influences of HBO(2) encourage testing its possible benefit in renal and urological diseases.

PMID: 19484683 [PubMed - as supplied by publisher]

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Rationale of Hyperbaric Oxygenation in Cerebral Vascular Insult.

Fischer BR, Palkovic S, Holling M, Wölfer J, Wassmann H.

Department of Neurosurgery University Hospital of Muenster, D-48129 Muenster, Germany. fischeb@mednet. uni-muenster. de.

Curr Vasc Pharmacol. 2010 Jan 1

Cerebrovascular diseases and especially ischemic stroke are a leading cause of death. They occur mostly due to an insufficient oxygen (O(2)) supply to the central neural tissue as a result of thromboembolic events and/or obstructive vessel disease. The primary damage of the brain tissue cannot be restored. However, adequate therapy could minimize secondary impairment of brain tissue and restore neuronal function in the so-called “penumbra region”. Apart from reopening occluded vessels, additional O(2) supply is essential for survival of malfunctioning neural tissue. Breathing of 100% O(2) under hyperbaric conditions, hyperbaric oxygenation (HBO), is the only method to increase the O(2) concentration in tissue with impaired blood supply. Experimental as well as clinical studies have reported a positive effect of HBO therapy. Survival rate has increased under HBO therapy and neurological outcome has improved. The optimal levels of pressure as well as duration and numbers of HBO sessions need to be specified to avoid undesirable effects. Unfortunately, many questions remain unanswered before routinely recommending HBO as additional therapy in clinical practice. In this review we consider the (patho-)physiologic al background of HBO-therapy, the latest results of experimental and clinical studies and stress the evidence in patients with cerebrovascular disease.

PMID: 19485935

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May 5, 2009

Blood Donations and Diving

Filed under: Uncategorized — admin @ 4:48 pm

Divers often donate blood and need to know when to resume diving. This article is meant to provide information to help answer those questions. This information should apply to any type of diving since the effect depends on the hemoglobin in the red blood cell mass rather than the partial pressures of gases.

How long must a diver wait after blood donation before diving?

The donor’s body replenishes the fluid lost from donation in 24 hours. If not anemic (Hgb<12 Gm/dl)a person can dive in 24 hours after blood donation. It may take up to two months to replace the lost red blood cells. Whole blood can be donated once every eight weeks. The most important part of the blood to the diver is the red blood cell, responsible for the transport of oxygen to the tissues. The fluid part of blood is replenished in about one day. If the diver waits 24 hours and has a normal hematocrit, then diving should be allowed.

Red blood cells are perhaps the most recognizable component of whole blood. Red blood cells contain hemoglobin, a complex iron-containing protein that carries oxygen throughout the body and gives blood its red color. The percentage of blood volume composed of red blood cells is called the “hematocrit.” The average hematocrit in an adult male is 47 percent. There are about one billion red blood cells in two to three drops of blood, and, for every 600 red blood cells, there are about 40 platelets and one white cell. Manufactured in the bone marrow, red blood cells are continuously being produced and broken down. They live for approximately 120 days in the circulatory system and are eventually removed by the spleen.

Is there a way to donate blood products and still be able to dive immediately?

Yes, through apheresis. This is the process of removing a specific component of the blood, such as platelets, and returning the remaining components, such as red blood cells and plasma, to the donor. This process allows more of one particular part of the blood to be collected than could be separated from a unit of whole blood. Apheresis is also performed to collect plasma (liquid part of the blood) and granulocytes (white blood cells).

Is there a way to shorten the time interval before red blood cell replenishment after blood donation?

Yes – Approximately 10 percent of body iron stores are removed with each donation. When appropriate, iron supplements can be prescribed for patients making donations to help increase red blood cell count. Erythropoietin, a hormone, can also be given to stimulate the bone marrow into producing more red blood cells.


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