Publicaciones
Publicaciones científicas seleccionadas, sobre medicina y fisiología del buceo
2020 abr 17
Early Endothelial Dysfunction in Type 1 Diabetes Is Accompanied by an Impairment of Vascular Smooth Muscle
Elodie Lespagnol, Luc Dauchet, Mehdi Pawlak-Chaouch, Costantino Balestra, Serge Berthoin, Martin Feelisch, Matthieu Roustit, Julien Boissière, Pierre Fontaine, Elsa Heyman

Background: A large yet heterogeneous body of literature exists suggesting that endothelial dysfunction appears early in type 1 diabetes, due to hyperglycemia-induced oxidative stress. The latter may also affect vascular smooth muscles (VSM) function, a layer albeit less frequently considered in that pathology. This meta-analysis aims at evaluating the extent, and the contributing risk factors, of early endothelial dysfunction, and of the possible concomitant VSM dysfunction, in type 1 diabetes. Methods: PubMed, Web of Sciences, Cochrane Library databases were screened from their respective inceptions until October 2019. We included studies comparing vasodilatory capacity depending or not on endothelium (i.e., endothelial function or VSM function, respectively) in patients with uncomplicated type 1 diabetes and healthy controls.

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2017 jun 1
ECHM Consensus Conference and levels of evidence - Reply
Mathieu D., Marroni A., Kot J.

Dr Sherlock asks for clarification on the approach adopted by the European Committee on Hyperbaric Medicine (ECHM) to assessing evidence for establishing indications for hyperbaric oxygen treatment (HBOT). Firstly, regardless of the strict process of editing and proof-reading of tables included in the above-mentioned publication, we received comments from some readers that identified imperfect layout of Table 1 and incorrect layout of Table 2 which significantly changed the conclusions to be drawn from them. This concerned both the details of the methodology used and description of the ECHM recommendations and associated levels of evidence. Therefore, those tables are republished in their correct forms in this issue, hoping that this will explain at least some of the doubts and misunderstandings.

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2018 mar 27
Echocardiography is able to detect morphological and functional changes of the right heart in sport Scuba Divers
Pudil R, Horakova L, Rozloznik M & Balestra C.

Introduction: Scuba diving represents stressful event for cardiovascular system. Breathing with compressed air, hyperbaric environment and microbubbles formation are the main factors are the most influencing factors for pulmonary circulation. Hypothesis: The aim of the study was to evaluate the change in morphology and function of the right heart after scuba dive with compressed air.

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2018 dic 4
Editorial: Extreme Environments in Movement Science and Sport Psychology
Pierleoni P., Pernini L., Palma L., Belli A., Valenti S., Maurizi L., Sabbatini L. and Marroni A.

As a matter of fact, both dimensions are also well-linked together. Depending on those two parameters, hydration, gas partial pressures, effort, work of breathing, metabolism, gene expression and many other essential “ingredients” of human life and performance can vary widely. Human studies in extreme environments (altitude hypoxia, microgravity, hyperbaric, and terrestrial extreme climatic conditions) over the last decades have expanded knowledge in physiology, highlighting new routes of regulation, breaking previous old concepts, and …

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2012 jun 5
Effect of a single pool dive on pulmonary function in asthmatic and non-asthmatic divers
Ivkovic D, Markovic M, Todorovic BS, Balestra C, Marroni A, Zarkovic M.

INTRODUCTION: The aim of this study was to evaluate the effect of a single, shallow, swimming pool scuba dive on pulmonary function in divers with asthma as compared to controls. Opinions concerning the risks of diving with asthma are still contradictory and inconclusive in the diving community.

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