Tieteellisiä julkaisuja
Valikoituja tieteellisiä julkaisuja sukelluslääketieteestä ja -fysiologiasta.
2020 heinäkuuta 3
Association between Heart Rate Variability and decompression - induced physiological stress
Sergio Rhein Schirato, Ingrid El-Dash, Vivian El-Dash, Bruna Bizzarro, Massimo Pieri, Alessandro Marroni, Danilo Cialoni, José Guilherme Chaui-Berlinck

The purpose of this study was to analyze the correlation between decompression-related physiological stress markers, given by inflammatory processes and immune system activation and changes in Heart Rate Variability, evaluating whether Heart Rate Variability can be used to estimate the physiological stress caused by the exposure to hyperbaric environments and subsequent decompression. A total of 28 volunteers participated in the experimental protocol. Electrocardiograms were performed; blood samples were obtained for the quantification of red cells, hemoglobin, hematocrit, neutrophils, lymphocytes, platelets, aspartate transaminase (AST), alanine aminotransferase (ALT), and for immunophenotyping and microparticles (MP) research through Flow Cytometry, before and after each experimental protocol from each volunteer.

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2017 toukokuuta 21
Beneficial effect of enriched air nitrox on bubble formation during scuba diving. An open-water study
Brebeck AK., Deussen A., Range U., Balestra C., Cleveland S., Schipke JD.

Bubble formation during scuba diving might induce decompression sickness. This prospective randomised and double-blind study included 108 advanced recreational divers (38 females). Fifty-four pairs of divers, 1 breathing air and the other breathing nitrox28 undertook a standardised dive (24 ± 1 msw; 62 ± 5min) in the Red Sea. Venous gas bubbles were counted (Doppler) 30-<45 min (early) and 45-60 min (late) post-dive at jugular, subclavian and femoral sites. Only 7% (air) vs. 11% (air28®) (n.s.) were bubble-free after a dive. Independent of sampling time and breathing gas, there were more bubbles in the jugular than in the femoral vein. More bubbles were counted in the air-group than in the air28-group (pooled vein: early: 1845 vs. 948; P = 0.047, late: 1817 vs. 953; P = 0.088). The number of bubbles was sex-dependent. Lastly, 29% of female air divers but only 14% of male divers were bubble-free (P = 0.058). Air28® helps to reduce venous gas emboli in recreational divers. The bubble number depended on the breathing gas, sampling site and sex. Thus, both exact reporting the dive and in particular standardising sampling characteristics seem mandatory to compare results from different studies to further investigate the hitherto incoherent relation between inert gas bubbles and DCS.

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2009 toukokuuta 1
Bubble Detection on Left Atrium Related With Patent Foramen Ovale
Parlak I.B., Egi S.M., Ademoglu A., Germonpre P., Esen O.B., Aydin S., Tekin S., Balestra C., Marroni A., Ieee

Several illnesses such as paradoxical embolism, decompression sickness, migraine and cerebral ischemia are characterized by bubbles which might cross the septum wall between left and right atrium. In this study, we aimed to detect bubbles on echocardiographic frames which are segmented automatically using Snakes method. In recent studies, analyzes are done on fixed ROIs and PFO grading as well. We conclude that our approach would give more accurate results for bubble detection and counting by taking account into entire left atrium (LA) areas.

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2016 tammikuuta 1
CADDY Project, Year 2: The First Validation Trials
Mišković N., Pascoal A., Bibuli M., Caccia M., Neasham J. A., Birk A., Egi M., Grammer K., Marroni A., Vasilijević A., Vukić Z.

"CADDY - Cognitive Autonomous Diving Buddy" is an FP7 project that that is devoted to developing a cognitive underwater robotic system that will help divers during their activities in this hazardous environment. The envisioned resulting system will play a threefold role similar to those that a human buddy diver should have: buddy "observer", buddy "slave", and buddy "guide". During the second year of the project, validation trials were organized in Croatia with the purpose of testing all developed algorithms that will enable the three roles of the CADDY system. The trials were structured in five experiments. This paper is devoted to providing a concise overview of the conducted experiments and major results.

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2018 maaliskuuta 27
Cellular Glucose Uptake During Breath-Hold Diving in Experienced Male Breath-Hold Divers
Sponsiello N., Cialoni D., Pieri M., Marroni A.

Background: The physiological and pathophysiological mechanisms that govern diving, both self-contained underwater breathing apparatus (SCUBA) and breath-hold diving (BH-diving), are in large part well known, even if there are still many unknown aspects, in particular about cell metabolism during BH-diving. The scope of this study was to investigate changes in glycemia, insulinemia, and the catecholamine response to BH-diving, to better understand if the insulin-stimulated glucose uptake mechanism is involved in cellular metabolism in this sport. Methods: Twenty male experienced healthy breath-hold divers were studied. Anthropometric information was obtained. Glycemia, insulinemia, and catecholamine response were investigated before and after the series of BH-diving. Results

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