Selected scientific publications on diving medicine and physiology.

2018 Dec 4
An innovative WebRTC solution for e-Health services
Pierleoni P., Pernini L., Palma L., Belli A., Valenti S., Maurizi L., Sabbatini L. and Marroni A.

Solutions and services for e-Health and telemedicine are constantly spreading and becoming increasingly important in the health area thanks to last innovations in electronics, informatics and telecommunications. This work proposes an innovative service for the e-Health oriented to the maximum ease of use and to the sharing of vital signs. The proposal consists in a tele-counseling service based on the WebRTC technology that allows any person residing remotely from medical staff or hospital to directly interact with them.

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2009 Jan 1
An Introduction to Clinical Aspect of Decompression Illness (DCI)
Balestra C.

Decompression Illness (DCI), Decompression Sickness (DCS), Dysbaric Illness (DI), disorder, syndrome are terms associated with the clinical signs or symptoms originally generated by a reduction of absolute pressure surrounding the patient. For 100 years the definition of the “disease” is a matter of “disputes” or “consensi”. We understand nowadays that it is not enough to know how to cure evident clinical manifestations, but also to reduce or virtually eliminate the primary physical cause for the physiological damages: the gas separation phase from saturated tissues – stationary or circulating bubbles.

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2010 Apr 1
Automatic bubble detection with neural networks on post decompression frames
Parlak I.B., Egi S.M., Ademoglu A., Balestra C., Germonpre P., Marroni A., Aydin S

Post decompression records in echocardiography are considered to detect micro bubbles and to survey unexplained decompression sickness which is commonly examined by standardized methods such as dive computers and tables. In this study, existent bubbles are detected on transthoracic echicardiografic frames recorded after recreational diving. Bubble detection is performed by Artificial Neural Networks which are trained using bubbles with different morphologies. We showed that bubbles would be detected on four cardiac chambers without image segmentation.

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2017 Aug 2
Patent Foramen Ovale (PFO), personality traits, and iterative decompression sickness. Retrospective analysis of 209 cases
Lafère P., Balestra C., Caers D., Germonpré P.

Introduction: There is a need to evaluate the influence of risk factors such as patency of foramen ovale (PFO) or “daredevil” psychological profile on contra-indication policy after a decompression sickness (DCS). Methods: By crossing information obtained from Belgian Hyperbaric Centers, DAN Emergency Hotline, the press, and Internet diving forums, it was possible to be accountable for the majority if not all DCS, which have occurred in Belgium from January 1993 to June 2013.

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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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