Selected scientific publications on diving medicine and physiology.

2009 Apr 5
Safety of recreational scuba diving in type 1 diabetic patients: the Deep Monitoring programme
Bonomo M1, Cairoli R, Verde G, Morelli L, Moreo A, Grottaglie MD, Brambilla MC, Meneghini E, Aghemo P, Corigliano G, Marroni A.

To verify whether, with thorough practical and theoretical training, well-controlled, non-complicated diabetic patients can safely go diving underwater with no additional medical or metabolic risks. METHODS: Twelve diabetic patients participated in the study after undergoing training focused on their diabetic status. Two dives per day were scheduled during two five-day stays on the island of Ventotene (Italy). Capillary blood glucose (BG) was checked at 60, 30 and 10 minutes before diving, and corrective measures adopted if necessary, based on BG absolute levels and dynamics. A device for continuous subcutaneous glucose monitoring (CGM), expressly modified for the purpose, was worn during dives.

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2009 Mar 3
Preventive effect of pre-dive hydration on bubble formation in divers
Gempp E, Blatteau JE, Pontier JM, Balestra C, Louge P.

OBJECTIVE: To investigate whether prehydration 90 min before a dive could decrease bubble formation, and to evaluate the consequent adjustments in plasma volume (PV), water balance and plasma surface tension (ST).

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2010 Jan 2
Pre-dive vibration effect on bubble formation after a 30-m dive requiring a decompression stop
Germonpré P1, Pontier JM, Gempp E, Blatteau JE, Deneweth S, Lafère P, Marroni A, Balestra C.

INTRODUCTION: The preconditioning of divers to reduce post-dive decompression sickness (DCS) has gained increased interest in diving medical research over the last few years. The beneficial effects of physical exercise, oxygen breathing, hyperbaric exposure, heat exposure, hyperhydration, or nitroglycerin administration before the dive are only a few examples of ongoing research. In this work, we investigated the effects of pre-dive whole-body vibration on post-dive bubble formation.

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2010 Sep 10
Evaluation of critical flicker fusion frequency and perceived fatigue in divers after air and enriched air nitrox diving
Lafère P, Balestra C, Hemelryck W, Donda N, Sakr A, Taher A, Marroni S, Germonpré P.

INTRODUCTION: Many divers report less fatigue following dives breathing enriched air nitrox (EANx) compared with breathing air. A reduction of post-dive fatigue with EANx would suggest a pathological origin, possibly the presence of asymptomatic nitrogen bubbles in the body after a dive.

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2010 Jan 2
Decompression illness medically reported by hyperbaric treatment facilities: cluster analysis of 1929 cases
Ozyigit T, Egi SM, Denoble P, Balestra C, Aydin S, Vann R, Marroni A.

INTRODUCTION: The term decompression illness (DCI) describes maladies resulting from inadequate decompression, but there is little consensus concerning clinically useful DCI subclasses. Our aim was to explore an objective DCI classification using multivariate statistics to assess naturally associated clusters of DCI manifestations. We also evaluated their mapping onto other DCI classifications and investigated the association with therapeutic outcome.

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