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Effect of in-water recompression with oxygen to 6 msw versus normobaric oxygen breathing on bubble formation in divers 2009 Ecole de Plongee Marine Nationale, 83800 Toulon Armees, France. je.blatteau@infonie.fr
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
European journal of applied physiology
Periodical, Abbrev.
Eur.J.Appl.Physiol.
Pub Date Free Form
Jul
Volume
106
Issue
5
Start Page
691
Other Pages
695
Notes
LR: 20131121; JID: 100954790; 059QF0KO0R (Water); S88TT14065 (Oxygen); 2009/04/15 [accepted]; 2009/05/08 [aheadofprint]; ppublish
Place of Publication
Germany
ISSN/ISBN
1439-6327; 1439-6319
Accession Number
PMID: 19424716
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; IM
DOI
10.1007/s00421-009-1065-y [doi]
Output Language
Unknown(0)
PMID
19424716
Abstract
It is generally accepted that the incidence of decompression sickness (DCS) from hyperbaric exposures is low when few or no bubbles are present in the circulation. To date, no data are available on the influence of in-water oxygen breathing on bubble formation following a provocative dive in man. The purpose of this study was to compare the effect of post-dive hyperbaric versus normobaric oxygen breathing (NOB) on venous circulating bubbles. Nineteen divers carried out open-sea field air dives at 30 msw depth for 30 min followed by a 9 min stop at 3 msw. Each diver performed three dives: one control dive, and two dives followed by 30 min of hyperbaric oxygen breathing (HOB) or NOB; both HOB and NOB started 10 min after surfacing. For HOB, divers were recompressed in-water to 6 msw at rest, whereas NOB was performed in a dry room in supine position. Decompression bubbles were examined by a precordial pulsed Doppler. Bubble count was significantly lower for post-dive NOB than for control dives. HOB dramatically suppressed circulating bubble formation with a bubble count significantly lower than for NOB or controls. In-water recompression with oxygen to 6 msw is more effective in removing gas bubbles than NOB. This treatment could be used in situations of "interrupted" or "omitted" decompression, where a diver returns to the water in order to complete decompression prior to the onset of symptoms. Further investigations are needed before to recommend this protocol as an emergency treatment for DCS.
Descriptors
Adult, Decompression/adverse effects, Decompression Sickness/physiopathology/prevention & control, Diving/physiology, Embolism, Air/prevention & control, Humans, Hyperbaric Oxygenation/methods, Immersion, Male, Middle Aged, Osmolar Concentration, Oxygen/pharmacology/therapeutic use, Oxygen Consumption/physiology, Respiration, Water, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Blatteau,J. E., Pontier,J. M.
Original/Translated Title
URL
Date of Electronic
20090508
PMCID
Editors
Ascent rate, age, maximal oxygen uptake, adiposity, and circulating venous bubbles after diving 2002 Faculte des Sciences du Sport, Luminy, 13009 Marseille, France. carturan@wanadoo.fr
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of applied physiology (Bethesda, Md.: 1985)
Periodical, Abbrev.
J.Appl.Physiol.(1985)
Pub Date Free Form
Oct
Volume
93
Issue
4
Start Page
1349
Other Pages
1356
Notes
LR: 20130926; JID: 8502536; ppublish
Place of Publication
United States
ISSN/ISBN
8750-7587; 0161-7567
Accession Number
PMID: 12235035
Language
eng
SubFile
Journal Article; IM
DOI
10.1152/japplphysiol.00723.1999 [doi]
Output Language
Unknown(0)
PMID
12235035
Abstract
Decompression sickness in diving is recognized as a multifactorial phenomenon, depending on several factors, such as decompression rate and individual susceptibility. The Doppler ultrasonic detection of circulating venous bubbles after diving is considered a useful index for the safety of decompression because of the relationship between bubbles and decompression sickness risk. The aim of this study was to assess the effects of ascent rate, age, maximal oxygen uptake (VO(2 max)), and percent body fat on the production of bubbles after diving. Fifty male recreational divers performed two dives at 35 m during 25 min and then ascended in one case at 9 m/min and in the other case at 17 m/min. They performed the same decompression stops in the two cases. Twenty-eight divers were Doppler monitored at 10-min intervals, until 60 min after surfacing, and the data were analyzed by Wilcoxon signed-rank test to compare the effect of ascent rate on the kinetics of bubbles. Twenty-two divers were monitored 60 min after surfacing. The effect on bubble production 60 min after surfacing of the four variables was studied in 47 divers. The data were analyzed by multinomial log-linear model. The analysis showed that the 17 m/min ascent produced more elevated grades of bubbles than the 9 m/min ascent (P < 0.05), except at the 40-min interval, and showed relationships between grades of bubbles and ascent rate and age and interaction terms between VO(2 max) and age, as well as VO(2 max) and percent body fat. Younger, slimmer, or aerobically fitter divers produced fewer bubbles compared with older, fatter, or poorly physically fit divers. These findings and the conclusions of previous studies performed on animals and humans led us to support that ascent rate, age, aerobic fitness, and adiposity are factors of susceptibility for bubble formation after diving.
Descriptors
Adipose Tissue/anatomy & histology, Adult, Aging/physiology, Decompression, Diving/adverse effects, Embolism, Air/etiology, Humans, Kinetics, Male, Middle Aged, Oxygen Consumption, Time Factors, Ultrasonography, Doppler
Links
Book Title
Database
Publisher
Data Source
Authors
Carturan,D., Boussuges,A., Vanuxem,P., Bar-Hen,A., Burnet,H., Gardette,B.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Nicotine content in tobacco used in hubble-bubble smoking 2004 Hadidi, K.A., Forensic Med./Toxicology Division, Faculty of Medicine, University of Jordan, Amman 11942, Jordan
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Saudi medical journal
Periodical, Abbrev.
Saudi Med.J.
Pub Date Free Form
/
Volume
25
Issue
7
Start Page
912
Other Pages
917
Notes
Place of Publication
ISSN/ISBN
0379-5284
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Objective: To determine the nicotine content of commonly used tobacco in hubble-bubble (HB) and compare it with that found in cigarettes. Methods: Analysis of nicotine content of 13 commercial brands of HB tobacco was carried out using gas chromatography over an 8 month period; November 2002 through to June 2003 at the Toxicology Laboratory, University of Jordan. Results: A wide variation in nicotine content in all brands was noticed with an average of 8.32 mg/g tobacco, range (1.8-44.3 mg/g). The average nicotine content in each HB head (20 gm) of unflavored tobacco was (713mg/head) and flavored tobacco has (67mg/head). One head of unflavored tobacco has nicotine equivalent to 70 regular cigarettes. The addition of adulterations; honey, glycerin and other flavors in the process of preparing the flavored (Mua'sel) tobacco contributes to lowering the nicotine content in each gram of flavored tobacco. Smoking one head of flavored (Mua'sel) tobacco which contains on average one third of nicotine presented in 20 cigarettes (204mg/pack) usually resulted in a higher plasma nicotine level by 20%. Conclusion: Hubble-bubble smokers are not at a lesser risk from smoking than cigarette smokers in relation to nicotine dependence. The inability of water to trap significant amounts of chemical substances present in tobacco (especially nicotine) and the danger which might result from the combustion of additives like; glycerin, honey and other flavors could be a very important factor to extrapolate the damage resulting from HB smoking.
Descriptors
flavoring agent, glycerol, nicotine, article, blood level, chemical analysis, chemical composition, smoking, clinical laboratory, combustion, controlled study, flavor, gas chromatography, honey, Jordan, risk assessment, tobacco dependence, toxicology, university
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Hadidi,K. A., Mohammed,F. I.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Presence of dipalmitoylphosphatidylcholine from the lungs at the active hydrophobic spots in the vasculature where bubbles are formed on decompression 2016 Israel Naval Medical Institute rarieli@netvision.net.il.; Department of Oxidative Stress and Human Diseases, MIGAL - Galilee Research Institute and Tel Hai College, Kiryat Shmona.; Department of Oxidative Stress and Human Diseases, MIGAL - Galilee Researc
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of applied physiology (Bethesda, Md.: 1985)
Periodical, Abbrev.
J.Appl.Physiol.(1985)
Pub Date Free Form
11-Aug
Volume
Issue
Start Page
jap.00649.2016
Other Pages
Notes
LR: 20160812; CI: Copyright (c) 2016; JID: 8502536; OTO: NOTNLM; 2016/08/10 [accepted]; 2016/07/19 [received]; aheadofprint; SO: J Appl Physiol (1985). 2016 Aug 11:jap.00649.2016. doi: 10.1152/japplphysiol.00649.2016.
Place of Publication
ISSN/ISBN
1522-1601; 0161-7567
Accession Number
PMID: 27516538
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
10.1152/japplphysiol.00649.2016 [doi]
Output Language
Unknown(0)
PMID
27516538
Abstract
Most severe cases of decompression illness (DCI) are caused by vascular bubbles. We showed that there are active hydrophobic spots (AHS) on the luminal aspect of ovine blood vessels where bubbles are produced after decompression. It has been suggested that AHS may be composed of lung surfactant. Dipalmitoylphosphatidylcholine (DPPC) is the main component of lung surfactants. Blood samples and four blood vessels, the aorta, superior vena cava, pulmonary vein and pulmonary artery, were obtained from 11 slaughtered sheep. Following exposure to 1013 kPa for 20.4 h, we started photographing the blood vessels 15 min after the end of decompression for a period of 30 min, to determine AHS by observing bubble formation. Phospholipids were extracted from AHS and from control tissue and plasma for determination of DPPC. DPPC was found in all blood vessel samples and all samples of plasma. The concentration of DPPC in the plasma samples (n = 8) was 2.04+/-0.90 microg/ml. The amount of DPPC in the AHS which produced four or more bubbles (n = 16) was 1.59+/-0.92 microg. This was significantly higher than the value obtained for AHS producing less than four bubbles and for control samples (n = 19) (0.97+/-0.61 microg, P = 0.027). DPPC leaks from the lungs into the blood, settling on the luminal aspect of the vasculature to create AHS. Determining the constituents of the AHS might pave the way for their removal, resulting in a dramatic improvement in diver safety.
Descriptors
Links
Book Title
Database
Publisher
Journal of Applied Physiology
Data Source
Authors
Arieli,R., Khatib,S., Vaya,J.
Original/Translated Title
URL
Date of Electronic
20160811
PMCID
Editors
Patent foramen ovale and the risk of paradoxical embolization of venous bubbles in divers - cave for foam sclerotization of varicose veins 2012 Kardiologicka klinika. jakub.honek@gmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti
Periodical, Abbrev.
Rozhl.Chir.
Pub Date Free Form
Jul
Volume
91
Issue
7
Start Page
378
Other Pages
380
Notes
JID: 9815441; ppublish
Place of Publication
Czech Republic
ISSN/ISBN
0035-9351; 0035-9351
Accession Number
PMID: 23078256
Language
cze
SubFile
English Abstract; Journal Article; IM
DOI
38891 [pii]
Output Language
Unknown(0)
PMID
23078256
Abstract
INTRODUCTION: Foam sclerotization of varicose veins may cause paradoxical embolization through patent foramen ovale (PFO). The aim of our study was to: 1) select an optimal screening method for the detection of PFO; 2) determine the prevalence of PFO in a non-selected population; and 3) test the risk of paradoxical embolization of venous bubbles in patients with PFO. MATERIALS AND METHODS: A diver after decompression is a suitable model for determining the risk of paradoxical embolization of venous gas bubbles. 329 Czech divers were screened for PFO. In a pilot study, we compared Transcranial Doppler Sonography (TCD) with Transesophageal Echocardiography (TEE) in 100 patients. TCD alone was used for further screening. In 31 divers with PFO, nitrogen bubbles were detected after simulated dives. Transthoracic Echocardiography (TTE) was used to detect venous bubbles in right-sided heart chambers; TTE and TCD were used to detect arterial bubbles. The right-to-left shunt was rated as non-significant (
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Honek,J., Honek,T., Januska,J., Sebesta,P., Novotny,S., Sefc,L., Fiedler,J., Sramek,M., Horvath,M., Parobkova,M.
Original/Translated Title
Perzistence foramen ovale patens a riziko paradoxni embolizace zilnich bublin u potapecu - cave pro sklerotizaci varixu penovou metodou
URL
Date of Electronic
PMCID
Editors
Bubble formation and decompression sickness on direct ascent from shallow air saturation diving 1993 Maritime Self-Defense Force, Undersea Medical Center, Yokosuka, Japan.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Aviation, Space, and Environmental Medicine
Periodical, Abbrev.
Aviat.Space Environ.Med.
Pub Date Free Form
Feb
Volume
64
Issue
2
Start Page
121
Other Pages
125
Notes
LR: 20041117; JID: 7501714; ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0095-6562; 0095-6562
Accession Number
PMID: 8431185
Language
eng
SubFile
Case Reports; Journal Article; IM; S
DOI
Output Language
Unknown(0)
PMID
8431185
Abstract
To find the minimum supersaturation pressure for detectable bubble formation and for contraction of decompression sickness (DCS), three shallow air saturation dives at the depth of 6 m, 7 m, and 8 m were performed. The ultrasonic M-mode method was used for detecting bubbles. The exposure period was 3 d for all dives. Ten subjects were compressed to both 6 m and 7 m, and nine subjects were compressed to 8 m. One bubble streak was shown in the 6-m dive group. A small number of bubbles were seen in four subjects in the 7-m dive. All subjects in the 8-m dive presented various amounts of bubbles. DCS was not observed in the 6-m and 7-m dives. On the other hand, in the 8-m dive, four subjects suffered from DCS and required recompression treatment. The minimum depth for detectable bubble formation was assessed at around 6 m and the direct ascent from saturation at 8 m seems to have a high risk of DCS.
Descriptors
Adult, Decompression Sickness, Diving, Embolism, Air/etiology/ultrasonography, Humans, Male, Middle Aged
Links
Book Title
Database
Publisher
Data Source
Authors
Ikeda,T., Okamoto,Y., Hashimoto,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Predictions: hubble bubble. 1986 Naughtie, J.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nursing times
Periodical, Abbrev.
Nurs.Times
Pub Date Free Form
/
Volume
82
Issue
1
Start Page
18
Other Pages
19
Notes
Place of Publication
ISSN/ISBN
0954-7762
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
article, human, national health service, politics, United Kingdom
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Naughtie,J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Narghile (hubble-bubble) smoking, low birth weight, and other pregnancy outcomes 1998 Nuwayhid, I.A., American University of Beirut, New York, NY 10022, United States
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Epidemiology
Periodical, Abbrev.
Am.J.Epidemiol.
Pub Date Free Form
1998/08
Volume
148
Issue
4
Start Page
375
Other Pages
383
Notes
Place of Publication
ISSN/ISBN
0002-9262
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Narghile smoking, a common habit among women in many non-Western societies, is assumed by the public to be minimally harmful. This study aims at identifying the effect of smoking narghiles during pregnancy on the weight of the newborn and other pregnancy outcomes. Three groups of pregnant women were interviewed in several hospitals in Lebanon between 1993 and 1995: 106 who smoked narghiles during their pregnancy, 277 who smoked cigarettes, and 512 who did not smoke. The adjusted mean birth weight of babies born to women who smoked one or more narghiles a day during pregnancy and to women who started smoking in the first trimester was more than 100 g less than that of babies born to nonsmokers (p < 0.1). The adjusted odds ratio of having babies with low birth weight (<2,500 g) among the narghile smokers was 1.89 (95% confidence interval (CI) 0.67-5.38). The risk increased to 2.62 (95% CI 0.90- 7.66) among those who started smoking narghiles in the first trimester. A stronger association and a dose-response relation were found among cigarette smokers. The association between narghile smoking and other pregnancy outcomes, especially Apgar score and respiratory distress, was also noticeable. Further research and a policy action to fight the misperception that narghile smoking is safe are both recommended.
Descriptors
adult, Apgar score, article, controlled study, female, fetus outcome, human, Lebanon, low birth weight, major clinical study, respiratory distress, risk assessment, risk factor, smoking
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Nuwayhid,I. A., Yamout,B., Azar,G., Kambris,M. A. K.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Nargile (Hubble-Bubble) smoking-induced hand eczema 2002 Onder, M., Ankara, Turkey
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of dermatology
Periodical, Abbrev.
Int.J.Dermatol.
Pub Date Free Form
2002/11
Volume
41
Issue
11
Start Page
771
Other Pages
772
Notes
Place of Publication
ISSN/ISBN
0011-9059
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
corticosteroid, urea, aged, anamnesis, article, case report, clinical examination, diagnostic test, differential diagnosis, finger nail, hand eczema, hand injury, hand palm, human, index finger, palmoplantar keratoderma, leisure, microbiological examination, patch test, physical examination, smoking cessation, smoking habit, thumb, yeast
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Onder,M., Oztas,M., Arnavut,O.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carbon monoxide fractions in cigarette and hookah (hubble bubble) smoke. 1993 Sajid, K.M., Atomic Energy Medical Centre, Multan.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
JPMA.The Journal of the Pakistan Medical Association
Periodical, Abbrev.
J.Pak.Med.Assoc.
Pub Date Free Form
/
Volume
43
Issue
9
Start Page
179
Other Pages
182
Notes
Place of Publication
ISSN/ISBN
0030-9982
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
We studied the carbon monoxide (CO) fractions in hookah and cigarette smoke, using a carbon monoxide micro smokerlyzer (model EC50, BEDFONT, U.K.). Mean carbon monoxide fractions (% by volume) of hookah smoke, using domestic charcoal were 0.38 +/- 0.07 (large hookah; unfiltered); 1.40 +/- 0.43 (small hookah; unfiltered); 0.34 +/- 0.06 (large hookah; filtered); 1.36 +/- 0.35 (small hookah; filtered) and 0.41 +/- 0.08 (cigarette smoke). The highest fractions were obtained with small size hookah and increase in size of hookah (i.e., volume of air in water base, fire bowl volume, pipe length, etc.) reduced the CO fraction significantly (P < 0.001). The fractions of cigarette lie between large and small hookah. The fractions vary slightly with different varieties of tobacco, e.g., CO fractions with Dera wala tobacco are significantly low (P < 0.05). Use of commercial charcoal gives significant rise in CO fractions (P < 0.001). Comparison of filtered and unfiltered smoke shows no significant difference in values. We conclude that the CO hazard is as high with hookah smoking as with cigarette smoking.
Descriptors
carbon monoxide, article, plant, smoke, smoking, tobacco
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Sajid,K. M., Akhter,M., Malik,G. Q.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors