Skip to main content
Title Sort descending Pub Year Author SearchLink
Five-year trends of second-hand smoke exposure in Greece: a comparison between complete, partial, and prelegislation levels 2012 Center for Global Tobacco Control, Division of Society, Human Development and Health, Harvard School of Public Health, Boston, MA 02115, USA. vardavas@hsph.harvard.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of aerosol medicine and pulmonary drug delivery
Periodical, Abbrev.
J.Aerosol Med.Pulm.Drug Deliv.
Pub Date Free Form
Dec
Volume
25
Issue
6
Start Page
349
Other Pages
354
Notes
JID: 101475057; 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); 2012/03/06 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1941-2703; 1941-2711
Accession Number
PMID: 22393905
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; T
DOI
10.1089/jamp.2011.0949 [doi]
Output Language
Unknown(0)
PMID
22393905
Abstract
BACKGROUND: Our aim was to assess second-hand smoke (SHS) exposure in hospitality venues after the smoke-free legislation implemented in September 2010 in Greece and to compare with when a partial ban was in place and in 2006 when no ban was in place. METHODS: Hospitality venues were prospectively assessed for their indoor concentrations of particulate matter (PM(2.5)) during the partial ban phase (n=149) and the complete ban phase (n=120, 80% followed up), while overall and matched by venue comparisons were also performed (no ban vs. partial ban vs. complete ban). Comparisons with previously collected data in 2006 when no ban was in place also was performed. RESULTS: Indoor air levels of PM(2.5) attributable to SHS dropped following the transition from a partial to a complete ban by 34% (137 mug/m(3) vs. 90 mug/m(3), p=0.003). This drop was larger in bars (from 195 mug/m(3) to 121 mug/m(3)), than in cafes (124 mug/m(3) vs. 87 mug/m(3)) or restaurants (42 mug/m(3) vs. 39 mug/m(3)). PM(2.5) concentrations between 2006 (no ban) and the partial ban of 2010 were also found to decrease by 94 mug/m(3); however, among matched venues, the levels of indoor air pollution were not found to change significantly (218 mug/m(3) vs. 178 mug/m(3), p=0.58). Comparing the 2010 complete ban results (n=120) with previously collected data from 2006 when no ban was in place (n=43), overall PM(2.5) concentrations were found to fall from 268 mug/m(3) to 89 mug/m(3), while a matched analysis found a significant reduction in PM(2.5) concentrations (249 mug/m(3) vs. 46 mug/m(3), p=0.011). CONCLUSION: The complete ban of smoking in hospitality venues in Greece led to a reduction in SHS exposure, in comparison to when the partial ban or no ban was in place; however, exposure to SHS was not eliminated indicating the need for stronger enforcement.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Vardavas,C.I., Anagnostopoulos,N., Patelarou,E., Minas,M., Nakou,C., Dramba,V., Giourgouli,G., Bagkeris,E., Gourgoulianis,K., Pattaka,P., Antoniadis,A., Lionis,C., Bertic,M., Dockery,D., Connolly,G.N., Behrakis,P.K.
Original/Translated Title
URL
Date of Electronic
20120306
PMCID
Editors
Flavored cigar smoking among U.S. adults: findings from the 2009-2010 National Adult Tobacco Survey 2013 Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention Atlanta, GA 30341, USA. baking@cdc.gov
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Feb
Volume
15
Issue
2
Start Page
608
Other Pages
614
Notes
JID: 9815751; 2012/08/27 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 22927687
Language
eng
SubFile
Journal Article; IM
DOI
10.1093/ntr/nts178 [doi]
Output Language
Unknown(0)
PMID
22927687
Abstract
INTRODUCTION: Under its authority to regulate tobacco products, the U.S. Food and Drug Administration prohibited certain characterizing flavors in cigarettes in September 2009; however, flavored cigars are still permitted to be manufactured, distributed, and sold. This study assessed the prevalence and correlates of flavored cigar smoking among U.S. adults. METHODS: Data were obtained from the 2009-2010 National Adult Tobacco Survey, a national landline and cell phone survey of adults aged >/= 18 years old residing in the 50 U.S. states and the District of Columbia. National and state estimates of flavored cigar use were calculated overall and among current cigar smokers; national estimates were calculated by sex, age, race/ethnicity, educational attainment, annual household income, U.S. Census Region, and sexual orientation. RESULTS: The national prevalence of flavored cigar smoking was 2.8% (95% confidence interval [CI] = 2.6%-3.1%; state range: 0.6%-5.7%) and was greater among those who were male, younger in age, non-Hispanic Other race, less educated, less wealthy, and lesbian, gay, bisexual, or transgendered (LGBT). Nationally, the prevalence of flavored cigar use among cigar smokers was 42.9% (95% CI = 40.1%-45.7%; state range: 11.1%-71.6%) and was greater among those who were female, younger in age, Hispanic, non-Hispanic Other race, less educated, less wealthy, and LGBT. CONCLUSIONS: More than two fifths of current cigar smokers report using flavored cigars. Disparities in flavored cigar use also exist across states and subpopulations. Efforts to curb flavored cigar smoking have the potential to reduce the prevalence of overall cigar smoking among U.S. adults, particularly among subpopulations with the greatest burden.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
King,B.A., Dube,S.R., Tynan,M.A.
Original/Translated Title
URL
Date of Electronic
20120827
PMCID
Editors
Flavored Tobacco Product Use Among Middle and High School Students--United States, 2014 2015
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
MMWR.Morbidity and mortality weekly report
Periodical, Abbrev.
MMWR Morb.Mortal.Wkly.Rep.
Pub Date Free Form
2-Oct
Volume
64
Issue
38
Start Page
1066
Other Pages
1070
Notes
JID: 7802429; 0 (Flavoring Agents); epublish
Place of Publication
United States
ISSN/ISBN
1545-861X; 0149-2195
Accession Number
PMID: 26421418
Language
eng
SubFile
Journal Article; IM
DOI
10.15585/mmwr.mm6438a2 [doi]
Output Language
Unknown(0)
PMID
26421418
Abstract
The 2009 Family Smoking Prevention and Tobacco Control Act prohibits "characterizing flavors" (e.g., candy, fruit, and chocolate) other than tobacco and menthol in cigarettes; however, characterizing flavors are not currently prohibited in other tobacco products. Analyses of retail sales data suggest that U.S. consumption of flavored noncigarette tobacco products, including flavored cigars and flavored e-cigarettes, has increased in recent years. There is growing concern that widely marketed varieties of new and existing flavored tobacco products might appeal to youths (2) and could be contributing to recent increases in the use of tobacco products, including e-cigarettes and hookah, among youths. CDC and the Food and Drug Administration (FDA) analyzed data from the 2014 National Youth Tobacco Survey (NYTS) to determine the prevalence of past 30 day use (current use) of flavored e-cigarette, hookah tobacco, cigar, pipe tobacco or smokeless tobacco products, and menthol cigarettes among middle and high school students, and the proportion of current tobacco product users who have used flavored products. An estimated 70.0% (3.26 million) of all current youth tobacco users had used at least one flavored tobacco product in the past 30 days. Among current users, 63.3%, (1.58 million) had used a flavored e-cigarette, 60.6%, (1.02 million) had used flavored hookah tobacco, and 63.5% (910,000) had used a flavored cigar in the past 30 days. Given the millions of current youth tobacco users, it is important for comprehensive tobacco prevention and control strategies to address all forms of tobacco use, including flavored tobacco products, among U.S. youths.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Corey,C.G., Ambrose,B.K., Apelberg,B.J., King,B.A.
Original/Translated Title
URL
Date of Electronic
20151002
PMCID
Editors
Flavored tobacco product use among U.S. young adults 2013 Schroeder Institute for Tobacco Research and Policy Studies, Legacy, Washington, DC 20036, USA. avillanti@legacyforhealth.org
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Apr
Volume
44
Issue
4
Start Page
388
Other Pages
391
Notes
CI: Copyright (c) 2013; JID: 8704773; 0 (Flavoring Agents); 1490-04-6 (Menthol); 2012/07/06 [received]; 2012/10/02 [revised]; 2012/11/21 [accepted]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1873-2607; 0749-3797
Accession Number
PMID: 23498105
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.amepre.2012.11.031 [doi]
Output Language
Unknown(0)
PMID
23498105
Abstract
BACKGROUND: Passage of the U.S. Family Smoking Prevention and Tobacco Control Act in 2009 led to a ban on the sale of flavored cigarettes, largely because of studies showing targeting of these products to youth and young adults. There are no current restrictions on the marketing or sale of noncigarette or new nontraditional smokeless tobacco products (such as snus and dissolvable products), which are available in more than 45 flavors. PURPOSE: To determine the prevalence of flavored tobacco use, dual use of flavored and menthol tobacco products, and sociodemographic predictors of flavored tobacco product use in young adults aged 18-34 years (N=4196). METHODS: The current study utilizes data from Legacy's Young Adult Cohort Study, a nationally representative sample collected in January 2012. Data were analyzed using Stata IC 11.0 in June 2012. RESULTS: Overall, 18.5% of tobacco users report using flavored products, and dual use of menthol and flavored product use ranged from 1% (nicotine products) to 72% (chewing tobacco). In a multivariable model controlling for menthol use, younger adults were more likely to use flavored tobacco products (OR=1.89, 95% CI=1.14, 3.11), and those with a high school education had decreased use of flavored products (OR=0.56; 95% CI=0.32, 0.97). CONCLUSIONS: Differences in use may be due to the continued targeted advertising of flavored products to young adults and minorities. Those most likely to use flavored products are also those most at risk of developing established tobacco-use patterns that persist through their lifetime.
Descriptors
Links
Book Title
Database
Publisher
American Journal of Preventive Medicine. Published by Elsevier Inc
Data Source
Authors
Villanti,A.C., Richardson,A., Vallone,D.M., Rath,J.M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Flavored tobacco use among Canadian students in grades 9 through 12: prevalence and patterns from the 2010-2011 youth smoking survey 2014 Propel Centre for Population Health Impact, Faculty of Applied Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, Ontario, Canada N2L 3G1. E-mail: lminaker@uwaterloo.ca.; University of Waterloo, Waterloo, Ontario, and Cancer Care
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Preventing chronic disease
Periodical, Abbrev.
Prev.Chronic Dis.
Pub Date Free Form
19-Jun
Volume
11
Issue
Start Page
E102
Other Pages
Notes
LR: 20160317; JID: 101205018; 0 (Flavoring Agents); 1490-04-6 (Menthol); OID: NLM: PMC4068113; epublish
Place of Publication
United States
ISSN/ISBN
1545-1151; 1545-1151
Accession Number
PMID: 24945240
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.5888/pcd11.140094 [doi]
Output Language
Unknown(0)
PMID
24945240
Abstract
INTRODUCTION: This study examined patterns of use of flavored tobacco products in a nationally generalizable sample of Canadian students in grades 9 through 12 after the implementation of a national ban on certain flavored tobacco products. METHODS: Data from the 2010-2011 Youth Smoking Survey, a nationally generalizable sample of Canadian students in grades 9 through 12 (n = 31,396), were used to examine tobacco product use. Logistic regression models were used to examine differences in use of flavored tobacco products (cigarettes, pipes, little cigars or cigarillos, cigars, roll-your-own cigarettes, bidis, smokeless tobacco, water pipes, and blunt wraps) by sociodemographic and regional characteristics. RESULTS: Approximately 52% of young tobacco users used flavored products in the previous 30 days. Flavored tobacco use varied by product type and ranged from 32% of cigarette smokers reporting menthol smoking to 70% of smokeless tobacco users reporting using flavored product in the previous 30 days. The percentage of last-30-day users who used flavored tobacco was significantly higher in Quebec than in Ontario and significantly higher among youths who received weekly spending money than among those who received no money. CONCLUSION: More than half of tobacco users in grades 9 through 12 in Canada use flavored tobacco, despite a national ban on certain flavored tobacco products.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Minaker,L.M., Ahmed,R., Hammond,D., Manske,S.
Original/Translated Title
URL
Date of Electronic
20140619
PMCID
PMC4068113
Editors
Flavored waters: influence of ingredients on antioxidant capacity and terpenoid profile by HS-SPME/GC-MS 2011 Requimte/Faculdade de Farmacia, Universidade do Porto, Porto, Portugal.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of Agricultural and Food Chemistry
Periodical, Abbrev.
J.Agric.Food Chem.
Pub Date Free Form
11-May
Volume
59
Issue
9
Start Page
5062
Other Pages
5072
Notes
LR: 20131121; JID: 0374755; 0 (Antioxidants); 0 (Flavoring Agents); 0 (Terpenes); 059QF0KO0R (Water); 2011/04/04 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1520-5118; 0021-8561
Accession Number
PMID: 21462928
Language
eng
SubFile
Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1021/jf1048244 [doi]
Output Language
Unknown(0)
PMID
21462928
Abstract
The antioxidant profiles of 39 water samples (29 flavored waters based on 10 natural waters) and 6 flavors used in their formulation (furnished by producers) were determined. Total phenol and flavonoid contents, reducing power, and DPPH radical scavenging activity were the optical techniques implemented and included in the referred profile. Flavor extracts were analyzed by HS-SPME/GC-MS to obtain the qualitative and quantitative profiles of the volatile fraction of essential oils. Results pointed out a higher reducing power (0.14-11.8 mg of gallic acid/L) and radical scavenging activity (0.29-211.5 mg Trolox/L) of flavored waters compared with the corresponding natural ones, an interesting fact concerning human health. Bioactive compounds, such as polyphenols, were present in all samples (0.5-359 mg of gallic acid/L), whereas flavonoids were not present either in flavored waters or in flavors. The major components of flavor extracts were monoterpenes, such as citral, alpha-limonene, carveol, and alpha-terpineol.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Barroso,M.F., Noronha,J.P., Delerue-Matos,C., Oliveira,M.B.
Original/Translated Title
URL
Date of Electronic
20110404
PMCID
Editors
Flavored-little-cigar and flavored-cigarette use among U.S. middle and high school students 2014 Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: baking@cdc.gov.; Office on Smoking and Health, National Center for Chronic
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
Periodical, Abbrev.
J.Adolesc.Health
Pub Date Free Form
Jan
Volume
54
Issue
1
Start Page
40
Other Pages
46
Notes
LR: 20160229; CI: Published by Elsevier Inc.; GR: CC999999/Intramural CDC HHS/United States; JID: 9102136; 0 (Flavoring Agents); HHSPA722043; OID: NLM: HHSPA722043; OID: NLM: PMC4572463; OTO: NOTNLM; 2013/05/02 [received]; 2013/07/27 [revised]; 2013/07/29
Place of Publication
United States
ISSN/ISBN
1879-1972; 1054-139X
Accession Number
PMID: 24161587
Language
eng
SubFile
Journal Article; IM
DOI
10.1016/j.jadohealth.2013.07.033 [doi]
Output Language
Unknown(0)
PMID
24161587
Abstract
PURPOSE: Flavors can mask the harshness and taste of tobacco, making flavored tobacco products appealing to youth. We assessed the prevalence and correlates of flavored-little-cigar and flavored-cigarette use among U.S. middle and high school students in 2011. METHODS: Data were obtained from the 2011 National Youth Tobacco Survey, a nationally representative school-based survey of U.S. students in grades 6-12. National estimates of current flavored-little-cigar use, flavored-cigarette use, and combined use of either product were calculated overall and among current smokers by respondent characteristics, including sex, race/ethnicity, school level, and grade. Additionally, intention to quit tobacco and smoking frequency were assessed by flavored product use. RESULTS: The overall prevalence of current use was 4.2% for flavored cigarettes, 3.3% for flavored little cigars, and 6.3% for either product. Among current cigar smokers, 35.9% reported using flavored little cigars, and among current cigarette smokers, 35.4% reported using flavored cigarettes. Among current cigar or cigarette smokers, 42.4% reported using flavored little cigars or flavored cigarettes. Flavored product use among current smokers was higher among non-Hispanic whites than among blacks and Hispanics, higher among high school students than middle school students, and increased with grade. Among cigar smokers, prevalence of no intention to quit tobacco was higher among flavored-little-cigar users (59.7%) than nonusers (49.3%). CONCLUSIONS: More than two fifths of U.S. middle and high school smokers report using flavored little cigars or flavored cigarettes, and disparities in the use of these products exist across subpopulations. Efforts are needed to reduce flavored tobacco product use among youth.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
King,B.A., Tynan,M.A., Dube,S.R., Arrazola,R.
Original/Translated Title
URL
Date of Electronic
20131022
PMCID
PMC4572463
Editors
Flow injection solid-phase extraction using multi-walled carbon nanotubes packed micro-column for the determination of polycyclic aromatic hydrocarbons in water by gas chromatography-mass spectrometry 2010 Department of Chemistry, Xuzhou Normal University, Shanghai Road, Xuzhou 221116, China. wuhong1968@hotmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of chromatography.A
Periodical, Abbrev.
J.Chromatogr.A
Pub Date Free Form
23-Apr
Volume
1217
Issue
17
Start Page
2911
Other Pages
2917
Notes
CI: Copyright 2010; JID: 9318488; 0 (Nanotubes, Carbon); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Water Pollutants, Chemical); 2009/08/03 [received]; 2010/01/05 [revised]; 2010/02/19 [accepted]; 2010/02/25 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1873-3778; 0021-9673
Accession Number
PMID: 20236647
Language
eng
SubFile
Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.chroma.2010.02.040 [doi]
Output Language
Unknown(0)
PMID
20236647
Abstract
A flow injection solid-phase extraction preconcentration system using a multi-walled carbon nanotubes (MWCNTs) packed micro-column was developed for the determination of 16 polycyclic aromatic hydrocarbons (PAHs) in water by gas chromatography-mass spectrometry (GC-MS). The preconcentration of PAHs on the MWCNTs was carried out based on the adsorption retention of analytes by on-line introducing the sample into the micro-column system. Methanol was introduced to elute the retained analytes for GC-MS analysis using selected ion monitoring (SIM) mode. Important influence factors were studied in detail, such as sample acidity, sample flow rate, eluent flow rate and volume, dimensions of MWCNTs and amounts of packing material. Limits of detection of 16 PAHs for an extraction of 50 mL water sample were in the range of 0.001-0.15 microg L(-1), and the precisions (RSD) were in the range of 4-14%. The optimized method was successfully applied to the determination of 16 PAHs in surface waters, with recoveries in the range of 72-93% for real spiked sample.
Descriptors
Gas Chromatography-Mass Spectrometry/methods, Nanotubes, Carbon/chemistry, Polycyclic Hydrocarbons, Aromatic/analysis, Solid Phase Extraction/instrumentation/methods, Water Pollutants, Chemical/analysis
Links
Book Title
Database
Publisher
Elsevier B.V
Data Source
Authors
Wu,H., Wang,X., Liu,B., Lu,J., Du,B., Zhang,L., Ji,J., Yue,Q., Han,B.
Original/Translated Title
URL
Date of Electronic
20100225
PMCID
Editors
Flying after diving: in-flight echocardiography after a scuba diving week 2014 DAN Europe Research Division, Roseto degli Abruzzi, Italy.
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
Oct
Volume
85
Issue
10
Start Page
993
Other Pages
998
Notes
LR: 20150514; JID: 7501714; CIN: Aerosp Med Hum Perform. 2015 May;86(5):488. PMID: 25945669; CIN: Aerosp Med Hum Perform. 2015 May;86(5):489. PMID: 25945670; ppublish
Place of Publication
United States
ISSN/ISBN
0095-6562; 0095-6562
Accession Number
PMID: 25245898
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM; S
DOI
10.3357/ASEM.3805.2014 [doi]
Output Language
Unknown(0)
PMID
25245898
Abstract
INTRODUCTION: Flying after diving may increase decompression sickness risk (DCS), but strong evidence indicating minimum preflight surface intervals (PFSI) is missing. METHODS: On return flights after a diving week on a live-aboard, 32 divers were examined by in-flight echocardiography with the following protocol: 1) outgoing flight, no previous dive; 2) during the diving week; 3) before the return flight after a 24-h PFSI; and 4) during the return flight. RESULTS: All divers completed similar multiple repetitive dives during the diving week. All dives were equivalent as to inert gas load and gradient factor upon surfacing. No bubbles in the right heart were found in any diver during the outgoing flight or at the preflight control after a 24-h PFSI following the diving week. A significant increase in the number and grade of bubbles was observed during the return flight. However, bubbles were only observed in 6 of the 32 divers. These six divers were the same ones who developed bubbles after every dive. CONCLUSIONS: Having observed a 24-h preflight interval, the majority of divers did not develop bubbles during altitude exposure; however, it is intriguing to note that the same subjects who developed significant amounts of bubbles after every dive showed equally significant bubble grades during in-flight echocardiography notwithstanding a correct PFSI. This indicates a possible higher susceptibility to bubble formation in certain individuals, who may need longer PFSI before altitude exposure after scuba diving.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Cialoni,D., Pieri,M., Balestra,C., Marroni,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Flying after diving: should recommendations be reviewed? In-flight echocardiographic study in bubble-prone and bubble-resistant divers 2015 DAN Europe Research Division, Contrada Padune 11, 64026 Roseto degli, Abruzzi (TE), Italy, Phone: +39(0)85-893-0333, Fax: +39-(0)85-893-0050, E-mail: dcialoni@daneurope.org.; DAN Europe Research Division, Roseto degli Abruzzi, Italy.; DAN Europe Research
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Diving and hyperbaric medicine
Periodical, Abbrev.
Diving.Hyperb.Med.
Pub Date Free Form
Mar
Volume
45
Issue
1
Start Page
10
Other Pages
15
Notes
JID: 101282742; OTO: NOTNLM; 2014/12/12 [received]; 2015/01/17 [accepted]; ppublish
Place of Publication
Australia
ISSN/ISBN
1833-3516; 1833-3516
Accession Number
PMID: 25964033
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
25964033
Abstract
INTRODUCTION: Inert gas accumulated after multiple recreational dives can generate tissue supersaturation and bubble formation when ambient pressure decreases. We hypothesized that this could happen even if divers respected the currently recommended 24-hour pre-flight surface interval (PFSI). METHODS: We performed transthoracic echocardiography (TTE) on a group of 56 healthy scuba divers (39 male, 17 female) as follows: first echo--during the outgoing flight, no recent dives; second echo--before boarding the return flight, after a multiday diving week in the tropics and a 24-hour PFSI; third echo--during the return flight at 30, 60 and 90 minutes after take-off. TTE was also done after every dive during the week's diving. Divers were divided into three groups according to their 'bubble-proneness': non-bubblers, occasional bubblers and consistent bubblers. RESULTS: During the diving, 23 subjects never developed bubbles, 17 only occasionally and 16 subjects produced bubbles every day and after every dive. Bubbles on the return flight were observed in eight of the 56 divers (all from the 'bubblers' group). Two subjects who had the highest bubble scores during the diving were advised not to make the last dive (increasing their PFSI to approximately 36 hours), and did not demonstrate bubbles on the return flight. CONCLUSIONS: Even though a 24-hour PFSI is recommended on the basis of clinical trials showing a low risk of decompression sickness (DCS), the presence of venous gas bubbles in-flight in eight of 56 divers leads us to suspect that in real-life situations DCS risk after such a PFSI is not zero.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Cialoni,D., Pieri,M., Balestra,C., Marroni,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors