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The Naval Submarine Medical Research Laboratory is conducting a radiological survey to determine the prevalence of dysbaric osteonecrosis in U.S. Navy Divers and to develop epidemiological data related to those aspects of the hyperbaric environment that contribute to the ultimate occurrence of the lesions. Twelve juxta-articular lesions and nine head, neck or shaft lesions have been identified in the extremities of fifteen divers who are radiologically positive cases of dysbaric osteonecrosis among 611 non-randomly selected divers surveyed. While the number of positive cases is too small to draw statistically reliable conclusions, certain trends are evident. Lesions were most common in the shoulders and in older divers. Saturation divers and all other helium divers had almost the same percentage of positive cases but air divers had a slightly lower percentage than either group. Data derived from an enlarging survey population should provide additional insight into the epidemiology of the condition
Physiological and practical considerations of scuba diving in easy-to-read format.
Considered an essential resource by many in the field, Diving and Subaquatic Medicine remains the leading text on diving medicine, written to fulfil the requirements of any general physician wishing to advise their patients appropriately when a diving trip is planned, for those accompanying diving expeditions or when a doctor is required to assess
This book is designed to be a physician's guide for those interested in diving and hyperbaric environments. It is not a detailed document for the erudite researcher; rather, it is a source of information for the scuba-diving physician who is searching for answers put to him by his fellow nonmedical divers. Following the publication of The Underwater Handbook: A Guide to Physiology and Performance for the Engineer there were frequent requests for a companion volume for the physician. This book is designed to fill the void. Production of the book has been supported by the Office of Naval Research and by the Bureau of Medicine and Surgery, Research and Development Command, under Navy Contract No. NOOOOI4-78-C-0604. Our heartfelt thanks go to the many authors without whose contributions the book could not have been produced. These articles are signed by the responsible authors, and the names a~e also listed alphabetically in these preliminary pages. Every chapter was officially reviewed by at least one expert in the field covered and these reviewers are also listed on these pages. Our thanks go to them for their valuable assistance. We are grateful to Marthe Beckett Kent for editing Chapter III. Our thanks also go to Mrs. Carolyn Paddon for typing and retyping the manuscripts, and to Mrs. Catherine Coppola, who so expertly handled the many fiscal affairs.
This book is the record of the conference held in Oxford in 1992 organised by CIRIA, and co-sponsored by the Health and Safety Executive, The British Tunnelling Society and the Medical Research Council's Hyperbaric Sciences Panel. The book consolidates international medical and engineering knowledge and experience on the use of compressed air and hyperbaric techniques, and looks to how they can be safely used in the future.