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2009 December

2009 December

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Dg^\^cVaVgi^XaZh Oxygen-conserving effect of the diving response in the immersed human Robert de Bruijn, Matt Richardson and Erika Schagatay

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Musculoskeletal decompression sickness and risk of dysbaric osteonecrosis in recreational divers Emmanuel Gempp, Jean-Eric Blatteau, Olivier Simon and Eric Stephant

@ZnldgYh Diving, decompression sickness, dysbaric osteonecrosis, magnetic resonance imaging (MRI)

6WhigVXi (Gempp E, Blatteau J-E, Simon O, Stephant E. Musculoskeletal decompression sickness and risk of dysbaric osteonecrosis in recreational divers. Diving and Hyperbaric Medicine. 2009;39(4):200-4.) Introduction: Dysbaric osteonecrosis (DON) is a complication that usually occurs in professional divers or compressed- air workers. Its correlation with a previous musculoskeletal decompression injury (i.e., ‘limb bend’) remains a controversial subject. There is little information about the prevalence of DON and its relationship to decompression sickness (DCS) in recreational divers. Methods: We undertook an observational, retrospective study of recreational divers treated for musculoskeletal DCS between 2004 and 2008 in three hyperbaric centres in the south of France using magnetic resonance imaging (MRI) following hyperbaric treatment. Results:7ZHQW\¿YH PXVFXORVNHOHWDO'&6FDVHVZHUHLGHQWL¿HGDPRQJVWGLYLQJDFFLGHQWVWUHDWHGGXULQJ this period. Average age was 38 years with a mean body mass index of 26 kg.m-2. Joint pains were located in the VKRXOGHUDUHDLQGLYHUVPDLQO\LQH[SHULHQFHGPDOHGLYHUVDIWHUSHUIRUPLQJUHSHWLWLYHORQJGHHSGLYHVZLWKDGHTXDWH GHFRPSUHVVLRQXVLQJGLYHFRPSXWHUV7ZHQW\RQHRILQMXUHGGLYHUVZHUHH[DPLQHGE\05,RIWKHDIIHFWHGDUHD shortly after the accident. Six had initial humeral lesions compatible with ischaemic necrosis, but in two repeat MRI examinations at three months did not reveal bone abnormalities. Increasing pain during hyperbaric treatment appeared to be the only factor associated with DON occurrence. Conclusions:0XVFXORVNHOHWDO'&6LQUHFUHDWLRQDOGLYLQJLVSDUWLFXODUO\VHHQLQSURYRFDWLYHGLYHSUR¿OHVFRQVLGHUHGWR carry a high risk for bubble production during decompression. The occurrence of this insult appears also to be related to other factors needing further study. The risk of early development of DON should not be ignored.

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Dive problems and risk factors for diving morbidity Peter Buzzacott, Petar Denoble, Richard Dunford and Richard Vann

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GZk^ZlVgi^XaZh Therapeutic agents from the sea: biodiversity, chemo-evolutionary insight and advances to the end of Darwin’s 200th year David J Newman, Gordon M Cragg and Christopher N Battershill

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Scuba divers’ pulmonary oedema. A review Carl Edmonds

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I]ZldgaYVh^i^h British Sub-Aqua Club diving incidents report 2008 Compiled by Brian Cumming, Diving Incidents Advisor 1]iie/$$lll#WhVX#Xdb$eV\Z#Vhe4hZXi^dc2&%(-hZXi^dcI^iaZ26ccjVa 9^k^c\ >cX^YZci GZedgi3

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14–18 September 2010 Istanbul (European Cultural Capital 2010)

Venue: The Marmara Hotel, Istanbul, Turkey

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6SHFLDOSXUSRVH¿QDQFLDOUHSRUWIRUWKH\HDU Extract from the SPUMS independent ended 31 December 2008 auditor’s report for the year ended 31 December 2008 I]ZHEJBH8dbbîiZZ¼hYZXaVgVi^dc[dgi]ZnZVgZcYZY (&9ZXZbWZg'%%- 6jYîde^c^dc >cdjgde^c^dci]ZÄcVcX^VagZedgid[I]ZHdji]EVX^ÄX NdjgXdbbîiZZbZbWZghhjWbîi]ZÄcVcX^VagZedgid[I]Z JcYZglViZgBZY^X^cZHdX^ZinegZhZcihVigjZVcY[V^g Hdji]EVX^ÄXJcYZglViZgBZY^X^cZHdX^Zini]ZHdX^Zin k^Zld[i]Z[^cVcX^Vaedhî^dcd[I]ZHdji]EVX^[^X [dgi]ZÄcVcX^VanZVgZcYZY(&9ZXZbWZg'%%-# JcYZglViZgBZY^X^cZHdX^ZinVhVi(&9ZXZbWZg'%%- VcYi]ZgZhjaihd[îhdeZgVi^dchVcYîhXVh]Ådlh[dgi]Z 8dbbîiZZbZbWZgh nZVgi]ZcZcYZY# I]ZcVbZhd[XdbbîiZZbZbWZghYjg^c\i]ZaVhi ÄcVcX^VanZVgVcYVii]ZYViZd[i]^hgZedgilZgZ/ EZiZg7nZ!8Zgi^ÄZYEgVXi^h^c\6XXdjciVci 6hhdXEgd[B^X]VZa7ZccZii!9g]VkZcdlXdbeaZiZYVnZVgVhHEJBH:YjXVi^dcD[ÄXZg# ^ciZgZhiZY\gdjeh#I]^h^cXajYZhY^k^c\dg\Vc^hVi^dch! 9jg^c\'%%-!>]VkZVeed^ciZYVc:YjXVi^dc7dVgY!bnhZa[! ^cYjhign!i]ZbâîVgn!VhlZaaVh!i]Z^cY^k^YjVa 6hhdX^ViZEgd[ZhhdgB^`Z9Vk^hVcY9gH^bdcBîX]Zaaid Y^kZg0 gZk^ZlVcYdkZghZZYêadbVegd_ZXih# IdegdbdiZZmX]Vc\Zd[^c[dgbVi^dcWZilZZc bZbWZghdcVaaVheZXihd[jcYZglViZgbZY^X^cZVcY HEJBHYêadbVh gZaViZYhjW_ZXihVcYidejWa^h]VfjVgiZgan_djgcVa0 IdXdckZcZbZbWZghVccjVaanViVHX^Zci^[^X >d[[ZgXdc\gVijaVi^dchidi]Z[daadl^c\YdXidghl]d]VkZ 8dc[ZgZcXZ# hjXXZhh[jaanXdbeaZiZYi]Z^gHEJBHYêadbVhh^cXZi]Z aVhi6cdjgde^c^dc/ ^ci]ZigZVibZcid[h`^cjaXZghYjZidXVaX^ÄXjgVZb^X I]ZVXXdbeVcn^c\[^cVcX^VagZedgi!WZ^c\VheZX^Va VgiZg^dadeVi]n/ZmeZg^ZcXZ[gdbVc6jhigVa^Vc]neZgWVg^X ejgedhZÄcVcX^VagZedgi!^hYgVlcjehdVhidegZhZci[V^gan jcî# i]ZhiViZd[V[[V^ghd[i]ZHdX^ZinVhVi(&9ZXZbWZg'%%- 9ZXZbWZg'%%- VcYi]ZgZhjaihd[i]ZHdX^Zin[dgi]ZnZVgi]ZcZcYZY!

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Australian and New Zealand College of Anaesthetists &HUWL¿FDWHLQ'LYLQJDQG+\SHUEDULF0HGLFLQH

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1st Joint Meeting 6RXWK3DFL¿F8QGHUZDWHU0HGLFLQH6RFLHW\ Asian Hyperbaric and Diving Medical Association

7KHWK63806$QQXDO6FLHQWL¿F0HHWLQJ combined with the 6th ASM of the $VLDQ+\SHUEDULFDQG'LYLQJ0HGLFDO$VVRFLDWLRQ 23–28 May 2010

Venue: Redang Island Beach Resort

Theme: Decompression and Hyperbaric Medicine into the 21st Century SPUMS Guest Speaker Michael L Gernhardt, PhD NASA Astronaut, Manager of the Environmental Physiology Laboratory and Principal Investigator of the Prebreath Reduction Program Johnson Space Center, Houston, Texas

AHDMA Guest Speaker Folke Linde, MD, PhD Professor, Department of Anaesthesiology, Surgical Services and Intensive Care Karolinska University Hospital, Stockholm, Sweden

MEETING CONVENOR Dr Glen Hawkins ED7dm&+,) BVgdjWgV!CHL'%(* 6JHIG6A>6 :"bV^a/1\aZc5]Vl`ZnZbZY^XVa#Xdb#Vj3

Full details for submission of Abstracts and Posters, Registration, Accomodation details and Travel recommendations can be found on the SPUMS website. Members are urged to book early.

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Introducing Nicky McNeish :Y^idg^Va6hh^hiVci!9^k^c\VcY=neZgWVg^XBZY^X^cZ

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SPUMS Hyperbaric Technical and Nursing Association Award

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