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1.
Biol Lett ; 20(9): 20240371, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39288814

RESUMEN

Bubble use evolved in many small invertebrates to enable underwater respiration, but, until recently, there has been no evidence that vertebrate animals use bubbles in a similar manner. Only one group of vertebrates, semi-aquatic Anolis lizards, may be an exception: these lizards dive underwater when threatened and, while underwater, rebreathe a bubble of air over their nostrils. Although it seems that rebreathing should be adaptive, possibly functioning to extend the time that lizards remain in underwater refugia, this has not been empirically tested. Here, I demonstrate that rebreathing serves to extend dive time in a semi-aquatic anole, Anolis aquaticus. I prevented the formation of normal rebreathing bubbles by applying a commercial emollient on the skin surface where bubbles form to assess the impact of bubbles on rebreathing cycles, gular pumps, and dive times. Lizards that were allowed to rebreathe normally remained underwater an average of 32% longer than those with impaired rebreathing, suggesting a functional role of rebreathing in underwater respiration. Unlike rebreathing, gular pumping was unaffected by treatment and may warrant further research regarding its role in supplementing underwater respiration. This study provides evidence that vertebrates can use bubbles to respire underwater and raises questions about adaptive mechanisms and potential bio-inspired applications.


Asunto(s)
Adaptación Fisiológica , Buceo , Lagartos , Animales , Lagartos/fisiología , Buceo/fisiología , Respiración
2.
Diving Hyperb Med ; 54(3): 188-195, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39288923

RESUMEN

Introduction: Aortic dissections and dissections of cervical, cerebral, and coronary arteries have been previously reported in scuba divers. These incidents may be the consequence of a variety of physiological effects. We review the reported cases of arterial dissection in scuba divers and discuss potential contributing factors related to immersion and diving. Methods: Medline, CINAHL Plus, and SPORTDiscus were searched for published reports of arterial dissection and the Australasian Diving Safety Foundation fatality database was searched for additional cases from Australia. Identified cases were recorded and scrutinised for possible contributing factors. Results: Nineteen cases of arterial dissection, both fatal and non-fatal, were identified. These included cervical or intracranial artery dissection (n = 14), aortic dissection (n = 4), and coronary artery dissection (n = 1). There were 14 male and five female victims; mean age 44 years (SD 14, range 18-65). Contributing factors may include a combination of vasoconstriction and blood redistribution, untreated hypertension, increased pulse pressure, abnormal neck movement or positioning, constrictive and burdensome equipment, exercise, increased gas density and circuit resistance with concomitant elevated work of breathing, atheroma, and possibly the mammalian dive response. Conclusions: Dissecting aneurysms of the aorta or cervical, cerebral, and coronary arteries should be considered as a potential complication of scuba diving. The development of aneurysms associated with scuba diving is likely multifactorial in pathogenesis. Detailed reporting is important in the evaluation of cases. The potential role of the mammalian dive response as a contributing factor requires further evaluation.


Asunto(s)
Disección Aórtica , Buceo , Humanos , Buceo/efectos adversos , Buceo/fisiología , Masculino , Femenino , Adulto , Disección Aórtica/etiología , Disección Aórtica/fisiopatología , Persona de Mediana Edad , Anciano , Adolescente , Adulto Joven , Inmersión/efectos adversos , Inmersión/fisiopatología , Hipertensión/etiología , Disección de los Vasos Sanguíneos
3.
Sci Rep ; 14(1): 20947, 2024 09 09.
Artículo en Inglés | MEDLINE | ID: mdl-39251772

RESUMEN

Seal lice, unique among insects, show remarkable adaptability to the extreme conditions of the deep sea. Evolving with their seal and sea lion hosts, they have managed to tolerate hypoxia, high salinity, low temperature, and elevated hydrostatic pressure. Given the diving capabilities of their mammalian hosts, which can reach depths of hundreds to thousands of meters, our study examines the morphological variation among closely related seal lice species infesting hosts with different maximum diving depths. In particular, our research reveals a significant morphological difference between lice associated with regular and deep-diving hosts, where lice from deep-diving hosts tend to be rounder. This could be an adaptation to withstand the high hydrostatic pressures found in the deep ocean. The rounded shape optimizes the louse's ability to withstand external pressure by redistributing it over a larger ventral/dorsal plane. This in turn minimizes the internal energy required to support body deformations, thereby increasing the louse's resilience in the deep sea environment.


Asunto(s)
Buceo , Animales , Buceo/fisiología , Interacciones Huésped-Parásitos , Infestaciones por Piojos/parasitología , Infestaciones por Piojos/veterinaria , Phocidae/parasitología , Phocidae/fisiología , Leones Marinos/parasitología , Leones Marinos/fisiología
4.
Physiol Rep ; 12(17): e16183, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39245795

RESUMEN

Diving marine mammals are a diverse group of semi- to completely aquatic species. Some species are targets of conservation and rehabilitation efforts; other populations are permanently housed under human care and may contribute to clinical and biomedical investigations. Veterinary medical care for species under human care, at times, may necessitate the use of general anesthesia for diagnostic and surgical indications. However, the unique physiologic and anatomic adaptations of one representative diving marine mammal, the bottlenose dolphin, present several challenges in providing ventilatory and cardiovascular support to maintain adequate organ perfusion under general anesthesia. The goal of this review is to highlight the unique cardiopulmonary adaptations of the completely aquatic bottlenose dolphin (Tursiops truncatus), and to identify knowledge gaps in our understanding of how those adaptations influence their physiology and pose potential challenges for sedation and anesthesia of these mammals.


Asunto(s)
Adaptación Fisiológica , Delfín Mular , Buceo , Animales , Delfín Mular/fisiología , Buceo/fisiología , Anestesia
5.
J Exp Biol ; 227(20)2024 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-39177084

RESUMEN

The dive response involves three main components - breath holding, reduced heart rate and increased peripheral vasoconstriction - and is ubiquitous during forced dives in air-breathing vertebrates; however, numerous studies in free-diving animals have shown that the heart rate response to diving varies considerably in a manner that suggests cognitive control. Furthermore, studies on free-diving animals and controlled experiments in trained animals both indicate that the dive response can be conditioned, such that the reduction in heart rate begins before submergence and the extent of the reduction is set early in the dive. In addition, numerous species also experience an increase in heart rate and blood flow during ascent at the end of a dive, a phenomenon commonly called 'ascent tachycardia'. Collectively, these data suggest that although the dive response is under autonomic control, many species can vary its magnitude depending on the length and type of the planned dive - an indication of a role for cognition in the overall physiological responses associated with diving. Here, we provide examples of the conditioned cardiac responses - including anticipatory changes in heart rate - in several diving species and propose potential underlying mechanisms. We also discuss how the anticipatory cardiovascular responses not only improve diving capacity, but also prevent diving-related problems, such as decompression sickness or barotrauma, through a mechanism described by the selective gas exchange hypothesis.


Asunto(s)
Cognición , Buceo , Frecuencia Cardíaca , Animales , Buceo/fisiología , Cognición/fisiología , Frecuencia Cardíaca/fisiología , Humanos
6.
Mil Med ; 189(Supplement_3): 480-488, 2024 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-39160849

RESUMEN

INTRODUCTION: Modern warfare operations are volatile, highly complex environments, placing immense physiological, psychological, and cognitive demands on the warfighter. To maximize cognitive performance and warfighter resilience and readiness, training must address psychological stress to enhance performance. Resilience in the face of adversity is fundamentally rooted in an individual's psychophysiological stress response and optimized through decreased susceptibility to the negative impact of trauma exposure. The current project aims to optimize warfighter expertise, resilience, adaptability, and performance by utilizing a validated Full Dive Virtual Reality (FDVR) training platform to provide high-fidelity, safe, and scalable, controlled stress exposure in highly realistic simulated training scenarios with the most advanced, immersive technology available. MATERIALS AND METHODS: Following Institutional Review Board approval and consent, 2 operators were fitted with high-fidelity virtual reality headsets with hand and eye tracking, full-body haptic feedback suits, a 360° omnidirectional treadmill, and Food and Drug Administration (FDA) cleared biometric monitors. Following acclimation, operators were placed in an industrial fire scenario and instructed to respond as a firefighter and paramedic, to search for and resuscitate any casualties, extinguish the fire, and exfiltrate safely. Following initial acclimation and after each demonstration (n = 2), 3 semistructured interviews asked operators their perceptions and experiences related to FDVR, focusing on usability, feasibility, and safety. Biometric data were continuously recorded using the Caretaker Medical VitalStream. RESULTS: Proof-of-concept (POC) testing proved that the FDVR training platform is usable, safe, and feasible. It creates an immersive environment with physiological responses to mimic realistic Mass Casualty Events (MCEs). Using a case study approach, transcript data were analyzed using thematic analysis. Three major themes emerged: Sensory deficits reduced realism, but sensory feedback improved fidelity, vestibular discord affected the virtual reality experience but only when the system did not respond naturally to operator movement after acclimation, and movement accommodations were made by operators to enhance usability, especially for fine motor movements. Biometric data analysis correlated timestamps from the VitalStream unit with operator responses to stress-inducing events (i.e., explosions, fires, and a deceased victim). Both operators exhibited significant physiological responses, including elevated heart rate, systolic blood pressure, and mean arterial pressure, particularly following explosions, encountering fire, and encountering the deceased victim within the training environment. CONCLUSIONS: The FDVR training platform overcomes the obstacles of in-person simulation training and provides the closest to real-life experience available. It will allow warfighters to train with their teams in immersive environments that replicate the conditions in which they are expected to perform their duties. The POC demonstrated that physiological responses can be mapped to scenario events to allow tracking of stress responses, cognitive load, as well as performance, and decision-making of the warfighter. The POC only involved 2 operators, but served to prove that the platform was safe and effective. Future testing plans to include 200 warfighters in operational teams of 10 to 12 to further validate the training effectiveness of the FDVR platform.


Asunto(s)
Resiliencia Psicológica , Realidad Virtual , Humanos , Adulto , Masculino , Personal Militar/psicología , Personal Militar/estadística & datos numéricos , Femenino , Programas Informáticos , Buceo/psicología , Buceo/fisiología , Estrés Psicológico/psicología
7.
Philos Trans R Soc Lond B Biol Sci ; 379(1911): 20230150, 2024 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-39155712

RESUMEN

Skilled activity is a complex mix of automatized action, changed attention patterns, cognitive strategies and physiological adaptations developed within a community of practice. Drawing on physiological and ethnographic research on freediving, this article argues that skill acquisition demonstrates the variety of mechanisms that link biological and cultural processes to produce culturally shaped forms of embodiment. In particular, apneists alter phenotypic expression through patterned practices that canalize development, exaggerating the dive response, developing resistance to elevated carbon dioxide levels (hypercapnia) and accommodating hydrostatic pressure at depth. The community of divers provides technical advice and helps to orient individuals' motivations. Some biological processes are phenomenologically accessible, but others are sub-aware and must be accessed indirectly through behaviour or altered interactions with the environment. The close analysis of embodied skills like freediving illustrates how phenotypic plasticity is inflected by culturally patterned behaviours. Divers do developmental work on bodily traits like the dive response to achieve more dramatic performance, even if they cannot directly control all elements of the neurological and physiological responses. The example of expert freediving illustrates the imbrication of biology and culture in embodiment. This article is part of the theme issue 'Minds in movement: embodied cognition in the age of artificial intelligence'.


Asunto(s)
Cultura , Humanos , Buceo/fisiología , Cognición
8.
J Exp Biol ; 227(15)2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-38989552

RESUMEN

Diving animals must sustain high muscle activity with finite oxygen (O2) to forage underwater. Studies have shown that some diving mammals exhibit changes in the metabolic phenotype of locomotory muscles compared with non-divers, but the pervasiveness of such changes across diving animals is unclear, particularly among diving birds. Here, we examined whether changes in muscle phenotype and mitochondrial abundance are associated with dive capacity across 17 species of ducks from three distinct evolutionary clades (tribes) in the subfamily Anatinae: the longest diving sea ducks, the mid-tier diving pochards and the non-diving dabblers. In the gastrocnemius (the primary swimming and diving muscle), mitochondrial volume density in both oxidative and glycolytic fiber types was 70% and 30% higher in sea ducks compared with dabblers, respectively. These differences were associated with preferential proliferation of the subsarcolemmal subfraction, the mitochondria adjacent to the cell membrane and nearest to capillaries, relative to the intermyofibrillar subfraction. Capillary density and capillary-to-fiber ratio were positively correlated with mitochondrial volume density, with no variation in the density of oxidative fiber types across tribes. In the pectoralis, sea ducks had greater abundance of oxidative fiber types than dabblers, whereas pochards were intermediate between the two. These data suggest that skeletal muscles of sea ducks have a heightened capacity for aerobic metabolism and an enhanced ability to utilize O2 stores in the blood and muscle while diving.


Asunto(s)
Buceo , Patos , Músculo Esquelético , Fenotipo , Animales , Patos/fisiología , Buceo/fisiología , Músculo Esquelético/fisiología , Músculo Esquelético/metabolismo , Mitocondrias Musculares/metabolismo
9.
Int Marit Health ; 75(2): 89-102, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38949219

RESUMEN

BACKGROUND: Saturation diving is a standard method of intervention for commercial diving during offshore operations. Current saturation procedures achieve a high level of safety with regards to decompression sickness but still put the divers under multiple stressors: 1) Environmental stress (long confinement, heat/cold, dense gases, high oxygen levels), 2) Work stress (muscular fatigue, psychological pressure, breathing equipment, etc.), 3) venous gas emboli associated with decompression, 4) Inflammation related to oxidative stress and microparticles. We present the results of a saturation divers monitoring campaign performed in the North Sea Danish sector, on the Tyra field, during 2022. The study was supported by TotalEnergies, the field operator, and performed by Boskalis Subsea Services, the diving contractor, onboard the diving support vessel Boka Atlantis. The objective was twofold: document the level of diving stress during saturation operations in the Danish sector, and compare the performances of two saturation procedures, the Boskalis and the NORSOK procedures. MATERIALS AND METHODS: Fourteen divers volunteered for the study. The monitoring package include weight and temperature measurements, psychomotor tests (objective evaluation) and questionnaires (subjective evaluation), Doppler bubble detection and bioimpedance. The results were presented in a radar diagram that provides a general view of the situation. RESULTS: The data were analysed along 3 dimensions: work and environmental, desaturation bubbles, oxidative stress and inflammation. The results showed little or no variations from the reference values. No bubbles were detected after excursion dives and the final decompression, except for two divers with a grade 1 after arriving at surface. No statistical difference could be found between the Boskalis and the NORSOK saturation procedures. CONCLUSIONS: At a depth of 40-50 msw corresponding to the Danish sector, the two saturation procedures monitored induce no or little stress to the divers. The divers know how to manage their diet, equilibrate their hydration and pace their effort. Data available on divers' post saturation period show a recovery over the 24-48 hours following the end of the decompression. Further research should focus on diving deeper than 100 msw where a greater stress can be anticipated.


Asunto(s)
Enfermedad de Descompresión , Buceo , Humanos , Buceo/efectos adversos , Buceo/fisiología , Mar del Norte , Adulto , Masculino , Saturación de Oxígeno/fisiología , Persona de Mediana Edad , Estrés Fisiológico , Dinamarca , Monitoreo Fisiológico/métodos
10.
Medicina (Kaunas) ; 60(7)2024 Jul 02.
Artículo en Inglés | MEDLINE | ID: mdl-39064512

RESUMEN

Background and Objectives: Scuba divers often experience persistent inert gas narcosis (IGN) even after surfacing. This study aimed to test the hypothesis that breathing oxygen (O2) before surfacing can reduce postdive IGN. Materials and Methods: A group of 58 experienced divers underwent a 5 min dive at a depth of 50 m in a multi-place hyperbaric chamber. They were decompressed using air (air group). Another group of 28 divers (O2 group) breathed 100% O2 during the end of decompression. Prior to and after the dive, all participants performed the Sharpened Romberg test (SRT) and a modified tweezers test. Results: In the air group, the number of positive SRT results increased postdive (47% vs. 67%), indicating a greater impairment in the vestibular system (Cohen's d = 0.41). In the O2 group, the percentage of positive SRT results remained constant at 68% both before and after the dive. In terms of the modified tweezers test, the air group showed no significant change in the number of picked beads (40 ± 9 vs. 39 ± 7), while the O2 group demonstrated an increase (36 ± 7 vs. 44 ± 10) (Cohen's d = 0.34). Conclusion: The results reveal that the SRT revealed a negative effect of nitrogen (N2) on the vestibular system in the air group. The increased number of beads picked in the O2 group can be attributed to the learning effect, which was hindered in the air group. Consistent with our hypothesis, breathing O2 during decompression appears to reduce postdive IGN.


Asunto(s)
Buceo , Nitrógeno , Humanos , Buceo/fisiología , Buceo/efectos adversos , Adulto , Masculino , Femenino , Narcosis por Gas Inerte/fisiopatología , Oxígeno , Persona de Mediana Edad , Descompresión/métodos
11.
Ann N Y Acad Sci ; 1537(1): 74-81, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38963660

RESUMEN

This study explores the impact of feathers on the hydrodynamic drag experienced by diving birds, which is critical to their foraging efficiency and survival. Employing a novel experimental approach, we analyzed the kinematics of both feathered and nonfeathered projectiles during their transition from air to water using high-speed imaging and an onboard accelerometer. The drag coefficients were determined through two methods: a direct calculation from the acceleration data and a theoretical approach fitted to the observed velocity profiles. Our results indicate that feathers significantly increase the drag force during water entry, with feathered projectiles exhibiting approximately double the drag coefficient of their smooth counterparts. These findings provide new insights into the role of avian feather morphology in diving mechanics and have potential implications for the design of bioinspired aquatic vehicles in engineering. The study also discusses the biological implications of increased drag due to feathers and suggests that factors such as body shape might play a more critical role in the diving capabilities of birds than previously understood.


Asunto(s)
Aves , Buceo , Plumas , Hidrodinámica , Plumas/fisiología , Plumas/anatomía & histología , Animales , Buceo/fisiología , Aves/fisiología , Fenómenos Biomecánicos
12.
Undersea Hyperb Med ; 51(2): 159-171, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38985152

RESUMEN

Work in compressed air and diving are both occupational activities that have been around since the mid-19th century, and those undertaking their work under elevated pressure. Meeting the demand to go to "higher pressure for longer" in tunneling has lagged in diving, but both activities have found it necessary to adopt mixed gas breathing and saturation exposure techniques. This paper explains how work in hyperbaric conditions at high pressure is undertaken in tunneling and is illustrated by the hyperbaric activity likely to be involved in constructing a large-diameter road tunnel below a body of water such as an estuary. It also explores the practical differences between work in compressed air and diving.


Asunto(s)
Buceo , Oxigenoterapia Hiperbárica , Buceo/fisiología , Humanos , Oxigenoterapia Hiperbárica/métodos , Aire Comprimido , Presión Atmosférica
13.
Undersea Hyperb Med ; 51(2): 189-196, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38985155

RESUMEN

Hypoxia, centralization of blood in pulmonary vessels, and increased cardiac output during physical exertion are the pathogenetic pathways of acute pulmonary edema observed during exposure to extraordinary environments. This study aimed to evaluate the effects of breath-hold diving at altitude, which exposes simultaneously to several of the stimuli mentioned above. To this aim, 11 healthy male experienced divers (age 18-52y) were evaluated (by Doppler echocardiography, lung echography to evaluate ultrasound lung B-lines (BL), hemoglobin saturation, arterial blood pressure, fractional NO (Nitrous Oxide) exhalation in basal condition (altitude 300m asl), at altitude (2507m asl) and after breath-hold diving at altitude. A significant increase in E/e' ratio (a Doppler-echocardiographic index of left atrial pressure) was observed at altitude, with no further change after the diving session. The number of BL significantly increased after diving at altitude as compared to basal conditions. Finally, fractional exhaled nitrous oxide was significantly reduced by altitude; no further change was observed after diving. Our results suggest that exposure to hypoxia may increase left ventricular filling pressure and, in turn, pulmonary capillary pressure. Breath-hold diving at altitude may contribute to interstitial edema (as evaluated by BL score), possibly because of physical efforts made during a diving session. The reduction of exhaled nitrous oxide at altitude confirms previous reports of nitrous oxide reduction after repeated exposure to hypoxic stimuli. This finding should be further investigated since reduced nitrous oxide production in hypoxic conditions has been reported in subjects prone to high-altitude pulmonary edema.


Asunto(s)
Altitud , Contencion de la Respiración , Buceo , Ecocardiografía Doppler , Hipoxia , Pulmón , Humanos , Masculino , Buceo/fisiología , Buceo/efectos adversos , Adulto , Adulto Joven , Hipoxia/fisiopatología , Persona de Mediana Edad , Adolescente , Pulmón/fisiopatología , Pulmón/diagnóstico por imagen , Pulmón/irrigación sanguínea , Edema Pulmonar/etiología , Edema Pulmonar/fisiopatología , Edema Pulmonar/diagnóstico por imagen , Presión Arterial/fisiología , Saturación de Oxígeno/fisiología , Óxido Nítrico/metabolismo , Presión Sanguínea/fisiología , Hemoglobinas/análisis
14.
Sci Rep ; 14(1): 13966, 2024 06 17.
Artículo en Inglés | MEDLINE | ID: mdl-38886412

RESUMEN

Foot-propelled diving comprises the primary locomotion-based feeding strategy for many birds, including families such as Phalacrocoracidae, Anhingidae, Podicipedidae, Gaviidae, and the diving ducks within Anatidae. While the morphology of specialized divers is well known, the corresponding morphology is less known for birds not as specialized but capable of diving, such as the coots (Rallidae, Fulica spp.). To compare the osteology of Fulica with other (non-diving) Rallidae, and with foot-propelled diving birds that are distantly related, we considered osteological characters, as well as the proportion of the hind limb bones and the femoral splay angle to construct a phylomorphospace, and to perform a comparative disparity analysis considering ecomorphologically relevant characters related to swimming and diving. Coots resulted to be significantly disparate from other Rallidae showing many traits of specialized foot-propelled divers, but only noticeable when compared with other rallids, as the degree of development of these traits is markedly less than in loons, grebes, or cormorants. This may correspond to a stabilizing selection of characteristics associated with a generalist morphology in Fulica. Studying adaptation in generalist taxa broadens our understanding of ecomorphologically significant features, thereby enabling us to generalize their evolutionary patterns.


Asunto(s)
Aves , Buceo , Animales , Buceo/fisiología , Aves/anatomía & histología , Aves/fisiología , Filogenia , Evolución Biológica , Locomoción/fisiología
15.
Diving Hyperb Med ; 54(2): 110-119, 2024 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-38870953

RESUMEN

Introduction: Inhalation of high concentrations of carbon dioxide (CO2) at atmospheric pressure can be toxic with dose-dependent effects on the cardiorespiratory system or the central nervous system. Exposure to both hyperbaric and hypobaric environments can result in decompression sickness (DCS). The effects of CO2 on DCS are not well documented with conflicting results. The objective was to review the literature to clarify the effects of CO2 inhalation on DCS in the context of hypobaric or hyperbaric exposure. Methods: The systematic review included experimental animal and human studies in hyper- and hypobaric conditions evaluating the effects of CO2 on bubble formation, denitrogenation or the occurrence of DCS. The search was based on MEDLINE and PubMed articles with no language or date restrictions and also included articles from the underwater and aviation medicine literature. Results: Out of 43 articles, only 11 articles were retained and classified according to the criteria of hypo- or hyperbaric exposure, taking into account the duration of CO2 inhalation in relation to exposure and distinguishing experimental work from studies conducted in humans. Conclusions: Before or during a stay in hypobaric conditions, exposure to high concentrations of CO2 favors bubble formation and the occurrence of DCS. In hyperbaric conditions, high CO2 concentrations increase the occurrence of DCS when exposure occurs during the bottom phase at maximum pressure, whereas beneficial effects are observed when exposure occurs during decompression. These opposite effects depending on the timing of exposure could be related to 1) the physical properties of CO2, a highly diffusible gas that can influence bubble formation, 2) vasomotor effects (vasodilation), and 3) anti-inflammatory effects (kinase-nuclear factor and heme oxygenase-1 pathways). The use of O2-CO2 breathing mixtures on the surface after diving may be an avenue worth exploring to prevent DCS.


Asunto(s)
Dióxido de Carbono , Enfermedad de Descompresión , Animales , Humanos , Presión Atmosférica , Buceo/efectos adversos , Buceo/fisiología
16.
Diving Hyperb Med ; 54(2): 137-139, 2024 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-38870957

RESUMEN

Blood alcohol concentrations above defined levels are detrimental to cognitive performance. Empirical and published evidence suggest that nitrogen narcosis is analogous to alcohol intoxication with both impairing prefrontal cortex function. Nitrogen narcosis is also known to have been a factor in fatal accidents. To examine the effects of nitrogen narcosis, a recent publication used the Iowa Gambling Task tool, to simulate dynamic real-life risky decision-making behaviour. If the reported outcomes are corroborated in larger rigorously designed studies it is likely to provide further evidence that divers may well experience the negative effects of a 'narcotic agent', even at relatively shallow depths. These deleterious effects may occur regardless of diving experience, aptitude or professional status. In 1872, English law made it an offence to be 'drunk' whilst in charge of horses, carriages, cattle and steam engines. Understanding the danger was easy, establishing who is 'drunk' in the eyes of the court required a legal definition. Driving above a 'legal limit' for alcohol was made illegal in the United Kingdom in 1967. The limit was set at 80 milligrams of alcohol per 100 millilitres of blood. It took just short of one hundred years to get from first introducing a restriction to specific activities, whilst under the influence of alcohol, to having a clear and well-defined enforceable law. The question surely is whether our modern society will tolerate another century before legally defining safe parameters for nitrogen narcosis?


Asunto(s)
Buceo , Narcosis por Gas Inerte , Humanos , Buceo/fisiología , Buceo/efectos adversos , Conducir bajo la Influencia/legislación & jurisprudencia , Reino Unido , Intoxicación Alcohólica/sangre , Nivel de Alcohol en Sangre
17.
Diving Hyperb Med ; 54(2): 105-109, 2024 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-38870952

RESUMEN

Introduction: Routine dipstick urinalysis is part of many dive medical assessment protocols. However, this has a significant chance of producing false-positive or false-negative results in asymptomatic and healthy individuals. Studies evaluating the value of urinalysis in dive medical assessments are limited. Methods: All results from urinalysis as part of dive medical assessments of divers, submarines, and hyperbaric personnel of the Royal Netherlands Navy from 2013 to 2023 were included in this study. Additionally, any information regarding additional testing, referral, or test results concerning the aforementioned was collected. Results: There were 5,899 assessments, resulting in 46 (0.8%) positive dipstick urinalysis results, predominantly microscopic haematuria. Females were significantly overrepresented, and revisions resulted in significantly more positive test results than initial assessments. Lastly, almost half of the cases were deemed fit to dive, while the other half were regarded as temporarily unfit. These cases required additional testing, and a urologist was consulted three times. Conclusions: To our knowledge, this is the most extensive study evaluating urinalysis in dive medical assessments. In our military population, the incidence of positive test results is very low, and there have not been clinically relevant results over a period of 10 years. Therefore, routinely assessing urine in asymptomatic healthy military candidates is not cost-effective or efficacious. The authors advise taking a thorough history for fitness to dive assessments and only analysing urine when a clinical indication is present.


Asunto(s)
Buceo , Hematuria , Personal Militar , Urinálisis , Humanos , Urinálisis/métodos , Femenino , Buceo/fisiología , Masculino , Adulto , Hematuria/diagnóstico , Hematuria/orina , Aptitud Física/fisiología , Medicina Submarina , Persona de Mediana Edad , Países Bajos , Adulto Joven , Reacciones Falso Positivas
18.
Am J Physiol Regul Integr Comp Physiol ; 327(1): R46-R53, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38766773

RESUMEN

Despite elite human free divers achieving incredible feats in competitive free diving, there has yet to be a study that compares consummate divers, (i.e. northern elephant seals) to highly conditioned free divers (i.e., elite competitive free-diving humans). Herein, we compare these two diving models and suggest that hematological traits detected in seals reflect species-specific specializations, while hematological traits shared between the two species are fundamental mammalian characteristics. Arterial blood samples were analyzed in elite human free divers (n = 14) during a single, maximal volitional apnea and in juvenile northern elephant seals (n = 3) during rest-associated apnea. Humans and elephant seals had comparable apnea durations (∼6.5 min) and end-apneic arterial Po2 [humans: 40.4 ± 3.0 mmHg (means ± SE); seals: 27.1 ± 5.9 mmHg; P = 0.2]. Despite similar increases in arterial Pco2 (humans: 33 ± 5%; seals: 16.3 ± 5%; P = 0.2), only humans experienced reductions in pH from baseline (humans: 7.45 ± 0.01; seals: 7.39 ± 0.02) to end apnea (humans: 7.37 ± 0.01; seals: 7.38 ± 0.02; P < 0.0001). Hemoglobin P50 was greater in humans compared to elephant seals (29.9 ± 1.5 and 28.7 ± 0.6 mmHg, respectively; P = 0.046). Elephant seals overall had higher carboxyhemoglobin (COHb) levels (5.9 ± 2.6%) compared to humans (0.8 ± 1.2%; P < 0.0001); however, following apnea, COHb was reduced in seals (baseline: 6.1 ± 0.3%; end apnea: 5.6 ± 0.3%) and was slightly elevated in humans (baseline: 0.7 ± 0.1%; end apnea: 0.9 ± 0.1%; P < 0.0002, both comparisons). Our data indicate that during static apnea, seals have reduced hemoglobin P50, greater pH buffering, and increased COHb levels. The differences in hemoglobin P50 are likely due to the differences in the physiological environment between the two species during apnea, whereas enhanced pH buffering and higher COHb may represent traits selected for in elephant seals.NEW & NOTEWORTHY This study uses similar methods and protocols in elite human free divers and northern elephant seals. Using highly conditioned divers (elite free-diving humans) and highly adapted divers (northern elephant seals), we explored which hematological traits are fundamentally mammalian and which may have been selected for. We found differences in P50, which may be due to different physiological environments between species, while elevated pH buffering and carbon monoxide levels might have been selected for in seals.


Asunto(s)
Apnea , Buceo , Phocidae , Animales , Phocidae/sangre , Humanos , Buceo/fisiología , Apnea/sangre , Apnea/fisiopatología , Masculino , Adulto , Femenino , Especificidad de la Especie , Hemoglobinas/metabolismo , Adulto Joven , Dióxido de Carbono/sangre , Oxígeno/sangre
19.
Chest ; 166(3): 532-543, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38759727

RESUMEN

BACKGROUND: Immersion pulmonary edema (IPE) is a form of hemodynamic edema likely involving individual susceptibility. RESEARCH QUESTION: Can assessing right ventricle (RV) systolic adaptation during immersion be a marker for IPE susceptibility? STUDY DESIGN AND METHODS: Twenty-eight divers participated: 15 study participants with a history of IPE (IPE group; mean ± SD age, 40.2 ± 8.2 years; two women) and 13 control participants (no IPE group; mean ± SD age, 43.1 ± 8.5 years; two women) underwent three transthoracic echocardiography studies under three different conditions: dry (participants were in the supine position on an examination table without immersion), surface immersion (participants were floating prone on the water's surface and breathing through a snorkel), and immersion and negative static lung load (divers were submerged 20 cm below the water's surface in the prone position using a specific snorkel connected to the surface for breathing). Echocardiographic measurements included tricuspid annular plane systolic excursion (TAPSE), tissue S' wave, and right ventricle global strain (RVGLS). RESULTS: For all divers, immersion increased RV preload. In the no IPE group, the increase in RV preload induced by immersion was accompanied by an improvement in the contractility of the RV, as evidenced by increases in TAPSE (17.08 ± 1.15 mm vs 20.89 ± 1.32 mm), S' wave (14.58 ± 2.91 cm/s vs. 16.26 ± 2.77 cm/s), and RVGLS (25.37 ± 2.79 % vs. 27.09 ± 2.89 %). Negative SLL amplified these RV adaptations. In contrast, among divers with IPE, the increase in RV preload did not coincide with an improvement in RV contractility, indicating altered adaptive responses. In the IPE group, the TAPSE values changed from 17.19 ± 1.28 mm to 21.69 ± 1.67 mm and then to 23.55 ± 0.78 mm, respectively, in the dry, surface immersion, and immersion and negative SLL conditions. The S' wave values changed from 13.42 ± 2.94 cm/s to 13.26 ± 2.96 cm/s and then to 12.49 ± 0.77 cm/s, respectively, and the RVGLS values changed from -24.09% ± 2.91% to -23.99% ± 3.38% and then to -21.96% ± 0.55%, respectively. INTERPRETATION: Changes in RV systolic function induced by immersion (especially with the addition of negative static lung load) vary among divers based on the history of IPE. Analyzing ventricular contractility during immersion, particularly RVGLS, could help to identify individual susceptibility in divers. These findings provide insights for the development of preventive strategies. TRIAL REGISTRY: Comité de Protection des Personnes; No.: 21.05.05.35821; Recherche Impliquant la Personne Humaine de type 1 (RIPH1) HPS; No.: 2021-A01225-36.


Asunto(s)
Adaptación Fisiológica , Buceo , Inmersión , Edema Pulmonar , Función Ventricular Derecha , Humanos , Masculino , Femenino , Adulto , Adaptación Fisiológica/fisiología , Inmersión/fisiopatología , Función Ventricular Derecha/fisiología , Buceo/efectos adversos , Buceo/fisiología , Edema Pulmonar/fisiopatología , Edema Pulmonar/etiología , Edema Pulmonar/diagnóstico por imagen , Factores de Riesgo , Ecocardiografía/métodos , Sístole/fisiología , Persona de Mediana Edad , Ventrículos Cardíacos/fisiopatología , Ventrículos Cardíacos/diagnóstico por imagen
20.
PLoS One ; 19(5): e0302758, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38748652

RESUMEN

Measuring breathing rates is a means by which oxygen intake and metabolic rates can be estimated to determine food requirements and energy expenditure of killer whales (Orcinus orca) and other cetaceans. This relatively simple measure also allows the energetic consequences of environmental stressors to cetaceans to be understood but requires knowing respiration rates while they are engaged in different behaviours such as resting, travelling and foraging. We calculated respiration rates for different behavioural states of southern and northern resident killer whales using video from UAV drones and concurrent biologging data from animal-borne tags. Behavioural states of dive tracks were predicted using hierarchical hidden Markov models (HHMM) parameterized with time-depth data and with labeled tracks of drone-identified behavioural states (from drone footage that overlapped with the time-depth data). Dive tracks were sequences of dives and surface intervals lasting ≥ 10 minutes cumulative duration. We calculated respiration rates and estimated oxygen consumption rates for the predicted behavioural states of the tracks. We found that juvenile killer whales breathed at a higher rate when travelling (1.6 breaths min-1) compared to resting (1.2) and foraging (1.5)-and that adult males breathed at a higher rate when travelling (1.8) compared to both foraging (1.7) and resting (1.3). The juveniles in our study were estimated to consume 2.5-18.3 L O2 min-1 compared with 14.3-59.8 L O2 min-1 for adult males across all behaviours based on estimates of mass-specific tidal volume and oxygen extraction. Our findings confirm that killer whales take single breaths between dives and indicate that energy expenditure derived from respirations requires using sex, age, and behavioural-specific respiration rates. These findings can be applied to bioenergetics models on a behavioural-specific basis, and contribute towards obtaining better predictions of dive behaviours, energy expenditure and the food requirements of apex predators.


Asunto(s)
Buceo , Consumo de Oxígeno , Frecuencia Respiratoria , Orca , Animales , Orca/fisiología , Orca/metabolismo , Masculino , Frecuencia Respiratoria/fisiología , Femenino , Consumo de Oxígeno/fisiología , Buceo/fisiología , Metabolismo Energético/fisiología , Respiración , Conducta Alimentaria/fisiología
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