Vestibular effects of diving

Over the last 45 years, recreational self-contained underwater breathing apparatus (SCUBA) diving as a leisure activity has increased in popularity. According to the Professional Association of Diving Instructors (PADI), more than 23 million diver certificates have been issued across the globe. Given the popularity of scuba diving, it is incumbent on every physician to know and understand the specific medical hazards and conditions associated with scuba diving. Although diving has become more accessible and the equipment is much safer now, diving still has its inherent dangers. Each year incidents occur, ranging from seasickness and sinus problems to heart conditions and mortality. More than 80% of all diving complications occur in the head and neck region. A number of studies have found that diving can lead to the development of vestibular disorders such as: Barotrauma, Decompression sickness, Otitis externa, Bilateral exostoses, Chronic sinusitis (barosinusitis), Serous tubotympanic catarrh, Tinnitus, Dizziness, Vertigo.The aim of this paper was to share our experience in the field of treating patients with different types of ENT disorders after or before a diving session. We briefly summarized the most important information for some of the disorders.We included in our study for a period of 12 years: a total of 24 patients (four females and 20 males), who dive. They were between 25 and 55 years of age. Some presented in clinics with an ENT disorder. 19 were professional, qualified divers, five (three males and two females) dove for the first time. On all 24 patients we performed: audiometry tests, Tympanometry tests, OAE, Static and dynamic vestibular tests, vHIT – in the last five years, otoscopy examination, dental check-ups.All divers – no matter professionalists or not – should follow these recommendations: a thorough prophylactic ENT check-up should be performed before an active diving session. Chronic ENT inflammations should be addressed in a timely manner. Divers should follow all instructions from the certified Diving Associations

Rhinophyma – a clinical case and literature review

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Chronic rhinosinuitis with sphenoid sinus mycetoma – Clinical Case and literature review

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Tips for Programming the Speech Processor

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Mechanistic insights into a hydrate contribution to the Paleocene-Eocene carbon cycle perturbation from coupled thermohydraulic simulations

During the Paleocene-Eocene Thermal Maximum (PETM), the carbon isotopic signature (δ13C) of surface carbon-bearing phases decreased abruptly by at least 2.5 to 3.0‰. This carbon isotope excursion (CIE) has been attributed to widespread methane hydrate dissociation in response to rapid ocean warming. We ran a thermohydraulic modeling code to simulate hydrate dissociation due to ocean warming for various PETM scenarios. Our results show that hydrate dissociation in response to such warming can be rapid but suggest that methane release to the ocean is modest and delayed by hundreds to thousands of years after the onset of dissociation, limiting the potential for positive feedback from emission-induced warming. In all of our simulations at least half of the dissociated hydrate methane remains beneath the seabed, suggesting that the pre-PETM hydrate inventory needed to account for all of the CIE is at least double that required for isotopic mass balance

Предимства и недостатъци на транспланти и имплантанти, използвани в уголемяващата ринопластика

Транспланти и импланти в ринохирургията се използват често, за да се реконструира поддържането структури за върха за нос, коригиране на седловиден нос, както и подобряване на функцията на носната клапа или форма на върха на носа. Уголемяващата ринопластика е била прилагана предимно при пациенти от жълтата раса, африканци или афроамериканци. Днес, с бързото развитие на пластичната и естетична хирургия, уголемяващата ринопластика е придобила голяма популярност в Азия. Целта на нашата статия е да представим световния опит по този проблем

Carbon release from submarine seeps at the Costa Rica fore arc: implications for the volatile cycle at the Central America convergent margin

We report total dissolved inorganic carbon (DIC) abundances and isotope ratios, as well as helium isotope ratios (3He/4He), of cold seep fluids sampled at the Costa Rica fore arc in order to evaluate the extent of carbon loss from the submarine segment of the Central America convergent margin. Seep fluids were collected over a 12 month period at Mound 11, Mound 12, and Jaco Scar using copper tubing attached to submarine flux meters operating in continuous pumping mode. The fluids show minimum 3He/4He ratios of 1.3 RA (where RA is air 3He/4He), consistent with a small but discernable contribution of mantle-derived helium. At Mound 11, δ13C∑CO2 values between −23.9‰ and −11.6‰ indicate that DIC is predominantly derived from deep methanogenesis and is carried to the surface by fluids derived from sediments of the subducting slab. In contrast, at Mound 12, most of the ascending dissolved methane is oxidized due to lower flow rates, giving extremely low δ13C∑CO2 values ranging from −68.2‰ to −60.3‰. We estimate that the carbon flux (CO2 plus methane) through submarine fluid venting at the outer fore arc is 8.0 × 105 g C km−1 yr−1, which is virtually negligible compared to the total sedimentary carbon input to the margin and the output at the volcanic front. Unless there is a significant but hitherto unidentified carbon flux at the inner fore arc, the implication is that most of the carbon being subducted in Costa Rica must be transferred to the (deeper) mantle, i.e., beyond the depth of arc magma generation

Artificial intelligence – the new suggestion for biomedicine, dentistry and healthcare

The development of technologies based on Artificial Intelligence (AI) and their application in medicine is growing rapidly. Innovations in digital technology, telemedicine, 5G technology and artificial intelligence (AI) create new opportunities for the development of the healthcare system. The aim of the present study is to explore the possibilities for the application of artificial intelligence in biomedicine, dentistry, healthcare and healthcare. In recent years there have been many major innovations, including the introduction of many new information and communication technologies. Digital innovations, including the further inclusion of telemedicine, the development of 5th generation wireless networks (5G) and artificial intelligence (AI) approaches, create an exceptional ecosystem for new health opportunities. The digital health sector creates a favorable environment for the provision of health services at a very high level

Fate of rising methane bubbles in stratified waters: How much methane reaches the atmosphere?

There is growing concern about the transfer of methane originating from water bodies to the atmosphere. Methane from sediments can reach the atmosphere directly via bubbles or indirectly via vertical turbulent transport. This work quantifies methane gas bubble dissolution using a combination of bubble modeling and acoustic observations of rising bubbles to determine what fraction of the methane transported by bubbles will reach the atmosphere. The bubble model predicts the evolving bubble size, gas composition, and rise distance and is suitable for almost all aquatic environments. The model was validated using methane and argon bubble dissolution measurements obtained from the literature for deep, oxic, saline water with excellent results. Methane bubbles from within the hydrate stability zone (typically below ∼500 m water depth in the ocean) are believed to form an outer hydrate rim. To explain the subsequent slow dissolution, a model calibration was performed using bubble dissolution data from the literature measured within the hydrate stability zone. The calibrated model explains the impressively tall flares (>1300 m) observed in the hydrate stability zone of the Black Sea. This study suggests that only a small amount of methane reaches the surface at active seep sites in the Black Sea, and this only from very shallow water areas (<100 m). Clearly, the Black Sea and the ocean are rather effective barriers against the transfer of bubble methane to the atmosphere, although substantial amounts of methane may reach the surface in shallow lakes and reservoirs