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Evaluation of Divers' Neuropsychometric Effectiveness and High-Pressure Neurological Syndrome via Computerized Test Battery Package and Questionnaires in Operational Setting
12 avril 2019, Berenji Ardestani, Simin; BALESTRA, Costantino
; Bouzinova, Elena; Loennechen, Oyvind, HE Bruxelles Brabant
Article scientifiqueIntroduction: When divers are compressed to water depths deeper than 150 meter sea water (msw), symptoms of high-pressure neurological syndrome (HPNS) might appear due to rapid increase in pressure on the central nervous system during compression. The aim of this study was to first operate a new computerized tool, designed to monitor divers' wellbeing and cognitive function, and to record the results. ... -
Evaluation of Protection Level, Respiratory Safety, and Practical Aspects of Commercially Available Snorkel Masks as Personal Protection Devices Against Aerosolized Contaminants and SARS-CoV2
Article scientifiqueIntroduction: The “Severe Acute Respiratory Syndrome Coronavirus 2” (SARS-CoV2) pandemic has led to a worldwide shortage of personal protection devices (PPD) for medical and paramedical personnel. Adaptation of commercially available snorkel masks to serve as full face masks has been proposed. Even not formally approved as PPD, they are publicized on social media as suitable for this use. Concerns ... -
Evidence of Heritable Determinants of Decompression Sickness in Rats
22 juillet 2017, Lautridou, Jacky; Buzzacott, Peter; Belhomme, Marc; Dugrenot, Emmanuel; Lafère, Pierre; BALESTRA, Costantino; Guerrero, François, HE Bruxelles Brabant
Article scientifiqueNTRODUCTION: Decompression sickness (DCS) is a complex and poorly understood systemic disease caused by inadequate desaturation following a decrease of ambient pressure. Strong variability between individuals is observed for DCS occurrence. This raises questions concerning factors that may be involved in the inter-individual variability of DCS occurrence. This study aimed to experimentally assess ... -
Extreme Environments in Movement Science and Sport Psychology
20 décembre 2018, BALESTRA, Costantino; Jacek, Kot; Efrati, Shai; Guerrero, François; Blatteau, Jean-Eric; Besnard, Stéphane, HE Bruxelles Brabant
Article scientifiqueEditorial: Extreme Environments in Movement Science and Sport Psychology -
Factors influencing the severity of long-term sequelae in fishermen-divers with neurological decompression sickness
31 mars 2020, HE Bruxelles BrabantArticle scientifiqueIntroduction: Numerous studies have been conducted to identify the factors influencing the short-term prognosis for neurological decompression sickness (DCS). However, the long-term sequelae are rarely assessed. The purpose of this study to investigate the factors likely to influence the long-term prognosis. Methods: Twenty-seven Vietnamese fishermen-divers who on average 9 (SD 6) years beforehand ... -
Feasibility of Detecting Brain Areas Involved in Extreme Breath-Hold Diving
20 janvier 2021, Jissendi-Tchofo, Patrice; Jdaoudi, Yassin; ; Brizzolari, Andrea; Musimu, Patrick; BALESTRA, Costantino, HE Bruxelles Brabant
Article scientifiqueWe report Blood Oxygen Level Dependent (BOLD) signal changes recorded in the brain of an elite breath-hold diver during voluntary dry long breath-hold by means of fMRI. An independent component analysis (ICA) method was applied to extract brain areas that are putatively involved in the apnea process network. We discuss the hypothesis that these BOLD signal variations express the functional adaptive ... -
Field study of anthropomorphic and muscle performance changes among elite skippers following a transoceanic race
12 juin 2020, Lafère, Pierre; Gatzoff, Yann; Guerrero, François; Provyn, Steven; BALESTRA, Costantino, HE Bruxelles Brabant
Article scientifiqueBACKGROUND: Ocean racing has become increasingly demanding, both physically and psychologically. The aim of the study was to assess global changes after a transoceanic race. MATERIALS AND METHODS: Eight male sailors were evaluated pre- and post-race through anthropometric measurements (weight, skinfold, girth at different level and estimated body fat percentage), multifrequency tetrapolar bioelectrical ... -
Fluoxetine Protection in Decompression Sickness in Mice is Enhanced by Blocking TREK-1 Potassium Channel with the "spadin" Antidepressant
16 février 2016, HE Bruxelles BrabantArticle scientifiqueIn mice, disseminated coagulation, inflammation, and ischemia induce neurological damage that can lead to death. These symptoms result from circulating bubbles generated by a pathogenic decompression. Acute fluoxetine treatment or the presence of the TREK-1 potassium channel increases the survival rate when mice are subjected to an experimental dive/decompression protocol. This is a paradox because ... -
Fluoxetine stimulates anti-inflammatory IL-10 cytokine production and attenuates sensory deficits in a rat model of decompression sickness
22 octobre 2015, HE Bruxelles BrabantArticle scientifiqueDespite "gold standard" hyperbaric oxygen treatment, 30% of patients suffering from neurological decompression sickness still exhibit incomplete recovery, including sensory impairments. Fluoxetine, a well-known antidepressant, is recognized as having anti-inflammatory effects in the setting of cerebral ischemia. In this study, we focused on the assessment of sensory neurological deficits and measurement ... -
Flying after diving: should recommendations be reviewed? In-flight echocardiographic study in bubble-prone and bubble-resistant divers
13 mai 2015, Cialoni, Danilo; Pieri, Massimo; BALESTRA, Costantino; Marroni, Alessandro, HE Bruxelles Brabant
Article scientifiqueINTRODUCTION: 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, ... -
Full-Face Mask Use during SCUBA Diving Counters Related Oxidative Stress and Endothelial Dysfunction
15 janvier 2022, Levenez, Morgan; ; Mrakic-Sposta, Simona; Vezzoli, Alessandra; Germonpré, Peter; Pique, Hadrien; Virgili, Fabi; Bosco, Gerardo; Lafere, Pierre; BALESTRA, Costantino, HE Bruxelles Brabant
Article scientifiqueImpaired flow mediated dilation (FMD), an index of vascular stress, is known after SCUBA diving. This is related to a dysfunction of nitric oxide (NO) availability and a disturbance of the redox status, possibly induced by hyperoxic/hyperbaric gas breathing. SCUBA diving is usually performed with a mask only covering "half face" (HF) and therefore forcing oral breathing. Nasal NO production is ... -
A fully automated method for late ventricular diastole frame selection in post-dive echocardiography without ECG gating
02 mars 2021, Markley, Eric; Le, David; Germonpré, Peter; BALESTRA, Costantino; Tillmans, Frauke; Denoble, Petar; Freiberger, Jake; Moon, Richard; Dayton, Paul; Papadopoulou, Virginie, HE Bruxelles Brabant
Article scientifiqueVenous gas emboli (VGE) are often quantified as a marker of decompression stress on echocardiograms. Bubble-counting has been proposed as an easy to learn method, but remains time-consuming, rendering large dataset analysis impractical. Computer automation of VGE counting following this method has therefore been suggested as a means to eliminate rater bias and save time. A necessary step for this ... -
A fully automated method for late ventricular diastole frame selection in post-dive echocardiography without ECG gatingEr
02 mars 2021, Markley, Eric; Germonpré, Peter; BALESTRA, Costantino; Tillmans, Frauke; Denoble, Petar; Freiberger, Jake; Moon, Richard; Dayton, Paul; Papadopoulou, Virginie, HE Bruxelles Brabant
Article scientifiqueVenous gas emboli (VGE) are often quantified as a marker of decompression stress on echocardiograms. Bubble-counting has been proposed as an easy to learn method, but remains time-consuming, rendering large dataset analysis impractical. Computer automation of VGE counting following this method has therefore been suggested as a means to eliminate rater bias and save time. A necessary step for this ... -
Heart Rate Variability During a Standard Dive: A Role for Inspired Oxygen Pressure?
13 août 2021, Lafère, Pierre; ; ; Balestra, Ambre; Germonpré, Faye-Lisa; Marroni, Alessandro; Cialoni, Danilo; Bosco, Gerardo; BALESTRA, Costantino, HE Bruxelles Brabant
Article scientifiqueIntroduction: Heart rate variability (HRV) during underwater diving has been infrequently investigated because of environment limitations and technical challenges. This study aims to analyze HRV changes while diving at variable hyperoxia when using open circuit (OC) air diving apparatus or at constant hyperoxia using a closed-circuit rebreather (CCR). We used HRV analysis in time and frequency domain ... -
Heart Rate Variability During a Standard Dive: A Role for Inspired Oxygen Pressure?
13 août 2021, Lafère, Pierre; ; ; ; Germonpré, Faye-Lisa; Marroni, Alessandro; Cialoni, Danilo; Bosco, Gerardo; BALESTRA, Costantino, HE Bruxelles Brabant
Article scientifiqueIntroduction: Heart rate variability (HRV) during underwater diving has been infrequently investigated because of environment limitations and technical challenges. This study aims to analyze HRV changes while diving at variable hyperoxia when using open circuit (OC) air diving apparatus or at constant hyperoxia using a closed-circuit rebreather (CCR). We used HRV analysis in time and frequency domain ... -
Hemoglobin and Erythropoietin After Commercial Saturation Diving
21 août 2018, Kiboub, Fatima Zohra; BALESTRA, Costantino; Loennechen, Øyvind; Eftedal, Ingrid, HE Bruxelles Brabant
Article scientifiqueSaturation divers are exposed to elevated partial pressure of oxygen (ppO2) in their hyperbaric work environment. Experimental studies indicate that oxygen transport is altered, and we have previously reported a drop in hematocrit and extensive downregulation of genes involved in blood oxygen transport capacity after decompression from professional saturation diving. Here we investigate the initial ... -
Hydration status during commercial saturation diving measured by bioimpedance and urine specific gravity
29 septembre 2022, Werke, Stian Lande; Landswerk, Halvor Dagsson; Lautridou, Jacky; Imbert, Jean-Pierre; BALESTRA, Costantino; Eftedal, Ingrid, HE Bruxelles Brabant
Article scientifiqueExcessive fluid loss triggered by hyperbaric pressure, water immersion and hot water suits causes saturation divers to be at risk of dehydration. Dehydration is associated with reductions in mental and physical performance, resulting in less effective work and an increased risk of work-related accidents. In this study we examined the hydration status of 11 male divers over 19 days of a commercial ... -
Hyperbaric medicine
Livre/Ouvrage ou monographieOxygen (both its presence and absence) acts as a potent signaling mechanism in many, if not most, cellular processes. Oxygen has been used therapeutically mainly to alleviate or correct hypoxia, and has been administered in supra-atmospheric doses in the form of hyperbaric oxygen (a method derived from diving medicine practices, but has been used in non-diving applications since the 1960s). Hyperbaric ... -
Hyperoxia Alters Ultrastructure and Induces Apoptosis in Leukemia Cell Lines
12 février 2020, De Bels, David; Tillmans, Frauke; Corazza, Francis; Bizzarri, Mariano; ; Radermacher, Peter; Keziban, Gunce-Orman; BALESTRA, Costantino, HE Bruxelles Brabant
Article scientifiqueOxygenation conditions are crucial for growth and tumor progression. Recent data suggests a decrease in cancer cell proliferation occurring after exposure to normobaric hyperoxia. Those changes are associated with fractal dimension. The purpose of this research was to study the impact of hyperoxia on apoptosis and morphology of leukemia cell lines. Two hematopoietic lymphoid cancer cell lines (a ... -
The Impact of Inotropes and Vasopressors on Cerebral Oxygenation in Patients with Traumatic Brain Injury and Subarachnoid Hemorrhage: A Narrative Review
24 janvier 2024, HE Bruxelles BrabantArticle scientifiqueTraumatic brain injury (TBI) and subarachnoid hemorrhage (SAH) are critical neurological conditions that necessitate specialized care in the Intensive Care Unit (ICU). Managing cerebral perfusion pressure (CPP) and mean arterial pressure (MAP) is of primary importance in these patients. To maintain targeted MAP and CPP, vasopressors and/or inotropes are commonly used. However, their effects on ...