Base de dados : MEDLINE
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  1 / 5219 MEDLINE  
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[PMID]:29406638
[Au] Autor:McGuire M
[Ti] Título:Is the Key to Successful Teambuilding Puzzling? Exactly!
[So] Source:Pediatr Nurs;42(5):212, 216, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Relações Interprofissionais
Colaboração Intersetorial
Medicina Naval/organização & administração
Equipe de Assistência ao Paciente/organização & administração
Enfermagem Pediátrica/organização & administração
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Maryland
Meia-Idade
Estados Unidos
United States Public Health Service
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  2 / 5219 MEDLINE  
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[PMID]:28455379
[Au] Autor:Creery A
[Ti] Título:Robert Desmond Gibson Creery.
[So] Source:BMJ;357:j2036, 2017 04 28.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Pediatras/história
[Mh] Termos MeSH secundário: História do Século XX
Seres Humanos
Hipercalcemia
Doença Iatrogênica
Doenças Metabólicas
Medicina Naval/história
Reino Unido
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Creery RDG
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2036


  3 / 5219 MEDLINE  
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[PMID]:28357837
[Au] Autor:Van Wijk CH; Martin JH; Meintjes WA
[Ad] Endereço:Institute for Maritime Medicine, Simon's Town; Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa. chvanwijk@gmail.com.
[Ti] Título:Diving under the influence: issues in researching personality and inert gas narcosis.
[So] Source:Int Marit Health;68(1):52-59, 2017.
[Is] ISSN:2081-3252
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This paper considers the relationship between measures of personality and mood states, and susceptibility to inert gas narcosis. It briefly reviews the topics of inert gas narcosis affecting personality, and personality affecting the susceptibility to inert gas narcosis. There appears to be is a theoretical argument for a possible relationship between measures of personality, mood states, and susceptibility to narcosis. Practically, such a relationship may speak to issues in selection, training and preparation, risk assessments, and even accident investigation in the diving and/or hyperbaric environment. MATERIALS AND METHODS: Twenty one divers completed measures of personality and mood states, and were then compressed to 709 kPa (equivalent to 60 msw) in a dry compression chamber, where they completed a task measuring speed of information processing, and a scale measuring subjective narcosis. RESULTS AND CONCLUSIONS: The main finding was the absence of any significant correlations between measures of personality traits and mood, and susceptibility to inert gas narcosis. Although the study found no evidence of any major relationship, it is presented as a case study to highlight some of the issues and pitfalls involved in such research. The lessons learned - including the careful defining and describing of concepts, and choosing of samples and measurements - are used to discuss some of the methodological and conceptual issues and future directions for researchers to consider.
[Mh] Termos MeSH primário: Mergulho/psicologia
Narcose por Gás Inerte/psicologia
Nitrogênio/efeitos adversos
Personalidade
[Mh] Termos MeSH secundário: Afeto/fisiologia
Mergulho/efeitos adversos
Feminino
Seres Humanos
Masculino
Medicina Naval
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
N762921K75 (Nitrogen)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.5603/IMH.2017.0009


  4 / 5219 MEDLINE  
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[PMID]:28357835
[Au] Autor:Tayebati SK; Nittari G; Mahdi SS; Ioannidis N; Sibilio F; Amenta F
[Ti] Título:Identification of World Health Organisation ship's medicine chest contents by Anatomical Therapeutic Chemical (ATC) classification codes.
[So] Source:Int Marit Health;68(1):39-45, 2017.
[Is] ISSN:2081-3252
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Ships should carry mandatory given amounts of medicinal products and basic first aid items, collectively known as the ship's medicine chest. Type and quantities of these products/items are suggested by the World Health Organisation (WHO) and regulated by individual flag states. In countries that lack national legislation, it is assumed that ships should follow WHO indications. An objective difficulty mainly involving vessels of international long-haul routes could be to recognise medicinal compounds obtained in other countries for replacing products used or expired. Language barrier may complicate, if not make it impossible to interpret the name of the medicinal product and/or of the active principle as indicated in a box printed in a completely different language. Handling of the ship's pharmacy may be difficult in case of purchasing of drugs abroad due to language barriers. Medicinal products are identified by the international non-proprietary name of the active principle and/or by their chemical or invented (branded) names. This may make the identification of a medicinal product difficult, primarily if it is purchased abroad and the box and instructions are written in the language of the country where it is marketed. Therefore, there is a simpler classification system of the medicinal compounds the ATC (ATC: Anatomy, Therapeutic properties, Chemical, pharmacological properties). This paper has reviewed the list of medicinal products recommended by WHO and assigned to each one the ATC code as a solution to the problem of medicinal compounds organisation. MATERIALS AND METHODS: Two researchers independently examined the list of medicinal compounds indicated in the third edition of the International Medical Guide for Ships and attributed to each compound the ATC code according to the 2013 Guidelines for ATC classification and Defined Daily Dose (DDD) assignment. RESULTS: The ATC code was attributed to the medicinal compounds indicated in the third edition of the International Medical Guide for Ships. CONCLUSIONS: The availability of an objective system to identify medicinal products is required for ships, which will contribute in making the identification of items purchased simpler, making it easier to understand which drug seafarers need to be administer, and consequently reduce possible therapeutic mistakes.
[Mh] Termos MeSH primário: Medicina Naval
Preparações Farmacêuticas/classificação
[Mh] Termos MeSH secundário: Seres Humanos
Navios
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Pharmaceutical Preparations)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.5603/IMH.2017.0007


  5 / 5219 MEDLINE  
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[PMID]:28357834
[Au] Autor:Chauvin C; Le Bouar G; Lardjane S
[Ad] Endereço:Université Bretagne Sud, Lorient, France. christine.chauvin@univ-ubs.fr.
[Ti] Título:Analysis of occupational injuries in the sea fishing industry according to the type of fishery and the fishing activity.
[So] Source:Int Marit Health;68(1):31-38, 2017.
[Is] ISSN:2081-3252
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sea fishing is one of the most dangerous occupations. Numerous studies have already sought to evaluate the risk level of this occupation through the analysis of the frequency and seriousness of occupational injuries. The purpose of the present study is to analyse these accidents in terms of two main characteristics of the vessels involved: the fishery type (high seas, offshore, coastal, or inshore fishery) and the fishing activity (use of passive or active gears). MATERIALS AND METHODS: Injury rates were calculated for the Brittany region and for the year 2012. A second analysis was carried out on 8,286 reported injuries that occurred in France from 2002 to 2012, while vessels were in the process of fishing. RESULTS: This first analysis shows that the incidence rate is very high (103 per 1,000 full-time equivalent fishermen) and that it depends more on the fishery type than on the fishing activity; the highest rates concern the offshore and the coastal fleets. Results of the second analysis show that the nature of accidents depends more on the fishing activity than on the type of fishery. CONCLUSIONS: These findings lead to a discussion of the causes of the highest incidence rate values and the causes of the observed variations. The discussion also involves the methodological difficulties related to the incidence rate calculations.
[Mh] Termos MeSH primário: Acidentes de Trabalho/estatística & dados numéricos
Pesqueiros/estatística & dados numéricos
Traumatismos Ocupacionais/epidemiologia
[Mh] Termos MeSH secundário: França/epidemiologia
Seres Humanos
Incidência
Masculino
Medicina Naval
Fatores de Risco
Navios
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.5603/IMH.2017.0006


  6 / 5219 MEDLINE  
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[PMID]:28357832
[Au] Autor:Laraqui O; Laraqui S; Manar N; Ghailan T; Deschamps F; Laraqui CH
[Ti] Título:Prevalence of consumption of addictive substances amongst Moroccan fishermen.
[So] Source:Int Marit Health;68(1):19-25, 2017.
[Is] ISSN:2081-3252
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The prevalence of toxic habits is constantly increasing in developing countries and all professional sectors are concerned. Seafarers are a particular target because of the dangerousness and complexity of their work. However, few studies have investigated toxic habits in this population. The aim of the study was to determine the prevalence of the use and misuse of addictive substances in seafarers and to appreciate poly-consumptions according to socio-demographic and occupational characteristics. MATERIALS AND METHODS: This cross-sectional study was conducted amongst 1,219 fishermen. Subjects filled a questionnaire during their medical examination. The questionnaire covered socio-demographic and occupational characteristics, toxic habits (tobacco, alcohol, cannabis and others psychotropic substances). The misuse was assessed by specific tests: dependence on smoking tobacco (Fagerstrom), Cannabis Abuse Screening Test (CAST) and Alcohol Use Disorders Identification Test (AUDIT). RESULTS: The prevalence of consumption was 58.5% for smoking tobacco, 36.2% for cannabis, and 36.5% for alcohol. Amongst consumers, the prevalence of dependence or misuse was 49% for smoking tobacco, 61.2% for cannabis and 86% for alcohol. Only 115 (9.4%) people had no toxic habit. 56.4% had one toxic habit, 20.4% had two toxic habits, 11.9% had three toxic habits and 1.9% had four toxic habits. The most frequent associations were tobacco-cannabis (10.5%) and tobacco-alcohol (6.1%). CONCLUSIONS: In this sector, occupational health physicians have to play a key role in raising awareness and fighting against toxic habits.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/epidemiologia
Fumar/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Seres Humanos
Masculino
Fumar Maconha
Marrocos/epidemiologia
Medicina Naval
Prevalência
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.5603/IMH.2017.0004


  7 / 5219 MEDLINE  
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[PMID]:28357833
[Au] Autor:Laraqui S; Laraqui O; Manar N; Ghailan T; Belabsir M; Deschamps F; Laraqui CH
[Ti] Título:The assessment of seafarers' knowledge, attitudes and practices related to STI/HIV/AIDS in northern Morocco.
[So] Source:Int Marit Health;68(1):26-30, 2017.
[Is] ISSN:2081-3252
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The purpose of this study was to assess the knowledge, attitudes and practices of seafarers in relation to sexually transmitted infections (STI) and human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS). MATERIALS AND METHODS: This transversal, descriptive and behavioural study was conducted in 2014 on a representative sample of 1447 seafarers. RESULTS: The rate of participation was 95%. The mean age was 36.1 ± 8.2 years. Knowledge about transmission and prevention mode was satisfactory on HIV/AIDS; however, some misconceptions still persist. The level of stigmatisation and discrimination towards people living with the virus was considered high. The prevalence of sexual high-risk behaviour was significant: 32% had at least two sexual partners and 26.3% have had sex with sex workers, 60% of them were not protected; 42.8% have never used the condom and only 15.1% used it systematically. The sailors who had sexual intercourse under the influence of alcohol or drugs are less protected. As too HIV testing, only 10.2% did it. CONCLUSIONS: This study showed a gap in knowledge about transmission and prevention of HIV infection/AIDS and sexual risk behaviour. Increasing awareness and information among seafarers is of prime importance.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Comportamento Sexual/estatística & dados numéricos
Doenças Sexualmente Transmissíveis/psicologia
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/prevenção & controle
Síndrome de Imunodeficiência Adquirida/psicologia
Síndrome de Imunodeficiência Adquirida/transmissão
Adolescente
Adulto
Preservativos/utilização
Estudos Transversais
Infecções por HIV
Seres Humanos
Masculino
Meia-Idade
Marrocos
Medicina Naval/estatística & dados numéricos
Assunção de Riscos
Doenças Sexualmente Transmissíveis/prevenção & controle
Doenças Sexualmente Transmissíveis/transmissão
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.5603/IMH.2017.0005


  8 / 5219 MEDLINE  
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[PMID]:28357829
[Au] Autor:Baygi F; Jensen OC; Mohammadi-Nasrabadi F; Qorbani M; Mansourian M; Mirkazemi R; Farshad A; Salehi SA; Haghighian Roudsari A; Shidfar F
[Ad] Endereço:Occupational Health Research Centre, Iran University of Medical Sciences, Tehran, Iran. fb.baygi@gmail.com.
[Ti] Título:Factors affecting health-promoting lifestyle profile in Iranian male seafarers working on tankers.
[So] Source:Int Marit Health;68(1):1-6, 2017.
[Is] ISSN:2081-3252
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Seafaring is a risky occupation that is associated with a high incidence of lifestyle-related diseases. The present study was carried out to examine health promotion behaviour and its associated factors in seafarers of the National Iranian Tanker Company. MATERIALS AND METHODS: A cross-sectional study was performed on 200 Iranian male seafarers in 2015. A self-administered socio-demographic and Health Promotion Lifestyle Profile II (HPLP-II) questionnaire was completed. One-way analysis of variance was used to identify significant differences among the various departments. The t-test was utilised to compare the HPLP-II scores according to the demographic variables. Multiple linear regression analysis was performed to assess the association between demographic variables and the overall HPLP-II score, in addition to the six health-promoting lifestyle subscale scores. RESULTS: The mean age of the participants was 35.93 ± 9.51 years. Most of the seafarers were categorised as having a moderate (32%) or good lifestyle (61.5%). The mean lifestyle score was 136.14 ± 19.90, with the subscale spiritual growth showing the highest score (26.16 ± 5.03) and the subscale exercise behaviour showing the lowest score (19.95 ± 4.23). The lowest score for nutrition was found among the seafarers working in the engine department (engine: 20.41 ± 4.50, deck: 23.52 ± 4.97, and galley: 24.83 ± 4.64) (p < 0.05). Working in the engine department was found to have a significant negative effect on the nutrition score (B = -3.57, p < 0.05). Moreover, educational level was found to have a significant positive effect on spiritual growth (B = 2.97, p < 0.05). CONCLUSIONS: The findings suggest that health-related issues in this occupation, especially workers in the engine room, are a matter of concern.
[Mh] Termos MeSH primário: Estilo de Vida Saudável
Saúde do Trabalhador
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Exercício
Seres Humanos
Irã (Geográfico)/etnologia
Masculino
Meia-Idade
Medicina Naval
Estado Nutricional
Saúde do Trabalhador/estatística & dados numéricos
Estresse Psicológico/psicologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.5603/IMH.2017.0001


  9 / 5219 MEDLINE  
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[PMID]:28357830
[Au] Autor:Carron M; Coulange M; Dupuy C; Mastalski P; Barberon B; Roullaud A; Desplantes A; Auffray JP
[Ad] Endereço:Emergency Department, Pasteur 2 University Hospital, Nice, France. mathieu.carron01@gmail.com.
[Ti] Título:Preparation and medical follow-up for a single-handed transatlantic rowing race.
[So] Source:Int Marit Health;68(1):7-11, 2017.
[Is] ISSN:2081-3252
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A single-handed transatlantic rowing race was organised between Senegal and French Guyana (2600 nautical miles). During the race, rowers adjust their lifestyle to maintain an optimal level of performance. Nutrition, circadian rhythm disturbance, psychological state, pain and other medical problems impact on physical abilities and increase the occurrence of accidents. We surveyed the prevalence of medical complications during this race and the preparation that we could suggest for this kind of activity. MATERIALS AND METHODS: This is a descriptive, retrospective case series study. Follow-up consisted of sending out a questionnaire and performing individual interviews. RESULTS: A total of 23 participants including 1 woman and 22 men; mean age of 46.5 years (range: 35-59) entered the race. The race lasted for 39 to 52 days with participants rowing between 10 and 12 h/day. Nine participants dropped out. Energy intake was 4500 to 6000 kcal/day and fluid intake was 4 to 5.5 L/day. Mean weight loss was 13.3 kg. The resting period was 6 ± 1 h/24 h divided into 1.5 to 2 h periods essentially during darkness. A total of 92% of the racers required medical care for dermatological problems; other conditions requiring medical care were: tendinitis in 10 cases, diarrhoea in 4, moderate to severe seasickness in 4, hallucinations in 3, panic attacks in 2, burns in 2, and disembarkation syndrome ("land sickness") lasting from 45 min to 6 h in 13. CONCLUSIONS: Physiological and psychological impact of this type of event is still unclear. The most common medical problems are dermatological, rheumatological complications and minor trauma. Medical and psychological preparation should be offered to candidates for these competitions.
[Mh] Termos MeSH primário: Dermatopatias/epidemiologia
Medicina Esportiva/métodos
[Mh] Termos MeSH secundário: Adulto
Oceano Atlântico
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Enjoo devido ao Movimento/epidemiologia
Medicina Naval
Estado Nutricional
Estudos Retrospectivos
Sono
Medicina Esportiva/estatística & dados numéricos
Ferimentos e Lesões/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.5603/IMH.2017.0002


  10 / 5219 MEDLINE  
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[PMID]:28357827
[Au] Autor:Clarke D
[Ad] Endereço:Columbia, South Carolina, dick.clarke@palmettohealth.org.
[Ti] Título:USN Treatment Table 9.
[So] Source:Diving Hyperb Med;47(1):65, 2017 03.
[Is] ISSN:1833-3516
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The United States Navy (USN) introduced Treatment Table 9 (USN TT9) in 1999. Its purpose is to provide a dosing protocol for cases of incomplete resolution of decompression sickness (DCS) and arterial gas embolism following initial provision of USN Treatment Table 6 (USN TT6). It also can be used for several non-diving-related acute toxicities. Prior to USN TT9, it was and remains common to use USN Treatment Table 5 (USN TT5) for 'follow-up' therapy. An exception might be cases of severe residual neurologic injury, where some prefer to repeat USN TT6. The primary role of USN TT5, however, is for treatment of 'pain only' (Type 1) DCS that has fully resolved within 10 minutes of the first oxygen breathing period at 60 feet of seawater (fsw) (284 kPa). It is thought helpful here to point out that USN TT9 offers certain safety and operational advantages over USN TT5. As USN TT9 employs a maximum pressure of 243 kPa, a marked risk reduction exists for the injured diver in terms of CNS oxygen toxicity. Seizures are reported during treatment of divers using US Navy protocols, some as early as the second and in one case during the first oxygen breathing period at 284 kPa (Mitchell SJ, personal communication, 2016). The inside attendant likewise enjoys an iatrogenic DCS risk reduction. While air breathing exposure time at 60 fsw on USN TT5 appears modest at first blush, the table can be extended at 30 fsw (203 kPa) for two additional oxygen/air cycles. Such extensions result in a not inconsiderable total exposure time of three hours. DCS risk is also increased if the treatment represents a repetitive dive for the attendant, a not uncommon event. Given the ongoing occurrence of inside attendant DCS, in some cases career ending and twice with fatal outcome, its mitigation should be aggressively pursued (author's personal files). From an operational perspective, both treatment pressure and sequencing of oxygen/air breathing cycles during delivery of USN TT9 are essentially identical to that commonly employed during multiplace chamber delivery of hyperbaric oxygen treatment. Accordingly, it is straightforward enough to incorporate follow-up decompression illness cases into daily clinical practice. Not having this dosing 'match', i.e., using USN TT5, might otherwise disrupt regularly scheduled cases. In my capacity as a medical claims adjudicator and clinical resource, I am involved, to varying degrees, in more than 300 cases of decompression illness each year. In those involving more than a single treatment, it is very much the exception, even after 17 years since its introduction, that USN TT9 is employed. The primary purpose of this correspondence, then, is to make mention of the advantages of USN TT9 and remind providers that it is indeed a standard of care in cases of incomplete relief for those who choose to base decompression injury management decisions on USN treatment procedures.
[Mh] Termos MeSH primário: Doença da Descompressão/terapia
Descompressão/métodos
Embolia Aérea/terapia
Medicina Naval
[Mh] Termos MeSH secundário: Descompressão/normas
Seres Humanos
Oxigenação Hiperbárica
Estados Unidos
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170502
[Lr] Data última revisão:
170502
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE



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