ABSTRACT
Diving conditions, dive profiles, and symptoms of decompression sickness (DCS) in a group of Miskito Indian underwater seafood harvesters are described. Dive profiles for 5 divers were recorded with dive computers, and DCS symptoms were assessed by neurological examination and interview. Divers averaged 10 dives a day over a 7-day period with a mean depth of 67 +/- 7 FSW (306 +/- 123 kPa) and average in-water time of 20.6 +/- 6.3 minutes. Limb pain was reported on 10 occasions during 35 man-days of diving. Symptoms were typically managed with analgesic medication rather than recompression. Indices of the decompression stress were estimated from the recorded profiles using a probabilistic model. We conclude that the dives were outside the limits of standard air decompression tables and that DCS symptoms were common. The high frequency of limb pain suggests the potential for dysbaric bone necrosis for these divers.
Subject(s)
Decompression Sickness/etiology , Diving/adverse effects , Electronic Data Processing/methods , Indians, Central American , Adult , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Aspirin/therapeutic use , Data Collection/methods , Decompression Sickness/diagnosis , Decompression Sickness/epidemiology , Honduras/epidemiology , Honduras/ethnology , Humans , Incidence , Leg , Male , Marijuana Smoking/epidemiology , Osteonecrosis/complications , Pain/diagnosis , Pain/epidemiology , Pain/etiology , ProbabilityABSTRACT
Fueron tratados con clindamicina treinta pacientes con malaria por P. falciparum la mayoria multiquimio-resistentes. En diecinueve, la dosis fue de 20 mg/kg/peso/dia durante siete dias, por via venosa u oral.Seis recibieron la clindamicina a razon de 40 mg/kg/peso/dia venosa durante tres dias y cinco pacientes recibieron 40 mg/kg/peso/dia durante siete dias. La sintomatologia duro, en promedio 2,8 dias.Con el tratamiento la parasitemia ascendio en diecisiete pacientes y la desaparicion de la parasitemia fue, en promedio, de 5.06 dias Todos los pacientes con antecedentes malaricos con infecciones resistentes a la cloroquina y a otras drogas. Los efectos colaterales fueron minimos
Subject(s)
Humans , Clindamycin , Malaria , Plasmodium falciparum , Drug Resistance, MicrobialABSTRACT
This report describes a case of macroglobulinemia in a six year old castrate male Collie cross dog with clinical signs of epistaxis, anemia, retinopathy and high serum viscosity. The highest total serum protein was 12 g/dl with approximately 60% monoclonal beta globulin. Proteinuria, Bence Jones protein and osteolytic lesions were not detected.Chemotherapy and partial removal of the plasma protein by withdrawal of whole blood and transfusion with packed red cells from a DEA negative donor resulted in transient clinical remission.
