Violation of USN No Deco

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Presentation transcript:

Violation of USN No Deco Diving Behavior and Decompression Stress among Artisanal Fishermen from the Yucatan Peninsula, Mexico Background Results Chin W. Huchim O. Ninokawa S Chan E Huang C Artisanal fishermen divers (AFD) dive for sustenance. The prevalence of decompression sickness (DCS) among this population is alarmingly high. Diving Behavior Subjects Dives Diving Days Single Dives Multiple Dives FSW BT Bounces   Mean SU-10527 404 141 138 266 50.04 94.69 1.83 SU-10779 116 66 60 56 34.37 195.29 3.44 SU-10782 441 153 62 379 42.58 117.98 4.88 SU-11156 46 36 35 11 34 198.77 2.02 SU-11160 339 106 9 330 42.4 110.88 2.73 SU-12511 260 90 251 38.41 117.92 3.40 SU-12512 186 105 29.57 183.36 3.36 SU-12514 366 88 51.77 73.73 2.32 SU-12515 353 118 40.63 106.1 3.28 SU-13241 49 15 37.78 105.67 1.62 TOTAL 2,560 918 1267 1293 42.79 114.86 2.99 Purpose The aim of this study is to understand the diving behavior in ten AFD Methods Approved by the UCLA IRB two #13-000532, this study was conducted during fishing seasons 2012 through 2015.13 consenting male fishermen, ages (41-49), were instructed to attach dive recorders to their waists during every fishing day throughout the study period. SENSUS ULTRA dive recorders (ReefNet Inc.), with an accuracy of ± 1 foot of seawater (FSW), were used to record parameters. Sampling interval was set to 10 seconds with an activation depth of 10 FSW. Data sets from recorders were downloaded onto desktop workstations and saved as comma separated values files. A subroutine in Microsoft Visual Basic© was created to extract the parameters of depth, bottom time (BT), dives, diving days (DD), and repetitive dives. Stata 13.1 was used for statistical analysis. R Dive Profile Plots Conclusion We recorded 2,560 dives. These exposures clarify the level of decompression stress these fishermen undergo. These dives, fishing yields, and diving behaviors will serve as input for a deterministic decompression table for these AFD. Mixed-effects logistic regression Number of obs = 2630 Group variable: sub Number of groups 13 Obs per group: min 1 avg 202.3 max 446 Integration method: mvaghermite Integration points 7 Wald chi2(9) 472.42 Log likelihood = -624.65734 Prob > chi2 Discussion Our data indicated that the fisherman violate the no decompression limit during more than 25% of dives (based on US Navy models). There is a strong, negative, linear relationship between the age of the fisherman and the depth of the dive. Younger fisherman dove deeper than older ones and were more likely to perform repetitive dives than their older AFD. Violation of USN No Deco Odds Ratio Std. Err. z P>|z| [ 95% Conf. Interval] Depth 1.22 0.012 21 0.00 1.20 1.25 Bottom Time 1.04 0.002 20 Month   Feb 2.70 1.575 2 0.09 0.86 8.47 July 1.39 0.686 1 0.50 0.53 3.66 August 3.76 1.765 3 0.01 1.50 9.43 September 4.32 2.076 1.69 11.08 October 4.64 2.212 1.82 11.81 November 2.81 1.416 0.04 1.05 7.54 December 10.46 5.830 4 3.51 31.19 _cons 0.000 -18 var(_cons) 0.83 0.419 2.23 LR test vs. Logistic Regreression chibar 2(01) 72.41 Prob>=chibar2=0.00  Acknowledgements The fishermen of Yucatán Peninsula, Mexico. Oxyheal Health Group for their Support. Barry, Dr. Lang, and Jay Duchnick for their continued support and the UCSD Center for Diving excellence.