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Subject: Re: Commercial diver bone damage study
Date: Sun, 18 Feb 96 05:33:52 -0000
From: Robert Wolov <wolov@hi*.co*>
To: "kent lind" <klind@rd*.no*.go*>, <techdiver@terra.net>
>Diver Bone Damage.  In early February 1996, Univ. of Wisconsin Sea
>Grant scientists in cooperation with the Northern New England Hyperbaric
>Medical Center, Sanford, ME, released early findings in a study of Maine
>commercial scallop divers, finding an occurrence rate of a disabling bone
>disease, dysbaric osteonecrosis, at 200 times that of the normal population.
>[Assoc Press]

I really shouldn't comment until I've read the article. It will be 
interesting to see exactly what decompression profiles were used by these 
divers and what kinds of gas mixes and the like. How old were these 
divers...are they looking at divers from 20 or 30 years ago who were not 
using todays more sophisticated decompression parameters and mixes or 
more contemporary divers? The statistic (like so many medical articles 
unfortunately...as a member of the medical community I've got to take 
some blame) might be a bit misleading (certainly alarming in this forum). 
 

Keep in mind that regardless of absolute numbers, you'd expect dysbarism 
to be radically higher in this population than the "normal" population. 
Divers for the most part are the only ones subject to it, so even a few 
cases will blow the stats!

Just as knee ligament tears are hundreds of times higher in the NFL than 
they are in Mrs. Miller's 6th grade class since the NFL's players are 
stressing their knees more than Mrs. Miller's kids. All you need are one 
or two players with injuries and things start to look like football's a 
death sport statistically. There are statically parameters used to check 
such correlations and reliability (they get printed in the original 
medical article but never make it to the lay press...in this case the 
Associated Press...too dry)

When you read anything, you must keep this  population self-selection in 
mind. As docs we love statistics, unfortunately they sometimes can be 
just as confusing as enlightening. Having said that, I still wouldn't 
ignore the article but would put it in perspective with all the other 
data points.

Robb Wolov 

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