Hello,
Just picking up on some of the comments / questions.
victorzamora:
If I remember right, AG added arbitrary deep stops to the 30/85 profile. Is there going to be a public release of the write-up of the test methods, curves, and results? Or is it staying behind the steep paywall?
I think you have worked out the answer to the first bit yourselves. The "tweaks" to Buhlmann that Andrew was referring to were the GF modifications themselves. I do not believe there were any extra "tweaks".
Unfortunately there is a 1 year embargo on papers published in DHM. This is perfectly understandable though because it is a societal journal funded entirely by the South Pacific Underwater Medicine Society and the European Underwater and Barometric Society. Expeditious journal access constitutes a substantial reason for membership and if it could be instantly downloaded by anyone, then people would not bother to be members, and there would be no journal. One solution that many of you who clearly have a strong interest in such matters could consider is joining one of the societies. SPUMS does not require you to be a doctor or medical person to join. The journal is almost always packed full of interesting stuff. Have a look at the membership section on the SPUMS website. It is not too expensive.
Diver0001:
My question is, is there something important about the immune system response that we need to remember as tech divers or is this just more smoke being blown up the proverbial back end?
It is generally accepted that decompression and bubble formation initiate inflammatory responses in the body. What is less clear is the extent to which these responses are responsible for the symptoms of decompression sickness. To be clear, we don't fully understand the relative contributions of the physical effects of bubbles and harmful effects of inflammation. Related questions will define one of the controversial issues surrounding this paper: viz, what do the measured differences in inflammatory markers really mean? I think the best way to interpret it is that the inflammatory markers are a plausible measure of decompression stress and (perhaps) a poorly characterized indicator of risk of DCS.
The Chairman:
could you define "aggressive deco" for us? Is it referring to accumulating lots of deco or blowing off a goodly amount by using RD?
The term aggressive decompression is difficult to define, but my sense of it would be that it refers to decompressions that carry a greater risk of DCS (in as much as we are capable of predicting that). But to some extent it is in the eye of the beholder! I am sure Andrew Georgitsis would say that the 30/85 decompression was more "aggressive" than the RD one, but in fact, based on my definition, the opposite has proved to be true (mainly because the RD one appears to be poorly designed).
stuartv:
I would like to see how GF50/80 would compare to what they did (GF 30/80). I'm really curious if using a lower number for GF Lo actually helps at all.
This was largely my point in stating that this study does not define 30/85 as "optimal". The widespread use of a very low GF-Lo was intended to make the GF algorithm emphasise deep stops and look more like a bubble model. However, as has been extensively discussed on this board, there is mounting evidence that the theoretically attractive idea of emphasising deep stops has not lived up to expectations. In that regard it is quite possible (indeed likely) that a GF-Lo of 30 continues to over-emphasise deep stops on some profiles at least. Unfortunately, as I have discussed elsewhere, we do not have data that guide us on how far to back away from deep stops. I have discussed my personal use of GFs elsewhere.
Simon M