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A comparison of the incidence and causes of fractures among submariners and surface seamen

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Title: A comparison of the incidence and causes of fractures among submariners and surface seamen


1
A comparison of the incidence and causes of
fractures among submariners and surface seamen
  • Saad A., Kalla C., Nemet D., Yanir Y., Galili E.,
    Ohayun S., Feldman, L., Netzer, I.

2
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???? ???
  • ?"? ???? ???, ?"? ???? ???, ????' ??? ???, ?"?
    ???? ????, ?"? ??? ?????, ?"? ???? ??????, ?"?
    ????? ?????, ?"? ????? ???

3
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  • ????? ??????? ????? ?????? ???? ???? ??????? ????
    ????? ????? ?????? ??????????.
  • ???????? ????? ????? ????? ???????, ???????? ??
    ????? ?????? ??????? ?????? ???? ????? ??????
    ????? ??? ????? ????.
  • ?????? ??? ??? ?? ???? ???? ?????? ??????
    ??????????. ????? ?????? ????? ????? ???????
    ??????????? ?????? (??? ???? ?? ?- 18-21 ???? ??
    ?????? ????? ?? ?-0-1.2).

4
?????? ?????? ????? ????? ????? ????? ??????
??????? ???
  • ???? ?????? D ??????????? ??????? ??? ??????
    ?????? ????? ?????? ?????? ??????.
  • ????? ????? ????? ?????? D ???? ??????? ?????
    ????? ?????? ??????? ????.

5
  • ?????? ?????? ????? ?????? ????? ???? ?? ?????
    ???? ?????? ?????.
  • ???? ?? ???? ?????? ?? ???? ?? ????? ??????
    ?????? ?????? ???? ????? ?????, ??? ????? ???
    ?????? ???? ???? 1.
  • ??? ?????? ????? ???? ????? ????? ????? ???????
    ?????? ????????, ??? ?????? ?????? ????? ??
    ?????? ?????? ????.
  • 1. Drummer C, Friedel V, Borger A, et al. Effects
    of elevated carbon dioxide environment on calcium
    metabolism in humans. Aviat Space Environ Med
    199869 291-8.

6
  • ???? ????? ???? ??? ??? ?? ?????? ?? ????? ?????
    (30 ???) ?????? ?? ???????? ????? ???.
  • ????? ????? ??????? ?? ???????? ????.
  • ?????? ???? ???? ?? ??? ????? speed of sound ????
    ????? (tibia mid shaft) ?????? ?? ????? ?????
    ???? ???? ??????. ????? ?? ????? ?? ????? ????
    ??????.
  • ??????? ???? 6 ?????? ?????? ???? ???? ????
    ????????

7
Luria T, Matsliah Y, Adir Y, et al. Effects of a
prolonged submersion on bone strength and
metabolism in young healthy submariners. Calcif
Tissue Int86 8-13.
8
???? ?????
  • ???? ?????? ?????? ??????? ??? ????? ?????? ?????
    ??????? ???? ????? ??????, ????? ????? ????? ??
    ??????? ???????? ?? ?????? ??????? ?????? ???
    ??????? ?????? ?????? ????? ??????.

9
?????
  • ???? ??????? ???????????.
  • ?????? ??????? ????? ???? ??????? ???? ?????
    ?????? ?? ?????? ???? ???????? ????? ???????? ??
    ?????? ???, ??? ????? 2002 ?-2012.

10
?????
  • ????? ????? ????? ????? ????? ???????? ??? ?????
    ?? ??????.
  • ??? ??? ?????
  • ??? ????
  • ???
  • BMI
  • ??? ????? (????/???)

11
?????
  • ????????? ????? ???? ??? ???? ???"? ??? ?????
    2002-2012, ?? ????? ?????? ?? ????? ?? ????
    ?????? ?????, ??????? 82 ?????.
  • ????? ??? ???? ?????? ?????? (?? ???? ??????)
    ??????? ??????. ???? ?? ??????? ?????? ????
    ?????? ????? 6 ?????? ???? ????? ???????.
  • ????????? ?? ????? ????? ???.

12
?????????
????? 7 ????? 3
n 457 3219
BMI 17.09 17.12
??? ????? ????? 20.08 19.46
??? ???? ????? 22.46 21.27
??? ????? ?????? (????) 871.7 662.8
???? ????? 416 (91.03) 2732 (84.87)
13
??????
  • ?????? 7 ??? ????? ??????? 122 ?????? CPR ?? ???,
    ????? 52,359 ???-???. (????? ??? ??? 429.17
    ???-???).
  • ?????? 3 ??? ????? ??????? 490 ?????? CPR ??
    ???, ????? 381,395 ???-???. (????? ??? ??? 778.35
    ???-???).
  • ?????? ?????? ?????? 7 ?? 1.85 ??????.

14
????? ?????
3676 ???? ??????
457 ?????? ?????
3219 ?????? ???????
122 ?????? ?? ???
490 ?????? ?? ???
396 ????? ??? ??? ??????
103 ????? ??? ??? ??????
94 ?????? ?? ??? ??3
19 ?????? ?? ??? ??7
15
??????
  • ???? ???? 19 ?????? ?????? ????? (4.2) ?-94
    ?????? ?????? ??????? (2.9)
  • ????? Cox regression ?????? ??? ?????? ???
    ??????? ???? ?? ??? ???? ????? ??????.
    (H.R.1.037 Pvlt0.89).
  • ???? ?? ?????? ???? ?? ?????? ???? ???? ????
    ?????? ???? ???? ???, ????? ???? ??????? ???? ???
    ????? ????? ?????.

16
????? ????? ???? (?????)
??"? () ????? 7 () ????? 3 ()
????? ?? ?? 51 (45.13) 4 (21.05) 47 (50)
????? ?? ??? 29 (25.66) 8 (42.11) 21 (22.34)
???? ?????? ?????? 30 (26.55) 2 (10.53) 28 (29.79)
???? ????? ????? 37 (32.74) 9 (47.37) 28 (29.79)
???? ?? ???? 20 (17.70) 6 (31.58) 14 (14.89)
???? ????? 40 (35.40) 3 (15.79) 37 (39.36)
???? ???? ????? 60 (53.10) 12 (63.16) 48 (51.06)
17
????
  • ???? ?? ?????? ???????? ??????? ???? ???? ???????
    ???? ????? ????????.
  • ?? ?? ??????? ?????? ???? ?? ????? ????? ?????
    ??????? ???? ???? ?????? ??????, ???? ?? ?? ????
    ???? ??????? ???????? ????? ???? ??????? ?????
    ????? ???"???, ????? ?????? (??? ?? 83.12 ?????
    ???? ?? ?? 2 ?????? ??? ???????).

18
???? - ????
  • ????? ???? ???? ????? ??? ???? ???? ????????
    ?????.
  • ????? ????? ??? ??? ??? ????? ???????? ????? ????
    ???? ?????? ?? ???? ????? ????.
  • ???? ??? ????? ?????? ??? ????? ???? ??????
    ?????????? ???? ???. ?? ????? ?? ?????? ??????
    "?? ??????" (???? ??????) ????? ????? ?????? ??"?.

19
???? - ????
  • ?? ????? ?? ?????? ????? ????? ?? ?????? ????????
    ??????? ??? ???? ???????, ????? ???? ??????.
  • ??? ?? ????? ???? ???? ???????? ?? ?????, ????
    ??? ?????? ????, ?? ???? ???? ????? ????? ??
    ?????? ?? ??? ???????.

20
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