Decompression sickness: a review.
Work in compressed air is a dangerous activity, whether it is carried on under water in a conventional diving suit, in self-contained breathing apparatus or in a diving bell, or in relatively dry conditions in a caisson or an underwater tunnel. Surprisingly large numbers of men have worked at one time or another in compressed air in tunnels or caissons and it is the dangers which arise to the health of these men that are considered here. When a tunnel is driven through water-logged strata or through porous ground under a river, the open end of the tunnel must be sealed off and air pumped in to balance the hydrostatic pressure, should there be any danger of water flooding in and bringing with it unmanageable quantities of silt or sand. A pier of a bridge may be constructed in deep water by means of a caisson (Fr. caisse, a box), which is a compressed air chamber in which a gang of men excavate foundations. In both tunnels and caissons men come and go through an air lock and must be compressed on entering and decompressed at the end of the work period. Although working conditions in these circumstances have much improved over the last 6o years, our understanding of the reactions of the human body to atmospheric pressures greater than the normal and of the pathogenesis of decompression sickness is still insufficient to prevent illness completely. In engineering practice it is customary for working pressure to be expressed as gauge pressure in pounds per square inch (p.s.i.g.) which is the pressure over and above the normal atmospheric pressure of I4-7 p.S.i. (I 03 kg./cm.2). For certain calculations absolute pressure (gauge pressure plus atmospheric pressure) is used, and for clarity it must always be stated whether gauge or absolute pressure is referred to. In naval practice it is usual to think in terms of feet of sea water, each 33 feet of depth corresponding to about one atmosphere or approximately I5 p.s.i. Sometimes the unit of pressure used is the atmosphere (atm.). On the
Physiological factors in decompression sickness.
Physiological factors in decompression sickness, noting recompression, plasma replacement, etc
Time and Heritage
As a historian studying what can be considered a form of intellectual history, I have slowly come to adopt Michel de Certeau’s observation made at the end of the 1980s that ‘objectifying the past, for the last three centuries, has undoubtedly left unconsidered time within a discipline that has continued to use it as a taxonomic instrument’. To a certain degree, time has become commonplace for the historian who has preserved or instrumentalized it. It is not considered because it is inconceivable, but because we do not think of it or, more simply, we do not think about it. As a historian attempting to pay attention to the time I’m living in, I have thus, like many others, noticed the swift development of the category of the present until it has become obvious that the present is omnipresent. This is what I refer to here as ‘presentism’.