Taravana Survey

Taravana survey

Scientific Research

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Personal data
With this questionnaire you are asked to participate as a volunteer in a research project that sees the collaboration of DAN, FIPSAS and Apnea Academy with the experience of Dr. Mariasilvia Amaddii, as a federal doctor FIPSAS, and of Dr. Danilo Cialoni, as a researcher for DAN Europe, later SUBJECTS for brevity. By taking part in this research project, no changes are required to your activities and dive habits. The project at this stage provides for the collection of data on possible incidents in the Taravana case. Subsequently, there will be an in-depth study of certain episodes between those censed and for that reason you may be required to further collaborate in the arrangements to be agreed upon from time to time. It is important that you read and understand the general principles that apply to human research projects
1. Participation in this study is completely voluntary.
2. It is possible that there is no personal benefit to participating in this study, but the knowledge gained will benefit others.
3. You can retire from the studio at any time.
4. You can enter up to 3 episodes per session.
5. You will not have to pay any expenses for the search procedures.
6. When the results of a study such as this are published on scientific publications or communicated to medical conferences, the identification of those who took part is treated in accordance with the privacy laws.
7. If you have any questions or concerns regarding this search, you can contact the DAN Europe Medical Service, writing to: medical@daneurope.org
Name and Last name*
Name Last name
Date of birth*

DD
MM
YYYY
Place of residence*
Town ZIP Code Country
Physical parameters
Sex*
Weight*
Please enter a value between 40 and 200.
Height*
Please enter a value between 100 and 250.
Contacts
Phone (with country code)*
Email*
Enter email Confirm email
Declaration of the subject
- I have read this informed consent sheet and understood the purposes of the research. I was informed that I can contact DAN Europe's medical service for clarification any doubt may arise during the conduct of this research project.
- I declare that I have fully communicated my data through the questionnaire I have been submitting to and agree to participate as a volunteer.
- I am aware that I can withdraw from the project at any time.
- I am aware that I am not subject to any modification to my diving habits.
- I am available to be contacted for purposes related to the research project and activities related to the practice of sport freediving and spearfishing.
Acceptance of informed Consent*
- I accept

Part1 - requested

PART1 is fundamental and allows participants to describe the suspected Taravana incidents (you can enter up to 4 episodes per session). 3 to 5 minutes are necessary for filling out part1.
Part1: Description of the Accident
Type of activity you were involved in at the time of incident*
Detailed description of the incident*
Date on which the incident occurred*

DD
MM
YYYY
Part1: Symptoms
Symptoms (report all the symptoms found)*
- Tingling or loss of control of upper limbs (paresthesia)
- Tingling or loss of control of lower limbs
- Tingling or loss of control of other parts of the body
- Inability to speak coherently
- Visual impairment
- Problems in performing proper movements
- Headache
- Facial asymmetry
- Loss of consciousness
- Loss of strength
- Loss of memory
- Vertigo
- Other: please describe...
Description for the select "Other"*
Symptoms lasted for*

Part1: Timing and scenery
After how long from starting to fish/train did the incident occur?*
After how many dives did the incident occur?*
Please enter a value less than or equal to 100.
Minimum operating depth of previous dives (including the dive preceding the accident)*
Maximum operating depth of previous dives (including the dive preceding the accident)*
What was the average time of the previous dives (including the last dive before the incident)*

Part1: Recovery times and physical state
How long were the average surface intervals between the previous dives*
During the previous dives*

Part1: Before and after the incident
The previous day*
- I slept enough
- I drank alcoholic beverages of any kind
- I was involved in strenuous or very stressful activities
- I ate regularly
The previous days*
- I was involved in strenuous diving activities (fishing or freediving or scuba diving)
- I drank (non-alcoholic beverages) regularly (at least 1-2l/day)
After the incident*
- I was administered normobaric oxygen (outside of the water)
- I was administered hyperbaric oxygen (at a certain depth)
- I received one or more hyperbaric chamber treatments
- I did not receive any specific treatment
Duration of normobaric treatment*
Duration of hyperbaric treatment*
Description of the effects of the treatment and of your impressions*

INSERT ANOTHER EPISODE

If you do not intend to insert a new episode check the NObox and click on the "Next" button, you will be redirected to the Part2 of the survey.
Do you want to insert another episode?*
- Yes
- No

Part1 - EPISODE II
Part1: Description of the Accident Episode II
Ep. II Type of activity you were involved in at the time of incident*
Ep. II Detailed description of the incident*
Ep. II Date on which the incident occurred*

DD
MM
YYYY
Part1: Symptoms Episode II
Ep. II Symptoms (report all the symptoms found)*
- Tingling or loss of control of upper limbs (paresthesia)
- Tingling or loss of control of lower limbs
- Tingling or loss of control of other parts of the body
- Inability to speak coherently
- Visual impairment
- Problems in performing proper movements
- Headache
- Facial asymmetry
- Loss of consciousness
- Loss of strength
- Loss of memory
- Vertigo
- Other: please describe...
Ep. II Description for the select "Other"*
Ep. II Symptoms lasted for*

Part1: Timing and scenery Episode II
Ep. II After how long from starting to fish/train did the incident occur?*
Ep. II After how many dives did the incident occur?*
Please enter a value less than or equal to 100.
Ep. II Minimum operating depth of previous dives (including the dive preceding the accident)*
Ep. II Maximum operating depth of previous dives (including the dive preceding the accident)*
Ep. II What was the average time of the previous dives (including the last dive before the incident)*

Part1: Recovery times and physical state Episode II
II ep. How long were the average surface intervals between the previous dives*
Ep. II During the previous dives*

Part1: Before and after the incident Episode II
Ep. II The previous day*
- I slept enough
- I drank alcoholic beverages of any kind
- I was involved in strenuous or very stressful activities
- I ate regularly
Ep. II The previous days*
- I was involved in strenuous diving activities (fishing or freediving or scuba diving)
- I drank (non-alcoholic beverages) regularly (at least 1-2l/day)
Ep. II After the incident*
- I was administered normobaric oxygen (outside of the water)
- I was administered hyperbaric oxygen (at a certain depth)
- I received one or more hyperbaric chamber treatments
- I did not receive any specific treatment
Ep. II Duration of normobaric treatment*
Ep. II Duration of hyperbaric treatment*
Ep. II Description of the effects of the treatment and of your impressions*

INSERT A THIRD EPISODE

If you do not intend to insert a new episode check the NObox and click on the "Next" button, you will be redirected to the Part2 of the survey.
Do you want to insert a third episode?*
- Yes
- No

Part1 - EPISODE III
Part1: Description of the Accident Episode III
Ep. III Type of activity you were involved in at the time of incident*
Ep. III Detailed description of the incident*
Ep. III Date on which the incident occurred*

DD
MM
YYYY
Part1: Symptoms Episode III
Ep. III Symptoms (report all the symptoms found)*
- Tingling or loss of control of upper limbs (paresthesia)
- Tingling or loss of control of lower limbs
- Tingling or loss of control of other parts of the body
- Inability to speak coherently
- Visual impairment
- Problems in performing proper movements
- Headache
- Facial asymmetry
- Loss of consciousness
- Loss of strength
- Loss of memory
- Vertigo
- Other: please describe...
Ep. III Description for the select "Other"*
Ep. III Symptoms lasted for*

Part1: Timing and scenery Episode III
Ep. III After how long from starting to fish/train did the incident occur?*
Ep. III After how many dives did the incident occur?*
Please enter a value less than or equal to 100.
Ep. III Minimum operating depth of previous dives (including the dive preceding the accident)*
Ep. III Maximum operating depth of previous dives (including the dive preceding the accident)*
Ep. III What was the average time of the previous dives (including the last dive before the incident)*

Part1: Recovery times and physical state Episode III
Ep. III IV What were the average recovery times between the previous dives?*
Ep. III During the previous dives*

Part1: Recovery times and physical state Episode III
Ep. III The previous day*
- I slept enough
- I drank alcoholic beverages of any kind
- I was involved in strenuous or very stressful activities
- I ate regularly
Ep. III The previous days*
- I was involved in strenuous diving activities (fishing or freediving or scuba diving)
- I drank (non-alcoholic beverages) regularly (at least 1-2l/day)
Ep. III After the incident*
- I was administered normobaric oxygen (outside of the water)
- I was administered hyperbaric oxygen (at a certain depth)
- I received one or more hyperbaric chamber treatments
- I did not receive any specific treatment
Ep. III Duration of normobaric treatment*
Ep. III Duration of hyperbaric treatment*
Ep. III Description of the effects of the treatment and of your impressions*

INSERT A FOURTH EPISODE

If you do not intend to insert a new episode check the NObox and click on the "Next" button, you will be redirected to the Part2 of the survey.
Do you want to insert a fourth episode?*
- Yes
- No

Part1 - EPISODE IV
Part1: Description of the Accident Episode IV
Ep. IV Type of activity you were involved in at the time of incident*
Ep. IV Detailed description of the incident*
Ep. IV Date on which the incident occurred*

DD
MM
YYYY
Part1: Symptoms Episode IV
Ep. IV Symptoms (report all the symptoms found)*
- Tingling or loss of control of upper limbs (paresthesia)
- Tingling or loss of control of lower limbs
- Tingling or loss of control of other parts of the body
- Inability to speak coherently
- Visual impairment
- Problems in performing proper movements
- Headache
- Facial asymmetry
- Loss of consciousness
- Loss of strength
- Loss of memory
- Vertigo
- Other: please describe...
Ep. IV Description for the select "Other"*
Ep. III Symptoms lasted for*

Part1: Timing and scenery Episode IV
Ep. IV After how long from starting to fish/train did the incident occur?*
Ep. IV After how many dives did the incident occur?*
Please enter a value less than or equal to 100.
Ep. IV Minimum operating depth of previous dives (including the dive preceding the accident)*
Ep. IV Maximum operating depth of previous dives (including the dive preceding the accident)*
Ep. IV What was the average time of the previous dives (including the last dive before the incident)*

Part1: Recovery times and physical state Episode IV
Ep. IV What were the average recovery times between the previous dives?*
Ep. IV During the previous dives*

Part1: Recovery times and physical state Episode IV
Ep. IV The previous day*
- I slept enough
- I drank alcoholic beverages of any kind
- I was involved in strenuous or very stressful activities
- I ate regularly
Ep. IV The previous days*
- I was involved in strenuous diving activities (fishing or freediving or scuba diving)
- I drank (non-alcoholic beverages) regularly (at least 1-2l/day)
Ep. IV After the incident*
- I was administered normobaric oxygen (outside of the water)
- I was administered hyperbaric oxygen (at a certain depth)
- I received one or more hyperbaric chamber treatments
- I did not receive any specific treatment
Ep. IV Duration of normobaric treatment*
Ep. IV Duration of hyperbaric treatment*
Ep. IV Description of the effects of the treatment and of your impressions*

ThePART2 of the survey is optional, but fundamental because allows participants to provide information about their own sports habits and attitudes, useful in understanding the circumstances of the incidents previously described. Per la compilazione sono necessari dai 4 ai 6 minuti.
Do you want to proceed with Part2 not mandatory?*
- Yes
- No
If you're not going to proceed with the Part2 of the survey check the NO box and click on the "Next" button to submit the entered data.

Part2 - habits and sports attitudes
Part2: Level of general fitness
General sports practice (not including the specific activity of Breath-hold fishing or Freediving)
I drink water or non-alcoholic beverages
- No
- Yes
A total of: l/day (average value)
I drink alcoholic beverages (ex. wine, beer, and/or other hard liquors):
- Occasionally
- Often
- Daily
Lifestyle (effort/stress)
- Normal with a good balance between work/personal life
- Quite challenging to balance work and personal life
- Very challenging to find time for my personal life
Rest
- I sleep regularly
- I sleep less than what I need
Smoking (cigarettes, cigars, pipe)
- No
- Less than 10 /day
- More than 10 /day
Chronic diseases (including headaches)
- No
- Yes
Which ones?
Medicines taken daily
- No
- Yes
Which ones?

Part2: Breath-hold fishing practice
Years of experience
Number of exits during the year
Average time spent each time
Exits year period
Operational depths
Type of fishing
- Constant weights (I keep my weight belt on at all times)
- Variable weights (I drop my weight belt on the bottom or I use spare weights)
- Scooter (I use a propulsion vehicle to help during descent and/or ascent)
Average number of dives during each time
Surface interval between 2 consecutive dives (average times)
Dive time (average times)
Water or beverages consumed (liters) while fishing
Kind of food and quantities while fishing

Deep freediving practice
Years of experience
Number of deep freediving training sessions during a year
Practice year period
Dynamic Apnea in the pool limit (any kind):
Constant Weight limit (CWT, CNF, FIM):
Variable Weights limit (VWT, No Limits):
Number of deep dives for each training session or competition
Number of deep dives during a year
Surface intervals between 2 consecutive dives (average times)
Dive time (average times)
Liters of water or beverages consumed during the training session
Kind of food and quantities consumed during the training session

I collaboration with

DEEP SEA HUNTING

Da un’idea di Pierluigi Leggeri.
Fotografie:
archivio personale disponibile su 500px.com
Testi:
a cura di Luca Leone
Design:
Young at Work Communication

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Taravana Survey

Taravana survey

Personal data

Physical parameters

Contacts

Part1 - requested

Part1: Description of the Accident

Part1: Symptoms

Part1: Timing and scenery

Part1: Recovery times and physical state

Part1: Before and after the incident

Part1 - EPISODE II

Part1: Description of the Accident Episode II

Part1: Symptoms Episode II

Part1: Timing and scenery Episode II

Part1: Recovery times and physical state Episode II

Part1: Before and after the incident Episode II

Part1 - EPISODE III

Part1: Description of the Accident Episode III

Part1: Symptoms Episode III

Part1: Timing and scenery Episode III

Part1: Recovery times and physical state Episode III

Part1: Recovery times and physical state Episode III

Part1 - EPISODE IV

Part1: Description of the Accident Episode IV

Part1: Symptoms Episode IV

Part1: Timing and scenery Episode IV

Part1: Recovery times and physical state Episode IV

Part1: Recovery times and physical state Episode IV

Part2 - habits and sports attitudes

Part2: Level of general fitness

Part2: Breath-hold fishing practice

Deep freediving practice

I collaboration with

DEEP SEA HUNTING

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