Publications by authors named "Erez Lang"

Cumulative data indicate that new protocols of hyperbaric oxygen therapy (HBOT) may induce neuroplasticity and improve clinical symptoms of patients suffering from posttraumatic stress disorder (PTSD). The aim of the current study was to evaluate the effects of HBOT on veterans with combat-associated PTSD (CA-PTSD) in a randomized, sham-controlled trial. Male veterans aged 25-60 years with CA-PTSD, with a Clinician-Administered PTSD Scale for (CAPS-5) score above 20, were included.

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Introduction: Aging is associated with a progressive decline in the capacity for physical activity. The objective of the current study was to evaluate the effect of an intermittent hyperbaric oxygen therapy (HBOT) protocol on maximal physical performance and cardiac perfusion in sedentary older adults.

Methods: A randomized controlled clinical trial randomized 63 adults (> 64yrs) either to HBOT (n = 30) or control arms (n = 33) for three months.

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  • Fibromyalgia syndrome (FMS) causes chronic pain and is often linked to traumatic experiences like childhood sexual abuse (CSA), making it a focus for treatment studies.
  • A study tested hyperbaric oxygen therapy (HBOT) against standard medications (Pregabalin and Duloxetine) in 48 FMS patients with CSA history, measuring outcomes like pain impacts and emotional well-being.
  • Results showed HBOT significantly improved FMS symptoms more than medications, with associated changes in brain activity suggesting HBOT enhances neuroplasticity in relevant brain areas.
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In our previous randomized controlled trial, we documented significant improvements in cognitive, psychiatric, fatigue, sleep, and pain symptoms among long Coronavirus disease 2019 (COVID) patients who underwent hyperbaric oxygen therapy (HBOT). The primary objective of the present study was to evaluate the enduring 1 year long term effects of HBOT on long COVID syndrome. This longitudinal long-term follow-up included 31 patients with reported post COVID-19 cognitive symptoms, who underwent 40 daily sessions of HBOT.

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  • * Out of 28 participants, 10 experienced new memories surfacing during the therapy, predominantly in the second month of treatment, often accompanied by emotional distress and physical pain.
  • * The findings highlight the need for HBO2 medical teams to recognize and manage memory surfacing to support trauma-affected patients effectively.
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  • PTSD impacts up to 30% of veterans returning from combat, leading to long-term struggles in social and work life due to insufficient treatment efficacy.
  • Changes in brain activity and structure, particularly in the frontolimbic circuit, are linked to persistent PTSD symptoms, suggesting that restoring brain function may be a key treatment goal.
  • Hyperbaric oxygen therapy (HBOT) shows promise in treating these disruptions, with recent studies indicating it may help veterans with treatment-resistant PTSD by reducing symptoms and promoting positive brain changes.
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Fibromyalgia is a chronic pain syndrome with unsatisfactory response to current treatments. Physical trauma, including traumatic brain Injury (TBI) is among the etiological triggers. Hyperbaric Oxygen therapy (HBOT) is an intervention that combines 100% oxygen with elevated atmospheric pressure.

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  • PTSD is common among veterans and is associated with brain changes, but traditional treatments have limited effectiveness; HBOT showed promise in improving symptoms for veterans with treatment-resistant PTSD in a short-term study.
  • A follow-up study involving 22 veterans one or more years after HBOT revealed significantly lower PTSD symptom scores compared to pre-treatment levels, particularly in cognition and mood.
  • Over time, veterans reported improved quality of life, with more participants living with partners and working, and there were reductions in benzodiazepine use and cannabis consumption.
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Persistent post-concussion syndrome (PPCS) is a common and significant morbidity among children following traumatic brain injury (TBI) and the evidence for effective PPCS treatments remains limited. Recent studies have shown the beneficial effects of hyperbaric oxygen therapy (HBOT) in PPCS adult patients. This randomized, sham-control, double blind trial evaluated the effect of hyperbaric oxygen therapy (HBOT) on children (age 8-15) suffering from PPCS from mild-moderate TBI events six months to 10 years prior.

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Post-COVID-19 condition refers to a range of persisting physical, neurocognitive, and neuropsychological symptoms after SARS-CoV-2 infection. The mechanism can be related to brain tissue pathology caused by virus invasion or indirectly by neuroinflammation and hypercoagulability. This randomized, sham-control, double blind trial evaluated the effect of hyperbaric oxygen therapy (HBOT or HBO2 therapy) on post-COVID-19 patients with ongoing symptoms for at least 3 months after confirmed infection.

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Introduction: Hyperbaric oxygen therapy (HBOT) has been used to increase endurance performance but has yet to be evaluated in placebo-controlled clinical trials. The current study aimed to evaluate the effect of an intermittent HBOT protocol on maximal physical performance and mitochondrial function in middle-aged master athletes.

Methods: A double-blind, randomized, placebo-controlled study on 37 healthy middle-aged (40-50) master athletes was performed between 2018 and 2020.

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  • Skin biopsies were used in a clinical trial to assess the effects of hyperbaric oxygen therapy (HBOT) on aging skin, targeting key aging hallmarks like telomere shortening and senescent cells.
  • The study involved 70 participants, with 13 males undergoing skin biopsies before, during, and after a three-month HBOT treatment, showing significant improvements in collagen density, elastic fiber length, and blood vessel count.
  • Results suggest that HBOT can effectively improve skin aging by promoting blood vessel growth and reducing senescent cells, marking a significant breakthrough in understanding treatments for aging in humans.
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  • Aging leads to the loss of physiological capacity, primarily due to telomere shortening and cellular senescence.
  • This study examined the impact of hyperbaric oxygen therapy (HBOT) on telomere length and senescent cell levels in healthy adults aged 64 and older, with 35 participants undergoing 60 daily HBOT sessions.
  • Results showed a significant increase in telomere length (up to 37.63% in B cells) and a notable decrease in senescent T helper and T cytotoxic cells, suggesting that HBOT may have positive regenerative effects in aging populations.
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Ischemic complications of glans penis following circumcision are rare, and if occurs can culminate in irreversible necrosis with severe long-term consequences. Here we present 2 challenging cases of neonates suffering from acute severe glans penis ischemia after circumcision that were treated by hyperbaric oxygen treatment (HBOT). In addition to case presentations, the literature related to complications of circumcision and the physiological effects of HBOT are being reviewed.

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  • * The study involved 63 participants aged 64 and older, randomly assigned to either HBOT or a control group for three months, with results indicating significant cognitive improvements in the HBOT group, particularly in attention and information processing speed.
  • * The HBOT group showed notable increases in cerebral blood flow in various brain regions, suggesting that HBOT may enhance cognitive functions in aging adults by promoting regional brain activity linked to key cognitive processes.
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Introduction: Hypospadias cripple patients pose a major surgical challenge with high complication rates attributed mainly to graft contraction. Hyperbaric oxygen therapy (HBOT) is an established treatment for compromised grafts and used extensively as a salvage therapy for compromised grafts and ischemic non-healing wounds.

Objective: We evaluated the graft-take rates in hypospadias cripple cases undergoing a staged tubularized autograft repair (STAG) and compared between patients treated with or without preemptive HBOT.

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Background: Oxygen toxicity is one potential side effect of hyperbaric oxygen therapy (HBOT). Previous small studies showed mild reductions in pulmonary functions reflecting reductions in small airway conductance after repetitive hyperbaric oxygen sessions. However, there are no updated data with well performed pulmonary tests that address the pulmonary effect of the currently used HBOT protocols.

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Hyperbaric oxygen therapy (HBOT) serves as primary or adjunctive therapy for a diverse range of medical conditions. The indication for HBOT can be related to either pressure (decompression sickness or air emboli) or tissue hypoxia. It is now realized, that the combined action of hyperoxia and hyperbaric pressure, leads to significant improvement in tissue oxygenation while targeting both oxygen and pressure sensitive genes, resulting in improved mitochondrial metabolism with anti-apoptotic and anti-inflammatory effects.

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Erectile dysfunction (ED) is caused by microvascular or macrovascular insufficiency in the majority of patients. Recent studies have shown that hyperbaric oxygen therapy (HBOT) can induce angiogenesis in different body organs. The effect of HBOT on the non-surgery-related ED has not been investigated yet.

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Purpose: We determined whether patients with bladder pain syndrome who have typical interstitial cystitis endoscopic findings, including glomerulations and/or Hunner ulcer, have a distinct autonomic response during bladder hydrodistention.

Materials And Methods: Included in the study were 50 consecutive patients (40 females and 10 males) who met International Society for the Study of BPS recommendations. All patients underwent the same clinical evaluation, consisting of medical history, physical examination, urine and blood tests, urine cytology and culture, urinary tract ultrasound and urodynamics.

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Purpose: We determined whether swallowing has an effect on the degree of urinary urgency and on the amplitude of detrusor contraction during filling cystometry in patients with detrusor overactivity.

Materials And Methods: Included in study were 20 consecutive patients with detrusor overactivity. During urodynamics the mean peak pressure of each contraction was documented and compared.

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Urethral diverticula are a common cause of chronic genitourinary symptoms in women. They occur in 5% of women overall, with higher frequencies in selected populations of symptomatic women. The classical presentation is with recurrent urinary tract infections and post-micturition dribbling but almost any urinary symptom may be a presenting feature.

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Objectives: To test the effectiveness of the sterilization process of the transducer while applying the Food and Drug Administration recommendations on a routine basis in a high-volume clinical setup. In June 2006, the Food and Drug Administration issued a Public Health notification about reprocessing of the reusable ultrasound transducer assemblies used for transrectal biopsy of the prostate.

Methods: Transrectal ultrasound assembly components were systematically swabbed and cultured.

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