International Maritime Health最新文献

{"title":"Medical causes of repatriation in commercial seafarers and offshore workers: a scoping review.","authors":"John Belliveau, W Shane Journeay","doi":"10.5603/imh.102582","DOIUrl":"https://doi.org/10.5603/imh.102582","url":null,"abstract":"<p><strong>Background: </strong>Workers at sea including commercial seafarers and those working in offshore establishments have increased risk for occupational disease and injury. Due to limited medical resources in vessels and platforms, and the remote nature of the work, repatriation to a shore-based facility may be required for treatment. The objective of this review was to summarize the literature on medical causes of repatriation among commercial seafarers and offshore workers.</p><p><strong>Materials and methods: </strong>As per Joanna Briggs Institute (JBI) methodology for scoping reviews, a search for papers in English of Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus and Oceanic Abstracts was conducted. Studies that reported medical causes of repatriations in commercial seafarers and offshore workers were included. For the purposes of this study, commercial seafarers and offshore workers are defined as persons working in the maritime environment for three or more consecutives days. Recreational seafarers, passengers, and military personnel were excluded. Included papers underwent data extraction and medical causes of repatriation were classified into International Classification of Disease (ICD) 11th Revision codes.</p><p><strong>Results: </strong>The search yielded 33 publications including 27 retrospective studies and 6 case studies. 9 of 27 studies focused on offshore workers and 18 included seafarers. The most common causes of medical repatriation reported in the literature were injuries, poisonings, and other consequences of external causes (ICD-22, ICD-23) at 25.2%. Diseases of the digestive system, including dental, (ICD-13) comprised 15.9%, and the musculoskeletal system (ICD-15) was 13.3%.</p><p><strong>Conclusions: </strong>Gaps in the available literature included a lack of demographic and occupational information required to properly assess risk factors for occupational illnesses and injuries among seafarers. The data indicate that injuries, diseases of the gastrointestinal system, and musculoskeletal system are the most common literature-reported causes of repatriation in occupational seafarers. This work may support enhancements to onboard medical capability and medical standards for workers in the marine and offshore industries.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective 10-year study on Filipino seafarer medical repatriations: comparing two time periods.","authors":"Antonio Roberto Abaya, Regina Bacnis Abola, Manuel S Vidal, Jian Kenzo O Leal, Jonathan P Chan, Saren Bogalonta Roldan, Jaime Jose Lorenzo C De Rivera","doi":"10.5603/imh.100438","DOIUrl":"https://doi.org/10.5603/imh.100438","url":null,"abstract":"<p><strong>Background: </strong>Our group has published two 5-year studies on the repatriation rates of Filipino seafarers from 2010 to 2014 and 2015 to 2019. The Maritime Labor Convention (MLC) 2006, which promotes seafarers' rights, was ratified in the Philippines in 2012. The current study investigates whether any change occurred since then.</p><p><strong>Materials and methods: </strong>We analyzed the total repatriation rates and medical causes of repatriation throughout the 10-year period. We performed a t-test to compare the repatriation rates in both 5-year periods, and χ-square tests for the medical causes.</p><p><strong>Results: </strong>The repatriation rate decreased from 2015 to 2019 with a t-test score of 0.0453 (P < 0.05). Musculoskeletal and gastrointestinal diseases, as well as injuries/traumas were the most frequent causes of repatriation. There was a significant increase in the number of musculoskeletal and psychiatric/ /psychological causes for repatriation, and a decrease in injuries/traumas.</p><p><strong>Conclusions: </strong>A historical review of the 10-year period across the two studies revealed that these changes coincided with implementation of MLC 2006 in August 2013. This was designed as the seafarers' Magna Carta, promoting and establishing various provisions to improve global seafarers' welfare including areas such as minimum age, seafarers' employment agreements, hours of work or rest, payment of wages, onboard medical care, accommodation, food and catering standards, health and safety protection, and accident prevention. Our study shows changes in repatriations that indicate an improvement in trauma rates, and while no method can definitively show statistical correlation or cause and effect, we can safely conclude that there is a positive correlation between the implementation of the 2006 MLC and the repatriation rates of Filipino seafarers.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"33-41"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Audiological profile of fishermen using fiber motor boats in Puducherry.","authors":"Vimalraj Manibalan, Dhanesh Ramani, Prajna J Bhat","doi":"10.5603/imh.101888","DOIUrl":"https://doi.org/10.5603/imh.101888","url":null,"abstract":"<p><strong>Background: </strong>Fishermen face multiple occupational health risks including drowning, traumatic injuries, asphyxia, and skin allergies. Additionally, their exposure to high intensities of engine noise during fishing puts them at risk of noise-induced hearing loss (NIHL). Inadequate use of ear protective devices and lack of awareness further contribute to the prevalence of NIHL among fishermen. This study aims to measure the engine noise level of fiber motor boats and develop an audiological profile of fishermen in Puducherry.</p><p><strong>Materials and methods: </strong>Thirty fishermen between the ages of 20 to 45 years, who operate fiber motor boats were tested using pure-tone and speech audiometry, high-frequency audiometry, immittance audiometry, single and multifrequency tympanometry, and distortion product oto-acoustic emissions (DPOAEs). Additionally, the engine noise level of fiber motor boats was measured using a sound level meter.</p><p><strong>Results: </strong>The engine noise levels ranged from 92 dB(A) to 115 dB(A) and 81 dB(A) to 106 dB(A) at 3 feet and 6 feet distance respectively, which exceeds the permissible 90 dB(A) limit in accordance to Occupational Safety and Health Administration (OSHA) standards for 8 hours. Audiological test results indicated hearing loss primarily at 4 kHz and at higher frequencies. Single and multifrequency tympanometry results were atypical. Although Pure Tone Audiometry (PTA) at standard frequencies was normal, DPOAEs were affected.</p><p><strong>Conclusion: </strong>It is crucial to educate fishermen about ear care and the use of ear protection to prevent hearing loss due to harmful noise levels. In addition, the importance of using.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"21-27"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The toxicity of Physalia physalis: systematic review and experimental study.","authors":"Elena Bañón-Boulet, Emilio Gonzalez-Arnay","doi":"10.5603/imh.101435","DOIUrl":"https://doi.org/10.5603/imh.101435","url":null,"abstract":"<p><strong>Introduction: </strong>Jellyfish poisonings are frequent in coastal areas of temperate latitudes. In Spain, the most frequent and dangerous jellyfish is the Portuguese man-of-war or Physalia physalis. Although the clinical manifestations of P. physalis envenomation are known, the acute management and complications are controversial, with varying criteria about proper treatment.</p><p><strong>Materials and methods: </strong>This paper presents a systematic review of those studies that have collected clinical aspects of the sting of P. physalis, as well as an experimental study that evaluates the discharge capacity of nematocysts under different conditions (heated seawater at 50°C, 4°C seawater, distilled water, 25% commercial vinegar, distilled water, 25% commercial vinegar in seawater) as a proxy for envenomation potential including in sea lice. Also, discharged and undischarged nematocyst count was performed in air-dried tentacles at different times after specimen collection.</p><p><strong>Results: </strong>Acetic acid does not produce nematocyst discharge when diluted in seawater and warm seawater is an optimal rinsing agent that dissolves the jellyfish mesoglea. Furthermore, the nematocysts detached from the jellyfish body maintain toxic capacity for at least 120 days after the stranding of the organism.</p><p><strong>Conclusions: </strong>Most controversy regarding the treatment of P. physalis envenomation is related to the lack of proper species stratification or identification. In our sample, acetic acid does not elicit nematocyst discharge by itself, but depending on the solvent. Both vinegar and hot seawater rinses are the best first-aid treatments. A first aid protocol is proposed based on data from the review and the experimental study.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"42-62"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between health literacy and health behaviours amongst a South African Navy sample.","authors":"Sonja Nicolene Mostert, Jarred Martin, Charles Van Wijk","doi":"10.5603/imh.101675","DOIUrl":"https://doi.org/10.5603/imh.101675","url":null,"abstract":"<p><strong>Background: </strong>Health literacy (HL) is the ability to access, process and understand information about health. It has been established that HL mediates health-related decisions and behaviours. In the naval environment, sailors are expected to responsively address their healthcare needs and maintain a holistic state of physical and psychological wellbeing to meet the operational demands of their work. While studies of HL in military populations have been undertaken, none of these have explicitly examined active-duty naval personnel. The aim of this study was to examine the levels of HL amongst a sample of active-duty sailors in the South African Navy (SAN) and determine to what extent HL predicted health behaviours.</p><p><strong>Materials and methods: </strong>A total of 977 active-duty sailors completed a demographic questionnaire and the Health Literacy Questionnaire (HLQ) during their annual health screening. The HLQ is 44-item questionnaire with Likert scale response options that assesses several domains of health literacy across nine subscales. The HLQ data was paired with several health indicators. The following health information was recorded; blood pressure readings (diastolic and systolic), body mass index, hip, and waist measurements, as well as if diabetes and/or hypertension had been diagnosed. Descriptive statistics were used to analyse the data along with a regression analysis to determine the nature and predictability of HL and the health indicators.</p><p><strong>Results: </strong>The findings supported high levels of HL across all nine subscales with the active management subscale significantly predicting several health outcomes including reduced blood pressure; body mass index and waist and hip measurement.</p><p><strong>Conclusions: </strong>The HLQ was used to assess HL amongst SAN sailors. Results indicate that SAN personnel have above average HL knowledge and skills which may be attributed to the accessibility of health support information and services as well as mandatory health screenings and evaluations.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"11-20"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maritime Health Onboard - Treatment Pathways IMHF Expert Panel Consensus Statement.","authors":"Nebojša Nikolić, Haga Jon Magnus, Spike Briggs, Sue Stannard, Beate Stelzer, Alf Magne Horneland, Tim Carter, Bill Kavanagh, Steven Shackleton","doi":"10.5603/imh.104147","DOIUrl":"https://doi.org/10.5603/imh.104147","url":null,"abstract":"<p><strong>Background: </strong>Medical emergencies on board are seriously impairing seafarers' safety and health, as well as future work prospects. The purpose of this International Maritime Health Foundation's (IMHF) initiative was to establish common principles for the management of disease and injury by non-medical professionals at sea.</p><p><strong>Materials and methods: </strong>Nine expert participants actively participated in the workshop in order to identify common principles that should guide the future development of treatment pathways by evaluating selected treatment pathways from The Ship Captain's Medical Guide 23rd Edition in the context of medical intervention on board merchant ships and consensus statements from previous four IMHF EP Workshops on Medical Help on Board. Delphi study survey and a modified RAND-UCLA Appropriateness Method (RAM) were used in the process of reaching the consensus.</p><p><strong>Results: </strong>The result of the workshop is a set of consensus statements on the general principles of development of the future treatment pathways, Results reflect the need for further tuning of the existent treatment pathways or creating new ones, considering their development in the digital format.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"28-32"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing the occurrence of infectious diseases among crew members on board cruise ships: a systematic review.","authors":"Sheila Siame, Despoina Andrioti Bygvraa, Lynn M Hulse, Varvara Mouchtouri, Christos Hadjichristodoulou","doi":"10.5603/imh.98558","DOIUrl":"https://doi.org/10.5603/imh.98558","url":null,"abstract":"<p><p>Infectious diseases have been reported to adversely affect industries including tourism. Understanding the knowledge, attitudes, and practices of at-risk populations is crucial to implementing successful preventive and mitigative measures. This systematic review aimed to identify factors that affect the spread of infectious diseases among crew members on board cruise ships. A systematic search of Scopus, Web of Science, and Google Scholar was conducted, and nine studies were included in the final analysis. Findings revealed good knowledge levels, but misconceptions about transmission were common. Discriminatory attitudes and risky behaviors were also reported. Primary sources of information included the media, participatory educative sessions, healthcare providers and family and friends. There is a need to prioritize the initiation of participatory-focused health literacy interventions to enhance knowledge, and attitudes to modify the behavior of seafarers in relation to infectious diseases.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"63-70"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment: Decompression sickness of medical personnel of a hyperbaric centre: A report of cases during 25 years of activity.","authors":"Jan Risberg","doi":"10.5603/imh.103151","DOIUrl":"https://doi.org/10.5603/imh.103151","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"72"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on 'Critical Flicker Fusion Frequency Results During Oxygen Decompression in Standard HBOT Session - An Observational Study.","authors":"Joseph Tatoy Gudelos","doi":"10.5603/imh.103944","DOIUrl":"https://doi.org/10.5603/imh.103944","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"71"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magazine.","authors":"","doi":"10.5603/imh.105585","DOIUrl":"https://doi.org/10.5603/imh.105585","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"73-86"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}