International Maritime Health最新文献

{"title":"\"COVID-19 on board a cruise ship: medical management\" - correspondence.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.5603/imh.96427","DOIUrl":"10.5603/imh.96427","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":"278"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811931","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":"Intestinal parasitic infections in officers of the Border Guard in East Poland.","authors":"Krzysztof Korzeniewski, Wanesa Richert","doi":"10.5603/imh.97185","DOIUrl":"10.5603/imh.97185","url":null,"abstract":"<p><strong>Background: </strong>Poland has experienced increased economic migration since 2021. Large waves of migrants, mostly from Asian and African countries, are trying to get into the European Union by crossing Poland's eastern border illegally. The influx of illegal migrants into Poland is the result of a policy adopted by the Belarusian and Russian regimes that are trying to provoke another migrant crisis in Europe. In the opinion of some Polish politicians illegal migration contributes to the spread of parasitic diseases in our country as many migrants arriving into Poland carry intestinal parasites. The aim of this study was to assess the prevalence of infections with intestinal parasites in the Polish Border Guard officers safeguarding Poland's eastern borders.</p><p><strong>Materials and methods: </strong>Parasitological diagnostics was carried out between April and May 2023. The study involved 218 Polish Border Guard officers from the Podlaski Border Guard Unit (PBGU) and 209 officers from the Bug Border Guard Unit (BBGU), whose task is to patrol and safeguard Poland's border with Ukraine and Belarus. Faecal examinations were performed using three different light microscopy testing methods (direct smear, decantation, flotation) at the Department of Epidemiology and Tropical Medicine at the Military Institute of Medicine - National Research Institute, Warsaw, Poland.</p><p><strong>Results: </strong>Considered to be potentially pathogenic intestinal parasites were diagnosed in 20 out of 218 officers serving in the PBGU (8.7% infected with Blastocystis spp., 0.5% with Dientamoeba fragilis) and in 9 out of 209 officers serving in the BBGU (3.8% infected with Blastocystis spp., 0.5% with Dientamoeba fragilis). There were no infections with nematodes, cestodes or trematodes in the study participants. No correlation was found between a parasitic infection and the presence of diarrhoea or other gastrointestinal symptoms within 6 months prior to the study in both groups.</p><p><strong>Conclusions: </strong>Although Polish Border Guard officers deployed to the eastern border are exposed to difficult environmental conditions and have frequent contacts (either directly or indirectly) with migrants arriving from countries which report high incidence of parasitic infections, the rates of infections with potentially pathogenic protozoa in officers from the PBGU and BBGU are low and mainly attributable to pathogens which are widespread in the general Polish population. Low rates of parasitic infections in officers serving in the border zone suggest that the epidemiological situation of parasitic diseases in East Poland is satisfactory and that the disease prevention strategies (including the use of personal protection gear) implemented by the Polish medical services are effective.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 3","pages":"175-179"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153434","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":"Scuba diving and the stress response: considerations and recommendations for professional and recreational divers.","authors":"Christopher R Kovacs","doi":"10.5603/imh.91707","DOIUrl":"10.5603/imh.91707","url":null,"abstract":"<p><p>Scuba diving is an activity that people engage in both for recreational purposes as well as having professional, commercial, and military applications. Scuba diving has often been considered a high-risk activity but, overall, scuba diving has been shown to be a safe activity when divers participate within their experiential, physical, and psychological limits. However, increased physical and psychological stress can quickly arise during diving activities due to unexpected events and situations and may lead to the onset of panic in an unprepared diver. Dive safety is dependent on the ability of a diver to understand the primary signs of stress and panic and attempt to minimise their potential impacts on the immediate situation. The purpose of this review is to examine the stress response in divers, illustrate the role that panic plays in potential diving accidents and fatalities, and provide recommendations to both help understand and manage stress and panic in the diving community in an effort to further increase the overall safety of scuba diving across all applications.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 3","pages":"186-191"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165576","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":"Haematological changes in COVID-19: correspondence.","authors":"Rujittika Mungmunpuntipantip,&nbsp;Viroj Wiwanitkit","doi":"10.5603/IMH.2023.0010","DOIUrl":"https://doi.org/10.5603/IMH.2023.0010","url":null,"abstract":"This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. We would like to share ideas on the publication “Haematological changes in sailors who had COVID-19” [1]. Ignatyev et al. [1] set out to investigate how frequently sailors with an acute coronavirus infection experienced haematopoietic alterations. Relative or absolute leukopenia is the most frequent laboratory change in the white blood cell (WBC) count in patients with the prior coronavirus disease 2019 (COVID-19), according to Ignatyev et al. [1]. According to Ignatyev et al. [1], persistent changes in WBC count should be evaluated by a complex of typical alterations because they are not necessarily beyond the reference range for absolute values. Ignatyev et al. [1] came to the conclusion that a patient with a history of COVID-19 warrants a thorough investigation for the post-COVID-19 syndrome if there are any typical alterations in WBC count. We both believe that a thorough examination into the causes of the haematological anomalies is necessary. The COVID-19 may or may not have anything to do with the observed change in the current report. There could be conflicting problems. To begin with, it’s important to rule out any concomitant infections. As an illustration, dengue is a potential co-infection that may have an impact on the haematological parameter [2]. Second, underlying haematological conditions may potentially have an impact. It is important to rule out a variety of nutritional issues such iron and folate deficient illnesses as well as hereditary diseases like haemoglobinopathies.","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 1","pages":"74"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127911","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":"Scientific shallow saturation dive expedition using diving rebreathers and a specific dry habitat: medical management of the \"Capsule\" programme.","authors":"Emmanuel Gouin,&nbsp;Jean Eric Blatteau,&nbsp;Emmanuel Dugrenot,&nbsp;François Guerrero,&nbsp;Bernard Gardette,&nbsp;On Behalf Of Under The Pole Consortium","doi":"10.5603/IMH.2023.0004","DOIUrl":"https://doi.org/10.5603/IMH.2023.0004","url":null,"abstract":"<p><strong>Background: </strong>Scientific underwater exploration could benefit from professional diving facilities. This could allow marine research for durations far exceeding anything currently possible. The closed-circuit rebreather expansion provides new perspectives by unleashing divers and their diving bell. \"Under the Pole Expeditions\" developed an innovative compact underwater habitat for this purpose.</p><p><strong>Materials and methods: </strong>The habitat's depth was fixed at 20 m. Saturation lasted 3 days and was followed by a 245 min long decompression procedure with mandatory in-water phase. Isolation and environmental constraints will require specific medical and safety procedures. \"In situ\" medical concerns were considered, and a specific evacuation plan was established. This report describes the medical management of this atypical project and the systematic clinical follow-up mostly targeted on the cardiovascular system, fatigue and psychological tolerance.</p><p><strong>Results: </strong>Seventeen individual saturation exposures were performed. All selected divers were professional. Neither severe illness nor decompression sickness was observed. These short-term saturation exposures appeared to be well tolerated. There was a relatively low bubble grade after decompression. Psychological tolerance appeared good. However, a transient moderate orthostatic hypotension suggested cardiovascular deconditioning after dive.</p><p><strong>Conclusions: </strong>This first experiment demonstrates the interest and feasibility of a shallow revisited saturation dive with rebreather use. This isolation requires medical accompaniment and rigorous preparation. Medical and physiological risks assessment is essential in this context and must be consolidated by new experiences.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 1","pages":"36-44"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127912","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":"Applications of metaverse for improving healthcare at sea.","authors":"Rakhee Sharma,&nbsp;Mamta Mittal,&nbsp;Gopi Battineni,&nbsp;Francesco Amenta","doi":"10.5603/IMH.2023.0019","DOIUrl":"https://doi.org/10.5603/IMH.2023.0019","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 2","pages":"129-130"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183603","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":"Linkage of job ranks and personality traits with augmented stress: a study on Indian marine engineers in the context of the COVID-19 pandemic.","authors":"Toorban Mitra","doi":"10.5603/IMH.2023.0017","DOIUrl":"10.5603/IMH.2023.0017","url":null,"abstract":"<p><strong>Background: </strong>Marine engineering is a profession that affects a high level of physical and psychological stress. Such a high level of stress was further aggravated during the coronavirus disease 2019 (COVID-19) pandemic. On the other hand, personality traits and perceived stress are linked with each other, while job ranks also influence stress levels among employees. However, very few clinical studies are available on this mechanism in seafarers. This study explores the hidden area through the collection of cross-sectional data.</p><p><strong>Materials and methods: </strong>Big Five personality traits instrument, along with a stress augmentation questionnaire, were administered among 280 Indian marine engineers across job ranks who have sailed prior to and during the COVID-19 pandemic. The collected data were analysed using Kruskal-Wallis test and structural equation modelling.</p><p><strong>Results and conclusions: </strong>The analysis reveals significant differences among Indian marine engineers across their job ranks towards their perception of augmented stress levels. It also indicates that, except for extraversion, personality traits have linkages with levels of augmented stress among Indian marine engineers during the pandemic.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 2","pages":"112-121"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165125","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 risk of an epidemic outbreak in southern Ukraine.","authors":"Małgorzata Marchelek-Myśliwiec, Jevhen Garan, Katarzyna Mańkowska, Krzysztof Korzeniewski","doi":"10.5603/imh.97239","DOIUrl":"10.5603/imh.97239","url":null,"abstract":"<p><p>The humanitarian crisis that followed the military aggression against Ukraine is getting worse. The war which has continued since February 2022 has already caused irreparable health damage in the local community, which is affected by such acts of Russian terror as the destruction of the Kakhovka dam on the Dnieper River. As a result of the explosion and destruction of the dam, which occurred on 6 June 2023, over 2,500 square kilometres of land were flooded and around 17,000 residents had to be evacuated.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 3","pages":"192-194"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41166808","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":"David Aloian, Robert L. Beal, J. R. Levenson","doi":"10.4135/9781452229669.n1949","DOIUrl":"https://doi.org/10.4135/9781452229669.n1949","url":null,"abstract":"Dissertation: Minority role models: Improving minority students' test performance in the face of negative stereotypes Masters Thesis: Stereotype threat: The effects of male and female experimenters on the math test performance of female undergraduates Thesis: Minority influence: The role of dissenter status and numerical anchors ACADEMIC POSITIONS • 2013-present Associate Professor,","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"33 5 1","pages":"75-79"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70582619","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":"Characteristics of Polish travellers: six-month experience from the University Centre of Maritime and Tropical Medicine in Gdynia, Poland.","authors":"Krzysztof Korzeniewski, Natalia Kulawiak, Marta Grubman-Nowak","doi":"10.5603/imh.98360","DOIUrl":"10.5603/imh.98360","url":null,"abstract":"<p><strong>Background: </strong>The number of international travels has grown substantially over the last decade, both globally and in Poland. Thousands of Poles travel to tropical or subtropical countries in Asia, Africa or South America each year. The aim of this paper was to discuss the characteristics of Polish travellers seeking pre-travel consultation at the largest diagnostic and treatment travel medicine clinic in Poland.</p><p><strong>Materials and methods: </strong>This retrospective study was based on the analysis of medical records of 1291 patients seeking pre-travel advice at the University Centre of Maritime and Tropical Medicine in Gdynia, Poland, between 1 July and 31 December 2022. The study comprised the analysis of the following patient variables: age, sex, travel details (purpose and length of travel, continents and countries to be visited, activities planned). The study also aimed to evaluate the range of prevention measures which were recommended/ administered (preventive vaccinations, chemoprophylaxis). In addition, it assessed the health status of the patients presenting at the travel medicine clinic.</p><p><strong>Results: </strong>Patients who sought pre-travel advice were mostly people aged 18-35 years old (50.1%), travelling for tourism (72.2%), for a maximum period of 4 weeks (85.0%), travelling in December (24.3%) or in November (22.2%). Most of the Polish travellers consulted at the clinic travelled to Asia (56.2%), mainly to Thailand (27.3%), Vietnam (10.8%) or India (8.7%). Most travellers were planning a beach holiday (56.4%). As regards extreme activities, scuba diving was the most popular among the patients involved in the study (22.5%). The most frequently administered immunoprophylaxis were vaccines against typhoid fever (76.3%) and hepatitis A (56.2%). Other commonly recommended/prescribed prevention measures included: probiotics (75.9%), repellents (73.6%), antimalarial drugs (60.9%), and antidiarrheal antibiotics (51.9%). The analysis of patient interviews demonstrated that 42.4% of Polish travellers consulted at the clinic complained of no medical problems while 36.0% were taking chronic medications, mainly for allergies (17.1%) or thyroid disorders (12.2%).</p><p><strong>Conclusions: </strong>A growing number of people from Poland travel to destinations where the risk of infectious disease exposure or transmission is high. Providing a patient with appropriate advice during a pre-travel consultation will help protect the traveller against travel-associated risks at their intended destinations.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":"253-258"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811971","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}