International Maritime Health最新文献

{"title":"Occupational injury of Vietnamese seafarers on aboard merchant vessels.","authors":"Tam Nguyen Van, Ha Nguyen Thi Hai, Son Nguyen Truong, Nam Nguyen Bao, Do Thi Hue, Chi Tran Thi Quynh","doi":"10.5603/imh.97662","DOIUrl":"10.5603/imh.97662","url":null,"abstract":"<p><strong>Background: </strong>Seafaring is an arduous and highly specialized profession, with many potential risks of accidents and injuries to the working seafarers. This study aims to describe the characteristics of occupational injuries and some related factors of Vietnamese seafarers on board merchant vessels.</p><p><strong>Material and methods: </strong>Injured seafarers working on ships of 3 shipping companies in Hai Phong, Vietnam for 2 years, from January 2021 to December 2022, were considered in the study. The retrospective descriptive method was used to collect data on occupational injuries.</p><p><strong>Results: </strong>Forty-six injured seafarers out of a total of 1250 seafarers were included. The incidence of occupational injuries among seafarers was 46 per 1250 (3.7%). The overall injury incidence was 18.4 per 1000 seafarers per year over the 2-year study period. The most common time for injury accidents was at night (54.3%) and the place where injuries occurred was mainly on the deck of the ship (71.7%). Causes of occupational injuries included slipping (32.6%), closing cargo hatch covers (13.0%), unloading cargo (13.0%), and repairing ship engines (10.9%). The nature of injuries was mainly soft tissue injuries (52.2%); sprains, dislocations (15.3%); fractures (10.9%); burns (6.5%). Injuries to the shoulder, forearm, and hand (52.2%); thighs, legs, feet (32.6%); head (6.5%). Some factors related to injury include working experience less than 10 years, OR = 2.45 (95%CI: 1.36-4.42); intermediate education level, OR = 2.30 (95%CI: 1.17-4.54); non-officer, OR = 2.76 (95%CI: 1.36-5.59). Deck group crew, OR = 2.19 (95%CI: 1.14- 4.18); deadweight tonnage of ships under 10 thousand tons, OR = 5.88 (95%CI: 2.07-16.73) compared to ships over 50 thousand tons.</p><p><strong>Conclusions: </strong>Occupational injuries are a major health problem among Vietnamese seafarers. To prevent occupational injuries, it is necessary to improve living and working conditions on board ships and strengthen training and practice of occupational safety and hygiene on board ships.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"193-199"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638374","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":"Primary healthcare in island regions: A comprehensive analysis of trends, insights and future directions.","authors":"Nur Rahmah, Amran Razak, Agus Bintara Birawida, Irwandy Irwandy","doi":"10.5603/imh.103764","DOIUrl":"10.5603/imh.103764","url":null,"abstract":"<p><strong>Background: </strong>Primary healthcare in island regions is a critical component of global health systems, yet it faces unique challenges due to geographical isolation, resource constraints and sociocultural factors.</p><p><strong>Aims: </strong>This study aimed to systematically analyze the global research landscape of primary healthcare in islands through a bibliometric analysis.</p><p><strong>Material and methods: </strong>A comprehensive search was conducted to identify relevant publications using Scopus as the primary database. Keyword analysis, co-authorship networks and citation analysis were employed to explore research trends, collaboration patterns and influential authors and institutions.</p><p><strong>Results: </strong>The results revealed a significant increase in research output over the past few decades, with the United States, Spain and Australia emerging as leading contributors. Key research themes included access to care, health workforce, chronic disease management and health promotion. Collaborative research networks were identified, particularly among researchers from island nations and developed countries. The analysis also highlighted the growing importance of digital health technologies in addressing the challenges of island healthcare.</p><p><strong>Conclusions: </strong>Research on island primary healthcare has grown steadily since 1972, with key contributions from the United States, Spain and Australia. Major themes include clinical care, health systems and policy. Trends evolved from clinical to systemic and demographic focuses, with future directions emphasizing digital technologies and participatory methods. These findings inform evidence-based policies to enhance island health services.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"115-125"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545436","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":"Systematic review: Psychomental reactions of survivors after fatal maritime disasters at sea.","authors":"Daniel Lazuk, Hans-Joachim Jensen, Volker Harth, Marcus Oldenburg","doi":"10.5603/imh.103007","DOIUrl":"10.5603/imh.103007","url":null,"abstract":"<p><strong>Background: </strong>Several studies have shown that accidents and disasters at sea account for a significant share of seafarers' deaths. Additionally, the experience of a disaster often has a crucial impact on the mental health of survivors. The objective of this systematic review is to analyze the psychomental symptoms and their development over time after a maritime disaster, as well as the scores used to measure the severity of the symptoms.</p><p><strong>Materials and methods: </strong>A comprehensive literature search was conducted in the scientific databases PubMed, PubPsych, PsycArticles, and Scopus to identify studies related to fatal maritime disasters. This systematic search yielded 239 studies and twelve were ultimately included in the review after the application of specific exclusion criteria.</p><p><strong>Results: </strong>The included studies described the psychomental symptoms of 40 seafarers, 422 navy and US Coast Guard crew members, and 300 passengers who experienced maritime disasters. Survivors of fatal maritime disasters exhibit significant symptoms of posttraumatic stress and depression. The diagnostic screening cut-offs for post-traumatic stress disorder (PTSD) based on the Total Impact of Event Scale (IES-Total) score were exceeded in a significant number of the survivors. Although symptoms diminish over time, survivors' mental health often remains significantly affected for several years after the disaster.</p><p><strong>Discussion: </strong>The symptoms and the severity of PTSD and depression after a maritime disaster and their development over time show parallels with findings from land-based disaster research. Overall, the number of identified studies and their actuality in the field of maritime research are unsatisfactory. This highlights the necessity for additional research in the field of maritime disaster medicine.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"165-178"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545438","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":"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":1.0,"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":"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":"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":"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":"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":"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":"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":"97-114"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","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":"Assessing the clinical management and outcomes of venomous marine animal injuries in Turkey.","authors":"Yavuz Aslan, Ayşe Sena Yumbul Kardaş, Akın Savaş Toklu","doi":"10.5603/imh.102261","DOIUrl":"10.5603/imh.102261","url":null,"abstract":"<p><strong>Background and objectives: </strong>SCUBA diving is a widely popular activity in Turkey, surrounded by seas on three sides. While most marine creatures in these waters are harmless, a few poses significant risks, necessitating awareness and precautions for divers' safety. This report highlights the various harmful sea creatures found in Turkish waters, their potential injuries, and appropriate first aid responses.</p><p><strong>Materials and methods: </strong>Data were gathered from workshops, literature reviews, diving activities and case reports.</p><p><strong>Results: </strong>Notable harmful species include jellyfish, sea anemones, bristle worms, sea urchins, greater weever fish, and others. Injuries range from stings and bites to venom-induced symptoms, requiring immediate and specific medical interventions.</p><p><strong>Conclusions: </strong>The paper aims to enhance the recognition and management of harmful marine life encounters in Turkish waters, especially among emergency doctors and general practitioners.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"136-143"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545432","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":"Neglected tropical diseases in East Africa on the example of Madagascar.","authors":"Wanesa Wilczyńska, Joanna Szafran-Dobrowolska, Krzysztof Korzeniewski","doi":"10.5603/imh.104769","DOIUrl":"10.5603/imh.104769","url":null,"abstract":"<p><p>Neglected tropical diseases (NTDs) are a group of tropical infections that are prevalent in tropical and subtropical countries; they usually stem from poor sanitation and poverty. People affected by NTDs are at risk of various disabilities, disfigurement, and social stigma. Most NTDs are chronic and debilitating illnesses whose treatment generates huge costs and puts a strain on individual and national budgets, especially in developing countries in Africa, Asia, and Latin America. The present article is a review of neglected tropical diseases which are found in East Africa; the study is based on the analysis of the NTDs prevalence in the Malagasy population. Madagascar is one of the poorest countries in the world. Approximately 35% of its residents do not have access to toilets and practice open defecation, and nearly 50% do not have access to safe drinking water. Other factors which are associated with a high prevalence of NTDs in local communities include limited access to healthcare, misinformation, and lack of food safety supervision.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"144-153"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545435","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}