Claire-Rose Pereira, Sagar Jalihal, Anil V Ankola, Fleur Maria Dias, Atrey J Pai Khot, Jasleen Thakker
{"title":"Prevalence of dental caries, oral hygiene status and treatment needs among seafarers and trainee sailors in the state of Goa, India: a descriptive cross-sectional study.","authors":"Claire-Rose Pereira, Sagar Jalihal, Anil V Ankola, Fleur Maria Dias, Atrey J Pai Khot, Jasleen Thakker","doi":"10.5603/IMH.2023.0016","DOIUrl":"10.5603/IMH.2023.0016","url":null,"abstract":"<p><strong>Background: </strong>The fixed regimen and strict dietary habits of seafarers and trainee sailors, make them susceptible to several oral diseases. The aim of the study was to assess prevalence of dental caries, oral hygiene status and treatment needs among seafarers and trainee sailors in the state of Goa.</p><p><strong>Materials and methods: </strong>This descriptive, cross-sectional study was carried out from January 2023 to March 2023. After a pilot study, convenience sampling technique was employed to recruit 261 participants. The investigators were standardized and calibrated to record World Health Organization Oral Health Assessment Form (1997) and Oral Hygiene Index-Simplified (OHI-S) which were instrumented in the study. Intra-examiner and inter-examiner reliability scores were recorded using kappa statistics (0.81, 0.83) and (0.83, 0.85), respectively. The data was analysed using descriptive analysis, chi-square test, Mann- -Whitney U test and multivariate linear regression analysis at statistical significance (p ≤ 0.05).</p><p><strong>Results: </strong>The mean ages of seafarers (n = 133) and trainee sailors (n = 128) were 36.41 ± 6.40, and 25.36 ± 7.39, respectively. The prevalence of dental caries among seafarers and trainee sailors was determined to be 59% and 78%, respectively (p = 0.01). The mean OHI-S score of seafarers (1.31 ± 0.68) and trainee sailors (1.53 ± 0.82) was statistically significant (p = 0.015).</p><p><strong>Conclusions: </strong>Seafarers and trainee sailors demonstrated high caries prevalence and poor oral hygiene status due to their distinctive lifestyle, representing a vulnerable community in terms of oral health.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165124","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}
Antonio Mastroianni, Sonia Greco, Valeria Vangeli, Maria Vittoria Mauro, Francesca Greco, Roberto Manfredi
{"title":"Lambliasis-associated Schönlein-Henoch purpura in an Italian traveller: first case report in Italy.","authors":"Antonio Mastroianni, Sonia Greco, Valeria Vangeli, Maria Vittoria Mauro, Francesca Greco, Roberto Manfredi","doi":"10.5603/IMH.2023.0013","DOIUrl":"10.5603/IMH.2023.0013","url":null,"abstract":"<p><p>A unique report of Schönlein-Henoch purpura (SHP) associated with a recent Giardia lamblia enteric infection is described and discussed on the ground of the available literature. Tinidazole plus an appropriate probiotic therapy, including Lactobacillus reuteri and vitamin D, proved to be effective in the condition. SHP is an immunocomplex-mediated disorder characterised by a number of differently associated signs and symptoms, leading to the possible involvement of the skin, joints, abdomen and kidneys. Recent bacterial, viral, or protozoan infections may trigger the disease onset in patients of all ages. The paper describes the first case of SHP triggered by a giardiasis. Tinidazole plus an appropriate probiotic therapy, i.e. L. reuteri and vitamin D proved to be effective in this condition. To our knowledge, this is the first reported case of lambliasis-associated SHP described in an international traveller.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183596","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":"Another point of view to complete the Rinaldy's article about shipping industry safety.","authors":"Richard Pougnet, Laurence Pougnet, Brice Loddé","doi":"10.5603/imh.95924","DOIUrl":"10.5603/imh.95924","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. Rinaldy’s article about shipping industry safety was very relevant [1]. The subject is delicate and critical because of the number of accidents and severe accidents among seafarers [2, 3]. The author has thus made a review of the literature. This will help for future research and to improve safety policies in the Indonesia shipping industry. However, as the author points out, the review has limitations inherent in its method: the quality of the data thus collected depends on the database, keywords, etc. But there is also another bias: using Scopus, the humanities may be underrepresented. It’s why, we would like to complete Rinaldi’s research by providing some notions from the human sciences. For example, the author highlights the importance of the literature about human error, which would be responsible for 80% to 85% of accidents. In French-language humanities, there are interesting resources for taking a step back from this type of data. On the one hand, it should be remembered that human error can sometimes be the apparent cause of an accident. The work context itself could explain that a person commits imprudence or makes a mistake. Time pressure, economic issues, fatigue, jet lag during expensive freight transport can favour this ultimate mistake made by a person. Beyond these organizational and economic aspects, there may be individual factors of human error: one person may perform less well in one task than another. In France, the current of work psychology and ergonomics have clinically studied how employees, whatever their work environment, can compensate for a disparity in performance. They could sometimes develop another way of working, in a more individual and yet just as efficient [4]. On the other hand, the literature about air transport allows having a more critical reading about the role of the human factor. Overall, two schools of thought exist. One of it defends the idea the work should be controlled strictly. It might reduce the risk of human error. The second “school” privileges an environment of work less controlled. Human is the ultimate barrier before an accident, so that he needs more freedom and autonomy in work [5]. Finally, the currents of psychodynamics and psychoanalysis of groups offer interesting tools to better understand certain reactions to rejection of safety instructions or of the wearing of protection. Depending on the work groups, it may happen that the people most respectful of the rules and safety instructions are rejected by the other members of the work team. Remembering back on safety rules can generate anxiety against to which some small groups will implement inappropriate ","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177251","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}
Nebojša Nikolić, Jon Magnus Haga, Jens Tülsner, Per Otto Årland, Alf Magne Horneland, Bill Kavanagh, Klaus Seidenstucker, Spike Briggs, Inger Lund-Kordahl, Cecilia Simolin Pernilla
{"title":"Medical training of seafarers: International Maritime Health Foundation (IMHF) Expert Panel Consensus Statement.","authors":"Nebojša Nikolić, Jon Magnus Haga, Jens Tülsner, Per Otto Årland, Alf Magne Horneland, Bill Kavanagh, Klaus Seidenstucker, Spike Briggs, Inger Lund-Kordahl, Cecilia Simolin Pernilla","doi":"10.5603/IMH.2023.0002","DOIUrl":"https://doi.org/10.5603/IMH.2023.0002","url":null,"abstract":"<p><strong>Background: </strong>Medical emergencies and on-going medical conditions on board may seriously impair seafarers' health and safety, and also negatively impact on future work prospects for seafarers. When a seafarer gets ill or injured on a ship, medical treatment often relies on the competences on his colleagues on board. The aim of this project was to establish a consensus-based minimum standard for medical education for seafarers, in order to ensure competency for adequate management of ill-health on board.</p><p><strong>Materials and methods: </strong>International Maritime Health Foundation (IMHF) conducted a workshop on medical training of seafarers. A research-based approach to gain consensus on core learning outcomes/competences developed by the Tuning Project, has been used. This method was used by Tuning (Medicine) to gain consensus on core learning outcomes for primary medical degrees (Master of Medicine) across Europe.</p><p><strong>Results: </strong>The result of the project is a set of learning outcomes/competences in medical training for merchant seafarers.</p><p><strong>Conclusions: </strong>The project resulted in a set of learning outcomes/competences on medical training of the seafarers that will be submitted to the relevant bodies of International Maritime Organization (IMO) in the process of the development of model courses 1.13, 1.14 and 1.15.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10146468","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":"Deaths due to hydrogen sulphide on a jack up rig at Bombay High: an avoidable accident.","authors":"Ajit C Kulkarni","doi":"10.5603/imh.96932","DOIUrl":"10.5603/imh.96932","url":null,"abstract":"<p><p>An enclosed space is an area with poor or no natural ventilation which is not designed for continuous occupancy, where access is limited and which may contain a dangerous atmosphere. Enclosed space atmospheres can be hazardous due to one or a combination of the conditions which includes oxygen deficiency; presence of toxic and/or flammable gases. When it is intended that personnel should enter or work in an enclosed space, care should be taken to create and maintain safe working conditions. The case report describes an incident on board an oil rig where the rig workers were exposed to noxious gases resulting in multiple fatalities. Work involved gas sampling/monitoring at various locations inside the \"spud tanks\" of the rig and certifying it free of noxious gases for marine surveyor's inspection. Contributory factors that have been frequently identified following enclosed space accident investigations are non-compliance with procedures, inappropriate equipment, poor supervision, complacency and over familiarity leading to short cuts being taken, detection and monitoring equipment not used or not working properly and improper action in an emergency. Preventive measures to avoid such accidents and create a safe working area are discussed.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139561","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":"Burnout syndrome of coastal fishermen.","authors":"Omar Laraqui, Christine Roland-Lévy, Nadia Manar, Tarik Ghailan, Frédéric Deschamps, Chakib El Houssine Laraqui Hossini","doi":"10.5603/imh.96404","DOIUrl":"10.5603/imh.96404","url":null,"abstract":"<p><strong>Background: </strong>Coastal fishermen are particularly affected by occupational stress and burnout because they are exposed to high psychosocial factors at work and organizational constraints related to difficult working conditions.</p><p><strong>Materials and methods: </strong>This survey aimed to assess the prevalence of burnout syndrome (BOS) of fishermen and its relationship with sociodemographic and occupational parameters. This cross-sectional study involved a representative sample of 761 fishermen. We used an individual questionnaire including socio-demographic and occupational parameters, the Karasek's Job Content Questionnaire, and Maslach BO Inventory. BOS includes three dimensions: emotional exhaustion, depersonalisation, and loss of self-efficacy. The positive diagnosis of BOS is retained if the scores of the three dimensions are abnormal (high for the first two and low for the third).</p><p><strong>Results: </strong>Five hundred and twenty-six people agreed to answer the questionnaire. Of these, 16.1% had a high emotional exhaustion, 13.9% high depersonalisation, and 11.2% low personal accomplishment. Furthermore, 37.1% had at least one abnormal dimension of BOS: 16.9% had one abnormal dimension, 12.2% two, and 8% three (BOS). The prevalence of abnormal dimensions of BOS was significantly higher in pilots-copilots (67.9%), and in mechanics (63.5%) than in sailors (27.8%). It was higher in fishermen living alone (44.4%), having seasonal job (57.9%), suffering of job strain (42.1%) or isostrain (57.9%), and sleep disorders (55.4%). The multivariate logistic regression showed that job strain, isostrain, fatigue, sleep disorders, seasonal job and daily working > 14 h constituted a major risk factor of abnormal dimension of BOS.</p><p><strong>Conclusions: </strong>It is imperative to identify priority actions to improve the working conditions of fishermen, and to develop a genuine prevention policy.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151806","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":"Navigating the challenges in remote medical care for mariners during disasters and pandemics: integration of mHealth and drone technology.","authors":"Manik Sharma","doi":"10.5603/imh.94545","DOIUrl":"10.5603/imh.94545","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. INTRODUCTION Mariners work in remote areas with limited access to medical facilities, which creates unique challenges in accessing medical care. The integration of mobile health (mHealth) and drone technology presents a promising solution that can offer remote medical consultation, monitoring, and digital intervention services to mariners. Furthermore, drones can be used to provide timely transportation of medical supplies and equipment to the ships, especially during emergencies. However, the implementation of mHealth and drone technology for mariners’ health also presents challenges, such as connectivity issues, regulations, safety, weather conditions, and privacy and security concerns related to medical data. This research work addresses the potential benefits and challenges as well as implications of integrating m-health and drone technology for mariners’ health. In the last two decades, approximately eight thousand distinct disasters and catastrophic events have been recorded. Each disaster has an immense impact on the physical, cognitive and emotional health of individuals, especially seafarers and mariners [1]. The scary and horrific situation of the disaster generally induces different kinds of infections such as hepatitis, typhoid, diarrhoea, acute respiratory infections, malaria, leptospirosis, and measles [2]. In the critical situation of the disaster (hydro-meteorological, geo-morphological, and geophysical disasters), the on-time support provided through mHealth and drone technology can surely mitigate the risk of infections and can save masses of human lives. As per prior studies, the case mortality rates (CMR) of different pandemics, H1N1, H5N1, Ebola, Middle East respiratory syndrome coronavirus (MERS-CoV), and severe acute respiratory syndrome coronavirus (SARS-CoV) strain, were 3%, 60%, 50%, 34%, and 15%, respectively. However, to date, the CMR for coronavirus disease 2029 (COVID-19) is 2.16% which is quite lower than H5N1, Ebola, MERS-CoV, and SARS-CoV [3].","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161644","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}