International Maritime Health最新文献

{"title":"Critical flicker fusion frequency results during oxygen decompression in standard HBOT session - observational study.","authors":"Rita I Sharma, Natalia D Mankowska, Anna B Marcinkowska, Pawel J Winklewski, Jacek Kot","doi":"10.5603/imh.99568","DOIUrl":"10.5603/imh.99568","url":null,"abstract":"<p><p>Most hyperbaric medicine reports concentrate on the patient and his morbidities. In addition to the well-known indications for hyperbaric oxygen therapy (HBOT), we cannot discount possible side effects. Among medical staff regularly exposed to hyperbaric conditions the best described so far is decompression sickness. A non-invasive and easily available way to assess cognitive functioning involves the use of the critical flicker fusion frequency (CFFF) test. In the current study, the flicker test was performed several times on 21 subjects, both under normobaric and hyperbaric conditions. The test was conducted using the device that flickering was programmed according to the method of limits. While in the hyperbaric chamber, 15 of the participants breathed oxygen to reduce the risk of decompression sickness. Flicker and fusion frequencies differed from each other in both normo- and hyperbaric conditions (p < 0.01). CFFF results were dependent on oxygen breathing during decompression.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"75 3","pages":"167-176"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477340","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":"Prevalence of malaria in Arusha Region in the northern Tanzania: Comment.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.5603/imh.101371","DOIUrl":"10.5603/imh.101371","url":null,"abstract":"<p><p>< p > < /p >.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"75 3","pages":"204"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477363","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":"Cutaneous myiasis caused by Dermatobia hominis (Diptera: Oestridae) in a Polish traveller to South America - a case report.","authors":"Beata Biernat, Paweł Gładysz, Małgorzata Sulima, Katarzyna Sikorska","doi":"10.5603/imh.99548","DOIUrl":"10.5603/imh.99548","url":null,"abstract":"<p><p>Myiasis, an infestation caused by dipteran larvae, commonly known as maggots, is one of the most common parasitic skin disorders in the tropical regions. Authors report a case of cutaneous myiasis caused by Dermatobia hominis (Diptera: Oestridae) in a Polish traveller returning from a self-organized trip to South America. Species biology, prophylaxis, and medical implications of this tropical parasitosis are discussed.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"75 1","pages":"61-63"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870389","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":"Decompression sickness of medical personnel of a hyperbaric centre: A report of cases during 25 years of activity.","authors":"Jacek Kot, Olga Sobczak, Beata Młynarczyk, Rita Sharma, Ewa Lenkiewicz, Zdzisław Sićko","doi":"10.5603/imh.101076","DOIUrl":"https://doi.org/10.5603/imh.101076","url":null,"abstract":"<p><p>Medical hyperbaric sessions for Hyperbaric Oxygen Therapy, conducted at 2.4-2.5 ATA for 80 to 120 minutes, expose staff to increased risk of DCS due to the inhalation of compressed air, which increases gas solubility in body fluids as per Henry's Law. This study evaluates the incidence and risk factors of decompression sickness (DCS) among medical personnel in a hyperbaric centre over a 25-year period. Decompression sickness, characterized by gas bubble formation in tissues during planned decompression, was documented in 6 cases among 41,507 sessions. Symptoms varied from mild cutaneous to severe neurological manifestations, dependent on bubble size and location. Risk factors identified include age, physical condition, dehydration, and BMI. Preventative measures included adherence to decompression protocols, hydration, oxygen pre-breathing, and physical fitness maintenance. Despite these precautions, the occurrence of DCS underscores the inherent occupational risk faced by hyperbaric medical staff. The study advocates for stringent safety protocols and continuous monitoring to mitigate this risk.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"75 4","pages":"228-235"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915182","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, safety and well-being during a pandemic: A clarion call for \"place of refuge\" for WHO-declared Public Health Emergency of International Concern.","authors":"Anish Arvind Hebbar","doi":"10.5603/imh.100845","DOIUrl":"10.5603/imh.100845","url":null,"abstract":"<p><p>< p > < /p >.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"75 4","pages":"269-270"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915766","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":"ANNOUNCEMENT.","authors":"","doi":"10.5603/imh.98511","DOIUrl":"https://doi.org/10.5603/imh.98511","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":"296"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811887","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":"WISHES.","authors":"","doi":"10.5603/imh.98514","DOIUrl":"https://doi.org/10.5603/imh.98514","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811985","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":"COVID-19 on board a cruise ship: medical management.","authors":"Laurent Beust, David Lucas, Richard Pougnet, Brice Loddé","doi":"10.5603/IMH.2023.0012","DOIUrl":"10.5603/IMH.2023.0012","url":null,"abstract":"<p><strong>Background: </strong>First, this analysis was conducted to study a coronavirus disease 2019 (COVID-19) cluster dynamic on a cruise ship in order to allow the ship physician to anticipate the duration and importance of the contaminations. Secondly, the author tries to find out if the closed environment on board allows specific conclusions about epidemic dynamics and preventative measures.</p><p><strong>Materials and methods: </strong>From a personal epidemiological compendium done by himself on board the author analysed different epidemic curves identified on board other ships and compared them to the epidemiologic data from the different COVID-19 contamination waves in France since 2020. All crew members were submitted to polymerase chain reaction tests on D2, D5, D8 and D15 and symptomatic cases were tested on on-board devices in the meantime. An excel file called \"Log Covid\" allowed for daily reporting to the ship-owner on the epidemic dynamics and the prospects on the end of crises in order to anticipate the resumption of the business in the best conditions. The jobs on board, age and geographic origin of the contaminated people were analysed, as well as their vaccination status.</p><p><strong>Results: </strong>Out of a total of 118 crew members, 61 (52%) sailors were contaminated in 8 days. The symptoms were benign (pharyngitis, headaches, feverish state); no serious form of illness were reported. The passengers were repatriated to France at the earliest stage. The epidemic phase occurred in a 15-day window. The first 8 days corresponded to the ascending phase, then a faster phase of epidemic decrease of 7 days. Similarities emerged between the epidemic dynamics of this virus and other contaminations on cruise ships and epidemic phases on land in spite of important differences in numbers.</p><p><strong>Conclusions: </strong>This study can allow a ship's doctor to better understand the viral dynamics in case of a COVID- 19 cluster and to anticipate the exit of the crisis. Repeated tests during the active phase of the epidemic are necessary in case of a large cluster to know where to place oneself on a typical epidemic curve. Isolation and barrier measures advised by the ship's doctor remain the only weapons that can limit its magnitude.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 2","pages":"83-88"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183594","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":"Hand hygiene knowledge and practices, and rates of respiratory tract infections between Hajj and Umrah pilgrims: a comparative study.","authors":"Aqel Albutti, Hashim A Mahdi, Ameen S Alwashmi, Ramon Z Shaban, Harunor Rashid","doi":"10.5603/IMH.2023.0014","DOIUrl":"10.5603/IMH.2023.0014","url":null,"abstract":"<p><strong>Background: </strong>Hajj and Umrah mass gatherings (MGs) in the Kingdom of Saudi Arabia amplify the risk of viral respiratory tract infections (RTIs), but there is a lack of comparative data from these two MGs. This study aims to compare pilgrims' hand hygiene knowledge, practices, and rates of RTIs during the peak periods of Umrah and Hajj in 2021.</p><p><strong>Materials and methods: </strong>The datasets of this comparative study were obtained from two previously conducted studies that used similar study tools and identical syndromic definitions. The binary logistic regression was applied to compare the categorical variables and, a t-test was used to compare the continuous variables.</p><p><strong>Results: </strong>A total of 510 Hajj pilgrims and 507 Umrah pilgrims were recruited. The majority of Hajj pilgrims (68%) were ≥ 40 years old, while most Umrah pilgrims (63%) were < 40 years old. The mean total knowledge scores of hand hygiene between the Hajj and Umrah pilgrims differed significantly (4.1 vs. 3.7, respectively, p < 0.001) so did their compliance with frequent use of alcohol-based hand rubs (53.0% vs. 36.3%, respectively, p < 0.001) and the rates of RTIs (4.7% vs. 2.2%, respectively, p = 0.05).</p><p><strong>Conclusions: </strong>These differences could be attributable to the distinctive characteristics of Hajj and Umrah pilgrimages, and the unique differences in risks posed by those MGs.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 2","pages":"92-97"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183598","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":"Assessment of mental health and psychosocial factors in French merchant officer cadets.","authors":"David Lucas,&nbsp;Nolwenn Coadic,&nbsp;Dominique Jégaden","doi":"10.5603/IMH.2023.0007","DOIUrl":"https://doi.org/10.5603/IMH.2023.0007","url":null,"abstract":"<p><strong>Background: </strong>Several studies have demonstrated the existence of psychological pathologies and psychosocial risks among seafarers, particularly merchant navy officers. To date, there is no study of merchant navy officer cadets. First aims are to assess anxiety and depression disorders, framework, work strain and social support in this population.</p><p><strong>Materials and methods: </strong>A questionnaire including demographic and sailing data to which we added the Hospital Anxiety and Depression Scale (HAD) and Karasek questionnaire was developed. All students were approached and completed the questionnaire anonymously by electronic means.</p><p><strong>Results: </strong>One hundred and seventy questionnaires could be included. The population was predominantly male (76.4%), and the average age of the students was 21.7 years. The means of the HAD anxiety and HAD depression were 6.9 and 5.37, respectively. According to Karasek classification, we noted that the \"active\" class was the most represented with 29.4% of students, followed by the \"high strain\" and \"low strain\" classes with 27.6%. The \"passive\" class was the least represented with 15.3%.</p><p><strong>Conclusions: </strong>We found a predominance of anxiety disorders but few signs of depression. Signs of \"high strain\" according to Karasek were found in 27.6% of the population of these young officers. Job demand was linked to mean of anxiety and depression disorders declared in HAD questionnaire. Being a woman was associated with anxiety but not depression symptoms. Prevention programme to decrease the level of job demand and increase decision latitude and social support seems relevant for mental health disorders in merchant officers.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 1","pages":"62-69"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10146470","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}