International Maritime Health最新文献

{"title":"Job demands and burnout among Chinese seafarers - the chain mediating effects of work engagement and depression.","authors":"Jie Wu, Hanya Wang","doi":"10.5603/imh.109030","DOIUrl":"10.5603/imh.109030","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the mediating effects of work engagement and depression on the relationship between job demands and burnout among Chinese seafarers.</p><p><strong>Material and methods: </strong>The study used Harman's single-factor test, descriptive analysis, correlation analysis, and mediation analysis. A total of 1,084 Chinese seafarers participated in this study, completing the Job Demands subscale of the Job Content Questionnaire (JCQ), the Utrecht Work Engagement Scale (UWES), the Depression subscale of the Depression Anxiety Stress Scales (DASS), and the Maslach Burnout Inven-tory-General Survey (MBI-GS). Data were collected from July 2025 to August 2025.</p><p><strong>Results: </strong>The results indicated that, among Chinese seafarers: 1) job demands significantly and negatively predicted burnout; 2) work engagement mediated the relationship between job demands and burnout; 3)depression mediated the relationship between job demands and burnout; and 4) work engagement and depression exerted a chain mediating effect between job demands and burnout.</p><p><strong>Conclusions: </strong>The findings have important practical implications for understanding the factors influencing burnout among Chinese seafarers and offer new insights for mental health interventions and maritime safety management.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"206-213"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760794","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":"Pandemic on ships: lessons from the COVID-19 outbreak for future preparedness.","authors":"Yusuff Adebayo Adebisi, Nafisat Dasola Jimoh, Don Eliseo Lucero-Prisno Iii","doi":"10.5603/imh.103959","DOIUrl":"10.5603/imh.103959","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"139-140"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638375","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 disease patterns in tuna fishermen.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.5603/imh.107025","DOIUrl":"10.5603/imh.107025","url":null,"abstract":"<p><p>< p > < /p >.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"77 1","pages":"55"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582731","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":"Oral and perioral disease prevalence among fishermen - systematic review and meta-analysis.","authors":"Mariana Moreira Machado, Ana Luiza Cabrera Martimbianco, Ana Beatriz Dos Santos Lopes, Giullia Carvalho Mangas Lopes, Giovanna Marcílio Santos, Sandra Kalil Bussadori, Maria Aparecida de Andrade Moreira Machado, Marcela Letícia Leal Gonçalves, Elaine Marcílio Santos","doi":"10.5603/imh.105208","DOIUrl":"10.5603/imh.105208","url":null,"abstract":"<p><strong>Background: </strong>Fishermen face challenges that increase their vulnerability to oral and perioral diseases due to demanding working conditions, excessive environmental exposure and limited access to health care.</p><p><strong>Objective: </strong>This systematic review aims to map and synthesize the available evidence on the prevalence of oral and perioral diseases among fishermen.</p><p><strong>Material and methods: </strong>An extensive literature search was conducted in September 2024, including electronic databases, grey literature, and manual searches, without date or language restrictions, to identify observational studies evaluating the prevalence of oral and perioral diseases among fishermen. The risk of bias was assessed using the JBI critical appraisal checklist for studies reporting prevalence data. Meta- analyses were conducted to combine prevalence data from the included studies. The GRADE approach assessed the certainty of the evidence.</p><p><strong>Results: </strong>Thirteen analytical cross-sectional studies, involving 4,546 fishermen, of moderate methodological quality were found. The meta-analysis showed that the overall prevalence of oral and perioral diseases was around 49% (95% CI: 27-72%; 4,546 participants; low-quality evidence). Considering the most common diseases reported, the pooled prevalence of dental caries was 84%, leukoplakia 26%, and actinic cheilitis 35%. The most frequent risk factors identified as associated were smoking habits, alcohol consumption, and poor oral hygiene.</p><p><strong>Conclusions: </strong>These findings should be recognized as a public health concern and addressed through preventive and informational policies in fishing communities and related organizations. Further studies using more reliable methods, larger sample sizes, and adequate management of confounding factors are necessary to confirm these findings.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"77 1","pages":"39-49"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582756","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 evacuations from offshore oil and gas installations - an exploratory scoping review.","authors":"Andrew Fenn","doi":"10.5603/imh.103147","DOIUrl":"https://doi.org/10.5603/imh.103147","url":null,"abstract":"<p><strong>Background: </strong>Medical evacuations (MEDEVACs) from offshore installations are both costly and disruptive. Enhancing worker well-being may help reduce evacuations due to illness or injury, thereby maintaining the smooth operation of offshore activities and lowering financial burdens.</p><p><strong>Objectives: </strong>This scoping review aims to identify whether illness or injury is the predominant cause of MEDEVACs from offshore oil and gas installations and to determine the most common types of illnesses or injuries involved. Additionally, the review outlines a future research agenda focusing on offshore worker health and well-being.</p><p><strong>Materials and methods: </strong>A comprehensive structured search was conducted across the Scopus, PubMed, and Web of Science databases, as well as through reference lists and grey literature. Studies were included if they addressedMEDEVACs from offshore oil and gas installations. Eleven articles met the inclusion criteria.</p><p><strong>Results: </strong>Articles indicate that non-occupational illnesses are more frequent causes of MEDEVACs than injuries. Among these, chest pain, cardiovascular issues, and dental problems were disproportionately represented. Contractor personnel were more likely to require evacuation than company employees. Additionally, younger workers were more likely to be evacuated due to injuries. Chronic health conditions were more common reasons for MEDEVACs among older workers. The review highlights the significant role of non-communicable diseases in contributing to MEDEVACs, as opposed to occupational exposures.</p><p><strong>Conclusions: </strong>Investing in preventive health management, targeted research, and workforce education may substantially reduce the prevalence of non-communicable diseases in the offshore environment, lowering MEDEVAC rates, associated costs, and operational disruptions. Further investigation into the underlying causes of ill health among offshore workers is needed to enhance overall workforce well-being.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"77 2","pages":"97-107"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370348","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":"Lessons from Madagascar: implications of neglected tropical diseases for Northern Philippines.","authors":"Jomar Lozano Aban","doi":"10.5603/imh.106566","DOIUrl":"https://doi.org/10.5603/imh.106566","url":null,"abstract":"<p><p>< p > < /p >.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"77 2","pages":"137-138"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370355","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":"A 4-year retrospective descriptive study on treatment outcomes of decompression illness patients in various hyperbaric chamber centers in Thailand.","authors":"Poonsak Jittanonta, Chanon Vongvanich, Hansa Premmaneesakul","doi":"10.5603/imh.105792","DOIUrl":"10.5603/imh.105792","url":null,"abstract":"<p><strong>Background: </strong>Thailand is situated between two abundant bodies of water, the Andaman Sea and the Gulf of Thailand. Therefore, multiple industries are based around these waters. One of the largest economic incomes is from tourism, where recreational diving is a popular activity with multiple dive sites scattered across multiple provinces in Thailand. Moreover, there are types of diving such as military diving, occupational diving, and traditional (fishermen) diving.</p><p><strong>Material and methods: </strong>A retrospective descriptive study reviewing medical records of 178 decompression illness (DCI) patients from various hyperbaric chamber centers in Thailand, between January 2020 to December 2023.</p><p><strong>Results: </strong>Out of all the patients, 73.6% achieved complete resolution of symptoms, while 26.4% had residual symptoms. Traditional divers were at a higher risk of having residual symptoms after treatment (42%). Missing safety stops showed significant association with incomplete treatment outcomes (p = 0.008), univariate logistic regression confirmed significance (OR = 2.495, 95% CI: 1.263-4.926, p = 0.008); after multivariate logistic regression this factor lost its significance, but remained a strong predictor (adjusted OR = = 2.208, 95% CI: 0.962-5.069, p = 0.062). As for affected organs, spinal cord involvement was strongly related to incomplete outcomes (p = 0.001). First-aid high flow oxygen was given to only 18.5% of patients but had no significant associations with treatment outcomes.</p><p><strong>Conclusions: </strong>This study was one of the first multi-center studies in Thailand, it raises multiple concerns for the diving industry in both the traditional and recreational sector. Both sectors can benefit from targeted education for divers, creating safety standards, and providing proper first-aid and treatment.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"77 1","pages":"13-22"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582799","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 2026/1: Special Edition - Medical Repatriation and TMAS.","authors":"James Denham","doi":"10.5603/imh.111710","DOIUrl":"10.5603/imh.111710","url":null,"abstract":"<p><p>Dear Readers, Welcome to this Special Edition of the IMH Magazine, dedicated to the complex and sometimes unnoticed topic of medical repatriation and maritime Telemedical Assistance Services (TMAS). As you will learn in the pages that follow, in maritime medicine, the decision to send a seafarer home is rarely a simple logistical matter. It is frequently a medical judgment that has been shaped by limited onboard resources, operational realities of the vessel while at sea, and the physician's responsibility to maintain a balance between clinical care and the safety and wellbeing of the individual seafarer. Additionally, the regulatory framework provided by the Maritime Labour Convention (MLC 2006) emphasizes the importance of ensuring appropriate medical care and repatriation when illness or injury occurs far from shore. This issue of the Magazine brings together several perspectives from experienced TMAS practitioners who share insights drawn from their daily clinical work supporting ships around the world. Their contributions highlight the complexity of medical decision-making in maritime environments and the collaborative nature of telemedical assistance. We hope that this special edition will not only be an engaging read but can also serve as a useful reference for maritime health professionals who may one day face the difficult question of when going home becomes, above all, a medical decision. On behalf of the editorial team, thank you for joining us in exploring this important aspect of maritime medicine. Warm regards, James A. Denham, MD Editor, IMH Magazine.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"77 1","pages":"56-78"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582783","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 2026/2: Learning from Complexity: Clinical Decisions at Sea.","authors":"James Denham","doi":"10.5603/imh.113213","DOIUrl":"10.5603/imh.113213","url":null,"abstract":"<p><p>Dear Readers, Welcome to this new issue of the International Maritime Health Magazine. Maritime medicine often advances not in times of stability but through the careful analysis of events that test existing systems. Whether we are managing a complicated medical repatriation, responding to an infectious disease outbreak, or striking a balance between clinical requirements and operational realities, dealing with a difficult situation will provide us with a lesson. This issue reflects that principle. An analysis of the outbreak onboard the MV Hondius included in this issue goes beyond the clinical aspects of infectious disease to examine the more general issues of operational decision-making, international coordination, communication, and public health responsibility at sea. Events such as this one remind us that, at times, the effectiveness of international frameworks depends not only on their existence, but also on how they perform under the pressures of real-world operations. This issue also marks the introduction of our new The Decision Deck section. The aim of this section is to encourage reflection and clinical reasoning, particularly in situations where decisions must be made with limited resources or conflicting operational priorities. In many respects, both the analysis of the MV Hondius and the case presented in The Decision Deck reflect the same principle: maritime medicine evolves through the continuous examination of difficult situations. Through this process of reflection and debate, our field continues to strengthen and adapt to a complex and constantly evolving maritime environment. We hope that this issue will foster an ongoing dialogue among the various disciplines that contribute to our maritime and hyperbaric medicine community.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"77 2","pages":"141-155"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370281","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 2026/3: Diving and Hyperbaric Medicine.","authors":"James Denham, Imh Editors","doi":"10.5603/imh.114792","DOIUrl":"https://doi.org/10.5603/imh.114792","url":null,"abstract":"<p><p>Dear Readers, Welcome to this year's third issue of the International Maritime Health Magazine. Every medical specialty has a history, but not every history is preserved. Hyperbaric medicine in Latin America did not emerge from a single institution or a single pioneering individual. Rather, it evolved through diverse national experiences that were shaped by geography, maritime traditions, military and civilian medicine, engineering, scientific curiosity, and the dedication of countless, often silent, professionals. The articles in this issue offer more than historical accounts of individual countries; together, they reveal the collective story of a specialty that developed along many different paths while pursuing a common goal: the care and well-being of patients exposed to exceptional conditions of pressure and oxygen. This month's issue of our Journal brings a strong contemporary focus on diving and hyperbaric medicine. Complementing these historical perspectives, our scientific section presents recent contributions addressing decompression strategies in technical diving, risk factors for decompression sickness among commercial divers, and the physiological and behavioral challenges of extreme cold-water diving.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"77 3","pages":"215-226"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081571","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}