International Maritime Health最新文献

{"title":"Responses to the correspondence on \"COVID-19 on board a cruise ship: medical management\".","authors":"Laurent Beust, David Lucas, Richard Pougnet, Brice Loddé","doi":"10.5603/imh.98374","DOIUrl":"https://doi.org/10.5603/imh.98374","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":"279"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811979","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":"Challenges in the diagnosis and treatment of malaria in Polish workers returning from Africa: a case series and review of literature.","authors":"N. Kulawiak, S. Borys, Anna Roszko-Wysokińska, Natalia Zgud-Jankowska, K. Korzeniewski, K. Sikorska","doi":"10.5603/IMH.2022.0006","DOIUrl":"https://doi.org/10.5603/IMH.2022.0006","url":null,"abstract":"Malaria is a parasitic disease caused in humans by five species of Plasmodium: P. falciparum, P. vivax, P. malariae, P. ovale, and P. knowlesi and transmitted through a female mosquito bite. In 2020, there were 241 million cases of malaria worldwide including 627,000 deaths. Traveling to malaria endemic areas is a significant risk factor, therefore, it is very important to use non-specific and pharmacological prophylaxis. Malaria symptoms usually appear 10-14 days after infection and the disease may be suspected, based on patient examination and medical history, in patients with fever who have stayed in malaria endemic areas. The initial symptoms of the disease are not pathognomonic and it is important to remember that not all malaria patients develop a fever. A prerequisite for successful treatment of this potentially life-threatening disease is well-targeted, timely diagnosis and immediate implementation of antiparasitic therapy. Despite significant progress in the fight against malaria across the world, the disease still poses a diagnostic and therapeutic challenge, especially when it develops as a result of an imported infection and when diagnosis is complicated by the presence of other diseases. A professional group that requires special attention are maritime workers. In this study we present clinical cases of malaria which show how important it is in the clinical practice of various specialists to include malaria in the differential diagnosis of patients with fever returning from tropical regions.","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 1 1","pages":"46-51"},"PeriodicalIF":2.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42966022","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":"Occupational exposure to air pollutants emitted from in situ burning of offshore oil spills: a large-scale field study.","authors":"Marta Szwangruber, Ingrid Gjesteland, B. Hollund, L. Faksness, Ingrid C. Taban, F. Engen, Jan Willie Holbu, H. Dolva, M. Bråtveit","doi":"10.5603/IMH.2022.0001","DOIUrl":"https://doi.org/10.5603/IMH.2022.0001","url":null,"abstract":"BACKGROUND\u0000In-situ burning (ISB) could be an effective cleanup method during spills. This study aims to study occupational exposure to pollutants emitted from offshore, large-scale ISB-experiments among personnel on vessels involved in ISB.\u0000\u0000\u0000MATERIALS AND METHODS\u0000Six experimental ISBs after release of 4.2-6 m3 crude or refined oils were performed. Air measurements on three vessels were taken of particulate matter (PM) of different size fractions, polycyclic aromatic hydrocarbons (PAH) and volatile organic compounds (VOC).\u0000\u0000\u0000RESULTS\u0000One vessel was located upwind (about 80-140 m) from the burning oil while two work boats were positioned 200-400 m downwind. One of the work boats moved back and forth transverse to the smoke plume while the other followed the edge of the smoke plume downwind. During the burn period (28-63 min) the range of mean concentrations of PM2.5 particles in the closest work boat downwind from the burn (0.068-0.616 mg/m3) was considerably higher than in the upwind vessel (0.0198-0.029 mg/m3) and in the work boat moving downwind at the edge of the visible smoke (0.007-0.078 mg/m3). The particles were mainly in the PM<1 fraction. In the work boat closest to the burn the mean concentration of particulate PAH and VOC was 0.046-0.070 ng/m3 and < limit of detection -17.1 ppm, respectively.\u0000\u0000\u0000CONCLUSIONS\u0000The mean PM2.5 levels in the closest vessel varied between 4 and 41 times higher than the 24-hour Norwegian Air Quality Criteria for the general population, indicating that the particulate exposure may impose a health risk for personnel up to 400 m downwind from an ISB. Exposure to VOC and PAH among crew on board vessels both upwind and downwind from the burning was low during these conditions. However, it is recommended that crew on vessels close to and downwind of smoke plumes from oil fires should use half-masks with P3 filters.","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 1 1","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47192787","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":"Healthy nutrition for seafarers during and after COVID-19 pandemic.","authors":"F. Baygi, Fatemeh Mohammadi‐Nasrabadi, B. Zyriax, B. Heitmann","doi":"10.5603/IMH.2022.0008","DOIUrl":"https://doi.org/10.5603/IMH.2022.0008","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 1 1","pages":"56-57"},"PeriodicalIF":2.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46290312","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":"Hyperbaric oxygen therapy in necrotizing soft tissue infections caused by Vibrio species from the Baltic Sea - three clinical cases.","authors":"J. Kot, Ewa Lenkiewicz","doi":"10.5603/IMH.2022.0007","DOIUrl":"https://doi.org/10.5603/IMH.2022.0007","url":null,"abstract":"We read with great interest the report on the presence of Vibrio spp in the Gulf of Gdansk, Baltic Sea, Poland by Kurpas et al. [1]. So far, the vast majority of identifications of Vibrio spp in open waters concerned the subtropical zone. In an analysis of 19 publications describing 2,227 patients with NSTI caused by Vibrio vulnificus, 95% of cases concerned such subtropical zones [2]. However, there are also reports describing the changing location of Vibrio, mainly due to the gradual increase in open water temperature [3]. The identification of Vibrio spp in the climatic zone of the Baltic Sea is a new observation that is of great importance not only from the microbiological point of view but also for clinical reasons. Vibrio is one of the more common bacteria in tropical or subtropical waters. It is a gram-negative rod that can cause necrotizing soft tissue infection (NSTI), which also includes necrotizing fasciitis, and often leads to septic shock and an immediate threat to life. From the aetiology point of view, NSTI most often has a polymicrobial aetiology, often described as type I, or monomicrobial, usually described as type II (most often caused by group A beta-haemolytic streptococci, e.g. Streptococcus pyogenes), sometimes in combination with Staphylococcus aureus [4, 5]. According to the same classification, infections caused by Vibrio spp are referred to as type III related to other less common causative agents (e.g., Clostridium spp, Aeromonas spp, Vibrio spp). Type IV describes fungal infections (e.g., Candida spp, Zygomycetes). Regardless of aetiology, the treatment of any form of NSTI is multimodal and includes surgery, antibiotic therapy, and haemodynamic sepsis management [4–8]. In the case of Vibrio NSTI, the importance of surgical interventions is emphasized [9]. Most of the recommendations also suggest using hyperbaric oxygen therapy (HBOT). In the literature, one can find descriptions of clinical cases successfully treated with HBOT, but in most of those reports the infections came from sub-tropical waters of the United States or Japan [10, 11]. An interesting coincidence is a fact that at almost the same time as the publication by Kurpas et al. [1] on the occurrence of Vibrio spp in the Gulf of Gdansk, a clinical case report of a 68-year-old patient with NSTI caused by Vibrio vulnificus, most probably from the south-western part of the Baltic Sea, treated with adjunctive HBOT in our department was published [12]. In summary, after injuring while swimming in Baltic seawater, the patient developed NSTI of the lower extremity. Vibrio vulnificus was identified in blood. Initially, this patient was treated in a local municipal hospital. However, due to the progression of NSTI confirmed in computed tomography scan, with increasing inflammatory markers and general deterioration with sepsis, the patient was transferred to our department, where he underwent surgical debridement with general care using antibiotics (ceftriaxone, cipr","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 1 1","pages":"52-55"},"PeriodicalIF":2.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45062898","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":"Evaluation of occupational health management status and safety issues of the small-scale fisheries sector in Bangladesh.","authors":"M. Zakaria, Debabrata Paul, R. Das, S. Bhowmik, Md. Sazedul Hoque, Abdullah Al Mamun","doi":"10.5603/IMH.2022.0002","DOIUrl":"https://doi.org/10.5603/IMH.2022.0002","url":null,"abstract":"BACKGROUND\u0000Small-scale fishing is one of the most precarious occupations, with high rates of threats and hazards. The present study was undertaken to evaluate the health hazards and safety issues of fishers involved in small-scale fisheries (SSF).\u0000\u0000\u0000MATERIALS AND METHODS\u0000Fifty SSF fishers (n = 50) were surveyed by using a pre-tested questionnaire between October 2019 and March 2020 at the lower Meghna River in the northern tip of the Bay of Bengal, Bangladesh.\u0000\u0000\u0000RESULTS\u0000Results revealed that 56% of SSF fishermen belong to a nuclear family, and 42% completed primary education. Forty per cent had an annual income of between 1,000 and 1,500 USD. Seventy-six per cent of fishermen were found to suffer from fever, and 72%, and 60% from diarrhoea and skin diseases over the last 5 years (2015-2020), respectively. During fishing, 78% of fishermen also suffered from red-eye problems, dizziness, and headache, and 68% struggled with musculoskeletal complaints during the last 5 years. Extreme cyclonic occurrences and sudden storms were experienced by 66% and 32% of fishermen, respectively, during the last 5 years. Local pharmacies were visited by 46% of fishermen for treatment due to ease of access. Sixty-four per cent of participants applied their local indigenous knowledge to treat health-related problems. Twenty-eight per cent and 32% of fishermen used a first aid box and stored medicine on board, respectively.\u0000\u0000\u0000CONCLUSIONS\u0000Most of the fishers are in great risk of medium- to high-range danger while fishing in the SSF sector in Bangladesh. Many countries have developed protocols for safe and responsible fishing. In Bangladesh, adequate attention is needed for the sustainable development of the SSF sector.","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 1 1","pages":"10-19"},"PeriodicalIF":2.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42584469","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":"Scalp laceration repair with hair apposition technique in the maritime environment under telemedicine guidance using free open-access medical resources.","authors":"Dr. Adam Rutenberg, F. Chu, Ryan Skrabal, N. Sikka","doi":"10.5603/IMH.2022.0005","DOIUrl":"https://doi.org/10.5603/IMH.2022.0005","url":null,"abstract":"Requests for medical advice to evaluate injuries sustained on board a shipping vessel make up a significant number of calls to Telemedical Maritime Assistance Services. As the maritime setting is an austere environment with regards to resources such as equipment and availability of medically trained personnel, it is important to have a set of skills and techniques to treat all manner of common injuries with the tools at hand. Here we discuss a case report of using telemedicine and free open-access medical education resources to teach the hair apposition technique to an on-board medical provider for the treatment of a scalp laceration with good outcome.","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 1 1","pages":"43-45"},"PeriodicalIF":2.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44610532","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":"Comprehensive analysis of yacht masters operating in Bodrum district in terms of fatigue, burnout, and job satisfaction.","authors":"Mehmet Danacı, Devran Yazır","doi":"10.5603/IMH.2022.0004","DOIUrl":"https://doi.org/10.5603/IMH.2022.0004","url":null,"abstract":"BACKGROUND\u0000Yacht tourism is a developing sector in the world and in Turkey as well. Yacht masters are the most important components of this sector. This study aims to investigate the factors affecting the fatigue, job satisfaction, and burnout levels of yacht masters, offer solutions according to the findings, and eliminate this deficiency in the literature.\u0000\u0000\u0000MATERIALS AND METHODS\u0000The Maslach Burnout Scale (MBI), Minnesota Job Satisfaction Scale (MSQ) and Piper Fatigue Scale (PFS) were applied to yacht masters who are still actively working on yachts operating in the Bodrum district. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) software.\u0000\u0000\u0000RESULTS AND CONCLUSIONS\u0000According to the results of the analysis, yacht masters have high emotional burnout perceptions and very high personal success perceptions. In addition, their depersonalisation levels are low and their overall job satisfaction is high. The general fatigue levels of the masters are moderate. As their job satisfaction rate increases, their perceived fatigue level decreases. As their age increases, their fatigue level decreases. As their fatigue level increases, their burnout level also increases.","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 1 1","pages":"32-42"},"PeriodicalIF":2.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48653374","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":"Effects of global pandemics on hygiene-based contactless logistics in COVID-19 process and the eighth right of logistics: \"right hygiene\".","authors":"Huseyin Topuz, Merve Akbulut, Güler Çetin","doi":"10.5603/IMH.2022.0003","DOIUrl":"https://doi.org/10.5603/IMH.2022.0003","url":null,"abstract":"This study aims to realise hygienic contactless logistic activities to ensure more secure sustainability of logistic movements, in order to protect global logistics from pandemics such as coronavirus disease 2019 (COVID-19) which was first seen in Wuhan, China in the first quarter of 2020. The Industry 4.0 and hygienic contactless logistics has been examined and defined for hygiene-based contactless logistics, a concept that is considered new in logistics literature. During the COVID-19 pandemic, contactless logistics and the eighth right of logistics called \"right hygiene\" practices will reduce the risk of human-induced diseases and support the sustainability of logistics activities with physical distance between machine and human as the concept of social distance. In the study, the terms of hygiene-based contactless logistics has been introduced into the literature and in addition to the accepted '7 Right Principles of Logistics', an eighth right one called \"right hygiene\" has been proposed.","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 1 1","pages":"20-31"},"PeriodicalIF":2.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47461915","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":"Implementation of an onboard COVID-19 vaccination programme: a university partnership to vaccinate seafarers.","authors":"Tracey L Taylor,&nbsp;Denise Maguire,&nbsp;Marcia Johansson","doi":"10.5603/IMH.2022.0009","DOIUrl":"https://doi.org/10.5603/IMH.2022.0009","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic caused many seafarers to be stranded on their ships due to lack of access to a vaccine and fear of contracting the COVID-19 virus limiting their ability to work on the ship. Once COVID-19 vaccinations were available, a lack of access to the vaccine continued to exist in the underserved seafarer population. This lack of access to the COVID-19 vaccine meant that seafarers were sometimes unable to leave their ships for months beyond their original contracts.</p><p><strong>Materials and methods: </strong>The University of South Florida (USF) College of Nursing collaborated with the USF Morsani Colleges of Medicine and Pharmacy in the development and implementation of an onboard COVID-19 vaccination programme at the request of the Port of Tampa Ministries.</p><p><strong>Results: </strong>In 6 months, 1237 seafarers from 30 countries and 5 continents received the COVID-19 vaccination as a result of this programme.</p><p><strong>Conclusions: </strong>Partnership between a commercial port and a College of Nursing at a local university enabled hundreds of seafarers to be vaccinated against COVID-19. This programme serves as a model for industry and academic partnerships that can have a global impact on health and wellness.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"73 2","pages":"59-63"},"PeriodicalIF":2.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40466725","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}