International Maritime Health最新文献

{"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":"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}

{"title":"Health risk classification patterns among Filipino seafarers. Analysis from a pre-employment clinic in the Philippines: a 5-year review.","authors":"Margarita S Huerte, Christian Lubaton, Michael Tongson, Monique Mendoza, Raniv Rojo, Eric David B Ornos","doi":"10.5603/imh.96652","DOIUrl":"10.5603/imh.96652","url":null,"abstract":"<p><strong>Background: </strong>Seafaring is a demanding profession that exposes individuals to unique health risks and challenges. This study investigates risk classification patterns among seafarers who underwent physical and medical examination at the Nordic Medical Clinic, a pre-employment clinic in the Philippines.</p><p><strong>Materials and methods: </strong>The analysis involved data obtained from medical records, including demographic information, diagnoses, medical risk classification, corresponding management, and occupational details. medical risk classification, based on guidelines from the Philippine Department of Labour and Employment, categorised fit to work seafarers into risk class A, B, or C. Descriptive statistics and statistical tests, with a significance level set at p < 0.05, were utilised for data analysis using R Studio (version 4.2.3).</p><p><strong>Results: </strong>The study population consisted of 11,831 seafarers seen at the Nordic Medical Clinic between 2018 and 2022. The results revealed a significant proportion of seafarers falling into higher risk classifications, with risk class C being the most prevalent at 48.16%. Pre-employment medical examinations (PEME) to fit to work duration demonstrated a significant association with risk classification, revealing that lower-risk classes had shorter fit-to-work times compared to higher-risk classes. Moreover, risk classification exhibited uneven distribution across specific demographic and occupational characteristics, with older seafarers, males, married individuals, and those in higher-ranking positions having a higher proportion of risk class C.</p><p><strong>Conclusions: </strong>Our findings highlight the need for comprehensive and customised pre-boarding medical screening standards for seafarers based on factors such as their specific role, vessel type, voyage, contract length, and work location. Moreover, health implementation of health promotion and preventive strategies that are based on the specific occupational and demographic needs of the seafarers are needed.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 3","pages":"143-152"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154954","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":"Monkeypox virus among seafarers.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.5603/IMH.2023.0009","DOIUrl":"10.5603/IMH.2023.0009","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 1","pages":"72-73"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127914","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":1.6,"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":"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":"74 2","pages":"105-111"},"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}

{"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":"74 2","pages":"89-91"},"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":"Magazine.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 1","pages":"75-79"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9198170","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":"74 3","pages":"207-208"},"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}