International Maritime Health最新文献

{"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":"74 3","pages":"195-204"},"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":"74 3","pages":"205-206"},"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}

{"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":"74 3","pages":"171-174"},"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":"Trends in the medical repatriation of Filipino seafarers: a ten-year study of a Philippine maritime shipping company.","authors":"Margarita S Huerte, Christian Lubaton, Michael Tongson, Monique Mendoza, Raniv Rojo, Eric David B Ornos","doi":"10.5603/imh.96667","DOIUrl":"https://doi.org/10.5603/imh.96667","url":null,"abstract":"<p><strong>Background: </strong>Seafarers, confronted with unique health challenges, occasionally necessitate medical repatriation. This study examines the trends in medical repatriation cases among Filipino seafarers employed by a Maritime shipping company over a 10-year period from 2013 to 2022.</p><p><strong>Materials and methods: </strong>Medical records of seafarers a shipping company were reviewed, obtaining causes for and dates of medical repatriation. International Classification of Diseases (ICD-11) was utilised to classify repatriation cases. Proportion of repatriation cases were calculated and their annual trends were analysed.</p><p><strong>Results: </strong>Our findings reveal that the majority of repatriation cases are attributed to injury/trauma (19.91%), musculoskeletal (18.40%), gastrointestinal (16.56%), cardiovascular (8.77%), infectious (6.82%), and genitourinary conditions (5.30%). Significantly, the study identifies a declining trend in the proportion of cardiovascular, gastrointestinal, and genitourinary conditions in annual repatriation cases, particularly in ischaemic heart conditions, cholelithiasis, cholecystitis, and urinary calculus.</p><p><strong>Conclusions: </strong>These results emphasize the critical need for multisectoral collaboration to enhance seafarers' health and well-being. Prioritizing comprehensive care programmes, ensuring safe working conditions, and exploring holistic healthcare initiatives are essential steps to enhance seafarers' occupational health.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":"243-252"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477338","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":"Intestinal parasite infections among internal war refugees and inhabitants of the Ternopil region, Western Ukraine.","authors":"Krzysztof Korzeniewski, Mariia Shkilna, Wanesa Richert, Stepan Zaporozhan, Mariana Huk, Oksana Shevchuk, Mykhailo Korda","doi":"10.5603/imh.97560","DOIUrl":"10.5603/imh.97560","url":null,"abstract":"<p><strong>Background: </strong>The armed aggression of the Russian Federation against Ukraine resulted in the destruction of the country's infrastructure and a decline in the standard of living for many citizens (e.g. shortages of electricity and safe drinking water, limited access to healthcare, living in unsuitable cold basements). A lot of Ukrainians living in the eastern, southern and central parts of the country were forced to flee their homes. The aim of this study was to assess the prevalence of intestinal parasite infections among internal war refugees and residents of Ternopil, a city in Western Ukraine, in response to the worsening of the epidemiological situation in the country.</p><p><strong>Materials and methods: </strong>Parasitological diagnostics was carried out in June 2023 and involved 127 adult Ukrainian citizens aged 19-80 years old, including 80 internal war refugees (most of the participants came from Donetsk, Luhansk, Dnipro, Kherson regions) and 47 residents of Ternopil region, Western Ukraine. Surveys and parasitological examination of stool samples by three different light microscopy testing methods (direct smear, decantation, flotation) were performed. The samples were then tested for the presence of Giardia intestinalis intestinal protozoa by molecular tests (reverse transcription polymerase chain reaction [RT-PCR]) and immunochromatographic rapid diagnostic tests (RDTs).</p><p><strong>Results: </strong>All RT-PCR and RDT tests to detect Giardia intestinalis were found to be negative. The examination of faecal samples taken from 127 patients showed no infections with nematodes, cestodes or trematodes. The examinations only revealed infections with potentially pathogenic Blastocystis spp.: 18/80 infections in the population of internal war refugees (22.5%) and 7/47 infections among residents of the Ternopil region (14.9%). Survey results demonstrated frequent use of antibiotics and antiparasitic drugs without physician advise or prescription: 43.9% of the study participants (n = 127) were taking antibiotics, and 25.2% were taking antiparasitic drugs during the period of 3 months prior to the study.</p><p><strong>Conclusions: </strong>An absence of intestinal parasite pathogens was detected in the studied population. The authors may explain it by the fact, that many Ukrainian patients have unlimited access to antimicrobial drugs (drugs sold without a valid prescription and taken without consultation with a physician), which could have contributed to the low incidence of intestinal parasite infections.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":"272-277"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811975","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 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":"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":"74 1","pages":"15-23"},"PeriodicalIF":1.0,"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":"Bibliometric and systematic literature review on safety management in the shipping industry and further development in Indonesia.","authors":"Dwi Yudha Rinaldy","doi":"10.5603/IMH.2023.0003","DOIUrl":"10.5603/IMH.2023.0003","url":null,"abstract":"<p><p>This study aims to analyse safety management in the shipping industry and suggest further research. Safety management is a critical component in preventing accidents within the shipping industry. Unfortunately, ship accidents are relatively common. To improve safety management in the shipping industry, it is necessary to identify various problems and solutions from previous studies. This study uses comprehensive mapping, utilising bibliometric and systematic reviews, to analyse 669 articles within the Scopus database. The findings indicate an increase in the number of publications, while the number of citations is decreasing. China is identified as the most influential country in terms of publication numbers and international collaborations. Co-authorship analysis reveals that only 24 out of 1,773 authors collaborated with other authors. Based on the systematic review, this study concludes that the human factor plays a crucial role in the effectiveness of safety management. Therefore, further research focusing on support systems that can reduce human error in safety management is important. Additionally, research on the relationship between cultural and structural aspects in safety management is necessary to reduce friction between the two aspects. This research contributes to the mapping of previous research and can be used to determine the topic of further research.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 1","pages":"24-35"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127909","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 2","pages":"131-141"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183601","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 SARS-CoV-2 Omicron outbreak among crew members on a cruise ship in Germany in early 2022.","authors":"Silja Bühler, Philip Busch, Philip Wittkamp, Katharina Alpers, Achim Doerre, Anita Plenge-Bönig, Janine Fornaçon, Christian Schäfers, Anne Reichstein, Birgit Grassl, Elisabeth Hewelt, Martin Dirksen-Fischer, Scarlett Kleine-Kampmann","doi":"10.5603/imh.96935","DOIUrl":"10.5603/imh.96935","url":null,"abstract":"<p><strong>Background: </strong>Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreaks on cruise ships have rarely been investigated. In early 2022, we were informed about a SARS-CoV-2 outbreak on a cruise ship calling Port of Hamburg after 10 infections among crew members were detected. We conducted an outbreak investigation in collaboration between ship owners, the ship physician and Hamburg's Institute for Hygiene and Environment, to identify risk factors and to achieve containment. The aim was to identify risk factors for SARS-CoV-2 infection and SARS-CoV-2 variants in a cohort of 165 crew members.</p><p><strong>Materials and methods: </strong>For this purpose, we collected data on age, sex, nationality, boarding-time, cabin use (single/shared), work place, and vaccination status of the study participants. Cases were defined as individuals who tested SARS-CoV-2 positive at least once in daily screenings during the outbreak period (10 days) by polymerase chain reaction or antigen test. We investigated risk factors for infection by descriptive, univariable and multivariable analysis. We performed whole genome sequencing to identify SARS-CoV-2 variants.</p><p><strong>Results: </strong>We verified 103 SARS-CoV-2 positive cases (attack rate [AR] 62.4%); 39/41 sequenced samples were BA.2.3 Omicron subtype, one BA.1 and one BA.1.1. Among boostered crew members, AR was 38% vs. 65% among those vaccinated once or twice. Among those who stayed < 30 days on board, AR was 31% vs. 72% among those staying on board longer. Among Europeans, the AR was 53% vs. 71% in non- -Europeans. Adjusting for age and sex, cases were more likely to have received no booster vaccine (odds ratio [OR]: 2.66, 95% confidence interval [CI]: 0.99-7.13), to have spent more time on board (≥ 30 days, OR: 6.36, 95% CI: 2.81-14.40 vs. < 30 days) and to have a non-European nationality (OR: 2.14, 95% CI: 1.08-4.27). The outbreak stopped shortly after offboard isolation of cases.</p><p><strong>Conclusions: </strong>This investigation confirms the importance of a booster vaccine against COVID-19. Longer stays onboard could facilitate social mixing. Further studies could investigate the impact of social, cultural/ behavioural patterns and public health access on the infection risk. Physical distancing together with screening and isolation can contain SARS-CoV-2 outbreaks on cruise ships.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":"235-242"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811934","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":"Results of acute cerebral infarction treatment with hyperbaric oxygen therapy, 2020-2022.","authors":"Nam Bao Nguyen, Ha Hai Nguyen Thi, Hong Le Thi, Son Truong Nguyen, Tam Van Nguyen","doi":"10.5603/imh.97720","DOIUrl":"10.5603/imh.97720","url":null,"abstract":"<p><strong>Background: </strong>Cerebral stroke is the third leading cause of death after cardiovascular disease, cancer and the leading cause of disability for patients. Hyperbaric oxygen is a non-drug treatment that has the potential to improve brain function for patients with ischaemic stroke. The objective of this study was to evaluate the results of treatment of acute cerebral infarction with hyperbaric oxygen therapy (HBOT).</p><p><strong>Materials and methods: </strong>This was a case-control study. One hundred ninety-five patients diagnosed with cerebral infarction, with signs of onset within 24 hours, were treated at the Centre for Underwater Medicine and Hyperbaric Oxygen of Vietnam National Institute of Maritime Medicine during the period from January 2020 to December 2022. Study group included 100 patients with acute cerebral infarction treated with a combination of HBOT and medication and reference group included 95 patients treated by medication only (antiplatelets drugs, statins, control of associated risks factors) RESULTS: After 7 days of treatment with hyperbaric oxygen (HBO), symptoms such as headache, dizziness, nausea, sensory disturbances, and Glasgow score of the study group improved better than that of the reference group (p < 0.01). Movement recovery in the study group was better than the reference group: the percentage of patients with mild and moderate paralysis in the study group increased higher than that of the reference group (86.0% and 68.4%), the degree of complete paralysis of the study group decreased more than that of the reference group (14.0% and 31.6%). The degree of independence in daily activities in the study group was better than the reference group. In the study group, the percentage of patients with complete independence in daily life increased from 27.0% to 84.0%. In the reference group, the rate of patients who were independent in their daily activities increased from 37.9% to 51.6%. The average number of treatment days of the study group was 10.32 ± 2.41 days and it the reference group 14.51 ± 3.24 days.</p><p><strong>Conclusions: </strong>Hyperbaric oxygen therapy is a non-drug treatment with many good effects in the treatment of cerebral infarction, especially acute cerebral infarction. HBOT reduces and improves functional symptoms, improves mobility, and reduces treatment time for patients.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"74 4","pages":"265-271"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811981","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}