Yavuz Aslan, Ayşe Sena Yumbul Kardaş, Akın Savaş Toklu
{"title":"Assessing the clinical management and outcomes of venomous marine animal injuries in Turkey.","authors":"Yavuz Aslan, Ayşe Sena Yumbul Kardaş, Akın Savaş Toklu","doi":"10.5603/imh.102261","DOIUrl":"10.5603/imh.102261","url":null,"abstract":"<p><strong>Background and objectives: </strong>SCUBA diving is a widely popular activity in Turkey, surrounded by seas on three sides. While most marine creatures in these waters are harmless, a few poses significant risks, necessitating awareness and precautions for divers' safety. This report highlights the various harmful sea creatures found in Turkish waters, their potential injuries, and appropriate first aid responses.</p><p><strong>Materials and methods: </strong>Data were gathered from workshops, literature reviews, diving activities and case reports.</p><p><strong>Results: </strong>Notable harmful species include jellyfish, sea anemones, bristle worms, sea urchins, greater weever fish, and others. Injuries range from stings and bites to venom-induced symptoms, requiring immediate and specific medical interventions.</p><p><strong>Conclusions: </strong>The paper aims to enhance the recognition and management of harmful marine life encounters in Turkish waters, especially among emergency doctors and general practitioners.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"136-143"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545432","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}
Wanesa Wilczyńska, Joanna Szafran-Dobrowolska, Krzysztof Korzeniewski
{"title":"Neglected tropical diseases in East Africa on the example of Madagascar.","authors":"Wanesa Wilczyńska, Joanna Szafran-Dobrowolska, Krzysztof Korzeniewski","doi":"10.5603/imh.104769","DOIUrl":"10.5603/imh.104769","url":null,"abstract":"<p><p>Neglected tropical diseases (NTDs) are a group of tropical infections that are prevalent in tropical and subtropical countries; they usually stem from poor sanitation and poverty. People affected by NTDs are at risk of various disabilities, disfigurement, and social stigma. Most NTDs are chronic and debilitating illnesses whose treatment generates huge costs and puts a strain on individual and national budgets, especially in developing countries in Africa, Asia, and Latin America. The present article is a review of neglected tropical diseases which are found in East Africa; the study is based on the analysis of the NTDs prevalence in the Malagasy population. Madagascar is one of the poorest countries in the world. Approximately 35% of its residents do not have access to toilets and practice open defecation, and nearly 50% do not have access to safe drinking water. Other factors which are associated with a high prevalence of NTDs in local communities include limited access to healthcare, misinformation, and lack of food safety supervision.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"144-153"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545435","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}
Ly Huu Pham, Long Hoang Ngo, Thanh Hoang Duong, Ai Kha To Tran
{"title":"Initial results of treating thermal burns by hyperbaric oxygen at the Vietnam National Institute of Maritime Medicine.","authors":"Ly Huu Pham, Long Hoang Ngo, Thanh Hoang Duong, Ai Kha To Tran","doi":"10.5603/imh.101727","DOIUrl":"10.5603/imh.101727","url":null,"abstract":"<p><strong>Background: </strong>Burns, especially heat-related ones, are common injuries at work as well as in daily life. If there is no proper treatment, burns will leave a lot of sequelae, affecting daily activities, working ability, aesthetic and psychology of patients. Hyperbaric oxygen therapy is a new treatment, supporting pain relief, accelerating wound healing process, and reducing hospital stay.</p><p><strong>Aim: </strong>To describe the clinical characteristics of thermal burn patients right at the time of admission and initial results of hyperbaric oxygen therapy.</p><p><strong>Material and methods: </strong>Prospective and retrospective case series report. This study comprised of thermal burn patients, who came to the Vietnam National Institute of Maritime Medicine (VINIMAM) for treatment via hyperbaric oxygen therapy from 2018-2022. Patients were first treated by VINIMAM 1, 2 and 3 regimens, then monitored and periodically assessed for some clinical features demonstrating the effect of this treating method.</p><p><strong>Results: </strong>The mean age of 82 patients was 48.4 ± 19.5; 74.4% of patients were burned by boiling water; 51.2% of them had 3rd degree burns; percentage of patients with < 10% of total body surface area (TBSA) burned was 80.5%; the mean length of stay was 8.9 ± 3.0 days, which was significantly lower than the expected figures.</p><p><strong>Conclusions: </strong>Hyperbaric oxygen therapy is an effective treatment for thermal burn patients, with a variety of positive effects on burned tissues, therefore it should be scaled up, especially in facilities specialized in burn treatment.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 3","pages":"224-228"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239795","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}
Anselmo López-Guillen, Sergio Rovira, Beatriz Calvo, Amador Prieto, Alicia Mesa, Maria Luïsa Canals, Pere Sanz-Gallen
{"title":"Chest radiography in dockworkers.","authors":"Anselmo López-Guillen, Sergio Rovira, Beatriz Calvo, Amador Prieto, Alicia Mesa, Maria Luïsa Canals, Pere Sanz-Gallen","doi":"10.5603/imh.103320","DOIUrl":"10.5603/imh.103320","url":null,"abstract":"<p><strong>Background: </strong>Dockers are occupationally exposed to respirable particles derived from organic dust, inorganic dust and/or diesel combustion particles.</p><p><strong>Objective: </strong>To analyse chest radiological findings in a group of dockworkers and the influencing factors.</p><p><strong>Material and methods: </strong>Descriptive study of dockers in a port whose main activity is loading and unloading sand. Applying the specific Health Surveillance Protocol for exposure to silicosis, chest X-rays were taken in situ with a mobile unit. Radiographic data taken between 2016 and 2023 are included. The interpretation of the images was performed according to the ILO Guidelines, by radiologists with expertise in this technique.</p><p><strong>Results: </strong>Of the 268 workers (258 men and 10 women), with a median age of 40 years and an average length of service of 16 years, 43% were smokers and 18% were ex-smokers. Chest radiological abnormalities were observed in 22 workers (8.2%), all males. There were no cases of silicosis. Profusion 1/0 was observed in 5 workers (all smokers, in 4 the profusion changed from 0/1 in 2019 to 1/0 in 2023 and in 1 it was detected in the initial health examination) and in 6 the profusion was 0/1. The rest of the alterations are findings in soft tissue, skeleton or residual pleuroparenchymal lesions.</p><p><strong>Conclusions: </strong>The absence of established silicosis indicates that the preventive measures carried out in this group are effective. Of the relevant radiological findings, two are possible tumours and in cases of progression of images suggestive of pneumoconiosis, all of them are smokers. It is necessary to insist on anti-smoking campaigns among workers.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"247-253"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041731","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}
Jeremy Theophilus Mailuhu, Parningotan Yosi Silalahi, Samuel Maruanaya, Bertha Jean Que, Is Ikhsan Hataul, Nathalie Elischeva Kailola, Marthen Yoseph Matakupan
{"title":"The relationship between individual characteristics and musculoskeletal disorders in tuna fishermen in Pelita Jaya Hamlet, West Seram Regency, in 2024.","authors":"Jeremy Theophilus Mailuhu, Parningotan Yosi Silalahi, Samuel Maruanaya, Bertha Jean Que, Is Ikhsan Hataul, Nathalie Elischeva Kailola, Marthen Yoseph Matakupan","doi":"10.5603/imh.102161","DOIUrl":"10.5603/imh.102161","url":null,"abstract":"<p><strong>Background: </strong>Indonesia is a country with vast marine areas. It is also part of the world's coral reef triangle, which means that Indonesia has various types of coral reef species. This gives Indonesia a very strong maritime potential. Consequently, many Indonesians work as fishermen. In Pelita Jaya Hamlet, the majority of people work as tuna fishermen. Fishing is a job with high physical activity, so fishermen have the potential to experience musculoskeletal disorders. Musculoskeletal disorders are problems that occur in the human muscular and skeletal systems, characterized by pain, numbness, and limited movement.</p><p><strong>Materials and methods: </strong>This was an analytical observational study with a cross-sectional design approach, involving a sample of 68 people.</p><p><strong>Results: </strong>Based on the analysis of this study, there was no significant relationship between individual characteristics and musculoskeletal disorders, with a p value of 0.808 for age, 0.190 for BMI, 0.357 for work duration, 0.618 for work period, and 0.733 for smoking habits ( > 0.05). However, a significant relationship was found between age and musculoskeletal disorders of the back, with a p value of 0.028.</p><p><strong>Conclusions: </strong>There is no significant relationship between individual characteristics and musculoskeletal disorders, However, there is a significant relationship between age and disorders of the back in tuna fishermen in Pelita Jaya Hamlet, West Seram Regency.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"241-246"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638376","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}
Mendy Hatibie Oley, Maximillian Christian Oley, Billy Johnson Kepel, Eko Prasetyo, Ferry Kalitouw, Laurens Kalesaran, Deanette Michelle R Aling, Marcella Tirza Tulong, Andi Asadul Islam, Muhammad Faruk
{"title":"A descriptive retrospective study on the various uses of hyperbaric oxygen therapy.","authors":"Mendy Hatibie Oley, Maximillian Christian Oley, Billy Johnson Kepel, Eko Prasetyo, Ferry Kalitouw, Laurens Kalesaran, Deanette Michelle R Aling, Marcella Tirza Tulong, Andi Asadul Islam, Muhammad Faruk","doi":"10.5603/imh.103441","DOIUrl":"10.5603/imh.103441","url":null,"abstract":"<p><strong>Background: </strong>Hyperbaric oxygen therapy (HBOT) can be used as a therapeutic modality for conditions other than decompression diseases, including wound healing in gangrene, compromised grafts and flaps, crush injuries, thermal burns, and intracranial abscesses. Beginning more recently, HBOT has also been used as an alternative treatment strategy for respiratory conditions in patients with COVID-19. This study aimed to determine the use of HBOT in the healing processes of the above-listed conditions.</p><p><strong>Material and methods: </strong>For this descriptive retrospective study, the authors used the data of patients who received HBOT at Manado Regional Hospital in Indonesia from January 2017 to December 2020. Patients were identified retrospectively according to their ICD-10 codes.</p><p><strong>Results: </strong>Of the 128 patients who had received HBOT, 60 had received it for decompression sickness (46.87%), 29 for thermal burns (22.65%), 19 for diabetic ulcers (14.84%), six for crush injuries, six for skin grafts, six for pre- or post-amputation (4.68%), and two for gangrene (1.56%).</p><p><strong>Conclusions: </strong>Used for decompression sickness in 46.87% of cases and for wound healing in 50.13% of cases, HBOT is not only for decompression sickness but can be used as a therapeutic modality for other conditions as well.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 4","pages":"254-258"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913313","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":"The need for antimicrobial stewardship in maritime settings.","authors":"Yusuff Adebayo Adebisi","doi":"10.5603/imh.103958","DOIUrl":"10.5603/imh.103958","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"274-275"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041814","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":"17th International Symposium on Maritime Health, 11-14 June 2025, Rotterdam, The Netherlands.","authors":"","doi":"10.5603/imh.106679","DOIUrl":"https://doi.org/10.5603/imh.106679","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 suppl","pages":"1-101"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545445","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":"Pilot study on the development of digitally supported health promotion for seafarers on sea.","authors":"Lorenz Scheit, Dorothee Dengler, Lukas Belz, Chiara Reck, Volker Harth, Marcus Oldenburg","doi":"10.5603/imh.102259","DOIUrl":"10.5603/imh.102259","url":null,"abstract":"<p><strong>Background: </strong>Seafarers are exposed to a variety of job-specific physical and psychosocial stressors. Health promotion on board is of great importance for the salutogenesis of this occupational group. Due to the difficult accessibility of seafarers, electronically supported health management can be highly valuable. However, surveys on the needs and interests of seafarers in health promotion regarding e-health applications have not yet been carried out.</p><p><strong>Material and methods: </strong>This pilot study uses a cross-sectional design to assess the need for digital health promotion for seafarers on board. This need was derived from the individual responses of 73 crew members on 3 merchant ships on health as well as addictive behavior, sports, coping strategies, and the level of knowledge regarding health-related issues. Conspicuous parameters on mental health and fatigue were compared to the general population.</p><p><strong>Results: </strong>It was found that 31.9% of seafarers were smokers and 80.6% were alcohol consumers. 82.4% of the seafarers practiced sport. The most common coping strategies for stress were calming down (44.6%), listening to music (32.1%), resting and sleeping (25.0%) and sports (25.0%). The evaluation of the PHQ-9 mental health questionnaires indicated that 85.4% of respondents had moderate to severe symptoms of a depressive mood. The average WHO-5 Well-Being Index resulted in level of 69.7% of the maximum possible score. Knowledge questions on health-related issues were answered correctly in less than 60% of cases. With regard to fatigue, there was an increased score for the Epworth Sleepiness Scale (ESS) in 33.8% and the Pupillary Unrest Index (PUI) was elevated in 47.7%.</p><p><strong>Conclusions: </strong>Nicotine and alcohol consumption is higher among the participating seafarers compared to a reference population living on land. Various coping strategies for managing stress are already used in the daily live. However, there is a demand and interest in acquiring more knowledge about health-promoting behavior. The risk of daytime sleepiness and depression is elevated among seafarers. This leads to key issues that should be taken into account for preventive medicine, health promotion and possible digitally supported health management on board.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048239","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}