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International Maritime Health

Nebojša Nikolić, Alf Magne Horneland, Ilona Denisenko, Tomo Thompson, Roger Nilson, Michael Jacobs, Jean Cristophe Fimbault, Carmen Vaz Pardal, Joseph Abesamis, Simon Forbes
No abstract text is available yet for this article.
2017: International Maritime Health
Richard Pougnet, Laurence Pougnet, David Lucas, Luisa Canals, Jean-Dominique Dewitte, Brice Loddé
No abstract text is available yet for this article.
2017: International Maritime Health
Klaus Seidenstücker, Stefan Neidhardt, Bernd Schepers
No abstract text is available yet for this article.
2017: International Maritime Health
Charles H Van Wijk
The inability of a submarine to surface must rate as one of greatest risks to sailors in peacetime. To prepare for such emergencies, many navies provide training to master the procedures required to escape successfully from disabled submarines. This paper provides a brief overview of some of the psychological principles in simulated submarine escape training. It further discusses applicable psychological constructs such as positive outcome expectancies, the role of anxiety, and other personal factors mediating outcomes of such training...
2017: International Maritime Health
Anna Kuna, Michał Gajewski
Cholera is an acute bacterial gastrointestinal infection caused by ingestion of water or food containing the pathogen Vibrio cholerae. The incubation period can be very short and it takes between several hours and 5 days. During the 19th century, cholera was spreading from India across the world. Its original reservoir was located in the Ganges delta. So far, there have been six epidemics of cholera; the current outbreak is the seventh. It started in Asia, attacked Africa and then the Americas. Cholera causes thousands of illnesses and deaths annually, mostly in South Asia and Sub-Saharan Africa...
2017: International Maritime Health
Fraser John Gould
Injuries occurring in the remote environment present particular challenges to healthcare professionals, and decisions need to be carefully made on an individual basis. This report describes the successful management of a patella fracture sustained on the Subantarctic island of South Georgia. A 36-year-old boating officer presented to the island surgery after sustaining an isolated closed injury to his left knee. On physical examination there was a large effusion palpable within the joint, and on subsequent radiography an undisplaced transverse fracture of the patella was apparent...
2017: International Maritime Health
Thor-Erik Holt, Agnar Tveten, Eilif Dahl
BACKGROUND: The Oslo-Kiel-Oslo route is currently the only direct ferry crossing between Norway and Germany, covered by 2 cruise-and-cars ferries carrying about 2,600 passengers each and sailing every day (20 h at sea, 4 h in port). Unlike most ocean going cruise vessels, they are not required to carry a physician but an on-board paramedic handles medical emergencies. The aim of the study was to provide data on medical emergencies leading to helicopter evacuations (helivacs) or other urgent transfers to facilities ashore from the two ferries during a 3-year period...
2017: International Maritime Health
Morten Nordmo, Sigurd William Hystad, Sverre Sanden, Bjørn Helge Johnsen
BACKGROUND: Sleep is increasingly being recognised as important for the health and well-being of sailors. The aim of the current study is to investigate the relationship between hardiness and reported insomnia-symptoms in a maritime military setting during a 4-month counter piracy naval mission in the Gulf of Aden. MATERIALS AND METHODS: A sample of 281 officers, sailors, and enlisted personnel were measured on levels of hardiness before the mission. The participants were split into low and high hardiness groups based on the group level mean...
2017: International Maritime Health
Selçuk Nas, Remzi Fışkın
BACKGROUND: The present study aims to investigate and to reveal the relationship between ABO blood groups and body mass index (BMI) and obesity among Turkish seafarers by using the health examination reports data obtained from 2009 to 2016. MATERIALS AND METHODS: The data on age, gender, weight, height and blood groups obtained from 298,247 medical examination reports of Turkish seafarers were used with the official permission of Directorate General of Health for Border and Coastal Areas...
2017: International Maritime Health
Malcolm John Fisk
BACKGROUND: There is significant evidence of the poor health of seafarers that arises both from the rigours of their trade and, for many, the associated lifestyles. Such poor health can continue in later life. The objective of the research is to report on a specific project that provided brief interventions to assist older (ex-) seafarers and to establish the effect of those interventions on their knowledge, behaviours, health and wellbeing. MATERIALS AND METHODS: Older seafarers were recruited to the project...
2017: International Maritime Health
Roar Espevik, Evelyn Rose Saus, Olav Kjellvold Olsen
The Norwegian Costal Express travels 24/7 along a coast considered as one of the most dangerous littoral areas of the world. It is crucial for safe voyage to speak up when one of the crewmembers discovers a discrepancy or vital new information to the passage that needs to be shared and acted upon. Crew resource management courses are intended to increase safety and we suggest that the key is to enhance the ability to speak up. Watch keepers valued a 4-h course intended to enhance the ability to speak up and improve listening skills as highly relevant (89%) and educational (69%)...
2017: International Maritime Health
Emilie Dehours, Alexandre Saccavini, Pierre Roucolle, Patrick Roux, Vincent Bounes
The maritime medical tele-consultation carried out by a doctor from the Toulouse Tele-Medical Assistance Service is currently based on tele-consultation using radiotelegraphy and the complementary transmission of data (photographs, electrocardiogram) via the Internet. In a previous article, we presented the benefits of photograph transmission for trauma management in isolated areas. Through this new series of cases, we wanted to expose the aspect of the medical pathologies and the contribution of sending photographs in their management...
2017: International Maritime Health
Christopher R Kovacs, Peter Buzzacott
BACKGROUND: This study examined self-reported physical activity and perceptions of exercise importance among certified divers in two distinct age groups. MATERIALS AND METHODS: Questionnaires were distributed by hand at dive sites in three states of the United States, half to students from an academic programme in scuba diving at a regional university. The survey included questions about health status, dive history, certification levels, structured exercise activity levels and perceived importance of regular exercise to their health, diving ability, and safety...
2017: International Maritime Health
Alex Mellbye, Tim Carter
This review assesses available evidence on the frequency of and trends in depression and suicide among seafarers. Investigations of depression and suicide are scarce and the findings are inconsistent, they do, nevertheless, show indications of improvement although some recent case series do indicate that suicide remains a problem. A review of additional indicators for mental distress and lack of wellbeing supports the decline in frequency of problems, but nuances this in terms of the relative risks in different groups of seafarers, showing internal variations in the frequency of mental health issues among seafarers, with markers such as rank, type of voyage, gender, age, nationality and crew multiculturalism being relevant variables...
2017: International Maritime Health
Tim Carter, Kimberly Karlshoej
Health promoting interventions among seafarers have, to date, been limited in scope and their effectiveness is questionable. There is good knowledge base from a wide range of onshore settings that indicates how best to structure health promotion initiatives in ways that are accepted by those affected by them and where their effectiveness has been fully evaluated. Here we identify the main lessons to be learnt from experience in other sectors and note the special features of the settings in which seafarers live and work as the basis for strategic development...
2017: International Maritime Health
Tim Carter, Sally Bell, Alf Magne Horneland, Suresh Idnani
Standards to assess the quality of doctors and clinics performing pre-employment medical examinations (PEMEs) were developed for International Maritime Health Association (IMHA) Quality, a not for profit organisation, created to provide an ethically sound and professional accepted accreditation system that would benefit seafarers having PEMEs and employers, insurers and national maritime authorities seeking valid assessments of seafarers' fitness for duty. These standards followed a format widely used in other healthcare settings, where assessment of clinical performance is desirable...
2017: International Maritime Health
Alf Magne Horneland, Suzanne Louise Stannard
No laboratory tests and imaging techniques are recommended for routine use in the ILO/IMO Guidelines on the Pre-Employment Medical Examination (PEME) of Seafarers that form the basis for statutory certification. However, they are widely used as components of the PEME protocols developed by insurers, employers and national maritime authorities in an attempt to predict and reduce the risks from illness whilst working at sea. This may be justified on scientific, safety, economic or professional grounds. We propose a rational approach for deciding if and when tests can be justified for routine use in assessing a seafarer's fitness for work at sea...
2017: International Maritime Health
Omar Laraqui, Salwa Laraqui, Nadia Manar, Mohammed Yassin Sahraoui, Lamia Sebbar, Tarik Ghailan, Frédéric Deschamps, Chakib El Houssine Laraqui
BACKGROUND: The aim was to investigate the potential fishermen's psychological functioning which induces risk-taking behaviours by evaluating the ordalique functioning. MATERIALS AND METHODS: This cross-sectional epidemiological study was conducted in three ports of northern Morocco in 2016 and concerned 1413 traditional fishermen working in small embarkations and 1049 administrative staff working in the maritime sector on land. Both groups were male, comparable for age and educational level...
2017: International Maritime Health
Shannon Guillot-Wright
BACKGROUND: This review seeks to understand whether and how seafarers can exercise their human right to health care and the factors that facilitate or impede that exercise. The general focus is on a critical policy analysis of labour policies from the mid-twentieth century through today, with a specific focus on how Filipino seafarers access their health care rights. MATERIALS AND METHODS: The methodology includes a critical policy analysis of seafaring, focusing on mid-twentieth century political shifts in the recognition and regulation of health care rights...
2017: International Maritime Health
Tim Carter
No abstract text is available yet for this article.
2017: International Maritime Health
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