Laurent Beust, David Lucas, Richard Pougnet, Brice Loddé
{"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":null,"pages":null},"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}
N. Kulawiak, S. Borys, Anna Roszko-Wysokińska, Natalia Zgud-Jankowska, K. Korzeniewski, K. Sikorska
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.
{"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":null,"pages":null},"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}
Marta Szwangruber, Ingrid Gjesteland, B. Hollund, L. Faksness, Ingrid C. Taban, F. Engen, Jan Willie Holbu, H. Dolva, M. Bråtveit
BACKGROUND In-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. MATERIALS AND METHODS Six 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). RESULTS One 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. CONCLUSIONS The 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.
{"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":null,"pages":null},"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}
F. Baygi, Fatemeh Mohammadi‐Nasrabadi, B. Zyriax, B. Heitmann
{"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":null,"pages":null},"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}
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
我们怀着极大的兴趣阅读了Kurpas等人关于波兰波罗的海格但斯克湾存在弧菌的报告[10]。到目前为止，绝大多数在开放水域发现的弧菌都集中在亚热带地区。在对19份出版物中描述的2,227例由创伤弧菌引起的NSTI患者的分析中，95%的病例涉及亚热带地区。然而，也有报告描述了弧菌的位置变化，主要是由于开放水温逐渐升高。波罗的海气候带弧菌的鉴定是一项新的观察，不仅从微生物学的角度来看，而且从临床原因来看都具有重要意义。弧菌是热带或亚热带水域中较常见的细菌之一。它是一种革兰氏阴性棒，可引起坏死性软组织感染(NSTI)，其中也包括坏死性筋膜炎，并经常导致感染性休克和直接威胁生命。从病因学的角度来看，NSTI通常有多微生物病因，通常被描述为I型，或单微生物病因，通常被描述为II型(最常由a群β溶血链球菌引起，如化脓性链球菌)，有时与金黄色葡萄球菌合并[4,5]。根据同样的分类，由弧菌引起的感染被称为与其他不太常见的病原体(如梭状芽胞杆菌、气单胞菌、弧菌)相关的III型。IV型是指真菌感染(如念珠菌、接合菌)。无论病因如何，任何形式的NSTI的治疗都是多模式的，包括手术、抗生素治疗和血流动力学脓毒症管理[4-8]。在NSTI弧菌病例中，手术干预的重要性被强调了100。大多数建议还建议使用高压氧治疗(HBOT)。在文献中，人们可以找到用HBOT成功治疗临床病例的描述，但在这些报道中，大多数感染来自美国或日本的亚热带水域[10,11]。一个有趣的巧合是，几乎在Kurpas et al.[1]发表格但斯克湾弧菌发生的同时，我科发表了一篇68岁的创伤弧菌引起的NSTI患者的临床病例报告，该患者很可能来自波罗的海西南部，在我科接受辅助HBOT治疗。综上所述，患者在波罗的海海水中游泳受伤后，出现下肢NSTI。血液中检出创伤弧菌。最初，该患者在当地一家市立医院接受治疗。然而，由于计算机断层扫描证实NSTI的进展，炎症标志物增加，普遍恶化伴脓毒症，患者转至我科，在常规护理下使用抗生素(头孢曲松，环丙沙星，多西环素)，脓毒性休克治疗和辅助HBOT。在我科治疗5天后，共进行了10次HBOT治疗，患者全身及局部情况均有改善。对照组培养为阴性，炎症标志物减少:白细胞(WBC)计数从13.93 G/L降至8.58 G/L;c反应蛋白(CRP)从137.9 mg/L降至36.9 mg/dL，降钙素原(PCT)从8.52 ng/mL降至1.3 ng/mL。在此治疗后，患者被送回转诊单位进行进一步治疗。
{"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":null,"pages":null},"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}
M. Zakaria, Debabrata Paul, R. Das, S. Bhowmik, Md. Sazedul Hoque, Abdullah Al Mamun
BACKGROUND Small-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). MATERIALS AND METHODS Fifty 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. RESULTS Results 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. CONCLUSIONS Most 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.
{"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":null,"pages":null},"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}
Dr. Adam Rutenberg, F. Chu, Ryan Skrabal, N. Sikka
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.
{"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":null,"pages":null},"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}
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.
{"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":null,"pages":null},"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}
BACKGROUND Yacht 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. MATERIALS AND METHODS The 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. RESULTS AND CONCLUSIONS According 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.
{"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":null,"pages":null},"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}
Background: 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.
Materials and methods: 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.
Results: In 6 months, 1237 seafarers from 30 countries and 5 continents received the COVID-19 vaccination as a result of this programme.
Conclusions: 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.
{"title":"Implementation of an onboard COVID-19 vaccination programme: a university partnership to vaccinate seafarers.","authors":"Tracey L Taylor, Denise Maguire, 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":null,"pages":null},"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}
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