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International maritime health [journal]
- Bernardino Ramazzini (1633-1714): an often forgotten pioneer in maritime health. [Journal Article]
- Int Marit Health 2014; 65(1):41.
- Dynamics of stress as a predictor of health consequences in Polish drilling platform workers. Longitudinal study: part I. [Journal Article]
- Int Marit Health 2014; 65(1):33-40.
The subject of presented article is the evaluation of the relationship between the way of adaptation to work-related stress and chosen health indicators among drilling platform workers in Poland. The study procedure is a longitudinal research, including data analysis from 1993 to 2013.167 Polish platform male workers with an average age of 42 years have been examined. The studies include, according to the triangulation method, data from 3 sources: data concerningthe so-called 'objective' and 'subjective' stress, personality and temperamental examinations and data concerning health state.Stress affects health negatively, the higher subjective and objective stress, the worse health indicators: higher body mass index, more declared health ailments and worse evaluation of personal health (r = -0.23). Stress also affects health via 2 indirect tracts: through the kind of stress adaptation (stress dynamics) (r = -0.43) and through coping - depositional stress coping style (r = 0.41).Stress adaptation (stress dynamics) and coping style included in the study in longer perspective show that those drilling platform workers, who declare the decrease of stress over the years, present worse health indicators than those, who declare variability in the ways of adaptation to stress.
- Psychological distress in families of victims of maritime piracy - the Italian experience. [Journal Article]
- Int Marit Health 2014; 65(1):28-32.
This work has investigated the psychological status of family members of kidnapped seafarers, 5 months after their release.The goal of this study was to assess if relatives of victims of maritime piracy showed signs of psychological distress, to diagnose eventual pathologies and to measure their severity.Twelve family members (8 females and 4 males) of 4 kidnapped seafarers were examined. They were first interviewed by a semi-structured approach and then examined using the self-report questionnaire State-Trait Anxiety Inventory (STAI-Y), and the Hamilton Depression Rating Scale (HDRS).Five months after the relatives had been released, 42% of the family members of kidnapped seafarers obtained pathological scores in the STAI-Y questionnaire, and 33% showed depression according to the HDRS.Family members of kidnapped seafarers show significant psychopathological symptoms 5 months after relatives have been released. Symptoms may be severe enough to interfere with daily life in about one half of them. Kidnapping is a changing life experience and both victims and relatives require attention and support.
- Selected epidemiological aspects of fresh whole blood application in the Polish Field Hospital in Afghanistan. [Journal Article]
- Int Marit Health 2014; 65(1):23-7.
Minimisation of blood transmitted diseases is a basic element of all blood transfusion strategies. Civilian health service standards used in peacetime may be difficult to implement in a battlefield. The risk of blood-borne diseases depends on the applied donor qualification procedures and the epidemiological situation in the areas of military operations. The authors discuss various epidemiological aspects considered when selecting potential donors of fresh whole blood for a Walking Blood Bank at the Polish Field Hospital in Afghanistan.
- Acute gastroenteritis and video camera surveillance: a cruise ship case report. [Journal Article]
- Int Marit Health 2014; 65(1):20-2.
A 'faecal accident' was discovered in front of a passenger cabin of a cruise ship. After proper cleaning of the area the passenger was approached, but denied having any gastrointestinal symptoms. However, when confronted with surveillance camera evidence, she admitted having the accident and even bringing the towel stained with diarrhoea back to the pool towels bin. She was isolated until the next port where she was disembarked. Acute gastroenteritis (AGE) caused by Norovirus is very contagious and easily transmitted from person to person on cruise ships. The main purpose of isolation is to avoid public vomiting and faecal accidents. To quickly identify and isolate contagious passengers and crew and ensure their compliance are key elements in outbreak prevention and control, but this is difficult if ill persons deny symptoms. All passenger ships visiting US ports now have surveillance video cameras, which under certain circumstances can assist in finding potential index cases for AGE outbreaks.
- Long-lasting adverse effects after short-term low-dose treatment with metoclopramide for vomiting. [Journal Article]
- Int Marit Health 2014; 65(1):16-9.
Metoclopramide is commonly used to treat vomiting caused by seasickness and acute gastroenteritis on cruise ships and serious adverse effects have not been reported from use at sea. We report severe long-lasting adverse effects in a young female seafarer following short-term, low-dose use of metoclopramide. During rough seas a 25-year-old female musician on a cruise vessel presented with nausea and vomiting. She was given intramuscular metoclopramide 10 mg and diphenhydramine 25 mg. Vomiting stopped after the injections, but she felt tired, confused and dizzy. She then had been taking metoclopramide 5-10 mg a day, but stopped after a total per oral dose of 30 mg as she developed disturbing symptoms that she related to the medication, including dizziness, anxiety, fatigue, depression and involuntary movements (twitches, jerks, ticks, and tremors of the eyelids, tongue, neck, fingers, arms and legs). Neurological examination, blood tests, electrocardiography and magnetic resonance imaging of the brain were all normal. Although gradually reduced in strength and frequency, the adverse effects were very disturbing for about 10 months, but at 13 months she was almost fully recovered. For many years numerous vomiting sea travellers have been successfully treated with a single parenteral 10 mg dose of metoclopramide. There are no obvious reasons why our previously healthy patient experienced such serious and long-lasting side effects after low-dose, short-term metoclopramide administration. Until more is known, metoclopramide should be reserved for debilitating cases - and only be given after other remedies have been tried and found ineffective.
- Legal aspects of cruise medicine - can a non-US ship's doctor be sued for malpractice in Florida? [Journal Article]
- Int Marit Health 2014; 65(1):13-5.
An English ship's doctor treated a non-US female patient for abdominal discomfort on a foreign-flagged cruise ship off the coast of Haiti. In Mexico the patient underwent abdominal surgery, followed by complications, for which her lawyers wanted to take the ship's doctor to court in Florida, USA. A trial court granted their wish, but this decision was reversed on appeal as the factors discussed were insufficient to establish Florida jurisdiction over the ship's doctor. The decision is not about whether malpractice occurred; it is about limiting the possibility of taking the ship's doctor to a court in a location preferred by the plaintiffs' lawyers. The appeal court ruling is important for non-US doctors working as independent contractors on cruise vessels that visit US ports, and it will hopefully prevent some of the more frivolous law suits from being filed in the future.
- Briefing notes on emergency medical disembarks by helicopter at sea in North America. [Journal Article]
- Int Marit Health 2014; 65(1):7-12.
Physicians and nurses from shore based practice who move to work on cruise ships often have concerns about the management of critically ill patients and questions about the resources available to transfer by helicopter to a tertiary care facility. This article seeks to outline some of the clinical, operational and logistical issues associated with using a helicopter to transfer a patient from a ship to a shore-side hospital. While it focuses on resources available in the maritime areas around North America, most of the clinical comments would apply to helicopter evacuations anywhere in the world.
- Oral health status of fishermen and non-fishermen community of Kutch district, Gujarat, India: a comparative study. [Journal Article]
- Int Marit Health 2014; 65(1):1-6.
Fishing is one such hazardous occupation, which involves irregular diet, stress, alcoholism, tobacco and pernicious habits. Fishermen have lower socio-economic status and their illiteracy adds to their poor oral hygiene, which may influence general and oral health.The aim of the study was to assess and compare the oral health status of fishermen and non-fishermen population of Kutch District, Gujarat, India.A descriptive cross-sectional survey was conducted to assess and compare the oral health status of the fishermen and non-fishermen community of Mundra taluka of Kutch district, Gujarat, India, from January 2013 to June 2013.Fishermen had significantly higher periodontal disease and dental caries than non-fishermen group (p = 0.001). Malocclusion was significantly higher in non-fishermen group (p = 0.001). Extraction was the most prevalent treatment need among both groups. Occupation and educational status were respectively identified as the best predictors for dental caries and periodontal disease.Findings of the present study suggest that oral health status of the fishermen population wasrelatively poor, with high caries prevalence and poor periodontal health when compared to the non-fishermen population. In the light of high treatment needs of the study population, health policy that emphasises oral health promotion and prevention would seem more advantageous in addition to traditional curative care.
- Stress and the level of perceived anxiety among mariners: the mediating role of marital satisfaction. [Journal Article]
- Int Marit Health 2013; 64(4):221-5.
The challenges of professional life are becoming more and more demanding on people's private life, especially if a given profession requires many sacrifices and has negative consequences for one's physical and psychological health, as is the case of professional mariners. The purpose of this study is to attempt to verify the correlation between the quality of emotional bonds, manifested in marital satisfaction, and the level of stress and anxiety perceived by mariners. The study encompasses 210 mariners working on seagoing ships. The following research tools were employed for the purpose of the study: State-Trait Anxiety Inventory (STAI), Stress Experience Questionnaire (PS) and Well-matched Marriage Questionnaire (KDM). The results indicate that marital satisfaction is correlated with the level of stress and anxiety among mariners, constituting a stress inhibitor.