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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.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.
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.
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.
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.
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.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.
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).
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 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.
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.
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.
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.
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).
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 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.Tendons are collagen-rich musculoskeletal tissues that possess the mechanical strength needed to transfer forces between muscles and bones. The mechanical development and function of tendons are impacted by collagen crosslinks. However, there is a limited understanding of how collagen crosslinking is regulated in tendon during development and aging. Therefore, the objective of the present review was to highlight potential regulators of enzymatic and non-enzymatic collagen crosslinking and how they impact tendon function. The main collagen crosslinking enzymes include lysyl oxidase (LOX) and the lysyl oxidase-like isoforms (LOXL), whereas non-enzymatic crosslinking is mainly mediated by the formation of advanced glycation end products (AGEs). Regulators of the LOX and LOXL enzymes may include mechanical stimuli, mechanotransducive cell signaling pathways, sex hormones, transforming growth factor (TGF)β family, hypoxia, and interactions with intracellular or extracellular proteins. AGE accumulation in tendon is due to diabetic conditions and aging, and can be mediated by diet and mechanical stimuli. The formation of these enzymatic and non-enzymatic collagen crosslinks plays a major role in tendon biomechanics and in the mechanisms of force transfer. A more complete understanding of how enzymatic and non-enzymatic collagen crosslinking is regulated in tendon will better inform tissue engineering and regenerative therapies aimed at restoring the mechanical function of damaged tendons.
The families of healthcare professionals are one of the most vulnerable groups whose lives have been severely damaged by the COVID-19 pandemic. So far, the experiences and perceptions of these individuals have not been explored. The present study aims to investigate the experiences and perceptions of the family members of the healthcare professionals during COVID-19.
The present study is a qualitative research with a phenomenological design. The participants were 25 family members of healthcare professionals which were selected from the medical centres in Iran via purposeful sampling from August 2021 to October 2021. The sampling was kept on until the data became saturated. To collect data, individual semi-structured interviews were conducted online. The Colaizzi approach was used to analyse the data collected.
The findings of the study emerged as two main themes psychological tension with five categories (indescribable fear and worry, longing to see their loved ones, patient stone, bitter farewell, feac, the family members of healthcare professionals have experienced dignity combined with the degrees of psychological tension which were beyond the experiences of the majority of people in the society, but similar to the psychological tension experienced by the families of COVID-19 victims. The families of healthcare workers are continuously anxious about the safety of their loved ones who are responsible to obtain the treatment of COVID-19 patients, which potentially jeopardizes their physical and psychological well-being. Therefore, the appreciation and support of people in the community of the family members of healthcare professionals have increased their tolerance. Healthcare providers can successfully promote the health of healthcare professionals' families by providing comprehensive assistance to healthcare personnel and their families.Increasing evidence has linked the humoral immune response with the development of various cancers. Therefore, there is growing interest in investigating the predictive value of antibodies to assess overall and tissue site-specific cancer risk. Given the large amount of antibody types and the broad scope of the search (i.e. cancer risk), the primary aim of this systematic review was to present an overview of the most researched antibodies (i.e. immunoglobulin (Ig) isotypes (IgG, IgM, IgA, and IgE), tumour and self-antigen-reactive antibodies, infection-related antibodies) in relation to overall and site-specific cancer risk. We identified various antibody types that have been associated with the risk of cancer. 7-Ketocholesterol concentration While no significant associations were found for IgM serum levels, studies found an inconsistent association among IgE, IgA, and IgG serum levels in relation to cancer risk. When evaluating antibodies against infectious agents, most studies reported a positive link with specific cancers known to be associated with the specific agent recognized by serum antibodies (i.
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