Textbook of Maritime Medicine

1. 13.13 Patient Management
(Textbook of Maritime Medicine/13. Port Medicine)

Time is a critical element in medical care for seafarers. Since time is money, money is another critical element in patient care. Therefore it is of the utmost importance to organize an efficient care. ...

2. 13.15 Contact with other Organizations
(Textbook of Maritime Medicine/13. Port Medicine)

13.15.1  Welfare organizations Of 1,549 complaints by seafarers to the ministers of the Mission to Seamen in five years(1994-1999) 123 or 7.6 percent were about illness (1). It may be understood ...

3. 13.3 The Patient
(Textbook of Maritime Medicine/13. Port Medicine)

... continue working on board. The approach to the patient must be empathic and open. Seafarers often come to a maritime physician with a problem that has occurred on board and with which they have been alone ...

4. 13.4 Medical Skills of the Port Maritime Physician
(Textbook of Maritime Medicine/13. Port Medicine)

... A characteristic element of general practice that is less present in the port medical practice, is the continuity of care, seafarers often use the services on an occasional basis. This requires special ...

5. 13.5 Maritime Knowledge of the Port Maritime Physician
(Textbook of Maritime Medicine/13. Port Medicine)

Ideally, a maritime physician should have sailed with a ship. He has to feel, hear and smell life on board. He should see the way seafarers live on board and the way they work. Experience the psychological ...

6. 13.6 Location of the Clinic
(Textbook of Maritime Medicine/13. Port Medicine)

  Due to the evolution towards shorter stay of the ship in port the location of the clinic or reception of the seafarers in or nearby the port area is important. At least it should be within easy reach ...

7. 13.7 Facilities in the Clinic
(Textbook of Maritime Medicine/13. Port Medicine)

  The reception and waiting room have to be clean and comfortable and decorated in a way that the seafarers feel at home. A poster or some leaflets in their language, magazines or even newspapers make ...

8. 13.9 Preventive Services
(Textbook of Maritime Medicine/13. Port Medicine)

  Preventative medical care, such as cancer screening or health counselling often is not available to seafarers while on duty. The Maritime Labour Convention 2006 requires that flag states offer ...

9. 13.11 A Maritime Medical Unit
(Textbook of Maritime Medicine/13. Port Medicine)

... on the basis of accessibility of their service for seafarers. It is of the utmost importance that the responsible and treating doctor has a heart for seafarers. Seafarers deserve to be treated better than ...

10. 13.|12 Research in Port Medicine
(Textbook of Maritime Medicine/13. Port Medicine)

... topics of the health of seafarers and to publish data. Ideally port maritime physician are to join a professional association which deals with issues of maritime medicine to familiarize themselves with ...

11. 13.2 Social Aspects
(Textbook of Maritime Medicine/13. Port Medicine)

... This reality in the shipping industry is the main reason why seafarers very often cannot or do not consult their own doctor for advice but are referred to port medical clinics. By signing a contract ...

12. 13 Port Medicine
(Textbook of Maritime Medicine/13. Port Medicine)

... care available to seafarers differs substantially between ports: In some ports private practices are tailored to serve the needs of seafarers and shipping- managements, others entertain governmental port ...

13. 17 Crisis Intervention
(Textbook of Maritime Medicine/17. Crisis intervention)

... or mental illness. Likewise, they have had problems to admit the aforesaid disturbances.  Similar to military and police, seafarers belong to a community of traditionally „tough“men and women. It is ...

14. 10.13 Seasickness (Motion sickness)
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... of seasickness The incidence and prevalence of kinetosis has been investigated in particular in space aviation, among marines and seafarers, as well as in yacht crews taking part in offshore races. Regarding ...

15. 10.3 Disorders of the Skin
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... generalized disease. Little is known about the prevalence of skin diseases in seafarers. However, skin disorders were frequent in a Polish study [1]. An increased prevalence for dry skin, dermatitis, ...

16. 10.11 Sexually transmitted diseases – STD’s
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... most frequently in the age groups of greatest sexual activity and more frequently among people in certain occupations including migrant laborers such as in the maritime trades [1]. Seafarers spend long ...

17. 11.5 Ship noise and its effects on seafarers’ health
(Textbook of Maritime Medicine/11. Maritime occupational Medicine)

... smaller than merchant ships, and fishermen spend much longer on board over the course of a year than merchant seafarers do. These vessels pose more acute noise problems. The above noise sources on merchant ...

18. 10.10 Gastrointestinal Diseases
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... British and Danish seafarers, and for many years diseases of the digestive system have been shown to be a major cause of morbidity and death [1]. Most studies on mortality and morbidity are based on statistics ...

19. 8.8 References
(Textbook of Maritime Medicine/8. The Maritime Physician)

...  Minimum requirements for the medical examination of seafarers. ILO, 1997. (Accessed November 11th, 2009, at http://www.ilo.org/public/english/dialogue/sector/techmeet/ilowho97/meden6.htm#Heading51.) ...

20. 1 Preface
(Textbook of Maritime Medicine/1. Preface)

... have materialized.   Aksel Schreiner   Seafarers’ Health   Seafarers are people who live and work in surroundings that are very different from those ashore, whether they are engaged in maritime ...