ABSTRACT
ABSTRACT BACKGROUND: Maritime transportation is an activity of vital importance for societies. The Mar Grande-Salvador crossing is an intercity waterway transport line in Brazil that transports 3,500 passengers/day, including residents and tourists. In 2017, an accident on this crossing was considered to be the biggest maritime tragedy in Bahia in the last decade. OBJECTIVE: To describe the clinical and epidemiology characteristics of victims of this maritime accident, with analysis on bodily injuries, causes of death and means/instruments that caused the fatal injuries. DESIGN AND SETTING: Case-series study at the Forensic Medical Institute of Bahia, Brazil. METHODS: Reports on 73 victims who were examined for bodily injury or were necropsied by the Forensic Medical Institute were analyzed. This study was approved by the institution's Research Ethics Committee (protocol 04012218.1.0000.5032). RESULTS: The victims' mean age was 33.0 years [95% confidence interval, CI, 26.3-47.0]. The mean age of those who died was 43.0 years [95% CI, 30.5-53.5]. Bodily injuries were found in 74% of the victims. The most frequent bodily injuries were ecchymoses among females (69.7%) and abrasions among males (76.2%). Blunt instruments produced most bodily injuries (85.2%). Among the victims who died, 68.4% were female. Mechanical asphyxiation through drowning was the leading cause of death (89.4%). The overall lethality rate was 26%, and this was higher among females (28.2%). CONCLUSION: Women were the main victims of this maritime accident. Bodily injuries occurred more frequently than death, but these injuries proved to be quite significant, thus demonstrating the importance of measures to improve the safety of navigation.
ABSTRACT
Resumen En la segunda mitad del siglo XIX, el inicio de la investigación en medicina tropical se vio favorecido con aportes de empresas navieras, como la Compañía Holandesa de las Indias Orientales, siendo quizás el más importante su gestión apoyando la creación en China del Servicio Marítimo Imperial de Aduanas (1854-1950), impuesto al débil gobierno chino por los cónsules de Inglaterra, Francia y EEUU, para establecer tasas regulares en todos sus puertos, que pronto amplió sus funciones a la información de mareas, tifones y clima, terminando por crear en 1863 un Servicio Médico para detectar epidemias y establecer cuarentenas. Este Servicio Médico editó una revista, Medical Reports, en la cual publicaron distinguidos investigadores, como Patrick Manson, Padre de la Medicina Tropical. Comentamos algunos informes aparecidos en ella, para conocer su real importancia en el desarrollo de la medicina tropical.
Abstract In the second half of the 19th century, the beginning of the research on tropical medicine was favored with contributions from shipping companies, like Dutch East India Company, being perhaps the most important of these its collaboration in the creation of the China Imperial Maritime Customs Service (1854-1950), imposed by consuls from England, France and USA, on the weak Chinese government in order to establish regular taxes in all its ports, soon expanding its functions with reports on tides, typhoons and weather, ending up creating a medical service in 1863 to detect epidemics and establish quarantines. This medical service published a Journal, the Imperial Maritime Customs Medical Reports, where they wrote distinguished investigators, such as Patrick Manson, Father of Tropical Medicine. We comment in some reports of this journal, to get an idea about its real importance in the development of tropical medicine.
Subject(s)
History, 19th Century , History, 20th Century , Tropical Medicine/history , Naval Medicine , FranceABSTRACT
Background@#The COVID-19 pandemic has significantly affected the psychological and mental health of seafarers and maritime workers, and a considerable proportion have experienced depression. Cognizant of the different work-related factors and pandemic-related factors which may contribute to depression, it is imperative to determine the prevalence of depression among seafarers and maritime workers to develop appropriate intervention and management@*Objective@#To determine the prevalence of depression among seafarers and maritime workers during the COVID-19 pandemic.@*Methods@#This is a random-effects meta-analysis of cross-sectional studies estimating the prevalence of depression among seafarer and maritime workers during the COVID-19 pandemic period. The proportion of respondents with depression, using standardized depression assessment tools, and the sample sizes of each study were extracted and recorded in an abstraction form. Pooled estimate of depression was analyzed using the metaprop command of STATA MP@*Results@#The search yielded a total of 555 articles, with only 4 eligible articles included for analyses. From the included studies, 75% had good quality of evidence while 25% had fair quality. Analysis showed that the overall pooled prevalence of depression at 28% (ES=0.28, z=4.69, p=0.001, 95% CI=0.16–0.39) was statistically significant during the COVID-19 pandemic. However, there was a substantially high heterogeneity among the included the studies (χ2=125.41, p=0.001, I2=97.61%, τ2=0.01). @*Conclusion@#Depression is a real-life, yet underreported and underdiagnosed problem among seafarers and maritime workers before and during the COVID-19 pandemic. This result stresses the need for policy and practice changes such as implementation of screening programs to determine and evaluate depression or depressive symptoms; modification of existing protocols in performing pre-employment medical examinations with additional focus on the psychological health and well-being; and, provision of appropriate intervention such as psychological health education, counseling, and appropriate referral.
Subject(s)
Depression , COVID-19ABSTRACT
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has affected the maritime sector due to virus transmission onboard and traffic restrictions. However, reports of SARS-CoV-2 transmission on board have been mostly restricted to those occurring on cruise ships. OBJECTIVES To report COVID-19 outbreaks in eight non-cruise vessels and discuss measures to prevent and control the onboard transmission of SARS-CoV-2. METHODS We investigated outbreaks of COVID-19 on vessels anchoring in Baía de Todos-os-Santos, Salvador, Brazil, between February and November 2021. FINDINGS Most vessels were cargo ships that had docked several times before anchoring in Salvador (five had docked in ≥ 9 ports). The crew ranged from 22 to 63 members. The infection attack rate on each vessel ranged from 9.7 to 88.9%. The risk of symptomatic infection largely varied among the crew of each vessel (0 to 91.6%). Overall, the risk of developing COVID-19 signs and symptoms was lower among crew members vaccinated (age-adjusted risk ratio: 0.19; 95% confidence interval 0.06-0.65). SARS-CoV-2 variants not previously identified in Salvador were detected (C.14, B.1.617.2 and B.1.351). MAIN CONCLUSIONS Despite maritime guidelines to avert COVID-19 on board, outbreaks have happened. The multiple stopovers of non-cruise vessels during their routes may contribute to the spread of SARS-CoV-2 variants worldwide. Reducing the onboard transmission of SARS-CoV-2 depends on joint efforts by the crew and local health authorities and, equally important, achieving high vaccination coverage to prevent infections and illness.
ABSTRACT
Introducción: La gestión pública ha adquirido nuevas características, producto de cambio en la forma en que se aborda la gobernanza. Conforme las áreas temáticas, niveles y escalas de esa gestión se ha expandido, la administración pública se tornado más compleja, requiriendo nuevos enfoques. Si bien el derecho del mar y la tesis de que la tierra domina el mar, no son nuevas, lo cierto es que fue con la Convención de Naciones Unidas sobre el Derecho del Mar, de 1982, que se formaliza e institucionalizan los espacios bajo jurisdicción del Estado ribereño. Ello ha generado nuevo desafíos y retos para los gobiernos, pues no solo se extiende la soberanía territorial sobre una extensa porción del mar, sino que se asumen responsabilidades en nombre de la comunidad internacional. Objetivo: Como se trata de una cuestión que vincula la gestión pública con la normativa del derecho del mar en materia de delimitación y administración de fronteras; por lo que en esta revisión se busca plantear una aproximación a un asunto sobre el cual se ha explorado poco. Métodos: Se realizó una revisión de la literatura sobre gestión pública de fronteras considerando el caso de las fronteras marítimas, identificando jurisprudencia internacional y acciones implementadas por Costa Rica. Resultados: En la porción terrestre la gestión de fronteras muestra un desarrollo importante; no así en los espacios marítimos. La jurisdicción es diferente en cada uno de esos espacios, por lo que la gestión pública debe tener en cuenta esas particularidades. Pero, las cosas se complican cuando se trata del espacio fronterizo, porque en este converge lo marino y lo marítimo, pero también diversos intereses, por la naturaleza del espacio marino. Por consiguiente, es necesario reconocer que la gestión de fronteras marítimas no es tan sencilla como trasladar lo que se hace en tierra al mar. Cuando el límite fue definido por un tratado bilateral, existen disposiciones particulares que facilitan la coordinación y cooperación transfronteriza; por eso se utilizó como referencia el caso Costa Rica y Nicaragua en el océano Pacífico, pues en este caso la línea divisoria la estableció la Corte Internacional de Justicia, lo que provoca un trazado que no necesariamente es satisfactorio para los actores involucrados. Conclusiones: las diferencias en la gestión de fronteras entre lo terrestre y lo marítimo, sumado a la forma en que se definió el límite entre los dos países, ha dificultado la implementación de la gestión pública por parte de Costa Rica, que es la experiencia más conocida en la región sobre políticas y gestión marina-marítima.
Introduction: Public management has acquired new characteristics because of change in the way governance is approached. As the subject areas, levels and scales of this management have expanded, public administration has become more complex, requiring new approaches. Although the Law of the Sea and the thesis that the land dominates the sea are not new, the truth is that it was with the United Nations Convention of the Law of the Sea, of 1982, that the areas under the jurisdiction of the coastal States were formalized and institutionalized. This has generated new challenges for the governments, since not only does territorial sovereignty extend over a large portion of the sea, but new responsibilities are assumed on behalf of the international community. Objective: The matter links public management with the regulations of the Law of the Sea regarding the delimitation and administration of boundaries. Therefore, this review proposes an approach to a matter that has not been explored enough. Methods: A review of the literature on public border management was made, considering the case of maritime boundaries, identifying international jurisprudence -especially of the International Court of Justice- and actions implemented by Costa Rica. Results: in the land portion, border management shows important development; this is not the case in the maritime spaces. The jurisdiction is different in each of these spaces, so public management must take these particularities into account. Things get complicated when it comes to the border area, because in it the marine and the maritime converge, but also different interests, due to the nature of the marine space. Therefore, it is necessary to recognize that the management of maritime boundaries is not as simple as moving what is done on land to the sea. When the limit was defined by a bilateral treaty, some provisions facilitate cross-border coordination and cooperation. For this reason, the case of Costa Rica and Nicaragua in the Pacific Ocean was used as a reference, since in this case the dividing line was established by the International Court of Justice, which causes a layout that is not necessarily satisfactory for the actors involved. Conclusions: the differences in border management between land and sea, in addition to how the boundary between the two countries is defined, has made it difficult for Costa Rica to implement public management, which is the best-known experience in the region on marine-maritime policies and management.
ABSTRACT
BACKGROUND: One of the most extreme environments on our planet is the Maritime Antarctic territory, due to its low-water availability, which restricts the development of plants. Sanionia uncinata Hedw. (Amblystegiaceae), the main colonizer of the Maritime Antarctic, has effective mechanisms to tolerate this environment. It has been described that the tolerance to desiccation is mediated by the hormone abscisic acid (ABA), antioxidants systems, accumulation of compatible solutes and proteins of the late embryogenesis abundant (LEA). However, to date, these mechanisms have not been described in S. uncinata. Therefore, in this work, we postulate that the tolerance to desiccation in the Antarctic moss S. uncinata is mediated by the accumulation of ABA, the osmolytes proline and glycine betaine, and dehydrins (an LEA class 11 proteins). To demonstrate our hypothesis, S. uncinata was subjected to desiccation for 24 h (loss in 95% of water content), and the effects on its physiological, photosynthetic, antioxidant and biochemical parameters were determined. RESULTS: Our results showed an accumulation of ABA in response to water loss, and the activation of protective responses that involves an increment in levels of proline and glycine betaine, an increment in the activity of antioxidant enzymes such as SOD, CAT, APX and POD, and the accumulation of dehydrins proteins. CONCLUSION: The results showed, suggest that S. uncinata is a desiccation-tolerant moss, property mediated by high cellular plasticity regulated by ABA.
Subject(s)
Photosynthesis/physiology , Bryopsida/physiology , Desiccation , Antioxidants/analysis , Time Factors , Adaptation, Physiological , Bryopsida/classification , Bryopsida/chemistry , Antarctic RegionsABSTRACT
Em uma Unidade de Alimentação e Nutrição (UAN) o manipulador de alimentos é responsável por produzir refeições de boa qualidade em condições adequadas, que não coloquem em risco a saúde do comensal. Diante disso, a avaliação do conhecimento desses manipuladores sobre boas práticas de fabricação se torna essencial. O presente estudo objetivou avaliar o conhecimento em Boas Práticas de Fabricação (BPF) de manipuladores de UAN offshore, localizadas na bacia de Campos. A pesquisa foi realizada em 19 unidades offshore. Foram usados como critérios avaliativos questionários que avaliaram dados socioeconômico-demográficos, nível de conhecimento sobre as boas práticas de fabricação e treinamentos em BPF. Os manipuladores foram abordados no momento do desembarque. Foi avaliado o conhecimento de 71 manipuladores. Verificou-se que a maior parte pertence ao sexo masculino (95,8%), com idade média de 37,45 ± 10,29 anos. Quanto ao nível de escolaridade 68% dos manipuladores apresentaram o ensino médio completo e 78% recebem dois salários mínimos. Todos os manipuladores (100%) já haviam recebido treinamento sobre BPF. Em relação ao conhecimento sobre BPF todas as respostas atingiram mais de 75% de acertos. Não foi encontrada relação significativa (p<0,05) entre conhecimento de BPF com tempo de profissão, grau de escolaridade e realização de treinamento. Os resultados demonstraram que o conhecimento em BPF e treinamentos obtiveram porcentagens de acertos consideradas satisfatórias, mostrando que os manipuladores das UANs offshore apresentam bom nível de conhecimento sobre o assunto.
In a Food and Nutrition Unit (FNU) the food handler is responsible for producing good quality meals under the right conditions that do not endanger the health of the diner. Given this, the evaluation of these manipulators' knowledge of good manufacturing practices becomes essential. The present study aimed to evaluate the knowledge of Good Manufacturing Practices (GMP) of offshore UAN manipulators, located in the Campos basin. The survey was conducted in 19 offshore units. Questionnaires that evaluated socioeconomic-demographic data, level of knowledge about good manufacturing practices and training in GMP were used as evaluation criteria. The handlers were approached at the time of landing. The knowledge of 71 manipulators was evaluated. It was verified that the majority is male (95.8%), with a mean age of 37.45 ± 10.29 years. Regarding the level of schooling, 68% of the handlers had completed high school and 78% received two minimum wages. All handlers (100%) had already been trained on GMP. Regarding the knowledge about BPF, all the answers reached more than 75% of correct answers. No significant relationship (p <0.05) was found between knowledge of GMP with time of profession, degree of education and training. The results showed that knowledge about GMP and training obtained satisfactory percentages of hits, showing that the manipulators of the offshore UANs present a good level of knowledge about the subject.
Subject(s)
Food Contamination , Qualitative Research , Good Manufacturing Practices , Food Handling , Food Industry , Surveys and Questionnaires , Food Dispensers, AutomaticABSTRACT
Objecive To design and develop a simulated maritime rescue training platform to emulate different sea conditions and carry out maritime rescue training.Methods Corresponding computer program was used to control a 3 degreeof-freedom electric platform,and the rolling,pitching and heaving of the ambulance boat were simulated by setting vibration frequency and displacement.An operating training room was set up and equipped with necessary emergency devices.Results By changing the frequency and displacement of the training platform,the operating environment in the ambulance boat was simulated under the second to fifth grades of sea conditions to execute the training for antivertigo,fine operation and nursing.Conclusion The platform facilitates the medical staff to be familiar with maritime environment,master treatment techniques at different sea conditions and enhance support efficiency.
ABSTRACT
The authors review the visit of Commander Charcot and the crew of his ship, the “Pourquoi Pas?”, to Rio de Janeiro, Brazil, in 1908, where he stayed for eight days, while en-route as part of the second French expedition to the Antarctic. It was a glamorous stay as Commander Charcot was treated as a true star and international celebrity, befitting his position.
Revisamos a estadia de oito dias do Comandante Jean-Baptiste Charcot e a tripulação do seu navio “Pourquoi Pas?” no Rio de Janeiro, em 1908, durante a segunda expedição francesa para a Antártica. A estadia do Comandante Charcot foi um acontecimento social e o mesmo foi recebido com honrarias dignas de uma celebridade internacional.
Subject(s)
History, 19th Century , History, 20th Century , Expeditions/history , Neurology/history , Brazil , FranceABSTRACT
Jean-Baptiste Charcot, a neurologist from the famous Salpêtrière school and a renowned maritime explorer, visited Brazil twice. The first visit was in 1903, when the first French Antarctic expedition, traveling aboard the ship Français, made a very short stopover in Recife, in the state of Pernambuco. The second took place in 1908, during the famous voyage of the Pourquoi Pas? to the Antarctic, when Charcot and his crew stayed in the city of Rio de Janeiro for eight days.
Jean-Baptiste Charcot, neurologista formado na famosa escola do hospital Salpêtrière, e famoso explorador marítimo, visitou o Brasil por duas vezes. A primeira em 1903, numa curta passagem, em Recife/Pernambuco, a bordo do navio Français, durante a primeira expedição francesa à antártica, e a segunda, em 1908, durante a famosa viagem do Pourquoi Pas? à Antártica, quando ele e sua tripulação permaneceram na cidade do Rio de Janeiro por oito dias.
Subject(s)
History, 19th Century , History, 20th Century , Expeditions/history , Neurology/history , Brazil , FranceABSTRACT
During the second expedition to the South Pole, Commander Jean-Baptiste Charcot and some members of the crew of “Pourquoi Pas?” developed symptoms suggestive of scurvy. The clinical picture was totally reversed after dietary changes.
Durante a segunda expedição polar do sul, o comandante Charcot e alguns membros da tripulação do “Porquoi Pas?” desenvolveram sintomas sugestivos de escorbuto. O quadro clínico foi totalmente reversível após modificações da dieta.
Subject(s)
History, 20th Century , Expeditions/history , Scurvy/history , Diet , Scurvy/diet therapyABSTRACT
Objective: To review the related articles and consider the potential of Japanese climate and geographical features to health promotion and disease prevention in the context of health resort medicine. Method: To summarise the studies concerning climatotherapy in the world, PubMed database was searched from 1965 to 2014. Additional references were identified from bibliographical searches of included studies. Results: One hundred thirty-five articles were included. These articles were sorted according to the place of health resort and the objective: 1) At the Dead Sea, of maritime climate with natural sunlight and salt water, climatotherapy for psoriasis, atopic dermatitis, rheumatic diseases, vitiligo, uveitis, mycosis fungoides and hypertension; 2) At the Canary Islands, of subtropical maritime climate, climatotherapy for psoriasis, cerebral palsy and atopic dermatitis; 3) At the Alpine mountain area, of moderate- and high-altitude mountain climate, bronchial asthma, atopic eczema, chronic obstructive pulmonary disease (COPD), circulatory diseases, osteoporosis and metabolic syndrome; 4) At the North Sea, climatotherapy for bronchial asthma and atopic dermatitis; 5) At the Baltic Sea, climatotherapy for bronchial asthma, chronic bronchitis, psoriasis, pulmonary silicosis and children after rheumatic disease; 6) At the Island of Jerba in Tunisia, of the Mediterranean maritime climate, climatotherapy for fibromyalgia; 7) At the Adriatic Sea shore in Croatia, climatotherapy for bronchial asthma; 8) At the Black Sea shore, including Evpatoria health resort (Crimea), Azov Sea zone, Black Sea health resort and Sochi health resort, climatotherapy for chronic dermatoses, atherosclerosis, coronary heart disease, rheumatic heart disease, after lung resection in children and non-organized vacationers; 9) At the west coast of Caspian Sea shore, climatotherapy for cerebrovascular disorder; 10) At the mountain hospital in Kyrgyz, of high-altitude mountain climate, aplastic anaemia and idiopathic thrombocytopenic purpura; 11) At the north shore of Sea of Japan, climatotherapy for the children with oncological disease. In Japan, the total length of coastline is 35,558 km, and the total number of islands is 6,852. The percentage of forest area is 66.4%, moderate-altitude mountain area (250-1,000m above sea level) is 45.0% and high-altitude mountain area (1,000-3,000m) is 6.4%. Climatic region distributes from the subtropical zone to the subarctic zone. Most of the coastal area is close to the mountain area. There are many health resorts for the forest therapy, balneotherapy and thalassotherapy. Conclusions: There would be a high potential of Japanese climate and geographical features as a health resort of climatotherapy and terrain kur to health promotion and disease prevention.
ABSTRACT
<b>Objective: </b>To review the related articles and consider the potential of Japanese climate and geographical features to health promotion and disease prevention in the context of health resort medicine.<BR><b>Method: </b>To summarise the studies concerning climatotherapy in the world, PubMed database was searched from 1965 to 2014. Additional references were identified from bibliographical searches of included studies.<BR><b>Results: </b>One hundred thirty-five articles were included. These articles were sorted according to the place of health resort and the objective: 1) At the Dead Sea, of maritime climate with natural sunlight and salt water, climatotherapy for psoriasis, atopic dermatitis, rheumatic diseases, vitiligo, uveitis, mycosis fungoides and hypertension; 2) At the Canary Islands, of subtropical maritime climate, climatotherapy for psoriasis, cerebral palsy and atopic dermatitis; 3) At the Alpine mountain area, of moderate- and high-altitude mountain climate, bronchial asthma, atopic eczema, chronic obstructive pulmonary disease (COPD), circulatory diseases, osteoporosis and metabolic syndrome; 4) At the North Sea, climatotherapy for bronchial asthma and atopic dermatitis; 5) At the Baltic Sea, climatotherapy for bronchial asthma, chronic bronchitis, psoriasis, pulmonary silicosis and children after rheumatic disease; 6) At the Island of Jerba in Tunisia, of the Mediterranean maritime climate, climatotherapy for fibromyalgia; 7) At the Adriatic Sea shore in Croatia, climatotherapy for bronchial asthma; 8) At the Black Sea shore, including Evpatoria health resort (Crimea), Azov Sea zone, Black Sea health resort and Sochi health resort, climatotherapy for chronic dermatoses, atherosclerosis, coronary heart disease, rheumatic heart disease, after lung resection in children and non-organized vacationers; 9) At the west coast of Caspian Sea shore, climatotherapy for cerebrovascular disorder; 10) At the mountain hospital in Kyrgyz, of high-altitude mountain climate, aplastic anaemia and idiopathic thrombocytopenic purpura; 11) At the north shore of Sea of Japan, climatotherapy for the children with oncological disease.<BR> In Japan, the total length of coastline is 35,558 km, and the total number of islands is 6,852. The percentage of forest area is 66.4%, moderate-altitude mountain area (250-1,000m above sea level) is 45.0% and high-altitude mountain area (1,000-3,000m) is 6.4%. Climatic region distributes from the subtropical zone to the subarctic zone. Most of the coastal area is close to the mountain area. There are many health resorts for the forest therapy, balneotherapy and thalassotherapy.<BR><b>Conclusions: </b>There would be a high potential of Japanese climate and geographical features as a health resort of climatotherapy and terrain kur to health promotion and disease prevention.
ABSTRACT
OBJECTIVE: To discuss the various factors contributory to the fatalities that resulted from the sinking of the MV Dona Paz. METHODS: Review of the pre-disaster, disaster and post-disaster events surrounding the sinking of the MV Dona Paz, as well as the subsequent response by the government and responsible agencies to the disaster. RESULTS: The Sinking of the MV Dona Paz, along with the loss of more than 4,000 precious lives, is but a footnote in the long litany of misfortunes plaguing the Philippine maritime industry. A closer look into the events and circumstances leading to this tragedy demonstrates a confluence of equipment and system inadequacy on one hand and human error and lack of preparedness on the other. CONCLUSION: Multiple factors account for the occurence of this tragedy, along with other maritime disaster incidents dotting the long maritime history of the Philippines. A cursory analysis of these factors may lead to recommendations that can prevent similar occurrences in the future and mitigate damage to property and loss of life. The policy implications of these findings are discussed in a subsequent paper.
Subject(s)
Philippines , Glucosamine , Disasters , Government , Policy , OrganizationsABSTRACT
OBJECTIVE: To discuss the various factors contributory to maritime disaster preparedness in the Philippines, in the context of the sinking of the MV Dona Paz and formulate recommendations to address these factors. METHOD: Review of the state of maritime preparedness in the pre-disaster setting and the post-disaster response following the sinking of the MV Dona Paz by the government and responsible agencies. A scrutiny of the state of preparedness of concerned agencies and subsequent response to the disaster was conducted with the objective of formulating recommendations which may lead to prevention and mitigate loss of lives. RESULTS: Multiple factors accounted for the occurrence of this tragedy. These factors include an inherent risk due to the geography of shipping industry and its labor force. Economic conditions prevent both the industry and government agencies from upgrading vessels and communications equipment. Lack of enforcement of existing regulations allows vessels to sail overloaded and at times manned by less-than-qualified crew. Delayed response and deficient post-disaster medical response may have led to a disproportionately high mortality. CONCLUSIONS: The systems inadequacies of the Philippine maritime disaster response mechanism are highlighted by the Dona Paz tragedy. Many of the factors contributing to the disproportionately high incidence of maritime disasters in the Philippines and the resulting loss of limb may be preventable. Recommendations on regulation and enforcement, disaster preparedness, search and rescue, and medical response are discussed.
Subject(s)
Incidence , Philippines , Glucosamine , Disasters , Government Agencies , Government , Men , Geography , EmploymentABSTRACT
The worst recorded man-made maritime disaster in the country and in Asia was the bombing of Super Ferry 14 last February 27, 2004. The pre-disaster and post disaster events surrounding the bombing incident were reviewed and summarized. The maritime disaster plan of the Philippine Coast Guard and the responding hospitals were reviewed and evaluation of the medical management of the casualties made. Investigation proved the incident to be due to explosive device brought in by a terrorist due to lapses in security. Prompt response of the disaster management team provided immediate rescue of survivors and provision of emergency management to the injured.
Subject(s)
Military Personnel , Philippines , Bombs , Terrorism , Disasters , Disaster Planning , Survivors , AsiaABSTRACT
Objective To investigate the effect of medical rescue of the Maritime Medical Team (Corps) for mass sick and wounded in maritime disaster so as to improve the medical rescue capacity for maritime disasters.Method The construction of maritime medical teams (corps) constituted with various numbers of 10, 15,50 and 120 team members, and the development of algorithm in practice were reviewed. In 68 maritime disasters from January 2003 to December 2009, 937 wounded were rescued by first-aid at sea. The patients were classified and given cardiopulmonary cerebral resuscitation, emergency operation, complication prevention, comprehensive treatment for seawater immersion wound and rapidly referred to hospitals. Results Of 937 patients, 872 survived (93%) and 65 died (7%). Of the dead, 16 died in one hour (25%), 43 died in 24 hours after injury (66%),andofthem, 61died of trauma (94% ) , 2 died of drowning and 1 died of poisoning. Conclusions Besides a good command of the features of mass sick and wounded, organization and program, treatment strategies and measures, the timely and effective assignment for on-site first aid at sea and safe transfer were very important for medical rescue of mass patients in maritime disaster. After the practice of maritime medical team (corps) in medical rescue during maritime disaster, the rapid response capability, cooperation and the quality of rescue were improved, and the experience of medical service of marine medical team (corps) was enriched.
ABSTRACT
Aim of this study is to investigate the effect of adding sodium borohydride (NaBH4) in kraft pulping. First of all, six kraft cooks were carried out for varying active alkali and sulfidity. Then, kraft methods for K1 and K6 cooks were modified by adding 1, 2 and 3 % NaBH4. The results indicated that modifying kraft method (K1) by adding 3% NaBH4 (KB13) resulted in 9.97% (relative percentage) yield increase and 10.1% (relative percentage) kappa reduction. Although the mechanical properties of NaBH4 modified pulps were lower compared to the kraft pulps, NaBH4 modified pulps were much brighter.
ABSTRACT
Eighty-four marine gliding bacteria were isolated from specimens collected in the Gulf of Thailand and the Andaman Sea. All exhibited gliding motility and swarm colonies on cultivation plates and they were purified by subculturing and micromanipulator techniques. Their 16S rRNA genes were amplified by the polymerase chain reaction (PCR) technique. The phylogenetic analysis indicated that the represented isolates can be separated into six different clads (gr 1 - gr 6) within the Cytophaga-Flavobacterium-Bacteriodes (CFB) group. Group 1 formed a remote linear, with only 90 percent sequence similarity, from Flavobacteriaceae bacterium which indicated a potentially novel taxonomic group. Groups 2 and 3 were identified as the recently proposed Tenacibaculum mesophilum and Fulvivirga kasyanovii respectively. Groups 4, 5 and 6, consisting of the largest number of the members, were identified as Rapidithrix thailandica, Aureispira marina and Aureispira maritima respectively. The isolates were cultivated in four different cultivation media (Vy/2, RL 1, CY and SK) and the crude extracts were submitted to screen cytotoxicity using a sulphorodamine B (SRB) assay. The results from cytotoxic screening showed that groups 2, 4 and 6 were capable of producing the cytotoxic metabolites against selected human cell lines (breast adenocarcinoma (MCF-7), colon cancer (HT-29), cervical cancer (HeLa) and oral cancer (KB)). However, groups 1, 3 and 5 did not produce metabolites with cytotoxicity when cultivated in the same cultivation media as the previous groups. CY medium was the only cultivation medium which could yield the cytotoxic metabolites against MCF-7.