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2011 (pdf, 4 MB) - Universitätsklinikum Hamburg-Eppendorf

2011 (pdf, 4 MB) - Universitätsklinikum Hamburg-Eppendorf

Arbeits- und

Arbeits- und Forschungsbericht 2011 und Planung 2012 Qualitätsziele nach ISO DIN EN 9001:2008 Stand 2011 Förderung der Methodenkompetenz in der wissenschaftlichen Arbeit ist durch Präsentationen erfolgt. Planung 2012 Ausbau der internen Kooperation und Integration AG Maritime Medicine The AG Maritime Medicine of the ZFAM is a shared scientific establishment of the north German coastal states for the purpose of conducting scientific enquiries and for assessing the working and living conditions onboard ship. Concern for the occupational health and protection of the seafarers and the provision of a competent consulation and advisory function are major priorities. The major current preoccupation of the AG has been the externally financed “Hamburg Seafarer Study“, which was designed to determine the mental and physical stress and strain on board. After tailoring the original design, the two sea journeys undertaken provided much information about onboard practicalities. A previous systematic literature review had revealed a major dearth of multifactorial maritime field studies that investigated the stress and strain on board. A cooperation with the “Health Centre and Outpatient Department of Dermatology and Venerology“ of the University Hospital Hamburg-Eppendorf (UKE) in respect of “Skin cancer from UV-irradiation in seafarers“ has been undertaken and the major hazards arising as a consequence of changes in shipping practices have been submitted for publication. Also, the two international publications from the AG about onboard semi-automatic defibrillators represent the successful termination of this interest. The AG has also contributed to the norm standardisations DIN NA 132, “Ship and sea technology“ and DIN NA 112-04-04 AA “Water rescue and security equipment“. By satisfying the responsibilities prescribed by the state, the AG Maritime Medicine has successfully supported the Ship Sanitation Committee of the German Federal States in issues pertaining to the provision of medical equipment and hygiene on board, medical training and refresher courses, the supply and upkeep of documentation and the maintenance of the occupational medicine library specific to maritime issues, which currentlyencompasses 32,000 publications). Projects 2011-2012 Major Activities and Results Stress Prevention Onboard Ship with AG Psychomental Strain cooperation with: BG Verkehr (Statutory Accident Insurance for Traffic and Transport); externally financed “Short Trip“ The collection of stress and strain parameters of seafarers at sea. The predominant focus was on stress and strain to the psyche, especially those inherent in an onboard existence, severe psychological ailments, the provision of healthcare and recovery or relaxation facilities, as well as communication and social welfare possibilities. From these objective and subjective observations, an effective strategy of sickness prevention measures are to be developed Status 2011 • Optimisation of the study concept and implementation of the first two sea journeys on container ships in the North and Baltic Seas with the collection of stress and strain parameters from those on board, with a compliance of >95% • The statistical determination of the study group of over 300 seafarers Plan 2012/ 2013 The participation in 13 further sea journeys on container ships (>250 container units) in the North and Baltic Seas Stress and strain field studies onboard ship The time and effort required to perform a real-time analysis on board is not only daunting but also problematic because of the interdependence of so many of the parameters. The scientific publications on this theme from the last two decades have been collated and evaluated Status 2011 Compilation of a review from the available literature on stress and strain for seafarers. The 13 relevant studies were predominantly interested in univariant analyses of stress and strain, especially for those individuals on watch duty or suffering from fatigue Plan 2012 67

Working and Research Activities 2011 and Plans 2012 Modern Risk Factors from Being at Sea Skin Cancer from UVirradiation in Seafarers cooperation with: Health Centre and Outpatient Department of Dermatology and Venerology, UKE Technical Improvements in Health Protection and Treatment on Board • International publication of the results • Completion of the investigation Risk of burnout in seafarers 251 active seafarers were assessed on boa+rd for risk of burnout using the Maslach Burnout Inventory (Factor: emotional exhaustion). Only a moderate risk was observed overall (10.8%), with the galley personnel more likely to be affected Status 2011 Submission of the results to an international journal (Oldenburg M, Jensen HJ, Wegner R. Burnout syndrome in seafarers; Int. Arch. Occup. Environ. Health 2012, Oldenburg M, Jensen HJ. Seafaring – a changing and hazardous occupation; Occup.Environ. Medicine 2012) Plan 2012 Publication The occupation of seaman and its changes in recent times: an expert and literature analysis Status 2011 • The major responsibilities of a modern seaman cover being on watch, fatigue, separation from the family and social milieu on land, multi-ethnic crews, the physical nature of the work, prolonged working hours, time pressure, high incidence of severe accidents, piratery • Submission of the manuscript to an international journal Plan 2012 Completion of the study and its publication Seafarers are generally more exposed to UV-radiation. The risk of skin cancer was assessed from dermatological tests (including an estimate from personal appraisals of the occupational and recreational exposure to UV). The development of a questionnaire for the assessment of the occupational and recreational exposure to UV. Status 2011 • Standardized questionnaire completed by 514 seafarers (55% officers, 23% crew, 12% galley personnel, 10% others) during their evaluation of competence for duty. There was no distinction between severe sunburn incidences before and during ther period of duty at sea. Dermatological investigations revealed 18% solar keratosis, 5.5% basal-cell carcinoma, 2% squamous-cell carcinoma und 1.8% melanoma. • In the multivariate regression analysis for influencing factors in solar keratosis, the expected lower risk for skin types according to Fitzpatrick was evident for age and duration of occupation as a seaman Plan 2012 • Implementation of further analyses with similar profile study groups • Publication in an international journal User-friendly semi-automatic defibrillators for use by non-medical staff at sea 130 male officers have been testing the user-friendliness and effectiveness of various defibrillators with varying degrees of success, in terms of readiness for use and the delivery of an electrical shock The evaluation of defibrillators on board merchant ships and their (telemedical) utility Four commercial systems were tested for their ability to communicate the results of the ECG to land-based personnel Status 2011 • Two publications of the results in international journals (Oldenburg M, Baur X, Schlaich C. Implementation of automated external defibrillators on merchant ships. J Travel Med 2011;18 (4):233-238, Oldenburg M, Baur X, Schlaich C. Assessment of three conventional automated external defibrillators in seafaring telemedicine. Occup 68

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