scholarly journals Medical unfitness for work at sea: causes and incidence rate over a 12-year period in France

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Brice Loddé ◽  
Marie-Fleur Megard ◽  
Nicolas Le Goff ◽  
Laurent Misery ◽  
Richard Pougnet ◽  
...  
Keyword(s):  
Incidence Rate ◽  
Circulatory System ◽  
Dilution Effect ◽  
National Database ◽  
Annual Number ◽  
Prevention Measures ◽  
Medical Coding ◽  
Fishing Sector ◽  
External Causes ◽  
Set Up

Abstract Background The purposes of the study were first to determine the incidence rate of medical unfitness for work at sea among French seafarers, second to identify the conditions (diseases or accidents) causing such incapacity so as to set up prevention measures where possible and third to ascertain whether there were any overrepresentations of diseases according to category of unfit seafarers (fishers, merchant seafarers, shellfish farmers and professional sailors). Methods An exhaustive, observational, descriptive, retrospective epidemiological and nosological study was carried out based on the medical coding of files stored in the Aesculapius® national database, which registers all medical data regarding seafarers presenting at the French seafarers’ health services. The increasing rate of permanent medical unfitness for work at sea was calculated in relation to the annual number of registered seafarers. A 12-year span was chosen in an attempt to ascertain the different sociodemographic categories associated with incapacity. Results In all, 2392 seafarers were declared unfit for work at sea. This represents a permanent medical unfitness for work at sea incidence rate of below 1% for all French seafarers examined for medical fitness between 2005 and 2016. The average age of the population of unfit seafarers was 48. The average time spent at sea before being declared unfit for work at sea was 15.5 years. Sixty-seven percent of the seafarers declared unfit had been working in the fishing sector. The main reasons for deciding permanent unfitness for work at sea were: rheumatological conditions associated specifically with the spine; injuries relating to accidents or other external causes, mostly affecting the upper limbs; mental and behavioural disorders, including mood disorders and particularly addictions; and diseases of the circulatory system, namely coronopathies. The incidence rate of medical unfitness for work at sea was seen to increase between 2005 and 2016, but a decrease due to the dilution effect was noted in 2015. Conclusions Permanent unfitness seldom occurs among French professional seafarers. Prevention measures must be focused on musculoskeletal disorders, psychiatric affections and coronary conditions as well as on combatting maritime accidents, especially in the professional fishing sector, where such affections and accidents are overrepresented.

scholarly journals Analysis of indicators of primary disability in employees of the federal fire service of emercom of Russia and the population of Russia aged 18–44 from 2006 to 2015

2019 ◽  
pp. 5-28 ◽  
Author(s):  
S. S. Aleksanin ◽  
V. I. Evdokimov ◽  
E. V. Bobrinev ◽  
N. A. Mukhina
Keyword(s):  
Adult Population ◽  
Circulatory System ◽  
Fire Service ◽  
Annual Number ◽  
Circulatory System Diseases ◽  
Classification Of Diseases ◽  
Primary Disability ◽  
Icd 10 ◽  
International Statistical Classification ◽  
External Causes

Relevance. Extreme activities of firefighters contribute to the deterioration of health or even death. Increased morbidity and injuries of firefighters are associated with persistent health impairments and disability.Intention. To analyze disability rates and cause-of-disability structure in employees of the Federal Fire Service of Russian EMERCOM and in Russian young population (18–44 years) over 10 years, from 2006 to 2015.Methodology. The average annual number of examined employees of the FFS of the EMERCOM of Russia was (99.3 ± 5.6) thousand people, i. e. at least 80% of the personnel of the FFS of the EMERCOM of Russia with special military ranks. Cases were identified and disability was calculated per 10 thousand employees of the FFS of EMERCOM of Russia. Causes of disability were classified via the International Statistical Classification of Diseases and Health Problems, the 10th revision (ICD-10) and disability indicators were compared to that of a cohort of the population of young working age (18–44 years), according to the Federal Bureau of Medical and Social Expertise of the Ministry of Labor of Russia (Moscow).Results and Discussion. Newly recognized disability cases averaged (15.98 ± 0.99) per 10 thousand employees of the Federal Fire Service of the EMERCOM of Russia vs (25.51 ± 1.19) cases per 10 thousand population of Russia aged 18–44 (1.6-fold; p <0.001). Mean age of employees of the Federal Fire Service of the EMERCOM of Russia with disability was (37.8 ± 0.7) years. The main causes of disability in firefighters were circulatory system diseases (ICD-10 chapter IX), injuries, poisonings and other effects of external causes (chapter XIX), neoplasms (II), diseases of the musculoskeletal system and connective tissue (ICD-10 chapter XIII), diseases of the digestive system (XI). Disability rates due to these causes per 10 thousand employees per year were 4.58 ± 0.59, 1.80 ± 0.17, 1.66 ± 0.20, 1.63 ± 0.24 and 1.12 ± 0.26, respectively; in the structure of disability causes – 28.7, 11.3, 10.4, 10.2 and 7.0%, respectively.Compared with the population of Russia aged 18–44, in employees of the Federal Fire Service of the EMERCOM of Russia a significantly greater contribution to disability was identified for circulatory system diseases (ICD-10 chapter IX), respiratory diseases (X) and diseases of the digestive organs (XI), a smaller one – for some infectious and parasitic diseases (I), neuropsychiatric disorders (V + VI), injuries, poisoning and other external influences (XIX). Meanwhile, the proportion of Injury, poisoning and certain other consequences of external causes (ICD-10 chapter XIX) in cause-of-disability structure increases.Conclusion. Disability rates in employees of the Federal Fire Service of the EMERCOM of Russia were statistically significantly lower than in the population of Russia aged 18–44 years. On one hand, this suggests optimal work strategies in firefighters, on the other – high disability rates among the adult population of Russia. For a number of causes of disability in firefighters, there is a significant contribution of occupational factors, which require further research. 

Risk Prevention Measures for Three-Tower and Four-Span Suspension Bridge under Vehicle Fire

2014 ◽  
Vol 919-921 ◽  
pp. 590-597
Author(s):  
Mu Yu Liu ◽  
Wei Tian ◽  
Ying Wang ◽  
Wu Jing ◽  
Xi Chen
Keyword(s):  
Reporting System ◽  
Suspension Bridge ◽  
Risk Prevention ◽  
Public Security ◽  
Alarm System ◽  
Prevention Measures ◽  
Fire Control ◽  
Emergency Rescue ◽  
Report System ◽  
Set Up

Risk prevention measures were put forward about vehicle burning in operating periods for three-tower and four-span suspension bridge, combining with the characteristics of bridge vehicle burning accident. The article set up a traffic reporting system of the tankers for a bridge, and determined the report system of tankers across the bridge. Tankers should passed in the middle of the lane near the median under the guidance of bridge manager. Significant indicators were set on both ends of the bridge, so that vehicles could shunt rapidly in extreme fire conditions. Department of public security, fire control, transportation, bridges management center should get together to establish accident emergency rescue leading group, and formulated the security system of fire resistance and rescue organization for YingWuzhou Yangtze river bridge. Video monitoring alarm system and fire control facilities were set up in side pier, side tower, middle of the main span and the middle tower, which provided reliable and prevention measures for bridge operation.

Use of a Catecholamine Sensor in the Control of an Artificial Heart System

1997 ◽  
Vol 20 (1) ◽  
pp. 37-42 ◽  
Author(s):  
K. Mabuchi ◽  
T. Chinzei ◽  
Y. Abe ◽  
K. Imanishi ◽  
T. Isoyama ◽  
...  
Keyword(s):  
Control System ◽  
Plasma Proteins ◽  
Artificial Heart ◽  
Circulatory System ◽  
Reference Electrode ◽  
Mock Circulatory System ◽  
Real Time Measurement ◽  
Artificial Hearts ◽  
Set Up ◽  
Catecholamine Concentration

An electrochemical sensor system to allow real-time measurement and feedback of catecholamine concentrations was developed for use in the control of artificial hearts. Electrochemical analyses were carried out using a carbon fiber working electrode, an Ag-AgCI reference electrode, and a potentiostat. The operating parameters of the pneumatically-driven artificial heart system were altered in accordance with the algorithm for changes in the catecholamine concentration. The minimum detectable concentrations of both adrenaline and noradrenaline in a mock circulatory system using a phosphate-buffered solution were approximately 1-2 ng/ml (10-8 mol/L). An artificial heart control system utilizing this set-up performed satisfactorily without delay, although sensor sensitivity decreased when placed in goat plasma instead of a phosphate-buffered solution, due to the adsorption of various substances such as plasma proteins onto the electrodes. This study demonstrated the future feasibility of a feedback control system for artificial hearts using catecholamine concentrations.

IMPROVING HEALTH PROTECTION STRATEGY OF THE NUCLEAR INDUSTRY ENTERPRISE PERSONNEL AND POPULATION LIVING WITHIN ITS CATCHMENT AREA

2021 ◽  
Vol 67 (1) ◽  
pp. 2-2
Author(s):  
D.E. Kalinkin ◽  
◽  
R.M. Takhauov ◽  
I.V. Milto ◽  
Yu.A. Samoilova ◽  
...  
Keyword(s):  
Catchment Area ◽  
Population Decline ◽  
Circulatory System ◽  
Nuclear Industry ◽  
Health Protection ◽  
Malignant Neoplasms ◽  
National Project ◽  
Protection Strategy ◽  
Working Age ◽  
External Causes

The purpose of the study is to develop approaches to improve the health protection strategy of the nuclear industry enterprise staff and population living within its catchment area in the context of the national project “Healthcare”. The material for the study was information on dynamics in population indicators characterizing health status of the nuclear industry enterprise staff and population living within its catchment area in 1970-2017. Results. The study shows that the analyzed population is characterized by a significant decrease in the birth rate, increased mortality (including people of working age) from diseases of the circulatory system, malignant neoplasms and external causes, population decline, and decreased life expectancy. Conclusion. On the basis of the results obtained, approaches have been developed to improve health protection strategy for the above contingents in the context of the National Project “Healthcare”.

scholarly journals Assessment of Knowledge, attitudes and practices concerning travel health among Hajj pilgrims (1439 H- 2018 G) at Prince Mohammad bin Abdulaziz International Airport in AL-Madina, Saudi Arabia

2021 ◽  
Author(s):  
Eman Elsayed Abd-Ellatif ◽  
Lamya Alhomidan ◽  
Lujain Al-Assaf ◽  
Lamees AlGhamdi ◽  
Alwaleed Alharbi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Respiratory Infections ◽  
Travel Medicine ◽  
Waterborne Diseases ◽  
Prevention Measures ◽  
Mortality And Morbidity ◽  
Attitudes And Practices ◽  
International Airport ◽  
Continued Education ◽  
Set Up

Abstract BackgroundThe Kingdom of Saudi Arabia (KSA) hosts the Hajj pilgrimage, the largest annual mass gathering in the world. The Ministry of Health (MoH) of KSA issues requirements and recommendations for entry visas relevant to travelers visiting KSA during Hajj. These recommendations include vaccinations, health checks, and specific immunizations either at or prior to entry into KSA. We assessed Hajj pilgrims’ knowledge, attitude and practices regarding preventive, curative, hygienic and health promoting measures. Methods We administered a questionnaire to a cross-section of Hajj pilgrims(2018 G)traveling through Prince Mohammad bin Abdulaziz International Airport in Al-Madina, KSA. Variables collected included demographics, Hajj health preparations, and knowledge and attitudes towards travel-related health behaviors. Results Of 101 respondents, 20% were Saudi and 64%were male. Regarding travel profile, 75% were attending hajj for the first time. About half (52%) stayed in KSA for more than 2 weeks. Knowledge regarding travel heath of respondents was high: 82% scored as excellent and 11% scored as good. Positive attitude toward travel medicine was reported by 60% of participants; 56% of them sought pre-travel advice. Regarding health protection behaviors, 79%reported using protective measures against respiratory infections, 70%for insects, 95%for food and waterborne Diseases, 99%against heat-related conditions and 100%for injuries.Conclusion We found that less than half of participants obtained pre-travel advice, despite the health requirements for obtaining Hajj visas and the known health risks associated with attending Hajj. We identified a need for continued education and promotion of health prevention measures to ensure that Hajj pilgrims are able to have a safe and healthy experience in the Kingdom. This study may be a tool for a purposeful political will to empower countries to set up Hajj health programmes, which would be of great benefit and would go a long way to decrease mortality and morbidity, and associated burdens during Hajj.

scholarly journals Mortality in Russia: the second epidemiological revolution that never was

2015 ◽  
pp. 4-33 ◽  
Author(s):  
Anatoly Vishnevsky
Keyword(s):  
Life Expectancy ◽  
Causes Of Death ◽  
Age Distribution ◽  
Circulatory System ◽  
Developed Countries ◽  
Significant Rise ◽  
Past Half Century ◽  
External Causes Of Death ◽  
External Causes ◽  
Age Of Death

The article looks at different approaches to the conceptualization of the modern stage of mortality reduction (the "new stages” of the epidemiological transition, "the second epidemiological revolution”, the “health transition”). During this stage, which has lasted for at least half a century, revolutionary changes have taken place in most developed countries. These changes manifest themselves in the drastic expansion of the degree of control over non-infectious causes of death—particularly over diseases of the circulatory system, neoplasms, and other non-communicable diseases, as well as over external causes of death. As a consequence of these changes, there has been a rapid shift of deaths from the abovementioned causes to older ages, an increase in the mean age of death from these causes, and, ultimately, a significant rise in life expectancy. Russia, unfortunately, is watching this revolution from the outside, without taking any part in it. The age distribution of deaths from major classes of causes of death in Russia has not changed over the past half-century, life expectancy has stagnated, and Russia has increasingly lagged behind the majority of developed countries with respect to this indicator. Thus, the “second epidemiological revolution” has not yet to occur in Russia.

scholarly journals Mortality from external causes in Russia over half a century

2015 ◽  
pp. 85-108
Author(s):  
Ekaterina Kvasha ◽  
Tatiana Kharkova ◽  
Valeriy Yumaguzin
Keyword(s):  
Life Expectancy ◽  
Causes Of Death ◽  
Circulatory System ◽  
Developed Countries ◽  
Large Contribution ◽  
Mortality Trends ◽  
Undetermined Intent ◽  
External Causes Of Death ◽  
Excess Number ◽  
External Causes

The article discusses long-term mortality trends (since 1956) from external causes of death in Russia. Russia has long lagged behind developed countries in this domain. The level of mortality from external causes of death remains high and its structure is still archaic with large contribution of homicides, alcohol poisoning and injuries of undetermined intent. Excess number of deaths from life tables of Russia and Western European countries is compared. It is shown that in Russia the greatest excess losses are associated with mortality from poisonings among both sexes, suicide among men and homicide among women. Mortality from external causes, along with mortality from diseases of the circulatory system, has had a significant impact on life expectancy. In general, over the period 1956-2012 the increase in mortality from external causes in the 15-64 age group reduced life expectancy by 2.6 years for males and 0.7 years for females. The decline, starting in 2003, of mortality from external causes of death has slightly reduced the gap between Russia and developed countries, bringing the current Russian level closer to those levels reached in Russia in the mid-1960s and 1980s. However, given the fluctuations of mortality from external causes, it is premature to say whether the current decline in mortality is robust.

scholarly journals Characteristics of mortality in the Orenburg region population in 2011-2017

2020 ◽  
Vol 5 (2) ◽  
pp. 99-104
Author(s):  
Evgenii L. Borschuk ◽  
Dmitrii N. Begun ◽  
Tatyana V. Begun
Keyword(s):  
Mortality Rate ◽  
Causes Of Death ◽  
Age Groups ◽  
Circulatory System ◽  
Mortality Rates ◽  
Female Population ◽  
Orenburg Region ◽  
The Third ◽  
Circulatory System Diseases ◽  
External Causes

Objectives - to study the mortality indicators, their dynamics and structure, in the population of the Orenburg region in the period of 2011-2017. Material and methods. The study was conducted using the data from the territorial authority of statistics in the Orenburg region in the period from 2011 to 2017. The analytical, demographic and statistical methods were implemented for the study of the demographic indicators. Results. Cities and municipal settlements of the Orenburg region with high mortality indicators were included in the second and fourth clusters during the cluster analysis. The first and third clusters included cities and municipal settlements with an average mortality. The most favorable position has the Orenburg area with the lowest mortality rate in the region in 2017 - 8.4%. The dynamics of mortality rates among the male and female population tends to decrease, more pronounced dynamics is in men. Though, the male population is characterized by higher mortality rates in all age groups. The leading position among the causes of death is taken by diseases of the circulatory system (46.3% of the total mortality). The second position is occupied by tumors (17.2%), the third - by external causes (8.4%). Mortality from circulatory system diseases and from external causes has reduced. The dynamics of mortality from tumors does not change significantly. The rank of leading causes of death is not identical in the clusters: in the third and fourth clusters, the other causes occupy the second place in the structure of mortality, while tumors occupy the third. Conclusion. In the Orenburg region, the mortality rate is higher than overage in the Russian Federation by 0.9 per 1000 people. The study revealed significant territorial differences in the mortality rates. In general, the mortality among men in all age groups is higher than the mortality of women. The mortality rate from diseases of the circulatory system plays the leading role in the structure of mortality, but has the tendency for decline. Until 2006, the mortality from external causes ranked the second place, now the second place is taken by death from tumors The mortality from external causes is decreasing; mortality from tumors does not change significantly. The obtained results could be used by local authorities in developing the program of public health protection and assessing its effectiveness.

scholarly journals LONG-TERM INCIDENCE OF CERVICAL CANCER IN WOMEN WITH HUMAN IMMUNODEFICIENCY VIRUS

2018 ◽  
Vol 8 (5-s) ◽  
pp. 394-399
Author(s):  
Subhash Kumar Mishra Golden ◽  
Nidhi Vishnoi
Keyword(s):  
Cervical Cancer ◽  
Human Immunodeficiency Virus ◽  
Cancer Prevention ◽  
Incidence Rate ◽  
Invasive Cervical Cancer ◽  
Incidence Rates ◽  
Self Report ◽  
Prevention Measures ◽  
Immunodeficiency Virus ◽  
Hiv Negative

Background: The objective of this study was to estimate the incidence of invasive cervical cancer (ICC) in women with human immunodeficiency virus (HIV) and compare it with the incidence in HIV-uninfected women. Methods: In a cohort study of HIV-infected and uninfected women who had Papanicolaou tests obtained every 6 months, pathology reports were retrieved for women who had biopsy results or a self report of ICC. Histology was reviewed when reports confirmed ICC. Incidence rates were calculated and compared with those in HIV-negative women. Results: After a median follow-up of 10.3 years, 3 ICCs were confirmed in HIV-seropositive women, and none were confirmed in HIV-seronegative women. The ICC incidence rate was not found to be associated significantly with HIV status (HIV-negative women [0 of 100,000 person-years] vs HIV-positive women [21.4 of 100,000 person-years]; P = .59). A calculated incidence rate ratio standardized to expected results from the Surveillance Epidemiology and End Results database that was restricted to HIV-infected Women’s Interagency HIV Study participants was 1.32 (95% confidence interval, 0.27-3.85; P = 0.80). Conclusions: Among women with HIV in a prospective study that incorporated cervical cancer prevention measures, the incidence of ICC was not significantly higher than that in a comparison group of HIV-negative women. Keywords: Cervical Cancer, Human Immunodeficiency Virus, Women, Cancer Prevention.

Deaths Associated with Ankylosing Spondylitis in France from 1969 to 2009

2017 ◽  
Vol 44 (5) ◽  
pp. 594-598 ◽  
Author(s):  
Clément Prati ◽  
Marc Puyraveau ◽  
Xavier Guillot ◽  
Franck Verhoeven ◽  
Daniel Wendling
Keyword(s):  
Ankylosing Spondylitis ◽  
Circulatory System ◽  
International Classification Of Diseases ◽  
Death Certificates ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Mortality Ratio ◽  
External Causes Of Death ◽  
External Causes

Objective.To describe deaths for which ankylosing spondylitis (AS) was on death certificates in France.Methods.Death certificates in which AS was indicated were evaluated. Standard mortality ratio (SMR) was assessed.Results.AS appeared in 2940 death certificates. The mortality rate of AS seemed stable. The most frequent initial causes were diseases of the circulatory system [28.3% in the International Classification of Diseases, 10th ed (ICD-10)]. SMR adjusted for age and sex were 2.1 (95% CI 1.45–2.91) for infections and 0.43 (0.36–0.5) for cancers (ICD-10 period).Conclusion.This study found an increase in mortality from infectious and external causes of death; conversely, patients with AS appear to die less frequently from cancer.

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