8 research outputs found
Polish system of education in maritime health care and medical assistance for seafarers
The Polish public awareness of the crucial importance of the own maritime economy to the very existenceof the national state has its historical reasons. The Polish maritime involvement has seen several dramaticcrises, but the Polish nationals have become an established group in the global marine trade workforceand are entitled to the proper health care. In this paper the main maritime health issues are mentioned.To meet the issues, also the national education system provides the opportunities for both seafarers andmedical professionals. The Polish doctors can specialise in the maritime medicine. In many cases the generalmedicine students formations include these topics as well. The psychological aspects are also takeninto account, both of the education of the seafarers and the organisational structure of the Polish healthcare system. Some recent aspects of the Polish participation in the international cooperation in the fieldof the medical support of the maritime economy are also described
Difficulties in the diagnosis of schistosomiasis in patients of the Departament of Tropical and Parasitic Diseases of the MUG
Between 2002 and 2006 in the Department of Tropical and Parasitic Diseases of the
Medical University of Gdansk 40 hospitalized patients were suspected of
schistosomiasis on the basis of clinical manifestations, epidemiological data and
positive serology tests (ELISA IgG).
In spite of multiple tests, schistosoma eggs were not identified neither in stool nor
in urine of the patients.
Histopathological examinations of liver and colon or bladder mucosal biopsy have
not revealed schistosoma eggs in chosen patients.
Diagnosis confirmation in case of negative parasitic tests requires serologic tests for
schistosomiasis. ELISA serology tests for antibodies class G were performed in all 40
patients. In some cases the results were dubious – index in the upper limit or only
slightly elevated. In those cases, cross reactions with Plasmodium spp. were taken into
account. In 10 patients, serologic index for schistosomiasis was elevated during or a few
weeks after treatment for malaria. In control tests, 4-8 weeks after the first examination, serologic indexes for schistosomiasis were significantly lower or normal without
specific treatment with praziquantel (Biltricide, Cesol). Seven patients were lost from
follow up.
Because of diagnostic difficulties confirmation tests with Immuno-Blot IgG were
introduced to verify ELISA. After final clinical and serologic analysis, human
schistosomiasis was diagnosed in 23 patients who were treated with success
Establishment of the International Maritime Health Foundation: the next step in scientific publishing in maritime health
The Bulletin of the Institute of Maritime and Tropical Medicine (IMTM) was published first time in 1948 as a preliminary publication. Since then it has developed and from 1999 it is known as International Maritime Health (IMH). Initially it was published by the Institute of Maritime and Tropical Medicine (IMTM) in Gdynia. From 2009 it was published by the Polish Society of Maritime, Tropical and Travel Medicine (PSMTTM) in cooperation with the International Maritime Health Association (IMHA) and the Norwegian Centre for Maritime Medicine (NCMM), later the Norwegian Centre for Maritime and Diving Medicine (NCMDM) at the Department of Occupational Medicine, Haukeland University Hospital, Bergen. After a couple of years of planning and discussions on how to take the journal forward, the International Maritime Health Foundation (IMHF) was established under Polish Law, 21st June 2018. This article discusses the process from the very beginning of the journal, until the establishment of the IMHF as well as the foundation鈥檚 objectives and way forward
Dengue antibodies in Polish travellers returning from the tropics. Evaluation of serological tests
Dengue is a viral disease caused by an RNA virus of the genus Flavivirus, family Flaviviridae, occurring as
four serotypes (DEN-1, -2, -3, -4). It is transmitted to humans by the Aedes mosquitoes, mainly A. aegypti.
The occurrence of dengue is strictly related with their preferred breeding areas. Dengue endemic regions
are inhabited by some 2.5 billion people. 50-100 million cases of dengue fever and up to 1 million cases
of dengue haemorrhagic fever are noted worldwide in more than 100 countries every year. The aim of the
reported examinations was to diagnose dengue virus infections in returning travellers. In the years 2006-2009 serological tests were performed in 753 persons. In the diagnostics we used ELISA to find IgM
and/or IgG class of antibodies against dengue virus, rapid immunochromatographic (cassette) test, NS1
viral antigen detection by ELISA, and virus RNA detection by RT-PCR method. IgM or IgG class antibodies,
and both classes simultaneously, were detected in 19.8% of the examined cases. The greatest number of
infections came from India and the Far East, next from South and Central America, and the smallest
number from Africa. Sixteen patients with diagnosed dengue, including three cases of dengue haemorrhagic
fever, were hospitalized.
Int Marit Health 2010; 61, 1: 36-4
Analysis of the phylogenetic group determination and the profile of virulence factors among the <i>E</i>. <i>coli</i> strains isolated from patients with chronic inflammation of the maxillary sinuses.
<p>Analysis of the phylogenetic group determination and the profile of virulence factors among the <i>E</i>. <i>coli</i> strains isolated from patients with chronic inflammation of the maxillary sinuses.</p