Traumatism during mooring operations on vessels

Кa, Shapovalov; Pk, Shapovalova

doi:10.17352/ams.000023

Cited by 5 publications

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“…The preventive dose of serum is 30000 ME, which is administered intramuscularly, previously diluted with threefold amounts of saline. Before administration of serum, the sensitivity of the victim to a foreign protein by intradermal test of serum diluted 1: 1000 is determined [25][26][27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Tactics of ship's doctor in the occupational open fractures of members of vessel's crew of the Northern Water's Basin

KA¹,

PK²

2021

Trauma Emerg Care

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Introduction:Providing qualified emergency assistance to members of vessel`s crew on on flights with occupational open fractures in a ship medical center, choosing the right tactics and adequate treatment allows to reduce the number of complications, shorten rehabilitation periods and retain personnel in the fleet.Material and methods: An analysis of the treatment of 151 patients with occupational open fractures that were injured in the ship's conditions during the performance of cruise tasks in the Northern Water`s Basin was carried out. The control group consisted of 705 victims who had closed fractures on ships. Analytical and statistical methods were used when working on the material. The significance of differences was calculated using Student's t-criteria for independent samples. Results:In the structure of the total occupational traumatism of members of vessel`s crew of the Northern Water`s Basin, fractures of bones of different localization amounted to 38.6%, then open among them -17.6% (10.7 frequency per 1000 workers) or 6.8% of the total number of injuries. Two thirds of occupational open fractures (60.8%) were received by sailors and engine mechanics. Alcohol intoxication was observed in 4.5% of victims. In flights, open fractures occur much more frequently (42.1%) than closed ones (34.6%). When performing flights at high latitudes, their share is higher (17.3%) compared to closed ones (13.9%), which is associated with the adverse effect of the complex of meteorological factors of polar navigation. After the occurrence of injuries were hospitalized in the surgical hospital in the first 6 hours -71.1% of victims, the first day -84.7%. The frequency of surgical treatment of open fractures is 1.8 times higher than with closed ones. The number of complications with open fractures is also almost 1.9 times higher than in the control group, and their proportion reaches 32.2%.Discussion: Based on the structure and localization of open fractures, the ship's doctor faces complex tactical measures in providing adequate qualified assistance, conducting diagnostic procedures, primary surgical treatment of wounds, manual reposition of bone fragments and imposition of transport immobilization during the evacuation of the victim. Antibacterial therapy for open fractures is carried out with therapeutic and preventive purposes in all cases. All victims of the number of members of vessel`s crew with open fractures should be prevented from tetanus and anaerobic infection with the introduction of tetanus toxoid and antifungal serum.Results: Occupational open fractures of members of vessel`s crew of the Northern Water`s Basin, fractures of bones of different localization amount to 17.6% (10.7 frequency per 1000 workers) of the total number of fractures or 6.8% of the total number of injuries.1. The highest risk of receiving open fractures when performing ship works related to: servicing and repairing machinery of the engine room, deck equipment, mooring operations, loading and unloading by the crew, closing the holds and h...

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Section: Discussionmentioning

confidence: 99%

Tactics of ship's doctor in the occupational open fractures of members of vessel's crew of the Northern Water's Basin

KA¹,

PK²

2021

Trauma Emerg Care

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“…However, there are some gaps in the scientific evidence regarding the use of analgesics in sports injuries. Solving these problems requires high-quality research on the development of new drugs, taking into account the experience of the author of the article and antidoping rules [27][28][29][30][31][32].…”

Section: Stress Fractures 53mentioning

confidence: 99%

Musculoskeletal Health Systematic Review: Clinical and Pharmacological, Organizational and Legal, Administration and Pharmaceutical Management Aspects

Shapovalova

2024

SSPMPM

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This article examines current aspects of musculoskeletal health and pharmacotherapy of disorders of the human musculoskeletal system. An objective review of disorders of the musculoskeletal system was conducted in the areas of administration, clinical and pharmacological, organizational and legal, pharmaceutical management. The results of the systematic review show that the availability of diagnoses in the section "Orthopedics and traumatology" on the platform of the state expert center of the Ministry of Health of Ukraine is limited. It is necessary and urgent to expand the scientific base for practicing doctors. The study confirmed the importance of using new clinical protocols in medical and pharmaceutical practice for the implementation of evidence-based medicine and evidence-based pharmacy in Ukraine. Gradual improvement of medical and pharmaceutical practice allows to increase the quality, efficiency, safety, availability of pharmacotherapy for patients with disorders of the musculoskeletal system. The paper examines guidelines developed on the basis of health evidence provided by Duodecim Medical Publications. The study shows the availability of a wide range of treatment methods and helps to determine optimal therapy strategies in the field of orthopedics. It was found that non-steroidal anti-inflammatory drugs and analgesics are more often prescribed for the pharmacotherapy of disorders of the musculoskeletal system, which emphasizes the perspective of further clinical and pharmacological, organizational and legal researches in the pharmaceutical development and management of new drugs.

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“…Equipment failure is responsible for 5.0% of these accidents (Figure 1) [3][4][5]. The UK P&I Club states that approximately 1/10 of personal injuries in ports are caused by mooring failures, with separate ropes and wire ropes being the primary cause [6][7][8][9]. The Australian Maritime Safety Authority (AMSA) received 227 mooring-related incident reports between 2011 and 2015, resulting in 51 injuries [10].…”

Section: Introductionmentioning

confidence: 99%

Computational Analysis for Estimation of Mooring Force Acting on Various Ships in Busan New Port

Yan,

Oh,

Seo

2023

JMSE

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Recently, smart port systems connected to autonomous ships have attracted increasing interest. Thus, an intelligent port system can automatically berth to create an intelligent port system. To ensure the safety of large ships moored in open coastal terminals, which are often subjected to bad weather such as strong winds, it is necessary to calculate and evaluate their mooring security on a case-by-case basis. In this study, the mooring capacities of the large ships were estimated according to the port and fishing port design criteria of the Ministry of Ocean and Fisheries. Under the wind speed of 14 m/s, the longitudinal and lateral forces acting on the JBC, KCS, and KVLCC ships are 41.2 and 340 kN, 38.7 and 837 kN, and 77.2 and 222 kN, while under the wind speed of 30 m/s, they are 43 and 1674 kN, 132.7 and 4118 kN, and 159.2 and 1091 kN, respectively, for the mooring forces.

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Traumatism during mooring operations on vessels

Cited by 5 publications

References 0 publications

Tactics of ship's doctor in the occupational open fractures of members of vessel's crew of the Northern Water's Basin

Tactics of ship's doctor in the occupational open fractures of members of vessel's crew of the Northern Water's Basin

Musculoskeletal Health Systematic Review: Clinical and Pharmacological, Organizational and Legal, Administration and Pharmaceutical Management Aspects

Computational Analysis for Estimation of Mooring Force Acting on Various Ships in Busan New Port

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