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  • 1
    In: Journal of Neuroimaging, Wiley, Vol. 9, No. 4 ( 1999-10), p. 198-200
    Type of Medium: Online Resource
    ISSN: 1051-2284
    Language: English
    Publisher: Wiley
    Publication Date: 1999
    detail.hit.zdb_id: 2035400-9
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  • 2
    Online Resource
    Online Resource
    Georg Thieme Verlag KG ; 2020
    In:  Flugmedizin · Tropenmedizin · Reisemedizin - FTR Vol. 27, No. 01 ( 2020-02), p. 43-46
    In: Flugmedizin · Tropenmedizin · Reisemedizin - FTR, Georg Thieme Verlag KG, Vol. 27, No. 01 ( 2020-02), p. 43-46
    Abstract: Das europäische Projekt Healthy GateWays Joint Action, gefördert von der Europäischen Union (EU), hat zum Ziel, die internationalen Gesundheitsvorschriften an Grenzübergangsstellen verstärkt umzusetzen. Nach den europäischen Vorläuferprojekten EU SHIPSAN ACT Joint Action und AIRSAN stehen in der aktuellen Joint Action das Management übertragbarer Erkrankungen an allen Schnittstellen des öffentlichen Personenverkehrs im Fokus und wie im Sinne der sogenannten „Preparedness and Response“ auf diese präventiv und im Falle eines Krankheitsausbruchs reagiert werden kann. Zusätzlich zu Flughäfen und Häfen werden auch Landübergänge miteinbezogen, da hier die internationalen Gesundheitsvorschriften nur zu einem geringen Anteil umgesetzt sind.
    Type of Medium: Online Resource
    ISSN: 1864-4538 , 1864-175X
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2020
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  • 3
    In: Flugmedizin · Tropenmedizin · Reisemedizin - FTR, Georg Thieme Verlag KG, Vol. 28, No. 01 ( 2021-02), p. 13-24
    Abstract: Seit Dezember 2019 hält das SARS-CoV-2-Virus die Welt in Atem. Die maritime Welt wird von der Pandemie vielfältig getroffen. Reiserestriktionen schränken den Nachschub von z. B. Ersatzteilen ein und behindern den Crewwechsel massiv. Reguläre und irreguläre Kontakte zur Bevölkerung der jeweiligen Häfen ermöglichen einen Eintrag des Virus in das Schiff. Beengte Lebensverhältnisse an Bord tragen zu einer Ausbreitung des Virus bei. Wir berichten über 2 Ausbruchsgeschehen an Bord von Frachtschiffen, die in ihrer Komplexität die infektionsepidemiologischen Herausforderungen schlaglichtartig beleuchten.
    Type of Medium: Online Resource
    ISSN: 1864-4538 , 1864-175X
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2021
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  • 4
    In: Notfall + Rettungsmedizin, Springer Science and Business Media LLC
    Abstract: In the event of emergency response to large-scale incidents, such as a mass casualty incident (MCI) or a mass casualty incident–infectious disease (MCI-ID), regular training is essential in order to have experienced emergency personnel available in the event of an incident. Due to the pandemic drills often had to be cancelled or were only possible with small groups of people. It was often not possible to simulate a large-scale emergency with actors, so that the trainees could not be offered realistic scenarios of a mass casualty or disease incident. As part of two research projects, a digital platform for conducting training was used to avoid the risk of infection between participants during the exercises, so that on-site personnel deployment could be reduced to a minimum. The goal of this work was to evaluate end-user acceptance of the digital solution approaches. Methods Within the framework of the project “Adaptive Resilience Management in Ports” (ARMIHN), a digital exercise platform was applied and evaluated with the help of participant surveys according to the focal points “implementation”, “alternative possibilities”, “learning effect” and “usability”. The participants used the digital platform to exchange information and to communicate. For this purpose, various collaboration tools were embedded in the platform, which enabled simultaneous exchange of information in real time. Constant video communication with in-house and external authorities/teams was also established. Results The potential of the digital platform as an alternative to on-site exercises was confirmed by the participating end users in the ARMIHN project with 90% agreement. The increase in subjective skills and knowledge gained during a MCI-ID was also predominantly rated approvingly (up to 70%). Participants who rated the implementation of the online format as well performed were significantly more likely to state that subjectively their ability to handle a MCI-ID had improved ( p  = 0.016). In contrast, virtual staff teamwork in real crisis situations was viewed critically by about half of respondents. Conclusion Overall, the evaluation results point to the high end-user acceptance of the developed concept. Even though the aim is to evaluate the system over a longer period with a larger number of participants, the studies already conducted confirm the positive experiences in the respective projects.
    Type of Medium: Online Resource
    ISSN: 1434-6222 , 1436-0578
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 1478809-3
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  • 5
    In: Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, Springer Science and Business Media LLC, Vol. 64, No. 4 ( 2021-04), p. 454-462
    Abstract: COVID-19 has been challenging our society since January 2020. Due to global travel, the new coronavirus has rapidly spread worldwide. This article aims to provide an overview of the challenges in implementing measures in the air and maritime transport sector from the perspective of the German Public Health Service (Öffentlicher Gesundheitsdienst, ÖGD). Significant events and measures for air and maritime transport between January and August 2020 were selected. Lessons learned are discussed. During the COVID-19 pandemic, the ÖGD has been operating in a field of tension between the dynamics of scientific knowledge, political decision-making, social acceptance and consent. There are specific challenges at points of entry such as airports and seaports. These include staff shortages and the need to implement measures with a high organisational effort at very short notice such as health authority passenger checks carried out on aircraft, the establishment of test centres at points of entry and control of compliance with quarantine measures. Aggravating the situation, passenger lists, which are necessary for effective contact tracing, are often not available or incomplete. There is also a lack of digital tools for contact tracing but also, for example, the exchange of personal data within the ÖGD. Further difficulties in outbreak management arise from the cramped conditions on board ships and from the potential psychological stress on crew members and passengers, which have not yet been sufficiently considered. In view of all these challenges, it is paramount to strengthen the German Public Health Service in general and at points of entry and to intensify the exchange between the national, federal state and local levels.
    Type of Medium: Online Resource
    ISSN: 1436-9990 , 1437-1588
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 1470303-8
    SSG: 20,1
    SSG: 8,1
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  • 6
    In: Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie, Springer Science and Business Media LLC, Vol. 71, No. 6 ( 2021-11), p. 296-304
    Abstract: A pandemic is a particular medical challenge for seafarers traveling without a physician on board. At the same time the global fight against the coronavirus disease 2019 (COVID-19) pandemic has to rely on resilient merchant shipping in order to maintain the flow of goods. For infection prevention and management on board, those responsible need a portfolio of protective measures that can be used on ships. Research questions The overview examines the question of which technical, organizational and personal protective measures can be used on a merchant ship in order to prevent or cope with COVID-19 outbreaks on board. Material and methods Guidelines, information and occupational health and safety standards from the maritime setting, but also from many other work areas, were examined in order to facilitate a variable use by those responsible (e.g. according to ship size, equipment, weather, operating status, work requirements, contact with external persons, medical problems). Results A handout was compiled that contains specific technical, organizational and personal protective measures for crews, explaining their use in a maritime context. Possible safety barriers, options to combine them and an appropriate timing are explained in a target group-oriented manner. Conclusion A great variety of protective measures derived from occupational medical literature and the experience of the port medical service in Hamburg can also be implemented on the high seas. In pandemic times, merchant ships should be equipped with foresight (e.g. with rapid diagnostic tests) and those responsible should be authorized to use effective infection control measures adapted to the situation on board. Seafarers should receive priority vaccination offers regardless of their national origin.
    Type of Medium: Online Resource
    ISSN: 0944-2502 , 2198-0713
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2247312-9
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  • 7
    In: Journal of Occupational Medicine and Toxicology, Springer Science and Business Media LLC, Vol. 16, No. 1 ( 2021-12)
    Abstract: The project “ARMIHN” (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks on cruise ships, previous MCI-ID were especially caused by pathogens such as Influenza virus or Norovirus. The first step was, to get an overview of processes and resources using the example of the Port of Hamburg, and to show the associated interaction of involved parties. This will serve as a basis for developing an operational strategy and offers the opportunity to optimize current work processes. Methods A selective literature research using specified key words was performed and existing MCI concepts were received from local authorities. Identified structures and processes were analyzed in a multiple step process and also brought together through discussions in workshops with involved organizations and other experts. Additionally, the distances between the nearest rescue stations and selected hospitals from the Port of Hamburg were analyzed. Results The current available concepts are proven, but an adaptation to an MCI-ID shows opportunities for a further cross-organizational development. The organizational structure of an MCI-ID in the Port of Hamburg was described, including a large number of involved organizations ( n  = 18). There are 17 involved fire and rescue stations and the port can be reached from these locations within 6 to 35 min. Based on their specialist expertise, 14 of the 31 listed clinics were selected. Conclusion The purpose of the study was to provide an analysis of the current situation and show how involved parties would cope an MCI. A description of processes and resources at the Port of Hamburg will be used when designing a management plan for responding to an MCI-ID.
    Type of Medium: Online Resource
    ISSN: 1745-6673
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2223190-0
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  • 8
    In: Journal of Occupational Medicine and Toxicology, Springer Science and Business Media LLC, Vol. 16, No. 1 ( 2021-12)
    Abstract: Food choices on board merchant ships are limited and seafarers repeatedly described as being at high risk of developing overweight compared to the general population. Up to date, research has not distinguished whether seafarers gain weight on board or at home and whether eating habits differ in both settings. Methods As part of the e-healthy ship project, cross-sectional data were collected in two different measurements. In the first investigation on board of three merchant ships of German shipping companies, differences in eating behaviour at home compared to on board ships were assessed for 18 Burmese, 26 Filipino and 20 European seafarers. In a second study, BMI, weight development and location of body weight change of 543 Filipino and 277 European seafarers were examined using an online questionnaire on 68 ships. Results According to the board examinations, foods and beverages consumed on merchant ships varied widely from seafarers’ diets in their home country. Burmese, Filipino and European seafarers equally reported to consume more fruit (z = 4.95, p   〈  .001, r =  .62) and vegetables (z = 6.21, p  〈  .001, r =  .79), but less coke (z = −5.00, p  〈  .001, r =  .76) when at home. Furthermore, culturally different changes were found across all other foods and beverages. The online questionnaire revealed that 45.8% of seafarers were overweight (55.4% Europeans vs. 40.8% Filipinos, p   〈  .001) and 9.8% obese. Moreover, a higher percentage of Europeans compared to Filipinos reported weight gain over the course of their professional career (50.2% vs. 40.7%, p  = .007). A sub-analysis of seafarers with weight gain found that more Europeans than Filipinos gained weight at home (43.9% vs. 23.1%, p   〈  .001). Conclusions Both, home and working on board merchant ships, represent very different living environments which may affect seafarers’ lifestyle and eating habits in various ways and thus could favour or inhibit weight gain. From our results, it appears that the body weight and eating habits of Asian seafarers in particular are adversely affected by the working and living conditions on board. Further prospective studies are required to prove this hypothesis.
    Type of Medium: Online Resource
    ISSN: 1745-6673
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2223190-0
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  • 9
    Online Resource
    Online Resource
    Georg Thieme Verlag KG ; 2020
    In:  Flugmedizin · Tropenmedizin · Reisemedizin - FTR Vol. 27, No. 06 ( 2020-12), p. 263-263
    In: Flugmedizin · Tropenmedizin · Reisemedizin - FTR, Georg Thieme Verlag KG, Vol. 27, No. 06 ( 2020-12), p. 263-263
    Abstract: Die Diskussion über eine effektive Strategie im Umgang mit der COVID-19-Pandemie ist voll entbrannt. In der „Great Barrington Declaration“ wird eine Ausbreitung der Erkrankung in der Bevölkerung zur Schaffung einer Herdenimmunität empfohlen 1. Vulnerable Personen sollen dem Konzept nach durch Isolationsmaßnahmen geschützt werden. Gegner des Konzeptes warnen im „John Snow Memorandum“ vor einer erheblichen Morbidität und Mortalität in der Bevölkerung 2. Die Arbeitsgruppe um Viola Priesemann hat ein Modell entwickelt, um die Effektivität von Eindämmungsmaßnahmen in einem Modell zu überprüfen.
    Type of Medium: Online Resource
    ISSN: 1864-4538 , 1864-175X
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2020
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  • 10
    Online Resource
    Online Resource
    Elsevier BV ; 2000
    In:  The Lancet Vol. 355, No. 9199 ( 2000-01), p. 200-201
    In: The Lancet, Elsevier BV, Vol. 355, No. 9199 ( 2000-01), p. 200-201
    Type of Medium: Online Resource
    ISSN: 0140-6736
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2000
    detail.hit.zdb_id: 2067452-1
    detail.hit.zdb_id: 3306-6
    detail.hit.zdb_id: 1476593-7
    SSG: 5,21
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