Background: Maritime transportation is the lifeblood of the world's economy. However, seafarers are exposed to isolated, confined and particularly extreme environments. Maritime operations in the face of geopolitical conflicts profoundly impact seafarers' mental health, well-being and safety.
Materials And Methods: The study comprises 27 seafarer interviews and 21 stakeholder interviews covering 4 maritime education and training institutions, 11 crewing agencies, 4 medical facilities and 2 maritime authorities. An online questionnaire survey of seafarers who were affected by the conflict in Ukraine and had sailed in the conflict zone in the period 24 February 2022 to 30 September 2023 yielded 319 valid responses.
Results: The study suggests that seafarers in the conflict zone are exposed to constant imminent threats to personal safety, constant stress and anxiety, prolonged lack of sleep, limited opportunities of contact with families, and high risk to mental health among other things further exacerbated by a lack of mental health support from company, and anxiety resulting from loss of access to shore-based training facilities and uncertainty in updating competency certificates.
Conclusions: The study presents rare insights on the psychological and emotional toll on seafarers who continue to serve the critical needs of the maritime transportation industry in a newly ordained role as keyworkers. This study underscores the need for improved mental health support and counselling services within the maritime industry, in particular, maritime stakeholders likely affected by geopolitical conflicts.
Highlights: From the practical perspective, this is among the first studies to focus on the mental health and well-being of seafarers arising out of the situation in Ukraine since 24 February 2022. From the theoretical perspective, this is a maiden study attempting an exploration of social conditions in three different dimensions by integrating three distinct theoretical constructs namely, UN Human Security Framework, Holmes & Rahe Social Readjustment Rating Scale and ILO Maritime Labour Convention framework.
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http://dx.doi.org/10.5603/imh.100443 | DOI Listing |
J Pediatr Health Care
January 2025
Behavioral and mental health (BMH) issues are increasing in adolescents as shortages of primary care and BMH providers are also rising. The healthcare burden has fallen especially hard on primary care providers (PCPs), who are showing increasing signs of burnout and making plans to reduce their work hours or leave the profession altogether. These factors impede their ability to be the first line of defense in providing emotional support to children and families.
View Article and Find Full Text PDFNeuromodulation
January 2025
Department of Anesthesiology, University of Wisconsin, Madison, WI, USA.
Objectives: Past studies have shown the efficacy of spinal targeted drug delivery (TDD) in pain relief, reduction in opioid use, and cost-effectiveness in long-term management of complex chronic pain. We conducted a survey to determine treatment variables associated with patient satisfaction.
Materials And Methods: Patients in a single pain clinic who were implanted with Medtronic pain pumps to relieve intractable pain were identified from our electronic health record.
J Neural Transm (Vienna)
January 2025
Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Tianjin, 300222, China.
Bipolar disorder (BD) frequently coexists with anxiety disorders, creating complex challenges in clinical therapy and management. This study investigates the prevalence, prognostic implications, and treatment strategies for comorbid BD and anxiety disorders. High comorbidity rates, particularly with generalized anxiety disorder, underscore the necessity of thorough clinical assessments to guide effective management.
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January 2025
Watson Institute for International and Public Affairs and the School of Public Health, Brown University, Providence, USA.
Eur J Hum Genet
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Institute of Bioinformatics, International Technology Park, Bangalore, 560066, India.
Mitochondrial membrane protein-associated neurodegeneration (MPAN) is a rare neurodegenerative disorder characterized by spastic paraplegia, parkinsonism and psychiatric and/or behavioral symptoms caused by variants in gene encoding chromosome-19 open reading frame-12 (C19orf12). We present here seven patients from six unrelated families with detailed clinical, radiological, and genetic investigations. Childhood-onset patients predominantly had a spastic ataxic phenotype with optic atrophy, while adult-onset patients were presented with cognitive, behavioral, and parkinsonian symptoms.
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