IMHA workshop Brest 2/3 juillet 2004

  Summary and main conclusions

 

In the IMHA workshop that was held in Barcelona, 28-29th November, 2003 about  “Continuing education” we detect the need to have data bases related to maritime health. That’s why the IMHA board approved a workshop about “collection and validation of data in maritime medicine” to be held in Brest, July, 2nd- 3rd, 2004. We have had 16 participants of several countries (Spain, Sweden, Denmark, Norway, France, Latvia, Philippines, Germany and Vietnam). The program was organised taking into account to main objectives. The first objective was to decide about the type of database that we wanted to work in and the second was to implement the European project about the education in maritime medicine. Let’s explain how the program was developed. During the first morning, two presentations about supports for databases were exposed.

Demonstration of a bibliographic data base program (RefWorks).

Mrs Sophie Panagi demonstrated RefWorks which is the only web-based literature database program on the market: This means that it is accessible from any computer connected

to the Internet. It does not need installation of software on the hard disk. except from a small plug-in for Word which could easily be downloaded. You only need a user-id and a password to log in. Bibliographic data, including abstract and index terms, from other data bases e.g. Medline (PubMed), EndNote or Reference Manager could be exported and imported into RefWorks. Data could also be entered manually as well as commentaries and key words for indexation and links to e.g. the original article, if it is available for free on the internet. Otherwise you have to order the original report from a library or from the author: RefWorks is primarily a bibliographic data base and not so well suited for cataloging of e.g. members, institutions or lectures. The cost is 70€ /year for the individual. If IMHA signs a contract for its members the individual costs will be lower.

The second exposition was about a previous experience from the Spanish Society of Maritime Medicine and its bibliographic database, BiblioMedMar, which could be consulted by internet in their webpage and which their own members were the providers of the information. So they had a page for consultation and another one for the inputs with several fields ( title, authors, type of publication, if it was reviewed,etc.).

In relation to the educational materials the URV of Tarragona has a project , MED-C@t, to collect standardized resources and classify them ( conferences, courses, information about institutions, digital materials, presentations, etc.). This material has a process of validation. They use an internet based system ( IMS Content Packaging Information Model).

 In the afternoon, Dr Anthony Low from Hamburg (Germany) presented the extensive collection of books, reports and articles in the field of maritime medicine which has been collected in the HPHC library in Hamburg through many years. Copies of his presentation, including the thesaurus used, were at disposal of the participants of the workshop. The bibliographic data could be available on the internet in the future.  Everybody is welcome to use the library after contact with Dr Low or one of the librarians e.g. Mrs Jana Fischer (phone +49-(0)40-428894-377/79, e-mail : jana.fischer@bwg.hamburg.de ).

The sources, validation, limits and supports of data were discussed among the workshop participants. A preliminary list of sources of data in the field of maritime medicine had been prepared by Ralph Nilsson and will be supplemented as an appendix and discussed in the IMHA website. The first thing is to know what do we need (users), what do we want (type of information), in what context (education, research, etc.). There was a lively discussion about if the database shoud be validated or just catalogated. Olaf Jensen pointed out that the validation of data is the art of limitation, one example of this is to ask if the data would be valid for compensational purposer. He also pointed out that articles indexed in Medline (PubMed) are peer rewieved and free (at least the abstracts). However there are also a vast amount of “grey” litterature and also usefull data on e.g. fatal injuries which are not available in Medline, from different countries. Such data could be collected prospectively in a first phase and then retrospective data could be added depending on the resources available.

Don Eliseo pointed out that the data could be validated by the individual user depending on the purpose. Emmie Knudtzon Snincak said that it would be of value if lists of educations and tutorials could be included, perhaps also data from different countries on occupational exposures and accidents/injuries. Il was suggested that everyone could send information on e.g. articles and reports they find valuable to the database. Ralph Nilsson suggested that the homepage of IMHA could contain links to different sources of information and educations related to maritime health and possibly complemented by a literature database and other useful information (list of institutions, etc.). Olaf Jensen promised to look on the internet if there were any database programs which could be used for free. He also demonstrated “supercourse”, a collection of lectures and tutorials which could be downloaded for free from the internet.

On Saturday, 3rd July, the workshop discussions were summarized by Luisa Canals. She also suggested how IMHA could proceed in this matter, as responsible for the IMHA website. She will work to elaboreate it and supplement it with appropriate links. There could also be a discussion place and mailing lists for different topics. If a search engine is to be included extra funding have to be find.

 European Project.

Luisa Canals presented the background to the European project which was discuss in the last workshop in Barcelona in November 2003. An application with six collaborating countries in Europe was sent to the Socrates/Erasmus programme in April 2004. The European Commission will decide if it is going to be funded in October 2004. The programme will run for 18 months from november 2004. Further information about the project could be found in the IMHA Newsletter or website.

Mr Jean-Marie Filloque, UBO, presented the process towards certification, using the 3 weeks diploma course in Maritime Medicine, as an example. To be certified, either on a national or a European level, several steps and criteria should be furfilled. A copy of his Powerpoint presentation was made available. In the following discussion it was emphasized that Maritime Health is not only a European matter, since seafaring is international with about 80% of the workforce from South East Asia. However, more funding is available in Europe and thererfore it could be feasible to start with a European project, which also will contain international aspects and could be expanded with additional modules to cover the needs in other countries.

Emmie Knudtzon Snincak pointed out that maritime health is not solely a medical problem and that it is important for IMHA to work closely with other international organisations such as IMO and ILO and to push for international conventions in this field. Luisa Canals answered that IMHA already does this and has e.g. participated on a joint WHO/ILO meeting where it was stated that doctors examining seafarers should be experienced on maritime medicine or be specialized in maritime occupational health so we need previous medical training in maritime medicine.

Dr Costigliola, EMA, updated us about the funding from the European Commission and about how the application is processed. He pointed out that it could be worthwile to send applications both for educational projects and research, if we have good and clear ideas about projects, and if they are new, innovative and have a European dimension.

As a example he mentionned that a project about how to reduce the risks in the maritime sector could be of value.

   

Dr M. Luisa CANALS

Dr Dominique JEGADEN

Dr Ralph NILSSON