naval medicine


Summary: The practice of medicine concerned with conditions affecting the health of individuals associated with the marine environment.

Top Publications

  1. Kaerlev L, Dahl S, Nielsen P, Olsen J, Hannerz H, Jensen A, et al. Hospital contacts for chronic diseases among danish seafarers and fishermen: a population-based cohort study. Scand J Public Health. 2007;35:481-9 pubmed
    ..Danish seafarers, especially short-term employees, had an elevated risk of hospitalization for lifestyle-related diseases. ..
  2. Hughes L. The successful evolution of a voluntary vessel safety program in the USA. Int Marit Health. 2006;57:85-93 pubmed
    ..The NPFVOA also publishes a quarterly newsletter covering its safety program, other relevant safety information and reports of lessons learned from serious fishing vessel accidents. ..
  3. Tepper M, Anderson J, Crane F, Schofield S, Tsekrekos S. Information about tuberculin skin test (TST) conversion rates for the US Navy and Marine Corps. Mil Med. 2007;172:iii-iv pubmed
  4. Jensen O. Mortality in Danish fishermen. Bull Inst Marit Trop Med Gdynia. 1996;47:5-10 pubmed
    ..12, 95% CI 1.03-1.20). The study confirms earlier findings of a high mortality among fishermen, especially due to accidents, and a slightly increased risk of dying from cancer, respiratory and cardiovascular diseases. ..
  5. Filikowski J, Rzepiak M, Renke W, Winnicka A, Smolińska D. Selected risk factors of ischemic heart disease in Polish seafarers. Preliminary report. Int Marit Health. 2003;54:40-6 pubmed
  6. Hansen H, Tuchsen F, Hannerz H. Hospitalisations among seafarers on merchant ships. Occup Environ Med. 2005;62:145-50 pubmed
    ..The subgroups with high risk of hospitalisation due to lifestyle related diseases also had an increased risk of hospitalisation due to injury and poisoning. ..
  7. Kaerlev L, Hansen J, Hansen H, Nielsen P. Cancer incidence among Danish seafarers: a population based cohort study. Occup Environ Med. 2005;62:761-5 pubmed
    ..Danish seafarers, especially men, face an increased overall cancer risk, in particular a risk for lung cancer and other tobacco associated cancers. ..
  8. Leka S. Psychosocial hazards and seafarer health: priorities for research and practice. Int Marit Health. 2004;55:137-53 pubmed
    ..Finally, specific recommendations are made for future directions for research and practice in relation to these issues. ..
  9. Jezewska M, Leszczyńska I, Jaremin B. Work-related stress at sea self estimation by maritime students and officers. Int Marit Health. 2006;57:66-75 pubmed
    ..The programme of psychological training, aimed at supporting the personal competence, was proposed as a preventive intervention. ..

More Information


  1. Burden J, Jeffery S, Leach A. The psychological morbidity of military healthcare workers. J R Nav Med Serv. 2005;91:37-42 pubmed
    ..The elevated level of ill health in the Royal Air Force staff warrants further investigation and possible intervention. ..
  2. Setiawan I, Patten J. The organization of STI/HIV risk-taking among long-line fishermen in Bali, Indonesia. Int Marit Health. 2010;62:201-8 pubmed
  3. Auten J, Kuhne M, Walker H, Porter H. Neurologic decompression sickness following cabin pressure fluctuations at high altitude. Aviat Space Environ Med. 2010;81:427-30 pubmed
    ..This case highlights the importance of early recognition of in-flight DCS symptoms and landing as soon as possible rather than as soon as practical in all likely scenarios. ..
  4. Niederhauser A, Turner M, Chauhan S, Magann E, Morrison J. Physician attire in the military setting: does it make a difference to our patients?. Mil Med. 2009;174:817-20 pubmed
    ..This finding highlights the unique role of the military uniform in the eyes of active duty women and their potential discomfort in discussing personal medical issues with a physician in military uniform. ..
  5. Fries C, Midwinter M, Bree S, Taylor P, Peterson M. The team works--a multidisciplinary challenge. J R Nav Med Serv. 2007;93:125-8 pubmed
  6. Stevenson C. From palace to hut: the architecture of military and naval medicine. Clio Med. 2007;81:227-51 pubmed
    ..Stevenson considers how matters of state, as well as medical theory and its changes, affected architecture. ..
  7. Fidell K. Regional Rehabilitation Unit (RRU) Portsmouth. J R Nav Med Serv. 2004;90:115-6 pubmed
  8. Saniel O, De los Reyes S. Prevalence of risky behaviours and determinants of multiple sex partnerships among male Filipino seafarers. Int Marit Health. 2010;62:215-23 pubmed
    ..The HIV module during pre-departure needs to be reviewed for the seafarers' knowledge of HIV transmission and prevention to improve. The use of condoms during high-risk sexual encounters should be emphasized. ..
  9. Hansen A, Johnsen B. Relationship between neuroticism, threat of shock and heart rate variability reactivity. Int Marit Health. 2013;64:54-60 pubmed
    ..This may indicate that the High Neuroticism Threat Group found the whole task condition morestressful due to the threat situation. ..
  10. Johnson L, Cantrell J. Impact of illness per ICD-9 classification on progression to physical evaluation board for U.S. marines placed on limited duty status 2006-2010. Mil Med. 2013;178:1341-8 pubmed publisher
    ..Occupational category, rank grouping, race/ethnicity, and ICD-9 category had statistically significant impacts of varying magnitude on the risk of progressing to PEB; no significant difference was found for sex. ..
  11. Reaves E, Termini M, Burkle F. Reshaping US Navy Pacific response in mitigating disaster risk in South Pacific Island nations: adopting community-based disaster cycle management. Prehosp Disaster Med. 2014;29:60-8 pubmed publisher
  12. Butler F, Holcomb J, Giebner S, McSwain N, Bagian J. Tactical combat casualty care 2007: evolving concepts and battlefield experience. Mil Med. 2007;172:1-19 pubmed
    ..S. combat units include the need to expedite transition of new TCCC techniques and technologies to deploying units, to provide TCCC training for all U.S. combatants, and to ensure adequate funding for the Committee on TCCC. ..
  13. Horneland A. Norwegian Centre for Maritime Medicine is established. Int Marit Health. 2007;58:178-81 pubmed
  14. Day A, Brasher K, Bridger R. Accident proneness revisited: the role of psychological stress and cognitive failure. Accid Anal Prev. 2012;49:532-5 pubmed publisher
    ..Individuals who are stressed are more likely to have an accident in the workplace because of a propensity for cognitive failures. A specific recommendation to reduce accident risk in the work-place is discussed. ..
  15. Bridger R, Munnoch K, Dew A, Brasher K. Smoking, BMI and psychological strain and fitness in the Naval Service. Occup Med (Lond). 2009;59:195-6 pubmed publisher
    ..With psychosocial factors and GHQ-12 scores accounted for, personnel who were not fully fit for NS were found to be more likely to be smokers and to have a high BMI (> or =25). ..
  16. Hauer T, von Lübken F, Johann M, Schreyer C, Hartmann V, Kollig E, et al. [German military surgeons in deployment abroad: life and working conditions]. Unfallchirurg. 2010;113:91-8 pubmed publisher
    ..Due to the specific operating alliance between CSS and Naval Rescue Center, special operations as well as evacuation and humanitarian missions following disasters near the coastline can be effectively accomplished. ..
  17. Martini E. [How Lind did not discover the treatment against the scurvy]. Hist Sci Med. 2005;39:79-92 pubmed
  18. Gunderson E, Garland C, Miller M, Gorham E. Career History Archival Medical and Personnel System. Mil Med. 2005;170:172-5 pubmed
    ..The database contains detailed epidemiological data on more than six million members of the military services. It is the largest known epidemiological database in the United States. ..
  19. Aiken L, Bibeau P, Cilento B, Lopez E. Stateside care of marines and sailors injured in Iraq at the National Naval Medical Center in Bethesda, Maryland. Crit Care Nurs Clin North Am. 2008;20:31-40, vi pubmed publisher
    ..It also tells of the joy of recovery from horrific injuries, and the intense dedication of staff members to the military wounded. ..
  20. Salyga J, Juozulynas A. Association between environment and psycho-emotional stress experienced at sea by Lithuanian and Latvian seamen. Medicina (Kaunas). 2006;42:759-69 pubmed
    ..001). Many of the unique aspects of seafaring are unchangeable. However, it possible to modify, supplement, or develop new strategies to reduce the impact these factors have on the health of individual seafarers. ..
  21. Hazard L. Exercise Bersama Lima 2004--a combined joint approach. J R Nav Med Serv. 2004;90:159-61 pubmed
  22. Brogden T, Streets C. The management of acute appendicitis. J R Nav Med Serv. 2013;99:106-10 pubmed
    ..Current controversies surrounding appendicitis management, and the effect these might have on the management of the military patient, are debated. ..
  23. Cook G. Committee for the Relief of Distressed Seamen: correspondence from the Admiralty in 1818-19. Postgrad Med J. 2007;83:54-8 pubmed
    ..Ready cooperation was received from the Admiralty in most of its affairs, but "disposal" of many of these "redundant" mariners proved to be a somewhat difficult matter. ..
  24. Hoeyer J, Hansen H. Obesity among Danish seafarers. Int Marit Health. 2005;56:48-55 pubmed
    ..Fixed BMI limits for seafarers on Danish ships would result in loss of license and that would have major implications even if the limit is set high. ..
  25. Hurd E, Rockswold P, Westphal R. Comparison of chronic disease prevalence between U.S. Navy ships without medical doctors and a similar shore-based population. Mil Med. 2013;178:543-8 pubmed publisher
    ..Even though the studied conditions were significantly less prevalent aboard ship than in the comparable shore-based sample, nonphysician practitioners aboard ships must be prepared to diagnose and treat chronic diseases. ..
  26. Campbell W, Benn S. Individualizing a capstone project: a cruise ship nurse creates a brochure about the Norwalk virus. Nurse Educ. 2011;36:25-30 pubmed publisher
    ..The committee chair needed to direct the student through the capstone formal process while helping her to create a professional brochure to educate future travelers. ..
  27. Watt J. Surgery at Trafalgar. J R Nav Med Serv. 2005;91:83-91 pubmed
  28. Hollins D, Paustenbach D, Clark K, Mangold C. A visual historical review of exposure to asbestos at puget sound naval shipyard (1962-1972). J Toxicol Environ Health B Crit Rev. 2009;12:124-56 pubmed publisher
    ..A majority of the photographs presented in this article depict work conditions at the Puget Sound Naval Shipyard, circa 1940-1965, which is representative of other military shipyards of the time. ..
  29. Faulk J, Hanly M. Tales from the sea: critical care nurses serving aboard the USNS Comfort and USNS Mercy. Crit Care Nurse. 2013;33:61-7 pubmed publisher
    ..The authors, both critical care nurses, learned many lessons in teamwork, education, and life at sea. Readers are encouraged to consider the challenges, hard work, and vast rewards of hospital ship service. ..
  30. Greenberg N, Langston V, Everitt B, Iversen A, Fear N, Jones N, et al. A cluster randomized controlled trial to determine the efficacy of Trauma Risk Management (TRiM) in a military population. J Trauma Stress. 2010;23:430-6 pubmed publisher
    ..The authors conclude that within organizations using Trauma Risk Management may be beneficial and may, in time, lead to a valuable cultural shift. ..
  31. Parrish D, Olsen C, Thomas R. Aircraft carrier personnel mishap and injury rates during deployment. Mil Med. 2005;170:387-94 pubmed
    ..S. Navy and can be used in developing risk-reduction strategies for targeted populations, to meet the Secretary of Defense requirement to reduce injuries by 50% in the next 2 years. ..
  32. Romero A, Kohart S. 19-year-old male adolescent with bilateral femoral neck stress fractures: a case report. Mil Med. 2008;173:711-3 pubmed
    ..Thus, even in young healthy males, this type of injury can occur without bony pathology; furthermore, an aggressive surgical approach can result in an optimal outcome...
  33. Palarca C, Johnson S, Mangelsdorff A, Finstuen K. Building from within: identifying leadership competencies for future navy nurse executives. Nurs Adm Q. 2008;32:216-25 pubmed publisher
    ..70. The results will provide the foundation for a leadership education continuum enabling the critical link among educational offerings, role-based experiences, timely mentoring, and specific career milestones. ..
  34. Savitz S, Stewart J. Lessons learned from smallpox vaccination of U.S. Navy forces before Operation Iraqi Freedom. Mil Med. 2007;172:353-8 pubmed
    ..The first factor was a strong educational program, which repeated consistent messages via multiple communications channels. The second factor was vocal, demonstrative, high-level support for vaccination. ..
  35. Mahdi S, Sibilio F, Amenta F. Dental hygiene habits and oral health status of seafarers. Int Marit Health. 2016;67:9-13 pubmed publisher
  36. Lunt H. A pre-joining fitness test improves pass rates of Royal Navy recruits. Occup Med (Lond). 2007;57:377-9 pubmed
    ..05). The PJFT positively impacted on RN Phase 1 training pass rates. A greater number of recruits successfully completed training, fewer applied for voluntary release and the number and length of training extensions were reduced. ..
  37. Grasso D, Saunders B, Williams L, Hanson R, Smith D, Fitzgerald M. Patterns of multiple victimization among maltreated children in Navy families. J Trauma Stress. 2013;26:597-604 pubmed publisher
    ..53). These findings highlight the serious mental health needs of a small but significantly high-risk portion of multiply victimized children entering the child welfare system. ..
  38. Napoleone P. Accidents on board merchant ships. Suggestions based on Centro Internazionale Radio Medico (CIRM) experience. Int Marit Health. 2016;67:21-3 pubmed publisher
    ..More information on the occurrence and type of accidents and on the body injured areas should represent the basis for developing strategies and campaigns for their prevention. ..
  39. Diskin A. Cruise ship medicine--2004. Ann Emerg Med. 2005;45:460-1 pubmed
  40. De Rosa C, Lauro A, Iacoviello P. [Injuries in the maritime workers and fisheries]. G Ital Med Lav Ergon. 2013;35:227-9 pubmed
    ..In most cases, finally, it came to accidents that occurred during the navigation. ..
  41. Ritson J, Wall C. The role of a Royal Navy General Duties Medical Officer in helicopter assault force operations: a reflective article. J R Army Med Corps. 2012;158:205-7 pubmed
  42. Mercer S, Whittle C, Mahoney P. Lessons from the battlefield: human factors in defence anaesthesia. Br J Anaesth. 2010;105:9-20 pubmed publisher
    ..We also detail the current pre-deployment training package, which employs multiple educational tools including high-fidelity simulation. ..
  43. Atre Vaidya N, Ross A, Sandu I, Hassan T. The impact of VA and Navy Hospital Collaboration on medical school education. Acad Psychiatry. 2009;33:13-6 pubmed publisher
    ..It benefits trainees by enriching their training experience and allowing students and residents to receive a comprehensive clinical experience by caring for diversified patients with a wide range of pathology. ..
  44. Ushakov I, Bubeev I, Mazaĭkin D, Pisarev A. [Deep sea trip of the ship crash Northern Force fleet]. Voen Med Zh. 2008;329:34-7, 96 pubmed
    ..There were effectuated different trainings of moralities, communicativeness, strategy of negotiation and stress-managment in cooperation with the psychologist of the ship. ..
  45. Scheibe A. [General practice under white sails]. MMW Fortschr Med. 2005;147:74 pubmed
  46. Rozali A, Rampal K, Zin B, Sherina M, Khairuddin H, Abd Halim M, et al. Development of underwater and hyperbaric medicine in Malaysia. Med J Malaysia. 2006;61:647-50 pubmed
    ..This paper discusses the development of this interesting treatment modality, giving a brief historical overview to its current development, as well as provides some thought for its future development in Malaysia. ..
  47. Low A. Seafarers and passengers who disappear without a trace from aboard ships. Int Marit Health. 2006;57:219-29 pubmed
    ..Finally, suggestions are made, for instance psychological aptitude tests, as regards how to maybe help decrease the number of disappearing persons, especially young seafarers, from aboard ships on the high seas. ..
  48. Haka M, Borch D, Jensen C, Leppin A. Should I stay or should I go? Motivational profiles of Danish seafaring officers and non-officers. Int Marit Health. 2011;62:20-30 pubmed
    ..The differences in the motivational profiles of officers and non-officers showed the importance of not only looking at the seafaring profession as a whole but also considering the different characteristics of various jobs onboard. ..
  49. Mozer A, Arkhipovsky V, Serdechnaya E, Kazakevitch E. Actual problems of the Russian Maritime Health Services. Int Marit Health. 2004;55:181-5 pubmed
  50. Yu Y, Yank J, Villard S, Stoffregen T. Postural activity and visual vigilance performance during rough seas. Aviat Space Environ Med. 2010;81:843-9 pubmed
    ..Rough seas affect visual vigilance performance and postural activity, but do not eliminate the effects of vigilance task difficulty or stance width that have been found in mild seas. ..
  51. Olszanski R, Radziwon P, Piszcz J, Jarzemowski J, Gosk P, Bujno M, et al. Activation of platelets and fibrinolysis induced by saturated air dives. Aviat Space Environ Med. 2010;81:585-8 pubmed
    ..The probable mechanism for the activation of platelets and fibrinolysis is contact with the surface of evolved bubbles in the divers' circulation. ..
  52. Raimondo L, Pierce K, Bruzek Kohler C. Strategy development to sustain and strengthen the Navy Nurse Corps. Nurs Adm Q. 2008;32:206-15 pubmed publisher
    ..Similarly, these priorities mirror those that confront and warrant the attention of chief nursing officers in the civilian sector as they lead and develop their workforce. ..
  53. Griffiths R, Ellis P. Visual conversion disorder in a harbor pilot leading to sudden loss of control of a large vessel. Aviat Space Environ Med. 2007;78:59-62 pubmed
    ..It should also be considered when investigating possible medical incapacitation in transportation incidents or accidents. ..