Multimedialna platforma wiedzy medycznej Internetowa Księgarnia Medyczna Kalendarium Konferencji
International Maritime Health
MENU
Shortcuts Submit an article Author Guidelines Reviewers 2023

open access

Vol 62, No 3 (2010)
Case report
Submitted: 2013-02-18
Published online: 2010-12-06
View PDF Download PDF file
Get Citation

Seafarer with solitary, well-functioning kidney - fit for service at sea without restrictions?

Bernd-Fred Schepers, Eilif Dahl
IMH 2010;62(3):185-187.

open access

Vol 62, No 3 (2010)
MARITIME MEDICINE Case report
Submitted: 2013-02-18
Published online: 2010-12-06

Abstract

A 20-year-old, healthy man, who four years earlier had lost a kidney in a skiing accident, applied for a medical fitness certificate for service on board German flag vessels. Under reference to national and international regulations he was initially turned down, but attained permission to sail on appeal. We discuss the justification of denying persons with a single, well-functioning kidney the opportunity to work at sea, conclude that there is no good reason to refuse a fitness certificate, and propose to change national and international regulations accordingly.

Abstract

A 20-year-old, healthy man, who four years earlier had lost a kidney in a skiing accident, applied for a medical fitness certificate for service on board German flag vessels. Under reference to national and international regulations he was initially turned down, but attained permission to sail on appeal. We discuss the justification of denying persons with a single, well-functioning kidney the opportunity to work at sea, conclude that there is no good reason to refuse a fitness certificate, and propose to change national and international regulations accordingly.

Full Text:

View PDF Download PDF file
Get Citation

Keywords

fitness of seafarers; single kidney; case report; assessment proposal

About this article
Title

Seafarer with solitary, well-functioning kidney - fit for service at sea without restrictions?

Journal

International Maritime Health

Issue

Vol 62, No 3 (2010)

Article type

Case report

Pages

185-187

Published online

2010-12-06

Page views

1139

Article views/downloads

1406

Bibliographic record

IMH 2010;62(3):185-187.

Keywords

fitness of seafarers
single kidney
case report
assessment proposal

Authors

Bernd-Fred Schepers
Eilif Dahl

References (17)
  1. Regulation on Medical Fitness for Service at Sea. http://www.bgverkehr.de/ser vice/downloads/ship-safety-division/medical-service/regulations. (05.05.2004).
  2. nternational Labour Organization, Guidelines for Conducting Pre-sea and Periodic Medical Fitness Examinations for Seafarers. http://www.ilo.org/public/ /english/dialogue/sector/techmeet/ilowho97/index.htm (1997).
  3. Grinsell MM, Showalter S, Gordon KA, et al. Single kidney and sports participation: perception versus reality. Pediatrics. 2006; 118(3): 1019–1027.
    CrossRefPubMed
  4. Rice SG. American Academy of Pediatrics Council on Sports Medicine and Fitness. Medical conditions affecting sports participation. Pediatrics. 2008; 121(4): 841–848.
    CrossRefPubMed
  5. Diokno E, Rowe D. Medical and orthopedic conditions and sports participation. Pediatr Clin North Am. 2010; 57(3): 839–847.
    CrossRefPubMed
  6. Mandell J, Peters CA, Estroff JA, et al. Human fetal compensatory renal growth. J Urol. 1993; 150(2 Pt 2): 790–792.
    PubMed
  7. Sanna-Cherchi S, Ravani P, Corbani V, et al. Renal outcome in patients with congenital anomalies of the kidney and urinary tract. Kidney Int. 2009; 76(5): 528–533.
    CrossRefPubMed
  8. Argueso LR, Ritchey ML, Boyle ET, et al. Prognosis of children with solitary kidney after unilateral nephrectomy. J Urol. 1992; 148(2 Pt 2): 747–751.
    PubMed
  9. Argueso LR, Ritchey ML, Boyle ET, et al. Prognosis of patients with unilateral renal agenesis. Pediatr Nephrol. 1992; 6(5): 412–416.
    PubMed
  10. Zaffanello M, Brugnara M, Zuffante M, et al. Are children with congenital solitary kidney at risk for lifelong complications? A lack of prediction demands caution. Int Urol Nephrol. 2009; 41(1): 127–135.
    CrossRefPubMed
  11. Narkun-Burgess DM, Nolan CR, Norman JE, et al. Forty-five year follow-up after uninephrectomy. Kidney Int. 1993; 43(5): 1110–1115.
    PubMed
  12. Fehrman-Ekholm I, Elinder CG, Stenbeck M, et al. Kidney donors live longer. Transplantation. 1997; 64(7): 976–978.
    PubMed
  13. Holdaas H, Hartmann A, Leivestad T, et al. Mortality of kidney donors during 32 years of observation. J Am Soc Nephrol. 1997; 8: 685A.
  14. Hartmann A, Fauchald P, Westlie L, et al. The risk of living kidney donation. Nephrol Dial Transplant. 2003; 18(5): 871–873.
    PubMed
  15. Kasiske BL, Ma JZ, Louis TA, et al. Long-term effects of reduced renal mass in humans. Kidney Int. 1995; 48(3): 814–819.
    PubMed
  16. Ibrahim HN, Foley R, Tan L, et al. Long-term consequences of kidney donation. N Engl J Med. 2009; 360(5): 459–469.
    CrossRefPubMed
  17. Spital A, Jacobs C. Life insurance for kidney donors: another update. Transplantation. 2002; 74(7): 972–973.
    CrossRefPubMed

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, ul. Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl