مجله طب نظامی
سال چهاردهم شماره 4 (پیاپی 50، زمستان 1391)

The aim of this study was to identify factors affecting job motivation and Priority of them using Analytical Hireiarchy Process (AHP). This study is a descriptive - analytical and cross-sectional study that has done in 2012 in a military center. Total sample size consisted of 115 people. Data collection instruments included two questionnaires that were designed based on Herzberg motivation theory. Methods used for the prioritization, was Analytical Hierarchy Process Model (AHP). Data were analyzed using SPSS 18.0, Expert Choice 11.0 software, descriptive tests including mean, standard deviation (SD) and the frequency and Analytical Test including T-Test. Findings showed that in prority of factors affecting job satisfaction, job security and suitable salary factors were in first to second priority with the importance coefficients of 0.29 and 0.20 and the factors of policy and communication were in the last priority with the importance coefficients of 0.02. The organization can provide secure platform for achieving the goals of the organization and the well performance of staff throgh providing job security and consideration the economic and livelihood problems of staff and payment of performance-based.

One of the leading risk factors for various diseases is obesity, a nutritional burden and an independent factor which increases mortality. Disables and Veterans have low levels of physical activity, owing to physical deficiency, and this is associated with increased risk of obesity in them. The aim of this study was to assess the relationship between physical activity and prevalence of obesity and overweight in disables and veterans. In a descriptive cross-sectional study, 83 volunteer disables and veterans were selected and at the beginning of the study, in addition to characterize form of disability, anthropometrical data determined by calipers then participants were divided into 3 groups according to completion of questionnaires and levels of physical activity: athlete disables (n: 19), active disables (n: 42), inactive disables (n: 22). Comparison of fat mass in 3 groups showed that athlete disables had least fat mass compared to other groups (P≤0.05). According to the findings, more than half of the study population was obese and overweight, however inactive disables and veterans had excessive fat mass compared to other disables. The main reason is sedentary life style but, additional attention to an intervention in order to improve the health recommendations and diet is necessary.

Different studies have been conducted in field of mental health of veterans have been done. The purpose of the present research was the review of these studies to clarify limitations and developing a research matrix. The present study has investigated the database of information on research conducted in the field of mental health in veterans including research projects, papers and abstracts presented at seminars and conferences using content analysis and review study. The study population consisted of archival sources that were gathered and classified by using review protocol and analyzed using Marshal and Rasman Model. Results showed that among implemented surveys, 35%, 21%, 17%, 10%, 8%, 4% respectively are about mental disorders, psychological health aspects, family and children, cure and interference, life quality and sacrifices’ welfare problems, respectively. To do qualitative review, different surveys’ results were classified in the following nine dimensions: quality of life of veterans’ and their families, family problems, occupation, social problems, drug abuse, life style, mental disorders, treatment and welfare problems. In general, advantages and diadvantages of previous surveys in last 3 decades have been classified and analyzed that its results have developed the research matrix in the field of veterans’ mental health and their family. Results of this study can be used in strategy plan programming and developing rod maps for specialists and officials related to veterans’ mental health, to clarify policies for future in aspects such as descriptive – analytic survey of findings, limitation and previous survey directions about mental health of veterans.

The flies are medically importance insects for military forces, especially in tropical climate. The aim of this study is determination of medically important fly diversity and its abundance in Triple Iranian Islands (TII) in the Persian Gulf, Greater Tunb, Lesser Tunb and Abu-Muosa. Flies trapping was done in TII by using fly traps including EAG Sintuz fly trap and Plastic water bottle fly trap from March 2010 to March 2011. The captured flies identified with using valid flies systematic keys and species description. The fly relative abundance was estimated by means of flies captured per each trap. In this study, 10 species of medically important flies including Lucilia sericata, Chrsomyia megacephala, Ch.albiceps, Calliphora vicina, Sarcophaga aegyptica, S.africa, Wohlfartia magnifica, Passeromyia spp, Muscina stabulans and Musca domestica were captured and identified. The relative abundance of flies in three mentioned islands (TII) was estimated 6.8 (SE= ± 1.2).There are two peaks of activity in a year and more abundant in March to May and September to October. In studied islands, the fly diversity and its abundance especially in spring and early fall is high and control programs must be made at this time of year.

Effective communicating is not only one of the patient’s most important needs, but also is the base of nursing work. This study aimed to evaluate the effect of solution-focused communication techniques on nurse communication skills. In this quasi-experimental [before-after] study, one group of 71 male and female nurses from medical-surgical departments of a hospital in Tehran participated. Solution-focused Communication techniques in a one-day workshop [8 hours] were trained. Nurse’s communication skills were assessed by questionnaire at pre-test and post-test [two months after the intervention]. Reliability was confirmed with correlation coefficient [α=0.86] through inter-rater reliability. For any participant, three questionnaires were completed [by themselves, their head nurse & their colleagues]. Data were analyzed using descriptive and analytical statistics. The mean score of nurse's communication skills before and after the intervention found statistically significant differences [P= 0/001]. Statistically significant differences were also observed between mean scores of the four subscales of nurse's communication skills before and after the intervention [P=0/001]. Solution-focused communication training [SFCT] for nurses could have a positive effect on different aspects of their communication skills, containing; general and therapeutic communication, spiritual supporting and their attitudes toward communicating with patients.

The importance of attention to military forces mental health is an obvious case and supporting the mental hygiene and mental health of military forces are as important as preparing weapons, equipment and military tactics in the battle field and it is an inevitable case. Accordingly the present study try to investigate mental health status and its relationship with burnout and life satisfaction.

The present research is a temporary study in the form of solidarity which was conducted on 250 personnel of military university. Research tools are mental tool questionnaire SCL90, Moslesh job exhaustion questionnaire and life satisfaction questionnaire (SWLS).

Based on the results of this study, there is a meaning full relationship between the marriage status and extra questions, psychosis, phobia, aggression, anxiety, depression, obsessive or compulsive and physical problems (p<0/05), but there is not a meaningful relationship among paranoid thoughts. Interpersonal relationship sensitivity and marital status Findings showed that respect to the meaningful level of variants, there is a meaningful relationship among the type of degree and extra question, psychosis, phobia, aggression, anxiety, paranoid thoughts, in interpersonal relationship sensitivity, depression, obsessive or compulsive, obligation and physical problems (p<0/001). On the basis of findings, there is a meaningful relationship between life satisfaction and mental health (p<0/001).

Mental health of the people has meaningful relationship with the job burnout and their satisfaction of life.

The aim of this study was to determine the effectiveness of aerobic exercises in promotion of cardiopulmunary fitness in flight employees. In this randomized control trial, 30 members of flight staff from Mehrabad and Imam Khomeini Airport in Tehran- Iran were selected and randomized to include in intervention or control groups (15 in each group). Cardiopulmunary fitness was evaluated by measuring VO2max (using Step Test) and resting heart rate. A 15 week aerobic exercise program was considered for intervention group. The controls were advised to do stretching exercises as placebo. Then cardiopulmonary fitness was assessed again. Obtained data were analysed using relevant statistical methods. Baseline mean VO2max and resting heart rate (RHR) had no differences between two groups. Performing 15-week exercise protocol in intervention group led to increasing VO2max and decreasing RHR significantly and the control groups did not show any changes.There was no significant difference in BMI before and after trial. Approved aerobic exercise protocols result in promoting of Cardiopumonary fitness and aerobic capacity in flight personnel if they are designed properly and performed regularly for a long time.

Today critical thinking is introduced as the main output of higher education by scholars. The aim of this study was to compare critical thinking skills and critical thinking dispositions in veterans and non-veteran students in Gilanegharb and Ghasreshirin city in the in the second half of 1389. This comparative study was performed on 80 veterans and non-veteran students in Gilanegharb and Ghasreshirin Islamic Azad University. Data was collected by the California critical thinking skills test and the California critical thinking disposition questionnaire. Data was analyzed by SPSS 15 software using independent MANOVA. The mean and standard deviation score of critical thinking skills was 12.45 ± 2.12 in non-veteran students and 12.12± 2.51in veteran students. The mean and standard deviation score of critical thinking dispositions was 262.34 ± 25.64 in non-veteran students and 278.46 ± 20.17 in veteran students. The mean score of critical thinking dispositions between non-veteran and veteran students showed a significant difference in truth component (p=0.001) and veterans have shown more positive trends in growth and searching components. Considering the results of the study, planners and authorities must devote more attention to develop critical thinking dispositions in their educational programs.

Intensive Care Unit admits critical patients to be taken care by the best nurses and with the best equipment. Modern equipment with new care techniques have made this unit specialized in caring for the patients admitted. This study has been conducted to identify current standards of intensive care unit and to assess their accordance with the standards of the National Iranian hospitals. This is a descriptive and retrospective study that has been done in all intensive care units of the hospitals of Isfahan province in 2010. Data collection tool is the National Assessment checklist of hospitals in intensive care units. Checklists have been completed after inspecting, scrutinizing the documents and interviewing. The gathered data was analyzed using SPSS and Excel software. The highest administration of the ICU standards have been in the military hospital with the score of 84/2%.University hospitals, half private hospitals, private hospitals and network hospitals have scored 83/6%, 83/3%, 78/6% and 77/13% respectively. The result of this study shows that military hospital administers higher standards in ICU. This may be due to military discipline and environment or other reasons. Further studies are warranted to find the influencing factors.

Sexual self-concept is an important aspect of human sexuality and his psychological structure. It contains several domains and sub scales. Multi-dimensional Sexual Self-concept Questionnaire (MSSCQ) has been designed by Professor Snell to assess Sexual self-concept, which has been used in many researches and individual evaluations. The main goal of this study is to evaluate reliability and validity of MSSCQ for Iranian general population. In a cross sectional study, the original MSSCQ has been translated-retranslated and tested for random general population. Reliability has been tested by Cronbach’s alpha coefficients. Construct validity has been tested by factor analysis and the comparison between two groups and also criterion validity has been assessed due to the correlation between GHQ-28 and marital satisfaction scale. Our study shows that the reliability is good for MSSCQ α=0.89. Factor analysis has introduced 28 factors in primary questions and 4 factors for subscales analysis. There has been appropriate correlation between GHQ-28 score and MSSCQ (r=-0.31, p=0.008) and a meaningful correlation between marital satisfaction and MSSCQ (r=0.3, p=0.013). MSSCQ is a good tool for sexual self-concept assessment in Iran and therefore is appropriate for research about human sexuality in Iranian population.