مجله طب نظامی
سال هفدهم شماره 1 (پیاپی 59، بهار 1394)

This study aimed to qualitatively analyze the current situation of the “Armed Forces Medical Services Insurance Fund” (AFMSIF) function with an emphasis on dental services. This was done in order to help improve its performance as well as employing its experiences to develop dental insurance in Iran. A template of descriptive items was used to guide the interview with the informed people in AFMSIF regarding its function with an emphasis on dental services. By using supplementary information sources, a descriptive report was prepared, and its accuracy and adequacy was checked by the related interviewee. By describing the AFMSIF function with an emphasis on the dental sector, we got a picture of the dental services fund flow in AFMSIF in three financing sub-functions; namely, revenue collection, pooling of revenues and purchasing services. The individual characteristics are then discussed for their potential performance based on the current available evidence. AFMSIF shows signs of rather active or strategic attempts particularly in the area of “how to purchase”. Among them are the establishment of mechanisms of cost containment and quality assurance for dental services and paying providers based on the quality evaluation of the contracted centers. These experiences would serve as a guide to extend dental insurance at a national level.

The purpose of this research was to study both fresh and manganese oxide modified bone char as an adsorbents for the removal of excess fluoride from drinking water. This research was an experimental (laboratory) study. Fresh bone char was obtained from raw bone pyrolysis at 450 °C. For bone char modification thermo-chemical reaction and a manganese compound was applied. Adsorbent surface characteristics and specifications were prepared by a conventional method, BET, BJH, XRD, respectively. The effect of fluoride concentration, the amount of adsorbent and pH on the adsorption capacity were investigated. Also the adsorption data were analyzed using the Langmuir, Freundlich and Temkin adsorption isotherm. The results showed that the adsorption of fluoride in bone char types often follows Freundlich isotherm. Increased concentrations will increase the adsorption rate. An increase in the rate of adsorbent led to increasing the adsorption capacity and can reduce the removal efficiency. The optimum mass of adsorbent and pH were 0.5g and 7 respectively. Modification of Bone char with manganese oxide increases the specific surface area and a higher efficiency in the removal of fluoride will be adsorbed. Results show that this adsorbent can be used for the removal of fluoride in water operating (operational conditions) environments and after adsorption processes would not need to stabilize PH.

This study examines the Psychometric properties of the personality questionnaire (POSHEN) among Iranian militaries. This is a descriptive-survey study. The statistical population of this study includes all the Iranian military in the year 1392. The statistical sample included 200 militaries from various military units and were randomly selected. The Personality Characteristics questionnaire (POSHEN) had been prepared by reviewing the valid tools of the personality assessment and basic theories. Also, the long form of the NEO was used as a criterion-related validity. The results showed that POSHEN has well-validated Cronbach's alpha for 8 factors ranged from 0.68 to 0.88 and the 0.95 for total. The test-retest reliability of the total score was also significant (0.633). The concurrent validity of the questionnaire revealed that the eight operating factors had a strong and meaningful correlation between 0.77 (Extroversion scale) and 0.919 (Responsibility Scale) with POSHEN’s total score. The POSHEN’s criterion-related validity with the NEO-FFI showed that the 8 Factors of POSHEN have a high and significant criterion-related validity with the five factors of NOE’s. This study shows that POSHEN has suitable psychometrics properties to assess the personality characteristics of the Iranian militaries and it could be also useful for the selection, promotion and research activities.

Despite the high prevalence of women’s physical inactivity and also the effective role of the extended Theory of Planned Behavior (TPB) and planning to promote this behavior, there is still no standard scale in Iran. The aim of the present study was to examine the confirmatory factor analysis (CFA) of the developed TPB questionnaire with action and coping planning in exercise behavior of the military personnel’s wives.

This cross-sectional study was performed in 150 military staffs’ spouses residing in organizational houses, in Tehran, Iran (2013). The participants were randomly selected with multi-stage cluster sampling. The CFA was conducted using the maximum likelihood estimation. Goodness of fit of the original TPB was compared to the developed version. Data were analyzed applying SPSS 16 and LISREL 8.8.

The CFA findings supported the exploratory eight factor structure (which consisted of instrumental and affective attitude, subjective norms, perceived behavioral control, intention, action and coping planning and behavior). Factor loadings, T-values and fit indices showed that the extended theory fitted the data.

This research verified the factor structure of the expanded TPB scale as to the physical activity of military personnel’s wives. Providing and applying valid and reliable questionnaires are necessary to assess the exercise behavior and to design educational interventions.

The aim of this study was to assess readiness of military hospitals against disaster in Iran. In this cross sectional study four military hospitals were considered regarding their readiness against disasters. A previous self-administrated questionnaire was used in order to gather data in 11 subjects. The answer for each question was pointed by the researcher as one, two or three (as yes, somewhat or no) using the existed documents and direct audit. The classification of total points in each subject was as desirable, intermediate and weak. The second part of the questionnaire was designed for the opinion of the hospital managers about the disaster and hospital readiness. Among 28 hospital managers, 24 were male and also the mean duration of their management career was 5.64± 3.27 years. The managers’ main hospital priority regarding to disasters was the absence of short and long time planning. On the other hand, except for the implementation of maneuver and patient reception which were in intermediate readiness in other subjects we saw desirable readiness. Of course in some subjects there was meaningful difference between the hospital located in Tehran and the others. A Comprehensive and appropriate outfit of military hospitals around Iran should be considered as a priority by the military health organizations.

The aim of this study was to detect the prevalence rate of scabies and its associated social and demographic factors in patients referring to the health and therapeutic centers of the Qom province, during years 2005 to 2013. This study was performed as a cross -sectional study. Initially 411 people suspected to be infected with scabies were registered in order to identify the confirmed cases from the epidemiological forms. Among the registered cases, 343 samples were disease-free while 68 cases had the disease.After data collections using a structured questionnaire, a statistical analysis was conducted using the Binary logistic regression model in the SPSS software (V.16). The prevalence rate of scabies among people referring to health centers was equal to 0.7 per 100000 people. Among the patients 85.3% lived in families with 5 or more members, 61.8% had been raised in livestock, 66.2% of them had inhabited in mud and inappropriate houses and 2.9% had lived in military barracks. It can be concluded that many factors such as family size, rising livestock and dwelling in villages with mud and inappropriate houses are among the factors that effect the prevalence of scabies among the residents of the Qom province.

Police play a vital role in providing security in societies and of course manpower is the most important part of the efficiency in this organization. Thus, the purpose of this study was to investigate the monitoring of public health in the executive and operational police of one of the provinces of Iran and its correlation with the quality of military mission performances. 351 police officers of police stations, traffic polices, check pointers and Special Forces were selected by using cluster sampling. Fitness tests, public health assessment questionnaire and the quality of military missions were evaluated during this study. The results of this study shows that the level of public health of Special Forces including physical fitness, physical activity, mental health and eating patterns and habits are in much better conditions compared to other blocks. Moreover, public health conditions in Special Forces had a significant correlation with the quality of the military mission performances but, this correlation was not significant with the eating patterns and habits. Public health has an extensive correlation with the quality of military mission performances. Therefore an appropriate planning is needed in order to promote and upgrade the general knowledge of health to eventually increase physical activity, reduce stress, treat damages and finally improve nutritional status.