Annals of Military and Health Sciences Research
Volume:12 Issue: 3, Summer 2014

To examine the relationship between substance dependency and personality disorders. Ninety eight patients with substance dependency who had referred to a psychiatry and substance rehabilitation center in Tehran took part in this study. Data were collected using questionnaire and a semi-structured interview. Participants were examined for conduct and antisocial personality disorders. Non-parametric tests were used for data analysis. Eighty eight percentage of the participants showed adult antisocial behaviors. Forty two percentage of the patients with substance dependency were diagnosed with antisocial personality disorder، while 47. 9% (n = 47) suffered from conduct disorder. Only 22 participants had such problems before beginning substance abuse. Abuse frequency، financial status، previous attempts to quit drugs، educational level and family background did not significantly affect the status of antisocial personality disorder and conduct disorder. However، smoking and using alcohol were found to be playing a role in suffering from such disorders. The results of the present study demonstrate a direct relationship between substance abuse and personality disorders. This indicates the need for more preventive measures to control substance abuse especially among teenagers in order to have fewer individuals with personality disorders in the society.

To investigate the relationship between neck circumferences and cardiovascular risk factors in patients with acute coronary syndrome. In a cross-sectional study، 100 patients with acute coronary syndrome in Kerman hospitals were assessed by measuring their neck circumference and risk factors of cardiovascular disease. The data were analyzed by student t -test، Man-Whitney U test، χ 2 and Pearson and Spearman correlation tests. The mean of neck circumference in men with body mass index (BMI) ≥ 25 kg/m 2 was 39. 63 ± 3. 02 cm and for women it was 36. 47 ± 2. 00 cm. The mean of neck circumference in overweight group was 42. 70 ± 2. 99 cm for men and 38. 66 ± 3. 28 cm for women. Neck circumference ≥ 41. 5 cm for men and ≥ 36. 5 cm for women were the best cutoff levels for determining the patients with BMI ≥ 25 kg/m 2. There were some associations between some cardiovascular disease risk factors. These risk factors were usually related to increasing weight. Because of fat accumulation in neck during weight gaining، this index can be used as a simple and easy screening way to recognize people with high weights.

Aside from psychological suffering، mental disease can bring about a negative influence on conscripts learning abilities and reduce effectiveness of military trainings. Hence، identifying at risk conscripts is of vital importance. This study aimed to investigate the mental health of conscripts during a two-year period from 2011 to 2013 in a military base in Guilan. In this descriptive cross-sectional study، the mental health of 93 conscripts (mean age of 19. 78 ± 1. 57) was assessed using a 28-item general health questionnaire (GHQ-28)، during basic military training. Acquired data were analyzed using the chi-squared test (α = 0. 01). Of the participants، 35. 2% were identified as potential at risk conscripts. There was a significant difference in participants’ age and education level regarding mental health (P =. 007 and. 005، respectively). No significance was found on marital status (P =. 483). Concerning subscales، 30. 6% had physical symptoms، 38. 5% had anxiety and insomnia، 54. 2% had social dysfunction and 20. 9% had severe depression. To prevent symptom exacerbation of at risk conscripts and to reduce treatment costs of military training bases، it is recommended that psychological assessment be done before conscription، not during it.

Bipolar disorders of complex and multi-dimensional nature necessitate new therapies. This research compared the effect of meta-cognitive and psycho-educational family therapy on dysfunctional attitudes of bipolar patients. This was a semi-empirical research with pretest-posttest design، using control group. From among the bipolar woman who had referred to psychological hospitals and clinics in Isfahan city in Iran، 24 patients were selected by purposeful sampling and were divided into three equal groups randomly. The first group received meta-cognitive therapy، second group received psycho-educational family therapy and the third group received drug therapy. The data were gathered using semi-structured interview based on diagnostic and statistical manual of mental disorders (4 th edition) criteria and dysfunctional attitudes scale. The data were analyzed by descriptive statistics and covariance with SPSS 16 software. There was a significant difference between the mean scores of meta-cognitive therapy group compared to drug therapy group (P =. 001). Also، there was a significant difference between the mean scores of psycho-educational family therapy and drug therapy groups (P =. 001). There was no significant difference between the mean scores of psycho-educational family therapy group compared to drug therapy group (P =. 777). Using meta-cognitive therapy with drug therapy increases dysfunctional attitudes in bipolar patients. Therefore it is recommended that therapists be trained in this field.

Estrogen as a crucial hormone during pregnancy acts by two types of receptors. Estrogen receptor alpha، expressed by estrogen receptor 1 (ESR1) gene، is more abundant and exists in all human reproductive systems. Association of ESR1 gene polymorphism has been shown in some reproductive fields such as spontaneous abortion، endometriosis-related infertility and in vitro fertilization failure. The present study has investigated the association between single nucleotide polymorphism rs9320799 in intron 1 of ESR1 gene with implantation failure in Iranian infertile women who were submitted for conventional in vitro fertilization (IVF) procedure and had no blastocyst implantation. Hundred two infertile women with at least one IVF failure were enrolled in the study as the case group and 112 healthy women as the control group. The restriction fragment length of polymorphism method was performed for genotyping the single nucleotide polymorphism rs9340799 (A/G XbaI) located in intron 1 of ESR1 gene. The result was confirmed by DNA sequencing analysis. The genotype distribution of AA in case and control groups was 40 (39. 2%) and 55 (49. 1%)، respectively. However، genotype distribution of AG was 41 (40. 2%) and 47 (41. 9%). Ultimately genotype distribution of GG was 21 (20. 6%) and 10 (9%). There was a statistically significant difference between case and control groups in the genotype distribution of XbaI polymorphism (P =. 04). There was an association between single nucleotide polymorphism ESR1 rs9340799 and implantation failure in Iranian infertile women who underwent IVF procedure.

Cardiopulmonary resuscitation (CPR) is an important step for patient survival inside and outside the hospital. Therefore، the results of CPR can be effective in modifying the structure of this operation and in eliminating its shortcomings. The purpose of this study was to evaluate the success rate of CPR in intensive care unit of an Iran’s Army Air Force hospital in 2012. Different preset forms were used to collect data from the record of doctors and nurses’ report. Then، these data were transferred into a questionnaire that had been prepared for this purpose. The success criteria of the CPR were the return of cardiac and vital signs recorded through electrocardiography monitoring and also peripheral and central pulse palpation and hemodynamic stability for 24 hours. From among 185 studied patients، 36. 7% were women and 63. 2% were men. CPR success rate was 17. 2%. CPR success rates in men and younger patients were more prevalent. Among the diseases، patients diagnosed with cerebrovascular accident were reported to have the most success rates in resuscitation. Although this study and other similar studies have reported higher success rates for resuscitation in men، in younger ages، and patients with a primary diagnosis of cerebrovascular accident irrespective of other factors، carrying out more precise studies is recommended، especially on the effects of intensity of problems and underlying diseases at the time of admission on the success rate of CPR.

To assess whether bromocriptine-rebound method (BRM) can improve pregnancy outcomes compared to long protocol after intracytoplasmic sperm injection cycles (ICSIs). A total of 114 women underwent ICSI. Pregnancy outcomes and hormonal data were compared between two groups، i. e. long protocol and BRM. Ovulatory women with normal serum prolactin levels were assigned to either BRM (n = 57 cycles) or long protocol (n = 57 cycles). Both procedures were carried out in a similar way. However، a group of patients were given bromocriptine daily from the 4th day of the preceding cycle until 7 days before gonadotropin stimulation. There were no significant differences in the numbers of developed follicles،total retrieval oocytes، transferredembryo and embryos with superior morphology between the two groups. Also، the values of chemical، clinical and ongoing pregnancies and live births were not significantly different (36. 8%، 35. 1%، 28. 1%، 28. 1% in BRM group and 43. 9%، 38. 6%، 21. 1% and 19. 3% in long protocol، respectively). Ongoing pregnancy and live birth were significantly higher in chemical pregnancy in the BRM group (P =. 04 and P =. 035، respectively). This prospective study demonstrated that BRM might lead to higher ongoing pregnancy and live birth rates compared to the long protocol in women undergoing intracytoplasmic sperm injection cycles.

Electrical injury is daily compromise of our life and upper and lower extremities are common sites of injury. A 23 years old man who had suffered high voltage electrical injury referred to our center. He had severe left upper extremity burn and suffered from head and thoracic injuries due to falling down from high altitude. Treatment: Fasciotomy of the left forearm was done. Muscle damageand myoglobinuria were managed. Early reconstruction was performedfor prevention of tendons and nerve necrosis. Because of circumferential burning of the left forearm، bipedicle abdominal flap at the skinof left lower thorax and the abdomen was done. Stillskin necrosis of the flap at the lateral epicondyle area of the bipedicle abdominal flap occurred. Latissimusdorsi muscle pedicle flap was used for coverage of the lateral epicondyle area. Learned Lessons: Local flap is an important complication of the bi-pedicle abdominal flap.