مجله پرستار و پزشک در رزم
سال یازدهم شماره 40 (پاییز 1402)

Team care has been considered as a way to increase the quality of health care delivery and maintain safety. However, it seems that the characteristics of this concept and how to use it need more and more detailed analysis to clarify and differentiate similar concepts to synthesize the theory. Therefore, the purpose of this conceptual analysis is to clarify and analyze the concept of team care in the intensive care unit in clinical practice.

This analysis was conducted using Walker and Avant’s strategy. This approach is one of the methods of conceptualization and concept development that ultimately leads to the development of the theory. Literature searches were conducted in the databases of Web of Sciences, PubMed, Scopus, Iran Medex, Magiran, SID, and internet search engines (Google Scholar, Semantic scholar) between 1987 and November 2021 in Persian and English.

Analysis of related studies shows that the concept of team care is a dynamic process between health care professionals that collaborate in interaction based on participation, cognition and interdependence, trust, mutual understanding and respect, shared goal setting, information sharing, responsibility and power in decision-making and problem-solving to achieve the best and most effective outcome for the patient and family.

This conceptual analysis helps to better understand the characteristics of team care in the intensive care unit and provides a common understanding of communication in educational, research and clinical settings, as well as promotes the development of theoretical definition of team care.

The World Health Organization (WHO) categorized the novel coronavirus disease (COVID-19) outbreak as a global pandemic on 12th March 2020. After declaration of the COVID-19 epidemic, the Iran government took several measures to contain the outbreak. As the epidemic propagated, and due to limited resources ,both military and law enforcement civil service of Iran was assigned to integrate in operating the National epidemiological efforts in collaboration with the Ministry of Health and Medical Education (MoHME) and  established a system to cope with the disease COVID-19 pandemic. This study assessed the impact of a armed forces strategies, guidelines and supervisions of Islamic Republic of Iran army on managing the outbreak in terms of military hospitals preparedness for emergency admission of patients, responses to overall daily emergencies, providing the lifesaving medical equipment and medicines. Results generally showed that Islamic Republic of Iran Army has played a pivotal role in crisis public administration to combat the COVID-19 pandemic, as well as providing the medical and protective equipment.

Addiction to the Internet and virtual space and its increasing prevalence in recent years among teenagers has created challenging conditions for them and their parents. The purpose of this study was to compare the effectiveness of cognitive-behavioral therapy based on mindfulness with emotion-oriented therapy on cognitive flexibility and impulsivity in adolescents with Internet addiction. The research method was the design of pre-test, post-test, follow-up with the control group. The statistical population included teenagers with Internet addiction living in Tehran, and 45 eligible volunteers were selected through available sampling. In order to collect data, Yang Internet Addiction Questionnaire (1996), Zuckerman Impulsivity Scale (1978), Dennis and Vanderwaal Cognitive Flexibility Questionnaire (2010) and Barratt Impulsivity Scale (1959) were used. Eight 90-minute sessions of cognitive-behavioral therapy based on mindfulness and emotion-oriented therapy were performed separately for the experimental groups. The data were analyzed using the method of analysis of variance with repeated measurements and Ben-Ferroni post hoc test. The results showed that cognitive-behavioral therapy based on mindfulness and emotion-oriented therapy increase cognitive flexibility and decrease impulsivity. Based on the findings of the present study, cognitive-behavioral therapy based on mindfulness and emotion-oriented therapy on cognitive flexibility and impulsivity in adolescents with Internet addiction had no significant difference from each other.

Efficiency and optimization of the hospital bed is one of the things that is very critical to create an efficient management. In this study, the utilization capacity of a hospital bed in a military hospital in Tehran was investigated using machine learning.

The present study was carried out descriptively in 1401. By using the statistical data of the military hospital, field survey and placing it in the proposed index of this study, the utilization capacity of the hospital bed for the beds of the special care departments of the hospital (ICU1, ICU2, ICU3 and NICU) was calculated and analyzed.

The findings of the present study showed that the percentage of bed occupancy of the whole hospital is close to the minimum standard, but there is an obvious difference in the percentage of beds occupied by the departments, as a result, it seems that in terms of distribution between the departments taking measures to improve the percentage of bed occupancy, reduce the extra load of some departments and increase the working capacity of departments with low bed occupancy percentage.

The proposed formula presented in this study will help managers in increasing the efficiency of the hospital by measuring the utilization of the available capacity and identifying the reasons for not using the maximum capacity to reach the optimal utilization capacity.

Nowadays, one of the most important and influential segments in society is related to the medical professionals, including doctors and nurses. In recent years, we have witnessed their sacrifices in the fight against the COVID-19 pandemic. On the other hand, the health and lifestyle of nurses can be quite challenging due to their different working conditions. The aim of this research is to investigate the effect of general exercise in a functional way on the motivation of military nurses to participate in sports classes. The study is semi-experimental, with participants divided into control and experimental groups. The statistical population consists of military nurses in the army, with 34 of them selected through sampling. The data collection tool was the Gill et al (1983), which was used to determine the reliability of different sections using Cronbach's alpha coefficient, which was 0.80 for all variables. The Kolmogorov-Smirnov test was used to examine the normal distribution of data, and the Levene's test was used to examine the homogeneity of variances. The data were analyzed using the analysis of variance (ANOVA) to compare the mean of the experimental and control groups. The results showed that general functional exercises have a significant effect on the motivation of military nurses to participate in sports classes (sig = 0.36, F=18.38); furthermore, other components of the study such as progress, readiness created, energy discharge, and group cohesion of military nurses also had a positive effect.

Cardiovascular diseases (CVD) are the leading cause of mortality globally, with a significant prevalence in developing countries and the Middle East. Dietary patterns play a crucial role in the prevention and management of CVD. This narrative review focuses on the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet and its impact on cardiovascular health.

A comprehensive review of literature published between 2021 and 2023 was conducted using PubMed, Google Scholar, and Scopus databases. Key terms included "heart disease," "CVD," "MIND diet," and "Mediterranean-DASH diet for Neurodegenerative Delay." Studies addressing the effect of the MIND diet on CVD, comprising cohort, cross-sectional, and case-control studies, were included.

The MIND diet, rich in plant-based foods, unsaturated fats from olive oil, and low in red meat and dairy, shows a significant inverse relationship with CVD risk factors. Specific components like whole grains, legumes, berries, and nuts were associated with reduced body weight, lower CRP levels, and improved cardiovascular markers. Contrasting results in some studies highlight the complexity of dietary influences on heart health.

The MIND diet presents a viable dietary strategy for reducing cardiovascular risks, with implications for clinical practice and public health policy. However, future research, particularly randomized controlled trials, must establish causality and further explore the diet's efficacy across diverse populations.

Every year, about 600 million people in the world get infected foodborne diseases and 420,000 people die each year due to these diseases.

This study was conducted to investigate a gastroenteritis outbreak in one military unit located in the northeast of Iran in May 2017. In order to determine the source of the disease, a line listing was prepared and completed by 296 staff of the unit. Then, the source of the outbreak was identified by calculating the relative risk for the meals consumed within 48 hours before the beginning of the outbreak and using the stratification method to adjust the confounding effect.

In this outbreak 323 people were infected. The disease attack rate was 22.4%. 51% of staff were infected. The most common symptoms of the disease were fever, diarrhea and headache, respectively. Only the relative risk of boiled eggs was significant and was identified as the source of the outbreak (RR = 2.4). The cause of the outbreak was Shigella and less likely Salmonella.

The long-time gap between the cooking of dinner and its distribution has been one of the underlying factors of the outbreak. It seems that the boiled eggs remain in the lukewarm water inside the pot for several hours before being distributed to the staff and the secondary contamination of the pot containing the eggs was the cause of this outbreak.