Journal of Archives in Military Medicine
Volume:3 Issue: 1, Feb 2015

One of the most important professional challenges of physicians is patients’ dissatisfaction and complaints submitted to judiciaries and their consequences in patients’ personal lives. These malpractices may take place everywhere in the healthcare system.. This research aimed at examining complaints against Military Hospitals medical malpractices within different medical disciplines, submitted to forensics and medical council of Tehran..Patients and This was an interim and explanatory-analytic research. All cases related to military hospitals submitted to central commission of Tehran medical council from 2006 to 2011 were examined.. Totally, 41 cases who lodged complaints were examined using detailed information, from which36 cases were male (87.7%) and 5 (12.2%) were female and the mean age was 43.91 ± 8.26. From those 41 proven medical malpractices, indiscretion accounted for 15 cases (36.58%), imprudence for 12 (29.26%), lack of scientific and practical skills for 10 (24.39%), and lack of observing state regulations for 4 (9.73%).. Orthopedics specialists and general physicians accounted for the highest number of malpractices. Indiscretion and imprudence made up the highest rates of malpractices..

Psychotherapy is a process in which the therapist tries to use the best methods to help the patients with mental disorders to improve symptoms, increase quality of life, social functioning, and self-esteem and reduce the length of hospitalization in psychiatric wards.. The current research aimed to examine the effect of psychotherapy services on the length of hospitalization in the patients with mental disorders..Patients and This experimental study, in which a pretest and posttest were employed to examine the experimental and the control groups, was conducted in a psychiatric hospital. In both experimental and control groups, the length of subjects’ hospital stay one year before and one year after providing the psychiatric services was measured. Chi-Square test and analysis of variance were used to analyze the differences between the groups. Statistical analysis was performed using SPSS software, version 19, and P < 0.5 was considered as significant.. Results of the current study showed a significant difference between the two groups regarding the length of hospitalization; findings indicated that the length of hospitalization was virtually different in the studied population after the intervention (P < 0.05).. Psychotherapy interventions can reduce the length of hospitalization in the patients with mental disorders.

The Turkish Armed Forces have played a key role in the International Security Assistance Force (ISAF) in Afghanistan since 2002. Medical services provided in Afghanistan are structured as a multinational health care operation so as maximize the efficient use of resources. The medical services provided by the Turkish Armed Forces in Afghanistan are at Role 2 and are for the benefit of the Afghan people as well as of ISAF personnel. This article sets out the medical experiences of the Turkish Armed Forces and the projects during 2008 and 2009..

Exercise and physical activity is an effective way for maintaining health by modifying lipid profile. Many studies reported that even a single session of exercise could affect blood lipid profile. Nowadays, saliva sampling is an effective and noninvasive method in disease diagnosis and monitoring health. Based on the results, there is a significant and positive association between saliva and blood lipid values.. Our aim was to assess acute effects of aerobic and resistance exercise on salivary lipid profile.. In this randomized clinical trial study, forty-five non-athlete women (18-35 years old, 18.5 ≤ BMI ≤ 25) were put in three groups (aerobic, resistance and control). Aerobic group program consisted of 30 minutes of aerobic exercise at 60-75% maximum heart rate (MHR) intensity and resistance group performed five resistance exercises at intensity of 75% 2-RM. Salivary Lipid profile was measured after 12 hours of fasting at 8 a.m. and immediately after exercise.. One single session of aerobic and resistance did not induce significant change in salivary lipid profile. However, a significant difference was observed between changes in aerobic and resistance groups (P=0.03).. This study suggested that one session of aerobic and resistance exercise with moderate intensity did not change salivary lipid profile..

Emergency services are of great priority in the military health systems and patients satisfaction is among the important determinants of an emergency system efficacy.. The objective of this study was to evaluate the effects of Total Quality Management (TQM) implication on patients’ satisfaction in the emergency ward..Patients and Patients satisfaction was evaluated before and after the TQM-based quality improvement process in the emergency department by using a satisfaction survey questionnaire. Participants in the survey were patients admitted to the emergency ward of Besat Air Force General Military Hospital (Tehran, Iran) between September‒December 2009 and April-July 2011. All the possible interventions were implicated after discussions with responsible teams and the managing staff during the 15 months of the satisfaction evaluation interval.. The satisfaction level for physicians, nurses, transporting and service personnel, and imaging staff has increased significantly by 12.7%, 21.8%, 17.0%, and 14.1%, respectively (P < 0.001). The overall satisfaction increased from 55.4% to 71.3% after the TQM application (P < 0.001).. Considering the substantial impact of the TQM implication on increasing the satisfaction level among our patients regarding the emergency and healthcare services, we suggest that TQM can be a very effective solution in improving the health care service quality and increasing patients’ satisfaction in Iranian Military Hospitals, without significant economic strain..