نشریه طب انتظامی
سال هفتم شماره 4 (پیاپی 27، پاییز 1397)

Crisis of drugs of abuse is one of the main problems of all over the word in the field of health and so in Iran. Increasing of seized drugs as well as varied drugs and potentially abused substances need to be scheduled and developed in the methods of screening for drug abuser. Now, morphine, amphetamine, and methamphetamine are in drugs of abuse screening program in Iran. So, it seems that this program needs a complete revise in basic.
This study performed by 153 urinary samples, which were announced negative by routine procedure. The urines were investigated by Randox biochip technology based on antigen-antibody interaction.
Results show that 1, 2, 3, 12, 3, 3, 8, 6, and 9 urines were contaminated by barbiturates, methamphetamine, morphine, benzodiazepines, buprenorphine MDMA, methadone TCA, and cannabinoids respectively. No urine was investigated by cocaine and amphetamine contamination.
According to the results, the screening program of drugs of abuse in Iran needs a complete revise necessarily

Military environments can increase soldiers' aggression or suicidal thoughts due to their stressful nature and also due to the easy access of troops to weapons. Reducing such thoughts in military soldiers has recently been considered by the researchers. The purpose of this study was to determine the effectiveness of mindfulness-based interventions based on reducing stress on suicidal thoughts and aggression in Soldiers with the normal duty of in the Malek-e-Ashtar Arak Garrison Training Course. The research method was experimental and pre-test and post-test with control group. To do this research, 40 soldiers with high score in suicidal thoughts were randomly assigned to two experimental and control groups. Beck's suicidal thoughts scale and aggression questionnaire were used to collect information in pre-test and post-test. For the experimental group, stress-based mind-awareness was applied for 8 sessions. Data were analyzed by SPSS software using covariance analysis. The results showed that mindfulness based on stress reduction had a significant effect on reducing suicidal ideation and aggression. Mindfulness based on reduction of stress has been effective in decreasing suicidal thoughts and aggression of soldiers in the normal duty of Malek-e-Ashtar Arak garrison. This method can be used to reduce the psychological problems of soldiers

Spiritual health, as the youngest and the fourth dimension of health, plays a key role in promoting general health by influencing mental health. This study was conducted with an aim of examining the effectiveness of training self-encouragement based on Sheonaker’s method in increasing spiritual health among university students-teachers of children NAJA staff at Farhangian University in Zahedan. The current study followed a pretest-posttest design with a control group and a one-month follow-up and it was carried out on all university students-teachers of children NAJA staff at Farhangian University-Resalat Campus for girls in Zahedan in spring 2018. A sample consisting of 30 university students who obtained low and moderate scores on Spiritual Health Questionnaire were randomly selected and assigned to two groups, a control group and an experimental group (each including 15 people). Ten 90-minute sessions[WU1] of the Shoenaker’s self-encouragement training were carried out on the experimental group; however, the control group did not receive such training. After finishing these sessions, a posttest was conducted on both experimental and control groups and a month later, a follow-up was performed on them. To collect data, Paloutzian and Ellison 20-item Spiritual Wellbeing Scale (1982) was used. Data were analyzed using an analysis of covariance via SPSS23. Results of the analysis of covariance showed that mean scores on religious health and existential health obtained by the experimental group in the posttest and follow-up had significant increases compared to the control group. The Shoenaker’s self-encouragement training can affect religious health and existential health among university students.

Aims Obesity is a major public health problem in developed and even in developing countries worldwide. Visfatin, protein secreted by visceral adipose tissue.Visfatin seems to modulate insulin sensitivity and appear to play an important role in the pathogenesis of insulin resistance, diabetes, dyslipidemia and obesity .The aim of this study was to determine visfatin serum concentration in overweight/obese subjects and its association with obesity and insulin resistance. Methods This case-control study was performed on 93 individuals with BMI≥25 as case group, and 80 individuals with BMI<25 as control group in Military Hospital in Tehran. Anthropometric measures and metabolic parameters were obtained. Fasting insulin and visfatin were measured using the Mercodia ELISA kit (Mercodia Company, Sweden). Data were analyzed using SPSS software. (Version 19). Findings Plasma visfatin levels fasting glucose and insulin and HOMA-IR,were significantly higher in obese subjects compared to control group (p<0/05). Also, there was a significant correlation between serum visfatin level and body mass index (BMI)and fasting blood glucose in group with BMI≥25. No correlation was found between visfatin and HOMA-IR (p>0.05) and insulin (p=0.05). There may be a possible role of visfatin in the Pathophysiology obesity. Visfatin was associated with body mass index and impaired metabolism glucose, but not with insulin resistance

Extraction of DNA from forensic samples is the first and one of the most crucial steps of any genetic forensic test. Hence, obtaining a suitable protocol of extraction DNA that is easy to extract, cost, time, and quality which is essential in the forensic genetic research. The present study was carried out to achieve a suitable, faster and low cost method of DNA extraction from different sample for further molecular study. After preparation of samples, three different DNA extraction methods, including chelex, non-enzymatic and modified rapid alkaline lysis were evaluated. In order to compare the above mentioned methods for evaluation ease of extraction, low cost and time , the quality and quantity of DNA obtained from each method considering OD, DNA concentration and PCR efficiency were investigated. The findings of this study show that despite the availability and lower cost and time of manual methods, these methods can be substitute for kit method.

Health Information Management as a key department in hospitals has an important role in empowerment of health care services providing. The aim of this study is multidimensional evaluation of Health Information Management in two private military hospitals in 2018. This study is a qualitative study that was done in 2018. Data gathered through semi-structured interviews. Sampling was done through purposive sampling method with most diversity in Health Information Management department subclasses include medical coding, filling, statistics and admission. Data saturation created after 13 interviews, data gathering and data analyzing were done synchronously. Also we use of MAXQDA10 software for data analyzing and content analysis methods. Most important problems and problem solving in Health Information Management were assortment in five main classes and 24 subclasses that referred by participants include infrastructural and technical, knowledge, financial, organizational and human resources problems and problem solving. With regard to results of this study it’s suggested that policymakers do necessary action to empowerment the condition of parts of it in infrastructural and technical, knowledge, financial, organizational and human resources contexts. Also by allocate the appropriate budget create a good condition to employing professionals human resources in medical records and health information technology

Introduction Ebola, Chikungunya, and Brucella are the most important pathogen in 21st century. In fact, definitive treatment has not yet been identified for any of these factors. Hence,the aim of this study was to analyze and measure statistical data, using Zika software for these three factors in the United States, Israel, and Saudi Arabia between 2010 to 2017.
Conclusion Ebola was more important in the United States and Israel, while brucella received more research in Saudi Arabia. In terms of all three factors, the number of researches was very limited before 2010, with the peak in 2013 and 2014. It can be said that the studies had relatively regular increasing trend until 2014, and, then, the trend has decreased or remained at the previous leve