نشریه طب انتظامی
سال هشتم شماره 2 (پیاپی 29، بهار 1398)

The purpose of this study was to examine the effect of balance mental practice on dynamic postural control in male students. 30 non-athletic able bodied students with mean and standard deviation of age 20.64±1.58 yr, height 176.13±5.41 cm and weight 68.28±2.74 kg participated in this study. Subjects divided in two groups (control, practice) accidentally. Star excursion balance test (SEBT) used to examine dynamic postural control after 5-10 min warming up. The period of mental training program prolonged for 10 days that practice group, during this period, the control group continue their daily activities. SEBT applied as post test at the end of executing mental training program. The results of the study showed that there was a significant difference in the distance between the two groups in directions of posterior, postolateral, postomedial, medial and antriomedial, indicating the increased effects of exercises on students dynamic Postural control. However, no significant difference was found between the two groups in directions of anterior, anteriolateral, and lateral. Due to results, using balance mental practice in training programs is recommended to improve the students of Police University’s dynamic postural control.

The purpose of this study was to explain the effect of cognitive-behavioral grouptherapy on the treatment of sleep primary disorders and improving the quality of life of revolving shift nurses in police hospitals with through pretest-posttest. The experimental study with pre-test-posttest design with control group was design on nurses of Valiasr hospital. In order to achieve the research goals, among all rotation shift nurses of hospital, 30 patients (male and female) were selected randomly and divided into two groups of 15 (control and experimental) and intervention was performed on the experimental group. Pittsburgh Sleep Quality’ WHOQOL-BREF and a researcher-made questionnaire were used to collect data. For data analysis, covariance analysis methods were used. The results of this study indicated that after the treatment there were a significant difference between the experimental and control groups (p<0/001). As compared to control group, average of sleep disorder scores decreased in the experimental and the mean scores of quality of life in the experimental group increased compared to the control group. According to the findings of the research, it can be concluded that cognitive-behavioral group therapy is effective in improving primary sleep disorders and the quality of life of rotational shift nurses.

Today, epidemiological studies are of great importance for the organization of the disease at the community level, assessing the main risk factors of the disease, as well as the impact of the disease on individuals and society. The aim of this study was to investigate the epidemiological features of patients with chronic obstructive pulmonary disease (COPD) in an emergency department (ED) of one of the educational medical centers. This cross-sectional study was carried out during 6 months in Imam Hossein Hospital, Tehran, Iran. Sampling was performed via census method and all patients suffering from dyspnea referred to the ED, diagnosed as COPD based on clinical criteria and history, without age or sexual restriction were eligible. A checklist was used to collect baseline information and treatment measures administered in the ED. In addition, the length of hospital stay was also recorded. Of the 79345 patients refereed to the ED of the studied hospital, 87 cases (0.01%) were diagnosed with COPD, of which 62 cases (71.3%) were male and 47 cases (54.0%) were in the age range of 60-80 years old. The most common chief complaint in 48 patients (55.2%) was dyspnea. The duration of COPD diagnosis in 59 patients (67.8%) was less than 5 years. Also, 79 cases (90.8%) were under treatment, and 35 cases (40.2%) smoked more than 40 pack/year. The most commonly used drug in the ED was anticholinergic agents which was administered in 100% of the patients and beta-agonist inhalers were used in 98.9% of them. According to the results of this study, the prevalence of COPD was higher in men than in women. As with other chronic diseases, the prevalence of the disease has increased with age in both genders.

Women’s addiction is one of the most significant issues because of their duty as mothers in a society. This should be regarded as a severe problem which needs to be solved. This study aimed to compare life expectancy, feelings of guilt, and psychosomatic disorders between revealing female addicts under treatment in compulsory accommodation centers and self-introduced female addicts under treatment in residential centers in Zahedan.  Th iscausal-comparative study had a statistical population using a convenience sampling method. The sample consisting of either 30 revealing and self-introduced female addicts in various above-mentioned centers in Zahedan was studied. Accordingly, Eysenck Feelings of Guilt Scale, Schneider Life Expectancy Inventory, and Takata and Sakata Psychosomatic Disorders (2004) were used. For the purpose of analysis, SPSS was applied in this research including inferential statistics, MANOVA to compare the two groups. Results indicated that there were significant differences between the two groups in terms of life expectancy (F = 14.20, P< 0.01), feelings of guilt (F = 26.32, P<0.01), and psychosomatic disorders (F = 24.73, P< 0.01). It is important to mention that the revealing female addicts had lower levels of life expectancy, higher levels of feelings of guilt and psychosomatic disorders in comparison to the other grou.

The purpose of this study was to evaluate the psychometric properties of psychological well-being and its relationship with quality of life among health, nursing and nursing staff. The statistical population of this study was all employees of NAJA, 300 Nursing and Nursing Department staffs who were selected by random cluster sampling method. All subjects completed quality of life questionnaires and psychological well-being. For data analysis, Pearson correlation coefficient and exploratory factor analysis were used. The exploratory factor analysis by main component analysis with rotary matrix led to 13 factors which explained 77.284% of the total variance of variables, and the value of the coefficient of validity of 84 items was tested through the general formula of Cronbach's alpha = 0.80 - 0.97 was estimated. The results of correlation between psychological well-being and quality of life showed that there is a positive, meaningful and direct relation between the factors of psychological well-being and quality of life questionnaire. Regarding the results, it can be stated that the psychological well-being questionnaire has good validity and reliability in NAJA staff.

The purpose of this study was to determine the effectiveness of stress coping training on the quality of life and mental health of addicted individuals leaving the clinic in Tehran. The present study was a pilot study with pretest-posttest design with control group. The statistical population included all addicts families (including spouse, children over 18 years of age and parents and parents living with drug addicts). The first addiction trail of the first addendum center in Tehran was 120 people in October, November and December. Sample size based on the Morgan table, 92 people were selected randomly as the sample unit of the present study. The experimental group was invited to eight 90-minute sessions of instructional class and received stress coping training, while the control group did not receive any training. Using covariance analysis, the effect of coping with stress on quality of life and mental health was significant at the level of p <0.01. The teaching of coping with stress is effective on the quality of life and mental health of families of addicted people who are leaving.

The purpose of this study was to analyze the input and output patterns of patients in the emergency department of Sina Hospital during one year. This cross-sectional study was carried out retrospectively in Sina Hospital affiliated to Tehran University of Medical Sciences. Sampling was done by census method and all patients referred to the emergency department during last year entered the study. At first, the inputs were checked to determine in which paths the patients referred to the emergency department. Then, the outcomes of the patients were checked to determine how much of the emergency department entrance, discharge, dispatch, or refer, or possibly died. A total of 34901 patients were referred to the emergency department at Sina Hospital, of which 9721 (27.8%) referred with emergency medicine service, 584 (1.7%) sent from other centers and 24596 (70.5%) patients were referred to the emergency department by themselves. Of these, 27,390 (78.48%) were discharged from the emergency department after taking appropriate action from the emergency medicine specialist. Out of 7511 people (21.52%), other outcomes, 10 (0.33%), at the time of entry, 155 (4.44%), after arrival, 40 (15.1%) referring to other Centers, 6809 (19.51%) patients were transferred from emergency department to hospital and 497 (42.1%) were discharged with personal satisfaction. Based on the findings of this study, it was found that about 80% of patients referred to the emergency department of Sina Hospital were visited and discharged by emergency department in 1396 and only about 20% of cases were transferred to hospital.

The aim of this study was to Predication of Mindfulness based on cognitive abilities and its sub-components in NAJA students.  This study was descriptive and correlational. The participants of the study consisted of all 93 female Students studying at NAJA University in 2015-2016; the participants were recruited through convenience sampling. Data were collected through the Five-Factor Inventory of Mindfulness (Bauer et al, 2006) and a questionnaire on cognitive abilities (Nejati, 2013). There was a positive relationship between the variables of mindfulness and cognitive ability level at the significance (P <0.05). Analysis of the data on the sub-scales of cognitive ability showed that decision-making strategies were significantly associated with mindfulness. There was also a significant positive relationship between mindfulness and cognitive flexibility. The relationship between mindfulness and planning was also significant (P <0.05). The findings showed that by increasing the mindfulness of individuals, their cognitive ability also increases. Given that the success of any organization, particularly police department depends on the effective performance and the cognitive abilities of its personnel, it seems that teaching mindfulness to NAJA female students and encouraging them to use it can be useful in enhancing their cognitive abilities.