نشریه طب انتظامی
سال نهم شماره 1 (پیاپی 32، زمستان 1398)

The aim of this study was to evaluate the frequency and the sexual and age distribution of modifiable risk factors associated with acute coronary syndrome in patients admitted to one of the selected hospitals of police force.

This descriptive cross-sectional study was performed on all patients admitted to CCU of one of the selected hospitals of police force with the diagnosis of acute coronary syndrome during 2017-18. Baseline data on patients including sex, age, risk factors for acute coronary syndrome (including hypertension, hyperlipidemia, diabetes, smoking, opium use, and obesity) were collected. T-test and chi-squared test were respectively used for quantitative and qualitative variables comparison using SPSS 23. Finally, comparing the frequency of modifiable risk factors among the similar population in Iran and Turkey as well as population without acute coronary syndrome was done.

A total of 612 patients with acute coronary syndrome with mean age of 62.60±11.88 years (range 27 to 93 years) were enrolled that 349 persons(57.0%) were male. Hypertension (66.2%), hyperlipidemia (43.1%) and diabetes mellitus (42.0%) were the most common risk factors in the present study, respectively. There was a significant but inverse correlation between age and BMI (r=-0.179; p<0.001). The frequency of hypertension, hyperlipidemia, diabetes mellitus, obesity was significantly different from similar populations in Turkey and those without acute coronary syndrome in Iran. The frequency of hypertension and obesity was also significantly increased in the population with acute coronary syndrome in Iran, but hyperlipidemia and diabetes were not significantly different.

The most common modifiable cardiovascular factors among the selected population were hypertension, hyperlipidemia, diabetes mellitus and obesity. All four risk factors are more common in women than in men. Cigarette smoking and obesity are more common in younger patients and hypertensive in older patients.

Today, one of the most important problems in detection of human pathogens, is lack of positive control. The idea of using hybrid vectors, containing genes of different pathogens, can overcome this limitation. We can design specific primers for each region and use the hybrid vector as positive control sample in PCR. In this research we designed an in silico hybrid vector and relevant primers for detection of Francisella, Variola, Burkholderia and Yersinia.

In this study, fopA, caf1, 16srRNA and HA genes were chosen to be located on the vector, to respectively represent Francisella, Yersinia, Burkholderia and Variolla,. The sequence of these genes were obtained from NCBI in FASTA format and were aligned in BioEdit 7.0.5.3 software for finding conserve region of each gene, then some purposeful changes were applied in the sequence of each gene and the sequences were placed next to each other and the construct was designed. Specific primers were designed for each region using Oligo7, BioEdit, OligoAnalyzer tool as well as NCBI database. Finally, the construct was cloned in PUC57 in SnapGene 3.2.0.1 and PCR was simulated on hybrid vector using designed primers.

Analysis confirmed that conserved regions for each gene were located on hybrid vector, and simulation of PCR proved the accuracy of designed primers.

A genetic simulator hybrid construct with the types of primers required to identify the four factors Francisla, Varivola, Borghuleria and Yersinia has been designed in silico so that such factors could be identified under positive control in emergencies.

Today, one of the most important problems in detection of human pathogens, is lack of positive control. The idea of using hybrid vectors, containing genes of different pathogens, can overcome this limitation. We can design specific primers for each region and use the hybrid vector as positive control sample in PCR. In this research we designed an in silico hybrid vector and relevant primers for detection of Francisella, Variola, Burkholderia and Yersinia.

In this study, fopA, caf1, 16srRNA and HA genes were chosen to be located on the vector, to respectively represent Francisella, Yersinia, Burkholderia and Variolla,. The sequence of these genes were obtained from NCBI in FASTA format and were aligned in BioEdit 7.0.5.3 software for finding conserve region of each gene, then some purposeful changes were applied in the sequence of each gene and the sequences were placed next to each other and the construct was designed. Specific primers were designed for each region using Oligo7, BioEdit, OligoAnalyzer tool as well as NCBI database. Finally, the construct was cloned in PUC57 in SnapGene 3.2.0.1 and PCR was simulated on hybrid vector using designed primers.

Analysis confirmed that conserved regions for each gene were located on hybrid vector, and simulation of PCR proved the accuracy of designed primers.

A genetic simulator hybrid construct with the types of primers required to identify the four factors Francisla, Varivola, Borghuleria and Yersinia has been designed in silico so that such factors could be identified under positive control in emergencies.

Healthy and proper nutrition guarantees the health and improvement of the patient's disease process, and any shortage in its preparation and distribution may lead to irreparable consequences. Since the patient is a major customer of hospital services, patient satisfaction is one of the most important indicators of hospital service quality. The aim of this study was to evaluate the patients' satisfaction with nutritional status in NAJA hospitals.

This descriptive-analytical study was performed on all patients admitted to law enforcement hospitals in the first half of January2018 who were hospitalized for at least one week. According to Morgan table, 136 of them were selected by stratified random sampling method. Demographic questionnaire and a researcher-made questionnaire with Likert scale consisting of 20 items in four components of quantity and quality of cook and distribution were used for data collection. The ANOVA and Scheffe's post hoc tests were used to compare patients' satisfaction in SPSS 22 software.

The results of one-sample t-test showed that the hypothesis of patients' satisfaction with nutrition status in NAJA hospitals was confirmed with mean of 3.90 and significance level of 0.000. Patients' satisfaction with nutrition status was also evaluated separately for all hospitals and the final result was reported at optimum level but there was a significant difference between patients' mean satisfaction with hospital nutrition status (p=0.042). The results showed that patients' satisfaction with nutrition status in Fatemeh Zahra Hospital (mean 4.2) was significantly higher than other hospitals except Imam Sajjad (AS 4.8) and Seyed al-Shohada (AS 3.9) was more desirable (p<0.05). Also, patients' satisfaction with nutrition status in Imam Sajjad hospital was significantly better than Iran hospital (mean 3.71) and Al-Ghadir hospital (mean 3.75) (p <0.05). Nutrition status of other hospitals was not significantly different (p>0.05). The results of Friedman test showed that cook quantity, distribution quantity, distribution quality and cook quality had the highest level of satisfaction from patients' perspective, respectively.

Patients' satisfaction with the quantity and quality of cooks and food distribution in the NAJA hospitals is at a satisfactory level, but the satisfaction with the quality of cooks and distribution is lower than their quantities.

Positive psychology, along with the repair of injuries, aims to improve the quality of life. The treatment staff's quality of life is very important. A high level of treatment staff's burnout can affect their quality of life and, consequently, the quality and quantity of care for the patients. The purpose of this study was to evaluation the relationship of job burnout, job motivation and resilience with the treatment staff's quality of life in one of the armed forces hospitals.

This descriptive-correlation study was carried out on all hospital treatment staff in one of the armed forces hospitals in 2018. Using a random sampling method, 300 persons were selected as samples. Questionnaires for quality of life, burnout, job motivation and resilience were used for data collection. Cronbach's alpha was used to measure scales' reliability. Data were analyzed using correlation and multiple regression tests in SPSS 20 software.

There was a negative correlation between the components of emotional exhaustion and de-personalization with quality of work life (p<0.05) and There was a positive relationship between personal status and quality of work life (p <0.05). There was a positive relationship between components of skill diversity, task identity and feedback with quality of work life (p<0.05). There was a positive relationship between resilience and quality of work life (p<0.05).

Job burnout, job motivation and resilience of employees are effective in their quality of work life.

Military hospitals should be evaluated and accredited based on their specific criteria and characteristics, as they are specific and have specific objectives and structures. The present study was conducted to identify the indicators and standards of accreditation programs of military health care centers.

In this narrative review study, all Persian and English studies conducted from 2000 to 2019 in PubMed, Scopus, and Google Scholar databases using a variety of keywords accreditation, quality assessment, hospital, health care center, military medicine, military and the armed forces were available, examined. In addition to manual search, websites of some hospitals and military centerswere also searched. After initial retrieval of 354 papers and documents, the three researchers independently evaluated their quality according to the study objectives, and unrelated studies were excluded from the final review and the necessary information was extracted from the remaining 16 sources.Data collection was done using a data extraction form designed based on the study purposes.

JCAHO was the most important organization that accredited the military health care services in the world. The main criteria, which are considered by hospital and other military health care centers, were in two categories of specific criteria and general criteria in 20 rows including structural, processes, outcomes standards, and treatment, services, management and leadership and quality improvement and security indicators.

With regard to the results of this study, paying more attention to structural, processes and outcome standards related to mission and structure of military health care providing centers and hospitals is suggested. Also these centers should be accredited based on modified standards as well as by other common accreditation organization.

Research in neurocriminology has grown dramatically in recent years. Given the importance of the subject, the purpose of this paper was to investigate studies in neuroscience and brain studies about criminology and crime prediction.

This review article is the result of a review of research published in ISI, Wiley, Sciencedirect, PubMed, Scopus, etc between 2000 and 2018 about neurocriminology using brain mapping and neuropsychological disorders, as well as their role in predicting violent, antisocial, and criminal behaviors.

Some neurobiological markers are associated with the individual's aptitude and tendency to violent and criminal behaviors. Also, certain structural and functional characteristics of the brain are associated with antisocial traits of specific groups of criminals, such as murderers and child abusers. On the other hand, the recognition of neurobiological markers associated with specific antisocial behaviors can be used to increase the accuracy of a person's likelihood of committing a crime as well as to repeat a crime, thereby predicting and preventing criminal behavior.

Although, based on the results of the research reviewed in this article and also because of the very complex nature of the brain, accurate conclusions require a lot of additional researches, but it seems that neuroprediction of antisocial and criminal behaviors using brain mapping and neurobiological findings can be a tool for assisting law enforcement agencies such as C.I.D Police and the judicial systems so that the treatment of high-risk offenders, via integrating current punishing policies and measures with social-rehabilitation strategies, could be improved without threatening their individual rights. Such an approach can have significant effects on reducing crime and promoting social security.