فهرست مطالب

War and Public Health - Volume:14 Issue: 56, Summer 2022

Iranian Journal of War and Public Health
Volume:14 Issue: 56, Summer 2022

  • تاریخ انتشار: 1401/08/09
  • تعداد عناوین: 16
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  • O. Falova*, L. Onufriieva, O. Khartsiy, H. Kazarova Pages 249-256
    Aims

    The purpose of the study was to establish the relationship between psychological factors and impaired functioning of the musculoskeletal system.

    Instrument & Methods

    To achieve the purpose of the study, numerous methods were used, including theoretical (analysis, synthesis, generalisation) and practical (Depression, Anxiety, and Stress Scales; Nordic Musculoskeletal Questionnaire; Copenhagen Psychosocial Questionnaire. Statistical significance between the studied indicators was established using Cronbach's Alpha coefficient.

    Findings

    The results of the study established that employees who were in the range of average indicators according to the stress detection method had a higher risk of musculoskeletal disorders. These rates were high even considering some variables, such as smoking, age, and body mass index scores.

    Conclusion

    Intense stress leads to disorders in the musculoskeletal system. In particular, such emotions as anger, frustration, annoyance, confusion, tension, hatred, anxiety, and nervousness cause stress. Not only the experience and frequency of such feelings but also the repetition of actions and movements cause injuries or disorders of the musculoskeletal system.

    Keywords: Physical Disorders, Skeletal System, Psychosomatics, Personality, Mental Problems, Stress
  • I. Deineko* Pages 257-262
    Aims

    The main purpose of the study is to study and compare clinical and morphological characteristics, as well as the results of comprehensive treatment of patients with locally advanced malignant thyroid tumors T4a and T4b stage, compared with tumors without T1-3 invasions, to determine the main factors influencing the prognosis disease.

    Material & Methods

    The study groups included 120 patients with invasive locally-advanced malignant tumors of the thyroid gland of category T4a and 35 patients of category T4b. Also, for comparison of general and morphological characteristics, the control group of patients with non-invasive locally-advanced malignant tumors of the thyroid gland, or with the initial invasion of pre-thyroid muscles of category T1-3, which made up 1985 patients, was studied.

    Findings

    It was found that depending on the prevalence and degree of tumor invasion, the average age of patients increased, the number of men in groups increased, and the number of patients with regional and distant metastases increased, which worsened the prognosis. The most frequent localization of the invasion of the tumor of the thyroid gland was the invasion in the upper respiratory tract, namely, the invasion in the trachea, due to the close location of the thyroid gland around the trachea.

    Conclusion

    Aggressive surgical interventions in complex treatment allows in cases of well-differentiated tumors to significantly improve survival rates and reduce recurrence. Also, the use of radical methods of surgery improved the efficiency of treatment of the moderately differentiated tumors of the thyroid gland. Not looking at the use of aggressive radical surgery in the complex treatment of patients, the worst indicators remain in cases of moderate and poorly differentiated forms of the disease, but significantly improved quality and life expectancy, which is also important in cases of low morphological structure.

    Keywords: Thyroid Cancer, Invasion into Organs, Main Vessels of Neck, Mediastinum, Expected Response to Treatment
  • D. Oudi, M. Nakhaei, S. Mohtasham, A.A. Esmaeili, S.A. Vagharseyydein* Pages 263-269
    Aims

    living with post-traumatic stress disorder veterans imposes severe stress on veterans’ family members, especially veteran’s spouses. This study aimed to discover and explore coping strategies to advance and maintain the cohesion of life.

    Participants & Methods

    Current study was conducted in 2021 using a qualitative content analysis approach. Participants were selected purposely from post-traumatic stress disorder veterans’ spouses. Data were collected through semi-structured interviews with 15 post-traumatic stress disorder veterans’ spouses. And then analyzed according to Graneheim & Lundman's method.

    Findings

    Through analysis of transcribed interviews, 1 theme, 4 categories, and 8 subcategories were extracted. The theme was developing life meaning and categories including developing value base approach, altruistic preservation, beyond-defined gender roles, and mutually beneficial care.

    Conclusion

    In confronting with full of tension in life and lack of support, developing the meaning of life can be led to wide and deep changes in the encyclopedia and the meaning of wives' life, and these changes can make them better and more optimal in confronting life challenges.

    Keywords: PTSD, veterans, spouses, life, coping
  • O. Semenenko*, S. Kirsanov, O. Mashkin, O. Pravdyvets, V. Petrozhalko Pages 271-278
    Aims

    The purpose of the article is to develop a mathematical model of the army management cycle based on a continuous Markov chain to justify the requirements for the efficiency of the control bodies (CB) of a promising automated control system.

    Materials & Methods

    The basis of this methodological apparatus is the following

    methods

    expert assessment, analogies, empirical methods used during testing of individual software and technical solutions of automated control systems, which are created in the Armed Forces of Ukraine.

    Findings

    Authors developed a mathematical model of the troop management cycle based on a continuous Markov chain to justify the requirements for the efficiency of the operation of a promising automated control system. A special feature of this model, which determines its novelty, is the use of the theory of Markov Processes with discrete states and continuous time for mathematical modeling of the CB operation cycle in a control system of any level of subordination of troops. This made it possible, unlike other methods, to establish a relationship between the amount of information that circulates in the troop management cycle during the operation of the CB, and the time that is spent on this at each of its stages.

    Conclusion

    The obtained scientific results made it possible to justify the time (to put forward a requirement for the efficiency of the CB) that is needed to perform certain measures of the CB of a promising automated control system to achieve the goal of the operation.

    Keywords: Mathematics, Military Forces, Military Affairs, Defense
  • K. Sakibaev*, K. Kozuev, I. Atabaev, A. Alimbekova, A. Argynbaeva Pages 279-285
    Aims

    The purpose of this research work was to assess somatotypological indicators of physical development in the inhabitants of Kyrgyzstan, from the standpoint of the prospects for preserving the health of the nation as a whole and preventing the occurrence of diseases in the citizens of the country's corresponding to a particular type of somatotypological disorders in particular.

    Materials & Methods

    The basis of the methodological approach in this research work is a combination of methods of systematic analysis of the relationship of somatotypological indicators of a person's physical development with his general state of health with an analytical study of the features of the relationship of a person's somatic type with his general state of physical health, concerning the realities of living in modern Kyrgyzstan.

    Findings

    In the course of this scientific study, results were obtained indicating the presence of a relationship between some somatotypological and anthropometric parameters of the physical development of Kyrgyz residents and the presence of certain diseases in them.

    Conclusion

    Among the male residents of Kyrgyzstan, the abdominal somatotype prevails, and the chest somatotype can be called the least common. For women, the most common somatotype should be considered muscular, while the chest somatotype should be considered the least common. The presence of certain diseases or disease states is reflected in the main somatotypological parameters of a person's physical development.

    Keywords: Anthropometric Data, Health, Population Of A Specific Geographical Region, Diseases, Healthcare
  • A.R. Ghalenavi, N. Mikaeili*, M. Ebadi, S. Basharpoor Pages 287-293
    Aims

    This study aimed to provide a causal model of personality traits and meaning in life with post-traumatic growth, with a mediating role of psychological resilience in veterans.

    Instrument & Methods

    The method of this research is descriptive-correlational. Data analysis is done through path analysis and structural equations. The statistical population of the study was all veterans under the support of the Sabzevar Martyr Foundation in 2021 and 320 subjects were selected as a sample. To collect data, the post-traumatic growth inventory, the brief HEXACO inventory, the meaning in life questionnaire, and the Connor-Davidson resilience scale were used. All data analyzes were performed by SPSS 24 and LISREL 8.8 software.

    Findings

    The proposed model had a good fit (GFI: 0.86, CFI: 0.92).  Also, personality traits and meaning in life, directly and indirectly, affected post-traumatic growth.

    Conclusion

    This model can be a good model for identifying the factors involved in the post-traumatic growth of veterans and the results of this study can be used for planning to increase post-traumatic growth.

    Keywords: Post-Traumatic Growth, Hexaco Personality Traits, Meaning in Life, Resilience
  • B. Abed Hussein*, M. Fawzi, S.T. Al-Saray, R. Abed Hussein Pages 295-302
    Aims

    The high-fat-low-carbohydrate diet is an efficient diet for reducing body weight, with increased satiety and diminishing energy consumption. This study aimed to determine the effects of a high-fat-low-carbohydrate diet on the metabolic function of the liver and pancreas in a mouse model.

    Materials & Methods

    This experimental research was conducted in 2021 on 60 albino mice that were divided into 6 groups (each group containing 10 mice). At the beginning of the experiment, 40 mice were fed a high-fat-high-carbohydrate diet for 12 weeks to enhance gaining weight;  then the 4 groups were fed a high-fat-low-carbohydrate diet, while the other two groups were considered as control groups. For sample collection, animals were sacrificed and blood samples were collected for biochemical analysis, tissue samples were taken for histopathological assay. Data were analyzed by SPSS 26 using the ANOVA.

    Findings

    The result of this study showed that mice fed a high-fat-low-carbohydrate diet had high levels of aspartate aminotransferase, alanine aminotransferase, and cholesterol in the blood serum. In addition, the level of triglycerides and blood glucose decreased in the same groups. Histopathological study showed severe fatty changes that led to edema and degeneration of hepatocytes in the periportal area due to degeneration of the microvasculature and the formation of bridging fibrosis between the central hepatic lobes and the peripheral area in the high-fat-low-carbohydrate diet group. The tissue sections of the pancreas did not show any signs of pathology.

    Conclusion

    Long-term administration of a high-fat-low-carbohydrate diet affects histologically and functionally in mice liver.

    Keywords: High Fat Low Carbohydrate Diet, Hepatic Steatosis, Fibrosis
  • Y. Wang, L. Liu*, Y. Geng, C. Wang, S. Li Pages 303-309
    Aims

    The formation of the work of public health institutions relates primarily to the category of ensuring socioeconomic balance. When implementing a specific order of work in a healthcare institution, the formation of directed care and providing the best conditions for patients occurs. This study aimed to develop of an indicator framework for integrated monitoring of the costing process for a patient by rehabilitation medical institutions.

    Material & Methods

    In this study, a system of factors of strategic changes in integrated monitoring of the costing process by medical rehabilitation institutions, as well as a price matrix and risk assessment criteria were applied to determine the internal pricing strategy by medical rehabilitation institutions.

    Findings

    The authors show that the functioning of institutions that contribute to the rehabilitation of citizens should be based on the principles of distributing the correct price for the treatment for each person.

    Conclusion

    The paper presents a model for the formation of this assessment and the method of its application in the management of healthcare institutions. The practical significance of the study is determined by the possibility of balanced determination of the share of the health care institution in the functioning of the general public health system. This will expand the range of services and identify the entities in need of managerial activity improvement.

    Keywords: Healthcare, Public health, Rehabilitation, Model, Formation
  • S.S.H. AL-Salih*, F. Jaber Muhbes Pages 311-316
    Aims

    Coronavirus Disease-2019, is a rapidly spreading pandemic triggered by a new human coronavirus. It was the most common dangerous health crisis. The study aimed to assess attitudes regarding COVID-19 among nurses.

    Instrument & Methods

    A descriptive study was carried out to assess nurses’ attitudes regarding COVID-19 in Al-Hilla teaching hospitals at Al-Hilla city from 25th September 2020 to 20 February 2022. A convenient non-probability sample was selected for 200 nurses who are working at epidemic hospitals. A questionnaire was comprised of two parts; demographical data, and the items related to nurses' attitudes about COVID-19. The data were analyzed by one-way ANOVA using SPSS 25, and Microsoft Excel 2010. were performed in assessing any difference in mean knowledge score by demographic characteristics.

    Findings

    The findings showed through the analysis of attitudes towards COVID-19 demonstrated that the majority of nurses (86%) expressed a positive attitude towards COVID-19, which illustrated the nurses had psychological attention to overcoming the covid-19 pandemic, there were important variances in the attitudes regarding COVID-(p<0.05) in related to nurses' ages, there were significant differences between nurses' about COVID-19 (p<0.05), concerning nurses' educational levels and displays that there were significant differences between nurses' attitudes regarding COVID-19 (p<0.05) with the working years in nursing.

    Conclusion

    Nurses expressed positive attitudes towards COVID-19. Nurses' attitudes toward COVID-19 had significant differences regarding the variables such as Nurses' age, education level, and years of experience in nursing.

    Keywords: Nurses, Attitudes, COVID-19
  • A.R. Mohammad, H.A. Hussein, S.A. Kadhim, M.H. Hashoosh, E.S. Hassan* Pages 317-321
    Aims

    This study aimed to investigate the concentration of Cadmium (Cd) and lead (Pb) in different serum samples of diabetic patients and compared them with healthy subjects.

    Materials & Methods

    This pilot study was conducted in the Al-Hira area, Najaf governorate, Iraq from June 2021 to January 2022. It included 25 diabetic patients (12 males and 13 females) and 15 healthy non-diabetic subjects (7 males and 8 females) whose ages ranged between 30-80 years. The diabetic patients with an average age of 52.52 years, have type 1 or type 2 diabetes. Healthy people have an average age of 53 years. The blood samples were taken after fasting one night and centrifuged after acid digestion to obtain serum which was stored for later use. Lead and Cadmium measurements were done using an atomic absorption spectrophotometer, SHIMADZU model AA-7000 atomic absorption spectrophotometer (Japan), which was calibrated. By SPSS 20, data were analyzed using the independent t-test and Pearson Correlation.

    Findings

    The Cd concentration in diabetic patients was higher than the control group with a high statistical significance (p<0.0001), this was true for the concentration of Cd in diabetic male and female patients which was significantly higher (p<0.001) than in male and female of the control group. While the Pb concentration is significantly lower in the diabetic group as compared to the healthy group but it was insignificantly (p>0.05) change in diabetic males and females as compared to healthy male and female persons. The Cd concentration was significantly higher in both type1 and type2 diabetic patients while the concentration of Pb insignificantly changed in those patients.

    Conclusion

    The Cd concentration is low in type1 and type2 diabetic patients of both gender, while the concentration of Pb is lower in diabetic patients than in healthy individuals.

    Keywords: Diabetes, lead, cadmium, Atomic Absorption Spectrophotometer
  • H. Mollaii, L. Ostadhashemi*, N. Zanjari, S. Hosseinzadeh Pages 323-329
    Aims

    Understanding problems of promoting health and success in the elderly become more important concerning life expectancy increase in people with physical disabilities. This study aimed to determine social factors of successful aging in the elderly with physical disabilities supported by charitable associations.

    Instrument & Methods

    This is a cross-sectional study, which was carried out on 153 elderlies with physical disabilities aged 55 years and older in Tehran from 2021 to 2022. The subjects were selected using the convenience sampling method. Data were collected through a demographic information checklist, successful aging questionnaire, sense of social justice, social network, and socio-economic base. Data were analyzed using Pearson correlation tests, analysis of variance, and generalized linear regression.

    Findings

    The average age of the subjects was 64.27±8.4, and 56.9% were male. The generalized linear regression model showed a significant relationship between the demographic variables and the education level with successful aging (p<0.05). The relationship between the main dependent variables and successful aging was investigated using adjusting the effect of demographic variables. There was a significant relationship between the socioeconomic base with successful aging (B>0.178; p=0.001). However, there was no significant relationship between successful aging with social justice sense (p>0.05). There was a significant relationship between successful aging with different dimensions of social network (p<0.05), except for the intimacy dimension.

    Conclusion

    The results of this study can be helpful for policymakers, planners, and social workers to social rehabilitate the elderly with disabilities and design interventions.

    Keywords: Elderly, Physical Therapists, Aging, Social Factors
  • Abdulhadi Meryud Abood, Mohammed Mohammud Habash*, Myasar Jasim Mohammed Pages 331-337
    Background

    Colonic carcinoma accounts for approximately 10% of all incident cancers, and mortality from it is estimated at nearly 450,000 per year. It is one of the most commonly diagnosed cancer related morbidity and mortality worldwide with a high mortality. In men, it is the third most common cancer after lung and prostate cancer, while in women; it is the third common cancer after lung and breast cancer. Despite the clear relationship with aging, colonic carcinoma is not strictly a disease of elderly and 6-8 % of cases occur in patients below 40 years of age .This study aims to assess clinicopathological and management of colonic carcinoma in Gastroenterology and hepatology center.

    Patient and Method

    From November 2014 to February 2016, seventy- four patients with Colonic carcinoma 43 males and 31 females were admitted to the Gastroenterology and hepatology center. The age, sex, presentation, modes of investigation, stage, grade of the cancer, treatments as well as complications have been documented.

    Results

    Male: female ratio about 1.38:1 with peak age of incidence in the seventh decade, 10 of patients 13.5% were below age of 40 year. Most female 23 (74.2%) were above age of 60 year and most male patients  25 (58.2%) were below age 60 year. The main presenting symptom was abdominal pain 70%. The mean period between onset of presenting symptoms and final diagnosis was 7 months .The most common sites were recto-sigmoid junction (22.9%) fourty eight had a high grade differentiated and 41% were Duke's B2.

    Conclusions

    The study highlights the importance of early diagnosis, keeping in mind the increasing incidence of colonic carcinoma in younger age groups and right colon. The high grade involved male in earlier life while involve female in late age.

    Keywords: Colon cancer, Colonic grading, Estrogen, Vitamin D
  • Waleed Majeed. Almayahi*, Qayssar Ali Kraidi, Salma Saeed.Abbas, Basil A. Abbas Pages 339-345

    Infectious bronchitis represents a worldwide disease in distribution and is extremely difficult to control, because of its multiple serotypes and variant strains. Rapid detection of infectious bronchitis virus (IBV) is the beneficial achievement of controlling measurement and scientific research determinations. Thus, the aims of the current research have represented the detection of IBV in Basra province, by using the molecular technique which targeting the 5’ untranslated region gene of IBV which is less variable than the other genes and finds the histopathological changing that caused by such viruses. About 80 clinical tissue samples (kidney and trachea) were pooled from broiler chicks with clinical findings related to IBV. Later the samples were subjected to Real-time PCR and histopathological techniques. Positive samples were detected with one-step real-time and clinical diagnosis in addition to the histopathological changes; excessive vaculation mostly in sub capsular renal tubules, aggregation of inflammatory cells in sub capsular renal tubules. Further, the molecular part of the current work explained infectious bronchitis in all studied farms of IBV. According to the results of the current study, the IBV is still circulating with devastating effects on the poultry industry in Basra province and this might be due to a lack of awareness among the owners of the farms in matters related to biosecurity and vaccination program.

    Keywords: Posterolateral corner (PLC), lateral collateral ligament (LCL), Magnetic resonance imaging (MRI)
  • Parthiban Vasudevan* Pages 347-349

    Plasma cell granuloma in adults are very rare, especially in the stomach. Plasma cell granuloma is a non-neoplastic sequence characterised by unsustainable growth of inflammatory cells. A lesion in the gingiva was first reported as plasma cell tumour 1968 [1]. Plasma cell granuloma of lungs was described by Bahadur and Liebow as inflammatory  pseudotumor in 1973. Inflammatory myofibroblastic tumor or inflammatory pseudotumor. Lung and upper respiratory tract  are the most common site stomach is the rarest site of Plasma cell granuloma [2]. The progress for Plasma cell granuloma cannot  be  predicted because, not much data on etiology pathogenesis and treatment. The Other mode of treatment are radiotherapy steroid therapy  advocated in few cases. No Detailed further data available. Case of a 58 years old male with stomach plasma cell granuloma.

    Keywords: Inflammatory, Lesion, Plasma cell granuloma, pseudotumor, Stomach
  • Adnan A. Al-Mousawi*, Saad S. Al-Amara, Majid Noori Humoud, Sadiq Oda Hattab Pages 351-357
    Aims

    Staphylococcus haemolyticus is well known coagulase-negative staphylococci (CoNS). it is generally exist as a microbiota on skin. Internstigly, S. haemolyticus is generally considered as an opportunistic bacterial infections that highly associated with immunocompromised individuals, especially those who are hospitalized or have medical implants. S. haemolyticus is ranked as highly resistant pathogen to various types of antibiotics for both traditional and last line antibiotics including penicillins, tetracyclines, cephalosporins, macrolides, aminoglycosides, and quinolones and glycopeptides.

    Materials & Methods

    Isolates were identified using Gram-stain and several conventional biochemical test like oxidase, catalase, types of hemolysis, and coagulase tests. Vitek®2 system was utilized to confirm the results of identification. Methicillin resistance and inducible clindamycin resistance were detected according to disk diffusion method depending on CLSI guidelines, Moreover, molecular approaches was performed to confirm methicillin and inducible clindamycin resistance results.

    Findings

    200 swabs were collected from pateints with surgical wounds during the period From September to November 2020. Among 75 (37.5%) samples that showed positive bacterial cultures, 19 (25.3%) isolates of Pseudomonas aeruginosa revealed higher bacterial values followed by Staphylococcus epidermidis 13(17.3%),Staphylococcus aureus11(14.7%),…

    Conclusion

    D test and molecular technique for detecting inducible clindamycin resistance should be used as a routine work of antibiotic susceptibility testing, for the more accurate result to use the suitable antibiotic and avoid frailer treatment.

    Keywords: Staphylococcus haemolyticus, methicillin resistance, D-test, inducible, clindamycin resistance
  • Akram Jahangir* Pages 359-360

    The main question is what happens when a drug is reported to be effective in an approved clinical study, but it turns out to be less effective or gives rise to side effects. We believe there should be other factors besides what the authors claimed correctly. From one side there is a firm relationship between financial payments from industry with increased prescribing. Personal payment has a negative impact on the ability of physicians for independent therapeutic decision making with higher rate of harmful impacts on patients1. This could lead to the controversial evidence on the benefits and disadvantages after approving the drugs.