مجله طب نظامی
سال بیست و چهارم شماره 8 (پیاپی 117، آذر و دی 1401)

Chronic pain is one of the most common issues that has encouraged the military population to seek medical care. This study aimed was to predict the components of chronic pain based on empathy, mentalization, and emotion regulation in patients with chronic pain.

The study was a descriptive correlational study and the statistical population was all patients with chronic pain, especially musculoskeletal pain in the period from April to August 2020 who were referred to the rheumatology clinic of Baqiyatallah Hospital in Tehran. The sample consisted of 339 people who were selected by convenience sampling method and answered the questionnaires about chronic pain, mentalization, difficulties in emotion regulation, and Empathy. After collecting the data, its analysis was performed using version 22 of SPSS software.

There was a significant relationship between both components of chronic pain with predictor variables except emotional empathy about the pain intensity component at the level of less than 0.05. The highest rate of variability by predictor variables with a coefficient of determination of 0.58 for pain inability, 0.54 for difficulty in emotion regulating, 0.02 for mentalization and emotional empathy 0.02, and the coefficient of determination for pain intensity was 0.43 which the highest variability was related to the difficulty of emotion regulation (0.42) and then Mentalization (0.01).

Using the results, it is possible to take measures in the form of psychological training in the field of emotion regulation and chronic pain in the direction of health and chronic pain management for other at-risk groups, especially the military population.

Occupational exposure to noise in the workplaces is a significant health problem and cardiovascular disease is one of the most important and common non-communicable diseases and one of the main causes of premature death. In addition to hearing impairments, noise as a stressor may cause cardiovascular problems, high blood pressure, nerve stimulation, stress and hormonal disorders in the body. The present study aimed to investigate the effect of occupational exposure to workplace noise on cardiovascular disease risk factors.

This case-control study was conducted in 2020 in a large power plant industry. In this study, the health status of employees in both exposed and non-exposed groups was examined for cardiovascular disease risk factors (body mass index, blood pressure, fasting blood sugar, creatinine, and cholesterol, triglyceride and liver enzymes). Data collection in this study was performed by examining the medical records of all male workers, and investigating the exposure or non-exposure to noise by examining the documentation related to noise measurement in the industry. Data were analyzed using two independent sample t-test and Chi-square in SPSS version 26.

There was no significant difference between age, work experience and smoking status of the two groups (P>0.05). The results revealed that mean fasting blood sugar (FBS), triglyceride, liver enzyme (SGOT), blood pressure and body mass index were significantly different in the case and control groups (P<0.05). There was no significant difference in the mean of creatinine, cholesterol, liver enzyme (SGPT) between the case and control groups (P>0.05).

The results of this study revealed that exposure to noise above the allowable occupational exposure limit can be effective on the cardiovascular disease risk factors in individuals, so it is recommended to reduce the risk of these diseases and prevent the progression of complications by periodically assessing the health status of employees, timely diagnosis of noise exposure and performing suitable control measures like engineering controls, management controls and finally use of hearing protection equipment.

The COVID-19 pandemic led public health systems to encounter major challenges. Nurses in hospitals are serving on the frontline in encountering disasters and military hospitals have a vital role in the health response to disasters. The aim of this study was to explore the nursing management challenges in the face of the COVID-19 pandemic in military hospitals.

This qualitative study with a conventional content analysis approach was conducted in 2021. Fourteen nursing administrators from seven military hospitals in Tehran were enrolled using purposive sampling. In-depth and semi-structured interviews were used for data collection and continued until reaching data saturation.

Four main categories emerged from the data analysis: “Human barriers” (Support, Commitment, Culture, Staff management, Volunteers Management), “Financial barriers” (Budget, Equipment), “Organizational barriers” (Organizing, Rules and Regulations, Planning, Training, Drill), and “Communicational barriers” (Communications and Coordination, Information management).

The complex crisis of the Covid-19 pandemic can lead to instability and numerous challenges in the nursing management process, especially related to rules and regulations, volunteer management, extra-organizational coordination, and information management in military hospitals. With correct and accurate planning, scientific and, decisive management, and unity of command, these challenges can be prevented from affecting the disaster risk management process in military hospitals.

Suicidal thoughts are one of the main risk factors for suicide attempts, so understanding the factors associated with suicidal ideation in soldiers can be important in preventing and treating suicide in military environments. The aim of this study was to investigate the relationship between the demographic factors of soldiers and their experience of suicidal ideation.

In a cross-sectional study, 150 soldiers were selected from military barracks in Sanandaj, Kurdistan Province and answered the Beck Suicide Thought Questionnaire and the Demographic Characteristics Questionnaire. ANOVA and t-tests were used to analyze the data.

The findings of the present study showed that among the demographic factors of age, educational status, indigenous or non-indigenous, marital status, and length of service only native or non-native soldiers have a significant relationship with the experience of suicidal ideation (T = -2.033, P<0.05).

The findings of the present study showed that the non-native soldiers reported significantly more suicidal ideation than the native ones and this issue should be addressed by the officials and psychologists of military centers through more support, including providing facilities such as granting long vacations, working in less stressful tasks and psychological care such as conducting preliminary screenings and holding individual and group counseling for non-native soldiers.

Mental health is an important part of the overall concept of health including the ability to communicate positively with others, how to adapt to the environment, and how to control stress in daily life when faced with critical situations. Therefore, the study aimed to investigate the role of difficulty in emotion regulation and negative repetitive thoughts in predicting the mental health of NAJA employees.

The present study is a descriptive correlational study. The statistical population included the employees of the police force of Tehran city Who were employed in 2021, and 203 people were selected from them by the available sampling method. Gertz and Roemer's emotion regulation difficulty questionnaire (2004), McEvoy et al.'s repetitive negative thoughts questionnaire (2010), and Goldberg and Hiller's mental health questionnaire (1979) were used to collect data. Data analysis was done using SPSS version 23 statistical software.

The results showed that there is a correlation of 0.58 and 0.64 between the overall score of difficulty in emotions regulating and negative repetitive thoughts with mental health. Also, the results of regression coefficient analysis show that the overall score of difficulty in emotion regulation is 0.54 and the total score of negative repetitive thoughts is 0.60 can predict mental health changes. components difficult in emotion regulating and repetitive negative thoughts can all predict 56% of mental health changes, so the regression model is significant (P<0.001).

It can be concluded that difficulty in emotion regulating and negative recurring thoughts can threaten the mental health of NAJA employees, Therefore, with the help of skills related to proper emotion regulation and management of unhealthy thoughts and emotions, many mental health threats can be avoided.

Periodontal is a group of inflammatory diseases that can cause tooth loss. This study investigated two types of mouthwash, chlorhexidine and green tea of the Irsha and Colgate brands to patients with moderate chronic periodontitis based on gingival factors, including gingival index (GI) and sulcus bleeding index (SBI).

Ninety patients were divided into three equal groups: chlorhexidine, Colgate green tea, and Irsha green tea. The sampling patients were randomly selected among adults with moderate chronic periodontitis. The SPSS statistical software (version 22) was used for data analysis. An independent t-test was used to investigate the significant difference between treatment groups and paired t-test was used to assess the significance of GI and SBI parameters before and after treatment with mouthwash in each group of patients. P-values less than 0.05 indicated significant differences between the groups.

There was no significant difference between the chlorhexidine and Colgate green tea groups regarding the GI index (P=0.023). However, Irsha green tea has significantly reduced the GI index compared to chlorhexidine (P=0.025) and Colgate green tea (P=0.021). In addition, the statistical results did not show a significant difference between chlorhexidine and Colgate green tea in terms of the SBI index (P=0.116). However, Irsha green tea has significantly reduced the SBI index compared to chlorhexidine (P=0.003). The amount of SBI index in the two green tea brands was similar (P=0.445).

The effectiveness of Colgate green tea mouthwash in reducing GI and SBI index was similar to chlorhexidine; however, the effect of Irsha green tea mouthwash on these indices was significantly less than that of chlorhexidine mouthwash. Between the two brands of green tea, no noticeable changes in the reduction of the SBI index were observed.