Iranian Journal of War and Public Health
Volume:4 Issue: 16, 2012

Objective (s): Independency in life activities has an important role in individuals with disability to bring them back to normal life. The objective of this study was to determine Instrumental Activity of daily Living in survivors of the Iran-Iraq war with bilateral lower limb amputation. A cross-sectional study was performed to assess the level of Instrumental Activity of daily Living (IADL) - Lawton and Brody IADL scale questionnaire- in Iran-Iraq war related bilateral lower limb amputees (n=335). The Chi-square test was employed as statistical methods. Data were analyzed using SPSS software. The average age of the patients was 42. 05 (SD=6. 33). The majority of the cases %97. 6 (n=327) were male and married. The most dependency in IADL were housekeeping (91. 3%)، food preparation. And the least was ability to use telephone (4. 2 %). Age، level of education، employment status، co morbidity، phantom pain and its severity and duration was significantly (P≤0. 05) associated with Instrumental Activity of daily Living scale. This study showed that war related bilateral lower limb amputees were dependent in some IADL scales، especially housekeeping and food preparation. Rehabilitation programs might help the amputees to be more independent in their normal life activity.

Epilepsy is a common chronic neurological disorder that affecting more than 40 million people worldwide. One of the reasons the disease caused by traumatic head injuries. Some of our nation''s veterans during the Iraqi imposed war against Iran، dealing with head trauma after being diagnosed with epilepsy. IED of the veterans and other patients with epilepsy and the factors affecting the IED. Data recorded from male patients with epilepsy referred to Shafa Neuroscience Center between 2007 and 2011. The reason for referring patients is diagnosis of epilepsy and evaluation before surgery. All patients participating in this study have been under the V-EEG. Poisson regression was used to analyze data. The results indicate that all included covariates، veterans status، seizure type، seizure occurrence and duration of epilepsy، had significant effect on IED (P<0. 01). Discussion and Number of IEDs for veterans is approximately 1. 7 times IEDs of other patient.

any disability، especially spinal cord injury on the surface of the sensory and motor function، other serious complications in other parts of the body، leaving behind. Strongly affected by disability and inactivity، particularly the spine، loss of body condition and level of fitness is wrong. The purpose of this study، Survey and Comparison of line of the spine veterans spinal cord injured athletes in The various sports groups (Archery، wheelchairrany، swimming،، wheelchair basketball) And is a non-athlete. Therefore، this study on 60 veterans in 48 veteran spinal cord injury spinal cord injury athletes (12 athletes Archery، 12 athletes wheelchairrany، 12 athletes swimming، 12 athletes، wheelchair basketball) Were veterans and 12 non-athletes. Spinal abnormalities include lordosis، kayphosis and scoliosis Was evaluated using the mouse spinal. For data analysis، descriptive statistics were used to test the assumptions in the study of inferential statistical methods such as analysis of variance ANOVA، post hoc test was used Froony bin. The line of the spine (lordosis) subjects and Strings Archery، weelchairrany، swimming، wheelchair basketball and a non-athlete with no significant difference (0. 05

To evaluating of the two methods on nurse''s KAP about autonomic dysreflexia in Spinal Cord Injured (SCI) people In the quasi-experimental study 73 nurses were selected based on purposive sampling and randomly assigned presence (lecture) or non- presence (booklet and reminder) training group. Data were collected before and after intervention via a researcher-made questionnaire considering KAP dimensions after obtaining acceptable validity and reliability (r=0. 6). Data were analyzed using SPSS software version 11 and more comparisons were done using independent T and paired T test. Mean years of nursing were 11 ± 8. 6 and 15 ± 8 and mean SCI caring years was 6. 8 ± 3. 6 and 7. 4 ± 5. 5 in non- presence and presence methods respectively. Despite «low» score in Knowledge and «weak» score in attitude and performance dimensions، their KAP significantly improved to «good» level in both groups. No significant difference was found in nurse''s KAP comparing the two methods. The non- presence (booklet and reminder) method showed that it’s as effective as lecture method in promoting nurse''s KAP score. Evaluating the two methods is recommended in large sample size and in various nursing fields. Key words: Autonomic Dysreflexia، KAP، Knowledge، Attitude، Performance،

family is the most important social institution in human societies and it has the main role of character development and children nurturing. the aim of this research is comparative assessment of self esteem and depression in war handicappeds and non war handicappeds children at shahed guidance school in sari city 1389-90. Methods and tools: present research is a descriptive study. Questionnaire completed by 200 war handicappeds and non war handicappeds children that had sampels profile. Sampling has been done census and randomly. Self Esteem assessed by cooper smith self esteem Questionnaire and Depression assessed by Beck Depression Inventory. Data collected and analyzed by spss software. The results in this investigation showed that war handicappeds and non war handicappeds girls and boys self steem have significant difference with(P<0/05). Mean and standard deviation of self esteem indicators showed self esteem in the group of war handicappeds with a mean and standard deviation 29/76(6/39) and non war handicappeds group with a mean and standard deviation 28/05(4/82) have significant difference. This means that self-esteem in war handicappeds group is more than non war handicappeds. also The results showed that there is no significant difference in depression in war handicappeds group with mean and standard deviation 14/38(9/54) with non war handicappeds group with mean and standard deviation 11/91(6/20). Discution and The results show that children of war handicappeds have higher self-esteem than non war handicappeds children and there is no significant difference between the two groups in depression.

Post traumatic stress disorder is a common psychiatric disorder in war veterans. They have different physical and mental problems due to exposure to variety of traumatic events and stressors and these problems affect their quality of life. The aim of this study is comparing the quality of life in out-patient and in-patient war veterans with post traumatic stress disorder. Methods and Materials: This study is a Descriptive & Comparative research. 68 post traumatic stress disorder war veterans were evaluated by 36-item Short Form Health Survey (SF36). The results indicated that post traumatic stress disorder war veterans had poorer role functioning due to emotional and physical problems and social functioning. They had better role in physical functioning. There was no significant difference between out-patient and in-patient veterans. There was significant correlation between duration of hospitalization and mental health scale and total mean scores of quality of life according to the SF36. Post traumatic stress disorder had been associated with a lower quality of life especially in mental، physical and social functioning in war veterans.. There was no significant difference between out-patient and in-patient veterans but duration of hospitalization had significant effect on quality of life in in-patient war veterans.

The flatfoot might be caused complications and pain within upper joints and also change distribution of plantar foot pressure in flatfoot patients. One of the current treatments for this problem is longitudinal arch support insole which might be used for decreasing the related complications of this disorder. This foot orthosis maybe help to improve the medial longitudinal arch and redistribute of foot plantar pressure. Assessing the distribution of plantar foot pressures within flexible flatfoot patients and the effects of longitudinal arch support insole on distribution of plantar foot pressures were the aims of this study. This was a quasi-experimental study with participation of 12 young men with bilateral flexible flat foot (age: 18- 28). The plantar pressures measurement insole (Pedar) was used for measuring the foot plantar pressures as an instrument which it includes five different sizes of insoles with 99 sensors. Each trial included three direct walk ways (nine meters) with normal speed and 50 Hz. There were two types of tests with/without foot orthoses. There was a significant decrease of plantar pressure in medial hindfoot and a significant increase of plantar pressure in midfoot foot by using the longitudinal arch support insole in contrast of without orthoses condition (with shoe). There was also an increasing contact area in the medial part of midfoot foot by using of foot orthosis in comparison of using the shoe only. The results of this study shows that the foot orthoses might be caused to transfer the pressures from other adjacent areas include hindfoot and forefoot to midfoot foot which support the previous studies. Also، significant decrease pressure in hindfoot by using the foot orthoses confirms that insole may help the foot to compensate the function of medial longitudinal arch.

The purpose of this research was to study the shoulder pain and strength and also the relationship between them in disable & veteran athletes and nonathletes wheelchair users. Method & Materials: 40 elite wheelchair athletes (20 men، 20 women) and 40 nonathletes wheelchair users (20 men، 20 women) participated in this study. Demographic information، sport activity level، disability and medical records were collected by questionnaire، interviews and medical files. Then shoulder pain by wheelchair users pain index (r=0. 99) and shoulder muscle strength (external and internal rotation، abduction، adduction، extension and flexion) by handheld dynamometer were assessed. Pearson correlation coefficient and independent t were used to analyze data (p≤0. 05). The results showed 80% of male subjects reported experiencing shoulder pain since wheelchair use and 70% reported current shoulder pain. The results showed 90% of female subjects reported experiencing shoulder pain since wheelchair use and 77% reported current shoulder pain. The results also showed a significant relationship between shoulder pain with years of wheelchair use، the level of activity and sport activity level in male athletes and significant relationship between shoulder pain with years of wheelchair use and the level of activity in female athletes (p≤0. 05). However significant relationship between external and internal rotation strength، shoulder abduction and extension strength with shoulder pain are observed in male athletes and also، significant relationship between external and internal rotation strength، shoulder abduction، adduction and extension strength with shoulder pain are observed in female athletes (p≤0. 05). Finally، with respect to findings of this study can be concluded shoulder pain is lower in athletes than non-athletes in both men and women and also strength in athletes is higher than non-athletes. So، participation in physical activities can be used to reduce pain in wheelchair users.