مجله پرستار و پزشک در رزم
سال دوم شماره 5 (زمستان 1393)

H. pylori is a gram negative and spiral organism that infected half of the world people. This organism is responsible for almost peptic ulcers and also MALT Lymphoma and Gastric Adenocarcinoma. Different therapies are used for H. pylori eradication such as triple and quadruple drugs regimes. Recently، a new therapeutic regime is discovered for H. pylori eradication، is named “Sequential” regime that amount and duration of antibiotics usage are less than previous regimes. In this study، eradication rate of sequential regime is investigated in 2011 in patientsreffered to JahromHonari clinic. This study is a interventional-clinical trial study. 50 patients with H. pylori infection treated by sequential therapy that is include of amoxicillin +PPI for 5 days and followed with clarithromycin + thinidazole +PPI for second 5 days. After 10 days treatment and 2 month follow up UBT test was done. After that، data was got analysis by SPSS software. 41 of 50 patients (82%) were responsed to sequential regimes. and 43 of 50 patients (86%) were responsed to anther regime. In this study، no significant differences between the two treatments were observed، but the amount of the drug was used in the sequential treatment was lower and therefore its complication will be lower.

Job satisfaction and its effective factors is an important issue in productivity organization. The main purpose of this study is evaluation of Job satisfaction and its effective factors In Tehran selected military hospitals. This study was cross sectional، and nurses in selected hospitals of Tehran''s military. The hospitals are selected by non-random and sampling method was simple random. The total of100 patients were studied. In this study، Dunnett job satisfaction and demographic questionnaire was used to evaluate. The findings showed that overall job satisfaction of nurses with an average of154/19 is good. Motivational factors mean78/55 and hygiene factors mean was 75/64. The greatest level of satisfaction was responsibility in work with relationship with co-workers and the lowest level of satisfaction was related to salary. Overall، Job satisfaction was good. Increasing salaries، job difficulty benefits، on time payment and providing welfare facilities can be effective in improving employee performance.

The effect of amputation on an individual''s psychological condition as well as family and social relationships is undeniable because physical disability affects not only the psycho-social adjustment، but also the mental health. When compared to normal people، such people are mostly experiencing social isolation. On the other hand، social interaction as the most powerful force to deal successfully coping with the amputation Amputation and stressful conditions known to facilitate tolerance problems for patients. The present study was conducted using qualitative content analysis. Participants included 20 patients with lower limb amputation due to trauma. Sampling was purposive initially and continued until data saturation. Unstructured interviews were used as the main method of data collection. Collected data was analyzed using qualitative content analysis and constant comparison methods. The main theme extracted from the data was Feeling impasse and social Restriction. The classes include “Scrutiny of others in live”، ” Feelings of rejection “، “Impairment in daily functioning “، “Secrecy Physical - Mental “، “Compassion aversion’’ and “Reduce dealings with others” Given the high number of physical، mental and social problems in trauma patients، identifying and strengthening Feeling impasse and social Restriction can be effective in their adaptation with the disease and improvement of the quality of their life.

Having the mental health and positive coping strategies of soldiers، making them immune to problems، and greater adaptation will result in military environments. The main this study was to investigate the relationship between coping strategies with mental health of soldiers. This study is a correlation research and survey method. Research community is General Staff Army soldiers (SMAJA) and 140 are available for sampling and were randomly selected. The Collection Tools data in this study is the General Health Questionnaire (GHQ) and coping strategies of Lazarus and Folkman (WOCQ). The results showed an overall mental health of soldiers that 31/30 is low. The problem-oriented coping style and mental health of soldiers with coefficient (0/41) there is a positive correlation، and emotion-focused coping style with coefficients (-/022) is negatively correlated with the mental health of soldiers. The use of problem-oriented coping style causes increasing mental health of soldiers، and people that have poor mental health، greater use of emotion-focused coping style as well.

Physical and spiritual conditions of human influence his tendencies toward environmental factors. Thus individuals'' temperamental classification in traditional medicine can affect their tendencies to architectural indices. By using qualitative method، library related studies and by administering questionnaire to 11 doctors، 9 effective indices were found in architecture which tendency towards them is affected by human temperaments features. To confirm this relation، two questionnaires were distributed to a population of 100 patients who visit the clinic of traditional medical school. The first questionnaire (medical standard questionnaire) is used to evaluate the respondents'' temperaments and second questionnaire with acceptable assessed stability and validity is used to examine the amount of respondents'' tendency in 9 aforementioned indices. Based on analytic comparison، amount of individual tendency to effective indices in architecture is different based on their temperaments. Warmer temperament individuals have more tendencies toward light، nature، humidity and warm colors indices and by reduction of temperamental warmth، the amount of individuals'' accuracy and patience will increase. Warmth temperaments reduction leads to higher sensitivity to sound، increased tendency toward humidity and following privacy principles and also increased temperamental humidity cause more tendency toward open spaces. Regarding tendency toward windy spaces، results were inconclusive. base on individuals'' temperamental differences، we can consider different situations in architecture for them.

Due to the minor outbreak of measles and mumps in vaccinated individuals as well as its handling of early childhood and school age; hypothesis that decreased over time immunity from the vaccine is formed. This study was designed to investigate the theory. 5 cc bloods of 60 students were taken and serum separated. IgG levels were measured by ELISA for Measles and Mumps. Of the 20 females (33. 3%) and 40 boys (66. 7%). Measles antibody levels in 3 boys (5%) were in the range Equivocal. Between the sexes، the antibody level difference was not significant (p=0. 289). In connection with the mumps; antibody was negative in 2 boys and 1 girl and 2 boys and 6 girls were suffering equivocal antibody. The optimal mumps antibody levels between the sexes، no significant difference was observed (P = 0 /865). Since the population is immunized against mumps virus in the population in the study population is less than 95%، there is a risk of epidemics every few years. It seems necessary، more careful planning for vaccination against the disease and to evaluate the effect of vaccination on the antibody levels in the population.

The aim of this study was to determination the training and motivational needs of nursing staffs in the field of hospital accreditation standards in a regional military hospital and presentation the solutions. This study was descriptive-analytic and performed cross-sectional in a regional military hospital. The researcher made questionnaire in Likert scale (3option) was used to gathering information. Study population was52of nursing staffs and Sampling method was enumeration. The results showed that 34. 6 percent of nurses in the field of operational program، 40. 4 percent of nurses about the objective goals، 44. 2 percent of nurses in designing and developing policies and procedures، 40. 4 percent of nurses in risk management and 50 percent of them in data collection and analysis have poor information. 40. 4 percent of nurses have little interest for participating in courses and 53. 8 percent of them have low motivation for utilization the learning. In addition to technical training، instruction about accreditation standards is necessary for the nursing staffs. Understanding the motivational factors influencing on active participation of nurses in training courses and also recognition the factors affecting to utilization the learning is necessary to enhancing the effectiveness of educations related to the accreditation standards. Specialization of the training، functional education، clinical supervision and the exchange gifts pattern are effective strategies to increase motivation of nurses in this field.