: In the summer of two years ago in 2021, the prevalence of COVID-19 increased sharply in one of the less privileged provinces. As a result, the number of beds and treatment departments in hospitals, and more importantly, the number of medical specialists in that province, did not meet the existing needs. For this reason, the military healthcare workers decided to come to the aid of that province, considering the organizational mission of the police force. According to the memorandum, the Police Organization, the Governor, and the University of Medical Sciences from that province collaborated to establish a 64-bed field hospital for patients with COVID-19, with two separate wards for male and female patients. The COVID-19 Police Field Hospital provided care for more than a thousand patients over 8 weeks from July 12 to August 31, 2021. In this report, we describe our implementation strategy, including organizational structure, acceptance criteria, and clinical services. Additionally, dynamic workflows require clear lines of relationship, clinical operations expertise, and engaged, interested, and people-friendly healthcare workers.
{"title":"Pandemic Care Through Collaboration: Sharing Lessons from a COVID-19 Police Field Hospital","authors":"Zeinab Tabanejad, Mahdi Zareei, Morteza Mesri, Mohsen Babaei","doi":"10.5812/jamm-137467","DOIUrl":"https://doi.org/10.5812/jamm-137467","url":null,"abstract":": In the summer of two years ago in 2021, the prevalence of COVID-19 increased sharply in one of the less privileged provinces. As a result, the number of beds and treatment departments in hospitals, and more importantly, the number of medical specialists in that province, did not meet the existing needs. For this reason, the military healthcare workers decided to come to the aid of that province, considering the organizational mission of the police force. According to the memorandum, the Police Organization, the Governor, and the University of Medical Sciences from that province collaborated to establish a 64-bed field hospital for patients with COVID-19, with two separate wards for male and female patients. The COVID-19 Police Field Hospital provided care for more than a thousand patients over 8 weeks from July 12 to August 31, 2021. In this report, we describe our implementation strategy, including organizational structure, acceptance criteria, and clinical services. Additionally, dynamic workflows require clear lines of relationship, clinical operations expertise, and engaged, interested, and people-friendly healthcare workers.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134886965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zahra Jafari, Sima Mohammad Khan Kermanshahi, Zohre Vanaki
{"title":"Empathy Vaccine Is Needed for Healthcare Professionals During Pandemics: A Letter to Editor","authors":"Zahra Jafari, Sima Mohammad Khan Kermanshahi, Zohre Vanaki","doi":"10.5812/jamm-139053","DOIUrl":"https://doi.org/10.5812/jamm-139053","url":null,"abstract":"<jats:p />","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134960490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: People traumatized by wars develop posttraumatic stress disorder (PTSD) and have low distress tolerance or emotional perception. Objectives: The present study aimed to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) therapy in response inhibition and cognitive flexibility of veterans with PTSD. Methods: This quasi-experimental research adopted a pretest-posttest follow-up control group design. The statistical population included all the veterans supported by the Foundation of Martyrs and Veterans Affairs (FMVA) in Ahvaz, Khuzestan Province (Iran) in 2021. The purposive sampling method was employed to select 30 veterans who visited the psychological service centers affiliated with the FMVA of Ahvaz. They were then randomly assigned to the experimental (n = 15) and control (n = 15) groups. The participants in the experimental group received ten 60-minute EMDR therapy sessions held by the researcher, who underwent specialized training at the FMVA Counseling Center in Boustan Hospital. The participants in the control group received no intervention. The cognitive flexibility questionnaire and response inhibition scale were used to collect data. The analysis of covariance (ANCOVA) was used for data analysis in SPSS 24. Results: In the experimental group, the posttest and follow-up scores of response inhibition (response time) and cognitive flexibility showed significant improvements compared to pretest scores (P < 0.001). Conclusions: Hence, EMDR therapy improved cognitive flexibility and response inhibition in veterans with PTSD. As a result, EMDR therapy can be employed to enhance the psychological characteristics of veterans with stress.
{"title":"Effectiveness of Eye Movement Desensitization and Reprocessing Therapy in Response Inhibition and Cognitive Flexibility of Veterans with Posttraumatic Stress Disorder","authors":"Tahereh Bonyadi, Rezvan Homaei, Alireza Heidari","doi":"10.5812/jamm-138324","DOIUrl":"https://doi.org/10.5812/jamm-138324","url":null,"abstract":"Background: People traumatized by wars develop posttraumatic stress disorder (PTSD) and have low distress tolerance or emotional perception. Objectives: The present study aimed to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) therapy in response inhibition and cognitive flexibility of veterans with PTSD. Methods: This quasi-experimental research adopted a pretest-posttest follow-up control group design. The statistical population included all the veterans supported by the Foundation of Martyrs and Veterans Affairs (FMVA) in Ahvaz, Khuzestan Province (Iran) in 2021. The purposive sampling method was employed to select 30 veterans who visited the psychological service centers affiliated with the FMVA of Ahvaz. They were then randomly assigned to the experimental (n = 15) and control (n = 15) groups. The participants in the experimental group received ten 60-minute EMDR therapy sessions held by the researcher, who underwent specialized training at the FMVA Counseling Center in Boustan Hospital. The participants in the control group received no intervention. The cognitive flexibility questionnaire and response inhibition scale were used to collect data. The analysis of covariance (ANCOVA) was used for data analysis in SPSS 24. Results: In the experimental group, the posttest and follow-up scores of response inhibition (response time) and cognitive flexibility showed significant improvements compared to pretest scores (P < 0.001). Conclusions: Hence, EMDR therapy improved cognitive flexibility and response inhibition in veterans with PTSD. As a result, EMDR therapy can be employed to enhance the psychological characteristics of veterans with stress.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134886399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Hidradenitis suppurativa is a chronic inflammatory disease of the apocrine gland, characterized by the formation of abscess, sinus tract, and scarring. The common sites affected by the disease are the axilla and groin, while gluteal region involvement is rare. There are multiple modalities of management available depending on the stage of the disease and associated complications.
{"title":"Gluteal Hidradenitis Suppurativa: A Case for Collaboration","authors":"Ranjan Kumar, Loknandini Sharma, Niyor Das","doi":"10.5812/jamm-138233","DOIUrl":"https://doi.org/10.5812/jamm-138233","url":null,"abstract":": Hidradenitis suppurativa is a chronic inflammatory disease of the apocrine gland, characterized by the formation of abscess, sinus tract, and scarring. The common sites affected by the disease are the axilla and groin, while gluteal region involvement is rare. There are multiple modalities of management available depending on the stage of the disease and associated complications.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135014201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Despite all the available guidelines for coronavirus disease 2019 (COVID-19), less emphasis has been placed on oral care to reduce the viral load in the mouth and saliva. Objectives: This study aimed to investigate oral hygiene habits and infection control behaviors and their relationship with household transmission rates in patients with COVID-19. Methods: In this analytical cross-sectional study, 179 patients with COVID-19 were investigated through continuous sampling in 2021 - 2022. The data collection tool was a 3-section questionnaire, including (1) social and clinical information about the individual infected with COVID-19, preliminary information about family members and transfer to another person in the family, (2) oral hygiene habits during quarantine, and (3) infection control behaviors. The collected data were analyzed using independent t-test, ANOVA, Spearman's correlation, and chi-square test in SPSS version 24. Results: The rate of household disease transmission was 61.5%. There was no significant relationship between oral hygiene habits and the household transmission of COVID-19 (P = 0.108); however, the use of a shared toothbrush container and a toothpaste tube among family members was significantly related to the rate of household transmission (P = 0.042 and P > 0.001, respectively). Conclusions: No relationship was found between oral hygiene habits and the intra-familial transmission of COVID-19; however, oral hygiene habits were influential in contracting a more severe type of disease and hospitalization rate. Using shared toothbrush containers and toothpaste tubes by the family members increased the probability of household transmission of COVID-19.
背景:尽管2019冠状病毒病(COVID-19)有所有可用的指南,但对口腔护理的重视程度较低,以减少口腔和唾液中的病毒载量。目的:了解新冠肺炎患者口腔卫生习惯、感染控制行为及其与家庭传播率的关系。方法:采用横断面分析方法,对2021 - 2022年179例新冠肺炎患者进行连续抽样调查。数据收集工具为3部分问卷,包括:(1)感染个体的社会和临床信息、家庭成员及其转移情况的初步信息、(2)隔离期间的口腔卫生习惯、(3)感染控制行为。收集的数据在SPSS version 24中使用独立t检验、方差分析、Spearman相关和卡方检验进行分析。结果:家庭疾病传播率为61.5%。口腔卫生习惯与家庭COVID-19传播无显著相关性(P = 0.108);然而,家庭成员共用牙刷盒和牙膏管与家庭传播率显著相关(P = 0.042, P >分别为0.001)。结论:口腔卫生习惯与COVID-19家族内传播无相关性;然而,口腔卫生习惯对感染更严重类型的疾病和住院率有影响。家庭成员共用牙刷盒和牙膏管增加了COVID-19家庭传播的可能性。
{"title":"Does the Misuse of Oral Hygiene Facilitate the Spread of COVID-19 Among Cohabiting Individuals? A Cross-Sectional Study","authors":"Mehrnoosh Khoshtarash, Nastaran Mirfarhadi, Nazanin Bashardoust, Masoumeh Mahmoudzadeh","doi":"10.5812/jamm-138186","DOIUrl":"https://doi.org/10.5812/jamm-138186","url":null,"abstract":"Background: Despite all the available guidelines for coronavirus disease 2019 (COVID-19), less emphasis has been placed on oral care to reduce the viral load in the mouth and saliva. Objectives: This study aimed to investigate oral hygiene habits and infection control behaviors and their relationship with household transmission rates in patients with COVID-19. Methods: In this analytical cross-sectional study, 179 patients with COVID-19 were investigated through continuous sampling in 2021 - 2022. The data collection tool was a 3-section questionnaire, including (1) social and clinical information about the individual infected with COVID-19, preliminary information about family members and transfer to another person in the family, (2) oral hygiene habits during quarantine, and (3) infection control behaviors. The collected data were analyzed using independent t-test, ANOVA, Spearman's correlation, and chi-square test in SPSS version 24. Results: The rate of household disease transmission was 61.5%. There was no significant relationship between oral hygiene habits and the household transmission of COVID-19 (P = 0.108); however, the use of a shared toothbrush container and a toothpaste tube among family members was significantly related to the rate of household transmission (P = 0.042 and P > 0.001, respectively). Conclusions: No relationship was found between oral hygiene habits and the intra-familial transmission of COVID-19; however, oral hygiene habits were influential in contracting a more severe type of disease and hospitalization rate. Using shared toothbrush containers and toothpaste tubes by the family members increased the probability of household transmission of COVID-19.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135258518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esmaeil Fattahi, Hadis Barati, Eshagh Moradi, Mohammad Barati, Fardin Mehrabian, Parisa Kasmaei, Hadi Darvishigilan
Background: Mini stories are short, fictional narratives illustrating a particular concept or idea. This study aims to explore the effectiveness of mini-stories as a teaching technique based on teachers' experiences who have used this approach in their classrooms. Methods: A qualitative research approach was used to gather data from teachers using mini-stories as a teaching technique. A total of 8 professors from different scientific fields were selected for this study. Each participant was interviewed individually, and the interviews were recorded and transcribed for analysis. The data were analyzed using a thematic analysis approach. Results: Student-centered and teacher-centered are two categories extracted with ten Sub-categories extracted, including relevance to the lesson, attractiveness, brevity, informality, creativity, reflection, problem-solving, age appropriateness, effectiveness, and reflection. Conclusions: The study's findings reveal a two-fold teaching approach, encompassing teacher-centered and student-centered modes. Mini-stories represent a valuable teaching technique, captivate students, elucidate complex concepts, and stimulate critical thinking.
{"title":"Using Mini-Stories as Teaching Techniques: A Qualitative Study","authors":"Esmaeil Fattahi, Hadis Barati, Eshagh Moradi, Mohammad Barati, Fardin Mehrabian, Parisa Kasmaei, Hadi Darvishigilan","doi":"10.5812/jamm-137261","DOIUrl":"https://doi.org/10.5812/jamm-137261","url":null,"abstract":"Background: Mini stories are short, fictional narratives illustrating a particular concept or idea. This study aims to explore the effectiveness of mini-stories as a teaching technique based on teachers' experiences who have used this approach in their classrooms. Methods: A qualitative research approach was used to gather data from teachers using mini-stories as a teaching technique. A total of 8 professors from different scientific fields were selected for this study. Each participant was interviewed individually, and the interviews were recorded and transcribed for analysis. The data were analyzed using a thematic analysis approach. Results: Student-centered and teacher-centered are two categories extracted with ten Sub-categories extracted, including relevance to the lesson, attractiveness, brevity, informality, creativity, reflection, problem-solving, age appropriateness, effectiveness, and reflection. Conclusions: The study's findings reveal a two-fold teaching approach, encompassing teacher-centered and student-centered modes. Mini-stories represent a valuable teaching technique, captivate students, elucidate complex concepts, and stimulate critical thinking.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135878010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Medical tourists create an issue that needs to be investigated in different parts of the world. Increasing expectations of health tourists for health services improves the quality of nursing care services for foreign clients. Due to globalization, nurses are required to handle the increasing number of overseas visitors and immigrants. Objectives: This study was conducted to assess cultural capability in the professional care of nurses for medical tourists in Iran. Methods: We conducted 23 semi-structured interviews in 2021 - 2022 in this qualitative study. The interviewees included nurses from international wards and wards with international patients, patients, patient companions, and doctors. The interviews were conducted using a goal-oriented method. After recording, the data were analyzed using the conventional qualitative content analysis of Lundman and Graneheim. Results: In this study, a general theme (main theme) called “Cultural capability in professional care” was categorized into 8 categories: “Culture-oriented language communication,” “Culture-oriented communication interactions,” "Cultural humility," "valuing cultural diversity," "context-based client training," and "respectful communication.". Conclusions: Cultural capability in the professional care of nurses is important for providing comprehensive and quality care because patients come with different cultural beliefs and from different geographical areas.
{"title":"Cultural Capability in the Professional Care of Nurses for Medical Tourists in Iran: A Qualitative Study","authors":"H. Hamzehpour, T. Ashktorab, M. Esmaeili","doi":"10.5812/jamm-138922","DOIUrl":"https://doi.org/10.5812/jamm-138922","url":null,"abstract":"Background: Medical tourists create an issue that needs to be investigated in different parts of the world. Increasing expectations of health tourists for health services improves the quality of nursing care services for foreign clients. Due to globalization, nurses are required to handle the increasing number of overseas visitors and immigrants. Objectives: This study was conducted to assess cultural capability in the professional care of nurses for medical tourists in Iran. Methods: We conducted 23 semi-structured interviews in 2021 - 2022 in this qualitative study. The interviewees included nurses from international wards and wards with international patients, patients, patient companions, and doctors. The interviews were conducted using a goal-oriented method. After recording, the data were analyzed using the conventional qualitative content analysis of Lundman and Graneheim. Results: In this study, a general theme (main theme) called “Cultural capability in professional care” was categorized into 8 categories: “Culture-oriented language communication,” “Culture-oriented communication interactions,” \"Cultural humility,\" \"valuing cultural diversity,\" \"context-based client training,\" and \"respectful communication.\". Conclusions: Cultural capability in the professional care of nurses is important for providing comprehensive and quality care because patients come with different cultural beliefs and from different geographical areas.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87772079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Z. Jafari, Sima Mohammad Khan kermanshahi, Z. Vanaki
Background: Positive communication between staff and parents is considered a basic principle for the successful implementation of family-centered care (FCC) and the formation of a good relationship between parents and neonates. Moreover, involvement in care depends on the communication and interaction of parents with healthcare providers, and cooperation between them leads to high-quality care for neonates. However, interaction and communication are still considered major challenges in the neonatal intensive care unit (NICU) environment. Since these challenges and communication barriers are different in various cultures and environments, they should be identified in the field. A literature review shows that no study has assessed the views of different members of the treatment team and parents on communication barriers in Iran. Objectives: The present study aimed to investigate the communication barriers related to personnel and parents for implementing FCC from the perspective of parents, physicians, nurses, and nursing managers. Methods: A qualitative study was conducted in 2021 - 2022 using the conventional content analysis approach in a NICU in Tehran, Iran. In this study, 26 semi-structured interviews and 10 field notes were used to collect data to reach data saturation. Results: Data analysis led to the emergence of two themes. The first theme was the unprofessional relationships of personnel, including two main categories of inappropriate professional behavior and lack of attention to personnel and working conditions of the ward. The second theme was mutually ineffective relationships between personnel and parents, including two main categories of the inappropriate attitude of personnel and parents toward each other and unsympathetic communication between personnel and parents. The themes showed the participants’ experiences of communication barriers to the implementation of FCC in NICUs in Iran. Conclusions: Removing communication barriers between healthcare providers and parents requires developing a coherent, comprehensive, and unified training program to prepare and create integrated coordination among the treatment team and the family, creating a positive attitude toward FCC and the presence of parents, improving relationships, and giving further attention and support by managers to personnel and the conditions of the ward.
{"title":"Communication Barriers to Implementation of Family-Centered Care from Perspective of Mothers and Personnel of Neonatal Intensive Care Unit: A Qualitative Study","authors":"Z. Jafari, Sima Mohammad Khan kermanshahi, Z. Vanaki","doi":"10.5812/jamm-138443","DOIUrl":"https://doi.org/10.5812/jamm-138443","url":null,"abstract":"Background: Positive communication between staff and parents is considered a basic principle for the successful implementation of family-centered care (FCC) and the formation of a good relationship between parents and neonates. Moreover, involvement in care depends on the communication and interaction of parents with healthcare providers, and cooperation between them leads to high-quality care for neonates. However, interaction and communication are still considered major challenges in the neonatal intensive care unit (NICU) environment. Since these challenges and communication barriers are different in various cultures and environments, they should be identified in the field. A literature review shows that no study has assessed the views of different members of the treatment team and parents on communication barriers in Iran. Objectives: The present study aimed to investigate the communication barriers related to personnel and parents for implementing FCC from the perspective of parents, physicians, nurses, and nursing managers. Methods: A qualitative study was conducted in 2021 - 2022 using the conventional content analysis approach in a NICU in Tehran, Iran. In this study, 26 semi-structured interviews and 10 field notes were used to collect data to reach data saturation. Results: Data analysis led to the emergence of two themes. The first theme was the unprofessional relationships of personnel, including two main categories of inappropriate professional behavior and lack of attention to personnel and working conditions of the ward. The second theme was mutually ineffective relationships between personnel and parents, including two main categories of the inappropriate attitude of personnel and parents toward each other and unsympathetic communication between personnel and parents. The themes showed the participants’ experiences of communication barriers to the implementation of FCC in NICUs in Iran. Conclusions: Removing communication barriers between healthcare providers and parents requires developing a coherent, comprehensive, and unified training program to prepare and create integrated coordination among the treatment team and the family, creating a positive attitude toward FCC and the presence of parents, improving relationships, and giving further attention and support by managers to personnel and the conditions of the ward.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74437391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amir Hossein Golmohammadi Khameneh, Siamak Rakei Isfahani, M. Salehi, Abolfazl Mohtarami, A. Kamali
Background: This study aimed to compare diltiazem-ointment and safflower oil in reducing the necrosis of accidental rat flaps. Method: We divide 40 mice into four groups. We created a 10 × 3 random flap on the back of rats after washing with ketamine intraperitoneal. The flap was used for these four groups of ointments from two days before surgery to five days after surgery. We used diltiazem ointment in the first group, safflower essential oil in the second group and vaseline in the third group. The fourth group was for control Results: The mean necrosis of the flap was observed in 49% of the vaseline group, 52% of the diltiazem group, 53% safflower essential oil group, and 47% of the control group. The P-value with the independent groups' test was more than 0.05 and confirmed no significant difference between Wistar rat groups. Vaseline, diltiazem, and safflower essential oil did not increase blood flow to the random flap in mice. Conclusions: Diltiazem and safflower did not improve blood flow to the flap. Since this drug has not been used for flaps, it is suggested that further studies be conducted in this field.
{"title":"Comparison of Diltiazem Ointment and Safflower Oil in Reducing the Necrosis of Accidental Flap of Rat","authors":"Amir Hossein Golmohammadi Khameneh, Siamak Rakei Isfahani, M. Salehi, Abolfazl Mohtarami, A. Kamali","doi":"10.5812/jamm-123067","DOIUrl":"https://doi.org/10.5812/jamm-123067","url":null,"abstract":"Background: This study aimed to compare diltiazem-ointment and safflower oil in reducing the necrosis of accidental rat flaps. Method: We divide 40 mice into four groups. We created a 10 × 3 random flap on the back of rats after washing with ketamine intraperitoneal. The flap was used for these four groups of ointments from two days before surgery to five days after surgery. We used diltiazem ointment in the first group, safflower essential oil in the second group and vaseline in the third group. The fourth group was for control Results: The mean necrosis of the flap was observed in 49% of the vaseline group, 52% of the diltiazem group, 53% safflower essential oil group, and 47% of the control group. The P-value with the independent groups' test was more than 0.05 and confirmed no significant difference between Wistar rat groups. Vaseline, diltiazem, and safflower essential oil did not increase blood flow to the random flap in mice. Conclusions: Diltiazem and safflower did not improve blood flow to the flap. Since this drug has not been used for flaps, it is suggested that further studies be conducted in this field.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84051997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Telemedicine is considered a remote diagnosis and treatment of patients using telecommunication. Objectives: This study aimed to share the experience of using telemedicine in selected military medical centers. Methods: Telemedicine includes medical practice and information and communication technology. It has proven to be very effective for telehealth care, especially in areas with poor health facilities. However, the implementation of these technologies is often hampered by various issues. However, due to the spread of military personnel in the vastness of Iran's geography and the need to handle and receive medical care and treatment, telemedicine has been considered for more than a hundred centers since 2019. Results: Telemedicine provides various types of health care services, such as psychological consultations, educational services, health care delivery and management, disease screening, and disaster management services across selected military medical centers. Conclusions: Although telemedicine cannot be a solution to all problems, it can certainly go a long way in reducing the burden on the health care system through safe and effective communication.
{"title":"Telemedicine in Selected Military Medical Centers: What and How It Is Being Done","authors":"Z. Tabanejad, H. Mohajeri, A. Hosseinpour","doi":"10.5812/jamm-134541","DOIUrl":"https://doi.org/10.5812/jamm-134541","url":null,"abstract":"Background: Telemedicine is considered a remote diagnosis and treatment of patients using telecommunication. Objectives: This study aimed to share the experience of using telemedicine in selected military medical centers. Methods: Telemedicine includes medical practice and information and communication technology. It has proven to be very effective for telehealth care, especially in areas with poor health facilities. However, the implementation of these technologies is often hampered by various issues. However, due to the spread of military personnel in the vastness of Iran's geography and the need to handle and receive medical care and treatment, telemedicine has been considered for more than a hundred centers since 2019. Results: Telemedicine provides various types of health care services, such as psychological consultations, educational services, health care delivery and management, disease screening, and disaster management services across selected military medical centers. Conclusions: Although telemedicine cannot be a solution to all problems, it can certainly go a long way in reducing the burden on the health care system through safe and effective communication.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81513778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}