Mahyar Sharif Bagheri, Ali Qazvini, M. Tavallaei, Javad Gharechahi
Background and Aim: The role of the lung microbiome in respiratory complications associated with chemicals such as sulfur mustard or chlorine gas has yet to be determined. The aim of this study was to compare the structure and composition of the lung microbiome in chemically injured and healthy individuals in order to understand the relation between the population of the lung microbiota and respiratory complications caused by exposure to these chemicals. Methods: To study lung microbiota, the bronchial alveolar lavage (BAL) fluids were collected from 17 chemically injured and 15 healthy cases during the bronchoscopy procedure. The diversity of lung bacteria present in BAL samples was explored using 16S rRNA gene sequencing. Results: The lung microbiome dominated by members of phyla Firmicutes, Bacteroidetes, Proteobacteria, Actinobacteria, Fusobacteria and Synergistetes which collectively accounted for > 95% of sequences. At the genus level, members of the genera Prevotella, Leptotrichia, Atopobium, Aggregatibacter, Catonella, and Oribacterium showed more than 2-fold increase in abundance in the lung microbiome of chemically injured patients. Comparing lung bacterial community at the species level, however, revealed an increased prevalence of members of Rothia mucilaginosa (3-fold), Prevotella melaninogenica (2.7-fold), Prevotella pallens (3.5-fold), Actinobacillus parahaemolyticus (2.5-fold), Veillonella parvula (2.5-fold), and Neisseria subflava (1.5-fold) in these patients. Conclusion: An increased abundance of bacterial species known to associate with airway inflammation suggested their implications in respiratory failure in chemically injured patients. Monitoring and maintaining the homeostasis of the microbial population colonizing lung of chemically injured patients will pave the way to develop a more targeted treatment for these patients.
{"title":"Metagenomic Analysis of the Lung Microbiome in Chemically Injured and Healthy Individuals","authors":"Mahyar Sharif Bagheri, Ali Qazvini, M. Tavallaei, Javad Gharechahi","doi":"10.30491/JMM.22.9.1","DOIUrl":"https://doi.org/10.30491/JMM.22.9.1","url":null,"abstract":"Background and Aim: The role of the lung microbiome in respiratory complications associated with chemicals such as sulfur mustard or chlorine gas has yet to be determined. The aim of this study was to compare the structure and composition of the lung microbiome in chemically injured and healthy individuals in order to understand the relation between the population of the lung microbiota and respiratory complications caused by exposure to these chemicals. Methods: To study lung microbiota, the bronchial alveolar lavage (BAL) fluids were collected from 17 chemically injured and 15 healthy cases during the bronchoscopy procedure. The diversity of lung bacteria present in BAL samples was explored using 16S rRNA gene sequencing. Results: The lung microbiome dominated by members of phyla Firmicutes, Bacteroidetes, Proteobacteria, Actinobacteria, Fusobacteria and Synergistetes which collectively accounted for > 95% of sequences. At the genus level, members of the genera Prevotella, Leptotrichia, Atopobium, Aggregatibacter, Catonella, and Oribacterium showed more than 2-fold increase in abundance in the lung microbiome of chemically injured patients. Comparing lung bacterial community at the species level, however, revealed an increased prevalence of members of Rothia mucilaginosa (3-fold), Prevotella melaninogenica (2.7-fold), Prevotella pallens (3.5-fold), Actinobacillus parahaemolyticus (2.5-fold), Veillonella parvula (2.5-fold), and Neisseria subflava (1.5-fold) in these patients. Conclusion: An increased abundance of bacterial species known to associate with airway inflammation suggested their implications in respiratory failure in chemically injured patients. Monitoring and maintaining the homeostasis of the microbial population colonizing lung of chemically injured patients will pave the way to develop a more targeted treatment for these patients.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"923-935"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41411685","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}
Kazem Ghodrati Shahtoori, A. Rahnejat, P. Dabaghi, Arsia Taghva, V. Donyavi, M. Ebrahimi, Fahimeh Ghahvehchi Hosseini
Background and Aim: Given the high prevalence of self-mutilation during military service as an important and sometimes stressful period for young people, it is essential to identify the interventions that prevent or reduce this problem. This study aimed to investigate the effectiveness of Emotional Schema Therapy on improving cognitive emotion regulation in the soldiers with self-mutilation attempts. Methods: This study was conducted following a pretest-posttest quasi-experimental study design in 2019. The participants in this study consisted of 20 soldiers who referred to (505 Army Psychiatric Hospital) and were selected using availability sampling assigned to two groups, the experimental group and the control group awaiting treatment (10 in each group). Participants in the experimental group received 10 sessions of Emotional Schema Therapy for 90 minutes per week, and participants in the control group awaiting treatment did not receive any intervention. The instruments used in this study included Inventory of statements about self-injury (ISAS), Cognitive Emotion Regulation Questionnaire (CERQ), Leahy Emotional Schema Scale (LESS), and a researchermade demographic information questionnaire. Results: The mean ages of soldiers in the experimental and control groups were 19.7±1.6 and 19.5±1.7 years old, respectively. All participants were male and single. The results obtained from Multivariate Analysis of Covariance (MANCOVA) confirmed the effect of Emotional Schema Therapy on reducing self-mutilation attempts (75%) and increased cognitive emotion regulation (76-89 percent) in soldiers (P<0.01). Conclusion: According to the findings of the present study, it is suggested that Emotional Schema Therapy was effective and psychologists in military counseling centers after completing the necessary training courses, use the emotional schema therapy approach to treat and reduce self-mutilation attempts in soldiers.
{"title":"Effectiveness of emotional schema therapy on improvement in cognitive-emotion regulation in attempting to self-mutilation soldiers","authors":"Kazem Ghodrati Shahtoori, A. Rahnejat, P. Dabaghi, Arsia Taghva, V. Donyavi, M. Ebrahimi, Fahimeh Ghahvehchi Hosseini","doi":"10.30491/JMM.22.9.4","DOIUrl":"https://doi.org/10.30491/JMM.22.9.4","url":null,"abstract":"Background and Aim: Given the high prevalence of self-mutilation during military service as an important and sometimes stressful period for young people, it is essential to identify the interventions that prevent or reduce this problem. This study aimed to investigate the effectiveness of Emotional Schema Therapy on improving cognitive emotion regulation in the soldiers with self-mutilation attempts. Methods: This study was conducted following a pretest-posttest quasi-experimental study design in 2019. The participants in this study consisted of 20 soldiers who referred to (505 Army Psychiatric Hospital) and were selected using availability sampling assigned to two groups, the experimental group and the control group awaiting treatment (10 in each group). Participants in the experimental group received 10 sessions of Emotional Schema Therapy for 90 minutes per week, and participants in the control group awaiting treatment did not receive any intervention. The instruments used in this study included Inventory of statements about self-injury (ISAS), Cognitive Emotion Regulation Questionnaire (CERQ), Leahy Emotional Schema Scale (LESS), and a researchermade demographic information questionnaire. Results: The mean ages of soldiers in the experimental and control groups were 19.7±1.6 and 19.5±1.7 years old, respectively. All participants were male and single. The results obtained from Multivariate Analysis of Covariance (MANCOVA) confirmed the effect of Emotional Schema Therapy on reducing self-mutilation attempts (75%) and increased cognitive emotion regulation (76-89 percent) in soldiers (P<0.01). Conclusion: According to the findings of the present study, it is suggested that Emotional Schema Therapy was effective and psychologists in military counseling centers after completing the necessary training courses, use the emotional schema therapy approach to treat and reduce self-mutilation attempts in soldiers.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"956-968"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45760780","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}
M. Mohammadian, M. Meskarpour-Amiri, M. Bahadori, Mansour Babaei
Background and Aim: Investigating the dimensions and components of research management satisfaction can identify appropriate executive solutions for the qualitative and quantitative enhancement of research projects. The purpose of the present study was to provide an appropriate theoretical and practical framework for evaluating satisfaction with research management and its application for evaluating researchers' satisfaction in a selected military medical university. Methods: The present study was an applied study in terms of purpose and was a mixed qualitative-quantitative study in terms of methodology. In the first step, the main dimensions and components of researchers' satisfaction with research management extracted using literature review and expert opinion survey. In the second step, a structured questionnaire designed and standardized to measure the satisfaction of researchers in each of these dimensions. Qualitative and quantitative methods were used to assess the content validity of the questionnaire. Cronbach's alpha used to assess questionnaire reliability. Finally, the questionnaire distributed randomly among 150 researchers and faculty members of a military medical university. The relationship between satisfaction with demographic and occupational characteristics of the respondents evaluated by ANOVA at SPSS-16 software. Results: Six dimensions and 15 components were identified to measure satisfaction with the research management system. The main dimensions of measuring satisfaction with research management included research leadership, capacity building, creating hope, organizational communication, research organization, and resource allocation. The highest satisfaction was related to creating hope (2.71±0.82) and the least satisfaction was related to resource allocation (1.79±0.31). There was no statistically significant relationship between demographic and occupational variables of respondents and satisfaction with research management (P>0.05). Conclusion: Given that the least satisfaction of the researchers were in two dimensions of resource allocation and capacity building, it is recommended that research managers pay more attention to equitable distribution of resources in addition to creating new resources and developing financial and non-financial research capacities simultaneously.
{"title":"Developing the Model of Researchers Satisfaction with Research Management System: A Case Study in a Military Medical University","authors":"M. Mohammadian, M. Meskarpour-Amiri, M. Bahadori, Mansour Babaei","doi":"10.30491/JMM.22.7.5","DOIUrl":"https://doi.org/10.30491/JMM.22.7.5","url":null,"abstract":"Background and Aim: Investigating the dimensions and components of research management satisfaction can identify appropriate executive solutions for the qualitative and quantitative enhancement of research projects. The purpose of the present study was to provide an appropriate theoretical and practical framework for evaluating satisfaction with research management and its application for evaluating researchers' satisfaction in a selected military medical university. Methods: The present study was an applied study in terms of purpose and was a mixed qualitative-quantitative study in terms of methodology. In the first step, the main dimensions and components of researchers' satisfaction with research management extracted using literature review and expert opinion survey. In the second step, a structured questionnaire designed and standardized to measure the satisfaction of researchers in each of these dimensions. Qualitative and quantitative methods were used to assess the content validity of the questionnaire. Cronbach's alpha used to assess questionnaire reliability. Finally, the questionnaire distributed randomly among 150 researchers and faculty members of a military medical university. The relationship between satisfaction with demographic and occupational characteristics of the respondents evaluated by ANOVA at SPSS-16 software. Results: Six dimensions and 15 components were identified to measure satisfaction with the research management system. The main dimensions of measuring satisfaction with research management included research leadership, capacity building, creating hope, organizational communication, research organization, and resource allocation. The highest satisfaction was related to creating hope (2.71±0.82) and the least satisfaction was related to resource allocation (1.79±0.31). There was no statistically significant relationship between demographic and occupational variables of respondents and satisfaction with research management (P>0.05). Conclusion: Given that the least satisfaction of the researchers were in two dimensions of resource allocation and capacity building, it is recommended that research managers pay more attention to equitable distribution of resources in addition to creating new resources and developing financial and non-financial research capacities simultaneously.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"708-718"},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47977563","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}
S. J. H. Shokouh, Z. Sheikhi, M. Raei, Nasser Saravi, M. Yaghoubi
Background and Aim: The issue of special needs patients and their support and the importance of the quality of insurance services provided to these patients is one of the components that has attracted the attention of many communities in recent years. Therefore, this study was conducted to determine the relationship between the quality of insurance services and the quality of life of these patients. Methods: This cross-sectional study was conducted in 2019. Two-hundred sixty-two specific need patients in 6 groups of diseases (malignancies, dialysis, hemophilia, kidney transplantation, MS and thalassemia) and covered by health insurance of the Armed Forces were enrolled by census method. The assessment tools included a researcher-made questionnaire on the quality of insurance services with 5 dimensions (financial protection, insurance coverage, support package, accountability, process and administrative services) and the standard questionnaire SF36. Quantitative data analysis was performed using a structural equation model based on the partial least squares approach with Smart-PLS3 software. Results: The results showed that the quality of insurance services had a significant positive relationship with patients' quality of life (β=0.23, p<0.001). Other results showed that the financial protection factor had the most significant effect on the physical quality of life (p<0.001) and insurance coverage had a significant positive effect on both physical and mental quality of life (p<0.001). Conclusion: Patients who have good health insurance services will also enjoy a good quality of life and hope to improve and continue to live longer than others.
{"title":"The Relationship between the Quality of Insurance Services and the Physical and Mental Health of Special Needs Patients: A Case Study in Iranian Armed Forces Insurance","authors":"S. J. H. Shokouh, Z. Sheikhi, M. Raei, Nasser Saravi, M. Yaghoubi","doi":"10.30491/JMM.22.7.7","DOIUrl":"https://doi.org/10.30491/JMM.22.7.7","url":null,"abstract":"Background and Aim: The issue of special needs patients and their support and the importance of the quality of insurance services provided to these patients is one of the components that has attracted the attention of many communities in recent years. Therefore, this study was conducted to determine the relationship between the quality of insurance services and the quality of life of these patients. Methods: This cross-sectional study was conducted in 2019. Two-hundred sixty-two specific need patients in 6 groups of diseases (malignancies, dialysis, hemophilia, kidney transplantation, MS and thalassemia) and covered by health insurance of the Armed Forces were enrolled by census method. The assessment tools included a researcher-made questionnaire on the quality of insurance services with 5 dimensions (financial protection, insurance coverage, support package, accountability, process and administrative services) and the standard questionnaire SF36. Quantitative data analysis was performed using a structural equation model based on the partial least squares approach with Smart-PLS3 software. Results: The results showed that the quality of insurance services had a significant positive relationship with patients' quality of life (β=0.23, p<0.001). Other results showed that the financial protection factor had the most significant effect on the physical quality of life (p<0.001) and insurance coverage had a significant positive effect on both physical and mental quality of life (p<0.001). Conclusion: Patients who have good health insurance services will also enjoy a good quality of life and hope to improve and continue to live longer than others.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"728-736"},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45824929","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 and Aim: Due to the unpredictability of crises, organizational resilience can provide the ability of the organizations to adapt to crisis situations without collapse or failure. The aim of this study was to explain and validate the components of organizational resilience in military hospitals. Methods: The first phase of the qualitative study was conducted using framework analysis to identify components of organizational resilience in military hospitals. The study population consisted of 20 specialists in three military hospitals in Tehran, Iran who were selected for purposeful sampling. The second phase was carried out by exploratory factor analysis (EFA) to determine its validity. Results: The factors affecting resilience in military hospitals were classified into five main dimensions: hospital vulnerability and safety, disaster preparedness, capacity adaptation, crisis service continuity, rehabilitation and adaptation to post-crisis conditions. The results of factor analysis showed that the highest factors in each of these dimensions were as follows: identification of the main processes of threats and accidents in the hospital (0.82), hospital in the wider community program (0.90), identifying and managing key skills of employees (0.88), prioritization and maintaining basic performance (0.84), and extra emergency space, resources
{"title":"Standardization and Validation of Organizational Resilience Tools in Military Hospitals","authors":"R. Zaboli, H. Seyedin, A. Nasiri, Z. Malmoon","doi":"10.30491/JMM.22.7.6","DOIUrl":"https://doi.org/10.30491/JMM.22.7.6","url":null,"abstract":"Background and Aim: Due to the unpredictability of crises, organizational resilience can provide the ability of the organizations to adapt to crisis situations without collapse or failure. The aim of this study was to explain and validate the components of organizational resilience in military hospitals. Methods: The first phase of the qualitative study was conducted using framework analysis to identify components of organizational resilience in military hospitals. The study population consisted of 20 specialists in three military hospitals in Tehran, Iran who were selected for purposeful sampling. The second phase was carried out by exploratory factor analysis (EFA) to determine its validity. Results: The factors affecting resilience in military hospitals were classified into five main dimensions: hospital vulnerability and safety, disaster preparedness, capacity adaptation, crisis service continuity, rehabilitation and adaptation to post-crisis conditions. The results of factor analysis showed that the highest factors in each of these dimensions were as follows: identification of the main processes of threats and accidents in the hospital (0.82), hospital in the wider community program (0.90), identifying and managing key skills of employees (0.88), prioritization and maintaining basic performance (0.84), and extra emergency space, resources","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"719-727"},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45887079","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}
Hossein Ahesteh, Mahboubeh Rouhollahei, A. Farahani, H. Bagheri, M. Salesi, H. Samadinia, A. Shahriary
Background and Aim: Healthcare networks in industrial areas are the main pillars of preventing and coping with chemical accidents and crises, which are of great importance in improving their level of resilience. In order to achieve this goal, it is necessary to apply a precise method for assessing and empowering these centers. The purpose of this study was to provide a resiliency pattern for these centers in accidents and chemical crises. Methods: The present research is a combined study (quantitative qualitative) study of the applied type. In the first phase, the indicators of resilience assessment were extracted from internal and international literature and confirmed by content validity. Then, in the next phase, the questionnaire was designed and computed based on the extracted indicators and was approved by the experts. Finally, by designing quantitative criteria for analyzing the results of healthcare networks assessment in disasters and crises, a model for assessment and empowerment of the health system in disasters and crises was presented. Results: Based on the literature review and the methodology, 12 indicators were extracted for assessing healthcare networks in chemical accidents and crises. Content validity (CVI = 0.85 and CVR = 1) of all indicators was confirmed, then using the questionnaire on the weight of each indicator was identified in the score of the total score (100 points). The quantification methods of the 12 indicators developed by the expert group were confirmed. Finally, an evaluation and capability model for these networks were developed. Conclusion: According to the results, the pattern of healthcare networks' resilience in chemical disasters and crises was divided into three stages before, during and after the crisis in 12 indicators of chemical hazards, structure status, documentation analysis, capacity and facilities, training, exercises, human capital, management systems, crisis management, communications, accident analysis, and audit and monitoring with relevant subgroups.
{"title":"Assessment the Resilience of the Healthcare Network in Accidents and Chemical Crises","authors":"Hossein Ahesteh, Mahboubeh Rouhollahei, A. Farahani, H. Bagheri, M. Salesi, H. Samadinia, A. Shahriary","doi":"10.30491/JMM.22.7.9","DOIUrl":"https://doi.org/10.30491/JMM.22.7.9","url":null,"abstract":"Background and Aim: Healthcare networks in industrial areas are the main pillars of preventing and coping with chemical accidents and crises, which are of great importance in improving their level of resilience. In order to achieve this goal, it is necessary to apply a precise method for assessing and empowering these centers. The purpose of this study was to provide a resiliency pattern for these centers in accidents and chemical crises. Methods: The present research is a combined study (quantitative qualitative) study of the applied type. In the first phase, the indicators of resilience assessment were extracted from internal and international literature and confirmed by content validity. Then, in the next phase, the questionnaire was designed and computed based on the extracted indicators and was approved by the experts. Finally, by designing quantitative criteria for analyzing the results of healthcare networks assessment in disasters and crises, a model for assessment and empowerment of the health system in disasters and crises was presented. Results: Based on the literature review and the methodology, 12 indicators were extracted for assessing healthcare networks in chemical accidents and crises. Content validity (CVI = 0.85 and CVR = 1) of all indicators was confirmed, then using the questionnaire on the weight of each indicator was identified in the score of the total score (100 points). The quantification methods of the 12 indicators developed by the expert group were confirmed. Finally, an evaluation and capability model for these networks were developed. Conclusion: According to the results, the pattern of healthcare networks' resilience in chemical disasters and crises was divided into three stages before, during and after the crisis in 12 indicators of chemical hazards, structure status, documentation analysis, capacity and facilities, training, exercises, human capital, management systems, crisis management, communications, accident analysis, and audit and monitoring with relevant subgroups.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"747-759"},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45616899","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}
M. Salesi, G. Alishiri, A. Shahriary, Amir Elhaei, A. Shakibaee
Background and Aim: More than 100,000 Iranian veterans suffer from chemical damage caused by mustard gas. The aim of this study was to determine the body composition status of chemical warfare veterans with chronic obstructive pulmonary disease (COPD). Methods: This is a cross-sectional study. 97 chemical warfare veterans with COPD in Karaj, Iran were included in the study. The Patients were divided into two groups low and medium to high disease severity according to spirometry parameters. The body composition parameters were evaluated using the Bioelectrical Impedance Analysis method. Results: Mean age, height and weight of patients were 49.19±3.86, 171.85±6.11, 79.24±11.09, respectively. 65.6 % of them were overweight or obese. According to spirometry indexes, 55.7% (n=54) of veterans had low disease severity and 44.3% (n=43) had moderate to high disease severity. There was a significant difference between chemical veterans with low severity of COPD and moderate to high severity of COPD in body fat-free mass (p-value=0.031), body muscle mass (p-value=0.026) and body water (p-value=0.031) indices. All three indices in the group of veterans with moderate to high disease severity had a higher mean than the veterans with low disease severity. But no significant difference was observed in the fat mass index between these two groups
{"title":"Comparison of Body Composition Indices of Chemical Warfare Veterans with Chronic Pulmonary Obstruction in Patients with Low and Moderate to High Disease Severity","authors":"M. Salesi, G. Alishiri, A. Shahriary, Amir Elhaei, A. Shakibaee","doi":"10.30491/JMM.22.8.837","DOIUrl":"https://doi.org/10.30491/JMM.22.8.837","url":null,"abstract":"Background and Aim: More than 100,000 Iranian veterans suffer from chemical damage caused by mustard gas. The aim of this study was to determine the body composition status of chemical warfare veterans with chronic obstructive pulmonary disease (COPD). Methods: This is a cross-sectional study. 97 chemical warfare veterans with COPD in Karaj, Iran were included in the study. The Patients were divided into two groups low and medium to high disease severity according to spirometry parameters. The body composition parameters were evaluated using the Bioelectrical Impedance Analysis method. Results: Mean age, height and weight of patients were 49.19±3.86, 171.85±6.11, 79.24±11.09, respectively. 65.6 % of them were overweight or obese. According to spirometry indexes, 55.7% (n=54) of veterans had low disease severity and 44.3% (n=43) had moderate to high disease severity. There was a significant difference between chemical veterans with low severity of COPD and moderate to high severity of COPD in body fat-free mass (p-value=0.031), body muscle mass (p-value=0.026) and body water (p-value=0.031) indices. All three indices in the group of veterans with moderate to high disease severity had a higher mean than the veterans with low disease severity. But no significant difference was observed in the fat mass index between these two groups","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"837-843"},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42553894","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 and Aim: The health of police staff plays a key role in increasing their productivity to ensure the security of society. Therefore, the present study was conducted to determine the general health status of police and identify some of the factors affecting it. Methods: This cross-sectional study was conducted in 2018 on 354 personnel of Kohgiluyeh and BoyerAhmad (Iran) police command who were selected by stratified random sampling. Data were collected using a standard public health questionnaire. Results: The mean score of general health in the components of physical disorders, anxiety, social disorders and depression were 5.96±0.26, 6.16±0.28, 7.22±0.18 and 3.50±0.29, respectively. In these components, 61%, 53.4%, 45.5% and 79.7% of police were in the healthy category, respectively. There was also a statistically significant difference between the variables of gender, work experience, education degree and age with general health and related components, while there was no significant difference between the total general health score and monthly income, service categories and organizational rank. Conclusion: Given that police personnel’s health are at risk for the nature of their profession and this affects the quality of their work, it seems that in order to be more productive, plans should be made to improve their
{"title":"The General Health Status and the Factors Affecting It in the Personnel of Kohgiluyeh and Boyer-Ahmad Police Command in 2018","authors":"Seyed Javad Keshavarz, A. Yazdanpanah, A. Ghavam","doi":"10.30491/JMM.22.8.844","DOIUrl":"https://doi.org/10.30491/JMM.22.8.844","url":null,"abstract":"Background and Aim: The health of police staff plays a key role in increasing their productivity to ensure the security of society. Therefore, the present study was conducted to determine the general health status of police and identify some of the factors affecting it. Methods: This cross-sectional study was conducted in 2018 on 354 personnel of Kohgiluyeh and BoyerAhmad (Iran) police command who were selected by stratified random sampling. Data were collected using a standard public health questionnaire. Results: The mean score of general health in the components of physical disorders, anxiety, social disorders and depression were 5.96±0.26, 6.16±0.28, 7.22±0.18 and 3.50±0.29, respectively. In these components, 61%, 53.4%, 45.5% and 79.7% of police were in the healthy category, respectively. There was also a statistically significant difference between the variables of gender, work experience, education degree and age with general health and related components, while there was no significant difference between the total general health score and monthly income, service categories and organizational rank. Conclusion: Given that police personnel’s health are at risk for the nature of their profession and this affects the quality of their work, it seems that in order to be more productive, plans should be made to improve their","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"844-852"},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48058735","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}
Vahid Hadi, M. A. Sardar, M. Ghayour-Mobarhan, M. Nematy, R. Rezvani, Saeid Hadi, M. Tehrani, Davood Soleimani, A. Norouzy
Background and Aim: In difficult conditions, the military needs high-energy and macronutrient and micronutrient-rich nutrition during intense physical activity to achieve optimal levels of fitness. The aim of the present study was to evaluate the effects of Compact Food Bar (CFB) designed on cardiopulmonary endurance in military athletes. Methods: Forty-five military personnels with aging between 20 and 45 years were assigned into two groups in this randomized, single blind, controlled clinical trial. Subjects in the intervention group received three packs, 700kcal each, of CFB supplemented with Functional compounds (Caffeine, L-arginine, and Propolis) designed, each day for 10 days. The other group consumed regular food used in military training courses with the same calories as control per day for the same period of time. The conditions for performing the activities in terms of some variables such as temperature, humidity, sports coverage, sleep, type of sports, and caloric activities were the same for all samples. Maximal oxygen uptake (Vo2 Max) as a measure of cardio-respiratory endurance in vitro with cardiopulmonary exercise test (CPET), anthropometric indices by body composition and physical activity with a pedometer were measured and recorded at the baseline and the end of the trial. Statistical analysis was performed using SPSS 16 software. Results: In the CFB group, Vo2 max, Vo2/HR and VE/Vo2 were significantly improved at the end of the study (P<0.01). Vo2 max, Vo2/HR, and VE/Vo2 were significantly increased in the CFB group compared with the control group (P<0.05), while there was no significant difference in the mean of VE/Vco2, and exercise ventilation (VE) (P>0/05). Body weight, body mass index (BMI), lean body mass (LBM), and body fat mass (BFM) did not alter in the CFB group at the end of the study (P>0.05). Conclusion: The consumption of CFB supplemented with caffeine, L-arginine, and propolis has a more effective response to improved cardiopulmonary endurance in military athletes compared with the regular food group.
{"title":"The Effect of Ration Military Supplemented with Functional Food on Cardiopulmonary Endurance in Military Athletes: a Randomized, Single-Blind, Placebo-Controlled Clinical Trial","authors":"Vahid Hadi, M. A. Sardar, M. Ghayour-Mobarhan, M. Nematy, R. Rezvani, Saeid Hadi, M. Tehrani, Davood Soleimani, A. Norouzy","doi":"10.30491/JMM.22.7.2","DOIUrl":"https://doi.org/10.30491/JMM.22.7.2","url":null,"abstract":"Background and Aim: In difficult conditions, the military needs high-energy and macronutrient and micronutrient-rich nutrition during intense physical activity to achieve optimal levels of fitness. The aim of the present study was to evaluate the effects of Compact Food Bar (CFB) designed on cardiopulmonary endurance in military athletes. Methods: Forty-five military personnels with aging between 20 and 45 years were assigned into two groups in this randomized, single blind, controlled clinical trial. Subjects in the intervention group received three packs, 700kcal each, of CFB supplemented with Functional compounds (Caffeine, L-arginine, and Propolis) designed, each day for 10 days. The other group consumed regular food used in military training courses with the same calories as control per day for the same period of time. The conditions for performing the activities in terms of some variables such as temperature, humidity, sports coverage, sleep, type of sports, and caloric activities were the same for all samples. Maximal oxygen uptake (Vo2 Max) as a measure of cardio-respiratory endurance in vitro with cardiopulmonary exercise test (CPET), anthropometric indices by body composition and physical activity with a pedometer were measured and recorded at the baseline and the end of the trial. Statistical analysis was performed using SPSS 16 software. Results: In the CFB group, Vo2 max, Vo2/HR and VE/Vo2 were significantly improved at the end of the study (P<0.01). Vo2 max, Vo2/HR, and VE/Vo2 were significantly increased in the CFB group compared with the control group (P<0.05), while there was no significant difference in the mean of VE/Vco2, and exercise ventilation (VE) (P>0/05). Body weight, body mass index (BMI), lean body mass (LBM), and body fat mass (BFM) did not alter in the CFB group at the end of the study (P>0.05). Conclusion: The consumption of CFB supplemented with caffeine, L-arginine, and propolis has a more effective response to improved cardiopulmonary endurance in military athletes compared with the regular food group.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"682-691"},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46956949","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}
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