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The Effectiveness of Mindfulness Therapy on Executive Function and Positive Emotion Regulation Strategies in Imam Reza Defense Students 正念疗法对伊玛目礼萨防御学生执行功能和积极情绪调节策略的影响
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1251
Mohammad Ebrahim Hokmabadi, F. Bahmani, N. Goodarzi, Mahmood Bahnaminia, Javad Ghafoorinasab, Mohammad Mahdi Sadeghi Khabbaz
Background and Aim: Military service is a period that can be a source of tension and psychological trauma for some soldiers. The purpose of this study was to investigate the effectiveness of mindfulness therapy on positive emotion regulation strategies and executive function. Methods: This study was a quasi-experimental study with preand post-test with control and post-test groups. The study population consisted of soldiers in Imam Reza (AS) Northeast Air Defense Center in Mashhad. Forty soldiers were selected by convenience sampling and were assigned randomly into two groups. The tools used in this study were the Emotional Adjustment Strategies Questionnaire and the Tower of London Questionnaire. Results: The mindfulness interventions had a significant effect on increasing the mean score of the experimental group in executive function (P<0.001) and improving the level of emotion regulation strategies
背景和目的:对于一些士兵来说,服兵役是一段紧张和心理创伤的时期。本研究旨在探讨正念治疗对积极情绪调节策略和执行功能的影响。方法:本研究为准实验研究,分为前测和后测两组,对照组和后测组。研究人群包括马什哈德伊玛目礼萨(AS)东北防空中心的士兵。采用方便抽样法选取40名士兵,随机分为两组。本研究使用的工具是《情绪调整策略问卷》和《伦敦塔问卷》。结果:正念干预对提高实验组执行功能均分(P<0.001)和改善情绪调节策略水平有显著影响
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引用次数: 0
The Satisfaction of Patients with COVID-19 from the Services Provided in Baqiyatallah Hospital, Tehran, Iran in 2020: A Cross-Sectional Study 2020年伊朗德黑兰Baqiyatallah医院COVID-19患者对服务满意度的横断面研究
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1199
M. Farajzadeh, Hossein Hossein babatabar-darzi, A. Shahriary, H. Ghaleh, A. A. Esfahani, mohamad sadegh bagheri baghdasht, Milad asghardoust rezaei, Ail Rahmani, A. vahedian-azimi, L. Karimi
Background and Aim: Patients' perspectives as a reliable source can be considered for the evaluation of health services The purpose of this study was to evaluate the satisfaction of patients with COVID-19 from the services provided in Baqiyatallah Hospital, Tehran, Iran in 2020
背景与目的:可将患者的观点作为卫生服务评价的可靠来源。本研究的目的是评估2020年伊朗德黑兰Baqiyatallah医院COVID-19患者对所提供服务的满意度
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引用次数: 4
The Mediating Role of Self-Compassion in the Relationship of Alexithymia and Borderline Personality Symptoms with Non-Suicidal Self-Injury Behaviors in Soldiers 自我同情在军人述情障碍、边缘性人格症状与非自杀自伤行为关系中的中介作用
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1242
Youkhabeh Mohammadian, Esmaeil Mousavi Asl, S. Khanjani, B. Mahaki, P. Dabaghi
Background and Aim: Non-suicidal self-injurious behaviors could strongly predict future suicide attempts. To better understand this behavior and related and mediating factors, this study was conducted to determine the mediating role of self-compassion in the relationship of Alexithymia and symptoms of Borderline Personality with non-suicidal self-injury behaviors in soldiers. Methods: The study design was descriptive-correlational through structural equation modeling. The sample of the study (n=254) was selected by convenience sampling method among all the army soldiers in Tehran, Iran in 2019. The soldiers completed the scales including the Deliberate Self-harm Inventory (DSHI), Borderline Personality Scale (STB), Self-Compassion Scale (SCS) Short-Form, Cognitive Flexibility Inventory (CFI), and The Perth Alexithymia Questionnaire. Data were analyzed via Pearson correlation coefficient and the path analysis of structural equation modeling using SPSS-20 and Lisrel-8.80. Results: The NNSI is significantly correlated with a general score of Alexithymia (p=0.01, r=0.39) and borderline symptoms (p=0.01, r=0.64). However, it has a negative correlation with self-compassion score (p=0.01, r=-0.60). The self-compassion score is also negatively correlated with the general score of Alexithymia (p=0.01, r=-0.41) and borderline symptoms (p=0.01, r=-0.60). Moreover, the results of the path analysis showed that selfcompassion acts as a mediator between the relation of NSSI with Alexithymia and borderline symptoms. Conclusion: Self-compassion could be a protective factor against the negative effects of Alexithymia and borderline symptoms. In other words, the critical Alexithymia and borderline symptoms leading to NNSI behaviors are mediated by self-compassion. Thus, including this protective factor in preventive and therapeutic programs for NNSI in soldiers is highly recommended.
背景和目的:非自杀性自残行为可以有力地预测未来的自杀企图。为了更好地理解这种行为以及相关和中介因素,本研究旨在确定自我同情在士兵的Alexithymia和边缘型人格症状与非自杀性自伤行为关系中的中介作用。方法:采用结构方程模型进行描述性相关研究设计。该研究的样本(n=254)是通过方便抽样法在2019年伊朗德黑兰的所有陆军士兵中选择的。士兵们完成了包括故意自残量表(DSHI)、边缘人格量表(STB)、自我同情量表(SCS)、认知灵活性量表(CFI)和珀斯述情障碍问卷在内的量表。使用SPSS-20和Lisrel-8.80,通过Pearson相关系数和结构方程建模的通径分析对数据进行分析。结果:NNSI与Alexithymia总分(p=0.01,r=0.39)和临界症状(p=01,r=0.64)显著相关。但与自我同情总分(p=0.01,r=-0.60)呈负相关。自我同情总分也与Alexishymia总分(p=01,r=0.41)和临界症症状(p=0.01%,r=0.60)呈负相关性。此外,通径分析结果表明,自我同情在NSSI与述情障碍的关系和边界症状之间起着中介作用。结论:自我同情可能是克服述情障碍和边缘症状负面影响的一个保护因素。换句话说,导致NNSI行为的关键性述情障碍和边缘症状是由自我同情介导的。因此,强烈建议将这种保护因素纳入士兵NNSI的预防和治疗计划中。
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引用次数: 0
The Effect of Educational Intervention on Stress Management in Cardiac Surgery Nurses 教育干预对心脏外科护士压力管理的影响
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1280
T. Taft, F. Keshmiri, Seyed Jalil Mirhosseini Deh Abadi, F. Aghaie, S. Jambarsang, H. Sadeghian
Background and Aim: Nursing is one of the stressful professions in which the development of stress management skills is necessary to reduce stress. The aim of this study was to investigate the effect of educational intervention based on participatory methods on stress management in cardiac surgery nurses. Methods: The present study is a randomized controlled trial with a pre-test and one-month post-test followup. The statistical population included 42 nurses working in the departments of cardiac surgery, operating room, and heart ICU of Afshar Hospital in Yazd in 2019, who were randomly assigned to two tests and control groups. Data were collected using demographic and the Nursing Stress Scale (NSS) questionnaires. Consultation with the test problem-solving approach was conducted during 2 sessions in 8 hours as a workshop with the test group. Data were analyzed by SPSS software version 16. Results: The mean score of nursing job stress dimensions in the test group was 6.88 ± 2.36 and in the control group was 11.65 ± 5.13, which showed a statistically significant decrease compared to the control group in one month after the intervention (P ˂ 0.004). Indeed, nurses involved in stress management training programs reported
背景和目的:护理是一种有压力的职业,发展压力管理技能是减轻压力的必要条件。本研究的目的是调查基于参与式方法的教育干预对心脏外科护士压力管理的影响。方法:本研究是一项随机对照试验,包括试验前和试验后一个月的随访。统计人群包括2019年在亚兹德阿夫沙尔医院心脏外科、手术室和心脏重症监护室工作的42名护士,他们被随机分配到两个测试组和对照组。使用人口统计学和护理压力量表(NSS)问卷收集数据。在8小时的2次会议上,与测试小组进行了关于测试问题解决方法的协商。数据采用SPSS软件版本16进行分析。结果:试验组和对照组的护理工作压力维度的平均得分分别为6.88±2.36和11.65±5.13,干预后一个月内与对照组相比有统计学意义的下降(P=0.004)
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引用次数: 2
The Effect of Oral Nutritional Supplement on Nutritional Status of Hemodialysis Patients in a Military Hospital 口服营养补充剂对某部队医院血液透析患者营养状况的影响
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1222
A. Ebadi, A. Tayebi, E. Afaghi
Background and Aim: Malnutrition is a common problem for hemodialysis patients, leading to reduced quality of life, increased hospitalization, and increased mortality. Evaluation of nutritional status is one of the main determinants of the clinical status. The aim of this study was to investigate the effect of oral nutritional supplements (Iso Whey) on the nutritional status of hemodialysis patients. Methods: In this clinical trial, 44 hemodialysis patients during random allocation divided into two Iso-whey and control groups. In intervention groups, Iso Whey protein powder was consumed for two months. The control group continued their routine diet. In all groups, before and after the intervention, nutritional status was evaluated based on Dialysis Malnutrition Score (DMS) and Malnutrition-Inflammation Score (MIS) scale. Results: Both groups were matched in demographic variables and nutritional status before intervention (P>0.05). After the intervention, there was a significant difference between the groups in nutritional status based on DMS and MIS scale (P<0.05). Conclusion: The findings showed that the intake of oral nutritional supplements resulted in improving hemodialysis patients' nutritional status. Therefore, using oral nutritional supplements under the supervision of a nutritionist with an educational program and regular assessment of nutritional status can be recommended to improve the nutritional status.
背景与目的:营养不良是血液透析患者的常见问题,导致生活质量下降,住院率增加,死亡率增加。营养状况的评估是临床状况的主要决定因素之一。本研究的目的是探讨口服营养补充剂(Iso乳清)对血液透析患者营养状况的影响。方法:将44例血液透析患者随机分为异乳清组和对照组。在干预组中,食用Iso乳清蛋白粉两个月。对照组继续他们的日常饮食。采用透析营养不良评分(DMS)和营养不良炎症评分(MIS)量表评估干预前后各组患者的营养状况。结果:两组干预前人口统计学指标及营养状况比较,差异有统计学意义(P < 0.05)。干预后,各组间以DMS和MIS量表衡量的营养状况差异有统计学意义(P<0.05)。结论:口服营养补充剂可改善血液透析患者的营养状况。因此,建议在营养学家的监督下使用口服营养补充剂,并进行教育计划和定期营养状况评估,以改善营养状况。
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引用次数: 0
The Health Status of Rohingya Refugees, a Systematics Review 罗兴亚难民的健康状况——系统学综述
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1231
Arasb Dabbadgmoghadam, M. Moradi
Background and Aims: The crisis of Rohingya Muslim refugees has become one of the challenging issues of the last decade. The organized massacre of Rohingya people in Myanmar has forced them to relocate to Bangladesh, creating the world's largest refugee camp. The purpose of this study is to assess the health status of
背景和目的:罗兴亚穆斯林难民危机已成为过去十年中具有挑战性的问题之一。缅甸有组织地屠杀罗兴亚人,迫使他们迁移到孟加拉国,创建了世界上最大的难民营。本研究的目的是评估
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引用次数: 0
A Survey of Waste Status based on the Fourth-generation Accreditation Model in Selected Hospitals of the Armed Forces 基于第四代认证模式的部分部队医院废弃物现状调查
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1273
Mohamad Hassan Golrayhan, Deyed Ali Jozi, M. Zaeimdar, S. Rezayan
Background and Aim: Hospital wastes are considered hazardous wastes due to their potential impact on environmental pollution and health hazards. The aim of this study was to determine the quantitative status of hospital wastes in selected hospitals of the Armed Forces in Iran and examine the adaptability of the current waste management practice with the fourth-generation accreditation model. Methods: In this cross-sectional study, the amount of waste generated in eight hospitals of the Iranian Armed Forces were weighed daily for each hospital in 2019. The accreditation data were collected using the observation method following the standard fourth-generation accreditation checklist. Staff training time was determined by referring to hospital documents. The data were analyzed using the SPSS software (Version16.0). Results: The total daily waste production per active bed in the Iranian army hospitals was on average at 6.06 kg. There was a significant difference between various waste types (i.e., infectious, non-infectious, sharp, and chemical wastes) in the studied hospitals. The mean daily waste generated in hospitals with the open-heart operating rooms was also significantly different from the other hospitals (P<0.001). Evaluation of these results based on the fourth-generation accreditation standards revealed that the examined hospitals achieved 89% of the scores of waste generation indicators. In this study, there was no significant relationship between the training and the amount of waste. Conclusions: The fourfold difference between the minimum and maximum daily waste production per active bed in the Iranian army hospitals indicates that there has been non-compliance with waste production standards in some hospitals. With proper training and continuous monitoring, waste generation can be reduced to a
背景和目的:医院废物因其对环境污染和健康危害的潜在影响而被视为危险废物。本研究的目的是确定伊朗武装部队选定医院的医院废物的数量状况,并检查当前废物管理实践与第四代认证模式的适应性。方法:在本横断面研究中,对伊朗武装部队8家医院2019年每天产生的废物量进行称重。按照标准的第四代认可检查表,采用观察法收集认可数据。员工培训时间参照医院文件确定。采用SPSS (Version16.0)软件对数据进行分析。结果:伊朗陆军医院每张有效床位日垃圾产生量平均为6.06 kg。在所研究的医院中,各种废物类型(即感染性废物、非感染性废物、尖锐废物和化学废物)之间存在显著差异。开设心内直视手术室的医院平均日废弃物产生量与其他医院也有显著差异(P<0.001)。根据第四代认证标准对这些结果进行的评估显示,接受检查的医院达到了89%的废物产生指标得分。在本研究中,训练与浪费量之间没有显著的关系。结论:伊朗军队医院每张有效病床每日产生的最低废物量和最高废物量相差四倍,这表明一些医院没有遵守废物产生标准。通过适当的培训和持续的监测,废物的产生可以减少到1
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引用次数: 0
Combat Readiness Test: Design and Validation in the Iranian Military 战备测试:在伊朗军队中的设计和验证
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1260
A. Shakibaee, V. Sobhani, H. Rajabi, M. Saberi
Background and Aim: Physical fitness is a major contributor to combat readiness, and current military tests do not measure it appropriately. The purpose of this study was to design a combat readiness test that could reliably and consistently determine the level of physical fitness distinctly required prior to deployment into the battlefield. Methods: The subjects of this study were military personnel with an average age of 30.5±4.14 years. After the initial design of the test, content, criterion and discriminant validity were assessed. The reliability was evaluated through the test-retest method. Physiological parameters such as heart rate and blood lactate as well as Borg Rating of Perceived Exertion (RPE) were used to determine the severity of the designed test. Data analysis was done by SPSS-18. Results: The test was designed in a circuit and consisted of 11 items. After validity assessment, questions with CVI (content validity index) and CVR (content validity ratio) of less than the limit were modified and corrected. The validation process was repeated until the desired amount of CVR of 0.56 and the CVI greater than 0.79 were obtained. There was a positive correlation between the time of the designed test and the time of the American army combat readiness Test (ACRT). The time taken to complete the test was significantly different between elite and non-elite volunteers was significantly different. A significant correlation was found between test and retest
背景和目的:身体素质是战备状态的主要因素,而目前的军事测试并没有适当地衡量它。本研究的目的是设计一种战备测试,该测试可以可靠且一致地确定部署到战场之前所需的体能水平。方法:本研究对象为平均年龄30.5±4.14岁的军事人员。在初步设计测试后,对测试内容、标准和判别有效性进行了评估。通过重新测试的方法对可靠性进行评估。生理参数,如心率和血乳酸,以及Borg感知疲劳评分(RPE),用于确定设计测试的严重程度。数据分析采用SPSS-18软件。结果:该测试是在电路中设计的,由11个项目组成。在有效性评估后,对CVI(内容有效性指数)和CVR(内容有效率)小于限值的问题进行修改和纠正。重复验证过程,直到获得所需量的0.56的CVR和大于0.79的CVI。设计测试的时间与美国陆军战备测试(ACRT)的时间呈正相关。精英和非精英志愿者完成测试所需的时间有显著差异。测试和重新测试之间存在显著相关性
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引用次数: 0
Design and Validation of Professional Spiritual Health Questionnaire for Professors (Soft War Officers) 教授(软战军官)职业精神健康问卷的设计与验证
Q3 Medicine Pub Date : 2021-03-19 DOI: 10.30491/JMM.22.12.1209
M. Asadzandi, Leila Lotfian, Seyed Majid Hosseini, Hasan Abolghasemi
Background and Aim: Assessing the spiritual health of professors (soft war officers) is essential to deepen the spirituality of the university environment and counteract cultural invasion. The professional spiritual health assessment should be done without measuring religiosity and inquisition. The purpose of this study was to design and validate a self-assessment questionnaire for the professional spiritual health of professors (soft war officers). Methods: This was a sequential exploratory study of instrument making. Data were collected in sequential chronological order. In the results interpretation part, data correlation was performed. In qualitative phase using the concept analysis method of Schwartz and Kim hybrid model with deductive/inductive analysis approach was done in three stages: a theoretical review of religious and scientific evidence, fieldwork with in-depth individual interviews and discussion in focus groups, final data analysis based on "Contractual Content Analysis Method", the initial version of the questionnaire was developed in the form of 73 initial measurable items. To determine the validity of the questionnaire, face validity, qualitative and quantitative content (CVR and CVI), structural validity, to determine reliability of internal consistency (Cronbach's alpha) and stability were performed. Results: The CVR score in 67 items was higher than the Lewsheh table number (0.33). Five items without the required score were removed from the questionnaire. The results of CVI calculation showed that all items received a CVI score higher than 0.79. The final questionnaire had 67 items. The results of exploratory factor analysis showed the existence of a 7-factor model (model of spirituality, courage, kindness, wisdom, modesty, self-respect, justice) in the structure of items. Internal consistency of the questionnaire (with Cronbach's alpha of 0.9) showed that all items had a high correlation and were significant at the level of p <0.05. Conclusion: Using this questionnaire allows professors (soft war officers) to examine professional spiritual distress and diagnose spiritual problems. The use of spiritual care guidelines, daily self-calculation, enables cultivation so that they, in the position of spiritual mentors, can achieve the Islamization of the university and the fight against soft war.
背景和目的:评估教授(软战争军官)的精神健康对于深化大学环境的精神性和抵制文化入侵至关重要。专业的精神健康评估应该在不测量宗教信仰和宗教调查的情况下进行。本研究旨在设计并验证教授(软战军官)职业精神健康自评问卷。方法:本研究是一项关于仪器制作的连续探索性研究。数据按时间顺序收集。在结果解释部分,进行了数据关联。在定性阶段,使用Schwartz和Kim混合模型的概念分析方法和演绎/归纳分析方法分三个阶段进行:宗教和科学证据的理论回顾、深入的个人访谈和焦点小组讨论的实地调查、基于“合同内容分析法”的最终数据分析,调查问卷的初始版本是以73个初始可测量项目的形式编制的。为了确定问卷的有效性,进行了面孔有效性、定性和定量内容(CVR和CVI)、结构有效性、确定内部一致性(Cronbach’s alpha)和稳定性的可靠性。结果:67个项目的CVR得分高于Lewsheh表数(0.33)。从问卷中删除了5个没有要求得分的项目。CVI计算结果显示,所有项目的CVI得分均高于0.79。最后的问卷共有67项。探索性因素分析结果表明,在项目结构中存在一个7因素模型(精神、勇气、善良、智慧、谦逊、自尊、正义的模型)。问卷的内部一致性(Cronbach’s alpha为0.9)表明,所有项目都具有高度相关性,并且在p<0.05的水平上具有显著性。结论:使用该问卷可以让教授(软战军官)审视职业精神困境,诊断精神问题。精神关怀指导方针的使用,日常的自我计算,使他们能够在精神导师的位置上进行培养,从而实现大学的伊斯兰化和对抗软战争。
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引用次数: 3
Attitude and barriers of teamwork in intensive care unit from the perspective of nurses in COVID-19 pandemic COVID-19大流行中重症监护病房护士的团队合作态度与障碍
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.30491/JMM.23.4.329
Aliakbar Keykha, M. Ramezani, A. Heydari
Background and Aim: Front-line medical teams are experiencing unprecedented stressors as a result of the COVID-19 pandemic. In the face of these pressures, teamwork has become both more important and more challenging. During the crisis, people trying to work together who may not have done so under 'normal' conditions. Therefore, this study will be conducted to investigate the attitudes and barriers to teamwork from the perspective of intensive care unit nurses in the COVID-19 pandemic. Methods: In this descriptive-analytical study from October 2020 to January 2021, 97 nurses working in intensive care units were selected according to the inclusion criteria. The data collection tool was a standard questionnaire to assess the attitude towards teamwork and assessment of barriers to teamwork, which was completed by the participants after validity and reliability. Data were analyzed using descriptive statistics and independent t-test in SPSS software version 25. Results: The mean score of nurses' attitude to teamwork was 127.82 ± 10.4. The amount of barriers in the workplace for optimal teamwork was reported by 54 (55.67%) high, 32 (32.3%) low and 11 (11.34%) unimpeded. Most barriers to teamwork were reported with nursing managers, organization managers, consulting physicians and therapists and the least barriers were reported with radiology staff and nurses. Conclusion: The performance of nursing managers and the weakness of intra-group relationships are the most important barriers to teamwork in the pandemic situation. In order to provide quality teamwork in the pandemic situation, job descriptions and plans should be provided by the managers of the organization and nurses should receive adequate training in this field. © 2021 Baqiyatallah University of Medical Sciences. All rights reserved.
背景和目的:由于COVID-19大流行,一线医疗团队正面临前所未有的压力。面对这些压力,团队合作变得更加重要,也更具挑战性。在危机期间,人们试图一起工作,而在“正常”情况下可能不会这样做。因此,本研究将从COVID-19大流行重症监护病房护士的角度调查团队合作的态度和障碍。方法:采用描述性分析方法,选取2020年10月至2021年1月期间在重症监护病房工作的97名护士。数据收集工具为一份标准问卷,用于评估被试对团队合作的态度和团队合作障碍的评估,经效度和信度检验后由被试完成。数据分析采用SPSS软件25版的描述性统计和独立t检验。结果:护士团队合作态度平均得分为127.82±10.4分。工作场所阻碍最佳团队合作的障碍有54个(55.67%)高,32个(32.3%)低,11个(11.34%)畅通。护理经理、组织经理、咨询医生和治疗师被认为是团队合作的最大障碍,而放射科工作人员和护士被认为是团队合作的最小障碍。结论:大流行疫情下,护理管理者的工作表现和团队内关系薄弱是影响团队合作的最主要障碍。为了在大流行情况下提供高质量的团队合作,该组织的管理人员应提供工作说明和计划,护士应接受这方面的充分培训。©2021巴基亚塔拉医学科学大学。版权所有。
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引用次数: 1
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Journal of Military Medicine
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