Annals of Military and Health Sciences Research
Year:2004 | Volume:2 | Issue:4 (Serial Number 8)|Papers Count:18

Background: Chemical victims who have a history of exposure to sulfur mustard gas comprise considerable number of our young population. To evaluate the rate of osteoporosis in a group of asthmatic victims of sulfur mustard gas and to compare it with non-chemical asthmatic patients, in order to determine the distribution, site of involvement, intensity of effects, and difference or indifference with non-exposed group. Materials and methods: In this prospective study, 100 asthmatic male patients who had a history of exposure to sulfur mustard gas were selected according to inclusion and exclusion criteria, and matched with 100 non-chemical asthmatic male patients as to age, duration of disease, duration of cotrticosteroid therapy, and the form of therapy. Bone Mineral Density (BMD) test was performed on hip and lumbar vertebras in case and control groups evaluated in accordance to WHO criteria. Independent-sample T test was used to analyze the results.Results: There is a significant difference (p<0.05) between the two groups in the range of osteoporosis and osteopenia. No significant correlation was found between age and complications. Most changes (65%) were observed in the vertebral column, and hip involvement (%5) was much more severe in the case group. Conclusion: Considering the morbidities caused by this chemical warfare agent, the osteoporotic complications in chemical victims can intensify their disabilities. Therefore, preventive measures must be undertaken to reduce complications.

Background: Solar lentigo is a dark brown macule. Its finding is relating to chronic solar exposure. It presents on exposing area (face and dorsal surface of hand). Varient methods are used for treating solar lentigo for example cryotherapy. Cryotherapy is safe but there is on scientific study about suitable time for faster curative response. This research was done the objective of finding suitable time of cryotherapy for solar lentigo treatment without complication.Materials and methods: This experimental study is a randomized clinical trial. 75 patients who had solar lentige (as the target group) were selected among patients that came to Department of Dermatology in sina hospital.They were studied of the basis of random allocation three groups. Each group contained 25 patients. These patients received cryotherapy in three varient time: (group A: 3-4 seconds, group B: 5-4 seconds, group B: 5-6 seconds and group V: 7-8 seconds). Cryotherapy was done by liquid nitrogen and aplicator. Two weeks after giving cryotherapy, response treatment, complications and retreatment were evaluated. Collected date were analyzed by EP16 software and appropriate statistical methods.Results: Mean of treatment times in groups were: (group A: 4.44, group B: 3.28 and group C: 3.08). In this study there was signigicant statistical difference among groups in solar lentigo treatment (P=0.0001). In this study, serious complications from Cryotherapy weren't seen. In this study; Sex, age and location of lesion had no effect.Conclusions: Cryotherapyis recommended for solar lentigo ztreatment because not only it hasn't serious complications but also it is an easy method, and this study shows the most suitable time for faster and better reponse is 7-10 seconds.

Background: Schizophrenic patients die early, especially from cardiovascular disease, which is promoted by an inappropriate diet. This study compared dietary intake of schizophrenic patients with those of individuals without schizophrenia.Materials and methods: A sample of 60 schizophrenic patients (21 women and 39 men): was matched by age and sex to 60 persons randomly selected from healthy employee of this hospital. The patients included of admitted inpatients at psychiatric unit of Taleghani hospital in Tehran and also out patients that attended in out- patient clinic in this hospital. The subjects were enrolled between 2002 and 2003. In both of groups, exclusion criteria was: alcohol and drug intake ,vegetarianism, pregnancy, lactation ,heart diseases, diabet, hyperthyroidism, and intestinal disease during study. Data about age, job, education, length of disease, monthly income, and taking medication, were gathered using of general questionnaire. Weight and height was measured without shoes and with light clothes, then body mass index (weight (kg)/(height (m2) calculated. Dietary intake recorded by 24 - hour food recall questionnaire. Data analyzed by student t- test, man Whitney, ÷2 and pearson correlation coefficient.Results: The mean of BMI in patient and control group was (24/26 z 4/04) and (25/38 z4/85) respectively, a non significant difference. The patients consumed significantly less energy, protein, carbohydrate, fiber, folic acid and vit B12 (p=0/01), (p=0/006) respectively. %50 of the patients and %26/7 of control consumed vit B12 less than ( %75 RDA), a significant difference .(p=0/009 In control group a significant negative correlation between energy intake and monthly income were observed. (r= -0/318, p= 0/013).Conclusion: We conclude that the schizophrenic patients we studied are making poor dietary choices. Assertive programmes to improve diet are necessary.

Background: The purpose of this research is comparison between the morphologic types of the patella in patients with chondromalecia with normal persons.Materials and methods: In this case-control study, we ordered the radiologic views of the patella (lateral view in 30 degree flexion and patellar view) from patients with chondromalacia and normal persons. Results: in morphology ratio classification, 60% of normal persons were in morphology type I, 40% in morphology type II and there was no one in type III. In wiberg classification, 57% of normal persons were in morphology type I,43% in type II and no one in type Ill. In morphology ratio classification, 74% of patient with chondromalacia were in type 1, 13% in type II and 13% in type III. In wiberg classification, 17% in type I, 83% in type II and no one in type III.Conclusion: In morphology ratio classification, morphology type 11is associated with high prevalence in normal person with respect to patients with chondromlacia. In wiberg classification, morphology type I is associated with high prevalence in normal persons with respect to patient with chondromalacia.

Background: The aim of the research which is a Quasi- experimental study is determining the effect of nurses education with method group discussion on the quality of nursing care in patients with Myocardial infarction.Materials and methods: All nurses and 45 patients selected based on convenince sampling in CCU ward of elected teaching hospital in Tehran city. The instrument for gathering data was observational checklist for nurses operation, checklist nursing documentation and satisfaction patient's questionnaire. After data collection, nurses education with method group discussion applied within eight sessions. The topic of sessions, consists of: Thinking and doing in nursing, Decision making skills, Critical thinking, Problem solving and Teamwork approach in nursing care for Myocardial infarction. Then, on month after, evaluated and comparad quality of nursing care.Results: The findings showed that 20% of nurses before group discussion had good operation quality, whereas after sessions, 80% had good operation quality. The results revealed 53.3% of documentations was bad quality, whereas after education 28.9% of nurses had good documentation. About patient's satisfication indicated 35.6% of patients before education were unsatisfied and only 2.2% were satisfied, whereas 31.1% of patient's were satisfied after intervention. Mean score of operation was 4.6 that prompted to 38 after intervention. Mean score of documentation was 16.2 that promted to 28.18 after intervention. Operation and documentation were not associated with nurses demograghic chracteristics. Like wise, patient's demographic was not associated with their's satisfaction. On the basis of growth test, about nurse's operation, effectiveness group discussion was 54% and about nurse's documentation was 73.9% and about patient's satisfaction was 48.01 %.Conclusions: Thus, hypothesis under title quality of nursing care in patients with Myocardial infarction to increase after intervention is confirmed. Perfectly, this study utilized importance of using of method of innovative education in Medical- surgical and critical care wards.

Objectives: This study investigated the lifestyle of a group of Baqiyatallah Medical Sciences University's personel.Material and Methods: At this stage a total of 50 subjects were selected from Baqiyatallah Medical Sciences University's personel. Instrument was included: A) a researcher maden questionnaire included questions about individuals and their lifestyle. B) psychological aspects were assessed by SCL-90-R and, C) GHQ.Results: This study showed that 50 employees, 17(%34) Female and 33(66%) Male with a mean age of 36.1 were evaluated. 44 (88%) were married. Most of men and women were overweight. Women were more overweight than men. In average, subjects lost 2 hours and 15 minets in traffic, everyday, while they can excersize just one hour every week. Half of them like to start nongoverment job after retirement. The results of GHQ showed that 30% of subjects indicated scores higher than the cut off point. Conclusion: The results of the present study indicated that some of the subjects needs car and training.

Background: Scorpion bites are one of the major health problems in some parts of Iran. The military are at special risk because of prolonged presence in specific and hard environmental and climatic conditions. Considering the history of wars in the country, major health problems of scorpions, and fears of the military about outcomes of the bites, it is necessary to conduct more complete studies on all aspects of this problem especially epidemiology and treatment during the peace.Materials and methods: This study was a prospective case series conducted from May 2002 to December 2003. Location of the study was the North-West region of Khuzestan Province. All cases that came to the military clinic were entered to the study. Statistical analysis was performed using SPSS version 12.0 software.Results: Totally, 139 cases of scorpion bites by Androctonus crassicauda came to the clinic; 66.6% in 2002 and 33.4% in 2003. Nearly 69.8% of cases were soldiers. Most bites were occurred during summer. All patients were treated conservatively without injecting anti-scorpion serum and discharged without any complication.Conclusions: The major threat in that region is because of Androctonus crassicauda bites. Considering that there is no need to inject anti-scorpion serum for these kinds of bites, further evaluation and doing more thorough studies about treatment is recommended. Moreover, no relation was seen between scorpion bites and different nights of months.

Background: Shigellosis that is also known as "bacillary dysentery", is an infectious disease caused by a group of bacteria called Shigella. This disease is more severe than other forms of gastroenteritis. Several factors contribute to making Shigella as a biological agent.Materials and methods: In our research, different aspects of epidemiology of shigellosis such as species distribution, antimicrobial resistance patterns, transmission, and mortality rates, were studied using standard bacteriological methods during a one year period in Tehran. Moreover we reviewed other published document about significance of Shigella as a biological agent.Results: We studied endemic cases of shigellosis during a one year period. Results of this study shows and emphasizes important aspects such as transmission, multi drug resistance and mortality rate of disease caused by Shigella.Conclusion: Shigellosis can be a threat to public health. Since deliberate use of Shigella bacteria has been recently documented in several outbreaks, special attention should be considered to shigellosis as a bio-threat to public health.

Background: In new wars using of nuclear weapons according to their high explosive rate have important role. This article mentioned the characteristics of the atomic bombs and kinds of its side effects.Materials and methods: this is a review article and used through Pubmed, Yahoo and Google sites following keywords: Acute radiation syndrome, triage and nuclear weapons. Generally 49 articles collected and 18 articles were assessed.Results: According to high explosive of nuclear weapons, It is necessary to triage and sort the suffered to treat in the best ways and most short times.Conclusion: In terrorist attacks or wars, nuclear accidents or even atomic-nuclear events can lead to acute radiation syndrome and other serious complications. So, it is more necessary to have enough preparation and tools to face these events.