Iranian Journal of War and Public Health
Year:2009 | Volume:2 | Issue:5|Papers Count:9

Background and Purpose: It is important to quantify and refine the outcome of health care system. The aim of this study was to assess satisfaction of the health care and medical facilities in chemical warfare survivors of the Iran-Iraq war with lung complications.Materials and Methods: In This cross-sectional study, we recruited 292 Patients with lung injuries. This survey is a part of the national health monitoring project run by Veterans and Martyrs Affairs Foundation (VMAF).Results: The mean age of the cases was 45.8 year (SD±7.6) with the age range of 27-75 years. 73.3% (n=214) and 68.5% (n=200) of the patients also had ocular and dermal complications, due to mustard exposure respectively. The cases reported more satisfaction of medical equipments and home physicians visits 84.3% and 68.3% respectively, and they were less satisfied from dental care 40%. and accessing to drug 28.5%.Conclusion: The results of this study suggest that chemical warfare survivors had relatively proper satisfaction about health care services. It also has highlighted certain areas including: improving dental care services and facilitating the access of the chemical warfare survivors to their essential drugs.

Background and Purpose: The aim of this study was cognition of experience of readmission and essential causes affected in veterans with post traumatic stress disorder.Materials and Methods: this qualitative study done with grouanded theory. 19 veterans with PTSD that hospitalized in shahid rejaii psychiatry hospital and noor hospital in isfahan and 6 persons of their families were selected for this study. The sampling method was purposeful and continued until data saturation. Data were collected by semi-structural and depth interviews and analysis was done according continues comparison (strauss &corbin) method.Results: Seven core concept of readmission were: recurrent of the mental disorder, drugs and treatment problems, family problems, economic problems, recurrent of somatic disease, the negative attitudes of society, dissatisfaction of supportive and treatment system.Conclusion: veterans with PTSD experience several problems in recurrent of the mental disorder, drugs and treatment, family, economic, negative attitudes of society, and dissatisfaction of supportive and treatment system lead to readmission of them. We can manage these problems to prevent of readmisson and correct their quality of life.

Background and Purpose: The prosthetic foot is designed to replace many of the functions of the anatomic human foot. As the connection between the prosthesis and the ground is must mimic the biomechanical characteristics of the human foot as much as possible. One of the important functions of the ankle-foot complex is dynamic balance.Objective: To compare the effectiveness of SACH and Single axis foot on dynamic balance variables.Materials and Methods: A Randomized cross over study was designed on five transtibial amputees using a SACH foot and Single axis foot. Ten able bodied controls practicipated in this study too. Both of groups was tested using Computerized Dynamic Posturography.Results : All of practicipated was female and adult with the average 26.3 years old and23.73Kg/m2 body mass index. Comparison of two prosthetic feet worn by transtibial amputees did not show statistically significant different in Step Length, Step Width and Asymmetry of Step Length. But compared to NA controls, TT amputees had bigger step width while using Single Axis foot (p<0.05) and shorter Step Length while wearing SACH foot (p<0.05).Conclusion: In transtibial amputees, SACH foot had better balance control in frontal plane and Single Axis foot prepared more balance control in sagital plane.

Background: 8 years of war undoubtedly have made different opportunity to research and study and recording its scientific effects is done by researchers. Family is an important factor of society and to gain a safe society is only available by having good communication between family members.Purpose: regarding to war problems and effects of its pressure on communication patterns of family specially spouses, the purpose of this research is comparison between communication patterns of devotee spouses and normal person’s spouses.Materials and methods: the method of research is casual-comparative. Research sample is 300 person (150 devotee spouse and 150 normal spouse) and were selected by systematic random sampling to collect data by the communication pattern questionnaire (CPQ) and demographic characteristics.Results: data are analyzed by Manova and T test. Analyzing the data showed that there is a significant difference between the communication patterns (mutual constructive, mutual avoidance and demand/ withdraw) of devotee spouses and normal person’s spouses (p<0.0001).Conclusion: from this point that devotee spouses are faced by pressure of different problems, their communication statue is also influenced by these conditions. Findings this research show that devotee spouses use mutual constructive communication pattern less than normal spouses And use mutual avoidance and demand/ withdraw communication patterns more than normal spouses.

Materials and Methods: In this descriptive- analytic study 95 chemical and 95 non chemical victims were selected by stratified sampling and group matching according to age, duration of attending in war, percent of injury, literacy, marital status and instrument was a questionnaire which had two parts: demographic data and 5 sentences about sleep disturbances which was given from Mississippi scale for combat- related posttraumatic stress disorder.Results: finding showed that there was significant difference between difficulties with falling sleep according to easily sleeping (p=0.04) and afraid to go to sleep (p=0.03) which show more problem in chemical victims. About nightmares there wasn’t significant difference and about difficulty staying sleep there was significant difference (p=0.04). There was correlation between combat duration and percent of wounding in chemical wounded. There was significant difference between physical illness, drug abuse and with sleep continnuty and nightmers in two groups.Conclusion: on considering that sleep disturbance was seen in non chemical victim and more seriously in chemical victims, consulting, caring and hygienic interventions are unavoidable necessity.

Background and Purpose: s ervices health because confronting with health of society people were one most important of services and often countries have various programs in this field and forecasted to invest. veterans also to receive services in this field that because special problem and rank of this society group in this research tried examined: satisfaction of the Janbazan (veterans) from services health that presenting by organization of shahid and issargar affair and their connection with type and percentage of injury, other connection factor and problem in this services from the viewpoint janbazan.Materials and Methods: For answer to these objectives was selected 138 janbaz in Tehran with stratified sampling and data were collected with questionnaire of 33 segments that designed in this field. Also dat analyzed with descriptive statistic, on-anova, Spearman and Pearson correlation and chi-square test.Results and Conclusion: results showed that: satisfaction of the janbazan from services health that presenting by organization of shahid and issargar affair is mean. Between satisfaction from services health that presenting to segregation of type of injury view few different that this difference isn,t significant but in satisfaction of janbazan from services health to segregation of percentage of injury view most different.

Background and Purpose: since all information based on the activities of a system which is there should be that information production and management. The purpose such a system in which have guaranteed correct information and reliable needed in the times and in the form is used. Such a system of information system which has been named this study was to compare Information System features clinical psychological diseases caused by war in America and England and Australia and Iran.Materials and Methods: This study is from applicable studies of descriptive- analytic cross- sectional study. At first the existing situation in this system study in Psychiatric centers in Ahvaz Bostan and Tehran Sadr and Saadat Abad with the use of chek lists in the period of time 1387-88 study. Then this system has been study in elected countries and based on need of the own country, proposing practical solutions for Iran. Analyze information based on comparing the characteristics of the aforementioned countries in the study were a descriptive analysis-theory.Results: From important advantages of establishment clinical information system psychological diseases caused by war, attention to the prevention programs of mental disorders caused by the war, which has at least the standard in this regard and the reduction in political and economic and cultural emotional and social effects of psychological diseases caused by the war truma.Conclusion: The system by data collecting and processing and presenting it to information users has effective role in care progress of patients with the diseases. With regard to this important and the lack of such system in psychiatry centers in of Martyrs Foundation and the devoted’s Affairs, design and implementation of it is important.

Background and Purpose: The injury of chemical warfare was one of great problem in soldiers and other people in our country. Unfortunately, we do not have any data for delayed effects of these agents. Thus in this study we examine the effect of chemical warfare on function tests in chemical agents victims in Golestan province.Materials and methods: This study was done on 144 chemical agent victims with mean age 44.54±7.84 years in Golestan province. After filling the questionnaire, hematologic tests (WBC, RBC, Hb, MCV, Plt) were done. Data was analyzed using student t-test and chi-square test.Results: In this study the mean age of victims was 44.54 years and the mean time passed from exposure was 21.6 years. The mean of blood hematologic indices in all of chemical agent victims was normal.Conclusion: In our study after twenty years of exposure, hematological indices of chemical agents victims in Golestan province was normal. It is recommended to assess side effect of chemical weapon in victims of war by conducting more comprehensive studies.