Journal of Nurse and Physician Within War
Year:2015 | Volume:3 | Issue:8|Papers Count:9

Introduction: In hospitals disaster is regarded as a crisis and must be properly managed and controlled to prevent its conversion into a scandal. The aim of this study was to determine the effect of maneuver on the readiness of employees in a military hospital.Methods: A quasi-experimental study (before and after design) was conducted on the 70 personnel in a military hospital. Data were collected using a valid and reliable questionnaire and analyzed using SPSS software (v. 20).Results: The mean score of readiness scopes before and after the manouver were 22.74 and 23.74, respectively. This difference was not statistically significant (p=0.693). Except for planning and knowledge & attitude scope (p=0.049) and attitude (p=0.000), there were no significant difference regarding different scopes such as staff’s concept a bout the disaster (p=0.337), organizing (p=0.219), education (p=0.228), Awareness (p=0.928) and skill (p=0.112). Conclusion: Some degree of heterogenity in the process of the promotion of the scopes have seen during the intervention (trauma manouver). One of the reasons is weakness in designing the scenarios. Therefore readiness of health workers should be considered by policy-makers and senior managers of the health system.

Introduction: The Crimean Congo Haemorrhagic Fever (CCHF) is a viral disease causing severe haemorrhagic fever outbreaks and is transmitted to healthy peopleeither by tick bites or through contact with infected animal blood or tissues during and immediately after slaughter. Most infected cases are reported to be among livestock industry and slaughterhouse workers. The present paper aims toevaluate the effect of CCHF on the awareness and functioning of the Livestock Producers and Slaughterhouse Workers in Shustar, Iran in the time span from April 2014 to March 2015. Method: For this semi-experimental study, samples were taken among livestock industry and slaughterhouse workers in the city of Shustar (40 livestock farmers and 160 slaughterhouse workers) by Stratified Random Sampling. Study tools included questionnaires and function observation checklists, both before and after training. First, the before-training questionnaires and checklists were completed. Then sample subjects were trained about CCHF and its prevention and transmission. A month after training, sample subjects completed after-training questionnaires and checklists. The statistical software SPSS, discriptive statistics methods including average, standard deviation, minimum and maximum scores, frequency and percentage, and also inferential statistics methods such as correlated t-test and Kolmogorov-Smirnoff test were used to analyze data.Results: findings of this study showed a significant difference between the awareness of CCHF among personnel before and after training (p=0.001, t=7.4). Also, there is a significant difference in their functioning and attitude toward CCHF among them before and after training (p=0.001, t=11.95).Conclusion: Results and analyzed data reveals that the training program leads to higher awareness of CCHF among livestock industry and slaughterhouse workers and, therefore, is effective. So the training program has been effective in increasing awareness and behaviour changing among livestock industry and slaughterhouse workers.

Introduction: Leishmaniasis, a parasitic disease common in tropical and subtropical regions of the world and is considered a threat to public health. Diagnostic methods are smear, culture, and PCR. Diagnostic sensitivity of the smear method in previous studies is 33%. Following the outbreak of cutaneous leishmaniasis, in one of the military units affiliated hospital, Ilam Province during the mission (Mehran), in the fall and winter 93, a cross-sectional study on 80 patients were described. This study was conducted in the Ordibehesht 94 to determine the amount of smear positivity rate in 80 patients with cutaneous leishmaniasis addmited in regional hospital of Kermanshah.Method: In this study of 80 patients with cutaneous leishmaniasis regional hospital in Kermanshah, in the course of an epidemy, smear sample volume of waste produced and patient information such as age, length of stay in the endemic region, distance between presence in endemic area and lesion to cause appear, presence or absence of associated symptoms, in patients with cutaneous leishmaniasis were recorded for check list. The data obtained from patients with spss software analysis the relationship between the amount of positive smear Also with the above-mentioned factors was assessed by test of Pearson.Results: Smear lesions in 81.25% of patients remained positive and negative in 18.75% of patients positivity rate of skin lesion is more in compare with similar studies (33%).Conclusion: Statistical test results showed more positivity rate of smear (81.25%) and no relationship between the amount of smear positivity rate and the length of presence in the region. Also, there is no relationship between the presence or absence of symptoms, such as pain, itching and burning, with the result of skin smear.

Introduction: Curriculum is one of the most important factors in the higher education. Reviewing the curricula of medical education has always been considered. The aim of this study was to evaluate the current educational curriculum for general medicine program from the students' perspective based on lifelong learning approach.Method: This descriptive, cross-sectional study was conducted on 149 students of Medical Sciences, in Tehran. The data were collected through a researcher-made questionnaire consisting of 50 questions in Likert scale. The validity of the questionnaire was confirmed by the experts and its reliability by Cronbach's Alpha test. Data were analyzed using descriptive and inferential statistics (t- test, Pearson and ANOVA) using SPSS 16 software.Results: Based on the results of this study, the overall situation of the curriculum for general medicine program based on lifelong learning approach was relatively undesirable. The elements of the objectives, contents, teaching methods, evaluation methods, the role of teachers, educational environment and facilities and tools in the current curriculum were relatively in undesirable status. Between gender, marital status and living conditions of the students' perspective, there was no significant difference (P>0.05). But between age and grade point average of students' views about the curriculum, there was a significant relationship.Conclusion: According to the importance and necessity of lifelong learning in medical practice, educational planners could benefit the findings of this study in revising the curriculum for general medicine program and developing lifelong learners in the medical field. Also students will be equipped with the required competencies.

Introduction: Pain is a common problem after heart surgery and the main purpose of this study was to evaluate the effect of predictability and sense of control over the pain is open heart surgery. For this purpose, the patients were measured variables as well as the administration of pain. Way of taking the traditional group (by nurses) was divided and controlled by the patient.Method: This descriptive and quasi-experimental research. The sample consisted of 80 patients without diabetes over 60 years (in four categories) who underwent open heart surgery is a surgical procedure and anesthesia were the same and were selected by all of them. The assessment tool visual scale and scale Rotter (internally and externally) to measure and control the source of people's expectations of 29 is binomial.Results: predictability and self-control method with a significance level (p=0.00) is a significant difference between the pain and the feeling of control with a significance level (p= 0.087) no significant difference in pain intensity.Conclusion: predictability on the amount of morphine and pain-left cardiac surgical patients affected. But the sense of control over the amount of morphine and the pain does not affect cardiac surgical patients. Drug use (nurse or PCA) also affect the amount of morphine and pain-left cardiac surgical patients.

Introduction: Nowadays it is believed that human resources are the most important competence advantage and organizational capital. So it is emphasized on valid role of talents in organization and appropriate managing of them is considered too important. The purpose of this study recognizing the affecting factors on absorbing in medical university of AJA.Methods: this kind on study is a semi experimental that was performed on 269 students of AJA University of medical sciences and 420 students in Iran. The data gathering tool of this study was a researcher made questionnaire that Validity of these questionnaires by content analysis method and stability of them by Cronbach's alpha are confirmed. Finally, with utilizing multi variable regression method and using SPSS software the data is analyzed.Results: The result of the research is that components advertising and absorption factors, the quality of universities higher education system, and also environmental factors have more influence than the others on absorbing students. Conclusion: to improve the performance of university in attracting students, more emphasis on advertising, marketing and absorption factors should be considered.

Introduction: The present study aimed to compare the effectiveness of patience practice, stress disclosure and phone call methods on Job commitment.Method: This method was conducted experimentally using pre-test and post-test on the 54 employees of one of the military units stationed in the Persian Gulf. The questionnaire form was standardized based on the Meyer and Allen's questionnaire. No control were used in this study.Results: The results showed that all three intervention methods of increasing job commitment were effective. The average of job commitment, the maximum increase was observed in groups of Patience Practice, Stress Disclosure and Phone call Methods, respectively.Conclusion: job dissatisfactions and turnover of personnel in the military organizations has a negative effect on combat and morale ability of other employees. The increase of commitment is of the best methods which practically causes a close relation by heart between individual and organization. Job commitment in military organizations has a double necessity and importance. According to the results of this study, a suggestion is that to increase the job commitment, training of patience and creating of psychological Debriefing groups should be included under advisement of military psychologists.

Introduction: The relationship between emotions and coping strategies of people with cancer that encounter transplant-related stressors for health care providers is unknown. This study was designed to help explain role of personal factors in coping of adults with leukemia undergoing hematopoietic stem cell transplantation.Method: This qualitative study conducted 18 in-depth interviews between 2009 and 2011 on 10 adults in Shariati Hospital’s Hematology- Oncology Research Center and Stem Cell Transplantation in Tehran, Iran with leukemia undergoing hematopoietic stem cell transplantation. Recorded audio interviews were transcribed verbatim in Persian and coded and analyzed using qualitative technique.Results: The two main concepts that emerged from the data included emotions and intuition. “Emotions” included “fear”, “hope”, “feeling deficient and abnormal”, “changed body image”, feeling shame or uneasiness”, “worry” and “being prepared physically and emotionally”. Conclusion: Understanding the personal factors including emotions and intuition of patients may help healthcare providers’ better care and improve the nurse-patient relationship. Nurses are well positioned to play a decisive role in helping patients cope effectively with their disease and treatment.

Introduction: Toxoplasmosis is an important infection which is caused by Toxoplasma Gondi. This protozoa infection is prevalent among many warm-blooded animals and spreads worldwide. Toxoplasmosis could lead to still birth in pregnant woman and death in immune deficiency cases. The purposes of this study were determination of serum Cholesterol, HDL and LDL in patients infected with toxoplasmosis.Methods: In this descriptive and analytical – cross sectional study, 200 persons who referred to Farabi laboratory (Ardabil) during summer and fall 2014, were examined. After preparation of blood sample and serum, Electro chemiluminescence(ECL) technique was used to detect contamination of toxoplasmosis and in order to determination of the serum levels of Cholesterol, HDL and LDL lipids, it was applied Auto analyzer technique. Finally data was analyzed through SPSS19 using independent t-test method.Results: From 200 studied cases (150 women and 50 men), 22 cases (14 women and 8 men) were positive for toxoplasmosis (Anti-toxoplasmosis Ig G were above 30). Cholesterol, HDL and LDL lipids were measured in both case (22 infected cases) and control (22 non-infected persons) groups. The mean of Cholesterol, HDL and LDL were 147.27, 32.23, 95.63 in control group and 173.59, 49.32 and 94.91 in case group respectively.Conclusion: The amount of Cholesterol and HDL in case group (Toxoplasmosis positive) were higher than control group (Cholesterol Sig. =0.016 and HDL Sig. =0.001), whereas the amount of LDL had no significant difference between these two groups (LDL Sig. =0.92).