Journal of Archives in Military Medicine
Year:2023 | Volume:11 | Issue:1|Papers Count:6

Background: Telemedicine is considered a remote diagnosis and treatment of patients using telecommunication. Objectives: This study aimed to share the experience of using telemedicine in selected military medical centers. Methods: Telemedicine includes medical practice and information and communication technology. It has proven to be very effective for telehealth care, especially in areas with poor health facilities. However, the implementation of these technologies is often hampered by various issues. However, due to the spread of military personnel in the vastness of Iran’, s geography and the need to handle and receive medical care and treatment, telemedicine has been considered for more than a hundred centers since 2019. Results: Telemedicine provides various types of health care services, such as psychological consultations, educational services, health care delivery and management, disease screening, and disaster management services across selected military medical centers. Conclusions: Although telemedicine cannot be a solution to all problems, it can certainly go a long way in reducing the burden on the health care system through safe and effective communication.

Background: Proper use of medications in outpatients, as an important issue, especially in children, should be considered. Objectives: The aim of present study was to evaluate the awareness of parents about the consumption of medications. Methods: This interventional study was conducted on patients’,parents referred to Amir Kabir Hospital. First, a medical history was taken, and then they completed a compiled questionnaire. After completing the checklist by parents, they were educated about general information on how to use medicines. Before and after the education about the proper use of medications, data were analyzed by SPSS software. Results: From one hundred evaluated cases, the mean and standard deviation (SD) of age were 4. 3 ±,2. 4. In addition, we observed statistically significant differences between the level of parental awareness before and after the intervention. Conclusions: In parents with any level of education, training about the proper use of medications is necessary and important.

Dear Editor, The early diagnosis of cardiac arrhythmias is essential to detect patients at a high risk of cardiac arrest, and proper medical measures can be taken immediately after their correct diagnosis (1). An electrocardiogram (ECG) is a standard and excellent diagnostic test used to diagnose cardiac arrhythmias with high accuracy (2). The ECG is an easy-to-implement, low-cost, fast, and safe examination that provides health professionals with valuable information, making it a powerful diagnostic tool for patients’,health. According to the European Cardiovascular Association guidelines on the management of acute myocardial infarction patients (3), the interval between the first medical contact and recording of the first ECG is among the good indicators of care quality,it should not be longer than 10 minutes (4). Various studies have discussed the best teaching styles to improve ECG interpretation skills (5-8). The ECG interpretation is complicated and is performed by various health professionals, such as nurses, physicians, paramedics, and especially cardiologists (5). Numerous medical students have limited knowledge and self-confidence to interpret ECGs (1). However, there is a concern that nursing and medical students worldwide lack the confidence and competence to interpret and analyze ECGs (9)...

Background: With the development of the positive psychology approach and changes in the work setting, attention to personality traits, psychological capital, and career path adaptability have played a role in the success of employees more than before. Objectives: The role of personality traits in the psychological capital of nurses was mediated by career path adaptability. Methods: The present study was applied in terms of purpose, descriptive in terms of method, and correlational in terms of type. The statistical population of this study included all the nurses of Tehran University of Medical Sciences in 2022. Hereby, 220 nurses were selected from the selected hospitals through voluntary sampling. Data collection tools included Neuroticism, Extraversion, and Openness (NEO) Personality Inventory (2000), and Career Adapt-Abilities Scale (CAAS) (2012), and psychological capital questionnaire (PCQ) (2007). Data were analyzed by structural equation modeling using SPSS and AMOS24 at a significance level of P < 0. 05. Results: Pearson’, s correlation test showed a significant relationship between personality traits, psychological capital, and career path adaptability. Also, the results of the Sobel test showed that career path adaptability plays a mediating role between personality traits and psychological capital (P < 0. 05). Conclusions: Nurses’,personality traits should be considered to select nurses. Nurses who have desired career path adaptability can better adapt to job changes, which leads to an increase in their psychological capital.

Introduction: Exertional heat stroke is a pathology well known to military doctors because it is not uncommon for our soldiers to regularly make intense efforts in difficult training or operational missions. Idiopathic etiology and genetics are by far the most described. We report for the first time a case of exertional heat stroke secondary to amphetamine use in the military environment and here, let’, s raise the issue of ethics in the Army. Case Presentation: Ayoungparachutist soldier presentedanepisode of generalconvulsions complicatinganexertional heat stroke during an 8 km race in battledress and combat boots. After further investigations, laboratory results found amphetamine in the urine. Even if the soldier only allowed branched chain amino acids (BCAAs) supplements, this exertional heat stroke was due to amphetamine use. After a review of the physiopathological effects of amphetamine, we will recall the various means of screening with their limits. Many of our soldiers consume dietary supplements to be able to better endure the constraints to which they are exposed in internship or operations. Conclusions: Doping, willingly or not, is a reality in our Army, even though we still struggle to understand it. Health and command chains must be vigilant to these lines to preserve the health of our military on the one hand and enforce a code of ethics on the other.

Background: Sport can impact the protection of the environment and energy. Sports activities could gather people in one place, which may negatively affect the environment, such as noise pollution, antisocial behaviors, waste, air pollution, and sharp lighting. Objectives: This paper aims to investigate the role of sport in sustainable environmental development. This applied-developmental study utilized an exploratory qualitative method to collect data. Methods: The statistical population included all top managers of sports organizations (including the National Olympic Committee, Ministry of Sports, and all sports federations), specialists and experts in sport management in Iran, and some managers of the Iranian Department of Environment. Thirteen experts were selected using the purposive sampling method and snowballing technique. The semi-structured interview was used as a data collection tool. Data analysis was done with grounded theory through open, axial, and selective coding. Results: Theresults indicated that the pattern of sustainableenvironmentaldevelopmentbasedonthe sport consists of 211 concepts and 26 subcategories. Categories 4, 4, 5, 8, and 4 were related to the causal factors, the fields, and domains, mediating variables, strategies, and consequences, respectively, and one category was also considered an axial phenomenon. Adequacy measure of the research process and quality of data and interpretations was approved based on credibility, transferability, dependability, confirmability, honesty, and data-derived theory criteria, including conformity, comprehensiveness, generality, and controllability. Conclusions: According to the results from the model, the sustainable environmental development based on the sport is affected by foresight, environmental values of sport, environmental requirements of the sport, green sports movement, educational and research factors, communication and promotional elements, economics, structural factors, and organizational factors, which can lead to green productivity in sports and the quality of life and well-being of citizens.