JOURNAL OF MILITARY MEDICINE
Year:2009 | Volume:11 | Issue:2 (40)|Papers Count:13

Aims: Making a management information system is inevitable for proper managing in an organization and making logical decisions by managers. More complete and update these information, more adaptable with environment of the company would be. The aim of this research was to study the management information system by applying BSP technique and optimization architectural map of this system by this technique in a hospital. Methods: This is a descriptive-analytical study. Samples were 41 managers and experts of a hospital. Data gathering instruments were questionnaire, interview, observation and review of the documents. The study concluded 7 steps of documentation of the organizational processes, preparation of the table (process structure), interview for determination the system entities, determination of data classes by attention to entities, preparation of the table (process-classdata), categorization of the information, determination of the relationship between categories and informational architecture map. Results analyzed by quality analytical methods. Results: There were, on the whole, 58 units, 41 processes and 56 informational classes in the frame work of 5 axes (person, object, place, concept, event). At last, informational categories table, relationships between them and informational architect map of hospital drawn. Conclusion: This study is an infra structure for planning the computer network of the hospital. It is impossible for hospital manager to prepare and obtain suitable hardware and software for computer network without having this prerequisite.

Aims: Today, general health is one of the important social and scientific issues of the world, especially among militants. Reports of world health organization indicate that psychic disorders engaged 10% of adults in the society and these disorders are going to be more appeared. This research was to determine the effect of military training period on general health of cadet students.Methods: In this research, 113 cadet students who were passing general training period in 2008 studied with Goldberg general health questionnaire (GHQ-28). Results: The average of acquired distinction from GHQ-28 questionnaire in the first days of military training period was 9.54±4.9 and at the end of the period was 9.67±5.5. Wilcoxon test showed no significant statistical difference between them (p=0.53), but the scores of range 1 (physical signs) and range 3 (social function) before and after intervention showed significant statistical differences (p<0.001 and p<0.02). "Man-Whitney" statistical test showed a significant relationship between participating in religious ceremonies and range I in pre-test (p=0.01) and post-test (p=0.001).Conclusion: Although the inherent characteristics of military training period have negative effect on mental health of students, but the arrangements used during the course, keep the mental health of students is a desirable level.

Aims: This Research was to determine and compare the effect of lecturing, pamphlet and poster presentation about smoking hazards on the soldiers' knowledge.Methods: This is an interventional study done on 1800 soldiers of Fars province. Data collected by a questionnaire. First, a pre-test administered to the soldiers. Then, the first group (N=600) taught by lecturing, the second group by pamphlets and for the third group, 100 posters presented. After one month, soldiers completed the same questionnaire as post-test. Results: Statistical analysis indicated a significant improvement in soldiers' knowledge following education in all three groups (p<0.001). Moreover, there was a significant difference among the mean differences of pretest-posttest scores in all three groups (p=0.001). Conclusion: Smoking educational programs can lead to increase health knowledge regarding smoking hazards among soldiers.

Aims: Purpose of this research was indicating the relationship between economic-social activity and psychological problems and stress reduce in veterans. Methods: Research method is correlation. Statistical population was veterans of over 25%. 526 cases chose using categorical ratio sampling. Required information gathered with GHQ, ANQ, Steers-Bronstein's need for achievement, Rosenberg's self-esteem tests and two researcher-created questionnaire for measuring the economic-social activity in veterans. Finally, gathered information analyzed with descriptive statistical indexes and one way ANOVA, c2, Pearson correlation coefficient and multiple regression tests.Results: Veterans economic-social activity had strong relationship with psychological variables include depression, anxiety, somatization, social maladaptive and self-esteem. This research, also, detect significant relationship between need for achievement and mental health index in employers war handicaps.Conclusion: Results emphasized on manager's intensive attention to reinforcement of economic-social activity within war handicaps.

Aims: Hospital infections are very important from three points of view included morbidity, prevalence and expenses. The morbidity of 5 to 10%, mortality of 3% and direct expenses of about 6 billion rials per year for hospital infections make it important to investigate. Supervisors' knowledge about hospital infection and its related factors will reduce these side effects.Methods: This is a cross-sectional descriptive study. 64 supervisors working in one of the medical universities related hospitals selected through head accounting. Instrument for collecting data was a questionnaire which its validity proved by experts and its reliability confirmed 90% in previous studies. Various descriptive and analytical tests including land ANOVA used to analyze data.Results: 51.6% of participants were male, 87.5% were married, more than 84% had B.Sc. degree and 50% passed controlling the hospital infections courses. More than 54% participated in seminars took place on hospital infections. A significant difference was seen among the mean scores of supervisors' knowledge about hospital infection (p<0.05). In general, more than 64% of supervisors had an adequate knowledge regarding hospital infections control.Conclusion: According to the importance of hospital infections, each hospital patients' situation and the condition of infection transmission, it is recommended that managers and health planners shouldmake appropriate decisions in each studied hospital.

Aims: Fusarium species are the most important group of fungi that produced a variety of mycotoxins which can contaminate food. The objective of the present study was presentation and identification of one isolate from Fusarium species belong to section of sporotrichiella, that recently isolated from stored wheat of Tehran province.Methods: This species isolated and purified by freeze blotter and single-spore method, respectively. Isolates cultured onto CLA, SNA, PDA and PSA. All microscopic and macroscopic characters studied. The DNA of this isolate amplified by PCR with F. sporotrichioides and F. langsethiae specific primers. Internal transcribed spacer (ITS) regions of isolate amplified, purified and sequenced using universal primers ITS4 & ITSS and the fraction of TEF-1a gene also using external and nested primers. Results: On the basis of morphology and ribosomal internal, transcribed spacer (ITS) classified as F. langsethiae but on the basis of partial translation TEF-1a gene grouped with F. sporotrichioides.Conclusion: To our knowledge, this is the first report in Iran and Asia. Therefore, a largescale monitoring of these fungi and T-2 toxin on wheat in Iran is necessary.

Aims: Chlamydia and syphilis are two important diseases in adults that have sexual activity. Because of no statistics of sexual transmitted in military of Iran, we decided to show the prevalence of these two diseases in soldiers and to recommend prophylaxis as a health strategy for them.Methods: This is a cross-sectional systematic random study that conducted in 1041 soldiers in Tehran in 2008. They consented for study and signed end of question chart. Then, 5ml of blood sample took from each and assayed for syphilis with VDRL and for quantities of Chlamydia trochomitis IgG. High risk behaviors also suggested. Data analyzed with SPSS 13. Results: The mean age of samples was 21.4±1.9 years. 44.9% (467 person) had diploma and 89.1% (928 person) were unmarried. One person was VDRL positive (0.1 %) and 15 soldiers (1.4%) were positive for Chlamydia. Genital ulcer was positive in 20 soldiers (1.9%) and dysuria in 97 soldiers (9.3%). 20 soldiers (1.9%) had addiction and 218 soldiers (20.9%) smoked cigarettes. But, No one of these risk factors had any significant relation with Chlamydia infection (p>0.207).Conclusion: Prevalence of sexual transmitted disease is low, but high risk behavior such as sexual contact and unused of condom was high. Therefore, these high risk behaviors should be corrected.

Aims: Salmonellae infection is one of the most important food-borne diseases. Antimicrobial resistance is increasing among Salmonella spp. and causes significant therapeutic problems in the treatment of diseases caused by this organisms. The aim of current study was to determine the isolation rate and antimicrobial susceptibility of Salmonella enterica subsp. Enterica serovar typhimurium strains.Methods: Salmonella spp. strains were isolated from clinical cases from May 2007 to June 2008. The susceptibility of the isolates to eight antibiotics was determined according to Clinical and Laboratory Standards Institute (CLSI) guidelines. Results: Among all Salmonella isolates, 21 (15.2%) strains were identified as Salmonella enterica subsp. enterica serovar typhimurium. More than 66% of the strains were resistant to Chloramphenicol, 57.1% to Ampicillin, 23.8% to Co-trimoxazole, 14.3% to Neomycin, 9.5% to Nalidixic acid and no resistance reported to Ceftriaxone, Ciprofloxacin and Gentamicin. Conclusion: S. typhimurium is one of the most prevalent non-typhoidal Salmonella serovars circulating in Tehran. Ceftriaxone, Ciprofloxacin and Gentamicin were effective against Salmonella and can be considered for treatment of infections caused by this organism.

Aims: In this paper, some requirements of emergency sections for effective medical response to nuclear injuries have reported.Methods: Six hospitals with considering some factors such as facilities, equipments and interesting for cooperation in this research selected. Then, by using multi-choice questionnaire and visitation, the potency of the emergency sections evaluated. Also, some valid papers and reports reviewed.Results: From 80 participants in this research, 70% believed that the establishment of emergency section for nuclear injuries is necessary; But, 76% stated that, such facilities and equipments are not prepared in their sections at present. Also, most of them (96%) believed that the cooperation of other organizations in nuclear accidents will increase their potency, vigorously. Foundation of special laboratory with biodosimetry section and special educational career for first responders, were other requirements which declared by participants and most of reliable references.Conclusion: Preparation of some facilities and equipments such as, environmental and personal monitoring instruments, cooperation of some organizations such as fire-fighting, atomic energy and military forces and special educational career of treatment protocols along with practical maneuver, for first responders, can improve the readiness of emergency sections of hospitals to response effectively to nuclear injured.