Journal of Military Medicine最新文献

{"title":"The Need for Tele-Mental Health of Veterans during the Coronavirus 2019 Pandemic (COVID-19)","authors":"F. B. Sheykhangafshe, A. Fathi-Ashtiani","doi":"10.30491/JMM.23.8.672","DOIUrl":"https://doi.org/10.30491/JMM.23.8.672","url":null,"abstract":"همان ریبدرس هب سوریو انورک 2019 ( Coronavirus 2019 نیلوا یارب ) خیرات رد 17 ربماسد 2019 و تفای عویش نیچ روشک ناهوو رهش زا 23 سرام 2020 ، نیا نکمم نامز نیرتمک رد هدنشک سوریو رد رسارس ناهج شرتسگ هک ییاج ات تفای یناهج نامزاس رد تشادهب 11 سرام 2020 سوریو انورک 2019 ناونع هب ار یسفنت داح مردنس 2 ( SARS-CoV-2 همه یرامیب کی و ) ریگ درک یفرعم یناهج حطس رد ( 1 دیووک یرامیب دروم نیلوا .) 19 خیرات رد زین ناریا روشک 30 لاس هام نمهب 1398 مق ناتسا رد 150 یرامیب نیا شرتسگ .دش ییاسانش روشک تختیاپ یرتمولیک نانچ نآ یناهج حطس رد هدنشک ناونع هب هک دوب تعرس رپ لاس رد دارفا یمومع تملاس دیدهت نیرتگرزب 2020 .دش هتخانش دیووک 19 هفرس ،لااب بت دننام یعونتم رایسب مئلاع یاراد عویش هدرتسگ هنماد ،سفن یگنت ،درد ندب ،کشخ تاعیاش ،یسانش نامرد رد تسکش ،یرامیب ءاشنم دروم رد طلغ تاعلاطا و یاه تردق و فلتخم نآ دادعترب نانچمه هک تسا لااب لاقتنا هدوزفا اه یم هظحلام لباق سرتسا و بارطضا هدیدرگ ثعاب نیمه و دوش -","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"672-674"},"PeriodicalIF":0.0,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48052175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Impact of Quality of Work-Life on Staff Performance: A Case Study of Staff at a Military University","authors":"Mehrzad Giahi, Mansour Babaei, M. Mohammadian","doi":"10.30491/JMM.23.7.618","DOIUrl":"https://doi.org/10.30491/JMM.23.7.618","url":null,"abstract":"Background and Aim: Human resources are the most important resource in any organization. Therefore, it is very important to pay attention to the quality of their working life, since it covers a large part of the employees' lives. The aim of this study was to study the role of quality of work-life on staff performance in a military university. Methods: This research is a quantitative research and is applied in terms of purpose. In terms of strategy, it is a descriptive survey and causal research. The statistical population included the staff of a military university in Tehran, 262 people were selected as a sample using the available sampling method. In the proposed model, the quality of work-life was considered as an effective variable that has 8 dimensions of fair and adequate payment, safe and healthy work environment, providing opportunities for growth and continuous security, legalism in the labor organization, social dependence of working life, general space Life, integration and cohesion in the organization was the development of human capabilities and also job performance was considered as an influential variable that had three dimensions of skill and knowledge, quality, responsibility. Variables were assessed using a questionnaire with three sections: demographic questions, quality of work-life questions and employee performance questions. Results: The research findings showed that fair payment with a coefficient of 0.81, provision of growth opportunity with a coefficient of 0.76, legalism with a coefficient of 0.74, development of human capability with a coefficient of 0.69, safe work environment with a coefficient of 64. 0, integration and cohesion with a coefficient of 0.6, social dependence with a coefficient of 0.59 and the overall living space with a coefficient of 0.57 affect the performance of employees. Conclusion: Universities are the scientific driving force of the country in the national and international arenas and the dynamism and promotion of its staff can have positive results in the national arena. However, improving the performance of staff depends on the quality of their working life. The results of this study showed that fair payment, growth opportunity and legalism as dimensions of quality of working life have the greatest impact on employee performance, respectively, and more attention should be paid to them. The results also show a positive and significant relationship between other dimensions of quality of work-life and employee performance.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"618-626"},"PeriodicalIF":0.0,"publicationDate":"2021-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49282437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Factors Affecting the Strategic Purchasing of Medicines in the Iran Armed Forces Health Insurance Organization","authors":"Sadra TaheriMaleki, HesamAldin Sharifnia, A. Norouzi, A. Cheraghali","doi":"10.30491/JMM.23.7.610","DOIUrl":"https://doi.org/10.30491/JMM.23.7.610","url":null,"abstract":"Background and Aim: After the World Health Organization (WHO)'s 2000 report, views shifted in that direction of strategic purchasing in medical services. WHO stated that adequate funding for health is an important issue, but financial resources alone cannot lead to universal health coverage. WHO defines \"Strategic purchasing\" as a measure to maximize the efficiency of countries' health systems to answer these questions: what to buy / from whom to buy/how to buy and for whom to buy. Methods: This study was conducted in four main stages, including to identifying the concept of \"strategic purchasing\" in the health system using the critical method and review resources, review of strategic purchasing policies in the Iran Armed Forces Health Insurance Organization, identifying the main policy factors of strategic purchasing by insurance from the perspective of experts in this field and finally evaluation of strategic purchasing in insurance and providing solutions and suggestions for its implementation. A validated questionnaire was developed and the Likert technique was used to score the results. Results: The results were presented in sub-categories, which included identifying the concept of \"strategic purchasing\" in the health system and the Iran Armed Forces Health Insurance Organization, effectiveness and contracting for the supply of medicine with the lowest price and quality of the product is a top priority for policymakers. In response to the four basic questions of strategic procurement, various factors and their contributions were measured. Conclusion: Strategic procurement of health services is very necessary for health insurance organizations. Therefore, it is better to take steps to implement it as soon as possible. In addition to the findings of this study, including determining the factors for the strategic drug purchasing process, one of the most important policy findings of this study in interviews and discussions with experts was that theoretically, we all know what strategic purchasing is and what are the steps involved, but in practice, there is not any plan to implement it or we do not have the ability to implement it due to the existing infrastructure and policies. So, in addition to raising awareness, a proper understanding of the process must be established so that policy-making and implementation can follow, which requires integrated decisions.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"610-617"},"PeriodicalIF":0.0,"publicationDate":"2021-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44477652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"مطالعه توصیفی آمادگی جسمانی در رزم در نیروهای رسته پیاده یک مرکز نظامی در سال 1397","authors":"Hossein Shirvani, Alireza Delpasand, Behzad Bazgir","doi":"10.30491/JMM.23.7.564","DOIUrl":"https://doi.org/10.30491/JMM.23.7.564","url":null,"abstract":"","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"564-572"},"PeriodicalIF":0.0,"publicationDate":"2021-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47652116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the Effectiveness of Transcranial Direct Current Stimulation (tDCS) with Eye Movement Desensitization and Reprocessing (EMDR) on Post-traumatic Stress Disorder (PTSD)","authors":"M. Rezaei, M. Ahmadizadeh","doi":"10.30491/JMM.23.7.573","DOIUrl":"https://doi.org/10.30491/JMM.23.7.573","url":null,"abstract":"Background and Aim: Transcranial Direct Current Electric Stimulation (tDCS) is a non-invasive treatment. The purpose of the current study was to compare the effectiveness of Transcranial Direct Current Stimulation (tDCS), Eye Movement Desensitization and Reprocessing (EMDR) on PTSD symptoms. Methods: This was a double-blind, controlled randomized with pretest-posttest design. The statistical population included patients with PTSD in Atieh clinical neuroscience center and Baqiyatallah University of Medical Science (1396 to 1397), in which 44 subjects were selected using a purposive sampling method and then randomly divided into two experimental (EMDR = 14, tDCS = 15) and one control (n = 15). Active and sham tDCS groups received bilateral active and sham stimulation (2mA) on dorsolateral prefrontal cortex (DLPFC) during 10 sessions. The EMDR group also received 5 sessions of EMDR treatment. The research tool was included the PTSD-Checklist for DSM-5 (PCL-5). The data were analyzed by multivariate analysis of covariance (MANCOVA). Results: Symptoms of PTSD were significantly reduced in the experimental groups compared to the control group in the post-test and follow-up periods (P <0.05) While there was no significant difference between the two experimental groups in the post-test and follow-up stages (P >0.05). Conclusion: The tDCS method can be used as a non-invasive treatment to reduce the symptoms of PTSD.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"573-583"},"PeriodicalIF":0.0,"publicationDate":"2021-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43048220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review the Psychometric Properties of Iranian Version of the Mental Health Inventory (MHI) in the Military Personnel and Compilation of Polygraph Scale for It","authors":"S. Rezaei, M. Ebrahimi, A. Rahnejat, Farhad Avakh Kisemi, Has, A. Shahmiri, Arsia Taghva, Fahimeh Ghahvehchi-Alhosseini","doi":"10.30491/JMM.23.7.587","DOIUrl":"https://doi.org/10.30491/JMM.23.7.587","url":null,"abstract":"Background and Aim: Early and early detection of psychological distress and ensuring the psychological health levels of military personnel using screening tools is of great importance in increasing the performance and combat capability of the armed forces. Therefore, the purpose of this study was to investigate the psychometric properties of the Iranian version of the Mental Health Inventory (MHI-38) in military personnel and to compile a lie detector scale for it. Methods: The present study was a descriptive and correlational psychometric design. The statistical population included all the employees of the Army of the Islamic Republic of Iran, from which 420 people were selected by cluster sampling. The Mental Health Inventory (MHI-38), the Beck Anxiety Scale (BAI), the Beck Depression Inventory (BDA-II) and the General Health Questionnaire (GHQ-28) were used to collect data. Face validity and internal consistency were assessed using qualitative method and Cronbach's alpha coefficient, respectively. Pearson correlation coefficient was also used to evaluate the reliability of retest, concurrent validity, divergent validity and convergent validity. Results: The internal consistency values of the Cronbach's alpha mental health checklist for well-being and psychological distress and the whole scale were 0.79, 0.80 and 0.81, respectively. Also, the reliability coefficient of the retest was calculated to be 0.79, 0.76 and 0.75, respectively. Simultaneous validity of the mental health inventory was -0.55 for psychological well-being and 0.65 for psychological helplessness. Also, divergent validity for well-being and psychological helplessness was -0.59 and -0.64, respectively, and convergent validity was 0.65 and 0.51, respectively. All coefficients were significant at the level of P <0.01. Conclusion: Based on the results of this study, it can be said that the mental health inventory has good reliability and validity and can be used for research and clinical purposes in the field of mental health of the military.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"587-598"},"PeriodicalIF":0.0,"publicationDate":"2021-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45858345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"تجارب پرستاران نظامی از راهبردهای مقابله معنوی با فرسودگی شغلی: مطالعه کیفی","authors":"محمد مهدی سالاری, بتول نحریر, مسعود سیرتی نیر","doi":"10.30491/JMM.23.6.472","DOIUrl":"https://doi.org/10.30491/JMM.23.6.472","url":null,"abstract":"","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"472-481"},"PeriodicalIF":0.0,"publicationDate":"2021-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45701733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coordination of Civil and Military Forces in Natural Disasters: A Systematic Review","authors":"H. Araghizadeh, M. Peyravi, S. Sharififar, M. Marzaleh","doi":"10.30491/JMM.23.6.555","DOIUrl":"https://doi.org/10.30491/JMM.23.6.555","url":null,"abstract":"Background and Aim: We are bearing witness to the daily occurrence of natural disasters in various parts of the world. Considering the extensive presence of military forces for assistance and establishment of security in disaster-stricken regions, the importance of coordination between civil and military forces becomes clearer. The present study used a systematic review method to extract the factors influencing the enhancement of the militarycivil forces’ coordination in natural disasters in various countries around the globe. Methods: A systematic search was made in PubMed, Cochran Library, Scopus, EMBASE, Web of Science, and ProQuest between January 1970 and December 31, 2020. Articles were selected by the authors based on the search keywords including the three dimensions of \"coordination\", \"disasters\" and \"military-civilian\". The articles were selected based on keywords by the author. In the end, the factors influencing coordination were selected from the articles. Results: After studying the titles, abstracts, and texts of all articles, 15 of them were selected for final analysis. There were 2 qualitative articles, 3 quantitative articles, 1 lesson learned article, 5 mix-method studies and 4 review articles. The most frequent factors, in terms of repetition, were information management (sharing and newness), planning, unit commanding, instruction, and communication. Analyzing the articles, there were two main approaches to disaster management in the world, which include the parallel and sequential coordination","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"555-563"},"PeriodicalIF":0.0,"publicationDate":"2021-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46308009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ten Opportunities and Lessons of COVID-19 Pandemic Disaster","authors":"G. Poorheidari, Seyed Mohammad Zarei Abarghoui","doi":"10.30491/JMM.23.6.552","DOIUrl":"https://doi.org/10.30491/JMM.23.6.552","url":null,"abstract":"","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"552-554"},"PeriodicalIF":0.0,"publicationDate":"2021-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46772721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Educational Intervention on the Level of Risk of Musculoskeletal Disorders in Different Parts of a Military Unit","authors":"Z. Asadi, M. Afshari, M. Moradinia, M. Kangavari, Farough Mohammadian","doi":"10.30491/JMM.23.6.489","DOIUrl":"https://doi.org/10.30491/JMM.23.6.489","url":null,"abstract":"Background and Aim: Musculoskeletal disorders are among the most common causes of occupational injuries and disabilities in countries around the world. One of the times when people are at risk for musculoskeletal disorders is during the military. Considering the importance of soldiers' health, which is one of the main military pillars of the country, and considering that previous studies have further examined other occupations. Therefore, the aim of this study was to determine the effect of the intervention program on the level of risk of musculoskeletal disorders in soldiers in different parts of a military unit. Methods: The present study was a quasi-experimental study that was performed on 140 male workers working by hand in different units of a military area in southern Iran in 2020. Sampling was available by sampling method. Assessing and determining the risk level for musculoskeletal disorders was performed using Rapid Exposure Assessment (QEC) software. Educational intervention for the intervention group, 4 60-minute training sessions were held. One month after the end of the educational intervention, the risk assessment of the risk of developing musculoskeletal disorders in both groups was determined. Data analysis was performed using SPSS-24 statistical software. Results: The level of risk of musculoskeletal disorders after the educational intervention in the intervention group decreased compared to the control group and was statistically significant (P <0.05). Also, after the educational intervention in the two groups of intervention and control, in terms of the level of exposure to the risk factors of vibration, speed at work and job stress, there were no changes in the level of risk and training did not cause a statistically significant difference in these three factors (P >0.05). The level of whole body exposure risk for musculoskeletal disorders in the two groups of intervention and control after educational intervention is statistically significant (P <0.05). Conclusion: Based on the findings of the present study, the rate of musculoskeletal disorders in soldiers was high and correctional exercises had a significant effect on musculoskeletal disorders. Since musculoskeletal disorders are preventable, it can be concluded that planned trainings to the target community, including educational interventions, can be effective and useful.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":"489-498"},"PeriodicalIF":0.0,"publicationDate":"2021-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42163140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}