Iranian Journal of War and Public Health

eISSN (English): 2980-969X
eISSN (Persian): 2008-2630
pISSN (Persian): 2008-2622
JMERC
0.4

About IJWPH

Iranian Journal of War & Public Health (IJWPH) have started to publish scholarly articles from 2008 and in these years, have tried to do its best in publishing good-quality articles with respect to research and publication ethics rules. IJWPH is supported by "Janbazan (Veterans) Medical and Engineering Research Center" (JMERC), as the first research center in the field of late onset complications and side effects of war on health in Iran, which have started studying in this field since 1989. Producing knowledge about the health consequences of war is one of the main missions of JMERC.
 
46.8 days
Submission to First Review
84 days
Submission to Accept
26.8 days
Accept to Publish
35.94 %
Acceptance Rate
Editor-in-Chief
Rahmatollah Hafezi, MD, MPH
Associate Professor, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Scientific Supporters
Janbazan Medical & Engineering Research Center
Articles

Medical and Legal Responsibilities in Concealing Epidemic Diseases; a Jurisprudential and Legal Review

K. Gheibi, F. Pahlevani, M.R. Shirazi
Introduction: Infectious diseases, particularly the coronavirus, are among the critical public health and medicine issues that have significantly impacted all aspects of human life. One of the key factors in spreading and intensifying these diseases is the concealment and suppression of related information, which can have disastrous consequences for public health. This issue, besides its social, cultural, and economic dimensions, is also of particular importance from a legal and medical perspective. The present study examines the civil liabilities of individuals and legal entities in relation to concealing infectious diseases such as the coronavirus. It analyzes the factors influencing the transmission and spread of diseases from medical and legal viewpoints.
Conclusion: In jurisprudential and legal sources, various principles, including destruction (Etlaf), causation (Tasbib), and no harm (La-Zarar), are considered for civil liability, which applies to health and medical issues during pandemics. This research, using a descriptive-analytical method and utilizing library resources, the Holy Quran, and the latest jurisprudential and legal findings, explores the medical and legal obligations of individuals and legal entities in managing and preventing the spread of infectious diseases. Despite numerous studies in this area, this research presents an innovative approach to examining responsibilities in the medical and legal context. It demonstrates that Ja'fari jurisprudence, with its flexibility and dynamism, provides specific and well-reasoned jurisprudential and legal solutions to prevent the concealment and suppression of diseases and protect public health.
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Effect of Judo Training on Life Expectancy, Motivation, and Mental Health of Blind and Visually Impaired Veterans in Tehran

M. Hami, F. Mohammad Hassan
Aims: The present study aimed to explore the effect of eight weeks of judo training on the life expectancy, motivation, and mental health of blind and visually impaired veterans of the eight-year Holy Defense War in Tehran.
Materials & Methods: This experimental research was done on 100 blind and visually impaired non-athlete males in Tehran Province, Iran. Forty individuals were selected and randomly assigned to the experimental (20 participants) and control (20 participants) groups. The Miller Hope Scale (MHS), the Goldberg General Health Questionnaire (GHQ), and Willis’s Sport Attitude Inspection Questionnaire (SAI) were used as research tools. A paired t-test was employed to compare the mean scores within each group (pre-test and post-test), and analysis of covariance (ANCOVA) was used to compare the differences between the two separate groups using SPSS 26.
Findings: There was a significant difference in life expectancy and mental health, excluding the two components of social functioning symptoms and depression symptoms, as well as in the competitive motivation of blind and visually impaired veterans in Tehran Province before and after eight weeks.
Conclusion: Eight weeks of judo training positively affects life expectancy, mental health, and competitive motivation of blind and visually impaired veterans.
 
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The effect of eight weeks of square steping exercise on the risk of falls in elderly men: a clinical trial study

M.J. Nezhad Mohammadi, M. Zarei, S.M. Hosseini, Z. Asady Samani
Objectives: Preventing falls among the elderly is a critical public health concern in an aging society. This study aimed to investigate the effect of an eight-week square stepping exercise program on the risk of falling in elderly men.
Methods & Materials:  This is a randomized clinical trial study to do it, call was issued to all day care centers for the elderly in Tehran. Thirty elderly men aged 60-75 volunteered, randomly assigned to either a square stepping exercise group or a control group. Fall risk was assessed using the Biodex balance system and the Fall Risk Test levels 10 to 12. The exercise group completed the square stepping exercise protocol three times per week for 60 minutes per session over eight weeks, while the control group maintained regular daily activities. Fall risk was reassessed after the intervention. Analysis of covariance was employed to compare pre- and post-intervention results between groups.
Results: After eight weeks, the risk of falling significantly decreased in the exercise group (2.35±1.15) compared to the control group (4.85±1.70) (P=0.001).
Conclusions: Square stepping exercises represent a simple, practical, and cost-effective method for elderly individuals to reduce the risk of falls, offering a viable home-based intervention.
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The effect of Tabletop Exercise on the degree of improvement of the preparedness of selected military hospitals in mass casualty incidents

A. Basiri, M. Abbasi farajzadeh, M. Mohammadian, E. Heidaranlu
Introduction: Hospitals are the first centers that are affected by accidents and disasters. Formulating a preparedness plan, taking into account the training of all employees and regular exercises, along with the forecasting of the required resources, is one of the necessities of disaster management response.
Methodology: This research is a semi-experimental study that was conducted on a group before and after. The statistical population of the research was the members of the Hospital Incident Command System (HICS), and a total of 20 people were selected and included in the study based on the entry criteria. The data collection tool was a Questionnaire prepared by the researcher to measure the readiness of the hospital regarding the incident command system, excess capacity, and early warning system.
Findings: the average total score of preparation before the intervention out of 10 scores was 6.47±0.87 and the average total score of their ability and attitude in Dealing with disasters before intervention was 3.19 ± 0.72 and 3.28 ± 0.41 out of 5 scores
Conclusion: The educational intervention had a significant effect on increasing the members of the incident command system and the hospital in dealing with disasters; Therefore, to improve the preparation of the medical staff, it is suggested that the hospital managers hold training courses with both table and operational exercises.
 
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Influence of Personal Factors, Occupation, and Pain Location on Pain Levels among Patients with Musculoskeletal Disorders in rural Thailand

K. Threesittidath, Ch. Chunawa, K. Khutok
Aims Musculoskeletal disorders (MSDs) are prevalent health concerns. This research aimed to investigate the influence of personal factors, occupation, and pain location on pain levels in patients with MSDs in a rural area.
Methods Participants included 400 patients diagnosed with MSDs at Phrom Khiri Hospital, Nakhon Si Thammarat Province. Data on personal factors, occupation, pain location, and baseline pain intensity were collected. Participants were classified into mild, moderate, and severe pain levels according to the Numeric Rating Scale (NRS). Multiple discriminant analyses were performed to identify influencing factors and pain levels.
Findings All examined factors were able to predict the classification of pain levels in MSD across the three severity groups (p = 0.003), with an accuracy of 41.25%. Specifically, mild pain levels were associated with height and occupation. A combination of height and occupation predicted moderate pain levels, while severe pain levels were linked to pain location, gender, and weight.
Conclusion This study suggests that personal factors, occupation, and location of pain location correlate and can predict pain levels in patients with MSDs in rural area. Therefore, healthcare providers should consider these factors when managing patients with MSDs.
 
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Predicting age structure changes of 30-years in the population of war survivors: the past, present and future

Batool Mousavi, Farzaneh Maftoon, Marziye Asgari, Mozhgan Sharifan, Kazem Mohammad, Javad Minoeeifar
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Knowledge About Herpes Zoster Virus Among Students of College of Health & Medical Technologies in Baghdad

Tabarek Ayad Noori, Ishraq Ahmed chiad, Fahad myasar Mohammed taqi, Hiba Ghanem Sabah
Aims: Herpes zoster, or shingles, is a contagious disease caused by the reactivation of a dormant virus and its subsequent transmission along the sensory nerve to the matching dermatomes. This study was carried out to determine the level of knowledge about herpes zoster virus among students of college of health and medical technologies in Baghdad.
Method: the study is analytic cross-sectional study carried out on 215 students of college of health and medical technologies in only four stage departments college in Baghdad about knowledge of herpes zoster virus among them. The study was conducted in college of health and medical technologies/ Baghdad. It was initiated at Eleventh / November/ 2023 to Sixth /February/ 2024.
Results: the majority of studied sample 68.4% were in age group 20-24 years Mean ± SD (24 ± 3 years); 57.2% female, 83.3% single, 84.7% live in urban area. Receiving information was from different sources; studying, family, friend, internet, health workers and other sources (45.1%, 12.1%, 11.2%, 14.4%, 8.4% and 8.8%) respectively. Most study sample had acceptable knowledge score; 36% were weak and just 8% had good score. No significant association were found between knowledge score and demographic variables.
Conclusion: Overall knowledge score was acceptable towards herpes zoster virus among students of college of health and medical technologies for all departments. No significant association between knowledge score and demographic variables.
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A new blend of phenotypic and genotypic application as a zoonosis Escherichia coli transmission detector

Noor F Almousawi , Murtakab Y Al-Hejjaj
Escherichia coli is a Gram-negative bacteria classified into non-pathogenic and pathogenic serotypes. Pathogenic species (frequently isolated from hospitals and veterinary clinics) play an important role in causing various types of diarrhoea and UTI in humans and animals leading to a public health concern. Bacterial strain transmission between different species is a controversial matter. During this study, 80 samples were collected from humans and dogs suffering from UTI or diarrhoea, cultured on MacConkey, EMB and nutrient agars. The suspected E. coli bacteria was confirmed using a PCR-based molecular method. Two bacterial identification techniques were applied to detect the zoonotic transmission possibility: (1) phenotypic analyzer using Antibiotic Susceptibility test Patterns (ASP) as a primary tool for zoonotic transmission detector by classifying the isolates into ASP groups and sub-groups, (2) Molecular genotypic technique (Clermont phylo-typing) a PCR-based method was applied to classify E. coli into 8 genotypes (A, B1, B2, C, D, E, F and cryptic clades) depending on the presence of four exact genes in each isolate. In addition to a newly suggested dual-detecting system (a blend of ASP and Clermont). The results show that almost all the isolated E. coli were multi-drug resistant and strongly resistant (100%) to Amoxicillin+clavulonic acid, Oxacillin and Vancomycin. Meanwhile, they were highly susceptible to imipenem (100%). The ASP5(i) was the dominant pattern among human and animal isolates and the most common shared pattern among the four groups of samples. The results showed that 31 of 50 (62%) isolates have similar ASPs, however only 16 (53.3%) shared the same phylogenetic groups. Furthermore, the molecular genetic group C has a high prevalence in dog isolates whereas group E was the commonest among human isolates. The dual detecting system (blend) reveals that the E. coli harbouring ASP5(i)C pheno-geno type is the most possible zoonotic isolate. In Conclusion, ASP could be used as a primary transmission indicator, however, additional genetic confirmation is required. Using both methods (blend) would be more accurate and give a better idea about bacterial transmission and the acquisition of new antibiotic-resistance genes.
 
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The Effect of Exercise Training and Virtual Reality on Selected Psychomotor Variables in Armed Forces Personnel dealing with Post-Traumatic Stress Disorder (PTSD)

Saeid Ahar, Hossein Samadi, Hossein Barzegari, Mostafa Hajlotfalian
The purpose of this research was to assess the effect of exercise and exergame interventions on the psychomotor aspects of armed forces personnel diagnosed with post-traumatic stress disorder. The study utilized a quasi-experimental design involving pre-test and post-test measurements with a control group. Initially, 60 men of the Armed Forces of the Islamic Republic of Iran with PTSD diagnosis were purposefully selected and then randomly assigned to three groups: Pilates training, exergame intervention, and control (20 individuals in each group). The exercise and exergame sessions were conducted over 24 sessions (3 one-hour sessions per week) for the experimental groups, while the control group continued with their regular activities and treatment programs. The berg Functional Balance and Motor Coordination (Tandem gait) along with the Quality-of-Life Questionnaire (SF-36) were administered at both pre-test and post-test stages. Statistical analysis carried out using SPSS-25 software, involved multivariate analysis of variance and Bonferroni's post hoc test, with a significance level set at 0.05 for all tests. The results demonstrated a significant positive effect of exercise and exergame interventions on the psychomotor components of the participants. Further examination revealed that Pilates exercises were more effective than exergame interventions in enhancing both quality of life and motor coordination, with no difference identified in functional balance between two groups. Given the high demands and sensitivities within Armed Forces organizations, it is recommended that consideration be given to establishing specialized facilities where personnel can benefit from tailored sports exercises and exergame interventions.
 
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Review of therapeutic effect of trans cranial magnetic stimulation in psychological disorders

V. nejati

Human brain can be stimulated safely and non invasively by powerful magnetic field. This magnetic field causes a current in stimulated tissue, which stimulates the brain neurons. In psychological disorders, focal brain activity is observed in clinical syndromes. Application of trans-cranial magnetic stimulation as a therapeutic technique proposes to change the selective brain activities. Low frequency repetitive trans-cranial magnetic stimulation (rTMS) is a new method in evaluation and treatment of hyper excitability brain syndromes, which changes brain plasticity. In this review article, therapeutic effect of rTMS in some psychological disease such as depression, post traumatic stress disorder, epilepsy, obsessive compulsive disorder and schizophrenia is discussed.

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Examining the effects of ’bad’ and ‘good’ fitting conditions supracondylar PTB socket on interface pressure and comfort of unilateral transtibial amputees: Case Study

N. Tafti, M.R. Safari, Gh. Aminian, P. Rezasoltani

Background: Changes in the volume and shape of the stump causes difficulties in maintaining A comfortable and exact fit. Improper fit causes pain, discomfort and movement between stump and socket. There is not enough document to identify how much volume fluctuation causes fitting problem . To identify and understand the relationship between the changes of interface pressure between stump and socket with mentally feeling of amputees in "good" and "bad" fitting conditions.

Method and Material: The study was conducted on two below knee amputees. The method has 2similar stages, SCS was evaluated at both stages with the difference that one was done in bad and other in good fitting condition. To examine stump-socket interface pressure at each stage,static tests with applying half and full body weight to the artifical limb and walking tests were done.

Results: With volume reduction, it seems adding several sock layers to improve fitting condition (force couple correction)imposes high interface pressure to patellar tendon and fibular head which lowers amputees feeling of comfort. Without adding sock layers,stump movement to distal causes unbearable pressure to the distal of tibia.

Conclusion: In static tests, interface pressure increased in good fitting condition at patellar tendon and popliteal region. Walking tests in good fitting condition showed less movement between stump and socket and less improper pressure. Using too many layers of socks to improve fitting causes intolareable interface pressure at regions such as petellar tendon and fibular head.

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Frequency of Phantom Pain among patients with Spinal Cord Injury

Hadi Shojaei, Alireza Jafari, Shohre Valaei

Summary: Background: Patients with spinal cord injury (SCI) usually have permanent and often devastating neurologic deficits and disability and pain (1). According to the National Institutes of Health, "among neurological disorders, the cost to society of automotive SCI is exceeded only by the cost of mental retardation"(2). Neurogenic pain constitutes one of the enigmatic clinical syndromes faced by patients, clinicians, and researchers (3). Materials and Methods: Current observational descriptive cross-sectional survey is performed among 270 patients with spinal cord injuries including veterans and non-veteran disabled subjects in Tehran-City during 2005. Results: Mean age of the subjects was 37.8±12.2 years. 26.3% were female and 73.7% were male. 17.4% had spinal cord injury in cervical level, 41.5% thoracic, 38.1% lumbar, and 3% Quada Equina level. 76.3% had complete and 23.7% incomplete injuries. 19.3% had injury duration of less than 5 years, 11.9% between 5 to 10 years, and 68.9% upper than 10 years. Phantom pain below the lesion level was present in 89 patients (33%) that included 26% of veterans and 37% of non-veterans. There was a statistically significant association between age, marital status, and injury duration with having phantom pain (P< 0.05). Conclusion: it is concluded that frequency of phantom pain in current study is less than all of previous studies and our patients were totally resistant to analgesic treatments which may be due to physiopathologic basis of such pains in comparison with other pains due to spinal cord injuries.

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survey of relationship between abnormalities of the spine and spirometric indices of spinal cord injury veterans

M. Saberi, A. Ebrahimi atri, S.A. Hashemi Javaheri, M. Mosaferi Ziaaldini, M. khodaei

Background & Purpose:   In addition to any disability, especially spinal cord injury level of sensory and motor performance of shows, other serious complications in other parts of the body, leaving lasting. . One of these complications, the spine is deformed. Many of the deformation of the spine, opening the chest to reduce this mode reduces the vital capacity and respiratory disorders, negative effects on the cardiovascular system and ultimately cause a change in the amount of their lung capacity is. The objective of this study, survey of relationship is between abnormalities of the spine (Lordosis, Kyphosis, scoliosis) and spirometric parameters (FEV1/FVC, FVC, FEV1, FEF75, PEF).

Materials & Methods:For this purpose, the present study was performed on 60 cases of spinal cord injury veterans And spirometric indices including FEV1/FVC, FVC, FEV1, FEF75, PEF was assessed using spirometry. For data analysis descriptive statistics were used and the test of Pearson inferential statistics were used.

Results: Based on survey results, a relation between Lordosis, scoliosis Kyphosis and spirometric indices, the rate and Kyphosis and  Lordosis abnormalities was significant
(P<0.05). But there is no significant difference in the rate of scoliosis (P>0.05).

Conclusion: Due to the complications of spinal deformity and subsequent loss of lung volume in the injured spinal cord injury, for deformity correction protocols and a regular exercise program continued to increase indicators lung is recommended.

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Relation between perceived social support and health promotion behaviors in chemical veterans in Ilam province on 2012-13

R. Chenary, A. Noroozi, R. Noroozi

Background & Purpose: Chemical attacks in war can make short term and long term personal, family and social damages and limited social relationships of victims as compared to ordinary people. The aim of this study was to investigate the relationship between social support and health promoting behaviors in chemical veteran in Ilam province 2012-13.

Methods & Materials: This cross-sectional study was performed in the entire moderate and severs chemical veterans, who they were covered by the Department of Veterans and Martyrs of Ilam province. Information was collected by using standard questionnaires for health-promoting behavior and Multidimensional scale of perceived social support (family, friends, and important people). The reliability and validity of these instruments was desirable. Inclusion criteria were percentage of disability with moderate and sever levels and enough physical strength to answer questions, and exclusion criteria were also lack of cooperation and have no permanent residence in Ilam province. After data collection, all data were analyzed by SPSS statistical soft ware and Pearson correlation coefficient and linear regression.

Results: All of 239 veterans indicated that all of them were men with mean and standard deviation age 51.17± 8.87 years and there is a significant relation between all subscales of social support and health-promotion behavior subscales (p<0.05). Among the subscales of social support, friend support had the highest correlation with health-promoting behaviors (r= 0.391), and support from important people showed the lowest correlation (r= 0.367). The all regression models of health promotion behavior and its subscales were significant.

Conclusion: There is a relation between perceived social support especially friend support and health-promotion behaviors, therefore suggest that the friend as a resource support was used in design of educational programs.

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The relationship between basic need satisfaction and general healthof veteransofIsfahan’s AmiralmomeninHosptital

H. Salehi, A. Ghamarani, Z. Salehi

Background& Purpose: The onlyforcethat hastargetedhealth,physicalandmental. Satisfythebasicneedsrequiredto grow theconsistency,specificityandprovidepsychological well-being. The present study aims at analyzing the efficiency of basic need satisfaction in general in predicting the veterans’ general health at Isfahan’s AmiralmomeninHosptital.

Methods&Material:132 veterans were chosen randomly at AmiralmomeninHospital. They answered the questionnaires of the Basic Need Satisfaction (Basic Needs Satisfaction) and General Health (General Health Questioner ). In order to analyze the data, multivariate (step by step) regression analysis was used.

Result: The results indicated that satisfying the basic need satisfaction has correlation with the veterans’ general health (p<0.001) and also, the results indicated that among the psychological needs, satisfying the autonomy need and general health are predicted significantly (p<0.001).

Conclusion: To sum up, the results of the present study confirmed the efficiency of the basic needs satisfaction in predicting general health.

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Localization of Hemoxigenase in the epithelium of human air way wall induced by sulfur mustard

M.R. nourani, L. Mirbagheri, M. Habibi Rodkenar, M. Ebrahimi, S. Yazdani, A.A. Imani Fouladi

Introduction: Sulfur mustard (SM) as an effective chemical agent was used recently in the Iraq war against Iran. Currently more than 40,000 chemical casualty of war left with lung lesions caused by mustard gas.

This combination induce the production of oxygen free radicals are molecules that activate inflammatory processes. Heme Oxigenase is one of the important proteins that decrease the harmful effects of free radicals and involved in many cellular functions such as oxidant/antioxidant system balance in respiratory system.

Methods: 12 biopsy samples of the airway wall (8 chemical samples and 4 control samples) obtain by bronchoscopy. After fixation in Parafrmaldehyd 4%, 20 microns slices were prepared by Cryostat. The expression of HO1, a polymorphism of HO, by immunohistochemistry method in samples of veterans and control groups analysed and were compared.

Results: SM exposed samples were immunonegative for HO1 antibodies in compare to unexposed patients, while Normal ones expressed in high intensity in epithelium as a basal expression.

Conclusion: These findings indicate that this molecule play an important role in protecting cells against oxidative stress, including the poisoning of SM. So it concluded that the absence of this protective factor may be cause for chronic obstructive pulmonary disease and continuity of problem.

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Psychological- social consequences chemical bombardment of the Sardasht victims (a qualitative study)

B. Malkari, N. Karimian

Purpose: Aim of the present research is study of psychic and social consequences of chemical bombarding on the victims of Sardasht City by qualitative method. 

Material & Method: 15 men and 15 women of Sardasht City victims were selected as available sampling and they were interviewed in semi-structured manner. Method of qualitative research is interpretive. Results of the interviews were divided into several categories. 

Results: Results show that psychic and social consequences of chemical bombarding on the victims include complaints such as social complaints, psychic complaints, exhaustion problems, economical complaints, characteristic complaints, anger, no safety sensation, emotional interdependent, decrease of social interaction exist in victims. 

Conclusion: Results of the research demonstrate social and psychological problems have higher role in psychic- social consequences of chemical bombarding in ratio with other psychic- social consequences. Finally, we involved in limitations and providing several recommendations

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Validation of a Device for Registering Orthotic Wearing Time during the Laboratory Climate Tests on Normal Volunteers

N. Fallahian, F. Tabatabaei, M. Rahgozar , R. VahabKashani , M. Bahrami

Laboratory instrumentation of orthoses and prostheses can be used to objectively gain accurate information. In this study the measurement of orthosis wearing time during laboratory climate tests with normal volunteers were accomplished to determine the validity and reliability of the device for registering orthotic wearing time that was designed and fabricated in Iran. Orthosis wearing time is an important factor in orthotic treatment for spine disorders. A reliable and objective System for measuring orthosis wearing time currently is still lacking in Iran. After Developing such a device, our objective was to test the accuracy and validity of the device, Made in Iran which was designed to register spinal orthosis wearing time. The device had a force sensor mounted on a thoracolumbosacral orthosis pad to recorded orthosis wearing time. In an interval of 1 hour 5 Normal volunteers tested the device using a CASH orthosis. They donned the orthosis for a few minutes and doffed it meanwhile they recorded the time using a standard chronometer into the "Orthotic Wearing" form. After gaining the data one sample t-test was performed on all orthosis wearing-time intervals as recorded by the system and by the time tables filled by each of the 5 testers using a chronometer. The tests yielded 100 sensor trigger-events that is 50 times of orthotic wear (t=2.21, P=0.032). As indicated by the t-test analysis, the device for registering orthotic wearing time had accurately quantified the orthosis wearing-time intervals during the laboratory climate tests with normal volunteers.

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Investigating the Influence of training religious coping skillson resiliency, adaptability and stress management in veterans' spouses

S. Askaryan, M.J. Agheri , M.H. Hassan Zadeh

Background & Purpose: The purpose of this article is to study the effect of training religious coping skills on Resiliency and adaptability components and stress management in veterans' spouses.

Methods & Materials: This study is quasi-experimental. Statistical population included 70 veterans' spouses whose children were studying in Shahed primary school of Mashhad in district5, in 1392-1391education year. For sampling, Available method was used and all the testees were given Connor & Davidson Resilience Questionnaire and bar-on emotional intelligence Questionnaire for investigating two components.30 spouses, results who gained the lowest score in both tests, were selected after the Survey. The testees were divided to two Equal experiment and control groups, through random assignment. Then experiment group was provided religious coping skills training with the Islamic approach in10 sessions. Finally, a post-test was taken from both groups.

Results: The data analysis was performed, for obtaining covariance and Pearson correlation test. Results show a meaningful measure of 0.01 and variables showed direct relationship to the testing component in Pearson correlation test therefore it can be concluded that training of religious coping skills may be useful for veterans' spouses on their resiliency, adaptability.

Conclusion: On the basis of the results of this study, It is concluded that training spouses of veterans, religious coping skills can be effective in Improving their level of mental health and empowering them to deal with their problems.

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Energy Storing and -Revealing Prosthetic Feet A Review Study

N. Fereshtenejhad , F. Pol , T. Tahmasebi, A. Ebrahimi

Aims: Since 1990 a new generation of prosthetic feet as "energy storing" in order to improve the performance and mobility of amputees entered to the markets. The aim of this study was to expansion and explanation of the concept of energy and terms relating to energy transfer as well as an overview of energy storing and returning measurement of prosthetic. 

Information & Methods: In this review study, a systematic search of electronic databases, Google Scholar and PubMed was done and papers published from 1950 to 2013 were studied. Key words used were included various combinations of energy analysis, ESAR prosthetic feet and their synonym terms.

Findings: The results obtained from articles classified and examined in the three domains of concepts of energy and energy-related terms, methods of energy analysis in the prosthetic feet and functional classifications and naming of the feet enable to energy storing.

Conclusion: Analysis of the structure and components of prosthesis make it possible to understand how it works. One of the major issues in the analysis of energy transfer of prosthesis is the proper amount of absorption and energy release and the effect of it on amputee. Optimal performance and health of amputee is effective in designing these kinds of prosthesis.

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The effect of lateral wedge insole with and without subtalar strap on vertical component of ground reaction force in knee osteoarthritis

E. Esfandiari, M. Kamyab, H. Yazdi, N. Foroughi, F. Navab Motlagh

Objective: The effects of lateral wedge insoles with and without subtalar strap on vertical component of ground reaction force were compared. Methods: Twenty five patients aged over 40 years with grades I or II of medial compartment knee osteoarthritis based on Kellgrene and Lawrence grading system were participated in this study. They were tested in 3 conditions while walking in a 3-meter walkway: bare foot, lateral wedge insole and lateral wedge insole with subtalar strap. Three successful trials were recorded in each condition. Gait analysis was performed to compare the immediate effect of lateral wedge insole with and without subtalar strap on vertical component of ground reaction force.

Results: There was significant effect of lateral wedge insole with subtalar strap on second peak of vertical ground reaction force related to lateral wedge insole and without insole conditions. But no significant effect of lateral wedge insole with and without subtalar strap was found on first peak of vertical ground reaction force and walking speed.

Conclusion: The results of this study suggest that lateral wedge insole can reduce second peak of vertical ground reaction force. Also it was understood lateral wedge insole with subtalar strap might be more efficacious than lateral wedge insole in mild knee osteoarthritis patients.

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The Comparison of the quality of life of the war veterans families with/without Post traumatic Stress Disorder

M. najafy, M.A. mohammadyfar, S. dabiri, N. erfani, A.A. Kamary

Introduction: The aim of current study was comparison of the quality of life of the war veteran’s families with/without PTSD.

Method: In this purpose 300 war veterans' families were selected by clustering random sampling in Hamedan province. The measures of this research were quality of life questionnaire 28 items and demographic inventory.

Results: The results of independent samples t-test have shown the war veterans with PTSD reported lower scores on Physical Function, Bodily Pain, General Health, Vitality, Social Functioning, and mental health in comparison of the war veterans without PTSD. The spouses of the war veterans with PTSD also have reported lower quality of life in all subscales in comparison of the spouses of war veterans without PTSD. The children of the war veterans with PTSD have reported lower scores only on general health in comparison of the children of the war veterans without PTSD.

Conclusion: In respect to results, it appears that consideration of family's health in war veterans' families is necessary with special attention to war veterans with PTSD. However, planning, and instructional, therapeutic policies can be useful

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Correlation between mindfulness and executive functions in blinds veterans

V. Nejati

  Background and Aim : Mindfulness is ability of self regulating attention and direct it for task. The purpose of present study is evaluation of correlation between mindfulness and executive function in blind veterans.

  Materials & Methods : we evaluate 93 blind veterans with Dys executive function and mindfulness questionnaire. Pearson Correlation Test was used to evaluation.

  Results : findings show significant correlation between mindfulness and executive function specially inhibition and memory (P<0.01) and arousal (P<0.01) subscale. No correlation found in intentionality and hyperactivity subscale (P>0.05).

  Conclusion : Cause of correlation between mindfulness and inhibition, arousal and memory is common structural and functional overlap. Mindfulness can be used as a proper predictor of this subscale of executive functions.

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Quality of life in fibromyalgia syndrome referred to clinic of Physical Medicine and Rehabilitation in Baqiyatallah Hospital, Tehran

E. khatibi aghda , M.T. Hollisaz, M. Asheghan, A. Shamseddini, V. Sobhani, S. Labbaf

Background & Purpose: Fibromyalgia syndrome is a chronic disease with unknown etiology musculoskeletal pain and tender points throughout the body are numerous. The aim of this study was to measure quality of life in patients with fibromyalgia syndrome that referred to Physical Medicine and Rehabilitation clinic in Baqiyatallah Hospital.

Methods & Materials: Patients that referred to Physical Medicine and Rehabilitation Clinic by a trained physician were asked about diffuse chronic pain, fatigue, sleep disturbance, age, body mass index, level of education and number of children. To assess quality of life, 36-SF questionnaire was used. Also to assess pain, Visual Analog Scale (VAS) was used. The same physician did a thorough physical examination with special attention to the tender points in order to diagnose fibromyalgia according to the American College of Rheumatology (ACR) criteria.

Results: In the study of 59 patients referred to the Baqiyatallah hospital, the findings showed that there was statistically significant relationship between quality of life and pain (p=0.002), age (p=0.01), body mass index (p=0.04) and morning stiffness (p=0.001). However, there is no statistically significant relationship between level of education and quality of life (p=0.09). Also, according to the finding, all quality of life components, especially the physical components, is affected by Fibromyalgia syndrome.

Conclusion: According to the study findings, the quality of life of fibromyalgia patients affected by multiple factors such as diffuse chronic pain, body mass index, age, morning stiffness.

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Effectiveness of Emotional Schema Therapy on Cognitive Emotion Regulation Strategies of Combat-Related Post Traumatic Stress Disorder Veterans

Y. Naderi , A.R. Moradi , J. Hasani , S. Noohi

Introduction: This study aims to examine the effectiveness of Emotional Schema Therapy on The Emotional Schema & Cognitive Emotion Regulation Strategies of patients suffering from Post-Traumatic Stress Disorder (PTSD).

Method: 6 patients from the clients of psychiatric clinic of Baqiyatallah hospital, were selected through available sampling, matched together and then divided into 3 groups (Emotional Schema Therapy combined with Medications, Cognitive Behavioral Therapy combined with Medications & Medications) Patients were examined 5 & 3 times by Leahy Emotional Schema Scale (LESS) and the Short Form of Cognitive Emotion Regulation Questionnaire (CERQ-18) and The Persian versions of the Impact of Event Scale-Revise (IES-R). To analyze the data, indexes of effect size, cohen’s d, process changes, slope and interpretation of ups & downs in charts were employed.

Result:  After treatment, scores of patients who Emotional Schema Therapy received showed decrease in Negative Emotional Schema(Rumination, guilt, uncontrollability) & Maladaptive Cognitive Emotion Regulation strategies (Self-blaming, Rumination, Catastrophizing) additionally, in some Adaptive Cognitive Emotion Regulation strategies (Positive refocusing, Refocusing on planning, Positive Reappraisal)and Adaptive Emotional Schema (higher values, acceptance, consensus, Comprehensibility) an increase was observed.

Conclusion: Emotional Schema Therapy via targeting directly mechanisms of pathological Emotional Schemas & Maladaptive Cognitive Emotion Regulation strategies. can be appropriate choice for treatment of Post-Traumatic Stress Disorder (PTSD).

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Fertility and sexual function after spinal cord injury

M. Soroush , E. Modirian , H. Zamani , S. Attari

Following damage to spinal cord, sexual function and fertility of the survivors would greatly be affected and using assistive reproductive therapies would be inevitable. During a 2-year program, 1429 SCI survivors of Iran-Iraq War were thoroughly examined by urologists. Patients' demographic characteristics and information relevant to sexual and fertility status as date of marriage, number of children and use of assistive reproductive therapies, were recorded. The mean age of the survivors was 37.9±8.5 y/o and the mean period after injury was 14.6±2.9 years. 87.4% of the subjects suffered from paraplegia and 98.4% of them were men. Sexual dysfunction reported in 69.9% of the subjects while fertility problems observed in 58.5%. 23.7% of the cases had no child and 30.4% had a single one. Success rate following IUI, IVF and were 21.9%, 24.1% and 20% respectively. Statistical analysis revealed no relation between level of spinal cord injury and fertility. Relatively high success rate after assistive reproductive therapies would maintain the hope of bearing a child after Spinal Cord Injury.

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Viewpoints of Veterans Affected by Psychological Disorders towards usage of telemental services for War Veterans

M. Ahmadi, K. Bahaadinbeigy, T. noori

Background & Purpose: The use of telemedicine in military capabilities, access to specialized medical services, resulting in a continuing care for veterans is possible. This study aimed to investigate psychological warfare point of using mental health systems has been done remotely for war veterans.

Methods & Materials: This cross - sectional study was conducted in 2013 A questionnaire was designed and standardized by receiving comments from telemedicine experts and psychiatrist. The researcher personally visited respondents, thus 100% data were collected. Data analysis using 17.0 SPSS software and descriptive statistics were performed.

Results: Veterans on the effectiveness and necessity of mental health service use remote stressed. And concerns about access to a computer, provided the drug, the need for further training and active involvement of families.

Conclusion: It is clear that the Telemental health is practical solutions to meet the mental health needs of veterans. .In the discussion, such as user training requirements, reliability, confidentiality and other legal policies should be considered. Experiences of other countries indicate the success of this type of service needs assessment, feasibility and planning is correct.

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Comparative of Mental Health Disabled People of Athletic and Non-Athletic

H. Bakhshayesh, F. Bahmani, M. Kamali

Background: In the field of exercise and mental health was already on the perception that sport is beneficial for physical health. Today physical exercise can also be effective in promoting mental health.

Purpose: The main purpose of this study was to compare mental health of athletic and non-athletic disabled people in Arak city.

Materials and Method: A descriptive-analytical study and cross method, was done to evaluate the mental. Disabled man in the entire city was considered as a population study. Samples were selected randomly into two groups with 120 athletes (60) and non-athletes (60). Mental health of participants was assessed by GHQ-28. Descriptive statistics and ANOVA test and Tukey post hoc test was used for data analysis.

Results: Findings of study showed significant differences between mental health of athletic and non-athletic disabled people. Disabled people that participant in physical activity were in better mental health situation than the non-athletic disabled people.

Conclusion: According to sport effective role on mental health of people, especially disabled people recommend responsible organizations for making the bed than the rest of the act.

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Association of Thought control strategies and beliefs about worry with stress symptoms among war veterans

A. Azizi, P. Mohammadkhani, P. Abbasi

Background & Purpose: Metacognitive therapy is one of approaches of third wave cognitive behavioral therapy that has proved its effectiveness in psychiatric disorders. If metacognitive model is true in Post Traumatic Stress Disorder(PTSD), it can be used in treatment of war veterans with this disorder.The present study aimed to assess the contribution of metacognitive beliefs and coping strategies characterized by worry to the persistence of stress symptoms in a war veteran population that experience much stress.

Materials and Methods: This is a cross-sectional study and 144 veterans that experiencing a lot of stress after returning from the war evaluated by Metacognitive, Thought Control and Impact of Event-Revised scales. The data from the study was analyzed by descriptive statistics, Pearson correlation, multiple regression analysis and path analysis.

Results: In line with the predictions made by the Well metacognitive model (2000), worry thought control strategy, Positive and negative beliefs about worry is highly correlated with Stress Symptoms. Mediational path analyses provided support for the mediational predictions. The association between positive metacognitive beliefs is mediated by worry, whilst there is a direct relationship between negative metacognitions and stress symptoms.

Conclusion: results of this study show metacognitive model is applicable in war veteran population that experience much stress and can be used of treatment consideration of this model in reduction of stress symptoms.

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