153 2008-2622 Veterans Medical Sciences & Engineering Research Center 241 Diagnosis and Treatment of Veterans or Handicapped Diseases Educational Hospitals Accountability of Iran from the Perspective of Veterans Tabibi J. b Nasiripour A.A. c Gohari M.R. d Mahboubi M. e b Department of Health Services Management ,Science and Research Branch, Islamic Azad University c Department of Health Services Management ,Science and Research Branch, Islamic Azad University d Department of Statistics & Mathematics, Hospital Management Research Center, Tehran University of Medical Sciences e Kermanshah University of Medical Scinces 1 1 2013 5 1 1 6 22 06 2012 07 07 2013 Background and Purpose: health needs of veterans of the main concerns is the senior military officials,Therefore, this study marks the teaching hospital's response has been examined from the perspective of veterans. Method & Materials: This descriptive - analytical study of the correlationIn the second half of 1390 in five major teaching hospitals, including hospital care in five countries Pour sina (Rasht) in the north, Imam Khomeini Hospital, Ahwaz in the south, Imam Reza Hospital in East Mashhad, Imam Reza in Kermanshah city in West And the Hospital Center of Imam Khomeini was conducted in Tehran. Using questionnaires that the validity and reliability of the eight dimensions (ethical, cultural, financial, operational, legal, informational, structural, political), and 31 question collecting and using descriptive and inferential statistics and Using descriptive and inferential statistics using SPSS Software Version 16 cases were analyzed. Results: 85 cases of veterans who were hospitalized during the study, were 50 men and 35 women were evaluated in terms of demographics.Highest ethical and cultural dimensions of the relationship between (r=0.732, p<0.001).The weakest link between the legal and cultural dimensions of (r =-0.001, p<0.648).State accountability status of the teaching hospital of veterans on medium-high (3.43 ± 0.61) respectively. Conclusion: The average state teaching hospitals in responding to alarms more managers learn to solve problems in a teaching hospital serving the people, especially vulnerable groups of are veterans.Unit established accountability in government hospitals is obvious.
212 Rehabilitation of Veterans or Handicapped Comparison of spirometric indices Veterans injured spinal cord injury athletes in various sports groups Saberi M. f Ebrahimi etri A. g Hashemi javaheri A.A. Khodaei M. f f.u.m g f.u.m 1 1 2013 5 1 7 14 13 02 2012 07 07 2013 Introduction: cardiovascular fitness as the ability of the system - respiratory and skeletal muscle to achieve a certain level of activity is defined as, where after spinal cord injury can be reduced through exercise can increase this capacity. Objective: The objective of this study, veterans with spinal cord injury spirometric indices in various athletic sports (Archery, wheelchairrany , swimming, , wheelchair basketball) and is a non-athlete. Methods: Therefore, this study on 60 veterans in 48 veteran spinal cord injury spinal cord injury athletes(12 athletes Archery, 12 athletes wheelchairrany, 12 athletes swimming, 12 athletes , wheelchair basketball) Were veterans and 12 non-athletes. Spirometric indices (FVC, PEF, FEF75%, FEV1, FEV1/FVC) was evaluated through spirometry device. For data analysis, descriptive statistics were used to test the assumptions in the study of inferential statistical methods such as analysis of variance ANOVA, post hoc test was used Froony bin. Results: The spirometric indices (FVC, PEF, FEF75%, FEV1, FEV1/FVC) in the disciplines of Archery wheelchairrany , swimming, , wheelchair basketball and a non-athlete group, there is a significant difference ( P <0/05). Conclusion: According to survey results, exercise regularly and choose the most appropriate sport for disabled people is essential to spinal cord injury. 149 Psychology of Veterans or Handicapped Examine and Compared MMPI Profile of Veterans With Chronic Pain With Patients With Chronic Pain Vakili N. Kazemi H. Koolivand H. Rezaei F. Ghasemi N. 1 1 2013 5 1 15 21 09 08 2011 07 07 2013 Introduction: chronic pain experience is influenced by complex interplay of biopsychosocial factors. Patients with chronic pain have special emotional and psychological context. Prevalence of chronic pain in veterans has confirmed by various studies. Aim: this study examines and compared the psychological profile of patients with chronic pain with psychological profile of veterans with chronic pain. Method: this study is descriptive –analytic and comparative. This study was conducted in Shefa Pain Clinic on 100 patients with chronic pain and 100 veterans with chronic pain who were randomly selected. MMPI was used to investigate the psychological profile. Results: the results showed that there was significant difference between groups in all scales (p< 0.05) . Average scores in all indices in veterans group were significantly increased in comparison with chronic pain patients group. The most significant difference was observed in the hypochondria and depression. Discussion: the results of this study are based on certain psychological problems in veteran with chronic pain. Also results suggest specific psychological profile, characterized by an elevation of the three scales hypochondria, depression and hysteria in patients with chronic pain. 242 Rehabilitation of Veterans or Handicapped Comparative of Mental Health Disabled People of Athletic and Non-Athletic Bakhshayesh H. Bahmani F. Kamali M. 1 1 2013 5 1 22 26 23 06 2012 07 07 2013 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. 232 Psychology of Veterans or Handicapped Deficiencies of Executive Functions in patients with Posttraumatic Stress Disorder Mirdoraghi F. Ghanbari Hashemabadi B. Mashhadi A. FERDOWSI UNIVERSITY OF MASHHAD FERDOWSI UNIVERSITY OF MASHHAD FERDOWSI UNIVERSITY OF MASHHAD 1 1 2013 5 1 27 35 11 05 2012 07 07 2013 Background and aim: The main aim of this study was comparative the working memory (verbal – non verbal) and sustain attention in veterans with and without Post Traumatic Stress Disorder (PTSD). Method & Materials: Used method in this study is descriptive and causal- comparatine. Among all veterans in Mashhad, 44 of them were selected with using available sampling method, inclouding two PTSD and non-PTSD groups and were evaluated with using Digit Span (Auditory-Visual) and continuous performance test. Results: The MANCOVA test showed that the two groups in terms of their overall performance in Auditory of Digit Span, Visual of Digit Span and continuous performance test have significant difference. Also Results of showed that between two groups, there is a significant difference in Digit Span forward and backward, Auditory of Capacity, Visual of Capacity Correct responses and ommission in CPT. But there is no significant difference in reaction time and commission in CPT. Conclusion: Poorer performance of PTSD groups in Neuropsychological tests indicated their impairment in verbal – non verbal of working memory, and sustain attention. Therefore, problem in this excutive functions can be considered as an explanation for the symptoms of mentioned disorder. 237 Psychology of Veterans or Handicapped Determine risk factors of gap time between Interictal Epileptiform Discharge (IED) in patients with epilepsy Hosseinzadeh S. Faghihzadeh S. Hashemi Fesharaki S. Rahgozar M. Hajizadeh E. Gharakhani M. tarbiat Modares University Tarbiat Modares University Khtam-al-anbia Hospital Tarbiat Modares University Khtam-al-anbia Hospital 1 1 2013 5 1 36 44 27 05 2012 07 07 2013 Background: Epilepsy is one of the most common brain diseases that characterized by recurrent and chronic seizures. Electroencephalography (EEG) is most useful diagnostic procedure that IED is checked on EEG for diagnosing of epilepsy and its types. Purpose: Few studies have assessed the time to occurrence IEDs on EEG of patients with epilepsy consecutively. The goal of this study is to determine risk factors of IED in patients with epilepsy. Method & Materials: This is a retrospective study of all patients with epilepsy referred to Neuroscience Center in Khatam-Al-Anbia hospital from 2007 to 2009. The time of recurrence of IED on EEG was recorded during half of hour. The patients with at least one IED in this duration were included in the study, and then 56 patients were assessed. The recurrent events model was used to fit this data and identify risk factors of gap time between IEDs. Results: Among the patients, 41 (73%) were male and 19 (34%) were war wounded. Mean age and epilepsy duration were 34 ± 12.5 and 17 ± 9 years respectively. The recurrent events model showed that age (P=0.0124, HR=0.97) and war wounded (P=0.0007, HR=3) had a statistical significant relationship with gap times between IEDs. Conclusion: Age and veteran are significant risk factors for length of gap times between IEDs. Considering that there are factors that influence gap times between IEDs, the length of routine EEG can be variable by characteristics of patients. 239 Psychology of Veterans or Handicapped Long- term effects of sulfur mustard on quality of sleep 20 years after exposure (Sardasht-Iran Cohort Study) Rahnama P. Ghazanfari Z. Naghizadeh M.M. Soroush M.M. Ghazanfari T. 1 1 2013 5 1 45 49 08 06 2012 07 07 2013 Background:Sulfur mustard (SM), also known as mustard gas,was widelyused by the Iraqi army during the Iraq-Iran war. The aim of this study was to comparing quality of sleep between SM exposed from Sardasht and unexposed from Rabat. Methods: This historical cohort study was conducted on 320 civilians of Sardasht and Rabat in two age matched groups, including 240 SM exposed participants from Sardasht and 80 unexposed subjects from Rabat. Quality of sleep over the last month was determined using Pittsburgh Sleep Quality Index (PSQI). PSQI is a self-report instrument used to evaluate the quality and patterns of sleep. Results:In all 500 participants were studied (320 exposed and 80control groups). There were no significant difference in terms of age and education between the control and exposed groups. There were significant differences in sleep quality (P = 0.001), sleep latency (P = 0.020), sleep disturbances (P < 0.001), sleep medication (P = 0.001) and total of PSQI (P = 0.001) between control and exposed groups. Conclusions:SM exposure led to lower quality of sleep inchemical survivors compare to control group.The findings from this study might be essential for health care systems, and for providing appropriate set-up and suitable educations programs may help to improve quality of sleep in these populations. 240 Rehabilitation of Veterans or Handicapped Hierarchy of basic needs satisfaction and its association with demographic characteristics of veterans and disabled athletes in Khorasan Razavi Iraji noghondar R. Poursoltani H. Hamidi M. Hadavi F. university tarbiat moalem 1 1 2013 5 1 50 57 16 06 2012 07 07 2013 Purpose: The purpose of this study to determine the hierarchy of basic needs satisfaction and its association with demographic characteristics of veterans and the disabled athlete in the Khorasan province.  Methods & Materials: The statistical population of this study was the veterans and the disables athlete of Khorasan-e Razavi province among which 181 were selected randomly as the sample. Measurement Instrument was a questionnaire of 20 questions of basic needs satisfaction in sport (Johan et al, 2011). Face and content validity of questionnaire was accepted after translation by professors Physical Education specialists and by using Cronbach’s alpha test the reliability of questionnaires were found to be 0.83 respectively. The research method is descriptive which has been done through field method. Descriptive scales and Kolmogorov-Smirnov statistical tests, T-test, MANOVA, Hoc Scheffe and Friedman were used to analyze the data.  Results: The result of Kolmogorov-Smirnov test confirmed the normality of data. Results showed that the basic needs satisfaction based on gender and marital status, there is no significant difference between subjects (P>0.05).  Conclusions: The satisfaction of the basic needs of the veteran and disabled athletes based on disability, the MANOVA test for significant differences between the competences, internal perceived locus of causality, volition and confirmed the relatedness. Between age and basic needs satisfaction a significant positive relationship (r=0.216, P=0.003) was observed. The results showed that Friedman's rank order from first to fifth each of the factors includes: Competence, Relatedness, Choice, Volition and Internal perceived locus of causality.