Journal of Archives in Military Medicine Journal of Archives in Military Medicine J Arch Mil Med http://www.jammonline.com 2345-5071 2345-5063 10.5812/jamm en jalali 2017 6 27 gregorian 2017 6 27 3 1
en 10.5812/jamm.25015 Psychotherapy and the Length of Hospitalization in the Patients With Mental Disorders: A 2-Year Follow-up Study Psychotherapy and the Length of Hospitalization in the Patients With Mental Disorders: A 2-Year Follow-up Study research-article research-article Objectives

The current research aimed to examine the effect of psychotherapy services on the length of hospitalization in the patients with mental disorders.

Patients and Methods

This experimental study, in which a pretest and posttest were employed to examine the experimental and the control groups, was conducted in a psychiatric hospital. In both experimental and control groups, the length of subjects’ hospital stay one year before and one year after providing the psychiatric services was measured. Chi-Square test and analysis of variance were used to analyze the differences between the groups. Statistical analysis was performed using SPSS software, version 19, and P < 0.5 was considered as significant.

Results

Results of the current study showed a significant difference between the two groups regarding the length of hospitalization; findings indicated that the length of hospitalization was virtually different in the studied population after the intervention (P < 0.05).

Conclusions

Psychotherapy interventions can reduce the length of hospitalization in the patients with mental disorders.

Background

Psychotherapy is a process in which the therapist tries to use the best methods to help the patients with mental disorders to improve symptoms, increase quality of life, social functioning, and self-esteem and reduce the length of hospitalization in psychiatric wards.

Objectives

The current research aimed to examine the effect of psychotherapy services on the length of hospitalization in the patients with mental disorders.

Patients and Methods

This experimental study, in which a pretest and posttest were employed to examine the experimental and the control groups, was conducted in a psychiatric hospital. In both experimental and control groups, the length of subjects’ hospital stay one year before and one year after providing the psychiatric services was measured. Chi-Square test and analysis of variance were used to analyze the differences between the groups. Statistical analysis was performed using SPSS software, version 19, and P < 0.5 was considered as significant.

Results

Results of the current study showed a significant difference between the two groups regarding the length of hospitalization; findings indicated that the length of hospitalization was virtually different in the studied population after the intervention (P < 0.05).

Conclusions

Psychotherapy interventions can reduce the length of hospitalization in the patients with mental disorders.

Background

Psychotherapy is a process in which the therapist tries to use the best methods to help the patients with mental disorders to improve symptoms, increase quality of life, social functioning, and self-esteem and reduce the length of hospitalization in psychiatric wards.

Psychotherapy;Hospitalization;Mental Patients Psychotherapy;Hospitalization;Mental Patients http://www.jammonline.com/index.php?page=article&article_id=25015 Azizeh Alizadeh Azizeh Alizadeh Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Maryam Azizi Maryam Azizi Department of Psychiatric Nursing, AJA University of Medical Sciences, Tehran, IR Iran; Department of Psychiatric Nursing, AJA University of Medical Sciences, Tehran, IR Iran. Tel: +98-9127249172 Department of Psychiatric Nursing, AJA University of Medical Sciences, Tehran, IR Iran; Department of Psychiatric Nursing, AJA University of Medical Sciences, Tehran, IR Iran. Tel: +98-9127249172 Mohammad Barati Mohammad Barati Infectious Diseases Research Center, AJA University of Medical Sciences, Tehran, IR Iran Infectious Diseases Research Center, AJA University of Medical Sciences, Tehran, IR Iran Fatemeh Soleimani Fatemeh Soleimani Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Rezvaneh Morad Rezvaneh Morad Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Amirmohsen Rahnejat Amirmohsen Rahnejat Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Vahid Donyavi Vahid Donyavi Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran Department of Clinical Psychology, 505 Psychiatry Hospital, Tehran, IR Iran
en 10.5812/jamm.24423 Complains About Medical Malpractices in Military Hospitals Submitted to Tehran Medical Council and Forensics Complains About Medical Malpractices in Military Hospitals Submitted to Tehran Medical Council and Forensics research-article research-article Background

One of the most important professional challenges of physicians is patients’ dissatisfaction and complaints submitted to judiciaries and their consequences in patients’ personal lives. These malpractices may take place everywhere in the healthcare system.

Patients and Methods

This was an interim and explanatory-analytic research. All cases related to military hospitals submitted to central commission of Tehran medical council from 2006 to 2011 were examined.

Results

Totally, 41 cases who lodged complaints were examined using detailed information, from which36 cases were male (87.7%) and 5 (12.2%) were female and the mean age was 43.91 ± 8.26. From those 41 proven medical malpractices, indiscretion accounted for 15 cases (36.58%), imprudence for 12 (29.26%), lack of scientific and practical skills for 10 (24.39%), and lack of observing state regulations for 4 (9.73%).

Conclusions

Orthopedics specialists and general physicians accounted for the highest number of malpractices. Indiscretion and imprudence made up the highest rates of malpractices.

Objectives

This research aimed at examining complaints against Military Hospitals medical malpractices within different medical disciplines, submitted to forensics and medical council of Tehran.

Background

One of the most important professional challenges of physicians is patients’ dissatisfaction and complaints submitted to judiciaries and their consequences in patients’ personal lives. These malpractices may take place everywhere in the healthcare system.

Patients and Methods

This was an interim and explanatory-analytic research. All cases related to military hospitals submitted to central commission of Tehran medical council from 2006 to 2011 were examined.

Results

Totally, 41 cases who lodged complaints were examined using detailed information, from which36 cases were male (87.7%) and 5 (12.2%) were female and the mean age was 43.91 ± 8.26. From those 41 proven medical malpractices, indiscretion accounted for 15 cases (36.58%), imprudence for 12 (29.26%), lack of scientific and practical skills for 10 (24.39%), and lack of observing state regulations for 4 (9.73%).

Conclusions

Orthopedics specialists and general physicians accounted for the highest number of malpractices. Indiscretion and imprudence made up the highest rates of malpractices.

Objectives

This research aimed at examining complaints against Military Hospitals medical malpractices within different medical disciplines, submitted to forensics and medical council of Tehran.

Malpractice;Forensics;Hospitals Malpractice;Forensics;Hospitals http://www.jammonline.com/index.php?page=article&article_id=24423 Amir Farshid Fayyaz Amir Farshid Fayyaz Department of Legal Medicine , AJA University of Medical Sciences , Tehran , IR Iran; Department of Legal Medicine , AJA University of Medical Sciences , Tehran , IR Iran. Tel: +98-9123492060 Department of Legal Medicine , AJA University of Medical Sciences , Tehran , IR Iran; Department of Legal Medicine , AJA University of Medical Sciences , Tehran , IR Iran. Tel: +98-9123492060
en 10.5812/jamm.25933 Medical Experiences of the Turkish Armed Forces in Afghanistan Medical Experiences of the Turkish Armed Forces in Afghanistan rapid-communication rapid-communication

The Turkish Armed Forces have played a key role in the International Security Assistance Force (ISAF) in Afghanistan since 2002. Medical services provided in Afghanistan are structured as a multinational health care operation so as maximize the efficient use of resources. The medical services provided by the Turkish Armed Forces in Afghanistan are at Role 2 and are for the benefit of the Afghan people as well as of ISAF personnel. This article sets out the medical experiences of the Turkish Armed Forces and the projects during 2008 and 2009.

The Turkish Armed Forces have played a key role in the International Security Assistance Force (ISAF) in Afghanistan since 2002. Medical services provided in Afghanistan are structured as a multinational health care operation so as maximize the efficient use of resources. The medical services provided by the Turkish Armed Forces in Afghanistan are at Role 2 and are for the benefit of the Afghan people as well as of ISAF personnel. This article sets out the medical experiences of the Turkish Armed Forces and the projects during 2008 and 2009.

Afghanistan;Military;Soldiers,;Humanitarian Assistance,;Rol-2 Afghanistan;Military;Soldiers,;Humanitarian Assistance,;Rol-2 http://www.jammonline.com/index.php?page=article&article_id=25933 Pelin Ozmen Pelin Ozmen Department of 2’nd Army Command Health and Veterinary, Malatya, Turkey; 2’nd Army Command Health and Veterinary Department Manager, Malatya, Turkey. Tel: +904223715800 Department of 2’nd Army Command Health and Veterinary, Malatya, Turkey; 2’nd Army Command Health and Veterinary Department Manager, Malatya, Turkey. Tel: +904223715800 Mehmet Cetin Mehmet Cetin Department of Military Health Services, Gulhane Military Medical Academy Ankara,Turkey Department of Military Health Services, Gulhane Military Medical Academy Ankara,Turkey
en 10.5812/jamm.27393 Islamic Republic of Iran and International Committee of Military Medicine: A New Horizon Toward Our Global Role Islamic Republic of Iran and International Committee of Military Medicine: A New Horizon Toward Our Global Role letter letter Military Medicine;Emergency Medicine;Iran Military Medicine;Emergency Medicine;Iran http://www.jammonline.com/index.php?page=article&article_id=27393 Farshad Najafipour Farshad Najafipour Epidemiology Research Centre, AJA University of Medical Sciences, Tehran, IR Iran; Corresponding author: Farshad Najafipour, Epidemiology Research Centre, AJA University of Medical Sciences, Tehran, IR Iran. Tel: +98-2122971143, E-mail: Epidemiology Research Centre, AJA University of Medical Sciences, Tehran, IR Iran; Corresponding author: Farshad Najafipour, Epidemiology Research Centre, AJA University of Medical Sciences, Tehran, IR Iran. Tel: +98-2122971143, E-mail:
en 10.5812/jamm.26952 Effects of the Total Quality Management Implication on Patient Satisfaction in the Emergency Department of Military Hospitals Effects of the Total Quality Management Implication on Patient Satisfaction in the Emergency Department of Military Hospitals research-article research-article Conclusions

Considering the substantial impact of the TQM implication on increasing the satisfaction level among our patients regarding the emergency and healthcare services, we suggest that TQM can be a very effective solution in improving the health care service quality and increasing patients’ satisfaction in Iranian Military Hospitals, without significant economic strain.

Patients and Methods

Patients satisfaction was evaluated before and after the TQM-based quality improvement process in the emergency department by using a satisfaction survey questionnaire. Participants in the survey were patients admitted to the emergency ward of Besat Air Force General Military Hospital (Tehran, Iran) between September‒December 2009 and April-July 2011. All the possible interventions were implicated after discussions with responsible teams and the managing staff during the 15 months of the satisfaction evaluation interval.

Results

The satisfaction level for physicians, nurses, transporting and service personnel, and imaging staff has increased significantly by 12.7%, 21.8%, 17.0%, and 14.1%, respectively (P < 0.001). The overall satisfaction increased from 55.4% to 71.3% after the TQM application (P < 0.001).

Background

Emergency services are of great priority in the military health systems and patients satisfaction is among the important determinants of an emergency system efficacy.

Objectives

The objective of this study was to evaluate the effects of Total Quality Management (TQM) implication on patients’ satisfaction in the emergency ward.

Conclusions

Considering the substantial impact of the TQM implication on increasing the satisfaction level among our patients regarding the emergency and healthcare services, we suggest that TQM can be a very effective solution in improving the health care service quality and increasing patients’ satisfaction in Iranian Military Hospitals, without significant economic strain.

Patients and Methods

Patients satisfaction was evaluated before and after the TQM-based quality improvement process in the emergency department by using a satisfaction survey questionnaire. Participants in the survey were patients admitted to the emergency ward of Besat Air Force General Military Hospital (Tehran, Iran) between September‒December 2009 and April-July 2011. All the possible interventions were implicated after discussions with responsible teams and the managing staff during the 15 months of the satisfaction evaluation interval.

Results

The satisfaction level for physicians, nurses, transporting and service personnel, and imaging staff has increased significantly by 12.7%, 21.8%, 17.0%, and 14.1%, respectively (P < 0.001). The overall satisfaction increased from 55.4% to 71.3% after the TQM application (P < 0.001).

Background

Emergency services are of great priority in the military health systems and patients satisfaction is among the important determinants of an emergency system efficacy.

Objectives

The objective of this study was to evaluate the effects of Total Quality Management (TQM) implication on patients’ satisfaction in the emergency ward.

Total Quality Management;Delivery of Health Care;Patient Satisfaction;Emergency Service Total Quality Management;Delivery of Health Care;Patient Satisfaction;Emergency Service http://www.jammonline.com/index.php?page=article&article_id=26952 Mohammad Hossein Lashgari Mohammad Hossein Lashgari Department of Surgery, School of Medicine, AJA University of Medical Sciences, Tehran, IR Iran Department of Surgery, School of Medicine, AJA University of Medical Sciences, Tehran, IR Iran Saeed Arefanian Saeed Arefanian Emergency Medicine Ward, Besat Air Force Hospital, AJA University of Medical Sciences, Tehran, IR Iran Emergency Medicine Ward, Besat Air Force Hospital, AJA University of Medical Sciences, Tehran, IR Iran Ali Mohammadshahi Ali Mohammadshahi Department of Emergency Medicine, School of Medicine, AJA University of Medical Sciences, Tehran, IR Iran Department of Emergency Medicine, School of Medicine, AJA University of Medical Sciences, Tehran, IR Iran Ali Reza Khoshdel Ali Reza Khoshdel Department of Epidemiology and Community Medicine, School of Medicine, AJA University of Medical Sciences, Tehran, IR Iran; School of Medicine, AJA University of Medical Sciences, West Fatemi Street, Tehran, IR Iran. Tel: +98-2188337909 Department of Epidemiology and Community Medicine, School of Medicine, AJA University of Medical Sciences, Tehran, IR Iran; School of Medicine, AJA University of Medical Sciences, West Fatemi Street, Tehran, IR Iran. Tel: +98-2188337909
en 10.5812/jamm.26341 The Effect of a Single Session of Aerobic or Resistance Exercise on Salivary Lipid Profile The Effect of a Single Session of Aerobic or Resistance Exercise on Salivary Lipid Profile research-article research-article Materials and Methods

In this randomized clinical trial study, forty-five non-athlete women (18-35 years old, 18.5 ≤ BMI ≤ 25) were put in three groups (aerobic, resistance and control). Aerobic group program consisted of 30 minutes of aerobic exercise at 60-75% maximum heart rate (MHR) intensity and resistance group performed five resistance exercises at intensity of 75% 2-RM. Salivary Lipid profile was measured after 12 hours of fasting at 8 a.m. and immediately after exercise.

Background

Exercise and physical activity is an effective way for maintaining health by modifying lipid profile. Many studies reported that even a single session of exercise could affect blood lipid profile. Nowadays, saliva sampling is an effective and noninvasive method in disease diagnosis and monitoring health. Based on the results, there is a significant and positive association between saliva and blood lipid values.

Results

One single session of aerobic and resistance did not induce significant change in salivary lipid profile. However, a significant difference was observed between changes in aerobic and resistance groups (P=0.03).

Objectives

Our aim was to assess acute effects of aerobic and resistance exercise on salivary lipid profile.

Conclusions

This study suggested that one session of aerobic and resistance exercise with moderate intensity did not change salivary lipid profile.

Materials and Methods

In this randomized clinical trial study, forty-five non-athlete women (18-35 years old, 18.5 ≤ BMI ≤ 25) were put in three groups (aerobic, resistance and control). Aerobic group program consisted of 30 minutes of aerobic exercise at 60-75% maximum heart rate (MHR) intensity and resistance group performed five resistance exercises at intensity of 75% 2-RM. Salivary Lipid profile was measured after 12 hours of fasting at 8 a.m. and immediately after exercise.

Background

Exercise and physical activity is an effective way for maintaining health by modifying lipid profile. Many studies reported that even a single session of exercise could affect blood lipid profile. Nowadays, saliva sampling is an effective and noninvasive method in disease diagnosis and monitoring health. Based on the results, there is a significant and positive association between saliva and blood lipid values.

Results

One single session of aerobic and resistance did not induce significant change in salivary lipid profile. However, a significant difference was observed between changes in aerobic and resistance groups (P=0.03).

Objectives

Our aim was to assess acute effects of aerobic and resistance exercise on salivary lipid profile.

Conclusions

This study suggested that one session of aerobic and resistance exercise with moderate intensity did not change salivary lipid profile.

Exercise;Resistance Training;Saliva;Lipids Exercise;Resistance Training;Saliva;Lipids http://www.jammonline.com/index.php?page=article&article_id=26341 Fatemeh Lahiji Fatemeh Lahiji Physical Therapy Department, , School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IR Iran Physical Therapy Department, , School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IR Iran Behnoosh Vasaghi Gharamaleki Behnoosh Vasaghi Gharamaleki Rehabilitation Basic Sciences Department, Iran University of Medical Sciences, Tehran, IR Iran Rehabilitation Basic Sciences Department, Iran University of Medical Sciences, Tehran, IR Iran Iraj Mirzaii Dizgah Iraj Mirzaii Dizgah Physiology Department, School of Medicine, Aja University of Medical Sciences, Tehran, IR Iran Physiology Department, School of Medicine, Aja University of Medical Sciences, Tehran, IR Iran Alireza Abdollahi Alireza Abdollahi Pathology Department, Tehran University of medical Sciences, Tehran, IR Iran Pathology Department, Tehran University of medical Sciences, Tehran, IR Iran Behrouz Attarbashi Moghadam Behrouz Attarbashi Moghadam Physical Therapy Department, , School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IR Iran; Physical Therapy Department, , School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IR Iran. Tel: +98-2177536134, Fax: +98-2177534133 Physical Therapy Department, , School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IR Iran; Physical Therapy Department, , School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IR Iran. Tel: +98-2177536134, Fax: +98-2177534133
en 10.5812/jamm.26080 What is the Optimal Dose of Selenium and Other Antioxidants in Critically Ill Patients? What is the Optimal Dose of Selenium and Other Antioxidants in Critically Ill Patients? letter letter Selenium;Sodium Selenite;Sepsis;Critical Care;Mortality Selenium;Sodium Selenite;Sepsis;Critical Care;Mortality http://www.jammonline.com/index.php?page=article&article_id=26080 Reza Mosaed Reza Mosaed Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IR Iran; Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IR Iran. Tel: +989112842289 Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IR Iran; Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IR Iran. Tel: +989112842289 Mohammad Hosein Ghadimi Mohammad Hosein Ghadimi Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IR Iran Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IR Iran Mojtaba Mojtahedzadeh Mojtaba Mojtahedzadeh Clinical Pharmacy Department, Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences, Tehran, IR Iran Clinical Pharmacy Department, Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences, Tehran, IR Iran Arezoo Ahmadi Arezoo Ahmadi Departments of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, IR Iran Departments of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, IR Iran