مجله پرستار و پزشک در رزم
سال دوازدهم شماره 42 (بهار 1403)

It is essential to identify the crucial factors in the prognosis of patients with COVID-19. This study aimed to evaluate the relationship between the main blood groups in clinical and paraclinical and outcome of patients with COVID-19.

This descriptive-cross-sectional study was conducted in 2021 in Be’sat Hospital in Tehran, Iran. In this study, patients hospitalized with COVID-19 were examined for their blood groups and Rh through five CC of peripheral blood sample, and the clinical and paraclinical findings of the patients were analyzed using Chi-square, Fisher, and t-test by SPSS-24 software. This study was approved by the ethical code number: IR.AJAUMS.REC.1399.227.

People with blood group B and RH negative had a younger age for hospitalization. The frequency of fever, weakness, cough, chest pain, dyspnea, serum ferritin level, and the mortality rate in blood group A was higher than other blood groups. RH+ patients also had higher cough, nausea, vomiting, chest pain and serum D-Dimer levels.

Blood group A is associated with an increased risk of developing COVID-19, especially severe disease

Today, most societies are exposed to the effects of narcotics and stimulants. This research was conducted with the aim of investigating the factors of substances use in soldiers who referred to a military hospital.

This is  a applied study and the research method is survey. 380 soldiers admitted in the hospital with any diagnosis in 2018 were selected as the sample of the study by easy sampling and their urine samples were tested by  morphine, cannabis and amphetamine kits. To investigate the  factors of the tendency to  substances use, a 31-question questionnaire was used.Independent sample t test, Friedman test and spss software version 22 were used in the analysis of the findings.

among the individual factors of the tendency to use substances, the most common factor was "experiencing an interesting state".Among the family factors of the tendency to substances use, the most effective factor was the lack of recognition of friends by parents.Among the social factors, the barrack environment had the greatest impact . Also, there was a significant relationship between low economic conditions and substances use.

There is a significant relationship between  the tendency of substances use in soldiers with:"experiencing an interesting state", history of substances use in the person and his surroundings, not knowing friends by parents, not bring up problems with parents, being in the barracks environment and its stresses, and the weak economic situation.

In addition to many physical threats, war conditions make them face many psychological crises. In the meantime, it should be stated that religion and spirituality have always been considered as strategies for improving mental health. Based on this, the present research was conducted with the aim of investigating the perception of veterans and warriors about the psychological consequences of spirituality, religiosity and trust in God during the Holy Defense.

The present research was conducted with a qualitative and phenomenological approach. The research participants were all combatants, including male veterans and martyrs of South Khorasan province, who had at least 6 months of experience in the fronts during the 8-year war. By using the cluster sampling method for the number of cities in South Khorasan province and then by sampling available in each city, a semi-structured in-depth interview was conducted with 30fighters. The resulting data were analyzed in MAXQDA-11 software and Colizzi coding method. Guba and Lincoln four criteria were used to validate the data.

The findings from the analysis of the interviews of martyrs and veterans were categorized into five components: the psychological consequences of spirituality, the consequences of religiosity, the effect of recourse and secret and group need, the consequences of trust and the consequences of secret and need with God.

The results of the research indicate that spirituality, religiosity and trust in God can be considered essential and important strategies for improving people's health and mental health in Stressful environmental conditions.

Studying in medical sciences is a process during which the quality of life of students changes and affects the academic progress of students. This study was conducted with the aim of investigating the relationship between academic achievement and quality of life of Aja Medical Sciences Nursing Faculty students.

In this descriptive-analytical study, 136 nursing students of Ajah University of Medical Sciences were selected using Morgan's table and entered the study based on purpose-based sampling. The data collection tool included three sections of students' demographic information, SF-36 quality of life questionnaire and DOrtaj academic achievement questionnaire. Finally, data analysis was done by considering the significance level of 0.05 by SPSS-24 software with descriptive statistical methods and using inferential independent T-tests and Pearson's correlation.

73 female students (53.7%) and 63 male students (46.3%) participated in this study. The academic progress scores of male and female students were 142.39 and 142.05, respectively, which are not significantly different from each other (P=0.09). Also, among the components of quality of life, role disorder due to mental health has a significant difference in men and women (P=0.01), so that women got a lower score than men.

The overall quality of life has a positive relationship with the academic performance of students in medical and health professions. Therefore, a better perception of the quality of life may improve learning in medical and health sciences students

Personality traits and career path adaptability play a key role in nurses' job performance. The aim of the present study was the role of personality traits in the job performance of nurses with the mediation of career path adaptability.

The descriptive research method was correlation type. The statistical population was the nurses of Tehran University of Medical Sciences. The sample size of 220 nurses was selected by non-random (voluntary) sampling method. The data collection tools were Neo's (1985) personality traits questionnaires, Savikas and Profili's career path adaptability (2012) and Patterson's job performance (1970). Data analysis was done using SPSS and AMOS software version 24.

All the direct paths between personality traits and job performance and career path adaptability are significant. Also, the results of the Sobel test showed that the indirect paths of personality traits (neuroticism, extraversion and openness) and job performance of nurses with the mediation of career path adaptability were significant (P≤0.05). The model has a good fit.

Personality traits and career path adaptability are strong variables related to job performance. This means that nurses who have favorable personality traits and career path adaptability are expected to have better job performance.

The canning process has undesirable effects on the organoleptic and nutritional characteristics of food. Therefore, in this study, for the first time and in a comprehensive plan, the microbial safety of canned meat in different weights was evaluated and then the qualitative characteristics of these products including textural characteristics (using compression and penetration tests), sensory and nutritional characteristics (determination of vitamins riboflavin, niacin, B6, pantothenic acid and B12, as well as elements of zinc, selenium, phosphorus) were investigated. Examining the microbial characteristics of the samples showed that the samples did not contain any microbial contamination. As the weight of canned meat increased, the amounts of vitamins B5 and B2 decreased significantly. On the other hand, the amount of phosphorus, iron and selenium nutrients in the studied canned food samples did not show a statistically significant difference (p˂0.05) and the amount of zinc element increased with the increase in canned food weight. From the textural point of view, the results of the cutting and penetration tests showed that the hardness of the samples decreased with the increase in the canned weight, which was in agreement with the results obtained from the sensory test. It was also observed that with the increase in the weight of canned samples, the sensory score of color, texture and overall acceptance decreased.

Physically essential military duties include carrying cargo, manually handling materials, and evacuating the wounded. This narrative review outlines the primary physical characteristics associated with the performance of these occupational tasks and reviews physical exercise intervention studies in military settings aimed at enhancing performance on these tasks. Load-carrying performance requires aerobic and neuromuscular fitness, focusing more on maximal strength and absolute maximal oxygen uptake, especially when dealing with heavier loads. For manual material handling, maximal strength and power are strongly related to single lifts, while repetitive lift performance is related to muscular strength, muscular endurance, and aerobic fitness. Injured locomotor performance is related to maximal strength, including grip strength, muscular endurance, absolute maximal oxygen uptake, and anaerobic capacity. This review emphasizes the pivotal role of muscular fitness in the successful performance of revised military job duties. Exercise intervention studies show that the combination of strength, aerobic, and load-carrying exercises can effectively increase load-carrying performance. Improvements in maximal lifting capacity can result from strength training or a combination of strength and aerobic training. In contrast, either strength training, aerobic training, or a combination thereof are effective in increasing lifting and carrying repetitions. Although limited studies are available for movement injuries, inconclusive results may suggest potential benefits of strength or combination exercises.

Monkeypox is a self-limited disease with symptoms that disappear within 14 to 21 days. Clinical management of monkeypox includes general supportive care and the use of antivirals that have activity against the monkeypox virus. This literature study aims to describe the role of tecovirimat in the management of monkeypox. Tecovirimat is an antiviral drug approved by the U.S. Food and Drug Administration (FDA) as part of the treatment management of smallpox in adults and children. Evidence of the efficacy of tecovirimat as mpox therapy was obtained from animal studies, where tecovirimat reduced mortality rates, reduced duration of illness and viral shedding. Tecovirimat inhibits the vp37 viral protein encoded by the F13 gene of the variola virus. This protein is highly conserved in orthopoxviruses, allowing tecovirimat to have in vitro activity against several orthopoxviruses, including vaccinia, variola, cowpox, and monkeypox viruses. In conclusion, tecovirimat is used in monkeypox sufferers with severe clinical conditions (sepsis, encephalitis, extensive lesions, bleeding manifestations), patients at risk of experiencing severe clinical conditions (immunocompromised, pregnant or breastfeeding, history of psoriasis, varicella zoster infection) and patients with one or more complications.