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Abstracts

3rd National and 1st International Congress for Naval Preventive Medicine: Health, Rescue and Clinical Management on the Naval and Submarine Fleets

Bandar Abbas, Iran; 16-20 January 2015

Aja University of Medical Sciences (AUMS) Hormozgan University of Medical Sciences Marine and Submarine Medicine Research Centre IN THE NAME OF GOD

JOURNAL INFORMATION

AIM AND SCOPE JAAM also welcomes articles in military medical education. The The “Journal of Archives in Military Medicine” (JAMM) is an editorial board of the journal appreciates novel and innovative international, peer-reviewed, open access journal that focuses on studies and offers special priority for these works. basic and clinical studies in military medicine, including etiology, CONTENT COVERAGE pathogenesis, epidemiology, diagnosis, screening, monitoring, treatment, rehabilitation and clinical practice guidelines for JAMM is a peer-review open access journal which is published a better care of military forces, veterans and their families. quarterly. This journal publishes high quality original research The journal is characterized by the applied multidisciplinary papers, systematic and narrative review, case reports, CMEs, letters to research for improvement in the level of knowledge, practice editor as well as historical notes, expert forum, discussion boards and and technologies in military medicine, emergency care, disaster editorials. medicine, and their related subjects. Furthermore, international Manuscripts must be submitted exclusively to JAMM for experience in “military health system” is of particular interest of publication. Articles which have been published elsewhere in local this journal. Additionally, we encourage high quality and evidence- languages will only be considered if prior approval has been received based research in various armed force health aspects including from the publisher and they are of paramount importance for policy development, economic analysis and system management international readers. All accepted manuscripts will be subject to as well as patients’ perspective about military health services. editing.

Full Journal Title Journal of Archives in Military Medicine JCR abbreviation Title J ARCH MIL MED ISO abbreviation Title J. Arch. Mil. Med. Category Military Medicine p-ISSN 2345-5071 e-ISSN 2345-5063 Language English Journal Country / Territory IR Iran Frequency Quarterly Print Circulation 500 Copies Online Submission www.jammonline.com Distribution Distribution for each issue is 1000 copies. Among all subscribers, 5% of them are in European countries, 15% in USA & Canada, and 80% of them are in the Middle East & Middle Asia. This calculation is not based on online users or consortia customers. Price Online: Free; Hard Copy: 30$ per Issue Indexing Sources Google Scholar, Road, Index Copernicus, Kowsarlib, ISC, Magiran, DRJI Editorial Board Journal of Archives in Military Medicine, Postal address: P.O. Box: 16315-781; Tehran, Iran, Tel/Fax: +98 21 88337909 Electronic Address : Website: www.jammonline.com; E-mail: [email protected] Publisher Postal Address: P.O.Box: 4665-958, Tehran, IR Iran; Tel: +98-21-88352501-7; Fax: +98-21-88352501-7 (ext.114) Electronic Address: KOWSAR Website: www.kowsarpub.com; E-mail: [email protected] BOARDS & COMMITTEES

DIRECTOR GENERAL Minimal Invasive Surgery: Mohamad Hossein Lashkari, Meysam Mortazian, Tehran, IR Iran Tehran, Iran Clinical Medicine: CO-DIRECTOR Ramin Hamidi Farhadi, Tehran, IR Iran Seid Javad Hosseini Shokooh, Tehran, IR Iran Oral Medicine: Laleh Khalilazar, EDITOR IN CHIEF Tehran, IR Iran Dental Science: Ali Reza Khoshdel, Tehran, IR Iran Mohsen Aminsobhani, Tehran, IR Iran MANAGING EDITOR Physical Medicine and Rehabilitation: Nader Markazi Moghadam, Kamran Azma, Tehran, IR Iran Tehran, IR Iran Aerospace and Diving Medicine: EXECUTIVE EDITORS Amir Nezami, Mohamad Reza Safarinejad, Tehran, IR Iran Tehran, IR Iran Psychiatry and Behavioral Science: Reza Fekrazad, Tehran, IR Iran Arsia Taghva, Tehran, IR Iran PRODUCTION MANAGER Imaging and Radiation Medicine: Razieh Moghadam, Babak Shekarchi, Kowsar Corp., Tehran, IR Iran Tehran, IR Iran Family Medicine: ASSOCIATE EDITORS (A - Z) Banafsheh Dormanesh, Tehran, IR Iran Banafsheh Dormanesh, Tehran, IR Iran Nursing Care and Allied Health: Iraj Mirzaei, Armin Zareiyan, Tehran, IR Iran Tehran, IR Iran Babak Mohammadi, Tehran, IR Iran ADVISORY BOARD Mahtab Nourifard, Tehran, IR Iran Ahmad Nourbala, EDITORIAL BOARD (A - Z) Tehran, IR Iran Ahmad Saedi, Tehran, IR Iran Basic Sciences Behzad Einollahi, Tehran, IR Iran Hamid Reza Setayesh, Modern Medical Technologies: Khartoum, Sudan Keiwan Majidzadeh Kawa Maroof, , Tehran, IR Iran Sulaymaniyah, Iraq Masoud Mirzaei, Medical Physiology: Yazd, IR Iran Iraj Mirzaei, Max Vosskuhler, Tehran, IR Iran Stockholm, Sweden Seyed Mahmood Jalali, Medical Microbiology: Tehran, IR Iran Minoo Shad-del, Seyed Moayed Alavian, Tehran, IR Iran Tehran, IR Iran Biomedical Sciences: SECRETARIES (A - Z) Majid Jafari-Sabet, Tehran, IR Iran Afsaneh Ataei, Tehran, IR Iran Muhammed Hussein Mousavinasab, Health Tehran, IR Iran Fahimeh Moradi, Epidemiology and Community Health: Tehran, IR Iran Ali Reza Khoshdel, Tehran, IR Iran RESEARCH METHODOLOGIST Food Science and Nutrition: Hadi Ranjbar, Arash Dabbagh Moghaddam, Tehran, IR Iran Tehran, IR Iran Health Service Management: LANGUAGE EDITORS Nader Markazi Moghaddam, Kowsar Corp. (www.kowsarpub.com) Tehran, IR Iran Biocybernetices and Modeling: DESIGN AND LAYOUT Babak Mohammadi, Tehran, IR Iran Mahdieh Kazemi, Occupational Health: Kowsar Corp., Tehran, IR Iran Sonia Ashouri Tabar, Mohsen Berenji, Kowsar Corp., Tehran, IR Iran Tehran, IR Iran Clinical Science and Practice PUBLISHER: Combat Surgery and Thraumatology: Kowsar Corp. (www. kowsarpub. com) Mostafa Shahrezaei, Tehran, IR Iran Emergency Care: Ali Mohammadshahi, Tehran, IR Iran Instructions of the Founder of Islamic Republic of Iran in Health Area

Preventing diseases is a necessity and is more important than treatment itself. We can and you shall try to take some measures to lower the risk of diseases. Something must be done in the country to free water from contaminations, foods must not be contaminated. As the physicians order, something must be done to prevent diseases from breaking rather than waiting for the incident and control it later. We should make barriers so no diseases would come and this is an important task that is worthy of attention. Orders of the Supreme Commander of Iranian Armed Forces about Health

zz Launch the movement of revival and expansion of the culture of health and preventive medicine by using all your opportunities and facilities. zz We want to reach to a point that if there is a sick person in a family, that particular family suffer from nothing else than having a sick person zz The least incident in the area of your mission (commander) is your job and you should be responsive. zz As long as the attention to health is not ascending, the treatment problems remain the same. zz There are critical, important and precise parts and you should put importance on immunization. Instructions of the Supreme Leader in Norouz 2014

In viewing 2014, in my opinion, there are two issues that are the most important, one is the issue of economy and the other is the culture. There are some expectations in both areas and fields. It is a joint effort among the authorities of the country and people. What we anticipate in building life and construction of future could not be realized without participation of people; therefore, in addition to the management that must be done by the authorities, the presence of people in both areas, economy and culture is required. Nothing can be done without peoples presence and the aim will not be achieved. People in various groups, people with national will and strength are able to play their roles. Authorities do need people’s support to perform their tasks properly, they too, should step in the field of activities, both in economy and culture by relying on Omnipotent God and begging Divine help and approval, and using peoples help. Hence, I believe what we have ahead of us in this new year is an economy which should be flourished by help of statesmen and people and a culture that by efforts of authorities ad people could determine the direction of the great movement of our country and our nation. Thus, I chose the motto and name of this year as:

Economy and Culture with National Will and Jihad-type Management Commands of the Grand Commander of Iranian Armed Forces On Strategic Naval Force

zz As we move forward, the importance of the Naval Forces becomes clearer for the Islamic Republic of Iran (Morning Ceremony, Zone One, Bandar Abbas, Dec. 15, 1990). zz Naval force is important, that is in different situations, various divisions of armed forces become particularly important (In the meeting commanders of the Naval Force of Islamic Republic of Iran, Nov. 28, 2007) zz You do not have a routine and ordinary job, there is an extraordinary task ahead of you and you shall prepare yourself for that situation (Meeting of commanders of Naval Forces with the Supreme Leader, March 10, 2008). zz The Naval Force has really shown great and significant jobs when it was required for it to appear in the field (Naval Force Day, Nov. 26, 2008). zz The Naval Force today, in many parts of the world as well as in our country, is a strategic force and must be viewed as strategic force to (Graduation of students, Oct. 6, 2009). zz The Naval Force today has a special position, that is, today, tomorrow, present and future, and the Naval Force must work on itself proportion to that need. zz The southeast coast of the country are under control of the Naval Force of the Islamic Republic of Iran. Those zones are very important, have very good capacities for growth and you must work on it and pay attention to them. zz Today the Naval Force is a strategic force and is among the definite lines of defense in the country (Attachment of Islamic Republic of Iran Destroyer, Jamaran, Feb. 1, 2010). zz This country is a sea land and it really needs a significant and outstanding naval force and it will definitely achieve it; and those who fulfill this need are you, the dear young people. zz I hope that you, the young naval force could one day, God Wiling, make a Naval Force which is worthy of the Iranian nation. zz Naval Force in real sense of its meaning today is a strategic force, there is no way that one could assume it as a marginal force, it is in fact in the center of the field. zz The naval force is a strategic force and is a definite force in defending the country, and you should have control over the (Iranian) region by using submarines. zz This is a new look to Oman Sea by the Army of Islamic Republic of Iran. This army can do great work, this is a divine gift for the southeast region of the country. zz With respect to the present issues in the world, the geopolitical situation in today’s world, we should reinforce our power both offshore and onshore. (Nov. 28, 2010) Chairman of the Congress Habibollah Sayari, MD

Secretary-General of the Congress Mohammad Hosein Lashgari, MD

Chairs of Scientific Congress Mostafa Maddah, MD - Majid Noori, MD

Executive Secretary of the Congress Seyed Shahram Mirzamani, DVM-MPH

Chairs of Support Congress Mohammad Reza Naghavi, MD - Mohsen Moradinia, MD Members of the Scientific Committee

Reza Abbasi Bahareh Heydari Mohammad Nasr Dadras Shahla Aliyari Seyed Javad Hoseini Shokouh Marzieh Nikparvar Maryam Amidi Mazaheri Homayoun Hoseinzadeh Akbar Nikpazhouh Aria Ashja Ardalan Shahrokh Iravani Mohammad Nobakht Anooshiravan Azizi Katayoun Jahangiri Majid Noori Mohammad Reza Azizi Ali Karimi Shahram Oliaei Kamran Azma Elham Kazemi Jahromi Fereshteh Pirooz Mahdi Bagheri Abolfazl Khademi Maghsoud Pourrahimi Nooshin Bahrami Ramin Khaghani Gholam Hosein Pourtaghi Majid Bizmark Hosein Khanzadi Farhad Ramazani Arasb Dabbagh Moghaddam Masoumeh Kheyrandish Arash Rashidi Parviz Dabbaghi Alireza Khoshdel Farshid Rezaee Mohammad Darvishi Amir Khoshvaghti Khosro Sadegh Niyat Ali Davoodi Kiakalayeh Mahshid Kochaksaraei Ali Sadri Mehrouz Dezfoulian Mahdi Lalehzari Hamidreza Safaee Hosein Dini Mohammad Hosein Lashgary Parviz Salimi Panah Banafsheh Dormanesh Mostafa Maddah Mohammad Shekari Reza Emami Hojjatollah Mahdipour Maryam Shokouhi Amir Esalati Abbas Majd Abadi Alireza Sobhani Hadi Eshaghi Nader Markazi Moghaddam Neda Soltani Hosein Farhangnezhad Hosein Masoumbeygi Abdollah Soltanzhad Babak Farzaneh Ramin Masoumi Rokneddin Soltanzhad Reza Fekrazad Babak Mohammadi Mahmoud Soroush Parvaneh Firoozi Zahra Mohtasham Amiri Amirpouyan Tabibi Nastoona Ghanbari Mohsen Moradinia Gholamreza Tahani Arezoo Haghighian Ali Mosaddeghkhah Hamidreza Tavakoli Majid Haji Faraji Seyed Ali Mousavi Jazayeri Farhad Tavakolian Ramin Hamidi Farahani Iraj Nabipour Katayoun Vahdat Peyman Hemmati Mohammad Reza Naghavi Members of the Executive Committee

Safar Ali Abdi Farhad Hasani Mahdiyeh Pishnamazi Ahari Mousa Aghabarari Hamid Hasanzadeh Aziz Rahimipour Tayebeh Ahmadi Reza Hashemi Isa Sabzevari Mohammad Ahmadian Ali Karimi Seyed Amir Ehsan Samiee Mahmoud Ajami Mahmoud Kazemi Bahman Sarvari Alireza Arabian Mahdi Keyvanlou Fatemeh Sarvari Mohammad Afshin Ardalan Shirin Keyvannasab Ali Shafighi Nasrin Asadi Ehsan Khaleghi Mojtaba Shahba Allahyar Bagherzadeh Farzaneh Khalifeh Abbas Shahbazi Milad Barani Mahshid Koochaksaraee Hadi Shahbazi Alireza Dadashi Reza Laripour Ali Hasan Shojaee Nader Daliri Mahdi Latifi Reza Shojaee Neda Davoodi Inanlou Marziyeh Mahdipour Ghodratollah Sohrabi Milad Eazazi Alireza Mahmoudi Amir Ashkan Tabibi Amir Esalati Ahmadreza Masoumi Pooneh Tabibi Hamid Fattahi Hasan Mehmannavaz Hosein Taheri Naser Firooz Shadi Moghaddam Moloud Taheri Parvaneh Firoozi Mohammad Moghaddam Maheri Afshin Tashak Navid Ghaemian Fereydoun Mohammadi Zahra Torabi Akbar Ghafarlou Mohammad Mohammadi Elaheh Validad Hosein Ghanbari Shiva Mohammadi Behzad Yalfani Hameh Ghiasi Kourosh Mohammadpour Ali Yeganehparast Ghasem Ali Ghorbani Seyed Majid Mousavi Tayebeh Zabetzadeh Mahnoosh Godarzi Seyed Mohammad Mousavi Mahmoud Zandi Alireza Hamedi Davood Naderi Asadollah Ziabakhsh Aria Hasani Reza Nezhadi Message of the Chairman of the Congress

The strategic Iranian Naval Force under the direction of the grand and wise leader, performs its duties and defends the territory and security of the sacred Islamic Republic of Iran System in the internal and international waters and provides security to the trading fleets in the international marine corridors as well as sending message of peace and friendship to the countries in the region and world. In the recent years, everybody could witness the overall progress of the naval force, especially in health, relief and medical treatment. The Iranian Naval Force is a pioneer in many political, international, scientific and military services in the country and in the region. The evidence of this claim in the health, rescue and treatment is the development of health, welfare, recreation and sports infrastructures in all regions and bases, development of new hospitals in Bandar Abbas, Konarak and Tehran, Anzali Clinic and improving the hospitals and clinics in other regions and bases. Of course, the scientific, education and research achievements of the Naval Force in health, rescue and medical treatment with extensive consequences and efforts which have been mostly hardware development as unfortunately might not be as apparent and tangible as the mentioned infrastructure and executing this conference is one of them. One of the most important characteristics of strategic organizations is having specialized and general strategic thoughts in moving towards the future and adopting a specific and ideal perspective; and, the Health and Medical Treatment of the strategic Naval Force moves in that range and in that direction. We hope, Enshallah, it will succeed in this goal through the planning which are predicted for it. Today, the health, rescue and treatment plans of the Naval Force are based on the findings acquired by the studies of thinkers and researches that lead to improving knowledge, information and capabilities of the faithful, committed and specialist human forces of this Force. This human capital is serving round-the-clock with all its capacity and power in the process of promoting the quality and productivity of the Force and alongside expanding its marine missions in far off points, beyond the water borders, by establishing and executing the preventive medicine principles, medical care, monitoring and evaluation of health for the personnel and families, the basic marine war of the Naval Force has been promoted. To achieve the strategies of health and medical treatment perspectives of strategic Naval Force, by the help of God the Omnipotent, held the Third Biannual National Conference of “ Marine Preventive Medicine, Health and Treatment on Surface and Subsurface Vessels” has been held to realize the directive command of the Grand Commander and Supreme Leader on his instruction that “ God Wiling, make a Naval Force which is worthy of the Iranian nation” with the cooperation of educational and research institutes, medical universities and health, rescue and treatment of the civil and military organizations by the efforts of the health deputy, the health, rescue and treatment department of the Naval Force and the Marine and Subsurface Medicine Research from January 16 to 20, 2015, hosted by the First Marine Zone, Bandar Abbas, South Fleet of the Naval Force of the Islamic Republic of Iran. This conference is the third experience of the Naval Force in holding national conference and an initiation for continuation of the path and presence in the gatherings of the specialists of International Society of Marine Health, Navy and Subsurface Medicine. In this conference, the most recent scientific, education and research achievements in health, rescue and medical treatments of the Naval Forces on promoting health and preventing many diseases on the surface and subsurface vessels from the depth of the mission zone of the Naval Force to the coasts of our dear country in north and south of the country, especially the untouched and unknown regions of southeast Iran and Makran Sea. In conclusion, I would like to extend our best appreciation to the authorities, scientific and executive committees and the supports f the conference, with professors and researchers that provided papers and also, the participants. I wish you success in the light of attention of Hazrat Baghyatollah Azam, the wisdom embedded instruction of the Supreme Leader and Grand Commander of the Iranian Armed Forces in the progress of the goals of Islamic Republic of Iran.

Flotilla Admiral, Dr. Habibollah Sayari Commander-in-Chief of Naval Force of the Islamic Republic of Iran and Chairman of the Conference Message of the Commander of Health, Rescue, Medical Treatment and Education of Iranian Army and the Chancellor of Aja University of Medical Sciences

Now, that under divine Bliss of the Omnipotent God, attentions of Hazrat Valiasr and the instructions of his true substitute, Supreme Leader and Grand Commander of the Islamic Republic we have been able to take a step in the path of expanding military health, rescue and knowledge path, we are honored to hold the third national conference, the first International conference operative Medicine, Health and Rescue on Surface and Subsurface Vessels by the collaboration of Strategic Naval Force and Hormozgan University of Medical University. On one hand, this conference has provided us with an opportunity for synergy and cooperation of the complex of armed forces health and medical body and the health system of the country, and on the other hand, since our country is always exposed to threats and accidents, with respect to the intrinsic mission of the armed forces, it is necessary for the health, rescue and treatment to be prepared for fast reaction in time of such treatments and perform good supports of military operations in such cases. The variety and nature of the missions of Naval Force in the region and beyond that, as expressed by the Grand Leader of the Iranian armed forces, quoting: “The naval force is a strategic force and is a definite force in defending the country, and you should have control over the (Iranian) region by using submarines” drives the marine health, rescue and medical treatment to be present in the farthest waters of oceans and open seas and make this mission one hundreds times more important. Holding this conference makes different areas of health, medical treatment and preventive medicine to benefit from the views of scholars and researchers across the country and add to the depth and richness of the activities of military forces in the sea. Praise God that bestowed us with the opportunity to hold the Third National Conference and the First International Conference with the strategic Naval Forced as its core and the collaboration civil and military research institutes and organizations in the Emamat First Marine Zone in Bandar Abbas to provide grounds for the visualization of the youth talents, researchers and scientists of the Islamic Iran and add another golden leaf to the brilliant record of the brave personnel of the Army of the Islamic Republic of Iran. I wish with the hope of endless bliss of God the Omnipotent and in the light of special attention of Hazrat Baghyatollah and under the great leadership of our Dear Imam Khamenei, we would be able to make the Hezbollah Army and armed forces of Iran, proud. In conclusion, I would like to thank the holding committee and ask for greeting us and path finding ideas and let us shake a warm hand with the collaboration of scientists and scientific, academic, education and research thinkers and scholars.

Second Brigadier General Dr. Mohammad Hossein Lashgari Commander of Health, Rescue, Medical Treatment and Education of Iranian Army and Message of the Chancellor of Aja University of Medical Sciences Message of the Head of Health, Rescue and Treatment Organization of the Naval Force

The main mission of health, rescue and medical treatment of the strategic Naval Force is to maintain and promote health, safety and preparation of the personnel and units in surface and subsurface vessels in long term operational missions with the development and execution of the comprehensive plans of preventive, care and medical treatment of diseases, damages and accidents. Since the preventive methods in surface and subsurface vessels are dynamic and has vast variation, in the development of those methods, one must benefit from the directions of the command system of the vessels in connection with health affairs. Promotion and maintaining the health level of the personnel and units of surface and subsurface vessels by executing standard procedures of preventive medicine and health cares in Strategic Naval Force needs a vast scientific and research movement with producing the knowledge and science of preventive and marine health medicine in conformity with the goals and missions of health and medical treatment in various areas. For the purpose of continuity of scientific, education and research achievements, the Third National Conference and the First International Biannual Conference of Marine Preventive Medicine, Health and Medical Treatment on Surface and Subsurface Vessels January 16-20, 2015, hosted by Emamat First Marine Zone in Bandar Abbas and collaboration with the Medical Universities of Iranian Army and Hormozgan Medical University, by Marine Medicine and Subsurface Research Center for presenting the experiences of young professors and researchers in this area. This conference is a specialized conference in its type and unbelievingly, the secretariat office of the conference have already received 295 papers, 68 of which were selected as main speech and rearview, and 189 papers were selected as posters. In the main plan of the conference, 11 scientific meetings are presented. In addition, six scientific and educational workshops and specialized exhibition have been predicted in health, rescue and medical treatment areas and presenting martial marine medicine achievements for four days. At the end, I would like to appreciate and thank the members of executive, support and scientific committee of the conference who provided the grounds for holding this conference with their efforts and we do extend our best appreciation to all scientists, researchers, experts and officials who actively participated in the conference. For the continuation of the path of the conference secretary, from March 2015, we are ready to receive any comments and reinforcement of scientific and research cooperation in marine health and medicine with universities and institutes across the country.

Second Flotilla Admiral Dr. Mostafa Maddah Head of Health, Rescue and Medical Dept. of the Naval Force of I.R. Iran TABLE OF CONTENTS

3rd National and 1st international Congress for Naval Preventive Medicine Health, Rescue and Clinical Management On the Naval and Submarine Fleets 3rd National and 1st International Congress in Naval Preventive Medicine & Health Table of Contents

Disease surveillance and risk assessment in marine medicine Oral Presentation Comparison of the long-term effects of hypobaric condition of pilots versus hyperbaric condition of divers on blood flow velocity of middle cerebral, basilar and carotid arteries using transcranial doppler and duplex ultrasonography Banafsheh Dormanesh, Seyed-Mohammad Fereshtehnejad, Mohammad Reza Motamed, Pourang Basir, Seyed-Mohammad Hossein Mahmoudi, Masoud Mehrpour...... 16 Prevention of sudden cardiac death in scuba divers with inherited cardiac arrhythmia syndromes Ahmad Ebadi, Reza Eslami, Mahmood Momenzadeh...... 16 Hyperbaric oxygen should be considered in thermal burns Amir Khoshvaghti, Hosein Ghazizade, Omid Ghatre Samani, Nader Taghavi, Amir Nezami Asl, Abolfazl Khademi...... 17

Poster Presentation Relationship of decompression sickness and anthropometric variables in diving medicine Amir Khoshvaghti, Hamze Shah Ali, Reza Toroghi, Shahram Ghayumi, Said Ehteshami, Akbar Haji Ghasemaliyan...... 18 Dose hyperbaric oxygen kills breast cancer cells? Amir Khoshvaghti, Abolfazl Khademi, Amir Nezami Asl, Reza Eslami, Ahmad Ebadi, Mahmood Momenzade.... 18 Hyperbaric oxygen; unknown modality of cancer subtypes treatment in Iran Amir Khoshvaghti, Abolfazl Khademi, Reza Eslami, Ahmad Ebadi, Said Ehteshami, Akbar Haji Ghasemaliyan, Amir Nezami Asl...... 18 Effective methods of prevention and treatment of diseases of diving Khadijeh Khosrav, Abbas Zarenejad Ashkezari, Abdollah Rezvani Alileh...... 19 Treatment of metastatic breast cancer Mohammad Dorchin, leila Pakzad...... 19 Evaluation the relatively and arbitrary abundance of Rasht maritime specialties center at year of 2012-2014 accordance to personnel health existence project Iraj Ramazani, Esmail Arab, Ehsan Alavi, Behrouz Mikailpour, Roya Besharati, Maryam Royghar...... 20 Commitment of VGE sonographic follow up optimization after diving for better assessment Hypercortisolism, a potential risk in uderwater buoyant vehicle personnel Hamze Shahali, Azade A.Farahani, Amir Nezami Asl, Amir Khoshvaghti, Abolfazl Khademi, Alireza Asgari...... 21 Health instructions of marine passengers in Aghili-Khorasani’s view Roya Shariat, Hamed Ahansazan, Mohammad-Reza Rajabnegad, Ali Bahadorisarem, Reyhane Ahansazan...... 21 Application of nanoparticles phage in military medicine Mustafa Kazemi, Ehsan Moradi...... 22 Morbidity, surveillance and epidemiology of scorpion sting in Bandar - Mahshahr County, Southwestern Iran Hamid Kassiri, Mohammad Abdehpanah...... 22

II J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Table of Contents in Naval Preventive Medicine & Health

Genetic diagnosis is necessary to set up a bank check identity in the Islamic Republic of Iran Navy Ehsan Moradi, Mustafa Kazemi, Muhammad Fouad Heydari...... 23 Pulmonary barotrauma in divers: can pulmonary function testing identify those at risk? Mahmud Momenzadeh...... 23 Headache in military divers Mohammad Karim Heravi, Alireza Ranjbar Naeeni, Hosein Ali Salehi, Amir Khoshvaghti, Amir Nezami Asl, Reza Eslami, Abolfazl Khademi...... 24 Assessment of military nurses knowledge about adult cardiopulmonary resuscitation (CPR) based on the guidelines in 2010 Seyed Hadi Vakili, Zahra Haji Amini, Abbas Ebadi, Majid Noori, Yaser Saeed, Seyed Mohammad Saeed Ghiasi 24 Comparison of military and civilian nurses’ knowledge about the cardiopulmonary resuscitation (CPR) on adults, in accordance with the 2010 Seyed Hadi Vakili, Abbas Ebadi, Yaser Said, Zahra Haji Amini, Mohammad Saeid Ghiasi...... 25 Comparison of nurses’ knowledge in intensive sectors with other sectors about the changes and amendments of adult cardiopulmonary resuscitation (CPR) by AHA Seyed Hadi Vakili, Zahra Haji Amini, Abbas Ebadi, Yaser Saeed, Seyed Shahab Vakili...... 25 Infectious Diseases in Navy Oral Presentation The value of thermoscanners in diagnosis of viral diseases in arrivals to ports and international airports Mohammad Darvishi, Amir Nezami, Mohammad Karim Heravi, Amir Ali Jahanshahi...... 27 An overview at key factors of CBRN defense scenarios with looking to I.R.I navy mission Sasan Pourjafari, S. Shahram Mirzamani, Mahdi Bagheri...... 27 Evaluation the effect of lactobacillus acidophilus and bifidobacterium breve on antibiotic-associated diarrhea treatment Esmail Arab, Behrouz Mikailpour, Iraj Ramazani, Seyed Mostafa Saeedinia...... 28

Poster Presentation The use of azole compounds in the treatment of leishmaniasis Mohammad Aminianfar, Atefe Afchangi, Ali Asghar Saeedi, Mohammad Darvish, Sirous Faraji...... 29 Bioterrorism, biological weapons and the public health Amin Pirani, Ehsan Akrami, Mostafa Ghafouri Moghaddam...... 29 Approaches for the prevention and treatment of diseases transmitted through water and food among seafarers Abbas Zarenejad Ashkezari, Abbas Khadijeh Khosravi, Abdollah Rezvani Alileh...... 31 Infectious diseases, ship travels, marine missions, mathematics Amir Khoshvaghti, Hamze Shah Ali, Hosein Ghazizade, Omid Ghatre Samani...... 31 Fecal microbiota as a modulator of immune system Shahrokh Iravani...... 32 A review on fish-borne poisoning Seyed Hosien Mousavi, Hassan Ehteshami, Pejman Tayebi...... 32

J Arch Mil Med. 2015 January; Supplement 1 III 3rd National and 1st International Congress in Naval Preventive Medicine & Health Table of Contents

Effect of lactobacillus acidophilus and bifidobacterium on liver injuries Ramin Hamidi, Behrouz Mikailpour, Nader Markazi Moghaddam, Esmail Arab, Iraj Ramazani...... 32 Brucellosis as the most likely biological weapon in bioterrorism attacks in modern marine warfare Mustafa Kazemi, Ehsan Moradi, Mohammad Fouad Heydari...... 33 Prevalence of pediculosis capitis in Bandar - Mahshahr County, Southwestern Iran Hamid Kassiri, Mohammad Abdehpanah...... 34 Epidemiological feature of animal hydatidosis in paveh of Kermanshah province, Iran Naser Nazari, Sohylla Rahmani...... 34 Epidimiological study of cutaneous leishmaniases in cities of Kermanshah province Naser Nazari...... 35 Sea Environmental Hygiene Oral Presentation The influence of environment on sailor’s health and is counter-measure Pang. Si. Hyon, Ri. Yong. Sop...... 37 Lesson learned from Fukushima Dai-ichi nuclear plant disaster: water pollution as the most health threatening factor Katayoun Jahangiri...... 38 Study of environmental health status of food storages and fridges of NAJA in 2012 Tavakoli HR, Masoumbeigi H, Karimi Zarchi AA, Ardestani M...... 39 Assessment of individual survival performance for water supply in military missions Rahim Keshavarz, Vali Alipour, Mohammad Mahdi Hosseini...... 39 Synthesis of magnetic multi walled carbon nano tubes and adsorption isotherm and kinetic modeling of carbamate poisons group Ramin Khaghani...... 40 Impact of dust storms on enhancement of bioaerosols at inhalable air of ships Mehran Khaefi, Gholamreza Goudarzi, Zahra Soleimani, Zahra Qasempur...... 40

Poster Presentation Determination of fluoride in drinking water in military centers of the first marine unit Rasoul Abhar, Mahdi Safatiyan, Mohammad Mahdi Bahmani...... 41 Necessary to detect legionella pneumophila in the aquatic environment Mahdi Bolfion, Seyed Shahram Mirzamani, Mohammad Khoshbou, Saeed Parvaneh, Mehrvarz Dezfulian...... 41 The use six sigma techniques to improve quality of hospital services sydalshhdayzd B. Rastegari...... 42 Bio plasticas an appropriate factor in military units offshore and subsea Ehsan Moradi, Mustafa Kazemi ...... 43 Risk assessment in the system drinking water ship Zahra Mousavian, Layla Rouygari, Athar Aflakian...... 43

IV J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Table of Contents in Naval Preventive Medicine & Health

Effectiveness of hand washing protocol on nosocomial infection rates Seyed HadiVakili, Majid Nori, Azade Dasian, Alireza Hosainjani, Seyed Shahab Vakili...... 44 A review of control methods for bacteriological water quality and biofilm in dental unit water systems Masoumbeigi Hossein, Kardan yamchi Hossein...... 45 Review on application of phytoremediation on water resources recovery Peyman Faghihfard, Bahareh Younesei...... 45 Disinfection of water in emergency condition with a new disinfection method: introduction of performic acid (PFA) as a new disinfectant against water’s pathogens Samira Yousefzadeh, Ramin Nabizadeh, Mehdi Vosoughi Niri, Alireza Mesdaghinia, Simin Nasseri...... 46 Psychological Health for Navy Oral Presentation The effect of regulator dimmers proportionate with intensity sunlight cycle arise- sunset of dim rate by circadian cycle on anxiety and depression and plasma melatonin hormone among employees in submarine Mahrdad Adli, Mohamad Hosin Lashgary, Majid Hazrati...... 48 Personality traits underlying suicidal behavior in military youth Abdollah Soltaninejad...... 48 Necessity to the family adjustment educational package specific to islamic republic army navy Maryam Amidi Mazaheri...... 48 Comparison of components of marital satisfaction in families of naval officers in the army, towns, city of Bandar Abbas Farnoosh Etminan, Eghbal Zarei, Kourosh Mohammadi...... 49 Relationship of post traumatic stress disorder (PTSD) and obesity, diabetes mellitus and metabolic syndrome Nooshin Bahrami, Mohammad Hossain Khoobi, Maghsoud Pouryousef Kaljahi...... 49

Poster Presentation Assessment of the efficacy of the social-oriented approach in drug abuse tendency and quality of life Danial Azadi, Ali Pouladi Rayshahri...... 50 The effect of 20 minutes scuba diving on cognitive function of professional scuba divers S. F. Pourhashemi, B. Gholipour, H. Sahraei...... 51 Chronic effects of methamphetamine on the performance of dependency rats in reference memory on spatial navigation of the water maze Maghsoud Pouryousef Kaljahi, Seyed Shahram Mirzamani, Majid Hazrati, Nooshin Bahrami, Masomeh Nikfarjam Haft Asia, Shahram Oliaei...... 51 Automatic and intelligent inducer of brain waves for depression prevention in mare long period locomotion Esmail Arab, Iraj Ramazani, Behrouz Mikaeilpour...... 52 Marital satisfaction, factor in the health of the military family Saeedeh Askarian Omran, Farshid Motevalian ...... 53 Music in the mental health of military personnel Saeedeh Askarian Omran, Farshid Motevalian...... 54

J Arch Mil Med. 2015 January; Supplement 1 V 3rd National and 1st International Congress in Naval Preventive Medicine & Health Table of Contents

Personality characteristics and mental health of soldiers attempted suicide and normal navy in Rasht maritime specialties center Majid Ghorbannejad, Esmail Arab, Iraj Ramazani, Shahram Ashabi, Behrouz Mikailpour...... 54 Prediction of resilience based on attachment style and and emotional intelligence in hige school students of sirjan township Hadi Ansari, Behnam Keshavarz...... 55 Effectiveness of group cognitive behavioral therapy to decreasing suicide ideas in soldiers of aja Mohammd Keshmiri, Masoud Zahmztkesh, Masoud Shahabian...... 55 Personality characteristics and mental health of soldiers attempted suicide and normal navy in Rasht maritime specialties center Majid Ghorbannejad, Esmail Arab, Iraj Ramazani, Shahram Ashabi, Behrouz Mikailpour...... 56 The study of relaxation techniques effects on personnel of maral specialty beatification anxiety and aggression in Rasht Morteza Naddafiyan, Esmail Arab, Mahdi Shakiba, Iraj Ramaxani, Behrouz Mikailpour...... 56 Comparative study of mental health level between military and civilian nurses of Tehran Seyed Hamed Vahedi, Seyed Hadi Vakili...... 57 Determine the factors that cause stress and coping styles used by patients on hemodialysis and peritoneal dialysis in patients with surface and subsurface naval personnel Seyed Hadi Vakili, Payam Amiran, Seyed Hamid Vahedi, Yaser Said, Mahrh Porrabie...... 58 Oral Health and Dental Care in Navy Oral Presentation The evaluation of oral and maxillofacial diseases prevalence in navy divers Army of the Islamic Republic of Iran Hasan Shahamatnia, Bita Rohani, Mostafa Maddah, Amirhossein Najafpour, Reza Fekrazad...... 60 Prevalence of oral and maxillofacial diseases in the iran submarine force and controls Hasan Shahamatnia, Bita Rohani, Mostafa Maddah, Amirabbas Sameti, Reza Fekrazad...... 60 Oral health profile in iranian armed force: focusing on navy and submarine Laleh Khalilazar, Alireza Khoshdel...... 61 Crown cementing strategy for naval divers Babak Farzaneh...... 61 New techniques in reconstruction of maxillofacial defects Farzad Fazilat...... 61

Poster Presentation Dentistry in diving Bita Rohani, Hamzeh Shahali, Mohammad Ali Ketabi...... 62

VI J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Table of Contents in Naval Preventive Medicine & Health

Marine and Submarine Biology and Ecology Oral Presentation Clinical aspects and pitfalls of treatment in envenomation with blackfin stonefish (pseudosynanceia melanostigma) from the Persian Gulf Iraj Nabipour, Mahboubeh Jafari...... 64 The evaluation of extracted polysaccharide from Nostoc. sp on endothelial cell line (HUVEC) for repair of capillary in vitro Omefarveh Maleki, Mehrouz Dezfulian, Neda Soltani...... 64 Identification hazardous agents affect divers’ health and presenting safety solutions against them Ladan Baftehchi, Neda Soltani, Mahdi Bolfion, Shaghayegh Iranshahi...... 65 Feasibility of biofuel production potential of local microalgae for use in naval fleet Sasan Ghobadian, Seyed Shahram Mirzamani, Mohsen Mahboubian, Reza Zirak, Neda Soltani, Fatemeh Nazari, Fatemeh Malek Ahmadi...... 65 Improve the performance and emissions of marine diesel engine employing the change of fuel injection rate shaping mechanism, using biodiesel Reza Zirak, Davood Domiri Gangi, Alireza Majidian, Abbas Zarenejad...... 66 Microalgae as biosources for food supplement production Neda Soltani, Ali mohammad Latifi, Naba Alnajar, Mehrouz Dezfulian, Shadman Shokarvi, Mohammad Heydari...... 67

Poster Presentation Dangerous and poisonous marine creatures Aria Ashja Ardalan, Seyed Shahram Mirzamani, Seyed Mahdi Mirheydari, Tara Ebrahimi...... 68 Determination of (Cu, Zn, Cr and Pb) metal ions concentration in soft tissue of Saccostrea cucullata (Bivalvia) in Konarak coasts and Shahid Beheshti port (Chabahar) Aria Ashja Ardalan, Ramin Zibaseresht, Habibollah Sayari, Narges Mooraki, Yasser Pakniyat...... 68 Determination of Pb, Zn, Cr and Cd heavy metal ions in Chiton” Chiton lamyi “ in the coasts of Navel base and Shahid Beheshti port in chabahar Konarak Aria Ashja Ardalan¹, Ramin zibaseresht², Habibolah Sayari, Narges Mooraki, Lobat-o-Ssadat Nojoumi...... 69 Investigating of antimicrobial activities of cyanobacteria Shaghayegh Iranshahi, Mehrouz Dezfulian, Ladan Baftehchi, Mehdi Bolfion, Ali Abolhasani Soorki...... 69 Algal blooms in waters Ladan Baftehchi, Neda Soltani, Mahdi Bolfion...... 70 Study the bioindicator role of microalgae in identification and removing of heavy metals in waters Ladan Baftehchi, Neda Soltani, Mahdi Bolfion, Seyed Shahram Mirzamani, Ramin Masoumi, Hossein Akbarzadeh...... 70 Chernobyl nuclear accident analysis and environmental consequences on health Katayoun Jahangiri ...... 71

J Arch Mil Med. 2015 January; Supplement 1 VII 3rd National and 1st International Congress in Naval Preventive Medicine & Health Table of Contents

Evaluation of coping with attacks microbial by bride marine Zahra Khoshniat, Mahdi Yavari...... 71 Stability of algal bloom in Iranian waters due to inefficient management of waste coast missile test Zahra Khoshniat, Mahdi Yavari, Ehsan Moradi ...... 72 Is there any better outcome for ovarian cancer and cervix carcinoma by marine bryostatin? Amir Khoshvaghti, Amir Nezami Asl, Abolfazl Khademi, Abbas Nurmohammadi, Hamze Shah Ali, Mohammad Karim Heravi...... 72 The effect of a complex combination of cyanobacteria extracted of anabaena sp in the growth of HeLa cells Fatemeh Fattahi Hassan Abad, Mehrouz Dezfulian, Neda Soltani...... 73 Marin poisonous fish Hamze Shahali, Azade A.Farahani, Amir Nezami Asl, Amir Khoshvaghti, Abolfazl Khademi, Alireza Asgari...... 73 Crocodiles & marin predator mammals Hamze Shahali, Azade A.Farahani, Amir Nezami Asl, Amir Khoshvaghti, Abolfazl Khademi, Alireza Asgari...... 74 Brief awareness of irukandgi syndrome Hamze Shahali, Azade A. Farahani, Amir Nezami Asl, Amir Khoshvaghti, Abolfazl Khademi, Alireza Asgari...... 75 Sea wasp & biting marin fish Hamze Shahali, Azade A.Farahani, Amir Nezami Asl, Amir Khoshvaghti, Abolfazl Khademi, Alireza Asgari...... 75 Evaluation of a polysaccharide extracted from the cyanobacteria anabaena sp on growing of L929 fibroblast cells in a bed made used for healing Fatemeh Fattahi Hassan Abad, Mehrouz Dezfulian, Neda Soltani...... 76 The effect of a complex combination of cyanobacteria extracted of anabaena sp in the growth of HeLa cells Fatemeh Fattahi Hassan Abad, Mehrouz Dezfulian, Neda Soltani...... 76 Evaluation of a polysaccharide extracted from the cyanobacteria anabaena sp on growing of L929 fibroblast cells in a bed made used for healing Fatemeh Fattahi Hassan Abad, Mehrouz Dezfulian, Neda Soltani...... 77 The renewable energy production with microalgae resources integration the three environmental factors: algal biomass production, wastewater treatment and Co2 stabilization Sasan Ghobadian, Neda Soltani, Fatemeh Nazari, Fatemeh Malek Ahmadi...... 77 The evaluation of effects of extracted Nostoc sp. ISC 113 polysaccharide on the adherence of fibroblast cell Omfarveh Maleki, Mehrouz Dezfulian, Neda Soltani...... 78 Cyanotoxins: bioaccumulation and effects on quatic animals Masoomeh Yousefpour...... 79 Relief and Rescue in Marine Disasters Oral Presentation Sea survival response Arie Zakaria...... 81 Design and build your first aid bag individual medley infantry forces combat zones Manuchehr Hashemzadeh, Ali Karimi, Zahra Noory Balaneji...... 81

VIII J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Table of Contents in Naval Preventive Medicine & Health

Medical emergencies at sea Zahrasadat Mosavisani, Seyed Amir Hosein Pishgooie...... 82

Poster Presentation Assessment of harmful consequences of tehran storm: a case study Mahnaz Kheradmand, Katayoun Jahangiri...... 82 Physician roles in military aeromedical evacuation Mohammad Karim Heravi, Amir Khoshvaghti, Amir Nezami Asl, Reza Eslami², Abolfazl Khademi...... 83 The role of nurses in crisis: case study Ahvaz oil great hospital in 2013 Saeed Saeedi Mehr, E. Vesyi, Sahar. Geravandi, H.R. Golpategani, Mahdi Vosoughi Niri, M. Haidari, Mohammad Javad Mohammadi, E. Bagheri, S. Moghadamfar...... 83 The positive effect of increased the injured acceptance rate and medical services appropriate with provide capacity to emergency departments during the war, and incidence unexpected events Saeed Saeedi mehr, Mahdi Vousoghi Niri, Sahar Geravandi, Mohammad Javad Mohammadi,, Hosein Frozandeh...... 84 The role of nurses in crisis: case study Ahvaz oil great hospital in 2014 Mahdi Vousoghi Niri, Sahar Geravandi, Mohammad Javad Mohammadi,, Hosein Frozandeh, Saeed Saeedi Mehr...... 85 Scenario-based planning model in bioterrorism disasters management in cruisers Simintaj Sharifi Far, Katayoun Jahangiri, Zohreh Ghomiam, Reza Khani Jazani, Sharifian...... 86 Nutrition and food security for Navy Oral Presentation Diet assessment of regular, training and operational groups and designing a standard diet for navy personnel in 1393 Arezo Haghighian Roudsari, Maryam Shokouhi, Seyed Shahram Mirzamani, Majid Hajifaraji...... 88 A survey of antibiotic residues in chicken meat and table eggs consumed in Islamic Republic of Iran Army Arasb Dabbagh Moghaddam, Mohsen Bashashati, Seyed Javad Hosseini-Shokouh, Touraj Nowrouzi...... 89 Environmental factors effects on bacteriological quality of red and chicken meat stored in fridges in one of military force Hosein Masoumbeigi, Hamidreza Tavakoli, Aliakbar Karimi Zarchi, Hosein Kardan, Majid Ardestani...... 89 Association of gut microbiota composition and obesity among navy soldiers Shahrokh Iravani...... 90 Knowledge, beliefs and behavior patterns of food consumption among military medical students of a nation’s school: the application of health belief model (HBM) Hosein Dini Talatappeh, Hamidreza Tavakoli, Fatemeh Rahmati Najarkolaei, Arasb Dabbagh Moghadam, Alireza Khoshdel...... 90 Effect of probiotic supplementation on lipid profile in millitary patients with non-alcoholic fatty liver disease Sepideh Abbaszadeh, Karim Parastouei, HamidReza Tavakoli, Leila Rostami...... 91

J Arch Mil Med. 2015 January; Supplement 1 IX 3rd National and 1st International Congress in Naval Preventive Medicine & Health Table of Contents

Poster Presentation Advantages of determination and comparison of gut microbiota among naval troopers and army soldiers Shahrokh Iravani...... 91 Relationship betweensomephysical problemsandblood groupsamong NEDAJA employees Fereshteh Pirooz, Farshid Iranmanesh...... 91 Fish in fight against ovarian cancer Amir Khoshvaghti, Hamze Shah Ali, Amir Nezami Asl, Abolfazl Khademi...... 92 Fish oil (omega-3) for combating dry eyes and dysfunction of meibomeian glands Amir Khoshvaghti, Hamze Shah Ali, Asgari Reza Nezhad, Mohammad Mehdi Zaferani, Mahmud Motalebi...... 92 Effects of probiotic supplementation on glycemic and inflammatory indices in military patients with non-alcoholic fatty liver disease Karim Parastouei, Sepideh Abbaszadeh, HamidReza Tavakoli, Hossein Afshari...... 93 Natural antioxidants in active food packaging Elahe Moeini, Samira Ghorbani...... 93 Active and intelligent packaging, converting food to more healthy foods Samira Ghorbani, Elahe Moeini...... 94 Role of leukocyte common antigen related (LAR) in muscle obesity induced insulin resistance Sattar Gorgani-Firuzjaee,, Masomeh Gorgani-Firuzjah, Reza Meshkani,...... 95 Incidence of overweight and obesity in adults, Tehran lipid and glucose study Seyed Hadi Vakili, Ali Mosadeghkhah...... 95 Food safety management Elahe Moeini, Samira Ghorbani, Alireza Tajpour...... 96 Evaluation of abdominal obesity in Tehran lipid and glucose study Ali Mosadeghkhah, Seyed Hadi Vakili...... 97 A review on fish-borne poisoning Seyed Hosien Mousavi, Hassan Ehteshami, Pejman Tayebi...... 97 Occupational health and medicine for Navy Oral Presentation Ergonomic problems in small small floating marine Gholamhosein Pourtaghi...... 99 Asthma and allergic diseases in navy army personnel: prevalence and risk factors Shokrollah Farrokhi,, Mohammad Kazzem Gheybi,...... 99

Poster Presentation Evaluation of medical service maritime accidents in order to upgrade health and naval forces power Zahra Balasi, Nesa Balasi, Maryam Zakerihamidi, Kobra Afsordeh...... 100

X J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Table of Contents in Naval Preventive Medicine & Health

The navigational warnings Kharman Khosraviani...... 101 Prediction model of burnout in subspecialty hospitals of valiasr, according to the components of problem solving, stress tolerance, reality-testing and responsibility Mahdi Shakiba, Esmail Arab, Iraj Ramazani, Morteza Naddafiyan...... 102 The role of man in the shipping industry events Farzaneh Sedighi...... 103 Philosophy engender safety for ships and ports ISPS code Hossein Nazmie...... 103 Evaluation of job stress and general health in firefighters of Tabriz city Yousof Hemmatjo, Alireza Noori, Alireza Zemestani...... 104 Maritime Human Resource management Oral Presentation Health related quality of life among military personnel: what socio-demographic factors are important? Mohsen Saffari, Hojat Rshidi Jahan, Hormoz Sanaeinasab...... 106 Protection of the wounded, sick and shipwreck from the perspective of international humanitarian Behzad seify...... 106

Poster Presentation The study of relationship between individual and organizational factors on empowerment (case study: headquarter of police force medicine) Elaheh Jamshidimehr...... 107 Tourism, bariatric surgery, ship travel Amir Khoshvaghti, Abolfazl Khademi, Amir Nezami Asl, Nader Taghavi...... 107 The use six sigma techniques to improve quality of hospital services sydalshhdayzd Batool Rastegari...... 108 Personal Hygiene and its Determinants among Military Forces Mohsen Saffari, Hojat Rshidi Jahan, Hormoz Sanaeinasab...... 108 Biomedical Engineering and Information Technology for Navy Oral Presentation An intelligent instrument design to control anesthesia depth in surgery during long term naval missions: a simulation study Peyman Dehghanpour, Valiallah Saba...... 111 Intelligent three functional pad in mare long period locomotion Esmail Arab, Iraj Ramazani, Behrouz Mikailpour...... 112 A survey on the role of information technology in crisis management in the armed forces Mahshid Kouchaksarai, Niloufar Nekouzad...... 112

J Arch Mil Med. 2015 January; Supplement 1 XI 3rd National and 1st International Congress in Naval Preventive Medicine & Health Table of Contents

Movement imagination-based brain computer interface design for motor-disabled personnel rehabilitation in naval force Seyed Navid Resalat, Valiallah Saba...... 113

Poster Presentation Automatic and intelligent inducer of brain waves for depression prevention in mare long period locomotion Esmail Arab, Iraj Ramazani, Behrouz Mikailpour, Majid Razeghian, Hamed Ramazani...... 114 Telemedicine applications in medicine sea Meysam Nadi, Fatemeh Baniyaghoobi...... 115 Evaluation of the challenges in E-health for iranian navy force Maboud Zaeri Esfahani, Nasrin Salehinia...... 115 A future study about the evaluation of treatment process on surface and subsurface navy personnel against directed energy weapons upon DISC behavioral model on basis of telemedicine Masoud Shahabian, Masoud Zahmatkesh, Mohammad Keshmiri...... 116 Providing health care for marin staff by telemedicine Leila Gholam Hoseini, Bager Sadegian, Fatemeh Narimani...... 116 Evaluation the effect of lactobacillus acidophilus and bifidobacterium breve on antibiotic-associated diarrhea treatment Behrouz Mikailpour, Esmail Arab, Iraj Ramazani...... 117 Armed forces health system presented telemedicine project to improve access to care Nilufar Nekuzad, Mahshid Koochaksaraei...... 118 Survey on hospital information system’s critical success factor in dr shahid mehdi shari-at razavi hospital in fall 1389 Nasim Hashemi, Mehrdad Kermani Hoskoui, Hossein PourTavakoli...... 118 Impact of software multimedia cardiopulmonary resuscitation, respiratory rate and knowledge of nurses Seyed Hadi Vakili, Zahra Haj Amin, Seyed Mohammad Saeid Ghiasi, Abbas Ebadi, Yasir Saeed...... 119 The design and evaluation of multimedia software cardiopulmonary resuscitation, basic and advanced lung in the knowledge and practice of nurses Seyed Hadi Vakili, Zahra Haji Amini, Mohammad Saeid Ghiasi, Abbas Ebadi, Mullah Abbas, Yasser Saeed...... 120 Index for Authors Index for Authors...... 121

XII J Arch Mil Med. 2015 January; Supplement 1 TIME TABLE

3rd National and 1st international Congress for Naval Preventive Medicine Health, Rescue and Clinical Management On the Naval and Submarine Fleets 3rd National and 1st International Congress in Naval Preventive Medicine & Health Time Table

First day Saturday evening 17/1/ 2015- Main Hall Admission and Registration Hour Title Lecturer Position Registration/ Admission/ Lunch/ The admission committee/ Registration/ 10:00-13:30 ― Prayer Reception/ Cultural Exhibition Opening Hour Title Lecturer Position The opening of the exhibition and 13:30-14:30 ― Officials visiting it Conference opening Hour Title Lecturer Position 14:30-14:35 Program announcement ― Announcer 14:35-14:40 Recitation of Holy Quran ― Elocutionist (Qari) Anthem of Islamic Republic of Iran 14:40-14:45 Video First district Imamat Band and videos of Iranian Navy Report of the importance and the The head of Health and Treatment 14:45-15:00 achievements of marine medicine in Dr. Mostafa Maddah Administration of Sea medicine, surface strategic navy and subsurface Research Centre 15:00-15:10 Scientific report Dr. Majid Noori Scientific secretary of the conference Dr. Seyyed Shahram 15:10-15:20 Presentation of executive report Executive secretary of the conference Mirzamani Giving welcome to commander of Flotilla Admiral Dr. 15:20-15:40 Iranian Navy Commandor Iranian Navy Habibollah Sayari Second Brigadier The Commander of Aja’s Health, 15:40-16:00 Special lecturer General Dr. Hossein Treatment, Relief, and Training Lashgari The head of Health, Relief, and Treatment Brigadier General 16:00-16:20 Special lecturer administration of navy and Department of Nasrollah Fathian Health Brigadier General Dr. 16:20-16:50 Special Lecturer Deputy chief of AJA general command Abdorrahim Mousavi 16:50-17:20 Break time/ visiting exhibition ― Reception Committee 17:20-17:45 Night Prayer ― Cultural committee First day Saturday evening January 17, 2015- Main Hall First meeting: Disease surveillance at sea Meeting manager: Dr. Hamid Reza Safaii Meeting members: Dr. Iraj Nabipoor, Dr. Hosein Farhangnazhad, Dr. Hojjatolah Mahdipoor, Dr. Ramin Masumi Hour Title Lecturer Position 17:45-17:50 Program announcement ― Announcer Comparison of the long-term effects of hypobaric condition of pilots versus hyperbaric condition of 17:50-18:02 divers on blood flow velocity of middle cerebral, AJA University of Medical Dr. Banafshe Dormanesh basilar and carotid arteries using transcranial Sciences Doppler and Duplex ultrasonography

2 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Time Table in Naval Preventive Medicine & Health

Prevention of sudden cardiac death in scuba divers AJA University of Medical 18:02-18:14 with Inherited cardiac arrhythmia syndromes Dr. Ahmad Ebadi Sciences Hyperbaric Oxygen Should be considered in AJA University of Medical 18:14-18:26 Dr. Amir Khoshvaghti Thermal Burns Sciences Marine and submarine Dr. Mohmmad Reza 18:26-18:38 The effect of Hyperbaric oxygen on sports injuries Medicine Research Centre Naghavi / center Marine and submarine Examination of Metabolic Syndrome in 18:38-18:40 Dr. Mohsen Moradinia Medicine Research Centre / commanders of one of the military units south navy fleet Marine and submarine A review of the most common diving diseases in Dr. Seyyed Mahdi Zia 18:40-18:52 Medicine Research Centre / deep sea Ziabari north navy fleet Marine and submarine Examining the attitude of retired armed forces to 18:40-18:52 Dr. Fereshteh Pirooz Medicine Research Centre the way of getting aging care / center 18:52-19:05 Questions and Answers Meeting members Scientific committee 19:05-19:30 visitingExhibition ― Exhibition committee Second day Sunday Morning, January 18, 2015 Admission Hour Title Lecturer Position 7:30-8:00 Admission ― Admission committee Second meeting: Infectious diseases at sea Meeting manager: Dr. Majid Noori Meeting members: Dr. Katayoon Vahdat, Dr. Ramin Hamidi Farahani, Dr. mohammad Darvishi Hour Title Lecturer Position 8:00-8:05 Recitation of Holy Quran ― Elocutionist (Qari) 8:05-8:10 Program announcement ― Announcer Examining the amount of incidence and prevalence of skin fungal diseases, scabies, and impetigo in Marine and submarine 8:10-8:22 under training soldiers of navy martyrs conscript Dr. Majid Noori Medicine Research Centre training center / center Examining preventive techniques against antibiotic Dr. Ramin Hamidi AJA University of Medical 8:22-8:34 resistance in Navy soldiers Farahani Sciences The value of thermoscanners in diagnosis of viral AJA University of Medical 8:34-8:46 diseases in arrivals to ports and international Dr. Mohammad Darvishi Sciences airports The importance of dengue fever disease and the Marine and submarine Dr. Mostafa Ghafoori 8:46-8:58 risk of its transmission to the south-east areas of Medicine Research Centre / Moghadam the country by floating units staff (vessels) South Navy fleet An Overview at key factors of CBRN defense 8:58-9:10 Dr. Sasan Pourjafari ETKA Research Center scenarios with looking to I.R.I Navy Mission Evaluation the effect of Lactobacillus acidophilus Marine and submarine 9:10-9:22 and Bifidobacterium breve on antibiotic-associated Medicine Research Centre / Dr. Esmail Arab diarrhea treatment North Navy

J Arch Mil Med. 2015 January; Supplement 1 3 3rd National and 1st International Congress in Naval Preventive Medicine & Health Time Table

9:22-9:35 Question and answer Meeting members Scientific committee 9:35-10:00 Break time/ visiting exhibition ― Reception committee Second day, Sunday morning January 18, 2015, Main Hall Third meeting: The Environment Hygiene at sea Meeting manager: Dr. Hosein Masoom Beigi Meeting members: Mahdi Bagheri, Dr. Gholam Hosein Poor Taghi, Ramin Khaghani Hour Title Lecturer Position 10:00-10:05 Program announcement ― Announcer

Health Institute of Tehran Lesson learned from Fukushima Dai-ichi nuclear Academic center for plant disaster: water pollution as the most health Dr. Katayoon Jahangiri 10:05-10:17 education, culture, and threatening factor research (ACECR) Study of environmental health status of food Dr. Hosein Masoom Baqiatallah University of 10:17-10:29 storages and fridges of NAJA in 2012 Beigi Medical Sciences performance evaluation of individual cane-survive 10:29-10:41 in order to provide water in war and military Rahim Keshavarz 1st Marine Corps District operation situation Water disinfection in critical situation with a new method, introducing the performic Asid as a new Jondishapur University of 10:41-10:53 disinfectant for fighting against existing pathogen Mehdi Vosughi Nayeri Medical Sciences cause in water Synthesis of magnetic multi walled carbon Aja University of Medical 10:53-11:05 nano tubes and adsorption isotherm and Kinetic Ramin Khaghni Sciences modeling of carbamate poisons group Impact of dust storms on enhancement of 11:05-11:17 Mehran Khaefi Ministry of Health bioaerosols at inhalable air of ships 11:17-11:30 Question and answer Meeting members Scientific committee 11:30-12:00 Prayer ― Cultural committee 12:00-13:45 Lunch and visiting exhibition ― Exhibition committee Second day Sunday evening, January 18, 2015-Mian Hall Admission Hour Title Lecturer Position 13:45-14:00 Admission ― Admission committee Fourth meeting: Mental Health at sea Meeting manager: Dr. Parviz Dabaghi Meeting members: Dr. Anushirvan Azizi, Dr. Maghsood Poor Rahimi Hour Title Lecturer Position 14:00-14:05 Program announcement ― Announcer Religious techniques against stress in marine Hojatoleslam Farhad 14:05-14:17 Qom seminary missions Hasanzade

4 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Time Table in Naval Preventive Medicine & Health

The effect of regulator dimmers proportionate with intensity sunlight cycle arise- sunset of dim rate Marine and submarine 14:17-14:29 by circadian cycle on anxiety and depression and Medicine Research Centre Dr. Majid Hazrati plasma melatonin hormone among employees in / center submarine Personality traits underlying suicidal behavior in Dr. Abdollah Imam Hosein 14:29-14:41 military youth Soltaninejhad Comprehensive University Necessity to the family adjustment educational Dr. Maryam Amidi Isfahan University of 14:41-14:35 package specific to Islamic Republic Army Navy Mazaheri Medical Sciences Comparison of components of Marital Satisfaction 14:53-15:05 in families of naval officers in the Army, towns, Dr. Eghbal Zarei Hormozgan University city of Bandar Abbas Relationship of Post traumatic stress disorder Marine and submarine 15:05-15:17 (PTSD) and obesity, diabetes Mellitus and Dr. Nooshin Bahrami Medicine Research Centre metabolic syndrome / center Brainwaves smart and automatic inductor for Marine and submarine 15:05-15:17 prevention of depression in long-term naval Dr. Behruz Mikail Poor Medicine Research Centre / missions North navy 15:17-15:35 Question and answer Meeting members Scientific committee 15:35-16:00 Break time / visiting exhibition ― Reception committee Second day Sunday evening, January 18, 2015-Main Hall Fifth meeting: Dentistry Care at Sea Meeting manager: Dr. Reza Fekr Azad Meeting members: Dr. Bita Ruhani, Dr. Babak Farzaneh Hour Title Lecturer position 16:00-16:05 Program announcement ― Announcer The Evaluation of Oral and Maxillofacial Diseases Marine and submarine Dr. Amir Hosein 16:05-16:17 Prevalence in Navy Divers Army of the Islamic Medicine Research Centre/ Najafpour Republic of Iran center Marine and submarine Prevalence of Oral and Maxillofacial Diseases in 16:17-16:29 Dr. Amir Abbas Sameti Medicine Research Centre the Iran submarine Force and controls / center Oral Health Profile in Iranian Armed Force: Aja University of Medical 16:29-16:41 Dr. Laleh Khalil Azar Focusing on Navy and Submarine Sciences Marine and submarine 16:53-17:05 Crown Cementing Strategy for Naval Divers Dr. Babak Farzaneh Medicine Research Centre / center Marine and submarine New Techniques in Reconstruction of Maxillofacial 17:05-17:17 Dr. Farzad Fazilat Medicine Research Centre Defects / center 17;17-17:30 Question and answer Meeting members Scientific committee 17:30-18:00 Prayer ― Cultural committee 18:00-19:00 Visiting Exhibition ― Committee of proceedings

J Arch Mil Med. 2015 January; Supplement 1 5 3rd National and 1st International Congress in Naval Preventive Medicine & Health Time Table

Third day Monday morning, January 19, 2015- Min Hall Hour Title Lecturer Position 7:30-8:00 Admission ― Admission committee

Sixth meeting: Biology and the Marine Environment Meeting manager: Dr. Arya Ashja Ardalan Meeting members: Dr. Iraj Nabi Poor, Dr. Homayun Hosin Zadeh, Dr. Neda Soltani

Hour Title Lecturer Position 8:00-8:05 Recitation of Holy Quran ― Elocutionist (Qari) 8:05-8:10 Program announcement ― Announcer Clinical aspects and pitfalls of treatment in envenomation with blackfin stonefish Bushehr Institute of Medical 8:10-8:22 Dr. Iraj Nabipoor (Pseudosynanceia melanostigma) from the Persian Biotchnology Gulf The evaluation of extracted polysaccharide from 8:22-8:34 Islamic Azad University of Nostoc. sp on endothelial cell line (HUVEC) for Dr. Mahruz Dezfulian Karaj repair of capillary in vitro Identification hazardous agents affect divers’ health Shahid Beheshti Faculty of 8:34-8:46 Ladan Baftehchi and presenting safety solutions against them Applied Science ACECR Feasibility of biofuel production potential of local Shahid Beheshti Institute of 8:46-8:58 Sasan Ghobadian microalgae for use in naval fleet Applied Science ACECR Improve the performance and emissions of marine Marine and submarine 8:58-9:10 diesel engine employing the change of fuel Reza Zirak Medicine Research Centre/ injection rate shaping mechanism, using biodiesel North Fleet Microalgae as biosources for food supplement Shahid Beheshti Institute of 9:10-9:22 Dr. Neda Soltani production Applied Science ACECR 9:22-9:35 Question and answer Committee members Scientific committee 9:35-10:00 Break time/ visiting exhibition ― Reception committee Third day Monday morning, January 19, 2015-Main Hall Seventh meeting: Rescue and Relief in Maritime Crises Meeting manager: Dr. Seyyed Ali Musavi Jazayeri Meting members: Ali Sadri, Dr. Kajayun Jahangiri, Dr. ramin Masumi Hour Title Lecturer Position 10:00-10:05 Program annoucement ― Announcer

Necessary Principles and considerations in of a NADSA Sea Medicine 10:05-10:17 Dr. Ali Musavi Jazayeri hospital migration research center Presenting scenario-based planning model for Aja Medical University of 10:17-10:29 managing disasters resulting from Bioterrorism in Simintaj Sharifi Manesh Sciences cruisers The application of unmanned aerial vehicles Marine and submarine 10:29-10:41 (UAVs) for safe evacuation of the wounded during Ali Karimi Medicine Research Centre war and crises / center

6 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Time Table in Naval Preventive Medicine & Health

Design and build your first aid bag Individual Dr. Manoochehr Aja University of Medical 10:41-10:53 Medley infantry forces combat zones Hashemzadeh Sciences Marine and submarine Zahra Sadat Musavi 10:53-11:05 Medical emergencies at sea Medicine Research Centre Sani / center Evaluation of the preparation level of the military Ruhollah Ghaed Amini Baqiiatallah University of 11:05-11:17 selected hospitals in dealing with crisis in the year Asad Abadi Medical Sciences 2014 11:17-11:30 Question and answer Meeting members Scientific Committee 11:30-12:00 Prayer ― Cultural Committee 12:00-13:45 Lunch and visiting exhibition ― Exhibition committee Third day Monday Evening, January 19, 2015 Admission Hour Title Lecturer Position 13:45-14:00 Admission/visiting exhibition ― Admission committee Eighth meeting: Nutrition and Food Safety at Sea Meeting manager: Dr. Majd Haji Faraji Meeting members: Dr. Hamid Reza tavakoli, Dr. Reza Amani, Dr. Arasb Dabagh Moghadam Hour Title Lecturer Position 14:00-14:05 Program announcement Announcr Diet assessment of regular, training and operational Arezoo Haghighian Institute of Nutrition and 14:05-14:17 groups and designing a standard diet for navy Rudsari Food sciences of Iran personnel in 2014 A Survey of Antibiotic Residues in Chicken Meat Dr. Arasb Dabagh Aja University of Medical 14:17-14:29 and Table Eggs Consumed in Islamic Republic of Moghaddam Sciences Iran Army Environmental factors effects on bacteriological Dr. Hamid Reza Baqiattallah University of 14:29-14:41 quality of red and chicken meat stored in fridges in Tavakoli Medical Sciences one of military force Effect of probiotic supplementation on lipid profile Dr. Karim Parustooi, Dr. Baqiattallah University of 14:41-14:53 in millitary patients with non-alcoholic fatty liver Sepide Abbaszade Medical Sciences disease Association of Gut Microbiota Composition and Aja University of Medical 14:53-15:05 Dr. Shahrokh Irvani Obesity among Navy soldiers Sciences Knowledge, beliefs and behavior patterns of food consumption among Military medical students of Dr. Hosein Dini Aja University of Medical 15:05-15:17 a nation’s school: the application of health belief Tlatapeh Sciences model (HBM) The role of dietary supplement in c oxidative stress Baqiattallah University of 15:05-15:17 control and introducing Consumption Model among Dr. Mohammad Samadi Medical Sciences naval staff 15:17-15:35 Question and answer Meeting members Scientific committee 15:35-16:00 Break time and visiting exhibition ― Reception committee

J Arch Mil Med. 2015 January; Supplement 1 7 3rd National and 1st International Congress in Naval Preventive Medicine & Health Time Table

Fourth day Tuesday Morning January20, 2015_Main Hall Ninth meeting: Professional Health and Occupational Medicine at sea Meeting manager: Dr. Khosro Sadegh Niiat Meeting members: Dr. Mohsen Moradi Nia, Dr. gholam Hosein Poor Taghi, Dr. Hadi Eshaghi Hour Title Lecturer Position 16:00-16:05 Program announcement ― Announcer Marine and submarine Assessing the respiratoty status of one of the 16:05-16:17 Dr. Mohsen Moradinia Medicine Research Centre / marine subsurface units staff South Fleet Dr. Gholam Hosein Poor Baqiattallah University of 16:17-16:29 Ergonomic problems in small small floating marine Taghi Medical Sciences Asthma and allergic diseases in Navy army Bushehr University of 16:29-16:41 Dr. Shkrollah Farrokhi personnel: prevalence and risk factors Medical Sciences A review of health, safety, and the environment conditions of navy strategic plants and the Marine and submarine implementation of management system 16:53-17:05 Ali Asghar Nik Ravesh Medicine Research Centre OHSAS18001 in the organization in order to / center promote occupational safety and to reduce accidents A report of cases poisoned with Aluminum Hormozgan University of 17:05-17:17 Dr. Mehdi Lale Zari phosphide Medical Sciences The prevention of accidents in surface and 17:05-17:17 subsurface vessels by the help of recording and Yusef dashti NeZhad Imam Khomini Port office assessing near miss semi-accident 17:17-17:30 Question and answer Meeting members Scientific committee 17:30-18:00 Prayer ― Cultural committee 18:00-19:00 Visiting Exhibition ― Reception committee Fourth day Tuesday Morning January 21, 2015-Mian Hall Admission Hour Title Lecturer Position 7:30-8:00 Admission Admission committee Tenth meeting: Human Resources Management at Sea Meeting manager: Dr. Alireza Khoshdel Meeting members: Dr. Maryam Amidi Mazaheri, Dr. Ahmad Amerion Hour Title Lecturer Position 8:00-8:05 Recitation of Holy Quran Qari 8:05-8:10 Program announcement Announcer Health related quality of life among military Baqiattallah University of 8:10-8:22 personnel: what socio-demographic factors are Dr. Mohsen safari Medical Sciences important? Examining the effectiveness of intensive training Marine and submarine 8:22-8:34 intervention on controlling the emotions of the 2nd Zoherh Manuchehri Medicine Research Centre / restrict navy commanders and officers south fleet

8 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Time Table in Naval Preventive Medicine & Health

Examining the effect of education on awareness Marine and submarine 8:34-8:46 improvement of soldiers of Sirjan Martyr Dr. Yusef Eftekharjoo Medicine Research Centre Conscripts Training Center / center To clarify the relation between physical fitness factors and subcutaneous fat and to compare measuring methods of fat percentage and also to Imam Khomini Marine 8:46-8:58 Reza Ahmadvand propose fat measuring method of the personnel of Sciences of Noshahr Imam Khomini Maritime Sciences University of Noshahr Protection of the wounded, sick and Shipwreck Imam Khomini Marine 8:58-9:10 Behzad Seify from the perspective of international humanitarian Sciences of Noshahr The effect of education on mangers’ awareness Baqiiattalah University of 9:10-9:22 and attitudes about managing duties of a Military Dr. Ahmad Amerion Medical Sciences Center of Iran 9:22-9:35 Question and answer Meting members Scientific committee 9:35-10:00 Break time/visiting exhibition Reception committee Fourth day Tuesday Morning, January 20, 2015 Eleventh meeting: Management of Information Technology and Biomedical Engineering at Sea Meeting manager: Farhad Ramezani Meeting Members: Dr. Valiollah Saba, Mahshid Kuchaksaraii, Dr. Mohammad Reza Naghavi, Mohmmad Nobakht Hour Title Lecturer Position 10:00-10:05 Program announcement ― Announcer An Intelligent Instrument Design to Control Aja University of Medical 10:05-10:15 Anesthesia Depth in Surgery During Long Term Dr. Valiollah Saba Sciences Naval Missions: A Simulation Study Marine and submarine Intelligent three functional pad in mare long period 10:15-10:25 Dr. Behruz Mikaiilpoor Medicine Research Centre / locomotion North fleet Marine and submarine A survey on the role of information technology in 10:25-10:35 Mahshid Kuchaksaraii Medicine Research Centre crisis management in the armed forces / center 10:35-10:45 Portable Military Medicine system Khalil Torkan Isfahan Optic Industry Diagnosis and differentiation of in ship people’s cardiac arrhythmias by using least ECGI signal and Javad Kamran Zade 10:45-10:55 Rasht, Poor Sina Hospital the approach of remote medicine and electronic Fumani health Movement Imagination-Based Brain Computer Aja University of Medical 10:45-10:55 Interface Design for Motor-Disabled Personnel Dr. Valiollah Saba Sciences Rehabilitation in Naval Force 10:55-11:15 question and answer Meeting members Scientific committee Scientific Secretary of the 11:15-11:30 Collecting and reciting the conference statement Dr. Majid Noori Conference 11:30-12 Prayer/visiting exhibition Cultural committee

12:00-13:45 Lunch and certificate

J Arch Mil Med. 2015 January; Supplement 1 9 WORKSHOPS

3rd National and 1st international Congress for Naval Preventive Medicine Health, Rescue and Clinical Management On the Naval and Submarine Fleets 3rd National and 1st International Congress Workshops in Naval Preventive Medicine & Health

Sunday Morning January 18, 2015- Hall of Sessions Dr. Ali Mosadegh, Scientific Secretary of the workshop Title lecturer Hour Admission 7:00-8:15 First session: Definitions, Epidemiology, and diagnosis of Metabolic Syndrome Session manager: Dr. Ali Mosaegh khah Session members: Dr. Iraj Nabi Poor, Dr. Masumeh Kheyrandish, Dr. Zahra Mohtasham Amiri Number Title Lecturer Hour 1 Definitions and epidemiology in Military forces Dr. Ali Mosadegh khah 8:15-8:35 2 Diagnosis of Metabolic Syndrome Dr. Iraj Nabi Poor 8:35-8:55 Problems resulting from metabolic syndrome among naval 3 Dr. Zahra Mohtasham Amiri 8:55-9:15 forces 4 The role of nutrition in metabolic Syndrome creation Dr. Reza Amani 9:15-9:35 5 Group discussion 9:35-10:00 6 Break time 10:00-10:05 Second Session: Prevention and treatment of metabolic syndrome Session manager: Dr. Zahra Mohtasham Amiri Session members: Dr. Ali Mosadegh Khah, Dr. Akbar Nik Pazhuh, Dr. Reza Amani, Dr. Kheyrandish 7 Overweight and obesity Dr. ali Mosaegh Khah 10:15-10:35 8 Prevention of metabolic syndrome Dr. Akbar Nik Pazhooh 10:35-10:55 9 Metabolic syndrome treatment Dr. Masumeh Kheyrandish 10:55-11:15 10 Final discussion and symposium 11:15-12:30 12 Prayer 11:30-12:30 13 Lunch/ visiting exhibition 12:30-14 Sunday evening, January 18, 2015- session Hall Scientific secretary of the workshop Number Title Lecturer Hour Admission 13:30-14:00 First session: Principles of healthy lifestyle Session manager: Dr. Zahra Mohtasham Amiri Session members: Dr. Iraj Nabi Poor, Dr. Akbar Nik pazhuh, Dr. Reza Amani, Dr. Ali Davoodi Kiaklaye Number Title Lecturer Hour 1 Principles of healthy living in navy Dr. Ali Davoodi Kiakolaye 14:00-14:20 2 Smoking among military forces Dr. Zahra Mohtashm Amiri 14:20-14:40 3 Appropriate physical activity in navy Dr. Akbar Nik PaZhuh 14:40-15:00 4 Healthy nutrition role in navy Dr. Reza Amani 15:00-15:20 5 Group discussion 15:20-15:30 6 Break time 15:30-16:00

J Arch Mil Med. 2015 January; Supplement 1 11 3rd National and 1st International Congress in Naval Preventive Medicine & Health Workshops

Second session: Prevention of illness and noncombat injuries Session manager: Dr. Iraj Nabi Poor Session members: Dr. Zahra mohtasham Amiri, Dr. Homayun Vahdat, Dr. Reza Amani, Dr. Ali Davoodi Kiakolaye 7 Trauma and accidents in Navy Dr. Ali Davoodi Kiakolaye 16:00-16:20 8 Navy Common endocrine disorder Dr. Iraj Nabi Poor 16:20-16:40 9 Prevention of infectious diseases in the navy Dr. Homayun Vahdat 16:40-17:00 10 Group discussion 17:00-17:20 11 Final discussion and symposium/ certificate 17:20-17:45 12 Prayer 17:45-18:30 13 Dinner 18:30-20:00 Monday morning January 19, 2015- Session Hall Workshop Scientific Secretary: Dr. Reza Fekr Azad Number Title Lecturer Hour Admission 7:00-8:15 First session: Physical principles of lasers in sea medicine Session manager: Dr. Reza Fekr Azadi Session Members: Dr. Abbas Majd Abadi Number Title Lecturer Hour 1 Applied physic of laser in medicine Dr. Abbas Majd Abadi 8:15-8:45 2 Group discussion 8:45-9:00 3 Interaction of laser with body tissues Dr. Abbas Majd Abadi 9:00-9:30 4 Group discussion 9:30-9:45 5 Break time 9:45-10:00 Second session: Clinical applications of Laser in sea medicine Session manager: Dr. Abbas Majd Abadi Session members: Dr. Reza Fekr Azad Diagnostic applications and laser surgery in maritime combat 7 Dr. Reza Fekr Azad 10:00-10:30 injuries 8 Group discussion ― 10:30-10:45 Low-power lasers role in diseases control and marine and 9 Dr. Reza Fekr Azad 10:45-11:15 subsurface trauma 10 Group discussion ― 11:15-11:30 11 Final discussion and symposium/ certificate ― 11:30-11:45 12 Prayer ― 11:45-12:30 13 Lunch/visiting exhibition ― 12:30-14:00 Monday Evening January 19, 2015-Session Hall Workshop Scientific Secretary: Dr. Mahmud Sorush Najaf Abadi Number Title Lecturer Hour Admission 13:30-14:00

12 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Workshops in Naval Preventive Medicine & Health

First Session: International Health Regulations Session Manager: Dr. Mahmud Sorush Session members: Dr. Peyman Hemmati, Dr. Mohammad Nasr Dadras, Dr. Farshid Rezaei Number Title Lecturer Hour Considering International Health Regulations with an emphasis 1 Dr. Mahmud Sorush 14:00-14:30 on maritime issues 2 Group discussion ― 14:30-14:45 3 Introducing various parts of vessels for sanitation inspection Dr. Peyman Hemmati 14:45-15:15 4 Group discussion ― 15:15-15:30 6 Break time ― 15:30-16:00 Second Session: Enforcement of international regulations in vessels Session Manger: Dr. Mahmaud Sorush Session Members: Dr. Peyman Hemmati, Dr. Mohammad Nasr Dadras, Dr. Farshid Rezaaei 7 Application of control tools and vessels inspection Dr. Peyman Hemmati 16:00-16:30 Introducing and applying the syndromic surveillance system 8 Dr. Mohammad Nasr Dadras 16:30-16:45 for communicable diseases The principles of infection control and communicable diseases 9 Dr. Farshid Rezaaei 16:45-17:15 prevention in vessels 10 Playing video of a vessel practical inspection Dr. Peyman Hemmati 17:15-17:30 11 Final discussion and symposium/ certificate 17:30-17:45 12 Prayer 17:45-18:30 13 Visiting Exhibition 18:30-20:00 Thuesday Morning January 20, 2015- on Carrier Ship Workshop Scientific Secretary: Dr. Mohsen Moradi Nia Number Title Lecturer Hour Admission 7:00-8:15 First Session: Rescue and relief and transmission chain of the injured at sea Session Manager: Captain Dr. Mohsen Moradi (Occupational Medicine and Occupational Diseases physicians) Session members: Captain Dr. Ramin Masumi (diving physician) Number Title Lecturer Hour 1 The role of armed forces infirmaries in maritime crises Dr. Mohsen Moradi Nia 8:45-9:00 2 Group discussion 9:00-9:30 Rescue, relief, and transmission chain of the injured and 3 Dr. Mohsen Moradi Nia 9:30-9:45 patients at sea 4 Group discussion 9:45-10:00 6 Break time 10:00-10:15 Second Session: Rescue, Relief, and Transmission of the injured and patients at sea Session Manager: Second Flotilla Admiral Reza Abbasi Session Members: Captain Arya Hasani Injured rescue operation from sea and their transmission to the Second Flotilla Admiral 7 10:00-11:30 carrier ship health center by helicopter Reza Abbasi

J Arch Mil Med. 2015 January; Supplement 1 13 3rd National and 1st International Congress in Naval Preventive Medicine & Health Workshops

8 Group discussion/ certificate 11:30-11:45 10 Prayer 11:45-12:30 11 lunch 12:30-14:00

Tuesday Morning January 20, 2015- Session Hall Workshop Scientific Secretary: Second Flotilla Admiral Dr. Hosein Khanzadi Number Title Lecturer Hour Admission 7:00-8:15 First session: Geopolitics of the Indian Ocean Session Manager: Second Flotilla Admiral Dr. Hosein Khanzadi Session Members: Dr. Gholamreza Tahani, Dr. Parviz Salimi panah, Dr. Mohammad Reza Azizi, Majid Bizmark Number Title Lecturer Hour Highlighting the importance of Indian Ocean in global 1 Dr. Parviz Salimi Panah 8:15-8:45 economy and security 2 Group discussion 8:45-9:00 The importance of maritime power and navy strategic in 3 DR Gholamreza Tahani 9:00-9:30 providing interests and maritime security 4 Group discussion 9:30-9:45 6 Break time 9:45-10:00 Second session: Maritime Security Session Manager: Second Flotilla Admiral Dr. Hosein Khanzadi Session Members: Dr. Gholamreza Tahani, Dr. Parviz Salimi Panah, Dr. Mohammad Reza Azizi, Majid Bizmark 7 Maritime security dimensions with emphasis on Indian Ocean Majid Bizmark 10:00-10:30 8 Group discussion 10:30-10:45 9 Piracy and the role of strategic navy in fighting against it Dr. Mohammad Reza Azizi 10:45-11:15 10 Group discussion 11:15-11:30 11 Final discussion, symposium/ certificate 11:30-11:45 12 Prayer 11:45-12:30 13 Lunch 12:30-14:00

14 J Arch Mil Med. 2015 January; Supplement 1 ABSTRACTS

Disease surveillance and risk assessment in marine medicine ORAL PRESENTATIONS

O1-1 TCD findings between these two groups showed that resistance index was significantly higher in Comparison of the long-term effects divers [0.57 (SD=0.03) vs. 0.52 (SD=0.06), P=0.008]. A of hypobaric condition of pilots significant inverse correlation was also found between total working index of the pilots and end-diastolic versus hyperbaric condition of divers (R= -0.480, P=0.014) and mean velocities (R= -0.433, on blood flow velocity of middle P=0.026) of right MCR even after eliminating the confounding effect of age. Additionally, a significant cerebral, basilar and carotid arteries direct correlation was observed between working using transcranial doppler and duplex history of divers and IMT of right internal carotid ultrasonography artery (R= +0.402, P=0.044). Conclusion: For the first time, some considerable Banafsheh Dormanesh, Seyed-Mohammad associations were shown in regard to the long-term Fereshtehnejad*, Mohammad Reza Motamed, effects of hypobaric condition of pilots and hyperbaric Pourang Basir, Seyed-Mohammad Hossein condition of divers on blood flow velocity of middle Mahmoudi, Masoud Mehrpour cerebral and carotid arteries using transcranial Doppler *MD, Aja University of Medical Sciences and Duplex ultrasonography in our study. Although considering the hypobaric and hyperbaric conditions Introduction: Nowadays, cerebrovascular events of pilots and divers as potential occupational risk including stroke are one the most common causes of factors for altering blood flow velocities of cerebral mortality and morbidity worldwide. Thereafter, more arteries needs to be more assessed by further large attentions are paid to the potential risk factors of such sample size studies, however, it seems that both events. Meanwhile, some environmental conditions hypobaric and hyperbaric conditions may affect that could affect blood flow velocities of brain arteries cerebral hemodynamic which could lead to ischemic are considered as possible occupational risk factors. events in brain parenchyma. Therefore, this study was aimed to compare the Keywords: Cerebrovascular events, Pilot, Diver, Blood long-term effects of hypobaric condition of pilots flow velocity, Transcranial Doppler ultrasonography, versus hyperbaric condition of divers as two possible Duplex ultrasonography occupational risk factors on blood flow velocity of middle cerebral, basilar and carotid arteries using O1-2 transcranial Doppler and Duplex ultrasonography. Methods & Materials: This historical cohort study Prevention of sudden cardiac death was performed in Firoozgar Hospital, Tehran, Iran in scuba divers with inherited cardiac between March 2009 and June 2010. A final number of 15 pilots and 16 divers were snow-bally selected arrhythmia syndromes and referred to the Neurologic Laboratory of Ahmad Ebadi¹*, Reza Eslami, Mahmood Firoozgar Hospital. Afterward, Transcranial Doppler Momenzadeh ultrasonography was performed to evaluate blood flow velocity of middle cerebral (MCA) and basilar 1* AJA University of medical science.Faculty of Aerospace & diving medicine, Aerospace & diving medicine specialist arteries and Duplex ultrasonography was also used to assess flow velocity and intima media thickness Introduction: Inherited cardiac arrhythmias include (IMT) of carotid arteries. Moreover, baseline and the congenital and acquired long QT syndrome laboratory variables and occupational indexes were (LQTS), the Brugada syndrome, progressive cardiac also recorded for each individual. Finally, data were conduction defect (Lenegre disease), catecholaminergic analyzed by SPSS software using Mann-Whitney U-test, polymorphic ventricular tachycardia, arrhythmogenic Chi, Fisher’s Exact, Kendall’s Tau Correlation, Partial right ventricular cardiomyopathy, familial atrial Correlation, ANCOVA and Linear Regression Model. fibrillation, the familial sick sinus syndrome and Results: All 31 enrolled cases were male with the the short QT syndrome. Although this syndroms mean age of 42.94 (SD=11.16) yr and the mean working are relatively uncommon in the general population history of 21.00 (SD=12.53) yr. Comparison of the and most cardiology practices, these conditions have

16 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Oral Presentations in Naval Preventive Medicine & Health nevertheless been associated with an increased risk for Introduction: Thermal burn as an emergency is still sudden death during scuba diving and account for a a major problem with much morbidity and mortality substantial proportion of the unexpected and usually plus local and systemic consequences. Its financial arrhythmogenic fatal events during adolescence and cost on health systems remains high. Hyperbaric young adulthood. oxygen therapy (HBOT) is considered when the Methods: In this study has evaluated the books, the patient is prescribed 100% oxygen at pressures magazines, the articles and reliable websites related to greater than atmospheric pressure. HBOT has many sudden cardiac death in scuba divers with inherited medical indications. It also helps surgeons in diverse cardiac arrhythmia syndromes between 2004-2014. situations, especially burns. Results: Exercise-related and adrenergic-type activities Methods: Systematic review of pubmed articles or stress conveys a risk for cardiac events, specific between years 2000-2013. to certain disease states. For example, in LQTS, Results: HBOT was used by Ikeda and Wada in the swimming, abrupt loud noises (such as from a race treatment of thermal burns for the first time (1965). starter’s pistol), and diving have been implicated as HBOT was studied by Gruber on rats in 1970. He triggers for sudden death, particularly with certain suggested its direct effect on pathophysiology of the mutant genes (ie, KCNQ1 [or LQT1] for swimming and burns. Cianci et al (1990) found hyperbaric oxygen- KCNH2/HERG [or LQT2] for auditory triggers).Indeed treated group had 14.8 days decrease in length of inherited cardiac arrhythmia syndromes suddenly stay, 39% reduction of surgeries, and $31,600 saving incur bodily injury or impairment of consciousness per case. Villanueva et al found only two randomized and incapacitation, eg, in recreational sports such as controlled trials for their systematic review (2004). scuba diving that generally unacceptable by virtue of They didn’t find sufficient evidence for supporting their exposure of patients with these syndroms that or refusing HBOT in managing thermal burns but are in the risk of underwater drowning and reduced declared there was insufficient resource to provide probability of rescue. clear guidelines for practice. Discussion&Conclusion: Early detection is dependent Discussion & Conclusion: Mechanisms and effects to familial history, electrocardiographic characteristics of treatment by hyperbaric oxygen in burns are as and optimal management based on genotype–phenotype following: Hyperoxia, pre-capillary vasoconstriction, correlation that consist of genotype-specific triggers dermal ischemia prevention, plasma exudation for cardiac events, usefulness of provocative testing reduction, cellular metabolism preserving, tissue and genotype-specific clinical course. Authors of this oxygenation enhancement, edema reduction and research for prevention of sudden cardiac death in decrease of fluid loss, better resuscitation & recovery, inherited cardiac arrhythmia syndromes advise to healing promotion. In general, HBOT shows early detection, medications and recommendations decreasing in: mortality, length of hospital stay, for physical activity in recreational scuba diving and number of surgeries, and cost of care. Subsequent categorization with regard to the high, moderate, and studies demonstrated hyperbaric oxygen (as an low levels of physical intensity required. adjunct treatment in burn care significantly improves Keywords: sudden cardiac death, scuba diving, morbidity and mortality, reduces length of hospital Inherited cardiac arrhythmia syndromes stay, and lessens the need for surgery. It has been recommended to do HBOT by trained O1-3 hands in critical care setting. Appropriate monitoring precautions, careful patient selection and screening Hyperbaric oxygen should be must be considered for successful cost-effective considered in thermal burns outcomes. Keywords: Hyperbaric oxygen therapy, Thermal Amir Khoshvaghti*, Hosein Ghazizade, Omid burn, Effectiveness. Ghatre Samani, Nader Taghavi, Amir Nezami Asl, Abolfazl Khademi *Aerospace and Subaquatic Medicine School, AJA University of Medical Sciences, Tehran, Iran.

J Arch Mil Med. 2015 January; Supplement 1 17 POSTER PRESENTATIONS

P1-1 P1-2 Relationship of decompression Dose hyperbaric oxygen kills breast sickness and anthropometric variables cancer cells? in diving medicine Amir Khoshvaghti*, Abolfazl Khademi, Amir Amir Khoshvaghti*, Hamze Shah Ali, Reza Nezami Asl, Reza Eslami, Ahmad Ebadi, Toroghi, Shahram Ghayumi, Said Ehteshami, Mahmood Momenzade Akbar Haji Ghasemaliyan *Aerospace and Subaquatic Medicine School, AJA University of Medical Sciences, Tehran, Iran. *Aerospace and Subaquatic Medicine School, AJA University of Medical Sciences, Tehran, Iran. Introduction: Everyone knows that oxygen is necessary for major processes of a living cell. This Introduction: In diving medicine, when ambient comes true about malignant cells. 100% oxygen is pressure drops significantly, there would be administered at higher atmospheric pressure in production of inert gas bubbles. These bubbles produce hyperbaric oxygen therapy (HBO). In this way, symptoms which as a whole are called a syndrome: oxygen dissolves more and more in plasma tissue Decompression sickness (DCS). DCS is one of the delivery enhances. The question is: What is the fate major problems in diving medicine. Studies done on of cancer cells with HBO? Do they proliferate easier other problems have come to conclusion of relation than normal? Does cancer growth increases? between the problem and anthropometric variables. Methods: This review research has been performed The aim is to check if there is any relationship between for updating necessary information about HBO, the problem and anthropometric variables and DCS. especially interesting effects on breast cancer cells. Methods: Analysis of results of published articles Results: HBO is considered to be safe. Rare in Pubmed. complications have been reported. It has standard Results: Jauchem concluded exercise may influence treatment protocols. Many disorders are treated with effects on DCS incidence. Webb et al studied relation HBO nowadays. Approved indications have been between centrifuge G tolerances and anthropometric declared by The Undersea and Hyperbaric Medical variables. They showed direct correlation with weight Society. The studies imply that breast cancer cells but inverse correlation with height. Webb et al (2003) respond differently with HBO. announced persons of either sex with higher body Discussion & Conclusion: Many animal studies have mass index and lower physical fitness developed DCS been done but human researches have no place in this more frequently. Studies done under supervision of topic till now. It seems that HBO may be effective on USAFSAM have shown that increased body mass breast cancer cells. Further studies should be done index increases the susceptibility to DCS. cautiously and hopefully to find the exact answer. Discussion & Conclusion: DCS and its symptoms Keywords: Breast cancer, Cell, Hyperbaric oxygen, may be seen in diving personnel (1- Military and non- Anti-cancer military divers 2- Volunteered test-subjects during physiological experiments with simulated ascents). P1-3 It is a major problem in divers (especially military) so BMI must be checked regularly. A physical fitness Hyperbaric oxygen; unknown program should be considered as the prevention modality of cancer subtypes treatment discipline. Keywords: Decompression sickness, Diving medicine, in Iran Obesity. Amir Khoshvaghti*, Abolfazl Khademi, Reza Eslami, Ahmad Ebadi, Said Ehteshami, Akbar Haji Ghasemaliyan, Amir Nezami Asl *Aerospace and Subaquatic Medicine School, AJA University of Medical Sciences, Tehran, Iran.

18 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

Introduction: Incidence of cancer is rising in our disease offered. His symptoms among workers in world. Its morbidity and mortality is also increasing. bridge construction, finishes them shift under water Structural and functional abnormalities of tumor and return to the surface, was discovered. These vasculature cause hypoxia within the cancer. symptoms include episodes of dizziness, breathing Hyperbaric oxygen therapy (HBO) may overcome hard and sharp pain in the joints or abdomen. With hypoxia. the increasing development of professional diving, Methods: Systematic review of related articles in scuba critical need for prevention and treatment of pubmed up to 2013. injuries, it appears. Poisoning by gas such as oxygen, Results: Harris (2003) declared cancer cells adapt to carbon monoxide and carbon dioxide, ear and hearing hypoxia and their survival and proliferation takes problems in divers diseases caused by reduced pressure place in this microenvironment. These changes cause and so require sea diving medicine and medicine. tumor progression. HBO is accepted as a therapeutic Due to increasingly deal with the pressure of deep- modality for many disorders in relation to hypoxia. sea divers, and physiological effects of varying the HBO administers 100% oxygen at higher atmospheric pressure damage in diving, is very important pressure. More oxygen is dissolved in plasma and Keywords: diving, treatment, pressure much O2 is delivered to tissues in HBO. HBO is considered safe and complications are rare using P1-5 today’s standard treatment protocols. In addition, HBO has inhibitory effects in certain cancer subtypes. Treatment of metastatic breast cancer HBO may influence the tumor microenvironment in 1, 2 1 these manners: Mohammad Dorchin , leila Pakzad - Changing tumor hypoxia to prevent its stimulation 1 Oncology Department, Dezfol University of Medical effect on angiogenesis, Sciences, Dezfol, Iran 2 - Production of reactive oxygen species by hyperoxia Radiation Oncologist &presenter to induce excessive oxidative stress for destroying Introduction: Metastatic breast cancer is an important tumors. problem in women throughout the world; it is the Discussion & Conclusion: HBO is unknown in leading cause of cancer death of women aged < 50 IRAN. There are few centers for HBO treatment. Every years, therefore, a big number of researches, studies effort must be done to increase the knowledge of and clinical trials about this disease and the best medical society and general population on the effects management of it. and mechanisms of HBO in overall and treatment of Materials & Methods: 20 patients, with certain cancer subtypes in special. It is necessary to found criteria, Docetaxel + Doxorubicine is the corner stone and update HBO centers in the national program of in the treatment of MBC, therefore, new combination cancer control. (TXT + Doxo) 4 cycles then 4 cycles of TXT as single Keywords: Cancer, Treatment, HBO. agent, to evaluate the efficacy and safety of this combination. P1-4 Results: The best management of MBC is done by dividing patients into 2 groups: Effective methods of prevention and 1. Low risk group: which treated by hormonal therapy. treatment of diseases of diving 2. Intermediate-High risk group: which treated by chemotherapy. Khadijeh Khosravi1, Abbas Zarenejad Ashkezari2, Discussions: Abdollah Rezvani Alileh3 - Trastuzumab (Herceptine) monoclonal antibodies is the treatment of choice for patients with MBC 1 Golestan Hospital of I.R. Navy 2 Ph.D. Candidate and Instructor of Imam Khomeini and Her/neu +++. University of Naval Sciences - Surgery and radiotherapy is used in MBC only for 3 Ph.D. Candidate and Instructor of Imam Khomeini palliation. University of Naval Sciences Keywords: Metastatic breast cancer (MBC), High and Introduction: History of diving -related disease in Low risk patients, Herceptine, Taxanes, Hormonal 1878, relates that Paul Bert, what about the Caisson therapy.

J Arch Mil Med. 2015 January; Supplement 1 19 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

P1-6 Discussion: One of reasons that increase the eventuality of illness is blood receiving and Evaluation the relatively and arbitrary phlebotomy. These mentioned actions increase abundance of Rasht maritime the eventuality of some illness, because of directly relations with blood but existence of familiar illness specialties center at year of 2012- and disproportions increases the affront with illness 2014 accordance to personnel health more significantly proper with other factors. Conclusion: The level of diabetes index, existence project hyperlipidemic and blood pressure disproportions Iraj Ramazani1*, Esmail Arab2, Ehsan Alavi3, in gunslinger groups are lower than other groups Behrouz Mikailpour4, Roya Besharati5, Maryam but audition disproportions are significantly more Royghar6 than other groups. Keywords: relatively and arbitrary abundance, 1 MD, Research and crisis committee chief, Valiasr hospital, maritime specialties center personnel, Rasht, Iran 2 MD.Phd, Valiasr Hospital chief, Maral specialty beatification, Rasht, Iran P1-7 3 MD.Phd, Valiasr laboratory chief, Maral specialty beatification, Rasht, Iran Commitment of VGE sonographic 4 DVM, Research committee member, Valiasr Hospital, Rasht, Iran. Young researchers and Elite Club. follow up optimization after diving 5 Valiasr Hospital metron, Maral specialty beatification, Rasht, Iran for better assessment 6 Research committee member, Valiasr Hospital, Rasht, Iran Hamze Shahali1*, Azade A.Farahani2, Amir Nezami Introduction: Military units have important role Asl3, Amir Khoshvaghti4, Abolfazl Khademi5, Alireza in country apologia. Furthermore body and mental Asgari6 health that is according to world health organization 1* Resident, AJA University of Medical Sciences, Aerospace (WHO) are important. In this study the relatively and & Subaquatic Medicine, Tehran, Iran. 2 Resident, Tehran University of Medical Sciences, Medical arbitrary abundance of Rasht maritime specialties Faculty, Department of Pathology, Emam Khomeiny are checked. Hospital, Tehran, Iran. Methods: The type of this study is descriptive- 3 AJA University of Medical Sciences, Aerospace & sectional. All personal of Rasht maritime specialties Subaquatic Medicine, Tehran, Iran. center were checked. In first time these personnel came to Valiasr Hospital for filling the health existence Introduction: Decompression Sickness Was Found project form. In 2th step, the physiological markers on 1850 in Mine Workers & Divers Who Worked by such as blood pressure, length, weight and BMI Then Compressed Air. It Named Dysbarism, Aeroembolism, all blood and urine markers were evaluated. Mental Aeropathy, Bends & DCS/DCI. The Major Problem and audition experiments were evaluated too. Finally During Ascent is About Gas Volume Changes in the health existence form was filling. All data were Body Chambers After Ambient Pressure Changes. imported to SPSS software version 21 for analyzing. Methods: This is a Review Article Based on The Results: In this study 1673 personnel were corporate. Information Have Been Collected as The Complex 564 healthy, 485 illnesses apposed, and 624 persons of Text Books & Articles in About Marine Sciences. were ill. 90 chronic ill, 16 surgery history, 3 wars We Try to Introduce & Display Critical & Clinical punctual and 32 persons were non wars punctual. Information with Trust sheep & Affiliation. 10 persons were blood receiving history. 2 tattoo, 6 Findings: Doppler Sonographic & Echocardiography phlebotomies, 1 smoking, 7 heart illness, 412 blood Are Good Devices for Bobble Formation Assessment pressure disproportion, 198 blood hyperlipidemic, after Exposure to High Ambient Pressure & Can be 171 diabetes, 25 digestive disproportions, 37 mental Useful in Evaluation of DCS Happen. However, this illness, 3 hepatitis and 23 persons had other ill. 632 is Necessary That Methods & Time Intervals Should persons had filling teeth, 571 outing teeth and 538 be Standardized Due to Their Findings Would be frowzy teeth. Comparable. These Days Medical Stuffs Want to

20 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

Reduce The Assessment Numbers Which Caused to Find Plentifully on Underwater Buoyant Vehicles. Missed Some Cases. This Condition is Usually Undetected & With Slow In This 15 Years Research, The Data of Many Progression in Personnel Provides a Complex of Doppler Assessments, 30 & 60 Minutes After Diving, Psychosomatic Features For Them, Such as Over Were Collected & Their Impresses on Diagnosis of Weight, Weakness, Malaise, Decrease of Libido, VGE Incidence & Peak Time Were Assessed. VGE Osteoprosis, Depression & … . Development is Very Vary in These Divers & Dives. Discussion & Conclusion: Due to Daily Progression Discussion & Conclusion: Due to Daily Improvement on Seafaring & Diving, Adequate Awareness about of Seafaring & Diving, Sufficient Warns in About VGE Job Hazards on Underwater Buoyant Vehicles is Assessment Will be Necessary for Medical Teams. Necessary for Medical Groups. For Many Years, Based on The Ultrasonic Assessment, This Appear Health Strategy is based on Prevention, So in Order That Doppler Assessments at 30, 60 & 90 Minutes to Prevention of Mental & Physical Disorder Caused After Diving Will Not Express a Good Explanation in by Increase in Plasma Cortisol, Target Population About VGA Progression. So, Propose That the Times Should be Assessed Periodically & in Parallel Increase & Intervals of Assessments Would be Increased. Should be Avoided. Keywords: Decompression, Diving, VGE, Doppler Keywords: Cortisol, Stress, Depression, Disomnia

P1-8 P1-9 Hypercortisolism, a potential risk in Health instructions of marine uderwater buoyant vehicle personnel passengers in Aghili-Khorasani’s Hamze Shahali1*, Azade A.Farahani2, Amir view 3 4 Nezami Asl , Amir Khoshvaghti , Abolfazl Roya Shariat1, Hamed Ahansazan2, Mohammad- 5 6 Khademi , Alireza Asgari Reza Rajabnegad3, Ali Bahadorisarem4, Reyhane 1* Resident, AJA University of Medical Sciences, Aerospace Ahansazan5 & Subaquatic Medicine, Tehran, Iran. 1 2 Resident, Tehran University of Medical Sciences, Medical M.Sc Student of Medical History. Institute of Medical Faculty, Department of Pathology, Emam Khomeiny History Studies, Islamic and Compliment Medicine, Iran Hospital, Tehran, Iran. University of Medical Sciences, Tehran, Iran. 2 3 AJA University of Medical Sciences, Aerospace & M.Sc Student of Medical History. School of Traditional Subaquatic Medicine, Tehran, Iran. Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 3 Assistant Professor. Institute of Medical History Studies, Introduction: Cortisol is one of The Stress Hormones Islamic and Compliment Medicine, Iran University of Medical Sciences, Tehran, Iran. & Secrets in Critical Condition, Such as Survival in 4 M.Sc Student of Health Education. Tehran University of Unusual Circumstances, in Paralleled of Sympathic Medical Sciences, Tehran, Iran. Stimulation in Fasiculata Area from Cortex of Adrenal 5 M.Sc Student of Medical History. Faculty of Traditional Gland. More ever, This Hormone is Insulin Contour Medicine, Tehran University of Medical Sciences, Tehran, Regulator & Has Important Role in Plasma Glucose Iran. Regulation. Material & Methods: This is a Review Article Based Health preservation is mainly considered in Iran on The Information Have Been Collected as The traditional medical science. Health instructions Complex of Text Books & Articles in About Marine of marine passengers are considered in health Sciences. We Try to Introduce & Display Critical & preservation too. Aghili-Khorasani is a recent physician Clinical Information with Trust sheep & Affiliation. who wrote about this issue in Kholast-al-hekmah in Findings: Hypercortisolism is a Chronic Condition 24 sections. He investigated and treatment of marine That Occur Due to Disorder in Maintenance of passengers diseases. He specially regarded the mouth Physiological Level of Plasma Cortisol. Chronic and gums illnesses and healing techniques by simple Stresses & Disomnia Are The 2 Important Reasons and compound drugs and phlebotomy. Sour fruits, Which Produce This Condition & Both of Them Are drinks and sauces are strongly recommended in

J Arch Mil Med. 2015 January; Supplement 1 21 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations marine travelers. Aghili’s advices and point of view in Bandar - Mahshahr County, is presented in this article. Keyword: Health instructions of marine passengers, Southwestern Iran Life style,, Aghili-Khorasani, History of Medical Hamid Kassiri1, Mohammad Abdehpanah2 Sciences. 1 School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. P1-10 2 School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Application of nanoparticles phage in military medicine Introduction: In Iran, scorpions and scorpion stings was considered as one of the major health problems. Mustafa Kazemi1*, Ehsan Moradi2 This problem, in addition to stress and induced anxiety by high medical costs exposes the risk of 1 Medical Nanotechnology MSc student (scholarships Army), Department of Modern Science and Technology, Iran death for a large number of people lives annually. University of Medical Sciences, Tehran, Iran In Iran, more than 100000 people are struck by 2 Master Student Human Genetics (military scholarships), scorpions annually of which more than 75% of them Genetic Research Center, University of Welfare and are children however, only about 36000 cases are Rehabilitation Sciences, Tehran, Iran reported and a minimum of 7 to 60 cases per year resulting in death. In Khuzestan Province the most One of the most common methods of treatment of dangerous scorpion sting is attributed to Hemiscorpius genetic diseases, gene therapy And the needs of gene lepturus.This scorpion venom has hemotoxic and therapy is specific need for a carrier of the gene. Among cytotoxic properties. The most important scorpion the characteristics of an appropriate gene vectors sting symptoms in the human repercussions locally that can also protect experts gene transfer into target included; necrosis, swelling, erythema, ecchymosis cells expressing appropriate and manageable, and and systemic; severe hemolysis, hematuria (blood in eventually cause the gene. Due to the disadvantages urine) and kidney failure. This study was conducted and limitations of the application of common viral to determine the epidemiology of scorpion stings in vectors, phage DNA vectors designed for the attention Bandar-mahshahr County, southwestern Iran, during of scientists located. In recent decades, scientists 2008-2009. These information are important for the produce phage nanoparticles targeted to specific cell control of this problem. types or even different parts of the target cell Not Materials and Methods: The cases were monitored only in the field but also in the field of drug delivery after their physical, laboratory and history and vaccine gene transfer has taken effective steps, examination. One special scorpion sting sheet was thus gradually Application of phages from beyond prepared. This sheet contained information about the field of gene therapy in other areas of medicine demographic and epidemiologic characters. The (with the technology of the war) we Ast.hal also been frequencies of epidemiological features were changed used in this article are intended for the treatment of to the percentage basis. Data were analyzed using a this type genetic illness of one of the areas of military SPSS computer package by using descriptive statistics. medicine (with the technology of the war), enter Results: A total of 135 scorpion stings patients were the AD. Not far in the future to advance the work studied. Of these, 34.8% were female and 65.2% of the research team at the Institute of the medical male. Most of the Scorpion stings were recorded in Biotechnology be the center of the system. the 21-30 year age group (37.8%) and the lowest for Keywords: Bacteriophages, Phage therapy, Gene those aged less than 11 years (8.9%). Stings occurred transfer, Biosensor, military medicine throughout the year, however, the highest frequency happened in October (24.4%). Most of the scorpion P1-11 stings occurred in summer (45.2%) and fall (39.5%). The maximum hits of scorpions were in housewives Morbidity, surveillance and (28.1%) and the lowest was in the employees (10.4%). epidemiology of scorpion sting Discussion: Depending on the climate and weather diversity and scorpion species, stings were reported

22 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health from different parts of Iran every year, especially in the performed and the materials used should be mentioned warm months. The lethality of Khuzestan province’s that in several papers to prove authenticity of the scorpions is more than the others part of the country. piece and not merely a theory or theories. The method Evaluation of the scorpion stings based on the months of collecting and gathering information through showed that most cases have happened in the warm library resources, Internet and identity documents months, which this could be due to the increased with keywords Bank genetic diagnosis, the armed activity of scorpions in the warm months. However, forces, the DNA was analyzed. the scorpion sting has not been reported in winter Results: All human cells Except erythrocytes and due to reduced activity of scorpions in this season. platelets contain genetic material DNA is in the Conclusions: It seems that some preventive actions nucleus. The DNA even a hair, a drop of blood or saliva such as repairing cracks and crevices of buildings, as well. Even in the absence of the genetic material keep away logs and twigs from the living area and from the different areas in relation to the individual, not sleeping in the open air outside the building, such as a comb, brush and extracted. Sort tasks in reduce the number of scorpion stings. human DNA, there is a variety of different people, in Keywords: Epidemiology, Scorpion Sting, Iran other words the genetic characteristics of each person is unique in his or the parents and the your sisters and P1-12 brothers distinguishes. The identification of the bodies, especially the unidentified corpses, rotting corpses, Genetic diagnosis is necessary to bodies torn, mutilated corpses, mass disasters and set up a bank check identity in the natural disasters is used to identify the characteristic facial appearance, body characteristics, gender, age, Islamic Republic of Iran Navy height, View eye color, skin color, features, color, length and other characteristics of the hair, moles, Ehsan Moradi1*, Mustafa Kazemi2, Muhammad tattoos, scars and disfigurement are, fingerprints, blood Fouad Heydari3 type, Rh, HLA, dental characteristics, specifications

1 Human Genetics MSc student (scholarships Army), Genetic sinus profile other bones, and DNA can be used to Research Center, University of Welfare and Rehabilitation scan the cornea. Sciences, Tehran, Iran 2 Medical Nanotechnology MSc student (scholarships Conclusion: Due to the valuable experiences, and Army), Department of Modern Science and Technology, Iran trained professionals perform a variety of projects University of Medical Sciences, Tehran, Iran should then provide the necessary infrastructure and 3 PhD student in Medical Biotechnology, Science and legal procedures in order to identify target groups Technology Research Center of Molecular Diagnostics fast, such as senior officials, individuals with high risk Army University of Medical Sciences, Tehran, Iran jobs, pilots and... to sampling and DNA extraction and storage of genetic information in the DNA data Background: In 1985, Alex Jeffrey’s first UK designed bank to act with personal information. Thus, you to determine identity through DNA. In 1986, the first can even have a cell of an individual, his identity time this method to rule out a possible suspect in the conclusively determined. rape was used in England. In 1994, Britain established Keywords: bank identification of genetic diagnosis, the first genetic database. In 1998, the FBI launched the Islamic Republic of Iran Navy, the DNA in 8 states of the system itself. Many criminal cases that year was the issue of European and American P1-13 courts was settled by this method. Currently, many European countries have with the bank. Research has Pulmonary barotrauma in divers: can shown the formation of the Bank of England alone. pulmonary function testing identify To reduce crime by 26% Diagnosis Identity, To all And Partial From Characteristics Individual Specified those at risk? To And With Specifications Particular person That Mahmud Momenzadeh* Case Suspicion The There, Conform. Methods: This research is a theoretical and analytical *Aerospace and Subaquatic School, AJA University of Medical Science methods of the content (Content Analysis) was

J Arch Mil Med. 2015 January; Supplement 1 23 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

Introduction: Divers breathing compressed gas Methods: Review research of medical electronic data while immersed at pressure are subject to the risk bases from 2000 up to now. of pulmonary overinflation as pressure is reduced Results: In addition to the usual causes of headache, during ascent. Therefore pulmonary barotrauma the diagnostic evaluation should consider otic and (PBT) is a great risk of diver incapacitation. A variety Para nasal sinus barotrauma, arterial gas embolism, of physiological and pathological changes have been decompression sickness, carbon dioxide retention, postulated to produce a great variety of long-term carbon monoxide toxicity, hyperbaric-triggered health effects, specifically on the pulmonary. The migraine, cervical and temporomandibular joint strain, underlying etiology of these changes is uncertain. supraorbital neuralgia, carotid artery dissection, and Asymptomatic anatomic abnormalities of the lung exertional and cold stimulus headache syndromes. or airways reactivity were thought to contribute to Discussion: Correct diagnosis and appropriate the risk of barotrauma. Propose of this study was to treatment require a careful history and neurologic evaluate pulmonary function test and the role of this examination as well as an understanding of the unique for anticipation of PBT in divers. physiologic stresses of the subaquatic environment. Methods: In this research we evaluate the text books, Focal neurologic symptoms, even in the migraineur, articles, guidelines and the reliable websites related should not be ignored, but rather treated with 100% to the pulmonary barotrauma in diver. oxygen acutely and referred without delay to a facility Result: Careful history is important. Identifying with a hyperbaric chamber. lung cysts or blebs on CT and reduction of the MEF Conclusion: Even benign headaches, when moderate 25 flow to below 80% of normal may contribute to or severe in intensity, can distract the diver and pose the screening of high-risk individuals. a safety hazard underwater. The decision regarding Conclusion: If flow-volume curves can identify fitness to dive should be made on an individualized high-risk individuals who have a history of asthma basis, taking into account not only the headache and wish to dive, the cost of pulmonary screening history but also the overall health of the diver. is an excellent investment. Keywords: headache, diving, decompression sickness, Keyword: SCUBA diving, Spirometry, Asthma, hypercapnia, air embolism Arterial gas emboli, Decompression sickness. P1-15 P1-14 Assessment of military Headache in military divers nurses knowledge about adult Mohammad Karim Heravi1*, Alireza Ranjbar cardiopulmonary resuscitation (CPR) Naeeni²*, Hosein Ali Salehi², Amir Khoshvaghti2, Amir Nezami Asl2, Reza Eslami², Abolfazl based on the guidelines in 2010 Khademi2 Seyed Hadi Vakili1*, Zahra Haji Amini2, Abbas 3 4 5 1 Aerospace Medicine Research Center, Aerospace and Ebadi , Majid Noori , Yaser Saeed , Seyed Subaquatic Medicine School, AJA University of Medical Mohammad Saeed Ghiasi6 Sciences, Tehran, Iran. 1 Master of Military Nursing, Researcher, Golestan Hospital, 2 Aerospace Medicine Research Center, Aerospace and Iranian Navy, Tehran, Iran Subaquatic Medicine School, AJA University of Medical 2 Assistant Professor, School of Nursing, Baghyatallah Sciences, Tehran, Iran. Medical University, Tehran, Iran 3 Associate Professor, School of Nursing, Baghyatallah Medical University, Tehran, Iran Background: Military Scuba divers work in stressing 4 Assistant Professor, Department of Infectious Diseases, environments and have a high cerebrovascular risk, Golestan Hospital, Iranian Navy, Tehran, Iran both conditions which are supposed to contribute to 5 Master of Critical Care Nursing, Researcher, Baghyatallah the genesis of cephalalgia. Headache occasionally Medical University, Tehran, Iran 6 Assistant Professor, Department of Anesthesiology, occurs during or after scuba diving. Although its Jamaran Hospital, Baghyatallah Medical University, Tehran, significance often is benign, headache may signal a Iran serious neurological disorder in some circumstances.

24 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

Background: Knowledge and update information the content and face validity were used. At the end about cardiopulmonary resuscitation guidelines, of the data using descriptive statistics and analytical including information necessary for the medical staff, software SPSS18 and Cho-square analysis was used especially nurses in military hospitals are designated for comparative testing. for the mission. There was also a significant amount of knowledge of Materials and Methods: In this cross - sectional study, military nurses12.36 (±0.003) and military11.27 (±9.2) 1,095 nurses in military hospitals cluster sampling of and in the comparison of military to civilian nurses’ 1391 were enrolled. To collect information from the knowledge about the relationship between the total questionnaires were used to assess the knowledge of sample this was found (P> 0.001). cardiopulmonary resuscitation. The face and content Conclusion: Cardiopulmonary resuscitation, validity and reliability of the test-retest method (0r especially in crisis situations require continuing =0.76) was performed. At the end of the data using education for this group is recommended. SPSS version 17, descriptive and inferential statistics Keywords: cardiopulmonary resuscitation guidelines were analyzed. 2010, basic cardiopulmonary resuscitation, knowledge, Findings: Most nurses had a bachelor’s degree. The military nurse, mean knowledge score of nurses was 12.36 (3.07). The intermediate level of self-awareness. Nurses for more P1-17 information relative to the normal (p <0.001). Age, clinical experience, work experience and knowledge Comparison of nurses’ knowledge in in the intensive care unit, there was a statistically intensive sectors with other sectors significant positive relationship (p>0.05). Conclusion: According to the study, basic CPR about the changes and amendments of training courses, based on the update and change adult cardiopulmonary resuscitation for nurses in military hospitals during in-service training is recommended. (CPR) by AHA Keywords: instruction, basic cardiopulmonary Seyed Hadi Vakili, Zahra Haji Amini*, Abbas resuscitation, awareness, nurse, military Ebadi, Yaser Saeed, Seyed Shahab Vakili

P1-16 Background: Cardiopulmonary resuscitation, pulmonary successful is challenging but achievable Comparison of military and civilian that requires total includes early recognition of cardiac nurses’ knowledge about the arrest, prompt resuscitation cardiopulmonary base Defibrillation prompt resuscitation cardiopulmonary cardiopulmonary resuscitation (CPR) resuscitation is the most advanced and timely care. on adults, in accordance with the 2010 Cardiac and pulmonary resuscitation in adults based on AHA protocol changes in the hospitals of Tehran. Seyed Hadi Vakili, Abbas Ebadi, Yaser Said, Methods: made by researchers to measure the Zahra Haji Amini*, Mohammad Saeid Ghiasi knowledge of CPR, the lung was based on face *MSc, Golestan Hospital of I.R.I. Navy validity and content data using software SPSS18 and descriptive tests and chi-square test was used Background: Knowledge and update information to compare analyzes. about cardiopulmonary resuscitation guidelines, Results: The results showed that 85.3 percent of including information necessary for the medical staff, nurses in intensive care and 86.2 percent of nurses in especially nurses to promote the nursing profession other sections of the revival wards cardiopulmonary is. The aim of this study was to evaluate and compare moderate or poor information base and the amount self-awareness of changes in cardiac and pulmonary of the difference. Showed a statistically significant (p resuscitation protocol in 2010 by military and civilian <0.05). To restore cardiopulmonary resuscitation team adults was conducted at the Hospital. of nurses, particularly in certain parts recommended. Methods: To collect data from a questionnaire to assess Keywords: Knowledge, CPR, basic pulmonary adult the knowledge of cardiopulmonary resuscitation on intensive care unit nurse

J Arch Mil Med. 2015 January; Supplement 1 25 ABSTRACTS

Infectious Diseases in Navy ORAL PRESENTATIONS

O2-1 O2-2 The value of thermoscanners in An overview at key factors of CBRN diagnosis of viral diseases in arrivals defense scenarios with looking to to ports and international airports I.R.I navy mission Mohammad Darvishi1, Amir Nezami2, Sasan Pourjafari1, Seyed Shahram Mirzamani2, Mohammad Karim Heravi3, Amir Ali Mahdi Bagheri3 4 Jahanshahi * 1 DVM, ETKA Research Centre 1 Assistant Professor, The Research Centre for infectious and 2 DVM-MPH, Marine and Submarine Medicine Research tropical diseases, Aja University of Medical Sciences, Tehran, Centre Iran 3 MSc, Health, Rescue and Medical Dept. of Armed Forces of 2 Assistant Professor, School of Aerospace and Subaquatic the Islamic Republic of Iran Medicine, Aja University of Medical Sciences, Tehran, Iran 3 Resident Medical Officer, School of Aerospace and Introduction: (Navy CBRN combat capacity) Islamic Subaquatic Medicine, Aja University of Medical Sciences, Republic of Iran Navy as Strategic Military Force will Tehran, Iran face newly complex marine based threats possibly, and 4* Researcher, Deputy of Health, The Air Force Medical for boosting its combat capacity of responding and Authority, School of Aerospace and Subaquatic Medicine, Aja University of Medical Sciences, Tehran, Iran protection, it must increase and improve its capabilities and equipment. This paper tries to descript and Background: Since in recent years, viral disease discus the key factors of maritime CBRN threats and spared and infrared thermography scanner tool defense against them and maritime attack scenarios. used in some countries and no study has been to Method: (Study approach) The study research evaluate the value of this device. The current study approach included gathering data through a literature was designed to evaluate the effectiveness of infrared review and threat definition and overview description thermography technique in the diagnosis of viral by cause factors with looking forward and making diseases in international airports. scenarios. Using these data, the study identified the Methods: This study was conducted as a systematic Navy’s situation to combat and perform activities to review. All of the relevant databases, bibliography of increase Navy capability based on potential marine related papers, and companies’ websites were searched CBRN threats by the near future. using appropriate search strategies and keywords. Discussion: (Maritime CBRN threats) Combating Result: In this study, 121 papers were recovered in CBRN threats requires a special approach, equipment total using different databases and search techniques. and training. Physical protection is the first and Considering the research selection criteria, 13 papers most important line of defense, followed by were recognized as suitable decontamination, antidote therapy, or both. There are Conclusion: The results show although infrared no plans to replace physical protection. As 75% of thermography is a safe, rapid and cheap technique the world’s population lives in coastal areas natural to be used in screening and diagnosis of different hazards including tropical cyclones, tornados, storm diseases, current studies do not show any acceptable surge, tsunami, coastal inundation, beach erosion, diagnostic value compared to other diagnostic climate change, and sea level rise and anthropogenic techniques. It is recommended to use the infrared hazards including harmful algal bloom, oil/gas spill, thermography as a complementary technique. More and CBRN spills and terrorists activities could affect research is proposed to be performed in this area. Navy. Climate change patterns can affect the troops Keywords: thermo scanner, Diagnosis, viral diseases, and due to “domino effect”. Meanwhile improvement Airport inland security measures, maritime territories will be the main hostage of international terrorism, there is more possibility of maritime terrorist incidents which involved the use of CBRN materials. CBRN passive defense is based on Contamination avoidance of CBRN hazards, Protection of individuals, units,

J Arch Mil Med. 2015 January; Supplement 1 27 3rd National and 1st International Congress in Naval Preventive Medicine & Health Oral Presentations equipment from unavoidable CBRN hazards, and Keywords: I.R.I Navy, CBRN (Chemical, biological, Decontamination in order to restore operational radiological and nuclear), Maritime Terrorism threats, capability. CBRN Defense Program, Maritime CBRN Attack Results: (Maritime CBRN attack scenarios) The Scenario, Marine CBRN Decontamination; combat capability of I.R.I Navy depends on operational ability of Navy including, an effective O2-3 CBRN defense program and capability requirements for detection, identification, monitoring; information Evaluation the effect of lactobacillus management; individual and collective militant and acidophilus and bifidobacterium civilian protection; hazard management; and medical countermeasures and Support. These functions are breve on antibiotic-associated commonly referred to as an effective CBRN defense diarrhea treatment program would meet, sampling, identification and 1 2 detection of CBRN agents and monitoring operations Esmail Arab *, Behrouz Mikailpour , Iraj environment, provision of CBRN assessments and Ramazani3, Seyed Mostafa Saeedinia4 advice to Navy commander and CBRN hazard 1* MD.Phd, Valiasr Hospital chief, Maral specialty management operations, such as decontamination. beatification, Rasht, Iran The naval CBRN defense program and attack 2 DVM, Research committee member, Valiasr Hospital, scenario studies must builds upon wide range of Rasht, Iran. Young Researchers and Elite Club 3 MD, Research and crisis committee chief, Valiasr hospital, factors to determine further Navy. The ultimate goal Rasht, Iran of the program should ensure that naval forces can 4 MD.Phd, Pinch of Valiasr Hospital, Maral specialty fight, survive, and win in a CBRN contaminated beatification, Rasht, Iran environment. The considered CBRN scenarios are; chemical attack Introduction: Antibiotic-associated diarrhea (AAD) at ships, offshore and costal infrastructures, chemical is an important side effect of this specific class of attack in central port or logistics hubs, chemical drugs. The objective of this study was to investigate transport accident, chemical facility accident, the effect of the use of probiotics in the treatment biological attack at ships, offshore and costal navies of AAD. and people, Biological attack at cargo and containers Methods: A group of hospitalized patients, who and buildings and ships, biological attack on food contracted diarrhea during or after 7 days of supply and transportation, radiological dispersal, suspension of antimicrobial medication, was blindly radiological attack on public transportation, nuclear randomized to receive a standardized diet associated power plant or ships or nuclear submarine accident, with the use of the probiotics (Lactobacillus acidophilus and hoax. Each scenario can boost by domino effect. and Bifidobacterium breve) or its corresponding placebo, Conclusion: (Navy CBRN defense program) three times a day. The Navy’s capability to meet each scenarios is Results: Seventy patients were studied. For the limited by lack of an efficient proactive action for experimental (n=35) and control (n=35) groups, detection, protection, safe operation and recovery respectively, the average time of treatment was operation, and the capacity and throughput to 5.06±2.18 and 5.49±3.17 days (p=0.95), and the recovery and decontamination. Navy requires average duration of diarrhea, among those who were medical readiness of warships with regard to CBRN healed, was 4.87±2.13 and 4.52±2.55 days (p=0.36). warfare diagnostics. Ideally, this readiness should be Four (11.4%) patients who received probiotics and joined by CBRN Defense Program. Navy guidance ten (28.6%) who received the placebo were not cured describes three stages of decontamination, immediate (p=0.13), and relapse rates were similar between both decontamination, operational decontamination and groups. Seven patients from each group, in addition thorough decontamination as well as connectors to diarrhea, presented cases of bloating and/or decontaminate. It needs a more deployable system abdominal cramps and/or vomiting (p=1.00). and for more efficient use of water, a scarce resource Discussion: Lactobacillus acidophilus and in a marine environment and complex/ multiple Bifidobacterium are the probiotics that create and/or frequented attacks. facialities for translocation of substances in bowel.

28 J Arch Mil Med. 2015 January; Supplement 1 POSTER PRESENTATIONS

These probiotics are decreasing some special poisones cephalexin capsules are used to prevent infection. from small bowel. Furthermore these probiotics Results: Improving patient was evaluated daily. are decreasing diarrhea that are creates by some Only after two weeks of treatment, lesions will be antibiotics consumption. First way is creating the minimized and after three weeks, the number of facialities for translocation of metabolites that are patients was zero. It should be noted that the second created from metabolism of antibiotics. This action group were treated one week earlier than the first decreases the presence of these metabolites in bowel group. Patients did not report any side effects. and decreasing the excitation of this location. Second Conclusion: Considering that treatment with way is decreasing the poisoning metabolites that are pentavalent antimony compounds are Costly and created by metabolism of these drugs. highly morbid and most importantly it is imported Conclusion: In this light, it is concluded that L. and scarcer. Patients receiving the drug with less acidophilus associated with B. breve, in the administered enthusiastically. Thus, administration of azole dosage and frequency, has significant effect on the compounds in these patients, Considering to its oral antibiotic-associated diarrhea. and easy access, Can be a good strategy. Keywords: Probiotics. Lactobacillus acidophilus. Keywords: leishmaniasis, derivatives Glucantime, Bifidobacterium. Antibiotic-associated diarrhea. azole compounds.

P2-1 P2-2 The use of azole compounds in the Bioterrorism, biological weapons and treatment of leishmaniasis the public health Mohammad Aminianfar1*, Atefe Afchangi2, Ali Amin Pirani1, Ehsan Akrami2, Mostafa Ghafouri Asghar Saeedi3, Mohammad Darvishi3, Sirous Moghaddam3* 3 Faraji 1 Expert treatment hospital Khatam o Al-anbia Nedaja/ 1* The Research Centre for infectious and tropical diseases, Konarak, Aja University of Medical Sciences, Tehran, Iran 2 Administerhospital Khatam o Al-anbia Nedaja/Konarak, 2 Master of Virology, Researcher, Tehran, Iran 3 PhD student Entomology University of Zabol and 3 The Research Centre for infectious and tropical diseases, Membership Institute of National Elite (BMN of Iran) Aja University of Medical Sciences, Tehran, Iran A bioterrorism attack is the deliberate release of Introduction: Leishmaniasis, an infectious disease viruses, bacteria, or other germs (agents) used to that damages the skin without pain and fever lasts causeillness or death in people, animals, or plants. about a year. And then heals. And leaves scars. These agents are typically found in nature, but it The disease has long been endemic in our country. is possiblethat they could be changed to increase Leishmaniasis occurs in two forms: dry and wet. their ability to cause disease, make them resistant The disease can be a reservoir rodents or canines. to currentmedicines, or to increase their ability to Treatment of these patients is too costly. Several be spread into the environment. Biological agents methods of treatment have also been used to treat can be spreadthrough the air, through water, or in them. In the study of azole compounds used in the food. Terrorists may use biological agents because treatment of cutaneous leishmaniasis in comparison they can beextremely difficult to detect and do not to conventional treatment is the use of derivatives cause illness for several hours to several days. Some Glucantime, has been more effective. bioterrorismagents, like the smallpox virus, can be Method: in this study 18 patients were enrolled. spread from person to person and some, like anthrax, Who were aged between 15 and 25 years.who were can not. divided into two equal groups, after establishing the Four points of view prevalent among nationalpolicy diagnosis of this disease, the first group received circles and the academic community atvarious times capsule fluconazole 100 mg twice a day, and the second have served to dismiss biologicalterrorism as nothing group received oral ketoconazole 200mg daily. Then more than a theoreticalpossibility. l) Biological patients were monitored. In addition to these drugs, weapons have so seldombeen deployed that precedent

J Arch Mil Med. 2015 January; Supplement 1 29 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations would suggest theywill not be used. 2) Their use is so morallyrepugnant that no one would deign to use them. 3) The science of producing enough organismsand dispersing them is so difficult that it is withinthe reach of only the most sophisticatedlaboratories. 4) Like the concept of a “nuclearwinter, ” the potential destructiveness of bioweaponsis essentially unthinkable and so to be dismissed.Each of these arguments is without validity. Bioterrorism agents can be separated into three categories, depending on how easily they can be spreadand the severity of illness or death they cause. Category A agents are considered the highest risk andCategory C agents are those that are considered emerging threats for disease. Category A These highpriorityagents include organisms or toxins that pose the highest risk to the public and Chains of B. anthracis with spores nationalsecurity because: 1. They can be easily spread or transmitted from person to person A comprehensive review of the problemsposed by 2. They result in high death rates and have the biological terrorism and warfare hasbeen published. potential for major public health impact Four observations deservespecial note. First, biological 3. They might cause public panic and social disruption terrorism is morelikely than ever before and far more 4. They require special action for public health threateningthan either explosives or chemicals. Second, preparedness. official actions directed at the threat to thecivilian Category B population (less than 2 years in themaking) have been These agents are the second highest priority because: only marginally funded andminimally supported. 1. They are moderately easy to spread Third, preventing orcountering bioterrorism will 2. They result in moderate illness rates and low death be extremelydifficult. Recipes for making biological rates weaponsare now available on the Internet, and 3. They require specific enhancements of CDC’s evengroups with modest finances and basic training laboratory capacity and enhanced disease inbiology and engineering could develop, shouldthey monitoring. wish, an effective weapon at little cost. Fourth, Category C detection or interdiction of thoseintending to use These third highest priority agents include emerging biological weapons is next toimpossible. Thus, the pathogens that could be engineered for mass spreadin first evidence of suchweapons will almost certainly the future because: be cases in hospitalemergency rooms. 1. They are easily available The specter of biological weapons use is anugly one, 2. They are easily produced and spread every bit as grim and foreboding as thatof a nuclear 3. They have potential for high morbidity and mortality winter. As was done in response tothe nuclear threat, rates and major health impact. the medical communityshould educate the public After the Gulf War, Iraq wasdiscovered to have and policy makersabout the threat.But this is not a large biological weaponsprogram. In 1995, Iraq enough. In the longer term, weneed to be as prepared confirmed that it hadproduced, filled, and deployed to detect, diagnose, characterize epidemiologically, bombs, rockets, and aircraft spray tanks containing and respondappropriately to biological weapons use Bacillusanthracis and botulinum toxin; its workforce as to thethreat of new and reemerging infections. In and technologic infrastructure are stillwholly intact. fact, the needs are convergent. Also in 1995, the Japanese cult, Aum Shinrikyo, Theneeded stocking of vaccines and drugs as well released the nerve gas Sarin inthe Tokyo subway. asthe training and mobilization of healthworkers, both

30 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health public and private, at state, city, and local levels will resources planning and distribution networks, water require time. Knowing wellwhat little has been done, supply and water treatment method as required. I can only say that amammoth task lies before us. Water disinfection process is carried out in force as Keywords: Bioterrorism, Public Health, Biological necessary for effective prevention of transmission of weapons water from water-related diseases and and providing for the elimination of potential pathogens in the water P2-3 supply are in fact less than one unit (NTU) and free chlorine residual of at least 05/0 mg per liter for Approaches for the prevention and drinking and hygiene in all circumstances roles in treatment of diseases transmitted health it is the staff. Keywords: Water. Military, Environment through water and food among seafarers P2-4 Abbas Zarenejad Ashkezari1, Abbas Khadijeh Infectious diseases, ship travels, 2 3 Khosravi , Abdollah Rezvani Alileh marine missions, mathematics 1 PhD. Candidate and and Instructor of Imam Khomeini University of Naval Sciences Amir Khoshvaghti*, Hamze Shah Ali, Hosein 2 Golestan Hospital of I.R. Navy Ghazizade, Omid Ghatre Samani 3 Ph.D. Candidate and and Instructor of Imam Khomeini University of Naval Sciences *Aerospace and Subaquatic Medicine School, AJA University of Medical Sciences, Tehran, Iran.

Introduction: Water is the most important source of environmentally significant role in the development Introduction: Ship travels are increasing annually, of society and people ‘s health and happiness. marine missions too. The network (made of these Unfortunately, with increasing advances in technology, travels and missions) causes the world to become industrial effluents, municipal, agricultural and smaller and its parts coming closer to each other. In military environment enhanced by the arrival of such a situation, infectious agents can spread easily to participants, leading to the outbreak of diseases distant areas. Academic specialists of marine medicine associated with the elderly. Water used for washing and travel medicine exist in a few countries but can and hygiene purposes must be healthy and free of take an important role in this problem. pathogens to prevent water -borne diseases. Research Methods: Design of this study was a systematic in this field has proved that many people wash in review of pubmed articles from 2000 to 2013. polluted water have been contaminated with fecal Results: Influenza viruses are the most exciting bacteria and parasites types, In this case, both the example of the problem. Grais et al assessed the military and are not excluded. Because of the wars geographic spread of pandemic influenza (1968- and conflicts of the methods that may be used by the 1969) if it returned in 2000 and the impact of travel enemy against friendly forces, biological attacks, and a with mathematical simulations. Their result showed source which can be a good target for enemy drinking it would spread concurrently to cities in both the water sources and water distribution network. These northern and southern hemispheres but the time lag for attacks are usually done secretly as the object of the public health intervention is very short. Yellow fever attack is, these attacks can not be identified and may virus is an example of endemic to Africa and South never be discovered. Even the enemy to protect against America. The vast majority of yellow fever occurs pathogens, chlorine, with the addition of chemicals in remote and rural areas but the first documented and using other methods, and then neutralize the outbreak in South America since 1942 took place in residual chlorine in water resources and pollute the Paraguay (2008). Many populations are at risk to this water distribution network. In which the pathogen infection because suitable conditions for transmission is injected directly into the water. safe water supply are present by travelers. Johansson et al (212) found in war zones and emergencies is important, In this simple probabilistic models for assessing the risk of way, the correct choice for the protection of water Yellow fever virus spread during an urban outbreak.

J Arch Mil Med. 2015 January; Supplement 1 31 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

Discussion & Conclusion: Mathematical models contaminated marine fish (or shellfish) consumption. and simulations may be used for one of its major Most common fish-borne poisoning are ciguatera roles in prevention of infectious diseases. poisoning, scombroid poisoning and tetrodotoxin Keywords: Marine, Infection, Mathematics, Travel, poisoning. Beacause of increasing seafood trade and Mission. travel, the likelihood of fish poisoning occurrence is increasing. While fish poisoning may have variable P2-5 presentations of symptoms and signs, different degree of severity, patient’s treatment may present Fecal microbiota as a modulator of a remedical challenge. So, the study of fish-borne immune system poisoning and their signs and symptoms would be important and useful. Shahrokh Iravani AJA cancer research center (ACRC), AJA University of P2-7 Medical Sciences, Tehran, Iran Effect of lactobacillus acidophilus Introduction: Gut microbiome is emerged as one of and bifidobacterium on liver injuries the most modern capacities of biomedical research. Human gut is occupied by trillions of microbes, most Ramin Hamidi1, Behrouz Mikailpour2*, Nader of which are bacteria. It is known that bacteria could Markazi Moghaddam3, Esmail Arab4, Iraj digest the nutrients and provide valuable macro and Ramazani5 micro elements. In addition presence of microbes in 1 MD, PhD, Department of infectious disease, Medical human’s gut avoids from growth of harmful microbes faculty, Aja University, Tehran, Iran and also adjusts the immune system. Gut microbes 2 DVM, Research committee member, Valiasr Hospital, are also influence the risk of abnormalities such as Rasht, Iran. Young Researchers and Elite club obesity and Inflammatory bowel diseases. 3 MD, PhD, Department of Epidemiology, Medical faculty, Aja University, Tehran, Iran Methods: Important publications were selected from 4 MD, PhD, Valiasr Hospital chief, Maral specialty databases. Search and select were performed based on beatification, Rasht, Iran article/book content, including autoimmune diseases, 5 MD, Research and crisis committee chief, Valiasr hospital, inflammatory bowel diseases and treatment of these Rasht, Iran conditions with probiotics. Results and Conclusions: Effect of Gut Microbiota Introduction: Isonaizid is a important drug in first on innate and adaptive immune system is depend on line of tuberclusis treating that creates more liver physiological functions such as the maturation of the injuries.The aim of this study was investigation the immune system. Exploration of the gut microbiota, effect of the probiotics at liver injuries. its interactions with the host and its arrangement Material and methods: In this study, 60 Sprague – in disease, have been intensively investigated in dally male rats in 4 groups with 15 rats per each group the recent years. The role of the gut microbiota in were considered.One of groups (non treated group, NT) controlling the activity of immune system cells must was without any injection and only with physiological be considered in future studies. diatery.One another group was Isoniazid group that were injected Isoniazid with dose of 50 mg/kg IP (I- P2-6 1, I-2 and I-3).The third gpoup was probiotics with Isoniazid that were receiving lactobacillus acidophilus A review on fish-borne poisoning in concentration of 2× CFU/ml, Bifidobacterium in concentration of 1× CFU/ml (ILB-1, ILB-2 and ILB-3) 1 1 Seyed Hosien Mousavi , Hassan Ehteshami , and Isoniazid with dose of 50 mg/kg.The last group 2 Pejman Tayebi* was Probiotics only receiving (LB-1, LB-2 and LB-3). 1 Doctor of medicine, Isfahan, Army hospital 577 In each groups at the end of 1th, 2th and 3th week, 2 Animal science-Ph.D, Isfahan, Army hospital 577 the blood was taken after anesthesia. One rat was selected randomely at the end of weeks and the liver Seafood poisoning usually occurs as a result of was removed to pathologically studies.

32 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

Results: Isoniazid significantly increased the values of Introduction and Objective: Brucellosis causes Alanine amino transferase and Aspartat trans aminase (Brucella Abortus) One of the factors listed by the (p=0.02), Direct, indirect and Total Billirubin (p=0.04) Convention on biological weapons disarmament. One and Creatin phospho kinase (p=0.01) after three week of the important biological warfare Nowadays most while Lactobacillus acidophilus and Bifidobacterium issues raised in the discussion of military medicine. with Isoniazid significantly decresed the values of Among them than other cases of brucellosis has a Alanine amino transferase and Aspartat trans aminase special significance because of the biological agent of (p=0.03), Direct and indirect Billirubin (p=0.04), bioterrorism back a few decades back. Reasons exist Total Billirubin (p=0.03), Super oxide dismutase and The bacteria that causes brucellosis as the most likely malondealdehyde (p=0.02) and creatin phosphor biological weapon is considered as one of the causes of kinase (p=0.03) after three week. biological weapons are considered hazardous because Discussion: Probiotics are the alive organisms that of severe pathogenesis properties, easy availability prepare digestive defects such as diarrhea, vomiting, and high capacity spreading disease and death be. lactose intolerance and prevent the proliferation of Hence, risk or bioterrorist biological applications by bowel pathogenic bacteria. Lactobacillus acidophilus an enemy and threat is likely. Recent studies indicate and bifidobacterium have inate properties in inhibition that the release of this disease is in Iran. The purpose of urease activities that decrease bacterial urease of this paper is to Provision of professional health activity. staff, especially healthcare personnel in military Conclusion: Tuberclusis is the infection disease that units brucellosis bioterrorist aspects of the disease has worldwide expanding and in sensitive regions and approaches to coping with it. it can be endemically.Military forces are attemping Materials and Methods: This study gathered contrast with this disease in these regions and this information through the Internet and library resources conditions leading to increasing the risk of this disease. and textbooks of military medicine with keywords Isoniazid has the damagefull effects in liver and brucellosis, weapons Biological, Bioterrorism, marine lactobacillus acidophilus with Bifidobacterium have and comparison with the known views of military the prepairing effects in liver.From these results we medicine today is done. conclude that these probiotics significantly decrease Results: In the process of developing infectious the damagefull effects of Isoniazid in liver tissue.The disease vaccination as a preventive agent societies results of this study are usefull at the future researches have been considered. Within the military as a in human cases and finally in military forces. high-risk group according to the mission, the life Keywords: Lactobacillus acidophilus, Bifidobacterium, of the camp gregarious stake life Biological attacks Liver, Isoniazid, Rat are vulnerable to infection and disease. within the context of the armed forces about how necessary it P2-8 seems, vaccination against the disease brucellosis. Conclusions: Since most efforts to combat bioterrorism Brucellosis as the most likely response based on advanced biological weapons is biological weapon in bioterrorism one of the responses is the production and storage of vaccines. Proposed to be separated into different attacks in modern marine warfare research centers and military medical universities formed work and do research in this field. Mustafa Kazemi1*, Ehsan Moradi2, Mohammad Keywords: Brucellosis, Weapon Biological, Fouad Heydari3 Bioterrorism, marine 1 Medical Nanotechnology MSc student (scholarships Army), Department of Modern Science and Technology, Iran P2-9 University of Medical Sciences, Tehran, Iran 2 Master Student Human Genetics (military scholarships), Genetic Research Center, University of Welfare and Prevalence of pediculosis capitis Rehabilitation Sciences, Tehran, Iran 3 PhD student in Medical Biotechnology, Science and in Bandar - Mahshahr County, Technology Research Center of Molecular Diagnostics fast, Southwestern Iran Army University of Medical Sciences, Tehran, Iran

J Arch Mil Med. 2015 January; Supplement 1 33 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

Hamid Kassiri1*, Mohammad Abdehpanah2 parts of the world including Iran, especially in areas 1 Assistant professor, School of Health, Ahvaz Jundishapur with high population density and combined with University of Medical Sciences, Ahvaz, Iran. poverty and lack of personal hygiene principles. This 2 School of Health, Ahvaz Jundishapur University of Medical is a common infestation among children, especially in Sciences, Ahvaz, Iran. rural areas. Head lice infestation in patients leads to Introduction: Pediculosis capitis infestation is a feelings of inferiority and inadequacy, creating mental parasitic disease caused by an external and obligatory stimulation, depression and insomnia. Among the parasite; called louse; in humans. So far, three reported pediculosis cases in 2008-2009, 91.7% were species, including Pediculus humanus (body louse), women. The survey also revealed that most infested Pediculus capitis (head louse) and Phtirus pubis (pubic individuals from pediculosis based on the age group louse) have been identified as parasites in humans. were reported in younger than 17 years. This could Human lice are belonging to the Anoplura order and possibly be due to their self-sufficient inattention to composed of 490 blood-fed species. They are mammals’ personal hygiene. obligatory ectoparasites which cannot live away from Conclusions: The solution for this problem that are host, except for a short time. At present, in many related to the cultural, economic and social features, countries, especially in developing countries wide needs the participation of various parts of government campaign was begun to control lice infestation and such as the Ministry of Education, the Ministry of preventing the spread of the disease. However, despite Health and Medical Education, Welfare Oranization, enormous efforts and costs the disease fully controls Imam Khomeini Relief Committee, students and their have not yet managed. This study was conducted to families, and even institutions like the City Council, determine the epidemiology of pediculosis capitis in parents and teachers society. Bandar-mahshahr County, southwestern Iran, during Keywords: Epidemiology, Pediculosis Capitis, Iran 2008-2009. These information are important for the control of this problem. P2-10 Materials and Methods: The cases were monitored after their physical, laboratory and history examination. Epidemiological feature of animal One special pediculosis capitis sheet was prepared. hydatidosis in paveh of Kermanshah This sheet contained information about demographic and epidemiologic characters. The frequencies province, Iran of epidemiological features were changed to the Naser Nazari1, Sohylla Rahmani2 percentage basis. Data were analyzed using a SPSS computer package by using descriptive statistics. 1 Dr.Naser nazari, Dept of parasitology & mycology, Medical school, Kermanshah university of medical sciences Results: In this study, 12 referred patients from the 2 Miss, Sohylla rahmani, Pirapezeshki school, Kermanshah health centers were studied for pediculosis capitis university of medical sciences in Bandar-mahshahr County. According to obtained information one of the patients was male (8.3%) and 11 Introduction: Hydatid cyst is the larva of echinocucus patients (91.7%) were female. The least of pediculosis granolusos that is one of the intestinal parasite in capitis cases was observed in the age group above 17 dogs. (Roberts LS, et al) This is the common parasitic years (33.3%) and the large number of cases in the disease in the many countries in the world. (Thompson age group 11 to 17 years (66.7%). Furthermore, all RC, Todorov T, Eslami A) Infection to hydatic cyst is cases were living in urban areas of Bandar-mahshahr one of the most important parasitic diseases in our County. The Pediculus capitis was diagnosed for all country, yearly, this parasitic disease causes a lot of infested patients with pediculosis and none had a economical and hygienic damages. The goal of this history of previous infestation. In addition, the most study is the survey of epidemiologic condition of was observed in the summer season (66.7%) and the hydatidosis in paveh through determination of the least in autumn (33.4%). inflection condition of slaughter houses in paveh Discussion: Human sucking lice can transmit diseases during 2011-2013. such as epidemic typhus and epidemic relapsing fever Materials and Methods: This study is a kind of and has long been considered by various researchers. descriptive study in which we have studied the Head lice infestation can be seen in abundance in all infection conditions of the slaughtered animal in paveh

34 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health during 2011-2013 according to recorded statistics. Naser Nazari1 Results: According to collected results from 17190 1 Dr.Naser nazari, Dept of parasitology & mycology, Medical under studied sheeps and goats 187 (1.08%) have school, Kermanshah university of medical sciences been infected to hydatic cyst and also from 2158 cows, 42 (1.94%) have been infected. from under Background and Objective: Cutaneous leishmaniases studied sheeps and goats 94.65% of the infection in with two forms of rural and urban is the endemic liver and 5.34% of the infection observed in lungs diseases and as a health problem in our country. The and also from infected cows, 1.29% of the infection aim of this study was the determine of cutaneous in liver and 0.04% of the infection observed in lungs. leishmaniases in Kermanshah. This statistics shows that the most infection has been Materials and Methods: This descriptive – analytic in liver. study was and the statical society includes individual Discussion: This study shows that the cows are information with diagnosis during the 2006-2008 in the more infected than sheeps and goats and liver is county health department in combating communicable more infected than lungs. In the study of islami and disease were registered. zamani in Iran determined 7.2% of hydatid cyst in Results: About 81% of the total 351 cases were male the cows is in liver and 6.82% is in lungs. (Dalimi and 19% were female. Most cases was in age group Asl) The average of infection in sheeps in Iran is 20-29 year with 32/48. Most patients had a wound 10% and in cows is 12% have been reported. (Eslami) on his body. Most wounds were on hands. The most Conclusion: This study is representative of the common seasonal prevalence was in the winter. necessity of move attention about the prevention and 27/63% of patients had a history of travel to endemic controlling of this disease in animals in order that areas in the past year. we can decrease economical damages and possibility Conclusions: According to the results obtained in of transferring of this disease from animal to man this study and comparison with previous studies through using infected animal production. conducted in province, it can be said implementation Keywords: hydatic cyst, liver, lung, paveh control and treatment programs conducted by the relevant authorities and the disease isn, t endemic in P2-11 Kermanshah. It is also recommended to determine the disease status in province, in this regard Epidimiological study of cutaneous epidemiological studies should be done every few leishmaniases in cities of Kermanshah years. Key words: Cutaneous leishmaniases, Epidemiology, province Kermanshah

J Arch Mil Med. 2015 January; Supplement 1 35 ABSTRACTS

Sea Environmental Hygiene ORAL PRESENTATIONS

O3-1 We formed and proved ‘’The 7 days Exercise Cycle’’ through the exercises in several sailing conditions. The influence of environment on And we also discovered HIT methods that we can sailor’s health and is counter-measure replace the essential exercise amount. 2) Some functional changes and its counter-measures Pang. Si. Hyon1, Ri. Yong. Sop2 during the submarine sailing. It is normal that the body temperature upon sailing, 1 MD, North Korean People’s Army Navy Military Unit 2 Department of International Relations of the Armed forces fluctuates down by 1°C and in this case, the sailor of North Korea should rest for 30 minutes to recover. As the air temperature changes from 20°C to 40°C The environment including physical, chemical and the sweat amount is increased rapidly from 15g/h biological factors all affect the sailor’s health. to 120g/h. Generally, the physical factors do not give the When the water loss is more than 15-20%, the osmotic negative influence on the sailor’s health, but they pressure of body fluid is too high and it causes the do give negative impact on the sailor’s health when unconsciousness or even worse result. they exceed the limit. In the hot environment of 39-40°C, SOD, CAD activity In particular, submariners receive the psychological and MAD amount are significantly changed and the and physical burdens that cause some functional longer they stay, the worse they become. changes because they stay for a certain long period We studied on the prophylactic treatment of the of time in the closed room with very much limited functional changes under the summer sailing activity space, hot in summer, cold in winter and environment. thereby making their biorhythms changed. We clarified the effect of the complex salt tablets and Further-more, the cold environment causes much Kangso mineral water, cucumber cans, radish Kimche energy consumption, hypothermia, dehydration, on the recovery of dehydration water-electrolyte physical and mental stresses which all affect the disorder. sailor’s health and activity. We also clarified the effect of the stomach bioactivity agents like Gastropin-1, and Gastrpin-2 on the disorder 1. Some functional changes under the submarine of digestive system. conditions and counter-measures. For the anti-oxidant effect and cardiovascular 1) Hypo activity of submariners and its counter- treatment, we used Schizandra syrup, pine-pollen measure generally, the sailors who serve the various medicine and Ginsaeng (Insam) tonic to get the kinds of warships have lower physical load in normal excellent results. sailing conditions than the persons on the land. We made the air jonizer to jonize the compartment of Especially, for the submariners when they are under the submarine like the sea side pine forest reducing the lower physical load for the comparatively long sailor stress by 32-41% and increasing their physical time, their physical strength becomes 14-24% and the activity as much as 1.27 times. physical endurance becomes 24-55% of the normal And we applied the method that uses microorganism state. to select and remove the toxic gases such as CO2

During sailing, the sailor’s daily exercise amount is NH3 and H2S which is increased above the limit to in some cases, so low as that of 400-800m walking, normalize air in the closed submarine compartments. and the energy consumption is 9.95mj/d on average We invented the absorption water disinfectant tablets before sailing, 35.3-48.5% during normal sailing, and to attain the promising results under the long sailing is increased to 124.2-209.1% during the battle situation conditions. and even to 353% for some sailor’s. However majority of the sailor’s daily activity amount 2. Body heat loss by coldness and its counter- is 32.8% of the daily necessary amount. measure We discovered that at least, 1-2 cycle/d simple exercise 1) Body heat loss by the coldness of sailor is required and the physical load must be 40% of the We tested 500 sailors of various kinds of warships to maximum muscle strength and the exercise period get 335-377kj/h of the energy production rate when is 20-25% of the maintenance time. the sailor is comfortable and also found out that,

J Arch Mil Med. 2015 January; Supplement 1 37 3rd National and 1st International Congress in Naval Preventive Medicine & Health Oral Presentations in the cold condition, the energy production rate is In the cold condition, the energy supply must be 3-4 times or at most 6 times higher than the basic increased to 10~15% than in 20°C. metabolic rate when there is the chill and the shiver. The ratio of the lipid and the sugar is 4:1, and protein: The chill and the shiver come before the temperature sugar = 1:1~1.5. The cold blocking rate of the lipid, getting down and they become severer and severest skin and muscle is 3:2:1., and in the hypothermia, when the body temperature nears 35°C and they stop there is little blood vessel, so that heat blocking when the body temperature goes town below 35°C. rate is high. Mean body temperature reflects the temperaturestatus The thicker the hypodermis the lower the heat produce more correctly and calculated by Tb=0.67 x Ts, H(kj/ rate, and the normal heat conduction of the thin and m2) = Tb x 3.473 x body mass(kg)/body surface(m2). the fat is 10:6. When we provided the sailors the 50°C 3.473(j/kg.°C) is specific gravity off the body. hot suspension of 8:2 of chocolate and butter and it S (body surface, m2) = 0.16 x (body mass x height) ½ prevented the rectal temperature decrease. or S=0.0061 x height + 0.0128 x body mass – 0.1529. We clarified its effect on temperature recovery after We made a formula that calculates the cold damage swimming and daily amount that increase the cold extent by measuring the body heat amount. resistance but not causing the obesity. Energy consumption according to the change of the We made the cold resistant medicine with the environment temperature is 6.7-7.8kj in 35°C, 117- combination of Ginsaeng (Insam). 125% in -2~-4, 128-140% in -4~-40°C. The research group using this combinations succeeded In 25°C, 65kj/h is consumed, but in water it is as in clearly keeping microcirculation under the -30°C much as 4 times. environment and in maintaining it 4~5 hours when Heat loss in 0~6°C of water is the same as in the air the local temperature is increased 5°C higher. of -50°C. And the endurance time in 2~6°C water was extended And the heat loss in 12°C of water is 15 times more as much as 1.85 times. than that in the air of 12°C. During the cold water swimming, the status that It means that the body can not compensate the lost makes the independent activity impossible is called heat if he stays in the cold water for a long time and under the cold water damage. it requires further study to prevent it. We used intensive heating procedure in the treatment 2) The cold-resistant training and its counter-measures of the cold damage to shorten 25% of treatment time, The cold-resistant training increases the heat decreasing many complications rate. production to 25% and makes the heat release slow and general cold resistance enhanced. O3-2 Winter swimming is the strong cold resistant training and it must begin from summer, time in water is 5~10 Lesson learned from Fukushima minutes, 3~4, or 5~6 times a week. Dai-ichi nuclear plant disaster: The sailor with the 1 year’s cold water swimming can swim for 25 minutes in 2°C of water, and after 60 water pollution as the most health minutes out of water, the body temperature recovers threatening factor to 36.8°C and can swim 800m in 2~3°C of water. But for the non-trainer, the hypothermia was severe Katayoun Jahangiri* and recovery period was as long as 100~110 minutes. *Associate Professor, Family Health Department, Health And this cold resistant ability lasts 7 weeks even Metric Research Center, Iranian Institute for Health Sciences after the sailor stops the training. Research (IHSR), Iranian Academic Center for Education, The heat insulation is also important to improve the Culture and Research (ACECR), Tehran, Iran swimming ability, and the thermal coat and the life Background: Although Building nuclear power plant jacket or several kinds of heat producers or generators in a region is encouraged business and economic are required. opportunities but also it may be a potential threat for We examined the cold resistant project in several community health. This situation is worst when the water temperature and found out the optimal results nuclear power plant is adjoined to water resources and made the cold load decision disk and the thermal such as river or sea. Because it caused water pollution heat producer too. besides of soil pollution. This study is undertaken

38 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Oral Presentations in Naval Preventive Medicine & Health to analyze the Fukushima Dai-ichi nuclear plant Hamidreza Tavakoli, Hosein Masoumbeigi*, catastrophe in japan and to study the effects of water Aliakbar Karimi Zarchi, Majid Ardestani pollution on population health. *Baqiyatallah University of medical sciences Materials and method: This applied research was a case study that it was done in 3 phases. The first Aims: Study of environmental health status of storages phase was a literature review; the second phase has and fridges and comparing it with ideal situation is been performed by analyzing the mechanisms of incredibly important. This study aimed to determine the Japanese authorities’ interventions and actions the environmental health status of food storages and and finally many strategies have been recommended fridges in NAJA. for prevention and mitigation for confronting such Methods: In this descriptive-analytical study, the accidents. situation of environmental health of the study centers Findings: On March 11, 2011, a 9.0 magnitude was evaluated by the reliable and valid self-made earthquake struck the east coast of Japan. This natural checklist. The collected data were analyzed using disaster caused substantial damage to the Fukushima descriptive statistics include mean, percent and graph, Daiichi nuclear power plant. This accident was the and t-test using SPSS15 software. world’s second-worst nuclear disaster, after the 1986 Results: The results showed that 9.1, 72.7 and 18.2 Chernobyl catastrophe and was classified as a grade percent of the fridges and 9.1, 54.5 and 36.4 percent 7 accident on the international atomic energy agency of the storages were evaluated in good, moderate scale: ” denoting widespread health and environmental and weak levels, respectively. From the view point effects”. Radioactive isotopes including iodine-131 and of temperature control 9.1 and 27.3, sanitary 9.1 and caesium-134/137 and plutonium were released from 45.5, site selection 36.4 and 90.9, shelf-life 18.2 and reactor containment vessels as a result of venting to 81.8 and staff hygiene 45.5 and 36.4 percent of fridges reduce gaseous pressure, and the discharge of coolant and storages, respectively, was evaluated in good water into the sea. Therefore, contamination of water level. Storage and fridge management has significant resources, some marine species (mostly fish) and soli difference in scores, among 11 environmental health secondary to water contamination were occurred. So variables. (P<0.05). entrance of radioactive isotopes to ecologic life cycle Conclusion: According to the present study’s results; has been happened with harmful and dangerous the environmental health situation of storages and consequences. fridges in this military force is not desirable. Correction Discussion and Conclusion: Despite of observing of commander’s attitude, sanitation, staff training, safety and security in building the Fukushima Dai- regular health control and surveillance and sanitation ichi nuclear plant, earthquake and tsunami caused engineering principles are necessary for promotion radioactive isotops leak from damaged reactors. The of environmental health situation in these centers. position of the nuclear plant in relation to sea is an Keywords: Environmental Health, Food storage, important risk factor for wide and fast spreading the Food fridge, Military centers, sanitation. contamination from the water route. As a conclusion, Nuclear energy in all forms is unsafe. Safe, clean, O3-4 renewable solar, wind, geothermal and other energy sources are readily available. Governments try to Assessment of individual survival substitute renewable energies instead of nuclear performance for water supply in energy for preventing these accidents. Keywords: Fukushima, nuclear plant disaster, water military missions pollution, health Rahim Keshavarz1*, Vali Alipour2, Mohammad Mahdi Hosseini3 O3-3 Importance of water and its transmission is a very long Study of environmental health status time., One of the necessities of human life, whether in of food storages and fridges of NAJA time of peace, both in times of crisis drinking water “safe” is. Drink clean water free from pathogenic in 2012 microbes play an important role in the prevention of

J Arch Mil Med. 2015 January; Supplement 1 39 3rd National and 1st International Congress in Naval Preventive Medicine & Health Oral Presentations

water-borne diseases such as chronic diarrhea.... is Hadv. for the adsorption of carbaryl by Fe3O4-MWCNTs The severity of the crisis will be added. Therefore, with coefficients of correlation R2≥0.992 for all initial researchers have attempted with the help of new carbaryl concentration studied. The reusability studies methods and technologies can reduce these problems. of Fe3O4-MWCNTs adsorbent were also reported One of these technologies is the solitary life of a straw. here. The results of the study show that the magnetic The purpose of this study was to assess the quality carbon nano tubes can be used as potential adsorbent of the physical, chemical and microbiological water for carbamate poisons group. outlet pipe for use in individual life crisis is to provide Keywords: carbon nano tubes, carbamate poisons, drinking water. Fe3O4-MWCNTs, isotherm and kinetic Exploratory study - Tvsyfyv quasi-experimental. Experiments conducted in this study consisted of O3-6 two groups tested. Tests to determine the quality of a physical and shaml turbidity, and the second Impact of dust storms on group bacteriological tests on water samples from enhancement of bioaerosols at the inlet and outlet Haanjam accepted. Test samples were analyzed on three different machines. Statistical inhalable air of ships analysis was performed using SPSS 19 software using Mehran Khaefi1, Gholamreza Goudarzi2, Zahra Afrar Excel Charts and done. Soleimani3, Zahra Qasempur4 The results showed that the instrument reed life to be able to reduce the order of 46/4 percent opacity, 1 Environmental and Occupational Health Center, Ministry of Health and Medical Education, Tehran, Iran the microbial load by 70 percent. The results showed 2 Environmental Technologies Research Center (ETRC), a solitary life Dhdastfadh Ozone to reduce turbidity Ahvaz Jundishapur University of Medical Sciences, Ahvaz, and microbial contamination is a viable option for Iran water supply in emergency situations. 3 Department of Environmental Health Engineering, School Keywords: Water Treatment, Water Crisis, Individual of Public Health and Paramedical, Semnan University of Treatment System, flute solo life Medical Sciences, Aradan, Semnan, Iran 4 Golestan hospital, military University of Medical Sciences, Tehran, Iran O3-5 Introduction: One of the most important outcomes of Synthesis of magnetic multi walled climate change in recent years is dust storms which carbon nano tubes and adsorption have effect on communities directly or indirectly. Findings showed that catastrophic situation of this isotherm and kinetic modeling of phenomenon has occurred in southwestern of iran carbamate poisons group particularly in Ahvaz, Abadan and Dezful. Bioaerosols are airborne particles that are alive or possibly originate Ramin Khaghani* from organisms. Indoor and outdoor places can be *AJA University of Medical Science, Faculty of medicine, at paramount of importance in view of bioaerosols Department of Parasitology origin. Possibility of diseases related to bioaerosols can be posed for navies. Many studies indicated that In this study, multi walled carbon nano tube-based culturable airborne fungi exposure lead to acute toxic magnetic nanocomposite was Synthesized and used effects, allergy and dermatitis. Another investigation as an effective adsorbent for carbaril pesticide. The highlighted the association between health end points properties of the magnetic nanocomposite were such as cardiovascular and respiratory diseases, asthma characterized by transmission electron microscope attacks, COPD, infarction, cardiopulmonary hospital images and X-ray diffraction. Effect of various admissions and airborne fungi. Dust whether it is operating parameters along with equilibrium, originated from biogenic or anthropogenic sources isotherm and kinetic studies reveal the efficacy of plays an important role for transmission of pathogens the adsorbent with a higher adsorption capacity. as well as a wide range of bacteria The adsorption equilibrium data obey Langmuir Materials & Methods: Present review was done model and pseudo-first-order Kinetics was the best based on studies around the world, book and literature

40 J Arch Mil Med. 2015 January; Supplement 1 POSTER PRESENTATIONS review and also web based articles. SPSS software at the significant level α=0.05. Findings & Discussion: Opportunistic fungi Result: Results showed that fluoride concentration which can cause a threat for vulnerable groups in Drinking water study (0.28 mg/l average) was were Aspergylus, Mucor and Ryzopus. It is highly less than the recommended standards. Fluoride recommended to consider preventive measures to concentration did not show significant differences in minimize personnel exposure and dust storms at the different water resources of this study (p-value> 0.05). time of occurrence. Fungi and bacteria concentration Conclusion: The amount of fluorine in all water in dust event days and indoors were higher than sources of this study is lower than the recommended those concentration in normal days and also outdoors. minimum value, so it is an urgent necessity to try Hence, it is necessary to use protective equipment to solve the problem. Calibration of the necessary such as FFP1& FFP2 masks, HEPA filters and HVAC measures in that regard would be to reduce the systems for these conditions. absorption of fluoride in drinking water treatment Keywords: bioaerosols, airborne disease, dust, devices noted. HEPA filters Keywords: fluoride. Drinking water. First marine

P3-1 P3-2 Determination of fluoride in drinking Necessary to detect legionella water in military centers of the first pneumophila in the aquatic marine unit environment Rasoul Abhar1, Mahdi Safatiyan2, Mohammad Mahdi Bolfion1, Seyed Shahram Mirzamani2, Mahdi Bahmani3 Mohammad Khoshbou2, Saeed Parvaneh2, 3 1 Student MS in Health Education, Health Management in Mehrouz Dezfulian The first Ndsa 1 Dept petroleum microbiology, Research Institute of 2 MS in Water and Wastewater Engineering, F. Behi Ndsa, Applied Science, ACECR, Shahid Beheshti Univ., Tehran. Medicine Research Center of the Sea 2 DVM-MPH, Marine and Submarine Medicine Research 3 BSc in Environmental Health, F.Behi Ndsa, Health Centre Management 3 Dep. Microbiology, College of basic science, Karaj branch, Islamic Azad University, Alborz Introduction: There are some traces of fluorine in Introduction: Illness caused by the gram-negative people’s diet and drinking water is its most important bacteria in the genus Legionella is referred to as means of absorption. Fluoride is one of the most legionellosis. Legionellosis consists of two distinct important elements in the composition of teeth and clinical syndromes, Legionnaires’ disease and flu- bones. An Increase in fluoride level in the body like Pontiac fever. causes dental fluorosis and its absence leads to teeth Legionella pneumophila has been isolated and decay. Standard rate of fluoride in drinking water is associated with outbreaks stemming from air- determined by the ambient air temperature. In general, conditioning cooling towers, whirlpool spas and standard level of fluoride in drinking water in winter, showers. Other water devices can include potable mainly due to less water consumption, is high, and water systems, whirlpool baths, respiratory care in summer, due to more consumption of water, is equipment, humidifiers and faucets. As water from not remarkable. The standard 1053 of Iran Standard these sources is aerosolized, individuals inhale the Institute and Industrial Research recommends the Legionella-containing droplets and the organism is amount of fluorine in water between 0.6 and 1.7 mg/L. aspirated into the lungs. Materials and Methods: In this descriptive and Legionella are ubiquitous in natural aquatic analytical study, different samples of drinking water environments, capable of existing in waters with taken from the water sources in military centers of the varied tempreture, PH levels, and nutrient and first marine Cities during 18 months were analyzed oxygen contents. Their widespread survival in by means of a Spectrophotometry set in a laboratory. nature can be attribute to their relationships with The obtained data was statistically analyzed using other microorganisms in the environment. Symbiotic

J Arch Mil Med. 2015 January; Supplement 1 41 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations existence with algae and other bacteria, particularly in Use appropriate bacteriological filters in the direction biofilms, increases the availability of nutrients. They of water flow, add Suitable antibacterial agents, also are able to infect protozoans and subsequently Raising the percentage of chlorine, using thermal reproduce within these organisms. These relationships conversion or use of sterile water to fill respiratory provide protection against adverse environmental therapy equipment are Recommended. Due to the conditions, including standard water disinfection serious risk of infections, it is better to make efforts techniques. to eliminate Legionella spp. in water supplies. PCR Methods: The laboratory methods listed below method could detect Legionella spp. in water supplies. have all been applied in the laboratory diagnosis of In addition, this method is more sensitive and faster Legionella infections: than other methods. 1. Isolation of Legionella bacteria by culture 2. Detection of Legionella antigen in urine (current P3-3 tests detect L. pneumophila serogroup 1 only) 3. Antibody detection using sera The use six sigma techniques to 4. Detection of Legionella bacteria in clinical material improve quality of hospital services such as tissue or body fluids by immunofluorescence microscopy [e.g. direct fluorescent antibody (DFA) sydalshhdayzd microscopy or indirect Fluorescent antibody test Batool Rastegari (IFAT)] 5. Detection of Legionella bacteria DNA using Introduction: been and will be. AlliedSignal Inc. qualitative polymerase chain reaction (PCR) or and introduced in the early 1990s, GE’s Six Sigma quantitative real-time PCR methods. management philosophy of history turned it into the Results: Culture can be seen as a gold standard, but most popular. and the various stages of implementing because of the nature of the difficult growth of the six Sigma team has finally achieved to improve organism and the problems relating to the collection service delivery. and transmission, its sensitivity is 50 to 60%.Antibody Methods: This cross-sectional study of process titers against Legionella grows slowly during illness, improvement, process unit was selected in each The sensitivity of serology tests is 60 to 80% And section and then a team of trained people working theirs specificity is 90 to 95 %. with the owners Frayndv Srprstarv and the unit was Now The PCR for the detection of Legionella used all stages of the Six Sigma executive because the sensitivity of this method was higher Results: (Sygmayy basis function) is also included both live and dead cells are detected and the results in the third stage using statistical techniques, can be achieved in less than a day technical and non-technical, process analysis, Sometimes Legionella are not detected by Culture process flow diagrams, our means, statistical quality but detected by PCR also Free DNA is detected by control, Pareto, Pi (Pie) and the histogram mapped this method. to points outside of the control is determined by Discussion & Conclusion: In conclusion, potable reference to the sources of errors and their causes water systems are the primary reservoirs for to be discovered. For example, “Members consider Legionnaires’ disease. The most frequently described the following code as the code resurrect Consider a route of transmission is by inhalation of contaminated process that would improve quality (single process: aerosols. Therefore, surveillance of water supplies a call to the call center and the code resurrect) error is important, and the infection can be prevented process: 1 -Rsydn 2. The members of members of the by disinfecting water, including heating, hyper code long 1 in 5 cases and explain the lack of people chlorination, copper-silver ionization, sterilization and lack of skills so we have 2 the number of errors ultraviolet light, ozonation, polyphosphate and per million opportunities with Tables (Conversion automatic heat flow systems. Process Capability and Sigma) Error number 53330 Also efficiency and effectiveness of water treatment is equivalent to 4/3 and 5/3 to the steps listed in methods should be tested on a regular basis, Things order to increase the pay Sygmayy. like Drain water and regular cleaning supplies and Conclusions: As a result of the implementation of water systems, timely maintenance of equipment, Six Sigma processes Sydalshhda Yazd hospital was

42 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health obtained. methods of continuous quality improvement of the deposition of cell Tvplasm of them. Bio Plasticas process. And manage dynamic, responsive and seventy percent less carbon dioxide production, and proactive instead of reacting to problems, and a renewable energy, and consequently less stable than comprehensive approach to improve the effectiveness conventional plastics. of the programs and tools of quality management Discussion And Conclusion: However this can be capabilities. The use of this method in health care synthesized Byvplastyk in environments where there is a necessity, not choice may be used for waste disposal, which is described Keywords: process improvement, Six Sigma, Quality later in this article and discuss it. The gun battle at the level of both floating and non-thread-level waste P3-4 is considered as a problem of this indicator, but the use of this type of a Vplast An appropriate strategy Bio plasticas an appropriate factor in to deal with these problems. However, if the use of military units offshore and subsea these containers fit into a disposable container with Nano technology (containers Vplast B of A) While Ehsan Moradi1*, Mustafa Kazemi 2 reducing the volume of waste to be disposed of, or the system is also protecting the Equus is based. 1 Human Genetics MSc Student (military scholarships), Genetic Research Center, University of Welfare and Keywords: One of the Vplast Paul giving the Alcanó Rehabilitation Sciences, Tehran, Iran Drvks And, A set of consistent, Military units, offshore 2 Medical Nanotechnology MSc student (military and subsea scholarships), Department of Modern Science and Technology, Iran University of Medical Sciences, Tehran, P3-5 Iran Introduction Background: Plastic waste was partly Risk assessment in the system due to an increase of non applicable to the analysis, drinking water ship One concern is growing. The bridge of the Alcanó Hdrvks Which is the medicine of the AS of the very Zahra Mousavian, Layla Rouygari, Athar toxic to Krvargan The production will be based, as Aflakian there can be an alternative to the plastic of a routine to be considered. The research center of Biology Mother Introduction: access to drinking water with high of two in Spain, scientists are convinced bacteria play quality integrated need controlling measures in all an important role in the future generations will have of the places that provide supply chain management a plastic material In spite of a plastic derived from of Aquifer areas and protect Water Resources and in petroleum, Bio Plasticas completely during the A purification, reserve and distribution and plumbing year by the poison of the Krvargan The destruction system in the place consumption continue. Improved of the sets of the structure of the carbon and water Highways for control of the water resources of the are converted to the open nature of the cause. water to the outside of the duties of the water supply Methodology: This article is a review of the technical should be considered like the coasts and on the papers describe the - library that go to the Internet seas that easy access to drinking water and enough and to the findings of scientific research in the article healthy is not possible. According to World Health in relation to the The Vplast a nanotechnology and Organization guidelines, healthy drinking water is its applications in the analysis of data and analysis water that any considerable danger to human health is located. during the Life does not make. The importance of Findings: Bio Plasticas, bridges the Esters such water as a tool for infectious disease transmission in that the reason for the unbalanced conditions in the ships, clearly argued Ast..antqal E. coli contaminated growth of toxic Krvargan The production is based. water, NoVs, Vibration S. ppm, Giardia lamblia, and The vulnerability of the tens of fatty Drvks reason L. S. ppm onboard confirmed the toxic chemical Ast.b the mattress and A class C of G rather than bridge the ship can also appear For example, the incidence of the Mayors of ten of which are stored by bacteria severe toxic chemicals that Hydrvkvyynvn implies, is and is a synthesis of the evidence and the specific a component of the developer acts as the agent of the components with dimensions in the nanometer range ship’s drinking water supply. No chemical pesticides

J Arch Mil Med. 2015 January; Supplement 1 43 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations on a ship can also appear if the member or passenger Seyed HadiVakili1, Majid Nori2, Azade Dasian3, with a small amount of hazardous chemicals in the Alireza Hosainjani4, Seyed Shahab Vakili5 course of a long call to be. 1 Master of Science Nursing, Faculty of Nursing, Golestan Methodology: Assessment of drinking water navy hospital, Tehran, Iran system in ensuring a ship, the issues that should be 2 Assistant professor of Infection Specialist, Aja University of considered include: medical Sciences, Tehran, Iran 3 - Quality of water supply Anesthesiologist, Rasul-e Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran - Loading Equipment Water 4 Master of Science Microbiology, Faculty of Microbiology, - Methods for handling water Golestan navy hospital, Tehran, Iran - Design and construction of storage tanks and pipes 5 Scholar Allameh Helli High school - Filtering systems and other filtration systems on ships Introduction: The hands, as one of the main ways - The system is designed to minimize dead-ends of dissemination are infections and careful and hand and blind spots washing are the most important factor in reducing - Residual disinfectants hospital infection especially in the Intensive Care Results: The ship is responsible for controlling the Units. The main purpose of this study was to action. First step is to clarify the purpose of control examine the Effectiveness of hand washing protocol in the management process. Control of monitoring on Nosocomial Infection rates in one of the selected the following criteria: Hospital in Tehran. - Quality of water supply Materials and methods: In a Clinical trial study A - Clean and repair valves and hoses total of 50 nurses working in the intensive care unit of - Residual disinfectants a hospital Golestan navy in Tehran were selected and - Means of preventing the Back Wash hands and face in the protocol group and were - Filters (before and during use trained over a period of 6 months of hand washing Nzart Alternate to the change in water quality are principles were followed up, The inpatient hospital likely reflect. For example, a ship may be more infection rates and microbial factors in the study of monitoring of drinking water on ships that recently environmental microbial cultures of hands nurses 6 “ the disabled are commonly be found anywhere months before and 6 months during the intervention else Similarly, if the system is uncontrollable water hand washing protocol. Were examined, finally data vessel monitoring system should be amended, and were analyzed with SPSS18 software and statistical the number of its more to be confirmed when the tests Chi square Findings: The results showed that target system is under control. compared the incidence of nosocomial infections Conclusions: Water safety can be assured through and antimicrobial agents was also cultured from instraction, observation and administraction which the hands of nurses and environment sectors before in cludes items such as elimination of potential and after intervention were a significant statistical pollutants by personnel health observation and reduction (p <0.05). thir performance back up programm that must be Conclusions: The results of this study with regard to documented for ship in cluding: possible expect that face to face education, tracking - Training for people who deal with the transfer of and the use of a checklist to see how hand washing water. can reduce hospital infection rates to be effective. - Effective certified consumables used in ships’ tanks This study was sponsored by the Research Committee and pipes of the University student the rest of Allah (PBUH) is accepted, the researchers need to know they can P3-6 thereby thanking the above Centre and Faculty of nursing University of medical sciences (mums), the Effectiveness of hand washing rest of the Golestan hospital officials and personnel protocol on nosocomial infection of the special section that researchers in order to do this research help, sincere appreciation and thanks rates to the perfection.

44 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

P3-7 considered. In addition, due to bacterial resistance against bactericides and their side effects, use of A review of control methods for properly designed units that their management is bacteriological water quality and easy, can be minimized the problems. Keywords: biofilm, bacteriological water quality, biofilm in dental unit water systems dental unit water system (DUWS), disinfection, water management system Hossein Masoumbeigi1, Hossein Kardan yamchi2* P3-8 1 Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran. 2 Department of Environmental Health, Health Faculty, Review on application of Member of Student Research Committee, Baqiyatallah phytoremediation on water resources University of Medical Sciences, Tehran, IR Iran. recovery Background: Contamination of dental unit water Peyman Faghihfard, Bahareh Younesei systems (DUWS) to a variety of microorganisms and biofilm formation is one of the most important Health, Rescue and Medical Dept. of Police force of I.R. Iran problems in dentistry centers against the proper operation of this units. The aim of this study was to Pollution causes loss of significant proportion of review of control methods for bacteriological water natural resources and many countries are encountered quality and biofilm in dental unit water systems and resources waning problems. Contamination of water to offer the effective control methods. resources and the drought problem lead into rapid Material and Methods: A considerable number of development of water shortage crisis and several articles published from 2000 to 2014 in the Iranian countries have been seriously involved in. Although and international scientific journal, final reports contaminated waters have lost their main quality of the research projects, articles presented in the but still as a source of water, are valuable. Through Congress and students theses, with using standard recovery of a substantial portion of the water and also and sensitive keywords were reviewed. Then the preventing wasting resources such as urban runoff, it articles that have inclusion criteria of the study were can be used again in order to agricultural purposes selected and were carefully studied. and reducing costs of water providing and transport. Results: Review of selected studies indicated that Access to a reliable technology with minimal adverse different methods for the control of bacteriological effects and changes in the environment, can be a water quality and biofilm in dental unit water systems suitable solution towards natural resources recovery were used. Preventive measures, design and use (including precious resource of water). One of these of a central system of treatment and disinfection technologies, concerned with environmental experts, of entering water to the units, use of chemical is Bioremediation; the goal of which is employing disinfectants, flashing, genus and size of dental unit living organisms as well as micro-organisms in water pipe, properly designed unit by manufacturers, order to eliminating environmental contaminants. anti-retraction device (anti-return) and optimum Phytoremediation is one of Bioremediation applications operation are the main methods that were used in which defines as green plants (including herbs, several studies. shrubs and woody species) engineering usage for Conclusion: Certainly, one method cannot be supply removal, maintenance, or extraction environment the standard for unit water quality and remove biofilm. contaminants such as heavy metals, trace elements, But using different methods is necessary to reach this organic compounds and radionuclides in contaminated objective. The most effective method to reduce the soil or water. microbial contamination load of water and reduce This green technology is both low-cost and low-tech adverse effects on personal health and patients is and can be used in large and small communities as preventing of biofilm formation, especially using an alternative or supplement along with or instead of enter of safe water to the dental unit in combination, conventional cleaning methods, which often requires with other control methods should be seriously high initial capital, labor and energy. Phytoremediation

J Arch Mil Med. 2015 January; Supplement 1 45 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations mechanisms, depending on its processes has different terms of microbial contamination in these conditions techniques, such as green extraction, green filtration, is important and vital. So today, several studies have green stabilization, green volatilization, green been conducted on the disinfection of water and transformation and green stimulation. wastewater in order to find alternative methods for In this study we have tried to review applications disinfection. of phytoremediation in water recovery, accumulator In recent decades, adverse effects of disinfection of plant species well-suited with Iran climatic and drinking water and wastewater by chlorine on human geographical conditions, as well as the advantages health and environment, led researches to explore and limitations of this approach. new disinfectants with the useful properties and no Keywords: pollution, phytoremediation, hyper harmful by-products. accumulator plants, water resources. Methods: Performic acid (PFA) is a wide-spectrum oxidizing agent which has recently attracted attention P3-9 for uses as disinfectant in many industrial processes, such as medical and food industries. It inactivates Disinfection of water in emergency viruses, bacteria and bacterial spores, mycobacteria condition with a new disinfection as well as microscopic fungi. However, a lack of quantitative data exists about its effectiveness on method: introduction of performic microbial strains and actual power of its disinfection. acid (PFA) as a new disinfectant This is an empirical study that investigated the efficacy of performic acid catalyzed by both sulfuric against water’s pathogens and ascorbic acid. Tap water in one experiment and Samira Yousefzadeh1, Ramin Nabizadeh2, Mehdi sterilized activated sludge effluent (ASE) in another, Vosoughi Niri3, Alireza Mesdaghinia2, Simin were used for preparation of aqueous solutions. E. coli Nasseri2 (ATCC, 8739) was used as target micro-organism to investigate the efficacy of catalyzed PFA. 4 Contact 1 PhD Student of Environmental Health engineering, School times and 5 different concentrations were used. of Public Health, Tehran University of Medical Sciences 2 Professor of Environmental Health engineering, School of Results: Application of the highest initial dose of Public Health, Tehran University of Medical Sciences 15 mg l-1 in this study showed the superior catalytic 3 PhD Student of Environmental Health engineering, School action of sulfuric acid; since 6.8 inactivation-logs of Public Health, Ahvaz University of Medical Sciences was achievable in 30 min of disinfection period in Introduction: The world population is increasing sterilized ASE. But in Tap water the stronger catalyst and drinking water supplies are dwindling, so the activity of ascorbic acid, appeared in initial dose of world will face with water shortages in the future. 10 mg l-1 and 30 min contact time were achieved. Clean water particularly in emergency situations is the Discussion and Conclusion: The Application of key to maintaining human health. Natural disasters, PFA on E.coli in our experiment caused CT value for tornadoes, hurricanes, and floods are occurring with 99% inactivation of 12.16, and CT value for 99.9% increasing frequency. So in emergencies, providing inactivation of 23.82. Performic acid produced 4log pure drinking water is quickly the most important inactivation at CT of 35.48 mg min l-1. The results item. In different ways, it is easily possible that showed that the disinfection efficacy of PFA is water become contaminated from its sources or proved to be less than free chlorine and more than after treatment or during storage and consumption. chloramines. Thereby providing safe drinking water, especially in Keywords: Drinking water in emergency situation, Disinfection, Performic acid, E. coli

46 J Arch Mil Med. 2015 January; Supplement 1 ABSTRACTS

Psychological Health for Navy ORAL PRESENTATIONS

O4-1 sunset is effective, and can be exercised in submarine, such and underground halls. The effect of regulator dimmers Keywords: circadian, melatonin, sunlight, depression, proportionate with intensity sunlight anxiety cycle arise- sunset of dim rate by O4-2 circadian cycle on anxiety and Personality traits underlying suicidal depression and plasma melatonin behavior in military youth hormone among employees in submarine Abdollah Soltaninejad* * PhD in psychology, Behavioral Sciences Research Center, 1 2 Mahrdad Adli , Mohammad Hosein Lashgary , Baqiyatallah University of Medical Sciences, Tehran, Iran Majid Hazrati3 1 Associate professor of psychiatry. Introduction: Suicidal behavior is one the most 2 Associate professor of general surgery. significant mental health issues in the military. 3 PhD of Military psychology Militaries are closed systems that operate in certain situations. Working in military is associated with Goal: Not perceiving circadian shifts of sunlight due certain stress conditions. One of the underlying to presentation in closed environments can increase factors that lead to suicidal behavior is individuals’ secretion of melatonin and decrease the level of personality traits. serotonin, and create the degrees of depression, Materials and Methods: The correlation study of tiredness, sleepily anxiety, and vocational fatigue. the population of the Iranian Armed Forces is a unit Therefore, the purpose of current research is of soldiers. To select the sample of the research, 1659 determining the effect of dim regulation by optic soldiers were selected by multistage sampling. Data dimmers according to circadian light shifts over were collected using the Beck Suicide Scale Ideation submarine employees. (BSSI) and NEO-Five Factor Inventory. Materials and methods: In this experimental research, Results: Based on the results of the current by using random method for accessible samples, two study, there was a significant positive correlation groups were selected for experiment (submarine between neuroticism and suicide ideation, and a nooh) and (control yonas); these groups Were 30 significant negative correlation between extraversion, people and they were male between 22-50 years old. agreeableness, conscientiousness and suicide Both groups which selected having deprivation of ideation. Likewise neuroticism, extraversion and cycle sunlight and with same intensity of submarine conscientiousness personality traits could face light. The experiment group plus normal light have significant levels of suicidal ideation and as much regulator dimmers in their work environment were as 14% are predicted. affected by optical radiants, proportional to 1600 lox, Conclusion: The present study has shown that a while the control group continued to their work by neuroticism trait can lead to an increased risk of ordinary light. Two groups were examined in variety suicide and extraversion and conscientiousness has tests, such as pretest, posttest, determining the rate a protective ability against suicide ideation. of plasma melatonin, depression test, and anxiety Keywords: Suicide ideation, Personality Trait, test. Then, data were analyzed by using the method Suicidal Behavior of statistical – analytical indexes of co – variance and one way ANOVAs. O4-3 Findings: Finding indicated that the rate of plasma melatonin, depression rate and anxiety rate have Necessity to the family adjustment reduced meaningfully among experiment group educational package specific to compare to control group. Result: Making use of regulator dimmers islamic republic army navy proportionate with intensity of sunlight cycle arise- Maryam Amidi Mazaheri*

48 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Oral Presentations in Naval Preventive Medicine & Health

*Department of Health Services, School of Health, Isfahan job requirements and promote their health and makes University of Medical Sciences, Isfahan, Iran. naval fleet more powerful to defend of the integrity Independence and security of any country and state of the Islamic Republic of Iran. will be provided in the light of military power. A Keywords: Staff agents of Navy, educational package, country’s armed forces are offensive and defensive family adjustment forces that are supported by the government. In many countries the armed forces are divided into ground O4-4 forces, Air Force, Navy. Establishment of the Iranian navy is almost ninety years ago. Due to geopolitical Comparison of components of marital position history of naval power and the exposure of satisfaction in families of naval the strategic Strait of Hormuz, the strategic location of the Middle East; The Navy is very important as officers in the army, towns, city of one of the most powerful arm of the armed forces Bandar Abbas and defense of territorial integrity. This paper investigates the role of family on mental health and Farnoosh Etminan1, Eghbal Zarei2, Kourosh readiness to the mission among agent’s personnel of Mohammadi3 Navy and explains the necessity of development of 1 Department of Psychology, School of Human Science, a family adaptation educational package for Army Hormozgan University, Bandar Abbas, Iran Navy agents, employees. 2 Department of Psychology, School of Human Science, Methodology: Present study includes information Hormozgan University, Bandar Abbas, Iran 3 Department of Psychology, School of Human Science, collected from books, articles and authoritative Hormozgan University, Bandar Abbas, Iran guidance on education programs and support to the families of the Navy. This study aimed to compare Marital Satisfaction Results: Advocacy and Support of armed forces and scale corresponding to the four groups of families including the Navy is major concern for military families (surface, subsurface, marines and government. Preoccupation and the concern for family pilots) were performed The sample in this study, 200 are a major part of challenges and difficulties of unique families of naval officers who were selected through lifestyle of navy agents. Studies have shown provision stratified sampling method. The results showed that of supportive and educational programs are intimately the officers’ families surface, subsurface, marines related with satisfaction and adapt to navy lifestyle. and pilots are different from each other in terms Family factors have a significant role in issues related of Marital Satisfaction. Overall satisfaction with its to the preparation for the mission and employees subscales among the four groups is relatively high. maintenance. Numerous studies around the world Pilot Officers families Marital Satisfaction than other have explained the nature of the relationship between groups showed. The findings of the subscales indicated family support and its effects on mission readiness that the subscales, there are differences among the and retention of employees in the armed forces. To various levels of Navy families. develop an educational package, emotional condition, emotional and social aspects of families of naval O4-5 personnel should be scientific scrutiny. Awareness about available sources of support, education about Relationship of post traumatic stress the proper use of modern communication technologies disorder (PTSD) and obesity, diabetes suitable for employees and their families during separation, couples communication skills, parenting mellitus and metabolic syndrome skills are some topics that have been emphasized by Nooshin Bahrami1, Mohammad Hossain studies in other countries. Khoobi2, Maghsoud Pouryousef Kaljahi3 Discussion: Navy agents employee families today can handle the unique circumstances and needs, 1 MD Associate proffesor of psychiatry 2 MD membership of internal medicine department of I.A.U Development and implementation appropriate 3 MA in clinical psychology educational interventions based on the needs of families make better family adjustment, coping with

J Arch Mil Med. 2015 January; Supplement 1 49 POSTER PRESENTATIONS

Background & Purpose: Post-traumatic stress relationships is difficult because insufficient numbers disorder (PTSD) is a serious anxiety disorder that of prospective studies have been completed to date, can occur among persons exposed to traumatic hich weakens evidence for temporally based patterns. events. PTSD has been related to several adverse Long-term prospective research may provide further health outcomes and to increased utilization of health information about how currently utilized PTSD care services. The focus of this article is on the treatment strategies could reduce the comorbid relationships between PTSD and a chronic health conditions associated with this disorder. More research conditions including other psychiatric conditions should target different demographic groups. Many such as, obesity, diabetes, metabolic syndrome. studies have focused on men. Further study also needs Information about comorbidity between PTSD and to consider greater validation of the self-reported these chronic conditions includes findings from clinical health outcome data that has been frequently relied and epidemiologic studies of military, veteran, and upon to draw conclusions about possible associations. civilian populations as well as neurobiological and . Validation approaches could include physician- behavioral research. confirmed diagnoses or medical record reviews Trauma can lead to several anxiety and mood disorders to help substantiate given differences in the type as well as other psychological conditions, in addition and number of covariates controlled for, statistical to adverse changes in health risk factors. Although methods, manner of PTSD diagnosis, target group PTSD is unlikely to account for all of the effects of characteristics, sample size, and the manner in which traumatic events on health, it is likely to be a key physical outcomes were defined. The identification of pathway through which traumatic exposure leads to biomarkers may represent another approach for the chronic health outcomes. improved under-standing of PTSD and co-occurring Symptoms of PTSD develop after exposure to an conditions. Extreme traumatic stressor involving threatened Keywords: PTSD,Diabetes Mellitus, Metabolic death, serious injury, or witnessing an event that syndrome involves serious injury or death of another person. Symptoms of PTSD may include nightmares, intrusive P4-1 thoughts, or other reexperiencing phenomena, the avoidance of situations that remind the person of Assessment of the efficacy of the the traumatic event, a feeling of numbness or being social-oriented approach in drug socially detached from family and friends, and hyperarousal (for example, feeling angry, irritable abuse tendency and quality of life and ‘‘on edge,’’ or having difficulty concentrating). Danial Azadi1*, Ali Pouladi Rayshahri2 Hyperarousal or hyper-vigilance includes a rapid and pronounced reaction to stressors which may 1* Master of clinical Psychology, Bushehr Azad University 2 Assistant professor, Bushehr Azad University lead to a preoccupation with signs of threat and emotional distress. Methods & Material: This is review of articles of The aim of the research was to investigate the Medline, jamanetwork ,science direct And www. effectiveness of community oriented preventive aph.org and by keywords of PTSD, Diabetes Mellitus approach in the community and seek to reduce the and Metabolic disorders. impact of its part in the level of health and quality Results: Further research is needed to better of life of the Bushehr urban neighborhood’s that this understand the complex relationships surrounding approach, which has been implemented. The statistical PTSD and comorbidities such as obesity, diabetes, community, neighborhoods and the workplace Bushehr and metabolic syndrome. This is well illustrated centres under the cover of the community were in a multifactorial PTSD outcome model proposed prevention approach. In this study means of collecting by where heredity, behavior, trauma exposure, data and Standard. The results of the study showed and proposed by where heredity, behavior, trauma that approach to prevent the rally on reducing the exposure, and biological alterations omprise just a tendency to drugs and raising the quality of life is few of the relevant factors requiring consideration. significant impact. But in the field of improving the The establishment of consensus regarding causal level of physical and mental health of the results of

50 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health the impact of this approach. The results also showed and compared for both pre-test and post-test. Paired that the sex abuse and there is a significant correlation. t-Test was used to investigate the changes of data. between gender and the level of quality of life and Result: it was concluded that the general cognitive health meaningful relationships. In the relationship health of these scuba divers was reasonably normal. between the old and the tendency to drugs and age Their mental processing speed had a significant and the level of quality of life and health obtained decrease after scuba diving (p≤0.05). Their Sustain but significant relationship between income and the attention also decreased after scuba diving. Their tendency to drugs meaningful relationships. mental fatigue was found to be more than that of Keywords: drug addiction, community oriented their rest time. approach, quality of life, urban zenes organization. Conclusion: It seems that although the scuba decreases the brain cognitive function for a short P4-2 time after diving but the level of attention can still be acceptable. Based on the results from the data, it is The effect of 20 minutes scuba diving seen that after diving, the processing speed is reduced. on cognitive function of professional It is therefore, advised that the divers should not to participate immediately in any activity that requires scuba divers some higher level of attention. It is also found that diving may well influence the level of concentration, Seyed Faezeh Pourhashemi1, Bahareh mental fatigue and the general health of the divers. Gholipour2, Hedayat Sahraei3 Keywords: scuba diving, salivary cortisol, cognitive 1 MA in Motor Behavior, Faculty of Physical Education and function, sustain attention, processing speed, mental Sport Science, Allameh Tabataba’i University, Tehran, Iran. fatigue. 2 MA in Sport Physiology, Faculty of Physical Education and Sport Science, Ferdosi University, Mashhad, Iran. 3 Associate Professor Baqiyatallah (a.s.) University of Medical P4-3 Sciences, Neuroscience Research Center, Tehran, Iran. Chronic effects of methamphetamine Introduction: “Attention” is also an important on the performance of dependency parameter in human’s life and plays a very crucial role in one’s success and failure. Many research rats in reference memory on spatial results demonstrate a direct relation between the navigation of the water maze attention and physical activity. However, not only 1 the effects of physical activity, but also the effects Maghsoud Pouryousef Kaljahi , Seyed Shahram 2 3 4 of environmental conditions, the environment where Mirzamani , Majid Hazrati , Nooshin Bahrami , 5 6 these physical activities take place, have to be taken Masomeh Nikfarjam Haft Asia , Shahram Oliaei into account. For instance, maintaining attention and 1 MA in clinical psychology mental health is of prime importance for people who 2 DVM-MPH, Marine and Submarine Medicine Research are working in special environmental conditions such Centre 3 as in deep under-water or at higher altitudes. The PhD of Military psychology 4 MD Associate proffesor of psychiaty Purpose of present study is to investigate the effect 5 BD in clinical psychology & MA in general psychology of 20 min scuba diving on cognitive performance of 6 Aerospace & subaqatic medicine professional scuba divers. Method: An experimental method comprising of Introduction: People for various reasons, including a pre- and post- test was used for this research. To relief from stress of daily living, physical and mental perform the experiment, twelve professional scuba problems and issues arising from the lack of purpose divers from the city of Mashhad were asked to and meaning in life more cars than ever to have taken stay under the water at a depth of 10 meters for 20 refuge in drugs and substances. On the other hand, minutes. For evaluation of their cognitive functions in in relevant animal research in the field of chronic pre and post scuba diving sequences, PASAT (Paced methamphetamine effects on spatial learning and Auditory Serial Addition Test) software was used. In memory in rats is related to methamphetamine is still addition, their salivary cortisol level was measured controversial. This study investigated the effects of

J Arch Mil Med. 2015 January; Supplement 1 51 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations chronic methamphetamine-related stimuli in rats to 2 Research and crisis committee chief, Valiasr hospital, assess the long-term ability of learning and memory Rasht, Iran 3 Research committee member, Valiasr Hospital, Rasht, Iran (reference) in the Morris water maze task was done. An chronic effect of methamphetamine (METH) on Introduction: The function and all connections spatial learning and memory in METH- dependent of brain are created by nervous impulses. These rats is still controversial. In this study chronic effect connections are seen in electrical waves form that of METH in stimulant-dependent rats was employed are alpha, beta, tata and delta. to evaluate learning ability and spatial reference Methods: This project has done in two parts at memory in the water maze (WM) task. research committee of Valiasr Hospital of Rasht. In Materials and Methods: Rats were repeatedly first part the effect of electromagnetic waves at the administered METH (2 mg/kg, SC, once a day for 5 distinctive range of frequencies, time and powerity days), and their memory function was assessed on was done for brain waves induction. In second part the 6th day. The treatment was continued per day of this project, the basic creatness of the device was during learning and memory testing. In experiment done by emphasizing to the results of first line of 1, the performance of rats was evaluated 120 min project. This device has been combined of three after injections in reference memory version of the parts. recognization, regulatory and treating part. The WM. Rats were submitted to a session of 4 trials for recognization part has been attached to encephalograph 5 consecutive days to find the submerged platform device by distinctive output and recognizes type that was located in the center of a quadrant. Memory of the waves that flow in brain and describes its retention was tested 24 h after the last training session diagnosis in speaker form then representates the useful in a probe trial (60 s) in which there was no platform. suggestions for activing the distinctive wave on the Results: Moreover, the chronic effect of METH (120 device. Furthermore person abalienates resumption min after injection) in dependency rats indicated that of this period to aotomatical system that the device latency and traveled distance to find the platform does these functions in appropriateness with the were same in control and dependent rats during brain waves flow or person does these functions by training days, but during the probe test METH- manual setting that in appropriateness with the type dependent group spent significantly less time in the of description benedictory in regulatory part of device target zone (P<0.05). that consists of the application waves regulatories Conclusions: In this study, the effects of chronic respectives, the electromagnetic waves are radianted administration of methamphetamine in rats in application with description demand in distinctive dependent, damage to the maintenance of long-term frequency, power and time for creating the related memory and retention of spatial learning abilities. wave in brain. Ending the process is enunciated after Several studies have shown that the acute effects of reaching to distinctive wave automatically intelligently methamphetamine can lead to improved short-term and treating part of device stops the waves radiation. memory. Therefore, it is recommended an additional In all these sections the details are observed in experiment to demonstrate the acute effects are encephalography by attached encephalograph device. examined simultaneously. The results of encephalography, brain waves power, Keywords: spatial reference memory, water maze, hystomorphometric deliberations of brain tissue that METH dependent rats. have gained by researches by basic electromagnetic of this device in human and rat in research committee P4-4 of Valiasr Hospital are corroborant the effect of this device induction in brain. In this study 120 human at Automatic and intelligent inducer of the age in range of 25 years in Rasht Valiasr Hospital brain waves for depression prevention and 50 rats at the weigh in range of 240-260 gram and the age in range of 5-6 months were examined. in mare long period locomotion Human samples in 12 separately alpha, beta, teta and delta induction with alpha, beta, teta and delta Esmail Arab1, Iraj Ramazani2, Behrouz basic of brain waves groups with 10 persion for 28 Mikaeilpour3 days were studied. Rat samples in 5 separately alpha, 1 Valiasr Hospital chief, Maral specialty beatification, Rasht, Iran beta, teta and delta induction groups for 28 days

52 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health were located in 10 cm distance from electromagnetic women as a social institution in that society.military producer resource. A shunt winding was used envirus family with at least one member (usually supervisor) of the head for electromagnetic induction in human. is served in the military have to obey, respect the Results: In all groups of human, creatness and hierarchical power structure that behavior&specific remaining of the distinctive brain waves were roles such as loyalty obedience&the values ​​of the force observed. The hystomorphometric studies of brain is expected that military force is desirable practice live tissues in rat samples, show the inflammation and of military couples formed by these values​​.military some transient damages in 4th week. jobs with high stress and certain complexity create Discussion: The magnetic field is created by electrical significant outcomes.the most important is impact barroom furthermore the passing of electrical circulation on family functioning (satisfaction family members creates the magnetic field. Electrical field is created especially couples). Marital satisfaction is the most by electrical barrooms that these fields are related important criteria of family stability.Alice defined to magnetic fields. Creating the differences between (objective sense of contentment satisfa ction&pleasure two sides of conductor, closes the electrical circuit in couple of all their relationship clearly determinant and prepares the electrical circulation that has the force for moving family couples & individuals, antagonist relation with electrical renitence. When including armed forces personnel primarily have the magnetic field is changed in circuit, the electrical coordinator safe family&to benefit of spouse and circulation will be created and this created circulation compatible children.therefore to achieve powerful is leading to field around of the circuit that prevents military forceit should be noted in family functioning from creating its factor according to Lenz rule. because any problemsinmilitary family is obstacle in The brain is formed from neurons that have relations the development and excellence military force. each other. These neurons have the conductor Methods: It study is retrospective-descriptive & properties. Furthermore we can modelized these used of books, persion english articles.website& neurons theirs relations such as closed electrical pulse resources in the field of psychology, family health, movement. If we give the changeable magnetic fields sociology, military medicine, explaining marital to neuronal closed circuits, this manner creates the satisfaction was examined as a factor in the health electrical circulation such the physiological brain of the military family. pulses. The changeable magnetic fields are produced Result: Marital satisfaction is family well-functioning from yashmak. The fixed extremity has straight in frastructure growth, adaptability, applicability connections with electrical circulation ability among the people.religious military personnel Conclusion: By attention to brain wave induction may involved inthe adaptation of thefamily couples by electromagnetic inplantationer and by attention much research specified: people who have high to different changes in movement and behavior levels of marital satisf action generally long- and appropiatenessing of these changes with brain lived, healthy&well-fed, the less are psychologica waves, it is concluded that the different behaviors and problems&their children have better education, less manner are controlled by electromagnetic induction to turn to alcohol or drugs, but the irregulars&lack and the different diseases or disproportions such as of marital satisfaction significantly with affective depression and destruction can be controlled. disorder-emotional relationship&negative consequencs of divorce that configuration of society and rise P4-5 various aspects of mental disorders, behavioral, social, economic. Marital satisfaction, factor in the Conclusion: Physical, emotional and mental health health of the military family depends on the health of marriage is people.satisfaction of the marital satisfaction & family satisfaction with Saeedeh Askarian Omran*, Farshid Motevalian family life satisfaction&thus facilitate the growth& excellence of material &spiritual progress of society *MSc, Gilan University of Medical Sciences will be. Military families with the whole family is Introduction: Family is the first social organization different. Individual & organizational efforts should and Association of growth and prosperity, Health be made to the strength of military families. maintenance and mental health resulting Marriage men, Keywords: family, military family, marital satisfaction

J Arch Mil Med. 2015 January; Supplement 1 53 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

P4-6 Conclusion: Since a large share of the abilities of people depends with mental health, And given the Music in the mental health of military fact that music can have a significant impact on mental personnel health, In this Article we seek to examine the effects of music on military personnel. In general, it seems Saeedeh Askarian Omran*, Farshid Motevalian that military occupations, including occupations which are usually associated with high stress and beneath *MSc, Gilan University of Medical Sciences this is due to the constant stress of working people Introduction: Mental health as a feel of person about in this group. Separation from family for military themselves, the world around, and how to adapt missions organization, stressor or permanent physical to their responsibilities and Cognition is defined environment and everyday phenomena in their jobs location and time. Military occupations of high stress The repeated stress can have a negative impact on occupations are complicated. On the other, music can mental health And for reduce the stress and strengthen help relieve feelings of stress associated with it. In the abilities and skills can help of music therapy. And this regard music therapy as a treatment method that musical activities designed for military people One of is considered useful for purposes such as military the easiest and least expensive of these activities is the personnel, improve mental health, reduce stress, music playing in the morning That can be effective in improve concentration, social adjustment, personal improving the mental health of employees. control, emotional stability, motivation, and cause. Keywords: Mental health, military occupations, This paper examines the role of music in improving Music Therapy the mental health of military personnel have been investigated. P4-7 Methods: The method is systematic & used of scientific sources. Personality characteristics and mental Result: Military occupations in the world combined health of soldiers attempted suicide with stress, physical hazards, moving away from family and living in difficult conditions. Post tensioning and normal navy in Rasht maritime system, and a significant cause major consequences specialties center that must be considered. Since the effect of music on 1 2 the limbic system to regulate and manage personal Majid Ghorbannejad *, Esmail Arab , Iraj 3 4 emotions and the addition of some involuntary Ramazani , Shahram Ashabi , Behrouz 5 physiological issues regulates such as despair, pain, Mikailpour blood pressure. It also relieves stressful feelings and for 1* Department clinical psychology, Islamic Azad University, the rapeutic purposes, including appeals, are used to Guilan, Iran create and enhance physical health and mental health. 2 Valiasr Hospital chief, Maral specialty beatification, Rasht, Studies have shown that a system-based approach The Iran 3 Research and crisis committee chief, Valiasr hospital, music on the areas of biological and psychological Rasht, Iran impact Caused by the interaction of individual 4 Department General psychology, Rezavanshahr Compliance and compatibility with the environment Payamenoor University, Guilan, Iran and positive interaction, manage stress in a person 5 Young researchers and Elite Club, Research committee increases.Music is a good model to study the complex member, Valiasr Hospital, Rasht, Iran interactions that occur in the brain systems, provide. Introduction: Suicide is the act of intentionally Also can influence the different body hormones, causing one’s own death. Suicide is often carried out heart rate, blood pressure and stimulate the as a result of despair, the cause of which is frequently emotions in the brain. Job stress, including anxiety, attributed to a mental disorder such as depression, panic attacks, insomnia, irritability, fatigue and bipolar disorder, schizophrenia, borderline personality inability to concentrate and physical ailments such disorder, alcoholism, or drug abuse. The aim of this as cardiovascular disorders, vascular and gastric, study was to investigate the mental health personality intestinal, inadequacy and stress at work can prevented characteristics of attempted suicidation soldiers and to Music Therapy. Marines is normal.

54 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

Methods: The type of this study is proofly– And finally data were analyzed using statistical comparison. For this purpose, 170 soldiers (normal regression method. Results showed that there is a and attemptssuicide) were selected as the sample relationship between attachment style with content size. General Health Questionnaire (GHQ-28) and the of emotional intelligence and resilience Also, there Minnesota Multiphasic Personality Inventory (MMPI- is a malti variable relationship between attachment 71) was used to assess personality characteristics, style and emotional intelligence and resilience Also, mental health of soldiers and to analyze the results result showed that attachment style and emotional of T test for independent samples. intelligence is predictor of part of resilience variance. Results: Data on the α=0.05, showed that among the Keywords: resilience, attachment style, Emotional criteria forhypochondriasis, depression, hysteria, intelligence, students psychopathic deviate, paranoia, psychasthenia and schizophrenia of personality characteristics, there P4-9 are significant differentiation (P <0.05) and also the mental health criteria for anxiety, social withdrawal, Effectiveness of group cognitive and depressionattempted suicidal soldiers and there behavioral therapy to decreasing is a normal (P<0.05). Discussion: Historical existence of disproportions suicide ideas in soldiers of aja especially in corporation forces that have reachment Mohammd Keshmiri1, Masoud Zahmatkesh2, to weapon, lonely and have meander distance from Masoud Shahabian3 family can cause important diagnostic to attempting to suicide. 1 Clinical Psychologist, Regional Hospital 550 Nezaja, Mashhad, Iran Conclusion: So we can identify personality 2 Professional Doctorate, Regional Hospital 550 Nezaja, characteristics and mental health status of soldiers, Mashhad, Iran attempted suicide among soldiers and predicted 3 Professional Doctorate, Regional Hospital 550 Nezaja, conditions and measures to prevent and control them. Mashhad, Iran Keywords: Personality characteristics, Mental health, Soldiers, Attempted suicide Introduction: suicide is very common in all age ranges but it tends to appear more on youths and soldiers P4-8 of aja particularly, because of their specific situations in this period. Having suicide ideas is a beginning to Prediction of resilience based on act of suicide and because of their stressful essence, attachment style and and emotional military environments could cause some increases in suicide ideas for soldiers of aja. The deal of this intelligence in hige school students of research was about comparing effectiveness of group sirjan township cognitive-behavioral therapy to decreasing suicide ideas in soldiers of aja. 1 Hadi Ansari *, Behnam Keshavarz2 Method: this research is done by quasi-experiment 1* MSc, General psychology with some pre and post experiment design using 2 MSc, Clinical psychology control group. The statistics cases of presence research involved 24 soldiers of a several Military garrison by The aim of present research was to predict resilience using random method divided in two groups of test based on attachment style and emotional intelligence and control. Before any interventions all of them did in high-school students of sirjan. Statiatical community questionnaires for Beck’s suicide ideas scale (BSSI), of present research included 300 students of high Beck’s second edition depression scale (BDI-II), Beck’s school that were selected using simple random Hopessness scale (BHS). During to 17 sessions a group sampling among sirjan hige schools. Research tools cognitive-behavioral therapy performed on the test were consisted of attachment style questionnaire using group. Data analyzed by using independent T-test merino (1973) emotional entelligence questionnaire and analysis of covariance (ANCOVA). of travis bradberry and jane grieves (2007) and Results: the results of the research state that there resilience questionnaire of conner and Davidson. is a significant difference between these two groups

J Arch Mil Med. 2015 January; Supplement 1 55 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations after treatmen ratio To medicationt in suicide ideas, for independent samples. depression, Hopessness (P<0.05). Results: Data on the α=0.05, showed that among the criteria forhypochondriasis, depression, hysteria, Source of psychopathic deviate, paranoia, psychasthenia and SS DF (MS) F Sig Effect size change schizophreniaof personality characteristics, there group 283 1 283 54.65 0.001 0.76 are significant differenction (P <0.05) and also the mental health criteria for anxiety, social withdrawal, Conclusion: the results represent that group cognitive- and depressionattempted suicidal soldiers and there behavioral therapy is effective to decrease soldier’s is a normal (P <0.05). suicide ideas. Discussion: Historical existence of disproportions Keywords: suicide ideas, group therapy, cognitive- specially in corporation forces that have reachment behavioral therapy, soldier. to weapon, lonely and have meander distance from family, can cause important diagnostic to attempting P4-10 to suicide. Conclusion: So we can identify personality Personality characteristics and mental characteristics and mental health status of soldiers, health of soldiers attempted suicide attempted suicide among soldiers and predicted conditions and measures to prevent and control them. and normal navy in Rasht maritime Keywords: Personality characteristics, Mental health, specialties center Soldiers, Attempted suicide Majid Ghorbannejad1, Esmail Arab2, Iraj P4-11 Ramazani3, Shahram Ashabi4, Behrouz Mikailpour5* The study of relaxation techniques 1 Department clinical psychology, Islamic azad University, effects on personnel of maral Guilan, Iran 2 Valiasr Hospital chief, Maral specialty beatification, Rasht, specialty beatification anxiety and Iran 3 Research and crisis committee chief, Valiasr hospital, aggression in Rasht

Rasht, Iran 1 2 4 Department General psychology, Rezavanshahr Morteza Naddafiyan *, Esmail Arab , Mahdi 3, 4 5 Payamenoor University, Guilan, Iran Shakiba Iraj Ramazani , Behrouz Mikailpour 5 * Young researchers and Elite Club, Research committee 1* Preventive medicine member, Valiasr hospital, Rasht, Iran member, Valiasr Hospital, Rasht, Iran 2 Valiasr hospital chief, Maral Specialty Beatification, Rasht, Iran 3 Introduction: Suicide is the act of intentionally Preventive medicine chief, Valiasr hospital, Rasht, Iran 4 Research and crisis committee chief, Valiasr hospital, causing one’s own death. Suicide is often carried out Rasht, Iran as a result of despair, the cause of which is frequently 5 DVM, Research committee member, Valiasr Hospital, attributed to a mental disorder such as depression, Rasht, Iran. Young researchers and Elite Club. bipolar disorder, schizophrenia, borderline personality disorder, alcoholism, or drug abuse.The aim of this Introduction: Technological advances and rapid study was to investigate the mental health personality growth of human, Despite all the benefits that it have, characteristics of attempted suicidation soldiers and Has caused Humans for achieve To their different Marines is normal. and Unfinished goals Accustomed to anxiety and Methods: The type of this study is scientific – apprehension. Emotional and psychological problems comparison.For this purpose, 170 soldiers (normal are as important factors in reducing ability and quality and attemptssuicide) were selected as the sample of life in all countries. Including debilitating anxiety size. General Health Questionnaire (GHQ-28) and the and stress disorders, which along with depression, Minnesota Multiphasic Personality Inventory (MMPI) are the most common diseases of the century. This was used to assess personality characteristics, mental study aimed to investigate the efficacy of relaxation health of soldiers and to analyze the results of T test techniques to reduce anxiety and aggression of Maral

56 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

Specialty Beatification Personnel In Rasht. exercises, Could significantly (P< 0.05) reduce anxiety Methodology: this study is an applied research with and aggression among personnel. The findings of this a quasi-experimental nature. The population of this study are consistent with the results of other research study consisted of 48 personnel of maral specialty in this area. Including research He & et al About the beatification in rasht, which have a medium to Effects of relaxation training on In training military high scores, in anxiety and aggression, in the list personnel. Their findings showed that relaxation of symptoms of mental disorders. Among these 48 training significantly reducing anxiety, aggression, persons, 20 persons sample is selected and then depression, interpersonal sensitivity and fear effects. randomly divided into experimental and control Conclusion: Relaxation training programs have groups. For experimental group, during the six been effective in reducing anxiety and aggression sessions, was held relaxation class (progressive mus- personnel. Among the limitations of this study is its cular relaxation and breathing exercises and imagery). cross-sectional results, Which is better Be pursued Before and after the intervention, was received beck in future research results. anxiety inventory (bai) and the buss-perry aggression questionnaire (bpaq) from persons of both groups of P4-12 experimental and control. And then the data analyzed by spss 17 software, with using independent t test, Comparative study of mental health paired t test and levine test. level between military and civilian Results: Based on the results of independent t test, revealed that There is no significant difference (P> nurses of Tehran 0.05) between the experimental and control groups, in Seyed Hamed Vahedi1*, Seyed Hadi Vakili2 the demographic information such as age, education, length of service. Also on the outcome of independent 1* Msc of general psychology 2 Msc of military nursing t test statistical analysis shows that the mean scores of anxiety and aggression, before the intervention, was not significantly different between the two groups This study is performed in order to comparative (P> 0.05). But After the intervention, the results of study of mental health level between military and Independent t test revealed significant differences civilian nurses of Tehran. The method of research between the two groups (P< 0.05). The paired t-test is comparative and statistical population contain all scores in the control group, pre- and post-test, showed military and civilian nurses in Tehran. Sample that no significant difference (P> 0.05). However, The selected from military nurses is available sampling paired t-test between the scores of the experimental that contain all nurses from one of military hospital group, before and after the intervention, showed a in Tehran. Sampling from civilian nurses is multilevel significant difference (P< 0.01). cluster sampling that selected in equal number with Discussion: Since the prerequisite of Any useful military nurses (63 person). The research tools is and constructive effort, Are Existence Normal mental general health questioner (GHQ). Data that obtained condition and balanced, Can Illness and mental from persons, were evaluated by independent t-test and disorder Seen as a deviation from the equilibrium, SPSS software. The results were obtained, indicated that occurs sometimes as anxiety and stress and not significant difference between mental health level sometimes aggressive and destructive behavior. of two group. Although in all component and final The incidence of such behavior of the individual in score of mental health, average of military nurses any situation can be traumatic. Military personnel score is upper from civilian nurses score. are also no exception. Especially as we know that Keyword: mental health, nurse, military force anxiety, anger and aggression are the most common symptoms among military personnel. According to P4-13 purpose of this study, the Effects of Implementation and Training Relaxation techniques on Anxiety and Determine the factors that cause stress aggression of military personnel, The results showed and coping styles used by patients a progressive muscular relaxation technique with a combination of techniques, imagery and breathing on hemodialysis and peritoneal

J Arch Mil Med. 2015 January; Supplement 1 57 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations dialysis in patients with surface and Methods: In this paper, using relevant keywords and online databases such as Cochrane, PubMed, subsurface naval personnel fashion articles published online and in dialysis Seyed Hadi Vakili, Payam Amiran, Seyed Hamid patients required information was extracted from Vahedi, Yaser Said, Mahrh Porrabie the year 2005-2012. Conclusion: The main problem of the quality of life Purpose: The purpose of this study was to identify of dialysis patients, which is more complex, issues the most common causes stress and coping styles used of physiological, psychological and social - disease, by patients on dialysis, which is directly related to methods of coping and adaptation to the disease. The the quality of life of dialysis patients. In this study, adaptive response to disease and dialysis of feeling using a library of information and articles strongest full recoupment ability to vary suicide. factors causing stress, activity limitation, loss of Keywords: stress, hemodialysis, adaptive light, social activities, future hopelessness, fatigue and naval personnel muscle cramps is a defense mechanism used at the most reasonable condition.

58 J Arch Mil Med. 2015 January; Supplement 1 ABSTRACTS

Oral Health and Dental Care in Navy ORAL PRESENTATIONS

O5-1 statistically different in two group between Pulpal lesion, and calculus, periapical lesions. (P>0.05). The evaluation of oral and Conclusion: The results of this study showed that maxillofacial diseases prevalence the prevalence of dentofacial problems-especially odontocrexis, barodontalgia, TMD in Navy divers was in navy divers Army of the Islamic high and given the importance of these personnel in Republic of Iran water security of the country, trying to solve problems with the exact planning. Hasan Shahamatnia1, Bita Rohani2, Mostafa Maddah3, Amirhossein Najafpour4*, Reza O5-2 Fekrazad5 1 Assistant professor, Orthodontics department, School of Prevalence of oral and maxillofacial Dentistry, Aja University of Medical Sciences, Tehran, Iran 2 Assistant professor, Oral Medicine department, School of diseases in the iran submarine force Dentistry, Aja University of Medical Sciences, Tehran, Iran and controls 3 Department of Anesthesiology, Naval and Submarine Medicine Research Centre, Tehran, Iran Hasan Shahamatnia1, Bita Rohani2, Mostafa 4* Dentist Maddah3, Amirabbas Sameti4*, Reza Fekrazad5 5 Assistant professor, Periodontics department, School of Dentistry, Aja University of Medical Sciences, Tehran, Iran 1 Assistant Professor of Orthodontics, Dental Faculty, AJA University of Medical Sciences, Tehran, Iran 2 Assistant Professor of Oral Medicine, Dental Faculty, AJA Background and Aim: Due to changes in barometric University of Medical Sciences, Tehran, Iran pressure at deep sea, there is likly Barodontalgia, 3 Anesthesiologist, Tehran, Iran Barosinusitis, Odontocrexis.Barodontalgia can 4 Dentist, Isfahan, Iran. be caused by oral diseases, including dental 5 Associated Professor of Periodontics, Dental Faculty, AJA caries, periapical lesions, cysts, dental, and University of Medical Sciences, Tehran, Iran. temporomandibular joint disorders. In addition, some oral lesions, which can be exacerbated by stress or Background and Aim: It is essential to dental support recurrence such aphtus, herpes, lichen planus and from population serving in isolation submarine in stressful professions such as diving (especially in environment. During submarine missions, dental mission-critical) are important.So in trying to come service is not available if face to dental emergency. to facilitate future planning on solving this problem, The aim of this study was to comparison of Oral and we considered the evaluation of the prevalence Maxillofacial Diseases in the Iran submarine Force those diseases in Navy Divers Army of the Islamic and control group. Republic of Iran. Methods: We conducted a cross-sectional analysis of Method & Material: the research had been performed 28 marines as control subjects and 74 subjects, who based on cross-secetional method. work in submarine force. The questionnaire included The questionnaire included 62 questions on TMD, demographic, Medical history, dental history, and Odontocrexis, pulpal lesions, oral lesions like aphthous, oral health behavior and probably emergency they herpes and lichen planus and etc based on the same face to them during missions. The subjects were been texts and under confirmed of 3 Supervisors were examined on the Dental Unit. Make panoramic image prepared.After obtaining informed consent, thirty from subject considering the periodic radiographic divers (case) and thirty snipers (control) Army of the needs. Data was analyzed with SPSS (version 20). Islamic Republic of Iran were studied.After clinical Independent t, paired t and multivariate test for and paraclinical examination, questionnaire was analyzing were used. carefully filled for each person by a dentist. Results: Missing teeth, periapical, pulp and Results: There was significant statistically different interproximal caries lesion is more in control group in two group between TMD, odontocrexis, oral lesion, than submarine force (P<0.05). However face to dental facet, interdental caries, and stress during the mission, emergency during missions, temporomandibular history of trauma to the head and neck, and pain joint click sound, fluorosis, dental trauma were not during missions (p <0.05) and there was no significant significantly different (P>0.05). Aphthous lesions

60 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Oral Presentations in Naval Preventive Medicine & Health were more seen in submarine force (P<0.05). direct association between cardiovascular diseases Conclusion: dental health status was favorable and DMFT (P=0.014) after adjustment for age. in submarine force. Although the distribution of Conclusion: Although, oral health profile for Iranian aphthous lesions were high in submarine force but military units was better than the civilian population, other oral – jaws lesion were not high. Improvement in prevention services, oral health education and periodontal treatments are essential O5-3 in the Iranian armed forces, particularly in Navy and Air-Force. Oral health profile in iranian Keywords: Oral health, dent, al caries, periodontal armed force: focusing on navy and diseases, calculus, health education submarine O5-4

1 2 Laleh Khalilazar *, Alireza Khoshdel Crown cementing strategy for naval 1* Assistant professor, School of Dentistry, AJA University of Medical Sciences divers 2 Associate Professor, School of Medicine, AJA University of Medical Sciences Babak Farzaneh* * Assistant professor, Dental Research Center, Dental Faculty, AJA University of Medical Science Background: Oral health is a major element of general health. Dental caries, periodontal diseases and Environmental pressure variations have been shown oropharyngeal cancers are among the major health to cause dental pain in divers, however, the effect challenges in developed and developing countries. of these variations on the retention of crowns to Aim: This study aimed evaluation of the oral health teeth is largely unknown. Clinically, environmental indices in Iranian military forces, including DMFT, pressure cycling has been found to be associated with CPI and oral diseases. barodontalgia, which is pain that is experienced in Methods: In this cross-sectional study, 420 active- the teeth that is initiated by changes in barometric duty male individuals were included from the Iranian pressure. Army, Air Force, Navy and the common military A large number of personnel working in hyperbaric headquarter. A WHO-approved and regionally environment such as divers and submariners during validated questionnaire was applied and clinical escape drills report to the out patient department observation was performed based on a standard with split teeth, displacement of restoration and protocol. pain during ascent after diving. These symptoms Findings: The average age of the participants was are probably attributable to dental barotraumas. 34.76 (±8.16) year old. Mean DMFT for the total groups Therefore, a need was felt to undertake a study in was 9.67 (±5.34) and 3.3% of them were caries-free, this area, with a specific interest for treating these while 21.9% of cases had root caries. Mean existing patients. teeth number was 25.4 (±3.26). Among 11760 teeth that were examined, 9.73% had caries. The mean healthy O5-5 sextant was 2.58% per person, while 45.5% of sextants had calculus. CPI equal to 3 was reported in 49.6% New techniques in reconstruction of of individuals. No history of oral health education maxillofacial defects was reported in 66% of the study group and the frequency of systematic disease comorbidities was Farzad Fazilat1 24.7%. Navy, in particular, had a greater oral health 1 Oral and maxillofacial surgeon (AJA University of medical problems compared to other forces. For instance, sciences) 91.7% of all participants from Navy had calculus at least in one sextant. Periodontal pockets >5.5 mm Maxillofacial injuries are very common on battle fields (CPI=4) were also reported in more than 40.4% of the and several therapeutic solutions discovered during Navy forces. Interestingly, there was a significant and the wars. Although maxillofacial injuries usually

J Arch Mil Med. 2015 January; Supplement 1 61 POSTER PRESENTATIONS don’t cause death, they can bring massive bleeding and divers, it is very important to pay attention leading death, that s why diagnosis and treatment of to effective tips in the prevention of their oral and these injuries are vital for wounded military forces. dental potential problems. The objective of this study More ever maxillofacial defects can isolate the patients is to assess these problems and the approaches of after the war. Recent advances in medical imaging, prevention. 3D soft wares had bring us the capability to produce Methodology: The study is the review of existent complex anatomic prosthesis.on the other hand reliable research on oral and dental problems progressive development of highly biocompatible in submarine personnel and divers in different materials to reconstruct extensive maxillofacial defects communities and strategies for prevention of these is the other opportunity for experts to coordinate problems. different fields to perform optimal results. Results: Despite the careful oral hygiene and also, apparently teeth health in submarine personnel and P5-1 divers, sometimes pain in the oral cavity can be seen during the mission. Researchers have been proposed Dentistry in diving several hypotheses to explain the cause of orofacial pain caused by changes in ambient pressure. In 1 2 Bita Rohani *, Hamzeh Shahali , Mohammad Ali addition to pain, they may experience some problems 3 Ketabi such as tooth and restorative material fractures, 1* Assistant Professor of Oral Medicine, Faculty of Dentistry, decrease of denture retention, implant failure, etc. AJA University of Medical Sciences, Tehran, Iran. With periodically oral examinations and review the 2 Resident of Aerospace & Marine Medicine, Faculty of status of dental caries, fillings, root canal treatment Aerospace & Submarine Medicine, AJA University of and crowns, and if necessary, appropriate treatment Medical Sciences, Tehran, Iran. 3 Assistant Professor of Endodontics, Faculty of Dentistry, can be largely prevented the occurrence of oral AJA University of Medical Sciences, Tehran, Iran. problems during diving. Conclusion: Considering the importance of oral and Introduction: Oral and dental diseases are those cases dental problems in diving, oral hygiene maintenance that can be problematic for submarine personnel and and regular dental checkups are necessary to prevent divers (especially scuba divers). Numerous studies these problems. Lack of attention to this issue, have been conducted on oral and dental problems in especially in military missions can in addition to these people in which, the cases such as barodontalgia, endangering the health of the diver, fail the mission. tooth fractures, decrease of denture retention, … So careful oral hygiene in these people and paying caused by changes in barometric pressure have been special attention to all of their oral problems is very mentioned. important. Due to the job sensitivity of submarine personnel

62 J Arch Mil Med. 2015 January; Supplement 1 ABSTRACTS

Marine and Submarine Biology and Ecology ORAL PRESENTATIONS

O6-1 O6-2 Clinical aspects and pitfalls of The evaluation of extracted treatment in envenomation with polysaccharide from Nostoc. sp on blackfin stonefish (pseudosynanceia endothelial cell line (HUVEC) for melanostigma) from the Persian Gulf repair of capillary in vitro Iraj Nabipour1, Mahboubeh Jafari2 Omefarveh Maleki1, Mehrouz Dezfulian2, Neda 3 1 Marine Biotechnology Research Center, Bushehr University Soltani of Medical Sciences and Health Services 1 graduate student, Department of microbiology, College of basic science, Karaj branch, Islamic Azad University, Alborz, Introduction: The blackfin stonefish (Pseudosynanceia Iran. 2 melanostigma Day, 1875), with 15-17 venomous dorsal Assistant Professor, Department of microbiology, College of basic science, Karaj branch, Islamic Azad University, spines, lives in the muddy beds of shallow waters Alborz, Iran. in Pakistan, western India and the Persian Gulf. The 3 Associate Professor, Department of Biology, ACECR, injuries from this species of stonefish are the most Research Institute of Applied Science, University Shahid common marine envenomation in the Persian Gulf Beheshti, Tehran, Iran. region. The present study, for the first time, evaluated clinical manifestations following envenomation with Introduction: One of the Sailors problems are injury this stonefish. during sailing. During wound healing, angiogenic Methods: A total of 16 patients with stonefish capillary sprouts invade the fibrin/fibrobronectin-rich envenomation were serially examined in emergency wound clot and within a few days organize into a rooms of academic hospitals of Bushehr port. In these microvascular network throughout the granulation patients local and systemic manifestations, first aid tissue.marine microalgae/cyanobacteria are easily management and treatment were evaluated. cultured, needing only a simple culture medium Results: The average age of injured patients (Men=10, with seawater, a source of nitrogen, phosphate, iron, Women=6) was 30.31 years (range: 15-57 years). magnesium, and some minor salts. By controlling The most common site of envenomation was lower these growth conditions, different valuable products extremity (14 cases) and upper extremities were injured can obtained. Besides being one of the richest in two cases. Common local manifestations of stonefish sources of proteins, some species of microalgae/ envenomation were pain (100.0%), erythema (75.0%), cyanobacteria produce other value-added compounds, numbness (56.25%) and local swelling (50.0%). The such as polyunsaturated fatty acids (PUFAs), most common systemic presentations were nausea carotenoids, polysaccharides, vitamins, or sterols. The (2 cases) and dyspnea (1 case). Cellulitis of lower polysaccharides extracted from marine microalgae/ extremities (2 cases) and lymphangitis (1 case) were cyanobacteria contain medical and pharmaceutical also found. The most common prescribing medications applications. for relief of pain were injection of local lidocaine, Aim: In this study the effect of polysaccharide parenteral antihistamines and corticosteroids. extracted from cyanobacteria Nostoc. sp on the Antibiotic drugs were given for two injured patients. proliferation of endothelial cells was tested. Hot water & tetabolin were not used at all. Hypothesis: The polysaccharide extracted from Discussion and conclusions: Local pain, erythema cyanobacteria Nostoc. sp has a significant effect on and swelling were the most common presentations the proliferation of endothelial cells. of stonefish envenomation. Systemic manifestation Materials and Methods: To achieve the proper of envenomation was restricted to agitation, anxiety, amount of biomass Nostoc.sp cultured in the flask. The sweating and nausea. Using of hot water immersion, polysaccharide extracted from Nostoc. The endothelial injection of tetabolin and prophylactic antibiotic like cells cultured in the laboratory in large numbers. ciprofloxacin should be considered in envenomation Then the cell proliferation measured by MTT assay. with Pseudosynanceia melanostigma. Result: The number of cells in certain concentrations of polysaccharide had shown increased.

64 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Oral Presentations in Naval Preventive Medicine & Health

O6-3 safety methods should be codification for diving in these areas. Train and familiar divers with kinds Identification hazardous agents affect of contaminations and ways of confronting are also divers’ health and presenting safety necessary and important. solutions against them O6-4 Ladan Baftehchi, Neda Soltani, Mahdi Bolfion, Shaghayegh Iranshahi Feasibility of biofuel production Dept. petroleum microbiology, Research Institute of Applied potential of local microalgae for use Science, ACECR, Shahid Beheshti Univ., Tehran. in naval fleet Intoduction: Population growth and industrial Sasan Ghobadian1, Seyed Shahram Mirzamani2, development along the coast have greatly influenced Mohsen Mahboubian3, Reza Zirak4, Neda pollution loads into coastal marine ecosystems. These Soltani5, Fatemeh Nazari5, Fatemeh Malek pollutions are serious threat for environment and Ahmadi6 aquatics and also compromise the health of related persons especially divers that are in direct contact 1 Dep. Environmental Engineering, Faculty of Civil & Environmental Engineering, Tarbiat Modares Univ. with waters. Contaminated waters is defined as water 2 DVM-MPH, Marine and Submarine Medicine Research which contains any chemicals, biological or radioactive Centre substance which poses a chronic or acute health risk 3 MSc, Research and self-sufficiency Jahad organizaion I.R.I. to exposed personel. So study and identification of Navy pollutions and their production are from fundamental 4 Islamic azad university, sari branch 5 researches that agencies and researchers have great Dep. Petroleum Microbiology, Research Institute of Applied Science, ACECR, University of Shahid Beheshti attention to them all over the world. 6 Dep. Biology, Science and Research Branch, Islamic Azad Methods: In this basic research, contaminated waters University, Tehran have been studied and safety methods for confronting them presented. Introduction: The growing population, Industrial Results: Based on the performed studies, divers upgrading and development of transport networks has encounter to three types of different pollutions in led to an increase in global energy needs. According to waters that are included as biological, chemical and the EIA prediction, from 2004 to 2030, this requirement radiological contaminations and hazards. Biological will increase 57%. If this rate is assumed, the world contaminants are divided in two main groups as oil supplies will be significantly reduced until 2050. pathogens and toxins. Chemical contaminants also In addition to the completion of fossil energy sources divides in organic and inorganic contaminants. There and access restrictions due to political geography, are also extra group of pollutants with the name of environmental impacts of the use of these fuels are warfare agents (chemicals, biological and nuclear also many concerns in the international field. The weapons (NBC)). Diving in contaminated waters threat of global climate change caused by greenhouse have special methods and standards that should be gases and acidification of the oceans and sometimes obeyed. The basic system recommended for diving in devastating effects on marine ecosystems such as polluted water is a full-face mask, and a dry suit with coral reefs and the marine ecosystem changes are the attached boots, a dry hood, and attached dry gloves. examples of these impacts. According to these, for a Beside these, controlling the temperature of divers’ safer and cleaner world, it is obviously essential to body and their decontaminations are also necessary. develop the sustainable and environmental friendly Discussion & Conclusion: According to the presence renewable energy production processes. It is estimated of different kinds of pollutions in various waters of that about 25% of global energy will be provided Iran, attension and study of them are from important from biomass that is a valuable source for chemicals, priority researches. Thus the diving regions should be pharmaceuticals and food supplements. Biodiesel analyzed and their pollutions identified. According and bioethanol are currently the most commonly to the standards that are present in other countries used biofuels which are available on a commercial such as USA and Canada specific guidelines and scale in continental America and the transport and

J Arch Mil Med. 2015 January; Supplement 1 65 3rd National and 1st International Congress in Naval Preventive Medicine & Health Oral Presentations distribution infrastructure is well compatible with Standard for Vehicles (EN14214) International”. them. The advantages of microalgae for the production The following chart gives the overview of of these fuels have been proven globally and increased the process: studies confirm this point. Solazyme company since 2008 has worked with the Navy and DoD America in test and validation for biofuels. Their Algal Biofuels that have been rigorously tested by the U.S. Navy and shown to meets its HRD-76 and HRJ-5 Military specifications, were used as the reference fuels during the Navy’s successful multi-year certification process. Successful test of surface ships with biofuel derived from algae and oil in 2012, will be a prelude to the Navy plans for biofuels to comprise up to 50 percent of the fuel Findings and Conclusions: After doing this used by deploying ships and aircraft throughout the research, desirable native algal species suitable for fleet in calendar year 2016. The biofuel in terms of the production of biofuels will be determined and performance and infrastructure requirements will be the optimal biomass will be produced. no distinction with its fossil equivalent. At the next phase after the biodiesel production, the Iran’s potential in this area in Salt Lake Maharlu and comparability of biodiesel with the current fossil fuel paddy fields of Fars, Salt Lake Urmia, West Azarbaijan is created using the software or the actual combustion province, Salt Lake Qom, Qom, Zagros Mountains in engines. Then the possibility of using the biofuel in the north of the Fars and the Persian Gulf and the diesel engines of the Navy fleet will be provided. Caspian Sea south and north is noteworthy. This type of biodiesel seriously evaluated from the This research project seeks to identify desirable 2009 in America’s naval fleet and has been successfully native species microalgae and optimize the growth tested in many ships with mixing percentages of 50% conditions to achieve optimal quality and quantity of in addition to existing fuels in “Great Green Fleet” biomass as an ideal resource for biofuels production. Project. The findings of this research can achieve With following process and optimization of extraction indigenous potential to be used in this context. and conversion, the resulting fuel can be used in Keywords: biofuel, biodiesel, algal biomass, renewable transport network and Navy diesel engines with energy. minimal changes. Methods: With initial screening of native species O6-5 of algae biomass production in terms of quality and quantity, some species have been chosen and Improve the performance and their growth conditions such as cycle and intensity emissions of marine diesel engine of illumination, aeration, temperature, medium, compatibility with environmental changes, received employing the change of fuel CO and... will be investigated and optimized. Using 2 injection rate shaping mechanism, the methods of experiment design and Design Expert software, the interactions of the above factors are using biodiesel assessed and their impact on output responses, Reza Zirak1*, Davood Domiri Gangi1, Alireza including the quantity of biomass production and Majidian1, Abbas Zarenejad2 its quality in terms of the amount and type of fat, 1* islami Azad university sari branch leading to the production of biofuels, will be reviewed. 2 Imam khomeini maritime university In the next phase, the optimized biomass will be turned into biofuel using the method of extraction and purification and biochemical or thermochemical Diesel engines have lower fuel consumption, power, conversion or trans-esterification. The optimization of efficiency and durability than other engines as a source each of the methods is possible. Produced biodiesel of power, it was of interest to manufacturers, especially should have properties consistent with “Biodiesel for heavy-duty applications.In recent years, Energy

66 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Oral Presentations in Naval Preventive Medicine & Health crisis in the world and the limited resources of fossil study agrees with the International Convention on fuels and thus raising the price of fuel consumption safety of maritime MARPOL. On the one hand And issue of further environmental Keywords: biodiesel, pollution, marine diesel engine, contamination on the other hand, has made designers engine power. and manufacturers of these engines make use of new technologies in order to optimize combustion processes. O6-6 The basic problem of diesel engine is emissions of nitrogen oxides (NOx) and soot (Soot). Thus, in the Microalgae as biosources for food strict emission standards, it is necessary to be able supplement production to simultaneously reduce both emissions without decreasing engine efficiency. But it is very difficult to Neda Soltani1, Ali mohammad Latifi2*, Naba be able to reduce NOx emissions without increasing Alnajar1, Mehrouz Dezfulian3, Shadman carbon emissions and vice versa. The reason is that there Shokarvi4, Mohammad Heydari1 is always an interaction between these two pollutants. 1 Dep. Petroleum Microbiology, Research Institute of The main problem in reducing pollution from diesel Applied Science, ACECR, Tehran engines, is a compromise between oxides of nitrogen 2* Applied Biotechnology Research Center, Baqiyatallah (NOx) and soot (Soot).Considering the global approach University of Medical Sciences, Tehran to reduce energy consumption And conservation of 3 Dep. Microbiology, Karaj Branch, Islamic Azad Uinversity, Karaj energy resources, especially fossil fuels And due to the 4 Dep. Biology, Gorgan Branch, Islamic Azad University, limitations and standards applied For Consumption Gorgan of motor fuels, trend Designers and researchers to use alternative fuels such as biofuels and alternative Intoduction: Microalgae are strategic enrichment energy.Also, due to strict emission standards have been sources of nutrients. Nowadays these organisms are adopted, it is necessary to develop new technologies publicly used as nutrient supplement. Large amounts to be used by manufacturers of diesel engines has of these creative’s cabrohydrates, fat and proteins are made ​​it hard to pass the legislation. In recent years, as same as agriculture plants’ nutrients supplement. several methods such as flammable fuel injection Additionally their proliferation technology is system (pilot), multi-stage injection systems, Multi simpler than custom agriculture and loading is Injection System And Auxiliary combustion chamber more accompanied with human supervision. The by The injection timing delay and etc… created hope results of medical examinations show that nutrition to solve this problem.Among various methods in consumption of microalgae has more benefits; in a fuel injection system, injection rate shaping and addition of the unique and high nutrition values. control injection timing as the most effective method In early decade 1950 microalgae was considered as of reducing NOx and Soot by no major impact on single cell protein (SCP) and a good supplement in fuel consumption is known. Different mechanisms food diet of children and adults. shaping the injection rate of the spray-type boots Methods: Candidate strains which have the most (boot-type), (ram-type) and (rectangular-type) are nutrition value based on world reports were selected. produce a powerful tool for simultaneous reduction Next step was proliferation and mass culture in of these pollutants. In the present study, the effect of laboratory scale. Amino acids profile, fatty acids the spray forming mechanisms have been investigated profile, biochemical analysis, antioxidant, anticancer on a diesel engine combustion and emissions. Also of and antimicrobial activity were measured with biodiesel as an alternative fuel for diesel, is applied. HPLC, GC, spectrophotometry, DPPH, MTT assay, in other words , the rate of fuel injection, using MIC respectively. biodiesel as an alternative fuel, surveyed and compared Results: Following table shows the chemical with pure diesel fuel, and the results obtained from composition of experimented microalgae. experimental data on the rating engine. In the present Also amino acids analysis indicated that experimented study, The impact on the mechanisms of formation microalgae have essential aminoacids (results not of injection diesel engine combustion and emissions shown). Following figure shows antioxidant ability were investigated. Also of biodiesel as an alternative was higher in Chlorella and Spirulina-1. fuel for diesel, is applied. The results obtained in this Cytotoxicity analysis of aqueous extracts on L292

J Arch Mil Med. 2015 January; Supplement 1 67 POSTER PRESENTATIONS cells showed that the 10 mg/mL concentration had significant contribution to enhancing knowledge in the maximum effect on mentioned cells. human physiology and pharmacology. Information

Spirulina-2 Spirulina-1 Scenedesmus Chlorella Synechococcus on the nature and mechanism of action of these toxins has enabled a more scientific approach to the ﭘﺮوﺗﺌﯿﻦ ﮐﻞ(ppm) 16.37 9.16 2.76 46.08 10.23 ﻗﻨﺪ ﮐﻞ(ppm) 33.08 48.1 7.53 23.03 17.13 treatment of their intoxifications. This paper reviews ﻟﯿﭙﯿﺪ ﮐﻞ(ppm) 20.36 11.79 12.65 22.32 40.01 the knowledge about the various aspects related to the name, habitat, biological and medical importance of poisonous animal of different major marine animals phyla with emphasis on Persian Gulf and Oman Sea. Keywords: Poisonous Animals, Toxin, Neurotoxin, Persian Gulf, Oman Sea

P6-2 Determination of (Cu, Zn, Cr and Pb) metal ions concentration in soft tissue of Saccostrea cucullata (Bivalvia) in Konarak coasts and Shahid Beheshti Discussion & Conclusion: Results showed that microalgae Chlorella and Spirulina-1 among port (Chabahar) experimented samples showed high nutrient values Aria Ashja Ardalan1, Ramin Zibaseresht2, and should be physiologically optimized in next Habibollah Sayari2, Narges Mooraki1, Yasser steps in order to making mass culture and public Pakniyat1* consumption. 1* Islamic Azad University, North Tehran Branch, Faculty of Marine Science & Technology, Tehran P6-1 2 Maritime University of Imam Khomeini, Noshahr, Mazandaran Dangerous and poisonous marine creatures This study was undertaken during spring 2013, for evaluation of heavy metals (Cu, Zn, Cr, Pb and Cd) Aria Ashja Ardalan1, Seyed Shahram Mirzamani2, in soft tissue of Saccostrea cucullata in two stations Seyed Mahdi Mirheydari3, Tara Ebrahimi1 including: Chabahar and Konarak coasts and separate the amounts with the other zones of world and 1 Islamic Azad University, North Tehran Branch, Faculty of Marine Science and Technology standards. 2 DVM-MPH, Marine and Submarine Medicine Research 20 specimens of Saccostrea cucullata was taken from Centre Chabahar & Konarak coasts and transferred to lab 3 Dep. Petroleum Microbiology, Research Institute of with frozen form to extract soft tissues. Applied Science, ACECR Drying with freeze dryer and digestion by nitric acid was operated and ions concentrations was taken after Animal kingdom possesses numerous species that soft tissue extraction. produce venoms (actively delivered) or toxins The results showed that the concentration of Cu, Zn, (passively delivered). Poisonous animals are found Cr, Pb and Cd, were 81.16, 44.73, 0.12, 0.66 and 1.66 in most classes of the animal kingdom and in most µg/g dry weight in Konarak samples respectively and habitats. Poisonous animals have a significant health 26.03, 148.90, 0.14, 0.73 and 3.63 µg/g dry weight in problem for populations in the world. This organisms Chabahar samples respectively. include a variety in marine environment of species There were significant difference between Cu, Zn and for example; sea snakes, stinging fish, jelly fish, some Cd (p<0.05) and no significant difference between species of marine snails, blue ringed octopus, sea Cr and Pb. The results showed higher heavy metals urchins, sea stars and etc. This animals have made a concentration in Chabahar than Konarak, except Cu.

68 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

Key words: heavy metals, bivalves, Saccostrea cucullata, intensity of the metal Zinc in the two study stations Konarak, Chabahar, Oman sea. (p<0.05); there were no other meaningful differences the concentration for of other heavy metals studied, P6-3 between the two stations (p>0.05). Keywords: Heavy Metals, Chiton, Chiton Lamyi, Determination of Pb, Zn, Cr and Cd Shahid Beheshti pier Chabahar, Konarak Naval Base, heavy metal ions in Chiton” Chiton Chabahr Gulf, Oman Sea. lamyi “ in the coasts of Navel base P6-4 and Shahid Beheshti port in chabahar Konarak Investigating of antimicrobial activities of cyanobacteria Aria Ashja Ardalan¹, Ramin Zibaseresht², Habibollah Sayari2, Narges Mooraki1, Shaghayegh Iranshahi1*, Mehrouz Dezfulian2, Lobat-o-Ssadat Nojoumi1* Ladan Baftehchi1, Mehdi Bolfion1, Ali Abolhasani Soorki1 1* Islamic Azad University, North Tehran Branch, Faculty of Marine Science & Technology Tehran North Branch, Tehran 2 Maritime University of Imam Khomeini, Noshahr, Introduction: Cyanobacteria or blue-green algae are Mazandaran, I.R. IRAN photoautotrophic microorganisms which are dated back three or four billion years and largely distributed In this study, the intensity of heavy metals, Lead, Zinc, in nature, though are observed in water, marine and Chromium, and Cadmium, in soft tissues of Chiton terrestrial environmental, otherwise diversity is more Lamyi of two areas of Persian Gulf is studied. The in marine environmental. They have ability to take study was in Konarak Naval Base and Shahid Beheshti up H2o and Co2 that, with the aid of solar energy, Pier in Chabahar harbor as two studies in Spring of synthesize complex compound which are accumulated 2013. For this purpose, followed by samples were as primary or secondary metabolites. Cyanobactria are collected from the tidal area in the two study stations. nutrient source of primary or secondary metabolites Then after Chitons biometry, using micrometer with which are novel structurally. Secondary or primary 0.05mm, the soft tissues of chitons were fully peeled. metabolites produced by these organisms are bioactive final extraction and digestion then using the Moopam compounds though are interested in pharmoceuterial 1999 technique. The intensity of aforementioned heavy industry. Recent studies indicate that bioactive metal in the prepared specimens was gaged using compounds in cyanobacteria have anticancer, anti the atomic absorption (GFAAS) to the microgram per microbial, antifungal or anti-inflammatory and other gram. Based on our observation; in the Spring season pharmacological activities. in the two specific study station, intensities of those Methods: After collection and purification marine heavy metals in micrograms per gram dry weight samples, the antibacterial activity of them are were as follows: in Shahid Beheshti pier in Chabahar, investigated and compared with each other. Lead (17), Znic (42.63), Chromium (0.12), Cadmium Results: Based on the investigated studies, almost (1.5), and Cupper (0.63). And in Konarak naval base, 18500 new compound have been isolated from marine Cupper (0.53), Zinc (6/76), Chromium (0.14), Cadmium sources between 1965 till 2006, though 97% of all (1/43), and Lead (17/16). the results of the biometry existing marine compounds have not yet been obtained average of specimens in Shahid Beheshti pier were that needs more studies. Considering diversity of as follows: Longitude (39.25±1.7) Latitude (31.25± secondary metabolites of marine cyanobacteria, these 0.99) and altitude (13.5 ± 0.94) and in the Konarak metabolites can be used as substitutes of antibiotics. base were Longitude (49.25± 1.7) Latitude (35.3±1.15) These days cyanobacteria are assumed a nutrient and Altitude (19±0.66). The obtained results from source of antimicrobial effect because of increasing this study showed that the intensity of the heavy microbial resistant. In the real sense of the word metals in chitons in those two stations of study in metabolites are interested as source of safer or more Persian Gulf were in the admissible range. By the effective substitutes than synthetically drugs. The way there was a significant difference between the antimicrobial activity of microalgae belonging to

J Arch Mil Med. 2015 January; Supplement 1 69 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations indoles, terpenes, phenols, fatty acids. activities. So for controlling this event, especially in Discussion & conclusion: Taking account to the late summer or early fall that the possibility of this increasing of microbial resistance, investigating of phenomenon is higher, should get suitable solutions secondary metabolites is high-lighted, so collection to reduce these nutrients in waters. Recently scientists and purification of samples are necessary, secondary predict that climate changes such as warming water metabolites should be analyzed and used in temperature, changes in salinity and carbon dioxide pharmaceutical industry. level and also changes in rainfall are also affect algal blooms. P6-5 P6-6 Algal blooms in waters Study the bioindicator role of Ladan Baftehchi, Neda Soltani, Mahdi Bolfion microalgae in identification and Dept. petroleum microbiology, Research Institute of Applied Science, ACECR, Shahid Beheshti Univ., Tehran. removing of heavy metals in waters Ladan Baftehchi1, Neda Soltani1, Mahdi Bolfion1, Intoduction: Algae are photosynthetic microorganisms Seyed Shahram Mirzamani2, Ramin Masoumi2, that are found in most habitats and are vitally important Hossein Akbarzadeh2 to marine and fresh-water ecosystems. Algal bloom is a rapid increase in the density of algae in an 1 Dept. petroleum microbiology, Research Institute of Applied Science, ACECR, Shahid Beheshti Univ., Tehran. aquatic system. Algal blooms sometimes are natural 2 Marine and Submarine Medicine Research Centre phenomenon, but if their frequency, duration and intensity are increased by nutrient pollution, will Intoduction: Heavy metals pollutions are the change clear water to cloudy in short time. most important problems of modern and industrial Methods: In this research, various kinds of algal life. The main sources of these pollutions are from blooms, their sources, and environmental problems sewage, wastes of factories and industrial activities, have been investigated. oil pollutions and also fertilizers which come to Results: Algal bloom (red tides) indicates all kinds of the aquacultures and polluted them. As the most blooms that discolor water. Blooms depends on their activities of the navy are in marine and aquacultures, algal sources divided to nontoxic and toxic that are so notice to these pollutions and remediation of them popular to HAB (Harmful Algal Bloom). Algal blooms are necessary because these can affect the health of can be blue, bright green, brown instead of red and involved people especially divers, direct or indirectly. may look like foam, scum or mats on the surface of Methods: Samples prepare from polluted region water or even like paint floating on the water. This establishment of operational training units and naval phenomenon can deplete the oxygen and block the diving in north (Anzali pond, Noshahr, Astara and sunlight that other organisms need to live, and some Amirabad) and south (Pasabandar, Konarak (Chabahar can produce toxins that are harmful to the health of gulf), Jask, Bandarabas, Booshehr, Kharg and the environment, plants, animals and people direct Khoramshahr) in the form of continuous monitoring or indirectly. Dinoflagellates (Alexandrium, Karenia), (every 15 days) and from various depth of water and diatomes (Pseudo-nitzschia) and cyanobacteria (Nostoc, analysis physical and chemically to study their quality Anabaena, Microcystis, Phormidium, Trichodesmium, and quantity of heavy metals. In lab, samples culture Schizothrix, Nodularia, Hapalosiphon) are the main in various medium and their microalgal specimens sources of algal blooms and death of fishes and are identified morphological (by valid identification aquatics in aquacultures. key) and molecullarly. Microalgal specimens will be Discussion & Conclusion: Results show that treated to different heavy metals and their viability overabundance of nitrogen and phosphorus, by various physiological factors and elimination of particulary when the water is warm and the weather heavy metals from environment evaluated. Finally is calm are the main factor for uncontrolled growth the potent specimens will introduce as bioindicators of algae. These elements enter waterways from for selected stations. fertilizers, wastewaters, stormwaters and industrial Results: Heavy metals affect on the health of people

70 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health especially divers that are in direct contacs with The groups at risk from Chernobyl radiation exposures waters.These pollutions can absorb via dermal, have been studied by dividing them into several groups gastrointestinal, airway routes and mucous membranes including “liquidators” or those who responded and (nose, eyes, ears) and cause symptoms like: nausea, did on-site response and clean-up, evacuees from the vomiting, diarrhea, mouth and skin ulcers, convulsions, “highly contaminated” zone, residents of the “strict- liver and kidney injuries, neurological problems, control” zones, and residents of other contaminated …. Results show that these metals are carcinogens areas beyond the control zones. According to the time and continuous diving in polluted waters can cause and type of exposure many different injuries and various cancers and tumors. health consequences were occurred. They consisted of Discussion & Conclusion: According to the Acute radiation syndrome, thyroid cancer, leukemia, researches on cancer risk with heavy metals in naval solid cancers, circulatory disease, cataracts, and birth divers, identification and elimination of them from defects, still birth and The psychological impact such waters are necessary. There are various methods for as major depression and suicide. this purpose but in recent years microoganisms have Results and discussion: With the expansion of noticeable applications. So we apply microalgae for nuclear power, the impact of potential nuclear power their special abilities. Establishing the continuous plant breakdowns on public health, in particular due monitoring stations in diving regions are also to radiation exposure for people living near plants, recommended. have been key concerns for governmental agencies and civilians alike. Proper education of civilians P6-7 living near nuclear power plants to enhance their disaster responses could help reduce short-term Chernobyl nuclear accident analysis mortality and heightened long-term risks of cancer and environmental consequences on from radiation exposure from a major accident. Poor public communication before and after the Chernobyl health accident led to delayed evacuation mandates or ingestion of contaminated food or water, bringing more Katayoun Jahangiri* extensive radiation exposure to populations within *Associate Professor, Family Health Department, Health Eastern Europe. The impact of nuclear accidents on Metric Research Center, Iranian Institute for Health Sciences human health and the environment are vital issues Research (IHSR), Iranian Academic Center for Education, Culture and Research (ACECR) that policymakers and industrial corporations must carefully assess prior to establishing power plants. Introduction: The use of nuclear energy technologies Nuclear accidents are usually devastating and has been accompanied by numerous crises and very long lasting. Hence, first responses and safety persistent public health concerns. This study is precaution awareness could still be improved. In the done to analysis Chernobyl nuclear accident and its meantime, a stronger effort should be made to grant consequences on health. public access to basic information and the decision Method: This applied research was a case study that it making process surrounding the developments of was done in 3 phases. The first phase was a literature nuclear power plants. review; the second phase has been performed based Keywords: Chernobyl Nuclear Accident, on SWAT analysis about responsible organizations’ environmental consequences, health actions and finally in third phase many preventive strategies were recommended. P6-8 Findings: Chernobyl radioactive radiation amount released has been described as 40 times the amount Evaluation of coping with attacks of radiation released from the detonation of the microbial by bride marine Hiroshima and Nagasaki atomic bombs. These areas span across Ukraine, Belarus, and Russia. However, Zahra Khoshniat, Mahdi Yavari measurable contamination from Chernobyl was Army Nursing Student detected in nearly every nation in the Northern Hemisphere. Background: Growth Threats Proposed By By Germs

J Arch Mil Med. 2015 January; Supplement 1 71 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

By Striker, What To Way Deliberately, From Way species to species harmful to the marine ecosystem Attacks Microbial, And What Other Deliberately, and an alarm occurs. This is not a good situation for From Way Outbreak Illness By Microbial, Need And a country considered Mdyrytakvsystm.. Demand To Tools That Able To Identification And Research and look into: This paper is a study Clear Building This Pathogens And And Awareness Mrvryst, Mtbrlmy Jstjvdrmqalat Internet-based library From Existence They Direction Prevention From resources has been collected. Infected Become Population Purpose, To Creation The wrong way to deal with nature, is causing. And Is. ksalml Namnasbtbyt Myshvd.jlbk Kvklydynyvm Research and look into: This paper is a study eight months remaining in the southern Blue Mandkh Mrvryst, which is based on Jstjvdrmqalat Mtbrlmy This is an exceptional situation and to experts, most Aygrdavry online resource library. of Nmrbvt to inefficient management of wastewater Findings: Black Wound, Plague And Smallpox Some in coastal ecosystems. From Pathogens To Have That Possible Is At Attacks Now the project Snjshmyzan poison PSP In the Microbial That Called To It Bioterrorism To Say, Sea of Oman and the Persian Gulf is being done in Use Them. However, Now Researchers Claim To accordance with the findings Ayntrh, the poison from They That Jelly Fish Or Bride Marine, To Our Help the Persian Gulf to the Gulf of Oman on the rise but To Slow Until From This Type Attacks Prevention it is more international standards. Them. Biochemist And And Engineers Instrument At this time, for the first time in the world on clay The Innovation And Have That Sample Weather powder Azpashsh sea water is used to break the link Around To At Contact With Biosensor Engineering between red tide Khkrhay after we concluded that the Genetic By To Purpose Detection Factors Biological efficient powder spraying liquid on the sea Rvysth. Risk The To The. Plankton bloom Nsbtnytrvzhn P is a function of the This Technology From Collection The Multiple The proportion of urban waste water into the sea to the From Anti Pneumatic By Change Results Use To A. shed. Each Collection To Reply To One Pathogens Specific Conclusions: Research funding in this area is low With Release Photon And With One Length Wave and if the funds are not allocated, may be more Exclusive To Individual Then From Find The It harmful species flourish in this region. Designing By Is. Detectors Length Wave Photons And Keywords: Jlbk.fazlab.svahl To Size Of To They And Pathogen That Representative It Are To Translation To They P6-10 Conclusion: Azrvs by sea can be counteracted against microbial attack. Is there any better outcome for Keywords: marine biological attacks.rvs ovarian cancer and cervix carcinoma P6-9 by marine bryostatin? Amir Khoshvaghti*, Amir Nezami Asl, Abolfazl Stability of algal bloom in Iranian Khademi, Abbas Nurmohammadi, Hamze Shah waters due to inefficient management Ali, Mohammad Karim Heravi of waste coast missile test * Aerospace and Subaquatic Medicine School, AJA University of Medical Sciences, Tehran, Iran. Zahra Khoshniat, Mahdi Yavari, Ehsan Moradi

Army Nursing Student Introduction: The oceans cover 70% of its surface and 80% of all the varieties of life is there. These Background: 87 years after the first Persian Gulf varieties constitute a rich source of natural resources. in Atfaqaftad planktonic boom, boom toxic species Scientists have isolated over 20,000 natural compounds occurred in the region and is also harmful and toxic from various sponges, algae, coral and ascidians with range Azplanktvnhay are flourishing in the Persian different biological activities from marine sources Gulf. (especially in medicine with diverse properties from Persian Gulf Gvnhyyplanktvnhay changes of useful anticancer to antiviral). Bryostatin 1 is a naturally

72 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health occurring macrocyclic lactone that researchers have variety of materials in different parts of the world. isolated from the marine bryozoan, Bugula neritina. Aim: In this study, the antitumor effects of Methods: Systematic review of published articles polysaccharides extracted of cyanobacteria Anabaena in Pubmed. sp on the HeLa cells evaluated. Results: Bryostatin 1 has antineoplastic activity. Its Hypothesis: The extracted polysaccharides of main action is modulation of the enzyme activity of cyanobacteria Anabaena decrease growth of HeLa protein kinase C (PKC) and activation of PKC upon cell line. binding. Several studies reported PKC-mediated Materials and Methods: Anabaena cultured in BG phosphorylation may increase pumping activity of media.Then the polysaccharide of Anabaena extracted multidrug transporter P-glycoprotein. Bryostatin 1 and its effect on HeLa cell by different concentration modulates P-gp mediated multidrug resistance in tested. Decrease of HeLa cells evaluated by MTT addition to antitumor activity. Bryostatin-1 has been Assay and Trypan blue staining method. studied in 80 separate phase I and II clinical trials in Result: The extracted ploysaccharide from Anabaena cancer treatment (including women’s cancers such had significant antitumor effects against the growth of as ovarian cancer and cervix carcinoma, alone or in HeLa cells and it could be an appropriate candidate combination) since 1993. for further investigation and design the anti-cancer Discussion & Conclusion: Preclinical studies have medicines by natural origin. shown the antiangiogenic activity of bryostatin-1 Keywords: polysaccharides, cyanobacteria Anabaena but no clinical trials approved it. Considering the sp, HeLa cells present clinical results, bryostatin-1 must overcome these major challenges: Toxicity reduction (mainly P6-12 myalgia), treatment efficacy increasing (mainly through combination), and molecular biomarkers Marin poisonous fish development for selection of patients and therapeutic 1 2 surveillance. Hamze Shahali *, Azade A.Farahani , Amir 3 4 Keywords: Bryostatin, Marine products, Cancer, Nezami Asl , Amir Khoshvaghti , Abolfazl 5 6 Toxicity, Protein kinase. Khademi , Alireza Asgari 1* Resident, AJA University of Medical Sciences, Aerospace P6-11 & Subaquatic Medicine, Tehran, Iran. 2 Resident, Tehran University of Medical Sciences, Medical Faculty, Department of Pathology, Emam Khomeiny The effect of a complex combination Hospital, Tehran, Iran. of cyanobacteria extracted of 3 AJA University of Medical Sciences, Aerospace & Subaquatic Medicine, Tehran, Iran. anabaena sp in the growth of HeLa cells Introduction: From The Past, One of the Importance in 1 Fatemeh Fattahi Hassan Abad , Mehrouz About Entrance to Seas & Oceans Was the Possibility 2 3 Dezfulian , Neda Soltani of Interfere With Aquatic Animals. Actually, Human 1 Dep. Microbiology, College of basic science, Karaj branch, Entrance in to Their Territory Lead to Their Innate Islamic Azad University, Alborz Reactions Which Are in Order to Protection of Their 2 Dep. Microbiology, College of basic science, Karaj branch, Territory, Childs, Fear & … Tens During Their Islamic Azad University, Alborz Intercourse Season. 3 Dep.Petroleum Microbiology, ACECR, Research Institute of Material & Methods: This is a Review Article Based Applied Science, University Shahid Beheshti, on The Information Have Been Collected as The Complex of Text Books & Articles in About Marine Introduction: Resistance of cancer cells to anti-tumor Sciences. We Try to Introduce & Display Critical & drugs has been the most common problems in the Clinical Information with Trust sheep & Affiliation. world of medical science. So finding new antitumor Findings: agents with minimal side effects seems necessary. Sea Snake In this regard, several studies have conducted on a Attack to Human Occur When The Diver Try to Touch

J Arch Mil Med. 2015 January; Supplement 1 73 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations or Keep The Animal. Rapid Moving Things, Such as a Subaquatic Medicine, Tehran, Iran. Diver Which Takes on Board is Yummy from Animal Introduction: From The Past, One of the Importance in Point of View. The Toxin Target Are Post Synaptic About Entrance to Seas & Oceans Was the Possibility Membrane & End Plate Motor Neuron of Skeletal of Interfere With Aquatic Animals. Actually, Human Muscle That Prevents of Acetylcholine Effect. More Entrance in to Their Territory Lead to Their Innate ever, it Causes Arial Necrosis of Skeletal Muscles & Reactions Which Are in Order to Protection of ATN if Takes Longer than 48 Hours. Their Territory, Childs, Fear &… Tens During Their Stingray Intercourse Season. Stingray Hides Under the Sands of Ooze &it Possible Material & Methods: This is a Review Article Based That When a Diver is Walking, Pressed it. The Animal on The Information Have Been Collected as The Moves its Tail up & Forward & with Entrance of the Complex of Text Books & Articles in About Marine Hook into the Victims Body, Toxin Case is Broken Sciences. We Try to Introduce & Display Critical & & Toxin Enters Into the Wound Via a Downpipe. Clinical Information with Trust sheep & Affiliation. Entrance of Little Toxin into the Body Caused the Findings: Increase of PR-Intervals in EKG, Heart Block Type Crocodiles 1 & Low Decrease of Blood Pressure.In High Doses, Nowadays Mortality of Shark Attacks & Crocodile Heart Block Type 2&3, Respiratory Depression & Attacks Are Almost Equal. The Reason of Crocodiles Convulsion Will Happen. Protection is The Prevention of Shark Attacks. During Stone Fish Reproduction Seasons, Especially When Their Babies It Has 30 Centimeter Length & Lives under the Mud, Come Out From The Egg, They Demonstrate More Sands & Rocks on the Ooze & This is Detected Hardly. Aggressive Behavior. Their Maneuverability & Agility It Has 13 Poisonous Back Thorns on the Loose Skin are increase in Water & in Compare with Human. & When They Enter into the Victims Body, Toxin They Usually Waiting for Their Victims, Which Go into the Tissues From 2 Bags. This Myotoxin is Often are live stock, at Beach While Their Nostrils an Unstable Protein with High Molecular Weight & are Out of The Water. They May Storage Their Food Causes Rapid Contraction & Paralysis of Skeletal, for Future That This Matter is Very Important in Smooth & Heart Muscle. Searching Victims Remains. Discussion & Conclusion: Due to Possibility of Killer Whale Aquatic Animal Exposure by Human on Military This Animal is The Greatest Type of Dolfins Family & Civil Operations & Sea tours, Recognition of & Live as Teams. They Keep Their Victims into Deep These Animals, Especially Sea Wasp & Biting Fish Water & Drown Them. Until Now at least One Case is Necessary for Target Population. Thus, This of Human Attack Was Reported. Information Are Assurance For Successful Operations Leopard Seal & Healthy Personnel. This Animal Lives in Polar Seas & Their Near Waters Keywords: Sea Snake, Stingray, Stone Fish Lonely & Feeding of Penguins, Other Seals & Human When They Come From Water Surface. If This P6-13 Animal have been Saw at Sea Area, Diving Will be Unreasonable. Divers Which See This Animal Should Crocodiles & marin predator Not Go On Water Surface, But Should Reach The mammals Beach Via Ooze. In Order to Avoid of Exposure with This Animal Use of Protective Clothes & Swimming Hamze Shahali1*, Azade A.Farahani2, Amir at Safe Area are Useful. Nezami Asl3, Amir Khoshvaghti4, Abolfazl Conclusion: Due to Possibility of Aquatic Animal Khademi5, Alireza Asgari6 Exposure by Human on Military & Civil Operations & Sea tours, Recognition of These Animals, Especially 1* Resident, AJA University of Medical Sciences, Aerospace & Subaquatic Medicine, Tehran, Iran. Sea Wasp & Biting Fish is Necessary for Target 2 Resident, Tehran University of Medical Sciences, Medical Population. Thus, This Information Are Assurance Faculty, Department of Pathology, Emam Khomeiny For Successful Operations & Healthy Personnel. Hospital, Tehran, Iran. Keywords: Crocodile, Killer Whale, Leopard Seal 3 AJA University of Medical Sciences, Aerospace &

74 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

P6-14 5-10mg/h or Hydralazine Should be Prescribed.Other Drugs are Diazepam, Anti-histamine & Anesthetics. Brief awareness of irukandgi Conclusion: Due to Possibility of Aquatic Animal syndrome Exposure by Human on Military & Civil Operations & Sea tours, Recognition of These Animals, Especially Hamze Shahali1*, Azade A. Farahani2, Amir Sea Wasp & Biting Fish is Necessary for Target Nezami Asl3, Amir Khoshvaghti4, Abolfazl Population. Thus, This Information Are Assurance Khademi5, Alireza Asgari6 For Successful Operations & Healthy Personnel. Keywords: Irukandgi Syndrome, Carsia Barenz, 1* Resident, AJA University of Medical Sciences, Aerospace & Subaquatic Medicine, Tehran, Iran. Jelly fish 2 Resident, Tehran University of Medical Sciences, Medical Faculty, Department of Pathology, Emam Khomeiny P6-15 Hospital, Tehran, Iran. 3 AJA University of Medical Sciences, Aerospace & Subaquatic Medicine, Tehran, Iran. Sea wasp & biting marin fish 1 2 Introduction: From The Past, One of the Importance in Hamze Shahali *, Azade A.Farahani , Amir 3 4 About Entrance to Seas & Oceans Was the Possibility Nezami Asl , Amir Khoshvaghti , Abolfazl 5 6 of Interfere With Aquatic Animals. Actually, Human Khademi , Alireza Asgari Entrance in to Their Territory Lead to Their Innate 1* Resident, AJA University of Medical Sciences, Aerospace Reactions Which are in Order to Protection of Their & Subaquatic Medicine, Tehran, Iran. 2 Territory, Childs, Fear & … Tens During Their Resident, Tehran University of Medical Sciences, Medical Faculty, Department of Pathology, Emam Khomeiny Intercourse Season. Up to Now, There Were Many Hospital, Tehran, Iran. Efforts in Order to Recognition of Aquatic Animals 3 AJA University of Medical Sciences, Aerospace & & Prevention of Their Conflict by Human & Their Subaquatic Medicine, Tehran, Iran. Bad Effects. Material & Methods: This is a Review Article Based Introduction: From The Past, One of the Importance in on The Information Have Been Collected as The About Entrance to Seas & Oceans Was the Possibility Complex of Text Books & Articles in About Marine of Interfere With Aquatic Animals. Actually, Human Sciences. We Try to Introduce & Display Critical & Entrance in to Their Territory Lead to Their Innate Clinical Information with Trust sheep & Affiliation. Reactions Which Are in Order to Protection of Their Findings: The Name of This Syndrome Was Came Territory, Childs, Fear & … Tens During Their From a Caste in Australia That Invented With Doctor Intercourse Season. Flecker. A Living Being Which Caused This Syndrome Material & Methods: This is a Review Article Based is a jelly Fish Which Called Carsia Barenz. Biting is on The Information Have Been Collected as The Usually Happen in Calm Warm & Shallow Waters Complex of Text Books & Articles in About Marine & Often Victims Can Not See the Biting Agent. Sciences. We Try to Introduce & Display Critical & Firstly, Local Features Occur & after 5 to120 Minutes Clinical Information with Trust sheep & Affiliation. General Features Are happen Too. Late Features as Findings: Pulmonary Oedema, Paraesthesia, Itching, Sneez, Sea Wasp/Chironex or Box Gelly Fish Epiphora, Artralgia, Tachycardia, Weakness, Malase Warm Waters of Atlas Ocean, Australia & Middle East & Dry Mouth Will Happen Later. is the House of This Malaco & it is One of The Most Use of Vinegar for Washing & Prevention of Poisonous Aquatic Animals. It Has Boxy Shape With Nematocite Release at First of Report Time is 20Centimeters Length & 15 Antenna With Maximum Recommended. If General Features Were Presented, Length of 3 Centimeters. After The Period of Bad Water & Electrolytes Correction With Vital Sign Weather, They Increase on Cloudy Days of Summer Control are Necessary. In Acute Phase, Intravenous & in Shallow Waters. Their Detection is Very Hard Petedin 0/5mg/kg Within 5 Minutes & Repeted Due to Their High. Their Toxin Has Dermatonecrotic, doses are Needed. Promethezin 0/25mg/kg up to Haematologic & Antigenic Component & the Majority 25mg as Intravenous Injection Should be Added. of Its Effects Are Focused on Cardiovascular System Alfa Blockers, Phentolamine 1to5mg State & Then as instability of Blood Pressure, Arhythmia & Asystol.

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Barracuda and grow quickly in simple mineral medium so it can They Usually Assault to Victims Gregariously & used as new sources of affordable medical applications. Stimulant of This Attack Is Their Attention at Light Aim: The present study attempts to use extracted Colored Things & Light, Especially on Night Diving. polymer from external capsule of Anabaena as Grouper base material for proliferation and cell growth of There is Few Reports on Human Attacks of This L929 fibroblast to evaluate the possible use of this Fish, But the Vast Majority of Them Were Due to polysaccharide in tissue engineering and wound Over Closure. healing. Eel Hypothesis: The extracted polymer enhanced They May Have up to 3 Meter Length & 30 Centimeters fibroblast proliferation. Diameter & Their Assaults Have Augury & Often Due Materials and Methods: Anabaena cultured in BG to Entrance of Victims in to Their Territory, Injury media.Then the polysaccharide of Anabaena extracted & Arrest in Hunters Nets. Their Injuries Are Non- and different percentage of extracted polysaccharide Toxic & Critical With High Possibility of Infection. mixed with the medium then L929 fibroblast cells Discussion & Conclusion: Due to Possibility of cultured in large numbers in the laboratory. The Aquatic Animal Exposure by Human on Military viability, growth and proliferation of fibroblasts & Civil Operations & Sea tours, Recognition of different times determined by Trypan blue and MTT These Animals, Especially Sea Wasp & Biting Fish ASSAY colorimetric methods. The cells cultured in is Necessary for Target Population. Thus, This the laboratory for a month to study the morphological Information Are Assurance For Successful Operations changes. & Healthy Personnel. Results: It showed that cell growth inhibited in high Keywords: Sea Wasp, Barracuda, Grouper, Ee concentrations of polysaccharide, and ultimately lead to cell death. However, the low concentrations of P6-16 extracted polysaccharide of Anabaena sp increased the growth and proliferation of L929 fibroblast cells. Evaluation of a polysaccharide Keywords: polysaccharides, cyanobacteria Anabaena extracted from the cyanobacteria sp, L929 fibroblast, healing anabaena sp on growing of L929 P6-17 fibroblast cells in a bed made used for healing The effect of a complex combination of cyanobacteria extracted of Fatemeh Fattahi Hassan Abad1, Mehrouz Dezfulian2, Neda Soltani3 anabaena sp in the growth of HeLa 1 Dep, College of basic science, Karaj branch, Islamic Azad cells

University, Alborz, Iran. 1 2 Dep. Microbiology, College of basic science, Karaj branch, Fatemeh Fattahi Hassan Abad , Mehrouz 2 3 Islamic Azad University, Karaj Dezfulian , Neda Soltani 3 Dep.Petroleum Microbiology, ACECR, Research Institute 1 graduate student, Department of microbiology, College of of Applied Science, University Shahid Beheshti basic science, Karaj branch, Islamic Azad University, Alborz, Iran. 2 Introduction: Sailors are always at danger risk of Assistant Professor, Department of microbiology, College of basic science, Karaj branch, Islamic Azad University, injury and injury cause infection during sailing. The Alborz, Iran. humidity and inaccessibility to medical resources are 3 Associate Professor, Department of Biology, ACECR, factors that could cause deterioration of conditions. Research Institute of Applied Science, University Shahid Several components have made for repair tissues. Beheshti, Tehran, Iran Many of these substances have chemical bases but Introduction: Resistance of cancer cells to anti-tumor others have been made of both natural polymers and drugs has been the most common problems in the chemical reagents. world of medical science. So finding new antitumor The cyanobacteria are microscopic photoautotrophs agents with minimal side effects seems necessary.

76 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

In this regard, several studies have conducted on a polymer from external capsule of Anabaena as variety of materials in different parts of the world. base material for proliferation and cell growth of Aim: In this study, the antitumor effects of L929 fibroblast to evaluate the possible use of this polysaccharides extracted of cyanobacteria Anabaena polysaccharide in tissue engineering and wound sp on the HeLa cells evaluated. healing. Hypothesis: The extracted polysaccharides of Hypothesis: The extracted polymer enhanced cyanobacteria Anabaena decrease growth of HeLa fibroblast proliferation. cell line. Materials and Methods: Anabaena cultured in BG Materials and Methods: Anabaena cultured in BG media.Then the polysaccharide of Anabaena extracted media.Then the polysaccharide of Anabaena extracted and different percentage of extracted polysaccharide and its effect on HeLa cell by different concentration mixed with the medium then L929 fibroblast cells tested. Decrease of HeLa cells evaluated by MTT cultured in large numbers in the laboratory. The Assay and Trypan blue staining method. viability, growth and proliferation of fibroblasts Result: The extracted ploysaccharide from Anabaena different times determined by Trypan blue and MTT had significant antitumor effects against the growth of ASSAY colorimetric methods. The cells cultured in HeLa cells and it could be an appropriate candidate the laboratory for a month to study the morphological for further investigation and design the anti-cancer changes. medicines by natural origin. Results: It showed that cell growth inhibited in high Keywords: polysaccharides, cyanobacteria Anabaena concentrations of polysaccharide, and ultimately lead sp, HeLa cells to cell death. However, the low concentrations of extracted polysaccharide of Anabaena sp increased P6-18 the growth and proliferation of L929 fibroblast cells. Keywords: polysaccharides, cyanobacteria Anabaena Evaluation of a polysaccharide sp, L929 fibroblast, healing extracted from the cyanobacteria P6-19 anabaena sp on growing of L929 fibroblast cells in a bed made used for The renewable energy production healing with microalgae resources integration Fatemeh Fattahi Hassan Abad1, Mehrouz the three environmental factors: algal Dezfulian2, Neda Soltani3 biomass production, wastewater 1 graduate student, Department of microbiology, College of treatment and Co2 stabilization basic science, Karaj branch, Islamic Azad University, Alborz, Iran. Sasan Ghobadian1, Neda Soltani2, Fatemeh 2 Assistant Professor, Department of microbiology, College Nazari2, Fatemeh Malek Ahmadi3 of basic science, Karaj branch, Islamic Azad University, 1 Alborz, Iran. Dep. Environmental Engineering, Faculty of Civil & 3 Associate Professor, Department of Biology, ACECR, Environmental Engineering, Tarbiat Modares Univ. 2 Research Institute of Applied Science, University Shahid Dep. Petroleum Microbiology, Research Institute of Beheshti, Tehran, Iran Applied Science, ACECR, University of Shahid Beheshti 3 Dep. Biology, Science and Research Branch, Islamic Azad University, Tehran Introduction: Several components have made for In the near future, the world is faced with the energy repair tissues. Many of these substances have chemical challenges following the completion of fossil fuels in bases but others have been made of both natural the next half-century. Increasing demand on energy polymers and chemical reagents. resources due to population growth and industrial The cyanobacteria are microscopic photoautotrophs upgrading, besides the political and economic and grow quickly in simple mineral medium so it can constraints on access, globally caused the Increased used as new sources of affordable medical applications. focus On renewable biofuel production due to the Aim: The present study attempts to use extracted removing or raising the price of fossil fuels, particularly

J Arch Mil Med. 2015 January; Supplement 1 77 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations oil and natural gas. And new methods of biofuels has been reported and efficacy of this method is production Using microalgae have emerged that Promising. Some past studies have reported the algal ends the challenges about fossil fuels. It has been cultivation on agro-industrial/municipal wastewaters, estimated that biomass could provide about 25% of untreated carpet industry effluent, starchy wastewater global energy requirements and can also be a source and water supplemented with rural wastes including of valuable chemicals, pharmaceuticals and food animal urine, bone meal and sheep’s blood. additive. The biorefinery approach has introduced Moreover, Algae potential for the use of CO2 from new vistas in the field of applied phycology in the flue gas waste and fixing this gas, While reduce sense that in addition to biofuel production, other greenhouse gases and harmful effects on the value added products such as Docosahexaenoic acid global level (Including climate change, ecosystem (DHA) and carotenoids can also be produced from degradation, etc.), leads to the production of biofuels the biomass. with a very narrow greenhouse effect, Which makes The microalgal biomass can be used to produce a the process in adaptation to the environment and number of biofuels such as biomethane, bioethanol, cause to favorable access to a primary source with biohydrogen, biobutanol among others. Algae have economic efficiency. been reported to contain high amount of biodegradable The purpose of this study is to provide an in-depth components such as carbohydrates (5-23%), lipids analysis and discussion about current tendencies (7-23%), proteins (6-52%) and thus can be converted about the production of renewable energy by taking into methane rich biogas. Which makes it an attractive advantage of the microalgal resources. In this way option according to Low processing requirements the three microalgae biotechnology applications for before the production of biogas. Emissions resulting waste water treatment, CO2 fixation and production from the decomposition of organic material are of biomass for biofuel production is desired. multifunctional and environmentally friendly fuels. In this regard, initially phycoremediation process, In comparison with conventional fuels, they generate and the advantages and limitations of microalgae, less greenhouse gases and other special materials. high rate ponds and bioreactors for nutrients removal The main advantages of using microalgae as a source from wastewater has been investigated, and with the of biomass for biodiesel production are: high growth review the requirements and methods of cultivation rates and short generation times, minimal land and harvesting, the production of algal biomass has requirements, high lipid content, use of wastewater been focused. Finally, with respect to the chemical stream as nutrient feed with no need for chemicals composition of biomass production and extraction of such as herbicides and pesticides. fat, trans-esterification processes, thermal conversion These benefits make it a better resource of biomass of biomass, bio-refining, bioethanol and Biomethan production Compared to the previous generations has been studied. Estimated digestibility and of resources that have overcome challenges such as biogas production, digestion of biomass and biogas food challenges. production and obstacles, problems and solutions Beside to Limitation in water resources, the release have been considered. of industrial and municipal wastewater poses serious Keywords: biofuel, biogas, biomass of algae, environmental challenges to the receiving water Phycoremediation, fixing CO2. bodies. The major effect of releasing wastewater rich in organic compounds and inorganic chemicals such P6-20 as phosphates and nitrates is mainly eutrophication. This is a global problem that can be solved by the The evaluation of effects of extracted use of microalgae whereby the wastewater is used Nostoc sp. ISC 113 polysaccharide on as feed for microalgal growth. Wastewater remediation by microalgae is an eco- the adherence of fibroblast cell friendly process with no secondary pollution as Omfarveh Maleki1, Mehrouz Dezfulian2, Neda long as the biomass produced is reused and allows Soltani3 efficient nutrient recycling. Microalgae such as Chlorella, Scenedesmus, Phormidium, Botryococcus, 1 Dep. microbiology, College of basic science, Karaj branch, Islamic Azad University Chlamydomonas and Spirulina for treating wastewater

78 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

2 Dep. microbiology, College of basic science, Karaj branch, P6-21 Islamic Azad University 3 Dep. Petroleum Microbiology, Research Institute of Applied Science, ACECR, University of Shahid Beheshti Cyanotoxins: bioaccumulation and effects on quatic animals Introduction: Since the early 1950s, more than one Masoomeh Yousefpour hundred cyanobacteria strains of different genera PhD, Marine Biology, Islamic Azad University, Science and have been investigated regard to the production of Research Branch, Tehran exocellular polysaccharides. Such polysaccharides are present as outermost investments forming sheaths, Cyanobacteria are photosynthetic prokaryotes with capsules and slimes that protect the bacterial cells wide geographic distribution that can produce from the environment. secondary metabolites named cyanotoxins. These Natural bioadhesives are polymeric materials that may toxins can be classified into three main types consist of a variety of substances, but proteins and according to their mechanism of action in vertebrates: polysaccharides feature prominently. A bioadhesive hepatotoxins, dermatotoxins and neurotoxins. system based exclusively on polysaccharides and Many studies on the effects of cyanobacteria and potentially useful for bone glue has been recently their toxins over a wide range of aquatic organisms, proposed by Hoffmann et al. biodegradable including invertebrates and vertebrates, have reported polysaccharides, without any cytotoxic effects, seem acute effects (e.g., reduction in survivorship, feeding to be a good candidate for bone or soft tissue gluing inhibition, paralysis), chronic effects (e.g., reduction in applications in surgery. growth and fecundity), biochemical alterations (e.g., In this study the effect of polysaccharides extracted activity of phosphatases, GST, AChE, proteases), and from cyanobacteria Nostoc. sp ISC 113 on the adhesion behavioral alterations. of fibroblast cells is tested. Research has also focused on the potential for Materials and Methods: The polysaccharide extracted bioaccumulation and transferring of these toxins from Nostoc. sp ISC 113. The large scales of fibroblast through the food chain. Although the herbivorous cultured in the laboratory. After culture of fibroblast zooplankton is hypothesized as the main target of cells on the extracted polysaccharide the adhesion of cyanotoxins, there is not unquestionable evidence fibroblast cells by color booklet with crystal violet of the deleterious effects of cyanobacteria and their and microscopic study assessed. toxins on these organisms. Also, the low toxin Hypothesis: The extracted polysaccharide had a burden in secondary consumers points towards positive effect on fibroblast cell adhesion. biodilution of microcystins in the food web as the Result: After microscopic study it showed that predominant process. In this broad review we discuss polysaccharide extract increased adhesion of fibroblast important issues on bioaccumulation and the effects cell. of cyanotoxins, with emphasis on microcystins, as well as drawbacks and future needs in this field of research. Keywords: cyanobacteria; cyanotoxins; bioaccumulation; invertebrates; vertebrates

J Arch Mil Med. 2015 January; Supplement 1 79 ABSTRACTS

Relief and Rescue in Marine Disasters ORAL PRESENTATIONS

O7-1 sitted. There are Technically Consideration, Medical Consideration and Special Consideration for Aerovac. Sea survival response Steps to successful Aerovac are Communication is the key, Ensure each patient is stable and rule out Arie Zakaria any contraindications before transport and Once the MD, Orthopaedic Surgeon, Indonesian Navy Medical benefits and risks are considered, the need for air Service, Jakarta, Indonesia evacuation is determined, and the medevac aircraft is available, the evacuation should be inform to referral Regulation V/10 of the International Convention for Medical Facility. the Safety of Life at Sea (SOLAS), 1974, states: The master of a ship at sea, on receiving a signal from any O7-2 source that a ship or aircraft or survival craft thereof is in distress is bound to proceed with all speed to Design and build your first aid bag the assistance of the persons in distress informing individual medley infantry forces them if possible that he is doing so. Search and Rescue Service is the performance of combat zones distress monitoring, communication, coordination and Manuchehr Hashemzadeh1*, Ali Karimi2, Zahra search and rescue (SAR) functions. This includes the Noory Balaneji3 provision of medical advice, initial medical assistance, or medical evacuation, through the use of public and 1* Master of Military Nursing (Disaster Management) University of Medical Sciences Islamic Republic of Iran, private resources, including cooperating aircraft, Tehran vessels and other craft and installations. When SAR 2 Master of Disaster Management University of Tarbiat system first became aware of an actual or potential Modares Republic of Iran -Tehran emergency, the information collected and the initial 3 Management of Health and Medical and Pharmaceutical action taken are often critical to successful SAR University Hamdard Jamea India - New Delhi operations. It must be assumed that in each incident there are survivor who will need assistance and Introduction: The war of waste, particularly in whose chances of survival are reduced by passage of terms of manpower to and from the military aspect, the time. The success of SAR operation depends on manpower and protect it in war zones, and especially the speed with which the operation is planned and in combat operations, of various dimensions, has carried out, including search pattern and medical a special significance. perhaps failing to maintain evacuation. forces have made major changes in the results of the Selection of a search pattern depend on: Degree war, so one of the ways to maintain fighter forces in of uncertainty in the search of objects position, their mechanism operational areas, relief and other Navigational capabilities of each search facility, relief and casualty transfer war relief Suitable places Type of sensor(s) being employed, Primary type of behind the front lines. This has reduced the rate of search object or signal the search facility is attempting deaths and injuries and manpower. On the other to detect and locate, Environmental conditions, hand, boost morale and operational forces in order Direction and rate s of search object predicted to stay and fight. movement during the search, and Time limits. Medical Methods: The present study of descriptive approach, evacuation is the timely and sufficient movement and with the void within the framework of the and en route care provided by medical personnel acquisition and methodology based on the experiences to injured patients being evacuated from the scene of modeling research team. After setting and providing of an accident to receiving medical facilities using research design, collecting information and editor medically equipped ground vehicles or aircraft. Aero of the team and the initial design engineers his bag Medical Evacuation (Aerovac) are medevac using an into action and relief in the construction phase were aircraft (air ambulance) with advantage quicker n sample that Kiev with the situation in the final of the safer. But these method are weather dependent, must project, which is the ability to install on foot, ammo be have a runway or hellypad, special consideration pouches and bullet - proof vest, and even the rucksack. for some diseases with gas pressure, and limited Results: based on the findings of the present study

J Arch Mil Med. 2015 January; Supplement 1 81 POSTER PRESENTATIONS data analysis, in order to achieve an overall goal, standards, deck officers must educated 120 hours about design and build a bag initial aid relief their individual sea medical emergencies. As well as, every sea folks’ infantry troops launched an operation in war zones have to assessment for health status periodical. To and the results of the analysis and evaluation as a date, there are no educational courses about medical result of this issue, the design and construction of emergencies at the sea in Iran or other countries. With a kind of individual rescue bag, which, in addition regard to science development, specialization of jobs to possess is capable of carrying relief supplies, the and military science, and variations in accidents; we capability to interface with easy access to the fighters need the specific medical intervention for resound to prevent and combat activities, men. to clients needs. Finally, the presence of a skilled Discussion & Conclusion: in order to reduce workforce is essential medical emergency at sea in the loss of life resulting from war wounds, some the battleship cruises. of which are considered a medical emergency and Conclusion: The main aim of undergraduate of sea life-threatening, Type text or a website address or EMT discipline is educated the skillful and competent translate a document. manpower for proper care of victims in emergency Cancel and the escalation of medical waste and services at the Islamic Republic of Iran Navy. We damage. have developed a four-year period course. This course Finally, this scheme can enhance their capabilities is offered in either a continuous or discontinuous. and skills and other relief supplies warriors relying The course consists of 86 theoretical credit and 50 on training, equipment and self bags also matched practical credit. the appearance and prevent infantry fighting forces all the taste units design and equip its forces largely P7-1 been effective in protecting the lives and support systems and ready forces to assist in the maintenance Assessment of harmful consequences or equipment bag and can be easily exploited by the of tehran storm: a case study user to be. Mahnaz Kheradmand1*, Katayoun Jahangiri2 O7-3 1* MS in urban planning 2 Associate Professor, Family Health Department, Health Medical emergencies at sea Metric Research Center, Iranian Institute for Health Sciences Research (IHSR), Iranian Academic Center for Education, Zahrasadat Mosavisani1, Seyed Amir Hosein Culture and Research (ACECR) Pishgooie2 1 MA critical care nursing-Head nurse ICU2 Navy Golestan Background: On 2 June 2014, a storm with wind, Hospital dust and heavy downpour of rain occurred. It began 2 PhD in Nursing, Assistant professor Nursing Faculty AJA from the southwest of Tehran and hit the whole city University and then went out from the east. The speed of this Background: Maritime History of medicine in Iran storm was recorded 118 kilometers per hour. This dates back to the Achaemenid era. A physician always study has been performed in order to assessing be accompanied by their cruises. He was responsible harmful consequences of Tehran storm. for Sea folks’ health status. There are some documents Materials and method: This applied research was about Sea folks’ diseases and their treatments in the a case study that it was done in 3 phases. The first Jondishapur University from Sasanian era. phase was a literature review; the second phase Materials and methods: This is a systematic review has been performed based on qualitative approach. study. We searched available online resources between Researcher’s observation and in-depth interview 1990 – 2014 for data collecting. with people in were the data gathering tooles and Findings: Surly, One of the most dangerous jobs is finally exploited consequences have been analyzed. work at sea and seafaring profession today. Based on Findings: The type of this storm was tornado and telemedicine medicine reports, most of the medical with regard to location of formation, wind speed emergency at the sea are surgery (46%), medical and time duration, has been ranked as F0 in the disorders (27%), and urology (6%). Accordingly the Fujita Tornado Damage Scale. 5 people lost their

82 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health lives and more than 80 people had been injured important role in the critical medical process during this storm. The causes of death were due to of aeromedical evacuation (AE). Incomplete or falling building material, the collapse of the roof inappropriate preparation for AE can result in and falling of broken trees and falling from height increased patient discomfort, and in the worst cases, and higher floors of buildings. The causes of injury potentially serious or insurmountable in-flight medical were car accident, trauma and head injury. Estimated problems. economic loss has been reported about 490 milliard Methods: Review research of medical electronic data Rials. Because of falling the architectural elements bases from 2000 up to now. and broken trees, damaged utilities, interrupted the Results: During military operations and in response weak and moderate voltage power lines and got out to natural disasters, physicians are responsible for four the circuit of some electricity posts. processes necessary for a successful AE mission. These Discussion and Conclusion: The typical damages include: 1) AE screening, including determination of of F0 or weak scale tornado is Light damage. In this appropriate classification, precedence, and special category, storm causes some damage to chimneys; medical requirements; 2) validation; 3) medical branches broken off trees; shallow-rooted trees pushed preparation; and 4) clearance. Physicians responsible over; sign boards damaged. The consequences of this for preparing patients for AE need to understand scale must be very low but it seemed that the mortality both the patient evacuation system and the unique and morbidity and economic damages of this storm medical aspects associated with AE. The military was not appropriate with tornado scale. So Tehran patient evacuation system is comprised of three is assessed weak versus storm and the authorities principal transportation phases: casualty evacuation; and people must be prepared against it. Before a inter-theater AE; and intra-theater AE. Important tornado, the essential preparedness activities should be elements of the AE system are patient movement done. Having a plan, having a preparedness kit, and requirements centers, the validating flight surgeon, follow the instructions of authorities. Providing Back aeromedical staging facilities, AE liaison teams, up for critical utilities, Staying alert for dangerous aeromedical crews, and critical care air transport weather conditions, Looking for anything that could (CCAT) teams. fall during high winds and cause damage or injury. Discussion and Conclusion: Important medical Keeping trees trimmed, particularly those are near aspects unique to AE include the effects of flight power lines, and remove dead trees and branches. physiology on medical conditions, oxygen limitations, Key words: Tehran storm, Harmful consequences, and distinctive medication and supplies requirements. Tornado The purpose of this paper is to describe the basic military AE policies, procedures, and medical P7-2 considerations important to all physicians responsible for screening, validating, preparing, and clearing Physician roles in military patients for AE. aeromedical evacuation Keywords: patient transportation, air ambulances, military medicine, emergency medical services. Mohammad Karim Heravi1*, Amir Khoshvaghti2**, Amir Nezami Asl2**, Reza P7-3 Eslami²**, Abolfazl Khademi2**. 1 Aerospace Medicine Research Center, Aerospace and The role of nurses in crisis: case study Subaquatic Medicine School, AJA University of Medical Ahvaz oil great hospital in 2013 Sciences, Tehran, Iran. 2 Aerospace Medicine Research Center, Aerospace and Saeed Saeedi Mehr1, E. Vesyi2, Sahar. Geravandi2, Subaquatic Medicine School, AJA University of Medical H.R. Golpategani3, Mahdi Vosoughi Niri4, Sciences, Tehran, Iran. 5 4 * Presenting author, Resident of Aerospace and Subaquatic M. Haidari , Mohammad Javad Mohammadi *, 2 2 Medicine E. Bagheri , S. Moghadamfar ** Scientific staff 1 Ahvaz oil Great Hospital, Ahvaz, Iran 2 Razi Hospital, Ahvaz Jundishapur University of Medical Introduction: Physicians play an increasingly Sciences, Ahvaz, Iran

J Arch Mil Med. 2015 January; Supplement 1 83 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

3 General manager of NIDC, Ahvaz, Iran by following the protocol of suitable capacity and 4* Department of Environmental Health Engineering, School ability to accept emergency ward 3 has increased and of Public Health, Ahvaz Jundishapur University of Medical this cause to increase readiness and served the more Sciences, Ahvaz, Iran 5 General physician, Ahvaz Jundishapur University of desirable the emergency in time of crisis. Medical Sciences, Ahvaz, Iran Conclusion: based on research findings it can be concluded that it is possible to evaluate the constant Introduction: Hospitals, as the main organizations help before the occurrence of crisis in emergency involved in the occurrence of Unexpected Events ward emergency ward capacity to readiness and needs the existence compiled plan Events are providing medical services to the best manner of in qualified so that the authorities can do to measures time of a crisis. Also desirable is capacity building necessary in accordance with the position to pay for. in the e r. In time of crisis can be number of people As hospital in the country in time of trials while the were wounded and injured more accepting that this influence outcomes of his Beloved, a major role in could for more desirable conditions in time of crisis. reducing the effects of, Therefore planning to meet Keywords: capacity building, Emergency, Ahvaz in the hospital special importance. The emergency oil Great Hospital in every hospital and at the time of a crisis the most important and the most vital part of the services to P7-4 provide Therapy and veterans injured by the crisis in every educational center and in therapy. In fact the The positive effect of increased the emergency in time of a crisis as the introduction to injured acceptance rate and medical deal with consequences of the crisis in order to reduce and lasting the conditions for crisis. The purpose of services appropriate with provide this research study on the role is capacity building capacity to emergency departments in the emergency in presenting ideal health services in the hospital during the crisis great Ahvaz oil in during the war, and incidence the year 2013. unexpected events Methods: This was a descriptive - analytic. The 1 2 purpose of this study was to investigate the role Saeed Saeedi mehr , Mahdi Vousoghi Niri , Sahar 2 3,4 of capacity building in emergency departments to Geravandi , Mohammad Javad Mohammadi *, 5 provide optimum care during crises in the Ahvaz oil Hosein Frozandeh Great Hospital in 2013. This study is a descriptive. In 1 Ahvaz oil Great Hospital, Ahvaz, Iran this study the amount of capacity at first emergency 2 Department of Environmental Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical ward to providing medical services during before the Sciences, Ahvaz, Iran crisis by presence observations list and evaluate. Then 3 Razi Hospital, Ahvaz Jundishapur University of Medical based on the results of this evaluation deficiencies Sciences, Ahvaz, Iran and parts of a promotion to increase the capacity 4* Department of Environmental Health Engineering, School accepting the injured and providing medical services of Public Health, Ahvaz Jundishapur University of Medical more desirable in the Ahvaz oil Great Hospital Sciences, Ahvaz, Iran 5 Department of Toxicology, Ahvaz Jundishapur University emergency clear. Then a protocol to increase the of Medical Sciences, Ahvaz, Iran administrative capacity of the State Emergency and has been compiled after 6 months assessment of the Introduction: Hospitals, as the main organizations capacity and capability of the emergency room and involved in the occurrence of Unexpected Events the results help to Excel software, spss and analysis. needs the existence compiled plan Events are Results: The results of this study showed that capacity qualified so that the authorities can do to measures and ability to accept the Great Hospital emergency necessary in accordance with the position to pay for. oil Ahvaz before Reform Measures taken 14 injured As hospital in the country in time of trials while the simultaneously in time of crisis and has been so The influence outcomes of his Beloved, a major role in reforms and capacity ability to accept emergency reducing the effects of, Therefore planning to meet ward 50 injured simultaneously increased. Findings in the hospital special importance. The emergency also showed that capacity building programs and in every hospital and at the time of a crisis the most

84 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health important and the most vital part of the services to P7-5 provide Therapy and veterans injured by the crisis in every educational center and in therapy. In fact the The role of nurses in crisis: case study emergency in time of a crisis as the introduction to Ahvaz oil great hospital in 2014 deal with consequences of the crisis in order to reduce and lasting the conditions for crisis. The purpose of Mahdi Vousoghi Niri1, Sahar Geravandi2, this research study on the role is capacity building Mohammad Javad Mohammadi3,2*, Hosein in the emergency in presenting ideal health services Frozandeh4, Saeed Saeedi Mehr5 in the hospital during the crisis great Ahvaz oil in 1 Department of Environmental Health Engineering, School the year 2014. of Public Health, Ahvaz Jundishapur University of Medical Methods: This was a descriptive - analytic. The Sciences, Ahvaz, Iran purpose of this study was to investigate the role 2 Razi Hospital, Ahvaz Jundishapur University of Medical of capacity building in emergency departments to Sciences, Ahvaz, Iran 3 provide optimum care during crises in the Ahvaz oil * Department of Environmental Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Great Hospital in 2014. This study is a descriptive. In Sciences, Ahvaz, Iran this study the amount of capacity at first emergency 4 Department of Toxicology, Ahvaz Jundishapur University ward to providing medical services during before the of Medical Sciences, Ahvaz, Iran crisis by presence observations list and evaluate. Then 5 Ahvaz oil Great Hospital, Ahvaz, Iran based on the results of this evaluation deficiencies Introduction: disaster a phenomenon caused by and parts of a promotion to increase the capacity the collection of risks, vulnerability and capacity accepting the injured and providing medical services conditions down, or lack of necessary to reduce more desirable in the Ahvaz oil Great Hospital potential negative effects and consequences risk that in emergency clear. Then a protocol to increase the all over the world and the development and progress administrative capacity of the State Emergency and of the social and economic health and therapy in a has been compiled after 6 months assessment of the noticeable impact on the. One of the consequences capacity and capability of the emergency room and refers to any crisis a multitude of population and the results help to Excel software, spss and analysis. indemnity for everyone to health and treatment Results: The results of this study showed that capacity centers and especially Hospitals. In the hospital as and ability to accept the Great Hospital emergency a nurse in the first line with in situation. If nurses oil Ahvaz before Reform Measures taken 15 injured identification with crisis literature and problems simultaneously in time of crisis and has been so The physical, mental and psychological crisis to be service reforms and capacity ability to accept emergency the best ability to after the crisis. This research with ward 130 injured simultaneously increased. Findings the goal of determining the amount of the nurse’s also showed that capacity building programs and awareness of crisis management and factors in Ahvaz by following the protocol of suitable capacity and oil Great Hospital in the year 2013. ability to accept emergency ward 10 has increased Methods: This study descriptive- analysis (Cross and this cause to increase readiness and served the Sectional). In this study was the amount of awareness more desirable the emergency in time of crisis. and attitude toward nurses in relation with the Conclusion: based on research findings it can be manner of dealing with the crisis and the presentation concluded that it is possible to evaluate the constant service to indemnity for every one of the crisis by help before the occurrence of crisis in emergency questionnaire and interview was measured. Then ward emergency ward capacity to readiness and based on analysis has been done and compiled plan providing medical services to the best manner of in for education Capability building nursing forces time of a crisis. Also desirable is capacity building and their role in the crisis was presented. Then after in the e r. In time of crisis can be number of people 6 months of training The Goldschmidt of level of were wounded and injured more accepting that this knowledge and attitude of the nurses scale. Credit could for more desirable conditions in time of crisis. questionnaire method to credit content and validity Keywords: capacity building, Emergency, Ahvaz through Spectrometer alfa before 88/assessment and oil Great Hospital the results The result of using the software and the techniques SPSS statistics and analysis.

J Arch Mil Med. 2015 January; Supplement 1 85 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

Results: The results of this study showed that the in several days or weeks after the contamination. amount of knowledge and attitude Great Hospital After onset of symptoms in contamination by agents nurses Ahvaz oil In time of crisis and the manner of such as small pox, yersynya Pestys and fylo viruses, dealing with them before the assessment and education there is, the potential risk of transmission in humans. 35% and after nurses company in educational programs In Iran the risk of such attacks is high because of to 75%. Findings also showed that education and the strategic situations and the presence of hostile participate in classes educational and this center will forces in neighboring waters. The risk analysis and increase 40% awareness in nurses in relation manner determination of the potential risk raise the possibility of control and to confront with the crisis. of using these agents. Conclusion: based on research findings that can Risk analysis methods and determination of the be captured one of the most important factors in potential risk according to the location of cruisers, effective and important.The increase in awareness season and weather conditions, help us in planning nurses education and participating in workshops and against these agents. The scenario-based planning is training classes. Also increase the level of awareness one the ways facing with these risks. for nurses can provide better health services to Method: This is a comparative study in which by using veterans injured by and in time.The crisis that this the risk management methods and mitigation planning in turn could cause to increase satisfaction and the and resiliency in different social environments, we participants refer to great service-makers in the propose a model in dealing with biological attacks hospital Ahvaz oil. in cruisers. Keywords: nursing, crisis, consciousness, Ahvaz oil Finding: The beginning phase of disaster management Great Hospital cycle is mitigation and risk reduction. Hazards will be analyzed according to potential threats in the region, the P7-6 environment, human recourses, equipment and time. According to the threats in the Middle East, biological Scenario-based planning model in agents in group” A” can be the biological hazards in bioterrorism disasters management in the cruisers. We can determine the points of risk by calculating the return period, the severity of impacts cruisers and vulnerability of resources and the target group in a geographical area. According to the probability Simintaj Sharifi Far1, Katayoun Jahangiri2, of each risk, we can identify priorities and regulate Zohreh Ghomiam3, Reza Khani Jazani, Sharifian4 the possible scenarios. Then, the problems, which 1 Student of PhD, Shahid Beheshti Medical University extracted from the scenarios, will be analyzed and the 2 Associate Professor, Family Health Department, Health possible strategies for prevention and response will Metric Research Center, Iranian Institute for Health Sciences Research (IHSR), Iranian Academic Center for Education, be developed. At least the scenario based response Culture and Research (ACECR) plan was developed. These plans need the planning 3 Assistant Professor, Emergencies and Disasters Health teams and scenarios to develop. Dept. of Shahid Beheshti Medical University The biological attacks warning plan includes: 4 Professor, Manager of Emergencies and Disasters Health the isolation of patients and carriers, surveillance Dept. of Shahid Beheshti Medical University system, drug prophylaxis and vaccination programs, Introduction: Intentional releases or threat to use Treatment, dead bodies management, provision of viruses, bacteria, fungi, or toxins produced by living water and healthy food, a multi-layered system organisms to cause death or pathogenicity in humans, designed to communicate with the outside of the animals and plants is bioterrorism. In all historical disaster area, decontamination, Triage, rescue and periods, using microorganisms, as weapons had been transfer to the referral hospitals and etc. current.tendency to use these weapons is increasing Finally, maneuver performs according to the scenarios. because of the serene nature, lower cost, and variable- Analyzing the maneuvers increase the effectiveness latency and high fatality of bioterrorism agents. of plan and preparedness. Contamination with biological agents could occur Conclusion: Scenario-based risk management model before or during the journey. Therefore, according to in bioterrorist attacks reduces the biological effects the latent periods of different agents, diseases develop of the bioterrorism agents.

86 J Arch Mil Med. 2015 January; Supplement 1 ABSTRACTS

Nutrition and food security for Navy ORAL PRESENTATIONS

O8-1 prices. It was modified to integrate the program with recommended funds. Next, DQI was calculated Diet assessment of regular, training based on variety, adequacy, moderation and balance and operational groups and designing for new diet program to compare with running diet. Results: Previous diet analysis showed wide range of a standard diet for navy personnel in deficiencies in energy, protein, mineral and vitamins. 1393 In addition, there were many defects in previous diet in terms of variety, balance and adequacy. Arezo Haghighian Roudsari1*, Maryam After modifying the proposed diet with navy food Shokouhi2, Seyed Shahram Mirzamani3, Majid basket, DQI was determined for the regular, training Hajifaraji4 and operational groups (Table). While the DQI for 1* Ph.D Candidate, National Nutrition and Food Technology operational group in previous diet was 61 out of 100 Research Institute, Faculty of Nutrition Sciences and Food (for example). Technology, Shahid Beheshti University of Medical Sciences, Discussion: According to scientific evidences, Tehran, Iran previous diet had some defects compared to proposed 2 MSc in Nutrition Sciences, Community Nutrition diet including: Department, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food - Upper score (20 Percent) in DQI in all groups Technology, Shahid Beheshti University of Medical Sciences, - Meet the higher percentage of energy, macronutrients Tehran, Iran and micronutrients 3 DVM-MPH, Marine and Submarine Medicine Research - More variety in new diet Centre - Consider to different seasonal foods 4 Associate prof., Nutrition & Food Policy Research Dep., Director of National Nutrition and Food Technology - Importing more food items in diet Research Institute, Faculty of Nutrition Sciences and Food Suggestion: Based on the results about nutritional Technology, Shahid Beheshti University of Medical Sciences, status and to ensure intake adequacy, it’s recommended Tehran, Iran that effects of proposed diet evaluate in long-term Background: The main purpose of the operational period and if necessary, it is modified with new nutrition is supply of suitable, hot and fresh foods changes. in the appropriate time and place for personnel. In Keywords: Diet, Navy personnel, Diet Quality Index this situation, personnel could attend in battle fields Score of Diet Quality Index (DQI) for proposed diet in form of integrated, faster, compatible and more Score for Score for Score for capable. Therefore, the operational and nutritional Categorization components operational training regular group group group units should be sure of nutrition services and Variety Vegetables, 15 9 9 distribution of ideal, balance and variety of food. fruits, cereals, 5 5 5 This project aimed to assessment of current diet dairy and meat program in terms of required nutrients, arrangement Adequacy Fruits 0 0 0 Vegetables 5 5 5 of new diet plan based on necessary values for navy Cereals 5 5 5 personnel in three groups of regular, educational Calcium 3 4 3 Iron 5 5 5 and operational. Then, Diet Quality Index (DQI) was Vitamin C 3 3 3 calculated for recommended diet of three groups. Fiber 5 5 5 Methods: Current diet program was assessed by protein 5 5 5 Nutritionist IV software to explore energy, protein, Moderation Cholesterol 6 6 6 Total fat 5 5 3 fat, nutrients especially iron, vitamin A, C and calcium Food with high 6 6 6 intake. Then, it was determined the required energy, fat and low 6 6 6 nutrients 3 3 3 protein, fat, nutrients especially iron, vitamin A, C, Saturated fat Sodium B2 and calcium for the three groups considering to physical activities and energy expenditure based on Balance Macronutrients 4 6 6 Ratio 2 4 4 scientific evidence. New diet was adjusted according Fatty acids to required nutrients values, variety and balance Ratio Total score of 80 78 79 diet. Then, this adjusted program adapted with diet (out of 100 navy food basket in terms of existing items and their score)

88 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Oral Presentations in Naval Preventive Medicine & Health

O8-2 of flouroquinolones, tetracyclines and sulfonamides were found to be 1.23±0.6 µg/kg, 2.84±0.94 µg/kg A survey of antibiotic residues and 0 µg/kg in egg samples, respectively. in chicken meat and table eggs Conclusions: This study indicated that some consumable chicken meat and eggs of IRIA contain consumed in Islamic Republic of Iran residues of antibiotics. More research on another foods Army of animal origin consuming in IRIA is recommended. Keywords: Antibiotic, Chicken Meat, Drug Residues, Arasb Dabbagh Moghaddam1, Mohsen Egg, Iran. Bashashati2, Seyed Javad Hosseini-Shokouh3, Touraj Nowrouzi4 O8-3 1 Instructor, Department of Health and Social Medicine, AJA university of Medical Sciences, Tehran, Iran Environmental factors effects on 2 Researcher, AJA university of Medical Sciences, Tehran, Iran bacteriological quality of red and 3 Assistant Professor, Infectious Diseases Research Center, chicken meat stored in fridges in one AJA University of Medical Sciences, Tehran, Iran 4 Deputy of Health, Health and Rescue Department, Islamic of military force Republic of Iran Air Force, Tehran, Iran Hosein Masoumbeigi, Hamidreza Tavakoli*, Background: Antibiotics are one of the most important Aliakbar Karimi Zarchi, Hosein Kardan, Majid bioactive and chemotherapeutic groups of compounds Ardestani made by microbiological synthesis. Today, many *Baqiyatallah University of medical sciences antibiotics are widely used for preventing and treating several diseases, as well as for promoting growth Introduction: Survey of factors affecting on the in food-producing animals. This widespread use of contamination and spoilage of widely consumed antibiotic may cause residues in foods, as well as the foods is of utmost importance.This research is aimed induction of allergic reactions in humans. In addition, at studying the effect of environmental factors on resistance to pathogenic bacteria has been constantly the bacteriological quality of red meat and chicken weakening as a result of antibiotic use in foods. in the fridges of Tehran province. Objectives: The objectives of this study were to Materials and Methods: In the first stage of this evaluate the presence of common three antibiotics descriptive -analytical study, the environmental health used in poultry industry including flouroquinolones, status of all fridge was evaluated by the researcher- tetracyclines and sulfonamides in consumable chicken made reliable and valid checklist. Then 264 samples meat and eggs of Islamic Republic of Iran Army (IRIA). of red meat and chicken from eleven fridges were Methods: A total of 70 poultry samples, including collected in two stages (at the beginning and three chicken meat and eggs from IRIA‘s cold storages, months later), randomly, and standard bacteriological were analyzed using ELISA for determination of tests were carried out on them, and the results antibiotic residues. were analyzed by SPSS 15 and t-pair and fisher Results: Of the chicken samples analyzed, 35 statistical tests. The statistical relationship between (100%), 30 (85.71%) and 28 (80.00%) had residues of environmental factors and bacteriological quality flouroquinolones, tetracyclines and sulfonamides, of red meat and chicken samples were analyzed by respectively. The mean levels (±SE) of flouroquinolones, Spearman correlation coefficient. tetracyclines and sulfonamides were found to be Results: The results showed that bacterial 72.59±4.30 µg/kg, 15.35±1.6 µg/kg and 36.52±3.61 contamination of all the samples in the first stage was µg/kg in chicken samples, respectively. Four permissible, but in the second stage, the bacterial load (11.43%) of chicken samples exceeded the maximum up than standard level to E.coli (6%), S.aureus (4.5%) residue level (MRL). Also the study revealed that 4 and Salmonella SPP (4.5%) were detected in chicken (11.43%), 8 (22.85%) and 0 of 35 egg samples were samples respectively. Also in red meat samples, the positive for flouroquinolones, tetracyclines and bacterial load up than standard level to E.coli (3%) sulfonamides, respectively. The mean levels (±SE) and Salmonella SPP (3%) were detected. There was

J Arch Mil Med. 2015 January; Supplement 1 89 3rd National and 1st International Congress in Naval Preventive Medicine & Health Oral Presentations a significant difference between the number of TBC, cultured with current technology. E.coli and S.aureus in the second stages of examining Methods: Important publications were selected from meat and chicken samples (P < 0.05). databases. Search and select were performed based on According to statistical tests, there was a significant article/book content, including autoimmune diseases, difference between the sanitary status of fridges and inflammatory bowel diseases and treatment of these temperature control with TBC, and between sanitary conditions with probiotics. disposal systems of wastewater and solid waste with Results and Conclusions: Recent studies have found a the number of E.coli in red meat (P < 0.05). Also, in significant association between diabetes and obesity and chicken samples, there was a significant difference fewer but more specific bacterial species. It is assumed between the staff personal hygiene and temperature that investigation of gut microbiota composition among control with TBC and number of S.aureus (P < 0.05). navy soldiers and to compare it with other military Discussion and Conclusion: The results of forces would lead to efficient suggestions for Macro this study and other similar studies indicate Management of military health system. that the bacteriological quality of red meat and chicken during storage in fridge changes under O8-5 inappropriate environmental factors. Among the studied environmental factors, temperature and the Knowledge, beliefs and behavior improvement of fridge have the greatest impact on patterns of food consumption among bacterial contamination of red meat and chicken. Regular control and hygienic monitoring, improving military medical students of a nation’s the environment, and training the staff in order to school: the application of health improve the sanitary status of these centers is essential. Keywords: food fridge, environmental sanitation, belief model (HBM) red meat, chicken, bacteriological evaluation Hosein Dini Talatappeh1*, Hamidreza Tavakoli2, Fatemeh Rahmati Najarkolaei2, Arasb Dabbagh O8-4 Moghadam1, Alireza Khoshdel1 1 Military Medical University Students, Tehran, Iran Association of gut microbiota 2 Health Research Center, Baqiyatallah University of Medical composition and obesity among navy Sciences, Tehran, Iran soldiers Aims: Chronic diseases resulting from unhealthy nutrition and lifestyle, cause more than 70 percent Shahrokh Iravani of deaths in developed and developing countries. AJA cancer research center (ACRC), AJA University of This study aims to assess the Knowledge, beliefs Medical Sciences, Tehran, Iran and behaviors of medical students in the military Introduction: disorder affecting the gastrointestinal environment on the healthy dietary pattern based tract which involves an imbalanced host-commensal on health belief model (HBM). microbiota interaction. The composition of the GI Methods: In this cross-sectional study, the number microbiota is complex and includes representatives of of 242 students from three schools with age range the bacteria, archaea, eukaryotes (fungi) and viruses. from 18 to 32 years of military universities, which Gut flora are defined as natural living organisms were selected by stratified random sampling. The within the gastrointestinal (GI) tract. The GI tract at questionnaire including the HBM constructs (Self birth is sterile, but bacteria in the environment as well efficacy, perceived benefits, perceived barriers and as exposure to the birth canal, food, and caregivers perceived threat), demographic variables, knowledge quickly give rise to the gut flora. Bacteria are the and behavior questions were used. primary organisms, with yeast and helminths added Results: The mean for students’ Knowledge in three to the milieu depending on geographic region and levels of in poor, moderate and good were determined prior exposures. The bacterial population numbers respectively, 6.6 percent, 58.7 percent and 34.7 percent, over 100 trillion organisms and is estimated to contain the HBM constructs were 0.8 and 31 and 68.2 percent 500 to 1000 species; of these, at least 50% cannot be and Performance level were14, 5.78 and.7.4 respectively.

90 J Arch Mil Med. 2015 January; Supplement 1 POSTER PRESENTATIONS

Conclusion: knowledge and practice in the study P8-1 population was not desirable and education intervention by proper consideration of the factors affecting the Advantages of determination and pattern of food consumption practice is necessary. comparison of gut microbiota among Keywords: Health belief model, Knowledge, Food consumption pattern naval troopers and army soldiers Shahrokh Iravani O8-6 AJA cancer research center (ACRC), AJA University of Effect of probiotic supplementation Medical Sciences, Tehran, Iran on lipid profile in millitary patients The effect of therapies based on fecal microbiota are highly dependent on the probiotic strain used in with non-alcoholic fatty liver disease military foods, individual specifications of the host, such as age and baseline nutritional status. Finally Sepideh Abbaszadeh, Karim Parastouei, it is suggested that large scale nutritional therapies HamidReza Tavakoli, Leila Rostami could be used in military soldiers for fighting with *Baqiyatallah University of medical sciences metabolic disorders that are associated with the gut microbiota. Background and Objective: Considering the high prevalence of nonalcoholic fatty liver disease throughout P8-2 the world and its association with hyperlipidemia, this study was performed to determine the effects of Relationship betweensomephysical probiotic supplementation on lipid profile in millitary problemsandblood groupsamong patients with non-alcoholic fatty liver disease. Materials and Methods: In this randomized, double- NEDAJA employees blind, controlled clinical trial, 50 patients with non- Fereshteh Pirooz, Farshid Iranmanesh alcoholic fatty liver disease were randomized to receive either Lactocare® probiotic capsules, 1g per day or NEDAJA department of health and treatment- Golestan hospital- Specialized clinic placebo for 8 weeks. Finally 42 patients (21 patients in each group) had finished the study. Dietary intake, anthropometric indices, physical activity, and serum Diet and nutrition are important issues in science lipid levels were measured at the baseline and at the and medicine. The relationship between diet and end of the study. Data were statistically analyzed with physical health in nutrition science has been debated SPSS 16 software using Student’s t test and paired t test. for years. Accordingly, poor nutrition habits and Results: At the end of 8 weeks, the mean serum levels tendencies caused some problems and short comings of total cholesterol, triglycerides, LDL-C, Risk Factor in human health, especially physical health. The most (RF=TC/HDL-C) and Atherogenic Index (AI=log common failures in physical health are oral diseases, (TG/HDL-C)) were significantly different between lipid accumulation in vessels and vessel blockage. the treatment group and placebo (p=0.008, p=0.001, Results of late researches in nutrition science show p=0.03, p=0.037 and p=0.037, respectively), while that there is a relationship between ((diets and blood the mean serum levels of HDL-C was not significant groups)). In other words, each blood roup desires between two groups) p=0.19). In probiotic group specific nutrition and adoptingimpproper life style the mean level of total cholesterol was significantly will cause physical problems. The main objective of decreased in 8 weeks intervention (p=0.02). this study is to examine the relationship between Conclusion: Since the daily consumption of probiotic ((dental problems, blood sugar and blood cholesterol)) supplementation in patients with NAFLD for 8 weeks, and blood groups. However, this study will discuss improved the lipid profile (except HDL-C) compared the relationship between ((physical problems)) and to placebo. Therefore probiotics are recommended ((diets in the same blood group)).This means that to use to improve lipid profile of patients with there is a significant relationship between the ((blood nonalcoholic fatty liver disease. group types)) and ((dental health problems especially

J Arch Mil Med. 2015 January; Supplement 1 91 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations physical diseases)). The aforementioned relationship intake had inverse associations. Other studies have is investigated In this manuscript in order to improve not shown any association or positive association the performance and health management of the with fish consumption. personnel working at the Islamic Republic of Iran Discussion & Conclusion: In recent two decades, Navy. In this regard, using information from health many studies have evaluated diet role in the monitoring of 100 employees association between development of ovarian cancer. The results have the Islamic Republic of Iran Navy, the relationship not been consistent with the idea although benefit between ((blood group)) and ((dental mouth disease, in ovarian cancer remains to be proven. Studies diabetes, high cholesterol)) is checked. For data go on because several studies report possible anti- analysis the artificial neural networks were used. cancer effects of omega−3 fatty acids (found in fish These networks, based on their structure, can extract oil, particularly breast, colon and prostate cancers). the relationship between health monitoring data Keywords: Ovarian cancer, Life style, Fish, Omega-3. and exhibit the results in the form of diagrams. By examining the consistency between ((blood group)) P8-4 and ((dental problems, high cholesterol and high blood sugar)) among NEDAJA employees, it is found Fish oil (omega-3) for combating dry that those with blood groups O and AB are healthy eyes and dysfunction of meibomeian in terms of physical and dental health. However, the mentioned problems in individuals with blood glands groups A and Bare more dominant. Amir Khoshvaghti*, Hamze Shah Ali, Asgari Keywords: blood groups anddiets, NEDAJA Reza Nezhad, Mohammad Mehdi Zaferani, employees, health monitoring Mahmud Motalebi P8-3 * Aerospace and Subaquatic Medicine School, AJA University of Medical Sciences, Tehran, Iran. Fish in fight against ovarian cancer Purpose: Meibum is the product of meibomian (tarsal) glands. It prevents evaporation of theeye’s tear film. Amir Khoshvaghti*, Hamze Shah Ali, Amir Dysfunction of meibomian glands (DMG) causes dry Nezami Asl, Abolfazl Khademi eyes (the leading cause of evaporative dry eye). There * Aerospace and Subaquatic Medicine School, AJA is no strict treatment for DMG to alleviate all of signs University of Medical Sciences, Tehran, Iran. and symptoms. Meibum should flow, not to permit Introduction: There are some factors (like diet DMG and dry eye to appear. Meibum is abnormal in and some lifestyles) which we can modify them, DMG. Marine algae and phytoplankton are primary so they may help mankind in conquering cancers. sources of omega-3 fatty acids. Fish oil is the main Researchers thought fish may reduce the risk of source of animal omega-3.Theoretically, science some types of cancer but this was controversial. should change the lipids of diet for managing DMG. Omega-3 is polyunsaturated fatty acids in fatty fish. Methods: This study is a systematic review with Fish do not actually produce omega-3 fatty acids, related keywords in pubmed articles. but instead accumulate them by consuming either Results: Supplementary omega-3 has been tried for microalgae or prey fish that accumulate omega-3 improving DMG. Paranjpe et al (2003) have proposed fatty acids. Mortality due to ovarian cancer is high that omega-3 possibly can be a treatment for DMG. and it is the 6th most common cancer in women all Marian et al (2008) demonstrated fatty acid saturation over the world. Every effort for its reduction would change of meibum with supplementary omega-3. 2 be pleased by medical society. hypotheses have been offered for supplementary Methods: Systematic review of published articles effect of omega-3 in DMG: in Pubmed. - Inhibition of the metabolism of omega-6 essential Results: In 2001, Bosetti et al reported their results fatty acids by metabolism of omega-3 essential fatty of a case-control study (done between January 1992 acids, and inflammation decrease of the eyelid, and September 1999). They concluded that red meat - Changing lipid properties of meibum with oral intake would increase risk for ovarian cancer but fish supplementary omega-3 essential fatty acids so

92 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

as to decrease inflammation and to increase tear P8-6 stabilization. Conclusion: Oral supplementary omega-3 is effective Natural antioxidants in active food on meibum and may be introduced as an alternative packaging therapeutic for DMG. Keywords: Eye, Omega-3, meibomeian gland, Elahe Moeini, Samira Ghorbani function. PhD student of food hygiene and quality control, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, P8-5 Iran

Effects of probiotic supplementation Food deterioration is responsible for the loss of on glycemic and inflammatory quality and safety and it can occur during production, transport, processing or storage. Oxidation is the main indices in military patients with non- cause of deterioration of foods and it considerably alcoholic fatty liver disease limits the shelf life of these products. Although the reduction of oxygen content (by vacuum or Karim Parastouei, Sepideh Abbaszadeh*, modified atmosphere packaging) has an effect HamidReza Tavakoli, Hossein Afshari on the control of oxidation reactions, this is only *Baqiyatallah University of medical sciences partial because the oxygen dissolved in the food at the time of packaging is sometimes very difficult to Aim: Considering the ever-increasing prevalence or cannot be completely eliminated. Therefore, the of non-alcoholic fatty liver disease, the aim of the food industry has long recognized the importance of present study was to investigate the effects of probiotic using antioxidants (AOs) for this purpose. One of the supplementation on glycemic and inflammatory main roles of food packaging is to retard the natural indices in non-alcoholic fatty liver disease patients. processes that lead to food deterioration. AOs can be Methods: This double-blind, randomized clinical trial incorporated into food packaging and be released by was conducted on 42 patients with non-alcoholic fatty a controlled mechanism of diffusion. The use of AOs liver disease that had been referred to gastroenterology in food packaging may delay both lipid oxidation and and liver clinic of Baqiyatallah hospital. Subjects in protein denaturation. Several studies have reported the intervention and control groups consumed two that the addition of AOs to packaging increases food capsules per day of probiotic or placebo respectively, stabilization. Nowadays there is a tendency to search for 8 weeks. Fasting blood sugar, fasting insulin, for natural AO molecules that are not related to insulin resistance, TNF-α and IL-6 were measured possible toxicological side-effects. Active packaging at baseline and at the end of the study. Statistical technique enables the regulation of various aspects analysis were performed by SPSS software. that may play a role in determining the shelf life of Results: Mean of fasting blood sugar, fasting insulin, packaged foods, such as physiological, chemical, and insulin resistance and IL-6 were significantly different physical processes as well as microbiological aspects. between two groups after intervention (P<0.05). The demand for AO-active packaging is increasing Whereas, TNF-α was not significant (P>0.05). In due to their unquestionable advantages compared probiotic group, fasting insulin, insulin resistance, with the addition of AOs directly to the food, which TNF-α and IL-6 decreased significantly in end of the include the lower amount of active compounds study in compared to first of study. required, an activity focused at the surface of the Conclusion: Considering the positive effect of food, extended AO effect due to controlled migration probiotic supplementation in reduction of glycemic from the film to the food matrix, simplification and inflammatory indices in non-alcoholic fatty of industrial processing of the food. Therefore, liver disease patients, consumption of probiotics is the study of natural antioxidants is a field that is recommended as complementary therapy in these attracting great interest by the scientific community patients. due to their lower toxicity and higher safety. So it Keywords: Probiotic, Non-alcoholic fatty liver, Blood is possible to reduce food oxidation without adding sugar, Pro-inflammatory cytokines. AOs to the food. An extensive bibliographic review

J Arch Mil Med. 2015 January; Supplement 1 93 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations on food packaging with incorporated natural AOs more convenient. Several applications of active was carried out. Special attention was given to the packaging technologies have been commercialized and natural AOs incorporated in active food packaging, are currently in use by the food industry, including and in the activity tests carried out in both packaging oxygen-scavenging, carbon dioxide-absorbing, and packed foods to evaluate the efficiency of these moisture-scavenging (desiccation), and antimicrobial new materials. systems. In contrast to the objective of active packaging, Keywords: active food packaging, natural antioxidants the purpose of intelligent packaging is to indicate or monitor the freshness of the packaged food. Intelligent P8-7 food packaging differs from active food packaging in its ability to monitor the condition of the packaged Active and intelligent packaging, food and the in-package environment and to relay that converting food to more healthy information to external users and devices. Intelligent packaging is packaging that in some way senses some foods properties of the food it encloses or the environment in which it is kept and which is able to inform the Samira Ghorbani, Elahe Moeini manufacturer, retailer and consumer of the state of PhD student of food hygiene and quality control, Faculty of these properties. Although distinctly different from Veterinary Medicine, Shahrekord University, Shahrekord, the concept of active packaging, features of intelligent Iran packaging can be used to check the effectiveness and integrity of active packaging systems Intelligent The packaging process is one of the most important packaging devices include sensors, time-temperature among all of the food manufacturing processes, as it indicators, gas sensing dyes, microbial growth maintains the quality of food products for storage, indicators, physical shock indicators, and numerous transportation, and end use. The primary functions examples of tamper proof, anti counterfeiting and of food packaging are to achieve preservation and the anti-theft technologies. Diagnostic indicators were first safe delivery of food products until consumption. New designed to provide information on the food storage concepts of active and intelligent packaging are due to conditions, such as temperature, time, oxygen or carbon play an increasingly important role by offering numerous dioxide content, and thus, indirectly, information on and innovative solutions for extending the shelf-life or food quality, as an interesting complement to end-use maintain, improve or monitor food quality and safety, dates. RFID is one of the many automatic identification Food quality and shelf-life extension. Introduction of technologies (a group which includes bar-codes) and active and intelligent packaging can extend the shelf offers a number of potential benefits to the meat life of food or improve its organoleptic properties and production, distribution and retail chain. These include thus prevent food losses. Active packaging refers to traceability, inventory management, labour saving the incorporation of certain additives into packaging costs, security and promotion of quality and safety film or within packaging containers with the aim of Prevention of product recalls is also considered an maintaining and extending product shelf life. Active important role of RFID technology. Time–temperature packaging, however, allows packages to interact with indicators or integrators (TTIs) are defined as simple, food and the environment and play a dynamic role in cost-effective and user-friendly devices to monitor, food preservation. In contrast to traditional packaging, record, and cumulatively indicate the overall influence active and intelligent packaging may change the of temperature history on the food product quality composition and organoleptic characteristics of food, from the point of manufacture up to the consumer. On the other hand, active packaging has been defined Temperature indicators show whether products have as packaging, which ‘changes the condition of the been heated above or cooled below a reference (critical) packed food to extend shelf-life or to improve safety temperature, warning consumers about the potential or sensory properties, while maintaining the quality survival of pathogenic micro-organisms and protein of packaged food’. Active packaging systems extend denaturation during, for example, freezing or defrosting the shelf life of food products by protecting foods processes. Furthermore, TTIs have also been applied from pathogens and bioterrorism and by making food to assess the pasteurization and sterilization process. processing, distribution, retailing, and consumption Active and intelligent packaging is becoming more and

94 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health more widely used for food products. Application of this Results: LAR protein level was decreased by 65% in type of solution contributes to the improvement of the the stable cell line compared with the control cells. quality of consumer life. Besides, innovation systems Palmitate (0.5mM) significantly induced LAR mRNA will improve the product’s quality, enhance the safety (65%) and protein levels (40%) in myotubes compared and security of foods, and consequently decrease the with untreated cells. LAR depletion improved insulin- number of retailer and consumer complaints. stimulated glucose uptake in myotubes treated with Key words: packaging, Active packaging, intelligent palmitate. packaging, RFID, TTIs Discussion: Results reveal that palmitate induces LARexpression inC2C12 cells.We also provided P8-8 evidence that the inhibition of LAR attenuates palmitate-induced insulin resistance in myotubes. Role of leukocyte common antigen Keywords: Insulin resistance, Palmitate and LAR. related (LAR) in muscle obesity P8-9 induced insulin resistance Sattar Gorgani-Firuzjaee1,2, Masomeh Gorgani- Incidence of overweight and obesity Firuzjah3, Reza Meshkani1,4 in adults, Tehran lipid and glucose 1 Department of Biochemistry, Faculty of Medicine, Tehran study University of Medical Sciences, Tehran, Iran 2 Department of laboratory sciences, Paramedical faculty, Seyed Hadi Vakili*, Ali Mosadeghkhah AJA University of medical sciences, Tehran, Iran *Golestan Hospital of I.R. I. Navy Force 3 Department of quality control of khoramshahr oil factory, Defense ministry, Tehran, Iran 4 Endocrinology and Metabolism Research Centre, Shariati Introduction: General and abdominal obesity, is a Hospital, Tehran University of Medical Sciences, Tehran, Iran major public health threat variables, especially given Background: Type 2 diabetes is a high prevalence the alarming trend that can be seen around the world. disease and obesity is one of important risk factor Lifestyle incorrectly, poor diet, inactivity, obesity of insulin resistance. Insulin resistance plays a major and overweight are the most important factor, which role in the development of some diseases such as suggests it as a risk factor for non-communicable type 2 diabetes (T2D) and metabolic syndrome. diseases. The most striking result of this population, Muscle insulin resistance has a key role in whole including hypertension, high fat, coronary heart body glucose homeostasis, as almost 80% of insulin- disease, stroke, diabetes and cancer. In most of the dependent glucose uptake in the body occurs in studies have investigated the prevalence. this tissue. Leukocyte antigen-related (LAR) as a Materials and Methods: This prospective descriptive receptor-like tyrosine phosphatase has some roles in study was used to test Kvhrt. Sampling cluster different cellular functions such as establishing and classification of overweight and obesity in a sample maintaining neuronal networks, apoptosis, and glucose large enough representative of Tehran urban population homeostasis. There are several lines of evidence that randomly and over a decade of follow-identify in this LAR acts as inhibitor of insulin action. In this study, study, the population of overweight and obesity in we aimed to investigate the importance of inhibition adults aged over 20 years computing and its relationship of LAR expression on insulin stimulated glucose to age, sex is determined. The BMI changes during uptake at the presence in muscle cells. the four phases of the study groups are determined. Material and method: We established stable C2C12 cell line which knocking down LAR with shRNA and Table 1. The classification of obesity based on BMI in for insulin resistance induction, treated C2C12 and adults stable C2C12 cells with palmitate. Harvest cells, RNA Classification of adults (≥ 18 years) Underweight BMI <18.5 and protein extracted and gene expression in mRNA Normal weight BMI 24.9-18.5 and protein level with Real time PCR and western Overweight BMI 29.9-25 blot analyzed. In order to address insulin sensitivity Obesity BMI ≥30 we performed glucose-uptake assay.

J Arch Mil Med. 2015 January; Supplement 1 95 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

Results and Conclusions: The cumulative incidence business, and it is fundamental to food safety. No of overweight and obesity, respectively, 61%, 31%, technological development can replace the competence during 13 years of study. Annual rate of 4.7%, 2.4%, and skills of managers in meeting their responsibilities. respectively. The incidence of overweight and obesity These include: good judgment in decision-making, was higher in women. Respectively, with a relative skills in communication, training, but above all risk (25/1 - 08/1 CI 95%) 16/1 and (95/1 - 59/1 CI motivating and coaching staff in performing their tasks. 95%) 76/1, respectively. The density of incidence of Several tools for the management of food safety, which overweight, obesity per thousand persons per year, together form an integrated approach, are described. respectively, 80 and 26 respectively. After review, The primary focus remains on microbiological food it was determined that the risk factors and body safety management, but the general principles are mass index (BMI) higher initial, positive effect on also applicable to the management of chemical food the incidence of metabolic syndrome are overweight. safety. The basis for the general hygienic requirements In contrast, the incidence of overweight and obesity for any operation is Good Manufacturing Practice among men increased incidence in older age groups (GMP), including Good Hygienic Practice (GHP). continues. However, the incidence in men aged The product- and process-specific requirements are between 20 and 40 years. established by applying the HACCP system. Other Keywords: Body mass, BMI, overweight, obesity tools described encompass the use of a food safety management system based on recognized standards P8-10 and use of a quality system as a means of effectively managing total product quality. It should be recognized Food safety management that the control procedures established in an HACCP plan fit well into such management systems and can 1 1 Elahe Moeini , Samira Ghorbani , Alireza be readily incorporated. Total Quality Management 2 Tajpour (TQM) embraces quality, productivity, safety and 1 PhD student of food hygiene and quality control, Faculty environment management systems. It can be thought of of Veterinary Medicine, Shahrekord University, Shahrekord, as a means of generating greater commitment from all Iran. members of an organization in order to achieve these 2 Master of environmental management and planning, aims, and will provide added confidence that products Tehran University, Tehran, Iran. will conform to safety needs. As to the technical staff Safety is of paramount importance to all companies or workers in food production, their role in food and organizations involved in the production, sale safety management is key. None of the food safety and handling of food. Modern trading conditions and systems and control measures can be effective without legislation require food businesses to demonstrate their the intervention or supervision of qualified, skillful commitment to food safety through an appropriate and motivated staff. This is true in any organization, management program. The food safety program should be it private or public. Over and above providing focus on where improvements are necessary and can necessary training and education, a proficient human properly be applied to organizational, technical and resource management should consider the needs of communication issues. This program will ensure that the employees to meet their responsibilities. These a company elevates commitment to the safety of its needs may be material, such as equipment, tools, product to the highest level. All company employees, optimum physical conditions, or managerial support, from senior management to food handlers, should such as time for performing their asks, clarification of be aware of the significance of food safety and the authority or other prerogatives, supporting policies, damage that can be caused both to the company and etc. in other words, all that is needed to make the to its customers and consumers should the program implementation of measures humanly feasible and break down. The program should identify the key enable employees to meet their responsibilities. Short tools available and their application to all stages of this, the situation can lead to human error, or the of production, distribution and sale. A responsible employees are forced to take shortcuts or violate the food management, with a specific consideration for rules to perform their task. The new technologies that human factors, is central to the performance of any could contribute to the enhancement of food safety, organization, be it a governmental institution or a such as food irradiation and biotechnology, carry

96 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health the burden of this mistrust. Finally, for an effective check Closed. The study in Tehran Lipid and Glucose management of food safety over and above science, Study (TLGS) is performed. Life table based on the systems, equipment and procedures, consideration cumulative incidence of occurrence of abdominal of the human factor is essential. This ranges from obesity were reported during the study. The incidence factors underlying consumer choice and practices, density per thousand people per year are reported, to to commitment and motivation of managers in the determine the effect of each variable were calculated food industry in providing adequate infrastructure confidence interval of the relative risk. and organizational culture conducive to professional Results and Conclusions: The cumulative incidence food safety management. Today, there is a wealth of of obesity in a population of 5004 people was 71%, scientific and technical know-how and an array of in terms of gender, the incidence of overweight and technologies and systems available to ensure a safe obesity is higher in women than in men during the food supply. The challenge is to facilitate the access of study. In the case of obesity, males had a higher food safety professionals and the general population incidence than women. Abdominal obesity density per to this know-how. thousand people per year, 99 people were reported. Keywords: Food Safety, management, human factors After review, it was found that BMI above risk factors, the presence of abdominal obesity and metabolic P8-11 syndrome have a positive effect on the incidence of overweight and obesity. The incidence of abdominal Evaluation of abdominal obesity in obesity in women increased incidence in older age Tehran lipid and glucose study groups continues. However, the incidence in men aged 20 to 40 years. The incidence of obesity was Ali Mosadeghkhah, Seyed Hadi Vakili higher in the married population. Moderate increase in abdominal obesity, waist circumference was 10 cm. *Golestan Hospital of I.R. I. Navy Force P8-12 Abdominal obesity is one of the greatest public health threat variables. Improper lifestyle, including diet and A review on fish-borne poisoning insufficient physical activity are the main causes of 1 1 obesity and overweight. The most striking result of Seyed Hosien Mousavi , Hassan Ehteshami , 2 obese and overweight people, including high blood Pejman Tayebi * pressure, high fat, coronary heart disease, stroke, 1 Doctor of medicine, Isfahan, Army hospital 577 cancer, diabetes and professionalism. This study aimed 2 Animal science-Ph.D, Isfahan, Army hospital 577 to determine the incidence of these disorders and to determine the factors affecting the incidence and Seafood poisoning usually occurs as a result of natural history of the urban population is projected. contaminated marine fish (or shellfish) consumption. With this study the prevalence and incidence of Most common fish-borne poisoning are ciguatera overweight and obesity in the population studied poisoning, scombroid poisoning and tetrodotoxin and its relationship with other known factors. With poisoning. Beacause of increasing seafood trade and knowledge of the epidemiology of obesity can be a travel, the likelihood of fish poisoning occurrence is long-term plan for the prevention and treatment of increasing. While fish poisoning may have variable these disorders do. Assess the prevalence of overweight presentations of symptoms and signs, different and obesity is one of the reasons discussed in the degree of severity, patient’s treatment may present epidemiology of this problem. a remedical challenge. So, the study of fish-borne Materials and Methods: This is a cross-sectional poisoning and their signs and symptoms would be study in which prospective cohort test sets and can be important and useful. caused by factors such as age, sex, physical activity, Keywords: Fish-borne poisoning, Ciguatera, education, metabolic syndrome, waist circumference, Scombroid, Tetrodotoxin. abdominal obesity in the study population status

J Arch Mil Med. 2015 January; Supplement 1 97 ABSTRACTS

Occupational health and medicine for Navy ORAL PRESENTATIONS

O9-1 priority of corrective actions. These methods, including methods for quantifying the contact list Pen, paper Ergonomic problems in small small check ergonomic risk factors in the workplace provides floating marine places. The findings were analyzed by SPSS software. Results: The results indicated that more than 55 Gholamhosein Pourtaghi percent of workers in small naval vessels that have a history of three to ten years and more than 76 percent Assistant Professor, Occupational Medicine Department, Baghyatallah Medical University, Tehran, Iran of those with a history of more than ten years have musculoskeletal disorders, particularly or lumbar Introduction: musculoskeletal disorders are the pain (α <0.003). most common complications of working in jobs Discussion: To reduce exposure to small vessels related to the military, and marine transportation. ergonomic problems, naval personnel should be Musculoskeletal injuries - muscle-related work, amended terms ergonomic work environment for the including the occupational health problems in heavy staff. Personnel also have to pass periodic Medical combat troops who are dealing with the difficult examinations every six months. weather conditions. These disorders are the most Conclusion: Work in occupations particularly common cause of loss of working time, increase military floating with problems and lack of physical productivity and reduce costs, and human injuries fitness of personnel working with buoyancy causes in the unique floating. Despite the noise caused by of musculoskeletal disorders in them. the operation of electric motors and generators, low Keywords: Small Floating Marine, floating staff, lighting, vibration and activities of vessels carrying Musculoskeletal Disorders, Ergonomics goods by hand. These problems are frequently used in marine vessels and ships are one of the things O9-2 that threaten the health of marine personnel. Other ergonomic problems in the flotation units are observed Asthma and allergic diseases in navy and studied in this project. This included physical army personnel: prevalence and risk dimensions (anthropometry) and use this information in the design of work stations, ergonomic design, factors hand tools, design of work stations, sitting, standing, Shokrollah Farrokhi1,2*, Mohammad Kazzem or a combination of the vessels, the psychological Gheybi1,2 study of the relationship between people’s views, set regimes of work and rest, study and analysis 1 Department of Immunology, Asthma and Allergy, The Persian Gulf Marine Biotechnology Research Center, of work-related musculoskeletal injuries, physical, Bushehr University of Medical Sciences, Bushehr, Iran occupational biomechanics, optimal use of color and 2 Department of Immunology, Asthma and Allergy, The design spaces, the workplace, exposure to noise and Persian Gulf Tropical Medicine Research Center, Bushehr vibration and unfavorable weather conditions. University of Medical Sciences, Bushehr, Iran Methods: In this cross-sectional study, 65 cases of small vessels offshore staff with at least three years Introduction: Asthma and allergic diseases are the of work experience in a unique floating were selected. most common chronic respiratory disorders and the Required information through a questionnaire survey prevalence of these diseases has been increasing and assessment checkLists QEC were collected. This worldwide over the last 2 decades. The prevalence of section includes questions such as sex,, marital status, asthma and allergic diseases has increasing worldwide education, work experience, current and previous which varied in different countries from 1- 40%. The jobs, average working hours per day comlpeted prevalence of asthma in Iran based on the International by Questionnaire and then weight and height of Study of Asthma and Allergy in Childhood (ISAAC) persons were measured. To gather information on protocol was reported 9-16%. Our previous ISAAC the prevalence of musculoskeletal disorders Nordic based study in Bushehr revealed that the prevalence questionnaire with five questions were used option. of asthma and allergic diseases has increasing between QEC CheckLists were used to assess the risk of 2002 to 2012, significantly (6.7% vs 7.6% and 12% vs musculoskeletal disorders and determining the 20.2%). The Navy Marine and Submarine Force offers

J Arch Mil Med. 2015 January; Supplement 1 99 POSTER PRESENTATIONS a unique opportunity to study asthma and allergic Conclusion: The prevalence of asthma and allergic diseases because of the relative socioeconomic and diseases has increasing worldwide. Because of this, physical homogeneity of the population and the the prevalence and incidence of asthma and asthma closed environment occupational exposure. related hospitalization in Navy army personnel has Method: This minireview study was conducted based been increasing. Some of known and unknown risk on review of about 50 manuscripts which published factors as mentioned above may be involved in the in academic source such as Pubmed, ISI and Scopus. rising of asthma and allergic diseases. Results: Morbidity and mortality from these diseases have increased despite advances in treatment. The P9-1 prevalence of asthma symptoms is similar in the military population, ranging from 4-7%. The age- Evaluation of medical service adjusted incidence rate of first hospitalization for maritime accidents in order to asthma was 35 per 100,000 person in US Navy members. Hospitalization rates reported in the civilian upgrade health and naval forces population generally were higher than those for the power Navy enlisted population. One possible reason was that 1 2 the rates in the general population studies included Zahra Balasi , Nesa Balasi , Maryam 3 4 repeated hospitalizations for the same individual Zakerihamidi , Kobra Afsordeh during the same year. Trends in the prevalence of 1 BS Midwifery cigarette smoking could explain the rise in asthma 2 BS Midwifery in Navy personnel. Rates of asthma and allergic 3 Mashhad reproductive health Ph.D. Student, faculty diseases were higher in the lowest pay grades, and member, School of Medicine, Islamic Azad University Tonekabon, Tonekabon, Iran racial and gender differences by pay grade within 4 Anatomy shahid beheshti university Ph.D. student, faculty the enlisted population were too minor to explain member, School of Medicine, Islamic Azad University the effect of pay grade. Pay grade is associated with Tonekabon, Tonekabon, Iran socioeconomic status, and some of the differences by pay grade may have been due to a characteristic of Introduction and objective: health and medical low socioeconomic status other than race or gender. services led to the the military strength military in the sea. the sea is quite specialized medical and health underlying medical problems are usual in the naval forces and the early detection of disease symptoms as well as implementing appropriate measures to treat and prevent diseases and injuries of the sea in all groups, including seafarers, the divers, Medical therapeutic teams are responsible. this review aimed to assess the medical service at sea, naval forces was conducted than important step towards health and the military strength of both surface and subsurface practice. Search Method: In the present review, the search in the timescales 1999 to 2013 in the Iranian and international databases Scopus, ScienceDirect, PubMed, Cochran Library, ISI, magiran, Springer, Elsevier, SID iranmedex, EMBASE, Uptodate with article 135 is the ultimate collection of 40 articles by keyword: Keywords: medicine sea, naval battle, naval forces, upgrade services, hazards of the sea Figure 1. Trends in incidence rates of first were studied. hospitalization for asthma per 100,000 person-years Results: for naval forces military introducing in US Navy members by sex and year, 1980–1999. unnecessary hazard injuries and damage to the ear

100 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health and hearing problems, illnesses caused by decreased P9-2 pressure, dizziness, headaches, difficult breathing, acute respiratory infections, chemical factors, electrical The navigational warnings hazards, environmental, ergonomic, health general, the risk of microbial, fungal diseases, psychological Kharman Khosraviani factors - psychological, personal protective equipment, Yasd, Shahid Sadooghi Hospital radiation, joint pain, synergistic effects of harmful agents, nerve disorders, muscle fasciculation and Introduction: Comprehensive information related myoclonic departments, psychological disorders, to the safety of navigation. Maritime safety warning impaired vision, and tingling lips tingling, fatigue, means weather and navigational warnings, weather stress and anxiety at work operations specialist, forecasts and other urgent safety messages that are increase heart disease - cardiovascular, depression, important to guide ships at sea. nausea and vomiting, sensitivity to seasickness, marine Methods: This study is a review of the use of electronic animal damage caused by, spinal problems caused library resources and is obtained by transportation and diving equipment, gases such Results: Safety of maritime navigation warning as carbon monoxide and carbon dioxide poisoning, messages can be divided into three types: exposure to chemical and microbial and of nuclear 1- These messages provide information required by weapons in the sea battle. ocean-going vessel that includes new navigational Conclusion: the lack of attention to the dangers hazards and accidents that redirect to improve the of the sea, maritime operations fail, even during quality of navigation and shipping is required. the military exercises and maneuvers, therefore, 2- Coastal navigation warning alerts include shipping the need to increase knowledge and awareness of information needed to pass the course are navigable injury risks military marines marine environment, channel or Pilot Station. including surface and subsurface, deep-sea pressure 3- Local navigation warning messages to ensure safety and physiological changes and effective treatment for of navigation in the coastal waters of a port are the relief of pressure change damage is important. broadcast. epidemic and non-communicable disease prevention There are two independent systems for maritime measures such as mask separating sick people, safety broadcast messages: having isolation room and disinfect the entire room Navtks general system “covers the coastal areas of with infection control guidelines. use of location of Safety Net include all waters (except the Arctic) mobile medical centers (GIS) to aid in the promotion Committee meeting of the year was tough enemy of maritime the infrastructure and maritime transport, and the member states of the directive. creating a computerized database of medical and In 1988, the Contracting States to the Convention for diagnostic software is required. use of location of the Safety of Life at Sea (Solas) in collaboration with mobile medical centers (GIS) to aid in the promotion the International Maritime Organization’s progress of maritime the infrastructure and maritime transport, in the GMDSS system combined. creating a computerized database of medical and GMDSS system, two methods are used to broadcast diagnostic software is required. increasing knowledge MSI: medical emergencies and resuscitation team, 1- Through the MF band radio transmitters Navtks increased Plant and equipment and medical drugs, 2- Through a satellite connection communication facilities during disasters, casualty The above categories are excluded. With the unification transport equipment, it is important because navy process and allocate appropriate storage facilities military health because one of the main components appropriate to spread information about safety and the mission is to support health care of military precautions apply. forces. Keywords: Emergency alerts, Maritime Distress Keywords: medicine sea, naval battle, naval forces, Safety, Maritime Industry upgrade services, hazards of the sea

J Arch Mil Med. 2015 January; Supplement 1 101 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

P9-3 results are shown in table 1. According to results, the components of “stress tolerance” and “problem- Prediction model of burnout in solving” are significantly negative, and they subspecialty hospitals of valiasr, respectively, predict 35% and 1.3% of the criterion variable variance of emotional exhaustion. Also the according to the components of components of “stress tolerance” are significantly problem solving, stress tolerance, negative (15%) and “reality-testing “ and “problem- solving” are significantly positive (respectively, reality-testing and responsibility 9.39% and 3.4%). They predict the criterion variable Mahdi Shakiba1, Esmail Arab2, Iraj Ramazani3, of personal accomplishment. The components of Morteza Naddafiyan4 “stress tolerance” and “responsibility “ are negatively significant (19% and 3%) and predict variance criterion 1 Preventive medicine chief, Valiasr hospital, Rasht, Iran variable of depersonalization. And for the last criterion 2 Valiasr hospital chief, Maral Specialty Beatification, Rasht, Iran variables the results show that the component “stress 3 Research and crisis committee chief, Valiasr hospital, tolerance” has a negatively significant relationship Rasht, Iran with involvement variable (25.8 %). 4 Preventive medicine member, Valiasr hospital, Rasht, Iran Discussion: according to the results of table 1, component of stress tolerance have a key role in Introduction: nowadays, one of the growing predicting of all burnout aspects and have relationship psychological problems, is burnout, that is the result with all of aspects. Research also shows this of close contact with others seeing their pains and relationship. Research of Mcmanus and colleagues problems. Especially in the field of human services (2002) showed that when the hospital personnel, jobs such as: teachers, nurses, psychologists, etc., are when not having the necessary stress tolerance in highly susceptible to burnout. Since several studies their working environment, they are far more prone confirm the conceptual and practical relationship to burnout. As 51% of burnouts are predictable by between burnout and emotional intelligence, as in emotional intelligence, and there is a significantly research of you & et al (1999) suggest that lower positive correlation between emotional intelligence levels of emotional intelligence is more associated and mental health. with burnout. Also the higher levels of emotional Conclusion: according to the crucial role of mental intelligence leads to better physical and mental stress tolerance, we can prevent from hospital results, our main purpose in this study is using the personnel mental erosion through prevention four components of emotional intelligence (problem programs and training coping styles and enhancing solving, stress tolerance, reality-testing, responsibility) the resistance. Because of conducting research in a to explain and predict burnout among Valiasr hospital military hospital, generalizing the results to other personnel. similar situations should be treated with caution, Methodology: Research based is applied and its and we would better generalize the results to other method is correlation. Statistical population consisted military hospitals. of all personnel of the Valiasr hospital, at the execution time of the study (summer 1393) they were working table 1. the relationship between the criterion and the in the hospital. Sampling method is census, and the predictor variables sample size included 224 person. Measuring tools Predictor variables Problem Reality Stress tolerance Responsibility included Maslach burnout inventory (MBI) and solving testing

subscales of emotional intelligence questionnaire criterion variable E. exhaustion   - - bar-on. The research data is achieved through the P. accomplishment    - delivery of questionnaires to personnel. For statistical depersonalization  - -  analysis, descriptive statistics, Pearson correlation involvement  - - - and stepwise multiple regression analysis, were used in SPSS 17 software. Results: from 270 questionnaires, 224 questionnaires were analyzed (83% response). Stepwise regression

102 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health

P9-4 implement the proposed sports nhf of accidents and incidents represent more government attention to the The role of man in the shipping needs of men and nations, and valuing the maritime industry events profession requires Keywords: safety, maritime industry, human Farzaneh Sedighi P9-5 Yazd, Shahid Sadooghi Hospital Introduction: Safe transport of goods have a good Philosophy engender safety for ships track record in the shipping industry and plays a and ports ISPS code vital role in the economy and transportation safety 0 countries in international games and hand may Hossein Nazmie be the first But it is also considered one of the most Master Nursing Hospital Yazd dangerous In this paper, the concept of human error and other factors, the employee pays one of the most Introduction: Crisis Management and resourcefulness important events in human role and while there is set of decisions that can be done to deal with the crisis. no standard for reporting incidents and this leads And aims to mitigate the crisis, crisis and decline, to problems in the process of determining the exact and resolve the crisis. All measures of prevention and cause of the accident the traffic information However, risk management, organizing and managing resources based on previous reports of shipping accidents due needed to respond to the crisis. 2005 natural disasters to human error is in the eighth position in the world. Wagner and Green Vogue 1987, in their review of Methods: This retrospective study using library 100 shipping incidents that cognitive problems were resources and the Internet has made responsible for 70% of human errors Results: The attacks on the World Trade Center Methods: This study was a review of the use of towers in New York on 11 September 2001 ushered electronic library resources has been developed in the new syllabus is maritime security. create a new Results: The shipping industry as a professional security system in the maritime industry. organization with a high rate of fatal injuries caused In developing this vision Regulations Security by accidents and maritime disasters known. UK Marine International Ship and Port Facility played a key role. Accident branch tells the agent that still prevails in “safety of Life at sea” Solas (Safety Of Life At Sea most accidents is human error. Perrow argues that Convention) in December of the same year (December the error in the navigation system on board the 1381) at the IMO headquarters in London was sent social organization, economic pressures, industry endanger the marine transport sector to identify, structure, benefits and problems of international law. prevent and deal with it. Thus it was that the Particular combination of factors such as fatigue, stress, International Maritime Organization feet of the water communication, the environment of the maritime body and the water came out! industry is a long time away from home that could International Ship and Port Facility Security with potentially contributing to the accident. respect to the characteristics of the facility ISPS Statistics New Zealand is also consistent with the Code)). Finally, from July 2004 is binding. The ISPS statement that 49% of shipping accidents due to Code)) number of risk factors listed previously will be human factors, while only 35% of accidents are caused considered. The vessel identification system, designed technology and 16% of environmental factors. for security and alarm systems are compulsory. USCG claims that 75 to 96% of accidents at sea for at Initial costs for ISPS Code)) about a million and 983 least part of human error involved (Ro thblum / 2000) thousand dollars and the annual maintenance cost measure to assess the impact of health and there is estimated 731 million Dlartkhmyn. is no evidence to show that the duties Branjam Therefore, in relation to the safety of ships and port Fsharsby stress and fatigue and vibration and noise facilities international profile of the country’s ISPS caused by shift work, increasing hours and hours CoDe-binding set facility in which the relevant rules preparing to serve a three-day weekend, lack of set by governments, companies, ships and ports in sleep, smoking, physical inactivity and failure to order listed.

J Arch Mil Med. 2015 January; Supplement 1 103 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

Discussion and Conclusion: The basic principle is Objectives: Firefighters is stressful job and a new job- now accepted around the world for crisis management. stress reports found that firefighters have the second Creating a safety culture. All efforts must be made to most-stressful job in the world, exceeded only by improve the safety culture is in crisis management. those enrolled in the military. Firefighters, especially The culture of some of the risks and hazards of those in supervisory and Incident Management Team accidents and other risks and must be created. In fact, positions, often have problems with stress, fatigue, any measure of success in the management of crises and mental overload. The relationship between stress and disasters, both natural and unnatural, much of and physiological consequences also has a long history its success in developing a safety culture. of research and in this study we try to evaluate job - Use of standard procedures for crisis management stress and general health in Tabriz city firefighters. in Iran could be a positive step in this regard is The purpose of this research is to investigate how good. stress affects general health of firefighters and to - National and regional planning and investment make recommendations for a positive stress reduction needs at different stages of crisis management and program. prevention priorities. Methods: This study is cross-sectional and descriptive- - Monitoring and evaluation of programs to analytical and study sample include 83 firefighters manage accidents in the state administration, non- (man) with the age range 25-60 years old from Tabriz governmental, public participation and strategies city. Spilberger job stress questionnaire was used to to solve the defects and shortcomings. assess of job stress and general health as well as of - Preparation of guidelines for proper coordination the general health questionnaire, GHQ-28. between the agencies and units responsible for Results: There is no significant difference between reducing the effects of accidents. job stress and age, marriage and precedent (P>0.05). - Supports three branches of the armed forces, The evaluation of firefighters job stress, reveals that ministries and institutions, especially the Basij 6.1 points from total of 9 points (the more points the forces at the highest possible level. worse situation). Also 48 percent of firefighters that Keywords: crisis - sea - Rules - ISPS was studied gained less than 23 points at GHQ-28 questionnaire, which requires consulting services. P9-6 As well as Pearson correlation test shows that the significant relationship between job stress and general Evaluation of job stress and general health (P<0.05). health in firefighters of Tabriz city Conclusion: The Firefighters was studied have a high job stress, and job stress are the most important features Yousof Hemmatjo1*, Alireza Noori2, Alireza that can be triggered in order include: responsibility Zemestani3 (alert), the workplace (a variety of operations risks), duty, relationships, support, reward and promote 1* Department of Occupational Health, Tabriz University of Medical Science competition and participation in decision-making. 2 Supervisor of Firefighters in Tabriz city There are significant relationship between job stress 3 MSPH of Epidemiology Tabriz University of Medical and general health in Firefighters, so we Suggest, the Science psychological tests has been used in the recruitment of volunteers and free psychological services have been accessed for firefighters in their workplace.

104 J Arch Mil Med. 2015 January; Supplement 1 ABSTRACTS

Maritime Human Resource management ORAL PRESENTATIONS

O10-1 Keywords: Military, Health related quality of life, Health status, Socio-demographic factors Health related quality of life among military personnel: what socio- O10-2 demographic factors are important? Protection of the wounded, sick and Mohsen Saffari1*, Hojat Rshidi Jahan2, Hormoz shipwreck from the perspective of Sanaeinasab3 international humanitarian 1 Assistant Professor, Health Research Center, Baqiyatallah University of Medical Sciences Tehran, Iran; and, Health Behzad seify Education Department, School of Health, Baqiyatallah PhD Student International Law, Imam Khomeini University University of Medical Sciences, Tehran, Iran Teacher 2 Lecturer, Department of Health Education, School of Health, Baqiyatallah University of Medical Sciences, Tehran, Introduction: The main axis of the highlights of Iran warfare, the protection of victims of war, the wounded 3 Assistant Professor, Health Education Department, school and sick, Shipwrecking, prisoners of war and civilians. of health, Baqiyatallah University of Medical Sciences, Protection of the wounded and sick of the oldest rules Tehran, Iran of international humanitarian noted that in addition Background: Health related quality of life (HRQOL) to the various international instruments, today is is an important indicator of health status. Knowledge also recognized as customary rules. History shows about factors related to HRQOL among military that the sick and wounded Geneva law warring personnel may assist in designing programs to armies and navies, the target audience and their maximize their fitness and readiness for action when humanitarian care. apply. Geneva Convention of called upon. The aim of present study was assessing 1864, the improvement of military casualties in the the HRQOL and related socio-demographic variables battle, contemporary humanitarian law established. among military personnel in Iran. Protocol Additional to the 1977 Geneva Conventions Methods: Using a cross-sectional design, 502 male of 1949 and the result of human history and human military personnel were recruited across the country. support in achieving his property and soften the The SF-36 health survey was used to assess health effects of combat. Parallel to the development of status and demographic characteristics were recorded. science and technology, wars and conflicts are also Student t-test and multiple regression analysis were become wider and more modernized. Undoubtedly, used to examine the associations between socio- submarines and warships are among the armaments demographic variables and HRQOL. Subscale scores which are used efficiently in naval wars. Despite the on the SF-36 were also compared to those in the complexity of the sub-surface and warships combat, general population. submarines and warships Committed to rescue the Results: The mean age of participants was 33.0 (SD, injured and shipwreck victims and respect the other 6.8) with an average working experience of 13.5 (SD, rules of humanitarian law. 6.2) years. Physical functioning was higher than other Methodology: this research paper, research methods components of HRQOL. The mean scores for physical and analytical - descriptive. and the introduction of and mental subscale scores were 46.1 (8.6) and 46.6 the legal system to achieve naval warfare. (9.7), respectively. Significant differences were found Results: This article intends to describe the evolution on subscale scores of HRQOL between participants of international humanitarian law and humanitarian and general population (p<0.01). Variables such as law in armed conflict maritime exercise the obligation age, marital status, disease history, and health status to rescue the injured, the sick and strategic Shipwreck were associated with several components of HRQOL. of humanitarian law, so that the naval strategic force Conclusions: These findings should assist in the fallow other hand have hundreds maritime boundary development of programs to enhance HRQOL among kilometers in the south and north Republic Islamic military personnel, and underscore the need for further Iran with conditions complex and sensitive and in research to better understand the components of the other hand one of the fact that the armed with health status in soldiers and other military personnel. piracies and it may accord armed conflict necessary

106 J Arch Mil Med. 2015 January; Supplement 1 POSTER PRESENTATIONS to describe and explain the principles of international organisation which is possible through emploees humanitarian law of war and marine observing and empowerment and creating committed emploees. enforcing the obligation to rescue the injured, patients Therefor, This research aim was recognizing and and Shipwreck from the perspective of international gradation of the effective individual and organizational humanitarian law in armed conflict nautical look. factors on police psychological empowerment for Conclusion: the relationship between human dignity improving the existing status. and human rights researcher at peace and in time of Present research was a descriptive study. Instrument peace, because if the war is not aggression but also it was questionnaire and method of reliability and the purpose of the disclosure or against oppression validity of questionnaire were respectively Cronbach´s and injustice peacefully after it will be deployed Alpha coefficient and content validity. Volume Sample arises because war always means. Professional was 138 person of headquarter of police force medicine training in peacetime law of armed conflict, the basic that selected between statistic society 210 person that prerequisite for correct behavior in times of armed sampling was to simple random sampling.Data were conflict as a means to heal the suffering of victims, analyzed by descriptive and inferential statistics, rescue humanity, humankind, and peace.. Hence, Spearman Correlation Ccoeffcient test by SPSS 19.0 although the majority of members of the Armed software. Based on the data, research hypothesis Forces of the law of armed conflict, what speaks respectively were measurement statistic correlation about, but sometimes they are asked to carry out a between individual and organizational factors on military mission in the framework of legal standards, psychological empowerment. do not show significant assurance. They usually do Finding research explaned statistic correlation between not have the fear that in this performance. Pessimistic individual and organizational factors and preference even concerned that with respect to the law of armed of them with psychological empowerment. conflict (the conflict) are losers. Today, according This study suggested to redesign jobs with mps to the Islamic Republic of Iran Navy missions face (motivating potential score) approach that improve in defense of international maritime transportation employee psychological empowerment. lines, both insiders and outsiders against piracy Keywords: empowerment, psychological, and the need to deal with them In operations faced organizational, individual, police. it necessary is that Navy personnel more familiar with the laws of armed conflict and humanitarian P10-2 law and the rules for a commitment to rescuing sick, injured and warships a commitment to learn the basic Tourism, bariatric surgery, ship travel principles of maritime armed conflict. Keywords: Naval warfare, international humanitarian Amir Khoshvaghti*, Abolfazl Khademi, Amir law, commercial ships, warships, rescue, Shipwreck. Nezami Asl, Nader Taghavi *Aerospace and Subaquatic Medicine School, AJA University P10-1 of Medical Sciences, Tehran, Iran. Introduction: Tourism is rising all over the world. The study of relationship between Medical tourism will also grow with its risks and individual and organizational factors opportunities. Bariatric surgery, cosmetic therapeutics, and fertility treatment are three common medical on empowerment (case study: treatments in this kind of tourism. Obesity is increasing headquarter of police force medicine) globally. It has been estimated that bariatric surgery is more effective than any other treatment for severe Elaheh Jamshidimehr obesity. Such patients may encounter serious medical Headquarter of Police Force Medicine, Tehran, Iran problems in travel. Methods: A systematic review of pubmed articles In today’s competitive world, the emploees of using related keywords by 2013. organisation and their effective roles of them in Results: Medical Tourism refers to the patients achivement of organisation is the only constant travelling other countries for medical purposes. In competitive advantage of any individual and 2010, 63,000 patients travelled out of England for

J Arch Mil Med. 2015 January; Supplement 1 107 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations treatment but only 52,000 patients entered this country. the steps listed in order to increase the pay Sygmayy. Medical tourism is increasing annually. These patients Conclusions: As a result of the implementation of are high risk passengers. Physicians should regard Six Sigma processes Sydalshhda Yazd hospital was these comorbidities: respiratory complications such obtained. methods of continuous quality improvement as hypoxia, cardiovascular derangements, and deep process. And manage dynamic, responsive and vein thrombosis. proactive instead of reacting to problems, and a Discussion & Conclusion: Medical tourism has high comprehensive approach to improve the effectiveness financial income. Multidisciplinary approach should of the programs and tools of quality management be done including medical specialties. Travel is an capabilities. The use of this method in health care important part with its comorbidities which would is a necessity, not choice be managed by medical team work. Keywords: process improvement, Six Sigma, Quality Keywords: Travel, Bariatric surgery, Medical tourism. P10-4 P10-3 Personal Hygiene and its The use six sigma techniques to Determinants among Military Forces improve quality of hospital services Mohsen Saffari1* , Hojat Rshidi Jahan2, Hormoz sydalshhdayzd Sanaeinasab3 Batool Rastegari 1 Assistant Professor, Health Research Center, Baqiyatallah University of Medical Sciences Tehran, Iran; and, Health Yazd, Shahid Sadooghi Hospital Education Department, School of Health, Baqiyatallah Introduction: been and will be. AlliedSignal Inc. University of Medical Sciences, Tehran, Iran and introduced in the early 1990s, GE’s Six Sigma 2 Lecturer, Department of Health Education, School of Health, Baqiyatallah University of Medical Sciences, Tehran, management philosophy of history turned it into the Iran most popular. and the various stages of implementing 3 Assistant Professor, Health Education Department, school six Sigma team has finally achieved to improve of health, Baqiyatallah University of Medical Sciences, service delivery. Tehran, Iran Methods: This cross-sectional study of process improvement, process unit was selected in each Background: Personal hygiene is one of the most section and then a team of trained people working important preventive tools in public health field with the owners Frayndv Srprstarv and the unit was and military forces may be exposed to threats due to all stages of the Six Sigma executive nonconformity with principles of personal hygiene. Results: (Sygmayy basis function) is also included in The aim of this study was assessing the situation of the third stage using statistical techniques, technical personal hygiene among military forces and identifying and non-technical, process analysis, process flow its determinants and related potential barriers. diagrams, our means, statistical quality control, Methods: This was a cross-sectional study that was Pareto, Pi (Pie) and the histogram mapped to points performed among 502 military forces from 10 military outside of the control is determined by reference to centers located in throughout the Iran. Participants the sources of errors and their causes to be discovered. were selected using the convenience sampling. The For example, “Members consider the following code instrument for data collection was a self-report as the code resurrect Consider a process that would questionnaire including 5 sections: demographic improve quality (single process: a call to the call information; knowledge, attitude, and practice center and the code resurrect) error process: 1 -Rsydn regard to personal hygiene; and another part about 2. The members of members of the code long 1 in potential barriers. Data were assessed using student 5 cases and explain the lack of people and lack of t-test and Pearson correlation. Then the qualified skills so we have 2 variables were entered in a linear regression model. The number of errors per million opportunities with In the model the personal hygiene behavior as the Tables (Conversion Process Capability and Sigma) dependent variable and others as the independent Error number 53330 is equivalent to 4/3 and 5/3 to variables were considered. The statistical tests were

108 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health computed by the SPSS software version 20. and attitude. Results: The mean age of the participants were Conclusion: regarding to almost third of the 33.04 (SD, 6.83) and more than 84% were married. participants did not have optimal levels of knowledge, The most important source to get information was attitude and practice about personal hygiene, it is reported TV and radio (72.3%). More than half of recommended to consider the suitable planning and the participants had no history of specific education intervention for improving these variables among regard to personal hygiene issues. The knowledge military forces. More studies among different military (71.5%), attitude (63.7%), and practice (61.8%) among forces and other parts of the community to more most of the participants were at optimal levels. The identifying influential factors on determination of variables including job, knowledge, and attitude were personal hygiene behavior are suggested. significantly related to personal hygiene behavior Keywords: Personal hygiene, Military, Behavior, (P<0.05). The determinants of personal hygiene were: Knowledge, attitude military grade, duration of the work, job, knowledge

J Arch Mil Med. 2015 January; Supplement 1 109 ABSTRACTS

Biomedical Engineering and Information Technology for Navy ORAL PRESENTATIONS

O11-1 back to 4.3 (μg/ml), 5.7 (ng/ml) and 2.2 at t=45min,

respectively. The desired target BIS value (BIStarget) is An intelligent instrument design to set to 40 and the infusion rate of remifentanil is set control anesthesia depth in surgery to be 1/25th of the infusion rate of propofol. Figure illustrates the BIS index and control signal (propofol during long term naval missions: a infusion rate) versus time for a RBF controller; It is simulation study shown that RBF controller could immediately detect BIS signal variation and change the infusion rate to Peyman Dehghanpour1, Valiallah Saba1* control anesthesia depth. 1 Radiation research center, Faculty of paramedicine, AJA University of Medical sciences, Tehran, IRAN

Introduction: During long term missions of naval personnel, special medical operations such as surgery may be required. Maintaining depth of anesthesia in a desired level during surgery is one of the challenging problems which need a specialist with long experience and expert. In the current work, A Radial Basis Function (RBF) controller is developed for maintaining depth of anesthesia (DOA) in the desired level during surgery. There A) have been numerous researches about using the electroencephalograph (EEG) signal as a measure of consciousness to monitor depth of anesthesia such as bispectral index or BIS. To control the depth of anesthesia in a proper way, it is necessary to choose an appropriate model for patient while considering drugs concentration, drugs effect, and interaction between them. The concentration effect for each drug and the drug interaction between remifentanil and propofol were described in the pharmacodynamics model according to. B) Method and Material: A 3-compartment model with Figure. A) Actual and filtered BIS index versus time. B) the nonlinear bispectral index (BIS) model is used to Propofol infusion rate determined by RBF controller. estimate the level of anesthesia while the synergic interaction of the anesthetic (propofol) and opioid Discussion and Conclusion: In This paper, we (remifentanil) is considered. Inputs of model are the used a simulation study to investigate controlling infusion rate of the propofol and the remifentanil the depth of anesthesia through RBF controller by and the output is BIS. The infusion rate of propofol adjusting the propofol infusion rate. The results is used as the control signal. The infusion rate of showed that controller could effectively control the remifentanil constantly equals to 1/25th of the infusion infusion rate of propofol. rate of propofol as suggested by anesthesiologist. In most of the previous researches about controlling The patient model and RBF controller simulated in depth of anesthesia, only the effect of propofol has matlab and data from literature were used to tune been considered. But, in this work, the synergic controller weights. interaction of remifentanil with propofol on the depth Results: To illustrate the effica-cy of the proposed of anesthesia is also considered. controllers we switch the pharmacodynamic parameters EC50,p (propofol), EC50,r remifentanil and γ(BIS) from 4.3 (μg/ml), 5.7 (ng/ml) and 2.2 to 5.4 (μg/ml), 7.1 (ng/ml) and 3.3 at t=20min and

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O11-2 10 second without it (M-1, M-2, M-3 and M-4). One group received electromagnetic waves with 40 GHZ Intelligent three functional pad in frequencies and 10 mw/cm2, 20 minutes, 10 second mare long period locomotion radiation and 2 second without it (T-1, T-2, T-3 and T-4). The blood samples had been transferred to Esmail Arab1, Iraj Ramazani2, Behrouz laboratory unit of Rasht Valiasr Hospital. Mikailpour3 Results: The values of B and T lymphocytes, A and G immunoglobulin had significantly decreased in 1 MD.PhD, Valiasr Hospital chief, Maral specialty beatification, Rasht, Iran H, EW, M and T groups. This decreasing was more 2 MD, Research and crisis committee chief, Valiasr hospital, significant in T group proper with other groups. Rasht, Iran Conformation of the device was based on these results. 3 DVM, Research committee member, Valiasr Hospital, Discussion: Heat increases the blood invasion to Rasht, Iran. Young Researchers and Elite club regions of inflammation by increasing the temperature. Introduction: Heat, massage and electromagnetic Blood such restoration origin, decreases the waves are the methods of threating the inflammation disproportion of inflammatory region. Electromagnetic and pain. waves increases the invasion of ionized substances and Methods: This research has done in two sections. blood to inflammatory regions. Massage prepares the In first section the effect of heat, massage and inflammatory process by increasing of blood invasion electromagnetic wave was evaluated in Rasht valiasr to region. By massage therapy the pain markers hospital. In second section of this research the creating such as interleukins and prostaglandins have been of the heat, massage and electromagnetic basic decreased. Furthermore the inflammatory markers multiactivity was done. This device has been done are decreased. The using of all three methods: heat, two parts: reorganization part that is temperature electromagnetic and massage create the synergetic sensor in isolated environment of this device and effect for increasing the blood invasion and preparing distinticts the body temperature. Other part of this the inflammation. device is treating part that have been combined from Conclusion: All of the methods in this study increase three parts: heat, massage and electromagnetic basics. the blood invasion to inflammatory regions. These The mechanism of threading part is in two form: methods should be congruous at scientific basic. For automatic and manual. In manual condition, the type creating the preparing of inflammatory role. Regard of and extent of heat, massage and electromagnetic are these basic maybe have the miscue. Furthermore the appealed, appropriate with the type of requirement. conformation of such device have much importance. On the other hand the distinctive temperature, Keywords: Intelligent, Pad, Long period locomotion massage and electromagnetic wave radiation are regulated manually. Other manner of this device O11-3 function is automatically that the device uses all of three methods (heat, massage and electromagnetic) A survey on the role of information according to distinctive treating pattern that have technology in crisis management in been proved in the research that has been done in research committee of Valiasr Hospital exists in first the armed forces section of this research automatically and intelligently. Mahshid Kouchaksarai1, Niloufar Nekouzad2 After ending the threading process, the operation is ended. 100 Human samples at the age in range of 1 Medical Arshdmhndsy Expert Working Group telemedicine Armed Forces General Headquarters, Tehran, 25, were tendence in Valiasr Hospital. One group Iran has the inflammatory region that had not used the 2 PhD Student Education Management Working Group threating methods for 4 weeks (I-1, I-2, I-3 and I-4). telemedicine Armed Forces General Headquarters, Tehran, One group received the heat with 42°c temperature Iran for 4 weeks, 3 times in day for 20 minutes per each time, 10 second radiation and 2 second without it (H-1, Introduction: Due to the growing variety of crises H-2, H-3 and H-4). One group received the massage of caused by climate issues Environmental or political SMT for 4 weeks, 3 times in day, 20 minutes massage, challenges governmental policies, and the global

112 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Oral Presentations in Naval Preventive Medicine & Health financial crisis, on the other hand the development of to its lower experimental cost and higher temporal information and communication technologies that have resolution. In MI-based BCI, once the MI is detected, a big impact in the field of management, search and the corresponding command will be associated and rescue in armed forces and information technology’s executed. An MI tasks is analyzed by the frequency role in crisis management becomes necessary. component of the EEG signals. Materials and Methods: This study points to Method and Material: To design and evaluate a the experience of the crisis maneuver of health MI-based BCI, five normal subjects within the age of centers across the country, To investigate the role 25.6±2.3 years old participated in the experiments. of information and communication technologies The subjects trained carefully and three different such as telemedicine in crisis management in the movement imagination tasks of the left hand, the IRI armed forces. right hand and foots were introduced to the subjects.

Results: during three years of attempts in workshops Three channels were positioned at C3, Cz and C4 (engineering, military medicine, education and according to the international 10-20 system for EEG research) has shown that crisis management using recording and the ground electrode was placed on the radio waves (wireless) which was conducted by right ear lobe. The dataset was recorded in three-class phone, faced some challenges, but planning and tasks of the left hand, the right hand and the foot implementation of updated IT tools in the maneuver motor imagery. Next, these features were implemented of the crisis, minimized the errors, speed up the for the designed real-time navigation. Navigation in management and the continuation of the practice, virtual reality environment was performed to indicate Reduced the human and financial costs, and finally and evaluate the performance of designed system for it suggests a solution for people involved in the real time applications. disaster management plans. In order to extract desired information from EEG Conclusion: This study shows that The use of signals, several features (MAV, AR, α- BP-PSD, and, information and communication technology for α-BP-FFT) with LDA clasiffiers were used. telemedicine and correct diagnosis of the crisis on Results: Results are reported in terms of the accuracy the basis of the maneuver, we can remotely manage of the LDA classifier, with the 10×10 fold cross- the events in the best possible shape. validation strategy. In off-line mode, the MAV (the Keywords: crisis management, telemedicine, ICT, statistical), AR, α- BP-PSD, and α-BP-FFT features with healthcare, military medicine LDA classifier have accuracies equal to 77%, 78%, 75%, and 76% respectively. Results of the navigation O11-4 of the subjects in the virtual environment (real time or on-line mode) are tabulated in the Table 1. All Movement imagination-based brain of the subjects were able to navigate in the virtual computer interface design for motor- environment successfully. Discussion and Conclusion: In this research, various disabled personnel rehabilitation in feature extraction methods such as MAV, AR, α-BP- naval force PSD, and α-BP-FFT using the LDA classifier on an MI-based BCI system is developed in offline and Seyed Navid Resalat1, Valiallah Saba1* online modes. In offline mode, the AR with the model 1 Radiation research center, Faculty of paramedicine, AJA order of 5 outperforms the other available features. University of Medical sciences, Tehran, IRAN However, in real-time application, the α-BP feature using PSD could be selected as the best feature in Introduction: Brain Computer Interface (BCI) systems MI-based application. based on Movement Imagination (MI) are widely used The accuracies of designed system were different in in recent decades. Although it has various applications, the case of different subjects and this revealed the it is mostly useful for disabled and paralyzed patients. subject-specific nature of the MI-based BCI system. Different modalities of Electroencephalography (EEG), Also, the performance of developed system in real Magneto-encephalography (MEG), and functional time was lower than offline mode. This could be due Magnetic Resonance Imaging (f-MRI) are used in to the graphical VR that distract the full attention of BCI, which the first one is mostly applicable due the subjects and the lower length of the segments

J Arch Mil Med. 2015 January; Supplement 1 113 POSTER PRESENTATIONS in the on-line approach, which is two seconds for aotomatical system that the device does these each segment. functions in appropriateness with the brain waves flow or person does these functions by manual setting Table 1. Classification results for different feature that in appropriateness with the type of description extraction methods and subjects in real time experiment. benedictory in regulatory part of device that consists Feature extraction methods Subjects of the application waves regulatories respective. MAV AR α-BP-PSD α-BP-FFT Ending the process is enunciated after reaching S1 67 74.2 70 70.7 S2 73.4 65 71.2 69 to distinctive wave automatically intelligently and S3 68.3 70.5 74.6 72.5 treating part of device stops the waves radiation. S4 70.2 67.3 75.7 74.5 In this study 120 human in Rasht Valiasr Hospital S5 63.4 64.8 67.3 64 and 50 rats were examined. Human samples in 12 Ave. 68.5 68.4 71.8 70.1 separately alpha, beta, teta and delta induction with alpha, beta, teta and delta basic of brain waves P11-1 groups with 10 persion for 28 days were studied. Rat samples in 5 separately alpha, beta, teta and delta Automatic and intelligent inducer of induction groups for 28 days were located in 10 cm brain waves for depression prevention distance from electromagnetic producer resource. A shunt winding was used envirus of the head for in mare long period locomotion electromagnetic induction in human. Results: In all groups of human, creatness and Esmail Arab1, Iraj Ramazani2, Behrouz remaining of the distinctive brain waves were Mikailpour3*, Majid Razeghian4, Hamed observed. The hystomorphometric studies of brain Ramazani5 tissues in rat samples, show the inflammation and 1 MD, PhD, Valiasr Hospital chief, Maral specialty some transient damages in 4th week. beatification, Rasht, Iran Discussion: The magnetic field is created by electrical 2 MD, Research and crisis committee chief, Valiasr hospital, Rasht, Iran barroom furthermore the passing of electrical 3 DVM, Research committee member, Valiasr Hospital, circulation creates the magnetic field. Electrical field Rasht, Iran. Young Researchers and Elite Club is created by electrical barrooms that these fields are 4 MD, PhD, Valiasr Hospital, Maral specialty beatification, related to magnetic fields. Creating the differences Rasht, Iran between two sides of conductor, closes the electrical 5 MD, PhD, Valiasr Hospital, Maral specialty beatification, circuit and prepares the electrical circulation that Rasht, Iran has the antagonist relation with electrical renitence. Introduction: The function and all connections When the magnetic field is changed in circuit, the of brain are created by nervous impulses. These electrical circulation will be created and this created connections are seen in electrical waves form that circulation is leading to field around of the circuit are alpha, beta, tata and delta. that prevents from creating its factor according to Methods: This project has done in two parts at Lenz rule. research committee of Valiasr Hospital of Rasht. In The brain is formed from neurons that have relations first part the effect of electromagnetic waves at the each other. These neurons have the conductor distinctive range of frequencies, time and powerity properties. Furthermore we can modelized these was done for brain waves induction. In second part neurons theirs relations such as closed electrical pulse of this project, the basic creatness of the device was movement. If we give the changeable magnetic fields done by emphasizing to the results of first line of to neuronal closed circuits, this manner creates the project. The recognization part of this device has electrical circulation such the physiological brain been attached to encephalograph device by distinctive pulses. The changeable magnetic fields are produced output and recognizes type of the waves that flow from yashmak. The fixed extremity has straight in brain and describes its diagnosis in speaker form connections with electrical circulation then representates the useful suggestions for activing Conclusion: By attention to brain wave induction the distinctive wave on the device. Furthermore by electromagnetic inplantationer and by attention person abalienates resumption of this period to to different changes in movement and behavior

114 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health and appropiatenessing of these changes with brain converted The technique can be used in services waves, it is concluded that the different behaviors and during disasters and accidents And increases the manner are controlled by electromagnetic induction speed, accuracy and quality of care to patients and and the different diseases or disproportions such as ultimately reduce the cost of handling injuries and depression and destruction can be controlled. reduced mortality. On the other hand, with increasing Keywords: Automatic and intelligent inducer, brain public awareness and understanding of doctors and waves, mare long period locomotion nurses, they are encouraged to use this technology. keywords: Telemedicine - Sea medicine- Unexpected P11-2 events

Telemedicine applications in P11-3 medicine sea Evaluation of the challenges in Meysam Nadi, Fatemeh Baniyaghoobi E-health for iranian navy force Nursing Faculty, Aja University Of Medical Sciences Maboud Zaeri Esfahani, Nasrin Salehinia Background: Crisis management knowledge has Master of international Law used of various technologies in order to accomplish a series of complex tasks. One of the factors in health relief management, is adequate access and control Navy electronic health information exchange between to communication and transportation. Telemedicine ships or from ships to land medical centers in the is one of the latest developments in information world, via the Internet and advanced communications and communication technology. The change can be technology to deliver health care to the Navy states effective as a means of providing quality health care that the transmission of information, immediately to individuals, especially in the crisis that optimal seek medical care and treatment, and without losing use of time is word first. useful information and transfer it done. On the Materials and methods: in the present review other hand, legal electronic health providers in the literature a broad search of the English and Persian Navy, the application of international standards for language literature was performed incorporating both e-health, Patients Rights and sailors in the Navy, electronic and manual components from 1997 to 2014. electronic health facilities and shortage costs on Results: The goal of telemedicine to provide health the country’s military budget to invest in this new care services to individuals who, due to geographic industry and efficiency, Shortage of skilled manpower, and environmental conditions, not have access to reimbursement restrictions, the fear of errors, them. Telemedicine involves the diagnosis, treatment, technology providers and internet connections in monitoring, and education of patients and medical the Navy, Computer hackers and computer viruses, professionals easy access to advice and information rapid availability of information and its dissemination to patients. TeleMedicine is one of the important to anywhere in the world, With the principles of technologies that it has many applications in sea confidentiality and privacy obligations related to medicin. Audio and video communications, the electronic health information to all members, medical transfer of patient information between health data compression may distort it, And the absence of centers, and simultaneous Display of acts of MRI, international organizations and non- health legislation ECG, EEG, surgery imaging and use of diver robots in a coherent, unified army to the navy ‘s policy not for rescue divers underwater including some of that to provide e-health services, Cases challenging the is exchanged through this medium. Navy ‘s electronic health centers in several countries Conclusion: The overall purpose of telemedicine are facing the last decade, the above issues can be is the use of ICT in medicine The aim of medical navy, in our country include the. services to be remotely without the usual face to Keywords: e-health, telemedicine, biotechnology, face communication to patients and physicians internet, Navy from providing. This requires the transmission of text, image, audio, video and electrical signals are

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P11-4 change in feeding time, more time of autonomic neurologic response, headaches, palpitation to severe A future study about the evaluation injuries to neurologic systems, eye injuries, burning of treatment process on surface and of skin and inability to correct decision making and cognitive disorders. subsurface navy personnel against Conclusion: For treatment of clinical and behavioral directed energy weapons upon effects of Directed Energy Weapons on superficial and under superficial floating, physicians should be DISC behavioral model on basis of trained for these conditions that could treat personnel telemedicine on the basis of DISC behavioral model. Although before dispatch to each mission DISC behavioral 1 2 Masoud Shahabian *, Masoud Zahmatkesh , model of each personnel should be evaluated and 3 Mohammad Keshmiri there should be a safe and not penetrative wireless 1* MD, North East Military Hospital, Iranian Army, Mashad, connection for telemedicine to connect special hospital iran and floating devices. 2 MD, North East Military Hospital, Iranian Army, Mashad, Keywords: Future study, Treatment process, iran 3 Master of Clinical Psychology, North East Military Superficial and under superficial personnel, Hospital, Iranian Army, Mashad, iran Directed Energy Weapons, DISC Behavioral Model, Telemedicine

Introduction: For superficial and under superficial P11-5 personnel, prediction of indeterminacy condition of modern battles and weapons is very crucial due to the Providing health care for marin staff lack of access to special hospitals. Microwave energy by telemedicine was used for industries in early and late 20th century. Some countries researched it for military use and Leila Gholam Hoseini1, Bager Sadegian2*, named it Directed Energy Weapons. These weapons Fatemeh Narimani3 can establish some clinical and behavioral effects on 1 PhD student in Health Information Management, Tehran people who are exposed to high frequency waves. The University of Medical Sciences, Tehran, Iran aim of this study is to evaluate treatment process on 2 Student, Health Information Technology, School of superficial and under superficial personnel against Medicine, Army University of Medical Sciences, Tehran, Iran Directed Energy Weapons upon DISC behavioral 3 Student Undergraduate Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, model using telemedicine. Iran Methodology: This is a future seeking study research on the basis of scenario to systematic analysis modeling Introduction: Using technology to promote or technique with sensitivity analysis methodology accelerate the development of telecommunications according to fixing external variable values, parameter in health care telemedicine say. The method was description of variable effects together and self developed to control and manage crises in health modeling variables. At first, we described system and health care are provided.Increasing advances model (superficial and under superficial personnel) in telemedicine technology nowadays has made and sustain on injury against Directed Energy numerous systems to support and improve the health Weapons. Weapons with borderline conditions in of communities there.Undoubtedly, the success and second stage and other variables are included in our strength of the Navy to perform its mission floating study with borderline condition to indeterminacy units are subject to physical and mental health staff. such as treatment process DISC behavioral model Navy Medicine is a branch of medical science that and telemedicine. In the third stage, we conclude today’s widespread development of telemedicine final possible variable domain to predict baseline in remote marine medicine has become. Protect and of predicted futures. promote the health of employees perch in the field of Results: Spectrum of clinical and behavioral effects marine medicineOne major application of telemedicine of the direst energy weapons is different from the is used in navigation and the use of technology in

116 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health the Navy, health promotion unit’s employees, reduce and subsurface vessels at sea helped to enhance the costs and ultimately increase employee performance health and sustainability.Surface and subsurface to create floating units.The surface and subsurface vessels equipped with telemedicine capabilities and vessels, according to the distance from the coast and localization of the equipment according to the features medical care, preventive medicine and telemedicine, and technologies in the teeth of marine personnel is are the main factors.Therefore, to achieve each of an important step toward health. these goals with the help of new technologies such as information technology is an important step toward P11-6 a naval strategy.Given the importance to the health of ftaff this study aimed to evaluate the health of Evaluation the effect of lactobacillus marine personnel by providing telemedicine done. acidophilus and bifidobacterium Methods: Descriptive-comparative study with a broad base of Internet search scopus, SID, Google breve on antibiotic-associated scholar reputable journals and books related to this diarrhea treatment field were analyzed.In this article factors influencing health care naval personnel, by telemedicine were Behrouz Mikailpour1*, Esmail Arab2, Iraj enumerated. Ramazani3 Results: Telemedicine in the sea, computers and 1 Research committee member, Valiasr Hospital, Rasht, Iran telecommunications equipment to provide care 2 Valiasr Hospital chief, Maral specialty beatification, Rasht, in the use of telemedicine and encompasses all Iran 3 aspects of medical care, from diagnosis to treatment Research and crisis committee chief, Valiasr hospital, Rasht, Iran and patient care and remote access of patients to specialists provides that instead of his patients have access to information.This technology, a unique Introduction: Antibiotic-associated diarrhea (AAD) motion pictures, live video conferences and remote is an important side effect of this specific class of patient care equipment is used to provide care by drugs. The objective of this study was to investigate telemedicine and access to quality care for all citizens, the effect of the use of probiotics in the treatment regardless of distance, providing the waiting time of AAD. patients decreased and increased patient satisfaction Methods: A group of hospitalized patients, who and instead patient and physician specialty moves. contracted diarrhea during or after 7 days of Discussion and Conclusion: There are many suspension of antimicrobial medication, was blindly conditions and opportunities that can be used in the randomized to receive a standardized diet associated method of telemedicine services of maritime disasters with the use of the probiotics (Lactobacillus acidophilus in control of the consequences of the occurrence of and Bifidobacterium breve) or its corresponding placebo, events, counseling and treatment, specialized medical three times a day. services and military-marine applications.In order to Results: Seventy patients were studied. For the increase throughput floating units in this telemedicine experimental (n=35) and control (n=35) groups, system for floating naval units is proposed.This system respectively, the average time of treatment was utilizes the latest technology, telecommunications and 5.06±2.18 and 5.49±3.17 days (p=0.95), and the medical engineering is designed.Using the techniques average duration of diarrhea, among those who were on image processing, medical information is carefully healed, was 4.87±2.13 and 4.52±2.55 days (p=0.36). processed and analyzed and this information will be Four (11.4%) patients who received probiotics and sent at different levels for doctors to monitor the health ten (28.6%) who received the placebo were not cured of employees.Clearly, this system can increase the (p=0.13), and relapse rates were similar between both health of the marine personnel. The general opinion groups. Seven patients from each group, in addition is that the system can be implemented for all naval to diarrhea, presented cases of bloating and/or bases.The use of information technology and new abdominal cramps and/or vomiting (p=1.00). technology could have a huge impact on the health Discussion: Lactobacillus acidophilus and system.Instead of replacing a sick patient information Bifidobacterium are the probiotics that create by which you can be one of the achievements in surface facialities for translocation of substances in bowel.

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These probiotics are decreasing some special poisones tools, creating effective team work, minimizing from small bowel. Furthermore these probiotics errors, providing efficient education and support, are decreasing diarrhea that are creates by some Create plans and design (proportional & Prosperous), antibiotics consumption. First way is creating the Sustainability performance. facialities for translocation of metabolites that are Conclusion: It seems, besides civilian and military created from metabolism of antibiotics. This action disaster response, telemedicine has application for decreases the presence of these metabolites in bowel clients reducing health care costs. according to the and decreasing the excitation of this location. Second present infrastructure, implementing the various levels way is decreasing the poisoning metabolites that are of telemedicine under special condition is possible, created by metabolism of these drugs. and the armed forces is able to provide services in Conclusion: In this light, it is concluded that L. the types of telemedicine. acidophilus associated with B. breve, in the administered Keywords: Telemedicine, Health System, dosage and frequency, has significant effect on the Communication and Information Technology antibiotic-associated diarrhea. Infrastructure, Armed Forces Keywords: Probiotics. Lactobacillus acidophilus. Bifidobacterium. Antibiotic-associated diarrhea. P11-8

P11-7 Survey on hospital information system’s critical success factor in dr Armed forces health system presented shahid mehdi shari-at razavi hospital telemedicine project to improve in fall 1389 access to care Nasim Hashemi1, Mehrdad Kermani Hoskoui2, 1 2 Nilufar Nekuzad , Mahshid Koochaksaraei Hossein PourTavakoli3 1 PhD student, Educational Administration. 1 PhD, student of health information management in Shahid 2 Master of Biomedical Engineering Beheshti Medical University, Chief of Medical Record, Admission and Statistics unit in Shahid Labbafi Nejad Introduction: Telemedicine systems are efficient, Hospital 2* Master of executive management, Management macro-policymakers Armed Forces is concerned. The representative in Quality Management System Unit and ideal is Top speed access to health care. Considered, Clinical Supervisor in Dr shahid Mehdi shari-at Razavi Approved in terms of performance, safety & standard. Hospital Provide health care services using technology and to 3 Engineer of environmental health. maintain the territorial integrity of the armed forces Introduction: In recent decades, Hospital personnel and family. information system as a tool to access timely and Materials and Methods: This research was a qualified information had widely used in healthcare descriptive, cross-sectional study. purpose of this study organizations. Therefore, choosing the best hospital was to examine the ICT infrastructure of armed forces information system related to unique characteristics to implement telemedicine in The military medical of healthcare organizations makes remarkable centers nationwide (2012-2014). The means of data importance. The aim of this study is to determine the collection was the checklists based on a collection extent between critical success factors to effectiveness of world standards (Standards of Australia, United of hospital information system. States, Spanish, Finland). The resulting data were Methods: This original article was studied in fourth analyzed through descriptive statistical methods, quarter in fall in Shari-at razavi hospital in 1389. Survey using the SPSS software, version 21. are conducted by all 52 people who were all users of Results: This project showed that, following three years hospital information system in three groups as chief of workgroups (Engineering, Medicine, Education and of units, secretariats and other users. A research- Research): Comprehensive Project (vision & mission), made questionnaire which its validity and reliability updated & expanding (goals &evaluation), Planning is proved (α=0.886), was used to gather information. to Telecommunications &Connections, application In this study users satisfactions is considered as

118 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Poster Presentations in Naval Preventive Medicine & Health effectiveness substitute variable and management thirds of patients after myocardial infarction and support variables, information technology services sudden death is often caused ventricular fibrillation and education are considered as factors that affect fitted. Hence the lack of updated knowledge and effectiveness. SPSS software version 16 by spearman skills including those leading to poor quality of the and pearson tests was used for all analyses. health care team. Results: 77.2 percent of users announced the Recent studies show that 30% of e-learning tools effectiveness of hospital information system to increase the content of education, 40% and 33% performance. There are correlation and effectiveness reduction in learning time work focuses on reducing between management support variables, education training costs. Three main factors of multimedia, and information technology services (p <0.05) and computer application environment, individual education with P<0.0417 had the most correlation. characteristics influence learning in higher education Calculates showed that education with R=17.3 percent stems. On the other hand CPR training courses, had the most effect on dependence variable changing. pulmonary essential component of training programs Discussion and conclusion: Management and the priority of the Ministry of Health and Medical supports and information technology services as an Education. However, due to the frequent use of infrastructure along suitable education correlated with educational software and reminded lessons can be different users need lead to the most effectiveness of very usable. hospital information system. Pulmonary basic and advanced, multi-media software Keywords: Hospital Information System, Critical evaluation to test the knowledge and practice nurses. success Factors, Effectiveness Obviously, the positive results of this study can be used in a very wide area. P11-9 Methods: After the study was approved by the ethical committee of the hospital this quasi-experimental study Impact of software multimedia was started. The study population consisted of 246 cardiopulmonary resuscitation, nurses in the hospital in different parts of Tehran are working. Advanced Rehabilitation and evaluate the respiratory rate and knowledge of performance of the nurses list consisting of 6 stations nurses that the reliability and validity. Ultimate Software content was adjusted in 4 months and 6 months in Seyed Hadi Vakili1, Zahra Haj Amin2, Seyed the original design software was based on SCORM. Mohammad Saeid Ghiasi2, Abbas Ebadi2, Yasir Findings: A total of 246 people participated in the Saeed2 test (21.3) and male (87.7) were female, 60% received 1 Golestan Hospital I.R.I. Navey force less than 201 knowledge and study the performance 2 Baqiyatallah University of Medical Sciences of 116 pre-intervention and post-intervention were 85 people three groups were studied. Nurses’ knowledge Multi-media electronic software to help spread of basic cardiopulmonary resuscitation 59.9 of the knowledge in the information age moved with poor and advanced cardiopulmonary resuscitation frequency. For this reason, the use of this type 76.3 per cent of nurses were deemed inadequate. 97.9 of electronic device in the world that is rapidly percent of nurses weak or modest compared to the expanding. The great advantage of multimedia, cost- basic and advanced cardiopulmonary resuscitation, effectiveness, the use of the five senses to learn, practice respectively. In terms of gender distribution, there to achieve an optimal level, facilitating partnerships were no significant differences among the three to communicate concepts, possible repeat of flexible groups (P<0.007). training programs to the needs of learners, making Result: The results of this study suggest that the and the two-way interaction between users, providing use of electronic software training is more effective a friendly learning environment, the availability of than previous methods. Future research should focus real time data, update and correct the information as more on this topic have. soon as possible. Stop by sudden cardiac, pulmonary, one of the major problems is that all groups involved in health stems. Cardiac arrest for more than two-

J Arch Mil Med. 2015 January; Supplement 1 119 3rd National and 1st International Congress in Naval Preventive Medicine & Health Poster Presentations

P11-10 learning environment, the availability of real-time information, as soon as information is updated and The design and evaluation of Ryvayz. In terms of natural and unnatural disasters multimedia software cardiopulmonary requires knowledge of CPR techniques confirmed that medical staff including nurses should be aware resuscitation, basic and advanced of. Sudden cardiac arrest, pulmonary, one of the lung in the knowledge and practice of major problems that affect the health of all parties involved. Cardiac arrest for more than two thirds nurses of cases of sudden death and myocardial infarction Seyed Hadi Vakili1, Zahra Haji Amini2, at the top of the Ventricular fibrillation is a major Mohammad Saeid Ghiasi2, Abbas Ebadi2, Mullah complication. Hence the lack of updated knowledge Abbas2, Yasser Saeed2 and skills will ensure that the lives of many people who, for whatever reason, cardiac arrest, pulmonary, 1 Golestan Hospital I.R.I. Navey force they are at risk. The cases where the performance 2 Baqiyatallah University of Medical Sciences has been restored to a poor quality, inadequate training. Among the new methods in educational Introduction: They contributed to the expansion of technology and knowledge in the field of multimedia knowledge in the age of multimedia information. teaching methods, simulated medical procedures, That’s why this type of media in the world market is training procedures are allowed. Studies show that expanding rapidly. The many benefits of multimedia, a 30% increase in teaching e-learning content, with using the five senses to learn, more to achieve an 40% of the time and 33% reduction in the cost of optimal level of practice, facilitating partnerships to traditional methods. More of the three main factors of communicate concepts, linking concepts to facilitate multimedia quality multimedia environment in which repetition of the lesson, being economically affordable, the computer can be used and also depends on the flexible programs against the needs of learners, and the characteristics of learning. Though small, but very two-way interaction between user, provide a friendly necessary to assist in the training of cardiopulmonary resuscitation, pulmonary.

120 J Arch Mil Med. 2015 January; Supplement 1 INDEX FOR AUTHORS

3rd National and 1st international Congress for Naval Preventive Medicine Health, Rescue and Clinical Management On the Naval and Submarine Fleets 3rd National and 1st International Congress in Naval Preventive Medicine & Health Index for Authors

A Azade Dasian 44 H Peyman Dehghanpour 111 Azade A. Farahani 21, 73, 74, 75 Mehrouz Dezfulian 41, 64, 67, 69, Arezo Haghighian Roudsari 88 Mullah Abbas 120 73, 76, 77, 78 M. Haidari 83 Sepideh Abbaszadeh 91, 93 Hosein Dini Talatappeh 90 Zahra Haji Amini 24, 25, 120 Mohammad Abdehpanah 22, 34 Davood Domiri Gangi 66 Akbar Haji Ghasemaliyan 18 Rasoul Abhar 41 Mohammad Dorchin 19 Majid Hajifaraji 88 Ali Abolhasani Soorki 69 Banafsheh Dormanesh 16 Ramin Hamidi 32 Mahrdad Adli 48 Nasim Hashemi 118 Atefe Afchangi 29 Manuchehr Hashemzadeh 81 Athar Aflakian 43 E Majid Hazrati 48, 51 Hossein Afshari 93 Abbas Ebadi 24, 25, 119, 120 Yousof Hemmatjo 104 Kobra Afsordeh 100 Ahmad Ebadi 16, 18 Mohammad Karim Heravi 24, 27, Hamed Ahansazan 21 Tara Ebrahimi 68 72, 83 Reyhane Ahansazan 21 Hassan Ehteshami 32, 97 Mohammad Heydari 67 Hossein Akbarzadeh 70 Said Ehteshami 18 Mohammad Fouad Heydari 23, 33 Ehsan Akrami 29 Reza Eslami 16, 18, 24, 83 Alireza Hosainjani 44 Ehsan Alavi 20 Farnoosh Etminan 49 Mohammad Mahdi Hosseini 39 Vali Alipour 39 Seyed Javad Hosseini Shokouh 89 Naba Alnajar 67 Maryam Amidi Mazaheri 48 F Mohammad Aminianfar 29 I Peyman Faghihfard 45 Payam Amiran 58 Sirous Faraji 29 Farshid Iranmanesh 91 Hadi Ansari 55 Shokrollah Farrokhi 99 Shaghayegh Iranshahi 65, 69 Esmail Arab 20, 28, 32, 52, 54, 56, Babak Farzaneh 61 Shahrokh Iravani 32, 90, 91 102, 112, 114, 117 Fatemeh Fattahi Hassan Abad 73, Majid Ardestani 39, 89 76, 77 Alireza Asgari 21, 73, 74, 75 J Farzad Fazilat 61 Ali Asghar Saeedi 29 Reza Fekrazad 60 Mahboubeh Jafari 64 Shahram Ashabi 54, 56 Seyed-Mohammad Fereshtehnejad Katayoun Jahangiri 38, 71, 82, 86 Aria Ashja Ardalan 68, 69 16 Amir Ali Jahanshahi 27 Saeedeh Askarian Omran 53, 54 Hosein Frozandeh 84, 85 Elaheh Jamshidimehr 107 Danial Azadi 50

G K B Sahar Geravandi 83, 84, 85 Hossein Kardan yamchi 45, 89 Ladan Baftehchi 65, 69, 70 Mostafa Ghafouri Moghaddam 29 Ali Karimi 81 E. Bagheri 83 Omid Ghatre Samani 17, 31 Aliakbar Karimi Zarchi 39, 89 Mahdi Bagheri 27 Shahram Ghayumi 18 Hamid Kassiri 22, 34 Ali Bahadorisarem 21 Hosein Ghazizade 17, 31 Mustafa Kazemi 22, 23, 33, 43 Mohammad Mahdi Bahmani 41 Mohammad Kazzem Gheybi 99 Mehrdad Kermani Hoskoui 118 Nooshin Bahrami 49, 51 Mohammad Saeid Ghiasi 25, 120 Behnam Keshavarz 55 Nesa Balasi 100 Seyed Mohammad Saeed Ghiasi Rahim Keshavarz 39 Zahra Balasi 100 24, 119 Mohammad Keshmiri 116 Fatemeh Baniyaghoobi 115 Sasan Ghobadian 65, 77 Mohammd Keshmiri 55 Mohsen Bashashati 89 Leila Gholam Hoseini 116 Mohammad Ali Ketabi 62 Pourang Basir 16 Bahareh Gholipour 51 Abolfazl Khademi 17, 18, 21, 24, Roya Besharati 20 Zohreh Ghomiam 86 72, 73, 74, 75, 83, 92, 107 Mahdi Bolfion 41, 65, 69, 70 Samira Ghorbani 93, 94, 96 Abbas Khadijeh Khosravi 31 Majid Ghorbannejad 54, 56 Mehran Khaefi 40 Ramin Khaghani 40 D H.R. Golpategani 83 Sattar Gorgani-Firuzjaee 95 Laleh Khalilazar 61 Arasb Dabbagh Moghadam 89, 90 Masomeh Gorgani-Firuzjah 95 Reza Khani Jazani 86 Mohammad Darvishi 27, 29 Gholamreza Goudarzi 40 Mahnaz Kheradmand 82

122 J Arch Mil Med. 2015 January; Supplement 1 3rd National and 1st International Congress Index for Authors in Naval Preventive Medicine & Health

Mohammad Hossain Khoobi 49 Ramin Nabizadeh 46 Iraj Ramazani 20, 28, 32, 52, 54, 56, Mohammad Khoshbou 41 Morteza Naddafiyan 56, 102 102, 112, 114, 117 Alireza Khoshdel 61, 90 Meysam Nadi 115 Alireza Ranjbar Naeeni 24 Zahra Khoshniat 71, 72 Amirhossein Najafpour 60 Batool Rastegari 42, 108 Amir Khoshvaghti 17, 18, 21, 24, Fatemeh Narimani 116 Majid Razeghian 114 31, 72, 73, 74, 75, 83, 92, 107 Simin Nasseri 46 Seyed Navid Resalat 113 Khadijeh Khosrav 19 Fatemeh Nazari 65, 77 Asgari Reza Nezhad 92 Kharman Khosraviani 101 Naser Nazari 34, 35 Abdollah Rezvani Alileh 19, 31 Mahshid Kouchaksarai 112, 118 Hossein Nazmie 103 Bita Rohani 60, 62 Niloufar Nekouzad 112, 118 Leila Rostami 91 Amir Nezami Asl 17, 18, 21, 24, 27, Layla Rouygari 43 L 72, 73, 74, 75, 83, 92, 107 Maryam Royghar 20 Mohammad Hosein Lashgary 48 Masomeh Nikfarjam Haft Asia 51 Hojat Rshidi Jahan 106, 108 Ali mohammad Latifi 67 Lobat-o-Ssadat Nojoumi 69 Alireza Noori 104 Majid Noori 24 S M Zahra Noory Balaneji 81 Valiallah Saba 111, 113 Mostafa Maddah 60 Majid Nori 44 Bager Sadegian 116 Mohsen Mahboubian 65 Touraj Nowrouzi 89 Saeed Saeedi Mehr 83, 84, 85 Seyed-Mohammad Hossein Abbas Nurmohammadi 72 Seyed Mostafa Saeedinia 28 Mahmoudi 16 Mahdi Safatiyan 41 Alireza Majidian 66 Mohsen Saffari 106, 108 Fatemeh Malek Ahmadi 65, 77 O Hedayat Sahraei 51 Omefarveh Maleki 64, 78 Shahram Oliaei 51 Yaser Said 24, 25, 58, 119, 120 Nader Markazi Moghaddam 32 Hosein Ali Salehi 24 Hosein Masoumbeigi 39, 45, 89 Nasrin Salehinia 115 Ramin Masoumi 70 P Amirabbas Sameti 60 Masoud Mehrpour 16 Yasser Pakniyat 68 Hormoz Sanaeinasab 106, 108 Alireza Mesdaghinia 46 leila Pakzad 19 Habibollah Sayari 68, 69 Reza Meshkani 95 Karim Parastouei 91, 93 Farzaneh Sedighi 103 Behrouz Mikailpour 20, 28, 32, 52, Saeed Parvaneh 41 Behzad Seify 106 54, 56, 112, 114, 117 Amin Pirani 29 Hamze Shah Ali 18, 21, 31, 62, 72, Seyed Mahdi Mirheydari 68 Fereshteh Pirooz 91 73, 74, 75, 92 Seyed Shahram Mirzamani 27, 41, Seyed Amir Hosein Pishgooie 82 Masoud Shahabian 55, 116 51, 65, 68, 70, 88 Mahrh Porrabie 58 Hasan Shahamatnia 60 Elahe Moeini 93, 94, 96 Ali Pouladi Rayshahri 50 Mahdi Shakiba 56, 102 S. Moghadamfar 83 Seyed Faezeh Pourhashemi 51 Roya Shariat 21 Kourosh Mohammadi 49 Sasan Pourjafari 27 Simintaj Sharifi Far 86 Mohammad Javad Mohammadi 83, Gholamhosein Pourtaghi 99 Shadman Shokarvi 67 84, 85 Hossein PourTavakoli 118 Maryam Shokouhi 88 Mahmood Momenzadeh 16, 18, 23 Maghsoud Pouryousef Kaljahi 49, Zahra Soleimani 40 Narges Mooraki 68, 69 51 Neda Soltani 64, 65, 67, 70, 73, 76, Ehsan Moradi 22, 23, 33, 43, 72 77, 78 Ali Mosadeghkhah 95, 97 Abdollah Soltaninejad 48 Zahrasadat Mosavisani 82 Q Mahmud Motalebi 92 Zahra Qasempur 40 Mohammad Reza Motamed 16 T Farshid Motevalian 53, 54 Nader Taghavi 17, 107 Seyed Hosien Mousavi 32, 97 R Alireza Tajpour 96 Zahra Mousavian 43 Sohylla Rahmani 34 Hamidreza Tavakoli 39, 89, 90, 91, Fatemeh Rahmati Najarkolaei 90 93 Mohammad-Reza Rajabnegad 21 Pejman Tayebi 32, 97 N Hamed Ramazani 114 Reza Toroghi 18 Iraj Nabipour 64

J Arch Mil Med. 2015 January; Supplement 1 123 3rd National and 1st International Congress in Naval Preventive Medicine & Health Index for Authors

V Y Z Seyed Hamed Vahedi 57 Mahdi Yavari 71, 72 Maboud Zaeri Esfahani 115 Seyed Hamid Vahedi 58 Bahareh Younesei 45 Mohammad Mehdi Zaferani 92 Seyed Hadi Vakili 24, 25, 44, 57, Masoomeh Yousefpour 79 Masoud Zahmatkesh 55, 116 58, 95, 97, 119, 120 Samira Yousefzadeh 46 Arie Zakaria 81 Seyed Shahab Vakili 25, 44 Maryam Zakerihamidi 100 E. Vesyi 83 Eghbal Zarei 49 Mahdi Vosoughi Niri 46, 83, 84, 85 Abbas Zarenejad Ashkezari 19, 31, 66 Alireza Zemestani 104 Ramin Zibaseresht 68, 69 Reza Zirak 65, 66

124 J Arch Mil Med. 2015 January; Supplement 1 GOLD, SILVER, & BORONZE “JAAM Awards 2014”

To the best Peer-Reviewed Papers in Military Medicine

More Info & Submit online: JAMMONLINE.com

Outstanding Research In Military Medicine Award

“JAMM international” proudly announces an international award for outstanding research in military medicine by the symbolic name of “Simurgh”. JAMM invites nominations for “Simurgh Award” from international research groups on military medicine. The award includes two awards which are selected from published peer-reviewed articles each year. Award Description

This award recognizes distinguished research article in the field of military medicine and its related domains as clarified in the scope of JAMM. Awardees will have the opportunity to take honored editorial board membership of the journal and an honorarium of $1,000. The editorial board will select one article from published articles in JAMM and another article from peer-reviewed pub- lications elsewhere. Eligibility Criteria

The article must be methodologically sound and present outstanding findings that help solving major problems in military medi- cine, provide a high level of evidence for a change in routine clinical practice, or express an exceptionally novel idea in this field. All types of research papers (original, systematic reviews, brief communication and so on) would be acceptable for nomination. Eligible nominees should have a strong record of peer-reviewed publications on the related disciplines. Nomination Procedure

1) A statement of the Award nomination including the category of paper 2) A narrative description of the particular contribution or collection of contributions prompting the nomination. Regardless, this description should document how the nominated research article has influenced the field of military medicine and/or related fields as well as any direct population health impact. 3) A copy of the nominee’s curriculum vitae (as PDF files) should be submitted with the nomination letter. For 2014 award, nomination includes all published research articles in peer-reviewed journals (including e-Journals), in particular JAMM international. The deadline for receipt of nominations is October 30, 2014. Please submit letters of nomination and candidate CVs as PDF attachments in an email to: [email protected] Advantages of submitting your research to JAMM:

Rapid peer review, Open access options, Free charge submission, Outstanding editorial board and reputation of journal, Dedicated author support team, and finally specifying DOI for each published article that increases number of citation for each journal. Dr Ali Reza Khoshdel Editor in chief JAMM international

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