Revista Espanola de Sanidad Penitenciaria最新文献

{"title":"Prisons: an important link in the elimination of Hepatitis B","authors":"A. Barreira-Díaz, M. Buti","doi":"10.18176/resp.00036","DOIUrl":"https://doi.org/10.18176/resp.00036","url":null,"abstract":"88 Current estimates give figures of approximately 240 million people with chronic hepatitis B virus infection (HBV). The distribution of the disease is very heterogeneous, with a more marked prevalence (high prevalence = ≥8% of the population) in countries in Africa and South East Asia1. HBV infection is responsible for most cases of cirrhosis and liver cancer worldwide, which have a considerable impact on healthcare resources. In Spain, despite the prevention campaigns implemented through health education and screening of pregnant women and high risk groups, and the establishment of universal vaccination in the nineties2, current prevalence is estimated curren prevalence is estimated to be at around 0.2-1.7%, making Spain a country with low endemicity (<2% of the population with infection)3. This prevalence has increased in recent years, probably as a result of migratory movements of persons who have not been vaccinated against hepatitis B or who come from countries with high levels of endemicity. Improved notification of cases may also be another factor4. A recent study on adults who went to the Emergency Department of a university hospital in Catalonia with symptoms compatible with acute hepatitis showed that HBV infection was the main aetiological cause5. One third of cases were immigrants from countries with no vaccination programmes, and sexual transmission was found to be the main associated risk factor. The fact that chronic hepatitis B is an asymptomatic infection up to the advanced stages of liver disease, implies that many persons are unaware of being infected. There are also cases of patients who know that they are infected and do not receive adequate monitoring. The WHO estimates that less than 5% of the individuals infected with HBV in low-income countries are aware of the diagnosis6. Therefore, screening and linkage to care programs for patients with hepatitis B, especially in certain high risk groups, would help to prevent the disease from progressing, which in turn would have a highly positive impact on public health. The possibility of preventing further progression of liver disease and the resulting complications led to the WHO approving the 2016 Global Health Sector Strategy to eliminate hepatitis B and C by 20307. The program includes a wide range of strategies, many of which are focused on prisons. As Vergara M8, comments in her study, prisons represent an opportunity for screening, treatment and monitoring of a number of pathologies, and for discovering more about their natural history, since they include groups where the prevalence of diseases associated with certain risk factors is greater than in the community. This scenario is well known in the case of hepatitis C, where several strategies of microelimination in prisons have been put into effect in a number of Spanish prisons with excellent results and highly valued experience9. There is a large amount of data to support the benefits of such programs in terms of diagno","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 1","pages":"88 - 90"},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67718773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of incarcerated mothers living with their children in a prison in Lima, Peru, 2020: a qualitative study.","authors":"B M Martínez-Álvarez, A Sindeev","doi":"10.18176/resp.00039","DOIUrl":"10.18176/resp.00039","url":null,"abstract":"<p><strong>Objectives: </strong>This study explores the experiences of incarcerated women living with their children in the Women Chorrillos Penitentiary, Lima, Peru, 2020.</p><p><strong>Material and method: </strong>Qualitative, exploratory study with a phenomenological design, through semi-structured interviews with inmates who lived with their minor in the prison. In total there were 13 interviews considering the theoretical saturation of categories.</p><p><strong>Results: </strong>The experiences consisted of mostly negative intrapersonal experiences, related to different individual aspects and the conditions of confinement and prison treatment. Serious deficiencies perceived in the health care of inmates and children stand out, with emphasis on mistreatment and indifference on the part of the staff. Other factors involved in the construction of these experiences were identified.</p><p><strong>Discussion: </strong>The results provide evidence of serious structural and organizational deficiencies that violate the fundamental rights of the population group studied. Government efforts to date are partial and insufficient. Sustainable policies and programs are urgently needed that prioritize quality health care and adequate prison treatment for these people with an emphasis on preventive promotional actions. There is a need for evidence-based interventions to reduce the harmful effects of childhood incarceration.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 3","pages":"98-107"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/87/2013-6463-sanipe-23-03-98.PMC8802819.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10319181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of the Gamma variant in an outbreak of COVID-19 at a prison in Peru.","authors":"N Vargas-Herrera, S Roque de la Piedra, C Padilla-Rojas, M Yagui-Moscoso","doi":"10.18176/resp.00042","DOIUrl":"10.18176/resp.00042","url":null,"abstract":"","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 1","pages":"128-129"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8802818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67718837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomedical research in Spanish prisons: a reality full of difficulties.","authors":"Enrique Vera","doi":"10.18176/resp.00030","DOIUrl":"https://doi.org/10.18176/resp.00030","url":null,"abstract":"","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 2","pages":"46-48"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/15/2013-6463-sanipe-23-02-46.PMC8592263.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self harm: suturing of lips.","authors":"P A Martínez-Carpio, M Álvarez, R Fortea, A Bedoya Del Campillo","doi":"10.18176/resp.00035","DOIUrl":"10.18176/resp.00035","url":null,"abstract":"","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 2","pages":"86-87"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/69/2013-6463-sanipe-23-02-86.PMC8592265.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' preferences for treatment with the new direct acting antiviral therapies for chronic hepatitis C virus infection.","authors":"M A Simón,&nbsp;O Rojo,&nbsp;P Ryan","doi":"10.18176/resp.00033","DOIUrl":"https://doi.org/10.18176/resp.00033","url":null,"abstract":"<p><strong>Objectives: </strong>The efficacy of new direct-acting antivirals (DAAs) in treating hepatitis C infection can depend on treatment adherence, which may be influenced by the patient's current lack of awareness of the disease. This study set out to understand the treatment naïve chronic hepatitis C patients' preferences for new DAAs (attributes) and to compile information about the diagnosis process.</p><p><strong>Material and method: </strong>Spanish quantitative market research study conducted between November 2018 and January 2019 to assess the posology preferences of treatment-naïve patients with chronic hepatitis C before starting treatment (seen by hepatologists and infectious diseases specialists). A telephone interview was carried out to collect demographic, diagnostic and treatment preference data, consisting of two dosing OPTIONS: 1) three tablets/day (single dose), at the same time, with food (8 weeks). 2) single tablet/day, at any time with/without food (12 weeks). A descriptive analysis of pooled results was performed.</p><p><strong>Results: </strong>104 patients (mean age: 49 years) with hepatitis C diagnosed 7.3±9.7 years ago (average), mainly in primary care (PC) (42%). The most common reasons for not having started treatment were health problems/comorbidities (31%). Fifty-eight percent of patients were not informed about the available treatments. Seventy-two percent of patients preferred a simple tablet/day, at any time, with/without food (12 weeks), and considered compatibility with other treatments, side effects, ease of administration, treatment duration and the number of tablets to be very important.</p><p><strong>Discussion: </strong>Patient preferences are mainly driven by dosing flexibility and simplicity, including freedom to take the medication with/without food. The role of PC in the diagnosis should be taken into account. There are still patients who are untreated after diagnosis.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 2","pages":"67-75"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/26/2013-6463-sanipe-23-02-67.PMC8592264.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of prison nursing: an integrative review.","authors":"A Isaac Caro","doi":"10.18176/resp.00034","DOIUrl":"10.18176/resp.00034","url":null,"abstract":"<p><strong>Objectives: </strong>To review the scientific literature on the role of the nurse in Penitentiary Institutions through the study of care training and ethical implications when offering quality care to the prison population.</p><p><strong>Material and method: </strong>An integrative review was carried out in Medline, SciELO and LILACS databases. The MeSH and DeCS terms used were: nurse's role, nursing, nurse, nursing education, prison, ethics, ethical issues, job satisfaction, enfermería, penitenciaria, health professionals, nursing care. The types of studies included in this work are literature reviews, and qualitative, quantitative and mixed studies. The CASPe tool was used to assess the methodological quality of selected literature. The review period was October, November and December 2019.</p><p><strong>Results: </strong>A total of 264 articles were obtained, of which 98 were chosen after applying filters corresponding to each database and after discarding duplicate articles. The title and abstract of these articles were read and the established selection criteria were applied, to obtain 18 studies. Finally, after critical reading, 15 articles were selected for this work.</p><p><strong>Discussion: </strong>The role of the prison nurse is generally unknown. Nursing undergraduate training in this area is limited, exposing a specific training need, which may help these professionals to deal with ethical issues that they may find in their practice, as well as to improve the quality of care for the prison population.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 2","pages":"76-85"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/b0/2013-6463-sanipe-23-02-76.PMC8592262.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Legal, medical and epidemiological characteristics of persons exempt from criminal liability in the National Prison Institute of Peru, 2014-2019.","authors":"A Sindeev","doi":"10.18176/resp.00031","DOIUrl":"https://doi.org/10.18176/resp.00031","url":null,"abstract":"<p><strong>Objectives: </strong>To describe and correlate the epidemiological, clinical and legal characteristics of persons exempt from criminal liability registered in the National Prison Institute of Peru in the period 2014-2019.</p><p><strong>Material and method: </strong>Retrospective, cross-sectional descriptive study with correlational components and secondary sources. The sample consisted of all the persons exempt from criminal liability who formed part of the prison population of Peru during the study period. A validated data collection sheet was used. Data were analyzed through descriptive statistics using SPSS v24 software. For inferential analysis, a simple binary logistic regression was carried out.</p><p><strong>Results: </strong>A total of 179 persons exempt from criminal liability were identified in 36 Peruvian prisons; 94.4% were males, with an average age of 35 years; 6.1% were undocumented. 67.0% had a diagnosis of the schizophrenia spectrum. The main crimes were against freedom (39.1%) and against life, body and health (36.8%). In 74.6% of cases, the duration of involuntary commitment was more than five years; 11.5% remained in prison after the date of release. In 18.4%, involuntary commitment was established by the Peruvian National Prison Institute. Associations between variables such as diagnosis, type and severity of the crime were found.</p><p><strong>Discussion: </strong>Aspects that violate national and international regulations (excessive length of involuntary commitment, in unsuitable locations, unjustified imprisonment, etc.) were identified, affecting the fundamental human rights of persons exempt from criminal liability in prison.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 2","pages":"49-59"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/e5/2013-6463-sanipe-23-02-49.PMC8592266.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family and social environment associated with traits of antisocial personality disorder in the prison population of Peru.","authors":"C S Arbulú-Contreras,&nbsp;M A Enao-Atahuachi,&nbsp;M T Flores-Quispe,&nbsp;L K Torrejón-Reategui,&nbsp;M Alejandro,&nbsp;L Figueroa-Salvador,&nbsp;C R Mejia","doi":"10.18176/resp.00032","DOIUrl":"https://doi.org/10.18176/resp.00032","url":null,"abstract":"<p><strong>Introduction: </strong>The prison environment in Peru is one of the worst in the continent. In situations such as these, where there is considerable stress, many inmates can develop antisocial disorders, especially if they come from a conflictive family setting.</p><p><strong>Objectives: </strong>To determine the association between family relationships, social environment and features of antisocial personality disorder (ASPD) in the Peruvian prison population in 2016.</p><p><strong>Material and method: </strong>Analytical cross-sectional study based on a sub-analysis of the First National Penitentiary Census of Peru in 2016. The sample is the prison population (≥18 years old) that participated in said census, which was carried out in 66 correctional facilities nationwide and reached a coverage of 98.8%.</p><p><strong>Results: </strong>Of the 77,086 prisoners, 76,152 participated in the analysis. The prevalence of antisocial traits was 96% and half of the population met two criteria for the disorder. Independently associated factors were, being male (RPa: 1.35; 1.30-1.40), born outside the capital (RPa: 0.89; 0.88-0, 91), friends in the neighborhood who committed offences (RPa: 1.01; 1.00-1.02) and not living with a father (RPa: 1.00; 1.00-1.01).</p><p><strong>Discussion: </strong>The prevalence of antisocial personality disorder traits in the Peruvian prison population was 96%. We found greater association with the male sex, in those born in Lima and in those who escaped from their home before the age of 15.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 2","pages":"60-66"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/26/2013-6463-sanipe-23-02-60.PMC8592261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of health care perceived by users in Catalan prisons.","authors":"L García-González,&nbsp;J Mendioroz-Peña,&nbsp;B Armenteros-López,&nbsp;N Sole-Zapata,&nbsp;P Alonso-Gaitón,&nbsp;E Cuadro-Pena","doi":"10.18176/resp.00026","DOIUrl":"https://doi.org/10.18176/resp.00026","url":null,"abstract":"<p><strong>Objectives: </strong>To describe inmates' perceptions of healthcare quality in Catalonian prisons.</p><p><strong>Material and method: </strong>Transversal study of 6,856 inmates in Catalan prisons in September 2017. Randomized simple screening was used to randomly distribute 1,048 polls in which different aspects of perceived quality of healthcare were evaluated. The results were also categorized according to age, sex, time spent in prison, background and academic levels. We also analysed the differences between results in healthcare quality according to socio-demographic variables.</p><p><strong>Results: </strong>84.87% of patients show satisfaction with the quality of healthcare received. Women are more satisfied with consultations than men (OR: 2.04; p = 0.009). Patients with a higher educational level are less satisfied than those with a lower educational level, with significant differences in 11 of the 14 items. Those over 65 years of age were more satisfied than the rest in 11 of the 14 items evaluated. Foreign patients were more satisfied than Spanish inmates in time flexibility (OR: 0.69; p = 0.018) and in waiting times for visits (OR: 0,63; p = 0.006), whereas they are less satisfied with the healthcare professionals' image (OR: 1.97; p = 0.03).</p><p><strong>Discussion: </strong>Noteble features of our study include the fact that although global satisfaction is high, some dimensions, like reliability, could improve. The results were submitted to the General Directorate to enable more in-depth study of the variables where there is less satisfaction and to design further improvements.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 1","pages":"9-19"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/ad/2013-6463-sanipe-23-01-9.PMC8278169.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25584312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}