Revista Espanola de Sanidad Penitenciaria最新文献

{"title":"Oral care in the Spanish prison setting.","authors":"Ana Isabel Martínez-Díaz-Canel, Elena Martín-Fernández, Marta García-González","doi":"10.18176/resp.00096","DOIUrl":"10.18176/resp.00096","url":null,"abstract":"<p><strong>Introduction: </strong>Addressing the health problems of prison inmates is a major challenge for public administrations, which are responsible for guaranteeing the necessary services to deal with them. It is therefore essential to know which are the chronic pathologies that affect them most frequently, what impact they have on the oral cavity and what type of treatments are required. The aim of this study is to shed further light on these questions.</p><p><strong>Material and method: </strong>Articles in PubMed on chronic and oral pathologies and treatment needs were reviewed.</p><p><strong>Results: </strong>The most prevalent chronic pathologies are heart disease, chronic respiratory disease, diabetes and cancer. Anxiety and depression are also highly prevalent among the prison population, along with the consumption of tobacco, alcohol and drugs of abuse. They are responsible for the appearance of caries and periodontal diseases, the treatment of which should be carried out in the prison environment.</p><p><strong>Conclusions: </strong>The level of dental care among the prison population is very low. Therefore, it is necessary to implement preventive and therapeutic measures among inmates to improve their oral health and, consequently, their general health.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 3","pages":"113-120"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383077","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":"Impact of potential multiple drug-drug interactions on the adverse event profile of patients with hepatitis C treated with pangenotypic direct-acting antivirals in Spain.","authors":"Juan Turnes, Antonio García-Herola, Ramón Morillo-Verdugo, Marinela Méndez, Cándido Hernández, Antoni Sicras-Mainar","doi":"10.18176/resp.00095","DOIUrl":"10.18176/resp.00095","url":null,"abstract":"<p><strong>Objectives: </strong>Direct-acting antivirals (DAAs) share pharmacokinetic pathways with many comedications commonly administered to patients living with chronic hepatitis C virus (HCV) infection (PLWHCV). International guidelines recommend a thorough drug-drug interaction (DDI) risk assessment prior to starting DAA therapy and before starting comedications. This study aims to evaluate the impact of potential multiple DDIs in the real-life adverse event (AE) profile of PLWHCV treated with DAAs.</p><p><strong>Material and method: </strong>This is a retrospective, observational study using electronic medical records. Patients included were PLWHCV and were treated with either the protease inhibitor (PI) free DAA sofosbuvir/velpatasvir (SOF/VEL) or glecaprevir/pibrentasvir (GLE/PIB) between 2017 and 2020. Potential (single and multiple) DDIs were identified using the Liverpool HEP Interaction Checker. AEs potentially associated to DDIs were identified during DAA treatment period.</p><p><strong>Results: </strong>1620 patients with DAA prescriptions (SOF/VEL or GLE/PIB) were included. Of these, 123 were predicted to have multiple DDIs (multi-DDI). About 10% (123/1256) of the patients receiving ≥2 comedications were at risk of multi-DDI with DAA. Most comedication-associated AEs were recorded in this multi-DDI population (88.9%, 16/18), meaning that 13% (16/123) of the multi-DDI population suffered AEs. According to DAA regimen, more comedication-associated AEs were reported in GLE/PIB-treated as compared with SOF/VEL-treated patients (18.3% [13/71] vs 5.8% [3/52] p<0.05). These AEs were mainly reported by primary care physicians (62.5%).</p><p><strong>Discussion: </strong>PLWHCV predicted to have multiple DDIs are at high risk of AEs. Moreover, fewer comedication-associated AEs were identified with the PI-free DAA SOF/VEL as compared with GLE/PIB.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 3","pages":"98-112"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382986","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":"Tuberculin test measurement at 48 and 72 hours: mismatch and clinical significance.","authors":"Elena Yela, Lidia Puig, Mireia De Odriozola, Àngels Flores-Imbernon, Nerea Girado, Adrià Jacas, Mireia Llopart, Carmen Macías, Sònia Mellado, Xènia Rue, Pilar Sánchez-Encomienda, Maite Serrats, Jordi Tost, Elisabet Turu","doi":"10.18176/resp.00094","DOIUrl":"10.18176/resp.00094","url":null,"abstract":"<p><strong>Objective: </strong>To measure Tuberculin Skin Test (TST) at 48 and 72 hours and, if there are differences, to determine the concordance and whether it is of clinical significance (change in the TST score).</p><p><strong>Material and method: </strong>Prospective study of those admitted to prison between March and June 2023, screened by means of TST read at 48 and 72 hours by trained personnel, assessed according to criteria in force in Spain. When the measurement varied, concordance was checked using the kappa index (() and its clinical significance. To determine variables associated with clinical significance, bivariate and multivariate analysis was performed using logistic regression.</p><p><strong>Results: </strong>488 cases were studied. TST was positive in 20.1, 23.4 and 23.8% at 48 hours, 72 hours or any of them, respectively. There was more TST positive in foreigners or BCG vaccinated. The reading varied in 35.2% (mean deviation 5.5 +/-4.4 mm) and was higher at 72 hours (86% of different cases). Inter-reading concordance was excellent overall (( = 0.892) and in BCG vaccinated (( = 0.805), but moderate in immunocompromised (( = 0.421). Discordance was clinically significant in 3.7% and was not associated with any variable.</p><p><strong>Discussion: </strong>TST concordance at 48-72 hours is excellent, but in some patients (3.7% in this work) the score is incorrect, more so in readings at 48 hours. The proportion is low, but can be reduced if the reading is taken at 72 hours and Interferon Gamma Release Assay tests are used in some cases (immunocompromised, etc.).</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 3","pages":"92-97"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383104","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":"Effectiveness of therapeutic patient education on diabetes in prison.","authors":"Sofía Victoria Casado-Hoces, Patricia Inglada-Infante, Beatriz Reina-Herraiz, Delia González-Tejedor, Isabel Algora-Donoso, Ana Araceli Bonilla-Jaime","doi":"10.18176/resp.00088","DOIUrl":"10.18176/resp.00088","url":null,"abstract":"<p><strong>Objectives: </strong>Therapeutic education is one of the pillars of the approach to diabetes. The aim of this study is to evaluate the effectiveness of group therapeutic patient education in 15 people diagnosed with diabetes, with poor metabolic control, inmates of the Madrid III-Valdemoro Penitentiary Center (Madrid), whose population is exclusively male.</p><p><strong>Material and method: </strong>Quasi-experimental study based on 4 training sessions aimed at a group of 15 people with diabetes and poor metabolic control. The intervention was carried out by 4 health professionals from the center. An evaluation of knowledge before and after the training and an assessment of the analytical and anthropometric parameters 5 months after the training were carried out. An anonymous self-evaluation questionnaire was also completed by the participants.</p><p><strong>Results: </strong>After the intervention, a statistically significant reduction in weight, abdominal perimeter, glycosylated hemoglobin and diastolic blood pressure was obtained. The remaining parameters decreased non-significantly. The level of diabetes knowledge also improved significantly.</p><p><strong>Discussion: </strong>The group intervention had a high potency in relation to the introduction of short-term changes in the group of patients with poor metabolic control.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 2","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355472","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":"COVID-19 and anxiety amongst health professionals in prisons.","authors":"María Pilar Molés-Julio, Miguel F Ruiz-Garrido, Martín Flores-Saldaña, María Vicenta Lucas-Miralles, Aurora Esteve-Clavero","doi":"10.18176/resp.00087","DOIUrl":"10.18176/resp.00087","url":null,"abstract":"<p><strong>Objectives: </strong>The main aim of this article was to analyze the emotional levels of anxiety amongst health professionals employed in prisons during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic.</p><p><strong>Material and method: </strong>This descriptive, cross-sectional study was conducted by means of a validated anxiety questionnaire answered by 100 clinical nurses and nursing assistants residing in Spain and working in prisons. Alongside the demographic information, the test included 14 items related to anxiety levels. The questionnaire turned out to be highly reliable after carrying out an analysis with a Cronbach´s alpha of 0.935, demonstrating high reliability.</p><p><strong>Results: </strong>Over one third of health participants presented severe anxiety levels, with a greater impact on women than on men. The situation in centers for the elderly appears to be more tense and complex than in prisons, although the latter are far more overcrowded. However, both institutions show common factors, such as the vulnerability of their populations and a possible explosive outbreak, which would exceed the resources available in such institutions.</p><p><strong>Discussion: </strong>The significant levels of anxiety that nursing professionals showed in the study make it necessary to implement measures to avoid more serious future consequences in the medium and long term.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 2","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355457","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":"Evaluation of dental emergency during the COVID-19 pandemic in the Social Rehabilitation Centre of San Francisco Kobén (Campeche, Mexico).","authors":"Pedro Miguel Gamboa Orozco, Luis Fernando Herrera López, María Alejandra Zazueta Hernández","doi":"10.18176/resp.00089","DOIUrl":"10.18176/resp.00089","url":null,"abstract":"<p><strong>Introduction: </strong>During the COVID-19 pandemic, access to dental treatment by persons deprived of their liberty (PPL) was affected due to dentist-patient proximity and the risk of generation of aerosols in dental procedures and treatments. The risks of infection for oral health personnel are considered high, mainly from cross-infection between patients.</p><p><strong>Objectives: </strong>Differentiate between a true and false dental consultation emergency during the SARS-CoV-2 outbreak for a better and effective screening of inmates of the Social Rehabilitation Center (CERESO) of San Francisco Kobén (Campeche, Mexico).</p><p><strong>Material and method: </strong>An observational, cross-sectional, descriptive, and prospective study was designed for a sample of 100 inmates of the CERESO San Francisco Kobén, the data was collected in the prison's dental office, the participants signed a letter of informed consent to be voluntarily included in the study during the SARS-CoV-2 outbreak. The questionnaire \"Assessment of a true Dental Emergency\" previously validated for the Mexican population was applied, the personnel was standardized and an intra- examiner and inter-examiner reliability of k = 0.98 was obtained. To prepare the database and the analysis of the information collected, the Statistical Package for Social Science v. 21 (SPSS v.21) was used.</p><p><strong>Results: </strong>When evaluating emergencies at the dental clinic, 84% were determined according to the instrument as a false emergency and 16% were a true emergency.</p><p><strong>Discussion: </strong>In the population of CERESO of San Francisco Kobén, the figures for medical-dental care show that inmates face a proportionally low dental morbidity-mortality.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 2","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355473","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":"Homogeneity of pharmacological prescription and control measures applied in cases of scabies detected amongst inmates in Catalonia.","authors":"Efrain A Moreno-Valdiris, Carlos Gallego, Indiana Jesús Abdo, Angels Flores-Imbernón, María Elisa Vaz, Carlos Touzon, Andrés Marco","doi":"10.18176/resp.00090","DOIUrl":"10.18176/resp.00090","url":null,"abstract":"<p><strong>Objectives: </strong>To review the homogeneity of pharmacological prescription and control measures applied in cases of scabies in prisons in Catalonia.</p><p><strong>Material and method: </strong>Observational, multicenter, and retrospective study. Cases of scabies from March 01, 2021 and March 01, 2022 were analyzed according to the International Alliance for the Control of Scabies (IACS) 2020 criteria: a) confirmed cases; b) clinically probable cases; and c) suspected cases.Epidemiological, clinical, therapeutic and regimental control variables were collected. We checked whether the interventions were homogeneous in each site. The mean and standard deviation were used as continuous variables and percentages and confidence interval (95%) for discrete variables. The Chi-square test was used to determine statistical association.</p><p><strong>Results: </strong>269 cases were detected (21.2% confirmed, 50.2% clinically probable and 28.6% suspected). 61.3% were treated with permethrin, 18.6% with ivermectin and 20.1% with both. 27.1% of the cases were withdrawn.There were no significant in-site differences in the study of contacts, isolation and treatment of clothing and belongings, but there were significant differences in the prescription of drugs (P <0.001), duration of treatment (P <0.001) and disinfection of the cell (P <0.001).</p><p><strong>Discussion: </strong>The number of detected cases is estimated to be high, and the majority (71.4%) confirmed or clinically probable. Control measures are homogeneous, except for cell disinfection, which was conventional in 59.1%. Pharmacological treatment and its duration varied between prisons. It would be advisable to establish a protocol to standardize control measures applied to new cases in the centers of Catalonia and subsequently evaluate their efficacy.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 2","pages":"72-76"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355474","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":"Clinical approach to a complex wound in prison: blunt trauma.","authors":"Mónica López Ortiz, Paula Noemi Pérez Niculcar, Alejandra Zorrilla Martínez, Fernando Pérez Ruiz","doi":"10.18176/resp.00091","DOIUrl":"10.18176/resp.00091","url":null,"abstract":"","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 2","pages":"77-78"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355456","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 COVID-19 pandemic in Spanish prisons: epidemiology and performance evaluation.","authors":"Enrique J Acín García","doi":"10.18176/resp.00086","DOIUrl":"10.18176/resp.00086","url":null,"abstract":"","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 2","pages":"47-49"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355475","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 need to update recommendations for controlling tuberculosis in Spanish prisons.","authors":"Andrés Marco, Neus Solé, Isabel Barnés, Rafael Alonso Guerrero, Elisabet Turu","doi":"10.18176/resp.00085","DOIUrl":"10.18176/resp.00085","url":null,"abstract":"","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"26 1","pages":"44-45"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355455","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}