{"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}
P A Martínez-Carpio, M Álvarez, R Fortea, A Bedoya Del Campillo
{"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, O Rojo, 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}
C S Arbulú-Contreras, M A Enao-Atahuachi, M T Flores-Quispe, L K Torrejón-Reategui, M Alejandro, L Figueroa-Salvador, C R Mejia
{"title":"Family and social environment associated with traits of antisocial personality disorder in the prison population of Peru.","authors":"C S Arbulú-Contreras, M A Enao-Atahuachi, M T Flores-Quispe, L K Torrejón-Reategui, M Alejandro, L Figueroa-Salvador, 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}
L García-González, J Mendioroz-Peña, B Armenteros-López, N Sole-Zapata, P Alonso-Gaitón, E Cuadro-Pena
{"title":"Quality of health care perceived by users in Catalan prisons.","authors":"L García-González, J Mendioroz-Peña, B Armenteros-López, N Sole-Zapata, P Alonso-Gaitón, 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}
A Bedoya Del Campillo, N Lleopart, Ghuman ChQR, M Álvarez, M Montilla, P A Martínez-Carpio
{"title":"Intervention protocol to improve scabies control in enclosed communities: a case report.","authors":"A Bedoya Del Campillo, N Lleopart, Ghuman ChQR, M Álvarez, M Montilla, P A Martínez-Carpio","doi":"10.18176/resp.00029","DOIUrl":"https://doi.org/10.18176/resp.00029","url":null,"abstract":"<p><strong>Objectives: </strong>To describe patients with scabies in a prison setting. Document what type of treatment was carried out. Prepare an intervention protocol to improve scabies control in the Penitentiary Center.</p><p><strong>Material and method: </strong>All cases of scabies diagnosed in the Youth Detention Centre (La Roca del Vallès, Barcelona) between November 2018 and November 2019 were recorded. The treatment used was recorded. Bibliographical research on the protocols and treatment guidelines was carried out for community-acquired scabies.</p><p><strong>Results: </strong>The study was performed with 762 inmates, of whom 61 patients were diagnosed with scabies. 39 patients' pathologies were detected at the time of admission to the center, 11 cases were diagnosed in the first 6 weeks after entering the prison, coinciding with the incubation period of the disease. Finally, 11 more were diagnosed when they had already been in prison for more than 6 weeks and therefore could be infected cases within the center. This parasitosis was detected mainly in inmates of North African origin, 14.7% of Algerian inmates and 14.2% of Moroccan inmates presented this pathology, compared to 1.6% among Spanish prisoners. All 61 patients were treated with permethrin and 8 cases had to repeat the treatment cycle due to apparent therapeutic failure. Research literature indicates that oral ivermectin should be the drug of first choice for the treatment of scabies in prison.</p><p><strong>Discussion: </strong>The high incidence of scabies cases detected in prison led us to carry out a bibliographic review that brought about changes in the treatment protocol that may be of interest for the control of the disease in closed communities.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 1","pages":"37-42"},"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/31/2c/2013-6463-sanipe-23-01-37.PMC8278167.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25584309","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":"Guidelines on controlling latent tuberculosis infection to support tuberculosis elimination.","authors":"P Godoy","doi":"10.18176/resp.00028","DOIUrl":"https://doi.org/10.18176/resp.00028","url":null,"abstract":"<p><strong>Objectives: </strong>Latent TB infection (LTBI) affects 25% of the world's population. As long as this reservoir exists, the elimination of TB will not be feasible. The Assembly of the World Health Organization adopted the \"Global End TB\" strategy for the elimination of TB in 2014. The objective of this review is to present strategies for risk groups that are candidates for the detection and treatment of LTBI.</p><p><strong>Material and method: </strong>There is sufficient evidence of screening in: immunocompromised people (HIV-infected, biological therapies, alternative renal therapy, organ transplantation), recent immigrants, inmates in prison, people injecting drugs and homeless people, and workers from at-risk settings. Tests to diagnose LTBI include tuberculin skin test (TST) and gamma release assay interferon (IGRA). There is no reference test and the choice of one or the other will depend on logistical considerations, such as avoiding injection (TST) or not needing a second visit (IGRA). Treatment of LTBI is based on the use of isoniazide and rifampicin in short period of 3 or 4 months, using associations of rifampicin and isoniazide or rifampicin alone.</p><p><strong>Discussion: </strong>Given the estimated high prevalence of LTBI, renewed efforts are required to reduce the number of people with LTBI that includes a registration and monitoring system to observer progress, increased testing, and the use of short treatment guidelines.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 1","pages":"28-36"},"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/c5/11/2013-6463-sanipe-23-01-28.PMC8278168.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25586263","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":"Basic characteristics for a good tuberculosis prevention and control programmes currently in Spain.","authors":"J P Millet","doi":"10.18176/resp.00025","DOIUrl":"https://doi.org/10.18176/resp.00025","url":null,"abstract":"6 Rev Esp Sanid Penit. 2021;23(1):6-8 doi: 10.18176/resp.00025 It is hard to find another infectious disease that has had more impact on morbidity and mortality throughout human history than tuberculosis (TB). The conditions of the bacillus (slow growth, resistance of the bacterial wall, airborne transmission, very long latency period, non-specific clinical manifestations and insidious onset) make Mycobacterium tuberculosis a germ with almost ideal potential for silent but inexorable growth. A total of ten million cases and one and a half million deaths every year, along with one quarter of the world’s population infected, and therefore at risk of developing the disease, is ample witness to this fact1,2. Neither should we forget the tremendous economic and emotional impact on the people and families who suffer from it, even more so when people with the disease live in countries with precarious healthcare systems. The resources and measures to cope with such a widely neglected bacillus should be applied at local level in each every, province, epidemiologycal surveillance unit and community. At the same time, a global overview of its impact and transmission is also necessary if we wish to overcome it. The first and most essential element in any TB prevention and control programme (TBPCP) should be to frame it within a free and universal healthcare system. It should be able to diagnose cases early, ensure the correct treatment and monitor the disease until the patient is cured. Furthermore, especially in specially in settings of low and medium TB incidence, it is essential to establish censuses and contact tracing of TB cases in different areas and run screening programmes for latent tuberculosis infection (LTBI) in vulnerable populations to prevent to prevent progression to a disease3-6. But the remedy is not an easy one... To ensure that all these activities are carried out by the professionals concerned (epidemiologists, clinical practitioners, microbiologists, nursing staff, healthcare providers...), there needs to be fluid and adequate communication between stakeholders, with constant backup and coordination form the local public health services3,4. For this kind of programme to work effectively, one very necessary figure is that of the skilled public health public health nurse (PHN), working at territorial epidemiologycal surveillance units (ESU). Their main duties consist of conducting epidemiological surveys and coordinating with primary healthcare, hospitals and directly observed therapy (DOTS) teams, to ensure compliance with treatment and the census and the indication of contact tracing. The inclusion of community health workers who act as mediators has given very positive results over the last 20 years in our TBPCP in Barcelona. There, the TB clinical units and the DOTS teams have constantly worked hand in hand with PHN7-10. One major challenge is to reduce the tremendous TB diagnostic delay that favour transmission of the disease in the","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 1","pages":"6-8"},"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/40/c0/2013-6463-sanipe-23-01-6.PMC8278170.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25584311","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}