Pub Date : 2020-01-01Epub Date: 2020-04-27DOI: 10.18176/resp.0007
R A Castro Jiménez, I García Alcaide, N Pascual Martínez
We present the case of a 17-year-old male patient with a history of cocaine use who consulted for chest pain and dyspnoea. A pneumomediastinum is defined as the irruption of air in the mediastinal space, and is associated with different causes, including addiction to inhaled drugs. It occurs in people with predisposing factors and the presence of precipitating factors such as consumption of inhaled drugs. X-ray and computed tomography of the thorax are very useful tools in guiding the diagnosis. The low incidence of this pathology represents a difficult diagnosis for the doctor, although in some characteristic work environments a high level of suspicion is necessary.
{"title":"Cocaine using patient who presents with dyspnoea.","authors":"R A Castro Jiménez, I García Alcaide, N Pascual Martínez","doi":"10.18176/resp.0007","DOIUrl":"10.18176/resp.0007","url":null,"abstract":"<p><p>We present the case of a 17-year-old male patient with a history of cocaine use who consulted for chest pain and dyspnoea. A pneumomediastinum is defined as the irruption of air in the mediastinal space, and is associated with different causes, including addiction to inhaled drugs. It occurs in people with predisposing factors and the presence of precipitating factors such as consumption of inhaled drugs. X-ray and computed tomography of the thorax are very useful tools in guiding the diagnosis. The low incidence of this pathology represents a difficult diagnosis for the doctor, although in some characteristic work environments a high level of suspicion is necessary.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"22 1","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/1a/2013-6463-sanipe-22-01-46.PMC7307652.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37933349","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}
Pub Date : 2020-01-01Epub Date: 2020-04-27DOI: 10.18176/resp.0008
C Juan-Juan, P Saiz de la Hoya-Zamácola
{"title":"Ostomy prolapse.","authors":"C Juan-Juan, P Saiz de la Hoya-Zamácola","doi":"10.18176/resp.0008","DOIUrl":"https://doi.org/10.18176/resp.0008","url":null,"abstract":"","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"22 1","pages":"50-51"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/04/72/2013-6463-sanipe-22-01-50.PMC7307650.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37933352","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}
Pub Date : 2019-12-01DOI: 10.4321/s1575-06202019000300001
R. Espacio
— 115 — The spread of the human immunodeficiency virus (HIV) and AIDS in the mid-eighties was an organisational and operational challenge for the Spanish National Health System (SNS), particularly for prison healthcare. The problem reached its climax in 1994, when 763 cases of AIDS were declared and more than 400 inmates died from AIDS-related complications in prisons run by the Civil Service (AGE)1. This figure includes both inmates inside centres and those who died while on probation or on leave. Taking into consideration the size of the prison population at the time, these figures mean that one out of every 50 inmates developed AIDS, and that there was a prevalence of infection by HIV of 22%, or rather, almost one in four inmates. The impact of this new disease on prison healthcare is undeniable. Since then, a collaborative structure of interests has been built between prison health workers and non-governmental organisations (NGO) to respond to HIV and AIDS. Together, we have achieved great things; the implementation of opiate substitute and needle exchange programs in prisons are just two examples of our work. Another achievement is the exponential growth in the presence and provision of services by NGOs. We have more recent examples of successful collaborations between healthcare professionals and the associations movement organised around the issues of HIV and viral hepatitis. Such a collaboration has been essential in ensuring the dispensation of direct action antivirals against hepatitis C in all the prisons of the Valencia region. Associations, especially those operating in the field of healthcare, are the natural allies of prison health workers, because we share the same aim, which is none other than to enable inmates to receive medical care that is on a par with other citizens. Furthermore, civil society has more freedom in accessing healthcare administrations and the media. However, this collaboration is frequently limited to the volunteer work of one local clinic and an NGO that is informally coordinated to work on one common objective. One result of this spirit of collaboration is the assignment I have received from this magazine as chair of the State Coordinating Body of HIV and AIDS Associations (CESIDA) to write this editorial in which I shall set out to answer the following questions: What are the main problems of prison health today? How is it perceived by patients and entities in civil society? And how could it be improved? To prepare this article, I drew up a small questionnaire for entities of the CESIDA that implement programs in prisons, and held some interviews with inmates on day release or probation. I shall then show the results of this small piece of research that, despite lacking any pretensions of scientific rigour, has given me a broader perspective on these issues. One problem that bodies in the CESIDA most frequently comment on when answering the questionnaire is the lack of communication with medical staff, espe
{"title":"From the other side of the fence. How civil society and patients see prison healthcare","authors":"R. Espacio","doi":"10.4321/s1575-06202019000300001","DOIUrl":"https://doi.org/10.4321/s1575-06202019000300001","url":null,"abstract":"— 115 — The spread of the human immunodeficiency virus (HIV) and AIDS in the mid-eighties was an organisational and operational challenge for the Spanish National Health System (SNS), particularly for prison healthcare. The problem reached its climax in 1994, when 763 cases of AIDS were declared and more than 400 inmates died from AIDS-related complications in prisons run by the Civil Service (AGE)1. This figure includes both inmates inside centres and those who died while on probation or on leave. Taking into consideration the size of the prison population at the time, these figures mean that one out of every 50 inmates developed AIDS, and that there was a prevalence of infection by HIV of 22%, or rather, almost one in four inmates. The impact of this new disease on prison healthcare is undeniable. Since then, a collaborative structure of interests has been built between prison health workers and non-governmental organisations (NGO) to respond to HIV and AIDS. Together, we have achieved great things; the implementation of opiate substitute and needle exchange programs in prisons are just two examples of our work. Another achievement is the exponential growth in the presence and provision of services by NGOs. We have more recent examples of successful collaborations between healthcare professionals and the associations movement organised around the issues of HIV and viral hepatitis. Such a collaboration has been essential in ensuring the dispensation of direct action antivirals against hepatitis C in all the prisons of the Valencia region. Associations, especially those operating in the field of healthcare, are the natural allies of prison health workers, because we share the same aim, which is none other than to enable inmates to receive medical care that is on a par with other citizens. Furthermore, civil society has more freedom in accessing healthcare administrations and the media. However, this collaboration is frequently limited to the volunteer work of one local clinic and an NGO that is informally coordinated to work on one common objective. One result of this spirit of collaboration is the assignment I have received from this magazine as chair of the State Coordinating Body of HIV and AIDS Associations (CESIDA) to write this editorial in which I shall set out to answer the following questions: What are the main problems of prison health today? How is it perceived by patients and entities in civil society? And how could it be improved? To prepare this article, I drew up a small questionnaire for entities of the CESIDA that implement programs in prisons, and held some interviews with inmates on day release or probation. I shall then show the results of this small piece of research that, despite lacking any pretensions of scientific rigour, has given me a broader perspective on these issues. One problem that bodies in the CESIDA most frequently comment on when answering the questionnaire is the lack of communication with medical staff, espe","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"21 1","pages":"115 - 117"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70501426","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}
Pub Date : 2019-12-01DOI: 10.4321/s1575-06202019000300005
E. Vildoso-Cabrera, C. Navas, L. Vildoso-Picón, L. Larrea, Y. Cabrera
ABSTRACT Objectives Decide how prison infrastructure guarantees health‘s right a suitable environment of Establecimiento Penitenciario Anexo de Mujeres de Chorrillos (EPAMCh) prisoners. Material and method For the materials was used an interview guide addressed to 10 specialist and interview guide addressed to 30 prisoners. About the method, it was selected the qualitative approach, the applied type with the phenomenological design. Results The interview experts said that Establecimiento Penitenciario Anexo de Mujeres de Chorrillos current infrastructure and don´t give minima sanitary services. In the polls, the prisoners unanimously answered that conditions were precarious, but mostly said that they were willing to incorporate to a health education program and bet for a preventive medicine without forget the curative. Discussion Is Important foment the preventive medicine in order to get a strong health education in jails. To reverse this reality would mean change a guarantee in their health rights and a suitable environment.
{"title":"Prison infrastructure, the right to health and a suitable environment for the inmates of the Women’s Annex in Chorrillos Prison (Peru)","authors":"E. Vildoso-Cabrera, C. Navas, L. Vildoso-Picón, L. Larrea, Y. Cabrera","doi":"10.4321/s1575-06202019000300005","DOIUrl":"https://doi.org/10.4321/s1575-06202019000300005","url":null,"abstract":"ABSTRACT Objectives Decide how prison infrastructure guarantees health‘s right a suitable environment of Establecimiento Penitenciario Anexo de Mujeres de Chorrillos (EPAMCh) prisoners. Material and method For the materials was used an interview guide addressed to 10 specialist and interview guide addressed to 30 prisoners. About the method, it was selected the qualitative approach, the applied type with the phenomenological design. Results The interview experts said that Establecimiento Penitenciario Anexo de Mujeres de Chorrillos current infrastructure and don´t give minima sanitary services. In the polls, the prisoners unanimously answered that conditions were precarious, but mostly said that they were willing to incorporate to a health education program and bet for a preventive medicine without forget the curative. Discussion Is Important foment the preventive medicine in order to get a strong health education in jails. To reverse this reality would mean change a guarantee in their health rights and a suitable environment.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"21 1","pages":"149 - 152"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70501504","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}
Pub Date : 2019-12-01DOI: 10.4321/s1575-06202019000300003
S. D. Iorio, María Susana Ortale, M. Querejeta, F. Quintero, A. Sanjurjo
ABSTRACT Objectives Determine the prevalence of Chlamydia trachomatis (CT) infection, the risk factors for infection in inmates aged 25 to 65 years old in four Catalan prisons. Materials and methods This is a cross sectional study conducted in four Catalan prisons chosen at convenience with a random stratified sample of the penitentiary population 25 to 65 years old taken within these centres. A urine specimen was analysed using the Anyplex CT/NG Seegene technique. An ad hoc questionnaire was used to determine sociodemographic and behavioural risk factors for infection within the previous year. The prevalence estimates of CT were calculated. Crude and adjusted odds ratios (ORs) and 95% Confidence Intervals (CIs) were used to estimate associations between infection and risk factor. Results Out of 1,469 participants, 15 men tested positive for CT (prevalence: 1.02%). We explored age, country of birth, education, occupation, sexual orientation, age initiation sexual activity, number and type of sexual partners (sporadic vs. stable) in a year, concurrency of sexual partners, preservative use in previous sexual relationship, etc. The only factor independently associated with infection was being heterosexual man having sexual relationships with different sporadic partners. Among those who had had an STI (Sexually Transmitted Infection) in life 27% did not notify to all their partners and the main reason was not being able to retrieve them. Conclusions CT prevalence in inmates 25 to 65 years old is very low in four prisons of Catalonia. No systematic screening of infection is justified although prisoners having different sporadic sexual partners may need more sexual infection prevention advice.
{"title":"Prevalence and predictive factors of Chlamydia trachomatis genital infection in inmates 25 to 65 years old in four Catalan prisons","authors":"S. D. Iorio, María Susana Ortale, M. Querejeta, F. Quintero, A. Sanjurjo","doi":"10.4321/s1575-06202019000300003","DOIUrl":"https://doi.org/10.4321/s1575-06202019000300003","url":null,"abstract":"ABSTRACT Objectives Determine the prevalence of Chlamydia trachomatis (CT) infection, the risk factors for infection in inmates aged 25 to 65 years old in four Catalan prisons. Materials and methods This is a cross sectional study conducted in four Catalan prisons chosen at convenience with a random stratified sample of the penitentiary population 25 to 65 years old taken within these centres. A urine specimen was analysed using the Anyplex CT/NG Seegene technique. An ad hoc questionnaire was used to determine sociodemographic and behavioural risk factors for infection within the previous year. The prevalence estimates of CT were calculated. Crude and adjusted odds ratios (ORs) and 95% Confidence Intervals (CIs) were used to estimate associations between infection and risk factor. Results Out of 1,469 participants, 15 men tested positive for CT (prevalence: 1.02%). We explored age, country of birth, education, occupation, sexual orientation, age initiation sexual activity, number and type of sexual partners (sporadic vs. stable) in a year, concurrency of sexual partners, preservative use in previous sexual relationship, etc. The only factor independently associated with infection was being heterosexual man having sexual relationships with different sporadic partners. Among those who had had an STI (Sexually Transmitted Infection) in life 27% did not notify to all their partners and the main reason was not being able to retrieve them. Conclusions CT prevalence in inmates 25 to 65 years old is very low in four prisons of Catalonia. No systematic screening of infection is justified although prisoners having different sporadic sexual partners may need more sexual infection prevention advice.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"21 1","pages":"126 - 137"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70501364","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}
Pub Date : 2019-12-01DOI: 10.4321/s1575-06202019000300004
S. Chiclana, R. Castillo-Gualda, D. Paniagua, R. Rodríguez-Carvajal
ABSTRACT Objectives To explore sociodemographic, psychological and psychopathological characteristics, as well as to evaluate the behaviour in an inmate sample. Materials and methods There is a total sample of 182 young and elderly inmates of the Madrid III Prison. The investigation has been carried out with a battery of self-report psychological questionnaires and objective measurements obtained through the prison files. Comparisons of means were made to see if there are significant differences between the two groups (young and elderly inmates) in the variables analysed. Results The analysis shows that there are no significant differences in wellbeing between young and elderly inmates. However, young people have higher levels of psychological distress, more presence of negative emotions and have a more maladjusted behaviour in prison (they consume more cannabis and have more disciplinary records). Older people better regulate their emotions, adopt better the perspectives of others, showing themselves to be friendlier. Conclusions The elderly inmates in prison, compared with the youngest, have a better psychological adjustment, more internal resources and a better adaptation to the prison environment despite of no differences in related variables such as time in prison.
{"title":"Mental health, positive affectivity and wellbeing in prison: a comparative study between young and older prisoners","authors":"S. Chiclana, R. Castillo-Gualda, D. Paniagua, R. Rodríguez-Carvajal","doi":"10.4321/s1575-06202019000300004","DOIUrl":"https://doi.org/10.4321/s1575-06202019000300004","url":null,"abstract":"ABSTRACT Objectives To explore sociodemographic, psychological and psychopathological characteristics, as well as to evaluate the behaviour in an inmate sample. Materials and methods There is a total sample of 182 young and elderly inmates of the Madrid III Prison. The investigation has been carried out with a battery of self-report psychological questionnaires and objective measurements obtained through the prison files. Comparisons of means were made to see if there are significant differences between the two groups (young and elderly inmates) in the variables analysed. Results The analysis shows that there are no significant differences in wellbeing between young and elderly inmates. However, young people have higher levels of psychological distress, more presence of negative emotions and have a more maladjusted behaviour in prison (they consume more cannabis and have more disciplinary records). Older people better regulate their emotions, adopt better the perspectives of others, showing themselves to be friendlier. Conclusions The elderly inmates in prison, compared with the youngest, have a better psychological adjustment, more internal resources and a better adaptation to the prison environment despite of no differences in related variables such as time in prison.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"21 1","pages":"138 - 148"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70501442","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}
Pub Date : 2019-12-01DOI: 10.4321/s1575-06202019000300002
S. Di Iorio, M. Ortale, M. Querejeta, F. Quintero, A. Sanjurjo
ABSTRACT Objectives The objective of this study was to examine nutritional status, psychomotor and socioemotional development of children living with mothers in prison in the province of Buenos Aires, Argentina. Materials and methods Sex, age, weight and height were measured in children (37) residents with their mothers (28) in the Criminal Unit No. 33 of the SPB. Nutritional indicators were calculated and analyzed according to the WHO international reference (2006). National Research Test (PRUNAPE) and the parental questionnaire Ages and Stages Questionnaires: SocioEmotional®, Second Edition (ASQ:SE-2) were applied to evaluate development. Results Anthropometric evaluation showed that 7% of children under 2 years presented low weight, 3% alert of low weight, 28% high weight and 14% low height. Children over 2 years of age showed 37.5% of high weight and 25% of risk of overweight. There were no children with short stature. PRUNAPE and ASQ:SE-2 tests: in the 30 cases that completed both tests more than half (53.3%) obtained scores within the expected. In the group of children with both tests who did not pass the PRUNAPE (n= 9), the result found in the ASQ-SE 2 was diverse: 66.6% is within the expectations and 33.3% at risk. Neither of children with both tests that did not pass the ASQ:SE-2, passed the PRUNAPE. Conclusion There were high prevalences of excess weight and high percentages of risk in psychomotor development, considerably higher than in the general population. There is a need to carry out actions to reduce the harmful effect of childhood confinement.
{"title":"Growth and Development of Children Living in Incarceration Environments of the Province of Buenos Aires, Argentina","authors":"S. Di Iorio, M. Ortale, M. Querejeta, F. Quintero, A. Sanjurjo","doi":"10.4321/s1575-06202019000300002","DOIUrl":"https://doi.org/10.4321/s1575-06202019000300002","url":null,"abstract":"ABSTRACT Objectives The objective of this study was to examine nutritional status, psychomotor and socioemotional development of children living with mothers in prison in the province of Buenos Aires, Argentina. Materials and methods Sex, age, weight and height were measured in children (37) residents with their mothers (28) in the Criminal Unit No. 33 of the SPB. Nutritional indicators were calculated and analyzed according to the WHO international reference (2006). National Research Test (PRUNAPE) and the parental questionnaire Ages and Stages Questionnaires: SocioEmotional®, Second Edition (ASQ:SE-2) were applied to evaluate development. Results Anthropometric evaluation showed that 7% of children under 2 years presented low weight, 3% alert of low weight, 28% high weight and 14% low height. Children over 2 years of age showed 37.5% of high weight and 25% of risk of overweight. There were no children with short stature. PRUNAPE and ASQ:SE-2 tests: in the 30 cases that completed both tests more than half (53.3%) obtained scores within the expected. In the group of children with both tests who did not pass the PRUNAPE (n= 9), the result found in the ASQ-SE 2 was diverse: 66.6% is within the expectations and 33.3% at risk. Neither of children with both tests that did not pass the ASQ:SE-2, passed the PRUNAPE. Conclusion There were high prevalences of excess weight and high percentages of risk in psychomotor development, considerably higher than in the general population. There is a need to carry out actions to reduce the harmful effect of childhood confinement.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"21 1","pages":"118 - 125"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70501470","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}
Pub Date : 2019-12-01DOI: 10.4321/s1575-06202019000300006
E. Turú, I. Barnes, Andrés Marco
ABSTRACT Deficits in health after being released are common, even with a higher risk of death. In these cases, the main cause of death is the use of heroin and other opioids, but there are more causes of death and most are potentially preventable. The most vulnerable groups to the increase of post-release morbidity and mortality are the drug users, the mentally ill and the foreign inmates from countries with few economic resources. It is urgent to implement interventions that optimize access to health devices after the prison release, avoid interruptions in the continuity of care and treatment prescribed in prison and reduce morbidity and mortality. To achieve this, it is necessary to coordinate the effective form of care inside and outside the prison and apply support measures. We present the project implemented in the prisons of Catalonia, which the “nurse of liaison” has used as a key figure in the process. We also present the internal and external procedure used to facilitate the transfer of sanitary and therapeutic information, to link released patients to health devices and to ensure that they are received in a timely and appropriate manner.
{"title":"Asistencial and therapeutic continuity after release from prison: an urgent problem that requires solutions. The model applied in catalonian prisons","authors":"E. Turú, I. Barnes, Andrés Marco","doi":"10.4321/s1575-06202019000300006","DOIUrl":"https://doi.org/10.4321/s1575-06202019000300006","url":null,"abstract":"ABSTRACT Deficits in health after being released are common, even with a higher risk of death. In these cases, the main cause of death is the use of heroin and other opioids, but there are more causes of death and most are potentially preventable. The most vulnerable groups to the increase of post-release morbidity and mortality are the drug users, the mentally ill and the foreign inmates from countries with few economic resources. It is urgent to implement interventions that optimize access to health devices after the prison release, avoid interruptions in the continuity of care and treatment prescribed in prison and reduce morbidity and mortality. To achieve this, it is necessary to coordinate the effective form of care inside and outside the prison and apply support measures. We present the project implemented in the prisons of Catalonia, which the “nurse of liaison” has used as a key figure in the process. We also present the internal and external procedure used to facilitate the transfer of sanitary and therapeutic information, to link released patients to health devices and to ensure that they are received in a timely and appropriate manner.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"21 1","pages":"153 - 160"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70501549","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}
Pub Date : 2019-07-31DOI: 10.4321/s1575-06202019000200004
G. Hervàs, C. Ruano, G. Sanz-Alfayate, I. Algora, M. Celdrán, M. Mur
Abstract Objective To assess the use of prescribed antipsychotic treatments in the Spanish prison population in order to determine whether there are differences in efficacy and cost between the different long-acting antipsychotic injectables (LAIs). Material and method An observational, retrospective study was carried out in twelve prisons and in two prison psychiatric hospitals. To assess efficacy, all the clinical histories of patients with some kind of LAI were reviewed and only those who were in a situation of therapeutic stability were selected, defined as those treatments that had not undergone any change in the three last months, both in doses and in the association of another antipsychotic. Results Of the 11,953 inmates included in the study, 1,851 (15.5%) received prescriptions for an antipsychotic, 415 in penitentiary psychiatric hospitals (87%) and 1,436 in prisons (12%), which is a much higher prevalence than that found in the population. Regarding the prescription pattern of LAIs, paliperidone is the most widely prescribed in prison psychiatric hospitals and prisons, followed by aripiprazole, zuclopenthixol and risperidone. Finally flufenazine, olanzapine and paliperidone quarterly, which are scarcely represented. Of the 292 patients with LAI, 41% (121 patients) are with monotherapy and 59% (171 patients) are with polytherapy, which is similar to the data found in the bibliography. Discussion The use of prescribed LAIs amongst inmates is widespread. Polytherapy is also a common phenomenon, although there is a downward trend due to the use of more recently marketed drugs. Since the use of LAI is long-term, with numerous side effects and a wide range of prices, it is essential to consider the patient’s risk factors and the cost of treatment alongside the therapeutic efficacy.
{"title":"Analysis of the management of antipsychotics in a group of prisons","authors":"G. Hervàs, C. Ruano, G. Sanz-Alfayate, I. Algora, M. Celdrán, M. Mur","doi":"10.4321/s1575-06202019000200004","DOIUrl":"https://doi.org/10.4321/s1575-06202019000200004","url":null,"abstract":"Abstract Objective To assess the use of prescribed antipsychotic treatments in the Spanish prison population in order to determine whether there are differences in efficacy and cost between the different long-acting antipsychotic injectables (LAIs). Material and method An observational, retrospective study was carried out in twelve prisons and in two prison psychiatric hospitals. To assess efficacy, all the clinical histories of patients with some kind of LAI were reviewed and only those who were in a situation of therapeutic stability were selected, defined as those treatments that had not undergone any change in the three last months, both in doses and in the association of another antipsychotic. Results Of the 11,953 inmates included in the study, 1,851 (15.5%) received prescriptions for an antipsychotic, 415 in penitentiary psychiatric hospitals (87%) and 1,436 in prisons (12%), which is a much higher prevalence than that found in the population. Regarding the prescription pattern of LAIs, paliperidone is the most widely prescribed in prison psychiatric hospitals and prisons, followed by aripiprazole, zuclopenthixol and risperidone. Finally flufenazine, olanzapine and paliperidone quarterly, which are scarcely represented. Of the 292 patients with LAI, 41% (121 patients) are with monotherapy and 59% (171 patients) are with polytherapy, which is similar to the data found in the bibliography. Discussion The use of prescribed LAIs amongst inmates is widespread. Polytherapy is also a common phenomenon, although there is a downward trend due to the use of more recently marketed drugs. Since the use of LAI is long-term, with numerous side effects and a wide range of prices, it is essential to consider the patient’s risk factors and the cost of treatment alongside the therapeutic efficacy.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"21 1","pages":"88 - 94"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47282629","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}
Pub Date : 2019-07-31DOI: 10.4321/s1575-06202019000200006
P. Martínez-Carpio, M. Formigón Roig, S. Matas Marín, A. Aranda Sánchez, A. Bedoya del Campillo
Abstract The cutis verticis gyrata (CVG) is a clinical stigma considered to be very rare that mostly affects males. It consists of characteristic folds in the scalp, similar to cerebral convolutions, which tend to affect the parietal and occipital areas. It is considered a pachyderma of the cranial skin, and can appear at different ages for different reasons. Images are shown of the first clinical case described in prisons, as well as the initial diagnostic and therapeutic approach.
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