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Smoking, prisons and human rights. 吸烟、监狱和人权。
Q3 Medicine Pub Date : 2023-05-01 DOI: 10.18176/resp.00066
Ahmad Khalaf
43 Rev Esp Sanid Penit. 2023;25(2):43-44 doi: 10.18176/resp.00066 The smoking pandemic is an international health problem that affects approximately 1.3 billion people according to the World Health Organisation (WHO). It is a pandemic that we ourselves have created, and it has led to devastating medical, social, economic and environmental consequences, while also placing obstacles in the path of sustainable development. Smoking is defined as a chronic, addictive and relapsing disease, which generates other chronic diseases, some of which are considered to be primary causes of mortality. Tobacco is a psychoactive substance that is addictive and conflictive, and which causes direct, cultural and structural violence. It is the cause of premature death for about 8 million people a year, 60,000 of whom are Spanish. Many of these victims live in mid and low income countries. 11.5% of global mortalities can be attributed to its effects1. The prevalence of smoking amongst prison inmates is about 70%, while prison staff are twice as likely to smoke as members of the general public, with the added aggravating effect of being passive smokers. More than 14.5 million people in prisons smoke every year around the world2. There are currently about 46,000 inmates in Spanish prisons, of whom 3,500 are women, with an average age of between 40 and 41 years, 75% of whom are Spanish. The prevalence of smoking in prisons is 74.4% amongst men and 67.4% amongst women, just under double the figures for the general public in Spain. Tobacco is by far the legal or illegal drug most commonly consumed by the inmate population3. Although prisons are punitive spaces, it should not be forgotten that their main objectives are reeducation and social reintegration. They also fulfil an important role in public health through their work in health restoration, prevention and promotion, and by implementing healthy habits and reducing high-risk ones amongst inmates. It is a well known fact that “prison health is public health”4. Smoking cessation is not easy, but it is not impossible. It is a decision made by the smoker, in the exercise of their personal autonomy, and external help is usually required. Inmates do try to give up smoking, as do those outside prison, and although it is more difficult for them than it might be for the general public, interventions to help incarcerated smokers have achieved notable levels of success5. In addition, prohibitions against smoking in prisons have been shown to improve air quality by notably reducing second-hand smoke6, which minimises the effects for passive smokers and benefits both inmates and the personnel that care for and attend them. Likewise, the implementation of smoke-free prison policies has increased the dispensation of nicotine substitute therapies, which implies an increase in abstinence, a decrease in smoking cessation habits, and fewer prescriptions for medications to treat smoking related problems, such as respiratory and cardiova
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引用次数: 0
Communication disorders in the correctional system: a systematic review. 惩教系统中的沟通障碍:一项系统综述。
Q3 Medicine Pub Date : 2023-05-01 DOI: 10.18176/resp.00070
Iure de França, Larissa Monteiro, Bernardo Rodrigues, Ailton Melo

Obtectives: Good communication is essential for resolving social conflicts, especially in closed communities such as prisons. When communication is interrupted by factors such as hearing loss or difficulties in coordination, voice, language, fluency, or disruption of any of the biological systems required to communicate, Human Communication Disorders can appear. This review aimed to identify the most prevalent communication disorders amongst prison inmates.

Material and method: Systematic review through databases of studies that analyze individual inmates with communication disorders over the last 38 years. After reading the titles and abstracts and applying the eligibility criteria, 25 articles were selected and included in the final review.

Results: A sample of 2,188 individuals was evaluated, two studies were conducted with a female population only, while twelve studied exclusively males, and 11 articles had a mixed population. All the studies included evaluated language and communication disorders in general, with language impairment being more prevalent There are no English language studies evaluating language and communication disorders in incarcerated individuals from African countries, Latin America or Asia.

Discussion: Inmates have a high prevalence of language and communication disorders, and thus end up being more vulnerable within the prison system. Speech therapists are important members of the legal workforce and improve the health, well-being and participation of people in contact with or at risk of contact with the judicial system through the prevention, early detection, assessment and treatment of communication disorders.

检测:良好的沟通对于解决社会冲突至关重要,尤其是在监狱等封闭社区。当沟通因听力损失或协调困难、声音、语言、流利性或沟通所需的任何生物系统中断等因素而中断时,可能会出现人类沟通障碍。这项审查旨在确定监狱囚犯中最普遍的沟通障碍。材料和方法:通过数据库对过去38年中有沟通障碍的囚犯进行系统回顾。在阅读标题和摘要并应用资格标准后,选择了25篇文章并纳入最终审查。结果:对2188人的样本进行了评估,其中两项研究仅针对女性群体进行,而12项研究仅为男性,11篇文章为混合群体。所有的研究都包括对语言和沟通障碍的总体评估,其中语言障碍更为普遍。没有对来自非洲国家、拉丁美洲或亚洲的被监禁者的语言和交流障碍进行评估的英语研究,从而在监狱系统中变得更加脆弱。言语治疗师是法律工作者的重要成员,通过预防、早期发现、评估和治疗沟通障碍,改善与司法系统接触或有接触风险的人的健康、福祉和参与度。
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引用次数: 0
Self injury and the need to ask for help. 自残和寻求帮助的需要。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.18176/resp.00065
Juan Antonio González Gómez, Estefanía Márquez Martos, Jorge Juan Navas Morales, Santiago Domínguez Rosales, Irene Jado Gómez
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引用次数: 0
Characterization of autism spectrum disorder inside prison. 监狱内自闭症谱系障碍的特征。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.18176/resp.00064
Marc Peraire, Patricia Cantos, María Sampedro-Vidal, Lucía Bonet-Mora, Francisco Arnau-Peiró

Introduction: Autism is a neurodevelopmental disorder characterized by intolerance of change, empathy deficits, misunders- tandings, and emotional dysregulation. Core symptoms can determine criminal behaviour and subsequent interactions with the penal system. A significant presence of such symptoms is detected in forensic settings. The objective of this study is to analyze the characteristics of autism within the prison context, summarizing and updating the knowledge in this field.

Material and method: Systematic review through databases on studies that analyze the socio-demographic, clinical, and judi- cial characteristics of prisoners diagnosed with autism spectrum disorder.

Results: Autistic traits constitute an independent risk factor for incarceration. Those inmates with autism spectrum disorder frequently present a psychiatric comorbidity, especially substance use disorder, psychotic disorders, and other neuro-develop- mental disorders. They are associated with a greater probability of self-harming thoughts and disruptive behaviours, which are not predicted by the usual evaluation tools.

Discussion: Prisoners with autism spectrum disorder have a differential socio-demographic, clinical, and criminal profile. A specific approach that is different from the one provided for neurotypical prisoners should be offered to these inmates. In- frastructures should be adapted to reduce fragility, make the environment more flexible and specific methods for evaluation and treatment should be developed.

简介:自闭症是一种神经发育障碍,其特征是不能改变,移情缺陷,误解和情绪失调。核心症状可以决定犯罪行为以及随后与刑罚系统的相互作用。在法医环境中检测到这些症状的显著存在。本研究的目的是分析监狱环境下自闭症的特征,总结和更新这一领域的知识。材料和方法:通过分析被诊断为自闭症谱系障碍的囚犯的社会人口统计学、临床和司法特征的研究数据库进行系统回顾。结果:自闭症特征是监禁的独立危险因素。患有自闭症谱系障碍的囚犯经常表现出精神上的共病,特别是物质使用障碍、精神障碍和其他神经发育-精神障碍。他们更有可能产生自我伤害的想法和破坏性的行为,这是通常的评估工具无法预测的。讨论:患有自闭症谱系障碍的囚犯具有不同的社会人口统计学、临床和犯罪特征。应该为这些囚犯提供一种不同于为神经正常的囚犯提供的具体方法。应调整基础设施以减少脆弱性,使环境更加灵活,并应制定具体的评估和处理方法。
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引用次数: 0
Scientific assessment and balance of the 14th Congress and 21st Conference of the Spanish Society of Prison Health held at Jerez de la Frontera, Cadiz. 在加的斯赫雷斯德拉弗朗特拉举行的西班牙监狱卫生学会第十四届代表大会和第二十一届会议的科学评估和平衡。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.18176/resp.00060
Esther Campo-Moneo, Francisco Téllez
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引用次数: 0
Prison officers in Latin America: quality of life, working conditions and main difficulties. 拉丁美洲的监狱官员:生活质量、工作条件和主要困难。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.18176/resp.00063
Cesia Abello, Margarita Pacheco, Guillermo E Sanhueza

Although the number of empirical studies on prison inmates in Latin America has increased in recent years, an aspect that still remains little studied is the situation of prison workers. This article analyzes the labor situation of prison officers in Latin America, and considers their working conditions, quality of life and the problems that affect them, in a region marked by precarious, overcrowded and violent prison systems. To do so, a systematic review of articles published in Spanish or Portuguese on the Scielo platform between 2000-2021 was carried out. Our main findings show that prison officers suffer from significant levels of stress and work overload; and carry out their work in poor conditions; with long working hours; performing an invisible and socially undervalued job; with important risks of negative consequences for their physical and mental health. Finally, some implications of the findings and some lines of intervention are discussed.

尽管近年来对拉丁美洲监狱囚犯的实证研究有所增加,但监狱工作人员的情况仍然很少得到研究。本文分析了拉丁美洲监狱官员的劳动状况,并考虑了他们的工作条件,生活质量和影响他们的问题,在一个以不稳定,过度拥挤和暴力监狱系统为特征的地区。为此,对2000年至2021年间在Scielo平台上以西班牙语或葡萄牙语发表的文章进行了系统回顾。我们的主要发现表明,监狱官员承受着巨大的压力和超负荷的工作;在恶劣的条件下工作;工作时间长;从事一份隐形的、被社会低估的工作;对他们的身心健康有严重的负面影响。最后,讨论了研究结果的一些含义和一些干预措施。
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引用次数: 0
Usefulness of teledermatology in prisons. The experience in the Penitentiary Center Castellón II. 远程皮肤病学在监狱中的应用。监狱中心的经验Castellón二。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.18176/resp.00062
Gerard Pitarch-Bort, Oreto Arnandis-Viñerta, Agustín Mª Herrero-Matías

Introduction: Teledermatology is the application of new technologies for the care of skin diseases. Its application in prisons allows the diagnosis and treatment of prisoners without the need to transfer them to the hospital, avoiding the problems associated with travel.

Material and method: The objective of this work is to analyze the usefulness of teledermatology in prisons, through a retrospective observational study in the Castellón II-Albocàsser penitentiary.

Results: The study sample consisted of 37 patients and 43 interconsultations. All the consultations corresponded to men, with a mean age of 42.43 years. 95.3% of the consultations were asynchronous and in 86% of them a diagnosis and a complete treatment plan were established. Only 18.6% of the consultations required a face-to-face consultation.

Discussion: It is concluded that teledermatology in prisons is effective in the care and resolution of dermatological problems.

远程皮肤病学是一门应用新技术治疗皮肤病的学科。该系统在监狱的应用使得对囚犯的诊断和治疗无需转到医院,避免了与旅行有关的问题。材料和方法:本研究的目的是通过对Castellón II-Albocàsser监狱的回顾性观察研究,分析远程皮肤病学在监狱中的有用性。结果:研究样本包括37例患者和43例会诊。所有咨询均为男性,平均年龄为42.43岁。95.3%的咨询是不同步的,其中86%的诊断和完整的治疗计划是建立的。只有18.6%的咨询需要面对面咨询。讨论:认为监狱远程皮肤科在治疗和解决皮肤病方面是有效的。
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引用次数: 0
Criminal characteristics and psychopathy in women in prison. 女囚犯罪特征与心理变态。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.18176/resp.00061
Verónica Molina-Coloma, Rosario Lara-Machado, Betsabé Lara-Barros, Carla Valdez-Miño

Objectives: To compare the factors and facets of psychopathy based on criminal characteristics in a sample of women in prison.

Material and method: Descriptive, comparative, cross-sectional study composed of a sample of 41 women incarcerated in the Ambato prison in Ecuador. In an individual session, the Hare Psychopathy Scale Revised was applied.

Results: Recidivist women, with a juvenile criminal history and who are admitted to the maximum-security ward, have a higher score in the affective facet of the PCL-R. In addition, those women who are in the maximum-security pavilion have scored high in factor 2 (social deviance), mainly in the antisocial aspect.

Discussion: This subgroup of women in prison is characterized by lack of remorse, emotional insensitivity, manipulation, inability to accept responsibility for their own actions, and superficial affection. Further expansion of the study of psychopathy in women is required.

目的:从犯罪特征的角度比较女犯人精神变态的因素和方面。材料和方法:对在厄瓜多尔安巴托监狱服刑的41名妇女进行描述性、对比性、横断面研究。在一个单独的会议中,应用了Hare精神病量表修订版。结果:有青少年犯罪前科的女性惯犯在情感方面的PCL-R得分较高。此外,那些在最安全的亭子里的女性在因子2(社会越轨)上得分很高,主要是在反社会方面。讨论:这一监狱女性群体的特点是缺乏悔意,情感不敏感,操纵,无法为自己的行为承担责任,感情肤浅。需要进一步扩大对妇女精神病的研究。
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引用次数: 0
"Missiles" as self injuries from the past. "导弹 "是过去的自伤。
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.18176/resp.00059
Manuel Vicente Planelles-Ramos, Rocío Lázaro-Monge, Mercedes Jiménez-Pérez, Carlos Carrasco-Santos
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引用次数: 0
COVID-19 and Prisons in Spain: is there any good news? COVID-19与西班牙监狱:有什么好消息吗?
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.18176/resp.00054
Vicente Martín
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引用次数: 0
期刊
Revista Espanola de Sanidad Penitenciaria
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