特殊人群结核病的流行病学调查

为了了解某监狱犯人中结核病的患病及结核菌耐药情况,为防治提供依据,采用痰检和结核菌素试验的方式对研究对象进行普查,结核分枝杆菌采用罗氏培养,药敏试验采用比例法.结果显示,PPD试验总阳性率为60.54%.痰检发现24例患者,涂阳患病率为898.54/10万.培养菌株总耐药率为95.83%,其中初治耐药率、复治耐药率和多重耐药率分别为87.5%,100%和73.91%.提示该特殊人群结核病患病率高于一般人群.     

2006年沈阳市胸科医院肺结核住院患者痰抗酸杆菌涂片结果分析

回顾性分析了2006年3月至2006年12月沈阳市胸科医院确诊为肺结核3644例住院患者的临床资料。评价我院痰涂阳性的住院患者的性别比率及临床意义。共有痰涂阳性住院病例207例,痰涂阳性病人男女性别比例为3．31：1。痰菌涂阳病例对性别的比值比为1．67（95％的可信限为1．20～2．33）,男性和女性痰菌阳性结果比较差异有统计学意义（Χ^2=9．48,P〈0．01）。提示我院痰涂阳性住院患者存在有明显的性别差异。     

耐多药肺结核的最优化治疗模式的几点思考

耐多药结核病是结核病治疗中的一个难点,由于耐药成因和耐药种类的多样性决定了治疗应该个体化,对耐多药肺结核的最优化治疗模式的应用和价值进行了思考和总结,这对结核病的治疗有极为重要的意义。     

耐多药肺结核的最优化治疗模式的几点思考

耐多药结核病是结核病治疗中的一个难点,由于耐药成因和耐药种类的多样性决定了治疗应该个体化,对耐多药肺结核的最优化治疗模式的应用和价值进行了思考和总结,这对结核病的治疗有极为重要的意义.     

公务员正常高值血压的流行现状及危险因素分析

对吉林省516名公务员的血压及心血管疾病危险因素进行描述性分析,用二分类Logistic回归法筛选危险因素。公务员正常高值血压现患率为34．9％。正常高值血压人群体重指数、腰围、空腹血糖、总胆固醇、低密度脂蛋白胆固醇、甘油三酯、血清肌酐、血尿酸、心一踝血管指数水平以及代谢综合征患病率均高于正常血压组低于高血压组,高密度...     

3—6岁不同民族儿童颜色命名发展的比较

该文报告了我国大陆地区的汉族、蒙族、维族、壮族、白族及哈尼族3-6岁儿童的颜色命名发展的水平与差异。采用8种常见色片,即红、橙、黄、绿、蓝、紫及黑、白作为本实验用色样。结果表明：6个不同民族儿童的颜色正确命名率均随年龄增长而提高,不同民族儿童的颜色正确命名率存在一定差异。从总平均结果值来看,汉族儿童正确命名率为75．7％,蒙族为74．9％,哈尼族为59．8％,壮族为57．8％,白族为56．3％,维族为42．9％。对不同颜色的正确命名难易程度是不同的,但总的发展趋势是一致的,正确命名颜色的先后发展次序是：先是黑色、红色、白色,然后是黄色和绿色,再后是蓝色,最后是紫色与橙色。对儿童给予早期颜色命名教育可以明显提高和促进其颜色命名能力的发展。     

广西各种意外性急性中毒2330例的特点分析

为了探讨广西意外急性中毒特点,调查分析了63家市、县、乡镇医疗单位的2330便意外性急性中毒病历资料。结果显示农村以男性、36岁～60岁、务农与农药类毒物的病例分布率（依序为：55．19％、42．21％、72．81％、40．21％）明显高于城镇（依序为：45．35％、30．95％、3．50％、3．83％）,城镇以女性、20岁～35岁、务工、无职业、化学类毒物的病例分布率（54．65％、38．11％、35．15％、29．69％、56．56％）显著高于农村（44．81％、25．26％、4．59％、11．26％、21.32％）（均为P〈0．005）。另农村农药类毒物以有机磷（占48．28％）最高,城镇化学类毒物以CO（占89．16％）最高;意外中毒病例数平均每年以13．82％的速度在递增。说明广西意外中毒人群结构与毒物种类在城乡间具有明显差别。     

综合医院住院患者心理问题筛查量表的初编及临床意义探讨

编制简明实用的住院患者心理问题筛查量表,有助于临床工作中对心理问题的鉴别和处理。采用完全随机抽样,对某三甲综合医院住院患者进行调查,通过统计分析形成了20个条目的筛查量表,Cronbach＇s Alpha系数为0．797,分半信度为0．666,效标效度分别为0．524、0．525、0．476,最佳分界值为6分,其灵敏度为84．40／0,特异度为54．6％,阳性预测值为20．87％,阴性预测值为96．09％,曲线下面积为0．740。量表条目质量及信度、效度符合测量学要求,适合在综合医院患者中进行临床试用。     

重大交通肇事司机睡眠打鼾情况调查分析

调查重大肇事司机打鼾的患病率,打鼾和ESS评分的关系以及打鼾对交通事故的影响。对350例肇事司机进行现况问卷调查。结果重大肇事司机的打鼾患病率为44．9％,打鼾司机ESS评分≥9分者明显高于无打鼾司机（X^2=13．64,P〈0．01）,打鼾所致交通事故发生率和其他常见原因接近,肇事司机对打鼾的认知程度低,需引起临床医...     

结核病的再燃和控制新策略

由于忽视结核病控制工作、耐药菌株的出现、流动人口的增加以及艾滋病的流行导致了结核病在全球范围内再燃,中国是全球22个结核病高负担国家之一.世界卫生组织提出了控制结核病流行的有效新策略-DOTS.政府承诺、综合医院积极配合、归口管理、健康教育、加强培训等是确保DOTS实施的有效措施.     

HIV/AIDS in scottish prisons: Attitudes of staff and prisoners

Abstract

Prison is commonly regarded as a high risk environment for the transmission of HIV/AIDS. Five hundred and fifty-nine prisoners and 591 prison staff sampled from 8 Scottish prisons completed questionnaires concerning attitudes towards various issues of HIVIAIDS. A majority of prisoners and prison staff expressed liberal attitudes with respect to HIV/AIDS. For both staff and prisoners, the most liberal responses were to items dealing with personal and social contact with people with HIVIAIDS. A majority of prisoners and prison staff expressed conservative attitudes in relation to screening of individuals for HIV. With regard to differences between prisoners and prison staff, prisoners were more supportive than prison staff of the provision of free condoms to homosexuals and free condoms and syringes to intravenous drug users, and the provision of free medical care to both groups in the case of AIDS. Among the prisoner sample, intravenous drug users, in comparison to non-users, were found to be more positive in their attitudes toward HIVIAIDS on a wide range of issues. The implications of the study for health psychology are discussed with regard to prisoner and prison staff educational needs and prisoner management.     

Recognition of problem drinking among young adult prisoners

Alcohol is a preventable cause of illness, offending and other adversities worldwide. Prisoners are especially vulnerable. The aim of this study was to test the hypotheses that younger adult male prisoners are more likely to be hazardous drinkers than their older peers, but less likely to recognize this. The study cohort comprised 100 male prisoners aged 18-20 years and 157 aged 21 and over, who were interviewed and completed standard alcohol and drug questionnaires just after reception into prison. It was found that younger men were significantly more likely to be hazardous drinkers than their older peers but less likely to recognise this, even at scores on the Alcohol Use Disorders Identification Test (AUDIT) indicating dependency. They were also less likely to experience withdrawal symptoms, the main factor associated with problem drinking recognition at any age. Younger prisoners were less likely to be depressed, more likely to rate their social support as good and less likely to be dependent drug users. We conclude that reliance on younger prisoners to recognise their hazardous drinking would identify about one-fifth of them. With a lower likelihood of withdrawal symptoms than older men, they are probably still metabolizing alcohol more effectively. Given their similarities to older prisoners in terms of any previous imprisonment and likely personality disorder, formal screening for hazardous drinking might prevent decline into problem drug use, depression, reoffending, re-imprisonment, and social disconnection.     

Bullying in prisons: the importance of perceived social status,prisonization, and moral disengagement

Research has focused on the environmental causes of bullying in prison, but neglected the intrinsic characteristics of bullies. Although the importance of social status in prison has been noted as one factor that may influence bullying, no empirical research has yet addressed this. The main aim of this study was to investigate whether the perceived importance of social status in prison motivates bullying, with the subsidiary aim of exploring whether moral disengagement and prisonization influence the relationship. A total of 132 adult male prisoners were interviewed and categorized as a bully, victim, bully/victim or not involved. The prevalence of bullying was high, with over half the prisoners being both a victim and perpetrator of bullying. As predicted, bullying was positively related to the perceived importance of social status; prisoners involved in bullying valued social status more than those who were not. Furthermore, moral disengagement mediated the relationship between bullying and social status. Prisonization was also related to the perceived importance of social status, moral disengagement and bullying. It is concluded that a desire to achieve social status in prison may contribute to bullying. Furthermore, prisonized attitudes may instill values such as social status into prisoners and may also help facilitate cognitive distortions such as moral disengagement, which in turn, may serve to maintain involvement in bullying activity. Aggr. Behav. 32:1–12, 2006. © 2006 Wiley‐Liss, Inc.     

Changing Attitudes Toward Prison Reform: Effects of Similarity to Prisoners on Attraction and Rejection1

Human–rights organizations and prisoner advocacy groups try to create positive attitudes toward liberal prison reform by emphasizing similarities between the public and prisoners. Theories of similarity and attraction, however, suggest that this strategy can backfire. Although it commonly increases liking, similarity can increase rejection when the similar other is stigmatized. An experiment tested the efficacy of appeals to similarity in changing prison reform attitudes. Republicans and Democrats listed aspects of themselves that made them similar to or different from prisoners, and then they completed a measure of prison reform attitudes (Silvia, 2003). Emphasizing similarity between the participant and prisoners did not always cause positive attitudes. After focusing on similarity to prisoners, Democrats reported more liberal prison reform attitudes, and Republicans reported more punitive attitudes. Implications for changing attitudes toward prison reform are discussed.     

Beyond emotional labour: Emotions and peer support in a Canadian prison

Little research has examined the emotional labour of prisoners working in the prison. Drawing from interviews with members of the Peer Offender Prevention Service (POPS) at a Canadian prison, which is an initiative whereby some prisoners trained in suicide prevention serve as mentors and guides for other prisoners experiencing distress, this paper examines how the work of POPS involves management of one's own emotions as well as the emotions of other prisoners. We reveal how this emotional labour happens in specific areas and spaces of the prison. However, drawing from other trends in the sociology of emotions, we also show how there are emotions beyond emotion management in the prison, which entails analyzing trust and confidence among POPS members, and exploring community and communal emotional climates. The paper makes an empirical contribution by adding to literature on emotions and prison conditions, as well as a conceptual contribution by advancing literature on emotional labour.     

A Stark Examination of Prison Culture and Prison Ministry

Abstract : This article offers an insightful examination of prison ministry from the inside, from someone who has been involved with this ministry for over forty‐five years. The author discusses four major issues that are particularly costly, both in terms of personal human costs and also financial costs. First, society's misconceptions about prison violence, and the complex, varied ways prisoners experience violence. Second, the false sense of security the current practices of institutionalization create, and the consequences they have on the inmates. Third, the risk factors that can predispose children to ending up in prison, and the lack of care and attention those children often receive. And fourth, the way in which the criminalization of drug abuse has exacerbated many problems with the current prison system. The author concludes his article with some suggestions for reforming the prison system.     

Aktuelle Aspekte des Gefängnissuizids

Suicides present a major complication during imprisonment and contribute essentially to the high mortality rate of prisoners. All international studies found increased suicide rates among prisoners in comparison to the general population. This article reviews general and individual risk factors for suicide in prison and possible contributing specific stress factors during imprisonment. The main results of the analysis of the European Annual Prison Statistics from 1997 to 2007 are presented referring to macrostructural determining risk factors for suicide in prison. Measurements and prevention strategies are briefly discussed.     

Experiences of transgender prisoners and their knowledge,attitudes, and practices regarding sexual behaviors and HIV/STIs: A systematic review

Background: Despite transgender people being more visible in prison systems, research suggests they are at higher risk of experiencing sexual violence compared to other prisoners. Research also suggests that transgender prisoners experience harassment, and physical and sexual assault by fellow prisoners, and prison officers who lack transgender-specific health knowledge. There exist no systematic reviews on the experiences of transgender people in prisons. This review aims to fill this research gap. The following question developed in consultation with transgender, sexual health/HIV and corrective services stakeholders has guided the systematic review: What are transgender and gender-diverse prisoners’ experiences in various prison settings and what are their knowledge, attitudes and practices regarding sexual behaviors and HIV/STIs?

Methods: The review followed the PRISMA guidelines and searches were conducted in four databases for the period of January 2007 to August 2017. Studies were assessed against predetermined inclusion and exclusion criteria. Included studies were peer-reviewed, written in English with online full-text availability and reported data on transgender and gender-diverse prisoner experiences relevant to the research question.

Results: Eleven studies (nine qualitative, one quantitative, one mixed-methods; nine in USA, two in Australia) met the criteria for review. Four studies were of high quality, six were of good/acceptable quality, and one study was of modest quality. Transgender and gender-diverse prisoners reported a range of challenges which included sexual assault, discrimination, stigma, harassment, and mistreatment. Information on their sexual health and HIV/STIs knowledge, attitudes, practices is in short supply. Also, their lack of access to gender-affirming, sexual health/STIs and mental health services is commonplace.

Conclusions: The experiences of transgender prisoners as reported in this review are almost uniformly more difficult than other prisoners. Their “otherness” is used as a weapon against them by fellow prisoners through intimidation and violence (including sexual) and by prison officers through neglect and ignorance.     

Correctional Services and Prison Chaplaincy in Australia: An Exploratory Study

This paper summarizes an exploratory study undertaken to consider the work of Australian chaplaincy personnel ministering to prisoners within correctional facilities. This qualitative research was not concerned with specific correctional institutions per se, but predominantly about the perspectives of chaplains concerning their professional contribution and issues they experienced while trying to provide pastoral care to prisoners. Data from a single-focus group indicated that prison chaplains were striving to fulfill religious and spiritual duties according to national and international standards for the treatment of prisoners. Given various frustrations identified by participants, that either impeded or thwarted their professional role as chaplains, a number of improvements were subsequently identified in order to develop the efficiency and effectiveness of chaplaincy and thus maximize the benefits of pastoral care to prisoners. Implications of this exploratory study relate not only to prison chaplaincy but also to ecclesiastical organizations, correctional facilities, governments and the need of support for further research to be conducted.