Supply Reduction in Prison

2018 ◽  
Author(s):  
Robert L. Trestman ◽  
Ashbel.T. Wall
Keyword(s):  
Drug Testing ◽  
Addictive Disorders ◽  
Random Drug Testing ◽  
Phone Calls ◽  
High Prevalence ◽  
Broad Array ◽  
Drug Economy ◽  
Supply Reduction ◽  
Very High ◽  
Illicit Substances

Interdiction of addictive substances is a challenge in all settings. Prisons are no exception. Given the high prevalence of addictive disorders among prisoner populations the demand for illicit substances is very high. This chapter reviews the ways in which correctional staff have approached this concern, including a substantial focus on preventing illicit substances from entering the facility in the first place. This effort requires a broad array of interventions, including monitoring phone calls and mail; structuring and overseeing the visitation process; using trained canines; and employing intrusive searches any time a prisoner leaves the facility and returns. These efforts interface with an ongoing process to monitor prison activities for drugs that get past screening efforts. Random drug testing, canine tours of the facility, and an intricate system of informants, are each an element of effective monitoring activities. This chapter reviews the effectiveness and cost-effectiveness of such interventions, and considers the consequences of failure. Given that such consequences may include staff corruption and the development or growth of a prison drug economy, effective interdiction is a priority in every well-run facility.

HIGH PREVALENCE OF MALNUTRITON AND WORM INFECTION AMONG VAN KIEU AND PAKOH CHILDREN AGED 12-36 MONTHS IN DAKRONG DISTRICT, QUANG TRI PROVINCE

2012 ◽  
pp. 129-134
Author(s):  
Thi Lan Tran ◽  
Thi Huong Le ◽  
Xuan Ninh Nguyen
Keyword(s):  
Cross Sectional Study ◽  
Age Group ◽  
Infection Status ◽  
Sectional Study ◽  
Group Recommendation ◽  
Related Factors ◽  
Normal Children ◽  
Cross Sectional ◽  
High Prevalence ◽  
Very High

Objectives: Assess the nutritional status, worm infection status and some related factors among children aged 12-36 months of Dakrong district, Quang Tri province. Subject and method: A cross sectional study was carried out in 2010, in 680 children aged 12-36 months in 4 communes of Dakrong district, Quang Tri province. Results: The malnutrition rate was 55.0% for underweight, 66.5% for stunting and 16.2% for wasting. The prevalence of malnutrition increases by age group. The prevalence of worm infection was 31.6%, the highest prevalence was belong to Ascaris infection (24.6%), followed by Hookworm and Trichuris (6.5% and 6.2%, respectively). The prevalence of worm infection among children under two is very high (27.0%). The prevalence of worm infection was distributed quite equally between the malnutrition children group and normal children group. Recommendation: Early deworming forchildren from 12 months should be considered as important strategy against the malnutrition of children in Dakrong district, Quang Tri province

Random drug testing in prisons: Does a little testing go a long way?

2021 ◽  
Author(s):  
Holly Nguyen ◽  
Greg Midgette ◽  
Thomas Loughran ◽  
Yiwen Zhang
Keyword(s):  
Drug Testing ◽  
Random Drug Testing

ADHD and addictive disorders: What links?

2015 ◽  
Vol 30 (S2) ◽  
pp. S28-S28
Author(s):  
M. Fatseas
Keyword(s):  
Substance Use ◽  
Psychiatric Disorders ◽  
Adult Adhd ◽  
Age At Onset ◽  
Addictive Disorders ◽  
Increased Risk ◽  
High Prevalence ◽  
Complicated Course ◽  
Comprehensive Search ◽  
Relationship Of

The links between ADHD and addictive disorders have been the subject of a large number of studies showing a high prevalence rate of ADHD in substance abusing populations as well as an increased risk of substance use disorder (SUD) in ADHD patients that may be independent of other psychiatric conditions. High prevalence of ADHD has also been highlighted among individuals suffering from other addictive disorders such as pathological gambling. Adequate diagnosis of ADHD in SUD patients is challenged by phenomenological aspects of addiction and by frequently associated other psychiatric disorders that overlap with key symptoms of ADHD. A detailed comprehensive search for child and adult symptoms including the temporal relationship of ADHD, substance use and other psychiatric disorders should maximize the validity and the reliability of adult ADHD diagnosis in this population. Further, a follow-up evaluation of ADHD symptoms during treatment of SUD may reduce the likelihood of misdiagnosis. Finally, it should be noticed that when SUD occurs with ADHD, it is associated with a greater severity of SUD compared to other SUD patients. This has been shown with an earlier age at onset, antisocial behavior, risk for depression, chronicity of substance use, need for hospitalization and likelihood of a complicated course. Recent data suggest that the effects of ADHD on SUD outcomes are independent of other psychiatric comorbidities. This highlights the need of an earlier implementation of preventive interventions for substance use or behavioral addiction in children/adolescents with ADHD and the necessity to consider this disorder in the treatment of addictive disorders. Benefices and risk of MPH in adult patients with addiction and ADHD are discussed.

scholarly journals A very high prevalence of hepatitis C virus infection among patients undergoing hemodialysis in Kosovo: a nationwide study

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Xhevat Jakupi ◽  
Jana Mlakar ◽  
Maja M. Lunar ◽  
Katja Seme ◽  
Ibrahim Rudhani ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Virus Infection ◽  
Hepatitis C Virus Infection ◽  
Nationwide Study ◽  
High Prevalence ◽  
Very High

scholarly journals Study of Lipid Profile in Metabolic Syndrome Patients

2020 ◽  
pp. 166-173
Author(s):  
Pinky Karam ◽  
B. Shanthi ◽  
Kalai Selvi
Keyword(s):  
Metabolic Syndrome ◽  
High Risk ◽  
Demographic Data ◽  
P Value ◽  
Metabolic Abnormalities ◽  
Moderate Risk ◽  
Standard Guideline ◽  
High Prevalence ◽  
Lipid Abnormalities ◽  
Very High

Background: Metabolic syndrome is a group of metabolic abnormalities in which the chance of developing cardiovascular disease, diabetes mellitus, chronic kidney disease are high. Aim: It aims at studying the lipid abnormalities in metabolic syndrome patients. Methods: Total of 100 metabolic syndrome patients were selected for study over a period of 1year. These patients were selected based on the criteria for metabolic syndrome as established by National Cholesterol Education Program (NCEP) adult Treatment Panel III (ATP III). Demographic data were taken and biochemical parameters were estimated by standard guideline. Results: Total cholesterol is significantly higher in very high risk (272.1 ± 8.591) compared to high risk (241.2 ± 3.901) and moderate risk (231.5 ± 4.498). TGL is significantly higher in very high risk (263.9 ± 13.70) compared to high risk (202.1 ± 6.531) and moderate risk (183.7 ± 7.650). HDL is almost same in very high risk (43.09 ± 1.533), high risk (40.44 ± 0.996) and moderate risk (42.53 ± 1.088). LDL is significantly higher in very high risk (177.9 ± 4.255) and high risk (169.4 ± 3.190) compared to moderate risk (155.7 ± 3.098). VLDL is significantly higher in very high risk (52.78 ± 2.739) compared to high risk (40.43 ± 1.306) and moderate risk (36.73 ± 1.530). CHO: HDL is significantly higher in very high risk (6.648 ± 0.366) compared to moderate risk (5.560 ± 0.207). High risk (6.060 ± 0.156) is not significantly different from very high risk and moderate risk. Thus, TC, TGL, LDL, VLDL, and CHO: HDL is significant as p value < 0.05 while HDL did not have any significance as p value > 0.05. Conclusion: In this study, high prevalence of dyslipidaemia is seen. So, timely diagnosis and treatment will help in detecting dyslipidaemia patients in future.

scholarly journals Prevalence of carotid and femoral artery atherosclerosis among the Ivanovo Oblast population: data from the ATEROGEN-Ivanovo study

2021 ◽  
Vol 20 (5) ◽  
pp. 2994
Author(s):  
A. I. Ershova ◽  
T. V. Balakhonova ◽  
A. N. Meshkov ◽  
V. A. Kutsenko ◽  
E. B. Yarovaya ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Carotid Atherosclerosis ◽  
Subclinical Atherosclerosis ◽  
Population Data ◽  
Age Group ◽  
Russian Regions ◽  
High Prevalence ◽  
Age Range ◽  
Very High ◽  
Low Cardiovascular Risk

Aim. To study the prevalence of carotid (CA) and femoral artery (FA) atherosclerosis among Russian population, mainly in middle age group, using a representative sample of one of the Central Russian regions.Material and methods. The analysis included participants of the ATEROGEN-Ivanovo study (sub-study of the ESSE-RF conducted in the Ivanovo region) aged 40-67 years, who were invited for CA and FA ultrasound to assess plaque presence. A total 1102 people were examined, which was >80% of the original sample.Results. The age of subjects was 54 [48; 60] years (men, 28%). Only 11,2% of participants took statins; 30,9% had low cardiovascular risk (CVR), 35,6% — moderate CVR, 21,8% — high CVR, and 11,8% — very high CVR. The incidence of at least one plaque in CA or FA was 73,6%. The prevalence of CA atherosclerosis was 76,4% in men and 59,1% in women, FA atherosclerosis — 54,9% and 28,3%, respectively. Furthermore, plaques were detected already at the age of 40. The incidence of plaques significantly increased with age, with the exception of carotid atherosclerosis in men, a significant increase in the incidence of which stopped at 45 years of age.Conclusion. Among the Ivanovo population aged 40-67 with a predominance of low-to-moderate CVR patients, there is a high prevalence of carotid and femoral atherosclerosis, which indicates a high potential for using ultrasound for diagnosing subclinical atherosclerosis in assessing CVR in people of this age range.

Prevalence of scabies in Sanma Province, Vanuatu

2019 ◽  
Vol 113 (8) ◽  
pp. 500-502
Author(s):  
Jack Callum ◽  
Duin McDiarmid ◽  
Yu Gao ◽  
Mark Armstrong ◽  
Edna Iavro ◽  
...  
Keyword(s):  
Multilevel Models ◽  
Bivariate Analysis ◽  
Significant Issue ◽  
Chronic Complications ◽  
Household Factors ◽  
The Pacific ◽  
High Prevalence ◽  
Very High

Abstract Background Scabies is a common, under-reported condition in the Pacific with acute and chronic complications. In this study we explored the prevalence of scabies in Sanma Province, Vanuatu. Methods We randomly selected 30 villages from nine government zones across three islands and examined residents present within these villages for scabies. Bivariate analysis and multilevel models were conducted to investigate associated demographic and household factors. Results Of 1879 participants examined, 563 had scabies (30%, 95% CI 27.9 to 32.1) with the highest prevalence in children aged 6–10 y (38.8%, 95% CI 33.9 to 44). Conclusions Scabies is a significant issue in Sanma with very high prevalence in children.

scholarly journals 490. High Prevalence of Rectal Carriage of blaKPC –Mediated Carbapenem-Resistant Enterobacteriaceae Among Community Food Handlers in Kuwait

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S239-S239
Author(s):  
Noura Al-Sweih ◽  
Ola Moghnai ◽  
Vincent O Rotimi
Keyword(s):  
Healthy Food ◽  
Food Handlers ◽  
Carbapenem Resistant ◽  
Gcc Countries ◽  
High Prevalence ◽  
The World ◽  
Genes Encoding ◽  
Vitek 2 ◽  
Very High ◽  
Carbapenem Resistant Enterobacteriaceae

Abstract Background Carbapenemases are diverse enzymes which inactivate the carbapenems. KPC-producing carbapenemase-producing Enterobacteriaceae have disseminated to many regions in the world, however, anecdotal reports of KPC-producing CPE in some GCC countries excluding Kuwait. In this study we report the first emergence of the KPC producing CPE isolated from healthy food handlers in our community. Methods Rectal swabs were collected from 405 food handlers. Isolates were identified by VITEK 2 and their susceptibility to 21 antibiotics performed by MIC determination using Etest. Genes encoding carbapenemase production were characterized by PCR and clonality of isolates was determined by MLST. Results A total of 36 CPE were isolated from 31 participants, of which 15 (41.7%) were Escherichia coli and 8 (22.2%) Klebsiella pneumoniae. All isolates were susceptible to amikacin and tigecycline but an alarmingly high percentage (38.9%) were non-susceptible to colistin. A very high proportion of the CPE harbored blaKPC (58.3%), followed by blaOXA-48 (25%), blaNDM (5.6%) and blaVIM (2.8%). Carbapenemases were co-produced with ESBLs in 30.6% of the isolates. Sequencing of the KPC revealed that KPC-18 represented 45%, KPC-2 36% and KPC-29 18%. Considerable genetic diversity among the isolates was identified by MLST assays demonstrating the emergence of new clones. Five diverse new CPE clones were detected from three Bangladeshi citizens and 2 Indians. Conclusion Our finding demonstrates a relatively high colonization rate (8.9%) of healthy food handlers by CPE of which KPC-producing CPE were predominant; this is an unusual finding in Kuwait representing the first of such findings in our country and GCC. Disclosures All authors: No reported disclosures.

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