Search Results (612)

Hepatitis B virus (HBV) infection remains a global public health concern, with perinatal transmission as the primary route in endemic populations. Ayacucho is a priority region due to its high incidence (second nationally between 2019 and 2024) and the significant decline in vaccination coverage (~15%). This study aims to synthesize existing epidemiological evidence on HBV seroprevalence in Ayacucho, Peru, emphasizing temporal changes observed before and after the implementation of vaccination programs to inform control strategies. This review was conducted, integrating data from diverse population groups, including children, pregnant women, blood donors, high-risk individuals (military personnel, female sex workers, prisoners), and household contacts, to identify transmission patterns and evaluate the impact of immunization efforts. Historically, Ayacucho was hyperendemic, with an HBsAg prevalence of 20% in Huanta (1985–1986) and a high mortality from liver diseases. The introduction of a vaccination in the 1990s led to a drastic reduction in infection rates among children, from 24.4–30.4% (1994) to 2.3–5.1% (1997), and improved overall Expanded Program on Immunization (EPI) coverage. However, recent data (2000–2024) reveal a concerning increase in HBV cases since 2012, with peaks in 2016 and 2023, correlating with a decline in vaccination rates post-2021. HBV prevalence remains elevated among high-risk populations—including military personnel, female sex workers, and prisoners—as well as among blood donors (HBsAg: 3.73–5.0%; anti-HBc: 21–33%). In addition, significant knowledge gaps and low adherence to EPI strategies were observed. Despite initial vaccination success, Ayacucho faces a resurgence of HBV infection, exacerbated by declining vaccine coverage and vulnerabilities in high-risk populations. Reinforcing immunization programs and screening strategies is urgent to control and eventually eliminate HBV cases in the region. Full article

Background: Article 32 of the Italian Constitution guarantees the right to health for all citizens, including detainees. Prison populations face unique health challenges due to high-risk lifestyles, psychosocial stressors, and limited access to care. This study aimed to investigate the burden of chronic diseases and associated risk factors among male inmates in a central Italian prison. Methods: This cross-sectional study was conducted in accordance with STROBE guidelines at Giuseppe Pagliei Prison in Frosinone, Central Italy, from May 2022 to May 2023. A total of 477 adult male inmates underwent systematic clinical evaluations and medical record reviews. Demographic and health data were analyzed to determine the prevalence of chronic conditions and related risk factors. Results: Participants (mean age 47.3 ± 13.1 years; 69.6% Italian, 30.4% international, mainly Eastern European and African) presented on average 1.8 chronic conditions. The most frequent diagnoses were psychiatric disorders (19.9%), cardiovascular diseases (17.2%), and osteoarticular disorders (14.5%). Disease burden correlated with aging, unhealthy lifestyles, and incarceration-related stressors. Tobacco smoking was highly prevalent. Conclusions: Male inmates show a considerable and partly preventable burden of chronic disease. Broader policy measures, including alternative sentencing and community-based rehabilitation, may mitigate the health impact of imprisonment while ensuring public safety. Adequate prison healthcare remains a public health priority and a constitutional and human rights obligation. Full article

Background: Incarcerated individuals often experience poor oral health due to limited access to care and socioeconomic disadvantages. Objective: This study assessed the dental health status of incarcerated individuals in Silesia over a five-year period using the Decayed, Missing, and Filled Teeth (DMFT) index and compared their outcomes to a matched control group from the general population. Methods: We conducted a retrospective observational case-control study at the University Centre for Dentistry in Bytom, reviewing records of 136 incarcerated patients (mean age 36.8 ± 7.9 years; 9.4% women) and a matched control group between 2019 and 2024. Results: Incarcerated individuals had a higher mean DMFT score (14.4 ± 5.7) compared to controls (11.5 ± 6.5; mean difference = 2.95, 95% CI: 1.53 to 4.37; Cohen’s d = 0.49), with more decayed (4.9 ± 3.2 vs. 3.4 ± 2.4) and missing teeth (4.3 ± 3.2 vs. 3.5 ± 2.6). Most incarcerated patients (65.5%) required oral surgical treatment, most commonly for retained roots (25.9%) and impacted teeth (24.5%). No significant DMFT differences were observed based on age or sex, although disparities were most pronounced in older female prisoners (mean DMFT 17.8 vs. 9.8 in controls aged 40+). Conclusions: Incarcerated individuals in Silesia demonstrated a significantly higher burden of untreated dental disease and greater tooth loss compared to non-incarcerated controls over the five-year period. The predominance of advanced dental conditions requiring surgical intervention highlights missed opportunities for early and preventive care in this vulnerable population. Full article

Childhood trauma has been associated with criminal behaviour and a variety of psychopathologies. Furthermore, it is known that emotional dysregulation (ED) predicts anxiety and depression and can be a product of traumatic experiences. In order to develop effective interventions for offenders’ rehabilitation and prevent recidivism, it is essential to fully understand their mental health and its relation with previous child trauma experiences and ED. This study involved a sample of 100 male inmates incarcerated in seven different prisons in the northern region of Portugal. The following measures were used: the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the International Trauma Questionnaire (ITQ), the Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire (PHQ-9), and the Difficulties in Emotional Regulation Scale (DERS). Our findings suggest that individuals who experienced physical and sexual abuse are more likely to perpetrate violent crimes and that ED increases anxiety and depressive symptoms in individuals with traumatic symptoms. In conclusion, it is imperative to provide psychological support to this population, and interventions need to be adapted according to trauma exposure. Full article

The problem associated with the manifestation of burnout syndrome is the subject of ongoing interest. In recent years, occupational burnout has been actively studied among professionals in the helping professions (teachers, physicians, social workers, psychologists, prison officers, etc.). However, the phenomenon has been poorly studied among freelancers. Therefore, the aim of this study is to fill this gap by determining the level of burnout syndrome among Bulgarian freelancers and investigate the influence of some work environment factors on professional burnout in the sample. A survey of 1138 freelancers was carried out using the Burnout Self-Assessment Questionnaire developed by Maslach and a questionnaire developed in-house to explore the factors of the occupational environment and ask questions related to socio-demographic factors. Hypotheses are tested using correlation analysis and structural equation modelling. The study reveals high levels of emotional exhaustion (40.91%, n = 484). High values on the scale of depersonalization were reported for 26,3% of the respondents (n = 311). Only 3.1% of the respondents (n = 37) had high values on the reduced personal accomplishment scale. The high levels of burnout among freelancers could be influenced by the specific characteristics of their work environment and the nature of their tasks. Full article

Background/Objectives: Substance use disorders and eating disorders frequently co-occur and are both associated with increased aggression. As a result, individuals with these conditions are overrepresented in prison populations. The present study investigated whether symptoms of eating disorders in male forensic psychiatric inpatients with substance use disorders are associated with heightened aggression. To this end, various forms of aggressive behavior—including spontaneous and reactive aggression, excitability, and violent offenses—were analyzed. Methods: Fifty-six male patients from two forensic psychiatric hospitals in Germany participated in the study. Symptoms of eating disorders were evaluated with the German version of the Eating Disorder Examination Questionnaire (EDE-Q), and aggression was measured with the Short Questionnaire for the Assessment of Aggression Factors (K-FAF) and by considering the violent index offense. Data were analyzed by generalized linear models, with age and body mass index (BMI) included as covariates. Results: Higher EDE-Q scores significantly predicted increased spontaneous aggression and excitability. However, no significant association was found between eating disorder symptoms and reactive aggression or the likelihood of a violent index offense. Age and BMI did not significantly influence any aggression subscales. Conclusions: The findings suggest that in patients with substance use disorder, eating disorder symptoms may be linked to heightened internalized forms of aggression. These results support the clinical relevance of screening for eating disorder symptoms in forensic psychiatric settings and integrating dietary interventions into therapeutic efforts to manage aggression. Full article

This article investigates the paradox of disappearance as both an aesthetic and a political phenomenon. Taking inspiration from Radiohead’s song “How to Disappear Completely,” it argues that aesthetic representations of disappearance never achieve total erasure; instead, they give rise to new forms of visibility. A true aesthetics of disappearance does not exist. Through case studies such as H.G. Wells’s The Invisible Man and Guy Debord’s Society of the Spectacle, the article demonstrates that disappearance is always mediated: the invisible man becomes hyper-visible through his clothing, bandages, and mask, while the spectacle conceals marginalized lives only to expose them through mechanisms of institutional control (e.g., prisons, medical facilities, schools—as analyzed in Michel Foucault’s work). An investigation of the “novel of the institution” (Campe), especially as it appears in the works of Franz Kafka and Robert Walser, eventually explores the nexus between aesthetic representation and institutionalized forms of coerced visibility. Ultimately, the essay argues that disappearance, as an aesthetic and political event, destabilizes regimes of visibility—not by erasure alone, but by exposing the fragility of appearance itself. The tension between opacity and exposure suggests that resistance lies not in pure absence but in subverting the very mechanisms of representation. Full article

Background/Objectives: Despite legal frameworks acknowledging the need to protect the rights of female prisoners, penitentiary systems often neglect gender-specific needs, particularly for foreign women. Among them, Muslim women face distinct challenges linked to cultural and religious practices, which are frequently unmet in prison contexts. This review aims to explore the academic literature on the experiences of Muslim women in detention. Methods: A systematic review was conducted using three major bibliographic databases—Scopus, PubMed, and Web of Science—covering the period from 2010 to 2024. Inclusion criteria focused on peer-reviewed studies examining the condition of Muslim women in prison. Of the initial pool, only four articles met the criteria and were included in the final analysis. Results: The review reveals a marked scarcity of research on Muslim women in prison at both national and international levels. This gap may be due to their limited representation or cultural factors that hinder open discourse. The selected studies highlight key issues, including restricted access to services, limited ability to practice religion, and language and cultural barriers. These challenges contribute to increased psychological vulnerability, which is often underestimated in prison settings. Conclusions: There is an urgent need for targeted research and culturally competent training for prison staff to adequately support Muslim women in detention. Greater academic and institutional attention is essential to develop inclusive policies that consider the intersection of gender, religion, and migration, particularly in the post-release reintegration process. Full article

Healthy food service guidelines (HFSG) comprise food, nutrition, behavioral design, and other standards to guide the purchasing, preparation, and offering of foods and beverages in worksites and institutional food service. To date, there have been few attempts to synthesize evidence for HFSG effectiveness in non-K-12 or early childhood education sectors, particularly at worksites and institutional food services. We conducted a scoping review to achieve the following: (1) characterize the existing literature on the effectiveness of HFSG for improving the institution’s food environment, financial outcomes, and consumers’ diet quality and health, and (2) identify gaps in the literature. The initial search in PubMed and Web of Science retrieved 10,358 articles; after screening and snowball searching, 68 articles were included for analysis. Studies varied in terms of HFSG implementation settings, venues, and outcomes in both U.S. (n = 34) and non-U.S. (n = 34) contexts. The majority of HFSG interventions occurred in venues where food is sold (e.g., worksite cafeterias, vending machines). A diversity of HFSG terminology and measurement tools demonstrates the literature’s breadth. Literature gaps include quasi-experimental study designs, as well as interventions in settings that serve dependent populations (e.g., universities, elderly feeding programs, and prisons). Full article

This article examines how religious freedom is enacted and redefined through everyday practices in pluralistic urban settings. Moving beyond the classical notion of negative liberty as non-interference, it explores the social conditions that enable or constrain the practical expression of religious life. Drawing on forty-three qualitative interviews with religious leaders and civic actors in Florence, Italy, the study analyses how religious freedom is experienced across institutional contexts such as hospitals, schools, prisons, workplaces, and sport facilities. The findings reveal a persistent tension between formal legal rights and their uneven implementation in daily life. While legal guarantees are generally upheld, structural barriers and discretionary practices often hinder access to religious expression. At the same time, informal interactions, local networks, and dialogical engagement play a key role in supporting the concrete exercise of religious freedom. The article argues that freedom is not simply a legal status but a social process, realized through relational and institutional arrangements. By foregrounding the role of everyday interaction in shaping the conditions of freedom, this study contributes to broader sociological debates on pluralism, normativity, and the social foundations of institutional life. Full article

The concept of Nash equilibria in pure strategies for quantum extensions of the general form of the Prisoner’s Dilemma game is investigated. The process of quantization involves incorporating two additional unitary strategies, which effectively expand the classical game. We consider five classes of such quantum games, which remain invariant under isomorphic transformations of the classical game. The resulting Nash equilibria are found to be more closely aligned with Pareto-optimal solutions than those of the conventional Nash equilibrium outcome of the classical game. Our results demonstrate the complexity and diversity of strategic behavior in the quantum setting, providing new insights into the dynamics of classical decision-making dilemmas. In particular, we provide a detailed characterization of strategy profiles and their corresponding Nash equilibria, thereby extending the understanding of quantum strategies’ impact on traditional game-theoretical problems. Full article

In this work, we study n-agent Bayesian games with m-dimensional vector types and linear payoffs, also called linear multidimensional Bayesian games. This class of games is equivalent with n-agent, m-game uniform multigames. We distinguish between games that have a discrete type space and those with a continuous type space. More specifically, we are interested in the existence of pure Bayesian Nash equilibriums for such games and efficient algorithms to find them. For continuous priors, we suggest a methodology to perform Nash equilibrium searches in simple cases. For discrete priors, we present algorithms that can handle two-action and two-player games efficiently. We introduce the core concept of threshold strategy and, under some mild conditions, we show that these games have at least one pure Bayesian Nash equilibrium. We illustrate our results with several examples like the double-game prisoner’s dilemma (DGPD), the game of chicken, and the sustainable adoption decision problem (SADP). Full article

This study examines the exercise of religious freedom within the Polish penitentiary system, focusing on the intersection of legal frameworks, religious pluralism, and secularization. While Poland’s Constitution and penal legislation guarantee inmates the right to practice their faith, the practical implementation of this right faces systemic challenges. This research draws on legal analysis, demographic data, and existing empirical studies to assess how pastoral care operates in prisons. The findings reveal that although the prison system is formally open to various denominations, access to non-Catholic chaplaincy is often limited and misaligned with the evolving religious composition of the inmate population, especially following increased immigration. The number of chaplains and volunteers remains low relative to the needs of inmates, and pastoral services vary widely across regions. Despite these issues, religious involvement is shown to support rehabilitation by fostering moral development and reducing recidivism. This study concludes that a more inclusive, pluralistic, and flexible approach to prison ministry—one that accounts for both declining religiosity and growing diversity—is essential. Chaplaincy must adapt not only as a provider of religious rites but also as a facilitator of ethical reflection, emotional support, and reintegration into a secular and pluralistic society. Full article

The current article seeks to understand, and critically analyze the implications of, how youth custody workers understand the relationship between sport, physical activity, and health among youth who are incarcerated. Data was collected through surveys (n = 15) and semi-structured interviews (n = 16) with youth custody workers in Ontario, Canada. We present and analyze three themes emerging from participants’ narratives: the potential for sport and physical activity to contribute, in a holistic way, to the physical, mental, and social health of youth who are incarcerated; the possibility for sport and physical activity to create space for building “therapeutic alliances” between staff and youth, which can improve the mental and social health of youth who are incarcerated; and perceptions of health deficits among youth who are incarcerated and their implications for social inequality. Through an analysis of these themes, we deepen the limited scholarly analysis of sport, physical activity, and health among young persons who are incarcerated and connect these discussions to broader considerations of social determinants of health (that is, structural and social factors that create health inequities) as a matter of social justice. Full article

Social work has long operated at the intersection of care and control—nowhere is this more apparent than in its treatment of sex-working parents. This article draws on participatory research with thirteen sex-working parents in California to examine how the child welfare system, family court, and public benefit infrastructures extend punitive surveillance under the guise of support. Utilizing the framework of prison industrial complex abolition, the analysis identifies three key findings: first, family policing systems often mirror the coercive dynamics of abusive relationships that sex work helped participants to escape; second, access to social services is contingent on the performance of respectability, with compliance met not with care but with suspicion and deprivation; and third, sex-working parents enact abolitionist praxis by creating new systems of safety and stability through mutual aid when state systems fail. As social work reckons with its complicity in the carceral state, the everyday practices of sex-working parents offer a powerful blueprint for care rooted in trust, unconditional positive regard, and self-determination. Full article