期刊文献+
共找到2,822篇文章
< 1 2 142 >
每页显示 20 50 100
Prevalence of Hepatitis B and Associated Factors in the Garoua Central Prison, Cameroon: A Cross-Sectional Study
1
作者 Mohamadou Abdou Galdima Adamou Dodo Balkissou +9 位作者 Guy Roger Nsenga Djapa Winnie Tatiana Bekolo Nga Gilles Aghoagni Antonin Wilson Ndjitoyap Ndam Ali Abas Mathurin Pierre Kowo Firmin Ankouane Andoulo Dominique Noah Noah Oudou Njoya Servais Albert Fiacre Eloumou Bagnaka 《Open Journal of Gastroenterology》 CAS 2024年第5期174-183,共10页
Introduction: Hepatitis B virus (HBV) infection is a major public health problem in Cameroon. Garoua city is the headquarters of the North Region of Cameroon, where the HBV prevalence is among the highest of the count... Introduction: Hepatitis B virus (HBV) infection is a major public health problem in Cameroon. Garoua city is the headquarters of the North Region of Cameroon, where the HBV prevalence is among the highest of the country. The aim of this study was to determine the prevalence of HBsAg carriage and associated factors among persons incarcerated in the Garoua Central Prison. Methods: It was a cross-sectional study conducted from July 1 to July 31, 2023 at the Garoua Central prison. We included all prisoners willing to participate in the study and who gave their verbal consent. We collected data using a pre-established data entry form and we used rapid test for blood screening for HBV surface antigen (HBs Ag) with ELISA confirmation. Data were analyzed using the R<sup>®</sup> software for Windows. After the univariate analysis, we selected associated variables to HBV infection with p-value p-value was set at 5%. Results: We included 1389 prisoners out of which 97.6% were male. The median age (IQR) of the study population was 28 (23 - 35) years. The median (IQR) duration of incarceration was 12 (6 - 26) months and the mean (±sd) number of incarcerations was 1.24 (±0.6). HBV prevalence was estimated at 14.8% (95% CI: 13.0 - 16.7). Upon uni- and multivariate analysis, no risk factor was significantly associated with viral hepatitis B infection in our study population. Conclusion: The prevalence of Hepatitis B was high in the Garoua Central Prison, but there were no additional risk factors for HBV infection. There is a need to include the Garoua Central Prison and by the way other prisons in the country in the chronic viral hepatitis care program. 展开更多
关键词 Hepatitis B prison Associated factors Cameroon
下载PDF
Prevalence and features of SARS-CoV-2 infection in prisons in Tuscany
2
作者 Cristina Stasi Martina Pacifici +3 位作者 Caterina Milli Francesco Profili Caterina Silvestri Fabio Voller 《World Journal of Experimental Medicine》 2024年第1期70-77,共8页
BACKGROUND Prisons can be a reservoir for infectious diseases,including severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),due to the very intimate nature of the living spaces and the large number of people f... BACKGROUND Prisons can be a reservoir for infectious diseases,including severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),due to the very intimate nature of the living spaces and the large number of people forced to share them.AIM To investigate the SARS-CoV-2 epidemiology in prisons,this study evaluated the infection incidence rate in prisoners who underwent nasopharyngeal swabs.METHODS This is an observational cohort study.Data collection included information on prisoners who underwent nasopharyngeal swab testing for SARS-CoV-2 and the results.Nasopharyngeal swab tests for SARS-CoV-2 were performed between 15 February 2021 and 31 May 2021 for prisoners with symptoms and all new arrivals to the facility.Another section included information on the diagnosis of the disease according to the International Classification of Diseases,Ninth Revision,and Clinical Modification.RESULTS Up until the 31 May 2021,79.2%of the prisoner cohort(n=1744)agreed to a nasopharyngeal swab test(n=1381).Of these,1288 were negative(93.3%)and 85 were positive(6.2%).A significant association[relative risk(RR)]was found only for the risk of SARS-CoV-2 infection among foreigners compared to Italians[RR=2.4,95%confidence interval(CI):1.2-4.8].A positive association with SARS-CoV-2 infection was also found for inmates with at least one nervous system disorder(RR=4,95%CI:1.8-9.1).The SARS-CoV-2 incidence rate among prisoners is significantly lower than in the general population in Tuscany(standardized incidence ratio 0.7,95%CI:0.6-0.9).CONCLUSION In the prisoner cohort,screening and rapid access to health care for the immigrant population were critical to limiting virus transmission and subsequent morbidity and mortality in this vulnerable population. 展开更多
关键词 SARS-CoV-2 Epidemiology prison PREVALENCE FOREIGNERS Swab tests
下载PDF
Defection or Cooperation—Richard Power’s Moral Insights in Prisoner’s Dilemma
3
作者 梁渊 宋祝 +1 位作者 陈益 周永胜 《海外英语》 2021年第4期239-241,共3页
Prisoner’s Dilemma is a master trope for relaying the permanent impasse or dilemma of cooperation versus defection.In Prisoner’s Dilemma Richard Powers narrates a multiform of dilemma mainly narrating Eddie Hobson’... Prisoner’s Dilemma is a master trope for relaying the permanent impasse or dilemma of cooperation versus defection.In Prisoner’s Dilemma Richard Powers narrates a multiform of dilemma mainly narrating Eddie Hobson’s traumatic history,along with Eddie’s attempt to carry out a strategy—Eddie’s ideal Hobstown which is supposed to cope with the confused dilemma.Pow⁃ers’strategic moral insights are revealed by assuming that each player feels sympathy for the other and a moral cooperative instead of antagonistic solution to the Prisoner’s Dilemma will be found. 展开更多
关键词 DEFECTION COOPERATION MoralInsights prisoner’s Dilemma
下载PDF
Richard Power’s Philosophical Thoughts in Prisoner’s Dilemma
4
作者 梁渊 陈益 魏澜 《海外英语》 2020年第11期213-214,220,共3页
The“prisoner’s dilemma”illustrates that everyone is rationally thinking about maximizing their own interests and taking their own best strategies,but the end result is counterproductive.In Prisoner’s Dilemma Richa... The“prisoner’s dilemma”illustrates that everyone is rationally thinking about maximizing their own interests and taking their own best strategies,but the end result is counterproductive.In Prisoner’s Dilemma Richard Powers describes multiformareas of dilemma;to lose balance;to make choices;and ask each other:what to do next?It is a master trope for relaying the permanent impasse or dilemma of cooperation versus defection.In most cases,the prisoner's dilemma is more about the number of defeats in the game,and even a major loss of society.Individual rationality is likely to be a collective disregard,and if everyone is acting on the principle of self-interest,it is often the result that everyone is lost.Powers expresses his philosophical insight:Until a cooperative instead of antagonistic solution is collectively agreed upon,we still remain imprisoned in an interminable and oppressive struggle and conflict decided by self-interest and rational control,which is also a moral response to historical consciousness of postmodernism. 展开更多
关键词 prisoner’s Dilemma DEFECTION COOPERATION Philosophical Thoughts
下载PDF
Ethical dilemma in Chinese prison hospital
5
作者 Sui Mingxing Zhou Liang +1 位作者 Deng Yuan Zhang Yan 《Journal of Medical Colleges of PLA(China)》 CAS 2011年第2期98-102,共5页
Forensic medical workers are faced with unique ethical challenges in their attempt to deliver medical care in a custodial environment.We first figure out the reasons why the doctor is standing opposed to the patient t... Forensic medical workers are faced with unique ethical challenges in their attempt to deliver medical care in a custodial environment.We first figure out the reasons why the doctor is standing opposed to the patient through questionnaire and interview of the prison doctor in Shanghai,China,which turn to be a bilateral issue.Both sides should take more active approaches and put themselves to the right position to contribute to a better medical environment in the prison hospital,which can reduce medical tangles and help the criminals to accomplish their reform process. 展开更多
关键词 Chinese prison hospital Ethical dilemma prison medical worker
原文传递
Tool for Escaping from the Prison
6
作者 孟宪忠(选) 李桂兰(选) 《英语知识》 2006年第12期24-24,共1页
关键词 Tool for Escaping from the prison
下载PDF
Protect Sick Prisoners' Rights Through Regulation and Innovation——Chengdu launches coordinating mechanism for sick prisoners with major diseases
7
作者 WANG XIAOBING, YAN HUAJU AND FU SHAOHUA 《The Journal of Human Rights》 2012年第5期5-7,共3页
In May 2011, the Prison Management Bureau of Sichuan Province in Southwest China held a conference in its capital city Chengdu to discuss the management of severely sick prisoners. Coordinating Management on Major Dis... In May 2011, the Prison Management Bureau of Sichuan Province in Southwest China held a conference in its capital city Chengdu to discuss the management of severely sick prisoners. Coordinating Management on Major Diseases of Sick Prisoners in Sichuan (Trial) was issued then, marking the start of an overall deployment. 展开更多
关键词 Protect Sick prisoners Rights Through Regulation and Innovation Chengdu launches coordinating mechanism for sick prisoners with major diseases
原文传递
Model Prison Then and Now——A Visit to Suzhou Prison
8
《The Journal of Human Rights》 2002年第1期34-35,共2页
Following the visit to a few prisons in Shanghai, we got the initial knowledge about how the prisons are managed by law and how the rights and interests of inmates are safeguarded and all the gratifying achievements t... Following the visit to a few prisons in Shanghai, we got the initial knowledge about how the prisons are managed by law and how the rights and interests of inmates are safeguarded and all the gratifying achievements the prisons have made in educating and correcting the inmates. In Shanghai, China’s economic powerhouse, all the prisons, old and new, should be most advanced in the country, in terms of both software and hardware. Doubtlessly, the material base has 展开更多
关键词 A Visit to Suzhou prison Model prison Then and Now
原文传递
Prisoners awarded——Henan Yudong Prison rewards accomplished inmates
9
作者 CHEN CHUN’AN 《The Journal of Human Rights》 2010年第4期34-35,共2页
Gao Pingyuan has seen new hopes of a new life after serving his terms for 12 years at the Yudong Prison in central China's Henan Province. He got the special class award for his accomplished teaching in prison.
关键词 Henan Yudong prison rewards accomplished inmates prisoners awarded
原文传递
Prisons of Learning——Human rights in the eye of a prisoner
10
作者 BY DENG ZHONGYUAN The author is a person serving his terms in the Beijing Prison. 《The Journal of Human Rights》 2004年第5期28-29,共2页
On February 25, 2004, the United States issued its Country Reports on Human Rights Practices for 2003, distorting the human rights conditions in China, including human rights in Chinese prisons. As a prison inmate in ... On February 25, 2004, the United States issued its Country Reports on Human Rights Practices for 2003, distorting the human rights conditions in China, including human rights in Chinese prisons. As a prison inmate in Beijing, I have a say in the human rights conditions in prison based on my personal experience. 1 wrote an article titled "Human Rights in Chinese Prisons in the Eye of a Prison Inmate," which was published in the journal Human Rights (Issue No. 6,2003 of English Edition). Now I’d like to say something about the right to education in Chinese prisons. 展开更多
关键词 prisons of Learning Human rights in the eye of a prisoner
原文传递
Intentional ingestions of foreign objects among prisoners: A review 被引量:10
11
作者 David C Evans Thomas R Wojda +2 位作者 Christian D Jones Andrew J Otey Stanislaw P Stawicki 《World Journal of Gastrointestinal Endoscopy》 CAS 2015年第3期162-168,共7页
The intentional ingestion of foreign objects(IIFO) is described more commonly in prison populations than in the general population, with an estimated annual incidence of 1 in 1900 inmates in our state correctional fac... The intentional ingestion of foreign objects(IIFO) is described more commonly in prison populations than in the general population, with an estimated annual incidence of 1 in 1900 inmates in our state correctional facilities. Incidents often involve ingestion of small metal objects(e.g., paperclips, razor blades) or other commonly available items like pens or eating utensils. Despite ingestion of relatively sharp objects, most episodes can be clinically managed with either observation or endoscopy. Surgery should be reserved for those with signs or symptoms of gastrointestinal perforation or obstruction. For those with a history of IIFO, efforts should focus on prevention of recurrenceas subsequent episodes are associated with higher morbidity, significant healthcare and security costs. The pattern of IIFO is often repetitive, with escalation both in frequency of ingestions and in number of items ingested. Little is known about successful prevention strategies, but efforts to monitor patients and provide psychiatric care are potential best-practice strategies. This article aims to provide state-of-the art review on the topic, followed by a set of basic recommendations. 展开更多
关键词 Ingestion FOREIGN body ENDOSCOPY prisonER Swallower Prevention RECURRENCE
下载PDF
An Adaptive Strategy via Reinforcement Learning for the Prisoner's Dilemma Game 被引量:8
12
作者 Lei Xue Changyin Sun +2 位作者 Donald Wunsch Yingjiang Zhou Fang Yu 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2018年第1期301-310,共10页
The iterated prisoner's dilemma(IPD) is an ideal model for analyzing interactions between agents in complex networks. It has attracted wide interest in the development of novel strategies since the success of tit-... The iterated prisoner's dilemma(IPD) is an ideal model for analyzing interactions between agents in complex networks. It has attracted wide interest in the development of novel strategies since the success of tit-for-tat in Axelrod's tournament. This paper studies a new adaptive strategy of IPD in different complex networks, where agents can learn and adapt their strategies through reinforcement learning method. A temporal difference learning method is applied for designing the adaptive strategy to optimize the decision making process of the agents. Previous studies indicated that mutual cooperation is hard to emerge in the IPD. Therefore, three examples which based on square lattice network and scale-free network are provided to show two features of the adaptive strategy. First, the mutual cooperation can be achieved by the group with adaptive agents under scale-free network, and once evolution has converged mutual cooperation, it is unlikely to shift. Secondly, the adaptive strategy can earn a better payoff compared with other strategies in the square network. The analytical properties are discussed for verifying evolutionary stability of the adaptive strategy. 展开更多
关键词 Complex network prisoner’s dilemma reinforcement learning temporal differences learning
下载PDF
Prevalence of hepatitis C virus infection and its related risk factors in drug abuser prisoners in Hamedan-Iran 被引量:5
13
作者 Amir Houshang Mohammad Alizadeh Seyed Moayed Alavian +1 位作者 Khalil Jafari Nastaran Yazdi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第26期4085-4089,共5页
AIM:Recent studies in Iran has shown that prevalence of hepatitis C virus (HCV) infection among Iranian prisoners is high, in spite of low HCV seroprevalence in general population. METHODS: This study was carried out ... AIM:Recent studies in Iran has shown that prevalence of hepatitis C virus (HCV) infection among Iranian prisoners is high, in spite of low HCV seroprevalence in general population. METHODS: This study was carried out in the central prison of Hamedan - Iran, in year 2002. Inmates were interviewed using a standard questionnaire including demographic, imprisonment history and HCV-related risk behaviors items. Thereafter, the sera drawn from the participants were tested for anti-HIV and anti-HCV antibodies. RESULTS: A total number of 427 drug abuser inmates participated in our study. Three hundred and ninety-seven (93%) were men and 30 (7%) were women. Total number of IV drug abusers (IDA) and non-IV drug abusers (NIDA) was 149 (34.9%) and 278 (65.1%), respectively. The overall rate of antibody positivity among inmates was 0.9% for HIV and 30% for HCV. Of all IDAs, 31.5% and of NIDAs, 29.1% had serological evidence of HCV infection. CONCLUSION: The seroprevalence of HCV infection among drug abuser prisoners in comparison with the general population in Iran, is very high (30% vs in italics 0.2%). Our results indicate the importance of policies to prevent transmission of HCV infection during and following incarceration. 展开更多
关键词 Hepatitis C virus prisonERS Drug abusers Iran
下载PDF
Hepatitis C virus infection and prisoners: Epidemiology, outcome and treatment 被引量:3
14
作者 Rosa Zampino Nicola Coppola +2 位作者 Caterina Sagnelli Giovanni Di Caprio Evangelista Sagnelli 《World Journal of Hepatology》 CAS 2015年第21期2323-2330,共8页
The studies on hepatitis C virus(HCV) infection in prison populations are few and mostly cross-sectional. We analyzed prevalently the articles appearing on Pub Med in the last ten years. HCV infection is frequent in p... The studies on hepatitis C virus(HCV) infection in prison populations are few and mostly cross-sectional. We analyzed prevalently the articles appearing on Pub Med in the last ten years. HCV infection is frequent in prisoners, prevalences ranging from 3.1% to 38% according to the HCV endemicity in the geographical location of the prison and in the countries of origin of the foreign prisoners and to the prevalence of intravenous drug use, which is the most important risk factor for HCV infection, followed by an older age of prisoners and previous prison terms. HCV replication in anti-HCVpositive cases varies from 45% to 90% in different studies, and the most common HCV genotypes are generally 1 and 3. The response to antiviral treatment is similar in prisoners to that of the general population. Unfortunately, treatment is administered less frequently to prisoners because of the difficulties in management and follow-up. The new directly acting antivirals offer a good therapy option for inmates because of their good efficacy, short duration of treatment and low incidence of side effects. The efforts of the prison authorities and medical staff should be focused on reducing the spread of HCV infection in prisons by extending the possibility of follow-up and treatment to more prisoners with chronic hepatitis C. 展开更多
关键词 prisonERS Management Treatment CARE CHRONIC hepati
下载PDF
An Exploration of the Relation between Hunting and Aggressiveness: Using Inmates Networks at Prison Secondary School as an Illustration 被引量:6
15
作者 Nikolaos Hasanagas Alexandra Bekiari 《Social Networking》 2017年第1期19-37,共19页
Aim of this research is to explore the relation of hunting with aggressiveness. For this purpose, two samples of prison inmates (who were students of the prison secondary school) were collected (class A = 23, class B ... Aim of this research is to explore the relation of hunting with aggressiveness. For this purpose, two samples of prison inmates (who were students of the prison secondary school) were collected (class A = 23, class B = 12). The network indicators for superficial, idiosyncratic and strategic behavior (particularly, aggressiveness), applied in Bekiari and Hasanagas (2016), which were based on the primary network variables (outdegree, indegree, Katz status, pagerank, authority) were used. Non-network variables were also used for the criminal profile of the inmates. The data were sampled with questionnaire. Spearman test was conducted for detecting correlation between aggressiveness and hunting and Principal Component Analysis was used for formulating a typology. The following results were produced: The criminal profile seems hardly to be related with hunting experience or attitude. The relation of hunting experience and attitude with the superficial, idiosyncratic and strategic aggressiveness was examined. These three occasions of aggressiveness are expected to describe the incidental reaction, impulsive and adaptive reaction, respectively. The hunting is quite irrelevant to the incidental reaction. The impulsiveness seems to be more strongly correlated with hunting. In case of adaptiveness, there are many similarities with impulsiveness. The typology which is based on the existence (or not) of hunting experience seems to be more insightful, as it reveals a gradual involvement of aggressiveness dimensions, from incidentality to impulsiveness and further to adaptiveness. The following behavioral patterns of gradually enhanced aggressiveness appear: incidentally just provoking, impulsively being aggressive but without harming, and adaptively being aggressive and harming. 展开更多
关键词 HUNTING AGGRESSIVENESS Network Analysis prison INMATE School
下载PDF
THE OPTIMAL CONTROL FOR PROMOTING THE COOPERATION IN EVOLUTION GAME GENERATED BY PRISONER'S DILEMMA 被引量:2
16
作者 王先甲 董瑞 陈琳 《Acta Mathematica Scientia》 SCIE CSCD 2018年第1期73-92,共20页
Natural selection opposes the evolution of cooperation unless specific mechanisms are at work in Prisoner's Dilemma. By taking advantage of the modern control theory, the controller design is discussed and the optima... Natural selection opposes the evolution of cooperation unless specific mechanisms are at work in Prisoner's Dilemma. By taking advantage of the modern control theory, the controller design is discussed and the optimal control is designed for promoting cooperation based on the recent advances in mechanisms for the evolution of cooperation. Two con- trol strategies are proposed: compensation control strategy for the cooperator when playing against a defector and reward control strategy for cooperator when playing against a coop- erator. The feasibility and effectiveness of these control strategies for promoting cooperation in different stages are analyzed. The reward for cooperation can't prevent defection from being evolutionary stable strategy (ESS). On the other hand, compensation for the coopera- tor can't prevent defection from emerging and sustaining. By considering the effect and the cost, an optimal control scheme with constraint on the admissible control set is put forward. By analyzing the special nonlinear system of replicator dynamics, the exact analytic solution of the optimal control scheme is obtained based on the maximum principle. Finally, the effectiveness of the proposed method is illustrated by examples. 展开更多
关键词 evolutionary games prisoner's Dilemma evolution of cooperation promoting cooperation control optimal control
下载PDF
Prison Term Prediction on Criminal Case Description with Deep Learning 被引量:3
17
作者 Shang Li Hongli Zhang +4 位作者 Lin Ye Shen Su Xiaoding Guo Haining Yu Binxing Fang 《Computers, Materials & Continua》 SCIE EI 2020年第3期1217-1231,共15页
The task of prison term prediction is to predict the term of penalty based on textual fact description for a certain type of criminal case.Recent advances in deep learning frameworks inspire us to propose a two-step m... The task of prison term prediction is to predict the term of penalty based on textual fact description for a certain type of criminal case.Recent advances in deep learning frameworks inspire us to propose a two-step method to address this problem.To obtain a better understanding and more specific representation of the legal texts,we summarize a judgment model according to relevant law articles and then apply it in the extraction of case feature from judgment documents.By formalizing prison term prediction as a regression problem,we adopt the linear regression model and the neural network model to train the prison term predictor.In experiments,we construct a real-world dataset of theft case judgment documents.Experimental results demonstrate that our method can effectively extract judgment-specific case features from textual fact descriptions.The best performance of the proposed predictor is obtained with a mean absolute error of 3.2087 months,and the accuracy of 72.54%and 90.01%at the error upper bounds of three and six months,respectively. 展开更多
关键词 Neural networks prison term prediction criminal case text comprehension
下载PDF
Evolutionary prisoner's dilemma game on highly clustered community networks 被引量:1
18
作者 刘永奎 李智 +1 位作者 陈小杰 王龙 《Chinese Physics B》 SCIE EI CAS CSCD 2009年第7期2623-2628,共6页
This paper studies the evolutionary prisoner's dilemma game on a highly clustered community network in which the clustering coefficient and the community size can be tuned. It finds that the clustering coefficient in... This paper studies the evolutionary prisoner's dilemma game on a highly clustered community network in which the clustering coefficient and the community size can be tuned. It finds that the clustering coefficient in such a degree-homogeneous network inhibits the emergence of cooperation for the entire range of the payoff parameter. Moreover, it finds that the community size can also have a marked influence on the evolution of cooperation, with a larger community size leading to not only a lower cooperation level but also a smaller threshold of the payoff parameter above which cooperators become extinct. 展开更多
关键词 prisoner's dilemma COOPERATION clustering coefficient community structure
原文传递
Evolutionary prisoner’s dilemma on Newman-Watts social networks with an asymmetric payoff distribution mechanism 被引量:1
19
作者 杜文博 曹先彬 +1 位作者 杨涵新 胡茂彬 《Chinese Physics B》 SCIE EI CAS CSCD 2010年第1期17-21,共5页
In this paper, we introduce an asymmetric payoff distribution mechanism into the evolutionary prisoner's dilemma game (PDG) on Newman Watts social networks, and study its effects on the evolution of cooperation. Th... In this paper, we introduce an asymmetric payoff distribution mechanism into the evolutionary prisoner's dilemma game (PDG) on Newman Watts social networks, and study its effects on the evolution of cooperation. The asymmetric payoff distribution mechanism can be adjusted by the parameter α: if α〉 0, the rich will exploit the poor to get richer; if α 〈 0, the rich are forced to offer part of their income to the poor. Numerical results show that the cooperator frequency monotonously increases with c~ and is remarkably promoted when c~ 〉 0. The effects of updating order and self-interaction are also investigated. The co-action of random updating and self-interaction can induce the highest cooperation level. Moreover, we employ the Gini coefficient to investigate the effect of asymmetric payoff distribution on the the system's wealth distribution. This work may be helpful for understanding cooperative behaviour and wealth inequality in society. 展开更多
关键词 prisoner's dilemma game COOPERATION complex social networks
原文传递
Prevalence,genotypes and factors associated with HCV infection among prisoners in Northeastern Brazil 被引量:1
20
作者 Bruno Fernandes de Oliveira Santos Nathalie Oliveira de Santana Alex Vianey Callado Franca 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第25期3027-3034,共8页
AIM: To determine hepatitis C virus (HCV) seropreva- lence and its genotypes, and to identify the factors associated with HCV infection. METHODS: This cross-sectional study, conducted in two prisons (one male and... AIM: To determine hepatitis C virus (HCV) seropreva- lence and its genotypes, and to identify the factors associated with HCV infection. METHODS: This cross-sectional study, conducted in two prisons (one male and one female) in the State of Ser- gipe, Brazil, comprised 422 subjects. All of the prisoners underwent a rapid test for the detection of HCV antibod- ies. Patient~ with a positive result were tested for anti- HCV by enzyme linked immunosorbent assay and for HCV RNA by qualitative polymerase chain reaction (PCR). The virus genotype was defined in every serum sample that presented positive for PCR-HCV. In order to determine the factors independently associated with positive serol- ogy for HCV, multivariate logistic regression was used. RESULTS: HCV seroprevalence was 3.1%. Of the 13 subjects with positive anti-HCV, 11 had viremia confirmed by PCR. Of these, 90.9% had genotype 1. A total of 43 (10.2%) were injecting drug users, and HCV seroprevalence in this subgroup was 20.6%. The variable most strongly associated with positive serology for HCV was use of injecting drugs [odds ratio (OR), 23.3; 95% confidence interval (CI), 6.0-90.8]. Age over 30 years (OR, 5.5; 95%CI, 1.1-29.2), history of syphilis (OR, 9.8; 95%CI, 1.7-55.2) and history of household contact with HCV positive individual (OR, 14.1; 95%CI, 2.3-85.4) were also independently associated with HCV infection. CONCLUSION: Most of the HCV transmissions result from parenteral exposure. However, there is evidence to suggest a role for sex and household contact with an infected subject in virus transmission. 展开更多
关键词 Hepatitis C prisonERS Drug abusers Crosssectional analysis Brazil
下载PDF
上一页 1 2 142 下一页 到第
使用帮助 返回顶部