Prevalence of Hepatitis B and Associated Factors in the Garoua Central Prison, Cameroon: A Cross-Sectional Study

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® 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.

Prevalence and features of SARS-CoV-2 infection in prisons in Tuscany

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.

Economic Security and Japan’s Economic Diplomacy Strategy in Southeast Asia

Japan is increasingly emphasizing its economic security strategy and has included shaping and maintaining economic rules and order in its newly revised national security strategy.It is carrying out economic diplomacy in Southeast Asia through maintaining the economic influence of the Japan-US alliance,weakening China’s economic influence,and shaping Japan’s strategic autonomy.However,there are notable difficulties reconciling some contradictions in Japan’s diplomatic drives,as its strategic capacity may be insufficient to maintain balanced relations among China,the United States and ASEAN.

Japan’s Quasi-Alliance Strategy:Motivations,Practices and Constraints

The quasi-alliance strategy is part of the national security strategy and lies in the grey area between alliance and neutrality.1 In recent years,major countries,including Japan,have positioned quasi-alliance as a feasible unwritten option in their respective national security strategies.2 Japan’s quasialliance strategy was already in its infancy when former Japanese Prime Minister Shinzo Abe first came to power in September 2006 but was put on hold after his resignation in September 2007.

New Trends in Japan's“Indo-Pacific”Strategy

Introduced by the late Prime Minister Shinzo Abe and inherited and developed by Fumio Kishida,Japan's“Indo–Pacific”strategy has gradually taken shape.This strategy can be deemed a broad vision,covering a wide range of topics and an extensive network of partners,with a strong trend of pan-securitization.It is a comprehensive inter national st rateg y based on Japan's alliance policy and China containment strategy,following a global,security-oriented approach.Driven by considerations such as maintaining its economic status,realizing its long-cherished dream of becoming a political powerhouse,and containing China,Japan has stepped up its“Indo–Pacific”strategy,which may influence global development,undermine regional maritime security,and impede China's reunification process.Meanwhile,Japan's“Indo–Pacific”strategy faces the triple challenge of a strategic overdraft,the unstable economic foundations,and the weak external support.These constraints may not suffice to reverse the direction of Japan's“Indo–Pacific”strategy in the short term but will limit its effectiveness.

Comparison on the Origin and Development of Sophora flavescens in China and Japan

Sophora flavescens , which was first recorded in Shen Nong s Herbal Classic , has the functions of clearing away heat, drying dampness, killing parasites and promoting urination. In its long-term application, traditional Chinese medicine has gradually deepened its understanding of the origin and efficacy of S. flavescens . In order to explore changes in the origin and efficacy of traditional Chinese herb S. flavescens in the history of China and Japan, in this paper, the origin and development of S. flavescens in China and Japan were compared from three aspects: the origin, medicinal efficacy, and processing methods of S. flavescens in China and Japan, hoping to provide clear understanding of the medicinal plant S. flavescens .

Vice-President Liu Hongcai Meets Kamada Takeaki, President of the JCI Japan-China Friendship Association

On December 4th,CAFIU Vice-President Liu Hongcai met Mr.Kamada Takeaki,President of the JCI Japan-China Friendship Association(JCFA),to exchange views on China-Japan people-topeople and youth exchanges.Vice-President Liu Hongcai said that JCFA has long been committed to promoting China-Japan youth exchanges and has played a positive role in enhancing mutual understanding between the Chinese and Japanese youths.

China-Japan-ROK Cooperation Embarks on a New Journey

On May 27,China-Japan-ROK Trilateral Summit Meeting was held in Seoul after a hiatus of more than four years.Li Qiang,Premier of the State Council of the People’s Republic of China,Yoon Suk Yeol,President of the ROK,and Fumio Kishida,Prime Minister of Japan,attended and addressed the Summit.

Global Warming in Japanese Cities from 1960 to 2019 Using Machine Learning

In this study, we investigated the variations in warming between Japanese cities for 1960-1989, and 1990-2019 using principal component analysis (PCA) and k-means clustering. The precipitation and sunshine hours exhibited opposite tendencies in the PCA results. It was found that 1960M and 1990M had a correlation (r = 0.51). The 1960M and 1990M are the mean temperature anomalies in Japanese cities for 1960-1989 and 1990-2019, respectively. There was a strong correlation between temperature and precipitation (r = 0.62). There was an inverse correlation between 1960M and sunshine hours (r = −0.25), but a correlation between 1990M and sunshine hours (r = 0.11). Sunshine hours had less effect on the 1960M but more impact on the 1990M. The k-means clustering for 1960M and 1990M can be classified into four types: high 1960M and high 1990M, which indicates that global warming is progressing rapidly (Sapporo, Tokyo, Kyoto, Osaka, Fukuoka, Nagasaki), low 1960M and low 1990M, global warming is progressing slowly (Nemuro, Ishinomaki, Yamagata, Niigata, Fushiki, Nagano, Karuizawa, Mito, Suwa, Iida, Hamada, Miyazaki, Naha), low 1960M and high 1990M, global warming has accelerated since 1990 (Utsunomiya, Kofu, Okayama, Hiroshima), and normal 1960M and normal 1990M, the rate of warming is normal among the 38 cities (Asahikawa, Aomori, Akita, Kanazawa, Maebashi, Matsumoto, Yokohama, Gifu, Nagoya, Hamamatsu, Kochi, Kagoshima). Higher annual temperatures were correlated with higher annual precipitation according to the k-means clustering of temperature and precipitation. Two of the four categories consisted of places with high annual temperatures and high precipitation (Fushiki, Kanazawa, Kochi, Miyazaki, Kagoshima, Naha, Ishigakijima), and places with low annual temperatures and low precipitation (Asahikawa, Nemuro, Sapporo, Karuizawa).

Defection or Cooperation—Richard Power’s Moral Insights in Prisoner’s Dilemma

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.

Richard Power’s Philosophical Thoughts in Prisoner’s Dilemma

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.

Intentional ingestions of foreign objects among prisoners: A review

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.

An Adaptive Strategy via Reinforcement Learning for the Prisoner＇s Dilemma Game

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.

Hepatitis C virus infection and prisoners: Epidemiology, outcome and treatment

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.

THE OPTIMAL CONTROL FOR PROMOTING THE COOPERATION IN EVOLUTION GAME GENERATED BY PRISONER'S DILEMMA

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.

Prevalence of hepatitis C virus infection and its related risk factors in drug abuser prisoners in Hamedan-Iran

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.

Evolutionary prisoner's dilemma game on highly clustered community networks

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.

Evolutionary prisoner’s dilemma on Newman-Watts social networks with an asymmetric payoff distribution mechanism

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.

Prevalence,genotypes and factors associated with HCV infection among prisoners in Northeastern Brazil

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.

Effects of Probability of Revelation of Defection and Penalty to Defection on Cooperative Behavior in 2-Person Prisoner＇s Dilemma Game

In our society, it is a major issue to enhance cooperative behaviors. Without this, our society fall into social dilemma situations, and gets worse and worse. Such a situation in an organization leads to violation of social or organizational rules, and at the worst case it suffers from serious accidents or scandals. Therefore, it is important for organizational managers to make efforts and take measures to enhance cooperative behaviors. Although there seem to be many ways to constantly elicit cooperative behaviors, the punishment is one of the most effective measures for enhancing cooperation. This study focused on the effects of penalty and probability of the revelation of defection on the cooperation, and getting insight into how punishment strategy should be used to get rid of social dilemmas and enhance cooperation. This study conducted a simulation experiment to find the proper penal regulations condition that can suppress violations （defective behavior） in a 2-person prisoner＇s dilemma situation. The effects of probability of the revelation of defection and penalty to revelation on the cooperative behavior were identified with the interactive effect of both experimental factors. The defection （uncooperative behavior） decreased when the penalty to the defection was heavy and the probability of the revelation of defection was low than that when the penalty to the defection was light and the probability of the revelation of the defection was high.