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.

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.

An Exploration of the Relation between Hunting and Aggressiveness: Using Inmates Networks at Prison Secondary School as an Illustration

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.

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.

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 of psychiatric morbidity among inmates in Jos maximum security prison

Background: The prevalence of psychiatric illness in correctional settings is significantly elevated, with higher than community rates reported in most mental disorders. The prison is a correctional institution in which inmates have limited liberty, autonomy, and communication with family and friends. This can be devastating to some inmates thereby leading to deterioration in their physical, psychological and social wellbeing. The study was aimed to determine the prevalence of axis 1 psychiatric disorders and associated factors among prison inmates in Jos, Nigeria. Method: This was a cross-sectional descriptive study carried out in Jos maximum security prison among 608 inmates. Two sets of data collection instruments were used namely (General Health Questionnaire) GHQ-28 and (Composite International Diagnostic Interview) CIDI. SPSS statistical software package for windows version 15.0 was used for data analysis and test of significance was set at

The Epidemiology of Self-Harm in the Romanian Juvenile Prison System: A Two-Year Cohort Study

Background: There is no extensive literature on social predictors of self-harm in the juvenile justice system, over the time of a prisoner’s sentence. Self-harm behavior displays a higher prevalence in prison, 11 to 14 times greater than in the general population. Our study extended the current research in self-harm by examining dynamic factors of self-harm in adolescents over their sentence in the Romanian juvenile prison system. Method: The present research examined longitudinal predictors of self-harm behaviors in 439 adolescent inmates (Mage = 16.21;5.2% female, 94.8% male), enrolled in prison during 2011-2012, following them for two years. A series of time-to-event analyses were applied to start from the time of the subject’s internment in the juvenile prison system. Results: Findings from the multivariate survival analyses show that adherence to self-harm conduct in prison was consistently influenced by family factors and prison contexts;although low ability to cope with frustration, sensitivity and emotion dysregulation also mattered. Keeping the other covariates invariant, serving a prison sentence in a closed regime reduces the probability of remaining free of self-harm events, increasing the monthly hazard of self-harm by a factor of 5.26 on average (HR = 5.26, 95% CI = 2.37 - 11.64) compared to the open regime. Conclusion: A greater focus on longitudinal studies may help improve the screening process and also follow the progress of each juvenile to warrant the efficacy of preventive programs in self-harm, according to their emerging needs.

TV Violence in Prison Break

TV violence is the violence mediated through TV.Nowadays,there is an extensive coverage of violence on television.Many of the violent actions in the popular series Prison Break,are glamorized,sanitized or trivialized.In addition,TV violence may bring more risks based on the way it is portrayed.As a viewer,we need to take a critical eye to Prison Break.

Benefit community promotes evolution of cooperation in prisoners’ dilemma game

Exploring the emergence and maintenance of cooperation in social dilemma is valuable and it arises considerable concerns of many researchers. In this paper, we propose a mechanism to promote cooperation, called benefit community,in which cooperators linking together form a common benefit community and all their payoffs obtained from game are divided coequally. The robustness of conclusions is tested for the PDG(prisoners' dilemma game) on square lattice and WS small world network. We find that cooperation can be promoted by this typical mechanism, especially, it can diffuse and prevail more easily and rapidly on the WS small world network than it on the square lattice, even if a big temptation to defect b. Our research provides a feasible direction to resolve the social dilemma.

Payoff-based accumulative effect promotes cooperation in spatial prisoner’s dilemma

We study the effect of accumulative payoff on the evolution of cooperation in the evolutionary prisoner＇s dilemma on a square lattice. We introduce a decaying factor for the accumulative payoff, which characterizes the extent that the historical payoff is accumulated. It is shown that for fixed values of the temptation to defect, the density of cooperators increases with the value of the decaying factor. This indicates that the more the historical payoff is involved, the more favourable cooperators become. In the critical region where the cooperator density converges to zero, cooperators vanish according to a power-law-like behaviour. The associated exponents agree approximately with the two-dimensional directed percolation and depend weakly on the value of the decaying factor.

Prevalence of smear positive pulmonary tuberculosis in Gondar prisoners,North West Ethiopia

Objective:To assess the prevalence and risk factors of smear positive pulmonary tuberculosis among Condar town prisoners.North West Ethiopia.Methods:A cross sectional study was conducted from February to July,2008 in Condar Prison.Prisoners with cough duration of more than two weeks were involved in the study by giving three sputum samples and filling the questionnaires prepared for risk factor assessment.Acid fast staining technique was employed to delect the presence of the Mycobacterium tuberculosis bacilli in the sputum samples.Data was analyzed using SPSS version13 computer software and presented in table.Chi-square test was used to assess associations and a P-value less than 0.05 was taken as significant.Results:A total of 384 prisoners,349 male and 35 females,with a mean age of 33.3 years were involved in the study.The prevalence of smear positive pulmonary tuberculosis among those prisoners with cough duration of more than two wecks was 8.59%.Only the length of imprisonment had a significant association(χ~2= 18.82,P-value【0.0001) with the prevalence of tuberculosis.Conclusions:This study indicated that tuberculosis among prisoners with cough duration of more then two weeks in Gondar prison is very high.Therefore Periodic screening of the prisoners and screening of newly introduced prisoners should be practiced so as to minimise the burden of tuberculosis in prisoners.

Adaptive co-evolution of strategies and network leading to optimal cooperation level in spatial prisoner's dilemma game

We study evolutionary prisoner＇s dilemma game on adaptive networks where a population of players co-evolves with their interaction networks. During the co-evolution process, interacted players with opposite strategies either rewire the link between them with probability p or update their strategies with probability 1 - p depending on their payoffs. Numerical simulation shows that the final network is either split into some disconnected communities whose players share the same strategy within each community or forms a single connected network in which all nodes are in the same strategy. Interestingly, the density of cooperators in the final state can be maximised in an intermediate range of p via the competition between time scale of the network dynamics and that of the node dynamics. Finally, the mean-field analysis helps to understand the results of numerical simulation. Our results may provide some insight into understanding the emergence of cooperation in the real situation where the individuals＇ behaviour and their relationship adaptively co-evolve.

PREFERENCE AND EVOLUTION IN THE ITERATED PRISONER'S DILEMMA

Game theory is extensively used to study strategy-making and actions of play- ers. The authors proposed an analysis method for study the evolutionary outcome and behaviors of players with preference in iterated prisoner＇s dilemma. In this article, a preference parameter k was introduced in the payoff matrix, wherein the value of k denotes the player＇s degree of egoism and altruism （preference）. Then, a game-theoretic dynamical model was formulated using Birth-and-Death process. The authors studied how preference influences the evolutionary equilibrium and behaviors of players. The authors get the general results： egoism leads to defection, and altruism can make players build trust and maintain cooperation, and so, the hope of the Pareto optimal solution. In the end, the simulation experiments proved the efficiency of the method.

A 2-stage strategy updating rule promotes cooperation in the prisoner's dilemma game

In this study,we propose a spatial prisoner＇s dilemma game model with a 2-stage strategy updating rule,and focus on the cooperation behavior of the system.In the first stage,i.e.,the pre-learning stage,a focal player decides whether to update his strategy according to the pre-learning factor β and the payoff difference between himself and the average of his neighbors.If the player makes up his mind to update,he enters into the second stage,i.e.,the learning stage,and adopts a strategy of a randomly selected neighbor according to the standard Fermi updating rule.The simulation results show that the cooperation level has a non-trivial dependence on the pre-learning factor.Generally,the cooperation frequency decreases as the pre-learning factor increases;but a high cooperation level can be obtained in the intermediate region of- 3〈 β 〈-1.We then give some explanations via studying the co-action of pre-learning and learning.Our results may sharpen the understanding of the influence of the strategy updating rule on evolutionary games.

Cooperation influenced by the correlation degree of two-layered complex networks in evolutionary prisoner’s dilemma games

An evolutionary prisoner＇s dilemma game is investigated on two-layered complex networks respectively representing interaction and learning networks in one and two dimensions. A parameter q is introduced to denote the correlation degree between the two-layered networks. Using Monte Carlo simulations we studied the effects of the correlation degree on cooperative behaviour and found that the cooperator density nontrivially changes with q for different payoff parameter values depending on the detailed strategy updating and network dimension. An explanation for the obtained results is provided.

Knowledge and Practice on Tuberculosis among Prison Workers from Seremban Prison

Background: Prisons are always overcrowded, and congestion leads to close relationships, and subsequently, increases the likelihood of airborne illnesses including Tuberculosis (TB). The purpose of this study was to identify the level of knowledge of TB transmission, and TB preventive practices of prison workers in a Malaysian prison. Methods: A cross-sectional study was conducted with convenience sampling technique utilizing a validated questionnaire. 280 prison workers employed at the Seremban Prison were invited to participate in the study. The study period was from January 2019 to June 2019. Inclusion criteria included age above 18 years old and English literacy. The questionnaire was divided into 3 parts which were sociodemographic details, knowledge on TB transmission and TB preventive practices. The analysis was done in SPSS version 24.0 using appropriate statistical tests. Descriptive statistics was used to evaluate the knowledge level of TB transmission, and TB preventive practices of prison workers at Seremban prison. Results: Around 190 questionnaires were obtained usable registering a response rate of 68.5%. This study showed that around 66% of prison workers had moderate knowledge while around 26% had good knowledge of TB transmission. In terms of practice, around 93.7% of prison workers applied good TB prevention practice. Conclusion: This study showed that the majority of the respondents had moderate knowledge regarding TB transmission. However, their disease preventive practices were at acceptable levels which implied that existing prison standard operating procedures play an important on instilling these practices. Nonetheless, prison management should take important action by providing education and training to increase TB knowledge among prison workers to ensure that this practice is always upheld in both prison and community settings.

Determinants and Knowledge on Geo-Helminthiasis in Prison Inmates: Case of Kassapa Central Prison, Lubumbashi, Democratic Republic of Congo

Introduction: Geohelminths are infections due to various species of parasitic worms transmitted by eggs present in human excreta which contaminate the soil where sanitation is poor. The objective of this study was to analyse the determinants and knowledge on geo-helminthiasis among inmates and care providers in the Kassapa prison environment in Lubumbashi in the Demographic Republic of Congo. Methods: This is a cross-sectional descriptive study which was conducted from September 21 to October 15, 2020 in Kassapa prison in Demographic Republic of Congo. Estimates of the prevalence and general characteristics of geo-helminthiasis in prisoners were calculated by descriptive analyses. The analysis of determinants was performed based on a binary logistic regression. Results: With regard to the quantitative section, the study used a sample size of 1083 while a sample size of six was considered for the qualitative section. The annual prevalence of geo-helminthiasis was 10.2%, 4.8% and 2.9% respectively for 2017, 2018 and 2019. It was found that the general prevalence of geo-helminthiases was 17.9%. The age group above 39 years constitutes the modal class with 29.4%, the least affected age group being that of minors with 6.3%. The association is statistically significant between sex, treatment, prison residence and year. Thus, taking gender into account, women are by 2.3 (OR = 2.3, 95% CI [1.3%;4.8%], p value < 0.05) more likely to be at risk of suffering from geo-helminthiasis than men, and mebendazole is by 2.1 a better treatment of geo-helminthiasis than albendazole (OR = 2.1, 95% CI [1.1%;4.6%], p-value < 0.05). Transmission routes of geo-helminthiasis are relatively well known among these actors who have often reported eating dirty food, walking barefoot, and drinking dirty water. Conclusion: This descriptive cross-sectional study rounds off by pointing to poor hygiene, insufficient health education and a low socio-economic level exposing inmates to the risk of contracting geo-helminthiasis, particularly as prisoners in Kassapa live in a difficult situation and are therefore very vulnerable.