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strategies to reduce the spread of hiv and aids
history of hiv in prisons
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Recommended: strategies to reduce the spread of hiv and aids
In addressing the prevention of the spread of the HIV virus in prisons, we have seen a rush to develop and implement prevention measures. Much attention has centered on such controversial issues as compulsory or voluntary blood testing, isolation versus integration of HIV infected inmates into the prison mainstreams, provision of condoms and disposable needles, and effective educational measures for specific groups within the prison. Unfortunately, this rush to develop and implement preventive measures has resulted in a degree of polarization which has hindered progress towards implementation of effective prevention measures. Prisons and jails offer uniquely important opportunities for improving disease control in the community by providing health care to disease prevention program to a large and concentrated population of individuals at high risk for disease. Inmates often have little interaction with the health care system before and after being incarcerated. (U.S. News & World Report) The bureau of Justice Statistics (BJS) reported that in 1999, HIV/AIDS in prisons and jails was a growing problem in American correctional facilities. The AIDS rate in US prisons was five times the rate of general population. (Society. 2003) For a variety of reasons, many inmates do not seek diagnosis or treatment for illness before arriving to prison or jail. Because inmates are literally a “captive” audience, it is vastly more efficient and effective to screen and treat them while incarcerated than to conduct extensive outreach in local communities. (AIDS Weekly. 1998) Uninfected prisoners have sued the authorities for failing to test and segregate. In a recently reported case, Cameron v. Metcuz 705 F. Supp 454 (N.D. Ind 1989), an uninfected plaintiff prisoner sued prison authorities for failing to segregate a known infected prisoner with a violent history who had bitten the plaintiff. In that case, the court found that the authorities’ failure to segregate a known infected prisoner with a violent history did not amount to gross negligence or reckless indifference to the prisoner who was bitten. (Mead. Vol. 15 no. 5, pp. 197-9). There is a clear case for urgent reform of the law as it relates to prisoners right’s to ensure meaningful HIV/AIDS prevention and care strategies for both the prison and general populations.
With more than 200,000 US cases per year, Parkinson’s disease has become a major part
Parkinson’s disease is a disorder of the nervous system, and occurs when the brain cells that are in charge of producing dopamine in the body start to slow down the dopamine making process and/or stop it all together. These dopamine producing cells can be found in a grouping of cells called the substantia nigra, which is found in the mesencephalon, also known as the midbrain. What dopamine does is it sends the electrical signals in the brain between the dopamine producing nerve cells from the substantia nigra to the corpus striatum (part of the forebrain). With the right flow of electrical signals between nerve cells, your body will produce smooth muscle movements. When the production of the dopamine is interrupted, slows down, or comes to a stop, this will cause a lack of dopamine. With this lack of dopamine, the muscles in the body will produce shaky and jerky movements instead of the smooth and graceful movements which those muscles are used to. Disrupted for long enough, and during an acute attack of Parkinson’s disease, the dopamine producing cells and the tissue around them will then start to die off causing a short...
Parkinson's disease is a neurological disorder that is named after "the English physician who first described it fully in 1817" (4). The disease causes disturbances in the motor functions resulting in patients having trouble moving. Other characteristics that are not always present in every patient are tremors and stiffening of limbs. All of these characteristics, of the disease are caused by "degeneration of a group of nerve cells deep within the center of the brain in an area called the substantia nigra" (5). Dopamine is the neurotransmitter for these cells to signal other nerve cells. However as the cluster of nerve cells fail to operate, the dopamine can not reach the areas of the brain that affects one's motor functions (5). On average Parkinson's patients have "less than half as much dopamine in their systems as healthy people do" (8). The problem and controversy that arises from this disease is in the cure. Researchers, for years, have been attempting to unravel the mystery of what causes Parkinson's disease and how it can be treated and or cur...
Sexually transmitted diseases in prison are a byproduct of sexual victimization as well. Sexual Victimization can include rape, being submissive to a dominant figure, and choosing the least resistant path. According to previous statistics, four percent of inmates have been sexually victimized in a given year. More recently, Beck and Stroop (2017) found similar findings. In addition to measuring sexual victimization within a year’s time, they measure it by institution type. For federal and state facilities, combined four percent of its inmates have suffered from sexual victimization. The chance of being sexually assaulted by another inmate is 2%. The chances of being sexually victimized by staff are slightly higher at 2.4%. When separating the two, data shows that those in federal corrections systems have a higher chance of being sexually victimized
These individuals are at a higher risk for HIV infection and transmission than the general population despite incarceration in part due to the lack of sterile injecting equipment
Clinical diagnosis of PD is currently solely dependent on the presentation of the symptoms by the patient which reflect a deficiency of striatal dopamine caused by the destruction of the cells in the substantia nigra. Imaging and other laboratory techniques can be used to rule out other disorders, but are not necessary for the actual diagnosis of PD. The first sign of PA is usually bradykinesia. Movements are usually quite slow. Routine activities may require deliberate planning and thought for execution. Difficulty initiating movements or akinesia, may also be present. Rigidity in the flexors is also present. This is due to an exaggerated response to normal proprioceptive return from the somatic musculature. A resting tremor of 3-6 Hz is also a prominent feature of PD. This may cause difficulties in handwriting as a symptom. Impaired postural reflexes is also a presenting feature in PD. Patients can easily lose their balance when pushed slightly, and may need to be caught to keep from falling. These signs can be tested by observing the patients walking, getting out of deep chairs, and performing rapid repetitive movements. Increased disturbances in cognitive abilities can also show evidence of PD. Even with all these signs of PD, it may be present and undiagnosed f...
Parkinson disease (PD) is a progressive neurodegenerative disorder characterized mainly by physical and psychological disabilities. This disorder was named after James Parkinson, an English physician who first described it as shaking palsy in 1817 (Goetz, Factr, and Weiner, 2002). Jean- Martin Charcot, who was a French neurologist, then progressed and further refined the description of the disease and identified other clinical features of PD (Goetz, Factr, and Weiner, 2002). PD involves the loss of cells that produce the neurotransmitter dopamine in a part of the brain stem called the substansia nigra, which results in several signs and symptoms (Byrd, Marks, and Starr, 2000). It is manifested clinically by tremor, rigidity, bradykinesia, hypokinesia, and postural instability. PD is a common disorder, affecting at least 1% of people by age 70 with it being 1.5 times more common in men than in women (Hauser, et al. 2010). The incidence has been estimated to be 4.5-21 cases per 100,000 population per year, with most studies estimating a prevalence of approximately 120 per 100,00 (Hauser, et al. 2010).
Unfortunately, no treatment has been able to fully cure the disease. Treatment began primitively, consisting of things such as “bloodletting from the neck” which was followed by induced inflammation and blistering to the skin. Today, the most common and effective way of treating Parkinson’s temporarily is through attempting to balance dopamine and acetylcholine levels within the brain by prescribing patients with what is known on the market commonly as Levodopa. It is essentially a dopamine supplement of which’s dosage must be individualized for each different patient since the symptoms vary from person to person (Goldmann, 44). This treatment will eventually become less and less effective as the progression of the disease continues. All that patients and neurologists seem to be able to do is attempt to manage the symptoms it
Another problem with prisons are the terrible conditions and poor medical supervision that is provided. Diseases can be spread easily in highly populated prisons so it is highly recommended that prison facilities are clean and hold prisoners to their made capacity. These conditions can even affect prisoners long-term. Some prisoners have shown to have psychological problems because of the conditions they experienced in prisons. Prisons are created to reform prisoners, not harm them. Health care in prisons has been a problem for many years. It got so serious at one point, that in 1972, a Health Advisory Committee was set up to commend the matters affecting the health of prisoners. This committee gave prisons standards to follow, but prisons
After watching the video: My father, My Brother, and Me, viewable at www.pbs.org , I took away four significant concepts pertaining to PD. The first concept is that although there is not a definitive cause to this disease, research has shown that factors such as genes and toxic chemicals may play a pivotal role in the onset. The second concept is that PD normally does not get diagnosed until the disease has progressed significantly and symptoms are more prominent. The third concept is that PD is a degenerative disease that results from a lack of dopamine-producing brain cells. Finally, the fourth concept that I took away from the video is that there currently is no cure for PD.
Most signs and symptoms of Parkinson disease correspond to one of three motor deficiencies: bradykinesia, akinesia, tremor, and rigidity. The first two qualities are usually present before tremor, but often attributed to aging by the patient and even the physician, and thus the disease is rarely diagnosed until tremor becomes evident much later. An average of 80% of the nigrostriatal neurons may have already degenerated by the time Parkinsonism is diagnosed, which complicates treatment (Fitzgerald, 130). Bra...
Parkinson's disease, Elderly patient, Bradykinesia, Akinesia, Substantia Nigra, Alpha-synuclein, Rest tremor, Micrographia, Levodopa, Carbidopa, Dopamine, Frozen gait, Depression, Deep Brain Stimulation, Hospice, Living will and Durable Power of Attorney for Health Care (DPHC).
Parkinson’s disease is “Characterized by the degeneration of the substantia nigra within the basal ganglia, causing a gradual decrease of the neurotransmitter dopamine” (Webb & Adler, 2008, p. 296). This disease is yet to have a known cause, although researchers are working hard in search of one. In other words, Parkinson’s disease is described as a dopamine deficiency in the caudate nucleus and the putamen (Webb & Adler, 2008, p. 176), and an excess amount of acetylcholine, a neurotransmitter. There is no answer as to why there is a breakdown of these nerve cells that cause Parkinson’s disease. Researchers are pointing to genetic and environmental factors that may be the cause (The Michael J Fox, n.d.).
When one thinks of locations condoms are regularly distributed, the following places quickly come to mind: high school sex education classes, college and university campuses, and centers like Planned Parenthood. However, there may be one more site to add to this list – prisons. There is currently a debate across the nation about whether or not state and federally funded prisons should provide inmates with condoms. Some some believe it would keep prisoners safe by effectively helping to prevent the spread of sexually transmitted diseases (STDs) such as HIV and AIDS while others see it as a morally offensive act that may not have a very positive impact. Both views have valid points, and one should consider both adequately before advocating for,
In today 's society we see a lot of rivalries; for example, Coke vs Pepsi, PC vs Mac, and most recently Android vs. Apple. Around the turn of the 19th century, there was a similar rivalry that had everyone in shock; this rivalry was known as the AC DC Current War. This war was between Thomas Edison and Nikola Tesla. Thomas Edison and Nikola Tesla were the two most influential minds during the 1800s. Edison, the Wizard of Menlo Park, worked hard his whole life to reach great achievement of professional recognition in science. Tesla, the Master of Lightning, had an intellectual mind and contributed to an electronic development that changed American history. Most people have heard of Thomas Edison; in contrast, Tesla is a little more obscure.