Prevalence and epidemiology of chronic hepatitis C among prisoners of Mato Grosso do Sul State, Brazil

In Mato Grosso do Sul state, Brazil, the number of prisoners has increased in the recent years and the control of hepatitis C virus (HCV) has become more complex. The aim of the present study was to estimate the prevalence and identify the genotypes of HCV in prisoners as well as the factors associated with this infectious disease. Thereby, 443 men and 243 women from prisons were interviewed and subjected to blood collection. Anti-HCV reactive samples were analyzed by RT-PCR and genotyped. The overall seroprevalence of HCV infection was 4.8% (95%CI: 3.4 to 6.8%). Furthermore, the prevalence was higher in: men, injecting drug users, tattooed persons, those who were more than 50 years old, individuals who have been arrested multiple times, people with previous history of sexually transmitted disease (STD), persons who received blood transfusions or those with HIV/AIDS. The prevalence of RNA HCV by PCR was 3.0% (95%CI: 1.7 to 4.2%). Moreover, the coinfection of HIV and HCV was 33.3%. In addition, genotype 1 was the most frequent (85%) followed by genotype 3 (15%). The screening strategy for HCV and other infectious diseases in inmates is important as it establishes an early diagnosis, opportunity for treatment and allows the breaking of the transmission chain

Interacionismo simbólico e a possibilidade para o cuidar interativo em enfermagem Interaccionismo simbólico y la posibilidad para el cuidar interactivo de la enfermería Symbolic interacionism and the possibility to the interactive care in nursing

O estudo reflexivo e teórico, apresenta os pressupostos básicos do Interacionismo Simbólico, que trata o significado como conceito central da teoria, em que a partir da interação entre as pessoas, as ações são construídas. Procura mostrar a afinidade da enfermagem com essa teoria ao buscar possibilidades para o cuidar interativo seja no âmbito do ensino, prática e pesquisa.<br>Este estudio reflexivo y teórico presenta los principios básicos del Interaccionismo Simbólico, que trata del significado como concepto central de la teoría, en que las acciones son construidas a partir de la interacción entre las personas. Procura mostrar la afinidad de la enfermería con esta teoría cuando busca posibilidades para el cuidar interactivo, sea en el ámbito de la enseñanza como en el de la práctica y de la investigación.<br>This reflexive and theoretical study presents the basic presuppositions of Symbolic Interactionism, which deals with the signification as the theory's central concept, in which the actions are constructed through the interactions among people. It aims to show the affinity of Nursing with that theory by looking for possibilities for interactive care in teaching, in the practice and in research

A review of vulnerability indicators for deltaic social–ecological systems

The sustainability of deltas worldwide is under threat due to the consequences of global environmental change (including climate change) and human interventions in deltaic landscapes. Understanding these systems is becoming increasingly important to assess threats to and opportunities for long-term sustainable development. Here, we propose a simplified, yet inclusive social–ecological system (SES)-centered risk and vulnerability framework and a list of indicators proven to be useful in past delta assessments. In total, 236 indicators were identified through a structured review of peer-reviewed literature performed for three globally relevant deltas—the Mekong, the Ganges–Brahmaputra–Meghna and the Amazon. These are meant to serve as a preliminary “library” of potential indicators to be used for future vulnerability assessments. Based on the reviewed studies, we identified disparities in the availability of indicators to populate some of the vulnerability domains of the proposed framework, as comprehensive social–ecological assessments were seldom implemented in the past. Even in assessments explicitly aiming to capture both the social and the ecological system, there were many more indicators for social susceptibility and coping/adaptive capacities as compared to those relevant for characterizing ecosystem susceptibility or robustness. Moreover, there is a lack of multi-hazard approaches accounting for the specific vulnerability profile of sub-delta areas. We advocate for more comprehensive, truly social–ecological assessments which respond to multi-hazard settings and recognize within-delta differences in vulnerability and risk. Such assessments could make use of the proposed framework and list of indicators as a starting point and amend it with new indicators that would allow capturing the complexity as well as the multi-hazard exposure in a typical delta SES