Search results

This paper highlights public health issues arising in prisons due to overcrowding – focusing on existence of tuberculosis (TB) and its transmission in a TB endemic country. It further addresses feasible TB management, to develop an applicable preventive intervention that will control TB transmission and development within and outside prisons. This study aims to decrease morbidity and mortality caused by TB by identifying latent tuberculosis infection (LTBI) cases.

A novel cross-sectional study conducted on male prisoners of Central Prison Rawalpindi, dividing them into three strata, i.e. under-trial (UTP), convicted (CTP) and condemned (CP) prisoners. Prevalence of latent TB infection within prisoners was methodologically calculated using multiple statistical analysis at 95% confidence interval. This research sourced an invasive skin test (Mantoux test) for primary data collection from targeted key population.

This research calculated existing prevalence of LTBI at 47.25%, 47.45% and 53%, respectively in UTP, CTP and CP prisoners, and 32.2% in total prison population. Overcrowding, poor health conditions and excessive smoking presented strong statistical significance to high LTBI prevalence across the prison population.

Limitations included accessibility to prisons due to procedural concealment, and unannounced release of UTPs that was dealt through supplementary testing. The presented research findings highlight the disease spread across key populations, and the importance of identifying, containing and controlling them. It elaborates the crucial use of Mantoux tuberculin skin test (TST) to identify and isolate LTBI and potential TB cases in a closed population. It also facilitates policy implications that promote health and safety for prisoners, law enforcers and associated external population.

TB is one of the top 10 fatal illnesses and second highest infectious disease worldwide. For decades, TB ruled over human health and threatened their survival. Health-care professionals face challenges in locating, isolating, treating and controlling TB across the globe. Pakistan is a TB endemic country that internationally ranks fifth in nations with high TB burden. LTBI prevalence is unknown in Pakistan. Key populations are well-known to comparatively live with higher rates of infectious disease. Therefore, this research targeted a key population and has successfully calculated LTBI prevalence in overcrowded male prison population.

Key populations are at high risk of contracting and transmitting communicable diseases. They not only possess higher disease incidences, but are also responsible for disease-spread within and outside their community. Targeting them will help in controlling for LTBI across prison population as well as the external population that is associated with the prisoners. TST allowed maximum screening coverage, encapsulated LTBI, spread awareness and eliminated stigmatisation.

Prevalence of TB and LTBI are unknown in Pakistan. This novel research calculated LTBI prevalence through primary data collection and targeted key populations. Authors collected primary data on case-by-case basis. This study has efficaciously located and isolated LTBI cases among the sample population following internationally standardised TST procedures.

This systematic review (SR) aims to evaluate and summarize the effectiveness of using eye movement desensitization and reprocessing (EMDR) intervention among individuals diagnosed with post-traumatic stress disorder (PTSD), as well as to highlight the standardized EMDR-based interventional protocol.

This SR is guided according to preferred reporting items for SRs and meta-analyses standards. Several online databases were used in searching for eligible studies in peer-reviewed journals relevant to the study keywords. The included studies were SRs and clinical trials that used EMDR interventions among patients experiencing PTSD symptoms, older than 18 years and were published in English language from 2015 to 2022. Three researchers independently contributed to study selections, data extraction and study evaluations from different aspects, including quality assessment, risk of bias and study synthesis.

A total of eight published studies met the inclusion criteria and were included in this SR; four articles were randomized controlled trials and four were SR and meta-analysis studies. In all included studies, the EMDR was used as a primary psychotherapy intervention for PTSD symptoms. The results of this extensive and comprehensive review showed that EMDR is an effective psychotherapeutic intervention to reduce and control the severity of symptoms among individuals with PTSD.

It is important to acknowledge several limitations inherent in this study. First and foremost, it is noteworthy to mention that only studies conducted in the English language were included in this review, potentially restricting the overall scope and diversity of the findings. Furthermore, the number of studies incorporated into this review was limited, which may have implications for the comprehensiveness and generalizability of the results. Finally, it is worth noting that certain studies within this review had a relatively small sample size, which could potentially limit the statistical power and precision of the conclusions drawn.

This paper, a review of the literature, gives an overview of EMDR effectiveness, provides baseline information and plays a significant role in decreasing the gap in Jordanian literature regarding using EMDR as the strongest evident psychotherapy approach for PTSD treatment to help psychiatrists, psychologists and psychiatric nurses in the health-care sectors to design comprehensive strategies to enhance and improve the quality of health care and patients’ status.

EMDR intervention offers significant alternative treatment opportunities for individuals suffering from PTSD, depression and anxiety. The implementation of EMDR for depression, anxiety and PTSD improves patient outcomes as compared to standard therapeutic modalities in PTSD.

This SR gives an overview and explains strong supportive evidence for the effectiveness of EMDR interventions among individuals with PTSD. Therefore, EMDR therapy could be assumed as one standard treatment option for PTSD, aiming at reducing treatment duration and cost of treatment and restoring the mental well-being and functionality of those suffering from PTSD.