Journal articles on the topic 'Prisoners Health and hygiene Victoria'

ABSTRACT Aim The aim of the study was to determine the prevalence of dental caries and oral hygiene status among juvenile prisoners in Riyadh, Kingdom of Saudi Arabia. Materials and methods A total of 105 prisoners aged between 12 and 17 years of age from the Juvenile Detention Center were included in the study. Any prisoner with systemic illness and being noncooperative were excluded from the study. Clinical examinations were performed under an artificial light source using a disposable mouth mirror and explorer while seated on a portable chair. The dental caries experience was measured as the number of decayed, missing, or filled permanent teeth (DMFT) using DMFT score. The oral hygiene index (OHI) was assessed by the Greene and Vermillion method. The data collected were analyzed using Statistical Package for the Social Sciences version 16. Results The mean age of the sample was 16.33 years, with 74.3% of the prisoners in the 16 to 17-year-old group. The dental caries index measured by calculating the mean DMFT of the juvenile prisoners increased with age. The DMFT scores of 9.09 (4.388) for 78 juvenile prisoners aged 16 to 17 years followed by 9.00 (2.925) for 19 prisoners aged 14 to 15 years and 7.13 (1.808) for 8 prisoners aged 12 to 13 years were observed. The oral hygiene status of the prisoners showed that more than half of the juvenile prisoners included in the study had poor (53.3%) oral hygiene and less than half had fair (45.7%) oral hygiene and only one participant demonstrated good oral hygiene. Conclusion The juvenile prisoners had high prevalence of dental caries and fair-to-bad oral hygiene, indicating poor oral health status. Furthermore, the study emphasizes the need for special attention from the concerned health authorities, voluntary organizations, and surrounding dental colleges in meeting the oral health needs of this group. Clinical significance The study provides an important database for decision makers to take on the challenge of reducing dental caries among juvenile prisoners. How to cite this article Alkhadra T. Prevalence of Dental Caries and Oral Hygiene Status among Juvenile Prisoners in the Kingdom of Saudi Arabia. J Contemp Dent Pract 2017;18(11):991-995.

For thousands of incarcerated women in the United States, dealing with menstruation is a nightmare. Across the country, many female prisoners lack sufficient access to feminine hygiene products, which negatively affects their health and rehabilitation. Although the international standards for the care of female prisoners have been raised in attempt to eliminate this issue, these stan- dards are often not followed in the United States. This Comment argues that denial of feminine hygiene products to female prisoners violates human de- cency. Additionally, this Comment considers possible constitutional violations caused by this denial, reviews current efforts to correct this problem, and pro- vides suggestions for possible legislative solutions.

Objective: The objective of the study was to investigate the rates of mental disorder among women in prison in Victoria, and to compare with community rates. Design: A midnight census of all women in prison in Victoria was undertaken. Respondents were interviewed with a version of the Composite International Diagnostic Interview (CIDI), an adapted version of the Personality Diagnostic Questionnaire (PDQ-4+) and a demographics questionnaire. Main Outcome Measures: Twelve-month prevalence rates of ICD-10 mental disorders including depressive disorders, anxiety disorders and drug-related disorders were examined. Prevalence of personality disorders was also investigated. Results: Eighty-four per cent of the female prisoners interviewed met the criteria for a mental disorder (including substance harmful use/dependence) in the year prior to interview. This rate was reduced to 66% when drug-related disorders were excluded. Fortythree per cent of subjects were identified as cases on a personality disorder screener. For all disorders, (except obsessive-compulsive disorder and alcohol harmful use) women in prison had a significantly greater likelihood of having met the 12-month diagnostic criteria when compared to women in the community. The most prevalent disorders among the female prisoners were: drug use disorder (57%), major depression (44%), Posttraumatic stress disorder (36%), and personality disorders. Almost a quarter (24%) of respondents were identified as a ‘case’ on the psychosis screen. Conclusions: In the present study female prisoners had significantly higher rates of the mental disorders investigated (with the exceptions of OCD and alcohol harmful use) when compared with women in the community. The pattern of disorder found among female prisoners is consistent with the abuse literature, suggesting that histories of abuse among the prison population may account for part of the discrepancy. These results highlight the need for improved assessment and treatment resources to meet the demands of this population.

Victoria, a pregnant inmate housed in a Louisiana state prison, brought a civil rights action challenging the prison’s policy of requiring her to obtain a court order to receive an elective abortion. Although Louisiana state law purported to allow Victoria to obtain an elective abortion, Victoria was unable to obtain her abortion because of procedural delays. Victoria was released from prison before she gave birth but her pregnancy was too far along for her to legally obtain an abortion. She was therefore forced to carry her pregnancy to term and forced to place her newborn child with adoptive parents. Had she given birth in prison, she would have been shackled to her hospital bed, as Louisiana policies require.Little information regarding pregnancy, prenatal care, perinatal outcomes, and access to elective abortions for female inmates exists. We know, however, that between six and ten percent of the women entering jail or prison are pregnant and that more women may become impregnated in prison as a result of rape by prison guards.

In this study, we investigate sleep quantity and quality and their association with anger-related reactions, symptoms of ADHD, depressive symptoms, physical health complaints, and life satisfaction in male prison inmates. Furthermore, we examine whether good sleep hygiene in the prison context (physical exercise during the day, switching the television off at night, limiting caffeine and cigarette consumption) is related to sleep quantity and quality. Forty-nine prison inmates (mean age = 39.37; SD = 13.95) completed questionnaires assessing sleep quality and quantity, sleep hygiene, and psychosocial and physical functioning. Short sleep duration (6 h or less) and poor sleep quality were related to higher levels of aggressiveness in aggression-provoking social situations and more physical health complaints. In addition, poor sleep quality was related to higher levels of rumination and more symptoms of ADHD. Daily caffeine consumption, a sleep hygiene variable, was related to shorter sleep duration. The results suggest that, among a sample of male prison inmates, adequate sleep duration and good sleep quality were associated with better psychosocial adjustment.

Menstrual hygiene management services among female inmates should be in a professional manner equivalent to what is provided in the country. Female prisoners' menstrual patterns could differ from normal due to stress and uncertainty about the future. This cross-sectional survey was aimed to assess the menstrual bleeding pattern of the female prisoners and their menstrual hygiene. It was conducted among three selected Prisons in Kano. Ethical approval was obtained from Ethical Committee of Kano State Ministry of Health. Information such as socio-demographic characteristics, menstrual hygiene and pattern were recorded on a questionnaire. All consenting female prisoners were recruited for the survey. Data collected were analyzed using SPSS Version 26.0.A p-value of < 0.05 was considered significant. Their mean age (±SD) was 30.1±3.42 years. The mean menstrual cycle was 28.9 ±4.42 days. The average duration of menstrual flow was 3 ± 1. Thirty-two (33.0%) of the female prison inmates experienced pains during menstruation (dysmenorrhea) while 43 (44.3%) had no dysmenorrhea. Majority of the inmates 83(85.6%) took bath once during menstrual period. More than 4/5th (81.4%) changed their absorbent twice a day during the period. Majority of the female inmates used toilet (80%) as the method of absorbent disposal. In conclusion; the survey showed that female prisoners relatively showed regular and normal menstrual patterns. Menstrual hygiene was relatively poor.

Menstrual hygiene management services among female inmates should be in a professional manner equivalent to what is provided in the country. Female prisoners' menstrual patterns could differ from normal due to stress and uncertainty about the future. This cross-sectional survey was aimed to assess the menstrual bleeding pattern of the female prisoners and their menstrual hygiene. It was conducted among three selected Prisons in Kano. Ethical approval was obtained from Ethical Committee of Kano State Ministry of Health. Information such as socio-demographic characteristics, menstrual hygiene and pattern were recorded on a questionnaire. All consenting female prisoners were recruited for the survey. Data collected were analyzed using SPSS Version 26.0.A p-value of < 0.05 was considered significant. Their mean age (±SD) was 30.1±3.42 years. The mean menstrual cycle was 28.9 ±4.42 days. The average duration of menstrual flow was 3 ± 1. Thirty-two (33.0%) of the female prison inmates experienced pains during menstruation (dysmenorrhea) while 43 (44.3%) had no dysmenorrhea. Majority of the inmates 83(85.6%) took bath once during menstrual period. More than 4/5th (81.4%) changed their absorbent twice a day during the period. Majority of the female inmates used toilet (80%) as the method of absorbent disposal. In conclusion; the survey showed that female prisoners relatively showed regular and normal menstrual patterns. Menstrual hygiene was relatively poor.

Menstrual hygiene management services among female inmates should be in a professional manner equivalent to what is provided in the country. Female prisoners' menstrual patterns could differ from normal due to stress and uncertainty about the future. This cross-sectional survey was aimed to assess the menstrual bleeding pattern of the female prisoners and their menstrual hygiene. It was conducted among three selected Prisons in Kano. Ethical approval was obtained from Ethical Committee of Kano State Ministry of Health. Information such as socio-demographic characteristics, menstrual hygiene and pattern were recorded on a questionnaire. All consenting female prisoners were recruited for the survey. Data collected were analyzed using SPSS Version 26.0.A p-value of < 0.05 was considered significant. Their mean age (±SD) was 30.1±3.42 years. The mean menstrual cycle was 28.9 ±4.42 days. The average duration of menstrual flow was 3 ± 1. Thirty-two (33.0%) of the female prison inmates experienced pains during menstruation (dysmenorrhea) while 43 (44.3%) had no dysmenorrhea. Majority of the inmates 83(85.6%) took bath once during menstrual period. More than 4/5th (81.4%) changed their absorbent twice a day during the period. Majority of the female inmates used toilet (80%) as the method of absorbent disposal. In conclusion; the survey showed that female prisoners relatively showed regular and normal menstrual patterns. Menstrual hygiene was relatively poor.

Menstrual hygiene management services among female inmates should be in a professional manner equivalent to what is provided in the country. Female prisoners' menstrual patterns could differ from normal due to stress and uncertainty about the future. This cross-sectional survey was aimed to assess the menstrual bleeding pattern of the female prisoners and their menstrual hygiene. It was conducted among three selected Prisons in Kano. Ethical approval was obtained from Ethical Committee of Kano State Ministry of Health. Information such as socio-demographic characteristics, menstrual hygiene and pattern were recorded on a questionnaire. All consenting female prisoners were recruited for the survey. Data collected were analyzed using SPSS Version 26.0.A p-value of < 0.05 was considered significant. Their mean age (±SD) was 30.1±3.42 years. The mean menstrual cycle was 28.9 ±4.42 days. The average duration of menstrual flow was 3 ± 1. Thirty-two (33.0%) of the female prison inmates experienced pains during menstruation (dysmenorrhea) while 43 (44.3%) had no dysmenorrhea. Majority of the inmates 83(85.6%) took bath once during menstrual period. More than 4/5th (81.4%) changed their absorbent twice a day during the period. Majority of the female inmates used toilet (80%) as the method of absorbent disposal. In conclusion; the survey showed that female prisoners relatively showed regular and normal menstrual patterns. Menstrual hygiene was relatively poor.

Menstrual hygiene management services among female inmates should be in a professional manner equivalent to what is provided in the country. Female prisoners' menstrual patterns could differ from normal due to stress and uncertainty about the future. This cross-sectional survey was aimed to assess the menstrual bleeding pattern of the female prisoners and their menstrual hygiene. It was conducted among three selected Prisons in Kano. Ethical approval was obtained from Ethical Committee of Kano State Ministry of Health. Information such as socio-demographic characteristics, menstrual hygiene and pattern were recorded on a questionnaire. All consenting female prisoners were recruited for the survey. Data collected were analyzed using SPSS Version 26.0.A p-value of < 0.05 was considered significant. Their mean age (±SD) was 30.1±3.42 years. The mean menstrual cycle was 28.9 ±4.42 days. The average duration of menstrual flow was 3 ± 1. Thirty-two (33.0%) of the female prison inmates experienced pains during menstruation (dysmenorrhea) while 43 (44.3%) had no dysmenorrhea. Majority of the inmates 83(85.6%) took bath once during menstrual period. More than 4/5th (81.4%) changed their absorbent twice a day during the period. Majority of the female inmates used toilet (80%) as the method of absorbent disposal. In conclusion; the survey showed that female prisoners relatively showed regular and normal menstrual patterns. Menstrual hygiene was relatively poor.

The Covid-19 emergency in prisons is a public health warming due to overcrowding, poor structural conditions,and life promiscuities.Worldwide a lot of prisoners were Sars-CoV-2 positive and in Italy several outbreaks occurred in many prisons.This paper examines, using a clinical audit, a Covid-19 outbreak occurred in an Italian prison during the spring2021.The study showed that the best measures to mitigate the outbreak negative consequences both in prisoners andin the staff are the preventive actions, the hygiene and disinfection of the common detention areas; the reductionof overcrowding; the stop of the working activities during the quarantine period.Only an improvement of living conditions inside the prisons may reduce the risk of infection among inmates.

Skin disease is a disorder of the skin caused by fungi, germs, parasites, viruses, and infections that can attack everyone regardless of age. Skin diseases can attack the entire human body or certain parts of the body. Skin diseases can occur due to lack of personal hygiene such as using shared clothes, using toiletries such as soap and towels at the same time. The purpose of this study was to determine environmental sanitation and personal hygiene with the incidence of acute diseases at the Special Guidance Institute for Class 1 Children in Kupang City. This type of research is descriptive and conducted by means of a survey. This research was conducted in Kupang City with a sample of 30 prisoners. The data analysis used is univariate analysis which only looks at the description of the frequency distribution of each variable studied. Thus, it can be concluded that all the independent variables of this study consisted of: skin hygiene, hand and nail hygiene, bed and bed linen cleanliness, towels cleanliness and clothing cleanliness with the incidence of skin diseases in special child prisoners in Kupang City. Prisoners need to carry out clean and healthy living behavior (PHBS) well as things are known. The Kupang City Health Office is expected to increase health education efforts through various media, especially counseling/socialization about clean and healthy living behavior (PHBS).

The article considers the historical aspect of sanitary development in the domestic penitentiary system. In 1788, the Regulations on Prisons were adopted, in which the sanitary requirements of the penitentiary systems of European states were used. Since 1819, the Ministry of Internal Affairs of the Russian Empire organized sanitary affair. This provided the conditions for the development of penitentiary sanitation. The legal basis for sanitation for prisoners was established in 1831. In 1850 in prison died 1598 criminals of a 980,000 who were in prison (0.16%). This is evidence of a good level of sanitation in Russia at this time. In 1879, the Chief Prison Directorate of the Russian Empire appointed an inspector for the sanitary unit. He developed sanitary measures and coordinated their implementation. The role of professor A.P. Dobroslavina is shown in the development of penitentiary hygiene and sanitation. The primary link of the domestic penitentiary system was the administration of prisons. According to the law of June 15, 1887, doctors and paramedics were assigned to them. They organized and conducted sanitary measures. Treatment of sick prisoners and sanitation was carried out at the expense of the state. It was revealed that more attention was paid to the prevention and treatment of infectious diseases. Normative sanitary acts in the penitentiary system must have mandatory for the administration of places of detention. For the purposes of sanitary and epidemiological well-being, it is not possible to subordinate medical workers to the prison director. This was provided for by the General Prison Regulations of 1915. But, unfortunately, has not been implemented so far. The authors believe that the time has come to implement this norm in practice.

Background: The foodservice system in Children Penitentiary is an action for fulfilling the nutritional needs of prisoners. Lack of nutrition that is not by the standard, will result in the occurrence of nutritional problems and reduce the health status for prisoners during the coaching period. One indicator for better quality access to food services is to explore how the perceptions of prisoners on food services which are provided by the institution. Objective: The aims of this study was to determine the perceptions of inmates on the quality of service and provision of food at the Children Penitentiary Class IA, Blitar Regency. Method: This study used a qualitative approach with a semi-structured deep interview and observation method to explore data deeply and holistically. The informants consisted of 10 people and the criteria for key informants were between age range from 15 until 20 years old. Result: The results of the study showed that there were factors that influenced the perception of food quality assessment in LPKA, including internal factors, such as the emergence of eating behaviour and formation of eating culture among other prisoners. Besides assessment, there also included the taste of food, a portion of food, variety of menus, food hygiene, also the food from visitors or family. Conclusion: Eating behavior among prisoners forms a new culture in the scope of Class IA LPKA Blitar, which is a culture of joint eating or "kembul" which creates a sense of family among prisoners.

IntroductionPrison can be considered an oppressive and limiting institution and, hence, a propitious site for the development of conflicting and hostile relations among prisoners.ObjectiveDescribe female prisoners’ experiences and perceptions regarding violence in the prison environment.AimsGet to know the circumstances of relationships established at a female prison.MethodExploratory and descriptive research, carried out at the Female Penitentiary in Ribeirão Preto (SP) - Brazil. A semistructured interview was applied to 15 female prisoners. The results were submitted to thematic content analysis.ResultsTwo categories were idenitfied. “Perception of violence in prison”: they denounced the power hierarchy form, in which some prisoners and employees used physical force as an instrument for authority and dominion; they also revealed being victim of sexual abuse and psychological mistreatment in interpersonal relations (rejection, depreciation, discrimination, disrespect, intimidation, oppression and charge). “Losses deriving from imprisonment”: they complained of the precarious hygiene conditions, overcrowded cells and difficult access to health services; distancing from the family, loss of comfort and civil rights, particularly the right to do what they want (choosing food, practicing sports and leisure).ConclusionPrison can be considered the representation of a place of exclusion, closed, enclosing multiple violent acts. This directly influences the perspective of life and future interpersonal relations of people going through this experience. Thus, interventions are needed that prioritize high-quality social reintegration for these people.

Purpose In France, all incarcerated prisoners are required to undergo a dental examination (Ministère de la santé et de la protection sociale, 2004 and Ministère de la justice, 2004). However, only one in two prisoners benefits from this oral health check-up. Oral teleconsultation could improve the quality of oral care in prisons. The paper aims to discuss these issues. Design/methodology/approach The focus of this study was therefore to apply oral teleconsultation as an experiment. Using an oral teleconsultation system, a dentist and a nurse were separately asked to give patients a score, according to how urgently their dental issue needed to be treated. This score will henceforth be referred to as the “dental emergency scores given”. Findings The separate dental emergency scores given by the dentist and the nurse were compared and the results demonstrate the following: – 36.7 per cent (11) of the two scores were equal – 53.3 per cent (16) of the two scores differed by 1 point – 10 per cent (3) of the two scores differed by 2 points. The average score of the nurse was 2.23 and that of the dentist was 2.13. The small disparity should not obscure the fact that 63 per cent of the diagnoses turned out to be incorrect. Practical implications Dental care could easily be improved with oral teleconsultation as a care plan could be developed for each patient. Social implications The condition of one’s dental health is, of course, very important for general health, but it also affects social aspects. Good oral hygiene and health are very important when looking for a job after having been released from prison. Originality/value This is the first study on oral teleconsultation in prisons. Dental care is rarely studied on prisoners. Telemedicine in dentistry is just beginning all over the world. This study is the first step of an extensive project in the University Hospital of Montpellier and the Villeneuve-les-Maguelone prison.

Background: Physical removal of soil rather than biocidal activity is the focus for this safer cleaning method. Methods: We compared 11 years of Victorian healthcare norovirus and suspected viral gastroenteritis outbreak data. Results: Improvements in infection control practice, including the Victorian hand hygiene program corresponds with reduced illness across Victoria during that time. Monash Health reductions are statistically significant and coincide with the implementation of a novel cleaning methodology. Conclusion: Cleaning without chemicals has not increased the risk of norovirus or suspected viral gastroenteritis illness at Monash Health.

Purpose Sub-Saharan African prisons have seen a substantial increase in women prisoners, including those incarcerated with children. There is very little strategic literature available on the health situation and needs of women prisoners and their circumstantial children in Malawi. The study aims to explore this issue. Design/methodology/approach A qualitative exploratory study using in-depth key informant interviews with senior correctional stakeholders (commissioner of prison farms, senior correctional management staff, senior health officials and senior officers in charge) (n = 5) and focus group discussions (FGD) with women in prison of age between 18 and 45 years (n = 23) and two FGD with correctional staff (n = 21) was conducted in two prisons in Malawi, Chichiri and Zomba. Narratives were transcribed and analysed using thematic analysis. Findings Three key themes emerged and are as follows: “hygiene and sanitary situation across multiple prison levels and subsequent health implications for women”; “nutritional provision and diets of women and children in prison”; and “women’s access to prison-based and external health services”. Divergence or agreement across perspectives around sanitation and disease prevention, adequacy of nutrition for pregnant or breast-feeding women, health status and access to prison-based health care are presented. Practical implications Garnering a contemporary understanding of women’s situation and their health-care needs in Malawian prisons can inform policy and correctional health practice change, the adaptation of technical guidance and improve standards for women and their children incarcerated in Malawi. Originality/value There is a strong need for continued research to garner insight into the experiences of women prisoners and their children, with a particular emphasis on health situation.

‘Healthy prisons’ is a well-established concept in criminology and prison studies. As a guiding principle to prisoners’ quality of life, it goes back to the 18th century when prison reformer John Howard regarded the improvement of ventilation and hygiene as being essential in the quest for religious penitence and moral reform. In more recent, times, the notion of the ‘healthy prison’ has been more commonly associated with that which is ‘just’ and ‘decent’, rather than what is healthy in a medical or therapeutic sense. This article interrogates the ‘healthy prison’ more literally. Drawing on data gathered from a UK prison located on a seashore, our aim is to explore prisoners’ rational and visceral responses to water in a setting where the very nature of enforced residence can have negative effects on mental health. In expanding the possibilities for the theorization of the health benefits that waterscapes may generate, and moving the discussion from healthy ‘green space’ to healthy ‘blue space’, the article reveals some of the less well-known and under-researched interconnections between therapeutic and carceral geographies, and criminological studies of imprisonment.

Purpose The Sub-Saharan African (SSA) region remains at the epicentre of the HIV epidemic and disproportionately affecting women, girls and prisoners. Women in prison are a minority group and their special health needs relating to gender sensitivity, reproductive health, their children and HIV/AIDs are frequently neglected. Our study responded to this need, and aimed to investigate the issue. Design/methodology/approach A qualitative study using focus group discussions and key informant interviews explored the perspectives of women in prison, correctional officers, correctional health professionals and non-governmental organisations around prison conditions and standards of health care while incarcerated in a large female prison in Zimbabwe. Narratives were transcribed and analysed using thematic analysis. Findings The three key themes that emerged are as follows: “Sanitation and hygiene in the prison”, “Nutrition for women and children” and “Prison-based health services and health care”. Divergence or agreement across perspectives around adequate standards of sanitation, hygiene, quality and adequacy of food, special diets for those with health conditions, access to health care in prison and the continuum of care across incarceration and community are presented. Practical implications Understanding prison environmental cultures which shape correctional staff’s understanding and responsiveness to women in prison, environmental health conditions and access to health care are vital to improve conditions and continuum of care in Zimbabwe. Originality/value Policy and technical guidance continues to emphasise the need for research in SSA prisons to garner insight into the experiences of women and their children, with a particular emphasis on the prison environment for them, their health outcomes and health-care continuum. This unique study responded to this need.

This paper discusses the massive use of camps by the Austro-Hungarian Empire during the First World War, 1914-1918, in order to achieve its war aims, being the most prominent country of the Central Powers. The camps were founded for each nation separately. There were at least 300 camps, out of which ten were large. There were captivated Serbian prisoners of war, but unlike other nations, there were also Serbian civilians interned, which was prohibited by Geneva conventions. In these camps, there was a mass mortality of Serbian inmates aged 1 to 101 years. The final number of imprisoned and killed Serbs has not been determined, but it is considered to be much higher than the estimated number accepted at the peace conference in Versailles. From the previous research the main causes of their suffering can be seen. These are hunger, inadequate housing of the inmates, the location of the camps, heavy forced labor, poor hygiene and health care, illness and disease, punishment and looting of detainees, etc. All camps operated by the same principle and achieved the same war results: the mass mortality of the imprisoned people. Given that the camps were massively opened during the Second World War by the same countries, it is clear that from the beginning they were planned and designed as the most efficient means of genocide against the Serbs.

AbstractBackgroundWe aim to (1) determine whether a behavioural sleep intervention for children with attention-deficit/hyperactivity disorder (ADHD) leads to sustained benefits; and (2) examine the factors associated with treatment response.MethodsThis study was a randomised controlled trial of 244 children (5–13 years) with ADHD from Victoria, Australia. All participants had a moderate/severe sleep problem that met American Academy of Sleep Medicine criteria for an eligible sleep disorder by parent report. The two-session intervention covered sleep hygiene and standardised behavioural strategies. The control group received usual care. Parent- and teacher-reported outcomes at 12 months included sleep, ADHD severity, quality of life, daily functioning, behaviour, and parent mental health. Adjusted mixed effects regression analyses examined 12 month outcomes. Interaction analyses were used to determine moderators of intervention outcomes over time. The trial was registered with ISRCTN, http://www.controlled-trials.com (ISRCTN68819261).ResultsIntervention children were less likely to have a moderate/severe sleep problem by parent report at 12 months compared to usual care children (28.4% v. 46.5%, p = 0.03). Children in the intervention group fared better than the usual care group in terms of parent-reported ADHD symptoms (Cohen's d: −0.3, p < 0.001), quality of life (d: 0.4, p < 0.001), daily functioning (d: −0.5, p < 0.001), and behaviour (d: −0.3, p = 0.005) 12 months later. The benefits of the intervention over time in terms of sleep were less for children not taking ADHD medication and children with parents experiencing depression.ConclusionsA behavioural sleep intervention for ADHD is associated with small sustained improvements in child wellbeing. Children who are not taking ADHD medication or have parents with depression may require follow-up booster sleep sessions.

Purpose – The purpose of this paper is to analyze poor management of tuberculosis (TB) prevention and treatment and explore parameters and causes of this problem drawing on qualitative interviews with former prisoners and medical specialists in Kaliningrad Oblast in Russia. Design/methodology/approach – The authors undertook a qualitative study, to explore access to HIV and TB treatment for people who inject drugs in Kaliningrad. The authors interviewed (outside of prisons) 15 patients and eight health specialists using a semi-structured guide. The authors analyzed the accounts thematically and health consequences of imprisonment emerged as a major theme. Findings – Prisons are overcrowded and lack basic hygiene and infection control. Demand for medical services outstrip supply, HIV and TB prevention lacking, HIV and TB treatment is patchy, with no second-line drugs available for resistant forms. The prison conditions are generally degrading and unhealthy and many respondents perceived surviving prisons as a miracle. Cooperation with medical services in the community is poor. Research limitations/implications – The authors used qualitative research methods, which do not rely on a representative sample. However, many of the structural barriers preventing effective TB treatment and prevention highlighted in this paper have been noted elsewhere, suggesting that findings are likely to reflect conditions elsewhere in Russia. The authors tried to include all possible points of view, as of the medical staff and the patients. However, due to resistance of the officials the authors were unable to conduct interviews with employees of the FCS. Since all the interviews are recalling past experience, the situation may have changed. This does not undermine importance of the findings, as they shed light on particular treatment experiences, and development of prison health system. Originality/value – The paper contributes to the literature on prisons as a contributor to TB epidemic, including drug resistant forms. An urgent penitentiary reform in Russia should focus on HIV and TB prevention, case detection, availability of medications and effective treatments. Key to decreasing prison population and improving health is political reform aimed at introduction of effective drug treatment, de-penalization and de-criminalization of drug users and application of alternatives to incarceration.

Water is an essential resource required for various human activities such as drinking, cooking, growing food, and personal hygiene. As a key infrastructure of public services, access to clean and safe drinking water is an essential factor for local socio-economic development. Despite various national and international efforts, water supply is often not guaranteed, especially in rural areas of Africa. Although many water resources are theoretically available in these areas, bodies of water are often contaminated with dangerous pathogens and pollutants. As a result, people, often women and children, have to travel long distances to collect water from taps and are exposed to dangers such as physical violence and accidents on their way. In this article, we present a socio-economic case study for rural development. We describe a drinking water treatment plant with an annual capacity of 10,950 m3 on Kibumba Island in Lake Victoria (Tanzania). The plant is operated by a photovoltaic mini-grid system with second-life lithium-ion battery storage. We describe the planning, the installation, and the start of operation of the water treatment system. In addition, we estimate the water prices achievable with the proposed system and compare it to existing sources of drinking water on Kibumba Island. Assuming a useful life of 15 years, the installed drinking water system is cost-neutral for the community at a cost price of 0.70 EUR/m3, 22% less than any other source of clean water on Kibumba Island. Access to safe and clean drinking water is a major step forward for the local population. We investigate the socio-economic added value using social and economic key indicators like health, education, and income. Hence, this approach may serve as a role model for community-owned drinking water systems in sub-Saharan Africa.

Wojna niesie ze sobą bezmiar cierpień, zniszczeń i śmierci. Ci którzy przeżyli musieli zmierzyć się z następującymi po niej chorobami. W latach 40. i 50. lekarze powiatowi przekazywali do Wydziału Zdrowia Urzędu Wojewódzkiego w Poznaniu raporty dotyczące zachorowalności na choroby zakaźnie. Artykuł oparty jest na prezentacji i porównaniu raportów z roku 1946 z analogicznymi raportami z 1953 r. Na tej podstawie podjęto próbę wyjaśnienia większej liczby zachorowań na choroby zakaźne na określonych obszarach Wielkopolski w kontekście historycznym tego okresu. W odniesieniu do roku 1946 dane dotyczą 23 powiatów. Dane dla roku 1953 obejmują 26 powiatów. Ze względu na porównywalność informacji w artykule uwzględniono jedynie dane dla powiatów ziemskich. Typowymi chorobami dla tego okresu okazały się: tyfus, gruźlica i dyfteryt, ale także dużą śmiertelność przypisać można wyczerpaniu, brudowi i niedożywieniu przemieszczających się wówczas mas ludności. Z przeprowadzonych analiz wynika, że najsilniejszy związek występuje pomiędzy chorobami zakaźnymi a umiejscowieniem obozów jenieckich i obozów pracy oraz strumieniami ludności przepływającej przez punkty etapowe PUR. Incidence rate of infectious diseases in Greater Poland in the years 1945–1953 according to the documents of the National Archive in Poznań The war brings infinite suffering, death and destruction. Those who survive it have to deal with diseases that follow. In the 1940s and 1950s, county doctors wrote reports on infectious disease incidence for the Department of Health of the Regional Government in Poznań. The article comprises the presentation and comparison of parallel reports from the years 1946 and 1953. Based on that, it makes an attempt to explain the higher incidence rate of infectious diseases in some parts of Greater Poland based on the historical context of this period. For the year 1946, the data describe 23 counties. Data for the year 1953 include 26 counties. Due to the comparability of information, the article includes data only for rural counties. Typical diseases of the period were typhoid, tuberculosis and diphtheria, but the high mortality rate can also be explained by exhaustion, poor hygiene and malnutrition among the migrating masses of people. The analyses conducted indicate that the strongest relationship can be observed between infectious diseases and the location of prisoners’ and work camps and the migration of people going through the stage points of the National Repatriates Office.

Physical activity is very important for early childhood, especially outdoor activities that add a lot of new experiences. This study aims to check the relationship of children's outdoor activities and parenting styles and children's social skills. The participants are 125 parents of early childhood who attend kindergarten. The research method is a descriptive study using the relational screening model. The results showed that there was a relationship between outside play and parenting style on the social skills of children in their childhood. Democratic parenting styles are found to promote children's social skills, while authoritative parenting styles have a negative correlation with interpersonal skills, the ability to express verbally, self-control, listening skills, emotional management and adaptation to change. 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Female prisoners, who are minority figures in prisons, have fewer opportunities to obtain health facilities and services that support their reproductive health care. Programs and socialization aimed at female prisoners are often ineffective, so they don't get the knowledge they need. Sometimes, their basic needs, such as when they experience menstruation (such as sanitary napkins and clean underwear), are still lacking. The purpose of this study is to describe the social support received by female prisoners in the practice of genital personal hygiene behavior during the period of detention at the Class IIA Sidoarjo Penitentiary. The method used is a qualitative method. The conclusion that can be drawn from this study is, the support received by female prisoners during the detention period to support the behavior of genitalia personal hygiene, namely the family of female prisoners, female prisoners' roommates, to the prison. Support provided in the form of information to the items needed.

Purpose Prisoners have poorer oral health than the general population. Good oral health is essential for both social and physical well-being. For prisoners, poor oral health is also related to drug use after release, whereas good oral health is related to successful reintegration into society. The purpose of this study was twofold: to examine the effect of an intervention based on motivational interviewing (MI) on prisoners’ oral health-related behavior and to assess if the intervention is a good fit for this population. Design/methodology/approach In total, 16 prisoners in a Norwegian prison were offered a brief MI-based intervention focusing on changing their oral health-related behavior. An oral examination was also performed and the prisoners received a small package containing oral hygiene aids. Two weeks later, a second oral examination and a semi-structured interview were conducted to explore the effect of the intervention and examine the prisoners’ responses to the intervention. Qualitative data analyzes were guided by thematic analysis. Findings The findings indicate that the intervention had positive effects on both the prisoners’ motivation to use oral health-related behavior and their performance of oral health-related behavior. The findings also indicate that the intervention was well adapted to the target population. Originality/value This is one of the first studies that explore the effect of an intervention in improving prisoners’ oral health and bridges a knowledge gap in the literature. The findings may increase the understanding of how dental services should be organized and offered to provide dental health care to this vulnerable group.

The article analyzes the sanitary and hygienic conditions of living and medical care at Konzentrationslager Stutthof — Aussenlager Pölitz — a branch of the Stutthof central camp. The sub-camp in Police was created with a view to supplying cheap labour to a synthetic gasoline fac-tory, which was a strategic plant of the German war economy. The health condition of prisoners in concentration camps always remained bad, but the health problems of the prisoners in Police resulted not only from terrible sanitary, hygienic, and living conditions, but also from the difficult working conditions in the factory. So far, the issues of interest to us have not found wider interest among researchers who focused on the so-called “Camps”, apart from the so-called small — affiliate camps. The following research questions were asked: How did medical care function in the German (Nazi) sub-camp Konzentrationslager Stutthof — Aussenlager Pölitz? What were the sanitary, living and hygienic conditions in the German (Nazi) sub-camp Konzentrationslager Stutthof — Aussen-lager Pölitz? In preparing this article the author used research methods characteristic for historical sciences, such as external and internal evaluation of sources; the dogmatic method, which seeks casual connections of a more complex nature than simple time-related connections, and comparative research. The analysis was based on archival materials of the Institute of National Remembrance, es-pecially the Archives of the Branch Office of the Commission For the Prosecution of Crimes Against The Polish Nation of the Institute of National Remembrance in Szczecin (primarily testimony re-ports and witness accounts, factual documentation), memories and literature of the subject (Polish, German, and English). Based on the source material and subject literature it was proved that: 1) The way the sub-camp in Pölitz operated depended on the requirements of the German arms industry. It was created to provide cheap labor for a synthetic fuel factory (Chemische Werke Hydropetroleum Industrie Gesellschaft), a strategic plant for the German war industry. 2) Prisoners of concentration camps were never in good health, but health problems of prisoners in Pölitz were caused not only by poor sanitation, hygiene, and living conditions, but also by harsh working conditions in the factory. 3) The health conditions developed by prisoners from the KL Stutthof — Aussenlager Pölitz could be divided into 4 groups: a) illnesses related to the living conditions in the camp, typical for most concentration camps, b) illnesses resulting from hunger and total exhaustion, c) injuries caused by beating, and d) illnesses resulting from workplace contamination. The operation of the Pölitz camp could be divided into two periods: one when the camp (at that time “the summer camp”) was still under construction, and the other — its actual operation — when the winter camp was established with extended camp infrastructure. However, regardless of the time, prisoners always suffered from hunger, exhausting work beyond their capabilities and various illnesses.

Purpose The purpose of this paper is to study the factors associated with the occurrence of diseases and beriberi among prisoners incarcerated in the two largest Remand and Correctional Facilities (RCF). Design/methodology/approach This was a cross-sectional descriptive and analytical study carried out from April 20 to May 19, 2017, in the RCFs of Ouagadougou and Bobo-Dioulasso. All prisoners who consulted and those referred to the health center by the health-care team were included in the study. Complaints and diagnosed diseases information were collected using the second version of the International Classification of Primary Care (ICPC-2). The authors used a logistic regression model to perform univariate and multivariate analyses. Findings Of the 1,004 prisoners from the two RCFs included in the study (32.6%), 966 (96%) were male. The median age was 31.6 years. The distribution of diseases diagnosed using the ICPC-2 showed a predominance of gastrointestinal tract, skin and respiratory tract diseases among 206 (19.3%), 188 (17.6%) and 184 (17.2%) prisoners, respectively. A total of 302 prisoners (30.1%) had clinical beriberi, and 80 prisoners (8%) were underweight. Being incarcerated for more than nine months was independently associated with a high risk of digestive and respiratory diseases as well as beriberi. Research limitations/implications This study highlighted higher frequencies of digestive, skin and respiratory complaints and diseases in the two largest detention centers in Burkina Faso. These diseases are variously related to age, penal status and length of incarceration. In addition, underweight and thiamin vitamin deficiency responsible for beriberi are more frequent in adult prisoners, those not attending school, convicted prisoners and those with a length of stay in detention of more than nine months. These concrete results should help define a strategy and priority actions needed to reduce morbidity in prisons. Practical implications The actions should include the intervention of specialists in the field of common diseases in prisons, the improvement of individual hygiene conditions and environment, the improvement of the quality and quantity of the food ration, a strategy to reduce prison overcrowding. Other actions must be planned to allow specific groups such as women and minors to have access to health care that is adapted to them. Beyond the central concern of promoting the rights of prisoners and humanizing prisons, actions to improve the health of prisoners are part of an overall public health approach with its socio-economic and environmental implications. Social implications There is a need for a strong commitment from the State to develop a prison health policy that prioritizes the prevention of communicable and non-communicable diseases that are particularly prevalent in this context, without forgetting mental health and nutrition. This requires a collaboration of stakeholders based on better intersectorial communication, the implementation of a monitoring and evaluation system for the health of prisoners, an enhancement of the status of health-care providers working in prisons and an increase in the funding allocated to the health of prisoners with the mobilization of the necessary funds. Originality/value This study uses a primary health care classification to assess the health of inmates in a prison in Africa. It contributes to the weak evidence around prison health surveillance and health profiling of prisoners in Africa.

Purpose Prisons in Africa face unprecedented challenges during Coronavirus disease 2019 (COVID-19). In July 2020, the first prison system case of COVID-19 was notified in Zimbabwe. Subsequently, the Zimbabwe Prisons and Correctional Services released their COVID-19 operational plan. The purpose of the study was to assess preparedness, prevention and control of COVID-19 in selected prisons in Zimbabwe. Design/methodology/approach A multi-method situation assessment of COVID-19 preparedness was conducted across three Zimbabwean prisons. The World Health Organization checklist to evaluate preparedness, prevention and control of COVID-19 in prisons was administered to frontline health managers. Information garnered was further explored during site observation and in multi-stakeholder key informant interviews with policymakers, prison health directorate, frontline health-care professionals, officers in charge and non-governmental organizations (n = 26); focus group discussions with correctional officers (n = 18); and male/female prisoners (n = 36). Data was triangulated and analyzed using content thematic analysis. Findings Outdated infrastructure, severe congestion, interrupted water supply and inadequate hygiene and sanitation were conducive to ill-health and spread of disease. Health professionals had been well-trained regarding COVID-19 disease control measures. COVID-19 awareness among prisoners was generally adequate. There was no routine COVID-19 testing in place, beyond thermo scanning. Access to health care was good, but standards were hindered by inadequate medicines and personnel protective equipment supply. Isolation measures were compromised by accommodation capacity issues. Flow of prison entries constituted a transmission risk. Social distancing was impossible during meals and at night. Originality/value This unique situation assessment of Zimbabwean prisons’ preparedness and approach to tackling COVID-19 acknowledges state and prison efforts to protect prisoners and staff, despite infrastructural constraints and inadequate resourcing from government.

Penelitian ini bertujuan mendiskripsikan urgensi penyusunan model pembimbingan kesehatan mental terpidana mati. Penelitian ini merupakan penelitian hukum-empiris dengan pendekatan yuridis-psikologis. Berdasarkan hasil penelitian, materi dan metode pembimbingan kesehatan mental terpidana mati dilakukan berdasarkan interpretasi masing-masing petugas pemasyarakatan, sepanjang tidak melanggar ketentuan hukum yang berlaku. Hal ini semata-mata dilakukan agar terpidana mati tidak melakukan perbuatan yang melanggar hukum di LAPAS/RUTAN, dan agar lebih siap dalam menghadapi eksekusi mati. Pembimbing berasal dari dalam maupun luar LAPAS. Prosesnya diintegrasikan melalui kegiatan pembinaan bidang keagamaan dengan metode caramah secara massal dan konsultasi individual. Konseling individual merupakan langkah positif untuk membimbing terpidana mati sesuai dengan kebutuhannya. Sayangnya, pembimbingan tersebut belum didasarkan pada hasil pemeriksanaan psikologis, prosesnya juga belum menggunakan prinsip-prinsip konseling sehingga hasilnya belum optimal. Jika pedoman tersebut ada, petugas pemasyarakatan dapat menyusun langkah-langkah pembimbingan secara sah, efisien dan efektif dalam bimbingan dan konseling, sehingga terpidana mati siap dieksekusi.<br /><br />This research aims at describing the urgence of designing model of sentenced-death prisoner health mental supervision. This research is empiric-law research with psychological- juridical approaches. Based on research result, the supervision is conducted based on the interpretation of each officers as long as it does not violate the rule. The aim of this sort of supervision is that the sentenced-death prisoner does not violate the rule and prepare for the death sentence. Supervisors may come from inside or outside the prison. The process is integrated through religious supervision activity with massive sermon and individual consultation. Individual counceling is a positive step to supervise sentenced-death prisoners based on their needs. Unfortunately, the supervision has been based on psychological test, the process has not implement counceling principles that the result can be optimal. If the prison has the guidence, the officers can make legitimate, effective and effficient supervison steps in supervising and counceling in order the prisoners are ready to be executed.<br /><br /><br />

Purpose Incarcerated women are a vulnerable population in terms of sexual and reproductive health. In French Guiana, most incarcerated women come from unsafe environments and are incarcerated because of drug trafficking. Medical follow-up processes used in prison (medical assessment on arrival, and then two half-days per week upon request but without an obstetrician-gynecologist) does not allow for a thorough assessment of the impact of incarceration on women prisoners’ health to take place. In the absence of data, the purpose of this study was to describe incarcerated women’s experiences in relation to sexual and reproductive health. Design/methodology/approach Semi-structured interviews were conducted among French-speaking adult women who had been incarcerated for at least four months in a French Guianan prison. Menstruation, contraception, pregnancy, abortion, sexually transmitted infections and sexuality were described by means of interpretative phenomenological analysis. Findings A total of 14 women were interviewed. They suffered from menstrual cycle disorders, poor hygiene and menstrual insecurity. They appeared to have emotionally disinvested sexuality. However, intra-prison sexual activity existed for some (masturbation, conjugal prison visits, homosexual intercourse between fellow prisoners). Homosexual relations were a source of discrimination. Being pregnant while incarcerated was viewed negatively. A lack of knowledge about sexual and reproductive health and high-risk behaviors such as piercing and tattooing practices were widespread. Originality/value Incarceration is a vulnerable time for women’s sexual and reproductive health. Sexual activity exposes women to risks and discrimination that should be taken into account in a multidisciplinary approach adapted to the prison environment.

Purpose Prisons in the sub-Saharan African region face unprecedented challenges during the COVID-19 pandemic. In Malawi, the first prison system case of COVID-19 was notified in July 2020. While prison settings were included in the second domestic COVID-19 response plan within the Law Enforcement cluster (National COVID-19 preparedness and response plan, July–December 2020), they were initially not included in the K157bn (US$210m) COVID-19 fund. The purpose of the study was to assess prison preparedness, prevention and control of COVID-19 in Malawi.. Design/methodology/approach A multi-method situation assessment of the COVID-19 response and human rights assurance of prisoners and staff was conducted in a large prison complex in Malawi. Qualitative research underpinned by the Empirical Phenomenological Psychological (EPP) framework consisted of interviews with key informants such as prison health personnel, senior prison staff, penal and judicial policymakers, government and civil society organisations (n = 14) and focus group discussions with consenting male (n = 48) and female prisoners (n = 48) and prison wardens (n = 24). Prison site visits were supported by detailed observations based on the World Health Organisation Checklist for COVID-19 in prisons (n = 9). Data were collected and analysed thematically using the EPP stepwise approach and triangulated based on Bronfenbrenner’s model conceptualising COVID-19 as a multi-level event disrupting the prison eco-system. Findings The results are presented as MICRO-MESO level individual and community experiences of incarceration during COVID-19 spanning several themes: awareness raising and knowledge of COVID-19 in prisons; prison congestion and the impossibility of social distancing; lack of adequate ventilation, hygiene and sanitation and provisions and correct use of personal protective equipment; MESO-MACRO level interplay between the prison community of prisoners and staff and judicial policy impacts; medical system COVID-19 response, infrastructure and access to health care; COVID-19 detection and quarantine measures and prisoner access to the outside world. Originality/value This unique situation assessment of the Malawian prison system response to mitigate COVID-19 illustrates the dynamics at the micro-level whereby prisoners rely on the state and have restricted agency in protecting themselves from disease. This is due to severe structural inadequacies based on low resource allocation to prisons leading to a compromised ability to prevent and treat disease; an infirm and congested infrastructure and bottlenecks in the judicial system fuelling a continued influx of remand detainees leading to high overcapacity. Multi-pronged interventions involving key stakeholders, with prison management and line Ministry as coordinators are warranted to optimise COVID-19 interventions and future disease outbreaks in the Malawian prison system.

Abstract Background Women’s support can improve uptake of voluntary medical male circumcision (VMMC). We assessed the level of women’s support for VMMC and associated factors in fishing settlements on the shores of Lake Victoria in Uganda, to inform interventions aimed at increasing the uptake of safe male circumcision services in such high-risk populations. Methods We conducted a cross-sectional study, employing mixed methods of data collection, at Kasenyi and Kigungu landing sites in April 2018. We included women aged 18–49 years, who had stayed at the landing sites for ≥3 months. We obtained qualitative data using focus group discussions (FGDs), and interviewer-administered semi-structured questionnaires for quantitative data. The tool captured demographic characteristics, community factors including cultural norms and beliefs, women’s experiences, and health facility-related factors. The dependent variable was derived from the response to the question: "Would you encourage your partner/husband to go for VMMC?", and used as a proxy for support of VMMC. We used modified Poisson regression to identify factors associated with women’s support for VMMC. Qualitative data were analysed using thematic content analysis. Results We enrolled 313 women with a mean age of 28 (SD±6.8) years. Of the 313 women, 230 (73.5%) supported VMMC. Belief that VMMC increases penile hygiene (Adjusted prevalence ratio [aPR]=1.9; CI: 1.8–3.2), performing VMMC for religious reasons (aPR=1.9; CI: 1.8–2.9), preference for a circumcised man (aPR=1.3; CI: 1.2–1.5), belief that vaginal fluids facilitate wound healing (aPR=1.9; CI: 1.3–2.7), and knowledge about when a man can resume sex (4 weeks) after circumcision (aPR=2.1; CI: 1.8–3.3) were associated with women’s support for VMMC. FGDs revealed that women were not adequately involved in VMMC activities for decision making. Conclusion The support for VMMC was high among women in the fishing communities. However, women perceived they were not involved in decision-making for VMMC and had several misconceptions, including a belief that vaginal fluids facilitate wound healing. The Ministry of Health and VMMC implementing partners should devise strategies to increase sensitization and involvement of women in VMMC decision-making without slowing service uptake.

Purpose The first case of COVID-19 in the Malawi prison system was reported in July 2020. Human rights organisations raised concerns about the possibility of significant COVID-19 outbreaks and deaths in the prison system, because of the poor infrastructure, lack of healthcare and adequate COVID-19 mitigation measures, existing co-morbidities (tuberculosis, HIV and hepatitis C), malnutrition and poor health of many prisoners. Design/methodology/approach The authors conducted a legal-realist assessment of the Malawian prison system response to COVID-19 during state disaster measures, with a specific focus on the right to health and standards of healthcare as mandated in international, African and domestic law. Findings The Malawi prison system was relatively successful in preventing serious COVID-19 outbreaks in its prisons, despite the lack of resources and the ad hoc reactive approach adopted. Whilst the Malawi national COVID plan was aligned to international and regional protocols, the combination of infrastructural deficits (clinical staff and medical provisions) and poor conditions of detention (congestion, lack of ventilation, hygiene and sanitation) were conducive to poor health and the spread of communicable disease. The state of disaster declared by the Malawi Government and visitation restrictions at prisons worsened prison conditions for those working and living there. Originality/value In sub-Saharan Africa, there is limited capacity of prisons to adequately respond to COVID-19. This is the first legal-realist assessment of the Malawian prison system approach to tackling COVID-19, and it contributes to a growing evidence of human rights-based investigations into COVID-19 responses in African prisons (Ethiopia, South Africa and Zimbabwe).

Abstract Objective: To investigate hospital room and patient-level risk factors associated with increased risk of healthcare-facility–onset Clostridioides difficile infection (HO-CDI). Design: The study used a retrospective cohort design that included patient data from the institution’s electronic health record, existing surveillance data on HO-CDI, and a walk-through survey of hospital rooms to identify potential room-level risk factors. The primary outcome was HO-CDI diagnosis. Setting: A large academic medical center. Patients and participants: All adult patients admitted between January 1, 2015, and December 31, 2016 were eligible for inclusion. Prisoners were excluded. Patients who only stayed in rooms that were not surveyed were excluded. Results: The hospital room survey collected room-level data on 806 rooms. Included in the study were 17,034 patients without HO-CDI and 251 with HO-CDI nested within 535 unique rooms. In this exploratory study, room-level risk factors associated with the outcome in the multivariate model included wear on furniture and flooring and antibiotic use by the prior room occupant. Hand hygiene devices and fixed in-room computers were associated with reduced odds of a HO-CDI. Differences between hospital buildings were also detected. The only individual patient factors that were associated with increased odds of HO-CDI were antibiotic use and comorbidity score. Conclusion: Combining a hospital-room walk-through data collection survey, EHR data, and CDI surveillance data, we were able to develop a model to investigate room and patient-level risks for HO-CDI.

Abstract Background Infectious diseases are a leading cause of hospitalization during childhood. The various mitigation strategies implemented to control the coronavirus disease (COVID-19) pandemic could have additional, unintended benefits for limiting the spread of other infectious diseases and their associated burden on the health care system. Methods We conducted an interrupted time-series analysis using population-wide hospitalization data for the state of Victoria, Australia. Infection-related hospitalizations for children and adolescents (aged &lt;18 years, total source population ∼1.4 million) were extracted using pre-defined International Classification of Diseases 10th Revision Australian Modification (ICD-10-AM) codes. The change in weekly hospitalization rates (incidence rate ratio, IRR) for all infections following the introduction of pandemic-related restrictions from 15 March 2020 was estimated. Results Over 2015–19, the mean annual incidence of hospitalization with infection among children less than 18 years was 37 per 1000 population. There was an estimated 65% (95% CI 62-67%) reduction in the incidence of overall infection-related hospitalizations associated with the introduction of pandemic restrictions. The reduction was most marked in younger children (at least 66% in those less than 5 years of age) and for lower respiratory tract infections (relative reduction 85%, 95% CI 85-86%). Conclusions The wider impacts of pandemic mitigation strategies on non-COVID-19 infection-related hospitalizations are poorly understood. We observed marked and rapid decreases in hospitalized childhood infection. In tandem with broader consequences, sustainable measures, such as improved hand hygiene, could reduce the burden of severe childhood infection post-pandemic and the social and economic costs of hospitalization.

Background: The current COVID-19 pandemic is not the first time New South Wales prisons have faced contagion. This paper examines the current responses in New South Wales prisons to the threat of COVID-19 to prisoner health, by contrasting contemporary activities with actions and policy developed during two historical epidemics: the influenza epidemic of 1860 and pandemic of 1919. Method: Epidemiological information relating to cases of disease in NSW prisons during the 1860 and 1919 influenza epidemics was obtained from the Comptroller-General’s reports for the specific outbreak years and for the preceding and succeeding five-year periods. Additional archival sources such as digitised newspaper reports and articles available through the National Library of Australia were analysed for closer detail. The management of these outbreaks was compared to current strategies to mitigate against risk from the COVID-19 pandemic in the NSW prison system. Results: Interesting similarities were discovered in relation to the management of the historic influenza outbreaks in NSW prisons and in the management of the current COVID-19 pandemic. An outbreak of influenza in mid-1860 impacted seven penal institutions in Sydney and Parramatta. Infection rates at these institutions were between 3.1% and 100%; the mean rate was 41.8%. The public health measures employed at the time included allowing ‘air circulation freely night and day’, and treatments that were ‘tonical and stimulatory’. In 1919, the attack rate of influenza infection for Sydney was 358 per 1,000 population, whereas for the two large penitentiaries in Sydney, it was only 26 per 1,000 population. Similarly, the reported death rates were much reduced for prisoners compared to the general community. The recorded measures in 1919 included: disinfecting of the gaol buildings; inoculation (experimental but of no value); the compulsory wearing of masks; the closure of the border between NSW and Victoria; fumigation and inhalation disinfection; daily examination with isolation for symptomatic staff; and quarantine of new arrivals. These are remarkably similar to current strategies. Discussion: While the past 100 or more years have brought huge progress in scientific knowledge, public health approaches remain the mainstay of outbreak management in prisons; and, as in 1919, the opportunity for Australia to observe the rest of the world and plan for action has not been wasted. Prisons pose a potential risk for pandemic spread but they also present a unique opportunity for reducing disease risk by ironic virtue of the ‘separate system’ that was recognised even 100 years ago as characteristic of these institutions.

This special issue on Child Abuse and Neglect celebrates the 25th anniversary of the PGH-Child Protection Unit (CPU) and Child Protection Network and reinforces the latter’s nationwide intersectoral approach to child health. It stands as a testament to the pivotal role of research as one of the five pillars in the Care Continuum for Child Maltreatment; the other pillars being 1) integrated clinical care for the abused child, 2) prevention of child abuse at three levels, 3) training in all sectors, and 4) governance. These articles summarize evidence critical for evaluating, reviewing, and advancing policies.1 Operational analyses of existing infrastructure suggest practice guidelines that can help others establish the same. Qualitative analysis of operational deliverables ofthe PGH-Child Protection Unit and Child Protection Network in advancing the Care Continuum for Child Maltreatment – a roadmap for operational evaluation and set-up sheds light on key elements, intricacies, and variables of infrastructure and operations as a basis for plans on what, how, and where best to improve. The National Baseline Study dives into the prevalence of child physical and sexual abuse in the Philippines. DNA detection in cases of sexual abuse has revolutionized the investigation and prosecution of these cases, as explored by A Retrospective Look on the Use of DNA Evidence in a Sexual Assault Investigation in the Philippines. The Development of a Local Sexual Assault Investigation Kit:The Philippine Experience identifies key elements important for training modules on caring for child victims and handling evidence. The following studies focus on the human element: victims’ and perpetrators’ characteristics are summarized and analyzed. Child victims are studied in Comparison ofthe ClinicalProfile ofPrepubertal versusPubertal Female Child Sexual Abuse in a Tertiary Hospital. Obstetric and Perinatal Outcomes and the Factors Associatedwith It Among PregnantTeen/Adolescent Filipino 13-19 years old in a Tertiary Institution focuses on this special subgroup. Prevalence and Risk Factors of Suicidal Ideation Among Victims of Child Sexual Abuse highlights a key consequence. Juvenile perpetrators are studied in The Demographics of Minor Perpetrators of Sexually Assaulted Pediatric Patients from PGH from January 2013 to December 2018. Female perpetrators of child abuse are studied in The Demographic Profile of the Female Assailant: A Ten-Year Background Review of Female Perpetrators Committing Abuse Seen at the UP-Philippine General Hospital Child Protection Unit from January 2008 to December 2018. These articles review potential risk factors that come in the form of cultural practices. Research on normal behavior and acceptable cultural practice is characterized in EmicPerceptions ofAge-Appropriate Parent-Child Intimate Behaviors Related to Hygiene, Affection, and Privacy. Research on analysis of cultural perspectives on discipline and when disciplinary measures are inappropriate and qualify as abusive in Socio-cultural Perspectives on Child Discipline, and Child Abuse in the Philippines give insight into prevention initiatives in the community. Research on child protection advocacy through safe schools is reported in An Outcomes-based Evaluation of the Mindfulness for Safe Schools giving insight into policy and program design. These papers lay the groundwork for Clinical Practice Guidelines as mandated by the Philippines Department of Health (DOH),3 catalyzing research here and abroad,4-6 and advancing Child protection in the Philippines. Child protection in the Philippines grew from a few hospital-based CPUs to an organized Child Protection Network of 114 CPUs in 58 provinces and 10 independent cities, reaching 90% of the children in the Philippines. This speaks to intersectoral collaborations, generosity, professionalism, motivation for excellence, and commitment to children. This also speaks to the value of integrated medical care, governance and policy-making, training of current and future specialists, and research. After 25 years, we stand at the crossroads of analysis, strategy, and policy for child protection against abuse and neglect. Victoria L.M. Herrera, MDDepartment of Medicine Boston University School of Medicine United States of America Heather S. Spader, MD Pediatric Neurosurgery University of New Mexico United States of America Marilyn J. Kaufhold, MD Child Abuse Pediatrics Chadwick Center for Children and Families, Rady Children’s Hospital San Diego, California, United States of America REFERENCES Dubowitz H. Child abuse pediatrics: research, policy and practice. Acad Pediatr. 2011 Nov-Dec; 11(6):439-41. doi: 10.1016/j.acap. 2011.09.005. PMID: 22078838. National Unified Health Research Agenda 2017-2022. Manila: Philippine Council for Health Research and Development [Internet] 2022. [cited 2022 July] Available from https://doh.gov.ph/publication/National-Unified-Health-Research-Agenda-2017-2022. Republic of the Philippines. 2019. Republic Act 11223. An Act Instituting Universal Health Care for All Filipinos, Prescribing Reforms in the Health Care System, and Appropriating Funds Thereof. Lindberg DM, Wood JN, Campbell KA, Scribano PV, Laskey A, Leventhal JM, et al. Research priorities for a multi-center child abuse pediatrics network - CAPNET. Child Abuse Negl. 2017 Mar; 65:152-157. doi: 10.1016/j.chiabu.2017.01.015. Epub 2017 Feb 3. PMID: 28161656; PMCID: PMC5774239. Wekerle C, Black T. Gendered violence: Advancing evidence-informed research, practice and policy in addressing sex, gender, and child sexual abuse. Child Abuse Negl. 2017 Apr; 66:166-170. doi: 10.1016/j.chiabu.2017.03.010. Epub 2017 Mar 30. PMID: 28364956. Maholmes V. Federal research priorities in child abuse and neglect research: A commentary on multi-site research networks. Child Abuse Negl. 2017 Aug; 70:408-410. doi: 10.1016/j.chiabu.2017.03.026. Epub 2017 Apr 19. PMID: 28433205.

IntroductionCulinary education in Ireland has long been influenced by culinary education being delivered in catering colleges in the United Kingdom (UK). Institutionalised culinary education started in Britain through the sponsorship of guild conglomerates (Lawson and Silver). The City & Guilds of London Institute for the Advancement of Technical Education opened its central institution in 1884. Culinary education in Ireland began in Kevin Street Technical School in the late 1880s. This consisted of evening courses in plain cookery. Dublin’s leading chefs and waiters of the time participated in developing courses in French culinary classics and these courses ran in Parnell Square Vocational School from 1926 (Mac Con Iomaire “The Changing”). St Mary’s College of Domestic Science was purpose built and opened in 1941 in Cathal Brugha Street. This was renamed the Dublin College of Catering in the 1950s. The Council for Education, Recruitment and Training for the Hotel Industry (CERT) was set up in 1963 and ran cookery courses using the City & Guilds of London examinations as its benchmark. In 1982, when the National Craft Curriculum Certification Board (NCCCB) was established, CERT began carrying out their own examinations. This allowed Irish catering education to set its own standards, establish its own criteria and award its own certificates, roles which were previously carried out by City & Guilds of London (Corr). CERT awarded its first certificates in professional cookery in 1989. The training role of CERT was taken over by Fáilte Ireland, the State tourism board, in 2003. Changing Trends in Cookery and Culinary Textbooks at DIT The Dublin College of Catering which became part of the Dublin Institute of Technology (DIT) is the flagship of catering education in Ireland (Mac Con Iomaire “The Changing”). The first DIT culinary award, was introduced in 1984 Certificate in Diet Cookery, later renamed Higher Certificate in Health and Nutrition for the Culinary Arts. On the 19th of July 1992 the Dublin Institute of Technology Act was enacted into law. This Act enabled DIT to provide vocational and technical education and training for the economic, technological, scientific, commercial, industrial, social and cultural development of the State (Ireland 1992). In 1998, DIT was granted degree awarding powers by the Irish state, enabling it to make major awards at Higher Certificate, Ordinary Bachelor Degree, Honors Bachelor Degree, Masters and PhD levels (Levels six to ten in the National Framework of Qualifications), as well as a range of minor, special purpose and supplemental awards (National NQAI). It was not until 1999, when a primary degree in Culinary Arts was sanctioned by the Department of Education in Ireland (Duff, The Story), that a more diverse range of textbooks was recommended based on a new liberal/vocational educational philosophy. DITs School of Culinary Arts currently offers: Higher Certificates Health and Nutrition for the Culinary Arts; Higher Certificate in Culinary Arts (Professional Culinary Practice); BSc (Ord) in Baking and Pastry Arts Management; BA (Hons) in Culinary Arts; BSc (Hons) Bar Management and Entrepreneurship; BSc (Hons) in Culinary Entrepreneurship; and, MSc in Culinary Innovation and Food Product Development. From 1942 to 1970, haute cuisine, or classical French cuisine was the most influential cooking trend in Irish cuisine and this is reflected in the culinary textbooks of that era. Haute cuisine has been influenced by many influential writers/chefs such as Francois La Varenne, Antoine Carême, Auguste Escoffier, Ferand Point, Paul Bocuse, Anton Mosiman, Albert and Michel Roux to name but a few. The period from 1947 to 1974 can be viewed as a “golden age” of haute cuisine in Ireland, as more award-winning world-class restaurants traded in Dublin during this period than at any other time in history (Mac Con Iomaire “The Changing”). Hotels and restaurants were run in the Escoffier partie system style which is a system of hierarchy among kitchen staff and areas of the kitchens specialising in cooking particular parts of the menu i.e sauces (saucier), fish (poissonnier), larder (garde manger), vegetable (legumier) and pastry (patissier). In the late 1960s, Escoffier-styled restaurants were considered overstaffed and were no longer financially viable. Restaurants began to be run by chef-proprietors, using plate rather than silver service. Nouvelle cuisine began in the 1970s and this became a modern form of haute cuisine (Gillespie). The rise in chef-proprietor run restaurants in Ireland reflected the same characteristics of the nouvelle cuisine movement. Culinary textbooks such as Practical Professional Cookery, La Technique, The Complete Guide to Modern Cooking, The Art of the Garde Mange and Patisserie interpreted nouvelle cuisine techniques and plated dishes. In 1977, the DIT began delivering courses in City & Guilds Advanced Kitchen & Larder 706/3 and Pastry 706/3, the only college in Ireland to do so at the time. Many graduates from these courses became the future Irish culinary lecturers, chef-proprietors, and culinary leaders. The next two decades saw a rise in fusion cooking, nouvelle cuisine, and a return to French classical cooking. Numerous Irish chefs were returning to Ireland having worked with Michelin starred chefs and opening new restaurants in the vein of classical French cooking, such as Kevin Thornton (Wine Epergne & Thorntons). These chefs were, in turn, influencing culinary training in DIT with a return to classical French cooking. New Classical French culinary textbooks such as New Classical Cuisine, The Modern Patisserie, The French Professional Pastry Series and Advanced Practical Cookery were being used in DIT In the last 15 years, science in cooking has become the current trend in culinary education in DIT. This is acknowledged by the increased number of culinary science textbooks and modules in molecular gastronomy offered in DIT. This also coincided with the launch of the BA (Hons) in Culinary Arts in DIT moving culinary education from a technical to a liberal education. Books such as The Science of Cooking, On Food and Cooking, The Fat Duck Cookbook and Modern Gastronomy now appear on recommended textbooks for culinary students.For the purpose of this article, practical classes held at DIT will be broken down as follows: hot kitchen class, larder classes, and pastry classes. These classes had recommended textbooks for each area. These can be broken down into three sections: hot kitche, larder, and pastry. This table identifies that the textbooks used in culinary education at DIT reflected the trends in cookery at the time they were being used. Hot Kitchen Larder Pastry Le Guide Culinaire. 1921. Le Guide Culinaire. 1921. The International Confectioner. 1968. Le Repertoire De La Cuisine. 1914. The Larder Chef, Classical Food Preparation and Presentation. 1969. Patisserie. 1971. All in the Cooking, Books 1&2. 1943 The Art of the Garde Manger. 1973. The Modern Patissier. 1986 Larousse Gastronomique. 1961. New Classic Cuisine. 1989. Professional French Pastry Series. 1987. Practical Cookery. 1962. The Curious Cook. 1990. Complete Pastrywork Techniques. 1991. Practical Professional Cookery. 1972. On Food and Cooking. The Science and Lore of the Kitchen. 1991. On Food and Cooking: The Science and Lore of the Kitchen. 1991 La Technique. 1976. Advanced Practical Cookery. 1995. Desserts: A Lifelong Passion. 1994. Escoffier: The Complete Guide to the Art of Modern Cookery. 1979. The Science of Cooking. 2000. Culinary Artistry. Dornenburg, 1996. Professional Cookery: The Process Approach. 1985. Garde Manger, The Art and Craft of the Cold Kitchen. 2004. Grande Finales: The Art of the Plated Dessert. 1997. On Food and Cooking: The Science and Lore of the Kitchen. 1991. The Science of Cooking. 2000. Fat Duck Cookbook. 2009. Modern Gastronomy. 2010. Tab.1. DIT Culinary Textbooks.1942–1960 During the first half of the 20th century, senior staff working in Dublin hotels, restaurants and clubs were predominately foreign born and trained. The two decades following World War II could be viewed as the “golden age” of haute cuisine in Dublin as many award-wining restaurants traded in the city at this time (Mac Con Iomaire “The Emergence”). Culinary education in DIT in 1942 saw the use of Escoffier’s Le Guide Culinaire as the defining textbook (Bowe). This was first published in 1903 and translated into English in 1907. In 1979 Cracknell and Kaufmann published a more comprehensive and update edited version under the title The Complete Guide to the Art of Modern Cookery by Escoffier for use in culinary colleges. This demonstrated that Escoffier’s work had withstood the test of the decades and was still relevant. Le Repertoire de La Cuisine by Louis Saulnier, a student of Escoffier, presented the fundamentals of French classical cookery. Le Repertoire was inspired by the work of Escoffier and contains thousands of classical recipes presented in a brief format that can be clearly understood by chefs and cooks. Le Repertoire remains an important part of any DIT culinary student’s textbook list. All in the Cooking by Josephine Marnell, Nora Breathnach, Ann Mairtin and Mor Murnaghan (1946) was one of the first cookbooks to be published in Ireland (Cashmann). This book was a domestic science cooking book written by lecturers in the Cathal Brugha Street College. There is a combination of classical French recipes and Irish recipes throughout the book. 1960s It was not until the 1960s that reference book Larousse Gastronomique and new textbooks such as Practical Cookery, The Larder Chef and International Confectionary made their way into DIT culinary education. These books still focused on classical French cooking but used lighter sauces and reflected more modern cooking equipment and techniques. Also, this period was the first time that specific books for larder and pastry work were introduced into the DIT culinary education system (Bowe). Larousse Gastronomique, which used Le Guide Culinaire as a basis (James), was first published in 1938 and translated into English in 1961. Practical Cookery, which is still used in DIT culinary education, is now in its 12th edition. Each edition has built on the previous, however, there is now criticism that some of the content is dated (Richards). Practical Cookery has established itself as a key textbook in culinary education both in Ireland and England. Practical Cookery recipes were laid out in easy to follow steps and food commodities were discussed briefly. The Larder Chef was first published in 1969 and is currently in its 4th edition. This book focuses on classical French larder techniques, butchery and fishmongery but recognises current trends and fashions in food presentation. The International Confectioner is no longer in print but is still used as a reference for basic recipes in pastry classes (Campbell). The Modern Patissier demonstrated more updated techniques and methods than were used in The International Confectioner. The Modern Patissier is still used as a reference book in DIT. 1970s The 1970s saw the decline in haute cuisine in Ireland, as it was in the process of being replaced by nouvelle cuisine. Irish chefs were being influenced by the works of chefs such as Paul Boucuse, Roger Verge, Michel Guerard, Raymond Olivier, Jean & Pierre Troisgros, Alain Senderens, Jacques Maniere, Jean Delaveine and Michel Guerard who advanced the uncomplicated natural presentation in food. Henri Gault claims that it was his manifesto published in October 1973 in Gault-Millau magazine which unleashed the movement called La Nouvelle Cuisine Française (Gault). In nouvelle cuisine, dishes in Carème and Escoffier’s style were rejected as over-rich and complicated. The principles underpinning this new movement focused on the freshness of ingredients, and lightness and harmony in all components and accompaniments, as well as basic and simple cooking methods and types of presentation. This was not, however, a complete overthrowing of the past, but a moving forward in the long-term process of cuisine development, utilising the very best from each evolution (Cousins). Books such as Practical Professional Cookery, The Art of the Garde Manger and Patisserie reflected this new lighter approach to cookery. Patisserie was first published in 1971, is now in its second edition, and continues to be used in DIT culinary education. This book became an essential textbook in pastrywork, and covers the entire syllabus of City & Guilds and CERT (now Fáilte Ireland). Patisserie covered all basic pastry recipes and techniques, while the second edition (in 1993) included new modern recipes, modern pastry equipment, commodities, and food hygiene regulations reflecting the changing catering environment. The Art of the Garde Manger is an American book highlighting the artistry, creativity, and cooking sensitivity need to be a successful Garde Manger (the larder chef who prepares cold preparation in a partie system kitchen). It reflected the dynamic changes occurring in the culinary world but recognised the importance of understanding basic French culinary principles. It is no longer used in DIT culinary education. La Technique is a guide to classical French preparation (Escoffier’s methods and techniques) using detailed pictures and notes. This book remains a very useful guide and reference for culinary students. Practical Professional Cookery also became an important textbook as it was written with the student and chef/lecturer in mind, as it provides a wider range of recipes and detailed information to assist in understanding the tasks at hand. It is based on classical French cooking and compliments Practical Cookery as a textbook, however, its recipes are for ten portions as opposed to four portions in Practical Cookery. Again this book was written with the City & Guilds examinations in mind. 1980s During the mid-1980s, many young Irish chefs and waiters emigrated. They returned in the late-1980s and early-1990s having gained vast experience of nouvelle and fusion cuisine in London, Paris, New York, California and elsewhere (Mac Con Iomaire, “The Changing”). These energetic, well-trained professionals began opening chef-proprietor restaurants around Dublin, providing invaluable training and positions for up-and-coming young chefs, waiters and culinary college graduates. The 1980s saw a return to French classical cookery textbook such as Professional Cookery: The Process Approach, New Classic Cuisine and the Professional French Pastry series, because educators saw the need for students to learn the basics of French cookery. Professional Cookery: The Process Approach was written by Daniel Stevenson who was, at the time, a senior lecturer in Food and Beverage Operations at Oxford Polytechnic in England. Again, this book was written for students with an emphasis on the cookery techniques and the practices of professional cookery. The Complete Guide to Modern Cooking by Escoffier continued to be used. This book is used by cooks and chefs as a reference for ingredients in dishes rather than a recipe book, as it does not go into detail in the methods as it is assumed the cook/chef would have the required experience to know the method of production. Le Guide Culinaire was only used on advanced City & Guilds courses in DIT during this decade (Bowe). New Classic Cuisine by the classically French trained chefs, Albert and Michel Roux (Gayot), is a classical French cuisine cookbook used as a reference by DIT culinary educators at the time because of the influence the Roux brothers were having over the English fine dining scene. The Professional French Pastry Series is a range of four volumes of pastry books: Vol. 1 Doughs, Batters and Meringues; Vol. 2 Creams, Confections and Finished Desserts; Vol. 3 Petit Four, Chocolate, Frozen Desserts and Sugar Work; and Vol. 4 Decorations, Borders and Letters, Marzipan, Modern Desserts. These books about classical French pastry making were used on the advanced pastry courses at DIT as learners needed a basic knowledge of pastry making to use them. 1990s Ireland in the late 1990s became a very prosperous and thriving European nation; the phenomena that became known as the “celtic tiger” was in full swing (Mac Con Iomaire “The Changing”). The Irish dining public were being treated to a resurgence of traditional Irish cuisine using fresh wholesome food (Hughes). The Irish population was considered more well-educated and well travelled than previous generations and culinary students were now becoming interested in the science of cooking. In 1996, the BA (Hons) in Culinary Arts program at DIT was first mooted (Hegarty). Finally, in 1999, a primary degree in Culinary Arts was sanctioned by the Department of Education underpinned by a new liberal/vocational philosophy in education (Duff). Teaching culinary arts in the past had been through a vocational education focus whereby students were taught skills for industry which were narrow, restrictive, and constraining, without the necessary knowledge to articulate the acquired skill. The reading list for culinary students reflected this new liberal education in culinary arts as Harold McGee’s books The Curious Cook and On Food and Cooking: The Science and Lore of the Kitchen explored and explained the science of cooking. On Food and Cooking: The Science and Lore of the Kitchen proposed that “science can make cooking more interesting by connecting it with the basic workings of the natural world” (Vega 373). Advanced Practical Cookery was written for City & Guilds students. In DIT this book was used by advanced culinary students sitting Fáilte Ireland examinations, and the second year of the new BA (Hons) in Culinary Arts. Culinary Artistry encouraged chefs to explore the creative process of culinary composition as it explored the intersection of food, imagination, and taste (Dornenburg). This book encouraged chefs to develop their own style of cuisine using fresh seasonal ingredients, and was used for advanced students but is no longer a set text. Chefs were being encouraged to show their artistic traits, and none more so than pastry chefs. Grande Finale: The Art of Plated Desserts encouraged advanced students to identify different “schools” of pastry in relation to the world of art and design. The concept of the recipes used in this book were built on the original spectacular pieces montées created by Antoine Carême. 2000–2013 After nouvelle cuisine, recent developments have included interest in various fusion cuisines, such as Asia-Pacific, and in molecular gastronomy. Molecular gastronomists strive to find perfect recipes using scientific methods of investigation (Blanck). Hervè This experimentation with recipes and his introduction to Nicholos Kurti led them to create a food discipline they called “molecular gastronomy”. In 1998, a number of creative chefs began experimenting with the incorporation of ingredients and techniques normally used in mass food production in order to arrive at previously unattainable culinary creations. This “new cooking” (Vega 373) required a knowledge of chemical reactions and physico-chemical phenomena in relation to food, as well as specialist tools, which were created by these early explorers. It has been suggested that molecular gastronomy is “science-based cooking” (Vega 375) and that this concept refers to conscious application of the principles and tools from food science and other disciplines for the development of new dishes particularly in the context of classical cuisine (Vega). The Science of Cooking assists students in understanding the chemistry and physics of cooking. This book takes traditional French techniques and recipes and refutes some of the claims and methods used in traditional recipes. Garde Manger: The Art and Craft of the Cold Kitchen is used for the advanced larder modules at DIT. This book builds on basic skills in the Larder Chef book. Molecular gastronomy as a subject area was developed in 2009 in DIT, the first of its kind in Ireland. The Fat Duck Cookbook and Modern Gastronomy underpin the theoretical aspects of the module. This module is taught to 4th year BA (Hons) in Culinary Arts students who already have three years experience in culinary education and the culinary industry, and also to MSc Culinary Innovation and Food Product Development students. Conclusion Escoffier, the master of French classical cuisine, still influences culinary textbooks to this day. His basic approach to cooking is considered essential to teaching culinary students, allowing them to embrace the core skills and competencies required to work in the professional environment. Teaching of culinary arts at DIT has moved vocational education to a more liberal basis, and it is imperative that the chosen textbooks reflect this development. This liberal education gives the students a broader understanding of cooking, hospitality management, food science, gastronomy, health and safety, oenology, and food product development. To date there is no practical culinary textbook written specifically for Irish culinary education, particularly within this new liberal/vocational paradigm. There is clearly a need for a new textbook which combines the best of Escoffier’s classical French techniques with the more modern molecular gastronomy techniques popularised by Ferran Adria. References Adria, Ferran. Modern Gastronomy A to Z: A Scientific and Gastronomic Lexicon. London: CRC P, 2010. Barker, William. The Modern Patissier. London: Hutchinson, 1974. Barham, Peter. The Science of Cooking. Berlin: Springer-Verlag, 2000. 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