The effectiveness of antiretroviral drugs is closely linked to the degree of adherence. The prison environment has specific characteristics that may affect adherence in HIV-positive patients, so that it may not be possible to extrapolate factors associated with nonadherence in HIV+ patients outside prison. The objective was to analyze the prevalence of nonadherence to antiretroviral treatment in three Spanish prisons, and to examine the relation between a large group of factors and nonadherence to the medication. A cross-sectional study of all patients receiving antiretroviral treatment was done. Adherence was evaluated using a validated questionnaire (SMAQ). The prevalence of nonadherence was 54.8%, and the factors independently associated with nonadherence were having difficulties in taking the medication, feeling completely or largely unable to follow the medication, classifying the food as "bad", mentioning not having anyone concerned for them outside prison, suffering anxiety or depression in the last week, and having the flexibility of the prison staff opening their cell in the event of them forgetting their medication.

No abstract

Resumen: Los datos personales relativos a la salud de un individuo se consideran como datos sensibles, por lo que necesitan una "especial protección". Nos encontramos en una sociedad en la que las tecnologías de información y comunicación (TIC), especialmente en lo referente a las redes sociales, ofrecen amplias posibilidades de intercambio de información médica, sirviendo de apoyo, consejo o ayuda a los compañeros que se encuentran en el mismo ámbito o en cualquier lugar de la geografía mundial. Los avances tecnológicos en comunicación desafían el concepto de "público" y de "privado", de tal forma que la información que se comparte es casi imposible de eliminar, pudiendo llegar a propagarse rápidamente por las redes. En base a nuestra propia experiencia y a los diferentes trabajos revisados, creemos que resulta necesario capacitar a los profesionales de la salud y especialmente a los estudiantes de medicina durante su formación, para que utilicen de forma adecuada dichas herramientas, especialmente a la hora de publicar contenido sensible en lugares cuyo acceso sea público, ya que puede tener consecuencias importantes para la intimidad de las personas, tanto para los pacientes como para su propia vida personal.Palabras clave: confidencialidad, medios sociales, redes sociales, estudiantes, teléfonos móviles, secreto médico, intimidad, datos sanitarios How social media affects the confidentiality of patients? A review of potential problems and recommendationsAbstract: Personal health data are considered as sensitive information, so they need a "special protection". We are in a society where Information and Communications Technology (ICT), especially in relation to social networks, offer many opportunities for the exchange of medical information, serving as support, advice or assistance to colleagues who work in the same field or in any other place around the world. Technological advances in communication challenge the concept of "public" and "private," in a way that the shared information is almost impossible to remove, and could spread rapidly through social networks. Based on our own experience and the different papers reviewed, we believe it is necessary to train health professionals and especially medical students during their academic education to use these tools properly, especially when posting sensitive data in places of public access, as it may have important consequences for the privacy of individuals, both for patients and for their own life.Key words: confidentiality, social media, social networks, students, smartphones, medical secrecy, privacy, health data Como mídias sociais afetam a confidencialidade dos pacientes? Revisão dos potenciais problemas e recomendaçõesResumo: Os dados pessoais relativos à saúde do indivíduo são considerados dados sensíveis, por esse motivo eles necessitam de uma "proteção especial". Nos encontramos em uma sociedade em que as tecnologias de informação e comunicação (TIC), especialmente em relação às redes sociais, oferecem amplas oportunidades para a troca de informações...

Having demonstrated the importance of forensic anthropology in the positive identification of human skeletal remains, we consider it relevant to learn a basic management of the techniques by the students of the Medical Degree, in the context of the subject "Legal Medicine and Ethics". The main objective was to apply theoretical and technical knowledge on physical and forensic anthropology to identify real cases through group work dynamics, concluding with justified decision making. Sixteen 2-hour workshops were organized for groups of 8 students, using skeletal remains of 4 individuals mixed with animal bones. After the human remains were identified, the four skeletons were isolated and an inventory of the available bones was made. The basic biological profile of each of them was analyzed: sex, age and height. These data were entered in a protocol form, which they delivered at the end of the practice. Subsequently, they conducted an anonymous questionnaire of 10 items about the degree of satisfaction on contents, methodology, and utility in their training.With a response rate of 78.4% (n = 125), the highest mean scores were given to items related to: teacher and subject (χ 4,98; Dt. 0.14), expository clarity (χ 4, 94, Dt. 0.24) and adequacy of methodology (χ 4,92, Dt. 0,28). In addition to the favorable results obtained, it was objectified through the protocolized forms, the adequate resolution of real practical cases, based on a joint decision making and justified on the theoretical contents learned.

There is a group of prisoners with specific characteristics that refuse HAART. Specific interventions should be performed in these prisoners to make them aware of the effects of their decision on the course of their disease.

No abstract

La conducta suicida es un verdadero problema de salud pública del que nos viene advirtiendo la Organización Mundial de la Salud (OMS) desde hace años. Este trabajo es un estudio epidemiológico retrospectivo de la mortalidad por suicidio en la serie histórica desde el año 1960 al 1990 en el partido judicial de Priego de Córdoba, una demarcación territorial situada entre Córdoba y Granada. El número de suicidios en dichas localidades triplica la media nacional durante este periodo, correspondiendo la modalidad mayoritariamente a la ahorcadura, que casi duplica las cifras a nivel nacional. De las variables estudiadas, las que resultan con significación estadística son: sexo (más frecuente en hombres), edad (más frecuente entre los 50 y los 59 años), estación del año (más frecuente en primavera y verano) y distribución horaria (más frecuente entre las 8 y las 16 horas).

The results of this study show the relevance of psychosocial factors in the immune system.