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Background: Pseudofolliculitis barbae (PFB) is a chronic inflammatory skin disease favoured by shaving. It is particularly common among black Africans belonging to certain socio-professional categories who are obliged to shave. Its aesthetic and professional damage is very significant. However, very few data are available for this condition, especially in Sub-Saharan Africa. Objective: To determine the epidemiological and clinical aspects, and the risk factors associated with the occurrence of PFB in Dakar. Population and methods: This was a descriptive cross-sectional study conducted in March 2019, including 655 police students at the National Police Academy in Dakar, all of African descent and with curly hair, who were required to shave weekly and agreed to participate in this study. The diagnosis of PFB was clinically based. Data analysis was processed using Epi-info version 6.0 software. Pearson's chi-square test was used for bivariate analysis with a significance threshold of p < 0.05. The Odds Ratio, with its 95% confidence interval, was used to determine the risk factors. Results: Among the 655 officers, 254 had PFB, with a prevalence of 38.8%. The prevalence of PFB was 43.7% in men (242 men out of 554) and 11.9% in women (12 women out of 101). The average age of patients with PFB was 26.80 years (± 2.59), ranging from 22 to 36 years. The age of onset of PFB was between 18 and 20 years for the majority (39.8%), with a mean age of onset of 22.2 years (± 3.6). PFB lesions were pruritic in 84.6% of cases, papular in 96.8%, and/or pustular in 60.2%. The submandibular region was the most affected site (69.8%). Complications were noted in 90.1% of cases in the form of post-inflammatory hyperpigmentation (87%) and keloid scars (3.1%). The risk factors associated with PFB were male sex (p<0.0001; OR=5.7; CI95% [3.07-10.75]), family history of PFB (p<0.0001; OR=5; CI95% [3.35-7.37]), keloid-prone skin (p<0.0001; OR=2.9; CI95% [1.63-4.96]), association with acne keloidalis nuchae (p<0.0001; OR=8.8; CI95% [5.55-14.08]), use of a single-blade razor (p<0.0001; OR=2.5; CI95% [1.69-3.70]), use of a fixed-head razor (p<0.0001; OR=1.8 CI95% [1.28-2.77]), shaving against the grain (p<0.0001; OR = 6.3; CI95%= [4.33-9.08]), non-use of shaving products (p = 0.009; OR = 1.5; CI95%= [1.06-2]) and waxing (p<0.004; OR=2.7; CI95% [1.33-5.77]). On the other hand, the use of clippers (p<0.0001; OR = 0.5 CI95% [0.33-0.65]), pre-shave products (p<0.0001; OR = 0.4 CI95% [0.29-0.61]) and the use of razors with movable heads (p<0.0009; OR = 0.2 CI95% [0.17-0.35]) were protective factors against PFB. Conclusion: Our study confirms the high incidence of PFB in this population of black men of African descent. A genetic abnormality revealed by shaving must be evoked in the occurrence of PFB. Further genetic and immunohistochemical studies would be needed to support this hypothesis.
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Policia , Humanos , Masculino , Femenino , Factores de Riesgo , Estudios Transversales , Adulto , Adulto Joven , Policia/estadística & datos numéricos , Senegal/epidemiología , Prevalencia , Estudiantes/estadística & datos numéricos , Adolescente , Foliculitis/epidemiología , Enfermedades del Cabello/epidemiologíaRESUMEN
OBJECTIVES: South Korea grapples with a disproportionately high incidence of unmet medical needs, a concern that is particularly acute among police officers, who are exposed to significant occupational risks. Given the pivotal role of police officers in upholding democratic values and public safety, their well-being holds critical societal implications. This study aims to determine the incidence of unmet medical needs among police officers and identify the influencing factors. DESIGN: This is a retrospective and cross-sectional study. Applying the Andersen behavioural model and multiple logistic regression analysis, we explored factors impacting unmet medical needs. SETTING: The study took place in South Korea and involved its total force of police officers. PARTICIPANTS: Our analysis encompassed data from 6591 participants, representing 5.2% of South Korea's total police officers. OUTCOME MEASURES: Unmet medical needs. RESULTS: Our findings revealed several influencing factors. First, predisposing factors included sex, with women experiencing a higher incidence of unmet medical needs. Second, enabling factors highlighted the significance of job positions and reduced annual leave guarantees in influencing unmet medical needs. Finally, need factors demonstrated the substantial impact of chronic diseases, heightened levels of depression, reduced subjective health assessments, increased stress levels and exposure to rough physical activity on driving unmet medical needs. CONCLUSIONS: To mitigate and pre-empt the long-term health repercussions associated with unmet medical needs, intervention strategies should prioritise these identified factors. An integrated healthcare programme emerges as a critical necessity for addressing the healthcare challenges faced by police officers.
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Policia , Humanos , Estudios Transversales , República de Corea/epidemiología , Femenino , Masculino , Adulto , Estudios Retrospectivos , Persona de Mediana Edad , Necesidades y Demandas de Servicios de Salud/estadística & datos numéricos , Modelos LogísticosRESUMEN
OBJECTIVE: Aim: To study the study the impact of negative factors of professional activities on the health of law enforcement officers. PATIENTS AND METHODS: Materials and Methods: The research involved 89 law enforcement officers (58 men, and 31 women) who served for a year in practical police units after graduating from a higher educational institution. Methods: analysis and generalization of scientific and methodological literature, anthropometry, physiometry, testing, and statistical methods. The health status was assessed by body mass index, Robinson index, and vital index. RESULTS: Results: It was found that the body mass index of law enforcement officers for one year of service in practical units deteriorated in both men and women by 1.3 kg/m2 and 0.9 kg/m2, respectively. More negative changes were observed in men. At the same time, after one year of service, the number of men with overweight (27.5 %) and even obesity of the first (13.9 %) and second (5.2 %) degrees increased significantly. In women, the changes were less pronounced. The dynamics of Robinson and vital indices, as well as the level of physical fitness, were also negative. CONCLUSION: Conclusions: The results of the research indicate a negative impact of professional factors in terms of professional activities on the health of law enforcement officers. It has been found that adherence to the principles of a healthy lifestyle, in particular, a regimen of rationally organized motor activity, is an important area in combating the impact of negative factors of professional activities on the health of law enforcement officers.
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Índice de Masa Corporal , Policia , Humanos , Masculino , Femenino , Adulto , Estado de Salud , Persona de Mediana Edad , Aplicación de la Ley , Obesidad/prevención & control , Obesidad/epidemiologíaRESUMEN
OBJECTIVE: Aim: To investigate the dynamics of law enforcement officers' physical and mental health components while performing their duties during the war in Ukraine. PATIENTS AND METHODS: Materials and Methods: The research, which was conducted in 2022-2024, involved 114 law enforcement officers (male) from the Kharkiv oblast (Ukraine) of different ages: under 30 (n = 35), under 40 (n = 41), over 40 (n = 38). To test law enforcement officers' physical and mental health indicators, we used 3 methods: 1) "Fatigue-Monotony-Oversaturation-Stress"; 2) "Well-being-Activity-Mood"; 3) "Assessment of Nervous and Emotional Stress". RESULTS: Results: The negative dynamics of most components of the physical and mental health of law enforcement officers of all three groups while performing their duties during the martial law were revealed. The most pronounced significant changes occurred in such components as "Fatigue", "Oversaturation", "Stress", "Well-being", "Mood", "Nervous and Emotional Stress". The most pronounced negative changes in most components occurred in law enforcement officers over 40 years old, which is due to both the age characteristics of the subjects and their length of service. CONCLUSION: Conclusions: The research confirms the high complexity and extremity of law enforcement officers' service activities during the martial law, as well as the high requirements for law enforcement officers' readiness to perform tasks in the context of a significant expansion of the National Police's powers. The results obtained also necessitate the search for effective ways to preserve and maintain the physical and mental health of law enforcement officers.
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Salud Mental , Policia , Humanos , Ucrania , Masculino , Adulto , Estrés Psicológico , Persona de Mediana Edad , Aplicación de la Ley , FemeninoRESUMEN
OBJECTIVE: Aim: To study the attitude of law enforcement officers to motor activity and investigate its impact on their health. PATIENTS AND METHODS: Materials and Methods: The research, which was conducted in 2022-2024, involved 163 law enforcement officers under the age of 30. Research methods: bibliosemantic, questionnaire, testing, medical and biological methods, methods of mathematical statistics. RESULTS: Results: It has been found that the vast majority of law enforcement officers (85.3 %) understand the importance of motor activity as a factor of a healthy lifestyle, its impact on physical and mental health, and quality of their professional activities. At the same time, only 27.6 % of law enforcement officers systematically engage in motor activity, 52.8 % do it sporadically, and 25.8 % do not engage in it at all. Among the reasons that prevent them from exercising are lack of time (65.6 %), lack of desire (31.3 %), and fatigue after a service day (28.1 %). It has been found that law enforcement officers who systematically engage in motor activity have a significantly better level of health (7.31 points) compared to those who engage in occasional motor activity (5.07 points) and do not engage at all (2.19 points). CONCLUSION: Conclusions: The positive impact of motor activity on the level of health of law enforcement officers has been proved. Good health is a guarantee of high resistance of law enforcement officers to negative factors of professional activities, professional longevity, and quality of their professional tasks.
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Estilo de Vida Saludable , Policia , Humanos , Adulto , Masculino , Femenino , Motivación , Encuestas y Cuestionarios , Actividad Motora , Ejercicio Físico , Aplicación de la LeyRESUMEN
Richard Griffith, Senior Lecturer in Health Law at Swansea University, considers the dilemma faced by the police and health trusts where a hospital bed is not available for a person in a mental health crisis.
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Policia , Humanos , Trastornos Mentales , Reino Unido , Medicina EstatalRESUMEN
INTRODUCTION: The article examines the experiences of protesters and bystanders who have sustained eye injuries from rubber bullets fired by the police. Use of rubber bullets by police officers during public protests is officially regulated, but there is insufficient documentation about the nature of fatal and non-fatal injuries linked to rubber bullet use during protests in South Africa. METHODS: We pres-ent three case studies based on data gathered from student protests, community protests, and media reports. Through the analysis of these sources, the article presents the personal stories of individuals who have experienced eye injuries, detailing how the incidents occurred and the subsequent impact on their lives. It also examines the accessibility of medical, psychological, and legal services available to victims in addressing the consequences of these injuries. RESULTS: The cases studies illustrate that rubber bullets were used frequently and often without due caution by police officers during the events examined. The use of rubber bullets was linked to numerous eye injuries, resulting in lasting psycho-logical and physical consequences for those affected. DISCUSSION: Rubber bullet-related eye injuries during protests are disturbingly common in South Africa. Consequently, there is an urgent need to provide essential services and support to those who suffer from these life-altering incidents.
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Lesiones Oculares , Goma , Humanos , Sudáfrica , Masculino , Adulto , Heridas por Arma de Fuego , Policia , FemeninoRESUMEN
The collective action of MOCAO, Movimiento en resistencia contra las agresiones oculares del ESMAD (Escuadrón Móvil An-tidisturbios) is a social strateg y to demand access to justice and the fulfilment of guarantees of reparation and non-repetition in Colombia. A brief account of significant events in our trajecto-ry as a social movement is presented, together with our letter of petitions to the national government as victims and survivors of ocular aggressions in the framework of police violence. Al-though ESMAD today has been reformed under the name of the Unit for Dialogue and Maintenance of Order (UNDMO), we consider that there have not yet been structural changes to ensure that its function is related to protecting the constitution-al right to social protest.
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Agresión , Justicia Social , Humanos , Colombia , Agresión/psicología , Libertad , Policia , Violencia/psicología , TorturaRESUMEN
Medical confidentiality is the cornerstone for a trustful relationship between patients and the health professionals attending to them. However, when history or clinical findings suggest certain offenses, statutory laws (Children's Act, Older Persons Act, Mental Health Care Act, Sexual Offenses Act) establish a legal obligation for health professionals to report suspected instances of abuse to the police or alternatively, in some cases, to a designated social worker. Given the high rate of domestic violence and abuse in South Africa, health professionals are most likely to encounter such situations. Many clinicians are oblivious of the obligations, exposing themselves to possible liability and their patients to potential additional harm. This article aims to demonstrate the reporting requirements under the respective acts through case scenarios. Finally, the advantages and disadvantages of the existing legal setting are discussed briefly.
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Notificación Obligatoria , Policia , Sudáfrica , Humanos , Policia/legislación & jurisprudencia , Confidencialidad/legislación & jurisprudencia , Servicio Social/legislación & jurisprudencia , Femenino , Masculino , Violencia Doméstica/legislación & jurisprudenciaRESUMEN
BACKGROUND: Sex trafficking victims often have touchpoints with salons for waxing, styling, and other body modification services required by traffickers. Recently, some states have administered laws requiring salon professionals to receive intimate partner violence (IPV)-related training, with even fewer states mandating training on identifying sex trafficking. This study aimed to understand how salon professionals have witnessed evidence of violence, including IPV and sex trafficking, in the workplace and to explore the differences in their approach to each type of victim. METHODS: In-depth interviews were conducted with salon professionals (N = 10) and law enforcement professionals/policymakers (N = 5). Content and thematic analysis techniques were used. RESULTS: Salon professionals typically identified potential violence through signs such as bruises, odd behavior, and client disclosures, prompting them to engage in cautious conversations. Yet, few were trained to identify and intervene. Often, they responded to suspected violence by talking with the client, sharing concerns with salon leadership, directly intervening on the client's behalf, or contacting the police. Law enforcement and salon professionals had suggestions about improving salon professionals' recognition of and response to violence, including training on victim-focused resources, creating a safe environment, and building relationships with law enforcement. They also suggested strengthening community partnerships to increase resource advocacy and reporting. CONCLUSIONS: One-on-one salon services may provide a unique opportunity to intervene and identify victims of violence, especially when empowered through additional training and collaborative partnerships with community-oriented policing initiates. Implementing training and community-based initiatives could aid salon professionals in gaining greater confidence in knowing what to do when serving a client who is a victim of IPV or sex trafficking.
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Víctimas de Crimen , Trata de Personas , Humanos , Trata de Personas/psicología , Víctimas de Crimen/psicología , Femenino , Masculino , Indiana , Violencia de Pareja/psicología , Aplicación de la Ley , Rol Profesional , Adulto , Investigación Cualitativa , Entrevistas como Asunto , PoliciaRESUMEN
BACKGROUND: Occupational trauma is heightened among police officers due to their exposure to physical, biological, chemical, and psychological hazards. Sustained occupational trauma results in mental illness among members of the police, which is a public health issue of concern. This study aimed to report a scoping review of the literature on strategies employed by police officers for coping with occupational trauma around the globe. METHODS: A search string, formulated from the review question of what is known about the strategies of police officers for coping with occupational trauma, was used to search for articles from databases. A total of 588 hits were screened against inclusion criteria, resulting in 36 full-text studies between 1983 and 2022 being included in this review. Data were extracted using a standardised data extraction tool. The multi-step process was used to analyse the extracted data, integrating quantitative and qualitative approaches. RESULTS: From this review, 'adaptive coping mechanisms', involving confrontation; 'maladaptive coping mechanisms', such as self-isolation, distancing and substance use; 'resilience', relating to mental preparation, and 'seeking support systems' from family, colleagues and professionals reflected the strategies used by police officers to cope with occupational trauma. Social stigma related to mental health disorders impacts the strategies used by police officers to cope with occupational trauma. CONCLUSIONS: the police management and healthcare practitioners must collaborate towards providing constructive environments that support and strengthen police officers' strategies for coping with occupational trauma.
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Adaptación Psicológica , Policia , Policia/psicología , HumanosRESUMEN
BACKGROUND: How individuals are informed of the traumatic loss of a loved one can influence their grieving process and quality of life. OBJECTIVE: This qualitative study aimed to explore, through thematic analysis, how life stages might influence the experience and feelings of those who have received communication of a traumatic death from police officers or healthcare professionals. METHOD: Recruited through social networks and word of mouth, 30 people participated in the study. Subjects were divided into three groups according to age (Group 1: ten participants aged between 20 and 35 years; Group 2: ten participants aged between 45 and 55 years; and Group 3: ten participants aged 60 and over). Participants completed an ad hoc questionnaire online. Atlas.ti software 8 was used to perform thematic analysis. RESULTS: The three age groups had the following four key themes in common: (a) emotional reactions; (b) subjective valuation of the notification; (c) support; and (d) needs. Subtle differences emerged between age groups; yet the quality of the reactions and main themes did not vary greatly between the groups considered. CONCLUSIONS: The communication of an unexpected and violent death seems to provoke rather similar effects in survivors of different life stages. A few differences were noted in sub-themes (increased need for professional training in younger recipients; absence of suicidal ideation in older adults); perhaps quantitative designs could provide further details in future investigations.
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Investigación Cualitativa , Humanos , Adulto , Persona de Mediana Edad , Masculino , Femenino , Adulto Joven , Anciano , Muerte , Violencia/psicología , Policia/psicología , Encuestas y Cuestionarios , Calidad de Vida , Pesar , Personal de Salud/psicologíaRESUMEN
BACKGROUND: The increase in online enticement has led to law enforcement agencies engaging in more proactive policing through undercover chat sting operations. OBJECTIVE: We aimed to identify the topics and communication strategies triggering suspicion in chats between law enforcement officers and offenders and why those topics do not result in suspicion in victim-offender conversations. METHODS: We conducted a thematic analysis identifying: (1) how LEOs trigger suspicion, (2) how offenders communicate suspicion, (3) how LEOs attempt recovery from suspicion, and (4) how these triggers were present but did not trigger suspicion in victim-offender chats. We examined 20 LEO-offender chats and 20 victim-offender chats from US ICAC task forces. RESULTS: We identified four themes that triggered suspicion: risk assessment by the LEO's persona, LEO avoidance measures, details related to the offense and evidence, and proof of identity of chat participants. Offender responses to triggers revealed three themes: discomfort navigating boundaries and uncertainty, risk identification, and risk mitigation. Themes for the LEO's responses to suspicion included: risk assessment for chatters, issues with technology, appeasement, and negative emotional reactions. Finally, juxtaposing triggers onto minor-offender chats yielded four themes: explicit boundary setting, victim risk assessment, deep relationship forming and disclosures, and technology issues. CONCLUSION: This study has implications for law enforcement agencies seeking to reduce suspicion and risk assessment by offenders during internet sting operations.
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Aplicación de la Ley , Policia , Humanos , Aplicación de la Ley/métodos , Internet , Criminales/psicología , Medición de Riesgo/métodos , Víctimas de Crimen/psicología , Comunicación , Masculino , Femenino , Niño , Adulto , Maltrato a los Niños/diagnóstico , Maltrato a los Niños/prevención & control , Estados UnidosRESUMEN
BACKGROUND: The risk of terrorist attacks in the Federal Republic of Germany is present and is currently increasing. Publicly funded acute care hospitals and their owners are involved in disaster control as part of their remit and are responsible for taking comprehensive precautions to ensure their operational capability in the event of disasters. This mandate must also be ensured in the event of terrorist attacks and amok incidents. For this purpose, an optimal cooperation between preclinical and clinical care is indispensable. AIM: Recommended actions for collaboration between nonclinical and clinical planning to manage a mass casualty incident in terrorist life-threatening response situations are presented. MATERIAL AND METHODS: The Inter-Hospital Security Conference Baden-Württemberg (IHSC BW) is an association of representatives of acute hospitals in Baden-Württemberg, the Ministry of the Interior, Digitalization and Migration Baden-Württemberg, the Ministry of Social Affairs and Integration Baden-Württemberg, the State Police Headquarters Baden-Württemberg and the Baden-Württemberg Hospital Association. From 2018 to 2020, the IHSC BW developed recommendations for action on cooperation between police, hospitals and non-police emergency response. The recommendations for action were agreed by the group members in 6 working sessions and initialled in two subsequent video conferences. A recommendation was considered adopted when the IHSC BW plenary assembly finally gave its approval with an absolute majority. RESULTS AND DISCUSSION: Competence-based interface solutions for a smooth cooperation between prehospital and hospital management in the care of patients who have become victims of a terrorist attack are to be demanded. For preliminary planning, the establishment of a local safety conference at the county disaster control authority level with the following participants is recommended: disaster control authority, fire department, regional police headquarters, chief emergency physician, rescue services and disaster control officers of affected clinics. It is recommended to set up a joint command and situation center (CSC), where management personnel from the police, rescue service, fire department and disaster control can meet to organize the handling of the incident jointly, competently and without loss of time. From this CSC, a liaison officer should then provide the clinics with information at regular intervals. Exercises should take place regularly. Cross-organizational exercises are particularly important, and this is one of the tasks of the local safety conference.
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Planificación en Desastres , Policia , Medidas de Seguridad , Terrorismo , Humanos , Alemania , Planificación en Desastres/organización & administración , Hospitales/normas , Servicios Médicos de Urgencia/normas , Servicios Médicos de Urgencia/legislación & jurisprudenciaRESUMEN
BACKGROUND: Using facility dogs during police investigative interviews is a recent practice in Canada. While the common use of this intervention is decidedly an indicator of sympathy capital, its utility in this context is relatively unknown and no study has specifically evaluated the effect of using facility dogs on children's collaboration during investigative interviews. OBJECTIVE: This study compares police investigative interviews conducted in the presence of a service dog (n = 46) to those without (n = 45) to examine the effects of the presence of and interactions with a dog on children's reluctance. PARTICIPANTS, SETTING AND METHODS: The interviews were done with children aged 3 to 15 years and were coded for children's reluctance, their physical interactions with and comments about the dog, as well as for investigator's verbal support. RESULTS: No significant group differences were found in terms of children's overall reluctance (p = 0.700), though the children accompanied by a dog showed significantly more digression (p = 0.008). Among the children who were accompanied by a dog, those who interacted with the dog more frequently (p = 0.035) and who made more comments about the dog (p < 0.001) showed more signs of reluctance, even after accounting for child age and investigator support. No association was observed between children's reluctance and the total duration of dog-child physical interactions (p = 0.097). CONCLUSIONS: This study contributes to an enhanced understanding of the usefulness of facility dogs and the factors that influence children's reluctance during investigative interviews.
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Entrevistas como Asunto , Policia , Niño , Animales , Humanos , Masculino , Preescolar , Femenino , Perros , Adolescente , Canadá , Perros de Trabajo , Conducta Infantil/psicologíaRESUMEN
Brazil is one of the most unequal democracies in the world. Although the number of homeless individuals in our country has increased due to the reproduction of people living in extreme poverty, little has been discussed about their welfare and rights. In the present study, we provide analysis with a theoretical-methodological approach directed at homeless people living in the wealthy neoliberal middle-sized southeast city of São Paulo, Brazil's richest state. Data was acquired from police reports with prior permission from the Civil Police of São Paulo and the São Paulo Interior Judiciary Police Department. Our results illustrate that the homelessness phenomenon in Franca appears to be comparable to that of other large urban cities, where Blacks, a minority of the population, make up the bulk of homeless individuals. It also denies that homeless activity increases criminality, emphasizes the difference between Blacks and Whites drug users' criminal behavior, with Whites being more active in theft and robbery and Blacks in trafficking, and extends the idea that drug use by homeless people is stress-related and hence an indicator of a health condition.
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Crimen , Personas con Mala Vivienda , Policia , Trastornos Relacionados con Sustancias , Humanos , Personas con Mala Vivienda/estadística & datos numéricos , Brasil , Crimen/estadística & datos numéricos , Trastornos Relacionados con Sustancias/epidemiología , Trastornos Relacionados con Sustancias/etnología , Tráfico de Drogas/estadística & datos numéricos , Población Blanca , Población Negra/estadística & datos numéricos , Robo/estadística & datos numéricos , Masculino , Femenino , Población Urbana , AdultoRESUMEN
We investigated the neural signatures of expert decision-making in the context of police training in a virtual reality-based shoot/don't shoot scenario. Police officers can use stopping force against a perpetrator, which may require using a firearm and each decision made by an officer to discharge their firearm or not has substantial implications. Therefore, it is important to understand the cognitive and underlying neurophysiological processes that lead to such a decision. We used virtual reality-based simulations to elicit ecologically valid behavior from authorized firearms officers (AFOs) in the UK and matched novices in a shoot/don't shoot task and recorded electroencephalography concurrently. We found that AFOs had consistently faster response times than novices, suggesting our task was sensitive to their expertise. To investigate differences in decision-making processes under varying levels of threat and expertise, we analyzed electrophysiological signals originating from the anterior cingulate cortex. In line with similar response inhibition tasks, we found greater increases in preresponse theta power when participants inhibited the response to shoot when under no threat as compared with shooting. Most importantly, we showed that when preparing against threat, theta power increase was greater for experts than novices, suggesting that differences in performance between experts and novices are due to their greater orientation toward threat. Additionally, shorter beta rebounds suggest that experts were "ready for action" sooner. More generally, we demonstrate that the investigation of expert decision-making should incorporate naturalistic stimuli and an appropriate control group to enhance validity.
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Toma de Decisiones , Electroencefalografía , Armas de Fuego , Policia , Realidad Virtual , Humanos , Toma de Decisiones/fisiología , Masculino , Adulto , Femenino , Adulto Joven , Ritmo Teta/fisiología , Tiempo de Reacción/fisiología , Giro del Cíngulo/fisiologíaRESUMEN
Background: Police officers are frequently exposed to a wide variety of potentially traumatic events (PTE) and are therefore at a considerable risk of developing posttraumatic stress disorder (PTSD). Previous research estimated the point prevalence of PTSD in Belgian police officers at 7.4%, significantly higher than in the general population. An effective organisational strategy to manage posttraumatic stress is essential.Objective: We aimed to develop a novel organisational approach regarding traumatic stress for Belgian police, combining evidence-based strategies for the prevention and treatment of posttraumatic stress in a stepped care intervention model.Method: In a broad development process, we combined scientific literature, case studies of best practices from other police organisations with insights gathered from a number of expert panels, thematic working groups and feedback groups.Results: A comprehensive stepped care intervention model was developed, consisting of evidence-based interventions for the prevention and treatment of posttraumatic stress.Conclusions: The intervention model is a promising organisational strategy for the management of posttraumatic stress in police organisations based on evidence-based interventions. Its effectiveness will be studied in the coming years.
Police officers are at considerable risk of developing PTSD as they are consistently exposed to a wide array of PTE.An adequate organisational response to manage the consequences of this exposure as much as possible is essential.We developed a comprehensive stepped care intervention model consisting of evidence-based interventions, based on scientific literature, best practices in other police organisations, and thorough expert review.
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Policia , Trastornos por Estrés Postraumático , Humanos , Trastornos por Estrés Postraumático/terapia , Policia/psicología , Bélgica , Medicina Basada en la Evidencia , Práctica Clínica Basada en la EvidenciaRESUMEN
BACKGROUND: During the pandemic, many police dentists had the crucial responsibility of ensuring law and order while providing dental care by taking government-approved health measures to stop the spread of the coronavirus. The aim of this study was to assess the association between the fear of COVID-19 and Burnout syndrome in Peruvian dentists belonging to the Health Department of the National Police of Peru (PNP), taking into account possible confounding variables. METHODS: This cross-sectional and analytical study included 182 PNP dentists. The Fear COVID-19 Scale assessed fear of COVID-19 and the Maslach Burnout Inventory Test assessed burnout syndrome. The association between the fear of COVID-19 and Burnout syndrome (self-fulfilment) was analyzed using Spearman's Rho. A multivariable Poisson regression model with a robust variance estimation method was employed to evaluate the impact of fear of COVID-19 on the various dimensions of Burnout syndrome, considering possible confounding variables. The statistical significance level was set at p < 0.05. RESULTS: Under bivariate analysis, fear of COVID-19 was significantly linked with low direct intensity toward emotional exhaustion (Rho = 0.325, p < 0.001), very low direct intensity toward depersonalization (Rho = 0.180, p = 0.015), and very low inverse intensity toward self-fulfilment (Rho =-0.186, p = 0.012). Under multivariable analysis, it was observed that dentists who exhibited fear of COVID-19 were 3.4 and 3.7 times more likely to experience emotional exhaustion and depersonalization, respectively (APR = 3.40, 95% CI: 1.74-6.63 and APR = 3.68, 95% CI: 1.31-10.37), as compared to those who did not display fear of COVID-19. Moreover, none of the potential confounding factors were found to have a significant impact on emotional exhaustion (p > 0.05), depersonalization (p > 0.05), and self-fulfilment (p > 0.05). CONCLUSION: Fear of COVID-19 was significantly associated with emotional exhaustion and depersonalization, and inversely associated with self-fulfilment. PNP dentists who exhibited fear of COVID-19 were at greater risk for emotional exhaustion and depersonalization. In developing Burnout syndrome, no significant impact was observed from factors such as age, gender, marital status, children, hierarchy, years of service, work area, private practice, work over 40 h per week, type of service, work performed, sport practice and daily exercise time.