Day 2 :
Sefako Makgatho Health Sciences University, South Africa
Mathildah is an associate professor in the School of Public Health at Sefako Makgatho Health Sciences University. She is a public health specialist with 15 years of experience in postgraduate teaching across the various disciplines of public health. Her expertise lies in teaching quantitative research, health program evaluation, quantitative statistical analysis. She successfully graduate numerous students in the Master of Public, postgraduate diploma and public health doctoral program. Her research niche is in social aspects of HIV and AIDS with a focus on orphans and vulnerable children, adolescent sexual health and STI/HIV prevention and control.
Disclosure of the HIV positive status to adolescents who are perinatally infected by caregivers remains a challenge in South Africa. The challenges experienced by caregivers, also affect onward self-disclosure by perinatally infected adolescents. We explored the context of how the perinatally infected adolescent girls learnt about their HIV status and their onward HIV self-disclosure to romantic partners and friends. In-depth interviews were conducted with a purposively selected sample of 30 perinatally infected adolescents aged 14-19 years. The adolescents were recruited from an HIV clinic in Gauteng province, South Africa. Adolescents learnt about their HIV-positive status from caregivers, some were told about their HIV status by health care workers, others read about their diagnosis from hospital records, while the rest figured it out as they read their medication information leaflets. Of the 30 adolescents, 27 did not disclose to romantic and sexual partners. The reason for non-disclosure to romantic and sexual partners was fear of judgment and rejection. They also felt that it was not necessary to disclose if they were not engaging in sexual activities. Strategies used to protect their status were postponing sexual activities and those who were sexually active enforced condom use with their sexual partners. These findings show that the perinatally infected adolescents choose not to disclose their HIV status particularly to romantic partners. The strategies they used to keep their HIV status secret protect them from potential transmission of HIV to their sexual partners. Health care workers should support and encourage them to delay sexual initiation and negotiate condom use.
Sonia Allibardi is a molecular biologist with a specialization degree in Biochemistry Science. Her professional life started in a research Cardiovascular Physiology laboratory at San Raffaele Scientific Institute, Milan Italy, where She worked for more than 10 years and She published scientific papers on International Journals. The objective of her research was the evaluation of myocardial metabolism in hypoxic and ischemic heart. In 2011, thanks to the “Mad Cow Disease”, She started a new job in Biorad Company. She spent three wonderful years as a scientific product specialist in life science division for Italy and Southern Europe (Spain, Greece, Portugal). She had the possibility to work in Cepheid Europe for five years and her main topics were: Women’s Health, Hospital Acquired Infection and Tuberculosis. Currently She is working in a Scientific Team of COPAN laboratory collaborating with scientific KOL in Italy and Europe.
Background: self vaginal sampling is a new collection approach for detection of Sexually Transmitted Infections and is able to guarantee privacy and comfort during the collection. The aim of the study was to evaluate usability, vaginal cells collection efficiency and ability to preserve nucleic acids stability of a new self vaginal flocked swab (FLOQSwabTM, Copan) developed for home collection.
Methodology: 80 donors (18 to 45) performed a double self-vaginal sampling (n=160) using: a certified flocked self-vaginal point of care collection (POC) device as a reference method (Copan); a new home-based self-vaginal flocked swab by following the kit instructions. Patients received a questionnaire to assess the usability of the new device. Home-based and POC swabs were processed using Xpert CT/NG® assay (Cepheid). The threshold cycle value (Ct) of a human genomic target, Ct of pathogens (Chlamydia trachomatis CT and Neisseria gonorrhoeae GC2-GC4) and extraction and amplification control (Bacillus globigii spores) were considered to compare performance between the two devices. To evaluate the stability of the nucleic acids at time 0 and after 4 weeks of storage at + 4 ° C and + 30 ° C, 54 negative home collected samples were inoculated with a suspension of CT and GC ATCC (VR880-43069) at 1 and 10xLOD of molecular assay. Findings: 100% of overall agreement was obtained comparing the two devices: 77/80 negative and 3/80 CT positive patients were detected. No failure results were observed. The survey reported a better appreciated home-based collection (80%) with respect to the POC sampling. After 4 weeks of storage at 4°C and at 30°C all spiked samples were detected. Conclusions: the new home-based device has shown the same performance of the reference swab, demonstrating an efficient recovery of vaginal cells, stability of CT and GC nucleic acids up to 4 weeks and excellent acceptability by women
Flinders University, Australia
Title: Prevalence, trend, outcomes and risk factors for late presentation for HIV care in Ethiopia, 2003-2015
Time : 16:05-16:40
Hailay Gesesew has his expertise in Epidemiology. His multi-method approach assessing in each cascades of HIV care continuum will establish a significant contribution for the AIDS Ending goal. He has been publishing a lot of peer reviewed articles on the area of HIV care in reputable journals. Hiis publications produced from his PhD will improve the HIV care in developing countries especially Ethiopia. Hailay has been serving as a clinician, academician and researcher.
Background: Late presentation for HIV care (LP) delays the achievements of the 90-90-90 UNAIDS target, a program in which Ethiopia has subscribed for. However, the prevalence, trend, outcomes and risk factors of LP among children and adults were not assessed very well in the nation. Methods: 12 years retrospective cohort study was conducted using data extracted from an antiretroviral therapy (ART) clinic in Southwest Ethiopia. LP for children and adults was measured using CD4 lymphocyte counts and WHO clinical stages. We described the percentage of LP by mortality, discontinuation from ART and immunological failure to show outcomes of LP. The analysis of descriptive and inferential statistics (logistic regression) was undertaken. Missing data were handled using multiple imputations assuming missing at random (MAR) pattern. Results: Of the 8172 patients enrolled for HIV care between June 2003 and March 2015, 5299 (64.8%) patients were on ART: 4900 (92.5%) were adults and 399 (7.5%) were children. The prevalence of LP was 57% in children and 66.7% in adults with an overall prevalence of 65.5%, and the 11 years analysis of LP showed upwards trends. 74% of died children, 50% of discontinued children, 57% of transferred out children and 45% of children with immunological failure were delayed presenters for HIV care. Similarly, 64.7% of died adults, 65.3% of discontinued adults, 68.1% of transferred out adults and 78.7% of adults who had immunological failure presented late for the care. Factors for LP among adults were: being female, being married, having IF, having Tb/HIV co-infection and having no history of HIV testing. No statistically significant predictor was found for LP among children. Conclusions: The prevalence LP was significant and majority HIV infected children and adults who presented late for HIV care had discontinued, transferred out and immunological failure. To address this, strategies such as unmanned aerial systems for transporting laboratory specimens, programs such as home and community-based HIV testing, ‘opt out’ and self-testing are compulsory.
Dong-Eui University, South Korea
Kim Hyung Ryul has his expertise in fine arts education and fine arts therapist. Education: 1989 B.F.A College of Fine Arts, Seoul National University, 1996 M.F.A Graduate of fine arts, Seoul National University, 2008 School of confucian ＆ oriental study, the Eastem Philosophy, doctor's course. Publications: Numerous articles in professional journals (in the fields of fine arts, fine arts and health promotion). He also hold many solo exhibitions.
The concept of sports constitutes of sound physical activities in a true spiritual ground. This sports culture has been observed throughout history in many art works created by a variety of forming methods, and are being expressed in various forms even today. These art works have been used to meet some needs in the field of sports, and on the other hand, new discoveries of unique formativeness in the sports culture have led to development of new art cultures.
Joseon set a policy to ‘oppress Buddhism and admire Confucianism’ as their guiding ideology. So, in this environment flourished paintings that showed a practical culture and simplicity. Based on this context, we will look into the characteristics and changes of various forms of sports cultures in Korean art, and also see what contents can have historical values attracting us within their artistic spectrums. For example kim hong do painting. It is a late 19th century work, drawn on a paper in light color (27.0×22.7㎝), describing a Korean traditional wrestling called Ssireum. It depicts a specific technique in Ssireum, known as duijibgi (a move similar to back-drop). It shows the moment where the player focuses on making his move, excited crowd having fun and making noise, some showing resentment etc. The picture is very detailed as you can see the concession standing there pretending he is not part of the scene, humorous expression of various characters, the anticipation of victory and defeat, detailed facial expression of cheers and sadness, and the chaotic scene altogether. It shows well the plot of the scene by describing the psychological side of each player, their facial expression and the tension between them, and their composition of confrontation. By depicting how hard they grab each other’s cloth in detail, it expresses the traditional wrestling scene in light-colored India ink style, along with the various description of people’s faces. It expresses clearly the natural fringe of the human body, the harmony of the human body and the harmony of the cloth.
In conclusion, these art works show the change of sport cultures in Korean traditional art field, attractiveness and differentiated brand to positively capture the value of the new era. It is considered that this could also be preventive medicine in Joseon dynasty.