subject:(HIV Viruses Patients)

Columbia University

1. Lamb, Matthew Raymond. Patient non-retention, loss to follow-up and death after ART initiation at HIV care and treatment facilities in sub-Saharan Africa: the influence of adherence support and outreach services.

Degree: 2011, Columbia University

URL: https://doi.org/10.7916/D82R4ZJH

► This dissertation uses three types of routinely collected data from HIV care and treatment facilities in sub-Saharan Africa to investigate the association between the availability… (more)

▼ This dissertation uses three types of routinely collected data from HIV care and treatment facilities in sub-Saharan Africa to investigate the association between the availability of adherence support and active outreach services on patient non-retention, loss to follow-up, and measured death after ART initiation. Following a literature review summarizing the state of knowledge concerning the influence of programmatic services on patient retention in care and survival, these relationships are first examined in an aggregate analysis of over 232,000 patients at 349 HIV care and treatment facilities initiating ART between January 2004 and December 2008. Key findings are that several adherence support and outreach services are associated with reduced rates of non-retention, loss to follow-up, and death. Specifically, facilities offering three or more adherence support services, written educational materials promoting ART adherence, one-on-one or group adherence counseling sessions, reminder tools, and food rations to promote ART adherence were associated with reduced non-retention and loss to follow-up, while facilities offering on-site support groups for HIV+ patients, peer educators, provision of reminder tools, and food rations to promote ART adherence were associated with reduced death rates. In sub-analyses investigating six- and 12-month retention after ART initiation, facilities offering three or more separate adherence support services, routine review of medication pickup and/or dedicated ART pharmacists, and active patient outreach to trace patients missing visits had lower non-retention. Taken together, this analysis provides evidence that program-level services found efficacious in experimental settings are also effective in operational settings. Next, a sub-analysis is conducted among facilities also providing electronic patient-level data to investigate similarities and differences in the association between adherence support and outreach services and patient non-retention, loss to follow-up, and measured death using aggregate vs. patient-level estimates of these outcomes, and to assess whether adjustment for patient-level differences between facilities change these measures of association. In multivariate analyses, clinics offering active patient outreach had lower rates of non-retention in both the ART cohort analysis and the patient-level analysis, and clinics offering food rations to promote ART adherence were associated with a lower risk of ascertained death in both the facility-level and patient-level analyses, but this association was diminished after adjustment for patient-level covariates. In contrast, various adherence counseling or support services were associated with lower non-retention in the ART cohort analyses but not in the patient-level data analyses. When compared with the results in the first paper, fewer associations were observed, suggesting either that the countries with patient-level databases are not representative of the entire range of HIV care and treatment…

Subjects/Keywords: Epidemiology; Public health; Africans; HIV infections – Treatment; HIV (Viruses) – Patients – Services for; Patient compliance

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APA (6^th Edition):

Lamb, M. R. (2011). Patient non-retention, loss to follow-up and death after ART initiation at HIV care and treatment facilities in sub-Saharan Africa: the influence of adherence support and outreach services. (Doctoral Dissertation). Columbia University. Retrieved from https://doi.org/10.7916/D82R4ZJH

Chicago Manual of Style (16^th Edition):

Lamb, Matthew Raymond. “Patient non-retention, loss to follow-up and death after ART initiation at HIV care and treatment facilities in sub-Saharan Africa: the influence of adherence support and outreach services.” 2011. Doctoral Dissertation, Columbia University. Accessed December 14, 2019. https://doi.org/10.7916/D82R4ZJH.

MLA Handbook (7^th Edition):

Lamb, Matthew Raymond. “Patient non-retention, loss to follow-up and death after ART initiation at HIV care and treatment facilities in sub-Saharan Africa: the influence of adherence support and outreach services.” 2011. Web. 14 Dec 2019.

Vancouver:

Lamb MR. Patient non-retention, loss to follow-up and death after ART initiation at HIV care and treatment facilities in sub-Saharan Africa: the influence of adherence support and outreach services. [Internet] [Doctoral dissertation]. Columbia University; 2011. [cited 2019 Dec 14]. Available from: https://doi.org/10.7916/D82R4ZJH.

Council of Science Editors:

Lamb MR. Patient non-retention, loss to follow-up and death after ART initiation at HIV care and treatment facilities in sub-Saharan Africa: the influence of adherence support and outreach services. [Doctoral Dissertation]. Columbia University; 2011. Available from: https://doi.org/10.7916/D82R4ZJH

Rhodes University

2. Basterfield, Candice. The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention.

Degree: M. Soc. Sc., Faculty of Humanities, Psychology, 2015, Rhodes University

URL: http://hdl.handle.net/10962/d1017881

► Pharmacological interventions to treat Human Immunodeficiency Virus (HIV) with antiretrovirals (ARVs), have dramatically improved the survival rates of HIV positive children maturing into adulthood. However,… (more)

Subjects/Keywords: HIV-positive children – Rehabilitation; Antiretroviral agents; HIV (Viruses) – Side effects; Brain damage – Patients – Rehabilitation; Cognition disorders – Patients – Rehabilitation

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APA (6^th Edition):

Basterfield, C. (2015). The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention. (Masters Thesis). Rhodes University. Retrieved from http://hdl.handle.net/10962/d1017881

Chicago Manual of Style (16^th Edition):

Basterfield, Candice. “The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention.” 2015. Masters Thesis, Rhodes University. Accessed December 14, 2019. http://hdl.handle.net/10962/d1017881.

MLA Handbook (7^th Edition):

Basterfield, Candice. “The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention.” 2015. Web. 14 Dec 2019.

Vancouver:

Basterfield C. The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention. [Internet] [Masters thesis]. Rhodes University; 2015. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/10962/d1017881.

Council of Science Editors:

Basterfield C. The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention. [Masters Thesis]. Rhodes University; 2015. Available from: http://hdl.handle.net/10962/d1017881

Columbia University

3. Stonbraker, Samantha Brown. Health Information Behavior of HIV Positive Adults in the Dominican Republic.

Degree: 2016, Columbia University

URL: https://doi.org/10.7916/D8765FH8

► The ability of individuals living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) to effectively manage their health is dependent on the successful acquisition and… (more)

▼ The ability of individuals living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) to effectively manage their health is dependent on the successful acquisition and use of health information. This may be particularly challenging in limited resource settings where numerous barriers may prevent people from finding, understanding, and applying the information that could lead to better health management. In this dissertation, I aimed to explore the health information behavior of HIV positive adults attending Clínica de Familia in La Romana, Dominican Republic. Offering free treatment and services to over 1,600 HIV positive adults makes this one of the largest HIV treatment centers in the Dominican Republic. Initially, an integrative review of the literature was conducted to summarize research that has explored the patient-identified information needs of HIV positive adults in Latin America and the Caribbean and to identify predominant health information needs of these individuals. Then, a retrospective chart review of 201 randomly selected medical records, two focus group discussions, and an adapted version of Wilson’s 1996 model of information behavior were used to develop a 64-item survey to assess health information behavior. The survey was administered during 107 individual interviews with HIV positive adults being seen at the Clinic. Participants were mostly female (60%), Dominican (75%), and lived in La Romana (59%). Approximately half of participants (49%) were married or in a serious relationship and about a third (33%) of participants had all or some of high school education or higher. Responses to information behavior survey items indicated that patients might not understand all of the health information they do receive, cultural variations may influence understanding of viral transmission, and that participants had low levels of health literacy. Data obtained through the surveys were further analyzed to identify patient characteristics associated with active health information seeking, higher information processing and more information use. Significantly associated patient characteristics were: having ever cared for someone who was very sick, age, gender, length of time at the clinic, and comorbidities. Providers at the Clinic as well as those working in underserved areas globally may use these results to advance their knowledge of the ways in which HIV positive adults interact with health information. This enhanced understanding can inform communication and health education programs that provide the information patients need to manage their health in a more usable way. Future research should examine what methods can be used to more effectively provide health information to patients living in constrained resource settings with limited educational backgrounds.

Subjects/Keywords: HIV-positive persons – Services for; HIV (Viruses) – Patients; HIV-positive persons; Nursing; Information science; Health education

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APA (6^th Edition):

Stonbraker, S. B. (2016). Health Information Behavior of HIV Positive Adults in the Dominican Republic. (Doctoral Dissertation). Columbia University. Retrieved from https://doi.org/10.7916/D8765FH8

Chicago Manual of Style (16^th Edition):

Stonbraker, Samantha Brown. “Health Information Behavior of HIV Positive Adults in the Dominican Republic.” 2016. Doctoral Dissertation, Columbia University. Accessed December 14, 2019. https://doi.org/10.7916/D8765FH8.

MLA Handbook (7^th Edition):

Stonbraker, Samantha Brown. “Health Information Behavior of HIV Positive Adults in the Dominican Republic.” 2016. Web. 14 Dec 2019.

Vancouver:

Stonbraker SB. Health Information Behavior of HIV Positive Adults in the Dominican Republic. [Internet] [Doctoral dissertation]. Columbia University; 2016. [cited 2019 Dec 14]. Available from: https://doi.org/10.7916/D8765FH8.

Council of Science Editors:

Stonbraker SB. Health Information Behavior of HIV Positive Adults in the Dominican Republic. [Doctoral Dissertation]. Columbia University; 2016. Available from: https://doi.org/10.7916/D8765FH8

University of Nairobi

4. Wagana, Loise N. Clinical utility and cost effectiveness of CSF TB BACTEC MGIT cultures in the evaluation of HIV Patients with meningoencephalitis at the Kenyatta National Hospital .

Degree: 2007, University of Nairobi

URL: http://hdl.handle.net/11295/6367

► Background: The spread of HIV epidemic has contributed immensely to an increase in the annual incidence of Tuberculosis (TB) and especially of extra-pulmonary TB in… (more)

▼ Background: The spread of HIV epidemic has contributed immensely to an increase in the annual incidence of Tuberculosis (TB) and especially of extra-pulmonary TB in Kenya.' The diagnosis of Tuberculous Meningitis (TBM) is difficult, usually empirical,delayed and is associated with high mortality, which can be reduced by initiation of therapy in the earlier stages of disease.Traditional solid culture methods have a sensitivity of 50 to 70% and take 4 to 8 weeks to yield results. Liquid BACTEC culture media have a sensitivity of 95% and take between 48hrs and 21 days with an average time of 7 - 14 days to give a result. Though costly, they potentially would offer an advantage of early diagnosis, treatment and positive impact on, morbidity and mortality from TBM. Objective: To determine the clinical utility and cost effectiveness of early CSF BACTEC cultures among HIV positive patients who present with features of meningoencephalitis at K.N.H. Study design: Hospital based comparative In-patient cohort study. Methodolozy: Patients admitted with a diagnosis of meningoencephalitis were screened for HIV on the morning following admission. Those who tested positive and met inclusion criteria were recruited consecutively and randomized to either BACTEC or Usual Care arms. All patients received the usual care for meningitis as deemed necessary by their primary care physicians. Those in the BACTEC arm had, in addition to their usual workup, a Mycobacterial Growth Indicator Tube (MGIT) BACTEC culture done on their CSF for TBM, on the morning immediate post admission. All patients were followed up for a period or 4 weeks in hospital stay or up to death or discharge whichever was sooner. Time to definitive diagnosis of TBM by positive culture result, time to initiation of anti- TB therapy and time to discharge were studied. Initiation of anti- TB was at the discretion of the clinical care team and was not study directed. Results: A total of 219 patients were screened. Of these, 142 were included into the study, 89 in the BACTEC arm and 53 in the usual care arm. Male patients were 70 (49.3%). The mean age was 37.2 years, range 13 and 62 years. Of those in the BACTEC arm, 9 (10%) had a positive CSF culture at 21 days and 14 (15.7%) at 8 weeks. The average time to culture positivity was 12 days, ranging between 5 and 40 days. Time to starting anti- TB therapy ranged from 1 to 22 days, with a mean of 4.99 days. The decision to start anti- TB was made empirically in all the patients, at the discretion of the clinical care team and was not influenced by the findings of the study. The average duration of hospitalization for discharged patients was 11.92 days, 10.56 and 14.48 in the BACTEC and usual care arms respectively, with a statistically significant difference in duration of hospital stay between the two groups; p=O.OOI. Total hospital mortality was 65 (45.8%). There was no statistically significant difference in mortality between the BACTEC and usual care arms. Average time to death was 7.5 days from admission, 6.93 in…

Subjects/Keywords: HIV (Viruses); AIDS – Related complex – Kenya; Tuberculosis – Patients; Meniingoencephalitis

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APA (6^th Edition):

Wagana, L. N. (2007). Clinical utility and cost effectiveness of CSF TB BACTEC MGIT cultures in the evaluation of HIV Patients with meningoencephalitis at the Kenyatta National Hospital . (Thesis). University of Nairobi. Retrieved from http://hdl.handle.net/11295/6367

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Wagana, Loise N. “Clinical utility and cost effectiveness of CSF TB BACTEC MGIT cultures in the evaluation of HIV Patients with meningoencephalitis at the Kenyatta National Hospital .” 2007. Thesis, University of Nairobi. Accessed December 14, 2019. http://hdl.handle.net/11295/6367.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Wagana, Loise N. “Clinical utility and cost effectiveness of CSF TB BACTEC MGIT cultures in the evaluation of HIV Patients with meningoencephalitis at the Kenyatta National Hospital .” 2007. Web. 14 Dec 2019.

Vancouver:

Wagana LN. Clinical utility and cost effectiveness of CSF TB BACTEC MGIT cultures in the evaluation of HIV Patients with meningoencephalitis at the Kenyatta National Hospital . [Internet] [Thesis]. University of Nairobi; 2007. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/11295/6367.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Wagana LN. Clinical utility and cost effectiveness of CSF TB BACTEC MGIT cultures in the evaluation of HIV Patients with meningoencephalitis at the Kenyatta National Hospital . [Thesis]. University of Nairobi; 2007. Available from: http://hdl.handle.net/11295/6367

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Alberta

5. Bowker, Samantha L. The pathogenesis of human immunodeficiency virus in a cohort of patients co-infected with hepatitis C virus.

Degree: MSin Medical Sciences and Public Health Sciences, Department of Public Health Sciences Department of Medical Sciences, 2001, University of Alberta

URL: https://era.library.ualberta.ca/files/0g354h52h

Subjects/Keywords: HIV-positive persons – Mortality.; HIV (Viruses) – Pathogenesis.; Hepatitis C – Patients – Mortality.

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APA (6^th Edition):

Bowker, S. L. (2001). The pathogenesis of human immunodeficiency virus in a cohort of patients co-infected with hepatitis C virus. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/0g354h52h

Chicago Manual of Style (16^th Edition):

Bowker, Samantha L. “The pathogenesis of human immunodeficiency virus in a cohort of patients co-infected with hepatitis C virus.” 2001. Masters Thesis, University of Alberta. Accessed December 14, 2019. https://era.library.ualberta.ca/files/0g354h52h.

MLA Handbook (7^th Edition):

Bowker, Samantha L. “The pathogenesis of human immunodeficiency virus in a cohort of patients co-infected with hepatitis C virus.” 2001. Web. 14 Dec 2019.

Vancouver:

Bowker SL. The pathogenesis of human immunodeficiency virus in a cohort of patients co-infected with hepatitis C virus. [Internet] [Masters thesis]. University of Alberta; 2001. [cited 2019 Dec 14]. Available from: https://era.library.ualberta.ca/files/0g354h52h.

Council of Science Editors:

Bowker SL. The pathogenesis of human immunodeficiency virus in a cohort of patients co-infected with hepatitis C virus. [Masters Thesis]. University of Alberta; 2001. Available from: https://era.library.ualberta.ca/files/0g354h52h

Durban University of Technology

6. Ganesh, Shayhana. Management of an HIV/AIDS wellness programme : a case study of the HIV Your life programme.

Degree: 2017, Durban University of Technology

URL: http://hdl.handle.net/10321/2529

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Submitted in fulfilment of the requirements for the Degree of Doctor in Public Management, Durban Universit of Technology, 2017.

HIV-AIDS has infected more than 37… (more)

▼

Submitted in fulfilment of the requirements for the Degree of Doctor in Public Management, Durban Universit of Technology, 2017.

HIV-AIDS has infected more than 37 million individuals globally and has resulted in approximately 35 million HIV-AIDS related deaths globally since its discovery 35 years ago. HIV-AIDS remains a global and local health crisis as, despite innovative and accessible HIV-AIDS prevention efforts, the disease continues to spread. UNAIDS estimated over 2 milliion new HIV-AIDS infections with 700 000 of these infections occurring in young African women in 2015, revealing that the burden of HIV-AIDS is far from over (UNAIDS, 2016). As more individuals become infected with HIV-AIDS, more infected individuals are living longer, productive lives due to the international rollout and scale-up of life-saving antiretroviral (ARV) therapy aimed at halting disease progression. In 16 years, the world has initiated over 16 million HIV-infected individuals onto ARV programmes across the world aimed at preserving first line drug effectiveness of treatment, less resistance and lower mortality and morbidity rates( UNAIDS, 2016). This number is set to double as countries across the globe take bold steps to provide ARV treatment for all, based on latest WHO guideline changes. The initiative of ARV roll out for all HIV-positive individuals globally, brings with it the challenges and complexities of infrastructure support, resource allocation, uninterrupted drug supply, global access and clinical training requirements for HIV-AIDS programmes across the globe. Quality management systems with monitoring and evaluation frameworks in particular play a pivotal role in planning, allocating and utilising resources for optimal health benefits.This research study reviews available data on the prevalence of quality management systems in HIV-AIDS healthcare and identifies gaps and smart practises towards recommendations for comprehensive global HIV-AIDS standards development. This research study aims to propose a conceptual monitoring and evaluation framework derived from quality management systems for management of HIV-AIDS private sector programmes that can be used in both public and private healthcare sectors through analysis of current conceptual frameworks in the HIV-AIDS healthcare and the HIV-AIDS programmes within the South African context of HIV-AIDS healthcare provision.

D

Advisors/Committee Members: Rampersad, Renitha, Dorasamy, Nirmala.

Subjects/Keywords: AIDS (Disease) – Treatment – South Africa; HIV (Viruses) – Patients – Services for – South Africa; HIV-positive persons – Care – South Africa; Antiretroviral agents – South Africa

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APA (6^th Edition):

Ganesh, S. (2017). Management of an HIV/AIDS wellness programme : a case study of the HIV Your life programme. (Thesis). Durban University of Technology. Retrieved from http://hdl.handle.net/10321/2529

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Ganesh, Shayhana. “Management of an HIV/AIDS wellness programme : a case study of the HIV Your life programme.” 2017. Thesis, Durban University of Technology. Accessed December 14, 2019. http://hdl.handle.net/10321/2529.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Ganesh, Shayhana. “Management of an HIV/AIDS wellness programme : a case study of the HIV Your life programme.” 2017. Web. 14 Dec 2019.

Vancouver:

Ganesh S. Management of an HIV/AIDS wellness programme : a case study of the HIV Your life programme. [Internet] [Thesis]. Durban University of Technology; 2017. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/10321/2529.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Ganesh S. Management of an HIV/AIDS wellness programme : a case study of the HIV Your life programme. [Thesis]. Durban University of Technology; 2017. Available from: http://hdl.handle.net/10321/2529

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape

7. Mlobeli, Regina. HIV/AIDS Stigma: an investigation into the perspectives and expereinces of people living with HIV/AIDS .

Degree: 2006, University of the Western Cape

URL: http://hdl.handle.net/11394/2067

► People's attitudes towards people living with HIV/AIDS remain a major community challenge. There is a need to generate a climate of understanding, compassion and dignity… (more)

Subjects/Keywords: AIDS (Disease); Patients - Public opinion; HIV (Viruses); Stigma (Social psychology)

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APA (6^th Edition):

Mlobeli, R. (2006). HIV/AIDS Stigma: an investigation into the perspectives and expereinces of people living with HIV/AIDS . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/2067

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mlobeli, Regina. “HIV/AIDS Stigma: an investigation into the perspectives and expereinces of people living with HIV/AIDS .” 2006. Thesis, University of the Western Cape. Accessed December 14, 2019. http://hdl.handle.net/11394/2067.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mlobeli, Regina. “HIV/AIDS Stigma: an investigation into the perspectives and expereinces of people living with HIV/AIDS .” 2006. Web. 14 Dec 2019.

Vancouver:

Mlobeli R. HIV/AIDS Stigma: an investigation into the perspectives and expereinces of people living with HIV/AIDS . [Internet] [Thesis]. University of the Western Cape; 2006. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/11394/2067.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mlobeli R. HIV/AIDS Stigma: an investigation into the perspectives and expereinces of people living with HIV/AIDS . [Thesis]. University of the Western Cape; 2006. Available from: http://hdl.handle.net/11394/2067

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape

8. Wichman, Heidi Sandra. Stigma within health care settings: an exploration of the experiences of people living with HIV and AIDS .

Degree: 2006, University of the Western Cape

URL: http://hdl.handle.net/11394/2319

► South Africa has one of the highest HIV and AIDS prevalence rates and the pandemic shows no signs of abating. Challenges facing South Africa in… (more)

Subjects/Keywords: AIDS (Disease); Patients; Public opinion; HIV (Viruses); Stigma (Social psychology)

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APA (6^th Edition):

Wichman, H. S. (2006). Stigma within health care settings: an exploration of the experiences of people living with HIV and AIDS . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/2319

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Wichman, Heidi Sandra. “Stigma within health care settings: an exploration of the experiences of people living with HIV and AIDS .” 2006. Thesis, University of the Western Cape. Accessed December 14, 2019. http://hdl.handle.net/11394/2319.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Wichman, Heidi Sandra. “Stigma within health care settings: an exploration of the experiences of people living with HIV and AIDS .” 2006. Web. 14 Dec 2019.

Vancouver:

Wichman HS. Stigma within health care settings: an exploration of the experiences of people living with HIV and AIDS . [Internet] [Thesis]. University of the Western Cape; 2006. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/11394/2319.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Wichman HS. Stigma within health care settings: an exploration of the experiences of people living with HIV and AIDS . [Thesis]. University of the Western Cape; 2006. Available from: http://hdl.handle.net/11394/2319

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

California State University – San Bernardino

9. Kellogg, Wendy Jean. Barriers of mental health professionals in "willingness to treat" AIDS and HIV seropositive clients.

Degree: MSin Psychology, Psychology, 1992, California State University – San Bernardino

URL: http://scholarworks.lib.csusb.edu/etd-project/781

AIDS-related stigma and mental health professionals.

Subjects/Keywords: Mental health personnel – Attitudes; Mental health counselors – Attitudes; AIDS (Disease) – Patients; HIV (Viruses) – Patients; AIDS phobia; Psychiatry and Psychology

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APA (6^th Edition):

Kellogg, W. J. (1992). Barriers of mental health professionals in "willingness to treat" AIDS and HIV seropositive clients. (Thesis). California State University – San Bernardino. Retrieved from http://scholarworks.lib.csusb.edu/etd-project/781

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Kellogg, Wendy Jean. “Barriers of mental health professionals in "willingness to treat" AIDS and HIV seropositive clients.” 1992. Thesis, California State University – San Bernardino. Accessed December 14, 2019. http://scholarworks.lib.csusb.edu/etd-project/781.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Kellogg, Wendy Jean. “Barriers of mental health professionals in "willingness to treat" AIDS and HIV seropositive clients.” 1992. Web. 14 Dec 2019.

Vancouver:

Kellogg WJ. Barriers of mental health professionals in "willingness to treat" AIDS and HIV seropositive clients. [Internet] [Thesis]. California State University – San Bernardino; 1992. [cited 2019 Dec 14]. Available from: http://scholarworks.lib.csusb.edu/etd-project/781.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Kellogg WJ. Barriers of mental health professionals in "willingness to treat" AIDS and HIV seropositive clients. [Thesis]. California State University – San Bernardino; 1992. Available from: http://scholarworks.lib.csusb.edu/etd-project/781

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Durban University of Technology

10. Odetokun, Joseph. An evaluation of an HIV and AIDS management system (HAMS) in a Richards Bay company, KwaZulu-Natal : a case study.

Degree: 2012, Durban University of Technology

URL: http://hdl.handle.net/10321/756

►

Dissertation submitted in fulfilment of the requirements for the Degree in Masters of Technology: Nursing, Durban University of Technology, 2012.

In South Africa, HIV and… (more)

▼

Dissertation submitted in fulfilment of the requirements for the Degree in Masters of Technology: Nursing, Durban University of Technology, 2012.

In South Africa, HIV and AIDS workplace programmes have been implemented for more than two decades without any audited and certifiable standards. In 2007, the South African National Standard launched South African National Standard (SANS 16001) 16001 to assist, encourage and support companies to implement minimum standards for HAMS. Companies are now expected to use this standard to improve HIV and AIDS Management System. It therefore, becomes imperative for companies to establish workplace HAMS in line with the set standard. To determine to what extent the company‟s HAMS has been aligned to the SANS 16001, an evaluation of the current management system in relation to the new SANS 16001 system is needed. Aim of the study The aim of the study was to evaluate the implementation of the HIV and AIDS Management System in a Richards Bay Company. Methodology A single case study using a quantitative research design was used to evaluate HAMS in a Richards Bay Company. The sample consisted of all consenting participants who were selected from key position holders in accordance with the requirements of SANS 16001: 2007 and the general workers. These key position holders were comprised of senior managers, middle managers and those employees who play an important role in implementing HAMS. Two different sets of questionnaires were used to collect data. One questionnaire was used to collect data from the managers because they were key role players in HAMS. The second questionnaire was used to collect data from the general workforce. The data from the questionnaire was captured and subsequently analysed using the version 9 of SPSS. Results There was evidence that the company was committed to continuous improvement regarding HIV and AIDS management as indicated by both key position holders and the general workforce.

Advisors/Committee Members: Sibiya, Maureen Nokuthula, Kgware, M..

Subjects/Keywords: HIV (Viruses) – Treatment; AIDS (Disease) – Treatment; HIV-positive persons – Employment – South Africa – Richards Bay; AIDS (Disease) – Patients – Employment – South Africa – Richards Bay; Social responsibility of business – South Africa – Richards Bay; Occupational health services – South Africa – Richards Bay

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APA (6^th Edition):

Odetokun, J. (2012). An evaluation of an HIV and AIDS management system (HAMS) in a Richards Bay company, KwaZulu-Natal : a case study. (Thesis). Durban University of Technology. Retrieved from http://hdl.handle.net/10321/756

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Odetokun, Joseph. “An evaluation of an HIV and AIDS management system (HAMS) in a Richards Bay company, KwaZulu-Natal : a case study.” 2012. Thesis, Durban University of Technology. Accessed December 14, 2019. http://hdl.handle.net/10321/756.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Odetokun, Joseph. “An evaluation of an HIV and AIDS management system (HAMS) in a Richards Bay company, KwaZulu-Natal : a case study.” 2012. Web. 14 Dec 2019.

Vancouver:

Odetokun J. An evaluation of an HIV and AIDS management system (HAMS) in a Richards Bay company, KwaZulu-Natal : a case study. [Internet] [Thesis]. Durban University of Technology; 2012. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/10321/756.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Odetokun J. An evaluation of an HIV and AIDS management system (HAMS) in a Richards Bay company, KwaZulu-Natal : a case study. [Thesis]. Durban University of Technology; 2012. Available from: http://hdl.handle.net/10321/756

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Durban University of Technology

11. Pillay, Annezt Louise. An evaluation of the efficacy of a HIV and AIDS management system in a multinational manufacturing organisation in KwaZulu-Natal.

Degree: 2013, Durban University of Technology

URL: http://hdl.handle.net/10321/853

►

Submitted in fulfilment of the requirements of the full Degree of Master of Technology: Nursing, Durban University of Technology, 2011.

South Africa is currently at… (more)

Subjects/Keywords: HIV (Viruses) – Treatment; AIDS (Disease) – Treatment; HIV-positive persons – Employment – South Africa – KwaZulu-Natal; AIDS (Disease) – Patients – Employment – South Africa – KwaZulu-Natal; Social responsibility of business – South Africa – KwaZulu-Natal; Occupational health services – South Africa – KwaZulu-Natal

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APA (6^th Edition):

Pillay, A. L. (2013). An evaluation of the efficacy of a HIV and AIDS management system in a multinational manufacturing organisation in KwaZulu-Natal. (Thesis). Durban University of Technology. Retrieved from http://hdl.handle.net/10321/853

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Pillay, Annezt Louise. “An evaluation of the efficacy of a HIV and AIDS management system in a multinational manufacturing organisation in KwaZulu-Natal.” 2013. Thesis, Durban University of Technology. Accessed December 14, 2019. http://hdl.handle.net/10321/853.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Pillay, Annezt Louise. “An evaluation of the efficacy of a HIV and AIDS management system in a multinational manufacturing organisation in KwaZulu-Natal.” 2013. Web. 14 Dec 2019.

Vancouver:

Pillay AL. An evaluation of the efficacy of a HIV and AIDS management system in a multinational manufacturing organisation in KwaZulu-Natal. [Internet] [Thesis]. Durban University of Technology; 2013. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/10321/853.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Pillay AL. An evaluation of the efficacy of a HIV and AIDS management system in a multinational manufacturing organisation in KwaZulu-Natal. [Thesis]. Durban University of Technology; 2013. Available from: http://hdl.handle.net/10321/853

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape

12. Levendal, Carol. Assessment of the implementation of the HIV and AIDS policy in the Department of Labour, Western Cape Directorate .

Degree: 2004, University of the Western Cape

URL: http://hdl.handle.net/11394/1469

► Increasing HIV infection rates affect government employees as much as workers in other places. While government has responded to the evolving crisis with a number… (more)

Subjects/Keywords: AIDS (Disease); Patients - Employment; South Africa; Western Cape; Government policy; HIV (Viruses); Social aspects; HIV-positive persons; Employment

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APA (6^th Edition):

Levendal, C. (2004). Assessment of the implementation of the HIV and AIDS policy in the Department of Labour, Western Cape Directorate . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/1469

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Levendal, Carol. “Assessment of the implementation of the HIV and AIDS policy in the Department of Labour, Western Cape Directorate .” 2004. Thesis, University of the Western Cape. Accessed December 14, 2019. http://hdl.handle.net/11394/1469.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Levendal, Carol. “Assessment of the implementation of the HIV and AIDS policy in the Department of Labour, Western Cape Directorate .” 2004. Web. 14 Dec 2019.

Vancouver:

Levendal C. Assessment of the implementation of the HIV and AIDS policy in the Department of Labour, Western Cape Directorate . [Internet] [Thesis]. University of the Western Cape; 2004. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/11394/1469.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Levendal C. Assessment of the implementation of the HIV and AIDS policy in the Department of Labour, Western Cape Directorate . [Thesis]. University of the Western Cape; 2004. Available from: http://hdl.handle.net/11394/1469

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape

13. Nashandi, Johanna Christa Ndilimeke. Experiences and coping strategies of women living with HIV/AIDS: case study of Khomas region, Namibia .

Degree: 2002, University of the Western Cape

URL: http://hdl.handle.net/11394/1624

► This study focuses on the impact of HIV/AIDS on women in Namibia. Namibia, with a population of only 1.7 million people, is ranked as the… (more)

Subjects/Keywords: AIDS (Disease) in women; Services for Namibia; HIV infections; HIV (Viruses); Namibia AIDS (Disease); Patients - Counseling; Care

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APA (6^th Edition):

Nashandi, J. C. N. (2002). Experiences and coping strategies of women living with HIV/AIDS: case study of Khomas region, Namibia . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/1624

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Nashandi, Johanna Christa Ndilimeke. “Experiences and coping strategies of women living with HIV/AIDS: case study of Khomas region, Namibia .” 2002. Thesis, University of the Western Cape. Accessed December 14, 2019. http://hdl.handle.net/11394/1624.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Nashandi, Johanna Christa Ndilimeke. “Experiences and coping strategies of women living with HIV/AIDS: case study of Khomas region, Namibia .” 2002. Web. 14 Dec 2019.

Vancouver:

Nashandi JCN. Experiences and coping strategies of women living with HIV/AIDS: case study of Khomas region, Namibia . [Internet] [Thesis]. University of the Western Cape; 2002. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/11394/1624.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Nashandi JCN. Experiences and coping strategies of women living with HIV/AIDS: case study of Khomas region, Namibia . [Thesis]. University of the Western Cape; 2002. Available from: http://hdl.handle.net/11394/1624

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape

14. Kunda, Rosaria. Vulnerable children, schooling and the feminisation of the AIDS pandemic in Zambia .

Degree: 2006, University of the Western Cape

URL: http://hdl.handle.net/11394/2072

► This study aimed to explore the gender imbalances that exist in access to education and participation in schooling of the female orphans and vulnerable children,… (more)

Subjects/Keywords: AIDS (Disease); Social aspects - Zambia; HIV (Viruses); HIV infections - Zambia; Children of AIDS patients; Education - Zambia; Orphans

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APA (6^th Edition):

Kunda, R. (2006). Vulnerable children, schooling and the feminisation of the AIDS pandemic in Zambia . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/2072

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Kunda, Rosaria. “Vulnerable children, schooling and the feminisation of the AIDS pandemic in Zambia .” 2006. Thesis, University of the Western Cape. Accessed December 14, 2019. http://hdl.handle.net/11394/2072.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Kunda, Rosaria. “Vulnerable children, schooling and the feminisation of the AIDS pandemic in Zambia .” 2006. Web. 14 Dec 2019.

Vancouver:

Kunda R. Vulnerable children, schooling and the feminisation of the AIDS pandemic in Zambia . [Internet] [Thesis]. University of the Western Cape; 2006. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/11394/2072.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Kunda R. Vulnerable children, schooling and the feminisation of the AIDS pandemic in Zambia . [Thesis]. University of the Western Cape; 2006. Available from: http://hdl.handle.net/11394/2072

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Rhodes University

15. Brennan, Jade. Tripping over our own feet : a critical discussion of Trade Related Intellectual Property Rights (TRIPS) with specific reference to their impact on South Africa's ability to combat HIV and AIDS.

Degree: Faculty of Humanities, Political and International Studies, 2008, Rhodes University

URL: http://hdl.handle.net/10962/d1006316

►

This thesis aims to look at the agreement on Trade Related Intellectual Property Rights (TRIPS) with specific reference to their impact on South Africa's ability… (more)

Subjects/Keywords: Agreement on Trade-Related Aspects of Intellectual Property Rights, (1994); Trade regulation – South Africa; Intellectual property – South Africa; HIV (Viruses) – South Africa; AIDS (Disease) – South Africa; Patients – Civil rights – South Africa; Human rights – South Africa

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APA (6^th Edition):

Brennan, J. (2008). Tripping over our own feet : a critical discussion of Trade Related Intellectual Property Rights (TRIPS) with specific reference to their impact on South Africa's ability to combat HIV and AIDS. (Thesis). Rhodes University. Retrieved from http://hdl.handle.net/10962/d1006316

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Brennan, Jade. “Tripping over our own feet : a critical discussion of Trade Related Intellectual Property Rights (TRIPS) with specific reference to their impact on South Africa's ability to combat HIV and AIDS.” 2008. Thesis, Rhodes University. Accessed December 14, 2019. http://hdl.handle.net/10962/d1006316.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Brennan, Jade. “Tripping over our own feet : a critical discussion of Trade Related Intellectual Property Rights (TRIPS) with specific reference to their impact on South Africa's ability to combat HIV and AIDS.” 2008. Web. 14 Dec 2019.

Vancouver:

Brennan J. Tripping over our own feet : a critical discussion of Trade Related Intellectual Property Rights (TRIPS) with specific reference to their impact on South Africa's ability to combat HIV and AIDS. [Internet] [Thesis]. Rhodes University; 2008. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/10962/d1006316.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Brennan J. Tripping over our own feet : a critical discussion of Trade Related Intellectual Property Rights (TRIPS) with specific reference to their impact on South Africa's ability to combat HIV and AIDS. [Thesis]. Rhodes University; 2008. Available from: http://hdl.handle.net/10962/d1006316

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape

16. Joseph, Vanessa Belinda. Care, caring and coping: attitudes of children orphaned by HIV/AIDS and their caregivers towards schooling in a South African Township .

Degree: 2007, University of the Western Cape

URL: http://hdl.handle.net/11394/2334

► In many countries, the scale of poverty, and the alarming number of children now being orphaned by HIV and AIDS, has increased the roles and… (more)

Subjects/Keywords: AIDS (Disease); Social aspects; South Africa (Western Cape); HIV (Viruses); Children of AIDS patients; Education; Orphans; Caregivers

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Joseph, V. B. (2007). Care, caring and coping: attitudes of children orphaned by HIV/AIDS and their caregivers towards schooling in a South African Township . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/2334

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Joseph, Vanessa Belinda. “Care, caring and coping: attitudes of children orphaned by HIV/AIDS and their caregivers towards schooling in a South African Township .” 2007. Thesis, University of the Western Cape. Accessed December 14, 2019. http://hdl.handle.net/11394/2334.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Joseph, Vanessa Belinda. “Care, caring and coping: attitudes of children orphaned by HIV/AIDS and their caregivers towards schooling in a South African Township .” 2007. Web. 14 Dec 2019.

Vancouver:

Joseph VB. Care, caring and coping: attitudes of children orphaned by HIV/AIDS and their caregivers towards schooling in a South African Township . [Internet] [Thesis]. University of the Western Cape; 2007. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/11394/2334.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Joseph VB. Care, caring and coping: attitudes of children orphaned by HIV/AIDS and their caregivers towards schooling in a South African Township . [Thesis]. University of the Western Cape; 2007. Available from: http://hdl.handle.net/11394/2334

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Stellenbosch University

17. Mankazana, Thozama Betty. A case study analysing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province.

Degree: Industrial Psychology, 2009, Stellenbosch University

URL: http://hdl.handle.net/10019.1/3382

►

Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management)) – University of Stellenbosch, 2009.

The study was about assessing the dropout rate of children who are… (more)

Subjects/Keywords: Industrial psychology; High school dropouts – South Africa – Pretoria; Child caregivers – South Africa – Pretoria; AIDS (Disease) – Social aspects – South Africa – Pretoria; HIV (Viruses) – Social aspects – South Africa – Pretoria; Heads of households – South Africa – Pretoria; Children of AIDS patients – South Africa – Pretoria; Orphans – South Africa – Pretoria

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mankazana, T. B. (2009). A case study analysing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province. (Thesis). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/3382

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mankazana, Thozama Betty. “A case study analysing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province.” 2009. Thesis, Stellenbosch University. Accessed December 14, 2019. http://hdl.handle.net/10019.1/3382.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mankazana, Thozama Betty. “A case study analysing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province.” 2009. Web. 14 Dec 2019.

Vancouver:

Mankazana TB. A case study analysing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province. [Internet] [Thesis]. Stellenbosch University; 2009. [cited 2019 Dec 14]. Available from: http://hdl.handle.net/10019.1/3382.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mankazana TB. A case study analysing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province. [Thesis]. Stellenbosch University; 2009. Available from: http://hdl.handle.net/10019.1/3382

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of New South Wales

18. Cysique, Lucette Adeline Juliette. Aids dementia complex in the era of highly active antiretroviral therapy: a neuropsychological study.

Degree: Clinical School - St Vincent's Hospital, 2005, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/22074 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:731/SOURCE02?view=true

► The aim of the thesis was to undertake an evaluation of the neuropsychological functioning of non-demented and demented patients with advanced HIV-infection who have been… (more)

▼ The aim of the thesis was to undertake an evaluation of the neuropsychological functioning of non-demented and demented patients with advanced HIV-infection who have been treated with Highly Active Antiretroviral Therapy (HAART) for several years. One hundred and one non-demented HIV-infected individuals and 23 patients with mild or moderate AIDS Dementia Complex (ADC), from the outpatient clinics and Neurology department at St. Vincent's Hospital, Sydney, Australia were randomly selected to participate in a prospective study of the neurological and neuropsychological complications of HIV disease. All had advanced HIV-infection and all had been on HAART for five years on average. Thirty-one seronegative controls were recruited as controls. All participants completed a standard neuropsychological examination assessing nine cognitive domains. Non-demented advanced HIV-infected individuals participated in three follow-up visits. In addition, we report the results of a multi-centre cohort of 78 patients with mild to moderate ADC on HAART (Abacavir ADC trial). The main findings of our research were that the prevalence of neuropsychological impairment in advanced HIV-infected individuals remains equivalent to the era that preceded the introduction of HAART. Moreover, while complex attention / psychomotor speed remained a marker of HIV-related neuropsychological impairment in the HAART era, impairment in learning, memory and aspects of complex attention may be new indicators of HIV-associated neurocognitive impairment. While progression of neuropsychological impairment is associated with past HIV-related history of brain involvement, we demonstrated that deterioration does not occur in a linear fashion and that over a 27 month period neuropsychological performance stabilizes in the majority. Stabilization of performance may be related to relapses in the course of HIV-associated neurocognitive impairment and HAART optimization especially with antiretrovirals that have good brain tissue penetrance. Our research showed that plasma viral load and current CD4 cell count were generally not associated with the neuropsychological performance, but rather that nadir CD4 cell count was associated with neuropsychological performance suggesting a relation between past immune deterioration and current cognitive status. Cerebrospinal markers of immune and virological activity were found to be partly dissociated from current neurological in contrast to what was observed in the pre-HAART era. Future studies will need to evaluate new factors for underlying HIV-associated neurocognitive impairment as well as factors for underlying partial recovery.

Subjects/Keywords: AIDS dementia complex; Pathogenesis; Treatment; Antiretroviral agents; Aids Disease; Patients; Mental health; Psychological aspects; HIV Viruses; Neuropsychology

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APA (6^th Edition):

Cysique, L. A. J. (2005). Aids dementia complex in the era of highly active antiretroviral therapy: a neuropsychological study. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/22074 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:731/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Cysique, Lucette Adeline Juliette. “Aids dementia complex in the era of highly active antiretroviral therapy: a neuropsychological study.” 2005. Doctoral Dissertation, University of New South Wales. Accessed December 14, 2019. http://handle.unsw.edu.au/1959.4/22074 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:731/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Cysique, Lucette Adeline Juliette. “Aids dementia complex in the era of highly active antiretroviral therapy: a neuropsychological study.” 2005. Web. 14 Dec 2019.

Vancouver:

Cysique LAJ. Aids dementia complex in the era of highly active antiretroviral therapy: a neuropsychological study. [Internet] [Doctoral dissertation]. University of New South Wales; 2005. [cited 2019 Dec 14]. Available from: http://handle.unsw.edu.au/1959.4/22074 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:731/SOURCE02?view=true.

Council of Science Editors:

Cysique LAJ. Aids dementia complex in the era of highly active antiretroviral therapy: a neuropsychological study. [Doctoral Dissertation]. University of New South Wales; 2005. Available from: http://handle.unsw.edu.au/1959.4/22074 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:731/SOURCE02?view=true

Michigan State University

19. Tsiwo-Chigubu, Mercy S. Exploring self-esteem of orphans whose parents died of HIV/AIDS : examined through the extended family/kinship caregivers' economic well-being, social support networks, and child-rearing practices in Zimbabwe.

Degree: PhD, Department of Family and Child Ecology, 2000, Michigan State University

URL: http://etd.lib.msu.edu/islandora/object/etd:47289

Subjects/Keywords: Orphans – Zimbabwe – Psychology; Self-esteem – Zimbabwe; Families – Economic aspects – Zimbabwe; Kinship care – Zimbabwe; Social networks – Zimbabwe; Child rearing – Zimbabwe; Parents – Zimbabwe – Death; AIDS (Disease) – Patients – Zimbabwe; HIV (Viruses) – Zimbabwe

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APA (6^th Edition):

Tsiwo-Chigubu, M. S. (2000). Exploring self-esteem of orphans whose parents died of HIV/AIDS : examined through the extended family/kinship caregivers' economic well-being, social support networks, and child-rearing practices in Zimbabwe. (Doctoral Dissertation). Michigan State University. Retrieved from http://etd.lib.msu.edu/islandora/object/etd:47289

Chicago Manual of Style (16^th Edition):

Tsiwo-Chigubu, Mercy S. “Exploring self-esteem of orphans whose parents died of HIV/AIDS : examined through the extended family/kinship caregivers' economic well-being, social support networks, and child-rearing practices in Zimbabwe.” 2000. Doctoral Dissertation, Michigan State University. Accessed December 14, 2019. http://etd.lib.msu.edu/islandora/object/etd:47289.

MLA Handbook (7^th Edition):

Tsiwo-Chigubu, Mercy S. “Exploring self-esteem of orphans whose parents died of HIV/AIDS : examined through the extended family/kinship caregivers' economic well-being, social support networks, and child-rearing practices in Zimbabwe.” 2000. Web. 14 Dec 2019.

Vancouver:

Tsiwo-Chigubu MS. Exploring self-esteem of orphans whose parents died of HIV/AIDS : examined through the extended family/kinship caregivers' economic well-being, social support networks, and child-rearing practices in Zimbabwe. [Internet] [Doctoral dissertation]. Michigan State University; 2000. [cited 2019 Dec 14]. Available from: http://etd.lib.msu.edu/islandora/object/etd:47289.

Council of Science Editors:

Tsiwo-Chigubu MS. Exploring self-esteem of orphans whose parents died of HIV/AIDS : examined through the extended family/kinship caregivers' economic well-being, social support networks, and child-rearing practices in Zimbabwe. [Doctoral Dissertation]. Michigan State University; 2000. Available from: http://etd.lib.msu.edu/islandora/object/etd:47289

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Open Access Theses and Dissertations