Scientific Program

Day 1 :

  • Womens Health

Mahecha-Reyes, E. Nurse, MSCE, Nurse Specialist in Management of Health and Social Security services; Quality Auditor and Epidemiologist and Master in Epidemiology, with leadership ability, learning, teamwork, honest and responsible, fulfilling my duties and proactive, trained to respond to the needs that arise in the personal, professional and work fields. I have a permanent disposition to learn and easy to adapt to changes, good interpersonal relationships, respectful, creative, organized, with dexterity and skills to perform work under pressure and capacity in decision making.


Introduction: The adverse effects of dolutegravir on the mother and the fetus not yet have been widely studied; the integrate inhibitor antiretroviral drug was to prevent vertical transmission of HIV.

Objective: To identify the adverse effects of the use of dolutegravir That Have occurred in HIV-positive pregnant women and their children.

Methodology: A scoping review we performed in the Medline, Cochrane Library and EBSCO databases, with the MeSH terms dolutegravir and pregnancy.

Eligibility criteria: Clinical trials and observational studies conducted in pregnant women with HIV Were Treated with dolutegravir included. The search was limited to articles in Inglés and Spanish and published Until September 1 2018.

Results: The bibliographic search obtained seven investigations. Two studies report mild adverse effects in the mother. Six studies related to pregnancy outcomes described and delivery, with preterm delivery and small for age stational being the MOST reported. Four cases of neural tube defects in four studies we reported.

Discussion: There is not enough scientific evidence to associate the use of dolutegravir with the appearance of adverse effects on the mother and her children..


  • Palliative Care

Session Introduction

Dr Mohammed Jamil Hossain

MB.BS, DPM (UCT), DFM (US), M. Phil (UCT) St. Chads Community Health Clinic Main Road, Ezakheni Ladysmith 3381 South Africa

Title: To investigate the Need for Palliative care in Cerebrovascular Accident (stroke) patients at Ladysmith Regional Hospital

I was graduated and achieved MB.BS degree in 1989 from the University of Dhaka, Bangladesh. There after I have done three post graduations studies respectively Diploma in Palliative Medicine 2007 and MPhil degree in Palliative Medicine, 2016 From the University of cape town, South Africa. I have also did post graduate Diploma in Family Medicine, 2011 from the University of Stellenbosch, South Africa. I have worked in many countries in the world like Bangladesh, UK, Zambia, Zimbabwe, Botswana and South Africa. Since 2005 I have been working in South Africa under the Department of Health. I am a life member of Royal Medical Society, Edinburgh, UK and Fellow of Royal society of promotion of Health, UK. I am very much passionate about Palliative care Medicine and my thinking is without Palliative care Universal health care coverage cannot be delivered in health sector both public and private.


This research study explores the need for palliative care by the patients who are recovering from stroke after an acute event. Stroke survivors need comprehensive care for their physical, psychosocial, spiritual well-being and additional support. The comprehensive total care in all aspect of physical, social and spiritual well-being can only be offered by the holistic approach of palliative care focusing, as it does, on the rehabilitation for stroke survivors to improve their quality of life.
A literature review was conducted to investigate how palliative care can help to change the quality of life for stroke survivors. There has been little research on the topic of providing palliative care to stroke patients in South Africa.  This research study explores the need and understanding of palliative care management for a stroke survival.
This research work is a cross sectional study using mixed methods-both quantitative and qualitative-interviewing patients, and family members of patients, who had suffered from a cerebrovascular accident.
Stroke patients admitted to medical wards, and who had attended the MOPD (Medical Outpatient Department) at Ladysmith Regional Hospital over 4-month period from the month of April to July 2013, and the members from family who were involved in their care at home.

The objectives of the study were:

1. To identify the holistic care needs of stroke patients.

2. To describe the care provided to stroke patients.

3. To identify the gaps in the care requirements of stroke patients.


From the results of quantitative data analysis by using SS-QOL tools, it was identified that the physical, emotional and social dysfunctions were the major concern of the participants after surviving from acute stroke.