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Interviews and other interesting materials
Interviews and other interesting materials

Contraception does not affect the country's birth rate

Dr Ivan DikovINTERVIEW OF BFPA'S LONG-TERM CONSULTANT DR. IVAN DIKOV FOR WORLD CONTRACEPTION DAY (in Bulgarian)

 

PECULIARITIES IN THE SPECIFIC DIAGNOSTICS AND INTERPRETATION IN HIV INFECTION

Prof. Radka ArgirovaПроф. д.м.н. Радка Аргирова, вирусолог, Аджъбадем Сити Клиник ДКЦ и Токуда Болница, София

Преди да  опишем особеностите в специфичната диагностика на HIV-инфекцията,  ще дефинираме някои основни понятия от областта HIV/СПИН. HIV-инфекцията се определя като периодът от момента на заразяване с HIV до смъртта при естествен ход на инфекцията. СПИН е последната фаза на HIV инфекцията, като съществуват ясно определени критерии – клинични и лабораторни -  за поставяне на диагнозата  СПИН. Симптомите на остра/ хронична HIV инфекция при възрастни и деца са описани в Приложение 1 към чл.10,т.1 на Наредба N 47 на МЗ, обнародвана в ДВ, бр.103/29.12.2009 г.  В Приложение 2 към чл.10,т.2 на същата Наредба са описани индикаторните заболявания за СПИН.
Прозоречен период е времето между заразяването с HIV и появата в кръвта на биохимично измерими маркери на инфекцията (най-често  антитела, но като маркери могат да бъдат използвани и вирусспецифични антигени, както и вирусна РНК). Сероконверсия е моментът, в който се откриват биохимично измеримите маркери (най-често антитела към HIV, които най-вероятно се формират по-рано, отколкото се откриват). Практически, прозоречният период е времето между заразяването и откриването на антивирусните антитела. HIV антителата се откриват най-рано 2 седмици след заразяването, в 60-65% от случаите се откриват след 4 седмици, в 80% - след 6 седмици, в 90% - след 8 седмици и в 95-98% - след 12 седмици. При съвременните тестове от 4-то поколение освен анти-р24 антителата, се открива и р24 антигена – около 4-5 дни преди появата на антителата. Най-ранно определимият лабораторен маркер е HIV РНК, която пък се открива около 6-7 дни преди р24 антигена. Следователно, няма никакъв смисъл да се търсят специфични маркери на HIV преди началото на втората седмица след заразяването.

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CYTOMEGALOVIRUS AND PREGNANCY

Prof. Radka ArgirovaПроф. ДМН Радка Аргирова, вирусолог, Аджибадем СитиКлиник Токуда Болница, Клинична Лаборатория

Цитомегаловирусът (CMV) е член на семейството на херпесните вируси. В това семейство влизат около 200 вируса, но осем от тях причиняват заболявания у човека – херпес симплекс типове 1 и 2 – HSV-1, HSV-2, херпес зостер вирус – VZV, Епщайн-Бар вирус – EBV, както и неотдавна изолираните човешки херпесни вируси – типове 6,7 и 8 – HHV-6, HHV-7 и HHV-8. Инфекциите с тези вируси се характеризират със следните отличителни черти:
- Масовост и  най-често субклинично протичане, особено когато засягат детската възраст;
- Инфекцията с тях остава доживотна, обикновено латентна при нормално функционираща имунна система, като отделните представители на семейството се различават по начина и мястото на установяване на латентност;
- Показват постоянна тенденция за увеличаване честотата и тежестта на клиничната манифестация при реактивация;
- Реактивират се при имуносупресивни състояния, като н тези случаи се превръщат в сериозен и трудeн за  лечение клиничен проблем.
С цитомегаловирус (CMV) са заразени около 85% от възрастните хора у нас. Те носят IgG антитела.Вирусът се предава особено добре чрез слюнката, поради което бременните жени и близките им трябва да бъдат съветвани да не целуват новородените по устата, както и да бъдат с повишено внимание към личната си хигиена. Прясно заразяване на бременната с вируса води до пренасянето му и заразяване на развиващото се бебе, а по време на  раждане заразяването става чрез урина, цервикални и вагинални екскреции. Глобалните  данни показват, че 0.2% -  2%  от новородените в световен мащаб се раждат заразени с CMV. Инфекцията е по-честа в развиващите се страни и при лоши условия на живот. Вродената CMV инфекция е най-важната инфекциозна причина за вродена глухота, малформации, микроцефалия, забавено умствено развитие и способности за учене и запаметяване у децата. В по-късна възраст децата с вродена CMV инфекция имат проблеми с функционирането на имунната система, изразяващи се в повишена заболяемост.

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Telling a personal story is an effective way of communicating an idea or a message

Sofia, December 2018 

It is through stories that people can relate to one another as fellow human beings
                                                                    Paul Browde, MD, psychiatrist and storyteller

Listening shapes telling. We have to want to understand people and listen openly without prejudgments and assumptions
                                                                                                                                   Murray Nossel, PhD, psychologist and story teller

Recently by invitation of BFPA in the frame of our project “Changing the narrative. The story tellers” Paul and Murray were in Bulgaria and conducted training on listening and storytelling. For all participants meeting them both was extremely useful not only from professional point of view, but also in personal perspective. These three days were a life changing experience that unlocked new senses and changed our sensibility and worldview. Via this interview we want to give you an opportunity to have a glimpse at their way of thinking and to feel them as people.

Murray Nossel

 

Murray Nossel, PhD, is the founder and director of Narativ, a company with offices in New York and London that specializes in storytelling training. Originally a clinical psychologist, Murray is an Academy Award® nominated filmmaker, trainer, and motivational speaker. Murray is on the teaching faculty of the Program of Narrative Medicine at Columbia University. He is the founder of the World Mother Storytelling Project.

 Paul Browde

 

Paul Browde, MD is a psychiatrist, storyteller and couples’guide, trained as an actor at the Drama Studio London. He has led several projects, teaching listening and storytelling for advocacy purposes in Africa and Eastern Europe. He has taught in the Columbia University Narrative Medicine Masters' Program.
 

 

If you have to present yourself in one sentence or in 3 words, by choice, how would it sound?
Paul: A spirit, a human being, with a story.
Murray: I am a listener and storyteller.

You are conducting trainings and work in different parts of the world, touching different cultures. Are there differences in the way people are telling stories and communicating and to what degree they understand each other?
Paul: People have very different ideas and beliefs about the world. People also have many different opinions about the way things should be. However, once people are able to tell a story, without commentary or adding their opinion, then stories are stories, and people connect to one another. It is through stories that people can relate to one another as fellow human beings.
Murray: Only on the most superficial level, people’s stories have different content. Some live in hot places, others cold, some are rich, others are poor, some are educated, others are not. People have different positions on the axes of power, education, wealth, health etc. In my work I encounter people who have lives of comfort and apparent ease. Others are subjected to wars, natural disasters, epidemics, extreme poverty   and serious illness. 
I am not minimizing these differences, but underneath it all, we are all the same. We all want the same thing – to be happy – and our lives are governed by the same themes: Love, rage, valor, compassion …. We all have the same destiny – we are born and we are going to die. No being can escape this inevitable fate.
I define story as an account of what happened.  When people simply give a sensory account of their experience, i.e. what they have seen, smelled, tasted, touched, they are able to cut across divides. We have even been able to teach our method to people across the world, in multiple languages, even those with intellectual disabilities.

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Latest news

End inequality. End AIDS

Bulgaria, December 1, 2021

For yet another year, the international community celebrates December 1 - World AIDS Day. This year it is entitled "End inequality. End AIDS"
On December 1, 2021, the WHO calls upon world leaders and citizens to unite against inequalities and reach out to people who do not currently receive basic HIV services. Forty years after the first cases were reported, HIV still threatens the world. Separation, inequality and disregard for human rights have allowed HIV to become and remain a global health crisis. The COVID-19 pandemic exacerbates inequalities and difficulties in health care delivery, a challenge for many people living with HIV.
According to the WHO, nearly 38 million people worldwide live with HIV/AIDS, with the number of newly infected people in 2020 being 1.5 million and the number of deaths being 680,000. Globally, in 2020, nearly 73% of those infected receive antiretroviral therapy. In Bulgaria, a total of 1,936 people with HIV are being followed up in the HIV / AIDS treatment sectors, and 1,910 (99%) of them are receiving antiretroviral therapy. In our country treatment is free for all people in need, regardless of their health insurance status. The therapy prolongs and improve quality of the of PLHIV and improves their quality of life. Bulgaria remains a country with low HIV prevalence - the frequency of newly registered cases of HIV infection per 100 thousand population for Bulgaria is 2.9 in 2020, and for comparison - the average for EU countries is 3.3.

 
Autumn fragments from BFPA’s Work

October – November 2021

BFPA launched another short animation ‘What are the Ways of Infections’ on its project ‘My Body, My Rights’ on October 1, 2021. The video gives an idea on the main ways of infecting the human body, on the work of the immune system and on the factors of which its proper functioning depends.
On process of working on the same project but this time in November, are another two films – a short animation on the methods of hormonal contraception; and one documentary on the benefits and challenges on the activities in the three projects locations: Sofia, Yambol and Montana with special focus on the work of field self-help groups. Both products will be finalized by the end of this year.

 
BFPA volunteer awarded in an international competition for social and youth cinema

Berlin, October 17, 2021

The volunteer of the Bulgarian Family Planning and Sexual Health Association Viktoria Nikolova returned on October 17, 2021 after participating in a youth exchange in Berlin. Her visit there is part of her award for participation in the international competition Youth.DanubeSalon - Shoot By Youth for social and youth cinema. A seven-member jury with representatives from Austria, Bulgaria, Germany, Croatia, Romania and Serbia awarded the short film, dedicated to the need for health and sexuality education, made by her and a small team of three other young adults based on a script entirely constructed by them. The participants in the competition had to present a problem within a few minutes and to propose its solution. Coordinators on the Bulgarian side of the international initiative are colleagues from the Re-Act Association.

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Interviews and other interesting materials