In Low and Middle-Income Countries (LMICs), efforts to eliminate the Tuberculosis (TB) epidemic are challenged by persistent social inequalities in health, limited number of local healthcare professionals, weak infrastructure found resource-poor settings. The modern development computer techniques has accelerated TB diagnosis process. this paper, we propose a novel method using Convolutional Neural Network(CNN) deal with unbalanced, less-category X-ray images. Our improves accuracy for...

While adverse conditions in a child's life do not excuse inappropriate behavior, they may cause emotional and behavioral problems that require treatment as preventive measure to reduce the likelihood of bullying. We aimed identify differences psychosocial profiles adolescents who classified themselves bullies, victims, or bully-victims. performed cross-sectional study which data were collected between January 2009 2010 from seven university-based clinics large metropolitan area with...

Tuberculosis (TB) is a chronic infectious disease worldwide and remains major cause of death globally. Of the estimated 9 million people who developed TB in 2013, over 80% were South-East Asia, Western Pacific, African. The majority infected populations was from resource-poor marginalized communities with weak healthcare infrastructure. Reducing diagnosis delay critical mitigating transmission minimizing reproductive rate tuberculosis epidemic. combination machine learning mobile computing...

Background: In the Andean Region, HIV and sexually transmitted infections (STI) are most prevalent among men who have sex with (MSM), but incidence estimates associated factors never been prospectively assessed. Methods: A cohort of 1056 high-risk HIV-negative MSM in Lima, Peru, were recruited during 1998-2000 (the ALASKA Cohort), a nested case-control analysis was conducted between seroconverters nonseroconverters, matched 1:3 by age duration follow-up for comparison risk behaviors, acute...

As international guidelines increase access to antiretroviral therapy (ART) globally, ART adherence becomes increasingly important achieve HIV treatment as prevention (TasP) goals. In the concentrated epidemic among men who have sex with (MSM) and transgendered women (TGW) in Lima, Peru, independent correlates of nonadherence were examined inform intervention priorities. Cross sectional survey HIV-infected MSM TGW are engaged clinical care Peru. From June August 2012, 302 Peruvian MSM/TGW...

Background Peru's HIV epidemic is concentrated among men who have sex with (MSM). The contribution of alcohol use disorders (AUDs) to known high-risk behaviors associated transmission in this context has not been well characterized. Methods Between June and October 2011, 5,148 sexually active MSM were recruited using convenience sampling five cities participate a cross-sectional bio-behavioral survey. Five sexual criteria previously incident infection setting selected priori as the dependent...

Chatbots have emerged as a first link to care in recent years. The COVID-19 pandemic, and consequent health system disruptions, expanded their use. Socios En Salud (SES) introduced chatbots Peru, which experienced one of the highest excess COVID mortalities world.SES government identified unmet population needs, could be amenable virtual interventions. were developed screen individuals for these conditions; we describe period deployment, number screenings, people who received...

Oral preexposure prophylaxis (PrEP) with antiretrovirals (ARVs) is at the forefront of biomedical HIV prevention research, and ARVs are also being tested for rectal administration to target people practicing unprotected receptive anal intercourse (URAI) risk infection. This study assessed acceptability daily oral PrEP during URAI among men who have sex (MSM) transgender women (TGW) in Peru.During 2008 sentinel surveillance survey conducted 3 Peruvian cities (Lima, Iquitos, Pucallpa), MSM TGW...

Acquired immune deficiency appears to be associated with serious non-AIDS (SNA)-defining conditions such as cardiovascular disease, liver and renal insufficiency non-AIDS-related malignancies. We analysed the incidence of, factors with, several SNA events in LATINA retrospective cohort.Cases of were recorded among cohort patients. Three controls selected for each case from members at risk. Conditional logistic models fitted estimate effect traditional risk well HIV-associated on...

Knowledge of a sex partner's HIV serostatus can influence sexual behavior and inform harm-reduction strategies. We sought to determine how often Peruvian men who have with (MSM) transgender women (TW) knew the their partners, if this knowledge was associated any predictive factors or unprotected anal intercourse (UAI), UAI partner serostatus. analyzed data from 2008 MSM Sentinel Surveillance Survey. Data were collected by CASI about each participant's three most recent male partners. Primary...

Role versatility refers to the practice in which individual men who have sex with (MSM) play both insertive and receptive sexual roles over time. Versatility has been thought be relatively uncommon among Latin American MSM but possibly rising. also shown a potentially large population-level risk factor for HIV infection. In this study we examine correlates of versatile behavior identity 2,655 six Peruvian cities. Versatile recent male partners was found 9% ("moderno") reported by 16%....

La automedicación en poblaciones de bajos recursos es uno los principales problemas salud pública. Ello puede incrementar las reacciones adversas, la resistencia antimicrobiana y costos, ocasionando persona un riesgo elevado, evitable, caro e ineficaz. Objetivo: Este estudio pretende determinar características zona rural Cajamarca. Material métodos: Se realizó transversal analítico, entre diciembre 1999 enero del 2,000, aplicándose una encuesta a 384 jefes hogar seleccionados manera...

The COVID-19 pandemic caused considerable burden on mental health worldwide. To address this emergency in Peru, Socios en Salud (SES) implemented an innovative digital system for the diagnosis and psychological therapy vulnerable populations. We describe development, implementation, participant outcomes of intervention. conducted intervention a general population Lima, Peru using tool, ChatBot-Juntos, incorporating abbreviated Self-Reporting Questionnaire (SRQ) to screen distress....

This study assessed lubricant use during receptive anal intercourse (RAI) among Peruvian men who have sex with (MSM) and willingness to a hypothetical rectal microbicide (RM) formulated as prevent HIV infection. Data were collected from 843 MSM for the 2008 Sentinel Surveillance using computerized self-interview. Half of participants reported their last partner RAI, while 77% willing transmission. Lubricant was significantly associated unprotected RAI (odds ratio [OR] 1.59, 95% confidence...

Aim To determine the association between multimorbidity and gait speed in a population‐based sample of older people without functional dependency. Methods Data were obtained from previously made cross‐sectional study individuals aged >60 years carried out San Martin de Porres, second most populous district Lima, Peru. We included well‐functioning, independent people. Exclusion criteria emphasized removing conditions that would impair gait. The exposure interest was non‐communicable...

Purpose: Globally, transgender women (TGW) experience wide-ranging barriers to health and care, with disproportionately high risks of infectious chronic diseases. Yet, research on populations' access care in low- middle-income countries remains limited, focused human immunodeficiency virus (HIV) infection, assesses TGW as a homogenous group. We analyzed morbidity service uptake patterns among Lima, Perú, understand outreach needs inform targeting design community-level interventions....

We tested 2655 Peruvian men who have sex with for the presence of retroviral infection. Human T cell lymphotropic virus type 1 (HTLV-1) was detected in 48 (1.8%) patients, HTLV-2 28 (1.1%), and HTLV-1 were both 5 (0.2%). immunodeficiency infection 329 (12.4%) patients; 24 (7.3%) had HTLV coinfection. Risk factors varied sexual role.

Abstract Background. Collective violence attributed to organized crime has shown be responsible for a considerable burden of physical and mental health morbidity among youth. Objective. To compare the emotional behavioral problems children exposed early childhood poverty and/or collective in communities at Mexico-United States border other social risks. Method. A cross-sectional study was carried out with individuals living two sites border. Individuals who responded once Pictorial Child...

Human T-cell lymphotropic virus type-II (HTLV-II) infection is endemic in indigenous groups the Americas and injection drug users (IDUs) worldwide. In Peru, HTLV-II was previously identified two Amazonians. We examined risk factors for 2,703 Peruvian men who have sex with (MSM): 35 (1.3%) were positive. associated syphilis, HSV-2 infection, unprotected receptive anal intercourse, older age. This first report of a non-indigenous non-IDU population Peru. Additional studies are needed to...

In Brief We assessed the potential impact of Internet partner notification among men who have sex with and transgender women in Peru recently diagnosed as having sexually transmitted disease. Use was anticipated for 55.9% recent partners, including 43.0% partners not currently expected to be notified, a 20.6% increase outcomes. Anticipated use men/transgender HIV and/or disease is high likely frequency this population.