A5000888771- HIV/AIDS Research and Interventions
- Mosquito-borne diseases and control
- HIV, Drug Use, Sexual Risk
- Malaria Research and Control
- SARS-CoV-2 and COVID-19 Research
- Sex work and related issues
- SARS-CoV-2 detection and testing
- Viral Infections and Vectors
- Zoonotic diseases and public health
- LGBTQ Health, Identity, and Policy
- COVID-19 Clinical Research Studies
- T-cell and Retrovirus Studies
- Animal Virus Infections Studies
- Animal Disease Management and Epidemiology
- COVID-19 epidemiological studies
- Viral gastroenteritis research and epidemiology
- Sexuality, Behavior, and Technology
- Poxvirus research and outbreaks
- Biosensors and Analytical Detection
- Vector-Borne Animal Diseases
- Healthcare Systems and Practices
- Mental Health Treatment and Access
- HIV Research and Treatment
- COVID-19 Pandemic Impacts
- Dengue and Mosquito Control Research
Universidad Iberoamericana
2015-2025
Instituto de Medicina Tropical
2019-2024
Ibero American University
2020-2022
Ibero-American University Puebla
2020-2022
Baptist Health South Florida
2020
Baptist Hospital of Miami
2019
McGill University Health Centre
2015
Université du Québec à Montréal
2015
University of Groningen
2015
University Medical Center Groningen
2015
Abstract Dengue is the most prevalent mosquito-borne viral disease in humans, and cases are continuing to rise globally. In particular, islands Caribbean have experienced more frequent outbreaks, all four dengue virus (DENV) serotypes been reported region, leading hyperendemicity increased rates of severe disease. However, there significant variability regarding surveillance reporting between islands, making it difficult obtain an accurate understanding epidemiological patterns Caribbean. To...
Intimate partner violence (IPV) is a public health problem with significant consequences on women's health. This study estimates the prevalence of intimate by type among Madrid's female population and assesses association socio-economic variables.We conducted cross-sectional in 2004, 2136 women aged 18-70 years, living Madrid region or who had been contact an ex-partner previous year, were interviewed telephone. The questionnaire used to measure past-year violence, consisted Spanish...
Mosquito-borne viruses threaten the Caribbean due to region's tropical climate and seasonal reception of international tourists. Outbreaks chikungunya Zika have demonstrated rapidity with which these can spread. Concurrently, dengue fever cases climbed over past decade. Sustainable disease control measures are urgently needed quell virus transmission prevent future outbreaks. Here, improve upon current methods, we analyze temporal spatial patterns chikungunya, Zika, outbreaks reported in...
Dengue fever remains a significant public health challenge in tropical and subtropical regions, with its transmission dynamics being influenced by both environmental factors human mobility. The Dominican Republic, biodiversity hotspot the Caribbean, has experienced recurrent dengue outbreaks, yet detailed understanding of virus's pathways impact climatic limited. This study aims to elucidate recent virus (DENV) utilizing combination genomic sequencing epidemiological data analysis, alongside...
Studies on attempted suicide in transgender populations, particularly those resource‐limited settings, are scarce. We examined the relationships between stigma, trauma, and attempts a national sample of women from Dominican Republic. Bivariate analysis differences attempters nonattempters ( n = 298). Multivariate reported odds ratios with as outcome 260). About quarter respondents (23.9%) experienced sexual abuse, 12.3% were tortured, 20.3% murder attempt. More than using illegal drugs....
Abstract Background The use of antiretroviral therapy (ART) has surged globally, heralding an era life-saving treatment for millions. However, with this widespread adoption ART, a concerning trend emerged: the escalation resistance. Within confines La Hispaniola, encompassing Dominican Republic (DO) and Haiti(HT), prevalence HIV stands among highest in Caribbean region. Our main objective is to identify characterize extent transmitted drug resistance (TDR) naïve participants, its demographic...
During July 2022-February 2023, mpox was confirmed in 71 of 283 suspected cases the Dominican Republic; 32.4% patients were women, and 22.5% children <10 years age. We found differences transmission compared with global trends, emphasizing need for continued surveillance, diagnostics, public health interventions.
A pesar de ser endémico en regiones del África central, el virus Mpox (previamente Virus la Viruela Simio) no ha sido abundantemente caracterizado países no-endémicos con región Latinoamerica. Esto se acentúa co-infecciones por VIH que escasamente representan literatura cientifica actual. Aquí presentamos cinco casos clínicos coinfecciones y VIH, sus características clínicas marcadores biológicos infección (CD4:CD8). Resultados: La ocurrencia manifestaciones complicaciones dependen las...
Eliminating stigmas that harm sexual and gender minorities (SGM) with HIV is necessary to end the epidemic; however, few validated stigma-reducing interventions for healthcare settings exist, even fewer have been evaluated in Spanish-speaking contexts. Finding Respect Ending Stigma around (FRESH) a setting stigma-reduction intervention was adapted tested address intersectional SGM Dominican Republic. Herein, we detail adaptation process present feasibility, acceptability, pre-post...
In 2014 there was a large chikungunya epidemic in the Dominican Republic, with 539 099 reported cases and 6 deaths. Although is considered low-mortality disease, studies have suggested this an underestimation. This study assessed deaths associated epidemic.Mortality data were obtained from National Statistics Office, surveillance system for acute febrile illnesses, Epidemiological Surveillance System. Expected all-cause mortality by age group estimated using years 2010-2012 as baseline. The...
Exposure to stigma, violence, sex work, and substance use are associated with increased HIV risk, but relationships between these factors have not been fully elucidated among transgender women whose data often aggregated men who other sexual gender minorities. Considering this gap, we aimed identify a serologically confirmed estimate for examine the use, national sample of in Dominican Republic. We analyzed biomarkers self-report from third wave Republic's Encuesta de Vigilancia y...
We employ a multidisciplinary approach, integrating genomics and epidemiology, to uncover recent dengue virus transmission dynamics in the Dominican Republic. Our results highlight previously unknown north-south pathway within country, with co-circulation of multiple lineages. Additionally, we examine historical climate data, revealing long-term trends towards higher theoretical potential for due rising temperatures. These findings provide information targeted interventions resource...
Purpose: Studies on drug use in transgender populations, particularly those resource-limited settings, are scarce. Considering that can be a coping mechanism to deal with stigma and traumatic experiences, we examined associations between stigma, trauma, national sample of women from the Dominican Republic. Methods: Bivariate analyses differences users abstainers (n=287). Multivariate reported odds ratios (OR) general drug, marijuana, cocaine as outcomes (n=243). Results: A quarter...
Abstract Dengue is the most prevalent mosquito-borne viral disease in humans, and cases are continuing to rise globally. In particular, islands Caribbean have experienced more frequent outbreaks, all four dengue virus (DENV) serotypes been reported region, leading hyperendemicity increased rates of severe disease. However, there significant variability regarding surveillance reporting between islands, making it difficult obtain an accurate understanding epidemiological patterns Caribbean. To...
Objectives: This study examines associations between alcohol use, high risk sexual behaviors, and experiences of stigma among transgender women across the Dominican Republic. Data from 2015 Transgender Health Needs Study were analyzed using bivariate analyses (N = 291). Results: High rates stigma, verbal abuse, sex work are found associated with each other. Almost 45% regular users engaging in (43.6%), compared 31.1% non-regular (χ2=4.82, p < .05). Having under influence is statistically...
Background: Transgender populations, and especially those in resource-limited settings, are at an elevated risk of experiencing stigma discrimination. Aims: This study sought to examine the relationship between parental, familial, other social support, experiences discrimination, quality life, sex work a national sample transgender women Dominican Republic (n = 291). Methods: Descriptive analyses for outcome variable, work, as well measures associated with socio-demographics, stigma, abuse...
Seroprevalence surveys are of utmost importance to assess the proportion a population that has developed antibodies against newly introduced virus and could therefore potentially exhibit immunologic protection subsequent infection. This study aims understand distribution IgM IgG in Dominican Republic. We surveyed total 12,897 participants between April June 2020 10 provinces Survey efforts emerging hotspots yielded positivity for all anti-SARS-CoV-2 3.8% 5.4%, indicating pathogen was...
To identify sexual risk behaviors and barriers to reproductive health care (SRH) among Venezuelan female sex workers living in the Dominican Republic.This was a mixed-methods study using four focus group discussions (FGDs) cross-sectional quantitative survey with migrant workers. The conducted from September through October 2021 two urban areas (Santo Domingo Puerto Plata) Republic. Information collected FGDs analyzed thematic content analysis, data were univariate descriptive statistics....
We previously reported an association between tryptophan (Trp) catabolism and immune dysfunction in HIV monoinfection. Coinfection with is associated more rapid evolution of hepatitis C virus (HCV)-associated liver disease despite antiretroviral therapy (ART), possibly due to dysregulation. hypothesized that fibrosis HIV/HCV coinfection would be alterations Trp metabolism.Trp inflammatory soluble markers were assessed plasma samples from ART-treated HIV/HCV-coinfected patients (n = 90)...