Publications by authors named "Juan Zapata"

Article Synopsis
  • The COVID-19 pandemic negatively affected the mental health of many, but few studies have focused on its impact on trauma patients and their recovery over time.
  • This study compared PTSD and depression rates between patients injured before and during the pandemic, finding that those injured during the pandemic experienced higher symptoms.
  • The research also revealed a link between pandemic-related stress and increased severity of PTSD and depression, suggesting a need for better psychological support for trauma patients during difficult times.
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This study explored the feasibility and acceptability of Entre Herman@s, a novel sibling-based intervention designed to engage siblings to increase PrEP utilization among Latino men who have sex with men (LMSM). Siblings were trained in rudimentary motivational interviewing skills to uncover, evoke, and strengthen their brother's motivation to use PrEP, using the constructs of the Information-Motivation-Behavioral Skills (IMB) model for health behavior change. This pilot demonstrated high feasibility, meeting recruitment, retention, and intervention completion targets.

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Despite ongoing investments in the development and testing of new digital interventions for HIV prevention, the widespread use of interventions with proven effectiveness remains limited. This study assessed real-world implementation of a digital HIV prevention intervention, Keep It Up!. The study aimed to identify barriers and facilitators to implementing Keep It Up! within community-based organizations (CBOs) serving racially diverse sexual and gender minoritized populations.

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Article Synopsis
  • The study aims to identify key factors influencing HIV testing, diagnosis, and care linking in the U.S. through a systematic review of literature.
  • Researchers reviewed 186 articles, identifying 1,739 determinants predominantly related to HIV testing, noting that factors affecting the "inner setting" and "individuals" were the most common.
  • The findings highlight the need for implementation science frameworks, like CFIR, to enhance strategies in combating the HIV epidemic by addressing both provider and recipient perspectives.
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Introduction: The increasing rates of HIV among Latino men who have sex with men (MSM) necessitate innovative and rigorous studies to evaluate prevention and treatment strategies. Pre-exposure prophylaxis (PrEP) is a highly effective tool in preventing HIV acquisition and plays a crucial role in the Ending the HIV Epidemic in the U.S.

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Background: Monitoring the health of wild animals under the principles of one health contributes to the prevention of diseases and the preservation of human and animal health, thus contributing to the conservation of species.

Aim: The current study describes the clinical and paraclinical status of an ocelot () captured in Buriticá, Antioquia, Colombia, for research purposes with the aim of contributing to the construction of animal health reference values in the wild, considering the scarcity of published data for the country on capture, management, and paraclinical parameters related to this species.

Methods: For this, hematological parameters, blood chemistry, urine cytochemical analyses, and coprological examinations were carried out.

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Dengue is a significant public health problem with no specific viral treatment. One of the main challenges in studying dengue is the lack of adequate animal models recapitulating human immune responses. Most studies on humanized mice use NOD-scid IL2R gamma null (NSG) mice, which exhibit poor hematopoiesis for some cell populations.

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Background: Despite being the primary setting for HIV prevention among men who have sex with men (MSM) since the start of the epidemic, community-based organizations (CBOs) struggle to reach this historically stigmatized and largely hidden population with face-to-face interventions. HIV researchers have readily turned to the internet to deliver critical HIV education to this group, with evidence of high effectiveness and acceptability across studies. However, implementation outside of research contexts has been limited and not well studied.

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Latino adolescent sexual minority men (ASMM) are at high risk of HIV. Limited research has explored the impact of parent-adolescent communication and beliefs on PrEP adoption among Latino ASMM. Our objective was to examine how parental support and beliefs influence decisions regarding PrEP use.

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Human immunodeficiency virus (HIV) is a public health concern among young sexual minority men (YSMM), ages 17 to 24, in the United States. Biomedical prevention methods, such as pre-exposure prophylaxis (PrEP) and non-occupational post-exposure prophylaxis (nPEP), can help reduce the risk of HIV transmission among this population. However, there is limited awareness and use of nPEP by YSMM.

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Article Synopsis
  • The implementation of pre-exposure prophylaxis (PrEP) for preventing HIV is not effective enough in the U.S., especially among people who use drugs (PWUD), and there's a lack of research on this issue.
  • A scoping review of existing literature identified 32 articles on barriers and facilitators to PrEP use and 5 on strategies to improve its implementation, mostly focusing on patient perspectives rather than clinicians.
  • The findings highlight the need for more research targeting clinicians’ factors and innovative strategies to enhance the awareness, adoption, and adherence to PrEP guidelines to improve outcomes in the fight against HIV.
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Latino sexual minority men (SMM) are a highly vulnerable population to HIV, and while pre-exposure prophylaxis (PrEP) has emerged as a promising biomedical tool for HIV prevention among them, its utilization remains disproportionately low in this community despite its potential. Understanding the barriers along the PrEP continuum of care, known as the "PrEP cascade," is crucial for effectively implementing PrEP interventions. Therefore, the objective of our study was twofold: first, to explore the stage of Latino SMM in the PrEP cascade by examining disparities in demographics, social factors, and healthcare aspects; second, to gain insights from healthcare providers who have direct clinical experience with our population regarding the challenges faced by Latino SMM in accessing and adhering to PrEP.

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  • Colombia lacks a specialized service for measuring antifungal blood levels, which is crucial for monitoring antifungal treatments.
  • The study aimed to develop and validate a high-performance liquid chromatography (HPLC) protocol to accurately quantify voriconazole blood levels.
  • The validated method shows good selectivity and sensitivity, making it an effective tool for monitoring patients undergoing voriconazole therapy.
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Aerobiological studies constitute a relevant tool to predict the most influential parameters over the pollen seasons with significant clinical relevance in the allergic populations. The aim of this study was to describe the aerobiological behaviour of the most relevant allergenic sources in the semi-arid area of southeast of Spain (Almería) and to investigate the correlation with meteorological factors and clinical symptoms of allergic patients. Daily pollen count and meteorological parameters of Almería, Spain, were compiled for ten years.

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Implementation of pre-exposure prophylaxis (PrEP) to prevent HIV transmission is suboptimal in the United States. To date, the literature has focused on identifying determinants of PrEP use, with a lesser focus on developing and testing change methods to improve PrEP implementation. Moreover, the change methods available for improving the uptake and sustained use of PrEP have not been systematically categorized.

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Pre-exposure prophylaxis (PrEP) is a highly effective method for preventing HIV acquisition and plays a crucial role in the Ending the HIV Epidemic in the US initiative. However, there are various barriers that hinder the access and uptake of PrEP among Latino sexual minority men (SMM) at individual, interpersonal, and cultural levels. While the significance of cultural factors in designing and implementing HIV prevention programs for Latino populations has been consistently emphasized in the literature and prioritized by the Centers for Disease Control and Prevention, few studies have directly integrated these cultural factors into their programs.

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Macrophages regulate essential aspects of innate immunity against pathogens. In response to microbial components, macrophages activate primary and secondary inflammatory gene programs crucial for host defense. The liver X receptors (LXRα, LXRβ) are ligand-dependent nuclear receptors that direct gene expression important for cholesterol metabolism and inflammation, but little is known about the individual roles of LXRα and LXRβ in antimicrobial responses.

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Article Synopsis
  • * The study used data from 524 participants in the SMART trial and found that those who spoke with doctors about their sexual health or HIV testing had significantly higher testing rates.
  • * Spanish-speaking LMSM face additional barriers, with only 26% having ever been tested, indicating they often don't discuss their sexual orientation or health with healthcare providers compared to their English-speaking peers.
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Men who have sex with men (MSM) are disproportionately affected by HIV, accounting for two-thirds of HIV cases in the United States despite representing ∼5% of the adult population. Delivery and use of existing and highly effective HIV prevention and treatment strategies remain suboptimal among MSM. To summarize the state of the science, we systematically review implementation determinants and strategies of HIV-related health interventions using implementation science frameworks.

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Background: Epidemiological trends in the United States have shown an increase in HIV cases among young sexual minoritized men. Using mobile health (mHealth), which refers to health services and information delivered or enhanced through the internet and related technologies, is a crucial strategy to address HIV disparities. However, despite its potential, the practical implementation of mHealth remains limited.

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CD137 (4-1BB) is a member of the TNFR family that mediates potent T cell costimulatory signals upon ligation by CD137L or agonist monoclonal antibodies (mAbs). CD137 agonists attain immunotherapeutic antitumor effects in cancer mouse models, and multiple agents of this kind are undergoing clinical trials. We show that cIAP1 and cIAP2 are physically associated with the CD137 signaling complex.

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Article Synopsis
  • Research indicates that access to health care, including HIV prevention, is influenced by various factors that may lead to racial and ethnic disparities, particularly affecting Latinx adults compared to white adults in the U.S.
  • A systematic literature review identified 23 articles on Pre-exposure Prophylaxis (PrEP) among Latinx sexual minority men (SMM), highlighting gaps in research and the need for further exploration of biomedical HIV prevention in this demographic.
  • Barriers such as lack of information about PrEP and societal stigmas hinder PrEP uptake among Latinx SMM; thus, a proposed structural-ecological model illustrates how multiple levels of stressors impact access and understanding of HIV prevention measures.
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Compared with non-Latino White sexual minority men, Latino sexual minority men (LSMM) have lower engagement with HIV pre-exposure prophylaxis (PrEP) and likelihood of discussing PrEP with a health care provider. The overall goal of the current study was to collect data from community stakeholders to inform the integration of culturally relevant factors into an empirically supported PrEP prevention program. Between December 2020 and August 2021, 18 interviews were conducted with 18 stakeholders with experience delivering health and social services.

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Humanized mice are an invaluable tool for investigating human diseases such as cancer, infectious diseases, and graft-versus-host disease (GvHD). However, it is crucial to understand the strengths and limitations of humanized mice and select the most appropriate model. In this study, we describe the development of the human lymphoid and myeloid lineages using a flow cytometric analysis in four humanized mouse models derived from NOD mice xenotransplanted with CD34 fetal cord blood from a single donor.

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