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  1. Article ; Online: COVID-19 and Fake News in the Dominican Republic.

    Tapia, Leandro

    The American journal of tropical medicine and hygiene

    2020  Volume 102, Issue 6, Page(s) 1172–1174

    Abstract: The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure ... ...

    Abstract The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.
    MeSH term(s) Antibodies, Monoclonal, Humanized/therapeutic use ; Antiviral Agents/supply & distribution ; Antiviral Agents/therapeutic use ; Azithromycin/supply & distribution ; Azithromycin/therapeutic use ; Betacoronavirus/drug effects ; Betacoronavirus/pathogenicity ; COVID-19 ; Civil Disorders ; Coronavirus Infections/drug therapy ; Coronavirus Infections/economics ; Coronavirus Infections/epidemiology ; Dissent and Disputes ; Dominican Republic/epidemiology ; Drug Repositioning ; Humans ; Hydroxychloroquine/supply & distribution ; Hydroxychloroquine/therapeutic use ; Ivermectin/supply & distribution ; Ivermectin/therapeutic use ; Pandemics/economics ; Pneumonia, Viral/drug therapy ; Pneumonia, Viral/economics ; Pneumonia, Viral/epidemiology ; Politics ; Public Health/economics ; Public Health/trends ; SARS-CoV-2 ; Social Media/ethics ; Trust/psychology
    Chemical Substances Antibodies, Monoclonal, Humanized ; Antiviral Agents ; Hydroxychloroquine (4QWG6N8QKH) ; Ivermectin (70288-86-7) ; Azithromycin (83905-01-5) ; tocilizumab (I031V2H011)
    Keywords covid19
    Language English
    Publishing date 2020-06-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.20-0234
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: COVID-19 and Fake News in the Dominican Republic

    Tapia, Leandro

    Am J Trop Med Hyg

    Abstract: The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure ... ...

    Abstract The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #601671
    Database COVID19

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  3. Article: Oxidized High-Density Lipoprotein Induces Endothelial Fibrosis Promoting Hyperpermeability, Hypotension, and Increased Mortality.

    Rojas, Macarena / Prado, Yolanda / Tapia, Pablo / Carreño, Leandro J / Cabello-Verrugio, Claudio / Simon, Felipe

    Antioxidants (Basel, Switzerland)

    2022  Volume 11, Issue 12

    Abstract: During systemic inflammation, reactive oxygen species (ROS) are generated in the bloodstream, producing large amounts of oxidized HDL (oxHDL). OxHDL loses the vascular protective features of native HDL, acquiring detrimental actions. Systemic ... ...

    Abstract During systemic inflammation, reactive oxygen species (ROS) are generated in the bloodstream, producing large amounts of oxidized HDL (oxHDL). OxHDL loses the vascular protective features of native HDL, acquiring detrimental actions. Systemic inflammation promotes endothelial fibrosis, characterized by adhesion protein downregulation and fibrotic-specific gene upregulation, disrupting endothelial monolayer integrity. Severe systemic inflammatory conditions, as found in critically ill patients in the intensive care unit (ICU), exhibit endothelial hyperpermeability, hypotension, and organ hypoperfusion, promoting organ dysfunction and increased mortality. Because endothelial fibrosis disturbs the endothelium, it is proposed that it is the cellular and molecular origin of endothelial hyperpermeability and the subsequent deleterious consequences. However, whether oxHDL is involved in this process is unknown. The aim of this study was to investigate the fibrotic effect of oxHDL on the endothelium, to elucidate the underlying molecular and cellular mechanism, and to determine its effects on vascular permeability, blood pressure, and mortality. The results showed that oxHDL induces endothelial fibrosis through the LOX-1/NOX-2/ROS/NF-κB pathway, TGF-β secretion, and ALK-5/Smad activation. OxHDL-treated rats showed endothelial hyperpermeability, hypotension, and an enhanced risk of death and mortality, which was prevented using an ALK-5 inhibitor and antioxidant diet consumption. Additionally, the ICU patients showed fibrotic endothelial cells, and the resuscitation fluid volume administered correlated with the plasma oxHDL levels associated with an elevated risk of death and mortality. We conclude that oxHDL generates endothelial fibrosis, impacting blood pressure regulation and survival.
    Language English
    Publishing date 2022-12-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2704216-9
    ISSN 2076-3921
    ISSN 2076-3921
    DOI 10.3390/antiox11122469
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Serological Confirmed Syphilis Among Transgender Women in Dominican Republic.

    Paulino-Ramírez, Robert / Hearld, Kristine R / Butane, Seyram A / Tapia, Leandro / Budhwani, Henna / Naar, Sylvie / Rodriguez-Lauzurique, Mayra

    Transgender health

    2022  Volume 7, Issue 3, Page(s) 237–241

    Abstract: Purpose: Transgender women (TW) in the Dominican Republic (DR) are at high risk for syphillis infection. Although treatable, infection rates remain at epidemic proportions.: Methods: In 2016, we conducted a national survey, with serological sampling ... ...

    Abstract Purpose: Transgender women (TW) in the Dominican Republic (DR) are at high risk for syphillis infection. Although treatable, infection rates remain at epidemic proportions.
    Methods: In 2016, we conducted a national survey, with serological sampling of TW in the DR (
    Results: In our sample, syphillis seropositivity was 47.45%. There was a statistically significant association between age (
    Conclusions: There is a need for education and public health campaigns focused on TW specifically.
    Language English
    Publishing date 2022-06-13
    Publishing country United States
    Document type Journal Article
    ISSN 2688-4887
    ISSN 2688-4887
    DOI 10.1089/trgh.2020.0173
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Transgender Women in Dominican Republic: HIV, Stigma, Substances, and Sex Work.

    Budhwani, Henna / Hearld, Kristine R / Butame, Seyram A / Naar, Sylvie / Tapia, Leandro / Paulino-Ramírez, Robert

    AIDS patient care and STDs

    2021  Volume 35, Issue 12, Page(s) 488–494

    Abstract: 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 are often aggregated with men who have sex with ... ...

    Abstract 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 are often aggregated with men who have sex with men and other sexual and gender minorities. Considering this gap, we aimed to identify a serologically confirmed HIV estimate for transgender women and examine the relationships between stigma, sex work, substance use, and HIV among a national sample of transgender women in Dominican Republic. We analyzed biomarkers and self-report data from the third wave of Dominican Republic's Encuesta de Vigilancia y Comportamiento con Vinculación Serológica, employing logistic and negative binomial regression to estimate models (
    MeSH term(s) Dominican Republic/epidemiology ; Female ; HIV Infections/epidemiology ; Homosexuality, Male ; Humans ; Male ; Sex Work ; Sexual and Gender Minorities ; Social Stigma ; Transgender Persons
    Language English
    Publishing date 2021-11-11
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1326868-5
    ISSN 1557-7449 ; 0893-5068 ; 1087-2914
    ISSN (online) 1557-7449
    ISSN 0893-5068 ; 1087-2914
    DOI 10.1089/apc.2021.0127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Oxidized High-Density Lipoprotein Induces Endothelial Fibrosis Promoting Hyperpermeability, Hypotension, and Increased Mortality

    Rojas, Macarena / Prado, Yolanda / Tapia, Pablo / Carreño, Leandro J. / Cabello-Verrugio, Claudio / Simon, Felipe

    Antioxidants. 2022 Dec. 15, v. 11, no. 12

    2022  

    Abstract: During systemic inflammation, reactive oxygen species (ROS) are generated in the bloodstream, producing large amounts of oxidized HDL (oxHDL). OxHDL loses the vascular protective features of native HDL, acquiring detrimental actions. Systemic ... ...

    Abstract During systemic inflammation, reactive oxygen species (ROS) are generated in the bloodstream, producing large amounts of oxidized HDL (oxHDL). OxHDL loses the vascular protective features of native HDL, acquiring detrimental actions. Systemic inflammation promotes endothelial fibrosis, characterized by adhesion protein downregulation and fibrotic-specific gene upregulation, disrupting endothelial monolayer integrity. Severe systemic inflammatory conditions, as found in critically ill patients in the intensive care unit (ICU), exhibit endothelial hyperpermeability, hypotension, and organ hypoperfusion, promoting organ dysfunction and increased mortality. Because endothelial fibrosis disturbs the endothelium, it is proposed that it is the cellular and molecular origin of endothelial hyperpermeability and the subsequent deleterious consequences. However, whether oxHDL is involved in this process is unknown. The aim of this study was to investigate the fibrotic effect of oxHDL on the endothelium, to elucidate the underlying molecular and cellular mechanism, and to determine its effects on vascular permeability, blood pressure, and mortality. The results showed that oxHDL induces endothelial fibrosis through the LOX-1/NOX-2/ROS/NF-κB pathway, TGF-β secretion, and ALK-5/Smad activation. OxHDL-treated rats showed endothelial hyperpermeability, hypotension, and an enhanced risk of death and mortality, which was prevented using an ALK-5 inhibitor and antioxidant diet consumption. Additionally, the ICU patients showed fibrotic endothelial cells, and the resuscitation fluid volume administered correlated with the plasma oxHDL levels associated with an elevated risk of death and mortality. We conclude that oxHDL generates endothelial fibrosis, impacting blood pressure regulation and survival.
    Keywords adhesion ; blood flow ; blood pressure ; death ; diet ; endothelium ; fibrosis ; genes ; high density lipoprotein ; hypotension ; inflammation ; mortality ; oxidation ; permeability ; reactive oxygen species ; risk ; secretion
    Language English
    Dates of publication 2022-1215
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article ; Online
    ZDB-ID 2704216-9
    ISSN 2076-3921
    ISSN 2076-3921
    DOI 10.3390/antiox11122469
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: Clima e incidencia de la Malaria durante períodos inter e intra-epidémicos en el Gran Santo Domingo, República Dominicana

    Leandro Tapia / Cesar Arredondo- Abreu / Nicole Mrvos / Carlos Ruiz-Matuk / Robert Paulino-Ramírez

    Ciencia y Salud, Vol 5, Iss

    2021  Volume 1

    Abstract: El cambio climático tiene importantes implicaciones de salud pública, las cuales se incrementan en la malaria. En zonas donde nunca antes se había identificado las diferentes especies de Plasmodium se convirtió en realidad. Por consiguiente, la ... ...

    Abstract El cambio climático tiene importantes implicaciones de salud pública, las cuales se incrementan en la malaria. En zonas donde nunca antes se había identificado las diferentes especies de Plasmodium se convirtió en realidad. Por consiguiente, la comprensión de la relación entre esta enfermedad y el clima se ha convertido en una prioridad de salud global. En este estudio extrajimos los casos reportados de malaria y los informes climáticos de bases de datos de información pública entre 2012 y 2018. Mediante análisis de regresión confrontamos los casos de malaria semanales con promedios climáticos de semana de retraso. Durante los períodos inter-epidémicos la humedad relativa (b = .1101, p <0.001) y la temperatura media (b = 0.118, p < 0.001) fueron predictores significativos de incidencia de malaria. Sin embargo, durante los períodos intra-epidémicos, estos predictores se comportan de manera diferente: humedad relativa (b = -0.265, p<0.05) y temperatura media (b = -1.47, p<0.001). La temperatura media y la humedad relativa impulsan la incidencia de malaria en Santo Domingo. Estas dos variables pueden servir de predictores para futuros brotes en regiones de alta incidencia poblacional.
    Keywords malaria ; variable climática ; temperatura ; análisis de correlación ; República Dominicana ; Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Language Spanish
    Publishing date 2021-02-01T00:00:00Z
    Publisher Instituto Tecnológico de Santo Domingo (INTEC)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Transmisión del virus del dengue y su relación con factores climáticos durante los períodos intra e interepidémicos en Santo Domingo, República Dominicana

    Leandro Tapia / Cesar Arredondo- Abreu / Miguel Delgadillo / Carlos Ruiz-Matuk / Robert Paulino-Ramírez

    Ciencia y Salud, Vol 5, Iss

    2021  Volume 2

    Abstract: Antecedentes: Aedes spp. y la dinámica del virus del dengue está altamente influenciada por factores ambientales. Una relación detallada entre el clima y la enfermedad en los períodos inter e intra-epidémicos podrían beneficiar la vigilancia del dengue ... ...

    Abstract Antecedentes: Aedes spp. y la dinámica del virus del dengue está altamente influenciada por factores ambientales. Una relación detallada entre el clima y la enfermedad en los períodos inter e intra-epidémicos podrían beneficiar la vigilancia del dengue para optimizar la preparación y las políticas adecuadas de control de vectores. Métodos: se analizaron los informes de casos de dengue y las variables climáticas en Santo Domingo, República Dominicana, para determinar la correlación del período 2012-2018 y los diferentes tiempos de retraso. Se llevó a cabo un análisis de regresión de dichas variables para comprender mejor las relaciones entre las tasas de incidencia del dengue y los cambios climáticos. Resultados: durante los brotes epidémicos, la temperatura (r = 0.73, p <0.001) y la humedad relativa (r = -0.22, p = 0.009) se correlacionan significativamente con la incidencia del dengue con un retraso de 9 semanas, el análisis de regresión muestra que la temperatura media (b = 62.401, p < 0.001), precipitación (b = 2.810, p <0.001) y humedad relativa (b = -5.462, p = 0.025) fueron predictores significativos. Durante los períodos inter-epidémico, la temperatura (r = 0.23, p <0.001) tuvo una correlación significativa con la incidencia del dengue con un retraso de 7 semanas, la humedad relativa (b = 1.454, p <0.05) y la temperatura media (b = 5.14, p <0.01) son predictores significativos de la cantidad de casos de dengue. La precipitación no se correlacionó significativamente con la incidencia del dengue. Conclusiones: existe una relación no lineal entre los factores climáticos y la incidencia del dengue. La infección por dengue depende del clima, y la temperatura parece jugar un papel importante en los factores climáticos.
    Keywords dengue ; variables climáticas ; incidencia ; temperatura ; análisis de correlación ; República Dominicana ; Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Language Spanish
    Publishing date 2021-06-01T00:00:00Z
    Publisher Instituto Tecnológico de Santo Domingo (INTEC)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Seroprevalence of Specific Antibodies against SARS-CoV-2 from Hotspot Communities in the Dominican Republic.

    Paulino-Ramirez, Robert / Báez, Amado Alejandro / Vallejo Degaudenzi, Alejandro / Tapia, Leandro

    The American journal of tropical medicine and hygiene

    2020  Volume 103, Issue 6, Page(s) 2343–2346

    Abstract: Seroprevalence surveys are of utmost importance to assess the proportion of a population that has developed antibodies against a newly introduced virus and could therefore potentially exhibit immunologic protection against subsequent infection. This ... ...

    Abstract Seroprevalence surveys are of utmost importance to assess the proportion of a population that has developed antibodies against a newly introduced virus and could therefore potentially exhibit immunologic protection against subsequent infection. This study aims to understand the distribution of IgM and IgG antibodies in the Dominican Republic. We surveyed a total of 12,897 participants between April and June 2020 in 10 provinces of the Dominican Republic. Survey efforts in emerging hotspots yielded a positivity for all participants of anti-SARS-CoV-2 IgM of 3.8% and IgG of 5.4%, indicating that the pathogen was in circulation before the identification of those particular communities as hotspots. We found important age differences between participants who participated in the serological study where a higher mean age is associated IgM positivity and a lower age with IgG positivity. Our results highlight the need for strategies that involve community-based seroprevalence monitoring. These should preclude syndromic case identification. Also, the higher mean age of IgM-positive participants suggests that strategies based on syndromic surveillance could identify hotspots at later phases, based on the number of cases detected at the healthcare center, as such community-based seroprevalence monitoring may be an effective intervention for future outbreaks.
    MeSH term(s) Adolescent ; Adult ; Age Factors ; Antibodies, Viral/blood ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/immunology ; COVID-19/transmission ; Child ; Child, Preschool ; Dominican Republic/epidemiology ; Epidemiological Monitoring ; Female ; Humans ; Immunoglobulin G/blood ; Immunoglobulin M/blood ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Pandemics ; SARS-CoV-2/immunology ; Seroepidemiologic Studies
    Chemical Substances Antibodies, Viral ; Immunoglobulin G ; Immunoglobulin M
    Keywords covid19
    Language English
    Publishing date 2020-10-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.20-0907
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Asynchronicity of endemic and emerging mosquito-borne disease outbreaks in the Dominican Republic

    Mary E. Petrone / Rebecca Earnest / José Lourenço / Moritz U. G. Kraemer / Robert Paulino-Ramirez / Nathan D. Grubaugh / Leandro Tapia

    Nature Communications, Vol 12, Iss 1, Pp 1-

    2021  Volume 12

    Abstract: Dengue is endemic in the Dominican Republic, and causes regular outbreaks, whereas Zika and chikungunya are emerging infections in the area. Here, the authors show that outbreaks of the emerging infections could not be predicted by seasonal dengue ... ...

    Abstract Dengue is endemic in the Dominican Republic, and causes regular outbreaks, whereas Zika and chikungunya are emerging infections in the area. Here, the authors show that outbreaks of the emerging infections could not be predicted by seasonal dengue dynamics.
    Keywords Science ; Q
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Nature Portfolio
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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