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The study was conducted in the first cohort of children gaining access to structured ART in Peru.
Advanced immunosuppression at baseline and previous exposures to unsupervised brief cycles of ART significantly impaired treatment outcomes at a time when structured ART was finally introduced in his cohort.
Immunologically, 67% of the children had already r.eached the immunologic CDC category 3 (corresponding to an adult CD4 levels of < 200 cells/μL) prior to gaining access to structured ART.
With Global Fund support, structured ART first became available in August 2002 to a select group of HIV-infected children at the Instituto Nacional de Salud del Niño (INSN) in Lima, based on the criteria established by the Guideline for the Management of the HIV-Infected Child by the Peruvian Ministry of Health MINSAA) [ 14- 17].
On average, drug resistance testing was performed at 2.4 years after the initiation of structured ART.
Children who had been exposed to unsupervised short-term antiretrovirals before starting structured ART showed significantly higher numbers of resistance mutations by DNA-OLA (p = 0.01).
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Its minimalist instrumentals are scattered among more structured art-rock songs.
In these spaces, trained volunteers help children recover through structured play, art therapy and storytelling.
'Marginalised people tend to create new structures, art, and ways of releasing anxiety and aggression.
All structures, art installations, bikes, food, and waste disappear without a trace.
The model for structured participatory arts workshops such as ours is 'art as conversation'.
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