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In this work we studied the effects of 20 keV collision cascades in alpha iron with a 1/2〈111〉{110} edge dipole using molecular dynamics. We analysed three different cases: a) the primary knock-on atom (PKA) is centred between both dislocations, b) the PKA is closer to one of the dislocations, and c) the PKA is on top of one of the dislocations and directed towards it. Our calculations show enhanced formation of vacancy clusters in the bulk for intermediate distances due to the absorption of self-interstitials by the dislocation during the collision cascade reducing the recombination between vacancies and self-interstitials. This effect results in the formation of jogs at the dislocation and the consequent climb due to the absorption of the self-interstitials. As a result, there is an unbalance between vacancies and self-interstitials produced by the collision cascade, with a significantly larger number of vacancies than self-interstitials in the bulk and the formation of large vacancy clusters. When the collision cascade develops directly on top of the dislocation, jogs are formed due to both the absorption of vacancies and self-interstitials, inducing climb and with the total dislocation length increasing up to several nanometers.

Abstract In the quest of new materials that can withstand severe irradiation and mechanical extremes for advanced applications (e.g. fission & fusion reactors, space applications, etc.), design, prediction and control of advanced materials beyond current material designs become paramount. Here, through a combined experimental and simulation methodology, we design a nanocrystalline refractory high entropy alloy (RHEA) system. Compositions assessed under extreme environments and in situ electron-microscopy reveal both high thermal stability and radiation resistance. We observe grain refinement under heavy ion irradiation and resistance to dual-beam irradiation and helium implantation in the form of low defect generation and evolution, as well as no detectable grain growth. The experimental and modeling results—showing a good agreement—can be applied to design and rapidly assess other alloys subjected to extreme environmental conditions.

Abstract The relationship between brain diffusion microstructural changes and disability in multiple sclerosis (MS) remains poorly understood. We aimed to explore the predictive value of microstructural properties in white (WM) and grey matter (GM), and identify areas associated with mid-term disability in MS patients. We studied 185 patients (71% female; 86% RRMS) with the Expanded Disability Status Scale (EDSS), timed 25-foot walk (T25FW), nine-hole peg test (9HPT), and Symbol Digit Modalities Test (SDMT) at two time-points. We used Lasso regression to analyse the predictive value of baseline WM fractional anisotropy and GM mean diffusivity, and to identify areas related to each outcome at 4.1 years follow-up. Motor performance was associated with WM (T25FW: RMSE = 0.524, R2 = 0.304; 9HPT dominant hand: RMSE = 0.662, R2 = 0.062; 9HPT non-dominant hand: RMSE = 0.649, R2 = 0.139), and SDMT with GM diffusion metrics (RMSE = 0.772, R2 = 0.186). Cingulum, longitudinal fasciculus, optic radiation, forceps minor and frontal aslant were the WM tracts most closely linked to motor dysfunction, and temporal and frontal cortex were relevant for cognition. Regional specificity related to clinical outcomes provide valuable information that can be used to develop more accurate predictive models that could improve therapeutic strategies.

Abstract Cardiac alternans is defined as beat‐to‐beat alternations in contraction strength, action potential duration (APD), and Ca transient (CaT) amplitude. Cardiac excitation–contraction coupling relies on the activity of two bidirectionally coupled excitable systems, membrane voltage (Vm) and Ca release. Alternans has been classified as Vm‐ or Ca‐driven, depending whether a disturbance of Vm or [Ca]i regulation drives the alternans. We determined the primary driver of pacing induced alternans in rabbit atrial myocytes, using combined patch clamp and fluorescence [Ca]i and Vm measurements. APD and CaT alternans are typically synchronized; however, uncoupling between APD and CaT regulation can lead to CaT alternans in the absence of APD alternans, and APD alternans can fail to precipitate CaT alternans, suggesting a considerable degree of independence of CaT and APD alternans. Using alternans AP voltage clamp protocols with extra APs showed that most frequently the pre‐existing CaT alternans pattern prevailed after the extra‐beat, indicating that alternans is Ca‐driven. In electrically coupled cell pairs, dyssynchrony of APD and CaT alternans points to autonomous regulation of CaT alternans. Thus, with three novel experimental protocols, we collected evidence for Ca‐driven alternans; however, the intimately intertwined regulation of Vm and [Ca]i precludes entirely independent development of CaT and APD alternans.

Intro: With the first case of COVID-19 in Cuba on March 11, 2020, the Center for Genetic Engineering and Biotechnology in Havana began an extensive vaccine program. Two vaccines based on RBD recombinant protein were developed, one for systemic administration “Abdala” and one mucosal vaccine “Mambisa”. Abdala received the EUA in July 2021 and ''Mambisa'' completed its clinical development as a booster dose for convalescent subjects. Methods: Two doses (25 and 50 µg) and two schedules (0-14-28 and 1-28-56 days) were evaluated in phase I clinical trials with volunteers 19 to 54 years old. The phase II and III clinical trials were also double-blind, randomized, and placebo-controlled, and included respectively 660 and 48,000 volunteers from 19 to 80 years. The anti-RBD titers were evaluated using a quantitative ELISA system developed at the Center for Immunoassay, Havana Cuba, and ELECSYS system from Roche. The RBD to ACE2 plate-based binding competitive ELISA was performed to determine the inhibitory activity of the anti-RBD polyclonal sera on the binding of the hFc-ACE2 coated plates. The neutralization antibody titers were detected by a traditional virus microneutralization assay (MN50). Findings: The Abdala vaccine reached 92.28% efficacy. The epidemic was frankly under control in Cuba after the vaccine introduction having reached the highest levels of cases and mortality in July 2021 with the dominance of the Delta strain. The peak of the Omicron wave, unlike other countries, did not reach half of the cases of the Delta wave with a significant reduction in mortality. The mucosal vaccine candidate ''Mambisa'' completed its clinical development as a booster dose for convalescent subjects reaching the trial end-point. Conclusion: Vaccine composition based on RBD recombinant antigen alone is sufficient to achieve high vaccine efficacy comparable to mRNA and live vaccine platforms. The vaccine also protects against different viral variants including Delta and Omicron strains.

Intro: The concept of training immunity originally developed for other diseases has gained attraction during the epidemic. Several clinical trials and epidemiological analyses of populations previously immunized with BCG and other vaccines were the focus of scientific discussions. Here we show the activation of innate immunity markers both at mucosal and systemic levels with a mucosal vaccine CIGB2020 (HeberNasvacTM) containing virus-like particles (HBsAg) and nucleocapsid particle (HBcAg) of the hepatitis B virus. Moreover, the immune potentiating capacity of the HBcAg combined with RBD protein was used to formulate a specific mucosal vaccine candidate against SARS-CoV-2 (MambisaTM). Methods: With CIGB 2020 (100µg HBsAg and 100 µg HBcAg) were conducted two proof of concept trials in human volunteers and a Phase I-II open, randomized, and controlled trial in 46 volunteers older than 60 years, symptomatic or close contact of COVID-19 patients. The volunteers were randomly assigned to the treatment group or not treated group. The nasal spray was administered to the treatment group on days 0, 7, and 14 together with daily sublingual administrations. Mucosal and serum samples were collected on days 0, 4, and 8. With MambisaTM vaccine (50µg RBD and 40 µg HBcAg) was conducted one proof of concept trial and a Phase I-II open and randomized trial in 1131 volunteers 19 to 60 years old, evaluating three different devices for nasal administration. All the volunteers gave written informed consent. Findings: CIGB2020 activates interferon-induced genes and TLR 3, 7, and 8 at the level of oropharyngeal mucosa and PBMC. Monocyte and lymphocyte populations were also activated. One dose of the MambisaTM vaccine induces high levels of specific IgG. The serum and mucosal antibodies show RBD-ACE2 binding inhibition capacity and neutralization activity. Conclusion: Nasal immunization exhibits advantages in inducing immunity at the level of the nasopharyngeal mucosa in addition to the systemic response.

MOS High Electron Mobility Transistors (MOS-HEMTs) may suffer from VTH instability and hysteresis reducing device performances. Post-Deposition Anneal (PDA) of the Atomic-Layer Deposited (ALD) dielectric has the potential to increase MOS-HEMT performances but needs to be compatible with the actual integration (at CEA Leti: fully recessed Gate First MOS-channel HEMT process flow). In this work, the impact of different PDA temperatures on flat-band voltage (VFB) and its hysteresis (ΔVFB) for Al2O3 deposited on etched GaN substrates is investigated using MOS capacitors (MOSCAPs). Material properties are analyzed by Hard X-Ray Photoelectron Spectroscopy (HAXPES), Fourier Transform Infrared Spectroscopy (FTIR) and Time-of-Flight Secondary Ion Mass Spectrometry (ToF-SIMS) analyses. With increasing PDA temperature up to 500°C: (i) ΔVFB decreases and is explained by the reduction of Ga-O bonds at Al2O3/GaN interface and O-H groups in Al2O3 (ii) VFB decreases and could be explained by the reduction of fluorine impurity concentration in Al2O3. For 600°C PDA, Grazing Incidence X-Ray Diffraction (GIXRD) analysis shows a small crystallized κ-Al2O3 signal on etched GaN contrary to the as-grown GaN. The onset of this crystallization could explain the degradation in breakdown field for PDA above 500°C observed on MOSCAPs after the Gate-First process flow overall thermal budget. Therefore, the optimized PDA temperature suggested for a fully recessed Gate First MOS-channel HEMT is 500°C.

The actuator-cylinder model was implemented in OpenFOAM by virtue of source terms in the Navier–Stokes equations. Since the stand-alone actuator cylinder is not able to properly model the wake of a vertical-axis wind turbine, the steady incompressible flow solver simpleFoam provided by OpenFOAM was used to resolve the entire flow and wakes of the turbines. The source terms are only applied inside a certain region of the computational domain, namely a finite-thickness cylinder which represents the flight path of the blades. One of the major advantages of this approach is its implicitness – that is, the velocities inside the hollow cylinder region feed the stand-alone actuator-cylinder model (AC); this in turn computes the volumetric forces and passes them to the OpenFOAM solver in order to be applied inside the hollow cylinder region. The process is repeated in each iteration of the solver until convergence is achieved. The model was compared against experimental works; wake deficits and power coefficients are used in order to assess the validity of the model. Overall, there is a good agreement of the pattern of the power coefficients according to the positions of the turbines in the array. The actual accuracy of the power coefficient depends strongly on the solidity of the turbine (actuator cylinder related) and both the inlet boundary turbulence intensity and turbulence length scale (RANS simulation related).

Ciénaga de Mallorquín is a coastal lagoon designated as a RAMSAR site due to its ecological regional and international importance. In this work, the environmental fluid dynamics code explorer modeling system was implemented to determine the spatio-temporal distribution of temperature, dissolved oxygen, chemical oxygen demand and nutrient levels, and assess the trophic status of Ciénaga de Mallorquín. The model was set up with field measurement data taken during transition period and wet season, and secondary information obtained from local authorities and environmental agencies. The results of model simulations were calibrated and verified by the root mean square error method, achieving a consistent fit for all considered variables. Average velocities were between 0.006 m/s and 0.013 m/s during the analyzed periods. The temperature was higher in the wet season than in the transition period (29°C and 31.5°C, respectively). The dissolved oxygen was similar in both periods (6.6 and 6.7 mg/L). NO3 concentrations were higher during the transition period (3.28 mg/L), with a minimum of 1.76 mg/L and a maximum of 5.09 mg/L. The lowest NO3 concentrations were found in the area influenced by the connection with the Caribbean Sea. PO4 concentrations in the wet season were lower than in the transition period (0.20 mg/L). Finally, Ciénaga de Mallorquín exhibits high productivity levels with Trophic State Index > 50 and temporal variations of mesotrophic to eutrophic. The use of Trophic State Index is useful for the management of water body eutrophication and productivity, making it particularly important in aquatic ecosystems.

Methicillin-resistant Staphylococcus aureus (MRSA) infections are cases of urgent management that often leads to hospitalizations in intensive care and prolonged management of antibiotic therapy. In this occasion, we present the case of a 38-year-old female patient with sepsis secondary to banal dermal infection due MRSA that complicates with infectious thrombus of the left renal vein associated with multiple foci of bilateral renal abscesses.As an extreme and exceptional measure, emergency bilateral radical nephrectomy was performed to save the patient's life.

Abstract Background In recent years, Copper-64 (T1/2 = 12.7 h) in the chemical form of copper dichloride ([64Cu]CuCl2) has been identified as a potential agent for PET imaging and radionuclide therapy targeting the human copper transporter 1, which is overexpressed in a variety of cancer cells. Limited human biodistribution and radiation dosimetry data is available for this tracer. The aim of this research was to determine the biodistribution and estimate the radiation dosimetry of [64Cu]CuCl2, using whole-body (WB) PET scans in healthy volunteers. Six healthy volunteers were included in this study (3 women and 3 men, mean age ± SD, 54.3 ± 8.6 years; mean weight ± SD, 77.2 ± 12.4 kg). After intravenous injection of the tracer (4.0 MBq/kg), three consecutive WB emission scans were acquired at 5, 30, and 60 min after injection. Additional scans were acquired at 5, 9, and 24 h post-injection. Low-dose CT scan without contrast was used for anatomic localization and attenuation correction. OLINDA/EXM software was used to calculate human radiation doses using the reference adult model. Results The highest uptake was in the liver, followed by lower and upper large intestine walls, and pancreas, in descending order. Urinary excretion was negligible. The critical organ was liver with a mean absorbed dose of 310 ± 67 μGy/MBq for men and 421 ± 56 μGy/MBq for women, while the mean WB effective doses were 51.2 ± 3.0 and 61.8 ± 5.2 μSv/MBq for men and women, respectively. Conclusions To the best of our knowledge, this is the first report on biodistribution and radiation dosimetry of [64Cu]CuCl2 in healthy volunteers. Measured absorbed doses and effective doses are higher than previously reported doses estimated with biodistribution data from patients with prostate cancer, a difference that could be explained not just due to altered biodistribution in cancer patients compared to healthy volunteers but most likely due to the differences in the analysis technique and assumptions in the dose calculation.

Abstract Non-communicable diseases (NCDs) represent the primary cause of morbidity and mortality worldwide. Specific attention needs to be given in fragile and crisis-affected contexts, where health systems have even more difficulties in addressing and managing these diseases. Humanitarian actors intervening in crisis situations increasingly include NCD management in the services they support and provide. This review aims at presenting a series of questions that humanitarian agencies could consider when addressing NCDs in humanitarian crises. They include, among others, what conditions to address and for which target population, how to ensure continuity of care, which guidelines and medications to use, and what can be done beyond classical management of NCDs. Research and evidence are lacking on how to address care effectively for NCDs in emergencies. Therefore, advocacy is needed for NCD-oriented research so as to make interventions more effective and sustainable. No government or single agency can address NCDs in humanitarian crises alone. Strong leadership and partnerships between humanitarian actors, health providers, government bodies, research and academic institutions are required. Only a coordinated multi-disciplinary and multi-stakeholder approach will achieve the required impact for affected populations.

Additive manufacturing is becoming increasingly popular in academia and industry. Accordingly, there has been a growing interest in characterizing 3D printed samples to determine their structural integrity behaviour. We employ the Essential Work of Fracture (EWF) to investigate the mechanical response of polymer sheets obtained through additive manufacturing. Our goal is twofold; first, we aim at gaining insight into the role of fibre reinforcement on the fracture resistance of additively manufactured polymer sheets. Deeply double-edge notched tensile (DDEN-T) tests are conducted on four different polymers: Onyx, a crystalline, nylon-reinforced polymer, and three standard polymers used in additive manufacturing – PLA, PP and ABS. Results show that fibre-reinforcement translates into a notable increase in fracture resistance, with the fracture energy of Onyx being an order of magnitude higher than that reported for non-reinforced polymers. On the other hand, we propose the use of a miniature test specimen, the deeply double-edge notched small punch specimens (DDEN-SP), to characterize the mechanical response using a limited amount of material. The results obtained exhibit good alignment with the DDEN-T data, suggesting the suitability of the DDEN-SP test for measuring fracture properties of additively manufactured polymers in a cost-effective manner. Keywords: Essential Work of Fracture, Deeply double-edge notched tensile specimen, Small punch test, Fused deposition modelling, 3D printed polymer sheet

Algal biomass has recently attracted attention as a promising source for renewable energy production due to its capability to grow on non-arable land, and assist on carbon sequestration and wastewater remediation. Although algal biomass has the potential to be utilised as a feedstock for biorefinery, there have been no definite technological pathways adopted for algae processing and biofuels production. Thus, a technological screening framework using multi criteria decision making approach based on analytic hierarchy process (AHP) with feature scaling normalisation is proposed to select the optimum processing pathway for sustainable biofuels production of an algae-based biorefinery. The technological alternatives are evaluated by defining the main criteria of the system and assigning sub-criteria under each main criterion to analyse the impacts of each criterion on the biorefinery system. The main criteria considered in this study are economic viability, and environmental and safety impacts. The sub-criteria are evaluated using pairwise comparison matrices, whereby the inputs are the numerical data normalised using the feature scaling method. A case study is presented to illustrate the normalised AHP-based technological screening methodology.

We report the thickness dependence of the Dzyaloshinskii-Moriya interaction (DMI) and spin-orbit torques (SOTs) in Pt\Co(t)\AlOx, studied by current-induced domain wall (DW) motion and second-harmonic experiments. From the DW motion study, a monotonous decay of the effective DMI strength with increasing Co thickness is observed, in agreement with a DMI originating from the Pt\Co interface. The study of the ferromagnetic layer thickness dependence of spin-orbit torques reveals a more complex behavior. The observed thickness dependence suggests the spin-Hall effect in Pt as the main origin of the SOTs, with the measured SOT-fields amplitudes resulting from the interplay between the varying thickness and the transverse spin diffusion length in the Co layer.

The magnetization dynamics induced by current pulses in a pair of two “S-shaped” ferromagnetic elements, each one consisting on two oppositely tilted tapered spikes at the ends of a straight section, is theoretically studied by means of micromagnetic simulations. Our results indicate that the magnetization reversal is triggered by thermal activation, which assists the current-induced domain nucleation and the propagation of domain walls. The detailed analysis of the magnetization dynamics reveals that the magnetization switching is only achieved when a single domain wall is nucleated in the correct corner of the element. In agreement with recent experimental studies, the switching is purely dictated by the shape, being independent of the current polarity. The statistical study points out that successful switching is only achieved within a narrow range of the current pulse amplitudes.

The Valsequillo reservoir is a Ramsar wetland due to its importance as a point of convergence of migratory waterfowl. It is located in Central Mexico and is currently endangered by the constant spill of municipal and industrial discharges from Puebla city. On this context, we evaluated thirteen potential toxic metals (PTMs) in water, Water hyacinth (E. crassipes) plants and sediments at this site. A combined number of 31 samples were collected from the study area. The degree/extent of metal contamination in sediments was assessed through different geochemical indexes, namely: Geoaccumulation index (Igeo), Enrichment Factor (EF) and Potential Ecological Risk Index (PERI). The ability of Water hyacinth plants residues as a phytodepurator in the Ramsar site was tested in terms of the bioaccumulation factor (BF) and the translocation factor (TF). The results concerning sediments showed that Pb, Cu and Hg pose a threat to the aquatic environment since Igeo and EF indicate sediments ranging from moderately contaminated to contaminated. Moreover, PERI pointed out Hg as the main contributor to the ecological risk in sediments, especially in the part of the reservoir covered by E. crassipes. Water hyacinth plants displayed good capacity to absorb PTMs from the water, since the content of Co, Zn, As, Ni, Cu, Pb, Ti, Cr, Ba, Mo and V in the total plant was (all values in mg/kg of dry weight) 21 ± 9, 408 ± 300, 12 ± 6, 93 ± 21, 93 ± 69, 53 ± 29, 1067 ± 643, 78 ± 55, 362 ± 39, 14 ± 0.6 and 96 ± 35, respectively. Metal content in sediments resembles to that of E. crassipes; especially in the roots, suggesting a constant deposition of plants at the bottom of the reservoir, which contributes to the eutrophication of the water. The present work encourages the need for a sustainable management of Water hyacinth plants in the Ramsar site, since they represent a plague and a natural phyto-depurator at the same time.

This paper reports the isolation of Rhodotorula mucilaginosa from skin lesions in a Southern sea lion (Otaria flavescens). The microorganism was isolated from cutaneous lesions, identified by the commercial API 20 C AUX system, and confirmed by sequencing. Topical treatment with sertaconazol resulted in complete clinical recovery of the animal and repeat testing did not result in the recovery of the yeast from the healed lesion sites.

The viability of using the waste obtained in the manufacture of sugar from sugarcane for the production of biodiesel has been analyzed. Two fundamental stages are necessary to obtain biodiesel; the first stage is the extraction process from the waste oil materials and the second is the transesterification reaction. Four techniques, Soxhlet, orbital shaker extraction, ultrasonic-assisted extraction, and supercritical fluid extraction, have been analyzed. For Soxhlet, orbital shaker extraction, and ultrasonic-assisted extraction, the organic solvent (hexane) was maintained for all experiment. In supercritical fluid extraction two solvents were evaluated: pure CO2 and mixtures of CO2 and 5% (v : v) methanol. The reaction kinetics of the transesterification reaction with an acidic catalyst and a basic catalyst were analysed. The results show that the supercritical extraction process produces a better product for the subsequent transesterification reaction. This finding is attributed to the high selectivity of carbon dioxide in the recovery of fatty acids and triglycerides in comparison with other solvents.

The aim of this work is to present an efficient process using a reactive distillation column applied to biodiesel production. Reactive distillation is characterized by simultaneous implementation of reaction and separation within a single column. In this work, the biodiesel production from soybean oil with ethanol in presence of sodium hydroxide as catalyst was studied in a tray column. The experimental design applied was a full 22 factorial design with three central points. Two independent variables in twolevels were selected for this study: substrate molar ratio (ethanol:soybean oil) and catalyst concentration and one variable dependent was considered, the response selected was the ethyl ester conversion. The process simulation was performed using the commercial simulator Aspen Plus® 7.2. The simulation results showed a good agreement with experimental results and it can be seen that conversions above 99.84 % of ethyl esters could be achieved.

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Cuprophane membranes during haemodialysis significantly increase the plasma levels of C5adesArg (maximal 55 μg C5aadesArg/1 blood after 30 min) whereas Hemophane or Polysulphonemembranes induce only low plasma levels of C5adesArg. C5adesArg generated in vitro by yeast incubation of autologous plasma stimulates PMN chemotaxis and oxidative metabolism but has no effect on enzyme release. Preincubation of whole blood with C5adesArg causes aggregation and changed oxidative burst activity of the isolated PMN. These changes are similar to those found in cells from patients after haemodialysis with cuprophane membranes. So the elevated plasma levels of C5adesArg after haemodialysis explain some of the changes in PMN functions, but additional mechanisms have to be assumed.

In this work we present a mathematical model for the bioreporter activity of an E. coli based bioluminescent bioreporter. This bioreporter is based on a genetically modified E. coli which harbors the recA promoter, a member of the bacterial SOS response, fused to the bacterial luminescence (lux) genes. This bioreporter responds to the presence of DNA damaging agents such as heavy metals, H2O2 and Nalidixic Acid (NA) that activate the SOS response. In our mathematical model we implemented basic physiological mechanisms such as: the penetration of the NA into the biosensor; gyrase enzyme inhibition by the NA; gyrase level regulation; creation of chromosomal DNA damage; DNA repair and release of ssDNA into the cytoplasm; SOS induction and chromosomal DNA repair; activation of lux genes by the fused recA promoter carried on a plasmidal DNA; transcription and translation of the luminescence responsible enzymes; luminescence cycle; energy molecules level regulation and the regulation of the O2 consumption. The mathematical model was defined using a set of ordinary differential equations (ODE) and solved numerically. We simulated the system for different concentrations of NA in water for specific biosensors concentration, and under limited O2 conditions. The simulated results were compared to experimental data and satisfactory matching was obtained. This manuscript presents a proof of concept showing that real biosensors can be modeled and simulated. This sets the ground to the next stage of implementing a comprehensive physiological model using experimentally extracted parameters. Following the completion of the next stage, it will be possible to construct a “Computer Aided Design” tool for the simulation of the genetically engineered biosensors. We define a term “bioCAD” for a Biological System Computer Aided Design. The specific bioCAD that is described here is aimed towards whole cell biosensors which are under investigation today for functional sensing. Usage of the bioCAD will improve the biosensors design process and boost their performance. It will also reduce Non Recurring Engineering (NRE) cost and time. Finally, using a parameterized solution will allow fair and quick evaluation of whole cell biosensors for various applications.

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The Zika virus (ZIKV) epidemic in Brazil occurred in regions where dengue viruses (DENV) are historically endemic. We investigated the differences in adverse pregnancy/infant outcomes in two cohorts comprising 114 pregnant women with PCR-confirmed ZIKV infection in Rio de Janeiro, Southeastern Brazil (n = 50) and Manaus, in the north region of the country (n = 64). Prior exposure to DENV was evaluated through plaque reduction neutralizing antibody assays (PRNT 80) and DENV IgG serologies. Potential associations between pregnancy outcomes and Zika attack rates in the two cities were explored. Overall, 31 women (27%) had adverse pregnancy/infant outcomes, 27 in Rio (54%) and 4 in Manaus (6%), p < 0.001. This included 4 pregnancy losses (13%) and 27 infants with abnormalities at birth (24%). A total of 93 women (82%) had evidence of prior DENV exposure, 45 in Rio (90%) and 48 in Manaus (75%). Zika attack rates differed; the rate in Rio was 10.28 cases/10,000 and in Manaus, 0.6 cases/10,000, p < 0.001. Only Zika attack rates (Odds Ratio: 17.6, 95% Confidence Interval 5.6-55.9, p < 0.001) and infection in the first trimester of pregnancy (OR: 4.26, 95% CI 1.4-12.9, p = 0.011) were associated with adverse pregnancy and infant outcomes. Pre-existing immunity to DENV was not associated with outcomes (normal or abnormal) in patients with ZIKV infection during pregnancy.