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Agda Marobo Andreotti, Marcelo Coelho Goiato, Amália Moreno, Adhara Smith Nobrega, Aldiéris Alves Pesqueira, Daniela Micheline dos Santos Araçatuba Dental School, São Paulo State University, Araçatuba, São Paulo, Brazil Abstract: The aim of this study was to assess the effect of adding nanoparticles to N1 acrylic resin intended for artificial sclera, in terms of the color stability, microhardness, and flexural strength of the resin. Three hundred samples of N1 acrylic resin were used: 100 samples for color stability and microhardness tests (each test was performed on the opposite side of each sample), and 200 samples for flexural strength testing (100 samples before and after 1,008 hours of accelerated aging). Samples for each test were separated into ten groups (n=10), ie, without nanoparticles (control group) or with nanoparticles of zinc oxide, titanium dioxide (TiO2), and barium sulfate at weight concentrations of 1%, 2%, and 2.5% (nanoparticle groups). Data were subjected to statistical analysis with nested analysis of variance and Tukey’s test (P

Abstract Enhancing the supercapacitors’ performance relies on the increased capacitance and voltage window, which are the current key challenges for developing new materials. In this study, the mononuclear NiII‐bis(oxamato) complex ([nBu4N]2[Ni(opba)], 1) has been synthesized and used as a template in polypyrrole (PPy) based conductive polymer as a novel electrode material for supercapacitor applications. The surface and structural properties of PPy and PPy/1 electrodes were studied using SEM and TEM to elucidate their interactions. The results of characterization techniques revealed that complex 1 altered the morphology, creating a prominent three‐dimensional globular structure in the PPy/1 hybrid material without significant chemical modification. The electrochemical properties of PPy and PPy/1 were investigated by CV, EIS, and GCD analyses. The PPy/1 electrode demonstrated intense pseudocapacitive behavior, showing a significantly widened potential window and increased current compared to the PPy electrode, resulting in enhanced energy storage capacity within the material. This improvement was evaluated by testing a symmetric supercapacitor in a coin cell architecture with an alginate‐based gel acting as both electrolyte and separator. The maximum specific cell capacitance reached 41.6 F g−1 at a current density of 0.2 A g−1, with a remarkable capacity retention of 97 % after 1000 galvanostatic charge/discharge cycles.

# Background Patients with chronic lung disease (CLD), such as asthma or chronic obstructive pulmonary disease, were expected to have an increased risk of clinical manifestations and severity of COVID-19. However, these comorbidities have been reported less frequently than expected. Chronic treatment with inhaled corticosteroids (ICS) may impact the clinical course of COVID-19. The main objective of this study is to know the influence of chronic treatment with ICS on the prognosis of COVID-19 hospitalized patients with CLD. # Methods A multicenter retrospective cohort study was designed, including patients hospitalized with COVID-19. Epidemiological and clinical data were collected at admission and at seven days, and clinical outcomes were collected. Patients with CLD with and without chronic treatment with ICS were compared. # Results Two thousand five hundred ninety-eight patients were included, of which 1,171 patients had a diagnosis of asthma and 1,427 of COPD (53.37% and 41.41% with ICS, respectively). No differences were found in mortality, transfer to ICU, or development of moderate-severe ARDS. Patients with chronic ICS had a longer hospital stay in both asthma and COPD patients (9 vs. 8 days, *p =* 0.031 in asthma patients), (11 vs. 9 days, *p =* 0.018 in COPD patients); although they also had more comorbidity burden. # Conclusions Patients with chronic inhaled corticosteroids had longer hospital stays and more chronic comorbidities, measured by the Charlson comorbidity index, but they did not have more severe disease at admission, evaluated with qSOFA and PSI scores. Chronic treatment with inhaled corticosteroids had no influence on the prognosis of patients with chronic lung disease and COVID-19.

Computer vision has advanced much in recent years. Several tasks, such as image recognition, classification, or image restoration, are regularly solved with applications using artificial intelligence techniques. Image restoration comprises different use cases such as style transferring, improvement of quality resolution, or completing missing parts. The latter is also known as image inpainting, virtual image inpainting in this case, which consists of reconstructing missing regions or elements. This paper explores how to evaluate the performance of a deep learning method to do virtual image inpainting to reconstruct missing architectonical elements in images of ruined Greek temples to measure the performance of different activation functions. Unlike a previous study related to this work, a direct reconstruction process without segmented images was used. Then, two evaluation methods are presented: the objective one (mathematical metrics) and an expert (visual perception) evaluation to measure the performance of the different approaches. Results conclude that ReLU outperforms other activation functions, while Mish and Leaky ReLU perform poorly, and Swish’s professional evaluations highlight a gap between mathematical metrics and human visual perception.

Urbanization transforms environments in ways that alter biological evolution. We examined whether urban environmental change drives parallel evolution by sampling 110,019 white clover plants from 6169 populations in 160 cities globally. Plants were assayed for a Mendelian antiherbivore defense that also affects tolerance to abiotic stressors. Urban-rural gradients were associated with the evolution of clines in defense in 47% of cities throughout the world. Variation in the strength of clines was explained by environmental changes in drought stress and vegetation cover that varied among cities. Sequencing 2074 genomes from 26 cities revealed that the evolution of urban-rural clines was best explained by adaptive evolution, but the degree of parallel adaptation varied among cities. Our results demonstrate that urbanization leads to adaptation at a global scale.

Background Epilepsy is the most common major neurological disorder that affects people of all ages. The prevalence varies from one country to another and even between different areas, due to a lack of access to medical care for reasons related to limited resources. Objective Epilepsy is a worldwide public health problem that affects more deeply populations living in developing countries such as Mexico, where more aggressive health policies based on epidemiological data are needed; however, this information is scarce and the evolution of this data over time remains unclear. The aim of the present study is to provide an overview of the epidemiology of epilepsy in Mexico from 1970 to 2020. Methods We searched descriptive epidemiological studies on epilepsy in rural and urban regions of Mexico from 1970 to 2020. Available data on the sociodemographic characteristics, prevalence, and incidence data were extracted. Finally, the abstract, full-text review, and data abstraction were conducted in duplicate and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Descriptive statistics was also used. Results Overall, 11 underrepresented and heterogeneous epidemiological studies were included. In total, the prevalence of epilepsy in Mexico is 3.9 to 41:1,000 inhabitants; 3.9 to 41 per 1,000 persons in rural regions, and 3.49 to 44.3 per 1,000 persons in urban regions. None of these studies addressed the incidence of epilepsy. The prevalence of epilepsy in Mexico has remained unchanged during the last 5 decades. Conclusions Our results confirm a high prevalence of epilepsy in both urban and rural settings in Mexico that remain unchanged during the last 5 decades. All studies included in the present review showed multiple methodological limitations. New and robust epidemiological studies are needed to delineate the epidemiological profile of epilepsy in Mexico.

Background: Inland sand dunes are expanding and increasing mobility. Knowledge on the plants growing on them is keystone for their management. One of the largest inland dune systems in Mexico is the Médanos de Samalayuca area. Questions: How many and which species of vascular plants are in Samalayuca? Which is the distribution pattern of that flora? Are there endemisms? Are there species of conservation concern? Studied species: Vascular plants. Study site and dates: Médanos de Samalayuca protected area, northern Chihuahua, Mexico; 2017-2022. Methods: A database was generated based on literature, electronic sources, herbarium specimens, photographing, and collection and identification of materials. Distribution, endemism level and conservation status were recorded. Results: The updated checklist of vascular plants for Samalayuca includes 400 species of 246 genera and 65 families. Most species grow in Mixed desert scrub and in Sand dune vegetation. Almost a half are restricted to the Megamexico 1 region, followed by the North American element. One species is Threatened according to the Mexican Official Norm NOM-059, while two are Vulnerable and one is Almost threatened according to the IUCN. Ribes fontinale appears to be extinct. Conclusions: Considering the arid, extreme climate and the low stability of the psammophilous vegetation, the flora of Samalayuca is richer than expected. The area is home to regional and local endemics. The data and information generated here is baseline for further management programs and action planning to protect these fragile ecosystems and the adjacent communities.

Abstract The objective of this work was to evaluate the effects of 26 days of waterlogging, compared with field capacity, on different traits of the forage plants 'Finecut' Chloris gayana, 'Klein Verde' Panicum coloratum, and 'Shawnee' Panicum virgatum, grown in alkaline-sodic soil. Shoot and root dry mass, leaf greenness index, electrolyte leakage, and root histology were evaluated. The histological analysis was performed along the mid-portion of adventitious roots with a 2.0 mm diameter. Waterlogging inhibited the growth of P. coloratum, in addition to decreasing the leaf greenness index and causing injuries in the cell membrane of C. gayana and P. coloratum. At field capacity, only C. gayana and P. coloratum had aerenchyma; however, waterlogging induced the development and increased the area of the aerenchyma in P. virgatum and C. gayana, respectively. Waterlogging also thickened the exodermis and endodermis of all three genotypes, inducing a greater number of exodermis cell rows and a thicker internal tangential cell wall of the endodermis in C. gayana and P. virgatum. Although P. coloratum growth is more sensitive to waterlogging, there are radial oxygen loss barriers in the roots of the three evaluated genotypes.

Abstract Background We evaluated the influence of chemical disinfection and accelerated aging on the dimensional stability and detail reproduction of a silicone elastomer containing one of two opacifiers. Methods A total of 90 samples were fabricated from Silastic MDX 4-4210 silicone and divided into groups (n = 10) according to opacifier content (barium sulfate or titanium dioxide) and disinfectant solution (neutral soap, Efferdent, or 4% chlorhexidine). The specimens were disinfected 3 times per week during 60 days and then subjected to accelerated aging for 1008 hours. Dimensional stability and detail reproduction tests were performed after specimens' fabrication (baseline), chemical disinfection and periodically during accelerated aging (252, 504, and 1008 hours). The results were analyzed using 3-way repeated-measures ANOVA and the Tukey HSD test (α = 0.05). Results All groups exhibited dimensional changes over time. The opacifier (p = .314), period (p < .0001) and their interactions (p = .0041) affected the dimensional stability of the silicone. Statistical significant dimensional differences occurred between groups with (0.071) and without opacifiers (0.053). Accelerated aging influenced the dimensional stability of the samples. All groups scored 2 in the detail reproduction tests, which represents the fully reproducing of three test grooves with accurate angles. Conclusions Incorporation of opacifiers alters the dimensional stability of silicones used in facial prosthetics, but seems to have no influence on detail reproduction. Accelerated aging is responsible for most of the dimensional changes in Silastic MDX4 4210, but all dimensional changes measured in this study remained within the limits of stability necessary for this application.

Background: This study aimed to validate the role of the D-dimer to lymphocyte ratio (DLR) for mortality prediction in a large national cohort of hospitalized coronavirus disease 2019 (COVID-19) patients. Methods: A retrospective, multicenter, observational study that included hospitalized patients due to SARS-CoV-2 infection in Spain was conducted from March 2020 to March 2022. All biomarkers and laboratory indices analyzed were measured once at admission. Results: A total of 10,575 COVID-19 patients were included in this study. The mean age of participants was 66.9 (±16) years, and 58.6% (6202 patients) of them were male. The overall mortality rate was 16.3% (n = 1726 patients). Intensive care unit admission was needed in 10.5% (n = 1106 patients), non-invasive mechanical ventilation was required in 8.8% (n = 923 patients), and orotracheal intubation was required in 7.5% (789 patients). DLR presented a c-statistic of 0.69 (95% CI, 0.68–0.71) for in-hospital mortality with an optimal cut-off above 1. Multivariate analysis showed an independent association for in-hospital mortality for DLR > 1 (adjusted OR 2.09, 95% CI 1.09–4.04; p = 0.03); in the same way, survival analysis showed a higher mortality risk for DLR > 1 (HR 2.24; 95% CI 2.03–2.47; p < 0.01). Further, no other laboratory indices showed an independent association for mortality in multivariate analysis. Conclusions: This study confirmed the usefulness of DLR as a prognostic biomarker for mortality associated with SARS-CoV-2 infection, being an accessible, cost-effective, and easy-to-use biomarker in daily clinical practice.

Introdução: A Leishmaniose Visceral é uma das maiores endemias do mundo, estimando cerca de 200 a 400 mil novos casos anualmente, uma das zoonoses mais frequentes no Brasil. Mais conhecida por calazar, tal doença apresenta um alto poder de letalidade quando não tratada, chegando a apresentar dados superiores a 90%. Sabe-se que a principal forma de transmissão para o homem e outros hospedeiros mamíferos é a picada de fêmeas de dípteros da família Psychodidae subfamília Phebotominae. Constata-se que atualmente essa infecção é um importante problema de saúde pública no Nordeste com uma incidência de 2,17 em 2020, a maior em comparação com outras regiões do Brasil. A Bahia tem destaque no número de casos confirmados. Objetivo: Este estudo tem por objetivo descrever a incidência e letalidade dos casos de Leishmaniose Visceral na Bahia. Métodos: O estudo foi realizado utilizando dados agregados do tipo série temporal e ecológico, no qual a população avaliada compreende todos os casos notificados e/ou confirmados desta parasitose no estado da Bahia, registrados no Sistema Nacional de Agravos de Notificação (SINAN) no período de 2007 a 2020. Resultados: Durante o período de estudos houveram 4.299 casos de leishmaniose, com um total de 253 óbitos, representando um valor de 5.89% no coeficiente de letalidade. No cálculo de incidência da Bahia, houve um aumento de 1,64 por 100 mil habitantes em 2007 para 2,55 por 100 mil habitantes em 2015, com destaque para 2014 com 3,47 por 100 mil habitantes. Tendo uma queda em 2016 para 1,57 por 100 mil habitantes, um aumento em 2017 para 2,14 por 100 mil habitantes e a menor incidência dos anos estudados foi em 2020 com 1,29 por 100 mil habitantes. Além disso, houve uma maior incidência na Microrregião de Irecê, com 7,84 por 100 mil habitantes em 2015, e Guanambi com 5,56 por 100 mil habitantes. Conclusão: A letalidade por Leishmaniose Visceral não demonstrou grandes alterações durante esse período de estudo. Irecê é a microrregião com maior número de casos, porém Ribeira do Pombal possui maior destaque acerca da letalidade mesmo evidenciando baixa incidência sugerindo assim, maior número de casos letais. Evidenciando, então, que essa doença apresenta-se como um problema de saúde pública principalmente nesse território, logo, para a fim de diminuir a incidência dos casos é necessário controlar a proliferação do inseto vetor e evitar que ele pique as pessoas.

Background: Plant domestication is a continuous, multidirectional process that is directed via plant selection and management. In the current study we use Piper auritum, an aromatic plant frequently used in Mexican cuisine and for medicinal purpose, to characterize the domestication level using information about its cultural relevance, management practices and leaf traits differentiation in managed and ruderal populations. Questions: What is the level of domestication of the aromatic plant Piper auritum? Are there any morphological or phytochemical differences between home garden and ruderal populations? Studied species: Piper auritum, Kunth Study site and dates: Ten communities in eastern Yucatan, México, from 2019 to 2021. Methods: Fifty-three Semi-structured interviews were applied (72 % women and 28 % men). Morphological and phytochemical leaf traits were measured to test management effects using home garden and ruderal populations. Results: People interviewed knew P. auritum and its uses. Five culinary and 12 medicinal uses were registered. P. auritum is grown in homegardens and the main management activity is irrigation. The selection occurs at the leaf level according to their size and resistance. Home garden plants registered greater foliar area and hardness and decreased safrole, compared to ruderal. Conclusions: Piper auritum is widely known in the communities and has a variety of culinary and medicinal uses. Management is vital for its survival in home gardens, but the species germinates spontaneously and is not usually planted. We found differences in leaf traits in managed and unmanaged populations. With this evidence we propose that P. auritumis under incipient domestication.