Sole Stenting Versus Stent-Assisted Coiling For Treating Dissecting Posterior Circulation Aneurysms: A Systematic Review And Meta-Analysis.

BACKGROUND: Among the reconstructive methods for treating dissecting posterior circulation aneurysms (DPCAs), there are stent-assisted coiling (SAC), and sole stenting (SS) therapy. Despite SAC being widely employed when compared to SS, no study systematically analyzed the difference in their outcomes. METHODS: The authors conducted a meta-analysis of studies employing both therapies to compare their outcomes. A search was performed in January 2024, including only studies with consecutive patients submitted to SS or SAC. The studies had to have at least one of the following outcomes: complete aneurysm occlusion, complications, mortality, aneurysm recurrence, retreatment, and good clinical outcome. Odds Ratio (OR) with 95% confidence interval (CI) were utilized for statistics. RESULTS: In a pooled analysis of 17 studies, comparing 173 SS and 377 SAC procedures for DPCAs, no significant differences were found in related mortality (OR 1.44; 95% CI 0.49-4.27); total mortality (OR 1.33; 95% CI 0.53-3.37); retreatment (OR 0.45; 95% CI 0.16-1.26); recurrence (OR 1.00; 95% CI 0.43-2.33); postoperative complete aneurysmal occlusion (OR 0.79; 95% CI 0.09-6.77); follow-up complete aneurysmal occlusion (OR 1.57; 95% CI 0.62-3.94); intraoperative complications (OR 1.04; 95% CI 0.29-3.73); postoperative complications (OR 1.22; 95% CI 0.61-2.45); hemorrhagic complications (OR 2.16; 95% CI 0.77-6.06); ischemic complications (OR 1.68; 95% CI 0.68-4.15). Good clinical outcomes significantly favored SAC (OR 0.45; 95% CI 0.23-0.86). CONCLUSION: The findings suggest there is no substantial basis for favoring SAC over SS across all cases. Instead, an individualized approach should be considered, according to the patient's characteristics, surgeon skills, and the available material.

Weak association between urea-creatinine ratio and c-reactive protein with nutritional risk in hospitalized patients with COVID-19: A cross-sectional study.

BACKGROUND: COVID-19 is a systemic infection with a significant impact on nutrition risk and the hematopoietic system. The neutrophil-lymphocyte ratio (NLR) may have prognostic value in determining severe cases of COVID-19 and the urea-creatinine ratio (UCR) is currently being studied as a potential biomarker of catabolism associated with critical illness. The aim was to assess the association between the NLR, UCR and C-reactive protein (CRP) with nutritional risk in hospitalized patients with COVID-19. METHODS: This is a retrospective cross-sectional study that assessed 589 hospitalized patients with COVID-19, 18 years of age or older, of both sexes. Nutritional risk was assessed by Nutritional Risk Screening (NRS, 2002) and NLR by neutrophils divided by lymphocyte count. The UCR was calculated by the ratio between urea and creatinine and quantified by the calorimetric biochemical method and CRP by the immunoturbidimetric method. Differences between groups were applied by the Mann-Whitney U test and the automated binary regression test. RESULTS: Of the 589 patients, 87.4% were at nutritional risk. When evaluating patients admitted to the ICU, 91.9% were at nutritional risk. Patients with NRS ≥3 are older, with lower body mass and BMI, higher NLR and UCR and lower CRP values. However, 73% of patients admitted to the ward were at nutritional risk, and only age differed between groups, being higher in patients with NRS ≥3. Logistic regression showed a weak association between nutritional risk in NRS and UCR (Model 1) (OR = 0.96, 95%CI: 0.94-0.99, p = 0.003) and NRS with CRP (Model 1) (OR = 1.01, 95%CI: 1.00-1.02, p < 0.001) in patients in the ICU. On the other hand, the logistic regression in ward patients found association only for CRP in both models (Model 1, OR = 1.01, 95%CI: 1.00-1.01, p = 0.041) and (Model 2, OR = 1.01, 95%CI: 1.00-1.01, p = 0.031). CONCLUSION: We found a weak association between nutritional risk and UCR and CRP levels in patients admitted to the ICU, while in the ward patients the nutritional risk also had weak association with CRP.

Association of Calf Circumference with Clinical and Biochemical Markers in Older Adults with COVID-19 Admitted at Intensive Care Unit: A Retrospective Cross-Sectional Study.

BACKGROUND: COVID-19 is an infectious disease characterized by a severe catabolic and inflammatory state, leading to loss of muscle mass. The assessment of muscle mass can be useful to identify nutritional risk and assist in early management, especially in older adults who have high nutritional risks. The aim of this study was to evaluate the association of calf circumference (CC) with clinical and biochemical markers and mortality in older adults with COVID-19 admitted to the intensive care unit (ICU). METHODS: A retrospective cross-sectional study was conducted in a public hospital. CC was adjusted for body mass index (BMI), reducing 3, 7, or 12 cm for a BMI of 25-29.9, 30-39.9, and ≥40 kg/m2, respectively, and classified as reduced when <33 cm for women and <34 cm for men. Pearson's correlation between BMI and CC was performed to assess the association between variables. Regression analysis was adjusted for sex, age, and BMI variables. Cox regression was used to assess survival related to CC. RESULTS: A total of 208 older adults diagnosed with COVID-19 admitted to ICU were included, of which 84% (n = 176) were classified as having reduced CC. These patients were older, with lower BMI, higher nutritional risk, malnourished, and higher concentration of urea and urea-creatinine ratio (UCR) compared with the group with normal CC. There was an association between edematous patients at nutritional risk and malnourished with reduced CC in the Cox regression, either adjusted or not for confounding. CONCLUSIONS: CC was not associated with severity, biochemical markers, or mortality in older adults with COVID-19 admitted to the ICU, but it was associated with moderately malnourished patients assessed by subjective global assessment (SGA).

Toxicity of REEs, Th, and U: A Biodisponibility, Cytotoxicity, and Bioaccumulation Assessment in Marine Sediment.

In this work, bioaccessibility tests for rare earth elements (REEs), Th, and U in marine sediment were carried out, in addition to complementary tests for cytotoxicity and bioaccumulation for the elements La, Ce, Eu, and Gd. The evaluation of human health risk through dermal absorption and oral ingestion was performed using the hazard quotient (HQ). According to the gastric digestion simulation (SBET), it was observed that the elements Ce and Nd exhibited higher absorption capacities in the human body (> 2 µg g-1). La and Sc presented intermediate concentrations (close to 1 µg g-1), while the remaining elements displayed concentrations below 0.5 µg g-1. In the gastrointestinal digestion extraction stage (PBET), all the elements maintained a similar absorption capacity to that observed in SBET, except for the absorption of Y which increased. The results of the bioaccumulation test conducted with fibroblast cells (L929) indicated that La and Eu had a 25% probability of intracellular accumulation. The cell viability test, with exposure to a standard REEs, Th, and U solution in 2% v v-1 HNO3 medium (until 100 µg mL-1) and an aqueous solution of La2O3, Gd(NO3)3, Ce(NO3)3, and Eu2O3 (until 1000 µg mL-1), did not demonstrate cytotoxic effects on fibroblast cells. Considering the ingestion hazard quotient (HQing) and dermal hazard quotient (HQderm) obtained, it was suggested that there is no significant risk of non-carcinogenic effects (< 1). However, they had higher HQing values compared to HQderm, indicating that REEs pose more significant risk to human health through oral ingestion absorption than dermal absorption.

Association of Musculoskeletal Pain With Sedentary Behavior in Public School Teachers: The Role of Habitual Physical Activity.

BACKGROUND: Sedentary behavior has been associated with musculoskeletal pain in school teachers. However, our hypothesis is that physical activity practice could mitigate this association. AIM: The aim of this study was to investigate the relationship of musculoskeletal pain with high screen-based sedentary behavior among public school teachers and whether physical activity could mitigate this relationship. METHOD: A sample of 246 teachers from 13 public schools were assessed (45.0 ± 10.4 years, 76.0% of women). Musculoskeletal pain was assessed using the Nordic Musculoskeletal Questionnaire, screen-based sedentary behavior was measured considering the sum of screen time in television, computer, and smartphone/tablet, and physical activity using the Baecke habitual physical activity questionnaire. Binary logistic regression was used to verify the associations between high screen-based sedentary behavior and musculoskeletal pain in school teachers (Model 1-unadjusted; Model 2-adjusted by age, sex, and socioeconomic status; Model 3-variables of Model 2 + adjusted by physical activity). RESULTS: High screen-based sedentary behavior was associated with pain in neck (odds ratio = 2.09; 95%confidence interval = 1.08-4.04), upper back (odds ratio = 2.21; 95%confidence interval = 1.07-4.56), and low back (odds ratio = 1.91; 95%confidence interval = 1.00-3.65). However, after inserting the variables, including physical activity, these associations were mitigated. CONCLUSIONS: High screen-based sedentary behavior was associated with musculoskeletal pain in public school teachers. However, this relationship was mitigated after the inclusion of confounding variables, including physical activity.

Unsupervised pattern-recognition and radiological risk assessment applied to the evaluation of behavior of rare earth elements, Th, and U in monazite sand.

The Brazilian coast is rich in monazite which is found in beach sand deposits. In this study, the composition of the monazite sands from beaches of State of Espírito Santo, Brazil, was investigated. The concentrations of rare earth elements (REEs), Th, and U were determined by inductively coupled plasma mass spectrometry (ICP-MS). In the studied region, the mean concentration of investigated elements increased in the following order: Tm < Yb < Ho < Lu < Eu < Er < Tb < Dy < U < Y < Th < Gd < Sm < Pr < Nd < La < Ce. The sampling sites were classified into three clusters and discriminated by the concentrations of REEs, Th, and U found. In general, the radiological risk indices were higher than the established limits, and the risk of developing cancer was estimated to be higher than the world average.

Characterization of physicochemical markers for homeopathic medicines and biological supernatant samples

Solvatochromic dyes are probes to detect variations on the dipole moment of solvents after the insertion of homeopathic potencies. Recent studies have shown they can be useful tools in laboratory and field studies to detect the activity of homeopathic remedies.Objective: Determine whether solvatochromic dyes can be a diagnostic tool for cells infected by different agents and/or markers to identify the activity of homeopathic medicines. Methods: Ethilicum1cH, Siliceaterra6, 30, 200cH; Zincummetallicum6, 30, 200cH and Phosphorus6, 30 and 200cH were analyzed by pouring the samples (in a 1:60 rate) into a series of seven dyes (rhodamine, ET 33, ET 30, coumarin 7, NN DMIA, Nile red, methylene violet) diluted in absolute ethanol using pre-established working concentrations. Oscillations of dye absorbance were observed at visible light spectrophotometry according to the remedy and potency. Water and succussed water were used as controls. In a second moment, the absorbance profile of the remedies will be compared with those of biological samples (supernatants) and checked with the biological effect previously obtained from each treatment.Supernatants of RAW 264.7 macrophages stimulated by Calmette-Guérin bacilli (BCG) or infected with Encephalitozoon cuniculiwill be analyzed. Results: Preliminary results have shown that Siliceaterra6cH, Phosphorus30 and 200cH and Zincummetallicum6, 30 and 200cH reduced the absorbance of methylene violet (p=0.01). Repetitions and analysis of supernatants are expected to be performed in the next steps of the study. Future perspectives: Establish a pattern of reactivity of the studied medicines with different dyes and the putative relation with the corresponding supernatants, as an attempt to obtain a "physicochemical signature" for each kind of infection and/or treatment.

Risk or benefit? Side effects of caffeine supplementation in sport: a systematic review.

PURPOSE: The aim of this study was to systematically review evidence on the prevalence and magnitude of side effects associated with caffeine supplementation in athletes. METHODS: Systematic searches through the PubMed, VHL, Scopus, and Web of Science databases were conducted according to the PRISMA guidelines. Peer-reviewed articles written in English that reported the prevalence/percentage or magnitude/effect size of side effects after caffeine supplementation in athletes in a sports context were included. Studies were grouped by the dose of caffeine administered as follows: low = ≤ 3.0 mg/kg; moderate = from 3.1 to 6.0 mg/kg; high = ≥ 6.1 mg/kg. The magnitude of the side effects was calculated with effect sizes. RESULTS: The search retrieved 25 studies that met the inclusion/exclusion criteria with a pooled sample of 421 participants. The supplementation with caffeine produced a higher prevalence or magnitude of all side effects under investigation when compared to placebo/control situations. The prevalence (magnitude) was between 6 and 34% (ES between 0.13 and 1.11) for low doses of caffeine, between 0 and 34% (ES between -0.13 and 1.20) for moderate doses of caffeine, and between 8 and 83% (ES between 0.04 and 1.52) with high doses of caffeine. The presence of tachycardia/heart palpitations and the negative effects on sleep onset had the highest prevalence and magnitude, in athletes using supplementation with caffeine. CONCLUSION: In summary, caffeine supplementation in the doses habitually used to enhance physical performance produces several side effects, both after exercise and at least 24 h after the ingestion. However, the prevalence and magnitude of side effects with high doses of caffeine were habitually higher than with low doses of caffeine. From a practical perspective, using ~3.0 mg/kg of caffeine may be the dose of choice to obtain the ergogenic benefits of caffeine with the lowest prevalence and magnitude of side effects.

CNN architecture optimization using bio-inspired algorithms for breast cancer detection in infrared images.

The early detection of breast cancer is a vital factor when it comes to improving cure and recovery rates in patients. Among such early detection factors, one finds thermography, an imaging technique that demonstrates good potential as an early detection method. Convolutional neural networks (CNNs) are widely used in image classification tasks, but finding good hyperparameters and architectures for these is not a simple task. In this study, we use two bio-inspired optimization techniques, genetic algorithm and particle swarm optimization to find good hyperparameters and architectures for the fully connected layers of three state of the art CNNs: VGG-16, ResNet-50 and DenseNet-201. Through use of optimization techniques, we obtained F1-score results above 0.90 for all three networks, an improvement from 0.66 of the F1-score to 0.92 of the F1-score for the VGG-16. Moreover, we were also able to improve the ResNet-50 from 0.83 of the F1-score to 0.90 of the F1-score for the test data, when compared to previously published studies.

The influence of beach geology and morphodynamics on chemical pollution assessments following a mining accident.

In the present study the distribution of chemical elements in beaches adjacent to the Doce River mouth hit by the tailings mud from a mining accident were assessed. Sedimentological and morphological coastal aspects were also considered. The results indicate that wave-exposed delta plain beaches exhibit high resiliency, despite their proximity to potential pollution sources. On the other hand, shore platform beaches tend to accumulate chemical elements, mainly due to limited cross-shore sediment exchanges. Arsenic concentrations in the evaluated shore platform beaches were significantly higher than the delta plain beach. Shore platform beaches are more susceptible to frequent flooding and to higher elemental concentrations at the berm and beach face. Thus, the morphological characteristics of the assessed shore platform beaches, and input from the mud plume must be considered in a joint assessment strategy in order to obtain a broad understanding of the actual scenario regarding beach contamination.

A Review on Atmospheric Analysis Focusing on Public Health, Environmental Legislation and Chemical Characterization.

Atmospheric pollution has been considered one of the most important topics in environmental science once it can be related to the incidence of respiratory diseases, climate change, and others. Knowing the composition of this complex and variable mixture of gases and particulate matter is crucial to understand the damages it causes, help establish limit levels, reduce emissions, and mitigate risks. In this work, the current scenario of the legislation and guideline values for indoor and outdoor atmospheric parameters will be reviewed, focusing on the inorganic and organic compositions of particulate matter and on biomonitoring. Considering the concentration level of the contaminants in air and the physical aspects (meteorological conditions) involved in the dispersion of these contaminants, different approaches for air sampling and analysis have been developed in recent years. Finally, this review presents the importance of data analysis, whose main objective is to transform analytical results into reliable information about the significance of anthropic activities in air pollution and its possible sources. This information is a useful tool to help the government implement actions against atmospheric air pollution.

Aircraft Fuselage Corrosion Detection Using Artificial Intelligence.

Corrosion identification and repair is a vital task in aircraft maintenance to ensure continued structural integrity. Regarding fuselage lap joints, typically, visual inspections are followed by non-destructive methodologies, which are time-consuming. The visual inspection of large areas suffers not only from subjectivity but also from the variable probability of corrosion detection, which is aggravated by the multiple layers used in fuselage construction. In this paper, we propose a methodology for automatic image-based corrosion detection of aircraft structures using deep neural networks. For machine learning, we use a dataset that consists of D-Sight Aircraft Inspection System (DAIS) images from different lap joints of Boeing and Airbus aircrafts. We also employ transfer learning to overcome the shortage of aircraft corrosion images. With precision of over 93%, we demonstrate that our approach detects corrosion with a precision comparable to that of trained operators, aiding to reduce the uncertainties related to operator fatigue or inadequate training. Our results indicate that our methodology can support specialists and engineers in corrosion monitoring in the aerospace industry, potentially contributing to the automation of condition-based maintenance protocols.

An evaluation of machine learning methods for speed-bump detection on a GoPro dataset.

Every day, new applications arise relying on the use of high-resolution road maps in both academic and industrial environments. Autonomous vehicles rely on digital maps to navigate when optical sensors cannot be trusted, such as heavy rainfalls, snowy conditions, fog, and other situations. These situations increase the risks of accidents and disable the potentials of real-time mapping sensors. To tackle those problems, we present a methodology to automatically map anomalies on the road, namely speed bumps in this study, using an off-the-shelf camera (GoPro) and Machine Learning (ML) algorithms. We acquired data over a series of differently shaped speed bumps and applied three classification techniques: Naive Bayes, Multi-Layer Perceptron, and Random Forest (RF). With over 96% of classification accuracy, then RF was able to identify speed bumps on a GoPro dataset automatically. The results show a potential of the proposed methodology to be developed in surveying vehicles to produce highly-detailed maps of vertical road anomalies with a fast and accurate update rate.

Composition and structure of a stretch of tropical forest in the Eastern Amazon / Composição e estrutura de um trecho de floresta tropical na Amazônia Oriental

ABSTRACT: The aim of this study was to determine the diversity. composition. forest structure of a stretch of dense ombrophilous forest in the state of Amapá. The area is located in the east of the state of Amapá. in the Eastern Amazon. at the following coordinates: 2º 0'0.00 '' N. 14º 0'0.00''O. The sampling process used was systematic. where nine plots of 1 ha (100 m x 100 m) were allocated. 0.5 km apart. within a 13 km long and 0.03 km wide transect. The horizontal structure of the forest was evaluated using phytosociological parameters. One thousand seven hundred and ninety trees were sampled in this study. they were distributed in 131 species. 69 genera and 48 families. The species that presented more individuals were Pouteria guianensis Aubl. (136). Eschweilera coriacea (DC.) S.A.Mori (78). Inga paraensis Ducke (45). Licania paraensis Prance (38). The area is highly diverse and dissimilar with great variability and complexity in vegetable formation.

RESUMO: O objetivo deste estudo foi determinar a diversidade, composição e estrutura florestal de um trecho de floresta ombrófila densa do estado do Amapá. A área está localizada a leste do Estado do Amapá, Amazônia Oriental. Nas seguintes coordenadas: 2º 0'0,00'' N. 14º 0'0.00''O. O processo de amostragem utilizado foi o sistemático em que foram alocadas nove parcelas de 1 ha (100 m x 100 m), distanciadas em 0.5 km entre si, dentro de um transecto de 13 km de comprimento por 0.03 km de largura. A estrutura horizontal da floresta foi avaliada por meio de parâmetros fitossociológicos. 1790 árvores foram amostradas neste estudo. Elas estão distribuídas em 131 espécies, 69 gêneros e 48 famílias. As espécies que apresentaram mais indivíduos foram Pouteria guianensis Aubl. (136), Eschweilera coriacea (DC.) S.A.Mori (78), Inga paraensis Ducke (45), Licania paraensis Prance (38). A área é altamente diversa e dissimilar com grande variabilidade e complexidade na formação vegetal.

Contributions of a modified electrodynamics to the molecular biochirality.

In this paper, we investigate the physical basis behind the molecular biochirality from the computation of a parity violation energy difference (PVED) in enantiomers of organic molecules (e.g., amino acids, which occur as levogyrous-type in nature), by considering the influence of fundamental interactions beyond the standard model of elementary particles and interactions. Particularly, we study the role of a 4-D Chern-Simons theory at the origin of this PVED, the Carroll-Field-Jackiw electrodynamics, which violates both Lorentz and parity symmetries. Then, we consider terrestrial and Jovian scenarios where the influence of a modified (effective) magnetic field generated by the planets on the molecules is taken into account in the calculation of PVED. Besides this quantity, we also calculate the relative quantity excess of an enantiomer over the other in a thermal bath. Finally, we compare the obtained results with those ones from other models based on fundamental interactions.

Immobilization of papain enzyme on a hybrid support containing zinc oxide nanoparticles and chitosan for clinical applications.

A new hybrid bionanomaterial composed of zinc oxide nanoparticles (ZnO NPs) and chitosan was constructed after enzymatic immobilization of papain for biomedical applications. In this work, we report the preparation and characterization steps of this bionanomaterial and its biocompatibility in vitro. The properties of the immobilized papain system were investigated by transmission electron microscopy, zeta potential, DLS, UV-vis absorption spectroscopy, FTIR spectroscopy, and X-ray diffraction. The prepared bionanomaterial exhibited a nanotriangular structure with a size of 150 nm and maintained the proteolytic activity of papain. In vitro analyses demonstrated that the immobilized papain system decreased the activation of phagocytic cells but did not induce toxicity. Based on the results obtained, we suggest that the novel bionanomaterial has great potential in biomedical applications in diseases such as psoriasis and wounds.