Search Results (3,124)

Background: Understanding the mechanisms underlying dental pain caused by pulpitis in humans has led to the development of animal models, such as the rat, which enable the study of the mechanisms underlying inflammation; the use of these models is considered ethically justified when the anticipated scientific benefits outweigh the potential impacts on animals in the harm/benefit balance. Objective: To develop a rat model of mechanically induced pulpitis and to evaluate the potential impact on animal well-being. Methods: Pulpitis was mechanically induced in male Lewis rats (13–16 weeks, 350–400 g) which were anesthetized and endotracheally intubated. Following pulp exposure, the cavity was sealed with either amalgam (n = 10) or zinc phosphate cement (n = 10). Following recovery and return to their housing, behavioral assessments and histological evaluations using Hematoxylin and Eosin (H&E) staining were conducted in separate cohorts at two time points: 3 h and 5 days following the procedure. Results: A standardized model of mechanically induced pulpitis was established and verified clinically and by histopathological analysis, which showed evidence of the inflammatory process and revealed no statistically significant differences in the scoring of pain, discomfort, or distress, nor in the measurements of food and water consumption or body weight. Conclusions: The behavioral assessments conducted in this study supported the implementation of a safe and easily reproducible model for future research aimed at elucidating the mechanisms underlying pulp inflammation. Full article

This study evaluates the rheological behavior and mechanical performance of Ultra-High-Performance Fiber-Reinforced Concrete (UHPFRC) mixes with varying superplasticizer dosages, aiming to optimize their use in pavement rehabilitation overlays on sloped surfaces. A reference self-compacting UHPFRC mix was modified by reducing the superplasticizer-to-binder ratio in incremental steps, and the resulting mixes were assessed through rheometry, mini-Slump, and Abrams cone tests. Key rheological parameters—static and dynamic yield stress, plastic viscosity, and thixotropy—were determined using the modified Bingham model. The results showed that reducing superplasticizer content increased yield stress and viscosity, enhancing thixotropic behavior while maintaining ultra-high compressive (≥130 MPa) and flexural strength (≥20 MPa) at 28 days. A predictive model was validated to estimate the critical yield stress needed for overlays on slopes. Among the evaluated formulations, the SP-2 mix met the stability and performance criteria and was successfully tested in a prototype overlay, demonstrating its viability for field application. This research confirms the potential of rheology-tailored UHPFRC as a high-performance solution for durable and stable pavement overlays in demanding geometric conditions. Full article

Invasive candidiasis (IC), characterized by the most common clinical manifestation of candidemia, is a fungal infection with a high mortality rate and a significant impact on global public health. It is estimated that each year there are between 227,000 and 250,000 hospitalizations related to IC, with more than 100,000 associated deaths. In Latin America and the Caribbean (LA&C), the absence of a standardized surveillance system has led to multicenter studies documenting incidences ranging from 0.74 to 6.0 cases per 1000 hospital admissions, equivalent to 50,000–60,000 hospitalizations annually, with mortality rates of up to 60% in certain high-risk groups. Armed conflicts and structural violence in LA&C cause forced displacement, the collapse of health systems, and poor living conditions—such as overcrowding, malnutrition, and lack of sanitation—which increase vulnerability to opportunistic infections, such as IC. Insufficient specialized laboratories, diagnostic technology, and trained personnel impede pathogen identification and delay timely initiation of antifungal therapy. Furthermore, the empirical use of broad-spectrum antibiotics and the limited availability of echinocandins and lipid formulations of amphotericin B have promoted the emergence of resistant non-albicans strains, such as Candida tropicalis, Candida parapsilosis, and, in recent outbreaks, Candidozyma auris. Full article

The connection between sugar and ethanol prices is in line with concerns about the connection between oil and food prices. This paper studies the nexus between Colombia’s ethanol and sugar prices and the role that weather shocks play. Data on production and prices from the sugar mills and climate data on precipitation and temperature are used to estimate two ways to capture the relationship between prices and the role of weather shocks. First, a reduced-form estimation is made, where the study finds evidence of the pass-through of the international price to domestic prices and how high precipitation and temperature shocks increase prices. Then, the study addresses potential simultaneity problems between prices and estimates a VEC model with exogenous variables such as weather shocks. Results show that all domestic prices are affected by the international price, and the international price is affected by the white sugar domestic prices. Additionally, sugar prices react to shocks in ethanol prices, but ethanol prices do not react to shocks in sugar prices. Finally, weather shocks affect sugar prices, with daytime temperature shocks being the most damaging. Full article

Urban sustainability challenges demand integrated frameworks capable of addressing the dynamic, non-linear nature of cities. This study explores how the principles of the circular economy and complexity theory intersect to support systemic transformation in sustainable urban planning. Through a systematic literature review of 71 peer-reviewed articles published between 2015 and 2025, we analyze conceptual, methodological, and practical articulations across multiple thematic axes, including circular governance, urban metabolism, regenerative design, adaptive planning, digital integration, and environmental justice. Bibliometric and content analyses were conducted using Scopus metadata, VOSviewer for thematic clustering, and the StArt software (Version 3.4) to structure article selection. The findings reveal that circular economy provides practical tools for resource efficiency and regeneration, while complexity theory offers an adaptive framework to navigate uncertainty, emergent behaviors, and feedback dynamics. The synthesis suggests that their integration enables a more holistic and resilient approach to urban transformation. However, gaps remain in social inclusivity, long-term assessment, and the operationalization of complexity-informed planning. This study contributes to advancing a transdisciplinary agenda for circular and adaptive urban futures, offering insights for scholars, planners, and policymakers aiming to reconfigure cities within planetary boundaries. Full article

This study presents and discusses evidence on the value of biomarker testing and precision medicine in Latin America through a health equity lens. It is essential to explore how to harness the benefits of precision medicine to narrow the health equity gap, ensuring all patients have access to the best cancer treatment. The methodology employed to develop this document consists of a non-systematic literature review, followed by a process of validation and feedback with a group of experts in relevant fields. Precision medicine could help reduce health inequities in Latin America by providing better diagnosis and treatment for everyone with cancer. However, its success in achieving this depends on the implementation of policies that promote equitable access. Findings indicate that the current policy landscape in the Latin American region is not conducive to improving access, reach, quality, or outcome-related problems in cancer care, nor to realizing the full potential of precision medicine. The study explores how precision medicine can advance health equity, concluding with an analysis of the challenges and recommendations for overcoming them. Full article

Poultry waste composting is a necessary technique for agricultural farm sustainability. Composting is a dynamic process influenced by multiple variables. Humidity and temperature play fundamental roles in analyzing its different phases according to the environment and composting technique. Current developments for monitoring these variables include automation via intelligent Internet of Things (IoT)-based sensor networks for variable tracking. These advancements serve as efficient tools for modeling that facilitate the simulation and prediction of composting process variables to improve system efficiency. Therefore, this paper presents the dynamic modeling of composting via forced aeration processes in high-mountain climates, with the intent of estimating biomass temperature dynamics in different phases using system identification techniques. To this end, four dynamic model estimation structures are employed: transfer function (TF), state space (SS), process (P), and Hammerstein–Wiener (HW). The and model quality, fitting results, and standard error metrics of the different models found in each phase are assessed through residual analysis from each structure by validation with real system data. Our results show that the second-order underdamped multiple-input–single-output (MISO) process model with added noise demonstrates the best fit and validation performance. Full article

Introduction: Septic-induced cardiomyopathy (SICM) is a life-threatening condition in patients with septic shock. Persistent hypoperfusion despite adequate volume status and vasopressor use is associated with poor outcomes and is currently managed with inotropes. However, the superiority of available inotropic agents remains unclear. This meta-analysis aims to determine which inotropic agent may be more effective in this clinical scenario. Methods: A systematic review and meta-analysis were conducted, including data from randomized clinical trials (RCTs) comparing levosimendan and dobutamine in patients with septic shock and persistent hypoperfusion. Summary effect estimates, including odds ratios (ORs), standardized mean differences (SMDs), and 95% confidence intervals (CIs), were calculated using a random-effects model. Trial sequential analysis (TSA) was also performed. Results: Of 244 studies screened, 11 RCTs were included. Levosimendan was associated with a reduction in in-hospital mortality (OR 0.64; 95% CI: 0.47; 0.88) and ICU length of stay (SMD 5.87; 95% CI: –8.37; 20.11) compared with dobutamine. Treatment with levosimendan also resulted in significant reductions in BNP (SMD –1.87; 95% CI: –2.45; −1.2) and serum lactate levels (SMD –1.63; 95% CI: –3.13; −0.12). However, TSA indicated that the current evidence is insufficient to definitively confirm or exclude effects on in-hospital and 28-day mortality. Conclusions: Levosimendan may improve hemodynamics, tissue perfusion, and biomarkers, and may reduce in-hospital mortality and ICU length of stay in patients with SICM compared with dobutamine. However, TSA highlights the need for further studies to inform clinical practice and optimize inotrope selection. Full article

Anterior cruciate ligament reconstruction (ACLR) results in prolonged muscle weakness, impaired neuromuscular control, and delayed return to sport. Cross-education (CE), unilateral training of the uninjured limb, has been proposed as an adjunct therapy to promote bilateral adaptations. This scoping review evaluated the functional and neuroplastic effects of CE rehabilitation post-ACLR. Following PRISMA-ScR and JBI guidelines, PubMed, Scopus, Web of Science, and PEDro were searched up to February 2025. A bibliometric analysis was also conducted to report keyword co-occurrence and identify trends in this line of research. Of 333 screened references, 14 studies (price index: 43% and low-to-moderate risk of bias) involving 721 participants (aged 17–45 years) met inclusion criteria. CE protocols (6–12 weeks; 2–5 sessions/week) incorporating isometric, concentric, and eccentric exercises demonstrated strength gains (10–31%) and strength preservation, alongside improved limb symmetry (5–14%) and dynamic balance (7–18%). There is growing interest in neuroplasticity and corticospinal excitability, although neuroplastic changes were assessed heterogeneously across studies. Findings support CE as a feasible and low-cost strategy to complement early-stage ACLR rehabilitation, especially when direct loading of the affected limb is limited. Standardized protocols for clinical intervention and neurophysiological assessment are needed. Full article

Effective management and handling of construction and demolition waste (CDW) can yield significant technical and environmental benefits for road pavement construction. This article aims to provide a comprehensive and up-to-date chronological review of studies on the mechanical performance of asphalt mixtures—primarily hot mix asphalt (HMA)—incorporating recycled concrete aggregate (RCA). Since the main limitation of RCA is the presence of residual adhered mortar, the review also includes studies that applied various surface treatments (mechanical, chemical, and thermal, among others) to enhance mixture performance. The article summarizes the experimental procedures used and highlights the key findings and conclusions of the reviewed research. Although the results are varied and sometimes contradictory—mainly due to the source variability and heterogeneity of RCA—the use of these materials is technically viable. Moreover, their application can provide environmental, social, and economic advantages, particularly in the construction of low-traffic roadways. Finally, the article identifies research gaps and offers recommendations for future researches. Full article

Background: Cognitive decline is a growing public health concern in Latin America, driven by rapid aging, widespread micronutrient inadequacies, and socioeconomic disparities. Despite the recognized importance of nutrition, many older adults struggle to meet daily dietary micronutrients requirements, increasing the risk of mild cognitive impairment (MCI). This study aimed to establish expert consensus on the role of Multivitamin and Mineral supplements (MVMs) in promoting cognitive healthy aging among older adults in Latin America. Methods: A panel of nine experts in geriatrics, neurology, and nutrition applied a modified Delphi methodology to generate consensus statements. The panel reviewed the literature, engaged in expert discussions, and used structured voting to develop consensus statements. Results: Consensus was reached on 14 statements. Experts agreed that cognitive aging in Latin America is influenced by neurobiological, lifestyle, and socioeconomic factors, including widespread micronutrient inadequacies (vitamins B-complex, C, D, E, and minerals such as zinc, magnesium, chromium, copper, iron and selenium), which were identified as critical for global cognitive function and brain structures, yet commonly inadequate in the elderly. While a balanced diet remains essential, MVMs can be recommended as a complementary strategy to bridge nutritional gaps. Supporting evidence, including the COSMOS-Mind trials, demonstrate that MVM use improves memory and global cognition, and reduces cognitive aging by up to 2 years in older adults. Conclusions: MVMs offer a promising, accessible adjunct for cognitive healthy aging in Latin America’s elderly population, particularly where dietary challenges persist. Region-specific guidelines, public health initiatives, and targeted research are warranted to optimize outcomes and reduce health inequities. Full article

A novel model of the electrical demand of a power system capable of representing the hourly power load and its dependence on temperature is presented. The application of the model to the Colombian system is described with an evaluation of the error obtained. For the simulation of the optimal operation of systems with high renewable energy participation, a model such as the one presented is of vital importance in order to take into account the dependence of demand on meteorological variables. It is also necessary for the simulation of the expected effects of climate change on electricity demand. Full article

Understanding species composition and forest dynamics is essential for predicting biomass productivity and informing conservation in tropical montane ecosystems. We evaluated floristic, demographic, and biomass changes in eighteen 0.1 ha permanent plots in the Colombian Sub-Andean forest, including both primary (ca. 60 y old) and secondary forests (ca. 30 years old). Two censuses of individuals (DBH ≥ 2.5 cm) were conducted over 7–13 years. We recorded 516 species across 202 genera and 89 families. Floristic composition differed significantly between forest types (PERMANOVA, p = 0.001), and black oak (Trigonobalanus excelsa Lozano, Hern. Cam. & Henao) forests formed distinct assemblages. Demographic rates were higher in secondary forests, with mortality (4.17% yr), recruitment (4.51% yr), and relative growth rate (0.02% yr) exceeding those of primary forests. The mean aboveground biomass accumulation and the rate of annual change were higher in primary forests (447.5 Mg ha⁻¹ and 466.8 Mg ha⁻¹ yr⁻¹, respectively) than in secondary forests (217.2 Mg ha⁻¹ and 217.2 Mg ha⁻¹ yr⁻¹, respectively). Notably, black oak forests showed the greatest biomass accumulation and rate of change in biomass. Annual net biomass production was higher in secondary forests (8.72 Mg ha⁻¹ yr⁻¹) than in primary forests (5.66 Mg ha⁻¹ yr⁻¹). These findings highlight the ecological distinctiveness and recovery potential of secondary Sub-Andean forests and underscore the value of multitemporal monitoring to understand forest resilience and assess vulnerability to environmental change. Full article

Currently, various pruning strategies including different methods and distribution types are commonly used to reduce the number of FLOPs and parameters in deep learning models. However, their impact on actual energy savings remains insufficiently studied, particularly in resource-constrained settings. To address this, we introduce PruneEnergyAnalyzer, an open-source Python tool designed to evaluate the energy efficiency of pruned models. Starting from the unpruned model, the tool calculates the energy savings achieved by pruned versions provided by the user, and generates comparative visualizations based on previously applied pruning hyperparameters such as method, distribution type (PD), compression ratio (CR), and batch size. These visual outputs enable the identification of the most favorable pruning configurations in terms of FLOPs, parameter count, and energy consumption. As a demonstration, we evaluated the tool with 180 models generated from three architectures, five pruning distributions, three pruning methods, and four batch sizes, using another previous library (e.g. FlexiPrune). This experiment revealed the significant impact of the network architecture on Energy Reduction, the non-linearity between FLOPs savings and energy savings, as well as between parameter reduction and energy efficiency. It also showed that the batch size strongly influences the energy consumption of the pruned model. Therefore, this tool can support researchers in making pruning policy decisions that also take into account the energy efficiency of the pruned model. Full article