Publications by authors named "Melendez J"

Local adaptation represents the balance of selection and gene flow. Increasingly, studies find that adaptation can occur on spatial scales much smaller than the scale of dispersal, resulting in balanced polymorphisms within populations. However, microgeographic adaptation might be facilitated or hindered by large-scale environmental heterogeneity, such as across latitude.

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Objective: To investigate the sociodemographic, maternal, and gestational factors associated with the dietary total antioxidant capacity in pregnant Brazilian women.

Methods: A cross-sectional study with 2,232 pregnant women aged 18 years old or older, in the first, second, and third trimesters of pregnancy, from eleven cities in the five Brazilian regions. A semi-structured questionnaire was applied to assess socioeconomic, demographic, and health data, and a 24-hour dietary recall (R24h) was used to assess food consumption and analyze the dietary total antioxidant capacity (DTAC), estimated using the ferric reducing antioxidant power (FRAP) method.

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Background: Background: This study investigates the effects of cognitive interventions on executive functions and attention in patients with moderate Alzheimer's, comparing traditional and technology-based methods with a control group.

Method: A randomized controlled trial was conducted with 112 participants, divided into three groups: traditional intervention, technology-based intervention, and control group. Sixteen sessions were carried out, assessed using standardized tests and applying hierarchical linear mixed models to adjust for confounding factors and random effects.

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Article Synopsis
  • The review focuses on episode-based bundled payment models for hand surgery as a means to reduce healthcare costs and improve patient care.
  • Traditional fee-for-service models are ineffective in promoting collaboration among healthcare providers, while bundled payments encourage team-based approaches and resource optimization.
  • Current literature suggests that implementing these models could lead to cost savings and better patient outcomes, warranting further trials in hand surgery.
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Background: Sexually transmitted infections (STIs) are a global health challenge. Testing is not routinely performed in low- and middle-income countries (LMICs), which bear a disproportionate burden of STIs. Self-collected penile-meatal swabs (SCPMS) are an alternative to urine for STI testing, but data from LMICs are limited.

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Background: Post-harvest physiological deterioration (PPD) poses a significant challenge to the cassava industry, leading to substantial economic losses. This study aims to address this issue by developing a comprehensive framework in collaboration with cassava breeders.

Results: Advanced deep learning (DL) techniques such as Segment Anything Model (SAM) and YOLO foundation models (YOLOv7, YOLOv8, YOLOv9, and YOLO-NAS), were used to accurately categorize PPD severity from RGB images captured by cameras or cell phones.

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  • In 2022, the monkeypox virus outbreak prompted the need for immediate public health responses, leading to the exploration of plant-derived monoclonal antibodies (mAbs) as potential treatments due to their antiviral properties.
  • The study specifically focuses on developing a plant-derived mAb that targets the extracellular enveloped virion (EV) of MPXV, which is crucial for the virus's spread and resistant to neutralization.
  • The findings confirm that the plant-made mAb, named H2, effectively binds to the MPXV EV and neutralizes it, marking a significant advancement in therapeutic strategies against monkeypox and highlighting the potential of plant-based antibodies for treating emerging infectious diseases.
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Antimicrobial resistance in (Ng) has severely reduced treatment options, including azithromycin (AZM), which had previously been recommended as dual therapy with ceftriaxone. This study characterizes the emergence of high-level resistance to AZM (HLR-AZM) Ng in Baltimore, Maryland, USA, and describes the global evolution of HLR-AZM Ng. Whole genome sequencing (WGS) of 30 Ng isolates with and without HLR-AZM from Baltimore was used to identify clonality and resistance determinants.

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The evolution of antimicrobial resistance (AMR) presents substantial challenges to global medical health systems. Neisseria gonorrhoeae (N. gonorrhoeae), in particular, has developed resistance to all currently available antimicrobials.

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People with Parkinson's disease (PD) are at risk for stigma. The stigma theory suggests four stigma types: public stigma, self-stigma, stigma by association, and structural stigma. The purposes of this study were to understand how people with PD and caregivers perceived and experienced stigma, review the literature and scan social media for evidence of stigma and PD, and examine the interrelationships between stigma types.

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Loneliness significantly impacts the mental well-being of older adults, prompting an examination of psychological predictors and buffering factors associated with it in this demographic. A cross-sectional study involving 246 community-dwelling older adults was conducted. The UCLA Loneliness Scale identified predictors of loneliness, including negative mood, hopelessness (negative future expectations and loss of motivation), and despair.

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Machine learning can be used to create "biologic clocks" that predict age. However, organs, tissues, and biofluids may age at different rates from the organism as a whole. We sought to understand how cerebrospinal fluid (CSF) changes with age to inform the development of brain aging-related disease mechanisms and identify potential anti-aging therapeutic targets.

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In this study, we evaluated the impact of incorporating diblock and triblock amphiphilic copolymers, as well as cholesterol into DPPC liposomes on the release of a model molecule, calcein, mediated by exogenous phospholipase A2 activity. Our findings show that calcein release slows down in the presence of copolymers at low concentration, while at high concentration, the calcein release profile resembles that of the DPPC control. Additionally, calcein release mediated by exogenous PLA2 decreases as the amount of solubilized cholesterol increases, with a maximum between 18 mol% and 20 mol%.

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Background: Point-of-care (POC) tests for sexually transmitted infections (STIs) permit delivery of results during the patient's emergency department (ED) encounter. We evaluated performance, patient acceptability, and feasibility of a new duplex POC test, Chembio Dual Path Platform HIV-Syphilis Assay, in an urban ED setting.

Methods: Convenience sampling approach prioritizing those considered at increased risk for an STI and/or with a history of HIV.

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The aim of our experiment was to analyse the effect of the emotional valence (positive, negative, or neutral) on true and false recognition, matching the arousal, frequency, concreteness, and associative strength of the study and recognition words. Fifty younger adults and 46 healthy older adults performed three study tasks (with words of different valence: positive, negative, neutral) and their corresponding recognition tests. Two weeks later, they performed the three recognition tests again.

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Salivary gland hypofunction is highly prevalent in aged and diseased individuals leading to significant discomfort and morbidity. One factor that contributes to salivary gland hypofunction is cellular aging, or senescence. Senescent cells can impair gland function by secreting paracrine-acting growth factors and cytokines, known as senescence-associated secretory phenotype (SASP) factors.

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Article Synopsis
  • - Senescent cells build up as we age and contribute to conditions like Alzheimer's disease, prompting trials for senolytics, which are drugs that target and remove these cells, but there's a lack of clear outcome metrics.
  • - A recent trial tested dasatinib and quercetin in Alzheimer's patients for 12 weeks, showing that the treatment was safe, with some changes in brain biomarkers for inflammation and Alzheimer's, though levels of key proteins (amyloid beta and tau) remained stable.
  • - Further analysis indicated some changes in inflammatory markers in blood and cerebrospinal fluid, along with slight changes in lipid profiles, and suggested the need for standardized measures and further validation in future studies.
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  • High rates of sexually transmitted infections (STIs) and ineffective antibiotic use contribute to antimicrobial resistance in Uganda, particularly among men with urethral discharge syndrome (UDS).
  • A study involving 250 Ugandan men found that 40% had recently taken antibiotics, with many testing positive for curable STIs and some for HIV.
  • Syndromic case management (SCM) showed only moderate sensitivity (80-94%) but low specificity (5.6-33%) for diagnosing STIs, highlighting challenges in accurate treatment and the risk of worsening antibiotic resistance.
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Halide perovskites are widely used as components of electronic and optoelectronic devices such as solar cells, light-emitting diodes (LEDs), optically pumped lasers, field-effect transistors, photodetectors, and γ-detectors. Despite this wide range of applications, the construction of an electrically pumped perovskite laser remains challenging. In this paper, we numerically justify that mixing two perovskite compounds with different halide elements can lead to optical properties suitable for electrical pumping.

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Background: Alzheimer's disease (AD) stands as the prevailing type of dementia, marked by gradual memory loss and cognitive decline. Transcranial direct current stimulation (tDCS) is a non-invasive method used to regulate cortical brain function and has been explored as a potential treatment for cognitive impairment.

Objective: This study aimed to compare the effects of daily home-based active or sham tDCS on cognitive function in patients with early-stage AD and its follow-up after one month.

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We study the interface representation of the contact process at its directed-percolation critical point, where the scaling properties of the interface can be related to those of the original particle model. Interestingly, such a behavior happens to be intrinsically anomalous and more complex than that described by the standard Family-Vicsek dynamic scaling Ansatz of surface kinetic roughening. We expand on a previous numerical study by Dickman and Muñoz [Phys.

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Aims: Finding out whether there are differences in the levels of stress and burnout between workers providing care to dependent adults and those caring for independent older adults would provide comparative information about two different models of care. During the COVID-19 pandemic, workers caring for older adults were subjected to maladaptive situations that produced stress and burnout.

Design: A cross-sectional survey design using the STROBE checklist.

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Background: Urethritis associated with non-viral sexually transmitted infections (STI) increases the risk of HIV acquisition and transmission in those living with HIV (LWH) without viral load suppression (VLS). Compared to women, men typically have lower rates of HIV VLS. We assessed the prevalence of VLS and drug resistance mutations in men LWH and urethral discharge syndrome (UDS) in Kampala, Uganda.

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Hypothesis: Due to the inability of nano-carriers to passively cross the cell membrane, cell penetration enhancers are used to accelerate cytoplasmic delivery of antineoplastic drugs. In this regard, snake venom phospholipase A2 peptides are known for their ability to destabilize natural and artificial membranes. In this context, functionalized liposomes with peptide pEM-2 should favor the incorporation of doxorubicin and increase its cytotoxicity in HeLa cells compared to free doxorubicin, and doxorubicin encapsulated in non-functionalized liposomes.

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