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To protect biodiversity we must understand its structure and composition including the bacteria and microparasites associated with wildlife, which may pose risks to human health. However, acquiring this knowledge often presents challenges, particularly in areas of high biodiversity where there are many undescribed and poorly studied species and funding resources can be limited. A solution to fill this knowledge gap is sampling roadkill (animals that die on roads as a result of collisions with circulating vehicles). These specimens can help characterize local wildlife and their associated parasites with fewer ethical and logistical challenges compared to traditional specimen collection. Here we test this approach by analyzing 817 tissue samples obtained from 590 roadkill vertebrate specimens (Amphibia, Reptilia, Aves and Mammalia) collected in roads within the Tropical Andes of Ecuador. First, we tested if the quantity and quality of recovered DNA varied across roadkill specimens collected at different times since death, exploring if decomposition affected the potential to identify vertebrate species and associated microorganisms. Second, we compared DNA stability across taxa and tissues to identify potential limitations and offer recommendations for future work. Finally, we illustrate how these samples can aid in taxonomic identification and parasite detection. Our study shows that sampling roadkill can help study biodiversity. DNA was recovered and amplified (allowing species identification and parasite detection) from roadkill even 120 hours after death, although risk of degradation increased overtime. DNA was extracted from all vertebrate classes but in smaller quantities and with lower quality from amphibians. We recommend sampling liver if possible as it produced the highest amounts of DNA (muscle produced the lowest). Additional testing of this approach in areas with different environmental and traffic conditions is needed, but our results show that sampling roadkill specimens can help detect and potentially monitor biodiversity and could be a valuable approach to create biobanks and preserve genetic data.

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Maternal physiological hypercholesterolemia MPH, maternal total cholesterol (TC) levels at term of pregnancy ≤280 mg/dL) occurs to assure fetal development. Maternal supraphysiological hypercholesterolemia (MSPH, TC levels >280 mg/dL) is a pathological condition associated with maternal, placental, and fetal endothelial dysfunction and early neonatal atherosclerosis development. Small extracellular vesicles (sEVs) are delivered to the extracellular space by different cells, where they modulate cell functions by transporting active signaling molecules, including proteins and miRNA. AIM: To determine whether sEVs from MSPH women could alter the function of endothelial cells (angiogenesis, endothelial activation and nitric oxide synthesis capacity). METHODS: This study included 24 Chilean women (12 MPH and 12 MSPH). sEVs were isolated from maternal plasma and characterized by sEV markers (CD9, Alix and HSP70), nanoparticle tracking analysis, transmission electron microscopy, and protein and cholesterol content. The endothelial cell line HMEC-1 was used to determine the uptake of labeled sEVs and the effects of sEVs on cell viability, endothelial tube formation, endothelial cell activation, and endothelial nitric oxide expression and function. RESULTS: In MSPH women, the plasma concentration of sEVs was increased compared to that in MPH women. MSPH-sEVs were highly taken up by HMEC-1 cells and reduced angiogenic capacity and the expression and activity of eNOS without changing cell viability or endothelial activation compared to MPH-sEVs. CONCLUSION: sEVs from MSPH women impair angiogenesis and nitric oxide synthesis in endothelial cells, which could contribute to MSPH-associated endothelial dysfunction.

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Ecuador has both high richness and high endemism, which are increasingly threatened by anthropic pressures, including roads. Research evaluating the effects of roads remains scarce, making it difficult to develop mitigation plans. Here, we present the first national assessment of wildlife mortality on roads that allow us to (1) estimate roadkill rates per species, (2) identify affected species and areas, and (3) reveal knowledge gaps. We bring together data from systematic surveys and citizen science efforts to present a dataset with 5010 wildlife roadkill records from 392 species, and we also provide 333 standardized corrected roadkill rates calculated on 242 species. Systematic surveys were reported by ten studies from five Ecuadorian provinces, revealing 242 species with corrected roadkill rates ranging from 0.03 to 171.72 ind./km/year. The highest rates were for the yellow warbler Setophaga petechia in Galapagos (171.72 ind./km/year), the cane toad Rhinella marina in Manabi (110.70 ind./km/year), and the Galapagos lava lizard Microlophus albemarlensis (47.17 ind./km/year). Citizen science and other nonsystematic monitoring provided 1705 roadkill records representing all 24 provinces in Ecuador and 262 identified species. The common opossum Didelphis marsupialis, the Andean white-eared opossum Didelphis pernigra, and the yellow warbler Setophaga petechia were more commonly reported (250, 104, and 81 individuals, respectively). Across all sources, we found 15 species listed as "Threatened" and six as "Data Deficient" by the IUCN. We recommend stronger research efforts in areas where the mortality of endemic or threatened species could be critical for populations, such as in Galapagos. This first country-wide assessment of wildlife mortality on Ecuadorian roads represents contributions from academia, members of the public, and government, underlining the value of wider engagement and collaboration. We hope these findings and the compiled dataset will guide sensible driving and sustainable planning of infrastructure in Ecuador and, ultimately, contribute to reduce wildlife mortality on roads.

Ecuador tiene gran riqueza y alto endemismo de especies, mismas que están amenazadas por presiones antrópicas como las carreteras. Sin embargo, la investigación en este campo es escasa, dificultando el desarrollo de planes de mitigación. Presentamos la primera evaluación nacional de mortalidad de fauna silvestre en carreteras que nos permite 1) estimar tasas de atropellamiento por especies, 2) identificar especies y áreas afectadas, y 3) revelar vacíos de información. Compilamos datos de estudios sistemáticos y esfuerzos de ciencia ciudadana en Ecuador para presentar una base de datos que comprende 5010 registros de atropellamientos correspondientes a 392 especies, también proveemos 333 tasas de atropellamiento estandarizadas para 242 especies. Monitoreos sistemáticos fueron reportados por diez estudios de cinco provincias del Ecuador, revelando 242 especies con una tasa de mortalidad que varía entre 0.03 y 171.72 ind./km/año. Las tasas de atropellamiento más altas correspondieron a la reinita amarilla Setophaga petechia en Galápagos (171.72 ind./km/año), el sapo de la caña Rhinella marina in Manabí (110.70 ind./km/año), y la lagartija de lava de Galápagos Microlophus albemarlensis (47.17 ind./km/año). La ciencia ciudadana y monitoreos no sistemáticos proporcionaron 1705 registros representando a las 24 provincias de Ecuador y a 262 especies identificadas. La zarigüeya común Didelphis marsupialis, la zarigüeya orejiblanca andina Didelphis pernigra y la reinita amarilla Setophaga petechia fueron las más reportadas (250, 104 y 81 individuos respectivamente). Considerando todas las fuentes de datos encontramos 15 especies clasificadas como amenazadas y seis como datos insuficientes por la UICN. Recomendamos mayores esfuerzos de investigación en áreas donde la mortalidad de especies endémicas o amenazadas puede ser crítica para las poblaciones, como en Galápagos. Esta primera evaluación de mortalidad silvestre en carreteras ecuatorianas representa contribuciones de varios sectores, incluidos la academia, ciudadanía y el gobierno, resaltando el valor de una mayor participación y colaboración. Esperamos que estos hallazgos y la base de datos guíen la planificación sostenible de infraestructuras viales en Ecuador y contribuyan a reducir la mortalidad animal en las carreteras por medio de una conducción vehicular más cautelosa.

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BACKGROUND: Previous clinical and anatomic investigations have identified the clinical relevance of facial biomechanics. Based on this new understanding, principles for facial aesthetic procedures were established: Lateral Face First, Deep Layers First, and Upper Face First. OBJECTIVE: To test the upper face first principle by showing that an injection sequence, starting in the upper face is superior to an injection sequence starting in the lower face. METHODS: This study was designed as an interventional split-face study administering the same amount and type of soft tissue filler for the upper, middle, and lower face but in a different sequence: upper, middle, lower face versus lower, middle, and upper face. A total of 15 patients (5 males and 10 females) with a mean age of 39.4 years (9.6) and a mean BMI of 23.4 kg/m2 (1.7) were studied. Follow-up at D0, D30, and D90 was conducted utilizing semiquantitative scores and objective 3D imaging. RESULTS: Despite not reaching statistical significance, midfacial volume and jawline contouring were rated better at every follow-up visit (D0, D30, D90) when treated with the upper versus the lower face first injection algorithm. The global aesthetic improvement scale showed statistically significantly better values for the upper face first algorithm when compared to the lower face first algorithm at all evaluated time points with all p < 0.001. CONCLUSION: Applying the upper face first injection algorithm seems to result in better aesthetic outcomes when directly compared to the lower face first algorithm. Semiquantitative and objective outcome measurements confirm its clinical effectiveness.

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BACKGROUND: 2D baseline and follow-up clinical images are potentially subject to inconsistency due to alteration of imaging parameters. However, no study to date has attempted to quantify the magnitude by which such images can be influenced. OBJECTIVE: The objective of the present study is to identify the magnitude by which images can be influenced by changing the imaging light angle. METHODS: This study is based on the evaluation of 2D frontal images of the face and included a total of 51 subjects of which n = 14 were males and n = 37 were females. Faces were photographed at 0°, 30°, and 60° light angle under identical and standardized conditions. Images were randomized and rated by 27 blinded raters for age, facial attractiveness, body mass index (BMI), temporal hollowing, lower cheek fullness, nasolabial sulcus severity, and jawline contour. RESULTS: Facial attractiveness decreased, facial unattractiveness increased and the evaluated BMI (based on facial assessment) increased statistically significantly at 60°. The assessment of regional facial scores, i.e., temporal hollowing, lower cheek fullness, and jawline contour, showed no statistically meaningful changes both at 30° and at 60° light angle. CONCLUSION: The results indicate that there might be an observed blind range in light angle (0°-30°) which does not influence facial assessment. Increasing the light angle past the threshold value to 60° might result in a statistically significant impact on facial perception which should be accounted for when documenting and/or presenting facial 2D images. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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The application of lidar remote-sensing technology has revolutionized the practice of settlement and landscape archaeology, perhaps nowhere more so than in the Maya lowlands. This contribution presents a substantial lidar dataset from the Puuc region of Yucatan, Mexico, a cultural subregion of the ancient Maya and a distinct physiographic zone within the Yucatan peninsula. Despite the high density of known sites, no large site has been fully surveyed, and little is known about intersite demography. Lidar technology allows determination of settlement distribution for the first time, showing that population was elevated but nucleated, although without any evidence of defensive features. Population estimates suggest a region among the most densely settled within the Maya lowlands, though hinterland levels are modest. Lacking natural bodies of surface water, the ancient Puuc inhabitants relied upon various storage technologies, primarily chultuns (cisterns) and aguadas (natural or modified reservoirs for potable water). Both are visible in the lidar imagery, allowing calculation of aguada capacities by means of GIS software. The imagery also demonstrates an intensive and widespread stone working industry. Ovens visible in the imagery were probably used for the production of lime, used for construction purposes and perhaps also as a softening agent for maize. Quarries can also be discerned, including in some cases substantial portions of entire hills. With respect to agriculture, terrain classification permits identification of patches of prime cultivable land and calculation of their extents. Lidar imagery also provides the first unequivocal evidence for terracing in the Puuc, indeed in all northern Yucatan. Finally, several types of civic architecture and architectural complexes are visible, including four large acropolises probably dating to the Middle Formative period (700-450 B.C.). Later instances of civic architecture include numerous Early Puuc Civic Complexes, suggesting a common form of civic organization at the beginning of the Late Classic demographic surge, (A.D. 600-750).

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We describe a new species of Pristimantis from southern Ecuador, province of Zamora Chinchipe. The new species is closely related to an undescribed species of Pristimantis from Reserva Tapichalaca, Ecuador and with species of a clade historically assigned to the P. unistrigatus species group, such as P. parvillus, P. luteolateralis, P. walkeri, among others. The new species of Pristimantis is a miniaturized new frog (females 17.11.1 mm; males 13.20.9 mm), characterized by the presence of -shaped scapular folds, with two subconical tubercles on the medial and posterior regions of folds; tympanic membrane and tympanic annulus present but not externally visible; a prominent rostral papilla present; upper eyelid with one elongated conical tubercle; a conical tubercle on heels; groin with orange or yellow spots. The new species of Pristimantis is distributed in a restricted area in the Cordillera del Condor, a highly-diverse mountain range threatened by multiple anthropogenic activities. We recommend assigning the new species to the Endangered IUCN threatened category because it is only known from three nearby localities within mining concessions.

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Resumen Desde la declaración de pandemia del coronavirus el mundo entero ha encaminado sus esfuerzos a ayudar a mitigar sus efectos, especialmente el personal de la salud. En ese intento por ayudar, buscan evitar su propio contagio por medio del uso de materiales de protección como mascarillas, gafas y guantes. Aunque protectores, éstos materiales y sus componentes pueden ser altamente perjudiciales para la piel, causando dermatitis de contacto, ulceraciones y erosiones. En esta revisión se abordan dichas manifestaciones y se proponen medidas para prevenirlas o tratarlas.

Abstract Since the declaration of coronavirus as a pandemic the entire world has directed its efforts to help mitigate the effects of it to the best of its ability, especially health personnel. In that attempt to help, we seek to avoid their own contact through the use of protective materials such as masks, goggles, and gloves. Although protective, this equipmment and its components can be highly damaging to the skin, causing contact dermatitis. This review addresses manifestations and reviews measures to prevent and cure them.

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El presente ensayo tiene como objetivo plantear una reflexión entre la Medicina Tradicional y Complementaria y la Medicina convencional mediada por la Bioética Global, en la cual el paciente, su salud y el restablecimiento será el eje central; dicha deliberación facilitará un diálogo entre ambas corrientes, porque aún no se ha dado un acuerdo visible, más allá de la polarización y defensa unilateral de cada una de ellas por parte de sus defensores y detractores

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One of the ways to develop health simulations is through the use of computers. This paper presents the use of Intelligent Computer-aided Instruction (ICAI) for the development of an interactive simulator for learning Cardio Pulmonary Resucitation (CPR) which incorporates online tutorials, training and evaluation.

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