Publications by authors named "Cristina Estrada"

Aggregation of α-synuclein (α-syn) is the cornerstone of neurodegenerative diseases termed synucleinopathies, which include Parkinson's Disease (PD), Dementia with Lewy Bodies (DLB), and Multiple System Atrophy (MSA). These synucleinopathies are characterized by the deposit of aggregated α-syn in intracellular inclusions observable in neurons and glial cells. In PD and DLB, these aggregates, predominantly located in neurons, are called Lewy Bodies (LBs).

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Synucleinopathies encompass several neurodegenerative diseases, which include Parkinson's disease, dementia with Lewy bodies and multiple system atrophy. These diseases are characterized by the deposit of α-synuclein aggregates in intracellular inclusions in neurons and glial cells. Unlike Parkinson's disease and dementia with Lewy bodies, where aggregates are predominantly neuronal, multiple system atrophy is associated with α-synuclein cytoplasmic inclusions in oligodendrocytes.

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commonly known as Mashua, is an herbal remedy used in traditional Andean medicine for the relief of kidney and bladder pain, as well as contusions. This study aimed to evaluate the fractions and isolated compounds from with analgesic activity mediated by the transient receptor potential vanilloid-1 receptor. A bioguided phytochemical analysis based on NMR/MS was performed to identify the compounds of the -heptane fractions from samples of purple tubers of .

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Objective: To quantify the impact of clinical guidance and rapid respiratory and meningitis/encephalitis multiplex polymerase chain reaction (mPCR) testing on the management of infants.

Design: Before-and-after intervention study.

Setting: Tertiary-care children's hospital.

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Objective: This study reports an institutional approach to rapidly measure burnout and gather physicians' opinions on workplace factors that empower well-being.

Methods: In July 2017, physicians at Vanderbilt University Medical Center were invited to participate in a two-question survey measuring self-reported burnout and providing an opportunity to describe structures that empower well-being. Free-text responses were analyzed and a linear regression model assessed factors associated with well-being.

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In Parkinson's disease, synucleinopathy is hypothesized to spread from the enteric nervous system, via the vagus nerve, to the CNS. Here, we compare, in baboon monkeys, the pathological consequences of either intrastriatal or enteric injection of α-synuclein-containing Lewy body extracts from patients with Parkinson's disease. This study shows that patient-derived α-synuclein aggregates are able to induce nigrostriatal lesions and enteric nervous system pathology after either enteric or striatal injection in a non-human primate model.

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Background: Autonomic dysfunction is a well-known dominant symptom in the advanced stages of Parkinson's disease. However, the role of cardiac sympathetic nerves still needs to be elucidated.

Objectives: To evaluate cardiac sympathetic response in Parkinsonian and dyskinetic monkeys.

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Article Synopsis
  • Sleep deprivation leads to memory issues similar to those seen in dementia and is associated with stress-induced hormone changes, like elevated cortisol levels.
  • The study used the Octodon degus rodent model to explore how stress, exercise, and age affect memory after sleep deprivation.
  • Findings showed that while sleep deprivation impaired memory in both young and aged rodents, voluntary exercise improved cognitive performance and reduced cortisol levels regardless of age.
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  • Recent studies suggest brain and peripheral inflammation contribute to the progression of Parkinson's disease, but the exact causes remain unclear.
  • This research examines how acute inflammation in the colon affects dopaminergic neuron death and glial responses in mice exposed to a neurotoxin (MPTP).
  • Findings indicate that colonic inflammation exacerbates neuron loss and activates glial cells, highlighting a potential link between gastrointestinal issues and the worsening of Parkinson's symptoms.
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  • The study explores the potential of using a combination of anti-inflammatory and antioxidant drugs to slow down neurodegenerative disorders, particularly focusing on Parkinson's disease (PD) in older mice.
  • Researchers found that the combination of N-acetylcysteine (NAC) and HA-1077 led to increased neuronal death and heightened neuroinflammatory responses in the brains of aged mice exposed to a Parkinson's disease model.
  • These unexpected toxic effects emphasize the need for caution when prescribing drug combinations to elderly patients with Parkinson's, as they may worsen the disease rather than help it.
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  • This study investigates the combined effects of physical activity and N-acetyl-L-cysteine (NAC) on dopaminergic cell death and inflammation in a mouse model of Parkinson's disease induced by MPTP.
  • The research involved 48 male mice, which were monitored for voluntary physical activity over 30 days and divided into four groups: control, NAC, MPTP, and MPTP+NAC.
  • Results showed that while physical activity was generally increased, it did not protect dopaminergic neurons, as marked reductions in neuron numbers were found in all MPTP-treated groups, indicating that the combination of PA and NAC failed to mitigate neurodegenerative effects.
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Approximately one fourths of infant fractures are due to abuse. Recognition of abuse is important to avoid further morbidity/mortality. There is limited knowledge regarding how frequently pediatric emergency department clinicians consider abuse in infants with fractures.

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Background: Motor vehicle crashes are the leading cause of death among teen drivers. The main goal of this program was to reduce texting while driving among high school teens through a unique peer-generated anti-texting campaign.

Methods: The program consisted of two phases.

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Introduction: Each day, evidence accumulates related to the use of therapeutic plasma exchange (TPE) in patients with rheumatic diseases. San Ignacio University Hospital has recorded all of the TPE sessions performed by the institution's apheresis group.

Objective: To describe the TPE experience of patients with rheumatologic diseases in a hospital setting.

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Background: Motor vehicle crashes are the leading cause of death among teen drivers. The main goal of this program was to reduce texting while driving among high school teens through a unique peer-generated anti-texting campaign.

Methods: The program consisted of two phases.

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Parkinson's disease (PD) is a common neurodegenerative disorder characterized by loss of dopaminergic neurons and localized neuroinflammation occurring in the midbrain several years before the actual onset of symptoms. Neuroinflammation leads to microglia activation and release of a large number of proinflammatory mediators. The kynurenine pathway (KP) of tryptophan catabolism is one of the major regulators of the immune response and is also likely to be implicated in the inflammatory and neurotoxic events in Parkinsonism.

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Article Synopsis
  • Transcranial magnetic stimulation (TMS) is a non-invasive technique that alters neuron activity to explore how brain functions relate to behavior, with effects that can either enhance or suppress cognitive tasks based on the stimulated brain area.
  • Current research on TMS mainly highlights its facilitation effects and its application in treating various neurological and psychiatric disorders, including depression and Alzheimer’s disease.
  • This review focuses on TMS methods used in rodent studies, discusses the challenges in adapting clinical TMS techniques for animal research, and underscores the need for further exploration of TMS paradigms in preclinical settings.
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The retina is sensitive to age-dependent degeneration. To find suitable animal models to understand and map this process has particular importance. The degu (Octodon degus) is a diurnal rodent with dichromatic color vision.

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Chronic inflammation is a major characteristic feature of Parkinson's disease (PD). Studies in PD patients show evidence of augmented levels of potent pro-inflammatory molecules e.g.

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Objective: This study aimed to determine the reliability and potential application of cerebral regional tissue oxygenation (rSO2) monitoring in malfunctioning ventricular shunts during tap.

Methods: This is a prospective case series using convenience sample in subjects with confirmed malfunctioning shunt who had left and right cerebral rSO2 monitoring every 5 seconds before, during, and 1 hour after shunt tap.

Results: Ninety-four subjects had cerebral rSO2 monitoring.

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Memory loss is one of the key features of cognitive impairment in either aging, Mild Cognitive Impairment (MCI) or dementia. Pharmacological treatments for memory loss are today focused on addressing symptomatology. One of these approved compounds is memantine, a partial NMDA receptor antagonist that has proved its beneficial effects in cognition.

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Octodon degus (O. degus) is a diurnal rodent that spontaneously develops several physiopathological conditions, analogous in many cases to those experienced by humans. In light of this, O.

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Objectives: The objective of this study was to describe the use, dosing, and administration of intravenous hypertonic saline (IHS) use in a pediatric emergency department.

Methods: This was a retrospective chart review of patients 0 to 18 years receiving IHS as part of their management in a pediatric ED with an annual volume of more than 50,000 visits.

Results: Over 4 years, 56 patients received IHS as part of their management in the emergency department.

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