Publications by authors named "Denise Garcia"

Astrocytes have gained increasing recognition as key elements of a broad array of nervous system functions. These include essential roles in synapse formation and elimination, synaptic modulation, maintenance of the blood-brain barrier, energetic support, and neural repair after injury or disease of the nervous system. Nevertheless, our understanding of mechanisms underlying astrocyte development and maturation remains far behind that of neurons and oligodendrocytes.

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The influence of neural activity on astrocytes and their reciprocal interactions with neurons has emerged as an important modulator of synapse function. Astrocytes exhibit activity-dependent changes in gene expression, yet the molecular mechanisms by which they accomplish this have remained largely unknown. The molecular signaling pathway, Sonic hedgehog (Shh), mediates neuron-astrocyte communication and regulates the organization of cortical synapses.

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  • This study investigates the effects of high ratio fresh frozen plasma (FFP) to red blood cell (RBC) transfusions in children experiencing shock due to trauma, aiming to clarify their outcomes compared to low ratio transfusions.
  • An analysis of data from 135 injured children showed that while more severe injuries were present in the high ratio group, there was no significant difference in mortality rates or extended hospital stays between those receiving high and low ratios of FFP/RBC.
  • The findings indicate that high ratio FFP/RBC transfusion does not lead to worse outcomes, highlighting variability in massive transfusion protocols across different medical institutions.
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Purpose: Boswellic acids, active components of frankincense, suppress tumor proliferation in vitro with a strong clinical trial safety profile in patients with inflammatory diseases. We performed a Phase Ia window of opportunity trial of Boswellia serrata (B. serrata) in patients with breast cancer to evaluate its biologic activity and safety.

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  • This study analyzed injured children to compare those with severe traumatic brain injury (sTBI) to those without, focusing on clinical and resuscitation differences.
  • Results revealed that children with sTBI had lower initial hemoglobin levels, higher injury severity, and required more intensive medical support, including ventilation and ICU care.
  • It was found that sTBI patients received more resuscitation fluids, and those getting crystalloid boluses had longer hospital stays and more complications compared to those who didn’t.
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The past 15-20 years has seen a remarkable shift in our understanding of astrocyte contributions to central nervous system (CNS) function. Astrocytes have emerged from the shadows of neuroscience and are now recognized as key elements in a broad array of CNS functions. Astrocytes comprise a substantial fraction of cells in the human CNS.

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Axons of retinal ganglion cells (RGCs) play critical roles in the development of inhibitory circuits in visual thalamus. We previously reported that RGC axons signal astrocytes to induce the expression of fibroblast growth factor 15 (FGF15), a motogen required for GABAergic interneuron migration into visual thalamus. However, how retinal axons induce thalamic astrocytes to generate and influence interneuron migration remains unknown.

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  • Data on antibiotic-resistant bacterial infections is minimal in low- and middle-income countries (LMICs), where poor sanitation and antibiotic oversight increase risks.
  • The review highlights significant evidence of antibiotic resistance transmission between domesticated animals and humans in households and backyard farms, revealing pathways through water, soil, and food products.
  • Recommendations are provided for research designs and strategies to enhance understanding and develop interventions to combat zoonotic antibiotic resistance in low-income communities.
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Background: The molecular signaling pathway, Sonic hedgehog (Shh), is critical for the proper development of the central nervous system. The requirement for Shh signaling in neuronal and oligodendrocyte development in the developing embryo are well established. However, Shh activity is found in discrete subpopulations of astrocytes in the postnatal and adult brain.

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The chemical quality of dissolved organic matter (DOM) and the speciation of nitrogen exported from urban catchments is of great importance to biogeochemical cycling in riverine and coastal receiving waters. Many urban streams in Mediterranean climates have a flashy hydrologic regime, which would suggest a rapid pulsing and shunting of solutes downstream. However, the role of these systems both as passive pipes for solute transport or as reactors for DOM and nutrient transformation is still an open question for urban, Mediterranean streams.

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Burn-injured patients must frequently travel long distances to regional burn centers, creating a burden on families and impairing clinical outcomes. Recent federal policies in response to the coronavirus pandemic have relaxed major barriers to conducting synchronous videoconference visits in the home. However, the efficacy and benefits of virtual visits relative to in-person visits remained unclear for burn patients.

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  • - The COVID-19 pandemic has caused surgery delays for cancer patients to reduce exposure and save resources, negatively affecting their treatment.
  • - A review of multiple studies found that delays of over 4 weeks in certain cancers, like breast and ovarian cancer, significantly decreased survival rates, while delays over 3 months worsened outcomes for others like colorectal cancer and melanoma.
  • - However, some cancers, including gastric and advanced melanoma, showed no significant difference in outcomes with surgical delays, indicating variability in how different cancer types respond to timing of surgeries.
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Secreted frizzled-related protein 2 (SFRP2) promotes the migration/invasion of metastatic osteosarcoma (OS) cells and tube formation by endothelial cells. However, its function on T-cells is unknown. We hypothesized that blocking SFRP2 with a humanized monoclonal antibody (hSFRP2 mAb) can restore immunity by reducing CD38 and PD-1 levels, ultimately overcoming resistance to PD-1 inhibitors.

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The Sonic hedgehog (Shh) molecular signaling pathway is well established as a key regulator of neurodevelopment. It regulates diverse cellular behaviors, and its functions vary with respect to cell type, region, and developmental stage, reflecting the incredible pleiotropy of this molecular signaling pathway. Although it is best understood for its roles in development, Shh signaling persists into adulthood and is emerging as an important regulator of astrocyte function.

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Background: Emerging evidence indicates associations between high-fat diet (HFD), metabolic syndrome (MetS), and increased risk of pancreatic cancer. However, individual components of an HFD that increase cancer risk have not been isolated. In addition, a specific pattern of cytokine elevation by which MetS drives pancreatic tumor progression is not well described.

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Purpose: Laparoscopic inguinal hernia repair (LIHR) has gained wide acceptance over the past decade, although studies with longer term follow-up are lacking. We present one of the largest cohorts of children undergoing laparoscopic needle-assisted repair (LNAR) with long-term follow-up.

Methods: A clinical quality database was maintained for children ≤14 years of age who underwent laparoscopic needle-assisted repair between 2009 and 2017 with review of follow-up through 2019.

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The reduced availability of commercial swabs and transport media for testing and administrative demands for increased testing capacity during the coronavirus disease 2019 (COVID-19) public health emergency has seriously challenged national laboratory testing programs, forcing many to use nontraditional collection devices, often without typical analytical assessment of their suitability in testing. Five common transport media (four commercial and one in-house) were evaluated for their suitability in the collection of nasopharyngeal swab specimens for subsequent molecular detection of severe acute respiratory syndrome-associated coronavirus 2 (SARS-CoV-2). Results suggest that these transport media provide dependable temporal stability of the SARS-CoV-2 virus without significant analytical interference of molecular assays.

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Astrocytes are complex cells that perform a broad array of essential functions in the healthy and injured nervous system. The recognition that these cells are integral components of various processes, including synapse formation, modulation of synaptic activity, and response to injury, underscores the need to identify the molecular signaling programs orchestrating these diverse functional properties. Emerging studies have identified the Sonic hedgehog (Shh) signaling pathway as an essential regulator of the molecular identity and functional properties of astrocytes.

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Background: Approaches to burn care in the pediatric population are highly variable and can be targeted as a potential measure in cost-reduction. We hypothesized that institutions vary significantly in treatment allocation of nonsevere burns to either inpatient or outpatient care.

Methods: We queried the PHIS database for fiscal year 2017 to quantify small pediatric burn admissions and Emergency Department visits (ED).

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  • - The study aimed to explore how the timing and volume of crystalloid fluids administered prior to blood transfusion affects mortality rates in pediatric trauma patients, proposing that earlier blood transfusions with less crystalloid would lead to better outcomes.
  • - Conducted across 24 trauma centers, the study involved 712 children under 18 years with a focus on prehospital and emergency department resuscitation methods, finding that 43.7% received crystalloid boluses and 20.9% received blood products, including significant instances of massive transfusion.
  • - Results showed no significant impact on mortality related to transfusion timing or volume; however, receiving multiple crystalloid boluses was linked to longer recovery times in terms of ventilator support, intensive
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Background: We previously reported that secreted frizzled-related protein-2 (SFRP2) is expressed in a variety of tumors, including sarcoma and breast carcinoma, and stimulates angiogenesis and inhibits tumor apoptosis. Therefore, we hypothesized that a humanized SFRP2 monoclonal antibody (hSFRP2 mAb) would inhibit tumor growth.

Methods: The lead hSFRP2 antibody was tested against a cohort of 22 healthy donors using a time course T-cell assay to determine the relative risk of immunogenicity.

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