Publications by authors named "M E Estrella"
Background: Rathke cleft cysts (RCCs) are benign sellar/suprasellar lesions that result from mucin-secreting vestigial remnants within the pars intermedia of the pituitary gland. When symptomatic, they can present with retro-orbital headaches, visual field defects, and/or pituitary dysfunction.
Observations: A 35-year-old female presented with subacute retro-orbital headache, right ptosis, and blurred vision.
Key Points: In diabetes and CKD, creatinine- and cystatin C–based eGFR has a strong inverse correlation with plasma TNF receptor 1, TNF receptor 2, and soluble urokinase-type plasminogen activator receptor. Higher plasma soluble TNF receptors 1 and 2 and soluble urokinase-type plasminogen activator receptor were each individually associated with mortality, independent of baseline kidney measures.
Background: Several plasma biomarkers of kidney health have been associated with CKD progression in persons with diabetes, but their associations with mortality risk have been largely unexplored.
Chronic Kidney Disease-Part 1: Evaluation & Risk Assessment in CKD, Methods to Delay CKD Progression.
Adv Kidney Dis Health
November 2024
Chronic kidney disease (CKD) is common and leads to significant morbidity and mortality. Early detection and deployment of effective therapies could prevent CKD progression and related cardiovascular diseases. This review provides a case-based overview of key issues surrounding the diagnosis, staging, and management of CKD.
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- * The KDOQI Work Group generally agrees with KDIGO's suggestions for CKD evaluation, management options, and the use of new medications such as SGLT2 inhibitors for various CKD types, particularly in patients with diabetes.
- * The guidelines stress team-based care as essential in addressing CKD challenges, and the work group has identified barriers and opportunities for implementing these new recommendations while continuing research on early CKD detection and treatment.
Objectives: There is a dearth of reviews exploring rehabilitation for violence-related traumatic brain injury (TBI) despite its increasing rates and distinct risk factors and outcomes. The aim of this scoping review is to determine the extent to which rehabilitation is available to and accessed by people who sustain TBI from interpersonal violence.
Method: Electronic databases (i.