Publications by authors named "C Guevarra"

Purpose: This study aimed to establish the diagnostic accuracy of a previously validated sleep staging system in patients with probable isolated REM sleep behavior disorder (iRBD), and to compare physicians' diagnoses of iRBD based on REM sleep without atonia (RSWA) to non-REM hypertonia (NRH), a sleep measure independently associated with Parkinsonian spectrum disorders.

Patients And Methods: Twenty-six patients with a history of dream enactment behavior underwent a diagnostic PSG with simultaneous Sleep Profiler (SP) acquisition at two sites. PSG and SP records were sleep staged, and two sleep neurologists independently diagnosed iRBD based on the presence or absence of polysomnographic identified RSWA.

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The anti-hypertensive agent hydralazine is a time-dependent inhibitor of the cytosolic drug-metabolizing enzyme aldehyde oxidase (AO). Glutathione (GSH) was found to suppress the inhibition of AO by hydralazine in multiple enzyme sources (human liver and kidney cytosol, human liver S9, rat liver S9, and recombinant human AO) and with different AO substrates (zoniporide, -benzylguanine, and dantrolene). Hydralazine-induced AO inactivation was unaffected when GSH was added to the incubation mixture after pre-incubation of hydralazine with AO (rather than during the pre-incubation), suggesting that GSH traps a hydralazine reactive intermediate prior to enzyme inactivation.

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Background: Recent studies suggest that the prevalence of cardiac involvement in young competitive athletes with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection appears to be low.

Aim: This study aimed to determine the prevalence of cardiovascular involvement in young competitive athletes.

Methods: In this single-center retrospective cohort study from one Division I university; we assessed the prevalence of cardiovascular involvement among collegiate athletes who tested positive for SARS-CoV-2 by polymerase chain reaction testing.

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Article Synopsis
  • Cerebral microbleeds are small brain hemorrhages that may indicate heightened stroke risk, raising concerns about future intracranial hemorrhage versus recurrent ischemic stroke in patients receiving antithrombotic medications.
  • This study pooled data from various cohort studies, focusing on adult patients with recent ischemic strokes or transient ischemic attacks, to determine the relationship between the presence and patterns of cerebral microbleeds and the risks of future strokes or hemorrhages.
  • Analyzing data from 20,322 patients over multiple years, researchers found that patients with cerebral microbleeds had a 1.35 times higher risk of experiencing adverse outcomes compared to those without microbleeds, highlighting the significance of monitoring these markers in clinical
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