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Nathan Goodyear

Morning free and total testosterone in HIV-infected men: implications for the assessmen... - 0 views

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    low T is found in 20-70% of men with HIV.  What is interesting about this article is that Total Testosterone was found to be a poor assessment of biological active Testosterone.  Free Testosterone assessed in the am was shown to be a better functional assessment in these men.  Serum is a poor choice though.  The process of equilibrium dialysis to calculate free Testosterone is filled with variables that will effect reliability.  Increases SHBG was found associated.
Nathan Goodyear

Reproducibility of Plasma Steroid Hormones, Prolactin, and Insulin-like Growth Factor L... - 0 views

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    Very interesting study finds that a single value assessment of androgens, DHEAS, prolactin, IGF-1 and IGFBP-3 can be used to assess 3 year average in pre-menopause women.  Estrogen and progesterone need to be assessed through the cycle.
Nathan Goodyear

Improved coronary risk assessment among intermediate risk patients using a clinical and... - 0 views

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    study suggests biomarkers, CHDRA, with history provides good 5 year CHD risk assessment among those with intermediate risk.
Nathan Goodyear

CORONARY ARTERY CALCIUM SCORE VERSUS A MULTIPLE BIOMARKER APPROACH FOR CORONARY HEART D... - 0 views

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    Coronary artery calcium is positively associated with CAD risk.  It compares to multiple biomarker assessment, BNP, and homocysteine assessment.
Nathan Goodyear

Persistent Subclinical Hypothyroidism and Cardiovascular Risk in the Elderly: The Cardi... - 0 views

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    study finds no increased risk of CHD, HF, or CV death in subclinical hypothyroidism in older adults.  No insight is gained from this article, due to the use of TSH as the only tool for thyroid assessment.  TSH has been shown to become unreliable as a sole thyroid assessment tool an aging population.
Nathan Goodyear

Simultaneous measurement of cortisol in serum and saliva after different forms of corti... - 0 views

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    salivary cortisol shown to accurately reflect the systemic cortisol burden.  This study concluded that saliva cortisol was an accurate assessment tool for the free, biological cortisol in the body.  Saliva an appropriate assessment tool, in the place of serum.
Nathan Goodyear

Plasma testosterone in the general population, can... [Ann Oncol. 2014] - PubMed - NCBI - 0 views

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    prospective study of almost 9,000 men and women followed for 30 + years.  The study found that there was a significant increased risk of early death after diagnosis of cancer with higher levels of Testosterone.  The risk was increased by up to 80%.  The incidence of cancer was unchanged.  The study looked at total Testosterone via serum.  The study is limited due to its limited look at hormones.  Full Testosterone metabolism needs to be evaluated--including conversion to estrogens.  Inflammatory cytokines need to be assessed and men and women need to be assessed separately as their reactions to hormones are quite different.
Nathan Goodyear

Salivary estradiol and progesterone levels in conception and nonconception cycles in wo... - 0 views

  • Salivary measurements of E2 and progesterone can be used as noninvasive methods for assessment of ovarian function. Salivary specimens can be collected at home and brought to the laboratory for analysis, obviating the need for frequent phlebotomy. The sensitivity and precision of the salivary E2 assay make it comparable with assays of serum E2 for assessing changes in hormone levels.
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    salivary estradiol and progesterone used to assess women with infertility
Nathan Goodyear

Assessing cortisol and dehydroepiandrosterone (DHEA) in saliva: effects of collection m... - 0 views

  • Assessing cortisol and dehydroepiandrosterone (DHEA) in saliva:
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    assessing cortisol and DHEA in saliva
Nathan Goodyear

Low Levels of Free Testosterone Correlated wi... [Horm Metab Res. 2014] - PubMed - NCBI - 0 views

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    Interesting study looked at Total Testosterone (TT) and free Testosterone (FT) in older men in BMD assessment.  The authors found no change in TT, but a significant decline in free Testosterone.  This fits with other research pointing to free Testosterone as a better functional assessment tool.
jiyaroy11

Guidelines in Clinical Research Assessment - 0 views

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    What Are the Steps Related to Clinical Assessments? What's incorrect with Cynthia? There are several factors that can cause forgetfulness.
Nathan Goodyear

PET/CT Standardized Uptake Values (SUVs) in Clinical Practice and Assessing Response to... - 0 views

  • use of PET in clinical research, clinical trials, and drug discovery
  • use of PET/CT in assessing response to therapy
  • In some cases, such as Hodgkins lymphoma, quantitative PET/CT imaging may not actually be needed, as success can be defined by the complete absence of tracer uptake in the PET image following a course of standardized therapy
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  • The utilization of PET/CT to assess response to therapy is increasing in the US related, in part, to the creation and subsequent favorable results of the National Oncologic PET Registry (NOPR)
  • Changes in size as a result of therapy may take many months to develop and any opportunity to make early decisions about therapy success or failure is often unduly delayed or lost altogether
  • measures of changes in metabolic activity via FDG PET/CT can provide an alternate approach to assess response to therapy -- often very early in the course of treatment
  • Current recommendations are that tumor SUVs should be reported
  • The true tracer uptake in a patient is composed of two components: the first being the amount of tracer uptake (e.g. FDG) associated with the disease status (the signal of interest), which can be modified by the biophysiological status of the patient. One of the more important patient parameters is the blood glucose level, which has been shown to inversely-linearly affect SUVs
  • A prospective study by Crippa et al.30 in eight patients showed that as blood glucose levels were increased from 92.4 ±10.2 to 158 ± 13.8 mg/100 ml by glucose loading, the average SUV of 20 liver metastases decreased from 9.4 ± 5.7 to 4.3 ± 8.3
  • chemotherapy can result in impaired renal function, significantly reducing the clearance of plasma FDG through the kidney and thus increasing tumor SUV relative to an initial PET scan
  • The second component of the true tracer uptake is biological variability
  • The biological variability has been estimated in several test-retest studies7,32–35 at approximately 10% for scans repeated within a few days
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    Good review of the SUVs of a PET/CT scan.
Nathan Goodyear

Salivary cortisol for assessment of hypothalamic-p... [Neuroimmunomodulation. 2009] - P... - 0 views

  • Sampling for salivary cortisol determination is a sensitive, specific and pain-free procedure and it is therefore very useful for following healthy and sick children before, during and after pharmacological interventions
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    Salivary cortisol for assessment of hypothalamic-pituitary-adrenal axis function.
Nathan Goodyear

Steroid Analysis in Saliva for the Assessment of Endocrine Function - Read - 2006 - Ann... - 0 views

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    Steroid Analysis in Saliva for the Assessment of Endocrine Function
Nathan Goodyear

A revolution in biomedical assessment: the develop... [J Dent Educ. 2001] - PubMed result - 0 views

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    A revolution in biomedical assessment: the development of salivary diagnostics.
Nathan Goodyear

Salivary steroid assays for assessing variation in... [J Steroid Biochem. 1983] - PubMe... - 0 views

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    Salivary steroid assays for assessing variation in endocrine activity.
Nathan Goodyear

Salivary cortisol in psychoneuroendocrine research... [Psychoneuroendocrinology. 1994] ... - 0 views

  • The assessment of cortisol in saliva has proven a valid and reliable reflection of the respective unbound hormone in blood. To date, assessment of cortisol in saliva is a widely accepted and frequently employed method in psychoneuroendocrinology
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    saliva cortisol testing "widely" accepted in 1984
Nathan Goodyear

The use of salivary progesterone assays in the assessment of ovarian function in postme... - 0 views

  • indicate the value of salivary progesterone measurements in studies of ovarian function in adolescence.
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    The use of salivary progesterone assays in the assessment of ovarian function in postmenarcheal girls
Nathan Goodyear

Salivary estriol as risk assessment for preterm labor: A prospective trial - 0 views

  • Detection of an early estriol surge or increased level (≥2.3 ng/ml) may be clinically helpful in identifying women at elevated risk for preterm labor and birth, allowing for evaluation of biologically based interventions in controlled trials.
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    salivary estriol to assess preterm labor
Nathan Goodyear

Salivary cortisol as a biomarker in stress researc... [Psychoneuroendocrinology. 2009] ... - 0 views

  • psychobiological mechanisms, which trigger the hypothalamus-pituitary-adrenal axis (HPAA) can only indirectly be assessed by salivary cortisol measures. The different instances that control HPAA reactivity (hippocampus, hypothalamus, pituitary, adrenals) and their respective modulators, receptors, or binding proteins, may all affect salivary cortisol measures.
  • linear relationship with measures of plasma ACTH and cortisol in blood or urine does not necessarily exist
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    saliva cortisol testing is a better assessment tool for HPA axis function, compared to serum cortisol
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