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Nathan Goodyear

Midnight salivary cortisol for the initial diagnos... [J Clin Endocrinol Metab. 2004] -... - 0 views

  • Measuring midnight salivary cortisol is an easy and noninvasive means of diagnosing hypercortisolism. Its diagnostic accuracy is identical to, if not better than, that of previously described gold standards
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    salivary cortisol testing is "better than, that of previously described gold standards."  This makes salivary cortisol testing the gold standard for assessing cortisol levels
Nathan Goodyear

Midnight Salivary Cortisol for the Initial Diagnosis of Cushing's Syndrome of Various C... - 0 views

  • Its diagnostic accuracy is identical to, if not better than, that of previously described gold standards.
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    Its diagnostic accuracy is identical to, if not better than, that of previously described gold standards.
Nathan Goodyear

Midnight Salivary Cortisol for the Initial Diagnosis of Cushing's Syndrome of Various C... - 0 views

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    salivary cortisol described as the new "gold standard".  That is saliva.
Nathan Goodyear

Midnight Salivary Cortisol for the Initial Diagnosis of Cushing's Syndrome of Various C... - 1 views

  • Measuring midnight salivary cortisol is an easy and noninvasive means of diagnosing hypercortisolism
  • Its diagnostic accuracy is identical to, if not better than, that of previously described gold standards.
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    midnight salivary cortisol said to be diagnostically as accurate if not better than previous gold standards
Nathan Goodyear

Performance of salivary cortisol in the diagnosis of Cushing's syndrome, adrenal incide... - 0 views

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    Salivary hormone testing again shown to gold standard.  This study looked at salivary cortisol levels in those with Cushing's disease, Cushing's syndrome, and with adrenal incidentaloma.   The results make one scratch their head.  The sensitivity and specificities of salivary cortisol were very high, exceeding at least 94% with most > 96 and 97%.  So, why the opposition?  Ignorance I guess.
Phiten Singapore

AquaGold IP Facial Care - 0 views

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    IP-facial care product line has AQUAGOLD from Phiten's unique AquaMetal Technology known to strengthen the immune system, enhance the absorption of nutrients, regenerate tissues, & improve circulation. Above all, Gold have been regarded as a powerful anti-aging agent.
Nathan Goodyear

Diurnal Cortisol Rhythm as a Predictor of Breast Cancer Survival - 0 views

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    Flat and/or abnormal diurnal cortisol patterns found to be associated with earlier mortality in breast cancer.  The flatter cortisol pattern, the earlier the mortality.  Several points here: this highlights the impact of cortisol on the immune system.  Second, this reveals how much of the research has moved to saliva as the gold standard.  This study by the NCI, used salivary cortisol to evaluate the risk of breast cancer survivors.
Nathan Goodyear

Diagnostic Potential of Saliva: Current State and Future Applications - 0 views

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    saliva testing is the new "gold standard" for hormone evaluation.  No testing method is perfect and thus there are guidelines for salivary collections.  However, saliva is equal too or superior to blood for hormone evaluation.
Nathan Goodyear

Late-night salivary cortisol in normal subjects and in patients with Cushing's syndrome... - 1 views

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    specificity of saliva/salivary cortisol testing for Cushing's syndrome is 100%; but sensitivity was 69%.  Testing not done via LC-MS which is the gold standard.  This could explain the low sensitivity as compared to other studies.
Nathan Goodyear

NCJRS Abstract - National Criminal Justice Reference Service - 0 views

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    PTSD is not just a short term issue.  The HPA dysfunction can persist long-term causing symptoms that extend far beyond the time of injury/healing.  What is interesting, is that the cortisol was evaluated with cortisol.  The new gold standard.
Nathan Goodyear

Steroid measurement with LC-MS/MS... [J Steroid Biochem Mol Biol. 2010] - PubMed - NCBI - 0 views

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    LC-MS/MS overcomes the limitations of immunoassays in hormone testing.  LC-MS/MS is the new gold standard with sensitivity, specificity, and ease second to none.  LC-MS/MS is the bench science now coming to the practice of medicine.
Nathan Goodyear

Challenges and benefits of endogenous steroid an... [Bioanalysis. 2011] - PubMed - NCBI - 0 views

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    LC-MS/MS shown to be "accurate and highly sensitive" when compared to GC-MS for saliva testing of hormones.  Up to this point, GC-MS has been considered the "gold standard".
Nathan Goodyear

Principles and clinical applications of ... [J Endocrinol Invest. 2011] - PubMed - NCBI - 0 views

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    LC-MS/MS will be the new gold standard in hormone evaluation.
Nathan Goodyear

Utility of salivary cortisol measurements in Cushi... [J Clin Endocrinol Metab. 2009] -... - 0 views

  • Measurement of an elevated late-night (2300 to 2400 h) salivary cortisol has a greater than 90% sensitivity and specificity for the diagnosis of endogenous Cushing's syndrome
  • It is expected that the use of the measurement of salivary cortisol will become routine in the evaluation of patients with disorders of the HPA axis.
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    Saliva cortisol testing validated again.  Without saying, the author essentially calls it the gold standard
Nathan Goodyear

Which Patients Do Not Require a GH Stimulation Test for the Diagnosis of Adult GH Defic... - 0 views

  • Four studies have reported that the probability of GHD (peak GH criteria ranging from < 2.3 to < 5 μg/liter) in patients with three to four PHDs ranges from 91% to 100%
  • 95% accuracy by the presence of either three or more PHDs or a serum IGF-I concentration less than 84 μg/lite
  • adult GHD could be predicted with 95% accuracy by the presence of either three or four PHDs or a serum IGF-I concentration less than 84 μg/liter
  • ...5 more annotations...
  • Hypopituitary adults with GHD have been reported to have normal serum IGF-I levels in 37–70% of patients in various studies (5, 9, 18, 21, 22). This is owing in part to the fact that multiple factors regulate serum IGF-I concentrations including nutritional status; hepatic and renal function; and circulating concentrations of thyroid hormone, androgens, and estrogens
  • changes in concentrations of IGF-binding proteins (IGFBPs) influence the total concentration of IGF-I in plasma
  • Among patients with an IGF-I sd score above −1 in the present study, 46% had a peak GH less than 2.5 μg/liter and 67% had a peak GH less than 5 μg/liter.
  • In summary, adult GHD can be predicted with 95% accuracy by the presence of either three or four PHDs or a serum IGF-I concentration less than 84 μg/liter
  • We propose that adult patients with three or four PHDs (three or four of the following deficiencies: TSH, ACTH, gonadotropins [LH and/or FSH], and AVP [central diabetes insipidus]) do not require a GH stimulation test to make the diagnosis of adult GHD
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    Insulin Tolerance Test is the gold standard for HGH diagnosis, but this an unpopular test do to long list of side effects.  This study finds a 95% accuracy for IGF-1 less than 84 with 3 or more coexisting pituitary hormone deficiencies.
Willow O'Donnell

Refurbished Alaris Signature 7130 Infusion IV Pump - 0 views

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    Refurbished Alaris Signature 7130 Infusion IV Pump The Alaris IVAC Signature Gold 7130 Infusion Pump is a single channel volumetric infusion pump that allows independent programming on both sides. It can be used for general IV infusions, antibiotics, blood infusions, enteral infusions, TPN and hyperalimentation, and lipids. Dual-rate piggyback function and panel lock.
Willow O'Donnell

Refurbished Alaris Signature 7130 Infusion IV Pump - Willow Medical - 0 views

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    Refurbished Alaris Signature 7130 Infusion IV Pump The Alaris IVAC Signature Gold 7130 Infusion Pump is a single channel volumetric infusion pump that allows independent programming on both sides. It can be used for general IV infusions, antibiotics, blood infusions, enteral infusions, TPN and hyperalimentation, and lipids. Dual-rate piggyback function and panel lock.
Willow O'Donnell

Refurbished Alaris Signature 7130 Infusion IV Pump - 0 views

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    Refurbished Alaris Signature 7130 Infusion IV Pump The Alaris IVAC Signature Gold 7130 Infusion Pump is a single channel volumetric infusion pump that allows independent programming on both sides. It can be used for general IV infusions, antibiotics, blood infusions, enteral infusions, TPN and hyperalimentation, and lipids. Dual-rate piggyback function and panel lock.
wheelchairindia9

Cervical Orthosis Philadelphia Ethafoam - 0 views

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    Cervical orthosis Ethafoam is an advanced collar with scientific design which ensures complete immobilization on one hand and perfect comfort on the other. It is called as a gold standard in cervical immobilization. Ultimate comfort. Perfect immobilization. Anatomically moulded. Minimal contact surface. Hypoallergenic. Cervical Orthosis (Philadelphia) Ethafoam Features Pre-formed chin Provides rest to the chin, ensures comfort, improves immobilization. Anatomical and balloon design Offers perfect immobilization, minimal contact of the neck, allows use in burn or trauma patients. Hypoallergenic materials Ensures no rash or allergy even on prolonged use, compatible to geriatrics, better patient compliance . Tracheotomy opening Compatible to use of endotracheal tube, improves air ventilation, improves patient comfort and compliance. Two piece design Easy application, firm occipital support, option for varying rigidity. Ethafoam Light weight, better patient compliance, non absorbent ensures easy cleaning and maintenance.
wheelchairindia9

Tynor Cervical Orthosis Plastazote - 0 views

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    Tynor Cervical Orthosis Plastazote Cervical orthosis plastazote is an advanced collar with scientific design which ensures complete immobilization on one hand and perfect comfort on the other, It is called as a gold standard in cervical immobilization. Ultimate comfort. Perfect immobilisation. Anatomically moulded. Minimal contact surface. Hypoallergenic. Tynor Cervical Orthosis (Philadlphia) Plastazote Features Pre-formed chin Provides rest to the chin, ensures comfort, improves immobilization. Anatomical and balloon design Offers perfect immobilization, minimal contact of the neck, allows use in burn or trauma patients. Plastazote Light weight, better patient compliance. Non absorbent ensures easy cleaning and maintenance Hypoallergenic, Ensures no rash or allergy even to old age patients Eco friendly manufacturing process Better patient compliance Tracheotomy opening Compatible to use of endo tracheal tube, improves air ventilation. Improves patient comfort and compliance. Two piece design Easy application, firm occipital support, option for varying rigidity. Better immobilization Tynor Cervical Orthosis (Philadlphia) Plastazote Measurements Measure distance between edge of sternum and lower jaw with neck in extension position.
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