scholarly journals The utility of prolactin serial sampling and the best prolactin cut-offs associated with persistent hyperprolactinemia

2021 ◽  
Vol 6 (2) ◽  
pp. e133
Author(s):  
Catarina Cidade-Rodrigues ◽  
Filipe M. Cunha ◽  
Catarina Chaves ◽  
Margarida Silva-Vieira ◽  
André Silva ◽  
...  
Keyword(s):  
Serial Sampling

Do Extra-Platelet Sources Contribute to the Plasma Level of Thrombospondin?

1988 ◽  
Vol 59 (02) ◽  
pp. 273-276 ◽  
Author(s):  
J Dawes ◽  
D A Pratt ◽  
M S Dewar ◽  
F E Preston
Keyword(s):  
Platelet Count ◽  
Background Concentration ◽  
Serum Concentrations ◽  
Bone Marrow Depression ◽  
Serial Sampling ◽  
Control Serum ◽  
Platelet Release ◽  
Highly Correlated ◽  
The Relationship

SummaryThrombospondin, a trimeric glycoprotein contained in the platelet α-granules, has been proposed as a marker of in vivo platelet activation. However, it is also synthesised by a range of other cells. The extraplatelet contribution to plasma levels of thrombospondin was therefore estimated by investigating the relationship between plasma thrombospondin levels and platelet count in samples from profoundly thrombocytopenic patients with marrow hypoplasia, using the platelet-specific α-granule protein β-thromboglobulin as control. Serum concentrations of both proteins were highly correlated with platelet count, but while plasma β-thromboglobulin levels and platelet count also correlated, there was no relationship between the number of platelets and thrombospondin concentrations in plasma. Serial sampling of patients recovering from bone marrow depression indicated that the plasma thrombospondin contributed by platelets is superimposed on a background concentration of at least 50 ng/ml probably derived from a non-platelet source, and plasma thrombospondin levels do not simply reflect platelet release.

Direct solid-phase enzymoimmunoassay of testosterone in saliva.

1989 ◽  
Vol 35 (10) ◽  
pp. 2044-2047 ◽  
Author(s):  
K Howard ◽  
M Kane ◽  
A Madden ◽  
J P Gosling ◽  
P F Fottrell
Keyword(s):  
Detection Limit ◽  
Analytical Procedure ◽  
Solid Phase ◽  
Medical Applications ◽  
Microtiter Plates ◽  
Large Numbers ◽  
Coefficients Of Variation ◽  
Serial Sampling ◽  
Direct Solid

Abstract This competitive, solid-phase enzymoimmunoassay for testosterone in saliva is carried out on microtiter plates and involves no chromatographic or extraction steps. With an overnight incubation the detection limit of the assay is 230 fg per well (16.1 pmol/L). There was a good correlation (correlation coefficient 0.95) between testosterone concentrations measured with and without prior extraction of the saliva samples. Repeated assay of three control saliva samples containing a range of testosterone concentrations (200-1000 pmol/L) gave within- and between-assay coefficients of variation of 5.5-13.2%. The analytical procedure is simple and closely resembles already published procedures for the determination of progesterone and estrone (with extraction) in saliva. One person can assay 200 samples in 24 h and the assay is suitable for reproductive and sports medical applications, particularly for projects involving serial sampling and yielding large numbers of samples.

Serial Sampling of ST2 Predicts 90-Day Mortality Following Destabilized Heart Failure

2008 ◽  
Vol 14 (9) ◽  
pp. 732-738 ◽  
Author(s):  
Saskia Boisot ◽  
Jennifer Beede ◽  
Susan Isakson ◽  
Albert Chiu ◽  
Paul Clopton ◽  
...  
Keyword(s):  
Heart Failure ◽  
Serial Sampling

The Role of Serial Sampling in the Diagnosis of Growth Hormone Deficiency

PEDIATRICS ◽  
1998 ◽  
Vol 102 (Supplement_3) ◽  
pp. 521-524
Author(s):  
Frank B. Diamond ◽  
E. Verena Jorgensen ◽  
Allen W. Root ◽  
Dorothy I. Shulman ◽  
Judy P. Sy ◽  
...  
Keyword(s):  
Growth Hormone ◽  
Short Stature ◽  
Growth Velocity ◽  
Idiopathic Short Stature ◽  
Study Cohort ◽  
Growth Study ◽  
Gh Treatment ◽  
Serial Sampling ◽  
The Mean ◽  
National Cooperative

We analyzed 12-hour serial sampling of growth hormone (GH) levels in two cohorts of short children: 96 children referred to a university endocrine clinic or studied on a research protocol and 825 children in the National Cooperative Growth Study of children treated with exogenous GH. The mean 12-hour GH levels correlated with growth velocity in 60 children with normal height and growth velocity in the university study, and this correlation was stronger in the boys. The testosterone levels also correlated with growth velocity and mean 12-hour GH levels in the boys. The mean 12-hour GH levels were lower in a group of 36 children with idiopathic short stature than in the control subjects, as were the peak GH levels within 1 hour after the onset of sleep and the insulin-like growth factor I levels. In the National Cooperative Growth Study cohort, pooled 12-hour GH levels were lower in the group with idiopathic GH deficiency (n = 300) than in the group with idiopathic short stature (n = 525), but the difference was not significant. The duration of GH treatment was the most significant predictor of change in the height SD score in both groups. Indices of spontaneous secretion of GH were not predictive of the response to GH treatment, nor were the results of provocative GH testing, the responses to GH treatment being similar in both groups over time. We conclude that the results of GH testing must be interpreted for each patient and that several testing modalities may be helpful in finding GH insufficiency that originates at various levels of the somatotropic axis.

scholarly journals Global Adoption of High-Sensitivity Cardiac Troponins and the Universal Definition of Myocardial Infarction

2019 ◽  
Vol 65 (3) ◽  
pp. 484-489 ◽  
Author(s):  
Atul Anand ◽  
Anoop S V Shah ◽  
Agim Beshiri ◽  
Allan S Jaffe ◽  
Nicholas L Mills
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Troponin ◽  
Clinical Pathways ◽  
High Sensitivity ◽  
Diagnosis And Management ◽  
Coronary Syndrome ◽  
Diagnostic Threshold ◽  
Serial Sampling ◽  
Universal Definition ◽  
Definition Of

Abstract BACKGROUND The universal definition of myocardial infarction (UDMI) standardizes the approach to the diagnosis and management of myocardial infarction. High-sensitivity cardiac troponin testing is recommended because these assays have improved precision at low concentrations, but concerns over specificity may have limited their implementation. METHODS We undertook a global survey of 1902 medical centers in 23 countries evenly distributed across 5 continents to assess adoption of key recommendations from the UDMI. Respondents involved in the diagnosis and management of patients with suspected acute coronary syndrome completed a structured telephone questionnaire detailing the primary biomarker, diagnostic thresholds, and clinical pathways used to identify myocardial infarction. RESULTS Cardiac troponin was the primary diagnostic biomarker at 96% of surveyed sites. Only 41% of centers had adopted high-sensitivity assays, with wide variation from 7% in North America to 60% in Europe. Sites using high-sensitivity troponin more frequently used serial sampling pathways (91% vs 78%) and the 99th percentile diagnostic threshold (74% vs 66%) than sites using previous-generation assays. Furthermore, high-sensitivity institutions more often used earlier serial sampling (≤3 h) and accelerated diagnostic pathways. Fewer than 1 in 5 high-sensitivity sites had adopted sex-specific thresholds (18%). CONCLUSIONS There has been global progress toward the recommendations of the UDMI, particularly in the use of the 99th percentile diagnostic threshold and serial sampling. However, high-sensitivity assays are still used by a minority of sites, and sex-specific thresholds by even fewer. Additional efforts are required to improve risk stratification and diagnosis of patients with myocardial infarction.

Measurement of gonadotropins in dried blood spots

1994 ◽  
Vol 40 (3) ◽  
pp. 448-453 ◽  
Author(s):  
C M Worthman ◽  
J F Stallings
Keyword(s):  
Luteinizing Hormone ◽  
Filter Paper ◽  
Clinical Studies ◽  
Follicle Stimulating Hormone ◽  
Dried Blood Spots ◽  
Blood Spots ◽  
Low Concentrations ◽  
Serial Sampling ◽  
Highly Correlated ◽  
Blood Spot

Abstract We describe direct immunofluorometric assays for luteinizing hormone (hLH) and follicle-stimulating hormone (hFSH) in fingerstick blood spots dried on filter paper, based on modifications of commercially available kits. Determinations are made from 2.5-mm-diameter discs (3 microL of dried blood) punched out from blood spot standards and samples. Sample dose detection limits of the assays (IU/L) are 0.26 for LH and 0.13 for FSH, with mean interassay CVs of 11.6% (LH) and 7.8% (FSH) at low concentrations. Analytical recoveries of added hormone averaged 100% for LH and 95% for FSH. Clinical studies showed that values for blood spots (x) and directly assayed plasma (y) are highly correlated, so that results from blood spots can be converted directly to plasma equivalents, as follows: yLH = 0.07 + 1.90 xLH, and yFSH = 0.424 + 2.207 xFSH. These gonadotropins are stable in blood spots for at least a year under refrigeration; LH for at least 8 weeks and FSH 6 weeks at 22 degrees C; and both hormones for a week at 37 degrees C. These methods thus allow self-sampling, serial sampling, and mailing of specimens.

Evaluation of a system for serial biopsy of cerebral cortical tissue in an awake goat

1984 ◽  
Vol 247 (3) ◽  
pp. R600-R609
Author(s):  
D. A. Pelligrino ◽  
D. J. Miletich ◽  
R. F. Albrecht ◽  
D. Visintine ◽  
R. Ripper ◽  
...  
Keyword(s):  
Cerebral Metabolism ◽  
Tricarboxylic Acid Cycle ◽  
Cortical Tissue ◽  
Tissue Samples ◽  
Co2 Partial Pressure ◽  
Cranial Window ◽  
Serial Sampling ◽  
Unanesthetized Animals ◽  
Cortical Regions ◽  
Design And Methods

No techniques to date have been developed that allow investigators to obtain serial, rapidly frozen brain tissue samples in unanesthetized animals. The design and methods for implantation of cranial windows in goats are described in detail. The cranial window allows one direct and repeated access to the cerebral cortical surface. With each window, a parietal cortical area of 7.9 cm2 (minus the dura) is available for biopsy. Serial tissue samples are obtained using a suction-freezing system. Samples (100-250 mg) are frozen in less than 1 s. Up to six samples can be taken from each site. Goats were studied over a period of 2-5 days. No signs of sampling or immobilization stress were present as evidenced by a relatively constant level of arterial catecholamines and CO2 partial pressure (PCO2). Local cerebral blood flow (CBF) in the tissue under the window was of the same magnitude as that in other cerebral cortical regions and was unaffected by serial sampling. Levels of labile phosphates and of some glycolytic and tricarboxylic acid cycle-associated intermediates were minimally influenced by serial sampling. Greater variability in metabolite levels was seen for biopsies taken 2-5 days apart than for biopsies taken at 1- to 2-min intervals. However, variations within animals were less than variations among animals. This was especially true for acutely biopsied samples. The described methods provide a model for studies of cerebral metabolism in unstressed goats where anesthetic influences are avoided and where each animal can be utilized as its own control.

Hypoglycemia in Dogs and Recovery After Intracisternal Administration of Glucose

1957 ◽  
Vol 191 (2) ◽  
pp. 367-370 ◽  
Author(s):  
Miles L. Doyle ◽  
Norman S. Olsen
Keyword(s):  
Cerebrospinal Fluid ◽  
Electrical Activity ◽  
Plasma Glucose ◽  
General Circulation ◽  
Severe Hypoglycemia ◽  
Brain Electrical Activity ◽  
Arterial Blood ◽  
Serial Sampling ◽  
The Brain

A standardized procedure for the production of hypoglycemia in dogs has been developed. The degree of hypoglycemia may be determined by the correlation of electroencephalographic tracings and levels of plasma constituents. During severe hypoglycemia glucose was injected either by the intravenous or intracisternal route. In the former group the brain electrical activity returned to normal within 1 minute, whereas, the latter group required 6–10 minutes. Serial sampling of arterial blood in the animals which had been given glucose directly into the cerebrospinal fluid showed that relatively large increases in plasma glucose preceded the return to normal electrical activity of the brain. It is concluded that glucose does not pass directly from the cerebrospinal fluid into the cerebral tissues but rather is transported to the general circulation before entering the brain.

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