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Start Over Creator Kateřina Šimůnková Creator Luboslav Stárka Language English Subject fyziologie Harvested from CDK

1. Can the gold standard be beaten? How reliable are various modifications of the Synacthen test compared to the insulin tolerance test

Creator:
Mikuláš Kosák, Michaela Dušková, Luboslav Stárka, Jandikova, H., Pospisilova, H., Sramkova, M., Václav Hána, Martin Krsek, Drahomíra Springer, and Kateřina Šimůnková
Format:
print, bez média, and svazek
Type:
article, články, journal articles, model:article, and TEXT
Subject:
Fyziologie člověka a srovnávací fyziologie, inzulin, fyziologie, insulin, physiology, 14, and 612
Language:
English
Description:
M. Kosak, M. Duskova, L. Starka, H. Jandikova, H. Pospisilova, M. Sramkova, V. Hana, M. Krsek, D. Springer, K. Simunkova. and Obsahuje bibliografii
Rights:
http://creativecommons.org/publicdomain/mark/1.0/ and policy:public

2. Salivary cortisol in low dose (1 μg) ACTH test in healthy women: comparison with serum cortisol

Creator:
Kateřina Šimůnková, Richard Hampl, Miroslav Hill, Jiří Doucha, Luboslav Stárka, and Karel Vondra
Format:
print, bez média, and svazek
Type:
article, články, model:article, and TEXT
Subject:
Fyziologie člověka a srovnávací fyziologie, fyziologie, kortizol, physiology, cortisol, low dose ACTH test, salivary cortisol, total serum cortisol, transcortin, 14, and 612
Language:
English
Description:
To date, a single report has appeared on the use of salivary cortisol for adrenal function testing with a low dose ACTH, although 1 μg has become preferred as a more physiological stimulus than the commonly used 250 μg ACTH test. Our present study was aimed to obtain physiological data on changes of free salivary cortisol after 1 μg ACTH stimulation. This approach was compared with the common method based on the changes of total serum cortisol. Intravenous, low-dose ACTH test was performed in 15 healthy women (aged 22-40 years) with normal body weight, not using hormonal contraceptives, in the follicular phase of the menstrual cycle. Blood and saliva for determination of cortisol were collected before ACTH administration and 30 and 60 min after ACTH administration. Basal concentration of salivary cortisol (mean ± S.E.M., 15.9±1.96 nmol/l) increased after 1 μg ACTH to 29.1±2.01 nmol/l after 30 min, and to 27.4±2.15 nmol/l after 60 min. The differences between basal and stimulated values were highly significant (p<0.0001). The values of salivary cortisol displayed very little interindividual variability (p<0.04) in contrast to total serum cortisol values (p<0.0001) A comparison of areas under the curve (AUC) related to initial values indicated significantly higher AUC values for salivary cortisol than for total serum cortisol (1.89±0.88 vs. 1.22±0.19, p<0.01). Correlation analysis of serum and salivary cortisol levels showed a borderline relationship between basal levels (r=0.5183, p=0.0525); correlations after stimulation were not significant. Low-dose ACTH administration appeared as a sufficient stimulus for increasing salivary cortisol to a range considered as a normal adrenal functional reserve., K. Šimůnková, R. Hampl, M. Hill, J. Doucha, L. Stárka, K. Vondra., and Obsahuje bibliografii a bibliografické odkazy
Rights:
http://creativecommons.org/licenses/by-nc-sa/4.0/ and policy:public