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). However, salivary cortisol may be falsely elevated due to preanalytical errors including liquorice consumption and contamination with dermal hydrocortisone or blood in the saliva sample ( 11 , 12 , 13 ). Salivary cortisone might be less sensitive to
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
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Department of Clinical Biochemistry, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
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Department of Pediatrics, Copenhagen University Hospital - Herlev & Gentofte, Copenhagen, Denmark
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Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
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man-hours needed for serial sampling and minimizes the risks of sample loss, wrong timing, misidentification, and contamination. The volumetric DBS technology used in the Fluispotter has previously been tested ex vivo for cortisol assessment by
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stored in appropriate tubes (not to forget a clear and wash-off resistant sample identifier) with appropriate lids (proper sealing of the tubes can prevent evaporation/contamination of the sample). If immunoassay measurements cannot be done right away
Division of Endocrinology and Metabolism, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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NIHR Health Protection Research Unit on Chemical Radiation Threats and Hazards, Imperial College London, London, UK
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NIHR Health Protection Research Unit on Chemical Radiation Threats and Hazards, Imperial College London, London, UK
National Institute for Health Research (NIHR) Health Protection Research Unit in Environmental Exposures and Health, Imperial College London, London, UK
Mohn Centre for Children’s Health and Wellbeing, Imperial College London, London, UK
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Mohn Centre for Children’s Health and Wellbeing, Imperial College London, London, UK
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girls, respectively. Sample collection, stability analysis and assays Saliva samples were collected during school hours directly into sterile polypropylene vials and the time of collection was recorded. To prevent contamination and dilution of
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-venous sample. Residual saline waste was discarded immediately before succeeding sample points, avoiding contamination and dilution of antecubital-venous blood. Fingertip-capillary blood was simultaneously obtained from a pre-warmed fingertip pierced with a
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Departments of Endocrinology, Radiology, Sydney Medical School, Royal North Shore Hospital, St Leonards, New South Wales, Australia
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cytology, and the needle was then washed to obtain the FNA-Tg samples. The majority of samples were obtained by washing 1 ml of normal saline through the needle into a sterile plain tube or container. In a minority of samples, there was a variation in the
Division of Endocrinology, Division of Nephrology, Endocrine Research Laboratory, Department of Medicine
Division of Endocrinology, Division of Nephrology, Endocrine Research Laboratory, Department of Medicine
Division of Endocrinology, Division of Nephrology, Endocrine Research Laboratory, Department of Medicine
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ESRD subject was not included in the salivary cortisol analysis because of obvious contamination of the salivary cortisol samples as described previously (17) . The control subjects had typical circadian plasma and salivary cortisol and plasma ACTH
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Division of Diabetes, Endocrinology and Metabolism, Imperial College London, London, UK
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was 14.5 nmol/L based on optimal cut-off by ROC analysis, sensitivity rose to 95.2% without affecting specificity. Normal LNSC: cortisone ratio is 0.2 with LC-MS/MS ( 6 ). Contamination of the salivary sample with topical hydrocortisone should be
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(Amsterdam, The Netherlands), an ENETS Center of Excellence ( 20 ). The study was approved by Netherlands Cancer Institute local ethics committee, and written informed consent from all subjects was obtained. Inclusion criteria were a minimum of two samples
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, and then the saliva sample was placed in a plastic tube and kept at +4°C. Samples were collected at least 30 min before eating or drinking, to avoid any source of food contamination; patients brushed their teeth at least 30 min before collecting their