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Patients with gestational trophoblastic disease secrete intact hCG, hCG[beta], nicked hCG and hCG[beta], and in some cases hCG devoid of the carboxy-terminal portion of the hCG[beta] subunit and hCGh. Individuals harboring nongestational trophoblastic neoplasms such as germ cell tumors of the testes and ovaries frequently secrete predominately hCG[beta] with lesser amounts of intact hCG, while a third to two-thirds of patients with nontrophoblastic neoplasms secrete only hCG[beta] and not intact hCG.
Also, it has been claimed that hCGh is poorly recognized by some hCG assays, but a standard for hCGh is not yet available.
(2) Nonstandard abbreviations: hCG, human chorionic gonadotropin; hCGh, hyperglycosylated hCG; IRR, International Reference Reagents; hCG[beta], free [beta] subunit of hCG; hCG[beta]cf, core fragment of hCG[beta]; LC-MS/MS, liquid chromatography--tandem mass spectrometry; UK NEQAS, United Kingdom National External Quality Assessment Service.
Eva Stevens, manager of HCGH Food and Nutrition, recently signed the Healthy Food in Health Care Pledge sponsored by the nonprofit Health Care Without Harm (www.noharm.org).
HCGH understands that having a robust supply of locally-grown food is important for a number of reasons.
HCGH also encourages employees, patients and the local community to support local farmers' markets and join community supported agriculture (CSA) efforts to help protect the environment and improve the quality of the food we eat.
The Joint Academy at HCGH offers a comprehensive approach to the joint replacement experience; as a partnership among the patient, doctor and hospital, focusing on engaging and educating patients throughout the surgical process-from admission to post-discharge-so they can more fully participate in their own care and recovery.
"Although joint replacement surgery has been offered for many years at HCGH, the establishment of the Joint Academy in May 2008 took the service to a whole new level," said Richard Kinnard, M.D., medical director of the Joint Academy.
Her experience as both a nurse and an attorney helps her understand HCGH's performance data and determine what particular areas contribute to patient safety.
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- hCG diet
- hCG-like activity