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  1. Article ; Online: Commentary on Unexpected Presence of an Unusual Opioid in a Patient with Chronic Pain.

    Jannetto, Paul J

    Clinical chemistry

    2021  Volume 67, Issue 4, Page(s) 599–600

    MeSH term(s) Analgesics, Opioid/adverse effects ; Chronic Pain/drug therapy ; Humans ; Opioid-Related Disorders/complications ; Opioid-Related Disorders/drug therapy
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2021-03-31
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 80102-1
    ISSN 1530-8561 ; 0009-9147
    ISSN (online) 1530-8561
    ISSN 0009-9147
    DOI 10.1093/clinchem/hvaa319
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Selecting and Interpreting Alcohol Biomarker Tests: Enough to Drive You to Drink.

    Jannetto, Paul J

    The journal of applied laboratory medicine

    2021  Volume 2, Issue 6, Page(s) 827–829

    Language English
    Publishing date 2021-01-26
    Publishing country England
    Document type Journal Article
    ISSN 2576-9456
    ISSN 2576-9456
    DOI 10.1373/jalm.2017.025593
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: What's in your water? A well-known risk for arsenic toxicity.

    Jegen, Dominika A / Jannetto, Paul J

    Journal of rural medicine : JRM

    2023  Volume 18, Issue 2, Page(s) 149–153

    Abstract: Arsenic cannot be tasted, seen or smelled and can vary in concentration between water wells even in condensed areas. American domestic well water is not regulated to meet the same drinking water standards as other types of water supplies and often ... ...

    Abstract Arsenic cannot be tasted, seen or smelled and can vary in concentration between water wells even in condensed areas. American domestic well water is not regulated to meet the same drinking water standards as other types of water supplies and often contains arsenic. If arsenic is not detected in a well water sample, it is unlikely to be found later. Conversely, if it is detected in a new well, it is recommended to retest six months later as levels may fluctuate in the first months following well construction. It is up to the well owner to test their water and remove arsenic through commercially available water filters. If it is not detected and removed via filtration, a variety of serious, yet common, medical conditions may arise from chronic arsenic exposure, some of which are life-threatening. These include diabetes mellitus, hypertension, skin cancer, renal, bladder and lung cancers, polyneuropathy and cardiac QTc prolongation. Testing is best done through urine speciation if an initial total urine arsenic concentration is elevated. Consider a complete blood count, renal and liver function tests, an electrocardiogram as well as a urinalysis assessing for evidence of hematuria when examining patients with histories concerning for chronic arsenic exposure.
    Language English
    Publishing date 2023-04-05
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2768933-5
    ISSN 1880-4888 ; 1880-487X
    ISSN (online) 1880-4888
    ISSN 1880-487X
    DOI 10.2185/jrm.2022-034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Analysis of Hypoglycemic Drugs by Liquid Chromatography-Tandem Mass Spectrometry.

    Jannetto, Paul J / Langman, Loralie J

    Methods in molecular biology (Clifton, N.J.)

    2023  Volume 2737, Page(s) 297–306

    Abstract: A rapid and simple method to measure oral hypoglycemic agents is essential in the evaluation of a patient with spontaneous hypoglycemia. As a result, a robust high performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) method was ... ...

    Abstract A rapid and simple method to measure oral hypoglycemic agents is essential in the evaluation of a patient with spontaneous hypoglycemia. As a result, a robust high performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) method was developed for the qualitative detection of first-generation sulfonylureas (e.g., chlorpropamide, tolazamide, and tolbutamide), second-generation sulfonylureas (e.g., glimepiride, glipizide, and glyburide), meglitinides (e.g., repaglinide, nateglinide), and thiazolidinediones (e.g., rosiglitazone and pioglitazone). HPLC involved a C8 column and MS/MS was used in electrospray ionization (ESI) positive mode. Identification of all compounds was made using various multiple-reaction monitoring (MRMs). Isotopic labeled chlorpropamide-d4, glimepiride-d5, glyburide-d11, nateglinide-d5, repaglinide-ethyl-d5, rosiglitazone-d3, and zomepirac were used as the internal standards. The cutoffs for each drug were as follows: chlorpropamide 100 ng/mL, tolazamide 50 ng/mL, tolbutamide 20 ng/mL, glimepiride 20 ng/mL, glipizide 5 ng/mL, glyburide 5 ng/mL, repaglinide 5 ng/mL, rosiglitazone 20 ng/mL, pioglitazone 20 ng/mL, and nateglinide 5 ng/mL.
    MeSH term(s) Humans ; Hypoglycemic Agents ; Tandem Mass Spectrometry ; Chlorpropamide ; Tolbutamide ; Glipizide ; Glyburide ; Tolazamide ; Rosiglitazone ; Pioglitazone ; Nateglinide ; Chromatography, Liquid ; Chromatography, High Pressure Liquid/methods ; Spectrometry, Mass, Electrospray Ionization/methods
    Chemical Substances Hypoglycemic Agents ; glimepiride (6KY687524K) ; repaglinide (668Z8C33LU) ; Chlorpropamide (WTM2C3IL2X) ; Tolbutamide (982XCM1FOI) ; Glipizide (X7WDT95N5C) ; Glyburide (SX6K58TVWC) ; Tolazamide (9LT1BRO48Q) ; Rosiglitazone (05V02F2KDG) ; Pioglitazone (X4OV71U42S) ; Nateglinide (41X3PWK4O2)
    Language English
    Publishing date 2023-12-01
    Publishing country United States
    Document type Journal Article
    ISSN 1940-6029
    ISSN (online) 1940-6029
    DOI 10.1007/978-1-0716-3541-4_27
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Elementary Overview of Heavy Metals.

    Jannetto, Paul J / Cowl, Clayton T

    Clinical chemistry

    2023  Volume 69, Issue 4, Page(s) 336–349

    Abstract: Background: Exposure to heavy metals is common as a result of environmental contamination of air, water, and soil as well as accumulation in food, tobacco, herbal medicines, and occupational contact. However, clinically relevant toxicity is much less ... ...

    Abstract Background: Exposure to heavy metals is common as a result of environmental contamination of air, water, and soil as well as accumulation in food, tobacco, herbal medicines, and occupational contact. However, clinically relevant toxicity is much less prevalent. Toxic effects, when they occur, may present with non-specific symptoms, resulting in a very large differential for clinicians to consider.
    Content: Arsenic, cadmium, lead, and mercury are four heavy metals with no biological role in humans. However, these metals are commonly used in industrial applications and consumer products. Since these elements are not biodegradeable, their potential toxic effects may be long-lasting within the environment. These heavy metals have the potential to accumulate in vital organs such as the brain, heart, and kidney where they may disrupt normal cellular functioning and if exposures are repetitive or of high concentration, toxicity may result.
    Summary: The objective of this review is to provide an overview of arsenic, cadmium, lead, and mercury physical properties, common sources of exposure, basic toxicokinetics and health effects, and to review clinical guidelines and treatment strategies. Acute and chronic symptoms and recommended laboratory biomarker testing are also discussed.
    MeSH term(s) Humans ; Arsenic/toxicity ; Cadmium/toxicity ; Mercury/toxicity ; Metals, Heavy/toxicity ; Environmental Pollution/analysis
    Chemical Substances Arsenic (N712M78A8G) ; Cadmium (00BH33GNGH) ; Mercury (FXS1BY2PGL) ; Metals, Heavy
    Language English
    Publishing date 2023-03-21
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 80102-1
    ISSN 1530-8561 ; 0009-9147
    ISSN (online) 1530-8561
    ISSN 0009-9147
    DOI 10.1093/clinchem/hvad022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The North American Opioid Epidemic.

    Jannetto, Paul J

    Therapeutic drug monitoring

    2020  Volume 43, Issue 1, Page(s) 1–5

    Abstract: Background: The culmination of the widespread overprescription of opioids, a resurgence of heroin use, and increased accessibility and use of illicit synthetic opioids is commonly referred to as the opioid epidemic in North America.: Methods: This ... ...

    Abstract Background: The culmination of the widespread overprescription of opioids, a resurgence of heroin use, and increased accessibility and use of illicit synthetic opioids is commonly referred to as the opioid epidemic in North America.
    Methods: This article is not intended to provide a comprehensive systematic literature review, but rather summarized recent publications and online governmental reports and datasets for English-written literature primarily published between January 1, 2015 and July 1, 2020.
    Results: In both the United States and Canada, opioids represent one of the most widely prescribed classes of medications. According to the US Centers for Disease Control and Prevention (CDC), an unprecedented increase in the use of opioid pain relievers has led to one of the worst drug overdose epidemics in US history and continues to be an ongoing major public health crisis based on recent Centers for Disease Control and Prevention mortality data, where almost two-thirds of all overdose deaths still involve opioids, including heroin and illicit opioids. In addition to the high mortality rates in both the United States and Canada, there has also been an increase in emergency department visits for nonmedical use of opioid pain relievers, along with additional individuals seeking treatment for opioid addiction, and a rise in neonatal abstinence syndrome.
    Conclusions: This article highlights the history, underlying issues, ongoing national regulatory efforts, and future strategies and therapies to help mitigate the opioid crisis in North America.
    MeSH term(s) Analgesics, Opioid ; Canada/epidemiology ; Drug Overdose/epidemiology ; Humans ; Opioid Epidemic ; Opioid-Related Disorders/epidemiology ; United States/epidemiology
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2020-12-08
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 424443-6
    ISSN 1536-3694 ; 0163-4356
    ISSN (online) 1536-3694
    ISSN 0163-4356
    DOI 10.1097/FTD.0000000000000817
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients.

    Jannetto, Paul J / Langman, Loralie J

    The journal of applied laboratory medicine

    2021  Volume 2, Issue 4, Page(s) 471–472

    Language English
    Publishing date 2021-01-26
    Publishing country England
    Document type Journal Article
    ISSN 2576-9456
    ISSN 2576-9456
    DOI 10.1373/jalm.2017.025304
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: High Lead Levels in 2 Independent and Authenticated Locks of Beethoven's Hair.

    Rifai, Nader / Meredith, William / Brown, Kevin / Erdahl, Sarah A / Jannetto, Paul J

    Clinical chemistry

    2024  

    Language English
    Publishing date 2024-05-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 80102-1
    ISSN 1530-8561 ; 0009-9147
    ISSN (online) 1530-8561
    ISSN 0009-9147
    DOI 10.1093/clinchem/hvae054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Commentary.

    Jannetto, Paul J

    Clinical chemistry

    2017  Volume 63, Issue 12, Page(s) 1810–1811

    MeSH term(s) Abdominal Pain ; Anemia ; Humans
    Language English
    Publishing date 2017-11-28
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 80102-1
    ISSN 1530-8561 ; 0009-9147
    ISSN (online) 1530-8561
    ISSN 0009-9147
    DOI 10.1373/clinchem.2017.272732
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Mass spectrometry.

    Jannetto, Paul J / Danso, Darlington

    Clinical biochemistry

    2020  Volume 82, Page(s) 1

    MeSH term(s) Humans ; Mass Spectrometry/trends
    Language English
    Publishing date 2020-06-05
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 390372-2
    ISSN 1873-2933 ; 0009-9120
    ISSN (online) 1873-2933
    ISSN 0009-9120
    DOI 10.1016/j.clinbiochem.2020.06.003
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