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Pub Date : 2023-02-15 DOI: 10.7180/kmj.22.119
S. Jeong, J. Jung, D. Kwon, S. Seong, Ji Yun Jang, Jong Bin Park, M. Jang
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引用次数: 0
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Pub Date : 2023-01-18 DOI: 10.7180/kmj.22.135
J. Shim, T. Lee, B. Choi, J. Ryu, Jung Hee Lee, K. Yang
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引用次数: 0
Safety issues regarding melatonin use in child and adolescent patients with sleep problems 儿童和青少年睡眠问题患者使用褪黑素的安全问题
Pub Date : 2022-12-31 DOI: 10.7180/kmj.22.142
E. Moon, Jung Hyun Lee
Several studies have reported that melatonin may be effective in treating sleep problems in children and adolescents. However, evidence regarding the safety of melatonin use in children and adolescents in their growth and developmental stages is warranted. Therefore, we aimed to summarize the literature on the safety of melatonin use in children and adolescents with insomnia and sleep disturbances. According to existing evidence, there are no serious adverse effects of long-term melatonin use in children and adolescents. The common adverse effects reported in long-term studies are fatigue, somnolence, and mood swings. In addition, there is no evidence that long-term use of melatonin inhibits the natural secretion of melatonin. It is necessary to monitor potential drug interactions with medications such as inhibitors and enhancers of cytochrome P450 1A2 (CYP1A2). Furthermore, low CYP1A2 expression in young children requires proper dose adjustment. Although sufficient experience of melatonin use in children and adolescents has yet to be attained, accumulating evidence suggests that the use of melatonin in children and adolescents with sleep problems might be effective and tolerable. Considering the abuse or overdose risk of hypnotics or benzodiazepines, melatonin supplements may be a good therapeutic alternative. Future studies on the long-term safety of melatonin for physiological and mental function in children and adolescents are required to establish certainty about melatonin use in children and adolescents.
一些研究报告称,褪黑激素可能对治疗儿童和青少年的睡眠问题有效。然而,关于褪黑素在儿童和青少年生长发育阶段使用的安全性的证据是有根据的。因此,我们的目的是总结褪黑素在患有失眠和睡眠障碍的儿童和青少年中使用的安全性。根据现有证据,儿童和青少年长期使用褪黑素没有严重的不良反应。长期研究报告的常见不良反应是疲劳、嗜睡和情绪波动。此外,没有证据表明长期使用褪黑激素会抑制褪黑激素的自然分泌。有必要监测与细胞色素P450 1A2 (CYP1A2)抑制剂和增强剂等药物的潜在药物相互作用。此外,幼儿CYP1A2低表达需要适当调整剂量。虽然在儿童和青少年中使用褪黑激素的经验还不够充分,但越来越多的证据表明,在有睡眠问题的儿童和青少年中使用褪黑激素可能是有效的和可容忍的。考虑到催眠药或苯二氮卓类药物的滥用或过量风险,褪黑素补充剂可能是一种很好的治疗选择。需要进一步研究褪黑素对儿童和青少年生理和心理功能的长期安全性,以确定褪黑素在儿童和青少年中的应用。
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引用次数: 0
Evaluation of automated calibration and quality control processes using the Aptio total laboratory automation system 使用Aptio全实验室自动化系统评估自动校准和质量控制过程
Pub Date : 2022-12-31 DOI: 10.7180/kmj.22.144
Namhee Kim, Yein Kim, Jeongeun Park, Ju-Ran Choi, H. Hwang
Background: The objective of this study was to determine whether manually performed calibration and quality control (QC) processes could be replaced with an automated laboratory system when installed analyzers fail to provide automated calibration and QC functions.Methods: Alanine aminotransferase (ALT), total cholesterol (TC), creatinine (Cr), direct bilirubin (DB), and lipase (Lip) items were used as analytes. We prepared pooled serum samples at 10 levels for each test item and divided them into two groups; five for the analytical measurement range (AMR) group and five for the medical decision point (MDP) group. Calibration and QC processes were performed for five consecutive days, and ALT, TC, Cr, DB, and Lip levels were measured in the two groups using automated and manual methods. Precision and the mean difference between the calibration and QC methods were evaluated using the reported values of the test items in each group.Results: Repeatability and within-laboratory coefficients of variation (CVs) between the automated system and the conventional manual system in the AMR group were similar. However, the mean reported values for test items were significantly different between the two systems. In the MDP group, repeatability and within-laboratory CVs were better with the automation system. All calibration and QC processes were successfully implemented with the Aptio total laboratory automation system.Conclusion: The Aptio total laboratory automation system could be applied to routine practice to improve precision and efficiency.
背景:本研究的目的是确定当安装的分析仪无法提供自动校准和质量控制功能时,是否可以用自动化实验室系统取代手动进行的校准和质量控制(QC)过程。方法:以丙氨酸转氨酶(ALT)、总胆固醇(TC)、肌酐(Cr)、直接胆红素(DB)、脂肪酶(Lip)为检测指标。每个测试项目准备10个水平的血清样本,并分为两组;5个用于分析测量范围(AMR)组,5个用于医疗决策点(MDP)组。连续5天进行校准和QC过程,并采用自动和手动方法测量两组的ALT、TC、Cr、DB和Lip水平。使用每组测试项目的报告值评估校准和QC方法之间的精密度和平均差值。结果:自动系统与常规手工系统在AMR组的重复性和实验室内变异系数(CVs)相似。然而,测试项目的平均报告值在两个系统之间显着不同。在MDP组中,自动化系统的重复性和实验室内简历都更好。所有的校准和质量控制过程都成功地在Aptio全实验室自动化系统中实施。结论:Aptio综合实验室自动化系统可应用于日常实践,提高检测精度和效率。
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引用次数: 0
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Pub Date : 2022-12-26 DOI: 10.7180/kmj.22.140
W. Moon, Sang-Il Lim, Yeonsoo Jung, Yuk Moon Heo, Seun-Ja Park, M. Park, Sung Eun Kim, Jae Hyun Kim, Kyoung-Hee Jung
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引用次数: 0
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Pub Date : 2022-12-22 DOI: 10.7180/kmj.22.106
Kyung-Yoon Jeon, Eun-Ji Ko, H. Chang, Seung-Hyun Lee, Byungkwon Ahn, Mee Sun Ock, Hee-Jae Cha
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引用次数: 0
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Pub Date : 2022-12-22 DOI: 10.7180/kmj.22.139
J. Shim, Jeongtae Kim
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引用次数: 0
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Pub Date : 2022-12-20 DOI: 10.7180/kmj.22.143
K. Jung
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引用次数: 0
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Pub Date : 2022-12-19 DOI: 10.7180/kmj.22.141
Tae H. Lee, Ki Ju Cho, S. Won, Jung Je Park
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引用次数: 0
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Pub Date : 2022-12-19 DOI: 10.7180/kmj.22.130
Christine Kang, Won Yong Lim, Young-hoon Jung, Jiseok Baik
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Kosin Medical Journal
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