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Amid increasing concerns over fluorinated compounds, the Organization for Economic Co-operation and Development (OECD) has reclassified numerous fluorinated pesticides as per- and polyfluoroalkyl substances (PFAS), yet their metabolite distribution in plants remains unexplored. Using flufenacet as a model compound, this study investigated the metabolic distribution in wheat. We discovered a "reverse distribution" phenomenon where the parent compound mainly concentrated in roots (translocation factor = 0.08), while metabolites preferentially accumulated in shoots. The three metabolites with the highest shoot responses, M07, M10, and M15, showed TF values of 1.54, 2.37, and 1.67, respectively. This pattern challenges traditional lipophilicity-based transport theories and increases food chain exposure risks. Toxicity assessment revealed that despite lower acute toxicity, these metabolites exhibited higher hepatotoxicity, mutagenicity, and carcinogenicity than the parent compound, with M10 showing higher carcinogenic potential. Molecular docking demonstrated binding to human proteins with energies of -6.01 to -7.34 kcal/mol. Findings suggest revising risk assessment frameworks to incorporate metabolite distribution and toxicological properties for PFAS pesticide management.
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http://dx.doi.org/10.1021/acs.jafc.5c05762 | DOI Listing |
Knee Surg Relat Res
September 2025
Florida Orthopaedic Institute, Gainesville, FL, 32607, USA.
Background: A clear understanding of minimal clinically important difference (MCID) and substantial clinical benefit (SCB) is essential for effectively implementing patient-reported outcome measurements (PROMs) as a performance measure for total knee arthroplasty (TKA). Since not achieving MCID and SCB may reflect suboptimal surgical benefit, the primary aim of this study was to use machine learning to predict patients who may not achieve the threshold-based outcomes (i.e.
View Article and Find Full Text PDFBMC Med Inform Decis Mak
September 2025
Emergency Department, Helios Spital, Überlingen, Germany.
Background: The increasing amount of data routinely collected on ICUs poses a challenge for clinicians which is aggravated with data-heavy therapies like Continuous Kidney Replacement Therapy (CKRT). We developed the CKRT Supporting Software Prototype (CKRT-SSP), a clinical decision support system for use before, during and after CKRT. The aim of this user experience (UX) study was to prospectively evaluate CKRT-SSP in terms of usability, user experience, and workload in a simulated ICU setting.
View Article and Find Full Text PDFGeroscience
September 2025
Department of Emergency and Internal Medicine, Skåne University Hospital, Malmö, Sweden.
To evaluate a simplified version of the Clinical Frailty Scale (SCFS) among older adults presenting to the emergency department (ED) with acute dyspnea. In this retrospective single-center cohort study, we included patients from the Acute Dyspnea Study (ADYS) cohort. Severity of illness was assessed using the Medical Emergency Triage and Treatment System (METTS).
View Article and Find Full Text PDFGeroscience
September 2025
Department of Urology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
This study aims to investigate the predictive value of combined phenotypic age and phenotypic age acceleration (PhenoAgeAccel) for benign prostatic hyperplasia (BPH) and develop a machine learning-based risk prediction model to inform precision prevention and clinical management strategies. The study analyzed data from 784 male participants in the US National Health and Nutrition Examination Survey (NHANES, 2001-2008). Phenotypic age was derived from chronological age and nine serum biomarkers.
View Article and Find Full Text PDFBr J Cancer
September 2025
Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
The European Council recommends adopting risk-based screening when relevant. In triaging HPV-positive women, it can be an effective strategy to reduce overtreatment and referral to colposcopy. HPV genotyping and p16/ki67 expression may allow a better risk stratification than cytology.
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