The knowledge-based expert computer system DEREK (Deductive Estimation of Risk from Existing Knowledge) has been assessed for its potential as a screen for predicting genotoxicity and carcinogenicity of some chemicals found in foods. This was achieved by establishing databases, summarizing published activities of several chemical classes, including aflatoxins, flavonols, hydroxylated anthraquinones and polycyclic aromatic hydrocarbons (PAHs), to construct draft rules to identify structurally alerting toxicophores. This information was used, together with other data (e.g. physicochemical properties, steric effects and molecular modelling), to produce a set of simplified, non-specific rules where possible to cover a wide spectrum of structures within each chemical class. Examples of toxicophores identified include: a bisfuranoid substructure centred around the 2,3-vinyl ether bond for aflatoxins and a 6-bond substructure, based on the 'bay' region of phenanthrene, for PAHs. The effects of various substituents and the presence of extra rings were considered. Operation of the rules is illustrated by reference to these chemical groups, and to the flavonols for which there are four on-screen messages, depending on hydroxylation at positions 3 and 5 on the fused ring system and on the phenyl appendage, and whether further hydroxylation can occur, for example by mixed function oxidase activity and/or chemical or metabolic release of masked hydroxyls. Rules were tested by processing a wide range of structurally related chemicals in each class, with known and unknown activities. In some cases, key candidate structures for synthesis and toxicity testing were identified. The results from such studies should facilitate rule improvement. Whereas predictivity of a set of rules depends on the availability of reliable, experimental toxicity data for as many potential molecules in a group as possible, utility for identifying toxic untested, novel structures may be enhanced by using physicochemical information. Examples of this approach, as well as the advantages and current limitations of DEREK, are presented and discussed. It is concluded that DEREK has potential as a screen for genotoxicity and the approach adopted here for rule development may be useful for predicting other toxicity endpoints.
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http://dx.doi.org/10.1016/0887-2333(95)00040-f | DOI Listing |
J Med Internet Res
January 2025
Department of Radiation Oncology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Background: Primary intracranial germ cell tumors (iGCTs) are highly malignant brain tumors that predominantly occur in children and adolescents, with an incidence rate ranking third among primary brain tumors in East Asia (8%-15%). Due to their insidious onset and impact on critical functional areas of the brain, these tumors often result in irreversible abnormalities in growth and development, as well as cognitive and motor impairments in affected children. Therefore, early diagnosis through advanced screening techniques is vital for improving patient outcomes and quality of life.
View Article and Find Full Text PDFJMIR Res Protoc
January 2025
Department of Medicine and Optometry, eHealth Institue, Linnaeus University, Kalmar, Sweden.
Background: Health worker migration from Nigeria poses significant challenges to the Nigerian health care sector and has far-reaching implications for health care systems globally. Understanding the factors driving migration, its effects on health care delivery, and potential policy interventions is critical for addressing this complex issue.
Objective: This study aims to comprehensively examine the factors encouraging the emigration of Nigerian health workers, map out the effects of health worker migration on the Nigerian health system, document the loss of investment in health training and education resulting from migration, identify relevant policy initiatives addressing migration, determine the effects of Nigerian health worker migration on destination countries, and identify the benefits and demerits to Nigeria of health worker migration.
Ocul Immunol Inflamm
January 2025
Universiti Malaya Eye Research Centre (UMERC), Department of Ophthalmology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Purpose: To shed light on one of the ocular adverse effects related to pembrolizumab.
Method: Case report and literature review.
Result: A 53-year-old gentleman with underlying Stage III B renal cell carcinoma with lung metastasis and gout presented in June 2021 with bilateral red eyes following Coronavirus disease (COVID-19) vaccination.
Neurology
February 2025
Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Determining the level of consciousness in patients with brain injury-and more fundamentally, establishing what they can experience-is ethically and clinically impactful. Patient behaviors may unreliably reflect their level of consciousness: a subset of unresponsive patients demonstrate covert consciousness by willfully modulating their brain activity to commands through fMRI or EEG. However, current paradigms for assessing covert consciousness remain fundamentally limited because they are insensitive, rely on imperfect assumptions of functional neuroanatomy, and do not reflect the spectrum of conscious experience.
View Article and Find Full Text PDFJ Glob Health
January 2025
Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Background: Recreational screen time (RST) has been found to be associated with cognitive decline and neurodegenerative diseases. However, the association between RST and age-related macular degeneration (AMD), an ocular neurodegenerative disease, is still unclear. We aimed to elucidate the association between RST and AMD.
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