Objectives: to evaluate the association between exposure to per- and polyfluoroalkyl substances (PFAS) and semen quality in young adulthood, with particular attention to different exposure metrics: serum and seminal concentrations of perfluorooctanoic acid (PFOA) and perfluorosulfonic acid (PFOS), foetal exposure, duration of exposure.
Design: cross-sectional study.
Setting And Participants: 1,000 subjects aged 18-35 years residing in the Veneto area with water contamination by PFAS, enrolled in the period 2022-2023; this interim analysis involves 507 subjects out of the 1,000 enrolled.
Main Outcomes Measures: only the 2 main semen parameters were considered: sperm count, motility and morphology.
Results: from this interim analysis an association between sperm motility and morphology and duration of residence emerges: OR 1.14 (90%CI 0.99; 1.31) p=0.065 (an age-matched conditional logistic regression tested the linear trend between duration of residence in years and presence/absence of alterations in motility <42% or morphology <4% of the spermatozoa).
Conclusions: these results strengthen the literature on reproductive health risks related to exposure to PFAS and in particular to PFOA and PFOS. They also highlight the importance of duration of exposure and exposure starting from foetal life. The study here presented is part of a larger project still underway regarding analytical determinations on the biological samples provided. It was possible to anticipate the results of the interim analysis on 507 subjects out of the 1,000 enrolled.
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http://dx.doi.org/10.19191/EP25.1.A843.014 | DOI Listing |
Epidemiol Prev
March 2025
ISDE - Medici per l'Ambiente, sezione di Vicenza.
Objectives: to evaluate the association between exposure to per- and polyfluoroalkyl substances (PFAS) and semen quality in young adulthood, with particular attention to different exposure metrics: serum and seminal concentrations of perfluorooctanoic acid (PFOA) and perfluorosulfonic acid (PFOS), foetal exposure, duration of exposure.
Design: cross-sectional study.
Setting And Participants: 1,000 subjects aged 18-35 years residing in the Veneto area with water contamination by PFAS, enrolled in the period 2022-2023; this interim analysis involves 507 subjects out of the 1,000 enrolled.
Biometrics
January 2025
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, United States.
Group sequential designs (GSDs), which involve preplanned interim analyses that allow for early stopping for efficacy or futility, are commonly used for ethical and efficiency reasons. Covariate adjustment, which involves appropriately adjusting for prespecified prognostic baseline variables, can improve precision and is generally recommended by regulators. Combining these, that is, using adjusted estimators at interim and final analyses of a GSD, has potential for dual benefits.
View Article and Find Full Text PDFJ Pharm Bioallied Sci
December 2024
Department of Conservative Dental Sciences and Endodontics, College of Dentistry, Qassim University, Buraydah, Qassim, Saudi Arabia.
Objective: This study aims to assess and compare the color stability of 3D-printed, computer-aided design-computer-aided manufacturing (CAD-CAM)-milled, and conventional materials used in interim dental restorations.
Materials And Methods: Sixty-four disc-shaped specimens (10 mm diameter, 1.5 mm thickness) were fabricated from four types of interim materials: autopolymerizing polymethyl methacrylate (PMMA), bis-acryl composite resin, CAD-CAM PMMA resin, and 3D-printed provisional resin.
Lancet Reg Health Eur
April 2025
Department of Surgery, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
Background: An increasing number of liver resections are performed laparoscopically, while laparoscopic resection of lesions in the posterosuperior segments is technically challenging. We aimed to assess the outcomes of laparoscopic and open parenchymal preserving resection of lesions in the posterosuperior segments in a randomised controlled trial.
Methods: In this multicentre, patient-blinded, superiority randomised controlled trial, patients requiring parenchymal preserving liver resection for tumours in segment 4a, 7, or 8 were enrolled at 17 centres and randomised 1:1 to laparoscopic or open surgery using a minimisation scheme stratifying for centre and lesion size.
Int J Radiat Oncol Biol Phys
March 2025
The University of Michigan, Department of Radiation Oncology, Ann Arbor, Michigan; The University of Michigan, Department of Radiology, Ann Arbor, Michigan; The University of Michigan, Department of Biomedical Engineering, Ann Arbor, Michigan.
Background: Biologically-informed radiotherapy (RT) targeting an adversely prognostic hypercellular/hyperperfused imaging phenotype in patients with newly diagnosed glioblastoma (GBM) may improve outcomes by identifying emerging regions of treatment resistance associated with survival (OS), and is under investigation in an ongoing Phase II trial (XXX) of individualized, response-adaptive RT.
Methods: In this single-arm phase II study, patients with newly diagnosed GBM following resection undergo dose-intensified chemoradiation (chemoRT) targeting the residual hypercellular (TV, 2 SD above mean intensity contralateral normal brain) and hyperperfused tumor volume (TV, 1 SD above contralateral normal frontal lobe grey matter) identified using high b-value diffusion-weighted and dynamic contrast-enhanced perfusion MRI. The combination of TV and TV (TV/TV) is treated to 50 Gy in 20 fractions (2.
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