40 results on '"Kuhl, Thomas"'
Search Results
2. Probabilistic dietary risk assessment of pesticide residues in foods for the German population based on food monitoring data from 2009 to 2014
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Sieke, Christian, Michalski, Britta, and Kuhl, Thomas
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- 2018
- Full Text
- View/download PDF
3. Regulatory toxicology in the twenty-first century: challenges, perspectives and possible solutions
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Tralau, Tewes, Oelgeschläger, Michael, Gürtler, Rainer, Heinemeyer, Gerhard, Herzler, Matthias, Höfer, Thomas, Itter, Heike, Kuhl, Thomas, Lange, Nikola, Lorenz, Nicole, Müller-Graf, Christine, Pabel, Ulrike, Pirow, Ralph, Ritz, Vera, Schafft, Helmut, Schneider, Heiko, Schulz, Thomas, Schumacher, David, Zellmer, Sebastian, Fleur-Böl, Gaby, Greiner, Matthias, Lahrssen-Wiederholt, Monika, Lampen, Alfonso, Luch, Andreas, Schönfelder, Gilbert, Solecki, Roland, Wittkowski, Reiner, and Hensel, Andreas
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- 2015
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4. Analysis of the information flow of pesticide related metabolism studies
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Worseck, Stephan, Frenzel, Falko, Opialla, Tobias, Kuhl, Thomas, Lurman, Glenn, and Burchardt, Alina
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Iuclid ,Germany ,pesticides ,metabolism studies ,Metapath - Abstract
This report gives a complete description of the current information flow for pesticide related metabolism studies, the relevant terms and concepts, the tools that are used and the data collection system. Based on a critical analysis supported by a survey, the BfR developed proposals for short and long-term improvements of the information flow. The proposal contains ideas for improvement of the MetaPath software package and the use of it in the context of pesticide applications with IUCLID. This document is also a collection of user requirements, not necessarily formulated with one concrete technical solution. Different technical solutions are also proposed and BfR made an analysis of the pros and cons of these solutions. This document (available in pdf format and in zip file including attachments) is meant to support a decision process but should not be considered as defined action plan. For any question related to the report, please contact https://connect.efsa.europa.eu/RM/s/new-ask-efsa-request, DE; PDF; pesticides.mrl@efsa.europa.eu
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- 2022
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5. Erratum to: Practice of hemodynamic monitoring and management in German, Austrian, and Swiss intensive care units: the multicenter cross-sectional ICU-CardioMan Study
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Funcke, Sandra, Sander, Michael, Goepfert, Matthias S., Groesdonk, Heinrich, Heringlake, Matthias, Hirsch, Jan, Kluge, Stefan, Krenn, Claus, Maggiorini, Marco, Meybohm, Patrick, Salzwedel, Cornelie, Saugel, Bernd, Wagenpfeil, Gudrun, Wagenpfeil, Stefan, Reuter, Daniel A., Albuszies, Gerd Werner, Alexi, Rudolf, Bauer, Andreas, Bergt, Stefan, Berroth, Ralph, Bloos, Frank, Bracht, Hendrick, Brass, Patrick, Breukelmann, Dirk, Brunauer, Andreas, Burghardt, Matthias, Christ, Michael, Dietrich, Beatrix, Diwok, Christian, Dohmen, Christian, Dueck, Michael, Eichler, Ingolf, Engel, Joerg, Erb, Regula, Eyer, Florian, Faltlhauser, Andreas, Feld, Florian, Fricke, Ann Kristin, Fröhmert, Bernd, Funk, Wolfgang, Genzwuerker, Harald, Giesen, Hans-Ulrich, Grafelmann, Hans-Hinrich, Grosse, Joachim, Gruss, Marco, Gussone, Christoph, Haake, Hendrik, Heim, Markus, Heinemann, Anke, Henrich, Michael, Herff, Holger, Hermanns, Guido, Hofmann-Kiefer, Klaus, Hohn, Andreas, Honig, Frauke, Huebner, Tobias, Hueppe, Tobias, Huelpuesch, Nadine, Ibba, Judith, Ibscher, Ricarda, Irlbeck, Michael, Kalbhenn, Johannes, Kapfer, Barbara, Kaufmann, Ines, Kirschning, Thomas, Kloesel, Stephan F., Kobusch, Karin, Kochanek, Matthias, Kozian, Alf, Krull, Oliver, Kuhl, Thomas, Lindau, Simone, Lorenz, Ingo, Maisch, Stefan, Marx, Gernot, Marx, Thomas, Moerer, Onnen, Moser, Benjamin, Mueller, Ulrike, Nicolas, Stefan, Ney, Ludwig, Niedeggen, Andreas, Otto, Stefan, Pilarczyk, Kevin, Popp, Matthias, Putensen, Christian, Quabach, Ralf, Ragaller, Maximilian, Ramminger, Axel, Rasche, Stefan, Rehberg, Sebastian, Reinges, Marcus H. T., Riessen, Reimer, Roehrich, Knut-Age, Roehrig, Rainer, Roesner, Jan P., Ruschulte, Heiner, Sakka, Samir G., Schellhaass, Alexander, Schewe, Jens-Christian, Schirotzek, Ingo, Schley, Jörn V., Schmitt, Alexander, Schott, Martin, Schramm, Patrick, Schroeder, Stefan, Schuette, Jan-Karl, Schuld, Alexander, Schwarzkopf, Konrad, Seiler, Julia, Selleng, Sixten, Simon, Philipp, Skitek, Kornel, Soukup, Jens, Stephan, Markus, Stetefeld, Henning, Suchodolski, Klaudiusz, Toennies, Stefan, Trummer, Georg, Wattenberg, Michael, Wirtz, Stefan P., Wrigge, Hermann, Wunder, Christian, Yildirim, Cagatay, Zacharowski, Kai, Zarbock, Alexander, Zausig, York, Zoller, Michael, and for the ICU-CardioMan Investigators
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- 2017
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6. Comparison of the Avalon Dual-Lumen Cannula with Conventional Cannulation Technique for Venovenous Extracorporeal Membrane Oxygenation
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Kuhl, Thomas, Michels, Guido, Pfister, Roman, Wendt, Stefanie, Langebartels, Georg, and Wahlers, Thorsten
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- 2015
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7. Recurrent Left Atrial and Left Ventricular Thrombosis Due to Heparin-Induced Thrombocytopenia: Case Report and Short Review
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Kuhl, Thomas, Wendt, Stefanie, Langebartels, Georg, Kröner, Axel, and Wahlers, Thorsten
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- 2013
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8. Scientific Opinion on the state of the science on pesticide risk assessment for amphibians and reptiles
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Ockleford, Colin, Adriaanse, Paulien, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez-Jerez, Antonio F., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, Tiktak, Aaldrik, Topping, Chris J., Wolterink, Gerrit, Craig, Peter, Jong, Frank de, Manachini, Barbara, Sousa, Paulo, Swarowsky, Klaus, Auteri, Domenica, Arena, Maria, Smith, Rob, and Publica
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amphibians ,effect ,risk assessment ,population ,protection goal ,reptiles ,pesticide - Abstract
Following a request from EFSA, the Panel on Plant Protection Products and their Residues developed an opinion on the science to support the potential development of a risk assessment scheme of plant protection products for amphibians and reptiles. The coverage of the risk to amphibians and reptiles by current risk assessments for other vertebrate groups was investigated. Available test methods and exposure models were reviewed with regard to their applicability to amphibians and reptiles. Proposals were made for specific protection goals aiming to protect important ecosystem services and taking into consideration the regulatory framework and existing protection goals for other vertebrates. Uncertainties, knowledge gaps and research needs were highlighted.
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- 2018
9. Scientific opinion on pesticides in foods for infants and young children
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Ockleford, Colin, Adriaanse, Paulien, Hougaard Bennekou, Susanne, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez-Jerez, Antonio F., Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Smith, Robert, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, Tiktak, Aaldrik, Topping, Christopher J, Gundert-Remy, Ursula, Kersting, Mathilde, Waalkens-Berendsen, Ine, Chiusolo, Arianna, Court Marques, Danièle, Dujardin, Bruno, Kass, Georges E N, Mohimont, Luc, Nougadère, Alexandre, Reich, Hermine, Wolterink, Gerrit, Ockleford, Colin, Adriaanse, Paulien, Hougaard Bennekou, Susanne, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez-Jerez, Antonio F., Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Smith, Robert, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, Tiktak, Aaldrik, Topping, Christopher J, Gundert-Remy, Ursula, Kersting, Mathilde, Waalkens-Berendsen, Ine, Chiusolo, Arianna, Court Marques, Danièle, Dujardin, Bruno, Kass, Georges E N, Mohimont, Luc, Nougadère, Alexandre, Reich, Hermine, and Wolterink, Gerrit
- Abstract
Following a request from the European Commission, the EFSA Panel on Plant Protection Products and their Residues (PPR Panel) prepared a scientific opinion to provide a comprehensive evaluation of pesticide residues in foods for infants and young children. In its approach to develop this scientific opinion, the EFSA PPR Panel took into account, among the others, (i) the relevant opinions of the Scientific Committee for Food setting a default maximum residue level (MRL) of 0.01 mg/kg for pesticide residues in foods for infants and young children; (ii) the recommendations provided by EFSA Scientific Committee in a guidance on risk assessment of substances present in food intended for infants below 16 weeks of age; (iii) the knowledge on organ/system development in infants and young children. For infants below 16 weeks of age, the EFSA PPR Panel concluded that pesticide residues at the default MRL of 0.01 mg/kg for food for infants and young children are not likely to result in an unacceptable exposure for active substances for which a health-based guidance value (HBGV) of 0.0026 mg/kg body weight (bw) per day or higher applies. Lower MRLs are recommended for active substances with HBGVs below this value. For infants above 16 weeks of age and young children, the established approach for setting HBGVs is considered appropriate. For infants below 16 weeks of age the approach may not be appropriate and the application of the EFSA guidance on risk assessment of substances present in food intended for infants below 16 weeks of age is recommended. The contribution of conventional food to the total exposure to pesticide residues is much higher than that from foods intended for infants and young children. Because of the increased intake of conventional food by young children, these have the highest exposure to pesticide residues, whereas infants 3?6 months of age generally have lower exposure. The impact of cumulative exposure to pesticide residues on infants and young
- Published
- 2018
10. Scientific Opinion on the state of the art of Toxicokinetic/Toxicodynamic (TKTD) effect models for regulatory risk assessment of pesticides for aquatic organisms
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Ockleford, Colin, Adriaanse, Paulien, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez-Jerez, Antonio F., Bennekou, Susanne Hougaard, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Smith, Robert H., Stemmer, Michael, Sundh, Ingvar, Tiktak, Aaldrik, Topping, Christopher J., Wolterink, Gerrit, Cedergreen, Nina, Charles, Sandrine, Focks, Andreas, Reed, Melissa, Arena, Maria, Ippolito, Alessio, Byers, Harry, Teodorovic, Ivana, Ockleford, Colin, Adriaanse, Paulien, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez-Jerez, Antonio F., Bennekou, Susanne Hougaard, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Smith, Robert H., Stemmer, Michael, Sundh, Ingvar, Tiktak, Aaldrik, Topping, Christopher J., Wolterink, Gerrit, Cedergreen, Nina, Charles, Sandrine, Focks, Andreas, Reed, Melissa, Arena, Maria, Ippolito, Alessio, Byers, Harry, and Teodorovic, Ivana
- Abstract
Following a request from EFSA, the Panel on Plant Protection Products and their Residues (PPR) developed an opinion on the state of the art of Toxicokinetic/Toxicodynamic (TKTD) models and their use in prospective environmental risk assessment (ERA) for pesticides and aquatic organisms. TKTD models are species- and compound-specific and can be used to predict (sub)lethal effects of pesticides under untested (time-variable) exposure conditions. Three different types of TKTD models are described, viz., (i) the ‘General Unified Threshold models of Survival’ (GUTS), (ii) those based on the Dynamic Energy Budget theory (DEBtox models), and (iii) models for primary producers. All these TKTD models follow the principle that the processes influencing internal exposure of an organism, (TK), are separated from the processes that lead to damage and effects/mortality (TD). GUTS models can be used to predict survival rate under untested exposure conditions. DEBtox models explore the effects on growth and reproduction of toxicants over time, even over the entire life cycle. TKTD model for primary producers and pesticides have been developed for algae, Lemna and Myriophyllum. For all TKTD model calibration, both toxicity data on standard test species and/or additional species can be used. For validation, substance and species-specific data sets from independent refined-exposure experiments are required. Based on the current state of the art (e.g. lack of documented and evaluated examples), the DEBtox modelling approach is currently limited to research applications. However, its great potential for future use in prospective ERA for pesticides is recognised. The GUTS model and the Lemna model are considered ready to be used in risk assessment.
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- 2018
11. Probabilistic dietary risk assessment of pesticide residues in foods for the German population based on food monitoring data from 2009 to 2014
- Author
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Sieke, Christian, primary, Michalski, Britta, additional, and Kuhl, Thomas, additional
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- 2017
- Full Text
- View/download PDF
12. Scientific Opinion addressing the state of the science on risk assessment of plant protection products for in-soil organisms
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Ockleford, Colin, Adriaanse, Paulien, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez-Jerez, Antonio F, Bennekou, Susanne Hougaard, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, Tiktak, Aaldrik, Topping, Chris J., Wolterink, Gerrit, Craig, Peter, de Jong, Frank, Manachini, Barbara, Sousa, Paulo, Swarowsky, Klaus, Auteri, Domenica, Arena, Maria, Rob, Smith, Ockleford, Colin, Adriaanse, Paulien, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez-Jerez, Antonio F, Bennekou, Susanne Hougaard, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, Tiktak, Aaldrik, Topping, Chris J., Wolterink, Gerrit, Craig, Peter, de Jong, Frank, Manachini, Barbara, Sousa, Paulo, Swarowsky, Klaus, Auteri, Domenica, Arena, Maria, and Rob, Smith
- Abstract
Following a request from EFSA, the Panel on Plant Protection Products and their Residues developed an opinion on the science behind the risk assessment of plant protection products for in-soil organisms. The current risk assessment scheme is reviewed, taking into account new regulatory frameworks and scientific developments. Proposals are made for specific protection goals for in-soil organisms being key drivers for relevant ecosystem services in agricultural landscapes such as nutrient cycling, soil structure, pest control and biodiversity. Considering the time-scales and biological processes related to the dispersal of the majority of in-soil organisms compared to terrestrial non-target arthropods living above soil, the Panel proposes that in-soil environmental risk assessments are made at in- and off-field scale considering field boundary levels. A new testing strategy which takes into account the relevant exposure routes for in-soil organisms and the potential direct and indirect effects is proposed. In order to address species recovery and long-term impacts of PPPs, the use of population models is also proposed.
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- 2017
13. Statement on the suitability of the BEEHAVE model for its potential use in a regulatory context and for the risk assessment of multiple stressors in honeybees at the landscape level
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
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modelling ,multiple stressors ,BEEHAVE ,risk assessment ,pesticides ,good modelling practice - Abstract
The Panel has interpreted the Terms of Reference by carrying out a stepwise evaluation of the BEEHAVE simulation model with a view to assessing its suitability for use in a regulatory context and for risk assessment of multiple stressors at the landscape level. The EFSA opinion on good modelling practice was used to evaluate the model and its documentation systematically. The overall conclusion is that BEEHAVE performs well in modelling honeybee colony dynamics, and the supporting documentation is generally good but does not fully meet the criteria of the good modelling opinion. BEEHAVE is not yet usable in a regulatory context primarily because it needs a pesticide module. BEEHAVE has a Varroa/virus module, although this seems to underestimate the impact of Varroa/virus on colony survival, and additional stressors (chemical and biological) would need to be added to allow investigation of the effects of interactions of pesticides with multiple stressors. BEEHAVE currently uses a very simple representation of a landscape and this should be extended. There is only one environmental scenario in the present version of BEEHAVE (European central zone-weather scenarios for Germany and the UK) and extension to other European zones would be needed. The supporting data and default parameter values should be further evaluated and justified. The modelling environment used by BEEHAVE (NetLogo) has an excellent user interface but provides limited opportunities for extending the model. The Panel recommends that BEEHAVE should be adopted as the basis for modelling the impact on honeybee colonies of pesticides and other stressors, but that further development should use a standard, object-oriented language rather than NetLogo.
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- 2015
14. Scientific Opinion addressing the state of the science on risk assessment of plant protection products for non-target arthropods
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
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non-target arthropods ,exposure ,risk assessment ,insect ,pesticides ,effects ,protection goal - Abstract
Following a request from the European Food Safety Authority, the Panel on Plant Protection Products and their Residues developed an opinion on the science to support the development of a risk assessment scheme of plant protection products for non-target arthropods. The current risk assessment scheme is reviewed, taking into consideration recent workshops and progress in science. Proposals are made for specific protection goals which aim to protect important ecosystem services such as food web support, pest control and biodiversity. In order to address recovery and source-sink population dynamics, conducting a landscape-level risk assessment is suggested. A new risk assessment scheme is suggested which integrates modelling approaches. The main exposure routes for non-target arthropods are identified and proposals are made on how to integrate them in the risk assessment. The appropriateness of the currently used vegetation distribution factor was investigated. It is proposed that new tests be included in order to address exposure via oral uptake of residues and uncertainties related to differences in species sensitivity.
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- 2015
15. Statement on the FERA guidance proposal: 'Guidance on how aged sorption studies for pesticides should be conducted, analysed and used in regulatory assessments' (FERA, 2012)
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
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plant protection products ,leaching ,Freundlich exponent ,PEARLNEQ ,aged sorption ,guidance - Abstract
The European Food Safety Authority (EFSA) asked the Panel on Plant Protection Products and their Residues to prepare a scientific opinion on the Food and Environment Research Agency guidance proposal 'Guidance on how aged sorption studies for pesticides should be conducted, analysed and used in regulatory assessments'. The Panel concluded that the experimental and modelling approaches described in the proposed guidance are reasonable compromises between the required effort and what is desirable from a theoretical point of view. However, the Panel has concerns about the interpretation of the experiments and how the results of the experiments should be used in the leaching assessment. The Panel investigated options for improvement, but could not complete its evaluation on these two topics because underlying data to test these options were not made available to the Panel. For this reason, the Panel prepared a statement instead of a scientific opinion. Therefore, the Panel cannot recommend the use of the guidance for the time being.
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- 2015
16. Scientific Opinion on good modelling practice in the context of mechanistic effect models for risk assessment of plant protection products
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
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model evaluation ,model documentation ,effect modelling ,environmental pesticide risk assessment ,environmental scenarios - Abstract
The Panel has interpreted the Terms of Reference as a stepwise analysis of issues relevant to both the development and the evaluation of models to assess ecological effects of pesticides. The regulatory model should be selected or developed to address the relevant specific protection goal. The basis of good modelling practice must be the knowledge of relevant processes and the availability of data of sufficient quality. The opinion identifies several critical steps in order to set models within risk assessment, namely: problem formulation, considering the specific protection goals for the taxa or functional groups of concern; model domain of applicability, which drives the species and scenarios to model; species (and life stage) selection, considering relevant life history traits and toxicological/toxicokinetics characteristics of the pesticide; selection of the environmental scenario, which is defined by a combination of abiotic, biotic and agronomic parameters to provide a realistic worst-case situation. Model development should follow the modelling cycle, in which every step has to be fully documented: (i) problem definition; (ii) model formulation, i.e. design of a conceptual model; (iii) model formalisation, in which variables and parameters are linked together into mathematical equations or algorithms; (iv) model implementation, in which a computer code is produced and verified; (v) model setup, including sensitivity analysis, uncertainty analysis and comparison with observed data, that delivers the regulatory model; (vi) prior to actual use in risk assessment, the regulatory model should be evaluated for relevance to the specific protection goals; (vii) feedback from risk assessor with possible recommendations for model improvement. Model evaluation by regulatory authorities should consider each step of the modelling cycle: the opinion identifies points of particular attention for the use of mechanistic effect models in pesticide risk assessment. It is recommended that models be documented in a complete and transparent way, that a feedback platform be established involving risk assessors and model developers, and that a set of agreed models be made available.
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- 2014
17. Scientific Opinion addressing the state of the science on risk assessment of plant protection products for non-target terrestrial plants
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
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whole life cycle ,species selection ,droplet drift exposure ,phytotoxicity testing ,non-target terrestrial plants ,Specific Protection Goal ,risk mitigation measures - Abstract
Following a request from the European Food Safety Authority, the Panel on Plant Protection Products and their Residues developed an opinion on the science to support the development of a risk assessment scheme of plant (crop) protection products on non-target terrestrial plants (NTTPs). This scientific opinion is largely a literature review on the most up-to-date knowledge of factors influencing phytotoxicity testing and risk assessment of NTTPs. Specific protection goals (SPGs) were defined for off-field, in-field and endangered species. SPGs are closely linked to ecosystem services and functions, and include maintaining provision of water regulation, food web support, aesthetic values, genetic resources and biodiversity. Gaps were identified in standard guidelines currently used in lower tier testing (tier I/II). In these guidelines, tests are conducted at the seedling/juvenile stage using mostly annual crops, and effects are recorded at the juvenile/vegetative stage under greenhouse conditions with plants grown individually or in monoculture. Endpoints measured do not include the overall effect on the whole life cycle (germinating seeds, seedling, juvenile stages, flowering, and seed production and germinability). It is also noted that it is unknown whether the following groups of organisms are covered by the plant risk assessment as it is carried out now: ferns, mosses, liverworts, hornworts, horsetails, lichens or woody species. In terms of exposure, droplet drift is considered to be the most important factor for off-field emissions to non-target areas. Models are available to calculate loadings from spray drift. Higher tier assessment is not required if the risk based on the tier II level can be managed by risk mitigation measures. When required, higher tier tests should be conducted under more realistic conditions. They may include additional laboratory/greenhouse tests (e.g. to measure reproductive endpoints or species interactions), microcosms or field experiments with experimentally or already established species. Other issues were considered, including exposure to mixtures, adjuvants, co-formulants and metabolites. Recommendations for the improvement of current guidelines and the elaboration of new guidelines and risk assessment schemes are provided.
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- 2014
18. Scientific opinion on pesticides in foods for infants and young children.
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EFSA Panel on Plant Protection Products and their Residues (PPR), Ockleford, Colin, Adriaanse, Paulien, Hougaard Bennekou, Susanne, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez‐Jerez, Antonio F., Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Smith, Robert, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, and Tiktak, Aaldrik
- Subjects
PESTICIDE residues in food ,PLANT protection ,PLANT products ,BABY foods ,CHILD nutrition - Abstract
Abstract: Following a request from the European Commission, the EFSA Panel on Plant Protection Products and their Residues (PPR Panel) prepared a scientific opinion to provide a comprehensive evaluation of pesticide residues in foods for infants and young children. In its approach to develop this scientific opinion, the EFSA PPR Panel took into account, among the others, (i) the relevant opinions of the Scientific Committee for Food setting a default maximum residue level (MRL) of 0.01 mg/kg for pesticide residues in foods for infants and young children; (ii) the recommendations provided by EFSA Scientific Committee in a guidance on risk assessment of substances present in food intended for infants below 16 weeks of age; (iii) the knowledge on organ/system development in infants and young children. For infants below 16 weeks of age, the EFSA PPR Panel concluded that pesticide residues at the default MRL of 0.01 mg/kg for food for infants and young children are not likely to result in an unacceptable exposure for active substances for which a health‐based guidance value (HBGV) of 0.0026 mg/kg body weight (bw) per day or higher applies. Lower MRLs are recommended for active substances with HBGVs below this value. For infants above 16 weeks of age and young children, the established approach for setting HBGVs is considered appropriate. For infants below 16 weeks of age the approach may not be appropriate and the application of the EFSA guidance on risk assessment of substances present in food intended for infants below 16 weeks of age is recommended. The contribution of conventional food to the total exposure to pesticide residues is much higher than that from foods intended for infants and young children. Because of the increased intake of conventional food by young children, these have the highest exposure to pesticide residues, whereas infants 3–6 months of age generally have lower exposure. The impact of cumulative exposure to pesticide residues on infants and young children is not different from the general population and the EFSA cumulative risk assessment methodology is also applicable to these age groups. Residue definitions established under Regulation (EC) No 396/2005 are in general considered appropriate also for foods for infants and young children. However, based on a tier 1 analysis of the hydrolysis potential of pesticides simulating processing, the particular appropriateness of existing residue definitions for monitoring to cover processed food, both intended for infants and young children as well as conventional food, is questionable. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
19. Scientific Opinion on the report of the FOCUS groundwater working group (FOCUS, 2009): Assessment of higher tiers
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
- Subjects
leaching scenarios ,authorisation ,drinking water ,risk assessment ,pesticides ,protection goal - Abstract
Following a request from the European Commission, the Panel on Plant Protection Products and their Residues (PPR) was asked to deliver a scientific opinion on the report of the FOCUS groundwater working group (FOCUS, 2009) with respect to the higher tier leaching assessments. The PPR Panel is of the general opinion that, as suggested in the FOCUS report, substance parameter refinement can be applied in risk assessment. State of the art knowledge has developed to such an extent that scenario refinement is feasible as well, but will make assessment more complex unless embedded in basic tools and adequate guidance. The same is true for spatial modelling but establishment of adequate databases will require quite some effort. The Panel considers current knowledge on groundwater hydrology insufficient for implementation of monitoring as the highest tier of the assessment at the European level. The implementation of scenario refinement and spatial modelling requires clear criteria on the extent of arable surface areas with estimated leaching rates below the threshold level.
- Published
- 2013
20. Scientific Opinion on the relevance of dissimilar mode of action and its appropriate application for cumulative risk assessment of pesticides residues in food
- Author
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
- Subjects
cumulative risk assessment ,dissimilar mode of action ,independent action ,dose addition ,pesticide - Abstract
The European Food Safety Authority (EFSA) asked the Panel on Plant Protection Products and their Residues (PPR Panel) to develop a Scientific Opinion on the relevance of dissimilar mode of action and its appropriate application for cumulative risk assessment of pesticides residues in food. The present opinion was preceded by three previous opinions of the PPR Panel (EFSA, 2008, 2009, 2013). The purpose of the present opinion was to assess the relevance of dissimilar modes of action (MoA) for cumulative risk assessment, to evaluate the existing methods for assessing chemicals acting by dissimilar MoA and to identify which methods need to be considered. The PPR Panel restricted its considerations of pesticide combinations with dissimilar modes of action to substances that produce a common adverse effect on the same organ/system. The PPR Panel noted that there is no case documented in the scientific literature where independent action provided more conservative predictions of combination effects than dose addition, and where at the same time independent action also produced accurate predictions. The use of independent action as an assessment concept for combination effects requires demonstration that modes of action of individual substances in a mixture are strictly independent, a condition that can rarely be met in practice. The PPR Panel also noted that there is no cumulative risk assessment method derived from independent action. The PPR Panel therefore recommends using cumulative risk assessment methods derived from dose addition also for the assessment of mixtures of pesticides with dissimilar modes of action, provided they produce a common adverse outcome. Pesticides that produce common adverse outcomes on the same target organ/system should be grouped together in CAGs, and their combined effects assessed by using the concept of dose addition as a pragmatic and conservative default approach for the purpose of assessing cumulative risk in relation to MRL setting or risk assessment of chemical mixtures in practice.
- Published
- 2013
21. Scientific Opinion on the identification of pesticides to be included in cumulative assessment groups on the basis of their toxicological profile
- Author
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
- Subjects
cumulative risk assessment ,nervous system ,methodology ,cumulative assessment grouping ,toxicological profile ,thyroid - Abstract
The European Food Safety Authority asked the Panel on Plant Protection Products and their Residues to develop an Opinion on the identification of pesticides to be included in cumulative assessment groups (CAGs) on the basis of their toxicological profile. In 2008, the PPR Panel adopted an Opinion on the suitability of existing methodologies for cumulative risk assessment of pesticides and a tiered approach was proposed, which was applied to a selected group of triazole pesticides in 2009. The present Opinion suggests a methodology for grouping of pesticides based on phenomenological effects and provides CAGs for the thyroid and nervous system. This approach can be applied even when the underlying biochemical events mediating the effects are not understood, and is based on a standardised and thorough review of Draft Assessment Reports (DARs) supporting the approval of all pesticides in Europe, and on recommendations from the European Commission. Pesticidal active substances exhibiting neurotoxic properties were allocated to CAGs for acute effects on motor, sensory and autonomic divisions of the nervous system and neurochemical endpoints. Chronic effects across the same divisions/endpoints and neuropathological effects were collated. Active substances having adverse effects on the thyroid system were allocated to CAGs for effects either on C-cells/the calcitonin system or on follicular cells/the T3/T4 system. The PPR Panel notes that the resulting groups encompass many pesticides and also that individual pesticides could appear in several groups and therefore the data entries for performing cumulative risk assessment (CRA) are of considerable magnitude. Although some CAGs contain a large number of pesticides, little indication of cumulative risk may be inferred from the size of CAGs per se. The PPR Panel recommends that the methodology is implemented for all major organ/systems but the approach used should be considered specific for pesticides.
- Published
- 2013
22. Scientific Opinion on the developmental neurotoxicity potential of acetamiprid and imidacloprid
- Author
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
- Subjects
pesticide approval regulation ,nAChR agonist ,developmental neurotoxicity risk assessment ,neonicotinoid ,in vitro testing - Abstract
The European Food Safety Authority asked the Panel on Plant Protection Products (PPR) and their residues to deliver a Scientific Opinion on the developmental neurotoxicity (DNT) potential of the neonicotinoid insecticides acetamiprid and imidacloprid. An in vitro study (Kimura-Kuroda et al., 2012) suggested that excitation and/or desensitisation of nicotinic acetylcholine receptors (nAChRs) by these compounds might affect developing mammalian nervous systems as occurs with nicotine. To evaluate the DNT potential of acetamiprid and imidacloprid, the PPR Panel scrutinised the open literature, the draft assessments reports and dossiers submitted for approval. The Panel concludes that both compounds may affect neuronal development and function, although several methodological limitations have been identified. Considering the available DNT studies for imidacloprid and acetamiprid, important uncertainties still remain and further in vivo studies following OECD test guideline (TG) 426 are required to robustly characterise a DNT potential and dose-response relationships, particularly for acetamiprid. The Panel considers that current ARfDs may not be protective enough for the possible DNT of acetamiprid and imidacloprid and no reliable conclusion can be drawn as regards the ADI for acetamiprid. More conservative reference values are proposed based on the analysis of the existing toxicological data. However, the current ADI for imidacloprid is considered adequate to protect against its potential developmental neurotoxic effects. Limitations of the in vitro system used by Kimura-Kuroda et al. (2012) prevent its current use as a screening tool in the regulatory arena. The PPR Panel encourages the definition of clear and consistent criteria at EU level to trigger submission of mandatory DNT studies, which could include development of an integrated DNT testing strategy composed of robust, reliable and validated in vitro assays and other alternative methods complementary to the in vivo TG 426 for assessing the DNT potential of substances.
- Published
- 2013
23. Guidance on tiered risk assessment for plant protection products for aquatic organisms in edge-of-field surface waters
- Author
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Aagaard, Alf, Brock, Theo, Capri, Ettore, Duquesne, Sabine, Filipic, Metka, Hernandez-Jerez, Antonio F., Hirsch-Ernst, Karen I., Hougaard Bennekou, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Liess, Matthias, Mantovani, Alberto, Ockleford, Colin, Ossendorp, Bernadette, Pickford, Daniel, Smith, Robert, Sousa, Paulo, Sundh, Ingvar, Tiktak, Aaldrik, Linden, Ton van der, and Publica
- Subjects
metabolite ,aquatic organism ,formulation ,regulatory acceptable concentration ,Specific Protection Goal ,pesticide ,ecotoxicology - Abstract
EFSA's Panel on Plant Protection Products and their Residues (PPR) was tasked to revise the Guidance Document (GD) on Aquatic Ecotoxicology under Council Directive 91/414/EEC (SANCO/3268/2001 rev.4 (final), 17 October 2002). This Guidance of the PPR Panel is the first of three requested deliverables within this mandate. It has its focus on tiered acute and chronic effect assessment schemes with detailed guidance on tier 1 and higher tier effect assessments for aquatic organisms in edge-of-field surface waters and on proposals regarding how to link effects to exposure estimates. The exposure assessment methodology was not reviewed and it is assumed that the current FOCUS surface water exposure assessment methodology will continue to be used for exposure assessment at EU level. The current GD is intended to be used for authorisation of active substances at EU level as well as for plant protection products at Member State level. The effect assessment schemes in this GD allow for the derivation of regulatory acceptable concentrations (RACs) on the basis of two options: (1) the ecological threshold option (ETO), accepting negligible population effects only, and (2) the ecological recovery option (ERO), accepting some population-level effects if ecological recovery takes place within an acceptable time period. In the tiered effect assessment schemes, in principle, all tiers (1, 2 and 3) are able to address the ETO, while the model ecosystem approach (tier 3), under certain conditions, is able to also address the ERO. The GD provides the scientific background for the risk assessment to aquatic organisms in edge-of-field surface waters and is structured to give detailed guidance on all assessment steps. An executive summary joining all parts of the guidance and decision schemes in a concise way is provided and is intended to help applicants and regulatory authorities in day-to-day use.
- Published
- 2013
24. Hemodynamic Optimization using FloTrac Pulse Contour Analysis in TAVI patients: Early results of al valuable tool in postoperative fluid management
- Author
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Langebartels, Georg, Kuhl, Thomas, Wendt, Stefanie, Fuß, Irene, Rahmanian, Parwis, Wippermann, Jens, and Wahlers, Thorsten
- Subjects
ddc: 610 ,610 Medical sciences ,Medicine - Abstract
Introduction: Fluid challenge and fluid response are markable points in hemodynamic optimization on the ICU. Pulse contour analysis is known as a important tool in extended hemodynamic monitoring. Measurement of continuous cardiac output and stroke volume variation as dynamic hemodynamic parameters [for full text, please go to the a.m. URL], 129. Kongress der Deutschen Gesellschaft für Chirurgie
- Published
- 2012
25. Welche Diagnose stellen Sie?
- Author
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Kuhl, Thomas, additional, Klues, Heinrich, additional, and Bufe, Alexander, additional
- Published
- 2015
- Full Text
- View/download PDF
26. Komplikation nach Anlage eines Shaldon-Kathethers bei TTP
- Author
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Kuhl, Thomas, additional, Sundermeyer, Andreas, additional, Klues, Heinrich, additional, and Bufe, Alexander, additional
- Published
- 2015
- Full Text
- View/download PDF
27. 18-Jähriger mit Meningitis und unklaren Hautveränderungen
- Author
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Kuhl, Thomas, additional, Klues, Heinrich, additional, and Bufe, Alexander, additional
- Published
- 2015
- Full Text
- View/download PDF
28. Comparison of the Avalon Dual-Lumen Cannula with Conventional Cannulation Technique for Venovenous Extracorporeal Membrane Oxygenation
- Author
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Pfister, Roman, primary, Wendt, Stefanie, primary, Langebartels, Georg, primary, Wahlers, Thorsten, primary, Kuhl, Thomas, additional, and Michels, Guido, additional
- Published
- 2015
- Full Text
- View/download PDF
29. Patientin mit Morbus Parkinson und unklarer Somnolenz
- Author
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Kuhl, Thomas, additional
- Published
- 2015
- Full Text
- View/download PDF
30. Scientific Opinion of the PPR Panel on the follow‐up of the findings of the External Scientific Report ‘Literature review of epidemiological studies linking exposure to pesticides and health effects’.
- Author
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Ockleford, Colin, Adriaanse, Paulien, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hougaard, Susanne, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Smith, Rob, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, Tiktak, Aaldrik, Topping, Chris J., and Wolterink, Gerrit
- Abstract
In 2013, EFSA published a comprehensive systematic review of epidemiological studies published from 2006 to 2012 investigating the association between pesticide exposure and many health outcomes. Despite the considerable amount of epidemiological information available, the quality of much of this evidence was rather low and many limitations likely affect the results so firm conclusions cannot be drawn. Studies that do not meet the ‘recognised standards’ mentioned in the Regulation (EU) No 1107/2009 are thus not suited for risk assessment. In this Scientific Opinion, the EFSA Panel on Plant Protection Products and their residues (PPR Panel) was requested to assess the methodological limitations of pesticide epidemiology studies and found that poor exposure characterisation primarily defined the major limitation. Frequent use of case–control studies as opposed to prospective studies was considered another limitation. Inadequate definition or deficiencies in health outcomes need to be avoided and reporting of findings could be improved in some cases. The PPR Panel proposed recommendations on how to improve the quality and reliability of pesticide epidemiology studies to overcome these limitations and to facilitate an appropriate use for risk assessment. The Panel recommended the conduct of systematic reviews and meta‐analysis, where appropriate, of pesticide observational studies as useful methodology to understand the potential hazards of pesticides, exposure scenarios and methods for assessing exposure, exposure–response characterisation and risk characterisation. Finally, the PPR Panel proposed a methodological approach to integrate and weight multiple lines of evidence, including epidemiological data, for pesticide risk assessment. Biological plausibility can contribute to establishing causation. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
31. Eine Erkrankung – zwei verschiedene Erscheinungsformen
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Kuhl, Thomas, additional, Klues, Heinrich, additional, and Bufe, Alexander, additional
- Published
- 2015
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32. Investigation into experimental toxicological properties of plant protection products having a potential link to Parkinson's disease and childhood leukaemia.
- Author
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Ockleford, Colin, Adriaanse, Paulien, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Hernandez-Jerez, Antonio F., Bennekou, Susanne Hougaard, Klein, Michael, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Smith, Rob, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, Tiktak, Aaldrik, and Topping, Chris J.
- Subjects
LEUKEMIA in children ,CHILDREN'S health ,PARKINSON'S disease patients ,PARKINSON'S disease treatment ,LEUKEMIA treatment - Abstract
In 2013, EFSA published a literature review on epidemiological studies linking exposure to pesticides and human health outcome. As a follow up, the EFSA Panel on Plant Protection Products and their residues (PPR Panel) was requested to investigate the plausible involvement of pesticide exposure as a risk factor for Parkinson's disease (PD) and childhood leukaemia (CHL). A systematic literature review on PD and CHL and mode of actions for pesticides was published by EFSA in 2016 and used as background documentation. The Panel used the Adverse Outcome Pathway (AOP) conceptual framework to define the biological plausibility in relation to epidemiological studies by means of identification of specific symptoms of the diseases as AO. The AOP combines multiple information and provides knowledge of biological pathways, highlights species differences and similarities, identifies research needs and supports regulatory decisions. In this context, the AOP approach could help in organising the available experimental knowledge to assess biological plausibility by describing the link between a molecular initiating event (MIE) and the AO through a series of biologically plausible and essential key events (KEs). As the AOP is chemically agnostic, tool chemical compounds were selected to empirically support the response and temporal concordance of the key event relationships (KERs). Three qualitative and one putative AOP were developed by the Panel using the results obtained. The Panel supports the use of the AOP framework to scientifically and transparently explore the biological plausibility of the association between pesticide exposure and human health outcomes, identify data gaps, define a tailored testing strategy and suggests an AOP's informed Integrated Approach for Testing and Assessment (IATA). [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
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33. Recurrent Left Atrial and Left Ventricular Thrombosis Due to Heparin-Induced Thrombocytopenia: Case Report and Short Review
- Author
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Wendt, Stefanie, primary, Langebartels, Georg, primary, Kröner, Axel, primary, Wahlers, Thorsten, primary, and Kuhl, Thomas, additional
- Published
- 2013
- Full Text
- View/download PDF
34. Passives growth meets expectations
- Author
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Kuhl, Thomas M.
- Subjects
Business ,Electronics ,Electronics and electrical industries ,Engineering and manufacturing industries - Published
- 1988
35. Scientific Opinion on the setting of health‐based reference values for metabolites of the active substance terbuthylazine.
- Author
-
Hernandez‐Jerez, Antonio F, Adriaanse, Paulien, Aldrich, Annette Patrizia, Berny, Philippe, Duquesne, Sabine, Gimsing, Anne Louise, Millet, Maurice, Pelkonen, Olavi, Pieper, Silvia, Tiktak, Aaldrik, Topping, Christopher John, Tzoulaki, Ioanna, Widenfalk, Anneli, Wolterink, Gerrit, Kuhl, Thomas, Friel, Anja, Istace, Frederique, Kardassi, Dimitra, Lythgo, Christopher, and Serafimova, Rositsa
- Subjects
REFERENCE values ,PLANT products ,PLANT protection ,METABOLITES ,GROUNDWATER - Abstract
The EFSA Panel on Plant Protection Products and their Residues was requested to establish health‐based reference values for groundwater metabolites (LM2, LM3, LM4, LM5 and LM6) of the active substance terbuthylazine based on the available evidence, unless the evidence was considered insufficient to do so. The request was accepted under the explicit circumstance that the reassessment would be made according to a different methodology than the routine methodology currently applied for the assessment of metabolites in groundwater. While for metabolites LM2, LM4 and LM5, it was concluded that the reference values for terbuthylazine are applicable, substance‐specific reference values could not be derived for metabolites LM3 and LM6. The applied threshold of toxicological concern (TTC) approach has shown that metabolites LM3 and LM6 are of potential concern for consumer health, since at least one representative groundwater leaching scenario results in exposure above the relevant threshold. Moreover, other sources of exposure to LM3 and LM6 could not be excluded with certainty. It is therefore recommended to address the specific toxicities of metabolites LM3 and LM6. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
36. Scientific Opinion about the Guidance of the Chemical Regulation Directorate (UK) on how aged sorption studies for pesticides should be conducted, analysed and used in regulatory assessments.
- Author
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Ockleford, Colin, Hernandez‐Jerez, Antonio F, Hougaard Bennekou, Susanne, Klein, Michael, Adriaanse, Thomas Paulien, Berny, Philippe, Brock, Theodorus, Duquesne, Sabine, Grilli, Sandro, Kuhl, Thomas, Laskowski, Ryszard, Machera, Kyriaki, Pelkonen, Olavi, Pieper, Silvia, Stemmer, Michael, Sundh, Ingvar, Teodorovic, Ivana, Topping, Chris J, Wolterink, Gerrit, and Smith, Robert H
- Published
- 2018
- Full Text
- View/download PDF
37. [Complication after Shaldon-catheter-application in patient with purpura].
- Author
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Kuhl T, Sundermeyer A, Klues H, and Bufe A
- Subjects
- Aged, Antibodies, Monoclonal, Murine-Derived administration & dosage, Diagnosis, Differential, Humans, Male, Purpura, Thrombocytopenic complications, Rituximab, Syncope diagnosis, Treatment Outcome, Ultrasonography, Central Venous Catheters adverse effects, Jugular Veins diagnostic imaging, Purpura, Thrombocytopenic drug therapy, Syncope etiology, Upper Extremity Deep Vein Thrombosis diagnostic imaging, Upper Extremity Deep Vein Thrombosis etiology
- Published
- 2015
- Full Text
- View/download PDF
38. [18-year-old patient with meningitis and new dermal phenomena].
- Author
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Kuhl T, Klues H, and Bufe A
- Subjects
- Adolescent, Aortic Valve diagnostic imaging, Bicuspid Aortic Valve Disease, Diagnosis, Differential, Endocarditis complications, Heart Defects, Congenital complications, Heart Defects, Congenital diagnostic imaging, Heart Valve Diseases complications, Heart Valve Diseases diagnostic imaging, Humans, Male, Meningitis diagnosis, Telangiectasia, Hereditary Hemorrhagic diagnosis, Ultrasonography, Endocarditis diagnosis, Meningitis etiology, Telangiectasia, Hereditary Hemorrhagic etiology
- Published
- 2015
- Full Text
- View/download PDF
39. [Patient with Parkinson's disease und unclear somnolence].
- Author
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Kuhl T
- Subjects
- Aged, Diagnosis, Differential, Facies, Female, Humans, Coma diagnosis, Coma etiology, Hashimoto Disease complications, Hashimoto Disease diagnosis, Myxedema complications, Myxedema diagnosis, Parkinson Disease complications, Parkinson Disease diagnosis
- Published
- 2015
- Full Text
- View/download PDF
40. [One reason - two different clinical kinds of presentation].
- Author
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Kuhl T, Klues HG, and Bufe A
- Subjects
- Aged, Diagnosis, Differential, Female, Humans, Hyperkalemia etiology, Hypokalemia etiology, Kidney Failure, Chronic complications, Male, Middle Aged, Hyperkalemia diagnosis, Hypokalemia diagnosis, Meniere Disease etiology, Muscle Weakness etiology, Nausea etiology, Paralysis diagnosis
- Published
- 2015
- Full Text
- View/download PDF
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