The existence of pesticides, such as organochlorine pesticides, parathion-ethyl, methamidophos which is banned globally and some current-use non-banned pesticides of organophosphorus and synthetic pyrethroids in freshwater sources is an ecological and public health concern in many countries, including Ghana. Prompted by this concern, the exposure levels and risk assessment of these pesticides to humans and non-target organisms via groundwater and surface water sources in an agricultural catchment dominated by cocoa crops in the Ankobra Basin, Ghana, were investigated. The individual concentrations of the banned pesticides in the surface water and groundwater samples varied from < LOD to 0.110 μg/L and < LOD to 0.055 μg/L, respectively, while the concentrations of the non-banned pesticides ranged from < LOD to 0.925 μg/L and < LOD to 2 μg/L, respectively. The mean concentrations of chlorpyrifos, cypermethrin, p,p'-DDT and pirimiphos-methyl in some water sources exceeded the EU limit of 0.1 μg/L. Some surface water sources were more contaminated with DDTs, endrin, dieldrin, methoxychlor, chlorpyrifos, and HCH isomers than were freshwater sources in river basins in some countries of the world. Chlorpyrifos, p,p'-DDT and methoxychlor were ubiquitous in both water sources. The hydrochemical and compositional profiles of the pesticides indicate that water-exchange and secondary porosities in the bedrock likely contributed to the occurrence of the pesticides in the water sources. The pesticides were of low risk to humans that consume the water, but considering the US EPA safe limit for carcinogenic effects of 10, the high levels of DDTs, β-HCH, and dieldrin in some of the surface water and groundwater sources may cause cancer in children or infants. The toxicity of pesticide mixtures to surface water non-target organisms decreased in the order of fish > Daphnia magna > algae. The pesticides in the water sources were anthropogenic in origin and recently used. DDT and HCH in the water were of technical-grade origin.
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http://dx.doi.org/10.1016/j.scitotenv.2018.03.129 | DOI Listing |
Ann Intern Med
January 2025
Durham VA Health Care System, Durham; and Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, North Carolina (K.M.G.).
Background: Tissue-based genomic classifiers (GCs) have been developed to improve prostate cancer (PCa) risk assessment and treatment recommendations.
Purpose: To summarize the impact of the Decipher, Oncotype DX Genomic Prostate Score (GPS), and Prolaris GCs on risk stratification and patient-clinician decisions on treatment choice among patients with localized PCa considering first-line treatment.
Data Sources: MEDLINE, EMBASE, and Web of Science published from January 2010 to August 2024.
J Med Internet Res
January 2025
Department of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Background: Delayed cerebral ischemia (DCI) is a primary contributor to death after subarachnoid hemorrhage (SAH), with significant incidence. Therefore, early determination of the risk of DCI is an urgent need. Machine learning (ML) has received much attention in clinical practice.
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Department of Basic and Community Nursing, School of Nursing, Nanjing Medical University, NanJing, China.
Background: Telehealth interventions can effectively support caregivers of people with dementia by providing care and improving their health outcomes. However, to successfully translate research into clinical practice, the content and details of the interventions must be sufficiently reported in published papers.
Objective: This study aims to evaluate the completeness of a telehealth intervention reporting in randomized controlled trials (RCTs) conducted for caregivers of people with dementia.
J Clin Psychiatry
January 2025
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan, Division of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.
Although antipsychotics are used commonly for delirium, they increase the risk of mortality in elderly patients and those with dementia. As hydroxyzine has sedative and anxiolytic effects, it can be used in the treatment of delirium. We performed a retrospective study to compare the effects of intravenous hydroxyzine and haloperidol monotherapy on delirium.
View Article and Find Full Text PDFGac Med Mex
January 2025
Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, United Kingdom.
FRAX, a risk calculator that provides individualized 10-year probabilities of hip and major osteoporotic fracture, has been widely used for fracture risk assessment since its launch in 2008. It is now incorporated into very many guidelines worldwide to inform osteoporosis management. In this review, we explore the development of FRAX and how it enhances fracture risk prediction as compared to use of bone mineral density alone, as well as approaches to utilizing FRAX in determining intervention and assessment thresholds.
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