This paper summarises institutional and policy bottlenecks to IPM in Africa. Agricultural policy in Africa generally prioritises production and productivity above environmental sustainability, so the use of synthetic pesticides for controlling pests is encouraged. Funding for research in IPM is limited, and extension systems struggle to provide the level of farmer support that adoption of IPM often needs. Improved research and extension policies could facilitate uptake of IPM. Public and private food-safety standards can incentivise adoption, but currently this is mainly in production for export. Pesticide and other input regulatory systems unintentionally constrain adoption of IPM, through expensive registration procedures, weak compliance monitoring and limited regional harmonisation. IPM must be seen as a key element of food-system transformation.
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http://dx.doi.org/10.1016/j.cois.2022.100946 | DOI Listing |
Psychooncology
January 2025
The Department of Breast Medicine, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Objective: Breast cancer patients often face a significant financial burden, leading to financial toxicity due to the necessity for long-term care, costly treatment, and follow-up measures. The purpose of this study is to systematically review the available qualitative evidence on how breast cancer patients cope with financial toxicity and their unmet need to promote the implementation of effective intervention strategies.
Methods: PubMed, Web of Science, PsycINFO, CINAHL, EMBASE, Scopus, CNKI, Wan Fang Data, and VIP databases were systematically searched for literature related to the study topic.
Risk Manag Healthc Policy
January 2025
Department of Family Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Purpose: The aim of the study was to assess the effect of policy intervention on the physician ordering of HbA1c for the patients seen at the primary health care center in Riyadh, Saudi Arabia.
Methods: The study included patients over the age of 18 for whom HbA1c tests were ordered before and after the policy restrictions were implemented at the three main Primary Health Care Centers under the Ministry of National Guard Health Affairs (MNGHA) in Riyadh, between October 2020 and August 2023. Several data management steps and restrictions were carried out to identify the patients seen before and after the intervention and controlled for the confounders.
Public Health Nurs
January 2025
Three Rivers Department of Rural Health, Charles Sturt University, Wagga Wagga, NSW, Australia.
Background: Rising global temperatures and increased use of personal protective equipment has led to increased risk of heat stress amongst healthcare professionals. This review synthesizes recent research on the impact of heat and heat mitigation strategies on healthcare professionals across disciplines and settings.
Method: Databases were systematically searched using keywords and data from included studies were extracted for content analysis.
Trials
January 2025
Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Background: With the population ageing, more victims of community crime are likely to be older adults. The psychological impact of crime on older victims is significant and sustained, but only feasibility trials have been published regarding potential interventions. The integration of public health and care services and cross-agency working is recommended, but there is little information on how this should be undertaken.
View Article and Find Full Text PDFJ Gen Intern Med
January 2025
Department of Medicine, Harvard Medical School, Boston, MA, USA.
Background: Accounting for approximately 1 in 4 community-dwelling adults in the United States (US), people with disabilities (PWD) experience significant disparities in health care quality, access, and outcomes. At the same time, US physicians have reported feeling unprepared to care for PWD and have revealed significant negative bias about this population.
Objective: To understand how physicians are trained to care for PWD in US medical schools.
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