This review provides a comprehensive overview of the direct and indirect effects of neonicotinoid pesticides (NEO-P) within African agricultural ecosystems and identifies research gaps, particularly in the monitoring and regulation of pesticide use. We observed a decline in the numbers of NEO-P studies conducted in Africa since 2019 with 40.7% of the countries reporting at least one study to date. Imidacloprid (33.5%), acetamiprid (23.3%), and thiamethoxam (25.0%) are the most reported NEO-P across the continent with concentrations range from 9.0 × 10 to 7.2 × 10 mg kg, 1.7 × 10 to 2.1 × 10 mg kg, and 1.0 × 10 to 4.7 × 10 mg kg, respectively. NEO-P have been reported in honey, water, vegetables, fruits, and staple foods in most countries and in 92-100% of human urine samples collected in Ghana and Cameroon. This widespread presence indicates a potential food safety and public health concern, warranting further study. Studies on NEO-P interactions with bees have emanated mainly from North Africa (35.3% published studies) while Central/Middle, and Southern Africa accounted for 11.8% each of these studies, all of which were conducted in Cameroon and South Africa, respectively. It is important to have contextual evidence to understand neonicotinoids-pollinator interactions across specific African regions and countries; however, literature regarding the extent of NEO-P toxicities/effects on pollinators is required in 44 African countries. The environmental persistence of NEO-P and their broad-spectrum impact necessitate a re-evaluation of current regulatory practices and adoption of more sustainable pest management strategies across the continent. Furthermore, future studies should focus on investigating the long-term exposure to NEO-P, advanced computational methods in ecological risk assessments and eco-friendly alternatives to NEO-P.
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http://dx.doi.org/10.1016/j.chemosphere.2024.144057 | DOI Listing |
Chemosphere
December 2024
Department of Environmental Sciences, University of California, Riverside, CA 92521, USA. Electronic address:
This review provides a comprehensive overview of the direct and indirect effects of neonicotinoid pesticides (NEO-P) within African agricultural ecosystems and identifies research gaps, particularly in the monitoring and regulation of pesticide use. We observed a decline in the numbers of NEO-P studies conducted in Africa since 2019 with 40.7% of the countries reporting at least one study to date.
View Article and Find Full Text PDFJ Pain Symptom Manage
September 2024
Programme in Health Services and Systems Research (G.M.Y., Y.K., P.S.H.N., Y.B.), Duke-NUS Medical School, Singapore, Singapore; Centre for Quantitative Medicine (Y.B.C.), Duke-NUS Medical School, Singapore, Singapore; Tampere Center for Child (Y.B.C.), Adolescent and Maternal Health Research, Tampere University, Tampere, Finland.
Context: Patients with advanced cancer may experience symptoms and concerns that are inadequately identified by the healthcare team, leading to calls for patient-reported symptom monitoring.
Objectives: Assess the feasibility of administering weekly patient-reported online Integrated Palliative care Outcome Scale (IPOS) questionnaires within the context of a stepped care model in the outpatient care setting.
Methods: Analysis of intervention group data in a randomized controlled trial to assess the effectiveness of a stepped care model of palliative care for patients with advanced cancer.
JCO Oncol Pract
September 2024
Duke-NUS Medical School Singapore, Singapore, Singapore.
Purpose: The Accessible Cancer Care to Enable Support for Cancer Survivors (ACCESS) program adopts a multidisciplinary supportive care model with routine distress screening to triage newly diagnosed cancer survivors for additional support on the basis of distress levels. This study aimed to evaluate the clinical impact of ACCESS over 1 year.
Methods: We performed cluster random assignment at the oncologist level in a 1:1 ratio to receive ACCESS or usual care.
BMC Palliat Care
May 2024
Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.
Background: Ex-ante identification of the last year in life facilitates a proactive palliative approach. Machine learning models trained on electronic health records (EHR) demonstrate promising performance in cancer prognostication. However, gaps in literature include incomplete reporting of model performance, inadequate alignment of model formulation with implementation use-case, and insufficient explainability hindering trust and adoption in clinical settings.
View Article and Find Full Text PDFPersonal Ment Health
November 2024
Department of Psychology, University of Otago, Dunedin, New Zealand.
We investigated psychopathy from the neurobiological perspective of reinforcement sensitivity theory (RST). In contrast to previous semantically derived self-report scales, we operationalised RST systems neurally with evoked electroencephalography (EEG). Participants were from a community sample weighted towards externalising psychopathology.
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