Examining the role of the diaspora in addressing the interconnections between human health and environmental change::The case of northern Senegalese communities

Diaspora communities are a growing source of external assistance and resources to meet unmet needs and to strengthen existing health systems in their home countries. Although a growing number of articles have been published in this realm, very few have looked at diaspora communities’ role and the place translocal communities give to health (care) in the various remittance dynamics, whilst including power relationships and environmental change. This article examines the motivations and practices through which Senegalese diasporas engage with the health system in their origin country and what barriers they face in their interventions. The results of the migration-environment-health nexus are critically discussed with a political ecology approach. We found that households and villages with a critical number of members abroad, and with strong political and/or international networks, are better off and less exposed to health risks in the face of adverse extreme climate impacts. <br/

Leaf Eh and pH: A Novel Indicator of Plant Stress. Spatial, Temporal and Genotypic Variability in Rice (Oryza sativa L.)

A wealth of knowledge has been published in the last decade on redox regulations in plants. However, these works remained largely at cellular and organelle levels. Simple indicators of oxidative stress at the plant level are still missing. We developed a method for direct measurement of leaf Eh and pH, which revealed spatial, temporal, and genotypic variations in rice. Eh (redox potential) and Eh@pH7 (redox potential corrected to pH 7) of the last fully expanded leaf decreased after sunrise. Leaf Eh was high in the youngest leaf and in the oldest leaves, and minimum for the last fully expanded leaf. Leaf pH decreased from youngest to oldest leaves. The same gradients in Eh-pH were measured for various varieties, hydric conditions, and cropping seasons. Rice varieties differed in Eh, pH, and/or Eh@pH7. Leaf Eh increases and leaf pH decreases with plant age. These patterns and dynamics in leaf Eh-pH are in accordance with the pattern and dynamics of disease infections. Leaf Eh-pH can bring new insight on redox processes at plant level and is proposed as a novel indicator of plant stress/health. It could be used by agronomists, breeders, and pathologists to accelerate the development of crop cultivation methods leading to agroecological crop protection

Occurrence and functioning of phosphate solubilizing microorganisms from oil palm tree (Elaeis guineensis) rhizosphere in Cameroon

Phosphorus replenishment, particularly in smallholder agriculture, remains a challenge as it is mainly fertilizer dependent. While the use of soluble mineral phosphate fertilizers is the obvious best means tocombat phosphate deficiency in Cameroon, their use is limited by their high cost and availability at farmer’s level. This study was aimed at maintaining the fertility of Cameroon soils by biological means,in order to improve agricultural production, using low inputs technology. Isolates were obtained from oil palm tree (Elaeis guineensis) root fragments and rhizospheric soils and their activity in mobilizingphosphate from insoluble sources was evaluated on agar plates and liquid culture media containing sparingly soluble phosphates. At the end of incubation time, it appeared that, phosphate solubilizationresulted from a combined effect of pH decrease of the media and organic acids production. Furthermore, each of the tested isolates was able to produce at least one of the most important organic acids such as citrate, malate and tartrate. Among the ten isolates tested, three were identified as Pseudomonas fluorescens and would be considered as potential biofertilizers

Economic evaluations of psychosocial interventions in cancer: A systematic review

Objective: Although the effectiveness of many psychosocial interventions for people with cancer has been established, one barrier to implementation in routine clinical care is a lack of data on cost-effectiveness. We conducted a systematic review to assess the cost-effectiveness of psychosocial interventions for improving psychological adjustment among people with cancer. Methods: Systematic review of the literature, study appraisal, and narrative synthesis. Results: Eight studies involving 1,668 patients were identified. Four of these reported outcomes in a cost per quality adjusted life year (QALY) framework. Six studies reported psychosocial interventions to be cost-effective for improving health-related quality of life, mood, pain, distress, or fear of cancer progression, compared to usual care. Of the six psychosocial interventions identified as cost-effective, three were cognitive behavioural therapy based interventions, one was a nurse-delivered telephone follow-up plus educational group program, one was a group-based exercise and psychosocial intervention, and one was a series of 10 face-to-face or telephone-based individual support sessions delivered by a nurse. The quality of studies according to the CHEC-list criteria was good overall; however, some studies were limited by their choice of outcome measure and omission of important categories of costs. Conclusions: Several psychosocial interventions, particularly those based on cognitive behavioural therapy, have been demonstrated to represent good value for money in cancer care. Future research should include a clear definition of the economic question, inclusion of all relevant costs, and consideration of utility-based quality of life measures for QALY estimation. Systematic review registration: PROSPERO Registration Number: CRD42014006370

Economic evaluations of psychosocial interventions in cancer: A systematic review

Objective: Although the effectiveness of many psychosocial interventions for people with cancer has been established, one barrier to implementation in routine clinical care is a lack of data on cost-effectiveness. We conducted a systematic review to assess the cost-effectiveness of psychosocial interventions for improving psychological adjustment among people with cancer. Methods: Systematic review of the literature, study appraisal, and narrative synthesis. Results: Eight studies involving 1,668 patients were identified. Four of these reported outcomes in a cost per quality adjusted life year (QALY) framework. Six studies reported psychosocial interventions to be cost-effective for improving health-related quality of life, mood, pain, distress, or fear of cancer progression, compared to usual care. Of the six psychosocial interventions identified as cost-effective, three were cognitive behavioural therapy based interventions, one was a nurse-delivered telephone follow-up plus educational group program, one was a group-based exercise and psychosocial intervention, and one was a series of 10 face-to-face or telephone-based individual support sessions delivered by a nurse. The quality of studies according to the CHEC-list criteria was good overall; however, some studies were limited by their choice of outcome measure and omission of important categories of costs. Conclusions: Several psychosocial interventions, particularly those based on cognitive behavioural therapy, have been demonstrated to represent good value for money in cancer care. Future research should include a clear definition of the economic question, inclusion of all relevant costs, and consideration of utility-based quality of life measures for QALY estimation. Systematic review registration: PROSPERO Registration Number: CRD42014006370

Improving subjective perception of personal cancer risk: systematic review and meta-analysis of educational interventions for people with cancer or at high risk of cancer

BACKGROUND: Newly diagnosed patients with cancer require education about the disease, the available treatments and potential consequences of treatment. Greater understanding of cancer risk has been found to be associated with greater health-related quality of life, improved psychological adjustment and greater health-related behaviours. The aim of this sytematic review was to assess the effectiveness of educational interventions in improving subjective cancer risk perception and to appraise the quality of the studies. METHODS: We conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) and prospective observational studies. Eligible studies were identified via Medline, PsycINFO, AMED, CINAHL and Embase databases. After screening titles and abstracts, two reviewers independently assessed the eligibility of 206 full-text articles. RESULTS: Forty papers were included in the review; the majority of studies were conducted among breast cancer patients (n = 29) and evaluated the effect of genetic counselling on personal perceived risk (n = 25). Pooled results from RCTs (n = 12) showed that, both in the short and long term, educational interventions did not significantly influence risk perception level (standardised mean difference 0.05, 95% CI -0.24-0.34; p = 0.74) or accuracy (odds ratio = 1.96, 95% CI: 0.61-6.25; p = 0.26). Only one RCT reported a short-term difference in risk ratings (p = 0.01). Of prospective observational studies (n = 28), many did demonstrate changes in the level of perceived risk and improved risk accuracy and risk ratings in both the short and long term. However, only one (of three) observational studies reported a short-term difference in risk ratings (p < = 0.003). CONCLUSION: Further development and investigation of educational interventions using good quality, RCTs are warranted

Transport and Deposition of Saharan Dust Observed from Satellite Images and Ground Measurements

Haboob occurrence strongly impacts the annual variability of airborne desert dust in North Africa. In fact, more dust is raised from erodible surfaces in the early summer (monsoon) season when deep convective storms are common but soil moisture and vegetation cover are low. On 27 June 2018, a large dust storm is initiated over North Africa associated with an intensive westward dust transport. Far away from emission sources, dust is transported over the Atlantic for the long distance. Dust plume is emitted by a strong surface wind and further becomes a type of haboob when it merges with the southwestward deep convective system in central Mali at 0200 UTC (27 June). We use satellite observations to describe and estimate the dust mass concentration during the event. Approximately 93% of emitted dust is removed the dry deposition from the atmosphere between sources (10°N–25°N; 1°W–8°E) and the African coast (6°N–21°N; 16°W–10°W). The convective cold pool has induced large economic and healthy damages, and death of animals in the northeastern side of Senegal. ERA5 reanalysis has shown that the convective mesoscale impacts strongly the climatological location of the Saharan heat low (SHL)