Evidence map›Paper›PMID 29319053›Full record

ArticleThe international journal of occupational and environmental medicine2018

Pesticide Application and Khat Chewing as Predictors of the Neurological Health Outcomes among Pesticide Applicators in a Vector Control Unit, Saudi Arabia.

Ahmed A Ismail, Mohammed Almalki, Ahmed Agag, Yahya M Solan, Ibrahim A Bani

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Article in The international journal of occupational and environmental medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ahmed A IsmailDepartment of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, Iowa, USA. aa-ismail@hotmail.com.
Mohammed AlmalkiDepartment of Health Service Management and Policy, Faculty of Public Health and Tropical Medicine, Jazan University, Gizan, Saudi Arabia.
Ahmed AgagDepartment of Environmental Health, Faculty of Public Health and Tropical Medicine, Jazan University, Gizan, Saudi Arabia.
Yahya M SolanPublic Health Directorate, Ministry of Health, Gizan, Jazan, Saudi Arabia.
Ibrahim A BaniVice Presidency for Development and Quality Management, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPesticide applicators are at risk of developing neurological symptoms and neurobehavioral deficits. This risk may increase if the applicator chews stimulant plants like khat.

objectiveTo examine the sociodemographic and exposure determinants of neurological symptoms presentation, neurobehavioral performance, and cholinesterase activity among pesticide applicators in a vector control unit, Saudi Arabia.

methodsIn a cross-sectional study, 30 pesticide applicators and 32 non-applicators from a vector control unit in Jazan region, Saudi Arabia, were studied. The study participants completed an exposure and medical questionnaire, and a neurobehavioral test battery. Their blood samples were also tested for the measurement of butyryl cholinesterase (BChE).

resultsThe mean blood BChE level was no significantly different between the applicators and non-applicators. Working in pesticide application and chewing khat were significant predictors of the neurological symptoms presentation and neurobehavioral deficits among the study participants. Each factor was associated with about 40% of the symptoms included in the questionnaire. Exposure to pyrethroids was significantly associated with a decrement in symbol digit test latency, tapping (TAP) non-preferred hand, and TAP alternating hands measures, representing the executive and motor speed/coordination functions. Khat chewing was associated with TAP preferred and non-preferred hands and serial digit learning measures, representing the memory and motor speed/coordination functions.

conclusionsIt seems that being exposed to pyrethroids and chewing khat are associated with neurological and neurobehavioral drawbacks among pesticide applicators.

Indexed as

AdultAnimalsButyrylcholinesteraseCathaCross-Sectional StudiesDisease VectorsFemaleHumansMaleMasticationNervous System DiseasesOccupational ExposurePesticidesSaudi ArabiaSurveys and QuestionnairesButyrylcholinesterasePesticidesCathaInsect VectorsNeurological manifestationsPyrethrinsSaudi Arabia

Identifiers

PMID29319053
PMCPMC6466969

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.