Solitary bee behaviour and pollination service delivery is differentially impacted by neonicotinoid and pyrethroid insecticides.

Solitary bees are important pollinators of crops and wild plants, and their decline poses a risk to the sustained provision of the services they provide. Although evidence suggests that exposure to insecticides can affect bees, most pesticide research and risk assessment has focussed on social bees and mortality while solitary species are understudied. The ability to forage is critical for solitary bee reproduction, also in how they deliver pollination services, and we know little about how insecticides can impact these behaviours. We exposed solitary red mason bees (Osmia bicornis) to field realistic levels of two widely used insecticides with differing modes of action (lambda-cyhalothrin (pyrethroid) and acetamiprid (neonicotinoid)), in a semi-field setting over multiple rounds of exposure. We then tested impacts on bee behaviour and pollination in apples, an important global insect-pollinated crop. Pollination by insecticide-treated bees reduced apple production by up to 86 % depending on the compound and the number of exposures, but the underlying mechanism behind this remains unclear and should be investigated further. Other measurements of pollination services including number of seeds per apple and stigma pollen deposition showed no relationship with pesticide treatment. Bee foraging behaviour was also affected by treatment where both insecticides appear to induce an excitatory effect which was constant for acetamiprid and eventually ceased for lambda-cyhalothrin after multiple exposures. This suggests that both neonicotinoid and non­neonicotinoid insecticides can potentially affect behaviour and pollination services of solitary bees depending on how often they are exposed, which is particularly important given the changing usage patterns of these compound classes based on regulations around their use. This highlights the importance of moving insecticide risk assessment towards more field realistic scenarios and including sublethal effects on solitary and social bees, in addition to considering repeated exposures of bees to pesticides as is realistic in the field.

Reliability of prostate imaging reporting and data system version 2.1 for excluding clinically significant prostate cancer using a 1.5 tesla scanner.

INTRODUCTION: Multiparametric magnetic resonance imaging (mpMRI) of the prostate gland is now the recommended initial investigation of choice for the detection of Prostate cancer (PCa). It effectively identifies patients who require prostate biopsies due to the risk of clinically significant PCa. It helps patients with clinically insignificant PCa avoid the invasive biopsies and possible accompanying complications. Large clinical trials have investigated the accuracy of mpMRI in detecting PCa. We performed a local review to examine the reliability of omitting tissue sampling in men with a negative (PIRADS 2 (P2) or less) mpMRI in the primary diagnostic setting. METHODS: This was a retrospective study of patients with clinical suspicion of PCa within a 2-year period. Patients had a mpMRI prior to having trans-perineal prostate gland biopsies. Clinically significant disease was defined as Gleason 7 and above. The descriptive data was analysed using contingency table methods. A p-value less than 0.05 was statistically significant. RESULTS: Out of 700 patients 90 had an mpMRI score of PIRADS 2. Seventy-seven (85.5%) of these patients had a negative biopsy, 9(10%) showed Gleason 6, 4 patients showed Gleason 7 or above. 78 patients with PIRADS 2 had a PSA density of < 0.15, none of which had a clinically significant biopsy result. The negative predictive value of mpMRI from this study is 95%. CONCLUSION: Our results are in line with negative predictive values demonstrated in the current literature. This local study, likely applicable to other district general hospitals, shows that mpMRI is a safe and reliable initial investigation to aid decisions on which patients require biopsies.

Improving ward environments and developing skills for discharge with the implementation of self-catering on a low secure forensic unit.

The opportunities for service users to develop skills for more independent living and take control of their environments are limited in secure mental health units. This paper will outline a quality improvement project that changed how the catering services were delivered in a low secure unit in East London NHS Foundation Trust (ELFT). A Quality Improvement methodology was adopted incorporating the Plan, Do, Study, Act (PDSA) cycle which included the trial of service users preparing their own meals on a daily basis. The participation rates were measured and functional daily living skills were recorded. Following success of the trial, long-term implementation of self-catering was agreed, with service users being supported to prepare a shared evening meal every day on the ward with an average of 60% participation. Functional living skills indicated an improvement in the area of process skills. The project aligned with ELFT's aims of service users working in collaboration with staff to implement changes in service delivery.