The emergency care setting for screening and intervention for alcohol use problems among injured and high-risk drivers: a review

Each year thousands of people are treated in emergency departments and trauma centers for alcohol-related injuries, including those sustained in drinking driving crashes. Emergency departments and trauma centers provide an opportunity to screen for alcohol use problems and intervene with injured or high-risk drivers to reduce future alcohol-related traffic and injury risk. Recently physicians have expressed interest in exploring screening and intervention for alcohol use problems in these venues as a means of improving clinical care. This article reviews the literature that has examined screening and brief interventions in acute care settings to reduce future alcohol consumption and alcohol-related injury. The methodological and practical issues inherent in conducting these studies as well as in actual practice are discussed. The chaotic environment of acute care, the large numbers of patients required to be screened to obtain an adequate study sample, and high attrition rates make study in these settings difficult at best and are methodological problems that should be addressed in future research. A basic question that has not been adequately answered by research to date is whether reduction in alcohol consumption will translate to reduced alcohol-related harm, such as driving while impaired, or injurious or fatal crashes. Long-term studies that assess records-based outcomes in addition to alcohol-consumption levels are needed.     

Temporal and spatial trends of PCBs,DDTs, HCHs,and HCB in Swedish marine biota 1969–2012

In the 1960s, the Baltic Sea was severely polluted by organic contaminants such as PCBs, HCHs, HCB, and DDTs. Elevated concentrations caused severe adverse effects in Baltic biota. Since then, these substances have been monitored temporally and spatially in Baltic biota, primarily in herring (Clupea harengus) and in guillemot (Uria aalge) egg, but also in cod (Gadus morhua), perch (Perca fluviatilis), eelpout (Zoarces viviparous), and blue mussel (Mytilus edulis). These chemicals were banned in Sweden in the late 1970s/early 1980s. Since the start of monitoring, overall significant decreases of about 70–90 % have been observed. However, concentrations are still higher in the Baltic Sea than in, for example, the North Sea. CB-118 and DDE exceed the suggested target concentrations (24 µg kg^?1 lipid weight and 5 µg kg^?1 wet weight, respectively) at certain sites in some of the monitored species, showing that concentrations may still be too high to protect the most sensitive organisms.     

Multi-level coordination of climate change adaptation: by national hierarchical steering or by regional network governance?

The institutional structure and public service delivery apparatus required to meet the future effects of climate change already exist in Norway. However, there are huge challenges in coordinating these institutions at different authority levels for climate change adaptation purposes. Based upon a broad case study, this article presents how local actors consider the multi-level coordination of different levels of government and policy sectors to function today, which are the mechanisms that are used and what are the coordination challenges that are identified. Based upon the challenges revealed, this article discusses how best can the government-level institutions be organised for better goal attainment. We argue here that the elected regional level in Norway – the counties – has a huge potential to act as a multi-level coordination actor.     

Spatial variation in concentrations and patterns of the PCDD/F and dioxin-like-PCB content in herring from the northern Baltic Sea

The purpose of the current study was to investigate spatial and seasonal variation of dioxin and dioxin-like PCB (dl-PCB) content in herring sampled along the northern Baltic Sea coast and map out risk zones for dioxins and dl-PCBs. We further aimed to investigate relationships between congener distribution (pattern) and sampling location and season. The results showed that there were distinct geographical differences in concentrations of dioxins, dibenzofurans and dl-PCBs along the Swedish coast, from the Bothnian Bay to north Baltic Proper, with the highest levels detected in the southern Bothnian Sea. The majority of the locations showed concentrations above the prescribed maximum for dioxin residues (4 TEQ pg g(-1) wet weight [w.w.]). If all the edible parts of the fish (muscle, subcutaneous fat and skin) are considered, the estimated concentrations exceeded the prescribed maximum level in the whole study area for herring collected during spring-summer. Concentrations in herring caught during spring-summer compared to concentrations in herring sampled in the autumn indicated seasonal variation. The pattern analysis showed a variation in relative congener concentration at the different sampling locations (spring-summer). Pattern differences were also noticed between seasons.     

Effects of an Experimental Enrichment of Instream Habitat Heterogeneity on the Stream Bed Morphology and Chironomid Community of a Straightened Section in a Sandy Lowland Stream

A straightened stream stretch with poor habitat heterogeneity was divided into a “control” section with a low amount of submerged woody debris and an experimentally “wood-enriched” downstream section to study the effect of enhanced habitat diversity on the benthic invertebrate community. The downstream section was enriched by fixing 25 wood packages constructed from 9–10 branches on the stream bottom. Succession processes occurring in the two stream sections were compared by chironomid exuviae drift from July to November 2000 and from April to August 2001. During the first sampling period, more drifting chironomid exuviae (medians of control vs. wood-enriched: 446 vs. 331, no significant difference) and total number of taxa (44 vs. 36, Wilcoxon signed-rank test P = 0.019) were recorded for the control section. Although species compositions of both stream sections were highly similar (Sørensen index: 0.83) the diversity in the wood-enriched section was distinctly lower compared to the control section (Shannon–Weaver index: 1.19 vs. 1.50). During the second sampling period, exuviae numbers remained higher in the control section (median: 326 vs. 166), but total numbers of taxa were nearly equal (51 vs. 49), as well as species diversity (Shannon–Weaver index: 1.67 vs. 1.64). The lower chironomid diversity observed during the first sampling period coincided with a gradual but significant change of the streambed morphology in the wood-enriched section. There, the initially more U-shaped profile (V/U = 0.81 ± 0.37) had turned into a pronounced V shape (V/U = 1.14 ± 0.21), whereas the control section retained its unaltered U shape (V/U = 0.62–0.75). This small-scale study on experimental of woody debris in sandy lowland streams showed that the negative impact of increased hydraulic disturbance of the existing streambed more than outweighed any positive impact resulting from the increase in woody debris.     

Biological treatment of chicken feather waste for improved biogas production

A two-stage system was developed which combines the biological degradation of keratin-rich waste with the production of biogas. Chicken feather waste was treated biologically with a recombinant Bacillus megaterium strain showing keratinase activity prior to biogas production. Chopped, autoclaved chicken feathers (4%, W/V) were completely degraded, resulting in a yellowish fermentation broth with a level of 0.51 mg/mL soluble proteins after 8 days of cultivation of the recombinant strain. During the subsequent anaerobic batch digestion experiments, methane production of 0.35 Nm³/kg dry feathers (i.e., 0.4 Nm³/kg volatile solids of feathers), corresponding to 80% of the theoretical value on proteins, was achieved from the feather hydrolyzates, independently of the pre-hydrolysis time period of 1, 2 or 8 days. Cultivation with a native keratinase producing strain, Bacillus licheniformis resulted in only 0.25 mg/mL soluble proteins in the feather hydrolyzate, which then was digested achieving a maximum accumulated methane production of 0.31 Nm³/kg dry feathers. Feather hydrolyzates treated with the wild type B. megaterium produced 0.21 Nm³ CH₄/kg dry feathers as maximum yield.     

Dynamic adjustment of biosonar intensity to habitat clutter in the bat Macrophyllum macrophyllum (Phyllostomidae)

Echolocating bats adjust the time–frequency structure such as sweep rate and pulse interval of their sonar calls when they move from open space to vegetation-dense environments. Emitted call intensity is equally important for echolocation, but adjustment of signal intensity to different habitats has never been systematically studied in any bat species. To address this question, we recorded sonar calls of the Neotropical trawling insectivorous bat Macrophyllum macrophyllum (Phyllostomidae) at three sites with different obstacle densities (clutter). We found a clear correlation between emitted intensity and degree of clutter, with intensity proportional to decreasing clutter. In highly cluttered, semicluttered, and open spaces, M. macrophyllum emitted calls with mean source levels (sound pressure level (SPL) 10 cm from the bat’s mouth) of 100, 105, and 111 dB SPL root mean square (rms), respectively. To our knowledge, this is the first documentation of dynamic intensity adjustments in bats. Phyllostomid bats were previously considered silent, but the 111-dB SPL rms emitted by free-ranging M. macrophyllum in open space is comparable to output in aerial insectivorous bats from other families. Our results suggest that the acoustic constraints of habitats are better predictors of call intensity than phylogeny and therefore likely to be major drivers shaping the sonar system of bats in the course of evolution.