Assessment of patients' medical fitness to drive by primary care physicians: A cross-sectional study

Objectives: Motor vehicle collisions (MVCs) are a significant health burden in Saudi Arabia. The literature has consistently indicated that chronic medical conditions, such as diabetes, heart disease, stroke, obstructive sleep apnea, and neurodevelopmental disorders, increase the risk of MVCs. Therefore, assessment of driver fitness by primary care physicians (PCPs) remains a major health intervention that might reduce MVCs. We studied the practices of PCPs in assessing medical fitness to drive in at-risk patients.

Methods: We conducted a cross-sectional study of all 88 government-funded primary care centers in the city of Riyadh, Saudi Arabia. We administered a self-reported questionnaire to PCPs that inquired about their driving risk assessment for specific medical conditions.

Results: Among all PCPs and centers, 189 PCPs (63%) from 74 centers (84%) participated in our survey. The mean age of the PCPs was 40 ± 10 years, and 108 (57%) were men. The average clinical experience of the group was 13 ± 9 years. Fewer than half of PCPs considered diabetes mellitus (45%) and obstructive sleep apnea (46%) as potential risks for MVCs. Approximately 45% of PCPs did not notify any authority or relatives of potential driving issues that they noticed in their patients. Only 15% of the participants believed that PCPs were responsible for alerting authorities about their fitness to drive.

Conclusions: PCPs did not adequately assess their patients' driving history and eligibility. Efforts are needed to improve awareness among PCPs regarding the effects of chronic medical conditions on driving.     

Study of environmental isotope distribution in the Aswan High Dam Lake (Egypt) for estimation of evaporation of lake water and its recharge to adjacent groundwater

Oxygen-18 (¹⁸0) and deuterium isotopes were used to estimate the evaporation from the Aswan High Dam Lake and to investigate the inter-relation between the lake water and adjacent groundwater.According to stable isotopic analysis of samples taken in 1988 and 1989, the lake can be divided into two sections. In the first section extending between Abu Simbel and a point between EI-Alaki and Krosko, a remarkable vertical gradient of ¹⁸0 and deuterium isotopic composition was observed. The second northern sector extending to the High Dam is characterised by a lower vertical isotopic gradient. In this sector in general, higher values of ¹⁸O and deuterium contents were found at the top and lower values at the bottom. Also a strong horizontal increase of the heavy isotope content was observed. Thus, in the northern section evaporation is of dominating influence on the isotopic composition of the lake water.With the help of an evaporation pan experiment it was possible to calibrate the evaporative isotope enrichment in the lake and to facilitate a preliminary estimate of evaporative losses of lake water. The evaporation from the lake was estimated to be about 19% of the input water flow rate.The groundwater around the lake was investigated and samples from production wells and piezometers were subjected to isotopic analysis. The results indicate that recent recharge to the groundwater aquifer is limited to wells near to the lake and up to a maximum distance of about 10 km. The contribution of recent Nile water to the groundwater in these wells was estimated to range between 23 and 70%. Beyond this distance, palaeowater was observed with highly depleted deuterium and ¹⁸0 contents, which was also confirmed by 14c dating. The age of palaeo groundwater in this area can reach values of more than 26,000 years.Recommendations are given for efficient water management of the lake water.     

Use of environmental isotopes and hydrochemistry as indicators for the origin of groundwater resources in El Dabaa area,northwestern coastal zone of Egypt

The EI-Dabaa area is located on the northwestern coastal zone of Egypt and is considered to be one of the most important regions for land reclamation and agriculture. In addition, it has been selected as a potential site for constructing Egypt's first nuclear power plant.In April 1989, 14 groundwater samples were collected from the area as well as collecting samples from the Mediterranean sea and from local rainwater. These samples were subjected to chemical and environmental isotope analyses. The results of the analyses for stable isotopes (oxygen-18 and deuterium) indicate that the main recharge source of the groundwater in El-Dabaa is the local precipitation during the rainy season. Variation of the environmental tritium content as well as in the chemical composition of both major cations (Na,K,Ca,Mg) and major anions (Cl,SO₄,HCO₃) between different groundwaters in the studied area reflect the high degree of inhomogeneity of the aquifer and different recharging conditions due to permeability of the water bearing formation.The chemical water type of the El-Dabaa groundwater is sodium sulphate (Na₂SO₄) and the SAR values illustrate the suitability of these groundwaters for agricultural purposes.     

Soil pollution assessment and identification of hyperaccumulating plants in chromated copper arsenate (CCA) contaminated sites, Korea

In recent decades, heavy metal contamination in soil adjacent to chromated copper arsenate (CCA) treated wood has received increasing attention. This study was conducted to determine the pollution level (PL) based on the concentrations of Cr, Cu and As in soils and to evaluate the remediative capacity of native plant species grown in the CCA contaminated site, Gangwon Province, Korea. The pollution index (PI), integrated pollution index (IPI), bioaccumulation factors (BAF_shoots and BAF_roots) and translocation factor (TF) were determined to ensure soil contamination and phytoremediation availability. The 19 soil samples from 10 locations possibly contaminated with Cr, Cu and As were collected. The concentrations of Cr, Cu and As in the soil samples ranged from 50.56-94.13 mg kg⁻¹, 27.78-120.83 mg kg⁻¹, and 0.13-9.43 mg kg⁻¹, respectively. Generally, the metal concentrations decreased as the distance between the CCA-treated wood structure and sampling point increased. For investigating phytoremediative capacity, the 19 native plant species were also collected in the same area with soil samples. Our results showed that only one plant species of Iris ensata, which presented the highest accumulations of Cr (1120 mg kg⁻¹) in its shoot, was identified as a hyperaccumulator. Moreover, the relatively higher values of BAF_shoot (3.23-22.10) were observed for Typha orientalis, Iris ensata and Scirpus radicans Schk, suggesting that these plant species might be applicable for selective metal extraction from the soils. For phytostabilization, the 15 plant species with BAF_root values > 1 and TF values < 1 were suitable; however, Typha orientalis was the best for Cr.     

Ozone Generation in an Electrostatic Precipitator With a Heated Corona Wire

The body of information in this paper is directed to individuals involved in the design of electrostatic precipitators or of any devices utilizing the corona discharge where the ozone generation is considered to be a problem. A method that gives as much as 85 % reduction in the ozone generation per unit corona current for a given corona wire is described. The electrical parameters governing the formation of O₃ in an electrical discharge are summarized. It is shown that a reduction in the average gas density in the ionized sheath of a corona discharge should lead to lower O₃ generation. Experiments were carried out with an a.c. heating current being used to heat a corona wire in a cylindrical geometry corona section. It was found that as the heating power applied to the wire increased, the O₃ generation per unit corona current decreased for both positive and negative corona. An experimental formula was obtained that relates the heating power to the O₃ generation with and without heating for positive corona. This formula was based upon experimental work carried out on corona wires of different materials and sizes and at flow conditions typical of two-stage electrostatic precipitators. The reduction in the O₃ concentration is believed to be caused primarily by the reduced corona power dissipated in the ionized sheath under heating conditions. These results have great practical importance for improving the performance of the two-stage type electrostatic precipitator as it allows the corona current and hence charging efficiency of the unit to be increased without exceeding the O₃ limits.     

Sulphamethazine in poultry manure changes carbon and nitrogen mineralisation in soils

Antibiotics are newly emerging organic pollutants in manure, soil, vegetables and water. Animal manure application might be leading to the accumulation of antibiotics in the farmland. However, the effect of sulphamethazine (SMZ) on the soil microbial community was scarcely investigated. This study was aimed to evaluate the impact of SMZ on poultry manure, on the structure and function of microbial community, carbon mineralisation, and changes in nitrogen forms in soil via an incubation experiment lasting 56?d. The treatments consisted of poultry manure at 1% wt (PM), PM containing 20?mg?kg^?1 SMZ (PM?+?20SMZ) and PM containing 100?mg?kg^?1 SMZ (PM?+?100SMZ), along with the untreated soil (control). Solid phase extraction was performed to measure the SMZ concentration in soils using high-pressure liquid chromatography. The cumulative CO₂-C was increased in all treated soils over the incubation period compared to the control. The PM?+?100SMZ had the highest increase in cumulative CO₂-C from the soil at 56?d of incubation. The treatment of PM?+?20SMZ showed a short-term decrease in nitrification rate in the soils at 1?d by altering the microbial community composition with 17% dissimilarity and decreasing the abundance of bacteria compared to PM-treated soil. The PM?+?100SMZ increased C mineralisation in the soil.     

Toxicity assessment of crude oils: A methodological view

As a continuity of efforts in the field of laboratory ecotoxicological studies of oil on marine organisms, the present work contains data showing to what extent the observed toxicity of two chemically dispersed crude oils (arabian light and heavy) on well succeeded fish culture species (Lebistes reticulatus) is tightly dependent on the instantaneous measured oil concentration in the bioassay media rather than the initial applied concentrations.     

Hepatitis B virus infection among health care workers in Public Teaching Hospitals in Khartoum State, Sudan

Background

Hepatitis B virus (HBV) infection is a global public health problem. It is estimated that there are more than 300 million HBV carriers in the world.

Aim

The study aimed to examine the sero-prevalence of hepatitis B virus (HBV) markers among health care workers (HCWs) in Public Teaching Hospitals in Khartoum State, in the year 2004.

Methods

The study is an observational, cross sectional, facility-based study. It was conducted on stratified two-stage cluster random sample of 843 subjects. The study followed non-parametric statistical methods, using Z-test for single proportion.

Results

Among the 843 subjects tested for all HBV markers (Anti-HBc, HBsAg, HBsAb, and HBeAg), the prevalence of Anti-HBc, HBsAg, HBsAb, and HBeAg was found to be 57% (CI 95%:53-60%), 6% (CI 95%:4.0-8.0%), 37% (CI 95%:34-40%) and 9% (CI 95%:7-11%) respectively. P < 0.05.

Conclusion

Seroprevalence of all HBV markers (P < 0.05) was found to be significantly high, while the rate of immunity against HBV infection was low among health care workers In Public Teaching Hospitals in Khartoum State, Sudan.     

Solar photo-oxidation of recalcitrant industrial wastewater: a review

Conventional methods to clean wastewater actually lead to incomplete treatments, calling for advanced technologies to degrade recalcitrant pollutants. Herein we review solar photo-oxidation to degrade the recalcitrant contaminants in industrial wastewater, with focus on photocatalysts, reactor design and the photo-Fenton process. We discuss limitations due to low visible-light absorption, catalyst collection and reusability, and production of toxic by-products. Photodegradation of refractory organics by solar light is controlled by pH, photocatalyst composition and bandgap, pollutant properties and concentration, irradiation type and intensity, catalyst loading, and the water matrix.

     

Gaudeamus lavocati sp. nov. (Rodentia, Hystricognathi) from the early Oligocene of Zallah, Libya: first African caviomorph?

A new African species of hystricognathous rodent, Gaudeamus lavocati sp. nov., is described herein from the early Oligocene deposits of Zallah locality (Sirt basin, Central Libya). The dental morphology of this species is very close to that of some earliest South American caviomorphs. It allows a reinterpretation of molar crest homologies among earliest caviomorphs, pentalophodonty being confirmed as the plesiomorphic molar condition in Caviomorpha. This morphological resemblance argues for close affinities between Gaudeamus and earliest South American hystricognaths. Cladistic analysis supports Gaudeamus lavocati sp. nov. as the first known African representative of Caviomorpha, implying that its ancestors were part of the African phiomyid group that crossed the South Atlantic by a direct immigration route. Alternatively, the series of derived dental features of Gaudeamus could also be interpreted as evolutionary synchronous convergences of an African hystricognath lineage towards the specialized pattern of some caviomorphs. However, the high level of similarities concerning teeth morphology and enamel microstructure and the similar age of fossiliferous strata on both continents make this interpretation less probable. The phylogenetic position of this taxon is of considerable importance because it represents an enigmatic component of the phiomorph–caviomorph radiation in Africa and appears as a new clue toward the understanding of caviomorph origins.