Estimating resource utilization demands in implementing statewide screening,brief intervention,and referral to treatment for alcohol-impaired drivers

Objectives: The Alcohol Use Disorders Identification Test (AUDIT) is used to assess the level of alcohol use/misuse and to inform the intensity of intervention delivered within screening, brief intervention, and referral to treatment (SBIRT) programs. Policy initiatives are recommending delivery of SBIRT within health care settings to reduce alcohol misuse and prevent alcohol-impaired driving. Recent reports are considering extending delivery of SBIRT to criminal justice settings. One consideration in implementing SBIRT delivery is the question of resource utilization; the amount of effort required in delivering the 4 different intensities of intervention in SBIRT: Alcohol education, simple advice, brief counseling and continued monitoring, and brief counseling and referral to specialist (from least to most intense in terms of delivery time, the skill level of the provider, and personnel resources).

Methods: In order to inform expectations about intervention intensity, this article describes the AUDIT scores from 982 adults recently arrested for alcohol-impaired driving. The distribution of scores is extrapolated to state rates for individuals arrested for alcohol-impaired driving by intervention level.

Results: Though alcohol education was the most common intervention category, about one quarter of the sample scored in a range corresponding with the more intensive interventions using the brief counseling, continued monitoring for ongoing alcohol use, and/or referral to specialist for diagnostic evaluation and treatment.

Conclusions: This article provides local distribution of AUDIT scores and state estimates for the number of individuals scoring in each level of risk (AUDIT risk zone) and corresponding intervention type. Routine criminal justice practice is well positioned to deliver alcohol screening, education, simple advice, and continued alcohol monitoring, making delivery of SBIRT feasible for the majority of alcohol-impaired drivers. Challenges to implementing the full range of SBIRT services include resource demands of brief counseling, identifying the appropriate providers within a criminal justice context, and availability of community providers for referral to diagnostic and specialty care. Solutions may vary by state due to differences in population density and incidence rates of alcohol-impaired driving.     

Using Sound to Reduce Visual Distraction from In-vehicle Human–Machine Interfaces

Objective: Driver distraction and inattention are the main causes of accidents. The fact that devices such as navigation displays and media players are part of the distraction problem has led to the formulation of guidelines advocating various means for minimizing the visual distraction from such interfaces. However, although design guidelines and recommendations are followed, certain interface interactions, such as menu browsing, still require off-road visual attention that increases crash risk. In this article, we investigate whether adding sound to an in-vehicle user interface can provide the support necessary to create a significant reduction in glances toward a visual display when browsing menus.

Methods: Two sound concepts were developed and studied; spearcons (time-compressed speech sounds) and earcons (musical sounds). A simulator study was conducted in which 14 participants between the ages of 36 and 59 took part. Participants performed 6 different interface tasks while driving along a highway route. A 3 × 6 within-group factorial design was employed with sound (no sound /earcons/spearcons) and task (6 different task types) as factors. Eye glances and corresponding measures were recorded using a head-mounted eye tracker. Participants’ self-assessed driving performance was also collected after each task with a 10-point scale ranging from 1 = very bad to 10 = very good. Separate analyses of variance (ANOVAs) were conducted for different eye glance measures and self-rated driving performance.

Results: It was found that the added spearcon sounds significantly reduced total glance time as well as number of glances while retaining task time as compared to the baseline (= no sound) condition (total glance time M = 4.15 for spearcons vs. M = 7.56 for baseline, p =.03). The earcon sounds did not result in such distraction-reducing effects. Furthermore, participants ratings of their driving performance were statistically significantly higher in the spearcon conditions compared to the baseline and earcon conditions (M = 7.08 vs. M = 6.05 and M = 5.99 respectively, p =.035 and p =.002).

Conclusions: The spearcon sounds seem to efficiently reduce visual distraction, whereas the earcon sounds did not reduce distraction measures or increase subjective driving performance. An aspect that must be further investigated is how well spearcons and other types of auditory displays are accepted by drivers in general and how they work in real traffic.     

Hexabromocyclododecane diastereomers in fish and suspended particulate matter from selected European waters—trend monitoring and environmental quality standard compliance

The brominated flame retardant hexabromocyclododecane (HBCD) was monitored in fish and sediment (from one lake) or suspended particulate matter (SPM; from five rivers) at European freshwater sites to study the effects of reduction measures implemented by HBCD producers and users in recent years. Bream (Abramis brama) were sampled annually between 2007 and 2013 in the rivers Götaälv/SE, Rhône/FR, Western Scheldt/NL, Mersey/UK, and Tees/UK and in Lake Belau/DE. Sediment/SPM was taken every second year between 2008 and 2014. HBCD was analyzed by LC/MS/MS allowing the determination of the alpha-, beta-, and gamma-diastereomers. For most sites, a decrease in ∑HBCD was observed in fish (e.g., in the Rhône and Western Scheldt by about 80 and 60%, respectively, with significantly decreasing trends, p < 0.01). In the Rhône, HBCD also decreased in SPM. At the sampling site in the Tees which was impacted by a former HBCD point source, fish HBCD levels decreased only after a major flood event in 2013. While fish data indicate a decline in environmental HBCD concentrations at most sites with diffuse emissions, SPM data were less conclusive. The European environmental quality standard for HBCD in fish of 167 μg kg^?1 wet weight was met by all fish samples in 2013.     

Factors influencing farmers’ decisions on nitrogen fertilizer application in the Liangzihu Lake basin,Central China

Overuse of nitrogen (N) fertilizers in agriculture activities has caused severe water pollution in China. The lack of data at producer level hampers decision makers in the development and implementation of efficient policies to curb excessive N-fertilizer use. In a survey of 300 farm households in the Liangzihu Lake basin, we identified factors associated with farmers’ decisions on N-fertilizer use and application rate. Household survey and multiple linear regression models indicate that the average application rate in the study region is 229 kg N ha^?1, which exceeds the recommended rate for maximum profit for cereal crops (maize, wheat, and rice) in China of 150–180 kg N ha^?1. High N-application rates are associated with low farmland productivity (coefficient = ?15.66, p = 0.02), a high share of off-farm income (coefficient = 27.14, p = 0.003), and a low education level of the household head (coefficient = ?10.83, p = 0.039). Neither physical infrastructure nor access to input markets appears to be related to N-application rates. It may be concluded that excessive use of N in agriculture of Central China is mainly a problem of insufficient awareness and high share of off-farm income.     

Local and regional variability in snow conditions in northern Finland: A reindeer herding perspective

Weather station measurements were used to force the SNOWPACK snow model and combined with reindeer herders’ experiences to study the local and regional variations in snow conditions in a Finnish reindeer herding area for the 1981–2010 period. Winter conditions varied significantly between the four selected herding districts and between open and forest environments within the districts. The highest snow depths and densities, the thicknesses of ground ice, and the lengths of snow cover period were generally found in the northernmost districts. The snow depths showed the strongest regional coherence, whereas the thicknesses of ground ice were weakly correlated among the districts. The local variation in snow depths was higher than the regional variation and limits for rare or exceptional events varied notably between different districts and environments. The results highlight that forests diversify snow and foraging conditions, e.g., ground ice rarely forms simultaneously in different environments. Sufficient and diverse forest pastures are important during the critical winter season if reindeer herding is pursued on natural grazing grounds also in the future.     

Evolving Expectations of Dam Removal Outcomes: Downstream Geomorphic Effects Following Removal of a Small,Gravel‐Filled Dam1

Kibler, Kelly, Desiree Tullos, and Mathias Kondolf, 2011. Evolving Expectations of Dam Removal Outcomes: Downstream Geomorphic Effects Following Removal of a Small, Gravel‐Filled Dam. Journal of the American Water Resources Association (JAWRA) 1‐16. DOI: 10.1111/j.1752‐1688.2011.00523.x Abstract: Dam removal is a promising river restoration technique, particularly for the vast number of rivers impounded by small dams that no longer fulfill their intended function. As the decommissioning of small dams becomes increasingly commonplace in the future, it is essential that decisions regarding how and when to remove these structures are informed by appropriate conceptual ideas outlining potential outcomes. To refine predictions, it is necessary to utilize information from ongoing dam removal monitoring to evolve predictive tools, including conceptual models. Following removal of the Brownsville Dam from the Calapooia River, Oregon, aquatic habitats directly below the dam became more heterogeneous over the short term, whereas changes further downstream were virtually undetectable. One year after dam removal, substrates of bars and riffles within 400 m downstream of the dam coarsened and a dominance of gravel and cobble sediments replaced previously hardpan substrate. New bars formed and existing bars grew such that bar area and volume increased substantially, and a pool‐riffle structure formed where plane‐bed glide formations had previously dominated. As the Brownsville Dam stored coarse rather than fine sediments, outcomes following removal differ from results of many prior dam removal studies. Therefore, we propose a refined conceptual model describing downstream geomorphic processes following small dam removal when upstream fill is dominated by coarse sediments.     

Assessing the probability of land submergence for lowland rice cultivation in Africa using satellite imagery and geospatial data

Sub-Saharan African countries are being strongly urged to enhance their rice production, because their rice consumption and importation rates have been rapidly increasing in recent years. Areas planted to rice in Africa are classified agro-ecologically into rainfed upland, rainfed lowland, and irrigated. Rainfed lowland includes extensive areas of unexploited land that has great potential for the promotion of rice growing. For the unexploited rainfed lowlands of Ghana, we have been studying the development of low-cost rice-farming systems that require no large-scale irrigation or land reclamation. For such systems, it is important to select suitable areas where water for rice farming can be obtained naturally; floodwaters offer promise for this purpose. Delineation and mapping of floodwater prone areas suitable for rice production is important for successful utilization of this land resource. Here, we propose a method of assessing flood probability from submergence frequency, as estimated from satellite imagery and geospatial data. ALOS/PALSAR images acquired in May, June, August, and September 2010 were used to classify land and water, and then a submerged-area map was produced. From the results, we were able to accurately detect non-submerged areas and submerged areas with water depths of at least 3?cm. The number of times classified into submerged area was defined as submergence frequency, and it was approximated by distance from reservoirs representing White Volta River, ponds, and swamps. In addition, flood extent derived from reservoirs was simulated using digital elevation model (DEM). Finally, a flood probability assessment map was produced by integration of the estimated submergence frequency and flood extent simulation. The results of a comparison of soil moisture data measured at 69 points in the field and the NDVIs computed by ALOS/AVNIR showed that areas with high potential for flooding retained high levels of soil moisture and were more likely to show less deterioration of vegetation in the dry season. The validation of these results confirmed the adequacy of the flood probability assessment method.     

Quantitative evaluation of the chilled-ammonia process for CO2 capture using thermodynamic analysis and process simulation

There is strong world-wide interest in developing new and improved processes for post-combustion capture of CO₂, often using chemical absorption. Developers of new processes make positive claims for their proposals in terms of low energy consumption, but these are usually difficult to validate. This paper demonstrates that rigorous application of thermodynamic analysis and process simulation provides a powerful way to quantitatively estimate the energy requirements of CO₂-capture processes by applying the methodology to the analysis and evaluation of the chilled-ammonia process.