Blood alcohol concentration in fatally injured drivers and the efficacy of alcohol policies of the new law on road traffic safety: A retrospective 10-year study in autonomous province of Vojvodina,Republic of Serbia

Objective: The aim of this study was primarily to evaluate inebriated fatally injured drivers (FIDs) according to blood alcohol concentration (BAC) in a 10-year period (2004–2013) in Autonomous Province (AP) of Vojvodina, Republic of Serbia, to analyze the efficacy of alcohol polices in the new law on road traffic safety through changes in the number of inebriated FIDs before and after implementation of the law, as well as to identify factors that influence the occurrence of FIDs with BACs above the legal limit.

Methods: All data for this retrospective study were obtained from the Centre of Forensic Medicine, Toxicology and Molecular Genetics of Clinical Centre of Vojvodina, Novi Sad. Autopsy records for each case included age, gender, BAC, type of vehicle, and date of accident (year, month, and recalculated day of the week). BAC was determined by gas chromatography with flame ionization detection. Statistical analysis was carried out by chi-square tests and Student's t test, with P < .05 as a statistical significance, and multiple binary logistic regression.

Results: Of the 354 inebriated FIDs (60% of all FIDs), the majority had BACs between of 0.031 and 0.3 mg/ml (28%), followed by those with BAC > 2.01 mg/ml (23%). The average BAC of those driving under the influence of alcohol (DUIA) for the whole period was 1.235 ± 1.00 mg/ml and the average number of DUIA/year was 35. Among the total number of FIDs there were significantly more males (93.7%; P < .001) than females (6.3%), though the distribution of intoxicated men and women was not different (P > .05). There was a statistically significant difference in the distribution of sober and inebriated FIDs according to age (P < .001) with the predominance of inebriated FIDs between 21 and 30 years. Although gender and age were found to be significant predictors of BAC above legal limit in FIDs, the area under the receiver operating characteristics (ROC) curve showed that the model had poor discrimination (ROC = 0.673). Of all observed FIDs, 65 cases per year were attributed to the first 5-year period (2004–2009) and 49 to the second 5-year (2010–2013) period, which indicates that there was no statistically significant decrease in the number of FIDs after implementation of the new law.

Conclusion: The highest number of intoxicated FIDs during the period in AP Vojvodina were mildly and completely inebriated. In the 4-year post-policy period (2010–2013), the number of FIDs and average BAC levels of inebriated FIDs did not significantly change. The abolition of a permissible BAC should be considered.     

“Are you still driving?” Metasynthesis of patient preferences for communication with health care providers

Aim: The aim of this study was to synthesize published qualitative studies to identify older adults' preferences for communication about driving with health care providers.

Background: Health care providers play a key role in addressing driving safety and driving retirement with older adults, but conversations about driving can be difficult. Guides exist for family members and providers, but to date less is known about the types of communication and messages older drivers want from their health care providers.

Design: A qualitative metasynthesis of studies published on or before October 10, 2014, in databases (PubMed, CINAHL, PsycINFO, and Web of Science) and grey literature was performed.

Review Methods: Twenty-two published studies representing 518 older adult drivers met the following inclusion criteria: the study (1) was about driving; (2) involved older drivers; (3) was qualitative (rather than quantitative or mixed methods); and (4) contained information on older drivers' perspectives about communication with health care providers.

Results: We identified 5 major themes regarding older adults' communication preferences: (1) driving discussions are emotionally charged; (2) context matters; (3) providers are trusted and viewed as authority figures; (4) communication should occur over a period of time rather than suddenly; and (5) older adults desire agency in the decision to stop driving.

Conclusion: Various stakeholders involved in older driver safety should consider older drivers' perspectives regarding discussions about driving. Health care providers can respect and empower older drivers—and support their family members—through tactful communication about driving safety and mobility transitions during the life course.     

Historical perspectives on contemporary human–environment dynamics in southeast Africa

The human communities and ecosystems of island and coastal southeast Africa face significant and linked ecological threats. Socioecological conditions of concern to communities, governments, nongovernmental organizations, and researchers include declining agricultural productivity, deforestation, introductions of non-native flora and fauna, coastal erosion and sedimentation, damage to marine environments, illegal fishing, overfishing, waste pollution, salinization of freshwater supplies, and rising energy demands, among others. Human–environment challenges are connected to longer, often ignored, histories of social and ecological dynamics in the region. We argue that these challenges are more effectively understood and addressed within a longer-term historical ecology framework. We reviewed cases from Madagascar, coastal Kenya, and the Zanzibar Archipelago of fisheries, deforestation, and management of human waste to encourage increased engagement among historical ecologists, conservation scientists, and policy makers. These case studies demonstrate that by widening the types and time depths of data sets we used to investigate and address current socioecological challenges, our interpretations of their causes and strategies for their mitigation varied significantly.     

The genetic mating system of a sex-role-reversed pipefish (Syngnathus typhle): a molecular inquiry

In the pipefish Syngnathus typhle as in other species of Syngnathidae, developing embryos are reared on the male's ventral surface. Although much laboratory research has been directed toward understanding sexual selection in this sex-role-reversed species, few studies have addressed the mating behavior of S. typhle in the wild, and none has capitalized upon the power of molecular genetic assays. Here we present the first direct assessment of the genetic mating system of S. typhle in nature. Novel microsatellite loci were cloned and characterized from this species, and employed to assay entire broods from 30 pregnant, field-captured males. Genetic analysis of 1340 embryos revealed that 1–6 females (mean = 3.1) contributed to each brooded clutch, the highest rate of multiple maternity yet documented in any pipefish. Evidence of multiple mating by females was also detected. Thus, this population of S. typhle displays a polygynandrous mating system, a finding consistent with previous field and laboratory observations. Our results, considered together with similar studies of other syngnathid species, provide preliminary support for the hypothesis that the genetic mating system is related to the evolution of sexual dimorphism in the fish family Syngnathidae. Received: 19 January 1999 / Received in revised form: 15 April 1999 / Accepted: 9 May 1999     

PAHs associated with the leaves of three deciduous tree species. II: uptake during a growing season.

Leaves from three species of deciduous tree (oak, ash and hazel) were sampled at intervals through a growing season in a mature, mixed-deciduous woodland. Polycyclic aromatic hydrocarbon (PAH) concentrations remained within a small range for all species between May and September, deviating significantly only when increases in atmospheric concentrations of PAHs (notably from the 'Bonfire night' festival in early autumn) have been shown. We concluded that the influence of air concentrations was more important than meteorological conditions (temperature, humidity and rainfall) in determining plant concentrations of PAHs over a growing season. Concentrations of 4-, 5- and 6-ring PAHs were positively correlated with time for all species, but there were significant differences in the PAH profile between species sampled from the canopy (oak and ash) compared with the understorey (hazel). Oak and ash had similar PAH profiles, while hazel leaves had proportionally greater concentrations of the heavier molecular weight (4-, 5- and 6-ring) PAHs, and the ratios of these compounds to 3-ring PAHs was positively correlated with time. This affirms earlier work conducted on the same species in the same woodland, where we concluded that the canopy was filtering particles and attendant PAHs from air passing over or through it, and that these particles were transferred to the understorey and the woodland floor.     

Topsoil inversion as a restoration measure in sand dunes,early results from a UK field-trial

Over-stabilisation and eutrophication affect many dune systems in north-west Europe. This leads to lower diversity of typical dune species and an accumulation of soil nutrients. Existing management techniques to remove excess nutrients include mowing, with removal of cuttings, and turf stripping. A new restoration technique called topsoil inversion or deep ploughing may also be able to counter some of the negative effects of eutrophication. It simulates the burial of established soils with fresh mineral sand, by inverting the soil profile. A trial was carried out on two small blocks of eutrophic dune grassland in North Wales, UK. Nutrient-rich surface soils were buried beneath mineral sub-sand using a double-bladed plough, designed to plough to depths of up to 100 cm. Results show that the organic soil horizons were buried to a depth of 80 cm, and covered with 40–50 cm of mineral sand. The pH and organic matter of the surface layers became comparable to those of mobile dunes. Fifteen months after ploughing, bare sand cover was still 70–90%, but significant sand loss through wind erosion resulted in a thinning of the mineral sand over-burden, leaving the buried organic layer closer to the surface. Natural vegetation colonisation was slow, with the first surviving plants observed after 8 months. The majority of species present at 15 months were present before ploughing and had regenerated from rhizomes or root fragments. The effect of excluding disturbance caused by rabbits, people and dogs was assessed within fenced areas. After 11 months, vegetation cover was greater in the fenced areas than in plots exposed to disturbance, therefore disturbance replaced physical conditions as the dominant influence on plant growth and establishment. These early results suggest the trial has been partially successful, but that topsoil inversion could be combined with other methods such as turf stripping or by stabilisation of the ploughed surface by planting with pioneer species, depending on the ultimate restoration goal.     

Size-assortative pairing across three developmental stages in the Zeus bug, Phoreticovelia disparata

The mechanisms underlying size-assortative pairing have received considerable attention. Typically, pairing is assumed to occur at, or just prior to, the adult phase of the life cycle. However, in many invertebrates, males commence associations with juvenile females who are more than a single moult away from sexual maturity. These species are ideal to explore the importance of reproductive and survival benefits as mechanisms driving size-assortative pairing. In the Zeus bug, Phoreticovelia disparata, adult males are found riding on juvenile (fourth and fifth instar) and adult females—a behaviour that is costly for females but has survival benefits for males. Using a combination of field collections and laboratory manipulations, we show that pairing is size-assortative both within and between female age classes and that riding males are smaller than non-riding males. In a series of mating trials, we revealed that males attempt to ride any female but that their riding success is dependent on female age. We also provide the first direct evidence of female resistance to male riding attempts in P. disparata. We propose that size-assortative pairing arises through adaptations that have evolved to minimise the potential costs of sexual conflict. We suggest that the selective pressure on males to maximise survival benefits is sufficiently high that it outweighs the reproductive benefits of discriminating against fourth instar females. Finally, given that female resistance is under direct selection in juvenile females, it is likely to be the main form of selective pressure for adult females.     

Data fusion modeling for groundwater systems

Engineering projects involving hydrogeology are faced with uncertainties because the earth is heterogeneous, and typical data sets are fragmented and disparate. In theory, predictions provided by computer simulations using calibrated models constrained by geological boundaries provide answers to support management decisions, and geostatistical methods quantify safety margins. In practice, current methods are limited by the data types and models that can be included, computational demands, or simplifying assumptions. Data Fusion Modeling (DFM) removes many of the limitations and is capable of providing data integration and model calibration with quantified uncertainty for a variety of hydrological, geological, and geophysical data types and models. The benefits of DFM for waste management, water supply, and geotechnical applications are savings in time and cost through the ability to produce visual models that fill in missing data and predictive numerical models to aid management optimization. DFM has the ability to update field-scale models in real time using PC or workstation systems and is ideally suited for parallel processing implementation. DFM is a spatial state estimation and system identification methodology that uses three sources of information: measured data, physical laws, and statistical models for uncertainty in spatial heterogeneities. What is new in DFM is the solution of the causality problem in the data assimilation Kalman filter methods to achieve computational practicality. The Kalman filter is generalized by introducing information filter methods due to Bierman coupled with a Markov random field representation for spatial variation. A Bayesian penalty function is implemented with Gauss–Newton methods. This leads to a computational problem similar to numerical simulation of the partial differential equations (PDEs) of groundwater. In fact, extensions of PDE solver ideas to break down computations over space form the computational heart of DFM. State estimates and uncertainties can be computed for heterogeneous hydraulic conductivity fields in multiple geological layers from the usually sparse hydraulic conductivity data and the often more plentiful head data. Further, a system identification theory has been derived based on statistical likelihood principles. A maximum likelihood theory is provided to estimate statistical parameters such as Markov model parameters that determine the geostatistical variogram. Field-scale application of DFM at the DOE Savannah River Site is presented and compared with manual calibration. DFM calibration runs converge in less than 1 h on a Pentium Pro PC for a 3D model with more than 15,000 nodes. Run time is approximately linear with the number of nodes. Furthermore, conditional simulation is used to quantify the statistical variability in model predictions such as contaminant breakthrough curves.     

The short-term associations of weather and air pollution with emergency ambulance calls for paroxysmal atrial fibrillation

Environmental Science and Pollution Research - A circadian variation in the cardiovascular parameters has been detected. It is plausible that the influence of the environment varies during...