Objectives: This study reports the results of a pilot program in Kenosha County that used a combination of direct biomarkers extracted from blood spots and nails to monitor repeat intoxicated drivers for their use of alcohol and drugs with a detection window spanning from 3 weeks to several months. The objectives were to test whether the direct biomarkers phosphatidylethanol (PEth), ethylglucuronide (EtG), and 5 drug metabolites would (1) help assessors obtain a more objective evaluation of repeat offenders during the assessment interview, (2) allow for timely identification of relapses and improve classification of drivers into risk categories, and (3) predict recidivism by identifying offenders most likely to obtain a subsequent operating while intoxicated (OWI) offense within 4 years of enrollment in the program.
Methods: All (N = 261) repeat offenders were tested using PEth obtained from blood spots and EtG obtained from fingernails; 159 participants were also tested for a 5 drugs of abuse nail panel. Drivers were tested immediately after the assessment interview (baseline) and at 3, 6, 9, and 12 months after baseline. Based on biomarker results and self-reports of abstinence, offenders were classified into different risk categories and required to follow specific testing timelines based on the program's decision tree.
Results: The baseline analysis shows that 60% of drivers tested positive for alcohol biomarkers (EtG, PEth, or both) at the assessment interview, with lower detection rates (0–11%) for the 5 drug metabolites. The comparison of biomarkers results to self-reports of abstinence identified 28% of all offenders as high risk and assigned them to more frequent testing and more intense monitoring. The longitudinal analysis shows that 56% (completers) of participants completed the program successfully and the remaining 44% (noncompliant) terminated prematurely. Two thirds (68%) of the completers were able to reduce or control their drinking and one third relapsed at least one time during their mandated monitoring periods. After a brief intervention by the assessors, 79% of relapsers tested negative for biomarkers in their repeat tests. The rearrest analysis showed that offenders classified in the noncompliant and relapsers groups were 7 times more likely to receive a new OWI 4 years after enrollment compared to drivers classified as abstainers or controllers. Refractory drivers were monitored the longest and reported no subsequent rearrests.
Conclusion: These findings demonstrate the benefits of more individualized interventions with repeat OWI offenders and calls for further development of multimodal approaches in traffic medicine including those that use direct alcohol biomarkers as evidence-based practices to reduce recidivism. 相似文献
International negotiations on the inclusion of land use activities into an emissions reduction system for the UN Framework Convention on Climate Change (UNFCCC) have been partially hindered by the technical challenges of measuring, reporting, and verifying greenhouse gas (GHG) emissions and the policy issues of leakage, additionality, and permanence. This paper outlines a five-part plan for estimating forest carbon stocks and emissions with the accuracy and certainty needed to support a policy for Reducing Emissions from Deforestation and forest Degradation, forest conservation, sustainable management of forests, and enhancement of forest carbon stocks (the REDD-plus framework considered at the UNFCCC COP-15) in developing countries. The plan is aimed at UNFCCC non-Annex 1 developing countries, but the principles outlined are also applicable to developed (Annex 1) countries. The parts of the plan are: (1) Expand the number of national forest carbon Measuring, Reporting, and Verification (MRV) systems with a priority on tropical developing countries; (2) Implement continuous global forest carbon assessments through the network of national systems; (3) Achieve commitments from national space agencies for the necessary satellite data; (4) Establish agreed-on standards and independent verification processes to ensure robust reporting; and (5) Enhance coordination among international and multilateral organizations. 相似文献
Disasters evolving from hazards are a persistent and deadly occurrence in the United States. Despite this, hazard alerts have remained spatially vague, temporally imprecise, and lack actionable information. These deficiencies indicate a divide between the status quo and what is possible given modern environmental models, geographic information systems (GIS), and smartphone capabilities. This work describes an alternative, prototype system, “FloodHippo,” which integrates operational model outputs, cloud‐based GIS, and expanded communication channels to provide personal and interactive disaster alerts for floods. The precepts and methods underpinning FloodHippo apply equally to other disasters that evolve over space and time, presenting the opportunity for a more intelligent disaster response system. The development of such a system would not only minimize current shortcomings in disaster alerts but also improve resilience through individual action, along with community, academic, and federal cooperation. 相似文献
The Tampa Bay Ecosystem Services Demonstration Project (TBESDP) is part of the U.S. Environmental Protection Agency’s Ecosystem
Services Research Program. The principal objectives of TBESDP are to (1) quantify the ecosystem services of the Tampa Bay
watershed, (2) determine the value of ecosystem services to society, (3) predict the supply of ecosystem services under future
scenarios of population growth and climate change, and (4) apply this knowledge through models and tools that will support
the best informed environmental decisions possible. The scope and complexity of this project required intensive effort to
establish which services can be quantified by applying existing models, data, and scientific literature and which services
will require supporting research. Research priorities were assessed by: (1) developing and refining conceptual models of major
ecosystems in the Tampa Bay region, (2) gathering input from stakeholders about the relative importance and values of various
ecosystem services, (3) preparing and reviewing a bibliometric analysis of the volume of scientific literature relevant to
the ecosystems and services of interest, and (4) evaluating an integrated analysis of importance, value, and availability
of scientific information. This analysis led us to focus on two research priorities, seagrass-habitat functions as support
for fishery production, and wetlands as regulators of water quality. 相似文献
Deep learning (DL) models are increasingly used to make accurate hindcasts of management-relevant variables, but they are less commonly used in forecasting applications. Data assimilation (DA) can be used for forecasts to leverage real-time observations, where the difference between model predictions and observations today is used to adjust the model to make better predictions tomorrow. In this use case, we developed a process-guided DL and DA approach to make 7-day probabilistic forecasts of daily maximum water temperature in the Delaware River Basin in support of water management decisions. Our modeling system produced forecasts of daily maximum water temperature with an average root mean squared error (RMSE) from 1.1 to 1.4°C for 1-day-ahead and 1.4 to 1.9°C for 7-day-ahead forecasts across all sites. The DA algorithm marginally improved forecast performance when compared with forecasts produced using the process-guided DL model alone (0%–14% lower RMSE with the DA algorithm). Across all sites and lead times, 65%–82% of observations were within 90% forecast confidence intervals, which allowed managers to anticipate probability of exceedances of ecologically relevant thresholds and aid in decisions about releasing reservoir water downstream. The flexibility of DL models shows promise for forecasting other important environmental variables and aid in decision-making. 相似文献
Emotions such as fear in vertebrates are often strongly lateralised, that is, a single cerebral hemisphere tends to be dominant when processing emotive stimuli. Boldness is a measure of an individual’s propensity to take risks and it has obvious connections with fear responses. Given the emotive nature of this well-studied personality trait, there is good reason to suspect that it is also likely to be expressed in a single hemisphere. Here, we examined the link between laterality and boldness in wild and captive-reared rainbowfish, Melanotaenia nigrans. We found that fish from the wild were bolder than those from captivity, which might be a reflection of the differences in the level of predation pressure experienced by the two populations. Secondly, we found that non-lateralised fish were bolder than strongly lateralised fish. In addition, differences in boldness scores between left- and right-biased fish were revealed. We suggest that variation in cerebral lateralisation contributes to the persistence of individual differences in boldness scores in animal populations. 相似文献