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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. 相似文献
Climate change issues are calling for advanced methods to produce materials and fuels in a carbon–neutral and circular way. For instance, biomass pyrolysis has been intensely investigated during the last years. Here we review the pyrolysis of algal and lignocellulosic biomass with focus on pyrolysis products and mechanisms, oil upgrading, combining pyrolysis and anaerobic digestion, economy, and life cycle assessment. Products include oil, gas, and biochar. Upgrading techniques comprise hot vapor filtration, solvent addition, emulsification, esterification and transesterification, hydrotreatment, steam reforming, and the use of supercritical fluids. We examined the economic viability in terms of profitability, internal rate of return, return on investment, carbon removal service, product pricing, and net present value. We also reviewed 20 recent studies of life cycle assessment. We found that the pyrolysis method highly influenced product yield, ranging from 9.07 to 40.59% for oil, from 10.1 to 41.25% for biochar, and from 11.93 to 28.16% for syngas. Feedstock type, pyrolytic temperature, heating rate, and reaction retention time were the main factors controlling the distribution of pyrolysis products. Pyrolysis mechanisms include bond breaking, cracking, polymerization and re-polymerization, and fragmentation. Biochar from residual forestry could sequester 2.74 tons of carbon dioxide equivalent per ton biochar when applied to the soil and has thus the potential to remove 0.2–2.75 gigatons of atmospheric carbon dioxide annually. The generation of biochar and bio-oil from the pyrolysis process is estimated to be economically feasible.
相似文献Water pollution and the unsustainable use of fossil fuel derivatives require advanced catalytic methods to clean waters and to produce fine chemicals from modern biomass. Classical homogeneous catalysts such as sulfuric, phosphoric, and hydrochloric acid are highly corrosive and non-recyclable, whereas heterogeneous catalysts appear promising for lignocellulosic waste depolymerization, pollutant degradation, and membrane antifouling. Here, we review the use of sulfonated graphene and sulfonated graphene oxide nanomaterials for improving membranes, pollutant adsorption and degradation, depolymerization of lignocellulosic waste, liquefaction of biomass, and production of fine chemicals. We also discuss the economy of oil production from biomass. Sulfonated graphene and sulfonated graphene oxide display an unusual large theoretical specific surface area of 2630 m2/g, allowing the reactants to easily enter the internal surface of graphene nanosheets and to reach active acid sites. Sulfonated graphene oxide is hydrophobic and has hydrophilic groups, such as hydroxyl, carboxyl, and epoxy, thus creating cavities on the graphene nanosheet’s surface. The adsorption capacity approached 2.3–2.4 mmol per gram for naphthalene and 1-naphthol. Concerning membranes, we observe an improvement of hydrophilicity, salt rejection, water flux, antifouling properties, and pollutant removal. The nanomaterials can be reused several times without losing catalytic activity due to the high stability originating from the stable carbon–sulfur bond between graphene and the sulfonic group.
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