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.     

Part based process performance monitoring (PbPPM)

The performances of completed manufacturing processes were evaluated using the surface response to excitation (SuRE) and Lamb wave methods. Both methods used the same piezoelectric elements attached to the surface of the workpiece. The SuRE method and the Lamb wave method were used to identify the structural changes created by welding, drilling, coating, filling a slot with glue, and composite patching. This study indicates that the tested methods are feasible for part based process performance monitoring (PbPPM) which evaluates the quality of the completed process with the sensors attached to the workpiece.     

Insights into hazardous solid waste generation during COVID-19 pandemic and sustainable management approaches for developing countries

Journal of Material Cycles and Waste Management - The recent emergence of the COVID-19 pandemic has contributed to the drastic production and use of healthcare and personal protective equipment,...     

Monitoring urban growth and detecting land-cover changes on the Istanbul metropolitan area

Istanbul is the most populated city of Turkey with a population of around 10.58 M (2000) living on around 5,750 km². In 1980, the population was only 4.7 M and then it has been more than doubled in only two decades. The population has been increasing as a result of mass immigration. An urbanization process continues and it causes serious increases in urban areas while decreasing the amount of green areas. This rapid, uncontrolled, and illegal urbanization accompanied by insufficient infrastructure has caused degradation of forest and barren lands in the metropolitan area, especially through the last two decades. The watershed basins inside the metropolitan area and the transportation network have accelerated the land-cover changes, which have negative impacts on water quality of the basins. Monitoring urban growth and land cover change will enable better management of this complex urban area by the Greater Istanbul Metropolitan Municipality (GIMM). A temporal assessment of land-cover changes of Istanbul has been documented in this study. The study mainly focuses on the acquisition and analysis of Landsat TM and Landsat GeoCover LC satellite images reflecting the significant land-cover changes between the years of 1990 and 2005. Raster data were converted to vector data and used in Geographic Information Systems (GIS). A database was created for Istanbul metropolitan area to plan, manage, and utilize statistical attribute data covering population, water, forest, industry, and topographic position. Consequently an overlay analysis was carried out and land use/cover changes through years have been detected for the case study area. The capability of Landsat images in determining the alterations in the macro form of the city are also discussed.     

Groundwater modeling of Saq Aquifer Buraydah Al Qassim for better water management strategies

Saudi Arabia is an arid country. It has limited water supplies. About 80?C90% of water supplies come from groundwater, which is depleting day by day. It needs appropriate management. This paper has investigated groundwater modeling of Saq Aquifer in Buraydah Al Qassim to estimate the impact of its excessive use on depletion of Saq Aquifer. MODFLOW model has been used in this study. Data regarding the aquifer parameters was measured by pumping tests. Groundwater levels and discharge of wells in the area for the year 2008 and previous record of year 1999 have been collected from Municipal Authority of Buraydah. Location of wells was determined by Garmin. The model has been run for different sets of pumping rates to recommend an optimal use of groundwater resources and get prolonged life of aquifer. Simulations have been made for a long future period of 27?years (2008?C2035). Model results concluded that pumping from the Saq Aquifer in Buraydah area will result into significant cones of depression if the existing excessive pumping rates prevail. A drawdown up to 28?m was encountered for model run for 27?years for existing rates of pumping. Aquifer withdrawals and drawdowns will be optimal with the conservation alternative. The management scheme has been recommended to be adopted for the future protection of groundwater resources in Kingdom of Saudi Arabia.     

Speciation of metals in bed sediments and water of Qaraaoun Reservoir, Lebanon

Determination of only total element in sediments does not give an accurate estimate of the likely environmental impacts. Speciation study of metals in sediment provides information on the potential availability of metals (toxic) to biota under various environmental conditions. In water, the toxic metal specie is the free hydrated metal ion. The toxicity of metals depends especially on their chemical forms rather than their total metal content. The present study focuses on Qaraaoun Reservoir, Lebanon. Earlier studies focused only on total metal concentrations in sediment and water. The objective of this study was to determine metal speciation (Fe, Cr, Ni, Zn, Cu, Pb, Cd) in the (operationally defined) sediment chemical fractions and metal speciation in reservoir water. This would reflect on metal bioavailability and toxicity. Water samples and bed sediments were collected from nine sites during the dry season and a sequential chemical fraction scheme was applied to the <75-??m sieve sediment fraction. Metal content in each fraction was determined by the FAAS technique. The data showed that the highest percentages of total metal content in sediment fractions were for: Fe in residual followed by reducible, Cr and Ni in residual and in reducible, Cu in organic followed by exchangeable, Zn in residual and in organic, Pb in organic and carbonate, Cd was mainly in carbonate. Total metal content in water was determined by ICP-MS technique and aqueous metal speciation was predicted using AQUACHEM software interfaced to PHREEQC geochemical computer model. The water speciation data predicted that a high percentage of Pb and Ni were present as carbonate complex species and low percentages as free hydrated ions, highest percentage of Zn as carbonate complex species followed by free hydrated ion, highest percentage of Cd as free hydrated ion followed by carbonate complex species. The sensitivity attempt of free hydrated ion of Ni, Zn, Pb, and Cd in reservoir water revealed dependence of Zn and Cd on pH and alkalinity, while Ni and Pb were only dependent on pH.