Prevalence of alcohol among nonfatally injured road accident casualties in two level III trauma centers in northern Ghana

Background: Alcohol use is pervasive among motorists on the road in Ghana; however, we do not know the extent to which this behavior is implicated in road accidents in this country.

Objectives: The main objective of this research was to establish the prevalence of alcohol in the blood of nonfatally injured casualties in the emergency departments (EDs) in northern Ghana.

Method: Participants were injured road traffic crash victims, namely, pedestrians, cyclists, motorcyclists, and drivers seeking treatment at an ED. The study sites were 2 level III trauma centers located in Wa and Bolgatanga. Participants were screened for alcohol followed by breath tests for positive participants using breathalyzers.

Results: Two hundred and sixty-two accident victims visited EDs, 58% of whom were in Wa. Among the victims, 41% were hospitalized and 57% experienced slight injuries. The vast majority (76%) of the casualties were motorcyclists, 13% were pedestrians, 8% were cyclists, and 2% were drivers. Casualties who had detectable alcohol in their blood were predominantly vulnerable road users. In all, 34% of participants had detectable blood alcohol concentrations (BACs) and the mean BAC for all casualties who tested positive and could give definitive BACs was 0.2265 (226 mg/dl). The prevalence of alcohol use was 53% among cyclists, 34% among motorcyclists, 21% among pedestrians, and 17% among drivers. Male casualties were more likely to test positive for alcohol than females. In addition, the prevalence of alcohol was significantly higher among injured casualties in Bolgatanga compared to Wa.

Conclusion: There was a high prevalence of alcohol use among nonfatally injured casualties in northern Ghana and injury severity increased with BAC. AUDIT screening in the hospital, alcohol consumption guideline, road safety education with an emphasis on minimizing or eliminating alcohol consumption, and enhanced enforcement of the BAC limit among motorists are recommended.     

The effects of breath alcohol concentration on postural control

Background: Two of the 3 standardized field sobriety tests that U.S. law enforcement uses at roadside checks have a postural equilibrium component to them. Those tests have been validated to detect impairment caused by blood alcohol concentrations (BACs) of 0.08 g/dL or above. Many medical and traffic safety associations support a lower limit, and one state, Utah, has passed a law to lower the limit to 0.05 g/dL. Many studies have examined the effects of alcohol on postural control (of which postural equilibrium is a component), with a consensus emerging that impairment is usually found at BACs greater than 0.06 g/dL. Most of these studies, however, had a relatively small number of subjects, usually between 10 and 30. The current study collected data from a much larger sample.

Objective: The objective of this study was to provide additional evidence that posture control is negatively affected at BACs greater than 0.06 g/dL or breath alcohol concentrations (BrACs) of 0.06 g/210 L.

Method: This was a between-subjects study, with BrAC group as the independent variable (5 levels: 0.00, 0.04, 0.06, 0.08, and 0.10 g/210 L); 4 measures of postural control as the dependent variables; and age, height, and weight as the covariates. Posture control was measured with a force-sensing platform connected to a computer. The feet's center of pressure (CoP) on the platform was recorded and the corresponding movement of the body in the anterior–posterior and lateral planes was derived. Participants (N = 96) were randomly assigned to one of the BrAC groups. Positive BrAC groups were compared to the zero BrAC group. Data were examined with hierarchical multiple regression.

Results: Adjusted for age, height, and weight, the main effect of lateral CoP with eyes open was not statistically significant. There was a statistically significant main effect of alcohol on anterior–posterior CoP excursion with eyes open and with eyes closed and lateral CoP excursion with eyes closed. For all 3 of those variables, only BrACs of 0.08 and 0.10 g/210 L produced differences against zero BrAC. Although the main effect of alcohol on Lateral CoP Excursion with eyes open was not statistically significant, the contrasts between 0 and 0.08 and 0 and 0.10 g/210L BrAC were in the hypothesized direction.

Conclusion: The current study did not directly address the issue of whether the sobriety tests are sensitive to BrACs of 0.05 g/210 L or above; rather, it provides additional evidence that postural control, one of the components of those tests, is relatively unaffected by BrACs lower than 0.08 g/210 L. Additional research is needed on the diagnostic characteristics of the sobriety tests at BrACs lower than 0.08 g/210 L.     

Are older drivers’ driving patterns during an on-road driving task representative of their real-world driving patterns?

Abstract

Objective: The current study investigated whether older drivers’ driving patterns during a customized on-road driving task were representative of their real-world driving patterns.

Methods: Two hundred and eight participants (male: 68.80%; mean age?=?81.52 years, SD?=?3.37 years, range?=?76.00–96.00 years) completed a customized on-road driving task that commenced from their home and was conducted in their own vehicle. Participants’ real-world driving patterns for the preceding 4-month period were also collected via an in-car recording device (ICRD) that was installed in each participant’s vehicle.

Results: During the 4-month period prior to completing the on-road driving task, participants’ median real-world driving trip distance was 2.66?km (interquartile range [IQR]?=?1.14–5.79?km) and their median on-road driving task trip distance was 4.41?km (IQR?=?2.83–6.35?km). Most participants’ on-road driving task trip distances were classified as representative of their real-world driving trip distances (95.2%, n?=?198).

Conclusions: These findings suggest that most older drivers were able to devise a driving route that was representative of their real-world driving trip distance. Future research will examine whether additional aspects of the on-road driving task (e.g., average speed, proportion of trips in different speed zones) are representative of participants’ real-world driving patterns.     

Effects of alcohol at 0.05% blood alcohol concentration (BAC) on low speed urban driving

ABSTRACT

Objective: Alcohol-impaired driving presents a continued risk for traffic safety and results in a significant proportion of fatalities on the roadway. We examined how alcohol at a 0.05% blood alcohol concentration (BAC) compares to 0.10% BAC (above the current U.S. legal limit) in terms of impact on driving performance.

Methods: Utilizing a within-subjects design, we recruited 108 healthy experienced drivers who were moderate to heavy drinkers. In a double-blind, placebo-controlled crossover design, we administered placebo and alcohol at the 0.05% and 0.10% BAC levels in a standardized simulated driving protocol. Drives occurred on the descending limb of the blood alcohol curve. This analysis focuses on the urban portion of the drive

Results: The study observed clear differences in performance for lateral and longitudinal driving performance and glance behavior. Variability in lane keeping and average speed increased with BAC level, with degraded performance observed at 0.05% BAC. The frequency of lane departures and percentage of time focused on the forward roadway at 0.05% BAC did not differ from placebo but differed from the 0.10% BAC level.

Conclusions: Overall, our results show that there is degraded performance in the urban driving environment and that much of that begins at or below the 0.05% BAC level.     

Structural equation model analysis for the evaluation of overall driving performance: A driving simulator study focusing on driver distraction

Objective: The present research relies on 2 main objectives. The first is to investigate whether latent model analysis through a structural equation model can be implemented on driving simulator data in order to define an unobserved driving performance variable. Subsequently, the second objective is to investigate and quantify the effect of several risk factors including distraction sources, driver characteristics, and road and traffic environment on the overall driving performance and not in independent driving performance measures.

Methods: For the scope of the present research, 95 participants from all age groups were asked to drive under different types of distraction (conversation with passenger, cell phone use) in urban and rural road environments with low and high traffic volume in a driving simulator experiment. Then, in the framework of the statistical analysis, a correlation table is presented investigating any of a broad class of statistical relationships between driving simulator measures and a structural equation model is developed in which overall driving performance is estimated as a latent variable based on several individual driving simulator measures.

Results: Results confirm the suitability of the structural equation model and indicate that the selection of the specific performance measures that define overall performance should be guided by a rule of representativeness between the selected variables. Moreover, results indicate that conversation with the passenger was not found to have a statistically significant effect, indicating that drivers do not change their performance while conversing with a passenger compared to undistracted driving. On the other hand, results support the hypothesis that cell phone use has a negative effect on driving performance. Furthermore, regarding driver characteristics, age, gender, and experience all have a significant effect on driving performance, indicating that driver-related characteristics play the most crucial role in overall driving performance.

Conclusions: The findings of this study allow a new approach to the investigation of driving behavior in driving simulator experiments and in general. By the successful implementation of the structural equation model, driving behavior can be assessed in terms of overall performance and not through individual performance measures, which allows an important scientific step forward from piecemeal analyses to a sound combined analysis of the interrelationship between several risk factors and overall driving performance.     

基于情感思维的安全管理模式研究

为促进安全管理,提高效率与效果,对基于情感思维的安全管理进行研究,将情感思维融于安全管理,基于情感思维的定义、内涵及功能,具体分析安全管理中情感思维的功能及其功能综合作用,建立安全管理中情感思维功能作用理论模型;根据该理论模型分析情感思维驱动力及强化作用及其对安全目标实现的影响;建立基于情感思维的安全管理设计模式,最后提出优化安全管理的措施与方法,以促进安全管理的实施。研究表明:基于情感思维的安全管理研究,能较好地体现安全管理人本原理,发挥情感的能动作用,将理性融入其中与情感进行平衡,实现安全管理的优化。     

丹阳市宅基地使用权流转意愿的影响因素及相互作用

通过丹阳市4个村320户农户实地问卷调查,分析了丹阳市宅基地使用权流转意愿的影响因素,由Logistic回归分析模型,给出了影响因素的驱动力、贡献率的数学表达。结果表明：文化程度、宅基地个数、家庭总收入等影响因素对流转意愿呈正相关;户主年龄、家庭人口数量等影响因素对流转意愿呈负相关。同一农户的影响因素在不同阶段对流转意愿度的贡献率不同,家庭收入和户主年龄是影响宅基地流转的主要因素,他们对宅基地流转分别起着推力和阻力作用,在相互作用过程中,两者之间彼此消长。实地抽样结果分析表明,丹阳农村户主文化程度若为初中且年龄在35岁时,家庭收入能达到34 000元的话,宅基地使用权流转意愿度超过50%。以后每年家庭收入能有一定增速的话,农户流转意愿度将持续保持在50%以上。     

1994~2006年上海市土地利用时空变化特征及驱动力分析

快速发展的都市地区是区域土地利用变化研究热点。基于上海市1994、2000、2003和2006年4期航空遥感影像资料数据,运用人机交互目视解译方法建立上海土地利用空间数据库,并结合GIS空间分析、数理统计方法与土地利用动态度模型,对上海市1994~2006年土地利用时空变化特征进行了深入分析。结果表明：12 a间,上海市综合土地利用动态度为207%;在各种用地变化中,耕地面积变化最大,共减少了94 00772 hm2,减幅达233%;从耕地转移来看,转变为城镇建设用地（包括工业仓储用地、交通用地、城镇居民点用地和其他用地）面积共74 82586 hm2,占耕地面积总流出量的6712%;可见城镇建设用地急剧扩张而大量占用耕地,是上海市土地利用变化的主要特征;上海市土地利用变化的另一个重要特征是城市绿地的大幅增加,12 a间城市绿地面积共增加了9 29241 hm2,单一动态度为1876%。从上海土地利用变化的区域特征来看,各区的综合土地利用动态度差异明显,且表现出明显的中心城区-近郊-远郊递减趋势,其中浦东新区综合土地利用动态度最大,崇明县最小,这种差异与各区（县）的区位条件、经济发展状况以及政策等因素密切相关。通过对上海LUCC的驱动力定性定量分析表明,社会经济因素包括人口分布及变化、经济增长、人民生活水平的提高、政策以及国际大型活动的举办均对上海土地利用格局及其变化产生了重要的影响     

耕地集约利用影响因素的协整分析

耕地利用的集约度实质上是农户在其所面临的各种经济和制度环境约束条件下,所采取的不同耕种行为的直接结果和体现.本文试借助分析影响农户耕种行为的相关因素来探讨其对耕地集约利用的影响.利用Eviews 6.0统计软件,综合应用协整理论和误差修正模型,以湖北省为例,剖析耕地集约利用与其影响因素的长期均衡关系和短期波动效应.研究表明:在长期,户均农业劳动力人数、农业比较收入和耕地的产权保障对耕地利用的集约度存在正向影响,其增加1个百分点,将导致耕地利用的集约度分别提高0.166、0.430和0.035个百分点;农民家庭人均农业生产支出和农业生产资料价格指数对耕地利用的集约度存在负向影响,其增加1个百分点,将导致耕地利用的集约度分别下降0.004和0.008个百分点.而在短期,各影响因素对耕地利用集约度的作用方向相同而作用力大小不同.户均农业劳动力人数和农业比较收入对耕地集约利用的作用程度在短期与在长期是相似的;但耕地的产权保障和农业生产成本的变化对耕地集约利用的影响却更多体现在长期.因此,立足于稳定产权和降低农业生产成本的农业政策导向更有利于在长期保护耕地,提高耕地资源的配置和利用效率.     

臭氧氧化法降解聚氯乙烯离心母液废水中3种有机物

以聚氯乙烯离心母液废水中含量较高的3种有机物(聚乙烯醇、异辛醇和α-甲基苯乙烯)作为目标物,考察臭氧氧化工艺对3种有机物的去除效果,同时考察反应时间、臭氧投加量和初始pH对处理效果的影响。实验结果表明,臭氧氧化处理3种废水的最佳反应时间和臭氧投加量分别为:聚乙烯醇25 min,136 mg/L;异辛醇60min,312 mg/L;α-甲基苯乙烯60 min,32 mg/L。在此条件下,3种有机物的去除率分别为98%、85%和95%。此外,碱性条件有助于臭氧氧化工艺对3种有机物的降解。产物分析结果表明,经臭氧氧化,聚乙烯醇断链后进一步反应生成了草酸单乙酯,异辛醇和α-甲基苯乙烯分别生成了和苯乙酮。