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. 相似文献
ABSTRACTCitizens’ attitudes toward science are related to their use of science-related information from various sources. Evidence is scarce regarding citizens’ individual media repertoires for staying informed about science as segmentation studies so far have primarily focused on scientific attitudes. In this paper, we explore audience segments regarding their science-related information behavior and whether such segments are comparable or vary between two countries with similar information environments. Based on two surveys in Switzerland and Germany, we identify national audience segments that differ in their science-related information repertoires, and analyze their sociodemographic characteristics and science-related attitudes. In both countries, we find very comparable information user segments ranging from those who inform themselves frequently about science (“Active Seekers”/“Science Consumers”) to those who hardly get in contact with any information about science and research (“Non-Users”). Those segments which get in contact with information about science frequently show generally more positive attitudes. 相似文献
This paper analyzes the relationship between the cultivated land use functions and the land rental decisions of rural households in three Dominant Functional Zones of Hubei, China. The results indicate that 41.10% of the rural households in the study areas participated in the land rental market. The land rental market in the Key Development Zone has both a higher participation rate and land rent; the Agricultural Production Zone has a higher participation rate but a lower land rent; and the land rental market in the Key Ecological Zone is underdeveloped. The difference in regional function and economic level leads to a significant difference in the spatial variation of the cultivated land use multifunction. Overall, the cultivated land function of rural households has a significant impact on their land transfer behavior. The higher the Functions of Economic Contribution, Food Production, and Pension & Employment, the more willing the rural households are to rent in the land, while the higher the Function of Inheritance and Retainment of the cultivated land use, the more likely the peasants are to retain their cultivated land resources. Furthermore, the correlation coefficient is significantly higher in the Key Development Zone than in the Key Ecological Zone. 相似文献
Through the MGU – Useful Plants Project (2007–2015) led by the Royal Botanic Gardens Kew, high-quality seed collections and research information have been gathered on useful indigenous plants selected by communities in Botswana, Kenya, Mali, South Africa, and Mexico. Local communities were trained in seed conservation, plant propagation, and planting activities, while revenue generation was promoted directly through the sustainable use of plants and plant products and indirectly through wider environmental and cultural services. The success of this project was determined by its participative approach, involving local communities in plant conservation activities and using plant research to support it. However, the promotion of sustainable use and income generation highlighted issues that confirmed the importance of using a ‘holistic approach’ to address the objective of poverty reduction and contribute to improved livelihoods in the communities. 相似文献
Over recent decades Auckland, New Zealand, metropolitan area has vastly expanded as a result of rapid population growth and low-density housing developments. In order to manage the uncontrolled low-density urban sprawl, Auckland Council proposed a compact city model through promoting higher density housing developments. In order to understand the implications of this transition on future residential water demand, this study first evaluated water consumption in three major housing types in Auckland including single houses, low-rise and high-rise apartments. Using the geographic information system, the water consumption information, estimated from a large sample of 60,000 dwellings across Auckland, was subsequently integrated with the Proposed Auckland Unitary Plan outlining the future housing composition over different areas in Auckland. Through developing different growth scenarios, the study showed that the housing transition from single houses to more intensified multi-unit houses cannot considerably affect the average per capita water consumption in Auckland. 相似文献
Land systems are described based on various characteristics, including land cover composition and agricultural production. However, it is uncertain to what extent livestock, particularly monogastric livestock, determines land systems. We included monogastrics in a land system classification, and statistically analyzed the land cover composition and agricultural production of otherwise similar land systems with and without monogastric livestock. The results indicate that land systems with monogastrics are statistically different from their counterparts in the classification without monogastrics in terms of grassland area and crop yields, but are less different in terms of tree area, crop area, and ruminant livestock production. We then used a land systems map that includes monogastrics in the classification and a similar map that does not include monogastrics to project future changes in a novel manner that integrates livestock as a determinant of land systems. The results show that including monogastrics in otherwise similar projections yields less cropland intensification and more cropland expansion in several world regions, including Northern Africa and the Middle East. Other regions, such as Europe and Australia, were characterized by less decrease or more increase in tree area in the application with monogastrics, mainly due to the occurrence of open forests with monogastrics. This study prompts a call for improved characterization of land systems for land use and cover change (LUCC) assessments in order to better represent LUCC driven by monogastric livestock. 相似文献
Land use/land cover (LULC) change affects the provision of ecosystem services for humans and habitat for wildlife. Hence, it is crucial to monitor LULC particularly adjacent to protected areas. In this study, we measured LULC change in Rombo, Tanzania, an area with high-potential agro-ecological zones that is dominated by human–elephant conflicts (HECs). We used remote sensing and geographical information system techniques, questionnaires and village meetings to assess spatio-temporal patterns of the LULC changes in the study area. Using Landsat imagery, digital elevation model (DEM) and ground truthing, we classified and monitored changes in LULC from the years 1987 to 2015. We found that within Rombo, settlements were increasing, while agricultural and agroforestry lands were decreasing and respondents’ perceptions varied along the altitudinal gradient. Patterns of HEC and LULC were observed to change along the gradient and the later threatened the agricultural land and ecological integrity for elephant habitat, leading to high tension and competition between elephants and people. This research offers baseline information for land use planning to balance wildlife conservation with livelihood development in Rombo and highlights that managing the impacts of LULC changes on HEC and elephant habitat loss is a matter of urgency. 相似文献