Objective: Studies of alcohol-related harm (violence, injury, illness) suggest that the most significant risk factors are the amount of alcohol consumed and whether obviously intoxicated patrons continue to be served. This study's objective was to investigate the effects of a responsible beverage service (RBS)/enhanced alcohol enforcement intervention on bars, bar patrons, and impaired driving.
Method: Two communities—Monroe County, New York, and Cleveland, Ohio—participated in a demonstration program and evaluation. The intervention applied RBS training, targeted enforcement, and corrective actions by law enforcement to a random sample of 10 identified problem bars in each community compared to 10 matched nonintervention problem bars. Data were collected over 3 waves on bar serving practices, bar patron intoxication, drinking and driving, and other alcohol-related harm from intervention and control bars and treatment and comparison communities.
Results: In Monroe County, New York, of the 14 outcome measures analyzed, 7 measures showed statistically significant differences from pre- to postintervention. Six of those measures indicated changes in the desired or positive direction and 2 measures were in the undesired or negative direction. Of note in the positive direction, the percentage of intervention bar patrons who were intoxicated decreased from 44 to 27% and the average blood alcohol concentration of patrons decreased from 0.097 to 0.059 g/dL pre- to postintervention. In Cleveland, Ohio, 6 of the 14 measures showed statistically significant changes pre- to postintervention with 6 in the positive direction and 4 in the negative direction. Of note, the percentage of pseudo-intoxicated patrons denied service in intervention bars increased from 6 to 29%.
Conclusions: Of the 14 outcome measures that were analyzed in each community, most indicated positive changes associated with the intervention, but others showed negative associations. About half of the measures showed no significance, the sample sizes were too small, or the data were unavailable. Therefore, at best, the results of these demonstration programs were mixed. There were, however, some positive indications from the intervention. It appears that when bar managers and owners are aware of the program and its enforcement and when servers are properly trained in RBS, fewer patrons may become intoxicated and greater efforts may be made to deny service to obviously intoxicated patrons. Given that about half of arrested impaired drivers had their last drink at a licensed establishment, widespread implementation of this strategy has the potential to help reduce impaired driving. 相似文献
Abstract Two Daphnia magna offsprings (animals from the first and third brood) whose parentals (F0‐generation) were exposed during 21 days to different tetradifon (4‐chlorophenyl 2,4,5‐trichlophenyl sulfone) concentrations, were transferred to a pesticide free medium during 21 days (recovery period). The algae Nannochloris oculata (5x105 cells/mL) was used as food. In this recovery study, survival, growth and reproduction (mean total young per female, mean brood size, onset of reproduction and mean number broods per female) were assessed as individual parameters and the intrinsic rate of natural increase (r) as population parameter, for F1 generation (1st and 3rd broods). Reproduction was still reduced in F1 (1st and 3rd broods) generation daphnids from parentals (F0) exposed to 0.18 mg/L tetradifon and higher concentrations even after 21 days in clean water. However, survival was not significantly different (p>0.05) in those F1 offsprings from parentals pre‐exposed to the acaricide. Growth was still reduced in F1 daphnids from parentals pre‐exposed to 0.10–0.44 mg/L tetradifon. The intrinsic rate of natural increase (r) was still affected in Fl generation daphnids, specially in those from the third brood. Therefore, Fl generation D. magna offsprings from a parental generation (F0) previously exposed to the acaricide tetradifon were not able to recuperate completely when a recovery period of 21 days was allowed. 相似文献
The aim of the study is to investigate how environmental factors, associated with exposure to industrial noise, affect the development of chronic noise-induced hearing loss.The studywas conducted on 186 male subjectsworking in two bottling plants, situated respectively in a small farming community, and in a medium-sized city with significant levels of noise pollution. Levels of occupational exposure were the same for the two groups.The subjects were selected by means of a preliminary medical examination, and exposed to tonal hearing tests and acoustic impedance tests. Statistical analysis was performed on hearing threshold values obtained at the frequencies of 500, 1000, 2000 and 4000 Hz.The comparison between the thresholds obtained in the two groups showed a statistically significant difference, especially at the frequency of 4000 Hz and for occupational exposure exceeding 17 yr. The results led us to conclude that environmental factors, and urban noise in particular, influence the onset and development of occupational acoustic trauma, and that those working in the country are significantly less affected than those in the city. Since occupational exposure was the same for both groups, their different responses must therefore be interpreted as due to differences in nonoccupational exposure, in turn dependent on different opportunities for rest from noise and different levels of exposure to noise pollution. 相似文献
Some of the challenges of BGT were answered by two multi-disciplinary projects of the ICMR on Pathology and Toxicology and Pathophysiology. Unlike other chemical disasters, the aerosol inhaled by the Bhopal victims contained a mixture of MIC and its trimers and dimers, as well as aqueous and thermal decomposition products, including HCN. A coordinated GC–MS study of the blood and autopsy tissues and chemicals in the Tank residue confirmed their role.
Autopsy studies revealed the pathological changes in the acute, sub-acute and chronic phases progressive changes of pulmonary edema and bronchiolitis, followed by chronic pulmonary fibrosis. Cerebral edema resulted in ‘acute histotoxic anoxia’. Intensive experimental studies with the help of newer tools of molecular biology might throw more light on the underlying mechanisms and newer therapeutic approaches.
The initial finding of cherry-red discoloration of lungs led to a suspicion of cyanide toxicity. Eventually, elevated blood and tissue cyanide levels confirmed the prompt therapeutic response to NaTS and accompanying increase of urinary NaSCN excretion. However, periodic clinical recurrences and relapses pointing towards ‘chronic cyanide toxicity’ remained enigmatic.
Specific changes the 2–3 DPG levels and Blood Gases were explained on the basis of N-carbamoylation of end-terminal valine residues of Hb. Soon, several other end-terminal -amino groups of tissue proteins were also found to be N-carbamoylated. Had the attempts at demonstrate S-carbamoylation of glutathione and other SH radicals of tissue enzymes like rhodanese succeeded, perhaps the underlying mechanism of chronic cyanide toxicity due to MIC might have been resolved.
Based on the practical lessons learnt in Bhopal, an attempt will be made to present the salient pathological and toxicological findings, followed by a brief outline of the principles of planned laboratory management for alleviation of human suffering from future chemical disasters. 相似文献