Prevalence of psychoactive substances in truck drivers in the Nord-Pas-de-Calais region (France)

A previous study conducted in 1995 showed that psychoactive drug use by workers was higher in safety/security workstations than in the rest of the labour force. In order to verify this finding, we conducted a new study in 2003-2004 in the Nord-Pas-de-Calais region, restricted to truck drivers. The aim of this study was to allow harmonizing the professional practice of the occupational physicians, proposing drug prevention and drug testing policies, validating the analytical methods and the guidelines in case of positive testing results. One thousand truck drivers were studied. Urines were tested for amphetamines, cannabinoids, cocaine, opiates, benzodiazepines, buprenorphine and methadone by immunoassay. Urine ethanol determinations were performed by an ADH method. Positive urines for drugs of abuse, methadone or buprenorphine were then tested by gas chromatography or liquid chromatography coupled to mass spectrometry. Out of the 1000 drivers, cannabinoids were detected in 85 cases, opiates in 41 cases, amphetamines in 3 cases and cocaine in only one case. Buprenorphine was detected in 18 cases, methadone in 5 cases and benzodiazepines in 4 cases. Urine ethanol was positive in 50 cases. We found only one case with 6-monoacetylmorphine. Other positive opiates were metabolites of antitussives. The relatively low number of benzodiazepine positive urines could be explained by the lack of sensitivity of the test we used. All these results confirm those of the previous study for cannabinoids and ethanol in safety/security workstations. Positive results for methadone and buprenorphine are eight times higher than in the general population. In conclusion, the authors think that it will be of a great interest to test urine of truck drivers for other classes of psychoactive drugs, using a liquid chromatography-mass spectrometry method.     

On Diarrhoea in Adolescents and School Toilets:Insights from an Indian Village School Study

The economics literature on the determinants of diarrhoea focuses on infants; but what about school going adolescents? Our survey in an Indian village school affirms that sanitation, defecation practices at home and school, and the degree of crowding of living space at home are all significant determinants of diarrhoeal incidence for adolescents. Usage of toilets at school varies as a function of gender and existence of a toilet in student’s home. Access to toilets is not sufficient to guarantee their usage. To eliminate open defecation: toilets installation, behavioural change, and sustainable mechanisms to maintain school toilets seem necessary.     

Islam,médias,mise en place du Sénat et article 37 de la Constitution: changement de paradigme au Burkina Faso (1991–2014)?

Abstract

In the context of socio-political liberalisation, which has been happening since 1991, together with the competition between the different religions in the public arena in Burkina Faso, the visibility of Islam has increased considerably with the creation of Islamic media and the growing use of the Internet. This article examines the impact of the growing mediatisation of Islam on the agency and the content of the discourse of Muslim elites in Burkina Faso. This has led to the emergence of new, very mediatised religious figures who have gained authority in the public arena. However, the multiplication of the Islamic message is not accompanied by greater politicisation. Their agency resides rather in their relative capacity to invest in the public arena to defend their vision of society governed by Islamic moral norms. The debate surrounding the introduction of the Senate and the revision of Article 37 of the Constitution between 2011 and 2014 has shown the lacklustre agency of the Muslim leaders.     

Public support for European defence: Does strategic culture matter?

This article identifies previously ignored determinants of public support for the European Union's security and defence ambitions. In contrast to public opinion vis‐à‐vis the EU in general, the literature on attitudes towards a putative European army or the existing Common Security and Defence Policy (CSDP) suggests that the explanatory power of sociodemographic and economic variables is weak, and focuses instead on national identity as the main determinant of one's support. This article explores the possible impact of strategic culture, and argues that preferences vis‐à‐vis the EU's security and defence ambitions are formed in part through pre‐existing social representations of security. To test this proposition, ‘national’ strategic cultures are disaggregated and a typology is produced that contains four strategic postures: pacifism, traditionalism, humanitarianism and globalism. Applying regression analysis on individual‐level Eurobarometer survey data, it is found that strategic postures help explain both the general level of support for CSDP and support for specific Petersberg tasks.     

Comparison of Factors Associated with Parricide in Adults and Adolescents

Despite high revalence rates of intimate partner violence in the lives of extremely poor women with depenent children, few studies have investigated the patterns of violence that occur over time, and the characteristics of women that serve as risk markers for partner violence. This study compared 43 adult parricides and 12 adolescent parricides. Several statistically significant differences were observed. Adults suffer from severe mental disorders, have a history of violent behavior and psychiatric antecedents, and are more likely to threaten their parents. Less predictable in their acting out, adolescents present several profiles as a function of victims’ sex, number of victims, diagnostic elements, and being witness to or victim of intrafamilial violence. Results suggest different approaches should be used to understand the dynamics and course of these two groups.     

Acute Aortic Dissection Diagnosed after Embalming: Macroscopic and Microscopic Findings

A 58‐year‐old man died suddenly in Madagascar and poisoning was suspected. The body was embalmed after death and the general state of preservation was good. We found a major aortic dissection with a large false lumen from the aortic root to the common iliac arteries and a hemopericardium with formalinized blood clot. The intimal tear was on the ascending aorta, and an intramural hemorrhage was noted at the right coronary artery, attesting to a retrograde dissection. Microscopic studies confirmed aortic dissection with extensive intramural hemorrhage and also confirmed the retrograde dissection to the right coronary artery with a reduction of 90% of the true lumen. Classically, aortic dissection occurs in individuals with hypertension and individuals with genetic disorders of collagen formation. The diagnosis is often first established at the postmortem examination. Aortic dissection is therefore dealt with largely in necropsy studies. The usual cause of death is rupture into the pericardial sac. One case of bloodless dissection has been reported but the sudden death was explained by acute myocardial ischemia secondary to dissection of the left coronary artery. In our case, we found major hemopericardium and also intramural hemorrhage at the right coronary artery. We were able to make the diagnosis of aortic dissection and exclude the suspicion of homicide 15 days after death and after embalming.