An unusual case of driving under the influence of enflurane

An unusual case of driving under the influence of the volatile anaesthetic enflurane is reported. A markedly affected anaesthetist was sniffing at an enflurane-moistened handkerchief before he crashed into a lorry at a red traffic light. In the blood sample enflurane (2.92 mg/l) as well as diclofenac (0.28 mg/l) and 4-aminophenazone (24.4 mg/l) were found. The way of driving and the accident and the deficiency symptoms could be explained by the central suppressing effects of enflurane. The physician was considered as impaired and not suitable to drive at the time of the incidence.     

Quantitation using GC-TOF-MS: example of bromazepam

Time-of-flight mass spectrometry (TOF-MS) offers new perspectives for forensic toxicology. Qualitative and quantitative analyses of a mixture of three selected benzodiazepines (diazepam, nordazepam and bromazepam) were used to compare gas chromatography (GC-TOF-MS, quadrupole GC-MS, GC-ECD) and liquid chromatography (HPLC-DAD) data. Method validation parameters like LOD, LOQ, S/N-ratios reflect the capabilities of GC-TOF-MS. Five-point calibrations for bromazepam in human peripheral blood (50, 100, 160, 200, 300 ng/ml) using medazepam as internal standard (1000 ng/ml) were performed. The calibrations using GC-TOF-MS (using the fragments of m/z 236 and 288), GC-ECD (dual system) and HPLC-DAD (at 235 nm) all showed correlation coefficients close or superior to 0.99. Quadrupole GC-MS data was not used in the comparison of extracted samples due to the low sensitivity in the full scan mode. Two analyses of real cases concerning bromazepam are presented. In the first case, the presence or absence of bromazepam could not be established with both HPLC-DAD and GC-ECD due to background signals. The extracted ion chromatograms and spectrum traces after the analysis with the GC-TOF-MS could clearly excluded the presence of bromazepam. The second case illustrates the quantitation of bromazepam, where both HPLC-DAD and GC-ECD were unable to give satisfactory results, again due to interfering background signals. The analyses performed on the GC-TOF-MS-system demonstrated high sensitivity and also high selectivity due to the high quality of mass spectra obtained. The advantages of GC-TOF-MS make it a promising analytical technique for forensic toxicology.     

Psychosocial Resources in First-Year University Students: The Role of Identity Processes and Social Relationships

The investigation involved the assessment of a model predicting that family and university relationship environments are linked with identity processes and identity states (statuses) that predict psychosocial resources among first-year university students. A sample of 351 university students, between the ages of 18 and 21 years, completed measures of psychosocial maturity based on Erikson's notions of ego virtues, a measure of identity processing styles (diffuse-avoidant, normative, and information styles), identity statuses (diffusion, foreclosure, moratorium, and achievement), measures of family climate (conflict, expression, cohesion), and assessments of university relationships with faculty, advisors, and students. Based on linear structural equations, the model, with some adjustments, had a good fit with the data and demonstrates the complex association between perceived family and school climate, identity formation, and the association with psychosocial resources. The investigation demonstrates how multivariate model testing can be completed to assess some of the complexity suggested by Erik Erikson regarding identity formation. Gerald R Adams is a Professor of Family Relations and Human Development at the University of Guelph in Ontario, Canada. His major interests focus on family relations, identity development, education, and prevention. Michael Berzonsky is Professor of Psychology at State University of New York at Cortland, New York. His major interests are identity styles, social cognition, and adolescent development. Leo Keating is a data analyst at the University of Guelph.     

Testing a Model of Resistance to Peer Pressure Among Mexican-Origin Adolescents

This study examined the factors associated with resistance to peer pressure toward antisocial behaviors among a sample of Mexican-origin adolescents (n=564) living in a large Southwestern city in the U.S. A model examining the influence of generational status, emotional autonomy from parents, and self-esteem on resistance to peer pressure was tested independently for boys and girls. Gender differences emerged in the factors that influenced resistance to peer pressure. Results indicated that resistance to peer pressure was influenced by generational status and emotional autonomy from parents for both boys and girls. However, self-esteem was found to influence resistance to peer pressure only for boys.Mayra Y. Bámaca is a graduate student in Family and Human Development at Arizona State University. Her research interests include adolescent development among ethnically diverse populations, the influence of contextual factors in development, parenting adolescents, and resiliency among Latino adolescents and their families. This work was based on the master’s thesis of the first author.Adriana J. Uma?a-Taylor received her Ph.D. from the University of Missouri-Columbia and is currently an Assistant Professor of Family and Human Development at Arizona State University. Her research interests include ethnic identity formation during adolescence and resilience among Latino adolescents and their families.This study was supported, in part, by a grant to the second author from the Fahs Beck Fund for Research and Experimentation of the New York Community Trust.     

Pubertal Maturation and African American Children’s Internalizing and Externalizing Symptoms

The association of pubertal maturation with internalizing and externalizing symptoms was examined with a sample of 867 African-American 10 – 12-year-old children. Children reported their pubertal development status and timing using a self-report questionnaire, and symptoms were assessed through diagnostic interviews with the children and their primary caregivers. Pubertal status and timing were significantly associated with children's reports of the internalizing symptoms of social anxiety disorder, generalized anxiety disorder, and major depression and with the externalizing symptoms of oppositional defiant disorder, attention deficit disorder, and conduct disorder. Pubertal development also was associated with caregivers’ reports of children's externalizing symptoms. The pubertal transition was associated with internalizing and externalizing symptoms in both boys and girls.Xiaojia Ge is Professor at the University of California, Davis. He received his PhD in sociology from the Iowa State University. He is interested in the influences of biological changes and social transitions on emotional and behavioral development in children and adolescents.Gene H. Brody is a Regents’ Professor at the University of Georgia. He received his PhD in developmental psychology from the University of Arizona. His major research interests are contextual influences on cognitive and psychosocial development, particularly those factors that protect at-risk children and adolescents from negative outcomes.Rand. D. Conger is Professor at the University of California, Davis. He received his PhD in sociology from the University of Washington in Seattle. He is interested in the influences of family economic stress on emotional and behavioral adjustment of family members. He is currently conducting a large-scale study on Mexican American families in California.Dr. Ronald L. Simons is Distinguished Research Professor at the University of Georgia. He received his PhD in sociology from Florida State University. Much of his research has focused upon the manner in which family and community processes combine to influence child development. He has also been concerned with the effect of discrimination and racial socialization upon child adjustment.     

Does Performance Budgeting Work? An Examination of the Office of Management and Budget’s PART Scores

In this paper, the authors use the Bush administration's management grades from the Program Assessment Rating Tool (PART) to evaluate performance budgeting in the federal government—in particular, the role of merit and political considerations in formulating recommendations for 234 programs in the president's fiscal year 2004 budget. PART scores and political support were found to influence budget choices in expected ways, and the impact of management scores on budget decisions diminished as the political component was taken into account. The Bush administration's management scores were positively correlated with proposed budgets for programs housed in traditionally Democratic departments but not in other departments. The federal government's most ambitious effort to use performance budgeting to date shows both the promise and the problems of this endeavor.