HIV-1 prevalence in deaths caused by drug overdose in various large cities of West Germany and West Berlin between 1985 and 1988

The development of the HIV-1-prevalence among drug deaths (n = 753) in several German cities (West Berlin, Frankfurt, Munich, Hamburg, Bremen, Cologne and Stuttgart) from 1985 to 1988 was evaluated; in 1988 43% of 674 deceased drug addicts were examined. The regional prevalence rate was between 15 and 25%; only in Berlin 42% of the drug deaths were HIV-infected (cumulated data of all cities over the 4-year-period: 26%). There was no uniform or steady regional development of HIV-1-prevalence in the different cities. The ratio men/women among drug deaths was 3:1. The HIV-1-prevalence among males was 22%, among females 40%. HIV-infected individuals were 2-3 years older than seronegatives. Predictions concerning the trend of prevalence rates are not possible up to now. Continuous monitoring of the HIV-status of drug deaths seems to be a worthful method to evaluate the spread of this disease among the risk group of intravenous drug addicts.     

Adapting the environmental impact statement process to inform decision makers

The environmental impact statement (EIS) process is central to the assessment of environmentally significant actions. Yet decisions about what matters in the environment and what gets studied as part of an EIS are based on values that are largely implicit and come primarily from technical experts. In this article we propose using the techniques of decision analysis (DA) to articulate values explicitly and make the EIS process more effective as an aid to decisionmakers in developing defensible environmental policies. We identify five major sources of problems with the current EIS approach, propose a new environmental decision process that incorporates DA in the EIS framework, and consider the merits, problems, and feasibility of implementing the suggested policy improvements.     

Enzyme immunochemical detection of the use of hashish and confirmation by thin-layer chromatography

The EMIT cannabinoid assay was used for screening blood and urine after smoking tetrahydrocannabinol (THC; 10 mg) or ingestion of THC (30 mg). Cannabinoid levels in urine remain detectable up to 1 week. Confirmation was done by adsorption of the THC carboxylic acid onto a C18 extraction column and elution with acetone and TLC. The method is simple and sensitive and is applicable with common laboratory equipment. The detection limit is 10 ng/ml, using 10 ml urine.     

Quantification of human mitochondrial DNA in a real time PCR

Recently, a moderately priced machine for real-time quantitative PCR has become available, the Perkin Elmer 5700. The rapid and quantitative assay of mitochondrial DNA (mtDNA) copy number is potentially useful in a variety of molecular, evolutionary and forensic fields. Using this new tool, we have evaluated the precision and reliability of the real time PCR to quantify undeleted mitochondrial genome copy number, and to determine the frequency of an age-associated deletion of 4977 base pairs in length, in 42 human iliopsoas muscle DNA samples from persons of known age. We have evaluated the accuracy with which age can be predicted, knowing only the frequency of this common 4977 bp deletion, and derived a statistical formula which describes the confidence with which the 4977 bp frequency predicts age. The results indicate that the mutation frequency could be used to distinguish between tissue from young and old individuals. However in this data set, while there was considerable agreement of 4977 bp frequency among replicates from the same individual sample, there was substantial diversity of mean mutation frequency between individuals of the same or similar ages. The simplest interpretation of these results is that there are biological modifiers of 4977 bp frequency that are age-independent, which are potentially interesting but may limit the usefulness of this deletion frequency alone as a "molecular forensic clock."     

Metal concentrations in plants and urine from patients treated with traditional remedies

A number of traditional South African herbal remedies which are associated with morbidity and mortality were analysed for selenium, manganese, copper, lead, zinc and mercury content. Few showed high levels of toxic metals, but in these the concentrations were sufficiently high as to cause concern since there is no quality control on the production of these remedies, which are the accepted form of medication for over 80% of the population. Urine samples, obtained from 65 patients admitted to hospital following treatment with a traditional herbal remedy were also analysed for metals. Only a small number of the patients had abnormally high levels of metal excretion. These data suggest that, in contrast to experience with traditional Chinese and Indian preparations, metal contamination from plants seems not to be a problem in traditional South African remedies.     

Peri-mortem skin lesions caused by regurgitation of gastric juice. 2 case reports and differential diagnostic considerations

Two cases of regurgitation of gastric juice peri mortem are reported which resulted in lesions of the thoracic skin and led to the suspicion of being caused by another possibly dangerous chemical agent. In both cases, however, other causes of death could be established. Neither could any foreign chemical substances be detected by extensive toxicological investigations nor were any alterations of esophagus and gastric mucosa revealed in the course of the autopsy. Histological investigations demonstrated a circumscribed recent necrosis of the epidermis and dermis. Therefore, regurgitation of the acidic gastric content as the agent impairing the skin was most likely. The impressive histological appearance of the peri mortem regurgitation skin lesions lesions may be due to the circulatory arrest as well as stagnation of vital cellular reactions and repair mechanisms, dehydration of the altered tissue and postmortem permanence of the impairing agent.     

A Moving Target: Reasons Given by Adolescents for Alcohol and Narcotics Use, 1984 and 1999

Previous studies have investigated adolescents' reasons for alcohol and narcotics use, but have tended to neglect changes in the reasons over time. This study investigates the reasons given by Finnish adolescents for their own alcohol use, and for the use of alcohol and narcotics by others. In 1984, a questionnaire on reasons for alcohol and narcotics use was administered to a sample of adolescents aged 14–16 (N = 396). The questionnaire was administered again to a similar sample (N = 488) in 1999. An increase was found in reasons involving inner subjective experiences, referring to the good feeling and fun resulting from alcohol and narcotics use. In addition, the goals of alcohol consumption were increasingly perceived as drinking to get drunk, and for its own sake. The results suggest that adolescents' attitudes have become more liberal towards alcohol and narcotics use, and that prevention campaigns may be aiming at a moving target of culturally held opinion.     

Le public suisse face à la science et aux institutions: des relations à explorer

The purpose of this research note is to examine if the attitude toward science of the Swiss citizens is related to their confidence in Swiss institutions, precisely in political institutions. Based on the results of one survey (Eurobarometer 2001), we show that the attitude toward science is moderately related to the confidence, that the number of significant relationship of each institution depend on the level of confidence of the institution, and that we distinguish two types of relation: linear and inverted U‐shaped.