Changing patterns of drug and alcohol use in fatally injured drivers in Washington State

We have previously reported on patterns of drug and alcohol use in fatally injured drivers in Washington State. Here we revisit that population to examine how drug use patterns have changed in the intervening 9 years. Blood and serum specimens from drivers who died within 4 h of a traffic accident between February 1, 2001, and January 31, 2002, were analyzed for illicit and therapeutic drugs and alcohol. Drugs when present were quantitated. Samples suitable for testing were obtained from 370 fatally injured drivers. Alcohol was detected above 0.01 g/100 mL in 41% of cases. The mean alcohol concentration for those cases was 0.17 g/100 mL (range 0.02-0.39 g/100 mL). Central nervous system (CNS) active drugs were detected in 144 (39%) cases. CNS depressants including carisoprodol, diazepam, hydrocodone, diphenhydramine, amitriptyline, and others were detected in 52 cases (14.1%), cannabinoids were detected in 47 cases (12.7%), CNS stimulants (cocaine and amphetamines) were detected in 36 cases (9.7%), and narcotic analgesics (excluding morphine which is often administered iatrogenically in trauma cases) were detected in 12 cases (3.2%). For those cases which tested positive for alcohol c. 40% had other drugs present which have the potential to cause or contribute to the driver's impairment. Our report also considers the blood drug concentrations in the context of their interpretability with respect to driving impairment. The data reveal that over the past decade, while alcohol use has declined, some drug use, notably methamphetamine, has increased significantly (from 1.89% to 4.86% of fatally injured drivers) between 1992 and 2002. Combined drug and alcohol use is a very significant pattern in this population and is probably overlooked in DUI enforcement programs.     

On the Normativity of Expressing the Belief in a Just World: Empirical Evidence

There is a large body of evidence that the belief in a just world (BJW) affects people’s behaviors and attitudes, either through secondary victimization of innocent victims or the promotion of helping behavior. In this article, we aim to address the normativity of the very expression of BJW. Results of two experimental studies show that the expression of a higher degree of BJW is more socially valued than that of a lower one. We argue that this pattern should not only be seen as deriving from intrapersonal motivation to see the world as a predictable place, but also as a norm which seems to be perceived as having both social utility and desirability. The research reported in this article was supported by grant SFRHD/BD/10816/2002 awarded to Hélder Alves by Fundacao para a Ciência e Tecnologia. We thank Jorge Vala, Melvin Lerner, and Sven Waldzus for their suggestions during this research and to Kees van den Bos, José-Miguel Fernández-Dols and Cícero Pereira for their comments on previous versions of this article.     

An Organization of the Theoretical Perspectives in the Field of Civic and Political Participation: Contributions to Citizenship Education

This article provides a review of the theoretical perspectives on civic and political participation. Four distinct views were identified in the literature: (a) The orthodox view: “Civic and political participation are always positive”; (b) The broad view: “Civic and political participation are multidimensional”; (c) The qualitative view: “Civic and political participation are not always good”; and (d) The nonconformist view: “The need to redeem the political dimension of participation.” This article intends to sophisticate simplistic assumptions about civic and political participation and to provide an original organization of the theoretical perspectives in this field. Based on this analysis, this article presents suggestions for an alternative approach to citizenship education.     

An Overview of Zoonotic Disease Outbreaks and its Forensic Management Over Time

Most emerging or re‐emerging infections are vector‐borne or zoonotic and can be disseminated worldwide by infected humans or animals. They are a major public health problem and cause a great impact on economy. Zoonotic outbreaks began to be characterized in the 90s, after the creation of Europol and the FBI. Such investigations are carried by forensic pathologists and other specialists to determine whether an outbreak is natural or deliberate. This review will discuss ten zoonotic outbreaks nonrelated to wars focusing on forensic management. In conclusion, some points should be highlighted in the management of a zoonotic outbreak: (i) its diagnosis and detection by forensic pathologists and the coordination of efforts between other specialists are key factors; (ii) communication guidelines and an efficient healthcare system are crucial for any emergency response; (iii) biosafety of all specialists involved must be guaranteed.     

Sexual Assault and the Meaning of Power and Authority for Women with Mental Disabilities

The sexual assault of persons with mental disabilities (also described as cognitive, intellectual and developmental disabilities) occurs at alarmingly high rates worldwide. These assaults are a form of gender-based violence intersecting with discrimination based on disability. Our research on the treatment of such cases in the Canadian criminal justice system demonstrates the systemic barriers these victims face at the level of both substantive legal doctrine and trial procedure. Relying on feminist legal theory and disability theory, we argue in this paper that abuses of trust and power underlie most sexual assaults of women with mental disabilities. We argue that existing Criminal Code provisions in Canada are inadequate to address this type of exploitation because courts have consistently failed to recognize that such abuses of power and trust are fundamentally inconsistent with any notion of voluntary consent.     

Memoirs of an English Teacher

The most common job amongst expats in Beijing,by far,is teaching English.Whether it is a full-time occupation or a way to earn some extra cash alongside studies or other work,many members of the expat community have experience working as teachers. A seemingly insatiable demand for English speakers to teach adults as well as children to speak the lingua franca of the international business world has produced an array of language centers and schools of highly varying degrees of reliability.All Chinese people learn basic English in school,yet the general level of oral English remains poor and is often restricted to a handful of words (though the younger generations are getting much better).English classes once put heavy emphasis on the written form,but over the past decade more attention has been paid to speaking skills as China's youth look for opportunities to study and work abroad.     

Assessing reliability, validity, and clinical utility of the BEST-Index in measuring living skills among forensic inpatients

The assessment of behavioral change as a result of inpatient treatment in forensic psychiatry is an important precondition for violence risk prediction in forensic psychiatry. In relation to a multitude of diagnostically based risk assessment instruments, there is a shortage of appropriate instruments with which to carry out valid and reliable therapeutic assessments that are behaviorally based and therefore appropriate for use within varied psychiatric contexts. There is also a need for instruments which will offer assessors the opportunity to examine possible relationships between criteria of social risk and criteria of more general aspects of social functioning. Tapping the issues pointed out above, the authors present an overview of a normatively based social profiling instrument (the BEST-Index), and discuss evidence for its validity, reliability, and aspects of clinical utility.