Holidays, celebrations, and commiserations: measuring drinking during feasting and fasting to improve national and individual estimates of alcohol consumption

BACKGROUND: Accurate measures of alcohol consumption are critical in assessing health harms caused by alcohol. In many countries, there are large discrepancies between survey-based measures of consumption and those based on alcohol sales. In England, surveys measuring typical alcohol consumption account for only around 60% of alcohol sold. Here, using a national survey, we measure both typical drinking and atypical/special occasion drinking (i.e., feasting and fasting) in order to develop more complete measures of alcohol consumption. METHODS: A national random probability telephone survey was implemented (May 2013 to April 2014). Inclusion criteria were resident in England and aged 16 years or over. Respondents (n = 6,085) provided information on typical drinking (amounts per day, drinking frequency) and changes in consumption associated with routine atypical days (e.g., Friday nights) and special dinking periods (e.g., holidays) and events (e.g., weddings). Generalized linear modelling was used to identify additional alcohol consumption associated with atypical/special occasion drinking by age, sex, and typical drinking level. RESULTS: Accounting for atypical/special occasion drinking added more than 120 million UK units of alcohol/week (~12 million bottles of wine) to population alcohol consumption in England. The greatest impact was seen among 25- to 34-year-olds with the highest typical consumption, where atypical/special occasions added approximately 18 units/week (144 g) for both sexes. Those reporting the lowest typical consumption (≤1 unit/week) showed large relative increases in consumption (209.3%) with most drinking associated with special occasions. In some demographics, adjusting for special occasions resulted in overall reductions in annual consumption (e.g., females, 65 to 74 years in the highest typical drinking category). CONCLUSIONS: Typical drinking alone can be a poor proxy for actual alcohol consumption. Accounting for atypical/special occasion drinking fills 41.6% of the gap between surveyed consumption and national sales in England. These additional units are inevitably linked to increases in lifetime risk of alcohol-related disease and injury, particularly as special occasions often constitute heavy drinking episodes. Better population measures of celebratory, festival, and holiday drinking are required in national surveys in order to adequately measure both alcohol consumption and the health harms associated with special occasion drinking

An evaluation of the adverse childhood experience trauma informed multi-agency early action together (ACE TIME) training: National roll out to police and partners

In a rapidly changing society, modern policing faces new pressures and increasing demands to respond to incidents of high threat, harm, risk and vulnerability. Responding to such incidents has become a core element of policing across the UK. Whilst the police are well placed to identify and respond to vulnerability, research has highlighted that traditional policing methods, training and systems are not designed to meet the changing levels and types of vulnerability demand. The National Police Chiefs’ Council (NPCC) and College of Policing (CoP) have highlighted the need to transform policing within the UK to develop a workforce of confident professionals with the skills to respond to vulnerability and the complex needs of the local community. The pan-Wales Early Action Together (E.A.T.) programme aimed to develop a whole systems response to vulnerability to enable police and multi-agency (MA) partners to recognise signs of vulnerability at the earliest opportunity and to work together to provide access to support beyond statutory services. Key to achieving this was the development and delivery of the Adverse Childhood Experience Trauma Informed Multi-agency Early Action Together (ACE TIME) training programme. The ACE TIME training aims to ensure that police and MA partners have the appropriate knowledge and skill to respond to vulnerability using an ACE and trauma-informed approach. The training built on a small-scale pilot carried out within South Wales police1 and was further developed by the ACE Coordinator Service positioned within Barnardo’s and the E.A.T. national programme team. Public Health Wales and Bangor University undertook an independent evaluation of the ACE TIME training to capture its immediate impact on police and MA partners’ knowledge, practice, competence and confidence when responding to vulnerability. The evaluation comprised a number of pre and post-training questionnaires that incorporated previously validated measures1 and a number of open-ended questions (see pg. 21) with open text boxes for participant’s comments. The current report evaluated the phase one roll out of the ACE TIME training (from September 2018 to January 2019). During the data collection period, 1,034 professionals were trained, of which 996 participated in the evaluation (849 police officers or staff and 147 MA partners). Police and MA partners across Wales from a range of different operational roles and teams took part in the evaluation (see table 3, pg. 24). Among police participants, approximately half worked in response roles (i.e., ‘999’ response; 51%). A further 21% worked within neighbourhood policing teams (NPT); and those from the public protection unit (PPU), custody, criminal investigation department (CID) and other investigative roles made up the remainder of departments (28%). Among MA partners, approximately 22% worked with children and young people’s education services; 22% within safeguarding, social care and family sector, 22% within the health and well-being sector and 16% in housing, community and local authority. The ACE TIME training is a core element of the E.A.T. programme, which sets out to provide police and partners across Wales with a universal understanding of vulnerability, and the knowledge and skills to confidently and competently respond to individuals who experience trauma. It supports the NPCC Policing Vision 20254 , which highlights the need for police to adopt professional curiosity to identify the potential indicators of vulnerability at the earliest opportunity and to reduce risk of harm through early intervention with partners. The training seeks to establish better multi-agency working practice, and support police to draw on wider services to deliver appropriate responses to vulnerability. The findings from the current evaluation suggest that, overall, the training had a positive impact on police and MA partners by increasing awareness of ACEs and related trauma, and the impact this may have on an individual throughout their lifetime; while also enabling staff to feel more competent and confident to respond in a trauma- and ACE-informed way. Furthermore, the findings suggest that the training significantly improved police attitudes towards a multi-agency ACE and trauma-informed approach to tackling vulnerability. Nonetheless, the findings also provide evidence of where there might be barriers to implementing the training into practice

Behavioral Risk Elicits Selective Activation of the Executive System in Adolescents: Clinical Implications

We investigated adolescent brain processing of decisions under conditions of varying risk, reward, and uncertainty. Adolescents (n = 31) preformed a Decision–Reward Uncertainty task that separates decision uncertainty into behavioral and reward risk, while they were scanned using functional magnetic resonance imaging. Behavioral risk trials involved uncertainty about which action to perform to earn a fixed monetary reward. In contrast, during reward risk the decision that might lead to a reward was known, but the likelihood of earning a reward was probabilistically determined. Behavioral risk trials evoked greater activation than the reward risk and no risk conditions in the anterior cingulate, medial frontal gyrus, bilateral frontal poles, bilateral inferior parietal lobe, precuneus, bilateral superior-middle frontal gyrus, inferior frontal gyrus, and insula. Our results were similar to those of young adults using the same task (Huettel, 2006) except that adolescents did not show significant activation in the posterior supramarginal gyrus during behavioral risk. During the behavioral risk condition regardless of reward outcome, overall mean frontal pole activity showed a positive correlation with age during the behavioral and reward risk conditions suggesting a developmental difference of this region of interest. Additionally, reward response to the Decision–Reward Uncertainty task in adolescents was similar to that seen in young adults (Huettel, 2006). Our data did not show a correlation between age and mean ventral striatum activity during the three conditions. While our results came from a healthy high functioning non-maltreated sample of adolescents, this method can be used to address types of risks and reward processing in children and adolescents with predisposing vulnerabilities and add to the paucity of imaging studies of risk and reward processing during adolescence

Construction of chromosome segmen substitution lines in peanut (Arachis hypogaea L.) using a wild synthetic and QTL mapping for plant morphology.

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Measuring substance use in the club setting: a feasibility study using biochemical markers

<p>Abstract</p> <p>Background</p> <p>During the last few decades the use of club drugs (e.g., cocaine, amphetamines) has been of increased concern in nightlife settings. Traditionally, surveys have been used to estimate the use of club drugs, however, they mostly rely on self-reports which may not be accurate. Recent advances have allowed for readily accessible drug testing methods such as oral fluid drug testing. Nevertheless, research using oral fluid sampling to measure the frequency of drug use in the club environment is scarce. The objective of this study is to evaluate the feasibility of measuring the frequency of alcohol and drug use among Swedish clubbers using breath alcohol and oral fluid drug testing.</p> <p>Method</p> <p>The setting was a 40 hour electronic music dance event (EMDE) on a cruise ship on the Baltic Sea, departing from Sweden, with 875 passengers. Groups of participants at the EMDE were randomly invited to participate. Data were collected with face-to-face and self-administered questionnaires. Further, oral fluid samples were collected to determine illicit drug use, and blood alcohol concentration (BAC) levels were measured using a breath analyzer.</p> <p>Results</p> <p>A total of 422 passengers were asked to participate in the study whereof 21 declined (5.0% refusal rate). Of the 401 study participants (accounting for 45.8% of all attendees), 5 declined oral fluid drug testing. Results show that there was a discrepancy between self-reported and actual drug use as 10.1% of the participants were positive on illicit drug use (amphetamines, ecstasy/MDMA, cannabis, cocaine), while only 3.7% of the participants reported drug use during the last 48 hours. The average BAC level was 0.10% and 23.7% had BAC levels ≥ 0.15%, while 5.9% had levels below the detection limit. The mean BAC levels for the illicit drug users were significantly higher (<it>p </it>= 0.004) than for non-drug users (0.13% vs. 0.10%). Self-reported AUDIT-C scores (using a threshold of ≥ 5 for men and ≥ 4 for women) revealed that 76.0% of the men and 80.7% of the women had risky alcohol consumption patterns.</p> <p>Conclusion</p> <p>This study indicates that it is feasible to conduct breath alcohol and oral fluid drug testing in a Swedish club setting.</p

Comment on the narrow structure reported by Amaryan et al

The CLAS Collaboration provides a comment on the physics interpretation of the results presented in a paper published by M. Amaryan et al. regarding the possible observation of a narrow structure in the mass spectrum of a photoproduction experiment.Comment: to be published in Physical Review

Near-threshold Photoproduction of Phi Mesons from Deuterium

We report the first measurement of the differential cross section on $\phi$-meson photoproduction from deuterium near the production threshold for a proton using the CLAS detector and a tagged-photon beam in Hall B at Jefferson Lab. The measurement was carried out by a triple coincidence detection of a proton, $K^+$ and $K^-$ near the theoretical production threshold of 1.57 GeV. The extracted differential cross sections $\frac{d\sigma}{dt}$ for the initial photon energy from 1.65-1.75 GeV are consistent with predictions based on a quasifree mechanism. This experiment establishes a baseline for a future experimental search for an exotic $\phi$-N bound state from heavier nuclear targets utilizing subthreshold/near-threshold production of $\phi$ mesons