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Examination of Firearms Review: 2007 to 2010 - Interpol

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ate with increase <strong>of</strong> BAC, with the mean value <strong>of</strong> 0.221 ± 0.075 g/kg [11].<br />

The results <strong>of</strong> a pilot study have shown that the use <strong>of</strong> alcohol biomarkers<br />

[carbohydrate-deficient transferrin (CDT), and the Early Detection <strong>of</strong> Alcohol<br />

Consumption (EDAC) test] in the U.S. could provide an objective <strong>to</strong>ol <strong>to</strong><br />

identify high-risk drivers [12]. While a study in Canada showed that all<br />

biomarkers except fatty acid ethyl esters (FAEE) [phosphatidyl ethanol (PETH),<br />

CDT and gamma glutamyltransferase (GGT) in blood samples; ethyl<br />

glucuronide (EtG) and ethyl sulphate (EtS) in urine samples; and FAEE and<br />

EtG in hair samples] were related significantly <strong>to</strong> the interlock BAC test pr<strong>of</strong>iles<br />

[13]. Hence, it was suggested that the alcohol biomarkers should serve as a<br />

good means for determining license regranting for DUI <strong>of</strong>fenders. The value <strong>of</strong><br />

analyzing ethanol metabolites as measures <strong>of</strong> abstinence was evaluated for a<br />

subject who was convicted <strong>of</strong> DUI but claimed abstinence from alcohol after<br />

supervised disulfiram treatment [14]. Apart from traditional biomarkers, CDT,<br />

EtG and FAEE in hair, phosphatidylethanol in whole blood, and EtG and ethyl<br />

sulphate in urine were measured. The subject was found with EtG in distal<br />

parts <strong>of</strong> hair only, with FAEE concentrations typical for either moderate social<br />

drinking or abstinence.<br />

The efficacy <strong>of</strong> a fruc<strong>to</strong>se drink that claimed <strong>to</strong> noticeably increase the alcohol<br />

elimination rate was investigated using 30 volunteers under a randomized<br />

double-blind, placebo-controlled, cross-over study. While the s<strong>of</strong>t drink may<br />

decrease the alcohol concentration by about 10%, the claim <strong>of</strong> fruc<strong>to</strong>se drinks<br />

<strong>to</strong> work as a 'soberade' cannot be proven from a scientific point <strong>of</strong> view [15].<br />

A comparison <strong>of</strong> the performance <strong>of</strong> a portable impairment test device known<br />

as the Roadside Impairment Testing Apparatus (RITA) with the Field<br />

Impairment Tests (FIT) was conducted using 122 volunteers who received a<br />

dose <strong>of</strong> alcohol and placebo on separate days [16]. The accuracy <strong>of</strong> RITA was<br />

between 66 and 70%, not significantly higher than that <strong>of</strong> FIT. Horizontal gaze<br />

nystagmus, not currently included in FIT, was also investigated and posted an<br />

accuracy <strong>of</strong> 74%. Driving is a classic example <strong>of</strong> visually guided behavior in<br />

which the eyes move before some other action. A study showed that the<br />

optimal eye-hand coordination relationship deteriorates with levels <strong>of</strong> breath<br />

alcohol well within the current UK legal limit for driving, and that deterioration in<br />

eye movement can be detected by an au<strong>to</strong>mated in-car system, which warns<br />

the driver when he is no longer fit <strong>to</strong> drive [17].<br />

615

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