A thorough analysis of public policy and the Clean Water Act'seffect on water quality in the U.S. Using water quality data and historical records from the past 60years, this book presents the measured impact of the 1972 CleanWater Act on domestic waterways-ecologically, politically, andeconomically. Municipal Wastewater Treatment supports thehypothesis that the Act's regulation of wastewater treatmentprocesses at publicly owned treatment works (POTW) and industrialfacilities has achieved significant success. The authors' case ispresented in: * Background information on the history of water pollution controland water quality management * Chapters addressing long-term trends in biochemical oxygen demandloadings from municipal wastewater plants and the "worst-case"dissolved oxygen levels in waterways downstream of point sourcesbefore and after the Clean Water Act * Nine case study assessments of long-term trends of pollutantloading water quality and environmental resources associated withPOTW discharges Using long-term trends in dissolved oxygen as the key indicator ofwater quality improvements, this book provides a detailedretrospective analysis of the effectiveness of the water pollutioncontrol policies and regulations of the 1972 Clean Water Act. Thesuccesses of the Act that have been achieved over the past 30 yearsare placed in the historical context of the "Great SanitaryAwakening" of the 19th century and changes in public policies forwater supply and water pollution control that have evolved duringthe 20th century to protect public health and the intrinsic valueof aquatic resources. Case study sites include the ConnecticutRiver, Hudson-Raritan Estuary, Delaware Estuary, Potomac Estuary,Upper Chattahoochee River, Ohio River, Upper Mississippi River, andWillamette River. Complete with end-of-chapter summaries and conclusions, MunicipalWastewater Treatment: Evaluating Improvements in National WaterQuality is an essential book for engineers, scientists, regulators,and consultants involved in water quality management and wastewatertreatment, as well as students of environmental engineering,environmental science, and public policy.
In 2008, the University of Pittsburgh Medical Centers (UPMC) hoisted its logo atop the U.S. Steel Building in downtown Pittsburgh, symbolically declaring that the era of big steel had been replaced by the era of big medicine for this once industrial city. More than 1,200 miles to the south, a similar sense of optimism pervaded the public discourse around the relationship between health care and the future of Houston's economy. While traditional Texas industries like oil and natural gas still played a critical role, the presence of the massive Texas Medical Center, billed as "the largest medical complex in the world," had helped to rebrand the city as a site for biomedical innovation and ensured its stability during the financial crisis of the mid-2000s. Taking Pittsburgh and Houston as case studies, The Medical Metropolis offers the first comparative, historical account of how big medicine transformed American cities in the postindustrial era. Andrew T. Simpson explores how the hospital-civic relationship, in which medical centers embraced a business-oriented model, remade the deindustrialized city into the "medical metropolis." From the 1940s to the present, the changing business of American health care reshaped American cities into sites for cutting-edge biomedical and clinical research, medical education, and innovative health business practices. This transformation relied on local policy and economic decisions as well as broad and homogenizing national forces, including HMOs, biotechnology programs, and hospital privatization. Today, the medical metropolis is considered by some as a triumph of innovation and revitalization and by others as a symbol of the excesses of capitalism and the inequality still pervading American society.
Meet the increasing need for effective brain tumor management with the highly anticipated revision of Brain Tumors by Drs. Andrew H. Kaye and Edward R. Laws. Over the past decade, enormous advances have been made in both the diagnosis and the surgical and radiotherapeutic management of brain tumors. This new edition guides you through the latest developments in the field, including hot topics like malignant gliomas, functional brain mapping, neurogenetics and the molecular biology of brain tumors, and biologic and gene therapy. Benefit from the knowledge and experience of Drs. Andrew H. Kaye and Edward R. Laws, globally recognized experts in the field of neurosurgery, as well as many other world authorities.
This pre-eminent work has developed over six editions in response to man's attempts to climb higher and higher unaided, and to spend more time at altitude for both work and recreation. Building on this established reputation, the new and highly experienced authors provide a fully revised and updated text that will help doctors continue to improve the health and safety of all people who visit, live or work in the cold, thin air of high mountains. The sixth edition remains invaluable for any doctor accompanying an expedition or advising patients on a visit to altitude, those specialising in illness and accidents in high places, and for physicians and physiologists who study our dependence on oxygen and the adaptation of the body to altitude.
Knowledge integration - the purposeful combination of specialized and complementary knowledge to achieve specific tasks - is becoming increasingly important for organizations facing rapidly changing institutional environments, globalized markets, and fast-paced technological developments. The need for knowledge integration is driven by knowledge specialization and its geographic and organizational distribution in the global economy. The increasing complexity and relevance of the knowledge integration problem is apparent in emerging new fields of research, such as open innovation, or the merging of existing ones, e.g. organizational learning and strategy. In global competition, the successful management of knowledge integration underpins firms' ability to innovate, generate profit, grow and, ultimately, survive. This book provides conceptual contributions as well as empirical studies that examine knowledge integration essentially as a 'boundary' problem. Knowledge integration becomes a problem when boundaries between knowledge fields, and the institutions that preside over those fields, are not clear, or become fluid and contestable. This fluidity, and the competitive pressures this fluidity generates, are persistent and permanent features of the world we live in. This book puts forward a consistent set of ideas, methods and tools useful to interpret, analyze and act upon the processes of knowledge integration across boundaries.
John Cross is a small-town pastor, bent on leading his flock to follow God's calling. He's not the sort of man one would expect to have a checkered past. But the truth is that the man behind the pulpit preaching to his sheep was once a wolf--an assassin for the CIA. When John decided to follow Christ, he put that work behind him, determined to pay penance for all the lives he took. He vowed never to kill again. Now someone wants the peaceful pastor to pay for his sins with his own life. And when a terrorist out for revenge walks into the church, John's secrets are laid bare. Confronted with his past, he must face his demons and discover whether a man can truly change. Can he keep his vow--even when the people he loves are in mortal danger? Will his congregation and the brave woman he's learning to care for be caught in the cross fire? In the end, his death may be the only sacrifice he has left to offer . . . Andrew Huff's thrilling debut is not only a riveting story of suspense, it's also a deep exploration of the moral quandaries that face those who choose to follow the Prince of Peace in a violent world.
In 2008, the University of Pittsburgh Medical Centers (UPMC) hoisted its logo atop the U.S. Steel Building in downtown Pittsburgh, symbolically declaring that the era of big steel had been replaced by the era of big medicine for this once industrial city. More than 1,200 miles to the south, a similar sense of optimism pervaded the public discourse around the relationship between health care and the future of Houston's economy. While traditional Texas industries like oil and natural gas still played a critical role, the presence of the massive Texas Medical Center, billed as "the largest medical complex in the world," had helped to rebrand the city as a site for biomedical innovation and ensured its stability during the financial crisis of the mid-2000s. Taking Pittsburgh and Houston as case studies, The Medical Metropolis offers the first comparative, historical account of how big medicine transformed American cities in the postindustrial era. Andrew T. Simpson explores how the hospital-civic relationship, in which medical centers embraced a business-oriented model, remade the deindustrialized city into the "medical metropolis." From the 1940s to the present, the changing business of American health care reshaped American cities into sites for cutting-edge biomedical and clinical research, medical education, and innovative health business practices. This transformation relied on local policy and economic decisions as well as broad and homogenizing national forces, including HMOs, biotechnology programs, and hospital privatization. Today, the medical metropolis is considered by some as a triumph of innovation and revitalization and by others as a symbol of the excesses of capitalism and the inequality still pervading American society.
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