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.
Reviews the epidemiology, pathogenesis, and environmental risk factors for atopic dermatitis. The clinical presentation of the condition and the differential diagnosis, disease severity scales, and appropriate focus of the evaluation are presented. Atopic dermatitis is often accompanied by serious co-morbidities, delineated in the book, which are important for the clinical to understand when formulating a treatment plan. Topical therapy, phototherapy, oral systemic, and biologic therapy are presented in separate chapters along with the clinical trial results of the various agents used in treatment. Published medical society guidelines are referenced. Coordinated management of the disease between the members of the care team is discussed. Currently, only a PDF of the book is available.
As the profession of clinical exercise physiology continues to evolve, there is one cornerstone text that evolves along with it. Clinical Exercise Physiology, Fourth Edition With Web Resource, has been a mainstay in the field since its inception in 2003, and the revisions and additions to this latest rendition reinforce its elite status. As the most comprehensive resource available, Clinical Exercise Physiology, Fourth Edition, provides greater coverage and depth of diseases than is typically found in most clinical exercise physiology textbooks. It thoroughly examines the effects of exercise on chronic disease and then investigates 24 chronic conditions, covering the scope of each disease as well as the pathophysiology, medications, and clinical applications. It also examines clinical considerations and exercise prescriptions for four special populations. This fourth edition reflects the latest American College of Sports Medicine (ACSM) standards and guidelines, making it an ideal resource for candidates preparing for ACSM Clinical Exercise Physiologist certification. In addition to updated content that aligns with current science and evidence-based practice guidelines, the fourth edition also incorporates the following: • A closer and more up-to-date look at the state of the profession • A new web resource featuring case studies that depict real-life scenarios • A new chapter on Parkinson’s disease • Enhanced coverage of exercise testing and exercise prescription, in separate chapters to delve deeper into each of those topics • An expanded chapter on end-stage renal disease, to more broadly cover chronic kidney disease • Significant revisions to chapters on metabolic syndrome, diabetes, and heart failure The online case studies are written in the form of SOAP (Subjective, Objective, Assessment, Plan) notes, reflecting common medical chart documentation, to help readers experience realistic examples. The text also offers Practical Application sidebars in each chapter; some of these sidebars focus on exercise prescription, and other Practical Application sidebars review the relevant literature related to physiological adaptations to exercise training. To aid in course preparation, instructors are provided a test package, chapter quizzes, and a presentation package plus image bank. Clinical Exercise Physiology, Fourth Edition, offers a contemporary review of the variety of diseases and conditions that students and professionals may encounter in the field. New and veteran clinical exercise physiologists alike, as well as those preparing for ACSM certification exams, will appreciate the in-depth coverage of the clinical populations that benefit from physical activity and exercise.
**Selected for Doody's Core Titles® 2024 in Transplantation Surgery** From basic science to practical clinical tools, Chronic Kidney Disease, Dialysis, and Transplantation, 4th Edition provides you with the up-to-date, authoritative guidance you need to safely and effectively manage patients with chronic renal disease. Covering all relevant clinical management issues, this companion volume to Brenner and Rector's The Kidney presents the knowledge and expertise of renowned researchers and clinicians in the fields of hemodialysis, peritoneal dialysis, critical care nephrology, and transplantation – for an all-in-one, indispensable guide to every aspect of this fast-changing field. - Contains expanded content on economics and outcomes of treatment, as well as acute kidney injury. - Covers hot topics such as the genetic causes of chronic kidney disease, ethical challenges and palliative care, and home hemodialysis. - Discusses the latest advances in hypertensive kidney disease, vitamin D deficiency, diabetes management, transplantation, and more. - Provides a clear visual understanding of complex information with high-quality line drawings, photographs, and diagnostic and treatment algorithms. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
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