A number of communities in the Central Valley of California have requested that seasonally based effluent limits be developed for their wastewater treatment facilities. These seasonal limits would be based on disinfected secondary treatment during the winter and disinfected tertiary treatment during the rest of the year. Such a request for seasonal limits raises a significant water quality poli...

Objective: There has been a global increase in the incidence of abdominal trauma in surgical patients. We conducted this study to evaluate the pattern of abdominal injuries, patient characteristics and the management outcome in our setting.Methods: It was a descriptive (combined retrospective and prospective) study of all patients with abdominal trauma admitted and managed at Ekiti State ...

Early diagnosis and timely initiation of treatment of cancer patients may improve survival and quality of life. Various measures of delay can be made during diagnosis and treatment initiation. Most of the studies were based on single type of cancer with different definitions and measurements of delay in diagnosis and treatment. Thus, it has been difficult to synthesize results and generalize to...

OBJECTIVE To evaluate the cost-effectiveness of tertiary referral care for ovarian cancer patients in the Netherlands. METHODS We collected clinical and registry data on 1077 newly diagnosed ovarian cancer patients treated from 1996-2003 in a random sample of Dutch hospitals. Decision modelling was used to compare the cost-effectiveness of treatment in general hospitals, semi-specialized hosp...

abstract background: postpartum period is the critically important part of obstetric care but most neglected period for majority of pakistani women. only life threatening complications compel them to seek for tertiary hospital care. we describe the nature of these obstetric morbidities in order to help policymakers in improving prevailing situation. objective: to find out the frequency and caus...

background: periodic epidemiological studies are necessary to understand the pattern of poisoning in each region. this study was designed to evaluate the pattern of acute poisoning cases treated in a tertiary care hospital in navi mumbai, india. methods: this cross sectional study was conducted at dr. d. y. patil medical college, hospital and research centre during july 2012 to july 2013. all c...

Life Cycle Assessment has been used to compare different scenarios involving wastewater reuse, with special focus on toxicity-related impact categories. The study is based on bench-scale experiments applying ozone and ozone in combination with hydrogen peroxide to a wastewater effluent from a Spanish sewage treatment plant. Two alternative characterisation models have been used to account for t...