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Implications of de Facto Reuse on Future Regulatory Developments for Beaufort-Jasper Water & Sewer Authority in Okatie, South Carolina, USA

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Journal of Environmental protection 2024年第2期15卷 173-192页

作者： tricia H. Kilgore Shubhashini Oza Jeremy Hatfield Katherine Y. Bell Department of Technology and Innovation Beaufort-Jasper Water & Sewer Authority Okatie SC USA Department of Research and Innovation Brown and Caldwell Charlotte NC USA Department of Digital Solutions Brown and Caldwell Cleveland OH USA Department of Research and Innovation Brown and Caldwell Nashville TN USA

A significant portion of the national water supply can be attributed to de facto or unplanned potable reuse, though the extent of its contribution is difficult to estimate. Fortunately, the contribution of Water Resource Recovery Facility (WRRF) effluent to waters that supply drinking water treatment plants has been documented by some communities. In the United States (US), among the top 25 most impacted drinking water treatment plants by upstream WRRF, 16% of the influent flow to the drinking water treatment plant under average streamflow and up to 100% under low-flow conditions is WRRF effluent. Currently, the full extent of de facto reuse in the US may be much higher because of population growth. The scenario is no different for Beaufort-Jasper Water and Sewer Authority (BJWSA) in South Carolina, US, with contributions to the Savannah River originating from numerous WRRF and other upstream dischargers. South Carolina coastal utilities such as BJSWA are considering direct and indirect potable reuse options, driven by disposal limitations and challenges. Currently, South Carolina does not have a framework, guidelines, or regulations for reuse, but discussions have started among the regulated community. In addition to understanding the extent of de facto reuse, the state will need to develop standards and best practices to enable future adoption of planned potable reuse solutions to water resources challenges. Such guidance should address human health risk management and technical considerations regarding treatment in addition to other factors, including source control, storage, fail-safe operation, monitoring, non-cost factors, and public acceptance. This study conducted a mapping assessment specific to BJWSA, sampled at four locations on Savannah River, and observed that de facto reuse is approximately 4.6% to 5.9% during low-flow months and is within the range generally observed nationwide. When coupled with evidence that planned potable reuse can improve human h

关键词： Water Reuse De Facto Reuse planned potable Reuse Water Recycling Wastewater Derived Contaminants

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西南英格兰文学之旅

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中国国家旅游 2024年第3期 44-79页

作者：千江月干江水(图) tricia(图) 不详

也许是因为离伦敦太近,英格的西南部地区在表面上并没有什么鲜明张扬之处,但这里毕竟拥有英伦主岛最温暖的阳光和最优越的自然条件,因此“小邑犹藏万家室”,体量虽小,却几乎一郡一品、一城一格。不仅如此,西南英格兰还是英格的文脉所在... 详细信息

也许是因为离伦敦太近,英格的西南部地区在表面上并没有什么鲜明张扬之处,但这里毕竟拥有英伦主岛最温暖的阳光和最优越的自然条件,因此“小邑犹藏万家室”,体量虽小,却几乎一郡一品、一城一格。不仅如此,西南英格兰还是英格的文脉所在从戏剧、诗作长篇小说到影视经典,不计其数的文化名作都孕育于此,这让我本次的探访行程成了一次名副其实的“文学之旅”。

关键词：英格文学之旅名副其实

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Transient decrease in sound tolerance levels following hearing deprivation in normal-hearing subjects

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Journal of Otology 2022年第4期17卷 232-238页

作者： Eleazar Grateron tricia Scaglione Shriya Airen Stefania Goncalves Sinay A.Ceballos David Baguley Juan A.Chiossone Fundacion Venezolana de Otología Clinical Research GroupVenezuela University of Miami Department of OtolaryngologyUSA University of nottingham Hearing ScienceUK

Objective:To determine the circadian influence on sound sensitivity produced by temporal hearing deprivation in healthy normal human ***:participants underwent bilateral earplugging before completion of anthropometry,the author's developed questionnaire,the Hamilton Anxiety and Depression Inventory,pure tone audiometry(pTA),stapedial reflex thresholds(SRT),distortion products otoacoustic emissions input/output(DpOAE-I/O),and uncomfortable loudness levels(ULLs).Afterward,the participants were randomly divided into group A,starting at 8:00 *** finishing at 8:00 p.m.,and group B,starting at 4:00 *** ending at 4:00 *** cortisol levels and audiological test results were obtained at the beginning and end of the session and 24-h free urinary cortisol levels were *** sample:Thirty healthy ***:pTA was 2.68 and 3.33 dB HL in groups A and B,respectively,with no statistical difference between *** were significantly lower in group A compared to group B,with an average of 8.1 dB SpL in group A and 3.3 dB SpL in group B(pn group A,with no difference in group B,and a night shift in DpOAE-I/O in group ***:Reduced loudness tolerance is demonstrated during daytime hearing deprivation in contrast to nighttime;this may be due to increased central gain in the awake cortex.

关键词： Hyperacusis Central gain Hearing deprivation

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Lymphangitic spread from appendiceal adenocarcinoma to ileocecal valve, mimicking Crohn's disease

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World Journal of Gastroenterology 2015年第7期21卷 2206-2209页

作者： tricia Murdock nicholas Lim Maryam Zenali Department of pathology University of Vermont-College of Medicine/Fletcher Allen Health Care Department of Medicine-Gastroenterology University of Vermont-College of Medicine/Fletcher Allen Health Care

Due to the anatomical peculiarity of the appendix,diagnosis of tumors arising from this area can be challenging by clinicoradiologic *** report a case of a rare primary appendiceal signet ring carcinoma with an uncommon *** 86-year-old woman was admitted toour hospital with subacute epigastric *** tomography demonstrated bowel wall thickening with fat stranding in the ileocecal *** leading diagnostic consideration was inflammatory bowel *** colonoscopy,a swollen,distorted ileocecal valve was *** remaining colon was otherwise *** biopsy sampling of the ileocecal region and colon was performed.A lymphangitic signet ring carcinoma within the ileocecal region was diagnosed on biopsy;there was no dysplasia or carcinoma of the remaining *** cytomorphology and immunoprofile,a lymphangitic signet ring carcinoma of appendiceal origin was the primary consideration,further confirmed upon subsequent *** case represents an unusual pattern of appendiceal tumor spread with localized,lymphangitic involvement,creating a milieu which closely simulates Crohn’s disease on imaging modalities.

关键词： Signet ring carcinoma Crohn’s disease Inflammatory

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模拟教学理论框架在心力衰竭高仿真模拟课程中的应用效果研究

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International Journal of nursing Sciences 2023年第4期10卷 549-554,I0004页

作者： tricia nwokocha nancy Cowan pinio Yan Cao Holly Wei Satish Mahajan nursing Scholarship and University School of nursing Affiliations for Veterans Affairs palo Alto Healthcare System Palo AltoCAUSA Chabot College CAUSA East Tennessee State University College of nursing Johnson CityTNUSA patient Care Service for Veterans Affairs palo Alto Healthcare System CAUSA

目的探讨基于美国国家护理联盟(national league for nursing)杰弗里斯(nLn Jeffries)仿真框架的心力衰竭护理高保真仿真教育对职前护理教育的影响。方法在美国萨克拉门托卡林顿学院进行心力衰竭高仿真模拟教学试点项目。23名学生参加... 详细信息

目的探讨基于美国国家护理联盟(national league for nursing)杰弗里斯(nLn Jeffries)仿真框架的心力衰竭护理高保真仿真教育对职前护理教育的影响。方法在美国萨克拉门托卡林顿学院进行心力衰竭高仿真模拟教学试点项目。23名学生参加了这项研究。本研究采用类实验设计,在教学前后测量学生的自我效能感、满意度和心力衰竭临床知识。结果结果显示,在高仿真模拟教学实施后,学生的自我效能感平均得分(45.39±7.88比38.91±8.35)、满意度(18.70±3.38比15.57±3.38)及心力衰竭临床知识得分(64.09±10.86比54.48±11.19)均明显提高(pnLn Jeffries理论框架的心力衰竭高仿真模拟教学提高了学生的知识、满意度、自我效能感及以患者为中心的护理、安全和团队合作意识。护理教育工作者在进行模拟教学计划时应考虑包含5个特性,即目标、解决问题、为学生提供支持、保真度和总结报告,同时结合安全、以患者为中心和团队合作教育,以保障教学效果。

关键词：高仿真模拟教学护理教育护理专业学生满意度自我效能

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威尼托执着与醇美

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中国国家旅游 2023年第9期 52-79页

作者： tricia(文/图) 不详

意大利北部的威尼托大区有着丰富的物产资源,阿夏戈奶酪、意式白兰地、意式起泡酒都是风靡全球的特产。除了美食,这里清新的自然风光、古雅的建筑也散发着醉人的魅力,而在我看来,当地人对于传承的执着才是最令人钦佩的地方:不少传统企... 详细信息

意大利北部的威尼托大区有着丰富的物产资源,阿夏戈奶酪、意式白兰地、意式起泡酒都是风靡全球的特产。除了美食,这里清新的自然风光、古雅的建筑也散发着醉人的魅力,而在我看来,当地人对于传承的执着才是最令人钦佩的地方:不少传统企业的经营者都秉承着父辈的理想,满腔热情地投身在家族的百年事业中。当我行走在威尼托的一座座古老小镇中时,总能透过集市的繁荣看到意大利人的勤奋与执着一一正是这样的精神,才酿造出了威尼托独特的醇美。

关键词：起泡酒物产资源白兰地意大利北部威尼托奶酪自然风光美食

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组织文化对促进护士专业认证的作用

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International Journal of nursing Sciences 2023年第2期10卷 189-198页

作者： Holly Wei Lisa MHaddad tricia A.nwokocha Margaret powers Aaron Wei Quinton Carroll nancy Ballard East Tennessee State University College of nursing Johnson CityTNUSA nursing Educator Core Faculty Clinical Practice and Professional Development ServicePalo AltoCAUSA University of Louisville LouisvilleKYUSA University of north Carolina at Chapel Hill NCUSA Kennesaw State University Wellstar School of nursing KennesawGAUSA

目的护理专业认证验证了护士在疾病管理、教育或领导能力方面掌握的专业知识高于入门级教育和许可.护理专业认证与患者护理质量直接相关.然而,护士的专业认证率仍然较低.本研究旨在了解护士对能够促进或阻碍专业认证的看法,以促进护士... 详细信息

目的护理专业认证验证了护士在疾病管理、教育或领导能力方面掌握的专业知识高于入门级教育和许可.护理专业认证与患者护理质量直接相关.然而,护士的专业认证率仍然较低.本研究旨在了解护士对能够促进或阻碍专业认证的看法,以促进护士获得专业认证的愿望和能力.方法 2022年5-9月,基于1项在美国进行的大型调查研究的嵌套样本进行质性研究.在同意接受访谈的护士中,使用目的抽样方法来实现样本的多样性,例如护士的工作年限、种族和认证状态.信息达到饱和用于确定样本量.通过虚拟面对面深入访谈收集资料.编码过程基于Colaizzi的资料分析方法进行.结果 20名护士参与了此项研究.共呈现5个主题,与促进护士专业认证的组织文化和策略相关,包括:共享资源,培养主人翁文化和归属感,指导和榜样,认可护士的努力和成就,以及培养意义感和追求目标及提供支持.结论组织文化和领导力在促进持续学习环境方面发挥着重要作用.发展促进护士专业认证的组织文化非常必要.这项研究明确了组织文化是支持护士获取认证的重要领域.需要进行更多研究来评估可能影响护理专业初始和持续认证水平的干预措施,尤其是在新型冠状病毒疫情之后.

关键词：认证促进因素和障碍领导力护士组织文化

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5 days for the best of China

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中国周刊 2003年第12期 31-33页

作者： tricia CARSWELL

The last time I had seen my friend, Carolyn, was in 1982. Her husband, a church minister, had been transferred out of our small town and two moves later for both of us, we caught up with their family in the province of Saskatchewan, Canada. After that, we moved eight times; they divorced and Carolyn moved eight times as well. Then, 21 years later, through the miracle of television, we recognised her on a broadcast about year-

关键词： for this it on of days for the best of China that into

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Old Chinese Feng Shui popular in the West Introductory Moves for Feng Shui

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中国周刊 2003年第4期 32-34页

作者： tricia Carswell

Checking the Balance of ChiOnce I came to grips with Chi and understood the concepts of feng shui (previous issue of Chinaweek ), I went into a frenzy of re-arranging my furniture and accessories, and adding a few more interior decorations. My husband just laughed and settled into his favorite chair which now faced the balcony, instead of the TV!Down the street, Martha did not know it, but her bathroom, toilet, laundry, and

关键词： in of be it as for Old Chinese Feng Shui popular in the West Introductory Moves for Feng Shui

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Womens’language lost

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中国周刊 2004年第9期 26-29页

作者： tricia Carswell

In 1994, the popular actress Jodie Foster starred as a speech-challenged teen in the movie nell. The storyline appealedto me, a linguist, because the heroine lived alone with hermother, who had suffered a stroke and w... 详细信息

关键词： Womens language lost

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