Systemic long-term impact of clinical pathways: UPMC experience with hysterectomy patients

Environment Systems and Decisions - Clinical pathways are defined as evidence-based, multidisciplinary care algorithms that outline essential steps in the management of patients. Pathway...     

Natural attenuation of MTBE and BTEX compounds in a petroleum contaminated shallow coastal aquifer

Natural attenuation of MTBE and BTEX compounds in a petroleum contaminated coastal aquifer in the Tel-Aviv area was investigated. Significant decrease in MTBE concentration and complete disappearance of BTEX compounds occur within 100 m groundwater flow. Highly anaerobic conditions were determined in the close vicinity to the spill source. In order to examine the contribution of microbial degradation to the attenuation process at anaerobic conditions, compound-specific carbon isotope ratio analysis was employed. Carbon isotope enrichment of toluene up to 2.4% along with the drop in its concentration up to 80% was observed within 20 cm below the water table. The lack of isotope fractionation despite the significant concentration decrease for other studied compounds indicates significant contribution of abiotic processes to the natural attenuation.