SQIRTS - an on-site stormwater treatment and reuse approach to sustainable water management in Sydney

2002 ◽  
Vol 46 (6-7) ◽  
pp. 151-158 ◽  
Author(s):  
L. Dallmer
Keyword(s):  
Water Management ◽  
Best Practice ◽  
Monitoring Program ◽  
City Council ◽  
Stormwater Treatment ◽  
Stormwater Quality ◽  
Construction Monitoring ◽  
Sustainable Water Management ◽  
Management Approaches ◽  
Main Components

This paper describes part of a program undertaken by South Sydney City Council to promote sustainable water management The aim of the project, named SQIRTS (Stormwater Quality Improvement & Reuse Treatment Scheme) was to demonstrate best-practice water management approaches, to learn from the process of implementing these, and to encourage the further use of these technologies. It comprises three main components located in a suburban park: a gross pollutant trap (GPT), a stormwater reuse system, and interpretative artworks that aim to educate and interpret the water processes within the park. Results from the pre-construction monitoring program are presented.

Valuing stormwater, rainwater and wastewater in the soft path for water management: Australian case studies

2010 ◽  
Vol 62 (12) ◽  
pp. 2854-2861 ◽  
Author(s):  
A. Chanan ◽  
S. Vigneswaran ◽  
J. Kandasamy
Keyword(s):  
Water Management ◽  
Case Studies ◽  
Best Practice ◽  
Water Systems ◽  
City Council ◽  
Development Projects ◽  
Sustainable Water Management ◽  
The Future ◽  
Australian Case ◽  
Insight Into

A Water Sensitive City is now commonly acknowledged best practice for designing the cities of the future. In Australia, the National Water Initiative has allocated high priority towards offering insight into successful water sensitive urban development projects, to facilitate capacity building within the industry. This paper shares innovative water sensitive projects implemented at Kogarah City Council, in Sydney. Four key projects are discussed, demonstrating how stormwater, rainwater and wastewater can be incorporated into decentralised water systems to offer sustainable water management of the future. The case studies included in the paper highlight Kogarah's journey towards the Soft Path for Water Management.

A Guide to Coding and Billing for the Audiological Management of Patients Receiving Ototoxic Medical Treatments

2019 ◽  
Vol 4 (5) ◽  
pp. 936-946
Author(s):  
Dawn Konrad-Martin ◽  
Neela Swanson ◽  
Angela Garinis
Keyword(s):  
Otoacoustic Emissions ◽  
Best Practice ◽  
Private Insurance ◽  
Monitoring Program ◽  
Current Method ◽  
International Classification Of Diseases ◽  
Ethical Practice ◽  
Party Payer ◽  
High Frequency Audiometry ◽  
Icd 10

Purpose Improved medical care leading to increased survivorship among patients with cancer and infectious diseases has created a need for ototoxicity monitoring programs nationwide. The goal of this report is to promote effective and standardized coding and 3rd-party payer billing practices for the audiological management of symptomatic ototoxicity. Method The approach was to compile the relevant International Classification of Diseases, 10th Revision (ICD-10-CM) codes and Current Procedural Terminology (CPT; American Medical Association) codes and explain their use for obtaining reimbursement from Medicare, Medicaid, and private insurance. Results Each claim submitted to a payer for reimbursement of ototoxicity monitoring must include both ICD-10-CM codes to report the patient's diagnosis and CPT codes to report the services provided by the audiologist. Results address the general 3rd-party payer guidelines for ototoxicity monitoring and ICD-10-CM and CPT coding principles and provide illustrative examples. There is no “stand-alone” CPT code for high-frequency audiometry, an important test for ototoxicity monitoring. The current method of adding a –22 modifier to a standard audiometry code and then submitting a letter rationalizing why the test was done has inconsistent outcomes and is time intensive for the clinician. Similarly, some clinicians report difficulty getting reimbursed for detailed otoacoustic emissions testing in the context of ototoxicity monitoring. Conclusions Ethical practice, not reimbursement, must guide clinical practice. However, appropriate billing and coding resulting in 3rd-party reimbursement for audiology services rendered is critical for maintaining an effective ototoxicity monitoring program. Many 3rd-party payers reimburse for these services. For any CPT code, payment patterns vary widely within and across 3rd-party payers. Standardizing coding and billing practices as well as advocacy including letters from audiology national organizations may be necessary to help resolve these issues of coding and coverage in order to support best practice recommendations for ototoxicity monitoring.

Issues in sustainable water management of irrigation systems in Sri Lanka

2019 ◽  
Author(s):  
D.C. Sirimewan1 ◽  
◽  
N.H.C. Manjula ◽  
A. Samaraweera ◽  
A.P.K.D. Mendis ◽  
...  
Keyword(s):  
Water Management ◽  
Sri Lanka ◽  
Irrigation Systems ◽  
Sustainable Water Management

Impact of climate change on water availability in Tropical Andean catchments: a case study in the Vilcanota catchment, Peru

2021 ◽  
Author(s):  
Selina Meier ◽  
Randy Munoz ◽  
Christian Huggel
Keyword(s):  
Climate Change ◽  
Water Management ◽  
Water Demand ◽  
Climate Models ◽  
Local Population ◽  
Time Step ◽  
Glacier Surface ◽  
Hydrological Simulation ◽  
Sustainable Water Management ◽  
Monthly Runoff

<p>Water scarcity is increasingly becoming a problem in many regions of the world. On the one hand, this can be attributed to changes in precipitation conditions due to climate change. On the other hand, this is also due to population growth and changes in consumer behaviour. In this study, an analysis is carried out for the highly glaciated Vilcanota River catchment (9808 km<sup>2</sup> – 1.2% glacier area) in the Cusco region (Peru). Possible climatic and socioeconomic scenarios up to 2050 were developed including the interests from different water sectors, i.e. agriculture, domestic and energy.</p><p>The analysis consists of the hydrological simulation at a monthly time step from September 2043 to August 2050 using a simple glacio-hydrological model. For historic conditions (1990 to 2006) a combination of gridded data (PISCO precipitation) and weather stations was used. Future scenario simulations were based on three different climate models for both RCP 2.6 and 8.5. Different glacier outlines were used to simulate changes in glacier surface through the time for both historic (from satellite data) and future (from existing literature) scenarios. Furthermore, future water demand simulations were based on the SSP1 and SSP3 scenarios.</p><p>Results from all scenarios suggest an average monthly runoff of about 130 m<sup>3</sup>/s for the Vilcanota catchment between 2043 and 2050. This represents a change of about +5% compared to the historical monthly runoff of about 123 m<sup>3</sup>/s. The reason for the increase in runoff is related to the precipitation data from the selected climate models. However, an average monthly deficit of up to 50 m<sup>3</sup>/s was estimated between April and November with a peak in September. The seasonal deficit is related to the seasonal change in precipitation, while the water demand seems to have a less important influence.</p><p>Due to the great uncertainty of the modelling and changes in the socioeconomic situation, the data should be continuously updated. In order to construct a locally sustainable water management system, the modelling needs to be further downscaled to the different subcatchments in the Vilcanota catchment. To address the projected water deficit, a new dam could partially compensate for the decreasing storage capacity of the melting glaciers. However, the construction of the dam could meet resistance from the local population if they cannot be promised and communicated multiple uses of the new dam. Sustainable water management requires the cooperation of all stakeholders and all stakeholders should be able to benefit from it so that they will support future projects.</p>

Understanding Opioid Prescribing Practices of Resident Physicians

2021 ◽  
pp. 000313482110604
Author(s):  
Julia M. Coughlin ◽  
Samantha L. Terranella ◽  
Ethan M. Ritz ◽  
Thomas Q. Xu ◽  
John F. Tierney ◽  
...  
Keyword(s):  
Best Practice ◽  
Monitoring Program ◽  
Resident Training ◽  
Prescribing Practices ◽  
Exact Test ◽  
Opioid Prescribing ◽  
Resident Physicians ◽  
Order Sets ◽  
Patient’S History ◽  
Safe Opioid Prescribing

Background To compare opioid prescribing practices of resident physicians across a variety of surgical and nonsurgical specialties; to identify factors which influence prescribing practices; and to examine resident utilization of best practice supplemental resources. Methods An anonymous survey which assessed prescribing practices was completed by residents from one of several different subspecialties, including internal medicine, obstetrics and gynecology, general surgery, neurosurgery, orthopedic surgery, and urology. Fisher’s exact test assessed differences in prescribing practices between specialties. Results Only 35% of residents reported receiving formal training in safe opioid prescribing. Overall, the most frequently reported influences on prescribing practices were the use of standardized order sets for specific procedures, attending preference, and patient’s history of prescribed opioids. Resident physicians significantly underutilize best practice supplemental resources, such as counseling patients on pain expectations prior to prescribing opioid medication; contacting established pain specialists; screening patients for opioid abuse; referring to the Prescription Monitoring Program; and counseling patients on safe disposal of unused pills ( P < .001). Discussion The incorporation of comprehensive prescribing education into resident training and the utilization of standardized order sets can promote safe opioid prescribing.

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