PubMed · 10579755
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S B Sheehy. 1999. Looking back.. https://doi.org/10.1016/s0099-1767(99)70002-4
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Effluent from a large combined sewer overflow (CSO) in Boston and receiving waters near the CSO outfall were sampled during dry and wet weather conditions. Surficial sediments were also collected from the vicinity of the CSO and at nearby sites. The samples were analyzed for a variety of organic constituents including organic carbon and nitrogen, linear alkylbenzenes (LABs), coprostanol and polychlorinated biphenyls (PCBs). As judged by the presence of waste-specific markers (LABs, coprostanol), the CSO effluent contains sewage under both dry and wet weather conditions. When rainfall occurs, the concentration of suspended solids and all organic constituents in the particulate phase increase, ultimately approaching those characteristic of untreated sewage. The concentrations of LABs and PCBs in the effluent are strongly correlated, indicating that PCBs in the CSO are derived from sewage inputs. During heavy rainfall, the vast majority (> 90%) of the hydrophobic organic substances are associated with suspended particulate matter, whereas during dry weather, a significant fraction resides in the operationally defined 'dissolved' phase. Estimates of the mass emission rates of CSO constituents show that > 70% of the suspended particles and > 90% of the particulate organic carbon, hydrocarbons and trace organics are discharged during wet weather. Particles in the receiving water appear to be strongly influenced by the CSO effluent during wet weather. Concentrations of PCBs in surficial sediments near the CSO are correlated with those of coprostanol and the LABs, indicating that these compounds are derived from similar sources. Based on the observed correlations, approximately 60-80% of the sedimentary PCBs originate from sewage. Comparison of sigma LAB/coprostanol ratios of effluent particles, surficial sediments and sewage sludges suggest that the vast majority of the marker compounds and the PCBs in sediments are not from the CSO, but are derived from one of two sewage treatment plants that discharged sludge into the harbor until 1991. The sludge-derived contaminants were probably carried by tidal currents into Dorchester Bay and deposited in shallow, quiescent embayments where sedimentation is favored. These results illustrate the potential importance of long-range transport of waste-derived contaminants in urban harbors and their rapid accumulation in localized depocenters.
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PURPOSE: Institutional structure, function, and philosophy reflect the organizational needs, and tend to mirror societal values of the times. For many years, the field of radiation oncology had among its major academic centers, an organization that served as a model for collaboration among health care institutions in an effort to serve the common good of its patients, hospitals, professional colleagues, and community. For over three decades, the Joint Center for Radiation Therapy (JCRT) was a leader in developing new organizational approaches for academic and clinical radiation oncology through the philosophy of collaboration in patient care, education, and research. METHODS AND RESULTS: In tracing the development and changes in organizational philosophy and structure of the JCRT, one can see the impact on academic oncology and cancer care through the emergence of both radiation and medical oncology as independent subspecialties, the importance of the National Cancer Act of 1971 accompanied by the growth of the NIH research and training programs and, more recently, the effect of the changing attitudes and approaches of hospitals, academicians, practitioners, and policy makers to health care delivery, structures, and cooperation. CONCLUSION: Lessons learned from the 31-year history of the JCRT may help provide organizational insight useful in guiding academic oncology and academic medical centers through periods of change.