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TMDLs apply to both point sources and nonpoint sources and they represent the primary impetus for WQT programs. Point sources of pollutants that require NPDES permits often have strict discharge limits based on a TMDL. WQT can allow these sources to obtain lower costs of compliance, while still achieving the overall desired pollution reduction.
The original scoring system was developed before the invention of pulse oximetry and used the patient's colouration as a surrogate marker of their oxygenation status. A modified Aldrete scoring system was described in 1995 [2] which replaces the assessment of skin colouration with the use of pulse oximetry to measure SpO 2.
A review of systems (ROS), also called a systems enquiry or systems review, is a technique used by healthcare providers for eliciting a medical history from a patient. It is often structured as a component of an admission note covering the organ systems, with a focus upon the subjective symptoms perceived by the patient (as opposed to the objective signs perceived by the clinician).
Maryland state medical journal, 14, pp. 61–65.). Collin et al. (1988) argued that the original scoring system gave an exaggerated impression of accuracy and subsequently proposed a modification where each domain was scored in one-point increments with a full score of 20 indicating functional independence (Collin, C. et al., 1988.
An outfall is the discharge point of a waste stream into a body of water; alternatively it may be the outlet of a river, drain or a sewer where it discharges into the sea, a lake or ocean. United States of America
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In general, a checklist is a quality management tool, an aid to completing a complex task correctly and completely. It is an aid to recall, provides a reminder of the correct sequence, and uses the operator's knowledge and skill efficiently to ensure that no critical steps are omitted, even when the operator is under stress or has degraded attention due to fatigue or other distractions, It ...
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