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« How One Utility Is Changing the Clean Energy Business in Brooklyn and Queens
Power Companies and States – On Track to Meet Clean Power Plan Goals »
By Tomas Carbonell / / Published:

(EDF Attorney Ben Levitan co-authored this post)

Two weeks from today , on September 27 th , the U.S. Court of Appeals for the D.C. Circuit will hear oral argument on the mid waist leather leggings Black Saint Laurent Shopping Online For Sale vavTswP8K
— our nation’s first-ever limits on dangerous, climate-destabilizing carbon pollution from power plants. Fossil fuel power plants are the country’s single largest source of this pollution, and among the world’s largest contributors to climate change.

Two weeks from today

As we’ve noted before, the Clean Power Plan has a solid legal foundation and is supported by many of the nation’s Clearance Prices Stud Buckle Ankle Boot With Cone Heel Black New Look Enjoy Clearance Order New Arrival Amazing Price Cheap Price eiVnqT
. The U.S. Environmental Protection Agency (EPA) has issued similarly flexible, cost-effective pollution limits for decades under Republican and Democratic administrations alike, resulting in generations of healthier Americans and enormous economic benefits . Nevertheless, opponents of the Clean Power Plan — the coal industry, coal-intensive power companies and allied states — will almost certainly claim on September 27 that EPA has overstepped its bounds.

One particular claim you can expect to hear is that EPA does not have the authority to regulate carbon pollution from existing power plants under section 111 of the Clean Air Act because EPA has already regulated those same power plants — for entirely separate toxic substances like mercury, arsenic, acid gases and other hazardous air pollutants — under section 112 of the Clean Air Act. This Pay With Visa Online printed Tshirt White Golden Goose Cheap Sale Find Great Shopping Online Sale Online Outlet Fast Delivery uxzMi
is akin to arguing that a restaurant that has complied with health standards can’t be subject to the fire code.

This “pick your poison” legal theory is antithetical to the public health foundations of the Clean Air Act and utterly self-serving to the interests of polluters. Under this reading of the Clean Air Act, some dangerous pollution could be emitted in unlimited quantities no matter how much harm it inflicts upon our health and environment.

But opponents of the Clean Power Plan haven’t always sung this same tune. There are several prominent examples of Clean Power Plan opponents conceding EPA’s authority to regulate carbon pollution from existing power plants — sometimes even citing section 111 of the Clean Air Act, the very statutory provision that is the basis for the Clean Power Plan.

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© 2018 Oxford University Press

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Abstract

The critical nature of the microbiology laboratory in infectious disease diagnosis calls for a close, positive working relationship between the physician/advanced practice provider and the microbiologists who provide enormous value to the healthcare team. This document, developed by experts in laboratory and adult and pediatric clinical medicine, provides information on which tests are valuable and in which contexts, and on tests that add little or no value for diagnostic decisions. This document presents a system-based approach rather than specimen-based approach, and includes bloodstream and cardiovascular system infections, central nervous system infections, ocular infections, soft tissue infections of the head and neck, upper and lower respiratory infections, infections of the gastrointestinal tract, intra-abdominal infections, bone and joint infections, urinary tract infections, genital infections, and other skin and soft tissue infections; or into etiologic agent groups, including arthropod-borne infections, viral syndromes, and blood and tissue parasite infections. Each section contains introductory concepts, a summary of key points, and detailed tables that list suspected agents; the most reliable tests to order; the samples (and volumes) to collect in order of preference; specimen transport devices, procedures, times, and temperatures; and detailed notes on specific issues regarding the test methods, such as when tests are likely to require a specialized laboratory or have prolonged turnaround times. In addition, the pediatric needs of specimen management are also emphasized. There is intentional redundancy among the tables and sections, as many agents and assay choices overlap. The document is intended to serve as a guidance for physicians in choosing tests that will aid them to quickly and accurately diagnose infectious diseases in their patients.

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Unlike other areas of the diagnostic laboratory, clinical microbiology is a science of interpretive judgment that is becoming more complex, not less. Even with the advent of laboratory automation and the integration of genomics and proteomics in microbiology, interpretation of results still depends on the quality of the specimens received for analysis whether one is suspecting a prokaryote or a eukaryote as the etiologic agent, both of which are featured in this document. Microbes tend to be uniquely suited to adapt to environments where antibiotics and host responses apply pressures that encourage their survival. A laboratory instrument may or may not detect those mutations, which can present a challenge to clinical interpretation. Clearly, microbes grow, multiply, and die very quickly. If any of those events occur during the preanalytical specimen management processes, the results of analysis will be compromised and interpretation could be misleading.

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