34 research outputs found

    Out in Front: State and Federal Regulation of Air Pollution Emissions from Oil and Gas Production Activities in the Western United States

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    As oil and gas development increases in western states, states are responding at different speeds to protect human health and the environment. Colorado and Wyoming are recognized as having taken relatively early action to regulate air pollution emissions from oil and gas development, with Wyoming adopting its first sector-specific requirements in 1999. In contrast, New Mexico and Utah have been relatively slow to act. Furthermore, the U.S. Environmental Protection Agency did not adopt emissions standards for most oil and gas production activities until 2012, when it relied on Colorado and Wyoming as proving grounds for control technology. The regulatory history in these four western states shows that concern about ozone nonattainment was an important driver for control requirements in Colorado and Wyoming. These two states also have a history of relatively stringent pre-construction permitting requirements for small sources. In some areas, National Environmental Policy Act requirements for cumulative impact assessment drove adoption of tighter controls to mitigate impacts of growth. Moving forward, federal emissions standards will even out control requirements for new sources across the western states. However, control efforts that go beyond the 2012 federal standards will likely be needed in ozone nonattainment areas in western Wyoming, northeastern Utah, Colorado’s Front Range, and in Indian Country. Further efforts will also be needed to address greenhouse gas emissions including methane

    Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

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    Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020
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