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Background-Ectopic pregnancy is common among young women. Treatment can consist of either surgery with salpingectomy or salpingostomy or medical management with methotrexate. In addition to acute complications, treatment of ectopic pregnancy can result in long term sequelae including decreased fertility. Little is known about the patterns of care and predictors of treatment in women with ectopic pregnancy. Similarly, data on outcomes for various treatments are limited.Objective-We examined the patterns of care and outcomes for women with ectopic pregnancy. Specifically, we examined predictors of medical (vs. surgical) management of ectopic pregnancy and tubal conservation (salpingostomy vs. salpingectomy) among women who underwent surgery.Study Design-The Perspective database was used to identify women with a diagnosis of tubal ectopic pregnancy treated from 2006-2015. Perspective is an all-payer database that collects data on patients at hospitals from throughout the U.S. Women were classified as having undergone medical management if they received methotrexate and surgical management if treatment consisted of salpingostomy or salpingectomy. Multivariable models were developed to examine predictors of medical treatment and of tubal conserving salpingostomy among women treated surgically.Results-Among the 62,588 women, 49,090 (78.4%) were treated surgically and 13,498 (21.6%) received methotrexate. Use of methotrexate increased from 14.5% in 2006 to 27.3% by 2015 (P<0.001). Among women who underwent surgery, salpingostomy decreased over time from

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Rainwater harvesting (RWH) has traditionally been implemented in areas with (semi) arid climates or limited access to potable water supplies; however, recent droughts in the humid southeastern United States have led to increased implementation of RWH systems. The objectives of this study were twofold: (1) present usage characteristics and performance results for four RWH systems installed in humid North Carolina (NC) as compared with systems located in arid/semiarid regions and (2) identify system benefits and modifications that could help improve the performance of RWH systems installed in humid regions of the world. For this study four RWH systems were installed in NC. Their usage was monitored for at least one year and compared with similar studies. Results revealed that dedicated water uses and usage characteristics for RWH systems in NC differed from those previously reported in the literature. Two of the systems studied met 100 and 61% of the potable water demand with designated uses of animal kennel flushing and greenhouse irrigation, respectively. The designated uses yielding the greatest potable water replacement were often seasonal or periodic, thus necessitating the need for identifying and implementing secondary objectives for these systems, namely, stormwater management. Otherwise, the expense and effort required to implement RWH systems in humid areas will most likely preclude their use.