This pilot study showed adequate feasibility and excellent retention to follow-up. Given the suggestion of possible worse neurobehavioral outcome with ABP, a larger trial to determine the optimal blood pressure management in this patient population is warranted. (ClinTrials.gov NCT01414894.)
Small, chlorinated coastal groundwater systems are uniquely susceptible to elevated (especially brominated) DBP formation, due to the potential for high bromide and DOM levels, technical and resource constraints, and limited regulatory oversight.
Interacting with operators on site has proved a valuable way to assess turbidity data collection practices and identify areas for training and process changes to optimize plant operations and filter performance.
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