Extrinsic asthma

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These stations are located in Baltimore, Cantonville, Curtis Bay, Gwynn Oak, Owings Mills, Randallstown, Reisterstown, and Timonium.
EPA cited the stations for a variety of alleged violations that could release harmful volatile organic compounds into the air as customers fill up their gas tanks and when gasoline is delivered to the stations. Volatile organic compounds contribute to ground-level ozone pollutants.
The alleged violations include failure to use federally approved pump nozzles that recover gasoline vapors, failure to repair damaged or defective pump nozzles, failure to remove the overflow of gasoline spilled while delivering it to storage tanks, failure to repair damaged storage system caps and piping, failure to provide adequate training and instructions to the operators of the gasoline dispensing facilities, failure to maintain records of system operation and failure to have signs posted on how to use the systems with a telephone number to call if there is a problem. The alleged violations all relate to gasoline vapor recovery systems.
Since high levels of ozone smog can cause serious breathing problems, especially for people with asthma, controlling these pollutants is important to protecting public health, said Donald S. Welsh. Vapor recovery systems capture 90 percent of the vapors released during refueling. So, installing and maintaining these systems is important to our air quality.
These alleged violations were found during EPA inspections in February 2008. The gas stations have agreed to pay $12,500 in civil penalties, with individual station penalties from $500 to $1,500

Two of the five have arrived.
Dr. Marc Perlman, the Nemours lead hospitalist at LGH, spends his day going in and out of the rooms of the children whose pediatricians utilize his services.
The gentle-voiced doctor in blue scrubs spends time talking with the mother of a boy hospitalized for pneumonia, after he examines the child.
As hospital care gets more demanding and complex, we have doctors who can repeatedly see a patient or be at their bedside all day long, he says.
Dr. Kevin Lorah, Lancaster General's medical director for children's services, says the hospital decided to retain the Nemours doctors in part so that it could more readily serve the needs of complex pediatric patients, such as children struggling with asthma, diabetes or infections.
That is one of the factors feeding the overall hospitalist trend, hospital officials say.
As a whole, the hospitalized patients have become sicker and older and have more needs, says Dr. Monty Duke, Lancaster General's senior vice president and chief physician executive. Hospitalized patients can change very rapidly

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