Groundwater vulnerability assessment: A review including new statistical and hybrid methods

The concept of groundwater vulnerability was first introduced in the 1970s in France to recognize sensitive areas in which surface pollution could affect groundwater, and to enable others to develop management methods for groundwater protection against surface pollutants. Since this time, numerous methods have been developed for groundwater vulnerability assessment (GVA). These can be categorized into four groups: (i) overlay and index-based methods, (ii) process-based simulation models, (iii) statistical methods, and (iv) hybrid methods. This work provides a comprehensive review of modern GVA methods, which in contrast to previous reviews, examines the last two categories in detail. First, the concept of groundwater vulnerability is defined, then the major GVA methods are introduced and classified. This includes detailed accounts of statistical methods, which can be subdivided into orthodox statistical, data-driven and Bayesian methods, and their advantages and disadvantages, as well as modern hybrid methods. It is concluded that Bayesian inference offers many advantages compared with other GVA methods. It combines theory and data to give the posterior probabilities of different models, which can be continually updated with new data. Furthermore, using the Bayesian approach, it is possible to calculate the probability of a proposition, which is exactly what is needed to make decisions. However, despite the advantages of Bayesian inference, its applications to date have been very limited

Comparison of DRASTIC and DRASTICL groundwater vulnerability assessments of the Burdekin Basin, Queensland, Australia

In the Burdekin Basin, Queensland, Australia, groundwater contamination due to agricultural activities has led to concerns over its impacts on globally significant ecosystems such as the Great Barrier Reef. An appropriate method for groundwater vulnerability assessment is essential for the sustainable use of this groundwater resource and its longer-term environmental management. The aim of this study is to apply and assess the suitability of the standard DRASTIC index-based method for groundwater vulnerability assessment of the Burdekin Basin. The intrinsic groundwater vulnerability is calculated in ArcGIS, using data for the period 2010 to 2021. The results are compared to available water quality data. The calculated DRASTIC scores are found to be only weakly correlated with water quality parameters, including the nitrate concentration (R = 0.07), which should behave as a proxy measure of groundwater vulnerability. To address this, a modified DRASTICL method containing a land use parameter is also implemented, to assess the specific groundwater vulnerability. The correlation between DRASTICL scores and nitrate levels (R = 0.2) is more significant but is still relatively weak. From this study, it is recommended that alternative methods be developed to assess groundwater vulnerability in the Burdekin Basin, and other comparable aquifer systems

Paracetamol therapy and outcome of critically ill patients: a multicenter retrospective observational study

INTRODUCTION: In this study, we aimed to examine the association between paracetamol administration in the intensive care unit (ICU) and mortality in critically ill patients. METHODS: We conducted a multicenter retrospective observational study in four ICUs. We obtained information on paracetamol use, body temperature, demographic, clinical and outcome data from each hospital’s clinical information system and admissions and discharges database. We performed statistical analysis to assess the association between paracetamol administration and hospital mortality. RESULTS: We studied 15,818 patients with 691,348 temperature measurements at 4 ICUs. Of these patients, 10,046 (64%) received at least 1 g of paracetamol. Patients who received paracetamol had lower in-hospital mortality (10% vs. 20%, P <0.001), and survivors were more likely to have received paracetamol (66% vs. 46%; P <0.001). However, patients treated with paracetamol were also more likely to be admitted to the ICU after surgery (70% vs. 51%; P <0.001) and/or after elective surgery (55% vs. 37%; P <0.001). In multivariate logistic regression analysis including a propensity score for paracetamol treatment, we found a significant and independent association between the use of paracetamol and reduced in-hospital mortality (adjusted odds ratio =0.60 (95% confidence interval (CI), 0.53 to 0.68), P <0.001). Cox proportional hazards analysis showed that patients who received paracetamol also had a significantly longer time to death (adjusted hazard ratio =0.51 (95% CI, 0.46 to 0.56), P <0.001). The association between paracetamol and decreased mortality and/or time to death was broadly consistent across surgical and medical patients. It remained present after adjusting for paracetamol administration as a time-dependent variable. However, when such time-dependent analysis was performed, the association of paracetamol with outcome lost statistical significance in the presence of fever and suspected infection and in patients in the lower tertiles of Acute Physiology and Chronic Health Evaluation II scores. CONCLUSIONS: Paracetamol administration is common in the ICU and appears to be independently associated with reduced in-hospital mortality and time to death after adjustment for multiple potential confounders and propensity score. This association, however, was modified by the presence of fever, suspected infection and lesser illness severity and may represent the effect of indication bias. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13054-015-0865-1) contains supplementary material, which is available to authorized users

Competition and habitat quality influence age and sex distribution in wintering rusty blackbirds.

Bird habitat quality is often inferred from species abundance measures during the breeding and non-breeding season and used for conservation management decisions. However, during the non-breeding season age and sex classes often occupy different habitats which suggest a need for more habitat-specific data. Rusty Blackbird (Euphagus carolinus) is a forested wetland specialist wintering in bottomland hardwood forests in the south-eastern U. S. and belongs to the most steeply declining songbirds in the U.S. Little information is available to support priority birds such as the Rusty Blackbird wintering in this threatened habitat. We assessed age and sex distribution and body condition of Rusty Blackbirds among the three major habitats used by this species in the Lower Mississippi Alluvial Valley and also measured food availability. Overall, pecan groves had the highest biomass mainly driven by the amount of nuts. Invertebrate biomass was highest in forests but contributed only a small percentage to overall biomass. Age and sex classes were unevenly distributed among habitats with adult males primarily occupying pecan groves containing the highest nut biomass, females being found in forests which had the lowest nut biomass and young males primarily staying in forest fragments along creeks which had intermediate nut biomass. Males were in better body condition than females and were in slightly better condition in pecan groves. The results suggest that adult males occupy the highest quality habitat and may competitively exclude the other age and sex classes

The purple line as a measure of labour progress: a longitudinal study

Background: Vaginal examination (VE) and assessment of the cervix is currently considered to be the gold standard for assessment of labour progress. It is however inherently imprecise with studies indicating an overall accuracy for determining the diameter of the cervix at between 48-56%. Furthermore, VEs can be unpleasant, intrusive and embarrassing for women, and are associated with the risk of introducing infection. In light of increasing concern world wide about the use of routine interventions in labour it may be time to consider alternative, less intrusive means of assessing progress in labour. The presence of a purple line during labour, seen to rise from the anal margin and extend between the buttocks as labour progresses has been reported. The study described in this paper aimed to assess in what percentage of women in labour a purple line was present, clear and measurable and to determine if any relationship existed between the length of the purple line and cervical dilatation and/or station of the fetal head. Methods: This longitudinal study observed 144 women either in spontaneous labour (n=112) or for induction of labour (n=32) from admission through to final VE. Women were examined in the lateral position and midwives recorded the presence or absence of the line throughout labour immediately before each VE. Where present, the length of the line was measured using a disposable tape measure. Within subjects correlation, chi-squared test for independence, and independent samples t-test were used to analyse the data. Results: The purple line was seen at some point in labour for 109 women (76%). There was a medium positive correlation between length of the purple line and cervical dilatation (r=+0.36, n=66, P=0.0001) and station of the fetal head (r=+0.42, n=56, P&lt;0.0001). Conclusions: The purple line does exist and there is a medium positive correlation between its length and both cervical dilatation and station of the fetal head. Where the line is present, it may provide a useful guide for clinicians of labour progress along side other measures. Further research is required to assess whether measurement of the line is acceptable to women in labour and also clinicians