Potential effects on groundwater quality associated with infiltrating stormwater through dry wells for aquifer recharge.

Dry wells (gravity-fed infiltration wells) have frequently been used to recharge aquifers with stormwater, especially in urban areas, as well as manage flood risk and reduce surface water body contamination from stormwater pollutants. However, only limited assessment of their potential adverse impacts on groundwater quality exists. Dry well recharge can bypass significant portions of the filtering-capacity of the vadose zone. Stormwater and groundwater monitoring data and analysis of transport of a wide range of historic and current-use stormwater chemicals of concern is lacking. To address these gaps, two dry wells were constructed with vegetated and structural pretreatment features to assess the likelihood of stormwater contaminants reaching the aquifer. We monitored, assessed, and compared the presence of contaminants in stormwater to water quality in the vadose zone and shallow groundwater after it passed through the dry well. The dry wells were installed at a suburban residential and at a suburban commercial site. The selected sites were overlying a regional, unconsolidated, and highly heterogeneous alluvial aquifer system. Stormwater, vadose zone, and groundwater samples were collected during five storms and analyzed for over 200 contaminants of concern. Relatively few contaminants were detected in stormwater, generally at low concentrations. Prior to stormwater entering the dry well, 50-65% of contaminants were removed by vegetated pretreatment. In groundwater, metals such as aluminum and iron were detected at similar concentrations in both upgradient and downgradient wells, suggesting the source of these metals was not dry well effluent. Naturally occurring metals such as chromium and arsenic were not detected in stormwater but were found at elevated concentrations in groundwater. A modeling assessment suggests that the travel time of metals and hydrophobic organic contaminants to the water table at these sites ranges from years to centuries, whereas water soluble pesticides would likely reach the water table within days to months. The modeling assessment also showed that more vulnerable sites with higher fraction of alluvial sands would have much shorter contaminant travel times. However, none of the contaminants assessed reached concentrations that pose a risk to human health across the scenarios considered. No evidence was found, either through direct measurements or vadose zone modeling, that contaminants present in suburban stormwater degraded or would degrade groundwater quality at the studied sites and site conditions. Future work is needed to address emerging contaminants of concern.

The association between guideline adherent radiographic imaging by chiropractic students and the diagnostic yield of clinically significant findings.

BACKGROUND: Radiographic guidelines aim to increase the diagnostic yield of clinically relevant imaging findings whilst minimising risk. This study assessed the appropriateness of radiographic referrals made by student chiropractors and explored the association between guideline appropriate imaging and clinically significant radiographic findings. METHODS: Radiographic referral and report findings (n=437) from 2018 were extracted from Macquarie University chiropractic clinics. Appropriateness of radiographic referrals was assessed according to current radiographic guidelines. Radiographic findings were assessed for clinical significance. The association between guideline appropriate radiographic referral and clinically significant radiographic findings was assessed using logistic regression analysis and odds ratios were estimated. RESULTS: The proportion of guideline appropriate imaging was 55.8% (95%CI: 51.2-60.4). An association between guideline appropriate radiographs and clinically significant findings was found (OR: 2.2; 95%CI: 1.3-4.1). CONCLUSIONS: Approximately half of all radiographic referrals made by chiropractic students were guideline concordant. Guideline appropriate imaging was associated with an increase in clinically significant radiographic findings.

CONTEXTE: Les lignes directrices relatives aux demandes d'examens radiographiques visent à accroître le rendement diagnostique des résultats des examens d'imagerie cliniquement pertinents tout en minimisant le risque. La présente étude a consisté à évaluer la pertinence des examens radiographiques demandés par des étudiants en chiropratique et à examiner le lien entre la pertinence des demandes d'examens d'imagerie et les résultats des examens radiographiques cliniquement pertinents. MÉTHODOLOGIE: Des demandes d'examens radiographiques et des rapports d'examens (n = 437) en 2018 ont été extraits de dossiers de la clinique de chiropratique de la Macquarie University. La pertinence des demandes d'examens radiographiques a été évaluée en fonction des lignes directrices relatives aux demandes d'examens radiographiques en vigueur. La pertinence des résultats des examens radiographiques a été évaluée. On a examiné le lien entre les demandes d'examen radiographique conformes aux lignes directrices et les résultats d'examens radiographiques cliniquement importants à l'aide d'une méthode d'analyse par régression logistique et on a estimé les risques relatifs. RÉSULTATS: La proportion de demandes d'examen d'imagerie qui étaient conformes aux lignes directrices s'est élevée à 55,8 % (IC à 95 % : 51,2­60,4). On a établi un lien entre les demandes d'examens radiographiques conformes aux lignes directrices et les résultats cliniquement pertinents (RR : 2,2; IC à 95 % : 1,3­4,1). CONCLUSIONS: Environ la moitié de toutes les demandes d'examens radiographiques provenant d'étudiants en chiropratique étaient conformes aux lignes directrices. Les demandes d'examens d'imagerie conformes aux lignes ont été associées à une hausse de résultats d'examens cliniquement pertinents.