Recharge and residence times of groundwater in hyper arid areas: The confined aquifer of Calama, Loa River Basin, Atacama Desert, Chile.

Groundwater recharge in hyper arid areas often depends on surface water infiltration and diffuse recharge of highly evaporated precipitation only contribute under favorable conditions. This happens in the Calama basin two-aquifer system, in the Central Andean area of northern Chile. A conceptual model of the groundwater system and its relationship with the Loa River is defined. We focus on the confined aquifer of the Calama basin, combining hydrodynamic, hydrogeochemical and isotopic methods. Radiocarbon (14C) activity data of dissolved inorganic carbon (DIC), in conjunction with chemical data, are applied to evaluate groundwater residence time within the confined aquifer. The Loa River recharges the Calama basin aquifers in its northeastern part, with water that has chemical and isotopic characteristics inherited from the arid environment and volcanic rocks in its upper basin. In the central and northeastern part of the confined aquifer, minor variations in chloride concentration suggest that the deep aquifer is well confined. The δ18O and δ2H values in groundwater of the confined aquifer show an increasing isotopic fractionation from the recharge area (around -10‰ δ18O) to those in the discharge area (between -8.5‰ and -8‰) in the southwestern part of the aquifer. The 14C activity continuously decreases down flow from the recharge by the Loa River. Adjusted DIC radiocarbon ages indicate a groundwater travel time between 1500 and 4000 years in the confined aquifer of Calama. Despite the limitations and uncertainties of radiocarbon in DIC to estimate groundwater transit times for the confined aquifer and considering complementary chemical and isotopic constraints, the DIC 14C provides acceptable values. The approach may be applicable in other confined aquifers in hyper-arid climates in which the formation of aquifer systems linked to river damming by geological action took place. This information is needed for sound management of the scarce groundwater resources.

Perennial stream discharge in the hyperarid Atacama Desert of northern Chile during the latest Pleistocene.

A large fraction of the vital groundwater in the Atacama Desert of northern Chile is likely composed of "fossil" or "ancient" reserves that receive little or no recharge in today's hyperarid climate. Here, we present evidence for latest Pleistocene perennial streamflow in canyons from the hyperarid core of the Atacama Desert in northern Chile. Fluvial terraces in the Pampa del Tamarugal (PdT) basin (21 degrees S) contain widespread fossil wood, in situ roots, and well preserved leaf litter deposits indicative of perennial surface flow currently absent in these channels. Nineteen radiocarbon dates on these deposits from four separate drainages within this endorheic basin indicate ages from 16,380 to 13,740 cal yr BP, synchronous with paleolake Tauca on the Bolivian Altiplano and other regional evidence for wetter conditions during the latest Pleistocene. Groundwater-fed riparian ecosystems and associated fluvial deposits abound today in the absence of direct rainfall in northern Atacama canyons with perennial discharge. Our relict riparian ecosystems from the PdT basin are indicative of conditions similar to these northern canyons. Given that discharge was higher than present during this time, we propose that these deposits represent the most important groundwater recharge events of the last 18,000 years. A lesser recharge event occurred during the Holocene, when phreatophytic trees also grew in these drainages between 1,070 and 700 cal yr BP, during the Medieval Climatic Anomaly. Taken together, our evidence lends further support for gradient changes in the equatorial Pacific as a major driver of hydrologic change in the Atacama on both centennial and millennial time scales.

Groundwater origin and recharge in the hyperarid Cordillera de la Costa, Atacama Desert, northern Chile.

The Cordillera de la Costa is located along the coastline of northern Chile, in the hyperarid Atacama Desert area. Chemical and isotopic analyses of several small coastal springs and groundwater reservoirs between 22.5 °S and 25.5 °S allow understanding groundwater origin, renewal time and the probable timing of recharge. The aquifers are mostly in old volcanic rocks and alluvial deposits. All spring waters are brackish, of the sodium chloride type due to intensive concentration of precipitation due aridity and for deep groundwater to additional water-rock interaction in slowly renewed groundwater and mixing with deep seated brines. The heavy δ18O and δ2H values in spring water are explained by recharge by the arrival of moist air masses from the Pacific Ocean and the originally lighter values in the deep wells can be associated to past recharge by air masses coming from the Atlantic Ocean. Current recharge is assumed almost nil but it was significant in past wetter-than-present periods, increasing groundwater reserves, which are not yet exhausted. To explain the observed chloride content and radiocarbon (14C) activity, a well-mixed (exponential) flow model has been considered for aquifer recharge. The average residence time of groundwater feeding the springs has been estimated between 1 and 2kyr, up to 5kyr and between 7 and 13kyr for deep well water, assuming that current recharge is much less than during the previous wetter period. The recharge period feeding the coastal springs could have been produced 1 to 5kyr BP, when the area was already inhabited, and recharge in the Michilla mine was produced during the 10 to 14.5kyr BP CAPE (Central Andean Pluvial Event) pluvial events of the central Andes. The approximate coincidence of turnover time with the past wet periods, as revealed by paleoclimate data, points to significant recharge during them.

The role of paediatric nurses in medication safety prior to the implementation of electronic prescribing: a qualitative case study.

Objectives To explore paediatric nurses' experiences and perspectives of their role in the medication process and how this role is enacted in everyday practice. Methods A qualitative case study on a general surgical ward of a paediatric hospital in England, one year prior to the planned implementation of ePrescribing. Three focus groups and six individual semi-structured interviews were conducted, involving 24 nurses. Focus groups and interviews were audio-recorded, transcribed, anonymized and subjected to thematic analysis. Results Two overarching analytical themes were identified: the centrality of risk management in nurses' role in the medication process and the distributed nature of nurses' medication risk management practices. Nurses' contribution to medication safety was seen as an intrinsic feature of a role that extended beyond just preparing and administering medications as prescribed and placed nurses at the heart of a dynamic set of interactions, practices and situations through which medication risks were managed. These findings also illustrate the collective nature of patient safety. Conclusions Both the recognized and the unrecognized contributions of nurses to the management of medications needs to be considered in the design and implementation of ePrescribing systems.