title: Population-based cohort study of the impacts of mild traumatic brain injury in adults four years post-injury

authors: Theadom, Alice

subjects: Science & Technology

abstract: There is increasing evidence that some people can experience persistent symptoms for up to a year following mild TBI. However, few longitudinal studies of mild TBI exist and the longerterm impact remains unclear. The purpose of this study is to determine if there are long-term effects of mild traumatic brain injury (TBI) four-years later. Adults (aged  16 years) identified as part of a TBI incidence study who experienced a mild-TBI four-years ago (N = 232) were compared to age-sex matched controls (N = 232). Sociodemographic variables, prior TBI and symptoms were assessed at the time of injury. Four years post-injury participants completed the Rivermead Post-Concussion Symptom Questionnaire, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index and the Participation Assessment with Recombined Tools. Analysis of covariance was used to compare differences between TBI cases four years post-injury and controls, controlling for prior TBI and depression. A multiple regression model was used to identify the predictors of increased symptoms and reduced participation. The mild-TBI sample experienced significantly increased self-reported cognitive symptoms (F = 19.90, p = <0.01) four years post-injury than controls. There were no differences between the groups for somatic (F = 0.02, p = 0.89) or emotional symptoms (F = 0.31, p = 0.58). Additionally, the mild-TBI group reported significantly poorer community participation across all three domains: productivity (F = 199.07, p = <0.00), social relations (F = 13.93, p = <0.00) and getting out and about (F = 364.69, p = <0.00) compared to controls. A regression model accounting for 41% of the variance in cognitive symptoms in TBI cases revealed a history of TBI, receiving acute medical attention and baseline cognitive symptoms, sleep quality, anxiety and depression were predictive of outcome. The results indicate that whilst somatic and emotional symptoms resolve over time, cognitive symptoms can become persistent and that mild TBI can impact longer-term community participation. Early intervention is needed to reduce the longer-term impact of cognitive symptoms and facilitate participation.

text: Population-based cohort study of the impacts of mild traumatic brain injury in adults four years post-injury There is increasing evidence that some people can experience persistent symptoms for up to a year following mild TBI. However, few longitudinal studies of mild TBI exist and the longerterm impact remains unclear. The purpose of this study is to determine if there are long-term effects of mild traumatic brain injury (TBI) four-years later. Adults (aged  16 years) identified as part of a TBI incidence study who experienced a mild-TBI four-years ago (N = 232) were compared to age-sex matched controls (N = 232). Sociodemographic variables, prior TBI and symptoms were assessed at the time of injury. Four years post-injury participants completed the Rivermead Post-Concussion Symptom Questionnaire, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index and the Participation Assessment with Recombined Tools. Analysis of covariance was used to compare differences between TBI cases four years post-injury and controls, controlling for prior TBI and depression. A multiple regression model was used to identify the predictors of increased symptoms and reduced participation. The mild-TBI sample experienced significantly increased self-reported cognitive symptoms (F = 19.90, p = <0.01) four years post-injury than controls. There were no differences between the groups for somatic (F = 0.02, p = 0.89) or emotional symptoms (F = 0.31, p = 0.58). Additionally, the mild-TBI group reported significantly poorer community participation across all three domains: productivity (F = 199.07, p = <0.00), social relations (F = 13.93, p = <0.00) and getting out and about (F = 364.69, p = <0.00) compared to controls. A regression model accounting for 41% of the variance in cognitive symptoms in TBI cases revealed a history of TBI, receiving acute medical attention and baseline cognitive symptoms, sleep quality, anxiety and depression were predictive of outcome. The results indicate that whilst somatic and emotional symptoms resolve over time, cognitive symptoms can become persistent and that mild TBI can impact longer-term community participation. Early intervention is needed to reduce the longer-term impact of cognitive symptoms and facilitate participation.

year: 2018

title: Long-term isolation and recent range expansion from glacial refugia revealed for the endemic springtail Gomphiocephalus hodgsoni from Victoria Land, Antarctica

authors: Stevens, Mark I.

subjects: allozymes

abstract: We examined the phylogeography of the endemic Antarctic collembolan Gomphiocephalus hodgsoni using allozymes and mitochondrial DNA (mtDNA; COI) to determine if potentially limited dispersal and long-term habitat fragmentation have promoted regional genetic differentiation. Allozyme analyses showed that differentiation among 21 populations within the Ross Dependency was high (FST = 0.55) with two main groups each representing a distinct geographical region: (1) Ross Island and Beaufort Island; and (2) all continental sites. Ross Island populations showed low levels of differentiation (FST = 0.05) and no correlation with geographical distance, suggesting their derivation from a single glacial refuge. By contrast, continental regions revealed moderate levels of differentiation (FST = 0.27) and a strong correlation with geographical distance, indicating a much older history with several refugia likely. Two sympatric allozyme genotypes were found at three continental sites from Taylor Valley and were congruent with two mtDNA haplotypes, implying nonrandom breeding groups. Although haplotype sharing between one Ross Island site (Cape Bird) and one continental site (Granite Harbour) was identified, the clades showed mostly fragmented allopatric distributions. The extensive Pleistocene glaciations, in conjunction with limited dispersal opportunities, appear to have promoted isolation and divergence among the fragmented habitats. Furthermore, the McMurdo Sound appears to be an effective isolating barrier to dispersal. However, we suggest that the unaided dispersal capacity of G. hodgsoni is unlikely to account for the limited mixing of haplotypes across the McMurdo Sound and recent human- or bird-mediated dispersal is highly probable.

text: Long-term isolation and recent range expansion from glacial refugia revealed for the endemic springtail Gomphiocephalus hodgsoni from Victoria Land, Antarctica We examined the phylogeography of the endemic Antarctic collembolan Gomphiocephalus hodgsoni using allozymes and mitochondrial DNA (mtDNA; COI) to determine if potentially limited dispersal and long-term habitat fragmentation have promoted regional genetic differentiation. Allozyme analyses showed that differentiation among 21 populations within the Ross Dependency was high (FST = 0.55) with two main groups each representing a distinct geographical region: (1) Ross Island and Beaufort Island; and (2) all continental sites. Ross Island populations showed low levels of differentiation (FST = 0.05) and no correlation with geographical distance, suggesting their derivation from a single glacial refuge. By contrast, continental regions revealed moderate levels of differentiation (FST = 0.27) and a strong correlation with geographical distance, indicating a much older history with several refugia likely. Two sympatric allozyme genotypes were found at three continental sites from Taylor Valley and were congruent with two mtDNA haplotypes, implying nonrandom breeding groups. Although haplotype sharing between one Ross Island site (Cape Bird) and one continental site (Granite Harbour) was identified, the clades showed mostly fragmented allopatric distributions. The extensive Pleistocene glaciations, in conjunction with limited dispersal opportunities, appear to have promoted isolation and divergence among the fragmented habitats. Furthermore, the McMurdo Sound appears to be an effective isolating barrier to dispersal. However, we suggest that the unaided dispersal capacity of G. hodgsoni is unlikely to account for the limited mixing of haplotypes across the McMurdo Sound and recent human- or bird-mediated dispersal is highly probable.

year: 2010

title: Phytoplankton nutrient limitation in Lake Rotorua

authors: Tempero, Grant Wayne

abstract: Lake Rotorua is one of 12 lakes jointly managed by the Rotorua Lakes Council, Te Arawa Lakes Trust and the Bay of Plenty Regional Council under the Rotorua Te Arawa Lakes Programme. The lake is currently classified as eutrophic and a Trophic Lake Index (TLI) value of 4.2 has been set as an integrated target for lake water quality. A number of catchment and lake management strategies have been implemented to achieve the targeted TLI including land use changes, wetland enhancement, lake weed harvesting, sediment detainment bunds, sewage reticulation and alum dosing. Alum (aluminium sulphate) is commonly applied to freshwater and wastewater systems to remove phosphorus, reducing its availability for phytoplankton growth. The initiation of alum dosing to the Utuhina Stream in 2006 and the Puarenga Stream in 2010 was associated with a significant decline in water column dissolved reactive phosphorus (DRP) and improvements in water quality of Lake Rotorua. 
The use of alum to control external and internal phosphorus loading has been identified as key component in the restoration of Lake Rotorua and recently observed improvements in water quality suggest that the lake could be transitioning to a more phosphorus limited state. Determination of phytoplankton nutrient limitation in Lake Rotorua was identified as a priority through the 2017 Plan Change 10 Science Review. An initial seasonal nutrient limitation study was carried out in 2019 with nutrient limitation assays conducted at 3-monthly intervals over the course of the year. Nitrogen limitation was indicated for the March assay and nutrient co-limitation for the December period, but results for the winter and spring periods were inconclusive. There has also been increasing recognition that nutrient availability in limnetic systems may vary in response to seasonal changes in external and external loading and even to isolated storm events. 
The University of Waikato was contracted to investigate potential changes in nutrient limitation within Lake Rotorua at sub-monthly time-scales, and to determine if alum dose rates could be optimised to take advantage of periods of phosphorus limitation. Phytoplankton nutrient limitation growth assays were conducted on a fortnightly basis from mid-October 2020 to May 2021. In addition to determination of lake surface nutrient and chlorophyll a concentrations, triplicate 1 L phytoplankton samples were spiked with either phosphorus (0.1 mg-P L⁻¹), nitrogen (1 mg-N L⁻¹) or phosphorus (0.1 mg-P L⁻¹) and nitrogen (1 mg-N L⁻¹) and incubated for 5-days under a single light intensity of 100 μmol m⁻²s⁻¹ PAR at lake surface temperature and photoperiod. Phytoplankton growth responses were measured as comparative chlorophyll a, comparative biomass and net biomass growth. Summarised results from the 16 assays along with the predicted nutrient state from the stoichiometric mass ratio of TN:TP are presented in the table below. 
Under the test conditions nitrogen limitation was indicated for most of the summer months (December–March) and nutrient co-limitation during the spring and late autumn. Only short (~2 weeks) periods of P-limitation were observed, one of which was associated with an intensive storm event at the end of March. These seasonal fluctuations in nitrogen and phosphorus supply are similar to those observed in other temperate limnetic systems. In the spring, external nitrogen and phosphorus loading is high, then decline in the summer as rainfall and associated inflows wane. During the summer, internal loading becomes more important in polymictic lakes due to repeated internal nutrient cycling from stratification and mixing events. This results in phosphorus limitation in the spring, transitioning to nitrogen limitation or colimitation (primarily nitrogen) in the summer, and then returning to phosphorus/colimitation during the winter due to increased nitrogen-loading from the catchment from increased catchment discharge. 
Due to the modest periods of phosphorus limitation indicated by the assays, there appears to be little potential for optimisation of alum dose rates in order capitalise on natural periods of phosphorus limitation. Further, changes in phytoplankton community composition and abundance appear to be more strongly driven by physical environmental factors such as temperature, light and wind speed, than nutrient availability. Although alum dosing is effective in removing DRP from the Utuhina and Puarenga inflows, its assumed effectiveness in reducing internal phosphorus loading in Lake Rotorua requires further evaluation.

text: Phytoplankton nutrient limitation in Lake Rotorua Lake Rotorua is one of 12 lakes jointly managed by the Rotorua Lakes Council, Te Arawa Lakes Trust and the Bay of Plenty Regional Council under the Rotorua Te Arawa Lakes Programme. The lake is currently classified as eutrophic and a Trophic Lake Index (TLI) value of 4.2 has been set as an integrated target for lake water quality. A number of catchment and lake management strategies have been implemented to achieve the targeted TLI including land use changes, wetland enhancement, lake weed harvesting, sediment detainment bunds, sewage reticulation and alum dosing. Alum (aluminium sulphate) is commonly applied to freshwater and wastewater systems to remove phosphorus, reducing its availability for phytoplankton growth. The initiation of alum dosing to the Utuhina Stream in 2006 and the Puarenga Stream in 2010 was associated with a significant decline in water column dissolved reactive phosphorus (DRP) and improvements in water quality of Lake Rotorua. 
The use of alum to control external and internal phosphorus loading has been identified as key component in the restoration of Lake Rotorua and recently observed improvements in water quality suggest that the lake could be transitioning to a more phosphorus limited state. Determination of phytoplankton nutrient limitation in Lake Rotorua was identified as a priority through the 2017 Plan Change 10 Science Review. An initial seasonal nutrient limitation study was carried out in 2019 with nutrient limitation assays conducted at 3-monthly intervals over the course of the year. Nitrogen limitation was indicated for the March assay and nutrient co-limitation for the December period, but results for the winter and spring periods were inconclusive. There has also been increasing recognition that nutrient availability in limnetic systems may vary in response to seasonal changes in external and external loading and even to isolated storm events. 
The University of Waikato was contracted to investigate potential changes in nutrient limitation within Lake Rotorua at sub-monthly time-scales, and to determine if alum dose rates could be optimised to take advantage of periods of phosphorus limitation. Phytoplankton nutrient limitation growth assays were conducted on a fortnightly basis from mid-October 2020 to May 2021. In addition to determination of lake surface nutrient and chlorophyll a concentrations, triplicate 1 L phytoplankton samples were spiked with either phosphorus (0.1 mg-P L⁻¹), nitrogen (1 mg-N L⁻¹) or phosphorus (0.1 mg-P L⁻¹) and nitrogen (1 mg-N L⁻¹) and incubated for 5-days under a single light intensity of 100 μmol m⁻²s⁻¹ PAR at lake surface temperature and photoperiod. Phytoplankton growth responses were measured as comparative chlorophyll a, comparative biomass and net biomass growth. Summarised results from the 16 assays along with the predicted nutrient state from the stoichiometric mass ratio of TN:TP are presented in the table below. 
Under the test conditions nitrogen limitation was indicated for most of the summer months (December–March) and nutrient co-limitation during the spring and late autumn. Only short (~2 weeks) periods of P-limitation were observed, one of which was associated with an intensive storm event at the end of March. These seasonal fluctuations in nitrogen and phosphorus supply are similar to those observed in other temperate limnetic systems. In the spring, external nitrogen and phosphorus loading is high, then decline in the summer as rainfall and associated inflows wane. During the summer, internal loading becomes more important in polymictic lakes due to repeated internal nutrient cycling from stratification and mixing events. This results in phosphorus limitation in the spring, transitioning to nitrogen limitation or colimitation (primarily nitrogen) in the summer, and then returning to phosphorus/colimitation during the winter due to increased nitrogen-loading from the catchment from increased catchment discharge. 
Due to the modest periods of phosphorus limitation indicated by the assays, there appears to be little potential for optimisation of alum dose rates in order capitalise on natural periods of phosphorus limitation. Further, changes in phytoplankton community composition and abundance appear to be more strongly driven by physical environmental factors such as temperature, light and wind speed, than nutrient availability. Although alum dosing is effective in removing DRP from the Utuhina and Puarenga inflows, its assumed effectiveness in reducing internal phosphorus loading in Lake Rotorua requires further evaluation.

year: 2022