title: Incidence of traumatic brain injury in New Zealand: A population-based study

authors: Feigin, Valery L.

subjects: United States

abstract: Background Traumatic brain injury (TBI) is the leading cause of long-term disability in children and young adults worldwide. However, accurate information about its incidence does not exist. We aimed to estimate the burden of TBI in rural and urban populations in New Zealand across all ages and TBI severities. 

Methods We did a population-based incidence study in an urban (Hamilton) and rural (Waikato District) population in New Zealand. We registered all cases of TB! (admitted to hospital or not, fatal or non-fatal) that occurred in the population between March 1, 2010, and Feb 28, 2011, using multiple overlapping sources of information. We calculated incidence per 100 000 person-years with 95% CIs using a Poisson distribution. We calculated rate ratios [RRs] to compare the age-standardised rates between sex, ethnicity, and residency (urban, rural) groups. We used direct standardisation to age-standardise the rates to the world population. 

Results The total incidence of TBI per 100 000 person-years was 790 cases (95% CI 749-832); incidence per 100 000 person-years of mild TBI was 749 cases (709-790) and of moderate to severe TBI was 41 cases (31-51). Children (aged 0-14 years) and adolescents and young adults (aged 15-34 years) constituted almost 70% of all TBI cases. TBI affected boys and men more than women and girls (RR 1.77,95% CI 1.58-1.97). Most TBI cases were due to falls (38% [516 of 1369]), mechanical forces (21% [288 of 1369]), transport accidents (20% [277 of 1369]), and assaults (17% [228 of 1369]). Compared with people of European origin, Maori people had a greater risk of mild TBI (RR 1.23, 95% CI 1.08-1.39). Incidence of moderate to severe TBI in the rural population (73 per 100 000 person-years [95% CI 50-107]) was almost 2.5 times greater than in the urban population (31 per 100 000 person-years [23-42]). 

Interpretation Our findings suggest that the incidence of TBI, especially mild TBI, in New Zealand is far greater than would be estimated from the findings of previous studies done in other high-income countries. Our age-specific and residency-specific data for TBI incidence overall and by mechanism of injury should be considered when planning prevention and TBI care services.

text: Incidence of traumatic brain injury in New Zealand: A population-based study Background Traumatic brain injury (TBI) is the leading cause of long-term disability in children and young adults worldwide. However, accurate information about its incidence does not exist. We aimed to estimate the burden of TBI in rural and urban populations in New Zealand across all ages and TBI severities. 

Methods We did a population-based incidence study in an urban (Hamilton) and rural (Waikato District) population in New Zealand. We registered all cases of TB! (admitted to hospital or not, fatal or non-fatal) that occurred in the population between March 1, 2010, and Feb 28, 2011, using multiple overlapping sources of information. We calculated incidence per 100 000 person-years with 95% CIs using a Poisson distribution. We calculated rate ratios [RRs] to compare the age-standardised rates between sex, ethnicity, and residency (urban, rural) groups. We used direct standardisation to age-standardise the rates to the world population. 

Results The total incidence of TBI per 100 000 person-years was 790 cases (95% CI 749-832); incidence per 100 000 person-years of mild TBI was 749 cases (709-790) and of moderate to severe TBI was 41 cases (31-51). Children (aged 0-14 years) and adolescents and young adults (aged 15-34 years) constituted almost 70% of all TBI cases. TBI affected boys and men more than women and girls (RR 1.77,95% CI 1.58-1.97). Most TBI cases were due to falls (38% [516 of 1369]), mechanical forces (21% [288 of 1369]), transport accidents (20% [277 of 1369]), and assaults (17% [228 of 1369]). Compared with people of European origin, Maori people had a greater risk of mild TBI (RR 1.23, 95% CI 1.08-1.39). Incidence of moderate to severe TBI in the rural population (73 per 100 000 person-years [95% CI 50-107]) was almost 2.5 times greater than in the urban population (31 per 100 000 person-years [23-42]). 

Interpretation Our findings suggest that the incidence of TBI, especially mild TBI, in New Zealand is far greater than would be estimated from the findings of previous studies done in other high-income countries. Our age-specific and residency-specific data for TBI incidence overall and by mechanism of injury should be considered when planning prevention and TBI care services.

year: 2013

title: Flood resilience technology in Europe: identifying barriers and co-producing best practice

authors: White, Iain

subjects: Co-production

abstract: Flood resistance (FRe) and resilience technologies hold considerable potential to limit the damage caused by flooding. Resistance technologies generally aim to keep water out of buildings, while resilient measures may allow ingress but create the conditions for a quicker recovery of individuals, communities and buildings. However, despite their potential contribution to flood risk management (FRM), their use remains uncommon. This paper draws on pan‐European research of local communities at risk and their representatives, and professional stakeholders working at a more strategic scale, to explore the barriers to use and describe the co‐production of new best practice. It interrogates the issues in terms of level of awareness, degree of acceptance and the integration into decision making. We found that even where awareness was high, there was a reluctance to use these measures. This is due to issues related to comparability, costs, installation, performance and maintenance. The research also revealed that FRM policy and practice has struggled to incorporate this emergent approach and that many individuals at risk are reluctant to take responsibility and protect their properties in this way. In response, this paper details how good practice guidance – the ‘Six Steps approach’ – was co‐produced with key stakeholders to facilitate the wider contribution of FRe to FRM.

text: Flood resilience technology in Europe: identifying barriers and co-producing best practice Flood resistance (FRe) and resilience technologies hold considerable potential to limit the damage caused by flooding. Resistance technologies generally aim to keep water out of buildings, while resilient measures may allow ingress but create the conditions for a quicker recovery of individuals, communities and buildings. However, despite their potential contribution to flood risk management (FRM), their use remains uncommon. This paper draws on pan‐European research of local communities at risk and their representatives, and professional stakeholders working at a more strategic scale, to explore the barriers to use and describe the co‐production of new best practice. It interrogates the issues in terms of level of awareness, degree of acceptance and the integration into decision making. We found that even where awareness was high, there was a reluctance to use these measures. This is due to issues related to comparability, costs, installation, performance and maintenance. The research also revealed that FRM policy and practice has struggled to incorporate this emergent approach and that many individuals at risk are reluctant to take responsibility and protect their properties in this way. In response, this paper details how good practice guidance – the ‘Six Steps approach’ – was co‐produced with key stakeholders to facilitate the wider contribution of FRe to FRM.

year: 2018

title: Ecological, genetic and cultural status of Solanum aviculare, poroporo (Solanaceae)

authors: Weavers, Graeme Morris

subjects: Solanum aviculare

abstract: Solanum aviculare, endemic to Australasia, is an opportunist pioneer secondary successional plant occupying disturbed and open lowland habitats, and was an important medicinal and cultural species to Māori known as poroporo. It is currently in 'decline', the ecological decline appearing to correspond to a decline in knowledge and cultural use of the species. To gain understanding of the reasons for the decline, enhance ecological knowledge, assist conservation and cultural restoration of Solanum aviculare this research documented the successional role and cycle of regeneration dynamics and tactics, established morphological characteristics, investigated the genetic diversity and recorded cultural and conservation information.
The successional status and role was identified. Growth data identified cohort development and inter-site differences, metadata found height and crown spread growth to be significantly correlated and likely part of an early reproduction and dispersal strategy. Germination of soil cores from differing depths confirmed a viable seed bank exists sufficient for species maintenance. Viable seed spread via animal gut passage was determined by germination and chemical tests, results showed rats passed higher rates of viable seed than birds. Seed germination trials with stratified and fresh seed confirmed temporal and depth behaviour, flowering observation documented temporal differences with the closely allied species Solanum laciniatum, indicating a relationship to stasis induction. Leaf morphology studies documented differences between the two allied species and proposed further nomenclature.
Genetic diversity was investigated through the use of PCR/ISSR techniques. Chloroplast DNA was extracted by CTAB and DNA kit protocols. CTAB extraction was unable to effectively remove RNA, although use of DNA samples with high quantities of RNA confirmed that RNA was not an inhibiting factor in PCR production. The production of consistent reliable ISSR bands proved difficult, with no technical explanation found. ISSR findings indicate that Solanum aviculare is highly monomorphic, consisting of predominant invariant monomorphic loci. Twenty primers were tested with no polymorphic loci
identified and no intra species variation documented. Indications were also that Solanum aviculare and Solanum laciniatum are inter species invariant on monomorphic loci. Monomorphic loci may possibly be the evolutionary markers of generic differentiation within Solanum.
Surveys identified Solanum aviculare as uncommon and rare, existing mainly as single plants or small groups in the majority of areas surveyed. The Threatened and Uncommon Plant listing of Solanum aviculare as an 'at risk declining' species is confirmed and a further Recommendation category proposed. Ecological decline and corresponding decline in cultural use and knowledge of Solanum aviculare was identified through specialist interviews; appearing to be related to removal from Māori of control over their land. The name poroporo being now associated mainly with non indigenous Solanum species. Māori cultural concepts in practice were highlighted as fundamentally important to reversing the decline, with an example of a successful traditional practice based (tikanga) integrative collaborative restoration program being documented.
This research forwards that optimal collaborative solutions, programs integrating scientific and tikanga knowledge and practices, provide the best opportunity of reversing the declining trend and for increasing and maintaining knowledge associated with the traditional role of poroporo.

text: Ecological, genetic and cultural status of Solanum aviculare, poroporo (Solanaceae) Solanum aviculare, endemic to Australasia, is an opportunist pioneer secondary successional plant occupying disturbed and open lowland habitats, and was an important medicinal and cultural species to Māori known as poroporo. It is currently in 'decline', the ecological decline appearing to correspond to a decline in knowledge and cultural use of the species. To gain understanding of the reasons for the decline, enhance ecological knowledge, assist conservation and cultural restoration of Solanum aviculare this research documented the successional role and cycle of regeneration dynamics and tactics, established morphological characteristics, investigated the genetic diversity and recorded cultural and conservation information.
The successional status and role was identified. Growth data identified cohort development and inter-site differences, metadata found height and crown spread growth to be significantly correlated and likely part of an early reproduction and dispersal strategy. Germination of soil cores from differing depths confirmed a viable seed bank exists sufficient for species maintenance. Viable seed spread via animal gut passage was determined by germination and chemical tests, results showed rats passed higher rates of viable seed than birds. Seed germination trials with stratified and fresh seed confirmed temporal and depth behaviour, flowering observation documented temporal differences with the closely allied species Solanum laciniatum, indicating a relationship to stasis induction. Leaf morphology studies documented differences between the two allied species and proposed further nomenclature.
Genetic diversity was investigated through the use of PCR/ISSR techniques. Chloroplast DNA was extracted by CTAB and DNA kit protocols. CTAB extraction was unable to effectively remove RNA, although use of DNA samples with high quantities of RNA confirmed that RNA was not an inhibiting factor in PCR production. The production of consistent reliable ISSR bands proved difficult, with no technical explanation found. ISSR findings indicate that Solanum aviculare is highly monomorphic, consisting of predominant invariant monomorphic loci. Twenty primers were tested with no polymorphic loci
identified and no intra species variation documented. Indications were also that Solanum aviculare and Solanum laciniatum are inter species invariant on monomorphic loci. Monomorphic loci may possibly be the evolutionary markers of generic differentiation within Solanum.
Surveys identified Solanum aviculare as uncommon and rare, existing mainly as single plants or small groups in the majority of areas surveyed. The Threatened and Uncommon Plant listing of Solanum aviculare as an 'at risk declining' species is confirmed and a further Recommendation category proposed. Ecological decline and corresponding decline in cultural use and knowledge of Solanum aviculare was identified through specialist interviews; appearing to be related to removal from Māori of control over their land. The name poroporo being now associated mainly with non indigenous Solanum species. Māori cultural concepts in practice were highlighted as fundamentally important to reversing the decline, with an example of a successful traditional practice based (tikanga) integrative collaborative restoration program being documented.
This research forwards that optimal collaborative solutions, programs integrating scientific and tikanga knowledge and practices, provide the best opportunity of reversing the declining trend and for increasing and maintaining knowledge associated with the traditional role of poroporo.

year: 2010