title: Subjective cognitive complaints 8-Years after mild traumatic brain injury

authors: Duffy, Brittney

subjects: TBI

abstract: Mild traumatic brain injury (TBI) is common and can result in symptoms that persist for years after the initial injury. The symptoms following TBI are dynamic, and can result in cognitive, emotional, behavioural and physical symptoms, often collectively referred to as post-concussion symptoms. Persistent post-concussion symptoms impact education, employment, relationships and quality of life. The first aim of this study was to evaluate the long-term symptoms of adults eight- years after a mild TBI compared to a TBI-free group. The second aim of this study was to compare the prevalence and severity of post-concussion symptoms that were reported at 1-month post-injury, 12-months post-injury, and the symptoms reported now, at 8 years post-injury. Finally, the factors contributing to subjective cognitive complaints at 8-years post-injury were explored.
A population-based sample of 151 adults who sustained a mild TBI (mTBI) between 2010 and 2011 participated in this study. Additionally, 213 participants with no history of head injury took part. Both groups answered questions about current post-concussion symptoms using the Rivermead Post-Concussion Symptom Questionnaire (RPQ). The results of this study revealed the prevalence and severity of post- concussion symptoms was significantly greater in participants with mTBI at 8- years post-injury. Differences in cognitive symptoms were most prominent between groups, with the mTBI participants reporting significantly more cognitive complaints. When evaluating symptom-severity over time, we found no significant change in post-concussion symptoms from 12-months post-injury to 8-years. Older age at injury and increased symptoms of depression were associated with increased cognitive complaints at 8-years post-injury. These results confirm post-concussion symptoms persist long-term, and may not improve beyond the levels reported at 12-months post-injury. Further research is needed to explore the impact that treatment of mood symptoms early post- injury may have on recovery.

text: Subjective cognitive complaints 8-Years after mild traumatic brain injury Mild traumatic brain injury (TBI) is common and can result in symptoms that persist for years after the initial injury. The symptoms following TBI are dynamic, and can result in cognitive, emotional, behavioural and physical symptoms, often collectively referred to as post-concussion symptoms. Persistent post-concussion symptoms impact education, employment, relationships and quality of life. The first aim of this study was to evaluate the long-term symptoms of adults eight- years after a mild TBI compared to a TBI-free group. The second aim of this study was to compare the prevalence and severity of post-concussion symptoms that were reported at 1-month post-injury, 12-months post-injury, and the symptoms reported now, at 8 years post-injury. Finally, the factors contributing to subjective cognitive complaints at 8-years post-injury were explored.
A population-based sample of 151 adults who sustained a mild TBI (mTBI) between 2010 and 2011 participated in this study. Additionally, 213 participants with no history of head injury took part. Both groups answered questions about current post-concussion symptoms using the Rivermead Post-Concussion Symptom Questionnaire (RPQ). The results of this study revealed the prevalence and severity of post- concussion symptoms was significantly greater in participants with mTBI at 8- years post-injury. Differences in cognitive symptoms were most prominent between groups, with the mTBI participants reporting significantly more cognitive complaints. When evaluating symptom-severity over time, we found no significant change in post-concussion symptoms from 12-months post-injury to 8-years. Older age at injury and increased symptoms of depression were associated with increased cognitive complaints at 8-years post-injury. These results confirm post-concussion symptoms persist long-term, and may not improve beyond the levels reported at 12-months post-injury. Further research is needed to explore the impact that treatment of mood symptoms early post- injury may have on recovery.

year: 2019

title: Dune restoration as a mitigation strategy for the management of coastal hazards

authors: de Lange, Willem P.

abstract: This is a slideshow presented at the conference Conserv-Vision: the next 50 years, held at Hamilton, New Zealand, 2007.

text: Dune restoration as a mitigation strategy for the management of coastal hazards This is a slideshow presented at the conference Conserv-Vision: the next 50 years, held at Hamilton, New Zealand, 2007.

year: 2007-07-04

title: Legal responses to mental health: Is therapeutic jurisprudence the answer – the experience in New Zealand

authors: Toki, Valmaine

abstract: The orthodox understanding of ‘ethics’ encompasses a system of moral principles that define good and bad behavior. When applied to mental health, various jurisdictions, including New Zealand, have codified these principles together with the obligations on health service providers to meet these codified principles and standards. Underpinning this relationship is one of mutual trust where the physician has a responsibility, for example, to secure informed consent prior to any treatment. The existence of this therapeutic relationship can be applied when an offender who presents with a mental illness is subject to the criminal justice system.

text: Legal responses to mental health: Is therapeutic jurisprudence the answer – the experience in New Zealand The orthodox understanding of ‘ethics’ encompasses a system of moral principles that define good and bad behavior. When applied to mental health, various jurisdictions, including New Zealand, have codified these principles together with the obligations on health service providers to meet these codified principles and standards. Underpinning this relationship is one of mutual trust where the physician has a responsibility, for example, to secure informed consent prior to any treatment. The existence of this therapeutic relationship can be applied when an offender who presents with a mental illness is subject to the criminal justice system.

year: 2017