Modelling phosphorus fluxes in Loweswater

1. This is the final report to the Loweswater Care Project (in support of the Catchment Restoration Fund for England) ECRC-ENSIS Project 298, 'Loweswater 12-13'. The study was concerned with the spatial and temporal concentrations of sediment phosphorus (P) in the lake and the use of P measurements from the water column and inflow and outflow samples to derive a simple mass balance model for P in the lake. 2. A review of published and unpublished literature on Loweswater highlighted trends in water chemistry since the mid-eighteenth century. Land use and farming practises have changed over the past 200 years which have led to increased nutrient loading to the lake with significant increases occurring in the mid part of the last century. Agricultural intensification is likely to be a significant cause of the problem as well as inadequate septic tank management. Local management efforts, led by the Loweswater Care Project, has sought to reduce the primary sources of nutrients reaching the lake, but total phosphorus (TP) concentrations in the lake remain higher than desired. 3. Temperature and dissolved oxygen (DO) profiling confirmed that the site stratified in summer with major changes in DO occurring below a depth of 8 m. The deeper waters were almost entirely anoxic. During stratification the maximum TP value was recorded at the lake bottom. This is a clear indication that P is being released from the lake bed during summer stratification. 4. Analysis of the stream water from the Dub Beck inflow (data for 2013), shows that P influx remains high enough to explain the elevated lake water P concentrations, despite considerable efforts to reduce catchment P sources. 5. Analysis of the water column P profiles shows that P release from the sediment is only a minor contribution to the P load. While the sediment core data reveals a substantial pool of P in the sediment very little of this should be released each year to the water column. In 2013 it is estimated that more than 90% of the P came from the catchment and only ~10% from the sediment. 6. As with all modelling exercises there are uncertainties inherent in the approach. In this case the model output is based on a single year of input data for the inflow P flux calculations and it would be preferable to have a longer data series to inform the modelling. Inflow fluxes are highly dependent on flow conditions and here, in the absence of flow data from Dub Beck, we used data from a nearby stream. Further, the monthly sampling has resulted in most samples being taken in low flow conditions, thus missing potential storm flow conditions. Finally, stream input information is restricted to Dub Beck, and contributions from the other stream is unknown. 7. Nevertheless, the results from the modelling are clear and on that basis we conclude that the priority is for P loading to the lake to be reduced by better catchment management and that lake manipulation is not warranted. Integrated catchment management supported by modelling together with local stakeholder engagement should provide the most effective means of improving the condition of the lake

Standard versus prosocial online support groups for distressed breast cancer survivors: a randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>The Internet can increase access to psychosocial care for breast cancer survivors through online support groups. This study will test a novel prosocial online group that emphasizes both opportunities for getting and giving help. Based on the helper therapy principle, it is hypothesized that the addition of structured helping opportunities and coaching on how to help others online will increase the psychological benefits of a standard online group.</p> <p>Methods/Design</p> <p>A two-armed randomized controlled trial with pretest and posttest. Non-metastatic breast cancer survivors with elevated psychological distress will be randomized to either a standard facilitated online group or to a prosocial facilitated online group, which combines online exchanges of support with structured helping opportunities (blogging, breast cancer outreach) and coaching on how best to give support to others. Validated and reliable measures will be administered to women approximately one month before and after the interventions. Self-esteem, positive affect, and sense of belonging will be tested as potential mediators of the primary outcomes of depressive/anxious symptoms and sense of purpose in life.</p> <p>Discussion</p> <p>This study will test an innovative approach to maximizing the psychological benefits of cancer online support groups. The theory-based prosocial online support group intervention model is sustainable, because it can be implemented by private non-profit or other organizations, such as cancer centers, which mostly offer face-to-face support groups with limited patient reach.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov: <a href="http://www.clinicaltrials.gov/ct2/show/NCT01396174">NCT01396174</a></p

Integrative genomic analysis implicates limited peripheral adipose storage capacity in the pathogenesis of human insulin resistance.

Insulin resistance is a key mediator of obesity-related cardiometabolic disease, yet the mechanisms underlying this link remain obscure. Using an integrative genomic approach, we identify 53 genomic regions associated with insulin resistance phenotypes (higher fasting insulin levels adjusted for BMI, lower HDL cholesterol levels and higher triglyceride levels) and provide evidence that their link with higher cardiometabolic risk is underpinned by an association with lower adipose mass in peripheral compartments. Using these 53 loci, we show a polygenic contribution to familial partial lipodystrophy type 1, a severe form of insulin resistance, and highlight shared molecular mechanisms in common/mild and rare/severe insulin resistance. Population-level genetic analyses combined with experiments in cellular models implicate CCDC92, DNAH10 and L3MBTL3 as previously unrecognized molecules influencing adipocyte differentiation. Our findings support the notion that limited storage capacity of peripheral adipose tissue is an important etiological component in insulin-resistant cardiometabolic disease and highlight genes and mechanisms underpinning this link.This study was funded by the UK Medical Research Council through grants MC_UU_12015/1, MC_PC_13046, MC_PC_13048 and MR/L00002/1. This work was supported by the MRC Metabolic Diseases Unit (MC_UU_12012/5) and the Cambridge NIHR Biomedical Research Centre and EU/EFPIA Innovative Medicines Initiative Joint Undertaking (EMIF grant 115372). Funding for the InterAct project was provided by the EU FP6 program (grant LSHM_CT_2006_037197). This work was funded, in part, through an EFSD Rising Star award to R.A.S. supported by Novo Nordisk. D.B.S. is supported by Wellcome Trust grant 107064. M.I.M. is a Wellcome Trust Senior Investigator and is supported by the following grants from the Wellcome Trust: 090532 and 098381. M.v.d.B. is supported by a Novo Nordisk postdoctoral fellowship run in partnership with the University of Oxford. I.B. is supported by Wellcome Trust grant WT098051. S.O'R. acknowledges funding from the Wellcome Trust (Wellcome Trust Senior Investigator Award 095515/Z/11/Z and Wellcome Trust Strategic Award 100574/Z/12/Z)

Critical loads in freshwater ecosystems (1995-1998): A summary report to the Department of the Environment, Transport and the Regions

This report summarises the results of the three year research programme "Critical Loads in Freshwater Ecosystems (1995-1998)" funded by the Department of the Environment, Transport and the Regions. The detailed results are presented in 26 separate paper and reports (see listing below). The current report summarises the outcomes of the research with specific reference to individual work units within the overall work programme