An assessment of the impact of different land use activities on water quality in the upper Olifants River catchment

Routine sampling of water quality was conducted at sites along a longitudinal gradient from upstream to downstream in the Olifants River to determine spatial trends in nutrient and metal concentrations and to relate these trends to changes in land use activities in the catchment. In addition, once-off sampling was conducted at a number of sites located downstream of current mining, abandoned mining, agriculture, wastewater treatment works (WWTWs) and industry. Nutrient concentrations were relatively high and a number of sites within the catchment had average N:P ratios that were indicative of eutrophic to hypertrophic conditions. Routine and once-off sampling indicated that wastewater treatment works contribute high nutrient loads to the system. Trend analysis of Department of Water Affairs (DWA) data indicated significant positive trends in ortho-phosphate at 12 of 14 stations in the catchment. An increase in sulphate concentrations from upstream to downstream indicates that mining activities have a progressively greater impact on water quality with increasing distance downstream. While dissolved metal concentrations frequently exceeded chronic and acute effect aquatic ecosystem health guidelines (particularly aluminium, copper and zinc), there was no observable trend from upstream to downstream. Once-off sampling showed high variability in water quality parameters downstream of current mining activities, and some sites showed higher metal concentrations in comparison to other land use activities. However, the contribution of current mining activities to metals is low in comparison to the contribution from abandoned mines. Hydrological data showed that acidic rivers contribute proportionally higher flow volumes in comparison to neutral rivers during the drier winter months, which may significantly impact on the lower stretches of the upper Olifants River and into Loskop Dam. A prolonged drought period will most likely result in severe impacts to the lower reaches of the Olifants River and to Loskop Dam. Improved management and maintenance of wastewater treatment works and rehabilitation and/or treatment of abandoned mines and associated acid mine drainage are crucial. Proper rehabilitation of current mining activities is essential to avoid or minimise acid mine drainage related impacts in the future.Keywords: acid mine drainage, land use, metals, nutrients, Olifants Rive

Impact of temporary desiccation on the mobility of nutrients and metals from sediments of Loskop Reservoir, Olifants River

South Africa is prone to droughts and is heavily dependent on stored water resources. Few studies in South Africa have investigated the impact of drought on water quality when rainfall resumes and reservoir sediments are rewet. Other research has shown that several negative impacts may occur with rewetting, including eutrophication, and acidification with increased metal solubility. In this study, the impact of drying and rewetting sediments on the mobility of nutrients and metals is explored using sediments from Loskop Reservoir. Rarely exposed sediments were collected from three sites, dried at 35°C for 36 days, and then rewet under aerobic conditions. Filtered water samples were collected on Days 1, 2 ,4, 7, 11 and 16 following rewetting, and analysed for NH4+, NO3-, NO2-, total N, total P, PO43-, dissolved Al, Fe, Mn, and SO42-. Results were expressed as mass/m2, and were compared to reference (non-drought) treatments that were maintained under saturated conditions. Acute toxicity tests were performed using Daphnia magna to establish if toxic effects were associated with changes in water quality following sediment rewetting. Following rewetting, elevated SO42- indicated the mobilisation of acid from sulfide oxidation, with an associated reduction in pH. Nitrification was evident as high quantities of organic N and NH4+ were initially released, followed by increases in NO2- + NO3-. Total P increased, but PO43- reduced. This was attributed to complexes formed between PO43- and Fe (FePO4) and Al (AlPO4). Amounts of Fe and Al released were lower following rewetting due to the formation of relatively immobile (hydr)oxides. In contrast, Mn increased substantially reaching maximum values > 2 300 mg/m2 (14 000 μg/L). There were no acute toxic effects observed to D. magna. This study highlights the potential for acidification, mobilisation of nutrients, SO42-, and Mn following rewetting of reservoir sediments under aerobic conditions. This information may be incorporated into reservoir and catchment management plans in the form of revised water quality guidelines and a better ability to predict how drought impacts water quality in our stored water resources.Keywords: sediment, drought, drying, rewetting, nutrient and metal release, Loskop Reservoi

Chemical characteristics and limnology of Loskop Dam on the Olifants River (South Africa), in light of recent fish and crocodile mortalities

A declining crocodile population and fish mortalities attributed to pansteatitis, along with increasing blooms of Microcystis aeruginosa and Ceratium hirundinella, have led to serious concerns about water quality in Loskop Dam, on the Olifants River, South Africa. Major impacts include acid mine drainage and eutrophication associated with sewage effluent. However, the specific causes of pansteatitis remain elusive. In 2011 the water chemistry and limnology of Loskop Dam were studied to determine factors that may be influencing aquatic ecosystem health. Long-term monitoring data collected by the Department of Water Affairs were analysed for trends using a seasonal Mann-Kendall trend test, and were used to determine the trophic state of Loskop Dam using the Carlson index. Multiple sites were sampled which showed the reservoir was heterogeneous with regard to nutrient concentrations, algal biomass and dissolved metals. Specifically, the transitional zone was characterised by frequent algal blooms, resulting in fluctuating dissolved oxygen (range = 2.1–14.5 mg/ℓ) and pH (range = 7.35–10.59) levels. Using total phosphorus, Secchi depth, and chlorophyll-a concentrations, the trophic state of Loskop Dam was classified as meso- to eutrophic. Significant positive trends were observed in total (Tau = 0.422) and dissolved inorganic (Tau = 0.193) phosphorus.The reservoir showed a monomictic pattern of summer stratification (October to April) and holomictic winter circulation (June to July), with an increase in the depth and extent of anoxia in the hypolimnion when compared to previous research. Simultaneous elevated concentrations of manganese (>370 μg/ℓ) and iron in near-bottom water samples coincided with hypolimnetic anoxia. Aluminium concentrations exceeded the target water quality range (>10 μg/ℓ) during summer (December) in both surface and near-bottom water samples. We conclude that fish in Loskop Dam are periodically exposed to several physiological stressors including elevated ammonia, aluminium, iron and manganese and possibly hydrogen sulphide, as well as low dissolved oxygen. While these factors have never individually been linked to pansteatitis, their combined impacts have not been studied. To ensure the sustainability of Loskop Dam, catchment management plans must focus on reducing phosphorus inputs, and continue seeking treatment solutions for mine-water associated with abandoned and working coal mines.Keywords: Loskop Dam, limnology, pansteatitis, eutrophication, Olifants Rive

Identifying potential surface water sampling sites for emerging chemical pollutants in Gauteng Province, South Africa

Emerging chemical pollutants (ECPs) are defined as new chemicals which do not have a regulatory status, but which may have an adverse effect on human health and the environment. The occurrence and concentrations of ECPs in South African water bodies are largely unknown, so monitoring is required in order to determine the potential threat that these ECPs may pose. Relevant surface water sampling sites in the Gauteng Province of South Africa were identified utilising a geographic information system (GIS). The sites were identified by identifying potential sources of ECPs, including hospitals and clinics, sewage treatment plants, and areas with high population densities or areas that were vulnerable from an environmental point of view. Buffers were drawn around these areas to identify the water sources which have the highest probability of containing ECPs. Areas along the Klip River were identified as having a high likelihood of containing both anthropogenic ECPs and agricultural ECPs. Additionally, sections of the Hennops River were likely to contain anthropogenic ECPs, while the Blesbokspruit area had a high likelihood of containing agricultural ECPs

A 12-month follow-up study evaluating group interventions for children with Tourette Syndrome

This thesis consists of three parts: a systematic literature review, an empirical paper and a critical appraisal. It aims to contribute to the evidence base for psychological interventions for Tourette Syndrome (TS). TS is a neurodevelopmental condition characterised by the presence of both motor and vocal tics. Tics typically first present in childhood and are associated with psychiatric co-morbidity, social and emotional difficulties, impaired school functioning and a diminished quality of life. The literature review explores the efficacy and effectiveness of currently available psychological interventions for TS. It reviews both traditional behavioural approaches as well as newer adaptations of existing treatment protocols. The empirical paper evaluates the long-term outcomes of two group treatments (Comprehensive Behavioural Intervention for Tics and psychoeducation) for children with TS. It assesses the effect of these treatments on tic severity, neuropsychological functioning, quality of life and school attendance. Finally, the critical appraisal reflects on the process of conducting the research study. Specifically, it comments on the unique advantages and disadvantages of joining a larger research project, further explores the strengths and limitations of the study’s methodology and finally reflects on the experience of working with children with a neurodevelopmental disorder

Climate and southern Africa's water-energy-food nexus

In southern Africa, the connections between climate and the water-energy-food nexus are strong. Physical and socioeconomic exposure to climate is high in many areas and in crucial economic sectors. Spatial interdependence is also high, driven for example, by the regional extent of many climate anomalies and river basins and aquifers that span national boundaries. There is now strong evidence of the effects of individual climate anomalies, but associations between national rainfall and Gross Domestic Product and crop production remain relatively weak. The majority of climate models project decreases in annual precipitation for southern Africa, typically by as much as 20% by the 2080s. Impact models suggest these changes would propagate into reduced water availability and crop yields. Recognition of spatial and sectoral interdependencies should inform policies, institutions and investments for enhancing water, energy and food security. Three key political and economic instruments could be strengthened for this purpose; the Southern African Development Community, the Southern African Power Pool, and trade of agricultural products amounting to significant transfers of embedded water

Varespladib and cardiovascular events in patients with an acute coronary syndrome: the VISTA-16 randomized clinical trial

IMPORTANCE: Secretory phospholipase A2(sPLA2) generates bioactive phospholipid products implicated in atherosclerosis. The sPLA2inhibitor varespladib has favorable effects on lipid and inflammatory markers; however, its effect on cardiovascular outcomes is unknown. OBJECTIVE: To determine the effects of sPLA2inhibition with varespladib on cardiovascular outcomes. DESIGN, SETTING, AND PARTICIPANTS: A double-blind, randomized, multicenter trial at 362 academic and community hospitals in Europe, Australia, New Zealand, India, and North America of 5145 patients randomized within 96 hours of presentation of an acute coronary syndrome (ACS) to either varespladib (n = 2572) or placebo (n = 2573) with enrollment between June 1, 2010, and March 7, 2012 (study termination on March 9, 2012). INTERVENTIONS: Participants were randomized to receive varespladib (500 mg) or placebo daily for 16 weeks, in addition to atorvastatin and other established therapies. MAIN OUTCOMES AND MEASURES: The primary efficacy measurewas a composite of cardiovascular mortality, nonfatal myocardial infarction (MI), nonfatal stroke, or unstable angina with evidence of ischemia requiring hospitalization at 16 weeks. Six-month survival status was also evaluated. RESULTS: At a prespecified interim analysis, including 212 primary end point events, the independent data and safety monitoring board recommended termination of the trial for futility and possible harm. The primary end point occurred in 136 patients (6.1%) treated with varespladib compared with 109 patients (5.1%) treated with placebo (hazard ratio [HR], 1.25; 95%CI, 0.97-1.61; log-rank P = .08). Varespladib was associated with a greater risk of MI (78 [3.4%] vs 47 [2.2%]; HR, 1.66; 95%CI, 1.16-2.39; log-rank P = .005). The composite secondary end point of cardiovascular mortality, MI, and stroke was observed in 107 patients (4.6%) in the varespladib group and 79 patients (3.8%) in the placebo group (HR, 1.36; 95% CI, 1.02-1.82; P = .04). CONCLUSIONS AND RELEVANCE: In patients with recent ACS, varespladib did not reduce the risk of recurrent cardiovascular events and significantly increased the risk of MI. The sPLA2inhibition with varespladib may be harmful and is not a useful strategy to reduce adverse cardiovascular outcomes after ACS. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01130246. Copyright 2014 American Medical Association. All rights reserved

Noncutaneous malignant melanoma: a prognostic model from a retrospective multicenter study

Abstract Background We performed multicenter study to define clinical characteristics of noncutaneous melanomas and to establish prognostic factors patients who received curative resection. Methods Of the 141 patients who were diagnosed of non-cutaneous melanoma at 4 institutions in Korea between June 1992 and May 2005, 129 (91.5%) satisfied the selection criteria. Results Of the 129 noncutaneous melanoma patients, 14 patients had ocular melanoma and 115 patients had mucosal melanoma. For mucosal melanoma, anorectum was the most common anatomic site (n = 39, 30.2%) which was followed by nasal cavity (n = 30, 23.3%), genitourinary (n = 21, 16.3%), oral cavity (n = 14, 10.9%), upper gastrointestinal tract (n = 6, 4.7%) and maxillary sinus (n = 5, 3.9%) in the order of frequency. With the median 64.5 (range 4.3-213.0) months follow-up, the median overall survival were 24.4 months (95% CI 13.2-35.5) for all patients, and 34.6 (95% CI 24.5-44.7) months for curatively resected mucosal melanoma patients. Adverse prognostic factors of survival for 87 curatively resected mucosal melanoma patients were complete resection (R1 resection margin), and age > 50 years. For 14 ocular melanoma, Survival outcome was much better than mucosal melanoma with 73.3% of 2 year OS and 51.2 months of median OS (P = .04). Conclusion Prognosis differed according to primary sites of noncutaneous melanoma. Based on our study, noncutaneous melanoma patients should be treated differently to improve survival outcome.Peer Reviewe