Do you see what I see? Identification of child protection concerns by hospital staff and general dental practitioners

Aim An exploration of the threshold that dentists, doctors and nurses recognise for dental and child protection (CP) actions in sample clinical cases, and any differences between these professional groups. Method We present a cross-sectional survey of dentists, doctors and nurses (50 each), who regularly examine children, utilised five fictitious vignettes, combining an oral examination image and clinical history reflecting dental and CP issues. Demographics were collected, and each participant gave their likely action for the cases presented. Results Dentists were significantly better at answering the dental element than the doctors and nurses, (P <0.0001) with no significant difference between these two; only 8% of the latter had undergone any training in assessment of dental health. Although 90.6% of all professionals had undergone CP training, dentists were significantly less accurate at identifying the CP component than doctors and nurses, (P <0.0001) between whom there were no significant differences. Those with higher levels of CP training were most accurate at identifying correct CP actions. Conclusions CP training is effective at improving recognition of child maltreatment, although there remains a worrying lack of knowledge about thresholds for action among dentists. Doctors and nurses have minimal training in, or knowledge of, dental health in children, thus precluding appropriate onward referrals

The impacts of environmental warming on Odonata: a review

Climate change brings with it unprecedented rates of increase in environmental temperature, which will have major consequences for the earth's flora and fauna. The Odonata represent a taxon that has many strong links to this abiotic factor due to its tropical evolutionary history and adaptations to temperate climates. Temperature is known to affect odonate physiology including life-history traits such as developmental rate, phenology and seasonal regulation as well as immune function and the production of pigment for thermoregulation. A range of behaviours are likely to be affected which will, in turn, influence other parts of the aquatic ecosystem, primarily through trophic interactions. Temperature may influence changes in geographical distributions, through a shifting of species' fundamental niches, changes in the distribution of suitable habitat and variation in the dispersal ability of species. Finally, such a rapid change in the environment results in a strong selective pressure towards adaptation to cope and the inevitable loss of some populations and, potentially, species. Where data are lacking for odonates, studies on other invertebrate groups will be considered. Finally, directions for research are suggested, particularly laboratory studies that investigate underlying causes of climate-driven macroecological patterns

The development of socio-economic health differences in childhood: results of the Dutch longitudinal PIAMA birth cohort

Background: People with higher socio-economic status (SES) are generally in better health. Less is known about when these socio-economic health differences set in during childhood and how they develop over time. The goal of this study was to prospectively study the development of socio-economic health differences in the Netherlands, and to investigate possible explanations for socio-economic variation in childhood health. Methods: Data from the Dutch Prevention and Incidence of Asthma and Mite Allergy (PIAMA) birth cohort study were used for the analyses. The PIAMA study followed 3,963 Dutch children during their first eight years of life. Common childhood health problems (i.e. eczema, asthma symptoms, general health, frequent respiratory infections, overweight, and obesity) were assessed annually using questionnaires. Maternal educational level was used to indicate SES. Possible explanatory lifestyle determinants (breastfeeding, smoking during pregnancy, smoking during the first three months, and day-care centre attendance) and biological determinants (maternal age at birth, birthweight, and older siblings) were analysed using generalized estimating equations. Results: This study shows that socio-economic differences in a broad range of health problems are already present early in life, and persist during childhood. Children from families with low socio-economic backgrounds experience more asthma symptoms (odds ratio (OR) 1.27; 95% Confidence Interval (CI) 1.08-1.49), poorer general health (OR 1.36; 95% CI 1.16-1.60), more frequent respiratory infections (OR 1.57; 95% CI 1.35-1.83), more overweight (OR 1.42; 95% CI 1.16-1.73), and more obesity (OR 2.82; 95% CI 1.80-4.41). The most important contributors to the observed childhood socio-economic health disparities are socio-economic differences in maternal age at birth, breastfeeding, and day-care centre attendance. Conclusions: Socio-economic health disparities already occur very early in life. Socio-economic disadvantage takes its toll on child health before birth, and continues to do so during childhood. Therefore, action to reduce health disparities needs to start very early in life, and should also address socio-economic differences in maternal age at birth, breastfeeding habits, and day-care centre attendance

Associação espacial entre variáveis socioeconômicas e risco relativo de nascimentos pré-termo na Região Metropolitana de São Paulo (RMSP) e na Área Metropolitana de Lisboa (AML)

A prematuridade é um dos grandes problemas de saúde pública, contribuindo fortemente para a morbi-mortalidade infantil, tanto em países em desenvolvimento como o Brasil, quanto em países europeus como Portugal. O nascido prematuro é aquele que nasce com menos de 37 semanas de gestação. Os fatores de risco individuais associados à incidência da prematuridade são conhecidos. No entanto, os fatores contextuais que podem influenciar a sua incidência têm sido pouco estudados. O principal objetivo deste estudo foi identificar o padrão espacial do risco relativo de nascimento pré-termo e possíveis agrupamentos espaciais, assim como examinar se as condições socioeconômicas estão espacialmente associadas com o risco relativo de nascimento pré-termo em duas áreas metropolitanas: Região Metropolitana de São Paulo (RMSP), no Brasil, e Área Metropolitana de Lisboa (AML), em Portugal. Foi recolhida informação relativa aos nascidos vivos (2000-2010) de mães residentes em ambas as áreas metropolitanas e às condições socioeconômicas das mães. Para análise de associação espacial entre o risco relativo de nascimentos pré-termo e as variáveis do contexto geográfico, foram aplicados testes de associação espacial global (I Moran) para ambas as áreas metropolitanas. A distribuição geográfica do risco relativo de nascimentos pré-termo ocorreu de maneira não aleatória e heterogênea tanto na RMSP como na AML: na RMSP verificou-se existir uma associação espacial global negativa significativa entre risco relativo e taxa de desemprego; na AML, foi revelada associação global positiva significativa entre o risco relativo e a taxa de analfabetismo, o índice de privação sóciomaterial e a da taxa de desemprego

The evolution of the upright posture and gait—a review and a new synthesis

During the last century, approximately 30 hypotheses have been constructed to explain the evolution of the human upright posture and locomotion. The most important and recent ones are discussed here. Meanwhile, it has been established that all main hypotheses published until the last decade of the past century are outdated, at least with respect to some of their main ideas: Firstly, they were focused on only one cause for the evolution of bipedality, whereas the evolutionary process was much more complex. Secondly, they were all placed into a savannah scenario. During the 1990s, the fossil record allowed the reconstruction of emerging bipedalism more precisely in a forested habitat (e.g., as reported by Clarke and Tobias (Science 269:521–524, 1995) and WoldeGabriel et al. (Nature 412:175–178, 2001)). Moreover, the fossil remains revealed increasing evidence that this part of human evolution took place in a more humid environment than previously assumed. The Amphibian Generalist Theory, presented first in the year 2000, suggests that bipedalism began in a wooded habitat. The forests were not far from a shore, where our early ancestor, along with its arboreal habits, walked and waded in shallow water finding rich food with little investment. In contrast to all other theories, wading behaviour not only triggers an upright posture, but also forces the individual to maintain this position and to walk bipedally. So far, this is the only scenario suitable to overcome the considerable anatomical and functional threshold from quadrupedalism to bipedalism. This is consistent with paleoanthropological findings and with functional anatomy as well as with energetic calculations, and not least, with evolutionary psychology. The new synthesis presented here is able to harmonise many of the hitherto competing theories

Top-down control in pelagic systems: a role for invertebrate predation.

Abstract Limnologists have long recognized the importance of predation in freshwater communities. The majority of study of predator effects has involved vertebrate predators, with emphasis on planktivorous fish. Documented effects of planktivorous fish have been so dramatic that manipulations of their populations are seen by many as potential tools in lake management. However, the success of such manipulations is often less than desired due to the ubiquitous complexity of food webs and the pervasiveness of compensatory responses to food web manipulation. Recently, enormous effort has been applied to the Lake Kinneret pelagic food web in effort to reduced the abundance of the planktivorous Kinneret bleak Acanthobrama terraesanctae and thereby increase the biomass of herbivorous zooplankton in the hopes of increasing water clarity. We compared potential predation pressure on Lake Kinneret herbivorous zooplankton by bleak and the other major zooplankton predators in the lake, the cyclopoid copepods Mesocyclops ogunnus and Thermocyclops dybowskii. We found that, despite having much lower biomass, cyclopoid copepods accounted for a greater portion of the predation mortality on herbivorous zooplankton than bleak. Our results suggest that reductions in predation pressure by bleak will not yield subsequent increases in herbivorous zooplankton biomass. Rather, reductions in bleak predation pressure may allow for increases in cyclopoid copepod abundance and thereby a net increase in predation pressure on herbivorous zooplankton

Benthic-Pelagic Links: Responses of Benthos to Water-Column Nutrient Enrichment

Although the responses of pelagic algae and invertebrates to gradients of nutrient enrichment are well known, less is known about the responses of benthos to such gradients or how benthic and pelagic responses may interact. We performed a 9-wk experiment in 2000-L mesocosms in the field to test for the effect of water-column nutrient enrichment on phytoplankton, algae on sediments (epipelon) and hard surfaces (plastic strips), as well as pelagic and benthic primary consumers. The experimental design consisted of 4 nutrient enrichment rates (0, 0.5, 1.0 and 2.0 μg P L-1 d-1, together with N to yield an N:P ratio of 20:1 by weight). Nutrient enrichment induced significant increases in chlorophyll a in phytoplankton and attached algae, but not epipelon. Zooplankton biomass was significantly higher in enriched mesocosms than in controls over the initial 4 wk of enrichment, but the effect was not sustained over the course of the experiment. Densities of sediment-dwelling, and hard-substrata-associated invertebrates were higher in enriched treatments relative to controls. Emergence of benthic insects also increased with enrichment. Size and species composition of benthic macroinvertebrates differed between enriched treatments and controls. Our results suggest that nutrients added to the water column were quickly converted into benthic biomass, likely reducing pelagic responses to enrichment

Insights and Application of Large-scale, Long-term Ecological Observations and Experiments

This text assembles perspectives from ecologists using a wide range of experimental approaches, ranging from laboratory microcosms to manipulations of entire ecosystems. It assesses the strengths and limitations of experimentation in answering fundamental ecological questions

Insights and Application of Large-scale, Long-term Ecological Observations and Experiments

This text assembles perspectives from ecologists using a wide range of experimental approaches, ranging from laboratory microcosms to manipulations of entire ecosystems. It assesses the strengths and limitations of experimentation in answering fundamental ecological questions