Role of parents, teachers at home and school in prevention of female sexual abuse: an analysis

Background: Sexual assault is an act performed by one person on another without the person’s consent or on a victim who is incapable of giving consent. The purpose of this article is to analyze the female sexual assault cases reported in one year –and the role of parents, teachers, at home and school in prevention of child sexual abuse.Methods: Data of victims who were admitted in GDMCH in the department of obstetrics and gynaecology in the year 2020 were collected from the medico legal register retrospectively and analyzed.Results: Age wise distribution showed 70% of cases were in the age group 15-19 years. 57% of assaults were with consent and 43% without consent. 93% of the perpetrators were known to the victim. Around 48% of the assaults were multiple episodes by a single perpetrator. The place of assault in 39% of cases was perpetrator’s house, 35% was in friend’s or relative’s house.Conclusions: 86% of the victims were <19 years of age, hence, educational awareness services are to be given to high school students and teachers .School authorities and teachers should implement strict vigilance against improper use of the internet and mobile phones by the students. Most common location of assault was the perpetrator's house (39%), followed by their friend’s house (22%). Hence parents should take every care to watch over the child and never leave them unsupervised.

The Virtual Child: Evaluation of an Internet‐Based Pediatric Behavior Management Simulation

This article describes an Internet‐based instructional tool designed to give predoctoral dental students a virtual simulation of clinical pediatric dentistry to develop their pediatric behavior management knowledge. Effectiveness of this tool was evaluated using two consecutive classes of junior dental students. The control group was exposed to the traditional behavior management curriculum (two lectures) in a spring term course. The next class of dental students was exposed to the two lectures and, in addition, completed the behavior management simulation during the following spring term. Both groups completed a two‐part examination (objective section=18 questions; open‐ended section=responses to a clinical situation) designed to test their behavior management knowledge. The simulation group performed significantly better in both parts of the examination (objective section: p=.028; open‐ended section: p=.012). The simulation was evaluated by students and perceived by most to be an effective addition to the curriculum. It was concluded that the experimental behavior management simulation, when added to the traditional lecture curriculum, improved pediatric behavior management knowledge in predoctoral dental students.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153691/1/jddj002203372007719tb04383x.pd

Trace element concentrations in fine sediment and linkages to non-point pollution source: Lower Johor river basin

Johor Strait is an economically important freshwater system in the southern portion of Peninsular Malaysia. In past decades, Johor has been experiencing rapid developments especially in industrialisation, urbanisation and agricultural activities which have impacted the quality of Johor river. This study focused on identifying the intensity and degree of sediment contamination by trace elements from different anthropogenic sources using the multiple Risk Indexes. Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) was used to detect trace element concentrations from nine sampling stations. The overall ranges for metals are 0.35-4.25, 505.86-1864.56, below detection limit (BDL)-5.37, 0.02-0.07, 0.02-0.17, 0.59-2.05, BDL-5.35, 247.07-1010.23, 0.71-9.62, 1.08-5.68 and 10.87-21.15 mg/kg for Ag, Al, As, Cd, Co, Cr, Cu, Fe, Mn, Ni, and Zn respectively. The mean concentrations of trace elements follow the order: Al > Fe > Zn > Cu > Mn > Ni > Ag > Cr > As > Co > Cd. In this study, high concentrations of most elements (Al, As, Cd, Co, Fe, Mn, and Ni) were recorded at SS5 as the station is located near the Kota Tinggi city. Comparison with the sediment quality guidelines (SQGs) portrayed that concentrations of As, Cd, Cr, Cu, Ni, and Zn were below the Threshold Effects Level (TEL), Severity Effects Level (SEL), Probable Effects level (PEL) values in all sampling stations. The Pollution Load Index (PLI) that ranged between 0.151 and 0.389 (PL1 < 1) indicates that the Johor river sediments are free of trace element contamination. Potential Ecological Risk Index (RI), and Potential Ecological Risk Factor (Er) were in the range of 3.018-11.823 (RI < 150) and 0.103-7.141 (Er <40) respectively, which indicate that trace elements in Johor river pose no adverse effects on aquatic biota. The Pearson's correlation matrix showed a good positive correlation between Al and As (0.546), Co (0.595), Fe (0.440), Mn (0.770), and Ni (0.496), representing similar sources of pollution. The cluster analysis indicates that Al, Mn, As, Ni, Fe, Cd, and Co originated from natural processes while Cr, C, Ag, and Zn are mainly from anthropogenic sources. Suggesting that man-made activities are accelerating sedimentation rate and washing down the pollutants together to the adjacent water bodies. Tracing the origin of the elements and planning for target mitigation to reduce further deterioration to the receiving river system could be the next mode of action

The effects of catchment and riparian forest quality on stream environmental conditions across a tropical rainforest and oil palm landscape in Malaysian Borneo

Freshwaters provide valuable habitat and important ecosystem services, but are threatened worldwide by habitat loss and degradation. In Southeast Asia, rainforest streams are particularly threatened by logging and conversion to oil palm, but we lack information on the impacts of this on freshwater environmental conditions, and the relative importance of catchment versus riparian-scale disturbance. We studied sixteen streams in Sabah, Borneo, including old growth forest, logged forest, and oil palm sites. We assessed forest quality in riparian zones and across the whole catchment, and compared it with stream environmental conditions including water quality, structural complexity and organic inputs. We found that streams with the highest riparian forest quality were nearly 4 °C cooler, over 20 cm deeper, had over 40% less sand, greater canopy cover, more stored leaf litter and wider channels than oil palm streams with the lowest riparian forest quality. Other variables were significantly related to catchment-scale forest quality, with streams in the highest quality forest catchments having 40% more bedrock and 20 times more dead wood, along with higher phosphorus, and lower nitrate-N levels compared to streams with the lowest catchment-scale forest quality. Although riparian buffer strips went some way to protecting waterways, they did not maintain fully forest-like stream conditions. In addition, logged forest streams still showed signs of disturbance 10-15 years after selective logging. Our results suggest that maintenance and restoration of buffer strips can help to protect healthy freshwater ecosystems, but logging practices and catchment-scale forest management also need to be considered.During this work SHL was funded by a Natural Environment Research Council (NERC) studentship (number 1122589), Proforest, the Varley Gradwell Travelling Fellowship, Tim Whitmore Fund, Panton Trust and the Cambridge University Commonwealth Fund. MP and RME were supported by European Research Council Project number 281986. HB was funded by the S.T. Lee Fund

Hydrological dynamics of tropical streams on a gradient of land-use disturbance and recovery: A multi-catchment experiment

Although erosional impacts of rainforest logging are well established, changes in hydrological dynamics have been less explored especially in the post-logging recovery phase following repeat-logging cycles and mature phase of oil palm plantation cycles. This study addresses this gap by comparing hydrological characteristics of five catchments in a steep land area of Sabah, Malaysian Borneo on a gradient of disturbance and recovery – twice-logged forest, 22 years recovery (LF2); multiple-logged forest, 8 years recovery (LF3); mature oil palm, 20 years old (OP); and two primary forests (PF and VJR) as controls. Each catchment was instrumented with water depth (converted to discharge), conductivity, temperature, and turbidity sensors, and a raingauge connected to a solar-powered datalogger recording data at 5-minute intervals from November 2011 to August 2013. Data were analysed via the flow-duration curve (FDC) supplemented by the runoff coefficient (RR) and coefficient of variation in discharge (QVAR) for aggregated characteristics, as well as via a combination of the Dunn's test and multiple-regression at the storm event scale for focused hydrological dynamics. Results show that OP is characterised by a relatively low RR (0.357) but with high responsiveness during storm events and very low baseflow (38.4% of total discharge). Discharge in the LF3 (RR = 0.796) is always the highest while having an intermediate level of responsiveness. LF2 with longer-term recovery shown a reduction in terms of discharge (RR = 0.640). Being the benchmark, the undisturbed forest (PF) has the most buffered storm response with the highest baseflow (67.9% of total discharge). Stormflow and baseflow are anomalously high and low respectively in the near-primary VJR catchment, but this probably reflects the shallow soils and short-stature rainforest associated with its igneous and metamorphic lithology. From a management aspect, although hydrological recovery is more advanced in the 22 years than in the 8-years post-logging catchment, full recovery is yet to be achieved and might be hastened by enrichment planting of the degraded forest. The low baseflow and flashy nature of the mature oil palm have major implications for downstream water supply in ENSO periods and flooding in La Nina periods. Steep lands in the humid tropics are best avoided from any form of landscape disturbance

Baseflow persistence and magnitude in oil palm, logged and primary tropical rainforest catchments in Malaysian Borneo: implications for water management under climate change

While timber harvesting has plateaued, repeat-logging and conversion into plantations (especially oil palm) are still active in the tropics. The associated hydrological impacts especially pertaining to enhanced runoff, flood, and erosion have been well-studied, but little attention has been given to water resource availability in the humid tropics. In the light of the increasing climate extremes, this paper compared baseflow values and baseflow recession constants (K) between headwater catchments of five differing land-uses in Sabah, Malaysian Borneo, namely primary forest (PF), old growth/virgin jungle reserve (VJR), twice-logged forest with 22 years regeneration (LF2), multiple-logged forest with 8 years regeneration (LF3), and oil palm plantation (OP). Hydrological and meteorological sensors and dataloggers were established in each catchment. Daily discharge was used for computing K via four estimation methods. Catchment ranks in terms of decreasing K were VJR (0.97841), LF3 (0.96692), LF2 (0.90347), PF (0.83886), and OP (0.86756). Catchment ranks in terms of decreasing annual baseflow were PF (1877 mm), LF3 (1265 mm), LF2 (812 mm), VJR (753 mm), and OP (367 mm), corresponding to 68%, 55%, 51%, 42%, and 38% of annual streamflow, respectively. Despite the low K, PF had the highest baseflow magnitude. OP had the fastest baseflow recession and lowest baseflow magnitude. Baseflow persistence decreased with increasing degree of disturbance. K showed strong association to catchment stem density instead of basal area. For dynamic catchments in this study, the Kb3 estimator is recommended based on its lowest combination of coefficient of variation (CoV) and root mean squared error (RMSE) of prediction. For wetter catchments with even shorter recession events, the Kb4 estimator may be considered. Regarding climate change, logging and oil palm agriculture should only be conducted after considering water resource availability. Forests (even degraded ones) should be conserved as much as possible in the headwaters for sustainable water resource

Logging disturbance shifts net primary productivity and its allocation in Bornean tropical forests.

Tropical forests play a major role in the carbon cycle of the terrestrial biosphere. Recent field studies have provided detailed descriptions of the carbon cycle of mature tropical forests, but logged or secondary forests have received much less attention. Here, we report the first measures of total net primary productivity (NPP) and its allocation along a disturbance gradient from old-growth forests to moderately and heavily logged forests in Malaysian Borneo. We measured the main NPP components (woody, fine root and canopy NPP) in old-growth (n = 6) and logged (n = 5) 1 ha forest plots. Overall, the total NPP did not differ between old-growth and logged forest (13.5 ± 0.5 and 15.7 ± 1.5 Mg C ha-1  year-1 respectively). However, logged forests allocated significantly higher fraction into woody NPP at the expense of the canopy NPP (42% and 48% into woody and canopy NPP, respectively, in old-growth forest vs 66% and 23% in logged forest). When controlling for local stand structure, NPP in logged forest stands was 41% higher, and woody NPP was 150% higher than in old-growth stands with similar basal area, but this was offset by structure effects (higher gap frequency and absence of large trees in logged forest). This pattern was not driven by species turnover: the average woody NPP of all species groups within logged forest (pioneers, nonpioneers, species unique to logged plots and species shared with old-growth plots) was similar. Hence, below a threshold of very heavy disturbance, logged forests can exhibit higher NPP and higher allocation to wood; such shifts in carbon cycling persist for decades after the logging event. Given that the majority of tropical forest biome has experienced some degree of logging, our results demonstrate that logging can cause substantial shifts in carbon production and allocation in tropical forests

European clinical guidelines for Tourette syndrome and other tic disorders. Part II: pharmacological treatment

To develop a European guideline on pharmacologic treatment of Tourette syndrome (TS) the available literature was thoroughly screened and extensively discussed by a working group of the European Society for the Study of Tourette syndrome (ESSTS). Although there are many more studies on pharmacotherapy of TS than on behavioral treatment options, only a limited number of studies meets rigorous quality criteria. Therefore, we have devised a two-stage approach. First, we present the highest level of evidence by reporting the findings of existing Cochrane reviews in this field. Subsequently, we provide the first comprehensive overview of all reports on pharmacological treatment options for TS through a MEDLINE, PubMed, and EMBASE search for all studies that document the effect of pharmacological treatment of TS and other tic disorders between 1970 and November 2010. We present a summary of the current consensus on pharmacological treatment options for TS in Europe to guide the clinician in daily practice. This summary is, however, rather a status quo of a clinically helpful but merely low evidence guideline, mainly driven by expert experience and opinion, since rigorous experimental studies are scarce