A scoping review of caries risk management protocols in Australia and New Zealand

2018 ◽  
Vol 64 (1) ◽  
pp. 19-26 ◽  
Author(s):  
N Amarasena ◽  
D Haag ◽  
KG Peres
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kym Roberts ◽  
Ogilvie Thom ◽  
Susan Devine ◽  
Peter A. Leggat ◽  
Amy E. Peden ◽  
...  

Abstract Background Drowning is a significant public health issue, with females accounting for one third of global drowning deaths. The rate of female drowning has not decreased within high-income countries and presentations to hospital have increased. This scoping review aimed to explore adult female unintentional drowning, including risk factors, clinical treatment and outcomes of females hospitalised for drowning. Methods A systematic search of the literature following the PRISMA-ScR framework was undertaken. The databases OVID MEDLINE, Embase, CINAHL, OVID Emcare, Web of Science, Informit and Scopus were accessed. Study locations of focus were Australia, Canada, New Zealand, the United Kingdom, and the United States. Studies from January 2003 to April 2019 were included. The quality of evidence of included studies was assessed using GRADE guidelines. Results The final search results included 14 studies from Australia (n = 4), Canada (n = 1), New Zealand (n = 1), United States (n = 6), United Kingdom (n = 1), and one study reporting data from both Australia and United States. Nine studies reported risk factors for female drowning including age, with the proportion of female drowning incidence increasing with age. Although females are now engaging in risk-taking behaviours associated with drowning that are similar to males, such as consuming alcohol and swimming in unsafe locations, their exposure to risky situations and ways they assess risk, differ. Females are more likely to drown from accidental entry into water, such as in a vehicle during a flood or fall into water. This review found no evidence on the clinical treatment provided to females in hospital after a drowning incident, and only a small number of studies reported the clinical outcomes of females, with inconsistent results (some studies reported better and some no difference in clinical outcomes among females). Conclusion Adult females are a group vulnerable to drowning, that have lacked attention. There was no single study found which focused solely on female drowning. There is a need for further research to explore female risk factors, the clinical treatment and outcomes of females hospitalised for drowning. This will not only save the lives of females, but also contribute to an overall reduction in drowning.


2019 ◽  
Vol 72 ◽  
pp. 279
Author(s):  
David A.J. Teulon ◽  
John M. Kean ◽  
Karen F. Armstrong

Fruit flies (Family Tephritidae), in particular the Queensland fruit fly (Bactrocera tryoni; QFF), areone of the biggest biosecurity risks for New Zealand horticulture. New Zealand has one of the bestscience-based biosecurity systems in the world, based on years of experience and sound research. Theintroduction of fruit flies to New Zealand is now well managed in commercial fruit imports, but the riskis rising from growing trade and travel and, in the case of QFF, climatic adaptation and spread to moresouthern localities. Smarter solutions are continually needed to manage this increasing risk, and to dealwith such pests when they arrive. We present a brief summary of current and anticipated research aimedat reducing the likelihood of entry into New Zealand and/or minimising the impact for the fruit flyspecies of greatest threat to New Zealand. Research spans risk assessment, pathway risk management,diagnostics, surveillance and eradication.


2017 ◽  
Vol 51 (2) ◽  
pp. 76-88 ◽  
Author(s):  
Eugene Georgiades ◽  
Daniel Kluza

AbstractVessel biofouling is a significant pathway for the introduction of nonindigenous marine species (NIMS). New Zealand is the first nation to regulate the vessel biofouling pathway, with controls scheduled to come into force in May 2018. The Craft Risk Management Standard (CRMS): Biofouling on Vessels Arriving to New Zealand specifies the hull fouling thresholds that vessels must meet; and here, we present the evidence-based decisions that underpin these thresholds.Under the CRMS, a vessel must arrive in New Zealand with a “clean hull,” the thresholds for which are governed by the intended duration of a vessel's stay in New Zealand. For example, long-stay (≥21 days) vessels must meet a more stringent standard of hull cleanliness due to the increased likelihood of release and establishment of NIMS. While setting a clean hull threshold at “slime layer only” can be tractable when vessels operate within the specifications of antifouling coatings, incidental amounts of macrofouling can establish even under the best management practices. Because of such instances, the thresholds within the CRMS were designed to allow for the presence of some macrofouling species, albeit with restrictions to minimize biosecurity risk. These thresholds are intended to limit species richness and to prevent successful reproduction and settlement of the allowed taxonomic groups while considering the practicality and feasibility of implementation.The difficulties of managing biofouling on different areas of the hull are acknowledged within these thresholds. For example, a greater tolerance of macrofouling has been allowed for niche areas due to the difficulties in preventing biofouling on these areas.


2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Arzu Pınar Erdem ◽  
Kadriye Peker ◽  
Sinem Kuru ◽  
Elif Sepet

Background. Dental education plays an important role in providing students with the opportunity to develop their evidence-based knowledge and clinical skills regarding patient-specific preventive care and caries management strategies. The aims of this study were to examine the knowledge, attitude, and self-perceived competency towards preventive dentistry among final-year dental students and to investigate their preventive practice for high-caries-risk children. Methods. Data were collected from a convenience sample of 126 dental students using a questionnaire. The IBM SPSS Statistics version 21 was used for data analysis. Results. A total of 126 students completed the questionnaire, and 63% of the respondents were female. Significant gender differences were found in the total Professional Preventive Knowledge Scale (PPKS) (p=0.016) and its subscales of the noncariogenic nutrition (p=0.015), dental hygiene/clinical examination (p<0.001), caries-preventive practice (p=0.02), and the Hiroshima University-Dental Behavioral Inventory (HU-DBI) (p=0.028). Significant differences were observed in the total PPKS (p=0.003) and its subscales of the noncariogenic nutrition (p=0.043) and caries risk management (p=0.006) in terms of self-perceived need to receive education and training. Caries-preventive practice was correlated with the self-perceived competency (r = 0.279; p=0.002), the attitudes (r = 0.394; p<0.001), the total PPKS (r = 0.457; p<0.001) and its all subscales of dental hygiene and clinical examination (r = 0.425; p<0.001), noncariogenic nutrition (r = 0.410; p<0.001), and caries risk management (r = 0.184; p=0.039). The self-perceived competency was positively correlated with the total PPKS (r = 0.192; p=0.031) and its subscale of noncariogenic nutrition (r = 0.259; p=0.003). Greater self-perceived competence, more positive attitudes, and good knowledge regarding preventive dentistry were found to be important predictors of the caries-preventive practice of dental students, explaining 31% of the variance (adjusted R2 = 0.312, p<0.001). Conclusion. 40% of dental students reported educational and training needs regarding the diagnosis, caries-preventive agents, and risk-based treatment plan. These results should be taken into account by the stakeholders in developing the national core curriculum for undergraduate Turkish dental education.


2018 ◽  
Vol 28 ◽  
pp. 610-619 ◽  
Author(s):  
M.H. Crawford ◽  
K. Crowley ◽  
S.H. Potter ◽  
W.S.A. Saunders ◽  
D.M. Johnston

2019 ◽  
Vol 27 (6) ◽  
pp. 479-489 ◽  
Author(s):  
Mingming Zhou ◽  
Jane Desborough ◽  
Anne Parkinson ◽  
Kirsty Douglas ◽  
David McDonald ◽  
...  

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