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Background Guideline implementation has been an ongoing challenge in the dental practice setting. Despite this, there are no reviews summarising the existing evidence regarding effective guideline implementation strategies in this setting. In order to address this, this systematic review examines the effectiveness of guideline implementation strategies in the dental practice setting. Methods A systematic search was undertaken according to the PRISMA statement across nine electronic databases, targeting randomised controlled trials and quasi-experimental studies which evaluated the effectiveness of guideline implementation strategies in improving guideline adherence in the dental setting. All records were independently examined for relevance and appraised for study quality by two authors, with consensus achieved by a third author. Data were extracted from included studies using a standardised data extraction pro forma. Results A total of 15 records were eligible for inclusion in this review, which focused on the effects of audit and feedback, reminders, education, patient-mediated interventions, pay for performance and multifaceted interventions. Although there were some conflicting evidence, studies within each category of implementation strategy indicated a positive effect on guideline adherence. Conclusions This study has identified education, reminders and multifaceted interventions as effective implementation strategies for the dental practice setting. Although this is similar to research findings from other health sectors, there is some evidence to suggest patient-mediated interventions may be less effective and pay for performance may be more effective in the dental setting. These findings can inform policy makers, professional associations, colleges and organisations in the future adoption of clinical guidelines in the dental practice setting. Trial registration This systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO), registration ID CRD42018093023 .

In power systems, control, system operations are an important and difficult task by enhancing the power systems' security. An enhancement of the security system is done by the optimal location selection of the Flexible Alternating Current Transmission System (FACTS) devices, for instance, Unified Power Flow Controller (UPFC), Thyristor-Controlled Series Capacitor (TCSC), Interlink Power Flow Controller (IPFC), and Static VAR Compensator (SVC). Therefore, the Atom Search Algorithm (ASO) is utilized to compute the precise optimal placement of the FACTS device. FACTS devices must be in the correct location on the power system to improve system safety. The performances are evaluated by severity index, Line Overload Sensitivity Index (LOSI), voltage, voltage deviation ̧, power loss, fitness function, and the fuel cost with the IEEE 30, IEEE 118, and IEEE 300 bus system. To validate the proposed methodology, it is contrasted with the conventional techniques like Dragonfly Algorithm (DA), Whale Optimization Algorithm (WOA), Jaya, Flower Pollination Algorithm (FPA), Grey Wolf Algorithm (GWA), and the Jaya Flower Pollination (JA-FPA) systems.

Despite criticisms, public engagement is a necessary part of the process to democratize science. Organizations such as the US National Academy of Sciences (NAS) and the Organization for Economic Cooperation and Development (OECD) have recognized its importance. Citizen science and stakeholder involvement in medical research demonstrate that the public is not always a passive beneficiary of science and can contribute to it.

Chromium (Cr) is a toxic heavy metal discharged into the environment through various anthropogenic sources, which affects soil properties and fertility. Hence, an effective soil restoration strategy is the need of the hour. In this study, a potent Cr(VI)-reducing strain M2 was isolated from the rhizosphere of Zea mays L. grown in leather industrial effluent contaminated sites and identified as Bacillus flexus through 16S rDNA sequencing. Strain M2 exhibited strong tolerance to multi-stresses such as temperature (up to 45 °C), pH (up to 9.0), Sodium chloride (NaCl) (up to 7%) and PEG 6000 (up to 50%) and showed strong Cr(VI) reduction with the presence of multi-stresses. The interaction of Cr(VI) with strain M2 was elucidated through various instrumentation analyses. Fourier Transform Infra-red (FTIR) Spectroscopy analysis confirmed that Cr(VI) exposures induce significant changes in the cell-surface functional groups. Raman spectrum and Transmission Electron Microscopy–Energy Dispersive X-ray spectroscopy (TEM-EDX) analysis confirmed the bio-reduction of Cr(VI) to Cr(III) and their intracellular localization as Cr(III). Further, strain M2 produced a significant quantity of Indole acetic acid (IAA), ammonia, and exopolysaccharide (EPS) and showed positive results for various plant-growth-promoting activities with the presence of Cr(VI). In greenhouse experiments, the strain M2 inoculation progressively increased the plant growth parameters and stabilized the antioxidant system of Vigna radiata under Cr stress. However, Cr(VI) exposure decreased the growth parameters and increased the level of proline content, Hydrogen peroxide (H2O2) accumulation, and antioxidant enzymes expression in V. radiata. Interestingly, strain M2 inoculation significantly reduced the accumulation of Cr in root and shoot of V. radiata when compared to the uninoculated Cr(VI) treatment. Hence, this study confirms that rhizobacterial inoculation markedly reduced the negative impact of Cr toxicity and improved V. radiata growth even in harsh environments by stabilizing the mobility of Cr in the rhizosphere.

This study explores the key factors influencing the adoption of Islamic Banking (IB) among Pakistani customers. Data were collected from 150 bank customers in the Peshawar district. The analysis involved descriptive statistics and stepwise regression. The findings reveal that religious commitment and consumer perception positively impact IB adoption. Additionally, the study highlights that customers in Pakistan generally have limited knowledge of IB products. These findings are valuable for Islamic banks in refining their marketing strategies. Marketing managers should focus on fostering a positive attitude by increasing awareness and emphasizing the benefits of Islamic banking services. Enhancing service delivery for existing customers can also generate positive word-of-mouth, further encouraging adoption.

The aim of this study was to explore the perception of patients with cardiovascular disease towards oral health and the potential for cardiac care clinicians to promote oral health. A needs assessment was undertaken with twelve patients with cardiovascular disease attending cardiac rehabilitation between 2015 and 2016, in three metropolitan hospitals in Sydney, Australia. These patients participated in face-to-face semi-structured interviews. Data was analysed using thematic analysis. Results suggested that while oral health was considered relevant there was high prevalence of poor oral health among participants, especially those from socioeconomic disadvantaged background. Awareness regarding the importance of oral health care its impact on cardiovascular outcomes was poor among participants. Oral health issues were rarely discussed in the cardiac setting. Main barriers deterring participants from seeking oral health care included lack of awareness, high cost of dental care and difficulties in accessing the public dental service. Findings also revealed that participants were interested in receiving further information about oral health and suggested various mediums for information delivery. The concept of cardiac care clinicians, especially nurses providing education, assessment and referrals to ongoing dental care was well received by participants who felt the post-acute period was the most appropriate time to receive oral health care advice. The issues of oral health training for non-dental clinicians and how to address existing barriers were highlighted by participants. The lack of oral health education being provided to patients with cardiovascular disease offers an opportunity to improve care and potentially, outcomes. In view of the evidence linking poor oral health with cardiovascular disease, cardiac care clinicians, especially nurses, should be appropriately trained to promote oral health in their practice. Affordable and accessible dental care services for people with cardiovascular disease should be considered and offered by health services in Australia.

Background Early childhood caries is the most common chronic childhood disease worldwide. Australian Aboriginal and Torres Strait Islander children are twice more likely to develop dental decay, and contributing factors include poor maternal oral health and underutilisation of dental services. Globally, Indigenous health workers are in a unique position to deliver culturally competent oral healthcare because they have a contextual understanding of the needs of the community. Methods This scoping review aimed to identify the role of Indigenous health workers in promoting maternal oral health globally. A systematic search was undertaken of six electronic databases for relevant published literature and grey literature, and expanded to include non-dental health professionals and other Indigenous populations across the lifespan when limited studies were identified. Results Twenty-two papers met the inclusion criteria, focussing on the role of Indigenous health workers in maternal oral healthcare, types of oral health training programs and screening tools to evaluate program effectiveness. There was a paucity of peer-reviewed evidence on the role of Indigenous health workers in promoting maternal oral health, with most studies focusing on other non-dental health professionals. Nevertheless, there were reports of Indigenous health workers supporting oral health in early childhood. Although some oral health screening tools and training programs were identified for non-dental health professionals during the antenatal period, no specific screening tool has been developed for use by Indigenous health workers. Conclusions While the role of health workers from Indigenous communities in promoting maternal oral health is yet to be clearly defined, they have the potential to play a crucial role in ‘driving’ screening and education of maternal oral health especially when there is adequate organisational support, warranting further research.

ObjectivesTo critically evaluate the cost-effectiveness of the Midwifery Initiated Oral Health-Dental Service (MIOH-DS) designed to improve oral health of pregnant Australian women. Previous efficacy and process evaluations of MIOH-DS showed positive outcomes and improvements across various measures.Design and settingThe evaluation used a cost-utility model based on the initial study design of the MIOH-DS trial in Sydney, Australia from the perspective of public healthcare provider for a duration of 3 months to 4 years.ParticipantsData were sourced from pregnant women (n=638), midwives (n=17) and dentists (n=3) involved in the MIOH trial and long-term follow-up.Cost measuresData included in analysis were the cost of the time required by midwives and dentists to deliver the intervention and the cost of dental treatment provided. Costs were measured using data on utilisation and unit price of intervention components and obtained from a micro-costing approach.Outcome measuresUtility was measured as the number of Disability Adjusted Life Years (DALYs) from health-benefit components of the intervention. Three cost-effectiveness analyses were undertaken using different comparators, thresholds and time scenarios.ResultsCompared with current practice, midwives only intervention meets the Australian threshold (A$50 000) of being cost-effective. The midwives and accessible/affordable dentists joint intervention was only ‘cost-effective’ in 6 months or beyond scenarios. When the midwife only intervention is the comparator, the midwife/dentist programme was ‘cost-effective’ in all scenarios except at 3 months scenario.ConclusionsThe midwives’ only intervention providing oral health education, assessment and referral to existing dental services was cost-effective, and represents a low cost intervention. Midwives’ and dentists’ combined interventions were cost-effective when the benefits were considered over longer periods. The findings highlight short and long term economic benefits of the programme and support the need for policymakers to consider adding an oral health component into antenatal care Australia wide.Trial registration numberACTRN12612001271897; Post-results.

Background In Australia, models of care have been developed to train antenatal care providers to promote oral health among pregnant women. However, these models are underpinned by Western values of maternity care that do not consider the cultural needs of Aboriginal and Torres Strait Islander women. This study aimed to explore the perceptions and experiences of Aboriginal health staff towards oral health care during pregnancy. It is part of a larger program of research to develop a new, culturally safe model of oral health care for Aboriginal women during pregnancy. Methods A descriptive qualitative methodology informed the study. Focus groups were convened to yarn with Aboriginal Health Workers, Family Partnership Workers and Aboriginal management staff at two antenatal health services in Sydney, Australia. Results A total of 14 people participated in the focus groups. There were four themes that were constructed. These focused on Aboriginal Health Workers and Family Partnership Workers identifying their role in promoting maternal oral health, where adequate training is provided and where trust has been developed with clients. Yet, because the Aboriginal health staff work in a system fundamentally driven by the legacy of colonisation, it has significantly contributed to the systemic barriers Aboriginal pregnant women continue to face in accessing health services, including dental care. The participants recommended that a priority dental referral pathway, that supported continuity of care, could provide increased accessibility to dental care. Conclusions The Aboriginal health staff identified the potential role of Aboriginal Health Workers and Family Partnership Workers promoting oral health among Aboriginal pregnant women. To develop an effective oral health model of care among Aboriginal women during pregnancy, there is the need for training of Aboriginal Health Workers and Family Partnership Workers in oral health. Including Aboriginal staff at every stage of a dental referral pathway could reduce the fear of accessing mainstream health institutions and also promote continuity of care. Although broader oral health policies still need to be changed, this model could mitigate some of the barriers between Aboriginal women and both dental care providers and healthcare systems.

The Interline Power Flow Controller (IPFC) is a voltage source converter based Flexible AC Transmission System (FACTS) controller for series compensation and power flow management among a substation's multiline transmission systems. Individual Voltage Source Converters (VSC) can inject reactive voltage that can be adjusted to manage active power flow in a line. This VSC is used to convert DC voltage to AC voltage and the voltage is kept constant in the entire process. In this article, a circuit model for IPFC is constructed, and a simulation of an interline power flow controller is performed, with control performed utilizing a variety of algorithms, including adaptive weighted feedback, gravitational search, BAT, and ANT colony optimization. The system's performance was evaluated in a variety of scenarios, including fault incidence, synchronous load connection, and asynchronous load connection. The design of system and analysis of system has been carried out using MATLAB Simulink in terms of various parameters at point of common coupling like voltage, current, power and power factor.