Matrix of evidence and general characteristics of included studies

Matrix of evidence and general characteristics of included studies

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Objectives: This work aimed to identify, appraise, and summarize existing knowledge about oral health interventions in the context of natural disasters and verify the main research gaps. Methods: We searched in PubMed (National Library of Medicine, Maryland, USA), EMBASE (Elsevier, Amsterdam, Netherlands) and Epistemonikos (Epistemonikos Foundat...

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Context 1
... 6 studies were conducted in China, 26,30,31,34,36,37 2 in Pakistan, 24,28 1 in Haiti, 25 as well as 1 in Nepal, 38 and another 1 in Japan and Haiti. 27 The studies were performed in the context of an earthquake (n = 10) or mixed natural disasters (n = 9) (earthquake and tsunami: Great East Japan Earthquake of 2011) ( Table 1). ...
Context 2
... specific interventions, 12 studies reported a promotional/ preventive intervention, mainly referring to clinical oral examinations performed after the natural disaster. 26,27,29,32,33,35,[37][38][39][40][41][42] Moreover, 7 studies reported therapeutic interventions, and mostly, emergency management of fractures and injuries was performed (Table 1). 24,25,28,30,31,34,36 According to the EPOC taxonomy, we considered by consensus that natural disasters implied a change to the healthcare environment; for this reason, all the included studies fall into this category. ...

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... It acknowledges that climate change is causing a rise in the occurrence and severity of extreme weather events, including floods, heatwaves, droughts, and tropical cyclones. These, in turn, heighten health risks due to damage to vital infrastructure, disruption of essential services like water and sanitation, education, energy, health, and transportation, exacerbation of water management challenges, and a decrease in agricultural output and food security [26][27][28]. These micro-, mesoand macro-level effects of climate change may increase the risk of ECC as it may cause disruption in access to preventive and curative care, limited access to health promotion, prevention information and education and increase the impact of food insecurity on ECC [29,30]. ...
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Background Sustainable development goal 13 centres on calls for urgent action to combat climate change and its impacts. The aim of this scoping review was to map the published literature for existing evidence on the association between the Sustainable Development Goal (SDG) 13 and early childhood caries (ECC). Methods The scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. In August 2023, a search was conducted in PubMed, Web of Science, and Scopus using search terms related to SDG13 and ECC. Only English language publications were extracted. There was no restriction on the type of publications included in the study. A summary of studies that met the inclusion criteria was conducted highlighting the countries where the studies were conducted, the study designs employed, the journals (dental/non-dental) in which the studies were published, and the findings. In addition, the SDG13 indicators to which the study findings were linked was reported. Results The initial search yielded 113 potential publications. After removing 57 duplicated papers, 56 publications underwent title and abstract screening, and two studies went through full paper review. Four additional papers were identified from websites and searching the references of the included studies. Two of the six retrieved articles were from India, and one was China, Japan, the United States, and the United Kingdom respectively. One paper was based on an intervention simulation study, two reported findings from archeologic populations and three papers that were commentaries/opinions. In addition, four studies were linked to SDG 13.1 and they suggested an increased risk for caries with climate change. Two studies were linked to SDG 13.2 and they suggested that the practice of pediatric dentistry contributes negatively to environmental degradation. One study provided evidence on caries prevention management strategies in children that can reduce environmental degradation. Conclusion The evidence on the links between SDG13 and ECC suggests that climate change may increase the risk for caries, and the management of ECC may increase environmental degradation. However, there are caries prevention strategies that can reduce the negative impact of ECC management on the environment. Context specific and inter-disciplinary research is needed to generate evidence for mitigating the negative bidirectional relationships between SDG13 and ECC.