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The purpose of this study was to compare the quality of photographs obtained with 3 different cameras: iPhone, Samsung, and digital single-lens reflex (DSLR), as assessed by oral and maxillofacial surgeons (OMS). This was an anonymous online survey study. The study population consisted of OMS in New Jersey, New York, Pennsylvania, and Massachusetts who were members of their state societies. The primary outcome variable was ratings on the quality of extraoral and intraoral photographs obtained with 3 different cameras. The predictor variable was the type of camera used to obtain the photographs: iPhone, Samsung, and DSLR camera. Descriptive statistics were computed. Spearman test was utilized to analyze correlation between the outcome variables. The majority of respondents were from full time private practice (n = 84, 77.06%), followed by full time academia (n = 12, 11.01%). The Spearman test revealed negligible correlation between extraoral and intraoral photographs on the best quality rating (0.15, P =.13). Negligible correlation between extraoral and intraoral photographs were noted on the second best (0.15, P =.11), and least quality rating (0.09, P =.32). Study results revealed that there is no difference between the quality of photographs obtained using smartphones, compared with the photographs obtained via a DSLR camera. Future discussions on an ideal application on smartphones would allow for consent and transfer of high-quality photographs via a secure messaging system between health care providers to address ethical concerns of confidentiality. (Oral Surg Oral Med Oral Pathol Oral Radiol YEAR;VOL:page range) [ABSTRACT FROM AUTHOR]

The prevalence of tetrahydrocannabinol (THC) use is increasing in the general population due to its increased availability, legality, and cultural acceptability. The purpose of the current study was to measure the association of THC use on the vital signs and anesthetic requirements during intravenous (IV) sedation procedures in recreational marijuana users. A retrospective cohort study was performed. A study sample was chosen from July 2018 to May 2022 based on the following inclusion criteria: patients who underwent toxicology screening due to their history of recent drug use and received IV sedation. The predictor variable of the present study is THC status grouped into THC+ and THC-. THC status was established using urine toxicology. Patients who screened positive for THC were coded THC+. Patients who screened negative for THC were coded THC-. Primary outcome variable was changes in vital signs, including mean arterial pressure (MAP), heart rate (HR), and respiratory rate (RR) during IV sedation procedures in THC+ and THC- groups. Secondary outcome variable was difference in medication (midazolam, fentanyl, propofol, and ketamine) requirements in THC+ and THC- groups. Covariates included age, gender, race, weight, duration of surgery, smoking history, and alcohol use, data on psychiatric diagnosis and psychiatric medications. Descriptive statistics and 2-sample t test were calculated. Statistical significance was set at P <.05. In total, 53 patients met the inclusion criteria and were included in the study, with 27 patients in the THC+ group and 26 patients in the THC- group. There were no significant statistical differences in the MAP % , HR % , and RR % at T 5 , T 10 , T 20 , and T 30 between the THC+ and THC- groups. When comparing THC+ and THC- groups, in bivariate analyses, the THC+ group required, on average, higher doses of fentanyl [83.82 mcg compared to 65 mcg (P =.02)] and propofol [70 mg compared to 45.26 mg (P =.03)] during IV sedation. However, after adjusting the effect of age, gender, and weight, THC had no significant effect on midazolam (P -value =.28), fentanyl (P -value =.12), propofol (P -value =.06) and ketamine (P -value =.86) requirements. These findings suggest there are no differences in vital signs or anesthetic requirements between the THC+ and THC- groups. [ABSTRACT FROM AUTHOR]

Purpose: Telemedicine has been an emerging trend over the past few years and has seen an exponential rise due to the COVID-19 pandemic. The purpose of the present study was to determine the accuracy of planned oral and maxillofacial surgery (OMS) procedures for patients seen initially by telemedicine in the department of OMS during the pandemic.Methods: This was a retrospective cohort study. Record review of all patients who received telemedicine consultations during the pandemic time frame of March 1, 2020, to March 1, 2021, was performed. The primary outcome was the accuracy of the planned OMS procedure. Accuracy was defined as the ability to conduct the planned surgery with chosen anesthesia (local anesthesia, diazepam + local anesthesia, intravenous sedation, general anesthesia) at the immediate follow-up appointment without the need for further preoperative testing, evaluation, and consultation. The secondary outcomes were to determine the change in surgical plan, anesthesia plan, and medical plan. Predictor variables included age at the time of telemedicine consultation, gender, race, ethnicity, and the type of consult. Descriptive statistics and logistic regression analysis were executed.Results: The study sample comprised 286 (64.56%) females and 157 (35.44%) males. The age range of the study population was 9 to 92 years, with a mean age of 33.88 years (standard deviation = 16.29 years). In the cohort of 443 patients who obtained telemedicine consultations, 98.19% were successfully treated at the following appointment. Four hundred thirty-one (97.3%) out of the 443 telemedicine consults pertained to dentoalveolar concerns. Logistic regression analysis showed that neither age nor gender had significant effects on the change of surgical and anesthesia plans.Conclusions: Telemedicine can be effectively utilized in performing consultations for routine OMS procedures, especially dentoalveolar surgeries. Telemedicine consultation can also be used to conduct a preoperative assessment to determine anesthesia and setting of care. However, given the lack of control group and the observational nature of this study, the results must be interpreted with caution. [ABSTRACT FROM AUTHOR]

The objective of this paper is to explore the capabilities to implement closed-loop supply chain (CLSC). In this regard, a theoretical model grounded in natural resource-based view is proposed, which depicts inter-relationships among the capabilities and CLSC. The model is tested using survey data from Indian manufacturing firms by partial least squares (PLS) approach. The findings show information technology and organizational learning as important lower-order capabilities, and internal integration, demand management and product design as significant higher-order capabilities for CLSC implementation. To the best of authors' knowledge, this is the first study to examine key capabilities for CLSC. The study contributes to CLSC literature by providing an integrative framework, classifying capabilities into lower-order capabilities and higher-order capabilities, and empirically examining the key capabilities for CLSC. The findings provide managers with insights about the hierarchical levels of capabilities for CLSC, which will help them to accordingly deploy the appropriate resources to build capabilities for CLSC. • To explore and implement capabilities for closed-loop supply chains (CLSC). • Theoretical model based on natural resource-based view; tested using survey data from Indian manufacturing firms with a partial least squares (PLS) approach. • Lower-order Capabilities like Information technology and organizational learning are important. • Higher-order Capabilities like Internal integration, demand management, and product design are also important. • Offers guidance on deploying resources effectively by understanding the hierarchical levels of capabilities needed for CLSC implementation. [ABSTRACT FROM AUTHOR]

This paper investigates the applicability of the Just Transition Transaction (JTT), initially developed as a financial mechanism for South Africa's energy transition, to Southeast Asian (SEA) countries, including Indonesia, Vietnam, and the Philippines, which heavily rely on coal. Utilizing South Africa as a reference case study, we deconstruct the JTT and develop a novel framework of necessary and conducive features for evaluating its suitability for supporting a just energy transition in SEA. Our findings suggest that the JTT is well-suited for Indonesia and Vietnam but not as well suited for the Philippines. Recommendations for specific research avenues in estimating baselines and aligning emissions trajectories are provided. Finally, we propose a tiered JTT model to encourage a supranational transition in SEA and suggest the potential application of our methods for assessing similar mechanisms in other coal-reliant developing countries. • Use South Africa as Case Study to investigate JTT transition finance mechanism • Develop framework of necessary and conducive features of JTT • Use this framework to evaluate JTT's suitability for energy transition in SEA • JTT suitable for Indonesia and Vietnam, not as suitable for Philippines • Tiered JTT a suitable model to encourage transition at supranational level in SEA [ABSTRACT FROM AUTHOR]

Purpose: The present study aimed to report the main barriers to women's advancement in leadership and high-rank academic positions in the fields of medicine and dentistry.Materials and Methods: An electronic search was conducted of the MEDLINE database using the PubMed search engine. The Google Scholar search engine was also used to access scholarly articles across all disciplines. A total of 173 reports and abstracts published in the English language were retrieved and evaluated for their content. Of these, 32 were initially selected and reviewed. Finally, 16 studies focusing on gender-related discrepancies in healthcare concerning leadership and academic advancement were included.Results: The following themes emerged as the main contributors to the gender disparity in academic medicine and dentistry: 1) the lack of appropriate role models and mentorship for successful socialization of female faculty; 2) the lack of peer support for women's promotion through the academic ranks and their selection for executive administrative roles at equal rates as their male counterparts; and 3) implicit bias and negative stereotypes.Conclusions: A need exists to increase the number of female role models and enhance mentorship to increase the attraction toward academic careers in medicine and dentistry. Cultural changes also are required at an institutional and organizational level to embrace diversity. The implicit biases against women's promotion to higher academic ranks must be addressed. [ABSTRACT FROM AUTHOR]