Publications by authors named "David Keith"

Jawbone cavities have had a long history in dentistry and for many years they have been described and studied under several different pseudonyms. These cavities are thought to be responsible for a wide range of disease processes and symptoms, including orofacial neuralgia. In this article the existence of jawbone cavities, and their role in the etiology of orofacial pain will be critically examined.

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Lightweight nanofabricated structures could photophoretically loft payloads in near-space. Proposed structures range from microscale engineered aerosols, to centimetre-scale thin disks with variations in surface accommodation coefficients, to sandwich structures with nanoscale thickness that might be extended to metre-scale width. Quantitative understanding of how structural and surface properties determine photophoretic lofting forces is necessary to develop a practical flying device.

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Effective ecosystem conservation for biodiversity and human well-being relies on accurate information. Consistent approaches to classifying, describing, and assessing ecosystems can improve understanding of ecological processes, threats, and management. We explored how the International Union for Conservation of Nature (IUCN) Global Ecosystem Typology-a global classification framework based on ecosystem function-could support the development of a classification of ecosystems for the Tiwi Islands, Australia, by incorporating scientific information and Indigenous Tiwi knowledge to facilitate environmental management and conservation.

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An understanding of fire-response traits is essential for predicting how fire regimes structure plant communities and for informing fire management strategies for biodiversity conservation. Quantification of these traits is complex, encompassing several levels of data abstraction scaling up from field observations of individuals, to general categories of species responses. We developed the Fire Ecology Database to accommodate this complexity.

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Antarctica, Earth's least understood and most remote continent, is threatened by human disturbances and climate-related changes, underscoring the imperative for biodiversity inventories to inform conservation. Antarctic ecosystems support unique species and genetic diversity, deliver essential ecosystem services and contribute to planetary stability. We present Antarctica's first comprehensive ecosystem classification and map of ice-free lands, which host most of the continent's biodiversity.

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Background: Many oral and maxillofacial surgery patients are young, healthy adults who are opioid-naïve. Over-prescribing opioids increases the risk of subsequent misuse and diversion.

Purpose: The purpose of this study was to measure and compare opioid prescriptions to opioid naïve and nonnaïve patients by oral and maxillofacial surgeons in Massachusetts from 2012 to 2022.

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Article Synopsis
  • Limited research has examined malpractice in dentistry, particularly related to temporomandibular joint disorders (TMDs), which are treated by various dental specialists.
  • A study reviewed malpractice court cases from 1960 to 2022, identifying 57 relevant cases that met specific criteria for inclusion.
  • The results showed that 81% of cases were ruled in favor of the healthcare provider, often due to the expiration of the statute of limitations, indicating that healthcare actions were generally considered appropriate within the standard of care.
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Decisions about solar geoengineering (SG) entail risk-risk tradeoffs between the direct risks of SG and SG's ability to reduce climate risks. Quantitative comparisons between these risks are needed to inform public policy. We evaluate idealized SG's effectiveness in reducing deaths from warming using two climate models and an econometric analysis of temperature-attributable mortality.

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With large wildfires becoming more frequent, we must rapidly learn how megafires impact biodiversity to prioritize mitigation and improve policy. A key challenge is to discover how interactions among fire-regime components, drought and land tenure shape wildfire impacts. The globally unprecedented 2019-2020 Australian megafires burnt more than 10 million hectares, prompting major investment in biodiversity monitoring.

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Purpose: Orofacial Pain (OFP) affects 15% of the general population. OFP conditions can be myofascial, also known as temporomandibular disorders (TMDs) or neuropathic. The underlying pathophysiology in several chronic OFP conditions, is unknown.

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Electric vehicle charging stations (EVCS) are essential for promoting cleaner transportation by facilitating electric vehicle recharging. This study explores their broader economic impact on nearby businesses, analyzing data from over 4000 EVCS and 140,000 business establishments in California. Results show that installing one EVCS boosts annual spending at a nearby establishment by 1.

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Safeguarding biodiversity and human well-being depends on sustaining ecosystems. Two global standards for quantifying ecosystem change, the International Union for Conservation of Nature Red List of Ecosystems (RLE) and the United Nations System of Environmental-Economic Accounting Ecosystem Accounting (EA), underpin headline indicators for the Kunming-Montreal Global Biodiversity Framework. We analyse similarities and differences between the standards to understand their complementary roles in environmental policy and decision-making.

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The ongoing transition toward electric vehicles (EVs) is changing materials used for vehicle production, of which the consequences for the environmental performance of EVs are not well understood and managed. We demonstrate that electrification coupled with lightweighting of automobiles will lead to significant changes in the industry's demand not only for battery materials but also for other materials used throughout the entire vehicle. Given the automotive industry's substantial consumption of raw materials, changes in its material demands are expected to trigger volatilities in material prices, consequently impacting the material composition and attractiveness of EVs.

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Climate change is one of the most important drivers of ecosystem change, the global-scale impacts of which will intensify over the next 2 decades. Estimating the timing of unprecedented changes is not only challenging but is of great importance for the development of ecosystem conservation guidelines. Time of emergence (ToE) (point at which climate change can be differentiated from a previous climate), a widely applied concept in climatology studies, provides a robust but unexplored approach for assessing the risk of ecosystem collapse, as described by the C criterion of the International Union for Conservation of Nature's Red List of Ecosystems (RLE).

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The Kunming-Montreal Global Biodiversity Framework (GBF) of the UN Convention on Biological Diversity set the agenda for global aspirations and action to reverse biodiversity loss. The GBF includes an explicit goal for maintaining and restoring biodiversity, encompassing ecosystems, species and genetic diversity (goal A), targets for ecosystem protection and restoration and headline indicators to track progress and guide action. One of the headline indicators is the Red List of Ecosystems, the global standard for ecosystem risk assessment.

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Clustering is indispensable in the quest for robust vegetation classification schemes that aim to partition, summarise and communicate patterns. However, clustering solutions are sensitive to methods and data and are therefore unstable, a feature that is usually attributed to noise. Viewed through a central-tendency lens, noise is defined as the degree of departure from type, which is problematic since vegetation types are abstractions of continua, and so noise can only be quantified relative to the particular solution at hand.

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Purpose: Sleep impairment is associated with many chronic pain disorders. While there is an association between chronic pain and sleep disturbances, little is known about the influence of pharmacotherapy for chronic pain conditions, particularly chronic opioid therapy, on sleep. This study aimed to 1) compare the sleep quality (SQ) in patients with two different pain conditions-chronic body pain and chronic orofacial pain; 2) assess the correlation of SQ and pain intensity; and 3) evaluate the association between pharmacotherapy and SQ.

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Protected and conserved areas (PCAs) are key ecosystem management tools for conserving biodiversity and sustaining ecosystem services and social cobenefits. As countries adopt a 30% target for protection of land and sea under the Global Biodiversity Framework of the United Nations Convention on Biological Diversity, a critical question emerging is, which 30%? A risk-based answer to this question is that the 30% that returns the greatest reductions in risks of species extinction and ecosystem collapse should be protected. The International Union for Conservation of Nature (IUCN) Red List protocols provide practical methods for assessing these risks.

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Background: The Centers for Disease Control and Prevention (CDC) published the Clinical Practice Guideline for Prescribing Opioids for Pain-United States, 2022 (CDCCPG) to replace the 2016 guideline. This guideline was designed to serve as a clinical tool to improve communication between clinicians and patients and empower them to make informed, person-centered decisions regarding pain management and the prescribing of opioids. It is intended for primary care and other clinicians, including dentists, who provide pain management for adults with acute, subacute, and chronic pain.

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Purpose: Oral-maxillofacial surgeons (OMSs) are frequent prescribers of opioid analgesics. It remains unclear if prescription patterns differ for urban versus rural patients, given potential differences in access to and delivery of care. This study aimed to characterize urban-rural differences in opioid analgesic prescriptions to patients in Massachusetts by OMSs from 2011 to 2021.

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