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e425 Understanding the Carbon Footprint of the American Academy of Orthopaedic Surgeons Annual Meeting.

e426 Sound Exposure in the Total Joint Arthroplasty Operating Room- Are All Operating Room Personnel at Risk?

e427 Prevalence of Depression and Anxiety Among Orthopaedic Surgeons and Identification of Barriers to Seeking Treatment

e428 PROMIS 10 Global Mental Health T-Score: An Independent Predictor of Outcomes Following Elective Orthopedic Surgery

e429 Medicare Patients with Hip and Knee Arthritis Experience Diminished Physical and Emotional Health Functioning Across Two Decades: A Matched Cohort Analysis