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Posterior superior alveolar nerve block alone in the extraction of upper third molars: a prospective clinical study

  • Swathi Tummalapalli;Ravi Sekhar M;Naga Malleswara Rao Inturi;Venkata Ramana Murthy V;Rama Krishna Suvvari;Lakshmi Prasanna Polamarasetty
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.4
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    • pp.213-220
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    • 2023
  • Background: Third molar extraction is the most commonly performed minor oral surgical procedure in outpatient settings and requires regional anesthesia for pain control. Extraction of the maxillary molars commonly requires both posterior superior alveolar nerve block (PSANB) and greater palatine nerve block (GPNB), depending on the nerve innervations of the subject teeth. We aimed to study the effectiveness of PSANB alone in maxillary third molar (MTM) extraction. Methods: A sample size comprising 100 erupted and semi-erupted MTM was selected and subjected to study for extraction. Under strict aseptic conditions, the patients were subjected to the classical local anesthesia technique of PSANB alone with 2% lignocaine hydrochloride and adrenaline 1:80,000. After a latency period of 10 min, objective assessment of the buccal and palatal mucosa was performed. A numerical rating scale and visual analog scale were used. Results: In the post-latency period of 10 min, the depth of anesthesia obtained in our sample on the buccal side extended from the maxillary tuberosity posteriorly to the mesial of the first premolar (15%), second premolar (41%), and first molar (44%). This inferred that anesthesia was effectively high until the first molars and was less effective further anteriorly due to nerve innervation. The depth of anesthesia on the palatal aspect was up to the first molar (33%), second molar (67%), and lateromedially; 6% of the patients received anesthesia only to the alveolar region, whereas 66% received up to 1.5 cm to the mid-palatal raphe. In 5% of the cases, regional anesthesia was re-administered. An additional 1.8 ml PSANB was required in four patients, and another patient was administered a GPNB in addition to the PSANB during the time of extraction and elevation. Conclusion: The results of our study emphasize that PSANB alone is sufficient for the extraction of MTM in most cases, thereby obviating the need for poorly tolerated palatal injections.

Crack detection in folded plates with back-propagated artificial neural network

  • Oguzhan Das;Can Gonenli;Duygu Bagci Das
    • Steel and Composite Structures
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    • v.46 no.3
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    • pp.319-334
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    • 2023
  • Localizing damages is an essential task to monitor the health of the structures since they may not be able to operate anymore. Among the damage detection techniques, non-destructive methods are considerably more preferred than destructive methods since damage can be located without affecting the structural integrity. However, these methods have several drawbacks in terms of detecting abilities, time consumption, cost, and hardware or software requirements. Employing artificial intelligence techniques could overcome such issues and could provide a powerful damage detection model if the technique is utilized correctly. In this study, the crack localization in flat and folded plate structures has been conducted by employing a Backpropagated Artificial Neural Network (BPANN). For this purpose, cracks with 18 different dimensions in thin, flat, and folded structures having 150, 300, 450, and 600 folding angle have been modeled and subjected to free vibration analysis by employing the Classical Plate Theory with Finite Element Method. A Four-nodded quadrilateral element having six degrees of freedom has been considered to represent those structures mathematically. The first ten natural frequencies have been obtained regarding healthy and cracked structures. To localize the crack, the ratios of the frequencies of the cracked flat and folded structures to those of healthy ones have been taken into account. Those ratios have been given to BPANN as the input variables, while the crack locations have been considered as the output variables. A total of 500 crack locations have been regarded within the dataset obtained from the results of the free vibration analysis. To build the best intelligent model, a feature search has been conducted for BAPNN regarding activation function, the number of hidden layers, and the number of hidden neurons. Regarding the analysis results, it is concluded that the BPANN is able to localize the cracks with an average accuracy of 95.12%.

A Study on the Original Implication and Socio-cultural Usefulness of "One" ('하나'에 내포된 원형적 의미와 사회문화적 활용가치)

  • Lee, Chul-Jin
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.199-207
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    • 2019
  • One philosopher said that knowing the identity of one clump of grass on the roadside could reveal all the mysteries of the universe. If you know one, you can know two. If you know two, you can know three. If you know the form, you can know the whole. If you know the image(eidos), you can know the non-image, life, and death. But we are wandering in a dream because we don't know the one clump of grass, "One". For a long time I have been searching for a road to know "One". While studying of the process searching the truth, not only do we reveal logic development making One a language, but also we would like to provide the application of cultural contents applied to that One.

Economics of Literature: Transfer of 'Worth' to 'Value' (문학 경제학 -사용가치에서 교환가치로의 전이)

  • Yang, Byung-Hyun
    • Journal of English Language & Literature
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    • v.55 no.5
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    • pp.767-792
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    • 2009
  • The two fields, economics of art and literature, tend to be put together as part of cultural economic studies; yet the former has been widely popular as compared to the latter. Economics of art has been known as part of social science which studies art economically. Similarly, economics of literature is likely to be an interdisciplinary study of literature and economics. Literature is suggested usually to reflect the economic base of a society as a form of its superstructure in view of classical Marxism; so, it is interesting to see social, economic activities, such as individual values and social institutions, income, price and opportunity cost, in a particular way of analyzing economic ideas in literature. Capital seems to have an innate property of self-expansion in literature; this property thus features actual economic life since in capitalism money is the universal value between persons and literary works. Specifically, the field of economics of literature starts with such ideas: economics of literature is part of cultural economics; and economics of literature deals with the economic value of literature. Putting interdisciplinary fields of literature and economics together, this study is to examine the economic value of literature in which Karl Marx talked about commodities with exchange value, use value, and fetishism. The exchange value is commercial worth, the actual exchange value of a publication; yet, the use value is innate worth, the aesthetic use value of literature. With commodity fetishism, profit seems not as the outcome of a social relation, but of a work- "reification" as the would-be Marxists suggest. As a commodity, the literary work appears to be able to animate life and power in reality. As a result, this paper asserts that social, economical activities in literature as we may apply to the study of economics of literature increase its economic value, implying commercial and innate worth, as the capital in the marketplace.

Mary Wroth's Urania and Renaissance Stoicism (메리 로쓰의 『유래이니어』와 르네상스 스토아철학)

  • Lee, Jin-Ah
    • Journal of English Language & Literature
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    • v.57 no.5
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    • pp.757-786
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    • 2011
  • Seneca, the most influential classical Stoic and Justus Lipsius, the founder of Renaissance Stoicism suggest constancy, an unmovable strength of the steadfast mind based on reason and sound judgment, as a practical way or attitude in life full of both public and private evils. As a member of the Sidney family, Wroth is very much likely to have been influenced in molding her concept of constancy by Senecan and Lipsian Stoicism, which was introduced into England through Sir Philip Sidney's friendship with Lipsius. This paper explores Wroth's concept of constancy in Urania as a Stoic ideal in the context of the major Stoic writings of Seneca and Lipsius. While the titular character of the romance Urania shows some inherent attributes of Stoic constancy from the beginning of the romance, Pamphilia as the pattern of constancy gradually perfects the virtue through the ordeals of her love of Amphilanthus and her queenship. Her frequent retirements into private and secluded places are the essential occasions for her disciplining in Stoic constancy through self-examinations of her psychological and emotional disorders and poetry writing. Amphilanthus, a constantly inconstant lover, fully understands the importance of constancy in love as well in life only after his marriage to another woman and Pamphilia's marriage to another man. At the end of the romance they come to accept the vicissitudes of life in Stoic constancy. In Urania, Wroth transforms the strongly masculine Stoic constancy into a female heroic ideal. Thereby she presents those female characters as important political, ethical and cultural subjects and their constancy as a thread through the labyrinths of love and life.

A Study of the Mural Paintings in Thai Temples (태국의 불교사찰 벽화에 관한 연구)

  • NOH, Jangsuh
    • SUVANNABHUMI
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    • v.1 no.2
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    • pp.1-20
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    • 2009
  • This research tries to review the history and concepts of Thai temple mural painting. According to the research results, the history of Thai mural painting dates back to the late 14th century when Wat Chedi Chet Taeo in Si Satchanalai was built. The Sinhalese elements embedded in the Sukhothai murals are also found in the Ayuthayan stupa murals made in the early 15th century. The mid 18th century's Burmese invasion into Ayuthaya destroyed most of Buddhist temples in the Kingdom of Ayuthaya and as a result, Buddhist murals of the late Ayuthayan age are hardly found except for some temple murals located outside of the capital. The late Ayuthayan murals are much different from the early Ayuthayan murals in that they are narrative in depicting Jataka and the life of Lord Buddha. This classical mural painting culminated in the age of Rama III of Bangkok Dynasty. His successor Rama IV undertook westernized reforms which influenced the area of traditional mural painting. Consequently, new western style Buddhist mural paintings were produced while themes of mural painting were enlarged to the other subjects such as historical recording of royal and social events. This trend continued in the age of Rama V but the development of Thai Buddhist mural painting discontinued after the death of Rama V due to the rapid westernization and decrease of illiteracy. The existing Buddhist murals produced on or before the reign of Rama V are deteriorating and disappearing. The reasons for this are partly because of Thailand's humid climate. However, some social backgrounds such as the lack of concern for preserving old Buddhist murals can not be disregarded. Considering the substantial value of Thai Buddhist murals as a cultural resource in Thai society, it is very urgent to establish appropriate conservation policy for them.

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Mouk-Epic and "Novelization": Alexander Pope's The Rape of the Lock (의사영웅시와 "소설화"-『머리카락 강탈』을 중심으로)

  • Lee, Hye-Soo
    • Journal of English Language & Literature
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    • v.55 no.5
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    • pp.865-883
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    • 2009
  • The mock-heroic, "the single most characteristic and individual literary form of the neoclassical era," as Brean Hammond puts it, epitomizes the process of the "novelization" of the 18th-century British culture. Bakhtin mentions that when the novel reigns supreme, almost all the remaining genres are "novelized"; Hammond borrows the term "novelization" from Bakhtin and uses it as a "shorthand way of referring to the cultural forces that render epic anachronistic." Indebted to Hammond's apprehension of novelization, this paper reads Alexander Pope's Rape of the Lock in the context of novelization, particularly focusing on 'probability,' 'contemporaneity' and 'domesticity,' three important signatures of the novelization of the 18th-century British culture. First, Sylph as a counterpart of god in epic is presented in The Rape of the Lock just as a helpless, fictional and irrelevant thing that hardly affects the empirical world. It indicates how the mock-epic 'mocks' the classical world of 'epic' and stands closer to the world of the novel. Second, Pope's poem displays an accurate picture of the author's contemporary reality, a capital concern of the novel, such as imperialism, consumer society, commodity fetishism, or reification. Lastly, The Rape of the Lock lays out the construction of modern gender ideology, another quintessential interest of the novel, particularly with the fixed female image of a coquette. It efficiently silences and nullifies Belinda, a typical coquette, who stands as a threatening force to the ascendent domestic ideology.

Suggestion on Locating Method for ST36 Acupoint Based on Neuroanatomical Features (족삼리 취혈방식 제안: 신경해부학적 특성을 기반으로)

  • Heeyoung Moon;Da-Eun Yoon;Yeonhee Ryu;In-Seon Lee;Dody Chang;Poney Chiang;Younbyoung Chae
    • Korean Journal of Acupuncture
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    • v.40 no.3
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    • pp.128-133
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    • 2023
  • Objectives : There are many variations in the ST36 acupoint location. The purpose of this article is to suggest a method of locating the ST36 acupoint. Methods : Based on the available research and the neuroanatomical characteristics of the underlying acupoint, we summarized the proper procedure for finding the ST36 acupoint. Results : ST36 is 3 B-cun inferior to ST35 and is vertically situated on the line that connects ST35 and ST41. The ST36 acupoint corresponds to the deep peroneal nerve, which is situated in the tibialis anterior muscle's back. The neurovascular bundles that are located on the interosseous membrane between the interosseous crests of the tibia and fibula include the deep peroneal nerve, anterior tibial artery, and anterior tibial vein. According to both classical and modern literature, this acupoint can be found horizontally between the two muscles, tibialis anterior and extensor digitorum longus. Conclusions : Based on a review of the literature and neuroanatomical features, we suggest that ST36 can be positioned horizontally between tibialis anterior and extensor digitorum longus. Additional imaging studies and clinical proof are required to determine ST36 acupoint.

A Study on the Regionalism and Temporality of Tuff Architecture in Mokpo -Focusing on the Emergence of Tuff Architecture and the Later Activities of Stonemason Son Yang-dong- (목포지역의 응회암 건축에서 보이는 지역성과 시대성 고찰 -응회암 건축의 생성과 이후 손양동 석공의 활동을 중심으로-)

  • Kim, Soonwung;Seo, Dongchun
    • Journal of architectural history
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    • v.32 no.6
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    • pp.77-88
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    • 2023
  • This research focused on the regional and temporal attributes of tuff architecture in Mokpo, spanning the Japanese colonial period and the post-liberation era. It aimed to uncover the distinct regional and temporal features of tuff architecture by integrating concepts from vernacular architecture and regionalism, framed through a lens of critical regionalism. The study traced the historical progression of tuff architecture in Mokpo within this context. A significant part of the research was an in-depth analysis of four constructions by Son Yang-dong, a renowned technician in post-liberation Mokpo, to closely examine the contemporary relevance and regional significance of his work. Tuff, as an indigenous material, distinctly articulates the local architectural character. In line with regional properties of tuff, the material has adeptly responded to contemporary construction needs. This has laid a foundation for the development of innovative building designs and techniques. Tuff architecture is particularly noted for its exhibition of raw material textures, offering a unique aesthetic that diverges from classical Western architectural styles. Importantly, through the examination of Son Yang-dong's contributions, the study highlights the role of Korean builders in an industry dominated by Japanese influences during the colonial period, underscoring a strong regional identity. As a representation of Mokpo, tuff architecture not only upholds and protects regional identity within the broader scope of Western modernization and Japanese impacts but also plays a role in its progressive enhancement.

Why do children loose their compliance with the law as they grow? (무법으로 태어나 준법을 거쳐 위법으로 성장하는 이유?)

  • Taekyun Hur
    • Korean Journal of Culture and Social Issue
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    • v.11 no.spc
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    • pp.117-131
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    • 2005
  • The present research integrated various theoretical perspectives of human unlawful behaviors in order to clarify the psychological mechanisms that underly the changes in compliance with and attitude toward law as time goes. Most well-known theories such as classical theory of crime, biosocial and evoluationary theories, and psychological perspectives including psycho-dynamic theory, personality, intellectual/moral development theories, and decision-making were discussed in their unique points in explaining human unlawful behaviors. Finally, social-learning theory and cognitive-dissonance theory has been suggested to explain the psychological mechanism of the phenomena in which people's attitude toward law and compliance with law become weaken through violation experiences of trivial lawful regulations. Especially, the logic of cognitive-dissonance theory (that people committed violation of trivial laws should experience dissonance with their original belief of compliance with law and negative arousal and try to remove the arousal by change their belief along with their behavior) were theoretically convincing to explain the phenomenon and supported by a series of experimental studies. Several practical implications for future constitutional and political activities were discussed in the basis of the cognitive dissonance theory.