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Effectiveness of tramadol compared to lignocaine as local anesthesia in the extraction of firm teeth: a randomized controlled trial

  • Goel, Manu;Sen, Pinaki;Maturkar, Tushar;Latke, Siddhesh;Dehankar, Tejasvini
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.3
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    • pp.245-252
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    • 2021
  • Background: The aim of this study was to compare the local anesthetic effect of tramadol with that of lignocaine in the extraction of immobile (grade 0) maxillary first molars. Methods: This was a randomized, double-blind, equally balanced, controlled trial conducted on a sample population of 116 patients. The patients were randomly divided into two groups: group A (control) and group B (study). Group A and group B participants received 1.8 ml of 2% lignocaine without adrenaline and 1.8 ml of 5% tramadol, respectively through the supra-periosteal infiltration technique before extraction. Intraoperative pain was recorded on the Visual Analog Scale (VAS) and was evaluated using two unpaired t-tests. Results: Intraoperative pain was evaluated in both the control and study groups. In the control group, the mean VAS score was 0.71 ± 0.81, while in the study group, the mean intraoperative VAS score was 1.21 ± 0.86, with the difference between the two mean values being statistically significant (P = 0.001). Conclusion: Tramadol has a less potent local anesthetic effect than lignocaine. As a higher dose of tramadol is required to obtain the desired anesthetic effect, it should be used as a supplement to lignocaine in extensive surgical procedures. It can also be used in patients allergic to lignocaine.

A Research on V2I-based Accident Prevention System for the Prevention of Unexpected Accident of Autonomous Vehicle (자율주행 차량의 돌발사고 방지를 위한 V2I 기반의 사고 방지체계 연구)

  • Han, SangYong;Kim, Myeong-jun;Kang, Dongwan;Baek, Sunwoo;Shin, Hee-seok;Kim, Jungha
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.20 no.3
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    • pp.86-99
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    • 2021
  • This research proposes the Accident Prevention System to prevent collision accident that can occur due to blind spots such as crossway or school zone using V2I communication. Vision sensor and LiDAR sensor located in the infrastructure of crossway somewhere like that recognize objects and warn vehicles at risk of accidents to prevent accidents in advance. Using deep learning-based YOLOv4 to recognize the object entering the intersection and using the Manhattan Distance value with LiDAR sensors to calculate the expected collision time and the weight of braking distance and secure safe distance. V2I communication used ROS (Robot Operating System) communication to prevent accidents in advance by conveying various information to the vehicle, including class, distance, and speed of entry objects, in addition to collision warning.

The Effects of Action Observational Training on Muscle Onset Time and Asymmetry to Stand Up in with Stroke Patients (동작관찰훈련이 뇌졸중 환자의 일어서기 동작 시 근수축 개시시간과 비대칭성에 미치는 영향)

  • Yi, Min-Young;Shin, Won-Seob;Kim, Kyung-Hwan;Youn, Hye-Jin
    • PNF and Movement
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    • v.12 no.1
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    • pp.19-25
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    • 2014
  • Purpose: To investigate the effect of action observation training on the muscle onset time and symmetrical use of rectus femoris(RF) and gastrocnemius medialis(GCM) during sit-to-stand (STS). Methods: Sixteen patients with stroke entered a single-blind trial and were randomly assigned to the experimental(Action) or control(Landscape) groups. Those in the Action observation group watched video clips showing specific movement and strategies to STS, wheas those in the control group watched video clips of static pictures showing differnet landscapes. All patients was measured the EMG data in the STS on the affected side and unaffected side. The EMG data were collected from RF and GCM while performing the STS task. The EMG onset time and onset time ratio for the RF and GCM were calculated by dividing the EMG onset time of RF and GCM action on the affected side by these on the unaffected side. Results: Onset time of affected side RF, GCM was significantly faster action observation training group than control group(p<.05). But interventions before and after the symmetry did not show a significant increase. Conclusion: There findings suggest that action observation training has a positive effect on the muscle onset time shortened during STS tasks.

Healing through Storytelling: Linda Hogan's The Woman Who Watches Over the World (이야기를 통한 치유: 린다 호건의 『세상을 지켜보는 여자: 한 원주민의 회고록』)

  • Chun, Sehjae
    • English & American cultural studies
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    • v.18 no.1
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    • pp.1-21
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    • 2018
  • In Woman Watches over the World, Linda Hogan explores the broken identity of herself and her family, the issue of the poverty and the identity crisis, the alcoholism, prevalent in the Native American community and their silenced history. Previous studies have claimed that her memoir contributes to the restoration of Native American identity and history by accusing the violence of white culture, and seeks to recognize a dialogue between native culture and white mainstream culture as well. However they seem to overlook the complicated relations among story, identity, body and nature, to which Hogan as a multi-binded storyteller resorts as a way to break the silence of herself and her tribe for healing. Her own story, as a way to break the silence, becomes the formative drive to reveal the silenced history of her own tribe to lead the young generation to the future. She also understands the formative function of the story, which becomes the vehicle for embodying and connecting themselves to nature. To her, healing lies in the restoration of sympathetic relationship with nature. History, as a type of story, can be made up or mistold just like a story. There may be a blind spot where one can not assess what is true. In spite of the vision of the parallel worlds of the two cultures she presents, there seems to be no immediate solution to the discrimination against the Native American, poverty, identity crisis, and environmental problems which the Native American community faces. However, it can be said that her memoir serves as a rudder by presenting a direction to not only the Native American but also to readers in other cultures in its quest for practical possibilities for the future.

Effects of Cervical Stabilization Exercise Using Sling on Hamstring Flexibility in Patients with Chronic Neck Pain (슬링을 이용한 경부 안정화 운동이 만성 목통증환자의 넙다리뒤근 유연성에 미치는 영향)

  • Kim, Seungmin;Lee, Jaehyuk;Kim, Taeyeong;Jeong, Eundong;Yoon, Bumchul
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.33-44
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    • 2018
  • Purpose: The primary purpose of this study was to investigate the effects of cervical stabilization exercise (CSE) on hamstring flexibility in patients with neck pain. A secondary purpose of this study was to investigate the effects of cervical range of motion (CROM) and craniovertebral angle (CVA). Methods: This study was a single-blind, randomized, comparative trial. Twenty patients were allocated into either the cranio-cervical flexion exercise (CCFE) group or the CSE group. Before and after the intervention, we measured straight leg raise (SLR), popliteal angle (PA), CROM, and CVA in the sitting and standing positions. Fisher's exact test, the Mann-Whitney test, and Wilcoxon's signed-rank test were used to analyze our data. Results: Both groups showed significant improvements in the value of SLR, PA, cervical extension, cervical rotation, and CVA in the standing position (both, p<.05) after intervention. However, only the CSE group showed significant improvements in cervical right lateral flexion (z=-2.209; p<.01) and cervical left lateral flexion (z=-2.537; p<.05) after intervention. The CSF group showed more significant improvements in SLR, PA, both cervical lateral flexions, and both cervical rotations than the CCFE group. Conclusions: The results of this study will guide future research in identifying the effectiveness of CSE. In conclusion, it can be inferred that CSE has a positive effect on SLR, PA, CROM, and CVA in the standing position in patients with chronic neck pain.

The Process of Racialization in the Hybrid Age-focusing on Chang Rae Lee's Aloft (혼종화 시대의 인종화 프로세스-이창래의 『비상』을 중심으로)

  • Lee, Seonju
    • English & American cultural studies
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    • v.14 no.1
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    • pp.141-167
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    • 2014
  • The macro structural perspective of how race was formed nationally, politically, and socially has greatly contributed in revealing the ills of racialism until now, likewise, the dichotomous form of Asian-American literature corresponding to such perspective has made great contribution in awakening people's awareness of race. While acknowledging the contribution of such macro perspectives, we must take note that today's racialism is becoming materialized in different aspects. The tendency of present racial formation is that the recognition of race is spread out lightly but widely in everyday lives and is revealed through the perception of our body. While publicly stating that society is color-blind and inequality significantly resolved, racialism emerges in the personal and everyday aspects. Not erased but diluted and spread out more widely, and the more diluted, harder to erase, racialism has penetrated into the perception of our lives. Racialism works not as a conspicuous discrimination but as a common sense that is 'naturally' absorbed into our perception and perspective. Chang Rae Lee's Aloft shows the process of such racial formation in our age of hybridization. This study tries to clarify why present racial formation must be analyzed in the macro perceptual perspective and show how the racial perception in the narrative of the white dominant narrator, Jerry, becomes the field where he lives and how it is spread through his perception. Through the theories of Judith Butler and Linda M. Alcoff, this study analyzes how people are got to self-identification with the racialization through reiteration and what the relationship is between racial formation and the subject's performativity in Aloft. The study concludes that revealing such current processes of racial formation perceptively is not thinking it 'natural' and inevitable but the process of bringing about a change in it.

A Truth about 'Deformed' Love in Carson McCullers' The Ballad of the Sad Cafe (카슨 매컬러스의 '불구적' 사랑에 관한 통찰 -『슬픈 카페의 노래』를 중심으로)

  • Park, So Jin
    • Journal of English Language & Literature
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    • v.57 no.2
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    • pp.315-337
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    • 2011
  • This paper aims to examine a truth about love - the close relationship between a person's passionate love and that same person's loneliness and suppressed desires, a relationship that Carson McCullers (1917-1967) portrays in The Ballad of the Sad Cafe. McCullers, one of several brilliant writers from Southern America, managed to overcome her cruel situation and showed deep insight into the human condition, particularly in regard to the relation between love and isolation. The Ballad of the Sad Cafe, like her other works, examines the spiritual isolation and the agony of love that three lovers experience. The love in this story is a triangular relationship among the three main characters, Amelia, Lymon and Marvin Macy. The distinctive characteristics of love described in this story are that each character falls into blind and passionate love for the person he/she loves, no matter how the beloved responds. Love also changes the lover, not the beloved, revealing the completely opposite nature of the lover. The opposite nature and the inner secrets that the love reveals about the lovers reflect their frustrated and suppressed desires, which is femininity and motherhood for Amelia, non-violent masculine power for Macy, and physical attraction and power for the hunchback, Lymon. These suppressed desires are rooted in the deep sense of frustration that they had to experience in their childhood. In short, the seemingly unconditional love of the main characters is not an ideal, altruistic love, but a reflection of their inner desires. This story, however, does not seem to criticize this kind of love but simply tries to give an honest picture of what love might be. It also admits that 'deformed' love is still better than no love (and consequently no stimulus) because what really damages and causes decay in human beings and in a community, is the state of boredom.

A Watermarking Algorithm of 3D Mesh Model Using Spherical Parameterization (구면 파라미터기법을 이용한 3차원 메쉬 모델의 워더마킹 알고리즘)

  • Cui, Ji-Zhe;Kim, Jong-Weon;Choi, Jong-Uk
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.18 no.1
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    • pp.149-159
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    • 2008
  • In this paper, we propose a blind watermarking algorithm of 3d mesh model using spherical parameterization. Spherical parameterization is a useful method which is applicable to 3D data processing. Especially, orthogonal coordinate can not analyse the feature of the vertex coordination of the 3D mesh model, but this is possible to analyse and process. In this paper, the centroid center of the 3D model was set to the origin of the spherical coordinate, the orthogonal coordinate system was transformed to the spherical coordinate system, and then the spherical parameterization was applied. The watermark was embedded via addition/modification of the vertex after the feature analysis of the geometrical information and topological information. This algorithm is robust against to the typical geometrical attacks such as translation, scaling and rotation. It is also robust to the mesh reordering, file format change, mesh simplification, and smoothing. In this case, the this algorithm can extract the watermark information about $90{\sim}98%$ from the attacked model. This means it can be applicable to the game, virtual reality and rapid prototyping fields.

A High-speed Masking Method to protect ARIA against Side Channel Analysis (부채널 분석에 안전한 고속 ARIA 마스킹 기법)

  • Kim, Hee-Seok;Kim, Tae-Hyun;Ryoo, Jeong-Choon;Han, Dong-Guk;Hong, Seok-Hie
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.18 no.3
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    • pp.69-77
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    • 2008
  • In the recent years, power attacks were widely investigated, and so various countermeasures have been proposed. In the case of block ciphers, masking methods that blind the intermediate results in the algorithm computations(encryption, decryption, and key-schedule) are well-known. Applications of masking methods are able to vary in different block ciphers, therefore suitable masking methods about each ciphers have been researched. Existed methods of ARIA have many revisions of mask value. And because existed masking methods pay no regard for key schedule, secret information can be exposed. In the case of ARIA, this problem is more serious than different block ciphers. Therefore we proposes an efficient masking scheme of ARIA including the key-schedule. Our method reduces time-complexity of ARIA encryption, and solve table-size problem of the general ARIA masking scheme from 256*8 byte to 256*6 byte.

Electronic Cash Schemes for EFT Using Smart Card (스마트카드를 이용한 새로운 전자현금 방식)

  • Youm, Heung-Youl;Lee, Seok-Lae;Rhee Man-Young
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.5 no.1
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    • pp.37-50
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    • 1995
  • The smart card with the cryptography and VLSI technologies makes it possible to implement the electronic cash easily. A number of electronic each schemes have been proposed by many cryptographic researchers. In this paper, we propose a practical electronic cash system, using blind digital signature scheme. Schnorr's authentication scheme based on the discrete logarithm problem, and the hierarchical cash tree based on two one-way hash functions for dividable payment. Thisf electronic cash scheme has such properties as privacy of the payment, off-line payment, non-reuseability of cash, transferability of cash to another customer, and dividable payment of cash. This electronic cash protocol is well suited for implementing in smart card.