• Title/Summary/Keyword: DAX1

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Anesthetic efficacy of primary and supplemental buccal/lingual infiltration in patients with irreversible pulpitis in human mandibular molars: a systematic review and meta-analysis

  • Gupta, Alpa;Sahai, Aarushi;Aggarwal, Vivek;Mehta, Namrata;Abraham, Dax;Jala, Sucheta;Singh, Arundeep
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.4
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    • pp.283-309
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    • 2021
  • Achieving profound anesthesia in mandibular molars with irreversible pulpitis is a tedious task. This review aimed at evaluating the success of buccal/lingual infiltrations administered with a primary inferior alveolar nerve block (IANB) injection or as a supplemental injection after the failure of the primary injection in symptomatic and asymptomatic patients with irreversible pulpitis in human mandibular molars. The review question was "What will be the success of primary and supplemental infiltration injection in the endodontic treatment of patients with irreversible pulpitis in human mandibular molars?" We searched electronic databases, including Pubmed, Scopus, and Ebsco host and we did a comprehensive manual search. The review protocol was framed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. We included clinical studies that evaluated and compared the anesthetic outcomes of primary IANB with primary and/or supplementary infiltration injections. Standard evaluation of the included studies was performed and suitable data and inferences were assessed. Twenty-six studies were included, of which 13 were selected for the meta-analysis. In the forest plot representation of the studies evaluating infiltrations, the combined risk ratio (RR) was 1.88 (95% CI: 1.49, 2.37), in favor of the secondary infiltrations with a statistical heterogeneity of 77%. The forest plot analysis for studies comparing primary IANB + infiltration versus primary IANB alone showed a low heterogeneity (0%). The included studies had similar RRs and the combined RR was 1.84 (95% CI: 1.44, 2.34). These findings suggest that supplemental infiltrations given along with a primary IANB provide a better success rate. L'Abbe plots were generated to measure the statistical heterogeneity among the studies. Trial sequential analysis suggested that the number of patients included in the analysis was adequate. Based on the qualitative and quantitative analyses, we concluded that the infiltration technique, either as a primary injection or as a supplementary injection, given after the failure of primary IANB, increases the overall anesthetic efficacy.

Influence of Membrane Material and Structure on Fouling of a Submerged Membrane Bioreactor (침지형 막 분리 활성슬러지법에서 막의 재질 및 구조가 파울링에 미치는 영향)

  • Choi, Jae-Hoon;Kim, Hyung-Soo
    • Journal of Korean Society of Environmental Engineers
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    • v.30 no.1
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    • pp.31-36
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    • 2008
  • This work was performed to evaluate the effect of membrane material and structure on fouling in a submerged membrane bioreactor(MBR). Three types of microfiltration membranes with the same pore size of 0.1 $\mu$m but different materials, polytetrafluoroethylene (PTFE), polycarbonate(PCTE) and polyester(PETE), were used. While PETE membrane exhibited the most rapid flux decline throughout the operation, PCTE and PTFE had a similar tendency with regard to permeability. Difference in permeability between PETE and the other membranes gradually decreased with time, which was probably due to chemical cleaning. The higher TOC rejection of PETE membrane could be attributable to its faster fouling, resulting from a larger amount of foulants to get attached to the membrane in a shorter time. DOC fractionation using a DAX-8 resin showed that the composition of each fraction between the supernatant and permeates did not change significantly with operation time, indicating that membrane hydrophilicity/hydrophobicity was not a dominant factor affecting to MBR fouling in this study. Compared to other membranes, the fouling of PETE membrane was more influenced by pore clogging (irreversible fouling), which would probably contribute to a higher organic rejection of the PETE membrane.

A study on the needs for the cool motorcycle helmet and the factors affecting the purchasing intention (오토바이용 쿨 헬멧의 필요성과 구매요인에 관한 조사연구)

  • Seong, Deokhyun;Kim, Jongsoo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8386-8393
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    • 2015
  • This study is to investigate the needs for the cool motorcycle helmet and the factors affecting the purchasing intention of cool helmet. The convenient sampling from motorcycle clubs were conducted during 5/20/2014~5/28/2014 on Google DAX. As a result, 197 participants were surveyed. The main reasons of sensing unpleasant feeling wearing helmet were identified as 'hot and uncomfortable feeling' and 'it ruins hair style'. The mean score expressed in terms of five point scale showed that the needs for cool helmet was 3.9 and the purchasing intention of cool helmet was 3.6, respectively. The significant factors influencing the purchasing intention of cool helmet were identified as 'the needs for cool helmet' (odds ratio=6.52) and 'extra paying intention for cool helmet' (odds ratio=1.77). The main reasons of sensing unpleasant feeling wearing helmet were similar to the previous research. However, we can expect that the initial target market for cool helmet would be the low end (less than \40,000 of extra paying intention) or the high end (more than \100,000 of extra paying intention). The main contribution of this study is dealing with the topics related to the purchasing intention of the cool helmet.