conclusions cooling the injection site prior to local anesthetic injection is an effective and inexpensive method to reduce the pain and discomfort caused by the injection. methods subjects who presented with superficial lacerations were randomly assigned to 2 groups, the first group received ice packing prior to injection and the second did not. the pain severity, length and depth of the lacer...

the set covering problem (scp) is a well-known combinatorial optimization problem. this paper investigates development of a local branching approach for the scp. this solution strategy is exact in nature, though it is designed to improve the heuristic behavior of the mixed integer programming solver. the algorithm parameters are tuned by design of experiments approach. the proposed method is te...

objective: repeated implantation failure (rif) is a condition in which the embryos implantation decreases in the endometrium. so, our aim was to evaluate the effect of local endometrial injury on embryo transfer results. materials and methods: in this simple randomized clinical trial (rct), a total of 120 patients were selected. the participants were less than 40 years old, and they are in thei...

‎let $m$ be a non-zero finitely generated module over a commutative noetherian local ring $(r,mathfrak{m})$ with $dim_r(m)=t$‎. ‎let $i$ be an ideal of $r$ with $grade(i,m)=c$‎. ‎in this article we will investigate several natural homomorphisms of local cohomology modules‎. ‎the main purpose of this article is to investigate when the natural homomorphisms $gamma‎: ‎tor^{r}_c(k,h^c_i(m))to kotim...

a truly meshless local petrov-galerkin (mlpg) method is developed for solving 3d elasto-static problems. using the general mlpg concept, this method is derived through the local weak forms of the equilibrium equations, by using test functions, namely, the heaviside function. the moving least squares (mls) are chosen to construct the shape functions, for the mlpg method. the penalty approximatio...

the knowledge of local and regional factors that affect effective solidwaste collection plays an important role in choosing appropriate technology. wastecollection has grown to become a major challenge demanding daily response from wastemanagers and it becomes inevitable to provide stakeholders with necessary information toaid key decision-making. this paper provides a comprehensive and detaile...

introduction: diabetic retinopathy (dr) is the single largest cause of sight loss and blindness in the working age population of western countries; it is the most common cause of blindness in adults between 20 and 60 years of age. early diagnosis of dr is critical for preventing vision loss so early detection of microaneurysms (mas) as the first signs of dr is important. this paper addresses th...

i ntroduction: deep and long-lasting anesthesia is essential throughout endodontic treatment. this study was conducted to compare the effect of adding fentanyl to epinephrine-containing lidocaine on depth and duration of local anesthesia in painful maxillary molars with irreversible pulpitis (irp). methods and materials: this randomized double-blind, clinical trial with parallel design was cond...

objective: anesthetic techniques like the akinosi technique were introduced to surmount the problems of the conventional inferior alveolar nerve block (ianb) technique. this study aimed to compare the local anesthetic efficacy of ianb via the conventional and akinosi techniques in patients presenting to the maxillofacial surgery department of school of dentistry, shahid beheshti university. met...

background: myocardial dysfunction is one of the major complications in patients with sepsis where there is a relationship between the blood level of cytokines and the onset of myocardial depression. in many cases of sepsis, the presence of lipopolysaccharide (lps) has been established. lps binding protein (lbp) bound endotoxin is recognized by cd14/toll-like receptor-4 (tlr4) complexes in inna...