BACKGROUND Mandibular retraction is the main etiological mechanism of class II malocclusion in China and the subsequent distal molar relationship can cause functional discomfort in mastication,breathing and the tempor...BACKGROUND Mandibular retraction is the main etiological mechanism of class II malocclusion in China and the subsequent distal molar relationship can cause functional discomfort in mastication,breathing and the temporomandibular joint.The use of mandibular advancement(MA)devices has recently emerged as an adolescent mandibular retraction treatment;however,current studies regarding the effect thereof are relatively few,and there is lack of sufficient clinical support.AIM To investigate the clinical effect of invisalign MA on the treatment of mandibular retraction in adolescents.METHODS This study included 30 adolescent patients who underwent treatment with the MA appliances from December 2017 to June 2021.The lateral cephalometric data before and after treatment were collected and imported into Dolphin Imaging software.The changes were measured by linear measurement superimposed with lateral cephalometric trajectory based on the Pancherz technology.RESULTS There was no significant difference in the length and position of maxilla before and after the treatment.The position of the mandible moved 3.13 mm,the length increased 4.14 mm,the mandibular ramus length increased 4.09 mm,the body length increased 4.25 mm,and the position of the condyle moved 1.03 mm forward after treatment.Additionally,changes in the incisor sagittal position and labial inclination were observed.The position of the upper incisor point moved back 1.33 mm,without statistical difference,the inclination and tooth angle decreased by 3.44°and 4.06°,respectively;the position of the lower incisor point was moved 2.98 mm,and the inclination and tooth angle increased by 2.62°and 1.23°,respectively.Furthermore,changes in the incisor overjet and molar relationship were seen.Overjet decreased by 4.31 mm,of which 1.78 mm was due to dental factors,accounting for 41.3%of the effect as opposed to 58.7%due to skeletal factors.Molar relationship improved 3.87 mm,with 1.34 mm due to dental factors,and dental and skeletal factors were accounted for 34.6%and 65.4%of the effect,respectively.CONCLUSION For adolescent patients with mandible retraction,invisalign MA can effectively promote the mandible growth,and it was proven to be mainly due to skeletal effects.展开更多
Through the revelation of“commodity value”,the“invisible hand”described by Adam Smith is now clearly visible.It is precisely“commodity value”that guides people to seek benefits for themselves and for others,addi...Through the revelation of“commodity value”,the“invisible hand”described by Adam Smith is now clearly visible.It is precisely“commodity value”that guides people to seek benefits for themselves and for others,adding enormous wealth to society.展开更多
Ralph Ellison’s Invisible Man deals with the identity issue fundamental for black Americans to reestablish themselves in the white-dominated society.While the narrator suffers from identity crisis in multiples ways,t...Ralph Ellison’s Invisible Man deals with the identity issue fundamental for black Americans to reestablish themselves in the white-dominated society.While the narrator suffers from identity crisis in multiples ways,the paper focuses on the conflict between his need to build a distinctive individual identity with the prerequisite to surrender to collective identity in order to blend in the group.展开更多
BACKGROUND The relation between orthodontic treatment and temporomandibular disorders(TMDs)is under debate;the management of TMD during orthodontic treatment has always been a challenge.If TMD symptoms occur during or...BACKGROUND The relation between orthodontic treatment and temporomandibular disorders(TMDs)is under debate;the management of TMD during orthodontic treatment has always been a challenge.If TMD symptoms occur during orthodontic treatment,an immediate pause of orthodontic adjustments is recommended;the treatment can resume when the symptoms are managed and stabilized.CASE SUMMARY This case report presents a patient(26-year-old,female)with angle class I,skeletal class II and TMDs.The treatment was a hybrid of clear aligners,fixed appliances and temporary anchorage devices(TADs).After 3 mo resting and treatment on her TMD,the patient’s TMD symptom alleviated,but her anterior occlusion displayed deep overbite.Therefore,the fixed appliances with TAD were used to correct the anterior deep-bite and level maxillary and mandibular deep curves.After the levelling,the patient showed dual bite with centric relation and maximum intercuspation discrepancy on her occlusion.After careful examination of temporomandibular joints(TMJ)position,the stable bite splint and Invisible Mandibular Advancement appliance were used to reconstruct her occlusion.Eventually,the improved facial appearance and relatively stable occlusion were achieved.The 1-year follow-up records showed there was no obvious change in TMJ morphology,and her occlusion was stable.CONCLUSION TMD screening and monitoring is of great clinical importance in the TMD susceptible patients.Hybrid treatment with clear aligners and fixed appliances and TADs is an effective treatment modality for the complex cases.展开更多
Invisible Man is Ralph Ellison's most important work,the hero of which is confused by the problem of his identity.This thesis will discuss the transformation of Mary Rambo in the novel.At the beginning,Mary Rambo ...Invisible Man is Ralph Ellison's most important work,the hero of which is confused by the problem of his identity.This thesis will discuss the transformation of Mary Rambo in the novel.At the beginning,Mary Rambo was a symbol of hope and encouragement for the hero and a kind of salvation and redemption to him both materially and spiritually.But later,she changed from a savior to a restrictive mother.The hero became restive and guilty under her watchful and anxious care.Thus,the hero must escape her in order to continue his search for identity.展开更多
The African-American novel Invisible Man written by Ralph Ellison is about the miserable suffering of black people in the white society.The black people were invisible in the white world.This thesis analyzes this nove...The African-American novel Invisible Man written by Ralph Ellison is about the miserable suffering of black people in the white society.The black people were invisible in the white world.This thesis analyzes this novel from post-colonialism perspective to discuss the process of looking for the racial identity of the protagonist.展开更多
Thermal-electric bilayer invisibility cloak can prevent the heat flux and electric current from touching the object without distorting the external temperature and electric potential fields simultaneously.In this pape...Thermal-electric bilayer invisibility cloak can prevent the heat flux and electric current from touching the object without distorting the external temperature and electric potential fields simultaneously.In this paper,we design an omnidirectional thermal-electric invisibility cloak with anisotropic geometry.Based on the theory of neutral inclusion,the anisotropic effective thermal and electric conductivities of confocal elliptical bilayer core-shell structure are derived,thus obtaining the anisotropic matrix material to eliminate the external disturbances omnidirectionally.The inner shell of the cloak is selected as an insulating material to shield the heat flux and electric current.Then,the omnidirectional thermal-electric cloaking effect is verified numerically and experimentally based on the theoretical anisotropic matrix and manufactured composite structure,respectively.Furthermore,we achieve the thermal-electric cloaking effect under a specific direction of heat flux and electric current using the isotropic natural materials to broaden the selection range of materials.The method proposed to eliminate anisotropy and achieve the omnidirectional effect could also be expanded to other different physical fields for the metadevices with different functions.展开更多
The notion of invisibility in Invisible Man is spoken out by the protagonist＇s growth as an orator. Rather than a recursive retrieving of his identity throughout the narrative, the invisible man reinvents his identit...The notion of invisibility in Invisible Man is spoken out by the protagonist＇s growth as an orator. Rather than a recursive retrieving of his identity throughout the narrative, the invisible man reinvents his identity in his pursuit of pure persuasion. Both being terms in the Burkean system of literature rhetoric, pure persuasion, and identification become one for the unconscious purpose and the other for the symbolic action respectively in the protagonist-speaker＇s growth from an ideal emulator to speaker-audience mediator. In his identification with the audience and his ardent pursuit of pure persuasion, he paradoxically finds himself distanced from both his identity-to-be and the identity of his audience, with great division in-between. Though temporary corporation is achieved and occasional identification is resolved in the last two speeches, the protagonist only finds himself in a rhetorical context which is much more varied and more manipulative than he imagined. Such a realization renders the invisible man invisible again from the public stadium, who decides to resort to the pen for a life-long identification with the broader battlefield of racial discontinuity展开更多
基金This study was reviewed and approved by the Medical Ethics Committee of The Affiliated Hospital of Qingdao University(authorisation number:QYFYWZLL26729).
文摘BACKGROUND Mandibular retraction is the main etiological mechanism of class II malocclusion in China and the subsequent distal molar relationship can cause functional discomfort in mastication,breathing and the temporomandibular joint.The use of mandibular advancement(MA)devices has recently emerged as an adolescent mandibular retraction treatment;however,current studies regarding the effect thereof are relatively few,and there is lack of sufficient clinical support.AIM To investigate the clinical effect of invisalign MA on the treatment of mandibular retraction in adolescents.METHODS This study included 30 adolescent patients who underwent treatment with the MA appliances from December 2017 to June 2021.The lateral cephalometric data before and after treatment were collected and imported into Dolphin Imaging software.The changes were measured by linear measurement superimposed with lateral cephalometric trajectory based on the Pancherz technology.RESULTS There was no significant difference in the length and position of maxilla before and after the treatment.The position of the mandible moved 3.13 mm,the length increased 4.14 mm,the mandibular ramus length increased 4.09 mm,the body length increased 4.25 mm,and the position of the condyle moved 1.03 mm forward after treatment.Additionally,changes in the incisor sagittal position and labial inclination were observed.The position of the upper incisor point moved back 1.33 mm,without statistical difference,the inclination and tooth angle decreased by 3.44°and 4.06°,respectively;the position of the lower incisor point was moved 2.98 mm,and the inclination and tooth angle increased by 2.62°and 1.23°,respectively.Furthermore,changes in the incisor overjet and molar relationship were seen.Overjet decreased by 4.31 mm,of which 1.78 mm was due to dental factors,accounting for 41.3%of the effect as opposed to 58.7%due to skeletal factors.Molar relationship improved 3.87 mm,with 1.34 mm due to dental factors,and dental and skeletal factors were accounted for 34.6%and 65.4%of the effect,respectively.CONCLUSION For adolescent patients with mandible retraction,invisalign MA can effectively promote the mandible growth,and it was proven to be mainly due to skeletal effects.
文摘Through the revelation of“commodity value”,the“invisible hand”described by Adam Smith is now clearly visible.It is precisely“commodity value”that guides people to seek benefits for themselves and for others,adding enormous wealth to society.
文摘Ralph Ellison’s Invisible Man deals with the identity issue fundamental for black Americans to reestablish themselves in the white-dominated society.While the narrator suffers from identity crisis in multiples ways,the paper focuses on the conflict between his need to build a distinctive individual identity with the prerequisite to surrender to collective identity in order to blend in the group.
基金Natural Science Foundation of Jiangsu Province, No. SBK2021021787the Major Project of the Health Commission ofJiangsu Province, No. ZD2022025and the Key Project of the Nanjing Health Commission, No. ZKX20048.
文摘BACKGROUND The relation between orthodontic treatment and temporomandibular disorders(TMDs)is under debate;the management of TMD during orthodontic treatment has always been a challenge.If TMD symptoms occur during orthodontic treatment,an immediate pause of orthodontic adjustments is recommended;the treatment can resume when the symptoms are managed and stabilized.CASE SUMMARY This case report presents a patient(26-year-old,female)with angle class I,skeletal class II and TMDs.The treatment was a hybrid of clear aligners,fixed appliances and temporary anchorage devices(TADs).After 3 mo resting and treatment on her TMD,the patient’s TMD symptom alleviated,but her anterior occlusion displayed deep overbite.Therefore,the fixed appliances with TAD were used to correct the anterior deep-bite and level maxillary and mandibular deep curves.After the levelling,the patient showed dual bite with centric relation and maximum intercuspation discrepancy on her occlusion.After careful examination of temporomandibular joints(TMJ)position,the stable bite splint and Invisible Mandibular Advancement appliance were used to reconstruct her occlusion.Eventually,the improved facial appearance and relatively stable occlusion were achieved.The 1-year follow-up records showed there was no obvious change in TMJ morphology,and her occlusion was stable.CONCLUSION TMD screening and monitoring is of great clinical importance in the TMD susceptible patients.Hybrid treatment with clear aligners and fixed appliances and TADs is an effective treatment modality for the complex cases.
文摘Invisible Man is Ralph Ellison's most important work,the hero of which is confused by the problem of his identity.This thesis will discuss the transformation of Mary Rambo in the novel.At the beginning,Mary Rambo was a symbol of hope and encouragement for the hero and a kind of salvation and redemption to him both materially and spiritually.But later,she changed from a savior to a restrictive mother.The hero became restive and guilty under her watchful and anxious care.Thus,the hero must escape her in order to continue his search for identity.
文摘The African-American novel Invisible Man written by Ralph Ellison is about the miserable suffering of black people in the white society.The black people were invisible in the white world.This thesis analyzes this novel from post-colonialism perspective to discuss the process of looking for the racial identity of the protagonist.
基金This work was financially supported by the National Natural Science Foundation of China(Grant No.11572090)the Fundamental Research Funds for the Central Universities(Grant No.3072022GIP0202).
文摘Thermal-electric bilayer invisibility cloak can prevent the heat flux and electric current from touching the object without distorting the external temperature and electric potential fields simultaneously.In this paper,we design an omnidirectional thermal-electric invisibility cloak with anisotropic geometry.Based on the theory of neutral inclusion,the anisotropic effective thermal and electric conductivities of confocal elliptical bilayer core-shell structure are derived,thus obtaining the anisotropic matrix material to eliminate the external disturbances omnidirectionally.The inner shell of the cloak is selected as an insulating material to shield the heat flux and electric current.Then,the omnidirectional thermal-electric cloaking effect is verified numerically and experimentally based on the theoretical anisotropic matrix and manufactured composite structure,respectively.Furthermore,we achieve the thermal-electric cloaking effect under a specific direction of heat flux and electric current using the isotropic natural materials to broaden the selection range of materials.The method proposed to eliminate anisotropy and achieve the omnidirectional effect could also be expanded to other different physical fields for the metadevices with different functions.
文摘The notion of invisibility in Invisible Man is spoken out by the protagonist＇s growth as an orator. Rather than a recursive retrieving of his identity throughout the narrative, the invisible man reinvents his identity in his pursuit of pure persuasion. Both being terms in the Burkean system of literature rhetoric, pure persuasion, and identification become one for the unconscious purpose and the other for the symbolic action respectively in the protagonist-speaker＇s growth from an ideal emulator to speaker-audience mediator. In his identification with the audience and his ardent pursuit of pure persuasion, he paradoxically finds himself distanced from both his identity-to-be and the identity of his audience, with great division in-between. Though temporary corporation is achieved and occasional identification is resolved in the last two speeches, the protagonist only finds himself in a rhetorical context which is much more varied and more manipulative than he imagined. Such a realization renders the invisible man invisible again from the public stadium, who decides to resort to the pen for a life-long identification with the broader battlefield of racial discontinuity
