BACKGROUND: Clavicle fractures are common injuries in young active individuals, the mid third of the clavicle is most commonly fractured part(80% of clavicle fracture) OBJECTIVE: To compare the outcomes of operative and non operative management of displaced and or comminuted closed fracture of the mid third of clavicle in young adults PATIENTS AND METHODS: This prospective observational study of 24 patients of fracture of the mid third of the clavicle was conducted in Alkindy teaching hospital from July 2015 to January 2017 and divided into two groups; one managed by operative treatment with plate and screws and the other by non operative sling immobilization after taking the consent and the patients were seen at 2, 4, 6 weeks,3, 6, and 9 months RESULTS: The mean time of functional recovery in the operative group was 3.75 weeks while in the non operative group was 8.09(P value=0.005) which is highly significant, the mean time of fracture healing(radiological union) in the operative group was 14.25 while in the non operative group was 28.72 with P value 0.005 which is statistically highly significant, there was no significant differences between the two groups in the range of movements although the adduction was better in the operative group but not significant P value=0.120, the DASH score was 11.25, 22.25 in the operative and non operative group respectively which is highly significant P value=0.005. CONCLUSION: Operative fixation of the clavicle results in improvement in the functional outcome, shorter time of union, lower complication rate in 9 month follow up
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In this paper, we derive some subordination and superordination results for certain subclasses of p− valent analytic functions that defined by generalized Fox-wright functions using the principle of differential subordination, ----------producing best dominant univalent solutions. We have also derived inclusion relations and solved majorization problem.
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Due to the lack of vehicle-to-infrastructure (V2I) communication in the existing transportation systems, traffic light detection and recognition is essential for advanced driver assistant systems (ADAS) and road infrastructure surveys. Additionally, autonomous vehicles have the potential to change urban transportation by making it safe, economical, sustainable, congestion-free, and transportable in other ways. Because of their limitations, traditional traffic light detection and recognition algorithms are not able to recognize traffic lights as effectively as deep learning-based techniques, which take a lot of time and effort to develop. The main aim of this research is to propose a traffic light detection and recognition model based on
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In many areas, such as simulation, numerical analysis, computer programming, decision-making, entertainment, and coding, a random number input is required. The pseudo-random number uses its seed value. In this paper, a hybrid method for pseudo number generation is proposed using Linear Feedback Shift Registers (LFSR) and Linear Congruential Generator (LCG). The hybrid method for generating keys is proposed by merging technologies. In each method, a new large in key-space group of numbers were generated separately. Also, a higher level of secrecy is gained such that the internal numbers generated from LFSR are combined with LCG (The adoption of roots in non-linear iteration loops). LCG and LFSR are linear structures and outputs
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With the increasing prevalence of breast cancer among female internationally, occupies about 25% of all cases of cancer, with a measured 1.57 million up to date cases in 2012. Breast cancer has turn a most warning to health of female in Iraq, where it is the major cause of death among women after cardiovascular diseases, with a mortality rate of 23% related cancer. Recently there is a crucial requirement to include community pharmacists in health elevation activities to support awareness and early diagnosis of cancer, specially breast cancer. The aim of this study is to assess knowledge, attitude and perceived barriers amongst Iraqi community pharmacists towards health promotion of breast cancer. This study is cross sectional research. A
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Let R be a commutative ring with unity. Let W be an R-module, for K≤F, where F is a submodule of W and K is said to be R-annihilator coessential submodule of F in W (briefly R-a-coessential) if (denoted by K F in W). An R-module W is called strongly hollow -R-annihilator -lifting module (briefly, strongly hollow-R-a-lifting), if for every submodule F of W with hollow, there exists a fully invariant direct summand K of W such that K F in W. An R - module W is called strongly R - annihilator - ( hollow - lifting ) module ( briefly strongly R - a - ( hollow - lifting ) module ), if for every submodule F of W with R - a - hollow, there exists a fully invariant direct summand K o
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This paper investigates some exact and local search methods to solve the traveling salesman problem. The Branch and Bound technique (BABT) is proposed, as an exact method, with two models. In addition, the classical Genetic Algorithm (GA) and Simulated Annealing (SA) are discussed and applied as local search methods. To improve the performance of GA we propose two kinds of improvements for GA; the first is called improved GA (IGA) and the second is Hybrid GA (HGA).
The IGA gives best results than GA and SA, while the HGA is the best local search method for all within a reasonable time for 5 ≤ n ≤ 2000, where n is the number of visited cities. An effective method of reducing the size of the TSP matrix was proposed with
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This study focused on spectral clustering (SC) and three-constraint affinity matrix spectral clustering (3CAM-SC) to determine the number of clusters and the membership of the clusters of the COST 2100 channel model (C2CM) multipath dataset simultaneously. Various multipath clustering approaches solve only the number of clusters without taking into consideration the membership of clusters. The problem of giving only the number of clusters is that there is no assurance that the membership of the multipath clusters is accurate even though the number of clusters is correct. SC and 3CAM-SC aimed to solve this problem by determining the membership of the clusters. The cluster and the cluster count were then computed through the cluster-wise J
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