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
Let R be a commutative ring with unity, let M be a left R-module. In this paper we introduce the concept small monoform module as a generalization of monoform module. A module M is called small monoform if for each non zero submodule N of M and for each f ∈ Hom(N,M), f ≠0 implies ker f is small submodule in N. We give the fundamental properties of small monoform modules. Also we present some relationships between small monoform modules and some related modules
Automatic document summarization technology is evolving and may offer a solution to the problem of information overload. Multi-document summarization is an optimization problem demanding optimizing more than one objective function concurrently. The proposed work considers a balance of two significant objectives: content coverage and diversity while generating a summary from a collection of text documents. Despite the large efforts introduced from several researchers for designing and evaluating performance of many text summarization techniques, their formulations lack the introduction of any model that can give an explicit representation of – coverage and diversity – the two contradictory semantics of any summary. The design of gener
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