Which is the most efficient fixation technique in fracture mandible central crossing the midline region ? ?->(Show Answer!)

1. Which is the most efficient fixation technique in fracture mandible central crossing the midline region ?

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MCQ-> Read the passage carefully and answer the questions givenMore and more companies, government agencies, educational institutions and philanthropic organisations are today in the grip of a new phenomenon: ‘metric fixation’. The key components of metric fixation are the belief that it is possible - and desirable - to replace professional judgment (acquired through personal experience and talent) with numerical indicators of comparative performance based upon standardised data (metrics); and that the best way to motivate people within these organisations is by attaching rewards and penalties to their measured performance. The rewards can be monetary, in the form of pay for performance, say, or reputational, in the form of college rankings, hospital ratings, surgical report cards and so on. But the most dramatic negative effect of metric fixation is its propensity to incentivise gaming: that is, encouraging professionals to maximise the metrics in ways that are at odds with the larger purpose of the organisation. If the rate of major crimes in a district becomes the metric according to which police officers are promoted, then some officers will respond by simply not recording crimes or downgrading them from major offences to misdemeanours. Or take the case of surgeons. When the metrics of success and failure are made public - affecting their reputation and income - some surgeons will improve their metric scores by refusing to operate on patients with more complex problems, whose surgical outcomes are more likely to be negative. Who suffers? The patients who don’t get operated upon.When reward is tied to measured performance, metric fixation invites just this sort of gaming. But metric fixation also leads to a variety of more subtle unintended negative consequences. These include goal displacement, which comes in many varieties: when performance is judged by a few measures, and the stakes are high (keeping one’s job, getting a pay rise or raising the stock price at the time that stock options are vested), people focus on satisfying those measures - often at the expense of other, more important organisational goals that are not measured. The best-known example is ‘teaching to the test’, a widespread phenomenon that has distorted primary and secondary education in the United States since the adoption of the No Child Left Behind Act of 2001.Short-termism is another negative. Measured performance encourages what the US sociologist Robert K Merton in 1936 called ‘the imperious immediacy of interests … where the actor’s paramount concern with the foreseen immediate consequences excludes consideration of further or other consequences’. In short, advancing short-term goals at the expense of long-range considerations. This problem is endemic to publicly traded corporations that sacrifice long-term research and development, and the development of their staff, to the perceived imperatives of the quarterly report.To the debit side of the ledger must also be added the transactional costs of metrics: the expenditure of employee time by those tasked with compiling and processing the metrics in the first place - not to mention the time required to actually read them. . . .All of the following can be a possible feature of the No Child Left Behind Act of 2001, EXCEPT:
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MCQ-> Read the given passage carefully and select the best answer to each question out of the four given alternatives.The bird life of the Tarai region is much the same as that found in the Malabar Coast and Assam, and includes horn‐bills, barbets, fruit‐pigeons, bulbuls and woodpeckers. Along the cultivated areas and on the edge of the forests are found some of the more common birds of the Indian plains, and many wading birds and water fowls spend the winter among its streams and marshes. The cold season stimulates the migration of many species of birds from Tibet such as wild ducks and cranes, which breed in the mountains and descend to the plains for a brief change. The Central Region is described as a clusterous space of mountains varying in elevation from 4,000 to 10,000 feet with a range of temperature varying from ten to twelve degrees lower the Tarai. It includes the Mahabharat range of mountains which rise to 8,000 feet to form a continuous barrier across Nepal from east to west. At intervals, this mountain wall is pierced by the gorges of the transverse rivers of the Seven Kosis, or the Seven Gandaks, or the noble river Karnali. Between the Mahabharat range and the main Himalayan chain, there are many populous valleys like Dumja, Kathmandu, Pokhara, and many others where the majority of the population is densely concentrated. The fauna of this central zone is characteristically Himalayan. Many of the species occurring in this region are peculiar to Nepal alone. Such animals as the ferret, badger, raccoon, crestless porcupine, etc., do not occur in the Indian peninsula. The whole genera of such birds as yuhina, siva, minla, ixulu, etc., are nearly, if not wholly, restricted to this region. The majority of reptiles occurring in this zone are purely Himalayan species.What does the cold season stimulates?
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MCQ->Statement: On an average, about twenty people are run over by trains and die every day while crossing the railway tracks through the level crossing. Courses of Action: The railway authorities should be instructed to close all the level crossings. Those who are found crossing the tracks, when the gates are closed, should be fined heavily

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