Background: Acute abdominal pain classically refers to pain within the abdomen that has been present for less than 7 days from the time of presentation. The use of CT scan in the evaluation of acute abdominal pain has increased to a large extent due to high accuracy of CT in the diagnosis of specific diseases like appendicitis and diverticulitis, especially with the use of multidetector CT scanners. It has been shown that the use of intravenous contrast media increases the diagnostic accuracy of CT scan examination, with a positive predictive value of 95% in the cases of acute appendicitis. The accuracy of CT scan imaging in patients with acute abdominal pain was not affected by the lack of entral contrast material.
Objectives: To evaluate the real usefulness of multi-detector CT( MDCT) in non-traumatic acute abdomen, to determine the cause of acute abdomen in those with uncertain pathological diagnosis.
Patients and methods: This prospective study had been conducted at Al-Sader medical city from the first of January to the first of September 2015. Our study includes all patients presented to the emergency department with non-traumatic acute abdominal conditions with uncertain underlying cause inspite of detailed history and physical examination with negative or non-conclusive U/S, plain abdominal XR finding and the surgeon failed to identify the exact underlying pathology. This study included (80) patients, (44 male and 36 female) . Non-enhanced CT scan was done first for all patients which was sufficient to reach the diagnosis in (22) patients, contrast material were not used because blood urea was elevated in (6) patients . In (8) patients, CT angiography protocol was performed for patients with suspected mesenteric vessels pathology. In the remaining (44) patients, intravenous contrast was given manually via a wide bore cannula ( gauge 18) and post contrast scan done in the portal phase (delay time 45-50 second).
Results: In this study, which was performed on (80) patients with undiagnosed nontraumatic acute abdominal conditions. We found that acute pancreatitis (20 patients)(25%) was the most common cause of undiagnosed acute abdominal pain, followed by intestinal obstruction (12 patients)(15%).While acute cholecystitis (8 patients)(10%) , portal or mesenteric vein thrombosis (8 patients ) (10%) , perforated viscus ,(6 patients)(7.5%), mesenteric arterial thrombosis (4 patients) (5%) ,left gastric artery aneurysm (2patient))(2.5%) , acute appendicitis(2 patient ) (2.5%)diverticulitis (2patient) (2.5%) and ectopic pregnancy (2patient) (2.5%). In (14 patients) (17.5%), no specific pathology could be detected.
Conclusion: The role of multi-detector CT (MDCT) has an important role in the management undiagnosed acute abdominal conditions in the emergency department. Acute pancreatitis is one of the main cause of undiagnosed acute abdominal conditions.
In this study new derivatives of O-[2-{''2-Substituted Aryl (''1,''3,''4 thia diazolyl) ['3,'4b]-'1,'2,'4- Triazolyl]-Ethyl]-p- chlorobenzald oxime (6-11) have been synthesized from the starting material p-chloro – E- benzaldoxime 1. Compound 2 was synthesized by the reaction of p-chloro – E- benzaldoxime with ethyl acrylate in basic medium. Refluxing compound 2 with hydrazine hydrate in ethanol absolute afforded 3. Derivative 4 was prepared by the reaction of 3 with carbon disulphide, treated of compound 4 with hydrazine hydrate gave 5. The derivatives (6-11) were prepared by the reaction of 5 with different substitutes of aromatic acids. The structures of these compounds were characterized from their melting points, infra
... Show MoreLimitations of the conventional diagnostic techniques urged researchers to seek novel methods to predict, diagnose, and monitor periodontal disease. Use of the biomarkers available in oral fluids could be a revolutionary surrogate for the manual probing/diagnostic radiograph. Several salivary biomarkers have the potential to accurately discriminate periodontal health and disease. This study aimed to determine the diagnostic sensitivity and specificity of salivary interleukin (IL)‐17, receptor activator of nuclear factor‐κB ligand (RANKL), osteoprotegerin (OPG), RANKL/OPG for differentiating (1) periodontal health from disease and (2) stable a
Background: Alcohol remains the single most significant cause of liver disease throughout the Western world, responsible for between 40 and 80% of cases of cirrhosis in different countries. Many of the factors underlying the development of alcoholic liver injury remain unknown, and significant questions remain about the value of even very basic therapeutic strategies.
Patients and Methods: In a cross sectional study, 113 alcoholic patients with evidence of liver disease in the absence of other significant etiology attending the Gastoenterorology and Hepatology Teaching Hospital between December 2001 and December 2003 were studied for the hematological and biochemical spectrum of alcoholic liver disease in
In a recent study, a special type of plane overpartitions known as k-rowed plane overpartitions has been studied. The function denotes the number of plane overpartitions of n with a number of rows at most k. In this paper, we prove two identities modulo 8 and 16 for the plane overpartitions with at most two rows. We completely specify the modulo 8. Our technique is based on expanding each term of the infinite product of the generating function of the modulus 8 and 16 and in which the proofs of the key results are dominated by an intriguing relationship between the overpartitions and the sum of divisors, which reveals a considerable link among these functions modulo powers of 2.
In this paper, the construction of Hermite wavelets functions and their operational matrix of integration is presented. The Hermite wavelets method is applied to solve nth order Volterra integro diferential equations (VIDE) by expanding the unknown functions, as series in terms of Hermite wavelets with unknown coefficients. Finally, two examples are given
Pulsar stars divided into two types depending on the periods of rotation, normal
emission Pulsar and Millisecond pulsars (MSPs). In this paper, the effect of the
strong magnetic field on the thermal emission in Millisecond pulsar stars is
concentrated. Also the luminosity spin down (Lsp) are calculated depends on the
periods (P), and Period derivative (
P
) for sample stars which were adopted. The
relation between internal and surface magnetic field is illustrated. The model that
which adopted is Hallo Cone Model (HCM)). The total magnetic dipole radiation
power (heating power Wh) of all super fluid neutrons in MSPs stars is calculated.
For sample stars of MSPs , the value of transition period (Ptr) was d
Background:
Social Networking has dominated the whole world by providing a platform of information dissemination. Usually people share information without knowing its truthfulness. Nowadays Social Networks are used for gaining influence in many fields like in elections, advertisements etc. It is not surprising that social media has become a weapon for manipulating sentiments by spreading disinformation. Propaganda is one of the systematic and deliberate attempts used for influencing people for the political, religious gains. In this research paper, efforts were made to classify Propagandist text from Non-Propagandist text using supervised machine learning algorithms. Data was collected from the news sources from July 2018-August 2018. After annota
... Show MoreCoupling reaction of 2-amino benzoic acid with the 8-hydroxy quinoline gave the azo ligand (H2L): 5-(2-benzoic acid azo )-8-hydroxy quinoline.Treatment of this ligand with some metal ions (CoII, NiII and CuII ) in ethanolic medium with a (1:2) (M:L) ratio yielded a series of neutral complexes with general Formula[M(HL)2],where: M=Co(II), Ni(II) and Cu(II), HL=anion azo ligand (-1).The prepared complexes were characterized using flame atomic absorption,FT-IR and UV-Vis spectroscopic methods as well as magnetic susceptibility and conductivity measurements.
The Co (II), Ni (II) ,Cu(II), Zn(II) ,Cd(II) and Hg(II) complexes of mixed of amino acid (L-Alanine ) and Trimethoprim antibiotic were synthesized. The complexes were characterized using melting point, conductivity measurement and determination the percentage of the metal in the complexes by flame (AAS). Magnetic susceptibility, Spectroscopic Method [FT-IR and UV-Vis]. The general formula have been given for the prepared mixed ligand complexes [M(Ala)2(TMP)(H2O)] where L- alanine (abbreviated as (Ala ) = (C5H9NO2) deprotonated primary ligand, L- Alanine ion .= (C5H8NO2-) Trimethoprim (abbreviated as (TMP ) = C10H11N3O3S M(II) = Co (II),Ni(II) ,Cu(II), Zn(II) ,Cd(II) and Hg(II). The results showed that the deprotonated L- Alanine b
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