Background:-The Modified Alvarado Scoring System (MASS) has been reported to be a cheap and quick diagnostic tool in patients with acute appendicitis. However, differences in diagnostic accuracy have been observed if the scores were applied to various populations and clinical settings.
Objectives:- The purpose of this study was to evaluate the diagnostic value of Modified Alvarado Scoring System in patients with acute appendicitis in our setting.
Methods:-one hundre twenty eight patients ,were included in this study, admitted to Al-Kindy teaching hospital from June 2009 to June 2010. Patients’ age ranged from 8 to 56 years (21±10) they were divided into three groups; paediatrics, child bearing age females & adult males,. MASS was calculated for each patient included as the diagnosis & treatment were done on the bases of surgeon's clinical decision,confirmation was done by histopathological examination. Finally statistics done included negative appendectomy rate, sensitivity,specificity,positive predictive value,negative predictive value & accuracy.
Results:- Our negative appendectomy rate was 19.5% (22.22% for paediatrics 40.9% for females 4.2% for males). MASS showed sensitivity of 61%(92.8% for paediatrics 38% for females & 58% for males), specificity 80% (75% for paediatrics 88% for females & 50% for males), positive predictive value 92%(92.8% for paediatrics 83% for females 50% for males), negative predictive value 33% ( 75%for paediatrics 50% for females 5% for males) & accuracy 65% ( 88.9% for paediatrics 59% for females 58% for males).
Conclusion:- MASS was of limited help to junior doctors in our setting,clinical assessment & experience are still the gold standard for acute appendicitis.
Abstract
In this study, modified organic solvent (organosolv) method was applied to remove high lignin content in the date palm fronds (type Al-Zahdi) which was taken from the Iraqi gardens. In modified organosolv, lignocellulosic material is fractionated into its constituents (lignin, cellulose and hemicellulose). In this process, solvent (organic)-water is brought into contact with the lignocellulosic biomass at high temperature, using stainless steel reactor (digester). Therefor; most of hemicellulose will remove from the biomass, while the solid residue (mainly cellulose) can be used in various industrial fields. Three variables were studied in this process: temperature, ratio of ethano
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A promotion to a previous computer programmed technique "Photo-Micro Estimation Program" was carried out to compute the exact dimensions of cell and cell fraction in photographs of
histological sections. "Visual Basic 6" was used as a language for building of the antecedent application forms. With the aid of a slide micrometer, pixels were substituted for micrometer
(μm). The new procedure was termed "Photo-histometry program". To test the suitability of this program, eight photographs of histological sections were selected randomly to be tested. Results were contrasted with those calculated by using ocular lens (calibrated by a slide micrometer). Estimation of RBC diameter (well known, =7-8 μm) was
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Epoxy resins were modified by some thermosetting materials using unsaturated polyesters which were cured with styrene , MMA ,and MA . When unsaturated Polyester ( as thermosetting material ) was used , and cured with styrene showed better results than acrylic monomers . Thermal stability rised on modification of epoxy resins with unsaturated polyester . The new formulation had converted the epoxy resin from hard brittle material to hard and tough material .
Thermal analysis were studied using ( DSC ) and physicomechanical characteristics were measured .
Many numerical approaches have been suggested to solve nonlinear problems. In this paper, we suggest a new two-step iterative method for solving nonlinear equations. This iterative method has cubic convergence. Several numerical examples to illustrate the efficiency of this method by Comparison with other similar methods is given.
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One of the most powerful tools for any stellar dynamics is the N-body simulation. In an N-body simulation the motion of N particles is followed under their mutual gravitational attraction. In this paper the gravitational N-body simulation is described to investigate Newtonian and non- Newtonian (modified Newtonian dynamics) interaction between the stars of spiral galaxies. It is shown that standard Newtonian interaction requires dark matter to produce the flat rotational curves of the systems under consideration, while modified Newtonian dynamics (MOND) theorem provides a flat rotational curve and gives a good agreement with the observed rotation cu |
In this article, we define and study a family of modified Baskakov type operators based on a parameter . This family is a generalization of the classical Baskakov sequence. First, we prove that it converges to the function being approximated. Then, we find a Voronovsky-type formula and obtain that the order of approximation of this family is . This order is better than the order of the classical Baskakov sequence whenever . Finally, we apply our sequence to approximate two test functions and analyze the numerical results obtained.
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Roof in the Iraqi houses normally flattening by a concrete panel. This concrete panel has poor thermal properties. The usage of materials with low thermal conductivity and high specific heat gives a good improvements to the thermal properties of the concrete panel, thus, the indoor room temperature improves. A Mathcad program based on a mathematical model employing complex Fourier series built for a single room building. The model input data are the ambient temperature, solar radiation, and sol-air temperature, which have been treated as a periodic function of time. While, the room construction is constant due to their materials made of it, except the roof properties are taken as a variable generated practically from the
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The modern systems that have been based upon the hash function are more suitable compared to the conventional systems; however, the complicated algorithms for the generation of the invertible functions have a high level of time consumption. With the use of the GAs, the key strength is enhanced, which results in ultimately making the entire algorithm sufficient. Initially, the process of the key generation is performed by using the results of n-queen problem that is solved by the genetic algorithm, with the use of a random number generator and through the application of the GA operations. Ultimately, the encryption of the data is performed with the use of the Modified Reverse Encryption Algorithm (MREA). It was noticed that the
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Many researchers tried to prevent or reduce moisture damage and its sensitivity to temperature to improving the performance of hot mix asphalt because it is decreasing the functional and structural life of fixable pavement due to the moisture damage had exposed to it.
The main objective of this study is to inspect the effect of (fly ash “3%, 6%, 12%”, hydrated lime”5%, 10%, 20%” and silica fumes”1%, 2%, 4%) referring to previous research by the net weight asphalt cement as a modified material on the moisture and temperature sensitivity of hot mix asphalt. This was done using asphalt from AL-Nasiria refinery with penetration grade 40-50, nominal maximum size (12.5) mm (surface course) of aggregate and on
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