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.
In this research the results of applying Artificial Neural Networks with modified activation function to perform the online and offline identification of four Degrees of Freedom (4-DOF) Selective Compliance Assembly Robot Arm (SCARA) manipulator robot will be described. The proposed model of identification strategy consists of a feed-forward neural network with a modified activation function that operates in parallel with the SCARA robot model. Feed-Forward Neural Networks (FFNN) which have been trained online and offline have been used, without requiring any previous knowledge about the system to be identified. The activation function that is used in the hidden layer in FFNN is a modified version of the wavelet function. This approach ha
... Show MoreIn this research the results of applying Artificial Neural Networks with modified activation function to
perform the online and offline identification of four Degrees of Freedom (4-DOF) Selective Compliance
Assembly Robot Arm (SCARA) manipulator robot will be described. The proposed model of
identification strategy consists of a feed-forward neural network with a modified activation function that
operates in parallel with the SCARA robot model. Feed-Forward Neural Networks (FFNN) which have
been trained online and offline have been used, without requiring any previous knowledge about the
system to be identified. The activation function that is used in the hidden layer in FFNN is a modified
version of the wavelet func
In this research, carbon nanotubes (CNTs) is prepared through the Hummers method with a slight change in some of the work steps, thus, a new method has been created for preparing carbon nanotubes which is similar to the original Hummers method that is used to prepare graphene oxide. Then, the suspension carbon nanotubes is transferred to a simple electrode position platform consisting of two electrodes and the cell body for the coating and reduction of the carbon nanotubes on ITO glass which represents the cathode electrode while platinum represents the anode electrode. The deposited layer of carbon nanotubes is examined through the scanning electron microscope technique (SEM), and the images throughout the research show the
... Show More
Along with RNA and proteins, DNA is one of the three major macromolecules that are essential for all known forms of life. DNA is a long polymer of two helical chains, each measuring 2.2-2.6 nanometers (nm) and one nucleotide unit measuring 0.33 nm long. Although individual repeating unit is very small, DNA polymer, containing millions of nucleotides (approximately 220 million base pairing long (1,2).
This paper presents a modified training method for Recurrent Neural Networks. This method depends on the Non linear Auto Regressive (NARX) model with Modified Wavelet Function as activation function (MSLOG) in the hidden layer. The modified model is known as Modified Recurrent Neural (MRN). It is used for identification Forward dynamics of four Degrees of Freedom (4-DOF) Selective Compliance Assembly Robot Arm (SCARA) manipulator robot. This model is also used in the design of Direct Inverse Control (DIC). This method is compared with Recurrent Neural Networks that used Sigmoid activation function (RS) in the hidden layer and Recurrent Neural Networks with Wavelet activation function (RW). Simulation results shows that the MRN model is bett
... Show MoreDens itiad ns vcovadoay fnre Dec2isco0D,ia asrn2trcds4 fenve ns 6ocfo ts ida%n2notd, rasr sedno6t(a asrn2trcd fnre sc2a 2cynwnvtrnco co nrs wcd2 /nt sedno6t(a fan(er wtvrcd ﯿ)ﺔ mh Dens r,ia cw asrn2trcds et/a laao vcosnyaday wcd asrn2trno( rea itdt2arads ﻘ cw sn2i%a %noatd da(dassnco 2cya%4 feao t idncd asrn2tra cw rea itdt2arad /t%ua )ﻘm ns t/tn%tl%a4 st, ﻘxh Dens ﻘx ets laao dawadday no srtrnsrnvt% %nradtrudas ts (uass icnor tlcur rea itdt2arad ﻘh Dea aMidassncos wcd Snts4 Oato -9utday 8ddcd )O-8m toy .a%trn/a 8wwnvnaov, cw rea idcicsay asrn2trcds tda clrtnoayh 1u2adnvt% dasu%rs tda idc/nyay feao rea
... Show More
(6)
(6)
(1)
(1)
In this paper, a new modification was proposed to enhance the security level in the Blowfish algorithm by increasing the difficulty of cracking the original message which will lead to be safe against unauthorized attack. This algorithm is a symmetric variable-length key, 64-bit block cipher and it is implemented using gray scale images of different sizes. Instead of using a single key in cipher operation, another key (KEY2) of one byte length was used in the proposed algorithm which has taken place in the Feistel function in the first round both in encryption and decryption processes. In addition, the proposed modified Blowfish algorithm uses five Sboxes instead of four; the additional key (KEY2) is selected randomly from additional Sbox
... Show MoreThe direct electron transfer behavior of hemoglobin that is immobilized onto screen-printed carbon electrode (SPCE) modified with silver nanoparticles (AgNPs) and chitosan (CS) was studied in this work. Cyclic voltametry and spectrophotometry were used to characterize the hemoglobin (Hb) bioconjunction with AgNPs and CS. Results of the modified electrode showed quasi-reversible redox peaks with a formal potential of (-0.245 V) versus Ag/AgCl in 0.1 M phosphate buffer solution (PBS), pH7, at a scan rate of 0.1 Vs-1. The charge transfer coefficient (α) was 0.48 and the apparent electron transfer rate constant (Ks) was 0.47 s-1. The electrode was used as a hydrogen peroxide biosensor with a linear response over 3 to 240 µM and a detection li
... Show More