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 the present work, the effect of the cylindrical configurations of the sputtering device electrodes on the plasma parameters (Debye length, electron temperature, electron density, plasma frequency) is studied. Also, the effect of the argon gas pressure on the discharge properties is examined with gas pressures of (0.08, 0.2, 0.4 and 0.6) Torr. The properties of the plasma are diagnosed by optical emission spectrometry. The spectroscopic method is adopted for examining the atomic spectra of argon emission. The electron temperature is determined by the Boltzmann method. While, the Stark-widening method was employed for calculating the electron number density. The voltage against current curves of the cylindrical sprayer disc
... Show MoreThis paper presents an analysis solution for systems of partial differential equations using a new modification of the decomposition method to overcome the computational difficulties. Convergence of series solution was discussed with two illustrated examples, and the method showed a high-precision, being a fast approach to solve the non-linear system of PDEs with initial conditions. There is no need to convert the nonlinear terms into the linear ones due to the Adomian polynomials. The method does not require any discretization or assumption for a small parameter to be present in the problem. The steps of the suggested method are easily implemented, with high accuracy and rapid convergence to the exact solution,
... Show MoreThe basic idea of the Main Outfall Drain, MOD, was to construct a main channel to collect saline drained water of the irrigation projects within central and southern parts of Iraq and discharge it down to the Arabian Gulf. The MOD has a navigation lock structures near Addalmage Lake at station 299.4km. This structure is designed to ensure navigation within the MOD. The water level difference upstream the cross regulator and the downstream conjugation structure is about 9m. This head difference can be used to generate electrical power by constricting a low head power plant. This study aimed to utilize the head difference in navigation lock structures for power generation. Different operation condition an
... Show MoreIn this research, optical communication coding systems are designed and constructed by utilizing Frequency Shift Code (FSC) technique. Calculations of the system quality represented by signal to noise ratio (S/N), Bit Error Rate (BER),and Power budget are done. In FSC system, the data of Nonreturn- to–zero (NRZ ) with bit rate at 190 kb/s was entered into FSC encoder circuit in transmitter unit. This data modulates the laser source HFCT-5205 with wavelength at 1310 nm by Intensity Modulation (IM) method, then this data is transferred through Single Mode (SM) optical fiber. The recovery of the NRZ is achieved using decoder circuit in receiver unit. The calculations of BER and S/N for FSC system a
... Show MoreSoil wetted pattern from a subsurface drip plays great importance in the design of subsurface drip irrigation (SDI) system for delivering the required water directly to the roots of the plant. An equation to estimate the dimensions of the wetted area in soil are taking into account water uptake by roots is simulated numerically using HYDRUS (2D/3D) software. In this paper, three soil textures namely loamy sand, sandy loam, and loam soil were used with three different types of crops tomato, pepper, and cucumber, respectively, and different values of drip discharge, drip depth, and initial soil moisture content were proposed. The soil wetting patterns were obtained at every thirty minutes for a total time of irrigation equ
... Show MoreIn this paper, a microcontroller-based electronic circuit have been designed and implemented for dental curing system using 8-bit MCS-51 microcontroller. Also a new control card is designed while considering advantages of microcontroller systems the time of curing was controlled automatically by preset values which were input from a push-button switch. An ignition based on PWM technique was used to reduce the high starting current needed for the halogen lamp. This paper and through the test result will show a good performance of the proposed system.
Palm vein recognition technology is a one of the most effective biometric technologies for personal identification. Palm acquisition techniques are either contact-based or contactless-based. The contactless-based palm vein system is considered more accurate and efficient when used in modern applications, but it may suffer from problems like pose variations and the delay in the matching process. This paper proposes a contactless-based identification system for palm vein that involves two main steps; First, the central region of the palm is cropped using fast extract region of interest algorithm, then the features are extracted and classified using altered structure of Residual Attention Network, which is a developed version of convolution
... Show MoreThe objective of the investigation was to analyze the structure and administration of the political system in Iraq (post-ISIS). After 2003, the Iraqi political system suffered the fundamental problem of its failure to achieve the political and social inclusion that characterizes democratic systems, to guarantee the establishment of a "state for all", while respecting differences. Political representation has moved from the system of sectarian ethnic components, under the title of consensual democracy, to the representation of leaders and the realization of their interests and the interests of their parties at the expense of the groups that claim to represent them, which complicates the problem. In this sense, the new political syste
... Show MoreThe context of multibiometric plays a pivotal role in enhancing an identification system, since a biometric system is now the most physical way of identifying and verifying individuals. The feature of multibiometric could be merged to produce identification information. However, unimodal biometric systems suffer from different types of breaching. Thus, mixing biometrics with cryptography leads to overcome small variations existing between diverse acquisitions of the same biometric in order to produce the robust system. In this paper, a new robust multibiometric system is proposed to create a random key from person multibiometric, facial and fingerprint images which are used simultaneously to produce this key. Several man
... Show MoreIn this paper, the aquatic food chain model, consisting of Phytoplankton, Zooplankton, and Fish, in the contaminated environment is proposed and studied. Modified Leslie–Gower model with Holling type IV functional response are used to describe the growth of Fish and the food transition throughout the food chain, respectively. The toxic substance affects directly the Phytoplankton and indirectly the other species. The local stability analysis of all possible equilibrium points is done. The persistence conditions of the model are established. The basin of attraction for each point is specified using the Lyapunov function. Bifurcation analysis near the coexistence equilibrium point is investigated. Detecting the existence of chao
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