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.
Frequently, Load associated mode of failure (rutting and fatigue) as well as, occasionally, moisture damage in some sections poorly drained are the main failure types found in some of the newly constructed road within Baghdad as well as other cities in Iraq. The use of hydrated lime in pavement construction could be one of the possible steps taken in the direction of improving pavement performance and meeting the required standards. In this study, the mechanistic properties of asphalt concrete mixes modified with hydrated lime as a partial replacement of limestone dust mineral filler were evaluated. Seven replacement rates were used; 0,0.5, 1, 1.5, 2, 2.5 and 3 percent by weight of aggregate. Asphalt concrete mixes were prepared at their
... Show MoreMedical image segmentation is one of the most actively studied fields in the past few decades, as the development of modern imaging modalities such as magnetic resonance imaging (MRI) and computed tomography (CT), physicians and technicians nowadays have to process the increasing number and size of medical images. Therefore, efficient and accurate computational segmentation algorithms become necessary to extract the desired information from these large data sets. Moreover, sophisticated segmentation algorithms can help the physicians delineate better the anatomical structures presented in the input images, enhance the accuracy of medical diagnosis and facilitate the best treatment planning. Many of the proposed algorithms could perform w
... Show MoreGame theory problems (GTP) frequently occur in Economy, Business Studies, Sociology, Political Science, Military Activities, and so on are some of the subjects covered. To tackle the uncertainty in Games, the analysis of games in which the payoffs are represented by fuzzy numbers (FN) will benefit from fuzzy set theory (FST).
The purpose of this paper is to develop an efficient technique for solving constraint matrix games (MG) with payoff trapezoidal fuzzy numbers (TFN). The description of the new ranking method is introduced for a constrained matrix with TFN and values. Stock market forecasting has been one of the most important research areas for decades. Stock market values are volatile, non-linear, complicated and ch
... Show MoreIn this research, a mathematical model of tumor treatment by radiotherapy is studied and a new modification for the model is proposed as well as introducing the check for the suggested modification. Also the stability of the modified model is analyzed in the last section.
Some esters were prepared from reaction of different molecular weight of PVA with some acid chloride (prepared by reaction of acid with thionyl chloride or phosphorous pentachloride)in the presence of pyridine. The thermal and reological properties were studied. The increasing Of bulky groups decreasing stability of the thermal and reological properties.
The widespread use of images, especially color images and rapid advancement of computer science, have led to an emphasis on securing these images and defending them against intruders. One of the most popular ways to protect images is to use encryption algorithms that convert data in a way that is not recognized by someone other than the intended user. The Advanced Encryption Standard algorithm (AES) is one of the most protected encryption algorithms. However, due to various types of theoretical and practical assaults, like a statistical attack, differential analysis, and brute force attack, its security is under attack.
In this paper, a modified AES coined as (M-AES) is proposed to improve the efficiency
... Show MoreIn this work, a modified water displacement method (MWDM) was designed and used alongside geometry method (GEM), overflow method (OFM) and water displacement method (WDM) for determination of bulk volume of a porous solid. Their results were analyzed graphically and statistically. On testing against the data obtained by Suspension/Buoyancy Method (SBM) used as gold standard, it was found that only those generated by the modified water displacement method (MWDM) were of very high accuracy and precision. Apart from its reproducibility being within the recommended range for acceptability of a test method, the technique is cost-effective and easy to apply even with an ungraduated glass cylindrical tube. This can go a long way in enhancing th
... Show MoreIn this paper, a new tunable approach for fusion the satellite images that fall in different electromagnetic wave ranges is presented, which gives us the ability to make one of the images features little superior on the other without reducing the general resultant image fusion quality, this approach is based on the principal component analysis (PCA) fusion method. A comparison made is between the results of the proposed approach and two fusion methods (they are: the PCA fusion method and the projection of eigenvectors on the bands fusion method), and the comparison results show the validity of this new method.
Frequently, Load associated mode of failure (rutting and fatigue) as well as, occasionally, moisture damage in some sections poorly drained are the main failure types found in some of the newly constructed road within Baghdad as well as other cities in Iraq. The use of hydrated lime in pavement construction could be one of the possible steps taken in the direction of improving pavement performance and meeting the required standards. In this study, the mechanistic properties of asphalt concrete mixes modified with hydrated lime as a partial replacement of limestone dust mineral filler were evaluated. Seven replacement rates were used; 0, 0.5, 1, 1.5, 2, 2.5 and 3 percent by weight of aggregate. Asphalt concrete mixes were prepared at their
... Show MoreThe Normalization Difference Vegetation Index (NDVI), for many years, was widely used in remote sensing for the detection of vegetation land cover. This index uses red channel radiances (i.e., 0.66 μm reflectance) and near-IR channel (i.e., 0.86 μm reflectance). In the heavy chlorophyll absorption area, the red channel is located, while in the high reflectance plateau of vegetation canopies, the Near-IR channel is situated. Senses of channels (Red & Near- IR) read variance depths over vegetation canopies. In the present study, a further index for vegetation identification is proposed. The normalized difference vegetation shortwave index (NDVSI) is defined as the difference between the cubic bands of Near- IR and Shortwave infrared
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