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.
This paper applies the Modified Adomian Decomposition Method (MADM) for solving Integro-Differential Inequality, this method is one of effective to construct analytic approximate solutions for linear and nonlinear integro-differential inequalities without solving many integrals and transformed or discretization. Several examples are presented, the analytic results show that this method is a promising and powerful for solving these problems.
In this study, bauxite and modified bauxite /polymer, which were prepared as an adsorbent surfaces to adsorption of the tetracycline from aqueous solutions. A series of adsorption experiments were conducted to determine the equilibrium time and temperature effect on the adsorption process. The results showed that adsorption was agreed with the Freundlich equation model for the surface of the bauxite. As for the modified bauxite surface, the results were consistent with the Langmuir equation model. The values of the basic thermodynamic functions of the adsorption process were calculated, so the process of adsorption was founded spontaneous and endothermi
The importance of the research in the preparation of special exercises to develop some types of basketball scoring as a contribution to help the physical education teacher to find successful educational alternatives. The purpose of the study was to prepare special exercises for the cognitive (cognitive) survey in the development of motor satisfaction and learning some types of Scoring for basketball for students. Learn about the effect of cognitive exercises in cognitive development in students. The survey included students from the first stage of the Faculty of Physical Education and Sports Science \ University of Diyala (159) divided into 6 people. The sample was randomized by (b) and (b) D) and after dispersion by the standard method In
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In 2020 one of the researchers in this paper, in his first research, tried to find out the Modified Weighted Pareto Distribution of Type I by using the Azzalini method for weighted distributions, which contain three parameters, two of them for scale while the third for shape.This research compared the distribution with two other distributions from the same family; the Standard Pareto Distribution of Type I and the Generalized Pareto Distribution by using the Maximum likelihood estimator which was derived by the researchers for Modified Weighted Pareto Distribution of Type I, then the Mont Carlo method was used–that is one of the simulation manners for generating random samples data in different sizes ( n= 10,30,50), and in di
... Show MoreThe aims of the paper are to present a modified symmetric fuzzy approach to find the best workable compromise solution for quadratic fractional programming problems (QFPP) with fuzzy crisp in both the objective functions and the constraints. We introduced a modified symmetric fuzzy by proposing a procedure, that starts first by converting the quadratic fractional programming problems that exist in the objective functions to crisp numbers and then converts the linear function that exists in the constraints to crisp numbers. After that, we applied the fuzzy approach to determine the optimal solution for our quadratic fractional programming problem which is supported theoretically and practically. The computer application for the algo
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... Show MoreData hiding (Steganography) is a method used for data security purpose and to protect the data during its transmission. Steganography is used to hide the communication between two parties by embedding a secret message inside another cover (audio, text, image or video). In this paper a new text Steganography method is proposed that based on a parser and the ASCII of non-printed characters to hide the secret information in the English cover text after coding the secret message and compression it using modified Run Length Encoding method (RLE). The proposed method achieved a high capacity ratio for Steganography (five times more than the cover text length) when compared with other methods, and provides a 1.0 transparency by depending on som
... Show MoreMining association rules is a popular and well-studied method of data mining tasks whose primary aim is the discovers of the correlation among sets of items in the transactional databases. However, generating high- quality association rules in a reasonable time from a given database has been considered as an important and challenging problem, especially with the fast increasing in database's size. Many algorithms for association rules mining have been already proposed with promosing results. In this paper, a new association rules mining algorithm based on Bees Swarm Optimization metaheuristic named Modified Bees Swarm Optimization for Association Rules Mining (MBSO-ARM) algorithm is proposed. Results show that the proposed algorithm can
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