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.
One of the concerns of adopting an e-voting systems in the pooling place of any critical elections is the possibility of compromising the voting machine by a malicious piece of code, which could change the votes cast systematically. To address this issue, different techniques have been proposed such as the use of vote verification techniques and the anonymous ballot techniques, e.g., Code Voting. Verifiability may help to detect such attack, while the Code Voting assists to reduce the possibility of attack occurrence. In this paper, a new code voting technique is proposed, implemented and tested, with the aid of an open source voting. The anonymous ballot improved accordingly the paper audit trail used in this machine. The developed system,
... Show MoreThe traditional centralized network management approach presents severe efficiency and scalability limitations in large scale networks. The process of data collection and analysis typically involves huge transfers of management data to the manager which cause considerable network throughput and bottlenecks at the manager side. All these problems processed using the Agent technology as a solution to distribute the management functionality over the network elements. The proposed system consists of the server agent that is working together with clients agents to monitor the logging (off, on) of the clients computers and which user is working on it. file system watcher mechanism is used to indicate any change in files. The results were presente
... Show MoreBackground: Newly developed vessels sealing device built upon bipolar diathermy technology had a great
impact on facilitating advances laparoscopic surgery. Laparoscopic splenectomy is well established procedure
but in this study the procedure is totally based on bipolar vessel sealing system in devascularization of the
spleen.
Objective: To evaluate the safety of laparoscopic splenectomy with vessels sealing device and its
outcome.
Patient and method: Prospective study conducted in Baghdad Teaching Hospital and Dijlah private hospital
from October 2009 to October 2013. Thirty patients with idiopathic thrombocytopenic purpura(ITP) were
included and had laparoscopic splenectomy . The adapted procedure was stapleles
The importance of efficient vehicle detection (VD) is increased with the expansion of road networks and the number of vehicles in the Intelligent Transportation Systems (ITS). This paper proposes a system for detecting vehicles at different weather conditions such as sunny, rainy, cloudy and foggy days. The first step to the proposed system implementation is to determine whether the video’s weather condition is normal or abnormal. The Random Forest (RF) weather condition classification was performed in the video while the features were extracted for the first two frames by using the Gray Level Co-occurrence Matrix (GLCM). In this system, the background subtraction was applied by the mixture of Gaussian 2 (MOG 2) then applying a number
... Show MoreSecure data communication across networks is always threatened with intrusion and abuse. Network Intrusion Detection System (IDS) is a valuable tool for in-depth defense of computer networks. Most research and applications in the field of intrusion detection systems was built based on analysing the several datasets that contain the attacks types using the classification of batch learning machine. The present study presents the intrusion detection system based on Data Stream Classification. Several data stream algorithms were applied on CICIDS2017 datasets which contain several new types of attacks. The results were evaluated to choose the best algorithm that satisfies high accuracy and low computation time.
This investigation is a study of the length of time where drops can exist at an oil-water interface before coalescence take place with a bulk of the same phase as the drops. Many factors affecting the time of coalescence were studied in is investigation which included: dispersed phase flow rate, continuous phase height, hole size in distributor, density difference between phases, and viscosity ratio of oil/water systems, employing three liquid/liquid systems; kerosene/water, gasoil/water, and hexane/water. Higher value of coalescence time was 8.26 s at 0.7ml/ s flow rate, 30cm height and 7mm diameter of hole for gas oil/water system, and lower value was 0.5s at 0.3ml/s flow rate, 10 cm height and 3mm diameter of hole for hexane
... Show MoreAndroid operating system, since its first start, is growing very fast and takes a large space in smart devices market. It is built and developed on Linux and designed basically for touch screen devices such as, mobiles, tablets, etc. Mobile devices are markedly complicated and feature-rich; therefore they are prone to reliability of software and performance problems. Because of the small resources, smart devices, such as CPU, RAM, suffer from problems. One of these problems is Software Aging (SA). SA is recognized in long running OSs as a shortage in resources, performance retreating, and finally failure. SA is looked at from two sides, namely the poor response time of application which represents the end user side and the shortage in me
... Show MoreIraq has a huge network of pipelines, transport crude oil and final hydrocarbon products as well as portable water. These networks are exposed to extensive damage due to the underground corrosion processes unless suitable protection techniques are used. In this paper we collect the information of cathodic protection for pipeline in practical fields (Oil Group in Al Doura), to obtain data base to understand and optimize the design which is made by simulation for the environmental factors and cathodic protection variables also soil resistivity using wenner four terminal methods for survey sites; and soil pH investigations were recorded for these selected fields were within 7-8, and recording the anodes voltage and its related currents for
... Show MoreLow-level microbial activity due to the production of organic acids is a recognized problem during the initial phase of food waste composting. Increasing such activity levels by adjusting the pH values during the initial composting phase is the primary objective to be investigated. In this study, sodium acetate (NaoAc) was introduced as an amendment to an in-vessel composting system. NaoAc was added when the pH of the compost mixture reached a low level (pH < 5), the addition increased pH to 5.8. This had a positive effect on the degradation of organic materials i.e. the formation of methane gas compared to the results without NaoAc addition.
The results also proved that anaerobic-aerobic in-vessel composting could reduce the
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