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 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,
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Enhancement of the performance for hybrid solar air conditioning system was presented in this paper. The refrigerant temperature leaving the condenser was controlled using three-way valve, this valve was installed after the compressor to regulate refrigerant flow rate towards the solar system. A control system using data logger, sensors and computer was proposed to set the opening valve ratio. The function of control program using LabVIEW software is to obtain a minimum refrigerant temperature from the condenser outlet to enhance the overall COP of the unit by increasing the degree of subcooled refrigerant. A variable load electrical heater with coiled pipe was used instead of the solar collector and the storage tank to simulate the sola
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In 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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The analytical study of optical bistability is concerned in a fully
optimized laser Fabry-Perot system. The related phenomena of
switching dynamics and optimization procedure are also included.
From the steady state of optical bistability equation can plot the
incident intensity versus the round trip phase shift (φ) for different
values of dark mistuning
12
,
6
,
3
,
1.5
0 , o
or finesse (F= 1, 5, 20,
100). In order to obtain different optical bistable loops. The inputoutput
characteristic for a nonlinear Fabry-Perot etalon of a different
values of finesse (F) and using different initial detuning (φ0) are used
in this rese
Amorphization of drug has been considered as an attractive approach in improving drug solubility and bioavailability. Unlike their crystalline counterparts, amorphous materials lack the long-range order of molecular packing and present the highest energy state of a solid material. Co-amorphous systems (CAM) are an innovative formulation technique by where the amorphous drugs are stabilized via powerful intermolecular interactions by means of a low molecular co-former.
This review highlights the different approaches in the preparation of co-amorphous drug delivery system, the proper selection of the co-formers. In addition, the recent advances in characterization, Industrial scale and formulation will be discussed.
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The role of free radical generation and lipid peroxidation in most diseases as a scientific explanation for development and destractivc process in biological tissues is confirmed. In this study, an attempt to shed li ght on the possible rel ation between some biochemical parameters as a marker lor antioxidant in sera of (40)workers in the ticld of mercury was investigated. The workers were divided into two
gt-oups according to the_1>_eri odof occupati.On.
Group A Occupation period <I 0
C'TTOl
... Show MoreA non-destructive assay (NDA) for radioactive waste drum has been studied
using a local manufacturing gamma scanning system. The gamma system has been
designed and implemented using scanning system contains a high efficiency
portable HPGe detector for characterization and surveying the radioactive waste
drums at Al-Tuwaitha site- Baghdad. To achieve identification with nonhomogenous
radioactive waste drum, six parallel plastic pipes (2cm in diameter)
were inserted inside the cement type Portland contain radioactive sources and
located at different distances from the outer diameter of the drum. The efficiency
calibration is measured by conventional technique, using five miscellaneous radio
nuclides with drum. Th
Linear Feedback Shift Register (LFSR) systems are used widely in stream cipher systems field. Any system of LFSR's which wauldn't be attacked must first construct the system of linear equations of the LFSR unit. In this paper methods are developed to construct a system of linear/nonlinear equations of key generator (a LFSR's system) where the effect of combining (Boolean) function of LFSR is obvious. Before solving the system of linear/nonlinear equations by using one of the known classical methods, we have to test the uniqueness of the solution. Finding the solution to these systems mean finding the initial values of the LFSR's of the generator. Two known generators are used to test and apply the ideas of the paper,
... Show MoreThe Financial systems can be classified into two types. The first is the market–oriented, which is applied in United States and United Kingdom. While the second is bank-oriented as in Japan and Germany.
This study tries to explain the reasons which make some countries adopt the first one instead of the second, and the contrary. So the study consists of three sections. The first deals with the concept of financial system and it are functions. The second displays the indicators which are used to classify the financial systems, while the third one is devoted to the factors that determine the type of financial system .These sections followed by some conclusions.
Double skin ventilated roof is one of the important passive cooling techniques that aims to reduce solar heat gain through roofs by reducing both the conduction and convection heat transfer from the roof to the ceiling of buildings. On the other hand, radiant barrier system (RBS) is very powerful in blocking the radiation heat transfer between the two skins. In this research,the effect of placing a thin layer of aluminium foil at different locations on the thermal insulation performance of a double skin ventilated roof model is investigated experimentally and the optimum location that transmits less heat flux from the lower skinis specified.The model is made of two parallel inclined galvanized steel plates. Galvanized steel has been used
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