Purpose To determine the incremental value of clinical data in patients with ultrasonographic (US) examinations that were interpreted as being equivocal for acute appendicitis. Materials and Methods Institutional review board approval, with a waiver of informed consent, was obtained for this analysis of clinical and imaging data in patients younger than 18 years old who were evaluated for acute...

Este artículo describe y analiza el impacto de las políticas protección/conservación del manglar en Sistema Lagunar Alvarado (SLA), la costa Golfo México, específicamente ejido Costa San Juan (Alvarado, Veracruz). La reflexión se centra cómo Estado, con sus leyes programas gubernamentales, genera cambios diferenciados formas percibir manejar manglar, pero también organización territorial ejido....

Background- Acute appendicits is most common cause of an ‘acute abdomen’ in young adults and as such the associated symptoms signs have become a paradigm for clinical teaching. Though extraordinary advances modern diagnostic investigations been achieved, diagnosis acute appendicitis remains essentially clinical, requiring mixture observation, acumen surgical knowledge. Objectives- To assess ass...

Background: Acute Appendicitis first characterized as a surgical entity in 1886 by pathologist Reginald Fitz,appendicitis is now the most common abdominal emergency and appendectomy non-elective surgerymost frequently performed general surgeons. More than 250,000 cases are diagnosed intervenedannually United States. It occurs less men women, with lifetime risk of 8.6%and 6.7% respectively. appe...

BACKGROUND Diagnosing acute appendicitis clinically is still difficult. We developed random forests, support vector machines, and artificial neural network models to diagnose acute appendicitis. METHODS Between January 2006 and December 2008, patients who had a consultation session with surgeons for suspected acute appendicitis were enrolled. Seventy-five percent of the data set was used to c...

BACKGROUND Acute appendicitis is the most common surgical emergency in children, but its diagnosis is sometimes difficult. The aim of this study is to evaluate retrospectively the Alvarado score in relation to the surgical management based on clinical judgment. METHODS Medical files of 232 children who underwent appendectomy at Makassed General Hospital from January 1997 till December 2006 we...

OBJECTIVES To evaluate the accuracy of sonography in diagnosing acute appendicitis in patients with Alvarado score 4-7. METHODS This is a retrospective cross-sectional study being performed in Namazee hospital affiliated with Shiraz University of Medical sciences during a one year period from 9/2007 to 9/2008. We evaluated all patients with Alvarado score 4-7 and divided them in two groups: t...

INTRODUCTION This is a retrospective study to assess the accuracy of the Alvarado score in predicting appendicitis for patients with right iliac fossa pain. MATERIALS AND METHODS This is a retrospective study of consecutive patients with suspected appendicitis. The Alvarado score was computed from the admission notes and correlated with the final outcome of the patient. Patients discharged wi...