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| 1 | Evaluation of modifi ed Alvarado scoring system and RIPASA scoring system as diagnostic tools of acute appendicitis显示文摘BACKGROUND: Acute appendicitis is the most common surgical condition presented in emergency departments worldwide. Clinical scoring systems, such as the Alvarado and modified Alvarado scoring systems, were developed with the goal of reducing the negative appendectomy rate to 5%–10%. The Raja Isteri Pengiran Anak Saleha Appendicitis(RIPASA) scoring system was established in 2008 specif ically for Asian populations. The aim of this study was to compare the modif ied Alvarado with the RIPASA scoring system in Kuwait population.METHODS: This study included 180 patients who underwent appendectomies and were documented as having 'acute appendicitis' or 'abdominal pain' in the operating theatre logbook(unit B) from November 2014 to March 2016. The sensitivity, specificity, positive predictive value(PPV), negative predictive value(NPV), diagnostic accuracy, predicted negative appendectomy and receiver operating characteristic(ROC) curve of the modified Alvarado and RIPASA scoring systems were derived using SPSS statistical software.RESULTS: A total of 136 patients were included in this study according to our criteria. The cut-off threshold point of the modif ied Alvarado score was set at 7.0, which yielded a sensitivity of 82.8% and a specif icity of 56%. The PPV was 89.3% and the NPV was 42.4%. The cut-off threshold point of the RIPASA score was set at 7.5, which yielded a 94.5% sensitivity and an 88% specif icity. The PPV was 97.2% and the NPV was 78.5%. The predicted negative appendectomy rates were 10.7% and 2.2% for the modif ied Alvarado and RIPASA scoring systems, respectively. The negative appendectomy rate decreased significantly, from 18.4% to 10.7% for the modified Alvarado, and to 2.2% for the RIPASA scoring system, which was a signif icant difference(P<0.001) for both scoring systems.CONCLUSION: Based on the results of this study, the RIPASA score is a simple scoring system with better sensitivity and specif icity than the modif ied Alvarado scoring system in Asian populations. It consists of 14 clinical parameters that can be obtained from a good patient history, clinical examination and laboratory investigations. The RIPASA scoring system is more accurate and specific than the modif ied Alvarado scoring system for Kuwait population. | Abdullah Shuaib Ali Shuaib Zainab Fakhra Bader Marafi Khalid Alsharaf Abdullah Behbehani | 2017 | World Journal of Emergency Medicine2017，8，4： | 13 |
| 2 | Thermodynamic study of the binding of calcium and magnesium ions with myelin basic protein using the extended solvation theory显示文摘髓磷脂的相互作用从 bovi ne 的基本蛋白质(MBP ) 有 Ca 2+ 和 Mg 2+ 离子的中央神经系统,当 M 2+, 被等温的滴定热量测定在水的答案在 27 ° C 学习,说出。扩大 solvation 模型被用来复制 MBP+M 2+ 相互作用的热含量。从扩大 solvation 模型恢复的 solvation 参数由于金属离子相互作用被归因于 MBP 的结构的变化。为 Ca 2+ 和 Mg 2+ 离子有一套二个相同、非交往的有约束力的地点,这被发现。 | G.Rezaei Behbehani A.A. Saboury A. Divsalar | 2008 | Acta Biochimica et Biophysica Sinica2008，40，11： | 4 |
| 3 | Prevalence of third molar impaction in orthodontic patients treated nonextraction and with extraction of 4 premolars 显示文摘 | Kim TW Artun J Behbehani F | 2003 | Am J Orhtod Dentofacial Orthop2003，123，2： | 1 |
| 4 | A thermodynamic study on the binding of magnesium with human growth hormone显示文摘 | G. Rezaei Behbehani A. A. Saboury | 2007 | Journal of Thermal Analysis and Calorimetry2007，，3： | 1 |
| 5 | Pereutaneous nmhiplesite parietal pkural biopsy:description and evaluation of a new and safe technique 显示文摘 | Uthaman B Behbehani N Abal A | 2004 | Chest2004，125，5： | 1 |
| 6 | Three root canals and dens forma- tion in a maxillary lateral incisor: a case report 显示文摘 | Walvekar SV Behbehani JM | 1997 | J Endod1997，23，3： | 1 |
| 7 | Application of a simple calorimetric data analysis on the binding study of cyanide ions by Jack bean urease显示文摘Cyanide ion was studied as an effector of Jack bean urease(JBU) at 300 K in 30 mmol/LTris buffer,pH 7 by isothermal titration calorimetry(ITC).The simple novel model was used for CN^- + JBU interaction over the whole range of CN^- concentrations.The binding parameters recovered from the simple novel model were attributed to the cyanide ion interaction.It was found that cyanide ion acted as a noncooperative inhibitor of JBU,and there is a set of 12 identical and independent binding sites for CN^- ions.The... | G.Rezaei Behbehani A.A.Saboury M.Mohebbian S.Ghammamy | 2010 | Chinese Chemical Letters2010，21，4： | 1 |
| 8 | Prevalence of third molar impaction in orthodontic patients treated nonextraction and with extraction of 4 premolars显示文摘 | Kim T Artun J Behbehani F | 2003 | AM J Orthod Dentofacial Orthop2003，123，2： | 1 |
| 9 | Apical root resorption 6 months after initiation of fixed orthodontic appliance therapy 显示文摘 | Smale I Artun J Behbehani F | 2005 | Am J Orthod Dentofacial Orthop2005，128，： | 1 |
| 10 | Apical root resorption 6 months after initiation of fixed orthodontic appliance therapy显示文摘 | Smale I Artun J Behbehani F | 2005 | Am J Orthod Dentofacial Orthop2005，，128： | 1 |
| 11 | Functional characteristics of the midbrain periaqueductal grey显示文摘 | Behbehani MM | 1995 | Prog Neurobiol1995，46，： | 1 |
| 12 | Raf kinase inhibitor protein expression in a survival analysis of colorectal cancer patients 显示文摘 | Al-Mulla F Hagan S Behbehani AI | 2006 | J Clin Oncol2006，24，36： | 1 |
| 13 | 5-HT1A receptors mediate the effect of the bulbospinal serotonin system on spinal dorsalhorn nociceptive neurons显示文摘 | Murphy AZ Behbehani MM | 1994 | Pharmacology1994，48，1： | 1 |
| 14 | Single-fiber electromyography of masseter muscle in myasthenia gravis显示文摘 | Khuraibet AJ Rousseff RT Behbehani R | 2008 | Muscle Nerve2008，37，： | 1 |
| 15 | Dietary intake and bioavailability of trace elements显示文摘 | Abdulla M Behbehani A Dashti H | 1989 | Biol Trace Element Research1989，21，3： | 1 |
| 16 | Prevalence and severity of malocclusion in adolescent Kuwaitis显示文摘 | Behbehani F Artun J Al-Jame B | 2005 | Med Princ Pract2005，14，6： | 1 |
| 17 | Prediction of mandibular third-molar impaction in adolescent orthodontic patients显示文摘 | Behbehani F Artun J Thalib L | | 0，，1： | 1 |
| 18 | Apical root resorption 6 months afterinitiation of fixed orthodontic appliance therapy显示文摘 | Smale I Artun J Behbehani F | 2005 | Am J Orthod Dento-facial Orthop2005，128，1： | 1 |
| 19 | Apical root resorption 6 months after initiation of fixed orthodontic appliance therapy显示文摘 | Smale I Artun J Behbehani F | 2005 | Am J Orthod Dentofacial Orthop2005，128，1： | 1 |
| 20 | Prognostic significance of CEA and CA19-9 in colorectal cancer in Kuwait显示文摘 | Behbehani AI A1 Sayer H Farghaly M | 2000 | lntJ BiolMarkers2000，15，1： | 1 |
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