Objective: To determine the usefulness of the Alvarado score and the Pediatric Appendicitis score (PAS) in the Pediatric Emergency of the National Hospital Daniel A. Carrion. Materials and methods: A prospective observational study was carried out of patients younger than 15 years of age with abdominal pain and suspected acute appendicitis (AA) attending the Pediatric Emergency in a Hospital of Lima, Peru. These patients underwent a survey to assess the parameters of the Alvarado score and PAS. Results: Three hundred and seventeen patients with abdominal pain and suspected of AA were recruited over a study period of 12 months. Of the patients, 232 were considered to have AA clinically and underwent surgery. 85.3% were confirmed by pathology and 14.7% were normal. The mean Alvarado score was 8.27±1.31; the mean Surgical Procedure Assessment (SPA) score was 8.08±1.47. Sensitivity and specificity for both scores are equivalent. The area under the curve for the Alvarado score and SPA were 0.887 and 0.901, respectively. Alvarado score higher than 6 had a sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 88.9, 75.6, 97.4, 68.1, and 86.4%, respectively. SPA higher than 6 points had sensitivity, specificity, PPV, NPV, and accuracy of 84.3, 80.7, 94.7, 73.1, and 86.7%, respectively. Conclusion: Alvarado score and the PAS are scores with high sensitivity, specificity, PPV, and accuracy for the diagnosis of AA when the score is higher than 6 points. The results found in our study justify their use in emergency services, but they should not be used as the only means of clinically determining the need for surgery.

This study was concerned with the relationship of self-ideal discrepancy scores and defensiveness in a college population. To measure self-ideal discrepancy the Bill's Index of Adjustments and Values was used. Defensiveness was measured by a scale derived from the MMPI.

Title on cover and text: Three stories from Daniel : a piece for concert band : a compendium of procedures, aspects, and problems / Digitized by Kansas Correctional Industries / Department: Music.

Thesis (M.S.)--Boston University

The text contains an analysis of the composition, libretto, set design, and photographs from the original production. / Digitized by Kansas Correctional Industries / Department: Music.

Elegy -- Wings of galaxy. / Zhou Qian. / Thesis (M.Mus.)--Chinese University of Hong Kong, 2003. / Abstracts in English and Chinese. / Chapter Composition 1: --- Wings of Galaxy / Chapter Composition 2: --- Elegy

Snooker scores from two complete rounds of graded teams competition are analysed to detect differences in scores which can be attributed to various external factors, in order to quantify the factors relevant to a player's score in a game of snooker. Such factors are assessed subjectively at present. While each factor examined is found to be significant in one or more of the various grades, it is only in the highest grade that a clear pattern to matches can be identified.

none

This thesis aims to offer a practitioner’s perspective of composition for the Chinese instrumental ensemble of the twenty-first century. Chinese instrumental music composition has appeared in the concert hall in China since the beginning of the twentieth century. Modeled on western classical music, modern Chinese instrumental music has undergone a series of development and reformation that aimed to merge the Chinese and western musical ideas and techniques. The very role of the composer and the notion of concert-hall practice were being emphasized, whereas various ingrained characters of traditional instruments, such as music-making conventions, instrumentation preferences, and certain ideology behind timbre, were overshadowed. Also attributed to such nature of Chinese instrumental music is that composers and performers are often in a quandary when juggling Chinese instrumental music conventions with a mindset framed by western classical music. Furthermore, in the current globalized/globalizing culture, Chinese instrumental composition is propelled by manifold musical influences. I intend to share the insight and to document the first-hand information acquired through the composition processes from a composer’s perspective. My sharing and documentation focus on the issues of incorporating idiomatic music materials from various Chinese instruments into original compositions, as well as on several matters concerning rehearsals and performances. Including six chapters, this thesis anthologizes six original works and discusses the composition strategies relevant to the distinctive instrumental combination of each. Chapter 1 presents an adaptation of a western symphonic poem for modern Chinese orchestra. Chapters 2 and 3 illustrate respectively a composition for a large Chinese wind and percussion ensemble and a composition for a large plucked-string ensemble. Chapters 4 and 5 cover two pieces of contrasting instrumentation, namely a mixed ensemble of fourteen instruments and a huqin sextet. Chapter 6 is about a multimedia composition with electronic soundtrack and installation art for seven players. / published_or_final_version / Music / Doctoral / Doctor of Philosophy

Not available / text