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Sensitivity and specificity of preoperative ultrasonography in diagnosing acute appendicitis.
The diagnosis of acute appendicitis by ultrasonography can be difficult. The purpose of this study was to determine the sensitivity and specificity of ultrasonography in diagnosing acute appendicitis. We performed a retrospective chart review of 982 patients undergoing surgery for suspected acute appendicitis. A total of 18 patients were excluded, leaving 964 patients who met inclusion criteria. Of these, 738 (78%) had a preoperative ultrasonographic evaluation; of these, 382 (50%) had appendicitis and 356 (46%) did not. Ultrasonographic findings were positive for acute appendicitis in 205 of 382 patients (54%) and negative in 167 of 356 patients (46%). The sensitivity of ultrasonography was 54% (95% CI, 47%-62%), and the specificity was 97% (95% CI, 95%-99%). Acute appendicitis is readily identified by ultrasound. However, the accuracy of this test is less than originally reported, which may have important implications for clinical decision making.Dreamer (Johann Sebastian Bach)

“Dreamer” (German: “Der Traumige”) is a chorale prelude by Johann Sebastian Bach. He composed the piece for organ in B-flat major and copied it after J. S. Bach’s earlier chorale prelude “Kirnberger”.

History
Bach composed this work around 1717 for the occasion of the 500th anniversary of Leipzig’s town hall (German: Rittersaal). Johann Gottfried Walther wrote a poem about the commemorative events entitled “” (1699). It was first published in the year of Bach’s death.

The chorale pre

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