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Sonu Goel - One of the best experts on this subject based on the ideXlab platform.

  • profile of road traffic fatalities in adults a 40 year study in chandigarh zone of north west india
    Journal of Indian Academy of Forensic Medicine, 2014
    Co-Authors: Dalbir Singh, Kumaran Moorthi, Satinder Singh, Sonu Goel
    Abstract:

    Road Traffic Accidents are one of the leading causes of morbidity & mortality in the world. The present study was based on the autopsy records of unnatural deaths occurred in a leading Tertiary Health Care center of North West India. The adult road traffic fatalities constituted 41% of all unnatural deaths with male preponderance (89.6%) throughout the study period. People in the age group 21–30 years (32%) particularly from rural areas (57%) were most affected. The pedestrians and two wheeler users formed the majority of fatalities (78%). Collision between two wheeler and light motor vehicle was the most common crash pattern and injury to head & neck region was the most common cause of death. Maximum number of accidents occurred between 4pm to 8pm (28%) and in the month of November (11%). Unskilled workers, agricultural workers and government employees constituted a larger proportion of fatalities (45%).

Dalbir Singh - One of the best experts on this subject based on the ideXlab platform.

  • profile of road traffic fatalities in adults a 40 year study in chandigarh zone of north west india
    Journal of Indian Academy of Forensic Medicine, 2014
    Co-Authors: Dalbir Singh, Kumaran Moorthi, Satinder Singh, Sonu Goel
    Abstract:

    Road Traffic Accidents are one of the leading causes of morbidity & mortality in the world. The present study was based on the autopsy records of unnatural deaths occurred in a leading Tertiary Health Care center of North West India. The adult road traffic fatalities constituted 41% of all unnatural deaths with male preponderance (89.6%) throughout the study period. People in the age group 21–30 years (32%) particularly from rural areas (57%) were most affected. The pedestrians and two wheeler users formed the majority of fatalities (78%). Collision between two wheeler and light motor vehicle was the most common crash pattern and injury to head & neck region was the most common cause of death. Maximum number of accidents occurred between 4pm to 8pm (28%) and in the month of November (11%). Unskilled workers, agricultural workers and government employees constituted a larger proportion of fatalities (45%).

Uloko, Andrew E. - One of the best experts on this subject based on the ideXlab platform.

  • Should we assume accuracy of point of Care glucose meters? An observation from a Tertiary Health Care centre
    'African Journals Online (AJOL)', 2019
    Co-Authors: Aliyu, Ramalan Mansur, Zainab Mustapha, Sani Musa, Gezawa, Ibrahim D., Uloko, Andrew E.
    Abstract:

    Background: Self-monitoring of blood glucose is important in the management of patients with diabetes mellitus in the community as well as in the hospital. It has been used for calculation of insulin doses of individuals with dysglycaemia and monitoring of glucose control. Errors in the measurement of the blood glucose can lead poor management of a patient. There is therefore the need to ensure standardization of these meters in order to achieve accuracy and precision.Objectives: To evaluate the precision and accuracy of four glucose meters commonly used for self-monitoring of blood glucose (SMBG) in a Tertiary Health Care Centre compared to the reference laboratory method.Materials and Methods: We analyzed blood glucose samples of 55 diabetic patients who came to diabetes clinic using 4 different glucose meters (Accucheck active, Novo max extra, One touch Ultra 2 and On call plus (accoson)). Capillary and Venous blood samples were taken simultaneously from each patient for analysis using four blood glucose meters and laboratory reference method respectively. The laboratory value was used as a tool for comparison. The accuracy and precision were evaluated by the ISO and ADA criteria. The results obtained were analysed using Bland Altman graphs, correlation coefficients, scatter plots and Clarke's error grid analysis.Results: We observed good correlation between two glucose meters (AccucheckTM and NovomaxTM) and laboratory analyzed values. Among the glucose meters AccucheckTM, NovomaxTM, One touch UltraTM and On call plusTM, the correlation coefficient was 0.97, 0.96, 0.88 and 0.69 respectively. The degree of agreement of the laboratory method and the AccucheckTM, NovomaxTM, One touch ultraTM and On call plusTM glucose meters was 89.09, 80.00, 76.20 and 71.32% respectively. Accucheck and NovomaxTM were within ±20% accuracy (14.5% and 16.1%).Conclusion: There is a need for adequate and appropriate evaluation of all glucose meters in our setting before that we deploy them for use. None of glucose meters met the ISO target. Only one glucose meter (AccucheckTM) met the ADA guideline for accuracy.Keywords: Accuracy; glucose meters; diabetes mellitus; self-monitoring of blood glucos

Uloko E Andrew - One of the best experts on this subject based on the ideXlab platform.

  • Should we assume accuracy of point of Care glucose meters? an observation from a Tertiary Health Care centre
    'Medknow', 2019
    Co-Authors: Ramalan Mansur Aliyu, Mustapha Zainab, Musa Sani, Gezawa D Ibrahim, Uloko E Andrew
    Abstract:

    BACKGROUND: Self-monitoring of blood glucose is important in the management of patients with diabetes mellitus in the community as well as in the hospital. It has been used for calculation of insulin doses of individuals with dysglycaemia and monitoring of glucose control. Errors in the measurement of the blood glucose can lead poor management of a patient. There is therefore the need to ensure standardization of these meters in order to achieve accuracy and precision. OBJECTIVES: To evaluate the precision and accuracy of four glucose meters commonly used for self-monitoring of blood glucose (SMBG) in a Tertiary Health Care Centre compared to the reference laboratory method. MATERIALS AND METHOD: We analyzed blood glucose samples of 55 diabetic patients who came to diabetes clinic using 4 different glucose meters (Accucheck active, Novo max extra, One touch Ultra 2 and On call plus (accoson)). Capillary and Venous blood samples were taken simultaneously from each patient for analysis using four blood glucose meters and laboratory reference method respectively. The laboratory value was used as a tool for comparison. The accuracy and precision were evaluated by the ISO and ADA criteria. The results obtained were analysed using Bland Altman graphs, correlation coefficients, scatter plots and Clarke's error grid analysis. RESULTS: We observed good correlation between two glucose meters (Accucheck™ and Novomax ™) and laboratory analyzed values. Among the glucose meters Accucheck™ , Novomax™ , One touch Ultra™ and On call plus™ , the correlation coefficient was 0.97, 0.96, 0.88 and 0.69 respectively. The degree of agreement of the laboratory method and the Accucheck™ , Novomax™ , One touch ultra and On call plus glucose meters was 89.09, 80.00, 76.20 and 71.32% respectively. Accucheck™ and Novomax™ were within ±20% accuracy (14.5% and 16.1%). CONCLUSION: There is a need for adequate and appropriate evaluation of all glucose meters in our setting before that we deploy them for use. None of glucose meters met the ISO target. Only one glucose meter (Accucheck™ ) met the ADA guideline for accuracy

Komolafe A.k. - One of the best experts on this subject based on the ideXlab platform.

  • Paediatric otorhinolaryngology, head and neck emergencies at a Tertiary Health Care Centre in Nigeria
    'Medknow', 2020
    Co-Authors: Adegbiji W.a., Olatunya O.s., Olajuyin O.a., Babatola A.o., Komolafe A.k.
    Abstract:

    Background: Paediatric otorhinolaryngology emergency is a common disorder worldwide which is poorly reported in most developing countries like Nigeria. Methods: This study was aprospective hospital-based study of paediatric patients with otorhinolaryngology, head and neck emergency in the Ear, Nose and Throat (ENT) department carried out between June 2016 and May 2018. Data were obtained by using a pretested interviewers assisted questionnaire. All data were analysed using SPSS version 18.0. Results: Paediatric otorhinolaryngological emergencies accounted for 7.6% of all patients seen in the unit. There were more males (69.5%). Common aetiologies were foreign body impaction (43.3%), infection/inflammation(32.6%) and tumour(1.3%). Anatomically the emergencies involved the ear in 42.1%, 30.9% nasal and 23.2% throat respectively. The most common clinical features were foreign body impaction in 35.2%, pain in 31.3%, bleeding in 19.7%, difficulty breathing in 17.6% and nasal blockage in 15.9%. Common sources of referral were paediatricians in  32.6%,casualty officers in 28.8%, a family physician in 22.3% and self -reporting in 15.0%. Complications at presentation include: 27.0%  injury/bleeding, 18.0% otitis externa, 11.2% rhinosinusitis and 10.3% perforated tympanic membrane. Conclusion: Pediatric otorhinolaryngology emergencies are common in our centre and were associated with complications at presentation due to wrong interventions. Keywords: Paediatric, Head, Neck Otorhinolaryngology, Emergency, Nigeri