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Search Results: 1 - 10 of 11869 matches for " ES Isamade "
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Intensive care unit admissions in the Jos University Teaching Hospital
ES Isamade, SJ Yiltok, AF Uba, EI Isamade, PH Daru
Nigerian Journal of Clinical Practice , 2007,
Abstract:
Spinal anaesthesia in lower abdominal and limb surgery: A review of 200 cases
AZ Sule, ES Isamade, CC Ekwempu
Nigerian Journal of Surgical Research , 2005,
Abstract: Background: Modern technology has produced better equipment than was available hitherto with the result that spinal anaesthesia is undoubtedly simpler, cheaper and above all, safer than it used to be. These notwithstanding, it is used infrequently. The aim of the study was to evaluate the safety, benefits and applicability of subarachnoid spinal anaesthesia in a tertiary referral centre in a developing country. Methods: This was a prospective analysis involving 200 patients requiring anaesthesia for lower abdominal and limb surgery at the Jos University Teaching Hospital, Jos. Subarachnoid spinal anaesthesia was performed through the L2/L3 or L3/L4 interspace employing either 0.5% bupivacaine hydrochloride in 8% glucose monohydrate (Marcain heavy Astra) 2-4mls or 5% lignocaine (heavy xylocaine Astra) 1-2mls. Patients with uncorrected or undercorrected hypovolaemia, uncorrected anaemia or heart disease, local sepsis and those on anticoagulant therapy or who had bleeding disorders were excluded. Also excluded were children. Results: A total of 200 patients with age range of 15-90 years and a mean age of 34.48 years were studied. The male to female ratio was 1:1.74. Eighty of them underwent caesarean section (38 emergency and 42 electives), 26 prostatectomy, 24 appendicectomy, 19 herniorraphy, 11 haemorrhoidectomy, 9 fissurectomy, 7 total abdominal hysterectomy, 5 Manchester operation, 4 myomectomy, while the remaining 15 were for other procedures involving the lower abdomen or limb. Complications noted were: nausea (17.50%) and vomiting (3.5%), pain at injection site (15.5%), chills/shivering (15.0%), post-spinal headache (0.5%) and hypotension (3.0%). Subarachnoid anaesthesia was non-fatal. One hundred and ninety patients (95%) were satisfied with spinal anaesthesia. Conclusion: Spinal anaesthesia though safe is not without hazards. Spinal anaesthesia may be used for most operations in the lower abdomen (including caesarean section), perineum or leg. Nigerian Journal of Surgical Research Vol. 7(1&2) 2005: 226-230
Delayed presentation of blunt traumatic diaphragmatic hernia: A case report
AT Kidmas, D Iya, ES Isamade, E Ekedigwe
Nigerian Journal of Surgical Research , 2005,
Abstract: Blunt traumatic diaphragmatic rupture is an uncommon but severe problem that is usually seen in poly-traumatized patients. Diagnosis is often difficult resulting in delayed presentation and increased morbidity. We report a case of blunt traumatic diaphragmatic hernia in a 39-year-old man presenting 10 years after the initial abdomino-thoracic injury sustained in a road traffic accident. He had herniation of the spleen and stomach. Through a left thoracotomy, the herniated organs were reduced and diaphragmatic defect closed with interrupted nylon sutures. A high index of suspicion would minimize the morbidity and mortality associated with delayed diagnosis.
Paediatric admissions and outcome in a general intensive care unit
Embu Henry,Yiltok Simon,Isamade Erdoo,Nuhu Samuel
African Journal of Paediatric Surgery , 2011,
Abstract: Background: It is believed that intensive care greatly improves the prognosis for critically ill children and that critically ill children admitted to a dedicated Paediatric Intensive Care Unit (PICU) do better than those admitted to a general intensive care unit (ICU). Methods: A retrospective study of all paediatric (< 16 years) admissions to our general ICU from January 1994 to December 2007. Results: Out of a total of 1364 admissions, 302 (22.1%) were in the paediatric age group. Their age ranged from a few hours old to 15 years with a mean of 4.9 ± 2.5 years. The male: female ratio was 1.5:1. Postoperative admissions made up 51.7% of the admissions while trauma and burn made up 31.6% of admissions. Medical cases on the other hand constituted 11.6% of admissions. Of the 302 children admitted to the ICU, 193 were transferred from the ICU to other wards or in some cases other hospitals while 109 patients died giving a mortality rate of 36.1%. Mortality was significantly high in post-surgical paediatric patients and in patients with burn and tetanus. The length of stay (LOS) in the ICU ranged from less than one day to 56 days with a mean of 5.5 days. Conclusion: We found an increasing rate of paediatric admissions to our general ICU over the years. We also found a high mortality rate among paediatric patients admitted to our ICU. The poor outcome in paediatric patients managed in our ICU appears to be a reflection of the inadequacy of facilities. Better equipping our ICUs and improved man-power development would improve the outcome for our critically ill children. Hospitals in our region should also begin to look into the feasibility of establishing PICUs in order to further improve the standard of critical care for our children.
HIV and Hepatitis B seroprevalence in trauma patients in North Central Nigeria
BT Ugwu, TD Thacher, GE Imade, AS Sagay, EI Isamade, RW Ford
West African Journal of Medicine , 2006,
Abstract:
Characteristics and Outcome of Trauma Patients in a Mixed ICU: A Retrospective Review  [PDF]
Henry Y. Embu, Samuel I. Nuhu, Erdoo S. Isamade, Daniel D. Kokong, Kenneth N. Ozoilo, Daniel O. Agbo
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1102819
Abstract:

Background: Trauma is a major public health challenge in Nigeria and many victims of trauma are brought to the hospital critically ill, thereby increasing the burden of critical illness in the country. Aim: To characterize the pattern of injuries, causes and outcome among trauma patients admitted into the general ICU of a tertiary care hospital in north-central Nigeria. Materials and Methods: All trauma admissions into the ICU of Jos University Teaching Hospital over a 14-year period were retrospectively reviewed. Information obtained included the patients’ demographics, diagnosis, aetiology, complications, interventions, outcome and length of stay in the ICU. Results: Trauma admission during the period was 396 which was 29.66% of total ICU admissions in the same period. The male:female ratio was 3:1 and the age range was 2 months to 75 years (median 25 years). 78.54% of trauma admissions were from the accident and emergency, 15.66% from the theatre and 5.80% from the ward. The most common cause of injury was burn 160 (40.40%), followed by road traffic crashes 152 (38.38%) and the least common cause of injury was gunshot 28 (7.07%). Mortality rate among trauma patients was 48.74% while mortality in the ICU within the same period was 34.08%. Burns accounted for 50.78% of deaths while head injury accounted for 33.68% of deaths. Mortality was higher in the age groups 16-30 years and greater than 45 years (p = 0.03). Conclusion: Trauma constitutes a significant cause of admission into our general ICU and mortality in these patients is higher than in the general population of ICU patients. Establishing trauma ICU would lead to streamlining of facilities which could improve outcome.

Extraction and Determination of Three Chlorophenols by Hollow Fiber Liquid Phase Microextraction - Spectrophotometric Analysis, and Evaluation Procedures Using Mean Centering of Ratio Spectra Method  [PDF]
Zarrin Es'haghi
American Journal of Analytical Chemistry (AJAC) , 2011, DOI: 10.4236/ajac.2011.21001
Abstract: A method termed hollow fiber liquid phase microextraction (HF-LPME) was utilized to extract three chlo- rophenols, 2-chlorophenol (2-CP), 2,4-dichlorophenol (2,4-DCP) and 2,4,6- trichlorophenol (2,4,6-TCP), separately from water. The extracted chlorophenols were then separated, identified, and quantified by UV-Vis spectrophotometry with photodiode array detection (UV-Vis/DAD). In the study, experimental con-ditions such as organic phase identity, acceptor phase volume, sample agitation, extraction time, acceptor phase NaOH concentration, donor phase HCl concentration, salt addition, and UV absorption wavelength were optimized. The statistical parameters of the proposed method were investigated under the selected con-ditions. The analytical characteristics of the method such as detection limit, accuracy, precision, relative standard deviation (R.S.D.) and relative standard error (R.S.E.) was calculated. The results showed that the proposed method is simple, rapid, accurate and precise for the analysis of ternary mixtures.
Short Communication: Immunization Trend in Nigeria
ES Edokwe
Afrimedic Journal , 2011,
Abstract:
Letter to the Editor: Prevention of HIV infection in children: Challenges of PMTCT in Nigeria
ES Edokwe
Afrimedic Journal , 2010,
Abstract: Letter to the Editor - No abstract available
Modelling the effect of temperature on seed germination in some cucurbits
ES Kurtar
African Journal of Biotechnology , 2010,
Abstract: The prediction of germination percentage (GP) and germination speed (GS) of the seeds for some cucurbits (watermelon, melon, cucumber, summer squash, pumpkin and winter squash) was investigated by mathematical model based on temperature. The model, D = [a - (b x T) + (c x T2)] of Uzun et al. (2001), was adapted to predict both the GP and GS in relation to 12 different temperatures, namely 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42 and 45°C. In addition, optimum temperature (To = - b / 2 x c) for GP and GS were calculated by using the coefficients obtained from the regression models developed. Observed and predicted optimum temperature (To) for GP and GS varied among species and cultivars and strong correlations were established between observed and predicted GP and GS based on temperature. The predicted To ranged from 21.6°C (summer squash, pop. Urfa) to 27.8°C (watermelon, cv. Amazon F1) for GP and from 25.5°C (winter squash) to 30.4°C (melon, cv. Hasanbey-1) for GS. These results indicated that predictions based on this mathematical model were highly reliable and that it could be confidently used to predict GP and GS for the evaluated cucurbits.
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