₦airaland Forum

Thank God no life was lost.

This Lagos phenomenon is beginning to creep into the SE.

I hope omonile contractors have not starting finding their way to Onitsha.

neupert: And you think this is progress, we have a long way to go.
Have you been to the road recently and less i forget what happen to the train that was commissioned by the VP sAMBO recently.

Your brothers vandalised the train, didn't you hear about it?

Anambra is truly the light of the nation.

Even a 2 year old babbler knows that Fashola is stooge

MisterLongman: Yeah you are right........ It looks more like those gobbles small children receives as gifts from father christmas

So true

youngRx: but seriously.....i dont tink releasing the movie is such a good idea fa. reading the violence in the novel alone made me hv an entirely different impression about the north....some sort of hatred so to say....den i stoped reading d book.
considering the fact that many nigerians dnt like reading novels i bet many dnt knw d content of d book. makin it into a movie wil giv many access to d content and u can guess d type of bad blood its gona cause between d easterners and northerners. its jst gona stir up bad memories which we hv tried so hard to forget. i tink dey shud kip d film on hold for somtym except if d film is not as violent as d book. i remenber a recent occurence in ABU were a particular novel was recomended for 100level english and comm skills. d book almost caused a riot becos it content brought bk bad memories of d wrong don to the north (or so i heard) d skul hs to witdraw d novel n recomend a new one for dem. pls nigerians are very sentimental piple; quick to react so lets not bring bk d bad memories pls. tnk u

Some things can never be swept under the carpet.

Besides you are naive to think that people do not know what happened during the war, heck, the people who fought in the war are still alive and the memories are evergreen.

SEasterners value human life and will not go on a killing spree because of a movie that reiterates what they have always known.

The movie tells history as it is and should be accepted in good fate to help bring some form of closure.

The humiliation of Tinubu a common thief who has held a whole tribe spellbound continues.

Creation of more states means more funds being diverted for recurrent rather than capital expenditure.

For a country like Nigeria this is counterproductive.

We can maintain equity by sharing allocation based on geopolitical zones.

Further balkanizing states that are struggling to maintain even basic infrastructure like rural roads and state hospitals has less advantages.

aresa: Spend more time on your atrocious spelling and less time on hate and bad bele.


Why not help his people stop worshiping him by showing them what he stole, where he stole from, how much and who convicted him for stealing.

And while you are at it, explain to them why Jonathan and his useless EFCC are too incompetent to jail this ever investor and job creating thief...

You are still defending him while he milks you dry.

What kind of mass hypnosis this?

I respect Obiano he is very focused.
Hope he continues this way.

Why is someone who has stolen so much from his people, still worshiped by them?

Tinubu is finally exposed

I think Obama's crime is his race.
And social media has never been so intrusive as it is now so put the two together and anything is possible.

WHEN THE NURSE WANTS TO BE CALLED A 'DOCTOR'.


NASHVILLE — With pain in her right ear, Sue Cassidy went to a clinic. The doctor, wearing a white lab coat with a stethoscope in one pocket, introduced herself.



"Hi, i am Dr. Patti McCarver and i'm your nurse,” she said. And with that, Dr. McCarver stuck a scope in Ms. Cassidy’s ear, noticed a buildup of fluid and prescribed an allergy medicine.

It was something that will become increasingly routine for patients: a someone who is not a physician using the title of doctor.

Dr. McCarver calls herself a doctor because she returned to school to earn a doctorate last year, one of thousands of nurses doing the same recently. Doctorates are popping up all over the health professions, and the result is a quiet battle over not only the title “doctor,” but also the money, power and prestige that often comes with it.

As more nurses, pharmacists and physical therapists claim this honorific, physicians are fighting back. For nurses, getting doctorates can help them land a top administrative job at a hospital, improve their standing at a university and win them more respect from colleagues and patients. But so far, the new degrees have not brought higher fees from insurers for seeing patients or greater authority from states to prescribe medicines.

Nursing leaders say that their push to have more nurses earn doctorates has nothing to do with their fight of several decades in state legislatures to give nurses more autonomy, money and prescriptive power.

But many physicians are suspicious and say that once tens of thousands of nurses have doctorates, they will invariably seek more prescribing authority and more money. Otherwise, they ask, what is the point?

Dr. Roland Goertz, the board chairman of the American Academy of Family Physicians, says that physicians are worried that losing control over “doctor,” a word that has defined their profession for centuries, will be followed by the loss of control over the profession itself. He said that patients could be confused about the roles of various health professionals who all call themselves doctors.

“There is real concern that the use of the word ‘doctor’ will not be clear to patients,” he said.

So physicians and their allies are pushing legislative efforts to restrict who gets to use the title of doctor. A bill proposed in the New York State Senate would bar nurses from advertising themselves as doctors, no matter their degree. A law proposed in Congress would bar people from misrepresenting their education or license to practice. And laws already in effect in Arizona, Delaware and other states forbid nurses, pharmacists and others to use the title “doctor” unless they immediately identify their profession.

The deeper battle is over who gets to treat patients first. Pharmacists, physical therapists and nurses largely play secondary roles to physicians, since patients tend to go to them only after a prescription, a referral or instructions from a physician. By requiring doctorates of new entrants, leaders of the pharmacy and physical therapy professions hope their members will be able to treat patients directly and thereby get a larger share of money spent on patient care.

As demand for health care services has grown, physicians have stopped serving as the sole gatekeepers for their patients’ entry into the system. So physicians must increasingly share their patients — not only with one another but also with other professions. Teamwork is the new mantra of medicine, and nurse practitioners and physician assistants (sometimes known as midlevels or physician extenders) have become increasingly important care providers, particularly in rural areas.

But while all physician organizations support the idea of teamwork, not all physicians are willing to surrender the traditional understanding that they should be the ones to lead the team. Their training is so extensive, physicians argue, that they alone should diagnose illnesses. Nurses respond that they are perfectly capable of recognizing a vast majority of patient problems, and they have the studies to prove it. The battle over the title “doctor” is in many ways a proxy for this larger struggle.

For patients, the struggle has brought an increasing array of professionals trained to deal with their day-to-day health woes, but also at times confusion over who is responsible for their care and what sort of training they have.
[b]
Six to eight years of collegiate and graduate education generally earn pharmacists, physical therapists and nurses the right to call themselves “doctors,” compared with nearly twice that many years of training for most physicians. [/b]For decades, a bachelor’s degree was all that was required to become a pharmacist. That changed in 2004 when a doctorate replaced the bachelor’s degree as the minimum needed to practice. Physical therapists once needed only bachelor’s degrees, too, but the profession will require doctorates of all students by 2015 — the same year that nursing leaders intend to require doctorates of all those becoming nurse practitioners.

Dr. Kathleen Potempa, dean of the University of Michigan School of Nursing and the president of the American Association of Colleges of Nursing, said that the profession’s new doctoral degree, called the doctor of nursing practice, was simply about remaining current. “Knowledge is exploding, and the doctor of nursing practice degree evolved out of a grass-roots recognition that we need to continuously improve our curriculum,” she said.

Last year, 153 nursing schools gave doctor of nursing practice degrees to 7,037 nurses, compared with four schools that gave the degrees to 170 nurses in 2004, when the association of nursing schools voted to embrace the new degree. In 2008, there were 375,794 nurses with master’s degrees and 28,369 with doctorates, according to a recent government survey.

Dr. Potempa said that nurses with master’s degrees were every bit as capable of treating patients as those with doctorates.

Nursing is filled with multiple specialties requiring varying levels of education, from a high school equivalency degree for nursing assistants to a master’s degree for nurse practitioners. Those wishing to become nurse anesthetists will soon be required to earn doctorates, but otherwise there are presently no practical or clinical differences between nurses who earn master’s degrees and those who get doctorates.

Nurse practitioners must generally graduate from college and take an additional 12 to 16 months of classes, which include months of treating patients for both mild and serious illnesses in clinics and hospitals under the watchful eyes of instructors. Those earning doctorates must generally take a further four semesters or 12 to 16 months of additional classes.

While instruction at each school varies, Dr. McCarver took classes in statistics, epidemiology and health care economics to earn her doctor of nursing practice degree. These additional classes, at Vanderbilt University, did not delve into how to treat specific illnesses, but taught Dr. McCarver the scientific and economic underpinnings of the care she was already providing and how they fit into the nation’s health care system. Studies have shown that nurses with master’s level training offer care in many primary care settings that is as good as and sometimes better than care given by physicians, who generally have far more extensive training. And patients often express higher satisfaction with care delivered by nurses, studies show. Physicians say they are better at recognizing rare problems, something studies have trouble measuring.

The benefits to patients of nurses receiving doctorates is unclear, since there is no evidence that nurses with doctoral degrees provide better care than those with master’s degrees do.

Given the proven effectiveness of nurses with master’s degrees, even some nursing leaders have asked why nurses should be required to get doctorates.

“If it ain’t broke, why fix it?” asked Dr. Afaf I. Meleis, dean of the University of Pennsylvania School of Nursing.

Some health care economists say the push for clinical doctorates across health professions could be misguided. They argue that anything requiring students to spend more time and money getting trained will invariably result in longer waits and increased costs for patients, because fewer students will meet the increased requirements and those who do will eventually demand higher compensation.

“Everyone’s talking about improving patients’ access to care, bending the cost curve and creating team-based care,” said Erin Fraher, an assistant professor of surgery and family medicine at the University of North Carolina School of Medicine. “Where’s the evidence that moving to doctorates in pharmacy, physical therapy and nursing achieves any of these?”

[b]Depending on their area of specialty, nurse practitioners earn a median salary of $86,000 to $90,000 annually, according to the Medical Group Management Association — a bit less than half of what primary care physicians earn. [/b]Nurses with doctorates generally earn the same salaries as those with master’s degrees since insurers pay the same rates to both. Physician groups fear that the real reason behind the creation of the doctor of nursing practice degree is to persuade more state legislatures to grant nurses the right to treat patients without supervision from doctors.

[b]Twenty-three states allow nurses to practice without a physician’s supervision or collaboration, and most are in the mountain West and northern New England, areas that have trouble attracting enough physicians. [/b]Nursing groups have lobbied for years to increase that number. “This degree is just another step toward independent practice,” said Louis J. Goodman, chief executive of the Texas Medical Association.

Not true, Dr. Potempa said — the new degree simply ensures that nurses stay competent. “It’s not like a group of us woke up one day to create a degree as a way to compete with another profession,” she said. “Nurses are very proud of the fact that they’re nurses, and if nurses had wanted to be doctors, they would have gone to medical school.”http://www.nytimes.com/2011/10/02/health/policy/02docs.html?pagewanted=all&_r=0

When the Nurse Wants to Be Called ‘Doctor’







We must be careful not to allow unwholesome practices that are now a thorn in the flesh of even developed healthcare systems in the world rear up its ugly head.

Many states in the US are now passing laws that limit what non doctors can do or titles they can bear.
Trying to undo what was unwittingly done.

We on the other hand must nip it in the bud.

Slimchy09: In my opinion...NMA demands are just truckload of crap. Its nt even patient-focussed...just adminstrative battle between them and JOHESU. its the patient that will suffer in this whole brouhaha...and they are jus too greedy to see that.

For starters...what the heck is a Surgeon General of the Federatn and hw does it better the lives of patients...if nt that its simply a political position and one more bragging claim over other health professionals

Secondly, why are they fighting to head over all the units in the hospital. Imagine a doctor that just graduated and did masters in maybe...say Nursing, would come and be the Chief Nursing Officer in a unit that has matrons with over 25years experience...what a disparity.

I think the major reason why there is so much decay in the health sector is because all the units have always been headed by medical consultants that are ill-trained for the field they are heading. Let the Nurses, lab scientists other health workers man their own unit if they are duly qualified to do so.

NMA cant survive on their own and neither can JOHESU. What is a doctor without a lab test result...NATIVE DOCTOR.

They should stop all this admistrative war and put aside all differences and overbloated ego... to work together for the benefit of the patients...which is their primary purpose of being health workers.

What a monumental display of ignorance.

OP
You are totally incapable of making a single coherent statement.
All I can make out are gutter words like fVchead and teenage lingo like thingy.

DesChyko: The fact is that your fickle mind housed the intention to brawl, else his pious statement would have given you an insight to the whole picture.
If such 'maintenance' is continual, when then would the runway be reopened for use?
Teenagers though.

If you bothered to read the article or understood the word continual as against continuous you would not have asked your question.

I think Yorubas are simply beginning to realise that Tinubu is a dictator and that APC is a jihadist party.

To think that we have been singing this song to them for a long time and they ignored it.

Well better late than never.

madam_oringo: Seun, I am surprised you've not proactively dealt with a situation in which posters ID have been stolen and re-created! I thought you would know better! Why? Have you not seen IDs that go back to 2011 but have now been hijacked? I have seen a couple alone here! When a poster suddenly begins to post in the opposite direction of his historical disposition, it could be that the ID was re-created by one of the impostors or that user had the same password for his NL account and email, so it was possible for the hackers to convert the ID to his own by changing the password. Think clearly and you will see what I mean. I have seen a few IDs today alone, my first day of really spending time on NL again since the data was stolen.

Now, do NL a favour, by immediately deleting any ID that has been complained about by the erstwhile owner, or make a facility or thread for NL who know this forum well to report such IDs and if it cannot be proved that the user actually owned the ID, please delete it or remove it permanently. That NL has not thought of this or seen this as a problem compromises the overall integrity of this forum, which you admitted in your post is actually a real entity on it's own and not just your hobby or creation! Would you stand by if someone stole your body and begins to speak and act on your behalf while tarnishing your image. Please act now and save us and NL from further embarrassment!

How in the world do you want Seun to authenticate such claims?
When the data has been lost.

He is not a wizard.

I can claim you stole my ID just to have it erased.
Please use your brain even if occasionally.

nely: I hope you people do the right thing once and for all not tomorrow again they will still come for maintenance

Are you high?

Maintenance is a continual process.

You really should not be anywhere near the corridors of decision making.

kastonkastrol: lmao 5 dollar sun-glass that your entire lineage can't afford right? Am very sure you haven't eaten for 3days now.

On a serious note you should ditch those cheap sunglasses makes you look like a drug peddler.

What kind of person wears sunglasses indoors anyway?

Do you have conjunctivitis?

Good move by Mr speaker.

Throwing out the baseless motion passed by the moronic genetically lazy Kogi state member.

I thought Lagos state government had vision, why didn't they undertake the repair and then apply for reimbursement by the FG?

Fake progressives.

All I can get from the article is that Lagosians are touts who cannot behave in an orderly manner.

People queue in all parts of the world and you do not need an armed batallion to maintain order.

Very good and proactive.

http://www.thisdaylive.com/articles/tinubu-blames-mis-governance-poverty-for-rise-of-boko-haram/182327/

Former Lagos State Governor and one of the national leaders of the All Progressives Congress (APC), Senator Bola Tinubu, has reiterated that the menacing activities of the Boko Haram sect in the northern part of Nigeria is a manifestation of mis-governance, gross injustice, mass poverty and declining democratic culture in the country.

Tinubu, who made this assertion yesterday during his opening remarks at the inaugural lecture of the Freedom Democracy lecture series held at the MUSON Centre in Lagos, while speaking on the theme: ‘Poverty and Terrorism Threaten the Foundation of our Democracy,’ said only acute poverty would explain why the deadly sect still has adherents and supporters.

He also lamented that Nigeria’s democratic ethos was on a constant decline, arguing that the duo of poverty and terrorism have come together to form what he described as a “terrible union” against democracy.

According to him, poverty is one of the root causes of terrorism in the country.
“Poverty is a big part of the answer. Poverty often distorts a person’s humanity. The destitute and the ignorant, casting about on their last strand of hope, are susceptible to a mean and wicked interpretation of the world that labels everyone not in that group as expendable sacrifices and objects of terror.

“Some claim the rise of Boko Haram has nothing to do with poverty. They blame it all on ideology. Some go as far as implying that Islam is at fault.  Those who say this can be excused to some extent for they are as ignorant about Islam as Boko Haram is.
“However, Boko Haram cannot be excused. They are violent murders of both Muslims and Christians. There is not one word in Islam that supports the evil they do.

“All nations have their wayward souls. However, in better governed, more prosperous societies, the number of anti-social actors is much less and even their extremism is somewhat muted. Because of their low numbers, they are confined to being a law enforcement problem.

“But here, abject poverty swells their ranks. Here, they have become a small army. With that, they are a national security threat and a political challenge to a free and open society,” Tinubu explained.

The former governor lamented that the current system of government in Nigeria cannot be tagged as democracy but instead, “a hybrid process where democracy is often the junior partner and minority attribute,” stressing that: “The system of governance we practice has not yielded the desired results – the dividends of democracy have been painfully elusive.”
He averred that most members of the Nigerian political class were still operating the dictatorial and imperial mindset that was part of the country’s recent past.

“Fairness and openness of process and outcome discourse and debate, and compromise and conciliation have no place in this realm. In this authoritarian world, the ends justify the means and the only ends pursued are those that increase the power and wealth of the people wielding them.  It is a top- down world where the top dictates the tune and everyone dances to it or gets kicked into the shadows,” he said.

In his views, with the increase in the number of state governors in the opposition party, the federal government arbitrarily has reduced the revenues flowing to the states in order to punish the political opposition thereby imposing “economic sanctions” because some political leaders have the temerity to belong to another party. 

“This is why they shut down newspapers recently and restricted freedom of movement by prohibiting key APC members from travelling into Ekiti State prior to  the governorship election.  This is why they deployed more security agents to hover over the elections in the state than they do to protect the people and tackle the security challenges in Borno State. The Minister of State for Defence has spent more time in Ekiti than he has in Chibok.  This is not a responsible democratic governance. It is a hoax,” Tinubu reckoned.

As a way of dealing with the problems confronting the country, Tinubu stated that government must thread on the path of caution and ensure that it does not truncate legitimate political activity by a legitimate and peaceful political opposition and that “government must restrain itself from striking indiscriminately against people in the affected areas, in the process committing human rights abuses that undermine democracy and  become a recruiting tool for the terrorists.”

OP you have come again.
We know who usually limps away in hurt when threads like this are opened.

I thought it would have been more appropriate to let the original OP reopen the thread.

Did he just realise he was dwelling in evil after all these while?
APC has always been a joke