Evanscheck's Posts
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lukecent:u U just think of an illment and u go ahead to treat it, dats not how it is done, I think u shud do a test for malaria, typhoid... first |
Allow this man rule, he has achieved some things under this short term.. allow him rule |
Start with prayers.... maybe directives wud come.... ode, u wud nt go and read ur books. U dey find sex.. |
Compensation list... |
It is no longer news that,over 70%of hospitals in Nigeria do not have qualified pharmacist, but pharmacy services are rendered in such hospitals. Against this backdrop, the Pharmaceutical Council of Nigeria said it had concluded arrangements to declare a state of emergency on hospital pharmacy practice across the country. The Registrar/Chief Executive, PCN, Elijah Mohammed, represented by its Deputy Director (Pharmacy Practice), Peter Iliya, stated this in Abuja during an event organised by the Pharmaceutical Society of Nigeria, in commemoration of this year’s World Pharmacists Day. He described the move as necessary because of the irregularities in the practice of hospital pharmacy in the country. Mohammed said, “With what we see on the field in terms of hospital pharmaceutical practice, we need to declare a state of emergency. We believe with that, things can be better; we can still make pharmaceutical practice what it is supposed to be. “About 60 per cent of health consumers consult pharmacists before accessing any form of medical care from anywhere else, giving the profession a prime position as far as health care delivery is concerned.” According to him, the PCN is also working on modalities needed to enforce a national drug guideline to aid pharmacists on community practice to clamp down on illegal practitioners of the profession. A pharmacist, Joel Adagadzu, urged his counterparts to remain steadfast and endure the challenges involved in practising the profession, adding that pharmacists would remain important to health care delivery in the country. ADVERTISEMENT He said, “We have been having a lot of challenges; we are always fighting for our rights. Unless we are able to endure the challenges, we will be unable to succeed. Practitioners must exercise the spirit of endurance. We are looking forward to when the practice of pharmacy will be respected as it is in other countries.” Earlier, the Chairman of PSN in FCT, Bridget Otote, reaffirmed the commitment of pharmacists to ensuring a veritable partnership with other colleagues in the health sector for improved health care delivery. Otote said that PSN would continue to ensure that the practice of pharmacy evolved from only focusing on medicine supply to an inclusive focus on patient care and also from supplier of medicine to providers of service, information and patient care. |
jWondax:Everyone was created in Gods own image and likeness, no body is ugly. Ur weakness is anoda strenght..refer to no one as being ugly. |
My extensive work in geriatrics has led to a great understand of the prescribing cascade. The prescribing cascade is simply defined as using medications to treat side effects of other medications. There are literally hundreds to thousands of these examples. Now in some cases, treating side effects is a necessary evil. We don’t like to make a habit of it, but if a medication is deemed too important to continue then we will purposefully treat side effects (opioids and constipation medication is a classic example). Here’s a few common examples of the prescribing cascade that I’ve see in my practice as a clinical pharmacist.. A patient starts on Tylenol PM and subsequently develops constipation and dry eyes requiring the use of regular laxatives and artificial tears. Remember that Tylenol PM contains diphenhydramine (a highly anticholinergic medication). A patient has a significant increase in pain and begins to take over the counter NSAIDs to help alleviate the new pain. After using the NSAID for a few days to weeks, the patient begins experiencing troublesome GI upset and heartburn type symptoms leading to an Rx of an H2 blocker of PPI. A patient has worsening hypertension that requires the Rx of Amlodipine. Following the amlodipine Rx, the patient begins developing troublesome edema that requires the addition of furosemide. |
Olumide Akintayo, President of the Pharmaceutical Society of Nigeria in this interview with Nonye Ben-Nwankwo appraises the health sector and highlighting his achievements in office Your tenure as the President of PSN would expire soon, what do you think most people or even the association would remember you for? Our upbringing does not allow us to embrace praise singing. Posterity will evaluate my contributions. I believe strongly. I promised a 13 point agenda and my NEC and Council delivered on 12 in unambiguous terms with some other surpluses even as at 2014. Some will suffice. Federal Government inaugurated a National Committee on Prescription Policy for the country on the prompting of the PSN to ensure rational use of medicines. PSN launched a new membership I.D Card and Certificate Scheme for Members. PSN adopted New Constitution 2013. We acquired two units of 2-bedroom apartments in Lekki. Our asset base increased by over 100 per cent in the last three years. PCN has gone further to approve payment of professional fees not less than one per cent of transaction through the use of PCN seals for pharmacists involved in importation of medicine and tender business with regards to medicines. These were initiatives of the PSN under my watch in recent years. Today we have produced about 15 directors in the Federal health institutions. First Pharmacist-Director in a core Nigerian teaching hospital emerged at UCH, Ibadan. Of course we have also improved the corporate profile of pharmacists and pharmacy through an unprecedented media blitz. Now that your tenure is about to end, do you think the fight for pharmacists to become designated consultants will still continue? The right to become Consultants is a global phenomenon. Conventional propriety therefore suggests pharmacists who are Nigerian citizens can exercise a chartered liberty to demand for their rights. The agitation to become consultants naturally transcends the Olumide Akintayo Presidency. From Australia, the U.K, the U.S.A and others, we have shown graphic evidence about the roles of Consultant pharmacists. We therefore cannot accept a situation whereby our destinies will be tied to the whimsical and capricious proclivities of other Nigerians who belong to an extremely selfish profession. If a man chooses to contend with you on a template of hatred laced in antiquity or other variants of satanic antagonism, you will be very stupid to surrender it all. Pharmacists will be consultants in this clime either these persons like it or not. It is an idea whose time has come. Some people would likely think the quest of pharmacists seeking to become consultants stemmed from the fact that their ‘arch rivals’, doctors, are consultants in their field. What’s your take on this? We have always been an autonomous profession and of course, no species of homo-sapiens can take that away. I don’t get into rivalries or popularity contests with people because it suggests either character deficiency or a persecution complex. A pharmacist who is worth his salt should be able to assert himself anywhere without reference to whosoever. Do avail yourself what oncology pharmacists, paediatrics pharmacists, cardiac pharmacists and others are doing in the Federal health institutions and public hospitals, then you will appreciate the need for specialisation. There are doctors who appreciate the roles these pharmacists play in the value chain of the health sector. For the myopic ones, what they choose to see is attempts by other professionals to rub shoulders or compete with them. I cannot help but pity such practitioners who have brains of children. At what point do you think this rivalry between doctors and pharmacists would end? I don’t have a problem even if you relegate agitation for your right to rivalry with persons. Every worker seeks reward for labour because we all go to the same market. The fundamental distortion in healthcare is grounded in the propensity of doctors for a grab-grab syndrome of all resources and privileges in the health sector. This is aided often times by government at all levels. The only result it will continue to produce is contending with negative indices in healthcare. Our health system will continue to be immersed in either outright systemic failure or collapse for as long as people in high places choose not to be bold enough to break the hegemonic inclination of doctors who have become emperors who are permanent lords over others in a supposed multidisciplinary sector. Can you imagine that until we pushed, pharmacists and other health workers could not aspire to become directors in Federal health institutions, when the norm in public service is that a university graduate can attain an apogee as director. If advocating your right as a citizen of a country that has an equilisation principle embedded in its constitution epitomises promoting a rivalry with anybody, then I will be glad to do it again and again. Don’t you think that one might likely see pharmacists as ‘jealous’ of doctors because they are the ones that are basically recognised by even the lay man especially when the issue of health is concerned? Sixty per cent of clients in any health system seek the intervention of pharmacists first before any other provider for their health needs. You then want to imagine the number of useful interventions carried out by pharmacists in all countries including Nigeria. The question to ask is jealous of who? More doctors are not finding it easy in this land than my colleagues with due respect. A senior doctor who was a senator confronted me with this type of declaration at a Senate Public Hearing many years ago and I politely told him that it is a pharmacist who is not ambitious who will be jealous of a doctor. In practical terms, pharmacy is much more rewarding financially than most other professions which revolve around only service rendition because it has a commercial plenitude. That is in fact the attraction to pharmacy by infiltrators. In your sober moments, don’t you wish you had studied Medicine rather than Pharmacy? I stand on my honour to tell you regrets have never arisen. Pharmacy has taken me to places other professions might not have taken me. For records, the condition to study pharmacy and medicine are the same, the core subjects are physics, chemistry and biology. Even when I am almost tired of doing this, I say again for posterity that in our days, the cut-off to study pharmacy was higher than medicine. My JAMB score was about 300. In my class, over 12 guys crossed the 300 mark out of 400. In year two, those who had direct entry had a 12 point aggregate. You see clearly that these guys could have studied any course without hindrance. At the risk of sounding petty, when our preliminary courses included mathematics, physics, chemistry, zoology and botany, medical students on the other hand studied sociology along other common subjects because they failed mathematics and could not cope. Pharmacy is abstract and tough to study while medicine is easier because you practically see all you are taught. Do you know how many pharmacists who topped JAMB lists when they gained admission? Only recently in the 2013/14 academic session at UNN, the best graduating student in the entire university with a GPAverage of 4.88 was a student of pharmacy. I can go on and on, but realistically if I had another chance to fill my JAMB like I did about 35 years ago, I will fill pharmacy as first and second choice with Ife as destination of choice. Don’t you feel bad that your noble profession is reduced to one where an apprentice could study under his master and set up his own patent store after a couple of years? It is an aberration which you find only in Nigeria. It can be annoying or frustrating indeed. I have learnt however to dwell in the positive realm. Life is what you make it. If you decide to benchmark with apprentices or medicine dealers, then you will easily miss your calling. I choose to see my colleague who drives chains in retail pharmacy, some run billion range businesses, others who are wholesalers run businesses in properties that are the best in the neighbourhoods with hundreds of millions in turnover every month. In the industry, the most successful manufacturer is a pharmacist of repute, while the single largest importer who has over 100 registered products is a successful pharmacist. I have all the data and I showcase them occasionally. So why do you think I will put myself at the level of gate crashers in our practice? Do you think we would ever come to that stage where Nigerians would stop visiting patent stores where drugs are ‘mixed’ for them? Sure we will. It is only a phase. You cannot run your race faster than your environment. Nigerians must learn to patronise professionals for all services not only for drugs. When you patronise quacks for cheaper alternatives, you will reckon with the bitterness that follows in leisure. The Buhari administration is enjoying some goodwill to stem the tide of value migration in our land. We can turn things around and make this a choice destination in the quest for fulfillment in all endeavours. What is your assessment of the health agenda of the Buhari Administration? It is important to put on record that the National Health Act is probably the only statute that attracted the attention of a wide spectrum of stakeholders in health and the larger society. There is therefore an urgent need to factor in this broad spectrum solidarity in fashioning the implementation of the National Health Act. Recently, the Federal Ministry of Health was reported as having sworn in a new Technical Review Committee for the National Health Act (NH Act 2014). The Committee has a mandate to guide the implementation of the National Health Act. Naturally, the Joint Health Sector Unions/ Assembly of Healthcare Professionals accept the principle of setting up committees which is also within the powers of the Federal Ministry of Health. As a follow up to the Technical Review Committee on the National Health Act 2014, a series of other implementation templates of the National Health Act have emerged with only members of one profession (medicine) dominating all. In fact representation is not sought from other professional associations and unions in the health sector. We are however worried that the members of the 26-man Technical Review Committee and other related committees are unknown to the larger portion of key stakeholders. Of more concern is that, representation in the Technical Review Committee has not been extended to professional associations and unions in the health sector. The government must face the reality that in the context of the National Health Act 2014, the professional associations and trade unions in the health sector constitute major stakeholders. Why will they sideline key stakeholders in fashioning the implementation of the National Health Act? It will not augur well for the sector. If we assume that this was premised on a good knowledge of the healthcare sector, then emerging trends clearly indicate we are headed for more discord and conflicts in the health sector. In a rather bizarre and most undemocratic process, six doctors including agents of Western donor agencies in Lagos State that championed the commercialisation of health facilities were charged with the responsibility of crafting the health policy of the administration. One of the key recommendations of the committee was to canvass a “reform of the Federal Ministry of Health and reduce the number of agencies from 14 to three based on alignment of scope and deliverables. Curiously, the administration has sought views and position papers on healthcare agenda from strange templates especially a particular group of entrepreneurs in healthcare rather than the true representatives of healthcare providers and who are well structured into various healthcare professional associations and trade unions. Source: The Punch |
Samuel2337:Wat happens wen a governor hands over power..?? |
Badfinga:Dats how to do it, just never be alone with her and u wud be fine |
Its is common among the northern states to marry off their gals at a very young age,but sanusi is old sha,i dnt even know if the gal loves sanusi before agreeing on the marriage or was the marriage used to struck a peace cord,eleviate poverty or do a favour... no one wud ever know d truth But our Ex- Governor from the south did d same thing in d person of oshiomole.. I think it is wat is trending these days oo ![]() |
I did nt even know ooo,now I am knowing. Thanks |
No body actually understands ur story from the comments u are recieving... am sure he means dat he is a nice guy dat wud nt want to hurt d feelings of a lady but wud like to do ur things quietly,now dis is wat u wud do... get a female friend dat wud knock of this fellow from disturbing u, maybe ur relation to avoid bleeping her too... gradually u whd regain courage to resist that idiot |
Who ur beautiful help.... next time keep it to ur self |
Emdee590:One of the side effect of dexamethasone is weight gain.... infacts all steriods have side effect as weight gain |
[quote author=hbsilencer post=38287833]pls which drug can I take for frequent chest burn? is syrup ok for an adult? pls help[/quote U can take any one they are both effective, the liquid acts faster though but dey both achieve d same result |
Once the preserve of hardened criminals, abuse of drugs like codeine and others is on the rise, especially among married women in the North, as well as teenagers. Daily Trust takes a look at the disturbing trend. Fadeela, 18, is helpless. She is addicted to Tutolin, a codeine-containing cough syrup she consumes at least twice a day. Two bottles per day is what her system demands or it may just shut down. This has done great harm to her life already. She has since dropped out of school and now spends time at Mami Market in the city of Sokoto. At Mami Market, both male and female addicts – mostly in their twenties – have found a haven where they freely indulge in using a variety of substances to get ‘high’. But Fadeela is fed-up with the control it has over her. It has estranged her family from her. “If you can help me out of this life, I will ever be grateful,” she says. Recently, the National Drug Law Enforcement Agency (NDLEA) decried the increasing involvement of married women in drug abuse. The Assistant Superintendant in charge of exhibits at the Sokoto State Command, Ali Baba Mustapha, pointed out at the Jigawa Day celebration that women take cough syrups that contain codeine – an opiate used to treat pain – more than any segment of the society, believing erroneously that it will enhance their sexual appetite. He warned that if unchecked, the trend could lead to marital problems and even divorce. There are, also, attendant health problems. Daily Trust investigations revealed that the stability of some homes is already being affected by this trend. There is the case of a new bride whose husband discovered under their bed, a carton of Tutolin, usually abused to induce intoxication and supposedly boost sexual drive. It was gathered that the groom took both his wife and the drugs to her parents’ house in anger. Even before then, during the wedding, the loss of a necklace had prompted a search that led to the astonishing discovery that some of the women at the occasion, mostly housewives, had varieties of cough syrup containing codeine in their handbags. Another incident involved a man who was said to have contacted the anti-drug agency concerning his wife’s addiction to Tutolin, after he had discovered a pile of empty bottles of the cough syrup at their backyard. He also revealed that the wife empties the bottles in cellophane bags and freezes for added potency. The Commander of the NDLEA in Kano, Alhaji Misbahu Idris said their investigations revealed a rise in the number of women involved in drug abuse, especially housewives and female students. He said the command has been receiving complaints from parents over alleged involvement of their female children in drug abuse, but the agency could not help them due to lack of rehabilitation centres for women in the command. “Just an hour ago, a girl was brought here for counselling by her father because she is addicted to Tramadol capsules,” he said, adding that they received 10 of such cases recently. Experts told Daily Trust that addiction to illicit drugs is causing a lot of divorces and the trend in which female students are queuing for it is worsening the situation, causing a spike in abuse by women and teenage girls. Drugs mostly abused include cough syrups with codeine, mostly abused by women and teens along with a belief that they have aphrodisiacal properties, while Rohypnol and Tramadol tablets are mostly abused by artisans, especially labourers, because it stimulates them. From January to date the NDLEA has seized over 1, 000 kilograms of illicit drugs which include 95 kilograms of cough syrup with codeine, 561 kilograms of cannabis and 362 kilograms of Psychotropic substances, and arrested 99 suspects, including females. Idris disclosed that children now mix soft drinks, such as Coca Cola and La Casera with codeine because doing so intoxicates them more and advised parents to be wary of this new development. At the age of nine, Aminu Magaji Maibera was already doing drugs. Now 27, he is counting 18 years in the business he was introduced to by his late friend, Aliyu. His regular base is Church Road in Sabon Gari area of Kano. The area, like other black spots in Dan Agundi, Kofar Naisa and Zoo Road is regarded as a haven for drug addicts in the commercial city. Despite his diminutive stature, Maibera is highly respected and feared by other addicts, mainly because he is a peddler. For this reason, many addicts in the area regard him as their means of survival. Then there is 21-year-old Atine whose popular spot is the Mai Rabo Hotel at Aitken in Sabon Gari. Just like Maibera, she was introduced into drugs by someone close to her, but in her case it was a boyfriend. “I don’t take Indian hemp or alcohol. You know I am a Muslim, I only take Codeine. Sometimes I have difficulty buying it, but my friends always help me out. I take it to make me feel relaxed,” she said. Drug abuse cases are also high among youths in Kano, Daily Trust gathered. The substance is either carried in empty sachets of pure water or other means, and contains solution. Despite government efforts, the growing rate of abuse in the state remains worrisome. The Deputy Governor, Professor Hafiz Abubakar, last week at the NDLEA Command, said the state has the highest number of cases of drug abuse in the country. He vowed that the government would not relent in its efforts to check the nefarious activities of criminals. Former Commandant of NDLEA, Malam Garba Ahmadu, noted that going by the statistics in the command’s disposal, women’s involvement in drugs is very low in Kano, but admitted that they have heard that women take cough syrups in their homes and the agency has so far not understudied the development. “If you look at the number of people we arrested, women are not even up to ten percent,” he said, adding that the NDLEA Command has a functional committee that is addressing the drug problems in the state. He further pointed out that the same committee is helping dislodge them (drug addicts) from places like Dan Agundi, Zoo road, Kofar Naisa and other areas where such cases are rampant in the state. “The drug problem is a youth problem,” Ahmadu insisted, adding that statistics show cannabis, popularly known as Indian hemp, is mostly in use in Kano. But it is not all about Kano or Sokoto. In Zamfara, cough syrups such as Benylin, Emzolyn, and Asad cough expectorants are commonly abused by youngsters. An owner of a medical store who craved anonymity told Daily Trust that young ladies patronise the substances, particularly students of higher institutions of learning. Their strategy is simple, he said: “They send a little boy to us because they are ashamed,” adding that some come themselves and buy what they want. This, he emphasises, even as the price of cough syrups has skyrocketed because of its excessive demand among youths. “A bottle that once went for N160 is now sold at N900.” Another pharmacy owner said married women send children to buy such syrups for them and their husbands are mostly ignorant of what they are doing. He intimated that the drugs have genuine medical use, but are abused by consumers when they are used excessively. “Let me tell you, many of these young ladies have been coming regularly, so much that when they step in here they do not need to tell us what they need anymore,” he said, adding that there was a time a woman came, looking drowsy and speaking gibberish and he had to quickly show her out. A resident, Sani Abubakar, explained how terrible the situation had become. “If you see young men holding a plastic bottle of soft drink, especially for a long time, there would no doubt be some cough syrup in it.” But the whole episode turned ugly for a married woman, another resident, Kabir Abdullahi narrated, when her six-year-old-son went to the fridge and helped himself to the entire bottle of codeine-containing cough syrup while his mother chatted with friends. The boy immediately became very drowsy and slept for two days. When her husband arrived, she had tried hard to hide what actually caused the problem, knowing there would be consequences. The head of Drug and Alcohol Treatment, Education and Research unit at the Federal Neuropsychiatric Hospital in Kaduna, Dr. Ebiti Williams, said anecdotal report confirms that the use of drugs or substances is getting worse in Kaduna State. He pointed out that alongside other substances, majority of the users abuse codeine. “Usually most people that are into substance abuse in Nigeria don’t use just one,” he intimated, adding that in some countries it is common to see people who use a particular drug, like cocaine or heroin, but this is not the case here where there are cases of multiple psycho-active substance use. “Most of the young people we see here also use codeine and yet demand treatment, though not because they want to stop the use of the substance but because they have developed a problem, maybe a psychiatric problem and their relatives have brought them,” Williams revealed. He said that incidentally, the use of codeine-containing substances is on the increase among women and girls, particularly married women, although adolescent males also use them. Dr. Williams explained that the trend is prevalent in the North than any other region, like the West or East where cannabis may be more popular. He added that female drug abusers are drawn to codeine simply because it does not smell like cannabis. To intensify the already existing problem, abusers keep discovering new substances. Williams again intimated that these may not be generally out rightly seen as drugs because the users get creative and use a combination of them and keep discovering more. However, there are a lot of other drugs that are being used in countries like South Africa, such as the mixture of HIV drugs and rat poison, but this has not been recorded in Nigeria. Williams urged government at all levels to intensify their efforts in the fight against drug abuse in the country, adding that a clampdown will not halt abuse. He called for adequate sensitization, and also early detection and treatment of users. source: Daily Trust |
Ayus4u:Do a chest x- ray if the pain is severe.. dont just jump to drugs pls |
alabosian:Go for fertile aid boost and fertile aid motility count, the product has the one for male and female.. it is a good product with the testimonies already coming from the product brief period in the shelf.. am nt a marketer but I have passion for effective product |
eridemilade:I wud suggest u do a sensitivity test, it wud help us know if there is an infection. |
Homogeneositys:When given drugs, and u did nt get the desired effect, u go back to the physician and complain. De he wud review ur treatment and discuss ur medication with u to know wat went wrg,it wud also give him time to hear d case for d second time and add d clinical touch he did nt add before......All this is just to avoid u getting resistant to antibiotics and compounding the issue dat was just simple remedy ...go back to the original person u met. |
lolostic:Am nt sure of any drugs that wud cure hernia totally, as for the pain drugs can manage the pains, but consideration shud be made for ulcer and diabetis patient......best bet for hernia is surgery.. thanks |
Are Nigerian pharmacists practicing below their capacities? To become a pharmacist, one must undergo a competitive selection process. This process will more often than not, select individuals that are on average, more intelligent and studious than the average population. After this selection process, the individual then undergoes years of training and practice before finally being allowed to interact independently with the public. At the stage of independent practice, the pharmacist has gained a trove of knowledge on a vast number of drugs, their uses and their effects on the human body among other things. This depth of knowledge on medications is largely unrivaled by any other profession. As a result the pharmacist takes the pride of place as the custodian of ‘poisons’ in society, the referral point for the general public on what to ingest to preserve and prolong health and well being. It has however become most alarming in recent times that the pharmacist’s role has been relegated to that of a mere dispenser or less euphemistically – a shop attendant. While there are several reasons for this development, one cannot look past the practice of some pharmacists. I was told recently of a pharmacist who didn’t ask his clients too many questions for fear that his patients who may know more than him, find him lacking in knowledge. Also stories abound of pharmacists putting business interests above the well being of their patients. This diminished role of the undoubtedly skilled pharmacist is most discouraging and unsafe for the general public. The onus is on every pharmacist to step up and put excellent pharmaceutical care as foremost in their practice. Endeavor to do the following: – Update your knowledge regularly – Always ask your patients questions – Educate your patients – Give evidence based advise – Keep track of the care you provide – Follow up with patients and seek ways to keep them engaged. When you are able to provide engaging, quality, personable care, your patients will return to you again and again and refer their friends and families to you. This will increase your income and grow your business. There is no doubt that when you put patients interest first, your pharmacy will be the envy of many. |
Adesiji77:, add a linument like neurogesic cream, den add vitamin c to the medication.. thank u |
I think he prefers his age grade to the rest pple, gudluck admin favoured women and u can see d mess he found himself, maybe he does nt want to repeat d same mistake again |
Sue dis company and demand for damages... that how u become rich over night |
Another Wale Adenuga productions... we are nothing but pencils in the hands of the creator |
Hello!! Y is every one day dreaming. Allow the biafra to come before u make baseless assumptions |
Oliseh needs time, he is new to coaching, he needs time to get his team playing the way he wants |
Nice way to justify ways to eat ur "boyfriend" money... I was thinking at the u wud also write ways to make money if ur husband is nt giving u d money |
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