₦airaland Forum

atlwireles: I'm trying to see your logic here, but you seem to make things more complicated. If the blocks are not a form of support, why use them

Yeah am also trying to see the logic of the design. Still doesn't quite convince me.

Maybe a good road engineer might give us a heads up

hakunamatata1: its necessary it rises as high as the main girder(beam) & its not any form of support @ all. Its just to create an opening where pple can pass thru after its torn down

Thanks for proffering a possible answer. I thought in the design process if such space is necessary it would have been provided without the need for constructing a wall to show where it is supposed to be. Yet this wall will be torn down... Talk of cost overrun

lakpalakpa: What do you think??

About what

lakpalakpa: You are truly a functional illiterate. Even a daft person knows fully well that the blocks aren't what'll support the bridge. Even a bricklayer wouldn't do such.

Still begs the question... What are the structures for... You have any answers.

BTW yes am a functional illiterate I own up to it. But back to the question

Abagworo: . A man who does not know the difference between kelbs and block is quite ignorant. I also guess you think that using blocks in place of planks makes a work substandard.

Maybe sir you know the purpose of the structure please educate us.. We are dying to know. Might add to our building knowledge portfolio.

Thanks

lakpalakpa: Can't you read??

Someone has explained all that already or do you just want to behave like a blind bat??

Read the comment below and cure your shameful ignorance!!

Please intimate we illiterates how it makes engineering sense to build a block to create a space for another wall. Still begs the question sir what is the purpose of the 6 inch block wall

hakunamatata1: the bridge by design is not resting on pillars but fat walls. The 6inches wall is a false wall that wld be broken down later to create space pple can pass after the main fat structural wall has been casted in position where those irons are.

Is it necessary because judging from the picture its not a total wall but actually a form of "support" seemingly. Maybe it is the picture, but if it is something to be torn down, doesn't the height of the structure tell a different story

lakpalakpa: I you are ignorant you ask questions. The blocks can be anything but not the column for the bridge. The steel rods you see there should inform you that there'll be concrete cast there. I don't have the construction details but the hollow blocks can't be for the columns of h bridge.

Enough of this shameful display of illiteracy!!

The point of illiteracy which am a member is to find answers from the literate members of the society. Still begs the question.....what are the 6 inch block walls for. As a literate citizen of the state, can you provide us illiterates a simple easy to understand answer to increase our capacity to operate in a literate environment..

Thanks sir
Waiting for your reply

hakunamatata1: Op but y be a rabble rouser? Except u intend some political mischief. I've passed that place many times on my way to akwakuma when d footing ws done the flyover isn't to rest on piers its to rest on concrete structl walls whose reinforcement u can see in ur 1st pix. The 6inches block walls u r shouting wld be demolished later after the insitu concrete wall has been cast to create spaces in the long wall.. So pls be informed & stop d mischief.

Sir , So what is the purpose of the 6 inch block wall

Scottish independence
Don’t leave us this way
Why we hope the people of Scotland will vote to stay in the union
Jul 12th 2014

BRITAIN does not feel like a nation on the verge of cracking up. Many have clutched patriotic flags and wept this summer—but most of them were fans of the England football team, distressed by its rapid exit from the World Cup, not activists demonstrating for and against the break-up of their country. Yet a 307-year-old union, which once ruled a third of humanity and still serves as a role-model to many, could be on the verge of dissolution, because the people of Scotland will vote on independence in a referendum on September 18th.
Opinion polls suggest the Scots will decide against leaving, but it is the nationalists who have fire in their bellies, and Alex Salmond, the leader of the Scottish National Party (SNP), is a strong finisher (see article). Even a narrow victory for the status quo would be the biggest blow to the United Kingdom since 1922, when the Irish Free State was born. The campaign has been a bad-tempered one, marked by growing Scottish anger at English complacency and indifference while English resentment of Scottish whingeing and freeloading has risen: only a strong vote for the union will bury this issue.
Advertisement

If the Scots vote to leave, they should of course be allowed to, with Britain’s blessing. A desire for self-determination is a strong basis for a claim to nationhood, and there is no reason to think that an independent Scotland would be a disaster, any more than an independent Ireland has been.
But The Economist, itself a product of the Caledonian liberalism of Adam Smith and David Hume, hopes the Scots will decide to stay. That is partly because we believe that a break-up would benefit nobody: on most measures the certain costs for people on both sides of the border far outweigh the uncertain gains. But it is also because much would be lost. Despite the occasional appearance of muddle, there is a point to the union, and one about which liberals should feel passionate.

Source: Economist.

Not the first time.

Iranian airline flight 655 from Tehran to Dbai carrying 290 people shot down in 3 july 1988.

Korean airline flight 007 from New york to seoul with 269 people on board was shot down on september 1 1983

Lamido Sanusi Lamido the former CBN governor and the current Emir of Kano on his unbridled quest for dominance

He is just flying the first kite

Sanusi Lamido Sanusi the current Emir of Kano and his quest for dominance. ( just flying the first kite).

Lamido Sanusi Lamido the current Emir of Kano and his quest for dominance....a peep behind the curtain

Lamido Sanusi Lamido the current Emir of Kano and his quest for dominance....a peep behind the curtain

Abagworo: . You are the one being naïve here. Igbo culture and tradition of origin is as clear as day and varies from clan to clan without any interference until whitemen came with bible and deceived our fathers into abandoning our traditional beliefs for Christianity. I'm deeply rooted traditionally and whatever I tell you here or elsewhere is the truth. Igbos believe God created them right here in Igboland. "Nri" is rooted in Igala and every true Igbo man knows that.

That's what it is. Igbos believe their origin is right where they are. It is quite interesting how the group that first came into contact with the whiteman was to made to believe the "nonsense" of a middle Eastern origin ---- wanting to feel closer to the whitemans religion, an extension of begging the white man to accept them as their "lost" tribe.

Secondly there is absolutely no proof that Igbos originated from Nri. A classic case of everyone quoting the first "historian" instead of spending years doing some heavy lifting in research all over Igboland

Once again there is absolutely no historical ( oral and otherwise )connection between the Igbos and the various tribes that populate the middle east middle East.

Whats with this stupidity among the so called intellectuals to link the Igbos with the middle east. why not look at human evolution within the space called " the central eastern Nigeria" is there a law in anthropology that says that Igbos did not migrate even from the banks of the futa jallon, Congo river or Benue river for that matter.

The Igbo so-called "intellectualls" are unconsciously through an invocative diffuse theory creating a sort of history - inferiority complex among their peers and more so inflicting their young "citizens" with this Middle eastern history dependency. It is the inability coupled with intellectuall laziness that the historians of Igbo origin tend to ascribe their lives to that of the Middle East.. Please guys go out there and find your history instead of paddling a patently false hood of your evolution as a tribe.

Igbos have absolutely no relationship with the Middle East... The history of human evolution in the world is pre- middle east so is the history of that evolution in " east central " part of Nigeria.

The leaders of Brazil and Russia have expressed support for a plan to launch a new development bank and emergency reserves fund, an ambitious challenge to the Western-run multilaterals that shape global finances.

Brazilian President Dilma Rousseff received Russia's Vladimir Putin in the presidential palace in Brasilia on Monday, a day before leaders of the five emerging BRICS nations meet in the northeastern city of Fortaleza.

Speaking to reporters following the meeting, Rousseff said the proposed bank would top the summit's agenda and she hoped the proposed institution would be approved there.

After two years of negotiations, Brazil, China, India, Russia and South Africa,the so-called BRICS countries are due to sign off on the new institutions on Tuesday.




At a summit that runs until Thursday in Brazil, the five countries are expected to unveil a $100bn fund to fight financial crises, their version of the IMF.

They will also launch a World Bank alternative, a new bank that will make loans for infrastructure projects across the developing world.

The BRICS will pool an initial $50bn in the bank, with each country contributing an equal amount.

The five countries will invest equally in the lender, tentatively called the New Development Bank. Other countries may join later.

Desire for voice

Late last week, Russian presidential adviser Yuri Ushakov told Kremlin reporters that bank would be based in Shanghai, mainland China's financial capital, citing discussion papers prepared by the member countries.

But earlier, Russia's finance minister said India was vying with China to host the new infrastructure lender.

In a further sign that an agreement had been reached on the headquarters, an Indian government official on Monday played down the debate and said India's top priority was to make sure members of the institutions all had equal voting rights, unlike Western-run multilaterals they seek to challenge, such as the World Bank.

Many of the bank's rules of operation, such as investment in private projects, will be decided after its formal creation at the bloc's sixth summit in the Brazilian city of Fortaleza.

The bank is expected to make its first loan in 2016.

aljazeera

Muslim businessman accused of terror links killed Security has been tight in Mombasa where a number of prominent Muslims have
Two gunmen have shot dead a prominent Muslim businessman facing terrorism charges in the Kenyan city of Mombasa.

Mohamed Shahid Butt was driving back from the airport on Friday evening when his car was blocked by another vehicle and two gunmen opened fire.

Mr Butt was due to appear in court next month charged with funding the radicalisation of Muslim youth.

On the coast near Mombasa there has been a string of killings of people associated with Islamic extremism.

Series of murders

Human rights activists have accused the Kenyan government of being behind the assassinations, since few have been resolved.

The police chief of Mombasa County, Richard Kitur, told the Associated Press news agency that Mr Butt had just picked up his son at the airport before he was killed.

Mr Butt appeared in court last year over allegations by authorities of incitement and funding terrorism-related activities.

In the past two years, three well-known Muslims, who have been publicly linked to extremism, have also been killed.

The National Population Commission has projected that Nigeria’s population will be 223.3 million by 2020.
The commissioner also hinted that the population of those aged between 10 and 24 have reached 60.4 million going by its 2014 records.
The NPC Chairman, Chief Eze Duruiheoma, whose address was read on Friday while marking this year’s World Population Day, in Akure, Ondo State said the nation’s youth population was put at 44.4 million or 33.1 per cent of total population at the end of the 2006 Census exercise.
The NPC boss who was represented by the Ondo State NPC commissioner, Dr. Oluremi Akinbobola, also estimated that youth population would be 73.1 million by 2020.

Duruiheoma, while speaking on the theme, ‘Investing in Young People,’ said it was time all stakeholders ensured safe, successful and healthy passage from adolescence into adulthood which he said was the right of every child.
He said, “This can be fulfilled if families and societies make sustained investments and provide opportunities aimed at ensuring that adolescents and youths develop the knowledge, skills and resilience needed for a healthy, productive life.
“Adolescents and youths are central to the development agenda. Safeguarding their rights and investing in their future by providing quality education, decent employment, effective livelihood skills, access to reproductive health care and comprehensive sexuality education which emphasises gender and power, are essential to their development.”
According to him, there is a need to create awareness among stakeholders on the need to invest in young people, a step that requires attitudinal change.

He said, “In order to generate awareness, the focus should include partnering with the young population, launching of social media campaign, focusing attention on key issues and encouraging mentoring to prepare the young for adulthood.
“Sustained investment in young people requires the concerted efforts and commitment of all stakeholders like the parents, schools, traditional institutions, civil society organisations and the government at all levels.”

http://thecitizenng.com/other-news/nigerias-population-may-hit-223-3-million-by-2020-npc/

dumodust: I'm not against other professions but I'm against spilling without regulation unto things that they are not supposed to do... vaccinations have a strict regime and for the sake of its promotion, pharmacist s can administer it. My problem is with diagnosis, primary pt care...
u cant spin from a drug focussed training to understand other issues, pt care is way beyond drugs, most pts think u must prescribe something for them... seeing someone who trained in drugs will always lead to a drug related solution and the inability to detect when something else is going badly wrong. The medical training is an apprenticeship handed over generations, cultures with continuous evolution till this point... pharmacists et al have their own roles and training, they dont cross and shouldnt because no msc or phd can teach u clinical skills learnt by being actively involved in pt care from undergraduate education to residency and onwards, the magnitude of the experience is beyond books and titles... that is why I wonder why we love titles so much. I for one dont love the doctor tag, it puts a lot of strain on me socially.
acquiring another degree makes u better in your field (like specialist nurses trained in icu care, renal care, theatre etc) not to cross lines and acquire roles you werent trained for ab initio

.

I do not see much future in mere diagnosis as the match of technological innovation is beginning to take a shine off it. Computers are in the cusp of replacing some of the drudgery involved... so those years of "cultural apprentice" as you aptly put it will lie inside a chip less than the size of the human hair. The medicine as we know it will be unrecognizable in a few years.. what people in the field should be focusing is on the art of medicine that is "The art of medicine—the art of dealing with the unanticipated, unwanted, and less-than-optimal—can’t be programmed into a computer and, for that matter, can’t be taught in medical school but real life experiences.

naijaking1: Did you understand your own postings about 5 b,c, and da)?
Every one of those function's relate back to the primary care provider(physician). Pharmacist with your attitude would be in much trouble with the patient primary care provider in CA as you can see.
Your duties and functions as a pharmacist remains as an adjunct to therapy initiated and recommended by the physician, who may in some cases chose other forms of therapy, bypassing the pharmacist in some cases. Such as in radiation, electrical, or even psychotherapy. Your importance as a complimentary part of the whole world of therapy certainly doesn't increase by how much agitation you make, but by your relevance to the overall picture of patient care.
As a physician, I know when to ask for a pharmacist during my rounds, and when it's not even necessary. Deal with it, or go to medical school like other pharmacists who think they got it going on!

Sir, Am neither a physician , a pharmacist, a nurse etc... am just a human being if you can possibily see me as such.( your preogative i might add) And as a perosn sharing the planet earth with you I have as much stake in it as you are in spite of my dropping out of class 3... It is one of those ironies of life that learned ones have to share the same space with illiterates like me...
If you like, I proffer my sincere apologies for polluting the spaces that should only be used by the learned ones...

Have a great day

dumodust: You just answered some questions yourself without knowing it... what you listed are the reasons for universal insurance and globally Accepted guidelines to ensure uniformity of standards and safety of citizens. That is why responsible governments make sure the patients are seeing the right people by having the right legislation and arresting criminals. I agree with the cost aspect, costs differ worldwide but some treatment have no substitutes and any other person tampering with the patient may actually on the long run in terms of recovery time (morbidity), life (death) and economically (cost to the nation because of loss of manpower). I'm not against alternative care, I gave examples using CHEWS and we also have trained traditional birth attendants to ensure universal healthcare are standards are maintained in remote and unreacheable areas
an msc and phd are strictly academic (thesis, dissertations in a particular limited aspect) and even the title 'professor' though it connotes an authority on a subject, does not confer special skills that are needed on the field. The best surgeons are not necessarily academics and doctors also refer based on reputation.
you see the havoc that these unregulated options including churches have caused, you will understand. Doctors by law of mdcn dont advertise... but these charlatans go about misinforming people with loudspeakers. When it is bad, they will come and die in the hospital and another man's deeds now count against the doc when they die.
In summary, it is the responsibility of govts to protect there citizens even when they want to harm themselves... even if a consenting adult refuses treatment, he should be by law bound not to subject his dependants like innocent children to his ill informed decisions. For foreign doctors to train in another country, the local med council sets exams both theoritical and practical to test your suitability for practice in their country... your degrees dont count then. Doctors get suspended etc for malpractice, that is tbe example of regulation
case comes to mind about a child that died at home because the parents didnt believe in orthodox care and were praying till it got too bad to salvage. The child died and I think they were charged for manslaughter or something... and they lost custody of other kids

: I 'm enjoying our discussion, no beef

Crux of the argument is that the prefrence to engage the services of any of the healthcare workers for their services lies on the ADULT patient not on the directive of any of the professioanl. secondly insurance is a choice in many places UNLESS where the government mandates it ---thus removing individual ability to control their healthcare decisions....The famous steve jobs was basically self treating his pancreatic cancer..

Most professions ( including prostitution) are regulated to protect the general public---- the regulation is merely a limitation in areas of practice as defined by ones training within the local laws. But it is not the function of other professionals to regulate how people within or related profession organize themselves... that is the function of legislation by elected officials... If MDs feel others are enchroaching on their field all is required is formulate a bill and push it through legislation... USA went through this period when physician, nursing practioners were being introduced, it was through legislation that it was watered down to the effect that there must be collaborative engagement with MDS..not that the Physician Assistants cant do it alone.
Again , physicians resisted immunisation in the pharmacy, New York state was the last that allowed it after the local AMA lobbied against it through their representatives....Now most immunisations in the US are being done in the local pharmacies very soon this will be followed by lab test.... a pilot program is being carried out in Nevada as we discuss.

ziga: Thanks for all that info.

The big reason besides pay differences for not duplicating titles to avoid confusion for patients and others.

In developed worlds, you have to identify your function to every patient - Doctor, nurse, nurse assistant, physician assistant, nurse practitioner etc.

Even Pharm. Ds do not identify themselves as Doctors because of the potential for confusion. The ones that have clinical roles will tell patients that they are pharmacists.
But the envy and the love of titles in Nigeria is just unbelievable.

Also duplication of all these names will encourage quackery. And by the way, why do we need more "consultant" titles. The only thing I can see is for increased paychecks or aspiration towards some benefits for medical consultants.

The consultants we have haven't even cured malaria. It is still the biggest killer of children in Nigeria. Women die like chicken from childbirth!!! Simple preventable things we never do!!!

New california law on pharm.Ds

Section 4052.6 is added to the Business and Professions Code, to read:
(a) A pharmacist recognized by the board as an advanced practice pharmacist may do all of
the following:
(1) Perform patient assessments.
(2) Order and interpret drug therapy‐related tests.
(3) Refer patients to other health care providers.
(4) Participate in the evaluation and management of diseases and health conditions in collaboration with other health careproviders.
(5) Initiate, adjust,or discontinue drug therapy in the manner specified in paragraph (4) of
subdivision(a) of Section 4052.2.
(b) A pharmacist who adjusts or discontinues drug therapy shall promptly transmit written notification to the patient’s diagnosing prescriber or enter the appropriate information in a patient record system shared with the prescriber, as permitted by that prescriber. A pharmacist who initiates drug therapy shall promptly transmit w ritten notification to, or enter the appropriate information into, a patient record system shared with the patient’s primary care provider or diagnosing provider, as permitted by thatprovider.
(c) This section shall not interfere with a physician’s order to dispense a prescription drug as written, or other order of similar meaning.
(d) Prior to initiating or adjusting a controlled substance therapy pursuant to this section, a pharmacist shall personally register with the federal Drug EnforcementAdministration.
(e) A pharmacist who orders and interprets tests pursuant to pa ragraph (2)of subdivision
(a) shall ensure that the ordering of those tests is done in co ordination with the patient’s
primary care provider or diagnosing prescriber,asappropriate, including promptly
transmitting written notification to the patient’s diagnosing prescriber or entering the
appropriate information in a patient record system shared

infolekan: And those laws that are not uniform is what you want to bring to Nigeria?
Traditional birth attendants are empowered by law to take simple deliveries of pregnant women inNigeria in RESOURCE POOR settings.......so someone on the internet shouldn't get confused and think that's the norm.
In United States(New York).....nurses with Doctorate degrees in Nursing care are allowed to see patients in emergency care and treat the ones that won't need specialist care in places where there are no GP. And yes ...the United States don't have enough Doctors. It's already a source of debate over there at the moment and that's a well developed settings.
We're doctors not lawyers and you give be giving examples of international best practices not based on some states in us. Check the UK, check Germany, check RSA. Don't throw a Minnesota law at a country.

People live in those states...California or Texas for example has more population than most European countries.. Does that mean that their laws don't count. Nearly 40 million people live in California nearly as the same as Poland...more than all the Scandinavian countries combined and their laws don't count?

dumodust: in nigeria, we legally have what we call CHEWS and nurses in primary healthcare, they do phc work because doctors are not enough to cover rural and unreachable areas. Same happens in u.s. patients dont decide, they use what is available because in the end govt has to make sure some form of aid is available.
CHEWS (maybe ur idea of an assistant) have a rigid guidelines book they work with for diarrhoea, cough etc... I've never heard them agitating or wailing in nigeria like u guys because they know exactly what their role is...google it.
getting a pharmd or whatever does not endow u with the necessary skills to see pts... boldly post your qualifications on a sign board near to a hospital with a qualified physician and let the patient choose like u said...

Patients I can assure you go to people they can
1. Trust ...people still go to native doctors

2.. Afford..
3./available...Aka the local pharmacy

4 recommended by friends etc.

So the psychology of a patient choosing a healthcare provider is like choosing any other product in the market

dumodust: and something else I dont understand Why this sudden fixation on doing something that is not in your scope? Roles of pharmacists and nurses are defined... simple.
maybe the people in the NHS trust in uk are fools for running their working system the way it is.... insurance is universal, peop,e are well taken care of the right people so nobody cares about msc or phd, they just want to know ur training and whether you are licensed to do some certain things... guess nigerians have their own style of legalising quackery

Sir quackery is simply when you are performing something beyond your training as defined the LAW in your setting
If a nurse or whatever gained additional training as defined by the law governing their place of abode then are not quacks
Probably on a few years you will call computers quacks for both performing diagnosis and minor surgery

DebateNigeria: Hey bro, good morning. How was your night.

Good how about you

naijaking1: You see what happens when "smart people" interpret American rules and regulations from Nigeria

oh you mean you live in the USA

naijaking1: I honestly thought that your first example with Methodist was a mistake, but then you proceeded to continue displaying your ignorance in a very dangerous way. Those people is your write are CEOs, not chief medical directors. In Nigerian, their equivalence would be the substantive secretary of the hospital like they used to have at UNTH. This secretary or CEO is usually a successful business manager with in depth knowledge of accounting, finances, and management etc, his job is to make a business success out of the hospital.
On the other hand, we're talking about CMD, definitely a well trained and well regarded physician whose own job is to make a successful medical practice out of the hospital.
Unfortunately, ignorant paramedical workers like you are fixated on the CMD's job, and somehow can't even understand the CEO's job

So in Nigeria a secretary is the equivalent of a CEO in other countries...the question is what is the secretary abroad equivalent to in Nigeria..,.,

And if you dont mind can you define to your understanding the term CEO and secretary separately.

Lastly yes am an illiterate paramedic dropped out of class 3....hope we can then move on with the conversation

ziga: You don't really understand the rules.

Healthcare over there is wholistic and cooperative.

A pharmacist will see a patient to discuss his medications, make sure he is taking them right and also to make sure there are no potential drug-drug interactions or errors.

A physician assistant has to work with a Doctor. Everything they do has to be supervised and countersigned by the MD. They see patients first so that healthcare can be cheaper and the Doctor only has to oversee and would only spend time on very sick patients who need a lot of care.

Nurse practitioners in certain situations are the only ones that can replicate the duties of a doctor in a very limited capacity. It is all about reducing cost. It is easier to employ 2 doctors and 1 nurse practitioner than 3 docs.

A lot of work goes into the training of a Nurse practitioner, and this system works only in a place where people know their limits and laws are enforced. Not in a place like Nigeria where a quack nurse is parading himself as a Doctor and killing poor Nigerians.

Nigerias health system just like most systems run by the FG is totally crap. PRIVATISATION!!!

Sir I beg to disagree, In california Pharm.Ds with advanced training can see patients not just drugs ( a new legislation )

Secondly, a doctor does not have to countersign a prescription written by a physician assistant. Some physician assistants own their clinic and a collaborative MD ( who are just there on paper).

No... Nurse practioners are not the only ones that can replicate doctors,. they do not replicate doctors but function within the limitations of their training just like doctors.

It will be nice if you can read up on each states specific laws.... they are not uniform.

Lastly, it does not matter the field a lot of work is required in training in any professional field, it is not limited to health care.

thanks

dumodust: ok, just one question. are you trained and licensed to be receiving questions about a patient's illness? what exactly were you trained to do? you claim drug, you claim patient oh boy, which one you dey
in the uk, your GP must first see and even decides whether you need specialist care.
do you know that if i havent seen a patient directly and examined, i cant even prescribe. how do you ask a pateint a few questions then safely decide? you guys think its easy ba? its high time nigerians started suing everybody, doctors inclusive, so that all the rubbish quackery in nigeria because of poor enforcement of regulations will stop.
even, sending prescriptions by sms etc to patients you have seen directly is wrong... patient-physician relationship is personal

That is UK, in some other climes, A nurse practioner, a Physician assistant or and advanced Pharm.D or Nurse can see you first before the MD... It is the choice of the patient not the doctor who the patient sees first...
Medicine is a product and like any product it is the patients to choose and not be forced into a choice they dont have to make.