drLammy:


My sister'was shortlisted for Snepco award she received the mail today... Please what are likely questions and best way to prepare for the test
It's on the 17th
Thanks

congrats to her on this phase!

The questions are from maths and English. 30 questions from each subjects for duration of 50minutes. Best of luck!

ennydammy11:
Any 2018 awardee here?

how can I be of help?

Godhead4:


Please is this group still active?

Yeah. Are you a scholar?

Remembere reading about Ikot-epene in my primary school macmillian textbook. I used to have cold spine and had always anticipated to travel there some day.

Hmm
What a laden of heaviness! Thank God.

OP, if you marry me I don't need the tips.

Make I hustle ooo
thanks all the way....

Please, how does the lottery aspect work?

AprokoGirl:


https://www.google.com/amp/s/thenationonlineng.net/just-in-american-healing-evangelist-morris-cerullo-dies-at-88/amp/

Rest on sir on The LORD'S BOSSOM.
give us grace to LORD to live in You!

Interested Zero8zero 9303 seven23seven

lexdany:
1). learned more about forex and crypto currencies.

2). watched more than a hundred movies ( i'm a movie freak). i watch everything from series to single movies but i don't fo nigerian movies tho.

3). i was scammed online by some of those read news and get paid sites( i've learnt my lesson sha).

4). learnt video editing and text animation.

5). i also found some legit sites where i earn free bitcoin( one of the major achievement of the lockdown) free money
6). i also started some body building exercises (we need to look sexy yeah

Good evening bro
I need more light on No. 5
Will want us to chat please.
My what's app digit
Zero 80 ninety-three 03 seventy-two 37

Thanks as I anticipate

[quote author=skyfather09 post=91031160]man just dey cash out[/qukaote]

Please bro, what legal hustle do you engage in? I want to be affected to come in.

Zoorestasy

Rest in peace sir

Chimeluv:
I do surveys, PTC, type captchas ...

Good evening Sis.
I need your enlightenment on this and how to go about it.
Thanks in oceanic!

My email

matthewmoses5894@gmail.com

IdeasPro:

Online business is in my DNA. I've virtually used all legitimate online business opportunities to continue to make money online. Just name it, affiliate marketing, writing and selling ebooks online, domain name investing, building and selling websites, and now doing digital marketing training for students here in Nigeria and around the world.

Take away everything I have today, give me a laptop with an internet connection and in 24 hours I will make $100 per day online. That is the beauty of information and internet technologies.

Good evening sir.

I have been a fan of No authenticity to any online businesses. I will need more light from you so I can engage in legal online acts that pays.
Thank you sir as I look forward to your awaited response

sagna112:
My name is Uche a 100Level supposed medicine and surgery student of a Nigerian University, I used to be very brilliant and that was what instigated me to apply for Medicine and Surgery after acquiring an aggregate score of 270 in both JAMB and POST-UTME Examinations, I was then admitted a years ago into a university.

I am the only child of my parents, they have spent so much on me just to make sure I become a doctor, dad had to sell one of his plots of land to pay for my registration fees, purchase a brand new laptop, a phone and clothes for me and all my needs, Mum who has no job since she was sacked by the state government will always try to send the little that will pass through her, when I think of the way she announced to her friends when I gained admission to study Medicine it brings tears from my eyes.

It will be an injustice on me to be blamed or for me to blame myself, I know the effort I have also made, I have always taken my studies serious, I never missed any lecture, I neither miss assignments nor tests, I sit at the front of the class, I don't keep bad gangs, I have never attended a party, sometimes I do RTDB (Read Till Day Break), what is then my offense? why me?

At the end of my 100 level Second semester my CGP was reading 4.2 without a single carryover, I was very happy because I thought I had scaled through the danger zone.

The unexpected occurred when I logged into the school portal at the end of my Second Semester Examination to check my result, I cleared all the courses with A's and B's but a course was reading Carryover, I nearly fainted when I saw the result, it was a biology course I offered in second semester to me the course was the simplest of all. I did not inform my parents because I din not want to dishearten them.

The school resumed, so I went to my HOD and complained, she took me to the Exam office who searched thoroughly for my script and from what I saw it was obvious I failed, I scored 32% and was asked to change department, my HOD advised that I go to Biological Sciences, my eyes were filled with tears.

How do I tell my parents this, it only mean I have brought shame to them. I have remained in school since then crying from one angle to another I don't know whether to go home to my parents to inform them of the truth or keep telling them lies.

I need your sincere advice.

Dear poster, it is never a new thing to get rest, repeat or withdrawn in medical school. I must pour out, it is not easy knowing that you put in your best.


My advice
1. Tell your parents of the ongoing.
2.Take up the biological science
3. While doing 2. seat for UTME
4. Explore 2 well and come out with 1/1
5. MBBS is not do or die. You can still fly without it.

Note: Pray. Very important.

Time will heal you. You're making it in JESUS' Name!

Xclusiveme:
How is that possible

It is but rare. A medical condition known as heteropaternal superfecundation

Heteropaternal superfecundation

Did MAN,Oron. I advised you choose Nigeria maritime university. Prepare for regimentation.
Or better still go to a conventional university and come out with something great. Success in all!
From experience.

Jesu!

Atleast after the pueperium, I.e, about six weeks after labour. Every physiological changes would have return to normal.

Well well well .
We tend to do exploit outside our shore, but here on our soil, we are exploited that we become soil.

When is it's closure?

Drmohammedjibrin:
yes I've done the screening already,pls any idea on the scholarship aspect?thanks

Is it scholarship from oil company?

Wait until when you are in school, keep yourself updated for any which you are qualified for.

Drmohammedjibrin:
Good afternoon seniors,i'm an aspirant at unimaid going for mbbs with jamb score of 275 from nigerstate,pls am i good to go and pls this scholarship exams,are we to answer questions on biology,english,physics,and chemistry just like jamb subject combination?........thanks

You're good to go.

Hope you've registered for the screening.

Submit all in prayer to GOD.

Obinoscopy:
PEDIATRIC PHARMACOLOGY

Children takes drugs thus we need to take special consideration of how the drug works in their body. The way drug works in kids is different from the way it works in an adult. This is because as the organs and systems within the child develops (ontogeny), the pharmacokinetics and pharmacodynamics of drugs changes.



When a child is born until he gets to 1 month he/she is called a neonate. Then from 1 month to 24 months (2 years) he/she is called an infant. From 2 years till 12 years he is called a child. Adolescents are those from 12 years till 18 years. I personally don't see Adolescents as Children but I see them as young adults. Thus my focus will be mostly on those less than 12 years (neonates, infants and children).

Like I said earlier, the organs and systems of a child undergoes different developmental changes from birth till maturity. This changes affect drug disposition when consumed by the child. The most dramatic changes occur in the first 18 months of life. Organs such as the liver and the kidney which play a very critical role in drug metabolism are not fully functional at birth. Also the activities of enzymes such as CYP450 and UGT isoforms is not at maximum. Thus we need to be careful when administering drugs affected by the liver or kidney or the enzymes (CYP & UGT) such as erthromycin, saquinavir, ritonavir, codeine, carbamazepine, etc. to children. A typical example of a pharmacokinetic consideration due to altered renal drug clearance in newborns and infants is in the adminstration of gentamicin. Gentamicin is given every 18-24 hours in neonates and every 6 hours in young children. This is as opposed to how its given to adolescents and young adults (given 8 hourly).

Another factor that contributes to the different drug disposition in kids is the poorly developed Blood Brain Barrier (BBB). Some drugs are crosses the BBB very easily while others don't. Thus this must be taken into consideration when treating a child.

It is also worthy of note that the volume of distribution (Vd) is increased in Infants of 6 months or less. This needs to be taken into account when administering drugs to kids.

The GIT of children is different from those of an adult. For example, gastric pH changes during ontogeny (stomach pH is higher than the adult value due to the immaturity of parietal cells). This is the reason why peroral bioavailability of acid-labile drugs such as penicillin, ampicillin is increased and peroral bioavailability of weak organic acids such as phenobarbital, phenytoin is reduced in kids. Also gastric emptying time is prolonged throughout infancy and childhood due to reduced motility. This delayed emptying time can affect the absorption of drugs with limited water solubility (phenytoin, carbamezepine). Neonates and young infants have problem absorbing fat-soluble vitamins because they don't have adequate bile acids.

ADVERSE DRUG REACTION IN CHILDREN
Drugs can cause adverse reactions when taken by adults and children. This is especially so in children as they don't fully have the body mechanism to deal with these drugs the way adult does. A child is susceptible to ADR indirectly in the womb or during lactation (due to maternal drug exposure) or directly when given a medication.

An example of ADR from maternal drug exposure is the neonatal abstinence syndrome due opioids. Example of ADRs that occur in children are Reyes Syndrome (caused by Aspirin), Serum Sickness (caused by cefaclor), cutaneous toxicity (caused by lamotrigine), hepatotoxicity (caused by valproic acid or paracetamol), cartilage and tendon toxicity (caused by fluoroquinolones).

DRUG USE DURING LACTATION
As I said earlier, a child can indirectly be exposed to a drug during lactation. Fortunately, the concentration of drug achieved in the breast is usually low for most drugs. For these drugs, it is advised that the mother continues breast feeding the child as the benefit of breast feeding outweights the risk. This is because it is known that formula feeding is associated with higher infant morbidity and mortality. For example, in developing countries, HIV mothers who are taking anti-retrovirals should still breast feed their children. This is because the risk of exposing the child to the HIV virus and to the HIV drugs is low compared to the risk of the child dying from not being breast fed.

However there are some drugs that are not to be taken during lactation because they are present in large toxic concentration in the breast milk. These drugs are amiodarone (can affect the child's thyroid function), chloral hydrate (cause drowsiness in the child), chloramphenicol (bone marrow suppression), heroin/methadone (neonatal narcotic dependence), radio active iodine (thyroid suppression), tetracycline (teeth staining), atenolol, niroprusside, clonidine, guanfacine (hypotension), etc.

The following drugs have minimal effect during lactation and thus can be taken by the nurisng mother. They include: penicillins, isoniazid (must be taken with pyridoxine supplement), acyclovir, aspirin, paracetamol, ibuprofen, antacids, albendazole, caffeine, warfarin, oral contraceptives, propranolol, metoprolol, labetalol, enalapril, captopril, methyldopa, nifedipine, amlodipine, cholorothiazide, spironolactone, hydralazine, digoxin chlorpromazine, etc. It is advisable to take the drugs 30 - 60 minutes after breast feeding and 3 - 4 hours before the next feeding.

It is worthy of note that even the drugs that present in large toxic concentration in breast milk can be taken by the lactating mother if prescribed by the doctor. This is especially if the drug is taken for a very short period of time and the mother and baby are properly monitored. Also the drug clonidine has been used off-label as a single post partum dose as a neuraxial analgesia.

Antibiotics such as penicillins, cephalosporins, macrolides and metronidazole are mostly safe. Tetracyclins and flouroquinolones are not safe and should be taken only if benefit outweighs risk and if taken for a short period of time under prescription and proper monitoring of the physician.

Antimalarials such as artesunate, artemether, lumefantrine, quinine, chloroquine are safe to be taken by lactating mothers. They can be taken for prophylaxis or treatment. Also the child being breastfed should be given antimalarials if he has the signs/symptoms. However care should be taking when giving these antimalarials to lactating mothers who's breastfeeding children weighs less than 5kg.

POSOLOGY
People make the mistake of viewing children as little adults. They make adjustments to the dose for a child based on his age (Young's Rule) or weight (Clark's Rule). This is wrong as it may lead to under- or over-dosage. A more reliable way of calculating drug dosage for a child is based on his/her surface area. Aside the surface area, it is important to know the differences in the child's metabolic system compared to an adult as this will enable the doctor and/or the pharmacist to determine the accurate dosage for the child.

Reference
Briggs , Freeman RK, Yaffe SJ: Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk, 10th ed. Wolters Kluwer/Lippincott Williams & Wilkins, 2015.
de Wildt SN et al: Ontogeny of midazolam glucuronidation in preterm infants. Eur J Clin Pharmacol 2010;66:165.
Katzung BG, et al. Basic and Clinical pharmacology, 12 edn. McGraw-Hill, 2012.
Kliegman R, et al. Nelson textbook of pediatrics (Edition 20.). Phialdelphia, PA: Elsevier, 2016.
Koren G. Medication Safety during Pregnancy and Breastfeeding; A Clinician’s Guide, 4th ed. McGraw-Hill, 2006.

---

So guys this is my piece on pediatric pharmacology. I might do a little writeup on diabetes and hypertension in children as an offshoot of this piece. But that will be at a latter date. Please feel free to let me know if I made any mistake in my writeup as I am not perfect and am amenable to learning. Thanks.

More energy and wisdom to you bro.


Thanks.

Eternal rest sister.
May GOD'S judgement befall those perpetrators!

redeyes2016:
Now, concerning the upload of docs, I believe it is the only way of screening and shortlisting candidates, otherwise how else would they do it. Please try to contact them as regards the upload for clarification..

BTW, there is no way the link most of us used for registering was an old one. Because it was updated around June, as at the month of May, the link was totally nonfunctional.

Please anyone with GMAT soft copy or seplat Pq should share.. Let's help one another please.

Plz when you contact them concerning it, let us know
Thanks

I am interested.

New Clinical 1 student

It is a pleasure being here

vicmed1:


Congrats Cheif.
Which school?

Thanks

University of Maiduguri .

drdrei09:
Congrats bro

Thanks bro