₦airaland Forum

Exercise in futility

Mushroom candidate in a mushroom party!
Learn basic rules of propriety first before seeking to become our President

kevoh:
It's a PDP convention for crying out loud! What else he is supposed to address if not ''party matters''.

Real party matter is winning election, he ought to help sell the party to Nigerians

All these mushroom parties and mushroom candidates can't threaten BUHARI'S election that even age-long evil/devil party PDP couldn't

I thought he'll use this opportunity to apologise to us Nigerians and Nigeria for his cluelessness that has led the nation into serious situation, all he was talking about is the party.

Nigeria shall be great no matter what

Whether impeached or not, nemesis shall eventually catch up with perpetrators of evil and misgovernance

Nigeria is above anyone
May Nigeria become greater
May we all have a fulfilling life

Now it's glaringly obvious why she was maligning the current government.
First, she expected an appointment in Buhari's cabinet for partaking in BBOG campaign, when she wasn't considered, she went haywire.
Secondly, she has been attacking everything about this government
Thirdly, she has been trying to be in the news by all means including one-man protest gimmick
Finally, she has revealed her aim = The Presidency.

We patriotic Nigerians know what's best for us.

I'm just an Insightful Observer

This is a true patriot! Lover of the masses and progress of Nigeria and Nigerians.
Oh Lord! Thank you for blessing us with a man of outstanding qualities, President Muhammadu Buhari.

Nigeria shall be great God's willing

I knew it! The moment those ugly creatures with saggy breasts were protesting over the search of that pond, I knew that they're hiding something, they're trying to shield their blood-sucking and human eating brothers but God pass them.

No innocent blood shall be spilled in vain, law of retribution/karma is somewhere waiting for the perpetrators of evil.
I'm just an insightful observer

dierich:
are u a Doc? please I need to speak with u personally

I'm a Pharmacist Sir

THE PINK MONTH

By: Musa A. Bello

Walking down the walkway of Oncology department of Ahmadu Bello University Teaching Hospital, Shika-Zaria (ABUTH) is not quite an easy task, this is not only because of the nauseous stench that sometimes ooze from there, but the terrifying sight of some cancer patients one come across. That kind of sight that rejuvenate spirituality in you, one that reminds you of how blessed you are to be healthy and instantly make you give glory to the Almighty, albeit subconsciously.

Staying in oncology Pharmacy for hours everyday wasn’t disturbing to me, but interacting with the patients or their relatives was. Seeing not-so-financially buoyant people struggling to buy expensive drugs, some with faces shouting hopelessness and despair. I am usually moved to tears in some of such instances, just thinking of how a family that hardly have three square meals a day would have to purchase drugs worth thousands of Naira gives me goosebumps. Such pathetic situations are even made worse by the absence of guarantee in overcoming the dreaded monster -Cancer. In circumstances of complication per excellence -death, I usually find myself confused on whether to give the relatives congratulations or commiseration. But knowing that even people that die through euthanasia (mercy killing) don’t need to be congratulated. I take recourse to propriety and offer my commiseration.

I’ve never been so gripped by fear and stricken by anxiety than a day I saw the highest form of breast cancer complication, it was the day that I reaffirmed my commitment to sharing health information at every opportunity. Imagine looking at a woman and seeing through the ribs, her internal organs, the ribs eaten away by cancer to almost a level that you’ll argue on the existence of her ribs. That was what I saw, a lady suffering from breast cancer which had reached probably the highest stage it could. The problem with breast cancer and all cancers is the late detection.

October is designated Breast Cancer Month (The Pink Month).

What do you know about BREAST CANCER?
According to World Health Organisation (WHO) cancer profile for Nigeria, there are 30,400 males and 38,800 females’ deaths attributed to cancer with 34.2% of the females death being that of breast cancer.

Breast cancer is the type of cancer that develops from breast tissue; it is mostly common in women and it is one of the most studied diseases, largely because of its high mortality (second to lung cancer). However, it occurs in males also.

Breast cancer is the top cancer in women both in the developed and the developing world. The incidence of breast cancer is increasing in the developing world due to increase life expectancy, increase urbanization and adoption of western lifestyles. Although some risk reduction might be achieved with prevention, these strategies cannot eliminate the majority of breast cancers that develop in low- and middle-income countries where breast cancer is diagnosed in very late stages. Therefore, early detection in order to improve breast cancer outcome and survival remains the cornerstone of breast cancer control.

Breast cancer risk factors

Several risk factors for breast cancer have been well documented. However, for the majority of women presenting with breast cancer it is not possible to identify specific risk factors (IARC, 2008; Lacey et al., 2009).

A familial history of breast cancer increases the risk by a factor of two or three. Some mutations, particularly in BRCA1, BRCA2 and p53 result in a very high risk for breast cancer. However, these mutations are rare and account for a small portion of the total breast cancer burden.

Reproductive factors associated with prolonged exposure to endogenous estrogens, such as early menarche, late menopause, late age at first childbirth are among the most important risk factors for breast cancer. Exogenous hormones also exert a higher risk for breast cancer. Oral contraceptive and hormone replacement therapy users are at higher risk than non-users. Breastfeeding has a protective effect (IARC, 2008, Lacey et al., 2009).

The contribution of various modifiable risk factors, excluding reproductive factors, to the overall breast cancer burden has been calculated by Danaei et al. (Danaei et al., 2005). They conclude that 21% of all breast cancer deaths worldwide are attributable to alcohol use, overweight and obesity, and physical inactivity. This proportion was higher in high-income countries (27%), and the most important contributor was overweight and obesity. In low- and middle-income countries, the proportion of breast cancers attributable to these risk factors was 18%, and physical inactivity was the most important determinant (10%).

The differences in breast cancer incidence between developed and developing countries can partly be explained by dietary effects combined with later first childbirth, lower parity, and shorter breastfeeding (Peto, 2001). The increasing adoption of western life-style in low- and middle-income countries is an important determinant in the increase of breast cancer incidence in these countries.

Breast cancer control

WHO promotes breast cancer control within the context of comprehensive national cancer control programmes that are integrated to noncommunicable diseases and other related problems. Comprehensive cancer control involves prevention, early detection, diagnosis and treatment, rehabilitation and palliative care.

Raising general public awareness on the breast cancer problem and the mechanisms to control as well as advocating for appropriate policies and programmes are key strategies of population-based breast cancer control. Many low- and middle-income countries face now a double burden of breast and cervical cancer which represent top cancer killers in women over 30 years old. These countries need to implement combined strategies that address both public health problems in an effective and efficient way.

Prevention

Control of specific modifiable breast cancer risk factors as well as effective integrated prevention of non-communicable diseases which promotes healthy diet, physical activity and control of alcohol intake, overweight and obesity, could eventually have an impact in reducing the incidence of breast cancer in the long term.

Early detection

Although some risk reduction might be achieved with prevention, these strategies cannot eliminate the majority of breast cancers that develop in low- and middle-income countries. Therefore, early detection in order to improve breast cancer outcome and survival remains the cornerstone of breast cancer control (Anderson et al., 2008).

There are two early detection methods:

early diagnosis or awareness of early signs and symptoms in symptomatic populations in order to facilitate diagnosis and early treatment, and

screening that is the systematic application of a screening test in a presumably asymptomatic population. It aims to identify individuals with an abnormality suggestive of cancer.

A screening programme is a far more complex undertaking that an early diagnosis programme. (WHO, 2007).

Irrespective of the early detection method used, central to the success of population based early detection are careful planning and a well organized and sustainable programme that targets the right population group and ensures coordination, continuity and quality of actions across the whole continuum of care. Targeting the wrong age group, such as, younger women with low risk of breast cancer, could cause a lower number of breast cancers found per woman screened and therefore reduce its cost-effectiveness. In addition, targeting younger women would lead to more evaluation of benign tumours, which causes unnecessary overload of health care facilities due to the use of addition diagnostic resources (Yip et al., 2008).

Early diagnosis

Early diagnosis remains an important early detection strategy, particularly in low- and middle-income countries where the diseases is diagnosed in late stages and resources are very limited. There is some evidence that this strategy can produce “down staging” (increasing in proportion of breast cancers detected at an early stage) of the disease to stages that are more amenable to curative treatment (Yip et al., 2008).

Mammography screening

Mammography screening is the only screening method that has proven to be effective. Although there is evidence that organized population-based mammography screening programmes can reduce breast cancer mortality by around 20% in the screened group versus the unscreened group across all age groups, in general there appears to be a narrow balance of benefits compared with harms, particularly in younger and older women. There is uncertainty about the magnitude of the harms – particularly overdiagnosis and overtreatment. Mammography screening is very complex and resource intensive and no research of its effectiveness has been conducted in low resource settings.

Breast self examination (BSE)

There is no evidence on the effect of screening through breast self-examination (BSE). However, the practice of BSE has been seen to empower women, taking responsibility for their own health. Therefore, BSE is recommend for raising awareness among women at risk rather than as a screening method.

Clinical Breast Examination (CBE)

Research is underway to evaluate CBE as a low-cost approach to breast cancer screening that can work in less affluent countries. Promising preliminary results show that the age-standardized incidence rate for advanced-stage breast cancer is lower in the screened group compared to the unscreened group (Sankaranarayanan, 2011).

References

Anderson BO et al. (2008). Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the Breast Health Global Initiative Global Summit 2007. Cancer, 113, 2221–43.

Coleman MP et al. (2008). Cancer survival in five continents: a worldwide population-based study (CONCORD). Lancet Oncol, 9, 730–56.

Danaei G et al. (2005). Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors. Lancet, 366, 1784–93.

Sankaranarayanan R, Ramadas K, Thara S et al. (2011). Clinical breast examination: preliminary results from a randomized controlled trial in India. Journal of the National Cancer Institute, 103:1476-1480

IARC (2002). Breast cancer screening, IARC handbooks for cancer prevention, volume 7, Lyon, International Agency for Research on Cancer, IARCpress.

IARC (2008). World cancer report 2008. Lyon, International Agency for Research on Cancer.

Lacey JV Jr. et al. (2009). Breast cancer epidemiology according to recognized breast cancer risk factors in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial Cohort. BMC Cancer, 9, 84.

Peto J. (2001). Cancer epidemiology in the last century and the next decade. Nature, 411, 390–5.

Yip CH et al. (2008). Guideline implementation for breast healthcare in low- and middle-income countries: early detection resource allocation. Cancer, 113, 2244–56.

WHO (2007). Cancer control: knowledge into action: WHO guide for effective programmes: early detection.

WHO (2008). The global burden of disease: 2004 update.
http://insightfulobserver.com.ng/blog/2018/10/01/the-pink-month/

OPINION: TWO CONTRASTING BEHAVIOURS OF GODFATHERS
For the past two weeks, I have taken alot of interest in two contrasting godfather behaviours, the ones by Bola Tinubu and Rabiu Kwankwaso.

Not only that Tinubu has successfully repelled PDP’s assault on Lagos and the entire South-West, he has also succeeded in handpicking Fashola as governor. Eight years later, he singlehandedly handpicked Ambode against Fashola’s wishes. Dissatisfied with Ambode’s loyalty, Tinubu has today published Ambode’s political obituary and all is now set for Sanwo-Olu’s coronation tomorrow.

Kwankwaso on the other hand lost the battle for the control of the party to Ganduje, eventually leaving APC altogether. The recent decision to impose his inlaw as the Kano PDP candidate was met with rebellion from his own Kwankwasiyya family.

Why is Tinubu able to succeed where Kwankwaso and other godfathers failed, more so in a state as complex and cosmopolitan as Lagos?

I believe the answer lies in Tinubu’s method, more than any differences in the social, political and cultural contexts of Lagos and Kano.

Tinubu built a political structure, with well defined leadership, plan and resources to execute such plans. Political activities start at local levels where local party leaders are rewarded, engaged and consulted in every major decision. It is a perfect political orchestra that produces a symphony between the godfather, party leaders and activists at local levels, and political loyalists embedded within various arms of government.

That’s why in all of this, Tinubu didn’t speak until today. He left everyone guessing. He did his talking through the party leaders. It is they who first rejected Ambode, it is they who first endorsed Sanwo-Olu, and it is they who flooded the media space with their campaign of delegitimization against Ambode. What that means is Tinubu was able to build a consensus and put his political house in order before calling for a fight.

The amazing wisdom behind this strategy is that the godfather gives party leaders the feeling that they are the ones making the call when in reality they are merely puppets in a grand game of political chess. That’s an important lesson in politics. All that political and grassroots followers need is reward and accessibility. Reward in terms of opportunities for wealth and position; and accessibility in terms of consultation and being sensitive to their interests.

Contrast with Kwankwaso where the whole Kwankwasiyya movement is entirely about his person and nothing else, so personal that it was even named after him. Today, if you remove Kwankwaso, there’s nothing left of the Kwankwasiyya movement. There’s no individual that will hold the flock together in the absence of Kwankwaso.

That’s why in the build up to the decision to field a governoship candidate, he flirted with different options before finally settling on Abba. Instead of following Tinubu’s method by influencing local Kwankwasiyya leaders to champion that choice and build a Kwankwasiyya consensus from bottom up, he became the godfather, the fixer and the spokesman, and in the process, subjecting his authority to rebellion.

Last month, I wrote a political commentary on Kano’s 2019 outlook and many Kwankwasiyya songbirds denounced me with their ‘siyasan Kano Sai dan-Kano’ gibberish, wrongly claiming that only those from Kano are capable of understanding Kano’s political intricacies. Today many of my predictions have come to pass and some of those songbirds are now part of the rebellion against Kwankwaso.

Aspiring political godfathers have alot of learning to do on Tinubu’s method. The game may change, the players may also change, but the strategy remains the same. As Napoleon said, the world is divided into kings and pawns, emperors and fools. And that is not going to change.
Ahmed Musa Hussaini
http://insightfulobserver.com.ng/blog/2018/10/01/opinion-two-contrasting-behaviours-of-godfathers-ahmed-musa-hussaini/

It's Ahmadu Bello University, Zaria not Amadu Bello University, Zaria

Junk journalism

President Muhammadu Buhari is working.
Seriously Nigeria needs him for another term to ensure sustainability of development, progress and war against corruption.

May Buhari Succeed
May Nigeria become greater

Why? Cancers which are detected early are the most easily treated so it makes sense to check your self regularly. It will help you know what is normal for you and enable you detect changes.

When? Regularly; at least once a month. Ideally in the shower/bath when the muscle in the scrotum is relaxed.
How?
• Gently feel each testicle individually. You should feel a soft tube at the top and back of the testicle. This is the epididymis which carries and stores sperm. It may feel slightly tender. Don’t confuse it with an abnormal lump. You should be able to feel the firm, smooth tube of the spermatic cord which runs up from the epididymis.
• Feel the testicle itself. It should be smooth with no lumps or swellings. Ot is unusual to develop cancer in both testicles at the same time, so if you are wondering whether testicle is feeling normal or not you can compare it with the other.
•REMEMBER-if you do notice a change in size/weight or find any abnormal lumps or swellings in your testicle, make an appointment and have it checked as soon as possible.
•Note-most abnormalities are not cancer but collections of fluid, infection or cysts. More than a third of people with this kind of cancer consult their doctor after the cancer has metastasized, which make treatment more difficult. Often this is because of unfounded fears, or just hoping it will go away.

Dr. Abdulrasheed Yakubu
http://insightfulobserver.com.ng/blog/2018/09/22/testicular-self-examination-advice-for-patients-and-male-readers/

Delegates are the part and parcel of Nigerian democracy, they are saddled with the responsibility of choosing the final flag-bearers of political parties before any election, they are the agents of good governance, they are suppose to be elected directly by the card carrying members of their political parties but, they are unfortunately selected by some few political gladiators.

Dear delegates, your time has come again, you are the most needed members of the society now, politicians rely on you, they beam their torchlight on you, and all eyes are on you.

Dear delegates, this is a high time for you to know your importance towards ensuring good governance and strengthening democracy in Nigeria, you should not allow the self serving politicians to use and dumped you, you should not play with the future of our unborn children, the little amount that would be given to you will not last forever, and it will not take you the next four years. God, the Almighty, will not leave you unpunished if you choose the bad ones because of the little amount you collected, it is a duty upon you to choose the good ones so that our society will be developed, progressed, and do away with impunity.

Dear delegates, we are still suffering from your actions of choosing the bad ones in the previous elections, the meagre amount given to you has long been spent but the consequences and repercussions are still manifesting in different aspect of life.

Dear delegates, make these upcoming primary elections across the country to be a season of change, progress and development, this is because you know the good ones among the contestants, those that would free us from the bondage of slavery, those that would make the lives of our children meaningful, those that would be fair to everyone. The future of our country in the next four years rests on your shoulders.
Hasheem B. Ahmad
http://insightfulobserver.com.ng/blog/2018/09/26/open-letter-to-delegates/

This is what you get when Nairaland and Nigerians keep giving people like bobrisky unnecessary publicity

A futile journey.
Nigerians particularly Nassarawa people would never forgive this running mouth

25th September of every year is designated WORLD PHARMACISTS DAY. Pharmacists are found everywhere, from industries to community pharmacies and hospitals, yet not much is known about them even though their huge impact is being felt.

Who is a pharmacist? A pharmacist is an expert of drugs and medicines, he has knowledge on their production and usage. His main objective in every situation is to optimise therapy in order to improve a patient’s quality of life.

Pharmacists help eradicate drug therapy problems that may be actual or potential in a bid to optimise therapy thereby improving a patient’s quality of life.

Pharmacists ensure that the right medication reaches the right patient.

Pharmacists are amazing people, they’re kindhearted, friendly and nice which made them to have an inclination towards helping people with drug and health information needs. They offer valuable intervention that usually have tremendous impact on people’s well-being.

Are you experiencing adverse drug reaction after using a certain drug? ASK A PHARMACIST!

Are you confused on what to do after missing a dose of a certain drug? ASK A PHARMACIST!

Have you been using a certain drug without experiencing any positive response? ASK A PHARMACIST!

Are you in need of drug and health information? ASK A PHARMACIST!
https://insightfulobserver.com.ng/blog/2018/09/25/world-pharmacists-day-who-is-a-pharmacist/

Good rest is essential to the health and stability of both mind and body.

President Muhammadu Buhari is trying in fixing all the major roads across Nigeria still some accidents are due to negligence

Wow! President Muhammadu Buhari is really trying in job creation despite the challenges.
He is also passionate about seeing improvement in education, imagine he just gave ASUU billions to prevent them from going on strike.

Sai Baba 2019

Gh

No matter what, people's choice will be manifested because we have a man of integrity at the helm of affairs, he doesn't believe in meddling and tampering with people's will.

They're yet to see anything

Mtsw

Nigerians

Wonders shall never end but God's willing MALARIA shall end in the world soon
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Success always has a father

Wow! Africa shall be great, lets unite and fight our common enemy, MALARIA

Please click the link below to read, vote and share my essay on: READY TO BEAT MALARIA: CHALLENGES AND OPPORTUNITIES
I'm committed to seeing malaria being tackled worldwide
#MALARIA #malariaMENACE #pharmacist #endmalaria #competition #WHO �
https://www.miralpharm.com/essay/vote.php?usr=306571695-musa-a.-bello

It seems the minister is making sense