Tag: health

  • Dealing with major depressive disorder:  Electric shock therapy

    Dealing with major depressive disorder: Electric shock therapy

    Electroconvulsive therapy (ECT) is a procedure in that uses electric currents to shock and arbitrarily reprogram the brain activities. The electric impulse is passed through two electrodes, usually one on each temple of the head. The current passing through the brain produces a brief seizure (convulsion). This process rapidly changes the brain chemistry and therefore changes the related state of depression or other mental illness. Before the ECT, the patient is given a muscle relaxant drug and a general anesthetic drug to remove consciousness and reaction. Electrodes are placed on the scalp and a finely regulated electric current is applied. During the brain seizure very little body movement may be seen because of drug-induced muscle relaxation. A few minutes after the shock, the patient wakes up confused and lacking memory of the surrounding and events but regains awareness after some time. The patient may experience nausea, vomiting, headache, jaw pain, muscle ache or muscle spasms which can be treated with medications. ECT is given up to three times a week for two to four weeks.

    ECT is the last resort or the emergency resort when psychotherapy and drugs are not helpful. It is used for severely depressed patients: 1) who are suicidal or psychotic (detached from reality),2) who present with catatonic depression (e.g. not speaking, irresponsive, and especially if refusing to eat and drink), 3)who pose a severe threat to themselves or others, or 4) who do not respond to other treatments.

    ECT should never be used as a quick fix. Patients (especially elderly) who undergo ECT risk developing sustained side effects of memory loss and impairment ofsubsequent memory function and confusion. These may subside after a few weeks or may be irreversible.People with heart problems can have serious complications from ECT and the anesthesia because the heart rate and blood pressure increased during treatment. ECT is a clinical procedure that is done by trained professionals in a clinical setting.

    Transcranial Magnetic Stimulation (TMS) uses an electromagnetic coil to deliver impulses to the brain through the forehead.The device is held to the forehead and the current is delivered to the part of the brain called the prefrontal cortex. This region is involved with mood. Unlike for ECT, for TMS there is no need for anesthesia but TMS is also delivered in a clinical setting.

    Unlike ECT and TMS, the portable Fisher Wallace Stimulator®is an electrotherapy stimulation device that is used outside the hospital. The manufacturers indicate that “The Fisher Wallace Stimulator® works by using gentle electrical stimulation to activate the brain’s production of serotonin, beta-endorphin and other neurotransmitters needed for healthy sleep and mood”. The electricity is derived from 2 AA batteries and is mild. The current is delivered via sponge electrodes placed underneath a simple headband. Patients may use the Fisher Wallace Stimulator® at home dailyfor twenty minutes in the morning and before bedtime.This stimulator is being used for the treatment of depression, anxiety, insomnia and pain. It is cheaper and more convenient than ECT and TMS. Still, psychotherapy is the general first choice treatment for depression and this electric stimulator is a last resort.

    A vagus nerve stimulator (VNS) device is being tried by adult patients with long-term or recurrent major depression that is not responding to drugs. It is a tiny device that is implanted under the skin of the collarbone and reaches thevagus nerve in the neck. It emits electrical pulses that are transmitted to the brain.

    You should never deliberately try to use electricity on anyone. The devices described here are used only clinically and have well regulated electrical current levels that are patented and licensed.

    Dr. ’Bola John is a biomedical scientist based in Nigeria and in the USA. For any comments or questions on this column, please Email bolajohnwritings@yahoo.com or call 07028338910

     

  • ‘Rheumatoid arthritis can be managed’

    Rheumatoid arthritis is a debilitating disease that damages the body’s connective tissues, especially the synovial joints. Commonly referred to as RA, it is a major cause of disability in old people. RA is one of many autoimmune diseases caused by the immune system attacking the body’s own tissues. RA affects women three times more than men. To understand the condition, you must know the symptoms, causes and treatments for rheumatoid arthritis.

    Causes: The cause of RA remains unknown, but the most common theory is that the immune system suddenly malfunctions, turning on itself and attacking the body’s own tissues. Rheumatoid arthritis also tends to run in families, meaning one’s risk of developing RA increases if a close relative has the disease or another autoimmune condition. In fact, some researchers believe that genes associated with the immune system may trigger RA.

    Environmental factors may also play a role in the development of rheumatoid arthritis. One other popular theory is that there is a connection between infectious microorganisms, such as bacteria and viruses, and the development of RA. Because 70 per cent of people with RA are women, scientists are concerned that female hormones may contribute to the development of autoimmune diseases like RA.

    Symptoms: Rheumatoid arthritis is the most common form of inflammatory arthritis today. The disease affects the small joints of the body, including the wrists, fingers, elbows, shoulders and feet more. Your joints may ache and feel warm to touch due to chronic inflammation. It also causes fatigue that cannot be relieved by rest, which is often the first sign of rheumatoid arthritis.

    As inflammation is systemic, you may also have fever, loss of appetite and blood disorders. In addition, the chronic inflammation caused by RA is often damaging to the joints and connective tissues, resulting in joint deformities, decreased range of motion and disability. Some people with RA also have nodules on the joints that develop as a result of chronic inflammation. In some severe cases, rheumatoid arthritis may attack the heart, lungs and kidneys.

    Treatments: At one time, physicians used a “wait and see” approach to treat rheumatoid arthritis, but we now know that treating the disease early on is essential for preventing joint damage and disability. Nonsteroidal anti-inflammatory medications are commonly used as a first-line treatment for RA and help reduce pain, swelling and inflammation. Because the immune system is involved in the symptoms of RA, phyto-therapy medications that suppress the immune system are very effective at slowing down the disease and reducing chronic inflammation. I have some preparations that I use in treating the condition. They are not available in the market because they are clients based/prepared.

    Complications: The most common complication of rheumatoid arthritis is damage to the joints and surrounding tissues. With treatment, this damage can be controlled in most cases. RA also increases your risk for heart attack and stroke due to hardening of the arteries. Rheumatoid arthritis can also cause inflammation of the sac that encloses your heart. In addition, people with RA sometimes experience shortness of breath due to inflammation and scarring of lung tissue. Because RA causes swelling and inflammation in the joints, the nerves and surrounding tissues can also be affected. However, complications can be minimized with early diagnosis and treatment. If you suspect that you or a loved one has RA, talk to your practitioner who specialises in joint disorders.

     

  • Lordosis, head, leg and hand, neck, back and waist pain… and The Law of Balance (2)

    •Many people have a bad physical posture and, so, do not sit, stand or walk straight, and that may be the reason they suffer from many aches and pains and degenerative diseases.

    “With your back against a wall, stand with your head, heels, shoulders and the calves of your legs are touching the walls, hands hanging by your sides. Flatten the hollow of your back by pressing the buttock down against the wall. There should be hardly any space between the wall and the small of your back. If the gap is more than the thickness of your hand as you place it between your back and the wall, you have bad posture…”

     

    OTHER than pains in many parts of the body, especially in the lower back and waist, what are the early warnings signals that muscle and skeletal imbalances have set in, and that hyperlordosis may be on the way? One elderly man telephoned me last week, after reading the first part of this series, to say he was experiencing severe back pain which his doctor deduced from a scan report to be caused by “loss of lordosis” brought on by muscle spasms. A muscle spasm is like a “muscle pull” or cramps. It occurs in the breathing problems of asthma. It is a reason a lab attendant may find it difficult, if not impossible, to pull blood from a trembling or tremulous vein. Vomiting and diarrhea, like palpitation of the heart and urine leakage, often, if not always, have roots in muscle spasms. While magnesium supplements often relieve muscle spasms, the roles of such other factors as toxin irritation, oxygen deficiency and microbial disturbances cannot be overlooked.

    Last week, I mentioned bad posture as one of the major causes of muscle misalignment, imbalances and pain. In his FIT FOR ANYTHING, the book I said helped me address neck pain in the 1990s, about 20 years after I experienced it. Kekir Sidhwa, N.D., D.O., says: “All movements in our body are accomplished by muscles. The latter have two functions Contraction and relaxation.

    Contraction is of two kinds… Phasic and tonic. The former is often voluntary, and is usually of brief duration, and it results in motion in movable parts; the latter is normally a sustained contraction, is reflex in nature and usually causes no motion. The term ‘muscle tone’ refers to this reflex contraction and its function of maintaining position or posture. It implies a muscle in readiness fraction. Good muscle tone, with correct habits of sitting, walking, standing etc, is necessary to maintain normal posture and efficient working of the parts involved. Faulty habits like stooping can lead to round shoulders, in spite of good muscle tone, if the opposing set of muscles is not kept in good condition by exercises.

    If no exercise is taken for some time muscles quickly lose, tone and quality and become soft and flabby. A similar degeneration takes place throughout the body. Even, again and tissue of the body is involved in both the effort and the result when exercise is performed.

    Posture

    Apart from the self-test check for good posture which Dr. Sidhwa suggested at the beginning of this column, he offers more as will soon be shown. Following his thoughts, I, too, sometimes observed the gait of people as they walk. I find that some people walk with their arms swinging outwards from their side, with the result that they may throw them at you if you are too close by. Some people swing one arm father than the other; some clench their fists while some do not. Dr. Sidhwa says tense muscles and imbalance can be detected “by observing how a person walks”

    He asks: “Are you pigeon –holed? Do your legs or toes thrust outwards at each step? Do you limp? Do your hips swing back and forth with each step? When you stand erect, are your shoulders even? Is one shoulder higher than the other.? Are you knock-kneed or bow-legged? Have someone obscene you as you stand erect and with your back to him. Is your back straight or is there a curve to one side or the other? Are your buttocks in level? Are the two buttocks symmetrical? Is one hip higher than the other? (Now bend over and try to touch your toes. If you have muscle imbalance, you will not be able to. Many will not even get their fingers much lower than their knees if they are really stiff”

    Dr. Arthur Mitchele’s book, ILLIOPSOAS, should be of interest to people who have problems with their backs, hips and pelvic regions. Dr. Sidhwa cites Dr Mitchele’s work in his own book, FIT FOR ANYTHING. At that time Dr. Mitchele was professor of orthopaedic surgery at New York Medical College. Dr. Mitchele says in ILIOPSOAS that this muscle is involved in the functioning of muscles in the back, hips and the pelvis. Dr. Sidhwa says this muscle goes from the back through the abdomen and over the brim of the pelvis. In the inner part of the upper thigh.

    Dr. Mitchele says many problems can become co-passengers in a train if the illiopsoas muscle becomes short. Dr. Sidhwa, reviewing ILIOPSOAS, lists these possible problems as follows. In his words, these include….

    • Tripping or stumbling in children

    • Tilting of the pelvis to one side

    • Distortion of the hip in newborn infants, often called congenital dislocation of the hip

    • Hip pain and limping, ospeually in young boys

    • Pain in the spine, leg, knees, and feet in children often called “growing pains”

    • Pain in the chest

    • Weakening and subsequent fracture of the thigh bone in older persons, often mistakenly blamed on a fall.

    • Fractures or muscle rupture occurring in army recruits, skiers, and basketball players

    • Arthrosis of the knees

    • Arthrosis of the hip

    • Circulation problems

    • Poor circulation of internal organs

    • Fracture of the spine or degenerative disorders of the spine

    • Pain, tenderness or stiffness of the spine

    • Herniated (invertebra) disc

    It is in this light, and many more, that Dr. Sidhwa, an exercises man, addresses kyphosis (hunchback), Lordosis (excessive curvature of the lower spine) and flat feet (suffered in particular by overweight people)

    Dr. Sidhwa says muscle imbalances worsen health conditions such as asthma, and offers many exercises which strengthen and tone tired muscles with a view to normalising their functioning and overcome the ailments caused by their loss of tone.

    Lordosis

    This condition is better understood with background knowledge of the spinal column, its structure and functions. It comprises 26 bones all the way from its starting point from below the medulla oblongata portion of the brain at the base of the skull to the base of the pelvis. This structure houses a tubular bundle of nerves and cells which is a continuation of the brain and which, together with the brain, form the Central Nervous System (CNS). Each of the 26 bones is cushioned by an hydraulic disc which absorbs, like shock absorbers of a motor vehicle, the pressure on the spinal column of running, jumping, standing, or falling. From near the base of each of the 26 vertebrate bones, nerves jot out like telephone wires to different parts of the body. The spinal column is divided into several sections i.e cervical (neck) thoracic (chest), lumbar (lower back) and Sacral. Each bone has a first name and a surname written together. For example, there are seven cervical (neck), bones named C1, C2, C3 etc. Each bone has passages for nerves branching from the spinal cord to various parts of the body, such as the eyes, for example. If a bone misaligns or a disc herniated and disturbs a nerve, nerve flow to an organ, say to the eye, is impaired and causes weakness or degeneration. This suggests that anyone who suffers from a chronic ailment needs to have the relevant bones checked by his doctor or by an osteopath.

    Spinal Curves

    Apart from housing the spinal cord, the spinal column transfers the weight of the head and the neck to the pelvic bones. Through a flexible and gentle transmission helped by such curves as are found in the neck and lower back, the spinal cord takes the pressure of the body’s mass to the pelvic girdle which distributes it to the leg bones for the heels and the toes to earth it. Poor diet, bad lifestyle, lack of exercise, diseases and poor posture, among other factors, help to destabilise this structure as shown in the diagrams, by exaggerating the curves. Exaggerated spinal curves cause muscle imbalances throughout the body, with disturbances in the natural systemic chemistry and flow of some other factors which include:

    • Sitting for too long

    • Excess belly fat

    • Sleeping on soft mattresses

    • Protruding abdomen

    • Osteoporosis

    • Ankylosing spondilitis

    • Tuberculosis

    Sitting for too long makes the hip flexor muscles contract and drag the pelvis forward. Excess belly fat does the same. The situation is worsened by weak abdominal muscles. The natural solution is to get rid of excess belly fat by improving fat digestion and burning, and enhancing waste evacuation. It is important to support the diet with liver herbs, digestive enzymes systemic enzymes and fiber. I enjoy walking around for a while after sitting for a while. This also obeys The Law of Balance in everything.

    Soft mattresses offer no resistance to the weight of the body. They sink in, and the body’s shape fills the cavity they create. That means the nerves and muscles which fit the body into this cavity are working on, generating wastes and pulling the counter pole muscles along. That’s why many people wake up from a long night sleep without feeling refreshed… their nerves and muscles did not relax but worked all through the night sleep! Hard bed surfaces and orthopedic mattresses are better. About 15 years ago, I paid Vono Ngeria ltd in Lagos an extra cost to make me orthopedic mattresses that were 25 Percent harder than their standard orthopedics. So, today, anywhere I am, however bullied I may have been by the hurly burly life in Lagos mega city, I am happy to return home, and fling my body into a good, relaxing bed.

    Osteoporosis is all about calcium getting out of the spine and leaving it weak and more malleable. If the diet forms too much acid, this may occur through natural calcium leaching from the bones to neutralise the acids and save the blood. Ankylosing spondylosis is better understood with the picture of a burning candle in mind. Soft wax forms on the side of the candle as it burns. Similarly, calcium may deposit on the sides of the spinal bones if it cannot be deposited into these bones. Soon, the wrongly deposited calcium hardens joining or calcificaties bones and disc, making the spine inflexible that is rigid and unbendable. If the nerve roots are involved, pain occurs and nerve flow to organs may result which may cause a weakening of these organs. And as weakened organs cannot ably protect themselves against germs or other disturbing factor, disease may arise. Tuberculosis of the spine is common. But many people are familiar with tuberculosis of the lungs.

    Helping the spine

    The first step in getting a sick spine back into shape and

    health involves adoption of the right posture and exercises. I do not hesitate to recommend Dr. Kekir Sidwas FIT FOR ANYTHING for anyone who can take the trouble to find this 1964 book (ISBN 7225-O-7225-0244-3). It is a rich store of exercises for any imaginable muscle imbalance disturbance. It is a reminder of the need to obey The Law of Balance.

    When it comes to useful plant or natural medicines, we can trust Mother Nature for an inexhaustible treasure trove. We only need to know what we want what for.

    In hyperlodosis, we wish to stop pain, make the spine more flexible so we can resume our locomotion with more ease. We cannot touch on everything possible. But here are a few indicators.

    • Amazon CNS Support, which, unfortunately, is becoming scarce in Nigeria, eases pain in the Central Nervous System (CNS)

    • Biochemic cell salts

    Disc recovery is a proprietary beacon of hope for any-one with spinal column disease or deformity attributable to not only disc degeneration but ligament, tendon, muscle and surrounding tissues as well. It is a proprietary blend of 14 spinal column nutrients designed for the support and repair of spinal discs and the surrounding connective tissue. Among these nutrients are cartilage, apple pectin, equisetum, arvense (horsetail, one of the richest plant sources of silica, which aids calcium deposition in the bones, hardens them and promotes connective tissue health, Vitamin D3, Vitamins C, B6, Manganese etc.

    Amino acids food supplement are important. There are about 600 muscles in the body. The spinal column is held together by muscles which are connected to the spinal bones in a matrix of ligaments and tendons. Exercise and work cause soreness, injury, tear, inflammation, disc hernia, bone fracture and allied problems. High quality proteins in the form of amino acids are required for repairs and cell regeneration. Animals flesh and milk and plants are sources of proteins. These days, animal flesh is “bad mouthed”. Animal milk provides case in which prevent muscle breakdown but it is difficult to digest. Whey protein, on the other hand, is easier to digest and absorb, and it helps to build muscles. These days, the trend is to supplement the diet with broad-spectrum, free form amino acids. They come in softgel or liquid and contain all amino acids, including the nine essential amino acids, so called because the body cannot make them and must obtain them in the diet.

    Unfortunately, not all plant foods have the broad spectrum. Not even all the good, old beans. Soy bean is the only exception. Increasingly, there is a tend among orthopedicts and other doctors to use Branched Chain Amino Acids BCAAs, especially for post-surgical regeneration of tissue BCAAs are said to comprise about one third of skeletal muscle, and are made up of leucine, oleucine and valine.

     

    GLUCOSAMIN AND CHONDROITIN

    Many arthritis sufferers are familiar with these bone joint nutrients. Glucosamine supports the production of synovial fluid which lubricates the joint capsule to prevent cartilage at the hands of bones grinding and wearing, causing inflammation, pain and immobility. Chondroitin supports the regeneration of cartilage after wear and fear. Calls of cartilage are called chondrocyles, and require chondroitin to activate them.

     

    ANTIOXIDANTS are crucial for healing process in the spinal column, as they are elsewhere in the body. The muscles use oxygen to burn glucose or glucogen to produce energy. The process generates highly reactive molecules called free radicals. The body produces three basic or primary antioxidant enzyme complexes to quench free radical fires. Glutathione, Peroxidases Super Oxide Dismutase (SOD) and Catalase.

     

    Antioxidant food supplements help, too. Among these are Vitamin A, Betacarotene, Vitamin C, Vitamin E, Zinc, Selenium and Zinc feature prominently in the body’s production of two of the three primary antioxidants.

     

    NERVE TONICS cannot be ignored. If the nerves were stretched out, they would measure hundreds of kilometers. They serve as high speed communication cables between the brain and the body. They are pinched when a disc ships or a spinal bore misaligns or when a muscle compress them. In any scenario, their “cry of pain” is the pain we experience. Often, they may be worn out or damaged and require to regeneration. Their rescue come nutrients such as Vitamin E, Vitamin B6, Vitamin B12 and a host of nervine herbs. Vitamin B12 deficiency may manifest not only as a form of anaema, but also as numbness and tingling pains in the hands and legs, difficultly with walking, memory loss and dementia among others. Vitamin B1 deficiency is linked to nerve damage among people whose staple diet is polished rice. Some food factors have been found to have regeneration effects on nerves. Some of them are curcuimin, Lion’s mane, Apigenin, Gunseng, Hiperzine, Theanine (an amino acid), Ashueanghandha (an aphrodisiac),

    FATS, too, play an important role in spinal column health. in this regard, it is helpful if the ratio of Omega 6 oils to Orange 3 oils, at present estimated at between 20-25:1 is improved to between 5-10:1. Like curcumin, Omega 3 essential fatty acids are inflammation fighters. Nerves are easily inflamed and damaged.

     

    Over all else, we cannot dispense with good physical posture if we want our spinal column to be healthy. Dr. Sidhwa’s FIT FOR ANYTHING offers solutions in physical exercises to the myriad of posture problems which confront us today.

     

    Many thanks, DURO IROJAH, wherever you are, for this wonderful book.

     

  • Fighting global health challenges

    The Centre for Women, Gender and Development Studies (CWGDS) in collaboration with the Institute of Environmental Health Technology (IEHT), Federal University of Technology, Owerri (FUTO), has held a conference on the management of global health. SANI MOHAMMED (500-Level Environmental Health Technology) reports.

    Global health is said to be the well-being of a people in a global context and it transcends the perspectives of individual nations. It is the worldwide improvement of health, reduction of disparities and protection against global diseases that disregard nations’ borders.

    Exposure to transnational threat such as climate change, poverty, violence and others and a feeling of shared responsibility among affected nations has, today, necessitated a more global approach to improving the health of the world.

    Based on this reality, the Centre for Women, Gender and Development Studies (CWGDS), a unit in the office of the Vice-Chancellor, Federal University of Technology, Owerri (FUTO), in collaboration with the Institute of Environmental Health Technology (IEHT), organised a conference on the management of global health.

    Its theme was Global health: Issues, challenges and management.

    In his address, the Vice-Chancellor, Prof Chigozie Asiabaka, said the university had a mandate to research into health-related issues and health technology to produce professionals and specialists in the area. He said IEHT would also provide relevant information and awareness on health and environmental issues and proffer implementable solutions for the benefit of mankind.

    The Acting Director of the centre, Dr Ihuoma Asiabaka, who is the wife of the VC, noted: “Global health problems are as a result of economic, social, environmental, political and health care inequalities and thus require solution from interdisciplinary teams in such areas as health, education, social sciences, science and technology.”

    She listed global health challenges to include HIV/AIDS, malaria, emergency and refugee health, non-communicable diseases and fatal injuries among other.

    She observed that there was need for collaborative national and trans-national efforts using evidence-based policy research to improve health equity without relenting in promotion of strategies to develop parameters of good health.

    Presenting a paper on theme, Prof Linus Amobi of Community Medicine Department, Nnamdi Azikiwe University Teaching Hospital, Nnewi, noted that global health had become a developing field in the last two decades.

    Recognition of the global HIV/AIDS crisis and rapid spread of epidemics such as Severe Acute Respiratory Syndrome (SARS), anthrax, Ebola virus and swine flu, he said, have reinforced the challenges collectively facing nations of the world.

    He said: “For instance, health care systems are still neither available nor accessible in Nigeria; infrastructural decay has threatened the available health care systems, while non-communicable diseases such as cardiovascular diseases, cancer, diabetes and chronic lung diseases still threaten to Nigerians at the ages of 30 and above. Hundreds of children under the age of five die yearly of malnutrition, diarrhoea, measles and respiratory diseases, which are mostly preventable.”

    The biggest challenge in global health, said Prof Amobi, is the lack of financial resources to combat the multiple health issues ravaging the poor and sick. He said more funds were needed to prevent and cure diseases than ever before.

    “For the world to begin to address health issues, three principles of action should be considered. Conditions of daily life have to be improved; inequitable distribution of power, money and other resources has to be tackled and a workforce that is trained in social determinants of health has to be developed, and a public awareness has to be raised about the social determinants of health,” Prof Amobi said.

    Other lecturers delivered papers including Dr I. E. Anigbogu of the Faculty of Law, Madonna University, Okija, who spoke on Sex, sexuality and gender imbalance.

    The conference was well-attended by lecturers and students across the nation.

    Aisha Aminu, a participant from the Umaru Musa Yar’adua University (UMYU), Katsina said: “The papers presented, especially on gender inequality, are products of good research. Though I was pessimistic on coming, but my attendance is not a waste of time.”

    For Emmanuel Ugobo, 400-Level Public Health, University of Calabar (UNICAL), the conference had equipped him with knowledge on safe motherhood and gender imbalance.

    Abdullahi Mustapha, a lecturer from Sa’adatu Rimi College of Education in Kumbotso, Kano State, who presented two papers, said: “The beauty of the conference is that, many participants came from other parts of the nation to interact, educate and proffer solution to various challenges facing the health care delivery.”

    At the end of the conference, a communiqué was issued, which emphasised among others the importance of safe motherhood, the challenges of drugs and alcohol abuse, relationship between poverty and ill health and improper waste disposal practice. Recommendations were also given to combat the challenges.

  • Pediatrics and child health; in focus:Children of the street and children on the street (4)

    Ogun state has nine registered Universities, the highest of any state in Nigeria, whereas Osun state has four or five .What a proactive enterprise, to ensure that there are enough to feed the universities

    This should be taken up as a Federal government project. After all investment in children is investment in the future of the country if mobile phones could be bought and distributed to farmers, then these devices can be bought and made available to our kids, with assistance by the state governments

    Children spend quality time face booking, but the contents are mostly on relationships, infatuation, self love etc. they could be redirected to use the equipment to create learning groups, exchange groups, interschool study groups etc

    Time spent on wandering /loitering/idling /games can be studied and findings used to review/improve the project

    Routine screening can be done on street children (with incentives) to evaluate. psychiatric/mental health, to know those already on alcohol, other drugs including hard drugs

    Research—knowledge attitude and perception ( kAP) studies, can also be sponsored to seek out candidates suitable for rehabilitation…it may then be possible to know the extent of their involvement, identity of their social contacts, those being indoctrinated/brainwashed among other benefits. Some parents give no good examples and so the children have a teacher of bad habits in their Mom or Dad

    Intending couples should be encouraged to think seriously about relationships before you go into one, so you don’t end up with unwanted pregnancies.

    Health education, age appropriate should be encouraged in schools, churches and family fellowship.

    Government should also pay more attention to funding in homes for motherless babies and orphanages.

    It is time young girls stopped looking at Europe and America as pure heaven, reality is that they also have their own problems of people feeding directly from the dustbin.

    Parents, churches should to the extent possible monitor what their children are doing in terms of face booking competition, faces simply do not represent human being.

    What about what children are doing and being allowed to do in the different schools? How age appropriate are the messages they are getting? How gender sensitive. What relationship exists between teachers, pupils and students?

    Who and how are records kept? In the Holy Trinity Grammar school of those days, the principal took the matter of children on the street very seriously.

    He took time to ride bicycle and would chase students anywhere they ran, even into bushes and broth them into schools with severe disciplinary measures to serve as deterrent to others. Students were encouraged to go to the school libraries during free periods. Loitering was forbidden because they were used as avenues to dash to the streets

    With the large population of this country, and the presence of vast portions of arable land, the School to land policy which was the brain child of a previous Military Government should be reexamined. Research has shown that more than half of the total number of street boys are secondary school dropouts, and The finance minister has been glad to announce that Non oil exports has now climbed to over 20%, while this is encouraging, poverty and hunger are two conditions which prepare many Nigerian Women(including pregnant women) and children for Malaria to complete the dying process. One sure way of eradicating hunger and perhaps poverty is to pump money into mechanized agriculture, send young people for training in specific areas, remove the fear attached to farming that farmers die young and because they die for subsistence die poor.

    With milking machines, tractors, harvesters, incubators, with research laboratories, there will be enough to eat and family coherence needed to bring children close to their families can be guaranteed. Taking inventories, census of those living secondary schools, of youth corps members will enable proper planning and efficient management of a School to land initiative. It is a reliable way of getting children away from the streets, and reducing the number of children and young adults available for recruitment into various crimes and for trafficking.

    With enough food to eat and sell, female children can have education to what ever level as desired. They will not need to sell their bodies for money, and even if they have to indulge, they will have the capacity to negotiate for safer sex.

    Capacity building is not all about giving loans, that are tied to so many strings that recipients end up getting poorer while the banks declare unbelievable profits, the school to land initiative is a better alternative for those too poor or too young to assess bank loans.

    Governments, National orientation agency and others concerned with the welfare of Children should engage schools, colleges, physicians in family health, child health and pediatrics and support them to carry out research in the problem of street children . Government should bring down the costs of adoption, but do more monitoring once the processes are done with. Relevant agencies can involve social workers in supervision and management of minor conditions.

    Governments can build Science and Technology camps, mechanic, Lap top, and cell phone repair centers in strategic locations, where large groups of street boys congregate. Inventors can emerge from such camps and with positive reinforcement, others can emulate and aspire. Dreams and hope will metamorphose into reality, for the individual and for the family/

    .It is time wealthy individuals, institutions, multinational companies began to show interest in Debates, quiz contest, and other activities that can reward excellence, and make the streets less attractive for children. Setting up football academies like the one by Channels TV organization is a very good one. The boys are playing fantastic foot ball and are likely to draw others of their age away from street life. Someone should try a similar experiment with the girls and you will be amazed. However, not every one plays foot ball, just as we don’t expect every child to know how to play the saxophone, or guitar, but every child needs an education. Those who give out 50 million naira to sponsor birthday parties for strangers in our midst as a way of showing they have money need to spare a few minutes to imagine what one million can do for a home for the motherless, being managed by Catholic missions. These catholic charity organizations will be wondering whether God gave Wealthy Nigerians such retrogressive mindset that we can actually prefer to build more houses abroad than give financial support to the needy, even within extended family systems.

    Churches and religious organizations should encourage activities that teach children to avoid dangerous experiments, avoid attempting to do things they watch and see on television. Church programs for children should include insightful comments and activities on the fear of God, the love and respect for parents, family members and authorities. If Children can not find comfort, assurance and hope in Churches, they will find them on the street, if those telling them to give their lives to Christ hide to engage in anti Christian activities, Children will show that they too can hide and see what goes on in the dark, and if they cant give their lives to Christ, the devil, bacteria and dangerous viruses will all be very happy to take over such lives,

     

  • Pediatrics and child health; in focus: Children of the street and children on the street (4)

    Ogun state has nine registered Universities, the highest of any state in Nigeria, whereas Osun state has four or five .What a proactive enterprise, to ensure that there are enough to feed the universities

    This should be taken up as a Federal government project. After all investment in children is investment in the future of the country if mobile phones could be bought and distributed to farmers, then these devices can be bought and made available to our kids, with assistance by the state governments

    Children spend quality time face booking, but the contents are mostly on relationships, infatuation, self love etc. they could be redirected to use the equipment to create learning groups, exchange groups, interschool study groups etc

    Time spent on wandering /loitering/idling /games can be studied and findings used to review/improve the project

    Routine screening can be done on street children (with incentives) to evaluate. psychiatric/mental health, to know those already on alcohol, other drugs including hard drugs

    Research—knowledge attitude and perception ( kAP) studies, can also be sponsored to seek out candidates suitable for rehabilitation…it may then be possible to know the extent of their involvement, identity of their social contacts, those being indoctrinated/brainwashed among other benefits

    Some parents give no good examples and so the children have a teacher of bad habits in their Mom or Dad

    Intending couples should be encouraged to think seriously about relationships before you go into one, so you don’t end up with unwanted pregnancies.

    Health education, age appropriate should be encouraged in schools, churches and family fellowship

    Government should also pay more attention to funding in homes for motherless babies and orphanages

    It is time young girls stopped looking at Europe and America as pure heaven, reality is that they also have their own problems of people feeding directly from the dustbin.

    Parents, churches should to the extent possible monitor what their children are doing in terms of face booking competition, faces simply do not represent human being

    What about what children are doing and being allowed to do in the different schools? How age appropriate are the messages they are getting? How gender sensitive. What relationship exists between teachers, pupils and students?

    Who and how are records kept? In the Holy Trinity Grammar school of those days, the principal took the matter of children on the street very seriously. He took time to ride bicycle and would chase students anywhere they ran, even into bushes and broth them into schools with severe disciplinary measures to serve as deterrent to others. Students were encouraged to go to the school libraries during free periods. Loitering was forbidden because they were used as avenues to dash to the streets

    With the large population of this country, and the presence of vast portions of arable land, the School to land policy which was the brain child of a previous Military Government should be reexamined. Research has shown that more than half of the total number of street boys are secondary school dropouts, and The finance minister has been glad to announce that Non oil exports has now climbed to over 20%, while this is encouraging, poverty and hunger are two conditions which prepare many Nigerian Women(including pregnant women ) and children for Malaria to complete the dying process, One sure way of eradicating hunger and perhaps poverty is to pump money into mechanized agriculture, send young people for training in specific areas, remove the fear attached to farming that farmers die young and because they die for subsistence die poor. With milking machines, tractors, harvesters, incubators, with research laboratories, there will be enough to eat and family coherence needed to bring children close to their families can be guaranteed. Taking inventories, census of those living secondary schools, of youth corps members will enable proper planning and efficient management of a School to land initiative. It is a reliable way of getting children away from the streets, and reducing the number of children and young adults available for recruitment into various crimes and for trafficking. With enough food to eat and sell, female children can have education to what ever level as desired. They will not need to sell their bodies for money, and even if they have to indulge, they will have the capacity to negotiate for safer sex. Capacity building is not all about giving loans, that are tied to so many strings that recipients end up getting poorer while the banks declare unbelievable profits, the school to land initiative is a better alternative for those too poor or too young to assess bank loans.

    Governments, National orientation agency and others concerned with the welfare of Children should engage schools, colleges, physicians in family health, child health and pediatrics and support them to carry out research in the problem of street children . Government should bring down the costs of adoption, but do more monitoring once the processes are done with. Relevant agencies can involve social workers in supervision and management of minor conditions.

    Governments can build Science and Technology camps, mechanic, Lap top, and cell phone repair centers in strategic locations, where large groups of street boys congregate. Inventors can emerge from such camps and with positive reinforcement, others can emulate and aspire. Dreams and hope will metamorphose into reality, for the individual and for the family/

    .It is time wealthy individuals, institutions, multinational companies began to show interest in Debates, quiz contest, and other activities that can reward excellence, and make the streets less attractive for children. Setting up football academies like the one by Channels TV organization is a very good one. The boys are playing fantastic foot ball and are likely to draw others of their age away from street life. Someone should try a similar experiment with the girls and you will be amazed. However, not every one plays foot ball, just as we don’t expect every child to know how to play the saxophone, or guitar, but every child needs an education. Those who give out 50 million naira to sponsor birthday parties for strangers in our midst as a way of showing they have money need to spare a few minutes to imagine what one million can do for a home for the motherless, being managed by Catholic missions. These catholic charity organizations will be wondering whether God gave Wealthy Nigerians such retrogressive mindset that we can actually prefer to build more houses abroad than give financial support to the needy, even within extended family systems.

    Churches and religious organizations should encourage activities that teach children to avoid dangerous experiments, avoid attempting to do things they watch and see on television. Church programs for children should include insightful comments and activities on the fear of God, the love and respect for parents, family members and authorities. Such programs for children should not be designed to exploit parents, because no matter in what for it is disguised, children have their own ways of knowing what the intentions are. If Children can not find comfort, assurance and hope in Churches, they will find them on the street, if those telling them to give their lives to Christ hide to engage in anti Christian activities, Children will show that they too can hide and see what goes on in the dark, and if they cant give their lives to Christ, the devil, bacteria and dangerous viruses will all be very happy to take over such lives,

    We need Stronger Parents Teachers Associations (PTA) is in our Schools and colleges, where office holders –at least some of them have children in the schools they oversee. Policy makers should also have their children in the schools. Situations exist where female school children are made to go out and look for water in school compounds where there are boys known to belong to the class of children on the street. These innocent girls who are either sent to fetch water or throw dust bins can be enticed with in many ways by these boys hanging around the school premises for just such opportunities so as to give vent to their dangerous feelings. One wonders why people entrusted with oversight functions only pay visits and do so without giving pupils and students the opportunity to share their experience concerning health, safety and environment. When cases of rape are discovered under conditions such as stated above, parents are usually very reluctant understandably to expose their children to the associated negative publicity and the stigma slapped on victims of rape. School authorities report cases late, when if there was transmission of infection, it will have gone past the incubation period. Take the issue of HIV/AIDS for instance, which has incubation period between eight weeks and ten years; bringing a rape victim to the clinic three days after the incidence is useless, except if it is done to have a record of the status of the victim. Similarly, going to the Doctor two weeks after the incidence so you can get a Medical report for the Police are unhelpful over 80% of the forensic evidence would have been lost. Moreover, giving antiretroviral drugs after twenty four hours does not guarantee even up to 40% destruction of the pool of invading viruses. From all these, it should be apparent that every thing humanly possible should be done to either keep young female students in boarding schools away from street children or avoid situations where these little girls are forced into situations where they have no choice. Most of these children are easily frightened when they realize their parents are hundreds and thousands of kilometers away and phones are forbidden.

  • Oyo celebrates Child Health Week

    Oyo celebrates Child Health Week

    The Oyo State Government has said it will reduce maternal mortality rate through a monthly free health service programme.

    The governor’s wife, Mrs Florence Ajimobi, spoke yesterday at Idi Ogungun Community Health Centre, Ibadan, the state capital, during this year’s Maternal, Newborn and Child Health Week.

    She urged parents to be passionate about the welfare of their children because they are their future.

    The governor’s wife said the Abiola Ajimobi administration is also passionate about the welfare of women and children.

    Mrs Ajimobi said: “We are trying to reduce the high rate of maternal mortality rate in this state by allowing expectant mothers to get the right medical attention, advice and drugs. We have equipped our primary health centres with drugs and facilities to aid safe delivery.”

    The governor’s wife explained that health interventions planned for the week would be conducted in the 33 local government areas.

    She said they will include immunisation of infants from age O to five years, distribution of family planning commodities, vitamin A supplements, birth registration of children and tests for malnutrition.

    Mrs Ajimobi advised nursing and expectant mothers to take advantage of the health week, which will end on Friday, by visiting any health facility for vaccination or collection of the listed interventions.

     

  • Ojudu sponsors N10m free health mission

    Over 30,000 residents will benefit from the free health mission in Ekiti Central Senatorial District, which began yesterday in Ado-Ekiti, the Ekiti State capital.

    The mission, sponsored by the member representing the district in the Senate, Mr. Babafemi Ojudu, will gulp N10 million.

    Ojudu spoke with reporters yesterday during the inauguration of the mission at the palace of the Ewi of Ado-Ekiti, Oba Adeyemo Adejugbe.

    He said the mission, which would last two weeks, will move round the five local governments in the district.

    Ojudu said drugs and other disposables were donated for the programme through the efforts of the mission team, led by Dr. Rasheed Abassi from the United States (US).

    He said the programme was “non-discriminatory and non-partisan” adding that “it is for everybody in the constituency.”

    Ojudu said: “The mission is to complement the efforts of the Governor Kayode Fayemi administration, which has held a minimum of five free health missions to improve public health.”

    He said the mission would focus on diabetes, high blood pressure, typhoid, pneumonia, malaria and other diseases that often cause untimely death.

    The lawmaker urged residents to pay more attention to their health and patronise state-owned health facilities, adding that “they now have all it takes to provide quality healthcare”.

    He said: “I often receive calls from home that one man slumped and died; one woman slept and never woke up.

    “Health is wealth and should be given prime attention. This mission will complement Fayemi’s free health initiatives and his efforts to improve the health sector.

    “He has renovated a number of hospitals and equipped them.”

    Ojudu said although drugs meant for the mission were impounded at the airport by officials of the National Drug Law Enforcement Agency (NAFDAC), efforts were on to facilitate their release.

    He did not give any reason for the seizure.

    Ojudu said: “I have talked to some officials and they are looking into it. I have reported the matter to the agency’s DG and I am hopeful that the drugs would be released today (yesterday).

    Explaining that the mission was not his constituency project, the senator said: “Constituency projects are nominated yearly by federal lawmakers as priority needs of their constituents and are included in the budget.

    “The money for such projects are released directly to the ministries, which monitor the execution and pay the contractors.

    “Lawmakers do not have any say in who takes the money or get any of it.”

    Abassi said the team has consultants and specialists in various health specialities.

    One of the beneficiaries, Chief Michael Omotolani, hailed the senator on the initiative, saying “this is how you prove that you understand what leadership is about”.

     

  • Pediatrics and child health; in focus: Children of the street and children on the street (3)

    Pediatrics and child health; in focus: Children of the street and children on the street (3)

    Children of mentally ill parents may end up as street children when they are unable to get adequate assistance to help them carry the burden of care, this added to the fact that mental illness on its own can either be inherited or acquired

    Working parents often leave their kids with members of the family who may not be responsible enough to prevent the kids from straying away

    Street children are often characterized by poor housing, unfenced living quarters, slums and excessively permissive parents

    Where orphanages are abandoned by governments, you have rigid and expensive adoption conditions, potential parents are scared away . Where there is insufficient background check, poor or inadequate supervision of foster care, any thing is possible

    Family conditions may be such that there is enough to go round but not socially conducive; two situations can help readers appreciate this; wife inheritance one involved sudden death of a husband and the inheritance of the widow by a 12 year old boy child, who was living with the family at the time. All normal coping mechanisms broke down and at a point, children who saw their mom as not worthy of respect began as children of the street and later of the street. In the second situation, a polygamous man had 21 children through 5 wives, the children grew up mostly dependent on what their moms could provide, and nearly all ended as street children

    Abusive parents, uncles, single parents, abusive foster parents, and others too busy to look after children create multiple avenues for children to abandon homes for the streets. Others include excessively permissive parents, marital disharmony where a mother habitually tries to override decisions taken by the head of the family.

    In other situations, weak or inactive parents teachers association (PTA), principals and school heads too harsh to reach either by parents, pupils or students, could make it difficult to effectively monitor activities of children particularly those in boarding schools

    Some local trafficking in humans involves trading in house helps who move from one house to another in different locations at times working with street children to steal from unsuspecting employers. Most of them end up becoming vagabonds and carriers of sexually transmitted agents.

    Street trading, begging or hawking is a common feature on the streets, in poor communities of the world communities Poor or low risk assessment of personal dangers, in association with low level of education, especially health education is common amongst parents, guardian and children involved in street trading. However for poor families it is the only way to survive economic troubles; affected children may become attracted to the freedom and adventure denied by regimented conditions at home.

    Health problems………..

    In addition to the issues analyzed so far, Health problems classifiable into physical, mental social, environmental, and psychosocial to effectively capture the extent of the problem and the solution have been recognized; Children on the street are exposed to all sorts of diseases from Malaria(merciless mosquito bites), Staphylococcus and Salmonella food poisoning from contaminated food and drinks, sexually transmitted diseases such as, HIV/AIDS, Hepatitis, B and C, Syphilis, Cancroids, Herpes and Gonorrhea.

    Concerning environmental hazards, water is a major problem for street children and so they drink from sources likely to be contaminated with metals such as Lead, Cadmium, and Arsenic. These will eventually cause damage to organs like the kidneys, brain and liver. Those using mechanic workshop as dwelling places are exposed to petroleum products, metals have been implicated in tumors and street children run the risks of developing cancer of the skin, bladder and liver later in life.

    Physical health status of street children can be influenced by many variables; in all, children on the street can act as Infection Bridge, bringing diseases from the street to the homes while children of the street can slip into homes to visit friends when everyone is not paying attention. They also are at risks of direct injury that can break bones of hands, legs, teeth and skull from getting into fights. Violent death can also come very quickly from being run over by motor vehicles or falling from heights. Being caught and flogged can leave telltale marks that can be seen mostly on the extensor (back surfaces) of the upper limbs- arms and forearms.

    Frequent micturition with mild biting pain as a child urinates, offensive or very bad vaginal odour, with lower abdominal pay may give away the presence of genitourinary tract infection in the girl child. She may sleeping on her feet, excessively drowsy , wanting to be left alone , unable to take any thing by mouth, or even vomiting if pregnancy has come in. Purulent discharge (pus with or without urine) from the penis with agonizing pain (evidence of infection, urethritis) may make the boy child hide away from parents to urinate.

    For street children, the risk of acute disease conditions, developing to become chronic is very high and because they have no money, tendency is to buy a few drugs, e.g. assuming a street child contracts gonorrheal infection, he is not likely to panic, but will go to a patent medicine shop for treatment which in most cases is subclinical paving the way for the infection to become chronic , A young Medical student knowing what structures could be at risk will rush to the Venerology Clinic, undergo medical examination, and lab tests which will assist a Physician to administer drugs that will clear the bacterium within days. For the girl child of the street.the reproductive career can be permanently damaged by a single episode of poorly treated gonorrheal infection. Syphilis could also progress from primary through damage to the heart and the third stage where there is damage to the brain (GPI) which may be irreversible.

    Water borne, and water associated diseases are common problems with street children, because access to water is a major problem, they are prone to skin diseases, acute and chronic diarrheal diseases, frequent mouth infections, vaginal yeast infections, pelvic inflammatory disease (PID).

    Food poisoning occurs frequently manifesting with diarrhea, and vomiting because street children may be forced to eat from dust bin and drink contaminated water.

    Rape, prostitution, early marriage, teenage pregnancies, baby motherhood are some of the problems associated with street children, victims of child trafficking, sex slavery and rape also become victims of stigma, may develop psycho social problems and may find it difficult to live normal lives. Inhabitants of the street don’t operate in a vacuum. Older children of the street organize themselves into gangs, you must belong to a gang, once you enter the street, involvement in drug use, and hard drugs may start with alcohol and cigarettes and then someone graduates to others that will see him dive into many others with little or no will power to fight addiction. Currently street children consume large quantities of cough mixture, antidepressants, and anabolic steroids to make themselves stronger, assuming false optimism.

    Suggestions

    First is to make the streets less attractive for street children at different levels. Family, community, local governments, State and the Federal governments.

    Practical steps to provide basic necessities of life, such as food, water, and electricity.

    If there is no electricity in the homes most of the time, and there is a place where a small generating set can provide light at the cost of a bottle of drink, a street child will jump out.

    There has been much talk about how badly the standards of education have fallen, without any reasonable or concrete steps to address the condition.

    The recently launched Governor Aregbosola child education project, should be adopted by the Federal government as a sustainable policy for child empowerment development and education.

    The benefits are numerous; It will make the school more attractive and the streets less so.

    It is indeed very timely going by the possibility of making JME an e exam by 2015.

    The governor perhaps gave more devotion to how the problem of our technological stagnation can be solved at the first rungs of the academic ladder. How they can be empowered to learn , build up individual capacity to pass requisite exams and move on to greater heights, at the same time spreading the good hope, not all for the rich as usual but for every one, the arrangement makes provision for continuity and healthy competition

     

     

     

     

     

     

     

    Ogun state has nine registered Universities, the highest of any state in Nigeria, whereas Osun state has four or five .What a proactive enterprise, to ensure that there are enough to feed the universities

    This should be taken up as a Federal government project. After all investment in children is investment in the future of the country if mobile phones could be bought and distributed to farmers, then these devices can be bought and made available to our kids, with assistance by the state governments

    Children spend quality time face booking, but the contents are mostly on relationships, infatuation, self love etc. they could be redirected to use the equipment to create learning groups, exchange groups, interschool study groups etc

    Time spent on wandering /loitering/idling /games can be studied and findings used to review/improve the project

    Routine screening can be done on street children (with incentives) to evaluate .psychiatric/mental health, to know those already on alcohol, other drugs including hard drugs

    Research.—knowledge attitude and perception ( kAP) studies, can also be sponsored to seek out candidates suitable for rehabilitation…it may then be possible to know the extent of their involvement, identity of their social contacts, those being indoctrinated /brainwashed among other benefits

    Some parents give no good examples and so the children have a teacher of bad habits in their Mom or Dad

    Intending couples should be encouraged to think seriously about relationships before you go into one, so you don’t end up with unwanted pregnancies.

    Health education, age appropriate should be encouraged in schools, churches and family fellowship

    Government should also pay more attention to funding in homes for motherless babies and orphanages

    It is time young girls stopped looking at Europe and America as pure heaven, reality is that they also have their own problems of people feeding directly from the dustbin.

    Parents, churches should to the extent possible monitor what their children are doing in terms of face booking competition, faces simply do not represent human being

    What about what children are doing and being allowed to do in the different schools? How age appropriate are the messages they are getting? How gender sensitive. What relationship exists between teachers, pupils and students?

    Who and how are records kept? In the Holy Trinity Grammar school of those days, the principal took the matter of children on the street very seriously. He took time to ride bicycle and would chase students anywhere they ran, even into bushes and broth them into schools with severe disciplinary measures to serve as deterrent to others. Students were encouraged to go to the school libraries during free periods. Loitering was forbidden because they were used as avenues to dash to the streets

    With the large population of this country, and the presence of vast portions of arable land, the School to land policy which was the brain child of a previous Military Government should be reexamined. Research has shown that more than half of the total number of street boys are secondary school dropouts, and The finance minister has been glad to announce that Non oil exports has now climbed to over 20%, while this is encouraging, poverty and hunger are two conditions which prepare many Nigerian Women(including pregnant women ) and children for Malaria to complete the dying process, One sure way of eradicating hunger and perhaps poverty is to pump money into mechanized agriculture, send young people for training in specific areas, remove the fear attached to farming that farmers die young and because they die for subsistence die poor. With milking machines, tractors, harvesters, incubators, with research laboratories, there will be enough to eat and family coherence needed to bring children close to their families can be guaranteed. Taking inventories, census of those living secondary schools, of youth corps members will enable proper planning and efficient management of a School to land initiative. It is a reliable way of getting children away from the streets, and reducing the number of children and young adults available for recruitment into various crimes and for trafficking. With enough food to eat and sell, female children can have education to what ever level as desired. They will not need to sell their bodies for money, and even if they have to indulge, they will have the capacity to negotiate for safer sex. Capacity building is not all about giving loans, that are tied to so many strings that recipients end up getting poorer while the banks declare unbelievable profits, the school to land initiative is a better alternative for those too poor or too young to assess bank loans.

    Governments, National orientation agency and others concerned with the welfare of Children should engage schools, colleges, physicians in family health, child health and pediatrics and support them to carry out research in the problem of street children . Government should bring down the costs of adoption, but do more monitoring once the processes are done with. Relevant agencies can involve social workers in supervision and management of minor conditions.

    Governments can build Science and Technology camps, mechanic, Lap top, and cell phone repair centers in strategic locations, where large groups of street boys congregate. Inventors can emerge from such camps and with positive reinforcement, others can emulate and aspire. Dreams and hope will metamorphose into reality, for the individual and for the family/

    .It is time wealthy individuals, institutions, multinational companies began to show interest in Debates, quiz contest, and other activities that can reward excellence, and make the streets less attractive for children. Setting up football academies like the one by Channels TV organization is a very good one. The boys are playing fantastic foot ball and are likely to draw others of their age away from street life. Someone should try a similar experiment with the girls and you will be amazed. However, not every one plays foot ball, just as we don’t expect every child to know how to play the saxophone, or guitar, but every child needs an education. Those who give out 50 million naira to sponsor birthday parties for strangers in our midst as a way of showing they have money need to spare a few minutes to imagine what one million can do for a home for the motherless, being managed by Catholic missions. These catholic charity organizations will be wondering whether God gave Wealthy Nigerians such retrogressive mindset that we can actually prefer to build more houses abroad than give financial support to the needy, even within extended family systems.

    Churches and religious organizations should encourage activities that teach children to avoid dangerous experiments, avoid attempting to do things they watch and see on television. Church programs for children should include insightful comments and activities on the fear of God, the love and respect for parents, family members and authorities. Such programs for children should not be designed to exploit parents, because no matter in what for it is disguised, children have their own ways of knowing what the intentions are. If Children can not find comfort, assurance and hope in Churches, they will find them on the street, if those telling them to give their lives to Christ hide to engage in anti Christian activities, Children will show that they too can hide and see what goes on in the dark, and if they cant give their lives to Christ, the devil, bacteria and dangerous viruses will all be very happy to take over such lives,

    We need Stronger Parents Teachers Associations (PTA) is in our Schools and colleges, where office holders –at least some of them have children in the schools they oversee. Policy makers should also have their children in the schools. Situations exist where female school children are made to go out and look for water in school compounds where there are boys known to belong to the class of children on the street. These innocent girls who are either sent to fetch water or throw dust bins can be enticed with in many ways by these boys hanging around the school premises for just such opportunities so as to give vent to their dangerous feelings. One wonders why people entrusted with oversight functions only pay visits and do so without giving pupils and students the opportunity to share their experience concerning health, safety and environment. When cases of rape are discovered under conditions such as stated above, parents are usually very reluctant understandably to expose their children to the associated negative publicity and the stigma slapped on victims of rape. School authorities report cases late, when if there was transmission of infection, it will have gone past the incubation period. Take the issue of HIV/AIDS for instance, which has incubation period between eight weeks and ten years; bringing a rape victim to the clinic three days after the incidence is useless, except if it is done to have a record of the status of the victim. Similarly, going to the Doctor two weeks after the incidence so you can get a Medical report for the Police are unhelpful over 80% of the forensic evidence would have been lost. Moreover, giving antiretroviral drugs after twenty four hours does not guarantee even up to 40% destruction of the pool of invading viruses. From all these, it should be apparent that every thing humanly possible should be done to either keep young female students in boarding schools away from street children or avoid situations where these little girls are forced into situations where they have no choice. Most of these children are easily frightened when they realize their parents are hundreds and thousands of kilometers away and phones are forbidden.

     

     

     

  • How safe are over-the-counter pain medications?

    How safe are over-the-counter pain medications?

    We depend on over the counter pain medications to help ease headaches, achy joints and raging fevers. Conversely, could the side effects of these medications outweigh the benefits?

    Many trusted over-the-counter pain medications contain acetaminophen, ibuprofen and aspirin that can have deadly side effects if taken in excess.

    Acetaminophen is one of the most popular over-the-counter painkillers but research has shown that it could be your liver’s worst enemy.

    Most documented cases of liver damage are from long-term use but new research is challenging even their short-term use. The latest research shows that taking slightly too much acetaminophen over a period of several days can pose serious threats as well.

    “Even supposedly safe amounts of acetaminophen — doses close to 4,000 milligrams (mg) per day, the current daily limit — may be quite toxic to the liver in a small number of people,” according to the Harvard Medical School.

    Also, you may be getting more acetaminophen than you think. It’s used in more than 600 medications. Initial symptoms of liver toxicity from acetaminophen are often vague — fatigue and nausea — and easily confused with the symptoms associated with the illness attempting to be treated with the drug.

    *Ibuprofen and NSAIDs warnings*

    Unlike acetaminophen, overdosing on ibuprofen and other non-steroidal anti-inflammatory drugs (NSAIDs) can put one at a higher risk for cardiovascular diseases and heart attacks. NSAIDs can also damage the kidneys and increase the occurrence of stomach bleeding.

    A new study published in the Lancet looked at more than 353 000 records from 639 different clinical trials to assess the risks associated with NSAID use. Researchers found for every 1,000 people taking NSAIDs there would be three additional heart attacks, four more cases of heart failure and one death.

    The overall number of heart attacks would increase from 8 per 1,000 to 11 per 1,000 people with the drugs. NSAIDs posed an even greater risk to smokers, individuals that are overweight and physically inactive.

    Long-term, high-dose use of NSAIDs such as ibuprofen or diclofenac is ‘equally hazardous’ as the drug Vioxx. Vioxx is a type of NSAID that goes by the generic name Rofecoxib. Vioxx was taken off the market due to its cardiovascular risks.

    A similar NSAID study of over 100,000 people found that ibuprofen was associated with a 3 times greater risk of stroke in comparison to the placebo control group.

    There is a natural tendency to view over-the-counter medications as being safer than prescription drugs because you don’t need a prescription.

    However, the user rarely follows the safe maximum dose of over-the-counter medications. This is especially true when people develop a tolerance to the medication, causing them to take more and more.

    While taking ibuprofen, make sure to monitor your blood pressure, especially if it tends to run too high. For long-term or chronic pain, you shouldn’t take it for more than 10 days. The latest advice is to try not to take it more than three days per week.

    *Adverse side effects of aspirin*

    Just because aspirin is sold over-the-counter doesn’t mean it’s safe. Previous advice for preventing heart attacks and strokes has been simple: take an aspirin every day. However, new research suggests that patients and doctors prescribing them may need to think twice about that advice.

    A recent study published in the Journal of the American Medical Association found that taking 300 milligrams or less of aspirin increased bleeding in the stomach and brain by 55 per cent. Researchers looked at more than 186 000 patients taking a daily dose of aspirin and found nearly 2 300 cases of stomach bleeding and nearly 1 300 cases of brain bleeding.

    “The results show that the risks of bleeding are much higher than what doctors had previously suspected after several clinical trials and should prompt doctors to carefully consider a patient’s individual health before prescribing aspirin,” according to Dr Antonio Nicolucci, one of the study’s authors.

    “When the cardiovascular risk is low, the adverse effects of aspirin overwhelm any benefit,” said Dr Steve Nissen, Chair of Cardiovascular Medicine at the Cleveland Clinic. “Unfortunately, many patients taking aspirin represent the ‘worried well’ rather than individuals with a high risk of coronary artery disease.”

    Daily aspirin therapy can be lifesaving or life threatening even to the high-risk cardiovascular patients. Generally people who have uncontrolled high blood pressure and advanced kidney disease are at the greatest risk.

    Blood pressure should be controlled before any type of aspirin therapy is initiated.

    “Aspirin should only be used to prevent a cardiovascular event in association with an overall programme of lifestyle measures including healthy eating, cessation of smoking, control of blood pressure and regular physical activity,” according to a aspirin study in the Medical Journal of Australia.

    There is a wide range of adverse reactions that may result from aspirin use including effects on the body as a whole, or on specific body systems, organs and functions. High doses can cause hearing loss and ringing in the ears called tinnitus. Other side effects include nausea, vomiting, stomach pains, fatigue and coincidently headaches.

    Aspirin should not be used for fevers in children under age 16 as research has shown it can cause the combination of swelling of the brain and liver damage called Reye’s Syndrome. Reye’s Syndrome is most likely to affect children under 5 but cases are seen in older children as well.

    Reye’s Syndrome can kill within days or leave a child with permanent disability. Symptoms can include severe vomiting, drowsiness or loss of consciousness after a viral infection and there is no current treatment. It is not known why only some children and no adults are affected.

    People with asthma often cannot take aspirin or NSAIDs medications. This is due to a condition called Samter’s triad — a combination of asthma, aspirin sensitivity, and nasal polyps. Nasal polyps are small growths inside the nasal cavity that can affect breathing.

    An aspirin allergy or sensitivity is very common and occurs in about 30 to 40 per cent of those who have asthma. Reactions can range from mild to severe and generally occur within a few hours of taking the medication. The symptoms can include hives, itchy skin, red eyes, swelling of the lips, tongue or face as well as difficulty breathing.

    Don’t ignore the risks of over-the-counter painkillers. Always check first with your doctor to determine the pros and cons and ensure the benefits will outweigh their risks. The important thing is to be an active patient and an informed consumer.

    Dr Cory Couillard is an international healthcare speaker and columnist for numerous newspapers, magazines, websites and publications throughout the world. He works in collaboration with the World Health Organization’s goals of disease prevention and global healthcare education. Views do not necessarily reflect endorsement.

    Email: drcorycouillard@gmail.com

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