Tag: joint

  • Arthritis:Joint pains ( 2)

    Moreover, from pain to swelling or limited use of the joints, may follow other frustrations such as poor sleep, depression, anxiety, irritability, anger and aggressive behavior. The sufferer will discover that other daily or usual functions become difficult. Example may include inability to move about in the home, inability to shower, cook, have sex, play with children, inability to drive, engage in writing and attend meetings of peers. If the joints of the mouth and jaws are affected (temporomandibular joint arthritis), talking and chewing may be severely curtailed.   Some arthritis, of say the hand and hips may lead to disfigurement and hence embarrassment. Some body parts may shorten leading to visible abnormalities. Social standing in the society may begin to suffer. Further, arthritis may affect one’s profession and leading to early retirement or simply limit one’s ability to earn an income. There are many sufferers that had given up on their profession because of the crippling nature of their arthritic diseases.  How could a surgeon operate if his hands are crippled with arthritis? How can a bricklayer, driver, writer, a professional boxer, athlete and so forth operate to earn a living when their hands or legs are severely disabled by arthritis?

    Now, that we have discussed the many faces of arthritis. Arthritis, as we saw earlier, is clearly not what the popular opinion and beliefs are. It goes far and beyond the usual migratory joint pains. We saw also that arthritis can cause a lot of disabilities such as pain, joint pains, swelling, poor joint movements, body disfigurement, loss of income, loss of profession and careers.  We also saw that arthritis may lead to social and biological disenga-gements.

    Now, we will take a look at what you along with your doctors, can do to relieve the condition of arthritis.

    In our traditional way of lives, our grandparents may have applied cold or warm water and menthol to the joints which may actually have given a limited relief. There are other traditional remedies which may have helped as well. As we saw under the causes of arthritis, such superficial treatments may not have addressed such serious illnesses as blood cancers or such disease entities as sarcoidosis,  systemic lupus, sickle cell diseases and under-performing thyroid diseases.

    The first step in finding solution to the problem of arthritis is to admit you have a problem and you need solutions. While arthritis caused by malaria and typhoid may go away when those illnesses are treated, arthritis caused by osteoarthritis and overacting hormones such as hyperthyroidism or diabetes may not so readily disappear.

    Look for a registered doctor of your choice who will listen to your story in detail. It’s highly likely that the attending physician will examine you thoroughly, take blood for relevant tests which may probably include as for in our environment:  scleroderma, systemic lupus and infections such as TB. The doctor will also keep an eye on various likely cancers that may cause you joint pains. I elaborated on causes of joint pains last week.  If there is associated fever, the doctor will determine if typhoid or malaria is the cause of joint pains especially if the pain is of recent origin. Other tests may include X-Ray of joints or CTScan of the relevant area of the body. This is even so especially if the joint pain, neck pain or back pain is either long standing or of recent occurrence.

    Therefore, don’t be amazed if you attend your doctor and he informs you of a battery of tests that need to be done. Unattended, joint pains can, as we have seen, cause considerable disability in the sufferers.

    Options for Management of Arthritis. Let me say right away that, heaven helps those who helps themselves. There is no doubt that your doctor will do all that he or she can to help you get well. As we shall see below, you may need to go further and be proactive in dealing with arthritis especially arthritis that is long standing or one that may someday become long standing. My advice will be that you should nip the disease in the bud.

    Based upon the cause of the joint pains, physicians are likely to prescribe medications to relieve you of the pain. Not just pan killer, specialist doctors may be called for and such doctors may prescribe disease modifying drugs to help you deal with arthritis.  That is only the starting point. Having been relieved, you may have a false impression that your arthritis is healed. It’s not except if the original disease like malaria that caused the arthritis is no more existing.  Thus, you may need surgery to correct a deformity and remove a growth.  Further, you may require food, herbs and mineral supplements in addition to changing your diet which a nutritionist may advise. Other means of dealing with arthritis include cold and hot media treatments, electrical stimulation and massage.

    I found one method of dealing with arthritis (especially osteoarthritis) particularly useful, readily available, free to some extent and highly flexible: That is exercise which to be effective, must be structured, confront the pain and be regular. Exercise can be combined with hot or cold treatment, pain relief, massage, surgery, nutritional change and mineral supplementation.

  • Arthritis:Joint pains ( 2)

    Moreover, from pain to swelling or limited use of the joints, may follow other frustrations such as poor sleep, depression, anxiety, irritability, anger and aggressive behavior. The sufferer will discover that other daily or usual functions become difficult. Example may include inability to move about in the home, inability to shower, cook, have sex, play with children, inability to drive, engage in writing and attend meetings of peers. If the joints of the mouth and jaws are affected (temporomandibular joint arthritis), talking and chewing may be severely curtailed.   Some arthritis, of say the hand and hips may lead to disfigurement and hence embarrassment. Some body parts may shorten leading to visible abnormalities. Social standing in the society may begin to suffer. Further, arthritis may affect one’s profession and leading to early retirement or simply limit one’s ability to earn an income. There are many sufferers that had given up on their profession because of the crippling nature of their arthritic diseases.  How could a surgeon operate if his hands are crippled with arthritis? How can a bricklayer, driver, writer, a professional boxer, athlete and so forth operate to earn a living when their hands or legs are severely disabled by arthritis?

    Now, that we have discussed the many faces of arthritis. Arthritis, as we saw earlier, is clearly not what the popular opinion and beliefs are. It goes far and beyond the usual migratory joint pains. We saw also that arthritis can cause a lot of disabilities such as pain, joint pains, swelling, poor joint movements, body disfigurement, loss of income, loss of profession and careers.  We also saw that arthritis may lead to social and biological disenga-gements.

    Now, we will take a look at what you along with your doctors, can do to relieve the condition of arthritis.

    In our traditional way of lives, our grandparents may have applied cold or warm water and menthol to the joints which may actually have given a limited relief. There are other traditional remedies which may have helped as well. As we saw under the causes of arthritis, such superficial treatments may not have addressed such serious illnesses as blood cancers or such disease entities as sarcoidosis,  systemic lupus, sickle cell diseases and under-performing thyroid diseases.

    The first step in finding solution to the problem of arthritis is to admit you have a problem and you need solutions. While arthritis caused by malaria and typhoid may go away when those illnesses are treated, arthritis caused by osteoarthritis and overacting hormones such as hyperthyroidism or diabetes may not so readily disappear.

    Look for a registered doctor of your choice who will listen to your story in detail. It’s highly likely that the attending physician will examine you thoroughly, take blood for relevant tests which may probably include as for in our environment:  scleroderma, systemic lupus and infections such as TB. The doctor will also keep an eye on various likely cancers that may cause you joint pains. I elaborated on causes of joint pains last week.  If there is associated fever, the doctor will determine if typhoid or malaria is the cause of joint pains especially if the pain is of recent origin. Other tests may include X-Ray of joints or CTScan of the relevant area of the body. This is even so especially if the joint pain, neck pain or back pain is either long standing or of recent occurrence.

    Therefore, don’t be amazed if you attend your doctor and he informs you of a battery of tests that need to be done. Unattended, joint pains can, as we have seen, cause considerable disability in the sufferers.

    Options for Management of Arthritis. Let me say right away that, heaven helps those who helps themselves. There is no doubt that your doctor will do all that he or she can to help you get well. As we shall see below, you may need to go further and be proactive in dealing with arthritis especially arthritis that is long standing or one that may someday become long standing. My advice will be that you should nip the disease in the bud.

    Based upon the cause of the joint pains, physicians are likely to prescribe medications to relieve you of the pain. Not just pan killer, specialist doctors may be called for and such doctors may prescribe disease modifying drugs to help you deal with arthritis.  That is only the starting point. Having been relieved, you may have a false impression that your arthritis is healed. It’s not except if the original disease like malaria that caused the arthritis is no more existing.  Thus, you may need surgery to correct a deformity and remove a growth.  Further, you may require food, herbs and mineral supplements in addition to changing your diet which a nutritionist may advise. Other means of dealing with arthritis include cold and hot media treatments, electrical stimulation and massage.

    I found one method of dealing with arthritis (especially osteoarthritis) particularly useful, readily available, free to some extent and highly flexible: That is exercise which to be effective, must be structured, confront the pain and be regular. Exercise can be combined with hot or cold treatment, pain relief, massage, surgery, nutritional change and mineral supplementation.

  • States‘ aversion to joint ventures

    The desire to address prevailing governance inconsistencies led the Nigeria Governors’ Forum to design, in 2007, the State Peer Review Mechanism (SPRM) aimed at helping states promote good governance and accelerate development by adopting innovative and good practices from peer states. Despite this positive development, it’s paradoxical that Nigeria’s 36 States continue to seek foreign and domestic investors for their enterprise and development needs, while shirking inter-state joint ventures. Practice-based evidence reveals that Nigerian states are relatively passive and averse to inter-state collaboration on development matters.

    Interestingly, shared vision, need for cost-effective funding and the belief in integrated development, informed the founding of the South-East Nigeria Economic Commission (SENEC) and the Bayelsa, Rivers, Akwa Ibom, Cross Rivers, Edo and Delta Commission (BRACED), in 2006 and 2009.  However, in the south-east geopolitical zone, the efforts started in 2006 to establish the South-East Nigeria Economic Commission (SENEC), were literally dead on arrival, hardly receiving any sustenance beyond getting the imprimatur of the south-east governors. Indeed, Governors Sullivan Chime, Peter Obi, Theodore Orji and Ikedi Ohakim had all signed the MOU establishing SENEC in March 2009. Thereafter, the SENEC became moribund, existing only in name, having failed to achieve its collective cardinal goal of promoting “economic competitiveness and sustainable development of the south-east geopolitical zone within the national and global economies.” Similarly, the BRACED Commission’s aim to “harmonize the policies of the States, drive the States‘ desire for economic cooperation and integration and help set them on a path for rapid economic development” floundered.  Yet the SENEC and BRACED bloc of states retain their common vision and shared aspirations as opposed to the unorganized bloc of states in the other five geopolitical zones.

    The SENEC and BRACED Commissions still represent futuristic and productive inter-state economic and developmental cooperation models, capable of yielding immense benefits, in a cost-efficient and synergized manner.  Had the commissions been fully established as special purpose vehicles (SPVs), they would have democratized development, rationalized public finance and expenditure, enhanced common security, promoted collective interests and addressed an array of unmet needs and infrastructure deficits in areas such as roads, electricity, heavy haulage, water, and removed hurdles that despoil the business environment. Their respective impact at the grassroots would have been immense. However, leadership groupthink, political differences, divergent party affiliations and loyalties — less so ideologies — continue to subjugate such common aspirations. Rather than pool ideas, fiscal and material resources in positioning common interest infrastructure based on comparative advantage, each state governor within the SENEC and BRACED orbit elected to go it alone. They did so even as they zealously paraded a common front in their respective zonal Governors’ Forum. What compels this faux policy thinking is the faux belief that the governors stood to personally derive political leverage and popularity through unilateral brand-name ventures, than through inter-state joint ventures.  This mindset is a toxic public policy fallacy that overlooks “a burden shared is a burden halved” maxim. Oddly, most incumbent governors still believe that the notional size of their annual State budget, translates to their States being more prosperous than States with smaller budgets; even when their budgets are underperforming and underfunded. Equally overlooked, is the fact that most State budgets are not results-based, reality-based or policy driven, even as the internally generated revenue improves.

    Additionally, lack of focus on issues-oriented governance, distributive policies and how best to cost-effectively help people meet their needs, have left many governors vulnerableThis may explain, for instance, why Gov. Samuel Ortom of Benue State would be absent when President Buhari flagged off the construction of the 260km super highway leading from Cross River State to Katsina-Alain, Benue State, recently. Benue State, being a major agricultural producer with a vast value chain, stood to benefit the most from that Public Private Partnership (PPP) project initiated by neighbouring Cross River State.  The highway, a strategic national asset, is not only designed to serve as an evacuation route to and from the Bakassi Deep Seaport, but offers a high-value multiplier-effect and enhanced infrastructure for regional economic growth, to Cross River and the contiguous states, including Benue State.

    Examples abound of inter-state joint ventures that would have yielded higher returns on investment, employment and economic and social development, than states partnering with foreign or domestic investors or going it alone. Meanwhile, some states continue to vaunt the numerous memorandums of understanding (MOUs) they signed with investors, but hardly of any signed with their geo-political partners. Something is amiss with this public policy disposition. Some existing case studies offer examples of egregiously reduced numbers of inter-state joint ventures, especially in agriculture, our foremost niche sector outside oil. A majority of Nigeria’s 36 States are invested in the eleven river basin schemes created in 1976, primarily to promote all-year-round agriculture. Yet the schemes have failed due to the beneficiary states not taking full ownership of them and appreciating their utility and long-term value in assisting the states’ bridge “the gap between the rural and urban centres by taking development to the grass roots and discourage migration from the rural areas to the urban centres.” Hence from the Anambra-Imo Basin to the Osun-Ogun Basin and to the Sokoto-Rima Basin, Nigeria has lost enormous accruable development dividends in enabling sectors like hydro-electric power generation, water for irrigation, mechanized farming and sourcing of potable water. Ironically, these sectors still feature prominently on the priority to-do-list of most states.

    In the south-east zone, Anambra and Imo remain unlinked to Abia, Enugu and Ebonyi by rail lines. Yet a joint-venture on a regional rail hub linking Aba-Owerri-Onitsha-Enugu, would tie all the states in the zone to the national rail grid, thus maximizing benefits, improving transport and heavy haulage capacity of the states, while extending the longevity of their respective capital-intensive road networks.  Similarly, a joint-venture between Anambra and Delta states, in which the Asaba airport is upgraded to international status and linked by light rail to a terminal in the Onitsha Industrial Harbour River Port Complex, would create a twin-city and twin-state partnership with infinite possibilities. The trade and commerce benefits would be immense considering the seamless movement of commercial air cargo into Onitsha-Nnewi-Awka (ONA) Industrial Axis.

    Inter-state joint ventures are neither charities nor altruistic gambits; yet they promote states’ interest and the material well-being and social cohesion of the people in cost-effective ways. Unfortunately, these benefits are being foreclosed on by the crass competition between states. Such a disposition led to the collapse of the Nkalagu Cement Industry, a joint asset of the south-east states, at a time when cement is a high-value, strategic commodity tied inextricably to overall international infrastructural development. Whereas concessions and instant gratifications possible with private investors are generally absent when dealing with peer state governments, joint ventures remain efficient, effective and valuable policy options.  Regrettably, such inter-state ventures are now rare and, for most state governments, no longer form integral components of their public policy formulation or budgetary processes. It begs the question though, how states willing to engage PPP investors, can be trenchantly unwilling to engage their neighbours in joint ventures.

    Obaze, MD/CEO of Selonnes Consult, is a strategic public policy adviser and immediate past Secretary to the Anambra State Government.

  • Heartland star Bright Ejike joint top scorer

    Heartland star Bright Ejike joint top scorer

    Heartland forward Bright Ejike is now the joint top leading scorer in the race for the Nigeria Professional Football League with four goals same as the all-time record goal scorer Mfon Udoh.

    The former Nigeria youth international scored his fourth goal of the season on Thursday when he scored the only goal as Heartland beat Kano Pillars 1-0 in a rescheduled Week 1 match.

    They are been followed by six players who have scored three goals each, namely Victor Yakubu (Wikki Tourists), Esosa Igbinoba (Nasarawa United), Shuaibu Ibrahim (Giwa), Chisom Chikatara (Abia Warriors), Segun Alebiosu (Kwara United) and Ubong Ekpai (Kano Pillars).

    Players who have scored two goals are as follows: Jackson Daniel (Sharks), Sikiru Adewale (Warri Wolves), Abraham Audu (El-Kanemi), Ibrahim Mustapha (El-Kanemi), Ebere Odiche (Heartland), Jimoh Oni (Heartland), Tunde Adeniji (Sunshine Stars), Bode Daniel (Sharks), Yusuf Jaiyeola (Sharks), Uche Ihuerulam (Lobi), Chukwudi Stephens (Gabros FC), Gyang Amos Danladi (Giwa FC), Ifeanyi Onyeali (Abia Warriors), Onoriode Odah (Rangers), Usman Mohammed (FC Taraba) and Gbolahan Salami (Warri Wolves).

  • Boko Haram: Nigeria, Niger sign joint border patrol agreement

    A joint border patrol agreement was yesterday signed by Nigeria and the Republic of Niger.

    The agreement is part of the measures taken to curb the activities of Boko Haram in the Northeast and other terrorist groups along the borders of the two countries.

    Besides, the two countries agreed to equip their National Boundary Commissions with the requisite logistics to ensure rapid completion of the re-demarcation of the Nigeria-Niger International boundary.

    The agreement was reached at the end of the Sixth Session of the High Authority of the Nigeria-Niger Joint Commission for Cooperation, held in Niamey, the capital of Republic of Niger.

    President Goodluck Jonathan, who led the Nigeria delegation co-chaired the session where issues ranging from security to trade were discussed.

    He arrived at the Diori Hamani International Airport, Niamey at 9.45 am aboard a Presidential Jet marked 5N-FGW and was welcomed by the Nigerien leader, President Issoufou Mahamadou and other top government functionaries.

    He was accompanied by Governors Sule Lamido(Jigawa); Ibrahim Shema (Katsina) and Borno’s Kashim Shettima.

    On the president’s entourage were; Ministers of Transport, Water Resources, Enviroment, lnterior, Ministers of State for Defence, Foreign Affairs and Works.

    Jonathan had a brief meeting with his Nigerien counterpart.

    The two leaders adopted and signed bilateral agreement on defence and security.

    According to the communique at the end of the session yesterday, the two Heads of State expressed worries over the danger of terrorism in the region and hence the need to jointly tackle the situation.

    The communique was jointly signed by the two countries Foreign Affairs ministers. Dr. Nurudeen Muhammad, Minister of State, Foreign Affairs signed on behalf of Nigeria. Mr. Mohamed Bazoum, Senior Minister, Ministry of Foreign Affairs, Cooperation, African Integration and Nationals in Diaspora signed for the Republic of Niger.

    The communique reads:

    “At the sub-regional level, the Heads of State expressed their concerns over the danger brought by the international terrorism into their sub-region, namely Al Qaeda in Islamic Maghreb, Boko Haram and other weapons and drug trafficking criminal organisations which constitute a threat to the peace and stability within the West African region.