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Seven Million Nigerians Living With Depression – Medical Doctors

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Crowd of Nigerian Christian worshippers

The Society of Family Physicians of Nigeria (SOFPON) has said no fewer than seven million Nigerians are living with depression.
National President of the society, Dr Akin Moses, disclosed this on yesterday at a press conference to mark the 2017 World Family Doctors Day in Abuja.
Moses said based on research conducted by some physicians between 2015 and 2016, 29 million people in Africa were depressed while 322 million were affected with the condition globally.
He said the study showed that an estimated 788,000 suicide deaths worldwide occurred in 2015, while 10 suicide deaths per 100,000 population were recorded in Nigeria within the period.
According to him, there were a few unfortunate suicide deaths in Nigeria which were attributed to severe stressful life events.
He noted that depression played a role in more than half of all suicide attempts and up to 15 per cent of those that were depressed died by suicide. The physician said if not checked and treated, a depressed person has a 20 per cent chance of committing suicide.
The president of the society described depression as a common mental health problem that affects moods, resulting in a change in the way person feels, thinks and acts.
He said apart from stressful conditions, negative life events like bereavement, job loss, financial difficulty, divorce, loneliness, childhood abuse and neglect could also trigger depression.
Moses added that people with chronic pains and medical disorders; as well as patients on certain drugs and those abusing drugs like cocaine, amphetamine, narcotics and alcohol were all at risk.
He disclosed that a combination of medication and psychotherapy; as well as support and care from family members were appropriate treatment for depression.
According him, primary care physicians in the country will continue to create awareness to reduce negative perception and stigma.
He also pledged their readiness to recognise and support those at risk of developing depression.    (The Sun)

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Adeleke Was Given Overdose Of Banned Injection – LAUTECH Chief Medical Director

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                                                       Late Isiaka Adeleke

Femi Makinde, Osogbo

The Chief Medical Director, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Prof Akeem Lasisi, has testified that the late senator representing Osun-West senatorial district, Chief Isiaka Adeleke, died of an overdose of banned injections.

Testifying before a coroner, Mr Olusegun Ayilara, in Osogbo, on Monday, Lasisi, who spoke from the witness box, said the Chief Medical Director of Biket Hospital, Osogbo, Dr Adebisi Adenle, called him on the telephone on April 23 to tell him that Adeleke had died.

Lasisi, who said he saw Adeleke’s corpse on a table at LAUTECH’s morgue, added that a pathologist, one Dr Solaja; two resident doctors, who are also pathologists; the Officer in Charge of Homicide, Osun State Police Command; Divisional Police Officer, Dugbe Police Station, Osogbo; and the Consultant Pathologist, LAUTECH, were all present when an autopsy was carried out on Adeleke.

The CMD told the court that one of the aides of the late senator told him that the deceased complained of leg pain and somebody treated him.

Lasisi said the aide told him that the person, who treated Adeleke was not a doctor but could not say if he was a nurse.

The CMD stated that the aide mentioned the names of the various injections administered on him before his death and the aide (in company with other aides) was asked to go and bring them.

The CMD stated that he did not ask for the name of the person who treated Adeleke but he wanted to know what was administered and the competence of the person that administered the drugs.

He said among the injections given to Adeleke was Analgin, which he said was outlawed when the late Prof Dora Akunyili was the Director General of the National Agency for Food and Drug Administration and Control.

He said, “I saw the corpse. Before any process of examination of any diagnosis in medicine, there is what we call history before examination. So, we asked for the person who knew the conditions surrounding the death of the senator. So, the family pointed to one of the aides and the aide said he (Adeleke) was active the previous day and he came at midnight and started complaining of leg pain. So, they sent for somebody who came to give him injections.

“I asked clearly the medical status of the person that administered the injections. I asked, ‘Is the person a doctor?’ but he said no. ‘Is he a nurse’?, he said he didn’t know but the person was a face they were used to.

“He mentioned various injections, so at that point I asked him if could lay his hands on the empty ampoules of the injections. The family members went home to get them. The injections were five per cent dextrose. We saw empty sachets; it was like a fluid and with it, we saw an intravenous fluid-giving set and scalp vein needle. We saw that empty. We saw two ampoules of Analgin, four ampoules of valium (diazepam) – 10ml each making 40 milligrammes, one ampoule of pentazocine, one ampoule of gentamicin and two ampoules of hydrocortisone.

“All of these were empty and his aide said these were what he was given.  He also added that after he had been given, he (Adeleke) called him that he doesn’t want to entertain any visitor and he went to sleep. He (the aide) said he later went back to check him and saw that the senator’s eyes were wide open but he wasn’t breathing.”

The CMD added that diazepam ‘sedates and tranquilises when given in moderate dosage’ but said it could knock off reflexes if given in the type of dosage Adeleke was given and could eventually lead to death.

He explained that pentazocine was capable of killing bad pain but it was usually advised not to be given to patients intravenously but through intra-muscular injection.

He stated that if the injection would be given intravenously at all, it should be given at a facility where the patient could be resuscitated with artificial oxygen in case his breathing stopped.

“Analgin has been outlawed since the days of Dora Akunyili in NAFDAC. So, I don’t know where they got it from. They were given in excess dosage,” he said.

Also the Osun State Deputy Governor, Mrs Titi Laoye-Tomori, in her testimony before the coroner, said Adeleke hesitated before he ate three spoonfuls of rice at a funeral ceremony in Osun State, a day before he died.

Adeleke and the deputy governor were among the dignitaries, who attended the funeral of the mother of the Chairman, All Progressives Congress in Osun-West senatorial district, Mr Yinusa Amobi, at Kuta, Osun State, on April 22. The senator died the following morning.

She told the coroner that she waived her immunity to personally appear before the coroner because of the importance she attached to the probe and to state what she knew about the moment she spent together with Adeleke and others at a social function on Saturday, April 22.

Laoye-Tomori stated that she shunned the special chair prepared for her and chose to sit close to Adeleke because the deceased demonstrated an uncommon humility by coming to welcome her beside her vehicle when she arrived at the venue of the ceremony.

The deputy governor told the coroner that Adeleke was served rice in an uncovered plate and the rice had no fish or meat and he was hesitant to eat.

She said, “A woman brought a plate of rice. There was fried rice, a mixture of ‘jollof’ and white rice. There was no protein in it, that is, there was neither meat nor fish and the food was not covered. I was wondering why a man of his status would be served food not covered but I don’t know whether he was already eating the food before I arrived there or not.

“The senator was using his spoon to turn the rice and he was hesitant to eat it. I said jokingly, ‘ Your Excellency, why don’t you ask them to take the food away if you don’t want to eat it? And he said, ‘Se tori wipe kosi eran lori e?’ (Is it because there is no meat on it?).

“He said that woman brought a bowl of fish but these people you are seeing ate everything and left nothing for me. He then took his fork and stretched his hand to take a piece of fried fish from someone sitting close to him but his fork couldn’t pick it because the fish was fried.

“He took just three spoons and pushed the food aside. He was full of life and was cracking jokes. A gentleman seating on his right side brought out a drink from his pouch.”       (Punchng.com)

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Ebola: Federal Ministry Of Health Orders Compulsory Test For Fever Patients

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Minister of Health, Prof. Isaac Adewole 

Eniola Akinkuotu

The Federal Government has asked every health official in the country to test every fever patient – showing symptoms of bleeding – for the Ebola Virus Disease.

It also asked all port health officials to step up inspection of all persons coming into the country.

The Minister of Health, Prof. Isaac Adewole, said this in a statement by the Director, Media and Public Relations, Mrs. Boade Akinola, on Saturday.

The statement came less than 24 hours after the World Health Organisation declared the outbreak of Ebola in Congo, describing the outbreak as “a public health crisis of international importance.”

The ministry of health said, “The health minister directs all Nigerian health workers to maintain a high index of suspicion by screening all haemorrhagic fever patients for Ebola

“Similarly, the minister encourages members of the public to observe a high level of personal hygiene which includes regular hand washing and to also report all cases of fever to the nearest health facility.”

The minister said he had directed health workers to increase efforts at ports of entry.

He added, “The Federal Government in response to the announcement by the WHO on confirmed cases of Ebola in the Democratic Republic of Congo, has directed port health officials to step up inspection activities and to report any sick person or suspects to ensure that Epidemiologists in the states conduct relevant tests.

“The symptoms to look out for include: fever, fatigue, weakness dizziness and muscle aches. Patients with more severe cases show bleeding under the skin, internal organs or even from bodily orifices like mouth, nose and ears.”

The minister also urged Nigerians not to panic as the Nigerian Centre for Disease Control is on the ground and equipped to secure the health of citizens.

He said the CDC had for a while been strengthening states’ capacities to detect, manage and respond to hemorrhagic fevers including Lassa fever.

Adewole called on states to begin social mobilisation and media awareness efforts via television, radio, print and social media.

Meanwhile, the Nigerian Medical Association has called on doctors nationwide to immediately report suspicious cases to the Federal Government.

Speaking with SUNDAY PUNCH on Saturday, the President of the NMA, Prof. Mike Ogirima, said doctors across the nation should begin to take precaution and report suspicious cases.

He said, “The Federal Government already has adequate experience on dealing with this because of the first outbreak so we advice them to consolidate.

“We also want to advise them to quickly set up and put in measures to prevent any case and even if by chance we have any case within the country, we should control the spread.

“We advise Nigerians to take care and stick to universal basic precautions such as regular washing of hands, avoid over-crowding, report suspicious cases immediately to the nearest health centre.

“We also advise our members all over the country to be on the alert and to make sure that they are well prepared and have the proper gadgets to face any challenge.” (Punchng.com)

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Four Million Nigerians Living With Type 2 Diabetes – Study |The Republican News

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Folashade Adebayo

Over four million Nigerians are living with Type 2 Diabetes Mellitus, a chronic condition that affects metabolism of glucose in the body, a study has said.

The study, led by researchers at the Covenant University, Ota, noted that 4.7 million Nigerians between the ages of 20-79 years were living with the condition. The study was published by the British Medical Journal.

According to the lead researcher, Dr. Davies Adeloye, more Nigerians will be affected by the condition unless stakeholders put in place effective public health response and strategies for higher public awareness. He also advocated for lifestyle changes which include healthy diets and physical activity.

The study noted that 40 per cent of people with type 2 diabetes were undiagnosed, and that deaths occurred for one-in- five diabetes patients admitted to hospital, with complications from the disease. These complications can affect the heart, kidney, brain, eyes, blood vessels and nerves.

“Over the last 30 years, type 2 diabetes has increased by 440 per cent to 4.7 million cases – or 5.7 per cent of all Nigerians. This rate is up to three times higher than the neighbouring countries of Cote d’Ivoire (2.3 per cent), Ghana (1.9 per cent), and Senegal (1.8 per cent).

“The last nationwide survey of non-communicable diseases in Nigeria was conducted in 1997. Most findings reported on type 2 diabetes mellitus in Nigeria since then have been based on modelled estimates from neighbouring countries with relatively more detailed data on the disease. We have therefore systematically synthesised the best evidence on type 2 diabetes mellitus across all geo-political zones in Nigeria to guide relevant evidence-based public health and policy response in the health sector.”  (Punchng.com)

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8 Types Of Vaginas And What Men Think About Them |The Republican News

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Woman in bikini bottom, mid section

The bony vagina. If a lady is petite or skinny, chances are that she also has a bony vagina. Gynaecologists say this type of vagina is more narrow and bonier than most. “The exciting part about it is that it allows for a tighter fit that ensures a sensational sexual experience. The worrying part is that it can be a little uncomfortable when a sensitive body part is conjoined with a bony one,” says sexologist, Adrian O’Neilly.

• Full lip vagina. Simply put, the woman has plumper lips than the rest. They are so pert that they practically scream for attention. And, they’re kissable too. According to O’Neilly, “men love fat lipped vaginas because they are always very soft to the touch, very inviting and easier to find for penetration.”

• The shaved vagina. What this says about a woman is that she’s so into making sure everything is clean shaven, prim and proper, and the sexiest of the pack. “Guys definitely notice when a woman puts a great deal of work into keeping her vagina perfectly tamed,” O’Neilly assures.

• The expert vagina. Well, the expert vagina shows an experienced lady! She’s got those wide alleys for easy entry—or so male respondents told O’Neilly! But then, the truth is, the vagina expands as a woman becomes aroused. The only downside is that a guy might be worried that he isn’t going to be able to please his woman!

• The accessorized vagina. This woman loves to accessorize, with lots of extra skin in the surrounding area. “The common misconception is that this type of vagina seems like its old, run down, tired or just got off a major diet. Fortunately, men really don’t mind the extra skin, so don’t be afraid to embrace it,” O’Neilly says.

• The 70s vagina. What it means is that this lady’s got a thing for comfort and relaxation and her vagina shows it. Shaving down there really isn’t a priority for her. For the most part, guys don’t normally have an issue with an unshaven vagina, so don’t feel obligated to start a new shaving regimen, O’Neilly says.

• The virginal vagina. What this indicates is that the lady’s body is as tight as it gets from those slender arms to that tight vagina. In fact, the walls may actually be closing in. “If you own one of these, you’re in luck because guys give this one two thumbs up. The snug fit allows for heightened sensations and a major confidence boost. Guys never have to worry about whether or not they are big enough and the close fit definitely makes them think your vagina was made specifically for them,” the sex expert says.

• The peek-a-boo vagina. The lady concerned has that clitoris that is out just enough to give the perfect tease. According to O’Neilly, a perky clitoris makes for the perfect plaything for the male species. Plus, they love the bigger orgasms girls seem to get with these. It makes them feel like they did their job just right.

The bottom line: Vaginas come in all shapes and sizes and there is no such thing as the ‘perfect vagina.’ Rather, a good man will love his woman despite the type of vagina she happens to have. As for the woman, learn to embrace your vagina, regardless of what it looks like.             (Punchng.com)

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Best Sex Positions When Your Wife Is Nursing A Baby |The Republican News

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For first-time parents, it may sometimes be very difficult to resume sex after child delivery.

Indeed, many women hardly think of sex when they start nursing a newborn! And the situation may get out of hand if, after a month or thereabouts, a man still can’t gain access to his spouse’s body!

For many new parents, sex can suddenly become clumsy, especially when sex has to be suspended midway into the game because baby needs attention!

However, sexologists say this need not be, as there are fun-filled sex positions that couples can assume, even when baby still wants to take a shot at breast-sucking!

What are these positions? These ones…

Rear entry: This style is very encouraging for the couple because, even if the baby has to be pacified with breast while daddy is… er… busy with mom, it won’t stop anything! Experts assure that this position not only accesses the G-spot and the A-spot to create squirting orgasms, but it’s also comfortable for the new mom if she must keep an eye on a squirming baby! For this position, woman can lie on her side with one leg slightly raised to make for penetration from behind. This position requires little work on her side, but it feels amazing because her legs are placed closely together which creates a tighter entry for him and increases sensation for her.

Reach for the sky: This is an improvement on doggy position, and it still requires rear entry. In this position, the woman crouches on all four, low enough for the baby to have access to her breast if need be. The man gets up on his feet and stands up, leaning over her. Hubby will get somewhat of a less intense thrust than regular doggy style, but in return wife will have more sensation. The leaning forward actually lets the man get a somewhat deeper feel, which is as stimulating for the new mom too.

Spooning: This is one of the cuddliest of the sex positions, but that doesn’t mean you can’t make it intense. You lie on your side, with your partner in front of you, facing the baby. Enter her from behind, and then both of you can control the pace and depth of thrusting. The position is comfortable, for longer sex sessions with a lot of sensual touching and kissing of the back of the neck. You can also get quite handsy and reach around to play with her nipples or even reach down and add extra stimulation to her clitoris from the front.

The T-position: For this position, have her start off by lying on her back, while you lie on your side, and penetrate her from the side. Once you’re inside her, you control the pace and depth of the thrusting. This position allows you to shake things up. Additionally, because often, men’s penises are taller than they are wide, this means that by effectively turning your penis sideways, you can better target her clitoris.   (Punchng.com)

Adapted.

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Good Sleep, Regular Sex Affect Your Skin |The Republican News

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It seems safe to assume that a beautiful, sparkling skin is everybody’s delight, given the much attention people pay to the maintenance of their skin. Not only is it a good indication of a healthy living, some people also flaunt it as a thing of pride.

It is common to see people buy expensive body creams, while some mix like two or three, for a better result, and the more expensive the creams are, the better for them. For some, the kind of food they eat and the weather they are exposed to play a major role. Perhaps, all these are fantastic ways of nurturing the skin.

But it is equally interesting to note that beyond following these fashion rules, basic things like sleep and the volume of sugar intake make a lot of difference in skin’s outlook. And for people who are married, good and regular sex make a lot of difference too.

Starting with sleep, which is an activity that is engaged in by every living being, at different proportions though, studies have shown clearly that inadequate sleep is a precursor for ageing skin. In other words, the quality of a person’s sleep influences the person’s skin functions, rate of ageing and facial appearance.

A study led by a dermatologist, Prof. Elma Baron, who is the Director of the Skin Study Centre at UH Case Medical Centre, United States, shows that the quality of sleep is crucial to the growth and renewal of the body’s immune and physiological systems, thus, it has an impact on skin function and appearance. The result of the study was posted on Science Daily.

In the study, titled ‘Effects of sleep quality on skin ageing and function, she explained that the skin protects the internal system from external “stressors like toxins and sun-induced DNA damage,” thus, it plays a crucial role in the overall well-being of people because it is like the shield for the internal organs.

Baron said, “Our study is the first to conclusively demonstrate that inadequate sleep is correlated with reduced skin health and accelerates skin ageing. Insufficient sleep has become a worldwide epidemic. While chronic sleep deprivation has been linked to medical problems such as obesity, diabetes, cancer and immune deficiency, its effects on skin function have previously been unknown.”

Half of the 60 women involved in the study were in the poor quality sleep category while the other half were in the good quality sleep category. The researchers used the average duration of sleep, the Pittsburgh Sleep Quality Index, questionnaire given to the participants to fill their weekly duration of sleep, visual skin assessment and some other tests, including ultraviolet skin exposure, to assess the difference between those who had good quality sleep and those who had poor quality sleep.

At the end of the study, the researchers found that women who had poor quality sleep showed signs of “premature skin ageing and a decrease in their skin’s ability to recover after sun exposure.”

Baron added, “Using the SCINEXA skin ageing scoring system, poor quality sleepers showed increased signs of intrinsic skin ageing including fine lines, uneven pigmentation and slackening of skin and reduced elasticity. In this system, a higher score means a more aged appearance. The average score in the good quality sleepers was 2.2 versus 4.4 in poor quality sleepers.”

Apart from the fact that people who had good quality sleep recorded better self perception of attractiveness and a more effective barrier against moisture loss than those who had poor quality sleep, the study also showed that people who had good quality sleep tend to recover faster (30 per cent) and “more efficiently” from sunburn (reddening, inflammation, and, in severe cases, blistering and peeling of the skin caused by overexposure to the ultraviolet rays of the sun) and other stressors to the skin than those who had poor quality skin (14 per cent).

“This research shows for the first time, that poor sleep quality can accelerate signs of skin ageing and weaken the skin’s ability to repair itself at night,” another researcher, Dr. Daniel Yarosh, added.

This implies that people who crave good skin should ensure they have better sleep.

Meanwhile, findings have also shown that beyond the havoc excessive sugar intake does to the waist and the heart, it also takes its toll on the skin, as it has been found to speed up skin ageing. Sugar in this case includes sweet and sugary drinks, snacks and food items. Impliedly, paying close attention to one’s diet is crucial to having a healthy skin.

A nutritionist, Sarah West, in her post on Mail Online, said excessive consumption of sugar could affect the quality of the skin by facilitating the degradation of elastin and collagen; the two important proteins that help the skin to stay smooth and wrinkle-free.

She said, “When sugar enters the body, it causes a spike in insulin levels, which causes inflammation below the skin. This process can weaken collagen and elastin and accelerate the ageing of the skin – leaving it less supple and more prone to wrinkles.

“So forget the expensive lotions and potions: one of the easiest and cheapest ways to turn back the clock is to cut down on the amount of sugar in your diet.”

Some other experts and nutritionists also agree that high sugar intake and exposure to ultraviolet light could speed up ageing.

While these measures are very useful for all, married couples seem to have an advantage, and that is in terms of sex. Studies have shown that sex has many health benefits, including its ability to boost the immune system, lower blood pressure and risk of heart attack, reduce the likelihood of prostate cancer in men and a good form of exercise.

But beyond these, scientists have found that sex can make people look younger. A British clinical neuropsychologist, Dr. David Weeks, said one of the good and effective ways for married couples to have sparkling skin and youthful look is for them to have sex at least thrice a week, saying that would boost their blood circulation and slow down ageing, among other benefits.

He said, “Sex is an excellent aerobic exercise that promotes skin renewal because it raises the heart beat and pumps oxygen around the body which improves the immune system, boosts circulation and keeps you lean. And the pleasure from the act is a crucial factor in preserving youthfulness.”

In his post on Mail Online, he said people who have casual sex or those who are promiscuous may not enjoy this benefit that comes with sex because healthy sexual relationship combines physical and psychological ties, and that loyalty is part and parcel of a fulfilling sex life.

It has also been found that the estrogen released from the activity increases the elasticity of the skin and reduces skin dryness.

A dermatologist and psychiatrist, Dr. Amy Wechsler, in her own view, said, “We are constantly damaging and repairing our skin and you want to tip the scale more towards repair. When you have sex, you are bathing the skin in anti-inflammatory molecules such as oxytocin and beta endorphins. As we get older, we don’t heal as often as we repair. But having sex can turn the clock back on that.”    (Punchng.com)

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