@LisRyan_Nutri@NutritionSoc This is one action which shows that many public health nutrition problems can be solved through the making of effective policies.
Here is a list of unconventional Gifts you should get your DaD.
Save, share and Bookmark.
- Get him a Blood pressure machine.
- Get him a Glucometer for his sugar.
- If he is above 50 let him get a Prostate check.(for Prostate cancer)
- If he is above 45, Get him a Gastro visit for Colonoscopy (for Colon cancer)
- Get him a Blood Fat check.
- Get him a bottle for water to keep hydrating.
- Help check his heart with basic ECG.
- Get him a Kidney function test.
- If he has Diabetes, Go check his shoes, he might need new ones.
- Tell him to stop taking Alcohol and cigarettes ( so he can see another Father's Day)
The 10 commandments of Father's Day.
While I was still very young, my father was barely home because he travels almost every week.
He would give school fees to my mom, she'd pay and keep the receipts. Immediately dad comes home she'd gather all of us, hand us our school fees receipts and tell us to go and thank him.
Any day dad is arriving from his travels, she'd keep us awake to ensure we all welcome him even if it's midnight.
My mother played a significant role in bridging the gap of my father's absence.
Till I became an adult, he still travels. I and my brothers don't joke with him.
Mothers are gate keepers in household.
They hold the key to every value system that is being discharged.
If she is selfish, her children will get indoctrinated in selfishness too.
I am deeply concerned about the way Smart Schools Project is being handled in Nigeria. From all indications, the government officials tasked with implementing this initiative appear not only unfamiliar with what a true smart school should look like, but also lacking in the vision required to drive such a transformative project. Sadly, you cannot give what you do not have.
A smart school goes beyond putting computers in classrooms or installing internet connections. It is about creating an environment where technology enhances teaching, fosters critical thinking, encourages creativity, and equips students with the digital skills needed for today’s world. It requires well-trained teachers, modern learning resources, reliable infrastructure, and a long-term strategy that integrates innovation into the curriculum.
Without a clear vision, the Smart Schools Project risks becoming another cosmetic exercise — focused on appearances rather than substance. Nigeria has the talent and potential to build future-ready schools, but this will only happen if leaders understand the true meaning of “smart” education and are committed to implementing it with sincerity and foresight.
The future of our children depends not on slogans or half-hearted projects, but on visionary leadership that recognizes education as the foundation for national development.
Happy World Food Day 🥳🥳!
As we reflect on how far we have come in the fight against #foodinsecurity, what #socialprotection system is available to the economically or educationally disadvantaged to promote #FoodSecurity in the country you live in?
Hello, friends. Here is the latest update on Gus. Lots to cover in this one. We're catching up on incremental developments over the last few weeks and briefing you all on some new and concerning challenges that have developed. Thanks for reading and praying for us all.
As I've mentioned in previous updates, the day-to-day with Gus has been consistent. The three ongoing objectives have been: 1) weaning his sedation meds, 2) increasing his feed to help him gain weight, and 3) caring for his kidneys with the right fluid balance and ongoing peritoneal dialysis. He is still on hourly passes.
With the first, he's made remarkable progress. He gets all but one of his meds enterally. While he's on a variety of medications, he is close to being completely off the sedatives. It's hard-won progress. It's hard to see him fight through the withdrawals. His team has been aggressive but patient and compassionate. As a result, he's much more alert, and we're working on more developmental and rehabilitation goals.
With the second, it has been mixed. He's still being fed through the nasogastric (NG) tube. His feeds have increased, transitioning from constant feeds to condensed feeds. Unfortunately, he's been throwing up regularly. The bouts of emesis are likely a result of 1) the discomfort that attends the sedation weaning, 2) the adjustment of having food in his stomach - before this, he was being fed with a nasojejunal tube that goes directly to the intestines, and 3) the increased abdominal pressure and discomfort associated with peritoneal dialysis. He's gained weight, but he's not where he should be. He's also working with swallow therapy on the bottle. Feeds are hard for kids in his position.
As for the third issue - the kidneys - the news is less encouraging. Despite some good days, the overall trend is not favorable. His urine output is still quite minimal. His renal function labs show key markers hovering at concerningly high levels. He got another renal ultrasound this week to evaluate how well his kidneys are getting perfused. The results suggest it is worse, not better than it was a few weeks ago.
This leads to one of the more concerning, and certainly one of the more daunting developments we've had in the last month or so. It requires a bit of context.
Since Gus' heart transplant, when his new heart failed to start as expected, our team has been monitoring his heart function closely. While the overall trend has been promising, one area of the heart has concerned us for a while - the tricuspid valve between the right atrium and right ventricle. There have been persistent signs of tricuspid regurgitation (TR). TR occurs when the tricuspid valve between the right atrium and right ventricle doesn't close completely when the right ventricle contracts. This causes blood to flow backward into the atrium making the heart work harder.
There was hope that the TR resulted from fluid balance and systemic pressure issues that would resolve as the right side of the heart recovered and the fluid drainage was addressed on our trip to Vanderbilt. Unfortunately, the TR has not gone away. In his last visit to the cath lab, our team conducted a TEE (transesophageal echocardiogram) for better heart imaging. The findings were discouraging. The TR is primarily a mechanical issue with the heart. The tricuspid valve is damaged - probably from the original trauma the heart went through during the transplant. The little tissue strands that hold the valve's leaflets in place (where the term "heartstrings" comes from) may have been damaged during an episode of ischemia.
It wouldn't be so alarming and so urgent if it wasn't for the kidneys. TR is a problem, but it isn't always an acute problem that demands immediate intervention. However, when you have kidneys on the verge of renal failure, not having good perfusion due to a leaky valve can be devastating in its effect. Of particular concern is that we are now more than halfway through what our nephrologists believe to be a 12-week window in which the kidneys can recover.
What does this mean for Gus? We're uncertain, but the possibilities are daunting. We will know more in the next few days. Our team is continuing to deliberate on what this means and what the best way forward will be. A few weeks ago, we felt like we were on a trajectory that could have us home in a matter of weeks. We know now we are on the verge of what could be many more difficult weeks.
For those of you following our story and praying for us, we ask you to pray with us that: 1) Gus' kidneys would recover and his urine output would increase, 2) that God would grant our team the wisdom and insight they need to address the TR issue, with all the daunting implications it involves, 3) that Gus would continue to gain weight and keep his feeds down, 4) that God would sustain us - five months in and we are burnt out and exhausted. The news about his heart and kidneys took the wind out of our sails.
I don't want to end without saying that God has been kind. He's given us more days with Gus than we would have had if it wasn't for his kind intervention and the amazing team of doctors and nurses he blessed us with. Gus has made incredible progress. He's teething. He is discovering the world with his hands. He's holding his own pacifier in place! God has encouraged us by all he has done to persist in prayer. We continue to come boldly before his throne to cast our anxieties on him, knowing he cares for us. Our greatest desire is that God would be glorified in us.
Thank you for praying with us. As we learn more in the days ahead, I'll provide further updates.
I remembered someone asking me in a group conversation some years ago about what I always meant when I say “To move forward you have to move backward”
The idea behind this statement is that sometimes we think growth has to be linear or moving forward every time but life in itself is not totally linear or straightforward. Sometimes you have to pick your pieces again and start all over to progress and grow.
It is just like moving into a new country or a new sector entirely. Some may have it easy to quickly progress but sometimes you have to understand that you are not them and you have to start from somewhere, and that requires some level of humility. You have to be like I am new here. I do not know anyone but I would fight. I would start somewhere and grow from there.
I don't have the skills for this sector but I will learn and build.
In the real sense, you are not moving backward, you are actually progressing and moving forward. Your skills and experiences are compounding. Everything is connecting and then after a while, you would draw the connections and see an opportunity to continue to grow and expand. Then it seems all of a sudden there is an upward movement to the top. So you are not moving backward but you are gaining momentum to growth. You are building new experiences, and new networks for a new opportunity that brings every experience and network together.
You are an experience over time and you are a story over time. Keep building that story.
I still have an afterthought from this and it is based on personal experience but I will take some time to write about that in the future.
Hammed Kayode Alabi (c) 2024
We visited Ethiopia recently where we're rolling out our innovative Access Initiative programme - through research, it aims to understand local-community needs & promote community centred solutions to tackle #malnutrition. Read more 👉 https://t.co/Bd7xkOlr9p
#SDG2 #InvestinNutrition
Some farmers in this country are abusing antibiotics to boost the growth of their chickens and eggs.
Now here's the problem:
The microbes in them possibly become resistant to these antibiotics, Emeka buys a chicken from the market, and gets exposed to a microbe that antibiotics cannot treat anymore.
You see the problem now, this is just one of the ways that antimicrobial resistance is taking us back.
Strict regulations when it comes to use of antibiotics in farms.
Please RT so more people are aware
I'm the teacher you wish your kids would have.
Salary is laughable, but everyday I'm at work before 7am.
Haven't been promoted in almost 10 years (civil service), but I still teach Chemistry today with the same passion I had when I started the job.
If e easy, run am!
It took a lot of convincing and when they finally agreed, she was scheduled for a below-the-knee amputation which was successful.
My chief, was the one following up on this woman personally, checking vitals and everything himself but the sad news was the woman didn't make it past the night.
Do you often end up having an editing nightmare with your co-authors before you can submit your paper?
Follow this writing process instead to write and publish papers in a time frame that you can control.
A thread. 🧵
#AcademicTwitter#newPI#Postdoc