Student nurses’ practices and willingness to teach relatives breast self-examination in Nigeria

Background: Breast cancer is the most common cancer and the leading cause of cancer-related death for women worldwide. Breast self-examination (BSE) is an essential, low-cost, and simple tool for detecting breast cancer early. Employing the idea of ‘charity begins at home’ by involving student nurses in teaching BSE to relatives will improve early detection. Aim: To assess nursing students’ practice and willingness to teach BSE to their relatives. Setting: A college of nursing and midwifery in one state under North-Central Nigeria. Methods: A cross-sectional descriptive design was employed. Through incidental sampling technique 197 respondents were selected from the first to the third year. Data were collected using a structured questionnaire. Descriptive and inferential analyses, with a p-value of 0.05 were conducted. Results: Respondents indicated where they learned about BSE. There were 98.5% respondents who had heard about BSE, and 89.8% of them had good practice of BSE. However, a quarter did not teach BSE to relatives. There were no statistically significant associations noted. Conclusion: Most of the nursing students were aware of BSE and knew how to perform it, although a quarter did not teach BSE to their relatives. Therefore, it may be necessary to sensitise nurses to cultivate the habit of teaching BSE to relatives and women in the community. Contribution: It is crucial to provide nurses with the skills and knowledge required to carry out BSE effectively, as well as teach women how to perform it on themselves, to improve breast cancer detection rates in Nigeria

Governmental Agencies and Reintegration of Returnees in Nigeria: Strategies of Recovery

The study examined the strategies put in place by the governmental agencies for the reintegration of Nigerian returnees from Libya. Primary and secondary data were utilized for the study. Primary data were collected through the administration of questionnaires and interviews. The study population (10,369) comprised the National Emergency Management Agency (NEMA, 34), National Agency against Trafficking in Persons and other related crime (NAPTIP, 108), International Organisation for Migration (IOM, 34), Nigeria in Diaspora Commission (NiDCOM, 15) and Nigeria returnees (10,180) from Libya. The sample for the study was made up of 399 respondents. The distribution is as follows: NEMA (17), NAPTIP (54), IOM (16), NiDCOM (15), and returnees (297). Secondary data will be obtained from decision extracts of the agencies on matters relating to the subject matter, conciliation meetings, and internet sources. Data collected were analysed using frequency, distribution, percentage, and Chi-square. The study showed that vocational training strategies (x2= 3.11); loan facilities for the returned migrants ( x2= 3.32); provision for psychological strategies for the returnees (x2 = 3.22) are some of the strategies available which are put in place by governmental agencies for the reintegration of the returnees. Furthermore, the result of the Chi square analysis showed that the x2 cal (9.2) is greater than x2tab (5.99), hence, the rejection of the null hypothesis. Hence, the study found a significant relationship between governmental agencies’ strategies and returnees’ reintegration. The study concluded that governmental agencies strategies have effect on the reintegration the returnees

Effect of Moringa oleifera Leave Meal on Digestibility and Haematological Parameters, and Health Status of Doe Rabbits

The study involved the use of the Moringa oleifera leaf meal (MOLM) to feed doe rabbits and determine its effect on their nutrient digestibility and haematological indices. Five (5) treatment diets were formulated to contain MOLM inclusion levels of 0% (control), 25%, 50%, 75% and 100%. Forty five (45) rabbits of same sex were distributed randomly into five groups of nine animals and replicated three times per treatment having between 24 – 28 weeks of age with initial weight of about 1800 – 2400 g per animal. The does were provided with feed and water throughout the experimental period which lasted eight weeks. Analysis of the Moringa leaf meal (MOLM) on DM basis indicated that the leaves contained 92.15% Dry Matter, 12.85% Crude Protein, 5.10% Ether Extract, 6.57% Crude Fibre, 11.20% Ash, 64.28% Nitrogen Free Extract. The apparent digestibility of CP, CF, EE and NFE were affected (P<0.05) by the graded levels of MOLM inclusion except for the dry matter. The haematological parameters like packed cell volume, white blood cell, lymphocyte, neutrophil and monocyte vary significantly (p<0.05) between treatments. MOLM could be included in rabbit feed at an inclusion level of 25% without any adverse effect on the digestibility performance while blood indices of doe rabbits improved with increasing levels of Moringa oleifera

The role of networks in opportunity identification: a focus on African transnational entrepreneurs

There is a growing body of work which highlights the importance of Transnational Entrepreneurs (TEs) as catalysts for economic development in both their home and host countries. However, their opportunity identification predispositions are less understood. Thus, this study explores the nature and practices of TEs of African origin and it also focuses on how they identify viable business opportunities in their host countries. In addition, the study defines the role networks play in assisting them to achieve their business objectives. Through its application of social network constructs for data collection and analysis, this study contributes to the ongoing discourse on TEs. Specifically, it provides new insights into the way TEs of African origin living in the UK identify and exploit business opportunities. Its key findings indicate that the human capital of TEs (in particular their host country work experience), active search, and their use of family and kinship networks underpins the way they identify opportunities in a foreign country. However, perhaps the most remarkable finding of this study is that, while TEs employ both formal and informal network ties in their host countries, they seem to rely exclusively on their informal networks in their home countries

Comparative effects of Varying Rates of Moringa Leaf, Poultry Manure and NPK Fertilizer on the Growth, Yield and Quality of Okra (Abelmoschusesculentus L. Moench)

The fertilizer management practices have not ensure the desired improvement in yield for okra (Abelmoschusesculentus L. Moench) due to differences in fertilizer types. The search continues for nutrient sources that would provide adequate nutrition for the crop on the season. A pot experiment was carried out at the Teaching and Research Farm, Ekiti State University, Ado Ekiti, Nigeria to evaluate the growth and fruit yield responses of okra (Abelmoschusesculentus L. Moench) to the application of air-dried milled moringa leaf (MML), poultry manure (PM) and NPK fertilizer. The MML was applied at 400, 800, and 1200 kg/ha; NPK 15-15-15 at 250 kg/ha and PM at 10 t/ha separately and in all possible combinations in completely randomized design in three replicates. The parameters measured were plant height, stem girth, number of leaves, leaf area, number of fruits and fruit weight. The single treatments differed significantly (P = 0.05) with the combinations of the treatments giving better performance. The 800 kg/ha MML + PM treatment gave the tallest plants (103.33 cm) and followed by single application of PM (102.33 cm). The application of 400 kg/ha MML + PM + NPK produced the highest number of fruits but 800 kg/ha MML + PM + NPK gave the highest fresh fruit (42.70 g) and dry fruit (20.50 g) weight. 800 kg/ha gave best growth performance among MML but 1200 kg/ha gave best yield. This suggests that MML can be used as source of nutrients to grow okra

Return for prenatal care and childbirth services among Nigerian women using primary health care facilities

Commonly, women from low socio‐economic background are vul‐ nerable to pregnancy‐related complications (Iliyasu, Abubakar, Galadanci, & Aliyu, 2010; Obiechina, Okolie, Eleje, Okechukwu, & Anemeje, 2011). The peculiarity of their vulnerability predisposes them to finding quicker and cheaper avenues to seek health care. The primary health care (PHC) maternity facilities are to serve this large population of women and their newborns. Services in Nigerian PHC facilities are not completely free, and the costs of available services are relatively determined by staff working in the facilitie

Evaluation of equity in informal land development systems in two Nigerian cities

The informal land development system in Sub-Saharan Africa (SSA) is perceived to promote equity and could be leveraged to support sustainable urban development and management. However, scanty empirical evidence exists on the extent of the system’s provision of equity to support policy formulation and practice in the region. Based on stakeholder workshops, focus group discussions and questionnaire surveys, this study analyses the system’s provision of equity in Nigeria. The study finds all categories of people undertake informal developments. Consistent with literature, this finding reflects wide patronage of the informal land development system and its relevance. Nevertheless, contrary to the existing perception, the system’s provision of equity is low. The study recommends for the institution of pro-poor and gender sensitive land development and management policies and programmes to increase the levels of equity to support the achievement of the country’s sustainable urban development and management agenda

Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives

Objective: To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs. Methods: Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine’s THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data. Results: Five key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs—new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU—former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them—clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician’s own understanding of patient experience—there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work—this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes. Conclusions: The follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area

Enablers and Barriers to Implementing ICU Follow-Up Clinics and Peer Support Groups Following Critical Illness: The Thrive Collaboratives

OBJECTIVES: Data are lacking regarding implementation of novel strategies such as follow-up clinics and peer support groups, to reduce the burden of postintensive care syndrome. We sought to discover enablers that helped hospital-based clinicians establish post-ICU clinics and peer support programs, and identify barriers that challenged them. DESIGN: Qualitative inquiry. The Consolidated Framework for Implementation Research was used to organize and analyze data. SETTING: Two learning collaboratives (ICU follow-up clinics and peer support groups), representing 21 sites, across three continents. SUBJECTS: Clinicians from 21 sites. MEASUREMENT AND MAIN RESULTS: Ten enablers and nine barriers to implementation of "ICU follow-up clinics" were described. A key enabler to generate support for clinics was providing insight into the human experience of survivorship, to obtain interest from hospital administrators. Significant barriers included patient and family lack of access to clinics and clinic funding. Nine enablers and five barriers to the implementation of "peer support groups" were identified. Key enablers included developing infrastructure to support successful operationalization of this complex intervention, flexibility about when peer support should be offered, belonging to the international learning collaborative. Significant barriers related to limited attendance by patients and families due to challenges in creating awareness, and uncertainty about who might be appropriate to attend and target in advertising. CONCLUSIONS: Several enablers and barriers to implementing ICU follow-up clinics and peer support groups should be taken into account and leveraged to improve ICU recovery. Among the most important enablers are motivated clinician leaders who persist to find a path forward despite obstacles

Plot by plot: plotting urbanism as an ordinary process of urbanization

With this paper, we analyse an ordinary urban process, which has received little attention so far and propose a new concept to take account of it: plotting urbanism. It is usually subsumed under terms like “urban informality” or “incremental urbanism” and not studied as a distinct process. In comparing Lagos, Istanbul and Shenzhen we captured four defining features of plotting urbanism: first, it unfolds in a piecemeal fashion with limited comprehensive planning. Second, it emerges from conflicts between multiple overlapping modes of territorial regulation, land tenure and property rights, which result in specific territorial compromises. Third, plotting is based on commodification of housing and land, which might accentuate socio-economic differentiations between property-owners, who often live in the same area, and their tenants. The term “plotting” highlights the key role of the plot in the process. It also alludes to strategic acts of collaboration for individual and collaborative benefit