National Integration in Humanities and Development: The Way Forward

This paper examines the following concepts nation and its attributes; national integration, development and social studies education. The paper also discusses the concept of national integration, theories of nation al integration and the problems of national integration in Nigeria. It further discusses the factors of disunity and under development, other nations have used social studies education in integrating their citizens for national development and prowess. The paper demonstrates how social studies education can be used in integrating the Nigerian citizens for national development. The paper concludes with recommendations

Beyond the modern: Muslim youth imaginaries of nation in Northern Nigeria

The rise of different nationalisms in an increasingly unequal and neoliberal world make predictions about the dawn of a post-national, global society seem both incongruous and fraught with Eurocentric occlusions. In response, we present a postcolonial analysis of research into Muslim youth narratives of nation in Northern Nigeria. This highlights the continued significance of nation for youth as well as the historical fractures - both internal and external - that infused their identity narratives. We further show the entanglement of nation and religion in youth imaginaries, and their anti-colonial ambivalences, notably with respect to gender reforms. Our analysis calls for a sociology of nation that goes beyond a modern framing and instead attends to the agonistic affective relations through which national imaginaries are constructed; the historical sutures that were intrinsic to the creation of postcolonial nations and their enduring persistence as points of fracture

Troubled spaces: negotiating school–community boundaries in northern Nigeria

Community participation is a vital component of the educational decentralisation policies that are now widespread in Nigeria. In this paper, we explore school–community relations in different localities in northern Nigeria, where there is both very little inter-generational experience of schooling and minimal engagement by local communities in social and political management processes. Drawing on ethnographic data in and around six primary schools in Adamawa State, northern Nigeria, we problematise school–community relations and highlight the complexities and tensions in their social interactions. This we do by focusing on the school boundary that both connects and distinguishes it from the surrounding community. In particular, we explore the agonistic spatial and temporal regulation that operates at the school boundary, with specific attention to the different ways that students, teachers and the community comply or resist such strategies of governmentality. In concluding, we argue that it is imperative to think through the implications for/of international education and development policies as they are launched in diverse localities. This would help to avoid accounts of local deficit that are so readily invoked when top-down policies reach communities

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Hijacking equal opportunity policies in a Nigerian College of Education: The micropolitics of gender

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Genital tuberculosis presenting as pyrexia of undetermined origin

A case of Genital tuberculosis in a female patient is presented. The key presenting features in this lady were chronic weight loss, colicky lower abdominal pains, fever, and amenorrhea