An Analysis of the Policy Framework on Electricity in South Africa: A Public Interest Approach

The policy framework on electricity in South Africa includes government’s intention to provide quality and affordable electricity to the people. This article focuses on the issues that affect electrification and their impact towards the goal of achieving universal access to quality and affordable electricity in the country from a policy perspective. The provision of electricity to the poor and previously disadvantaged communities is a matter of social welfare in the country. Hence, the electricity-related policy issues are examined in the context of public interest. In South Africa the identification of limited availability of electricity as a public problem by the post 1994 ANC government has led to an integrated policy framework which focuses on balancing economic concerns with social and environmental considerations. The methodological approach allows for an in depth textual study on the post 1994 electricity policy documents and the examination of issues relating to the provision of quality and affordable electricity to the people, especially the previously disadvantaged South Africans. The article posits that good governance has enabled for the identification of issues relating to sustainable public interests. These public interests include social equity, poverty alleviation and environmental sustainability and government also using public sector agencies to play key roles in service delivery. Through this article, the author intends to make a contribution towards the body of knowledge pertaining to the niche areas of poverty alleviation and socio-economic development in the discipline of public administration.Key words: Electricity, universal access, reconstruction and development, social equit

Teachers’ perception of the effectiveness of Computer-Assisted-Instruction in the teaching of Junior Secondary School Social Studies in Nnewi Education zone, Anambra State, Nigeria

This study sought to determine teachers’ perception of the effectiveness of Computer-Assisted-Instruction (CAI) in the teaching of junior secondary school Social Studies in Nnewi education zone, Anambra state. A descriptive survey design was adopted for the study. Three research questions and three hypotheses (at 0.05 level of significance) guided the study. The population of the study consisted of all the twenty-nine Social Studies teachers in the education zone. There was no sampling since the entire population of the study was used.  A 16-item questionnaire titled “Questionnaire on teachers’ perception of the effectiveness of Computer-Assisted-Instruction (CAI) on the teaching of junior secondary school Social Studies” was used for data collection. Data collected were analyzed using mean and standard deviation while t-test statistic was employed to test the null hypotheses. The findings of the study showed that the respondents perceived CAI to be effective in the teaching of Social Studies in junior secondary school in the education zone.  The findings also showed that there is no significant difference in the mean perception of Social Studies Head teachers and teachers on the effectiveness of CAI in the teaching of JSS Social Studies. It was also shown that there is no significant difference in the mean perception of male and female Social Studies teachers on the effectiveness of CAI in the teaching of JSS Social Studies. Similarly, it was also revealed that there is no significant difference in the mean perception of urban and rural Social Studies teachers on the effectiveness of CAI in the teaching of JSS Social Studies curriculum. These findings were exhaustively discussed with far-reaching implications, conclusion and recommendations on the efficacy of CAI in enhancing students’ achievement and teachers’ knowledge of JSS Social Studies. Keywords: Perception, Computer-Assisted-Instruction, Social Studie

Roles of Perceived Locus of Causality, Social Distance and Gender on Willingness to Volunteer in Nigeria Local Community

The present study investigated potential enhancement factors in relation to volunteerism. Specifically, we examined how perceived locus of causality, social distance and gender may influence willingness to volunteer help for victims of road accident. The study was based on a controlled experiment among students of a university (N = 80). Hypotheses were tested simultaneously in a univariate analysis which showed non-significant influence of perceived locus of causality (H1, p > .05); significant influence of social distance (H2, p < .05); non-significant influence of gender (H3, p > .05); significant interaction of perceived locus of causality and gender (p < .01), and significant interaction of perceived locus of causality, social distance and gender on willingness to volunteer (H4, p < .01). That is, people were more willing to help when those in need are related to them. The present study contributes to theory within this research field which explain African disposition by showing that kinship and familiarity are significant predictors of willingness to provide help for victims of disaster. However, the researchers encourage all Nigerians to look beyond family ties and affiliations in providing help to people in need. Key Words: Volunteerism; Social distance; Perceived locus of causality; Gender; Nigeria; Local cultur

Familial adenomatous polyposis with synchronous invasive colonic carcinomas and metastatic jejunal adenocarcinoma in a Nigerian male

Familial adenomatous polyposis is rare. Three cases were previously reported in Nigeria. An intriguing feature of this case is an ulcerated jejunal carcinoma which was metastatic rather than synchronous carcinoma. This patient presented with partial large bowel obstruction and the pathological analysis revealed 4 invasive adenocarcinomas, 3 in the colon and 1 in the jejunum (Dukes stage D). Palliative pancolectomy and jejunal tumour resection with chemotherapy was offered to him. He died eight months after surgery from disease progression. The challenges of managing a hereditary cancer syndrome in a resource poor country are highlighted

Generalized lymphadenopathy: an unusual presentation of burkitt lymphoma in a Nigerian child: a case report

Intoduction: Burkitt Lymphoma is the fastest growing tumor in human and the commonest of the childhood malignancies. Generalized lymphadenopathy is a common feature of immunodeficiency associated Burkitt lymphoma but an uncommon presentation of the endemic type in Human Immunodeficiency Virus (HIV) negative children. Case presentation: The authors report a 6 year old HIV negative boy who presented with generalized lymphadenopathy, cough, weight loss, fever and drenching night sweat and had received native medication as well as treatment in private hospitals. His examination revealed hepatosplenomegaly, bull neck with generalized significant massive lymphadenopathy. Diagnosis was missed initially until a lymphnode biopsy for histology confirmed Burkitt lymphoma. He was managed on combination chemotherapy with complete resolution and now on follow up. Conclusion: To the best of our knowledge, this is the first documented report of its kind of endemic Burkitt lymphoma involving lymphnodes generally as the primary site. High index of suspicion and early biopsy are the key in this uncommon presentation

Paratesticular myxoid liposarcoma in a 23-year old Nigerian

Paratesticular liposarcomas are rare tumors and are usually seen in patients in middle age or older. Optimal treatment is radical orchidectomy. Radiotherapy or chemotherapy is added for advanced disease or recurrences. These practice guidelines often vary from the experience in developing countries

Mortality and pulmonary complications in patients undergoing surgery with perioperative sars-cov-2 infection: An international cohort study

Background The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (740%) had emergency surgery and 280 (248%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (261%) patients. 30-day mortality was 238% (268 of 1128). Pulmonary complications occurred in 577 (512%) of 1128 patients; 30-day mortality in these patients was 380% (219 of 577), accounting for 817% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 175 [95% CI 128-240], p<00001), age 70 years or older versus younger than 70 years (230 [165-322], p<00001), American Society of Anesthesiologists grades 3-5 versus grades 1-2 (235 [157-353], p<00001), malignant versus benign or obstetric diagnosis (155 [101-239], p=0046), emergency versus elective surgery (167 [106-263], p=0026), and major versus minor surgery (152 [101-231], p=0047). Interpretation Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Socio-demographic characteristics and other factors associated with depressive illness among medical students at the University of Port Harcourt

Background: The burden of depression as a mental disorder has continued to increase and constituting an enormous public health concern among all age groups. A number of socio-demographic, and other factors including a stressful and rigorous academic programme or curriculum such as the one run in most medical schools could contribute to the occurrence of depression among medical students. AIM: To determine the socio-demographic and other factors associated with depression among medical students in the University of Port Harcourt. Methodology: This study was a descriptive cross-sectional study. Appropriate sample size was calculated and the stratified random sampling method was used to select the subjects. A well-structured open ended self-administered socio-demographic questionnaire was administered to the students. The Zung Self-Rated Depression Scale was used to assess the depression status of each respondent. The data were analyzed via descriptive and analytical methods. Results: The prevalence of depression among the medical students was 5.3%. Fourteen students (4.6%) were mildly depressed while only two respondents had moderate depression. Year 3 had the highest prevalence with 10.5% followed by final year with 5.3%, while the only 2 cases of moderate depression were found among students in year 2 of their medical programme. Two hundred and seventy-one respondents (88.8%) were found to have good knowledge of depression, 32 (10.5%) were found to have average knowledge of depression and 2(0.7%) had poor knowledge of depression. Conclusion: Depression does occur among medical students at the University of Port Harcourt albeit low, and was associated with a number of socio-demographic and other factors. The present medical curriculum and programme should be sustained and more efforts at making it less stressful and academically friendly, be made to further reduce the current rate of psychological stress and depression among the students