Contributions of Andre Gunder Frank to the Theory of Development and Underdevelopment: Implications on Nigeria’s Development Situation.

This paper is a discourse on Andre Gunder Frank’s contribution to the theory and study of development and underdevelopment with emphasis on its implication on Nigeria’s development. The study exposes the inequality in the pace of socio-economic wellbeing of the people of various societies of the world which led social scientists to call those societies whose socio-economic development is considerably low “backward nations”. They later abandoned this expression as it was considered derogatory, and adopted instead, the expressions “underdeveloped societies,” “less-developed societies” or “developing nations”. To explain the reason for the underdevelopment of these nations W.W. Rostow in 1960 developed his Modernization Theory. This theory conceived underdevelopment as an “original state”, as something characteristic of a “traditional society”, as something that has internal origin. In response to this theory, Andre Gunder Frank in 1966 propounded his “dependency theory which saw the world’s nations as divided into a core of wealthy nations which dominate the poor nations whose main function in the system is to provide cheap labour and raw materials to the core. It held also that the benefits of this system of relationship accrue almost entirely to the rich nations, which become progressively richer and more developed, while the poor nations, which continually have their surpluses drained away to the core, do not advance, rather, they are impoverished; he also asserted that for the underdeveloped nations to develop, they must break (radically) their ties with the developed nations and pursue internal growth. In addressing this thesis, the puzzle is can Nigeria break her ties with the core wealthy nations of the West which have advanced their economies at the detriment of Nigeria and pursue meticulously, internally generated growth? Even though A.G. Frank’s argument that the cause of Africa’s underdevelopment in general and Nigeria in particular is her dependency on the wealthy Western Countries, has been accepted, it should also be noted that these Western Countries are operating in connivance with some unscrupulous elements in the country and that if they are not found and flushed out of the system, the internal growth policy will not survive. These are the issues this paper has addressed and concludes by positing that the Andre Gunder Frank’s Dependency is not the ultimate cause of underdevelopment in Nigeria but leadership problem. Therefore, breaking the ties without a radical change in political leadership style will not salvage Nigeria’s underdevelopment situation. Keywords: Development, Underdevelopment, Dependency Theory, Modernization Theory, Leadership Problem

Human Rights, Democracy and Community Development: The Need for a Nexus of the Concepts in Nigeria’s Development Process

The concepts of human rights, democracy and development as well as community development will ever remain most paramount in the affairs of all nations which cherish liberty and good governance. At present, there is virtually no facet of any diplomatic interactions between one sovereign nation and the other which is not founded on the internationally accepted principles of human rights, democracy and community development. Having passed through many years of agonizing, undemocratic and dehumanizing military regimes; Nigerians have come to realize that genuine concern for human rights and democracy is a viable option for attaining effective community development that is well-recognized by international communities. Unfortunately, this realization is now being manifested in the affairs of Nigeria very much in theory rather than in practice. The meaning and relevance of human rights, democracy and development as well as community development as legal and socio-political concepts, the nexus between them and practical problems besetting their effective application in Nigeria, constitute the core of this work. Keywords: Human Rights, Democracy, Community, Development, Liberty, Good Governance

Quantification of Heavy Metals using Contamination and Pollution Index in Selected Refuse Dumpsites in Owerri, Imo State Southeast Nigeria

Many sites in urban cities are used for dumping of domestic, industrial and municipal wastes because of high human population density in the area. Most often, people use these dumpsites for growing of crops without knowing the level of heavy metal contamination in soils of these areas. This study evaluated the quantification and contamination level of heavy metals in some refuse dumpsites in communities of the State Nigeria. Three replicate soil samples were collected from the dumpsites and at 20 m away from the non - dumpsite which do not receive sewage water within the root zone of 0 – 40 cm depth using soil auger sampler. Samples were analysed for soil properties and heavy metal concentrations using standard methods. The concentrations of the studied heavy metals (Cu, Pb, Zn and Cd) were compared with the permissible limits of other countries. Results showed that in the three studied locations, soil pH at dumpsites were 40 .6%, 39.4% and 38.9% higher than the values in the control sites while soil organic carbon were higher in the dumpsites by 50.1%, 31.3% and 41.1% as compared to the control sites. Cu concentrations at the three locations were below the standard limits of United Kingdom, European Union (EU), USA and WHO. The concentrations of the studied heavy metals passed the contamination stage and therefore will pose negative effect on plant and soil environment. Use of the dumpsite for crop cultivation or as compost materials should be avoided and construction of shallow wells near these areas should be discouraged

A Fifteen-year Review of Lymphomas in a Nigerian Tertiary Healthcare Centre

In Africa, epidemiological data on the effect of the HIV epidemic on the occurrence of lymphomas are scanty. The 1990s witnessed the alarming rates of HIV/AIDS in Nigeria. The prevalence of HIV/AIDS in Nigeria increased from 1.8% in 1991 to 4.4% in 2005. The aim of this study was to determine whether there have been any changes in the frequency and pattern of lymphomas in view of the HIV/AIDS epidemic in the country. This is a retrospective study of all lymphoma cases diagnosed during 1991-2005. The prevalence of lymphomas declined from 1.4% to 0.7% of surgical biopsies during 1991-2005. There was a decline in the proportion of high-grade non-Hodgkin lymphoma and Burkitt's lymphoma from 79.1% and 45.8% respectively to 21.1% and 13.6% respectively. There is a suggestion that the HIV/AIDS epidemic in the country may not have influenced the pattern of occurrence of both major histomorphological types of lymphoma in Ibadan

Prevalence and determinants of use of traditional methods of infertility treatment among women attending infertility clinic in Southeast Nigeria

Infertility, an obstacle to healthy living, makes its victims patronize traditional methods of infertility treatment (TMIT) in spite of associated complications. They turn to hospitals when this method fails. This is actually a serious issue because the presence of contaminated herbal products and the relationship between the use of TMIT and noncompliance with biomedical treatment regimens constitutes a major concern in medical practice. And the use of traditional methods of infertility treatment has been correlated with severe and fatal consequences. Therefore, the study assessed prevalence/determinants of TMIT use among patients visiting the gynaecology clinic at Alex Ekwueme Federal University Teaching Hospital Abakaliki (AE-FUTHA). Descriptive cross-sectional design was adopted for the research. Only 263 women took part in the study. The research instrument was questionnaire. Data were analyzed using descriptive statistics. Findings revealed that 95.4% of these women have used traditional methods for infertility treatment and factors influencing infertile women’s use of TMIT are demographic characteristics, infertility duration, husbands’ relatives’ pressure and cheap cost of traditional medical treatment. Again, inability of infertile women to disclose TMIT use to healthcare providers makes effective treatment difficult. Therefore, these impediments expose infertile women to use TMIT. The result is a guide to healthcare providers who are expected to know the extent of their parents’ use of TMIT

Machine learning-enabled maternal risk assessment for women with pre-eclampsia (the PIERS-ML model): a modelling study.

Affecting 2-4% of pregnancies, pre-eclampsia is a leading cause of maternal death and morbidity worldwide. Using routinely available data, we aimed to develop and validate a novel machine learning-based and clinical setting-responsive time-of-disease model to rule out and rule in adverse maternal outcomes in women presenting with pre-eclampsia. We used health system, demographic, and clinical data from the day of first assessment with pre-eclampsia to predict a Delphi-derived composite outcome of maternal mortality or severe morbidity within 2 days. Machine learning methods, multiple imputation, and ten-fold cross-validation were used to fit models on a development dataset (75% of combined published data of 8843 patients from 11 low-income, middle-income, and high-income countries). Validation was undertaken on the unseen 25%, and an additional external validation was performed in 2901 inpatient women admitted with pre-eclampsia to two hospitals in south-east England. Predictive risk accuracy was determined by area-under-the-receiver-operator characteristic (AUROC), and risk categories were data-driven and defined by negative (-LR) and positive (+LR) likelihood ratios. Of 8843 participants, 590 (6·7%) developed the composite adverse maternal outcome within 2 days, 813 (9·2%) within 7 days, and 1083 (12·2%) at any time. An 18-variable random forest-based prediction model, PIERS-ML, was accurate (AUROC 0·80 [95% CI 0·76-0·84] vs the currently used logistic regression model, fullPIERS: AUROC 0·68 [0·63-0·74]) and categorised women into very low risk (-LR 0·2 and +LR 10·0; 11 [1·0%] women). Adverse maternal event rates were 0% for very low risk, 2% for low risk, 5% for moderate risk, 26% for high risk, and 91% for very high risk within 48 h. The 2901 women in the external validation dataset were accurately classified as being at very low risk (0% with outcomes), low risk (1%), moderate risk (4%), high risk (33%), or very high risk (67%). The PIERS-ML model improves identification of women with pre-eclampsia who are at lowest and greatest risk of severe adverse maternal outcomes within 2 days of assessment, and can support provision of accurate guidance to women, their families, and their maternity care providers. University of Strathclyde Diversity in Data Linkage Centre for Doctoral Training, the Fetal Medicine Foundation, The Canadian Institutes of Health Research, and the Bill & Melinda Gates Foundation. [Abstract copyright: Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license

Temporal and external validation of the fullPIERS model for the prediction of adverse maternal outcomes in women with pre-eclampsia

The fullPIERS model is a risk prediction model developed to predict adverse maternal outcomes within 48 h for women admitted with pre-eclampsia. External validation of the model is required before implementation for clinical use. We assessed the temporal and external validity of the fullPIERS model in high income settings using five cohorts collected between 2003 and 2016, from tertiary hospitals in Canada, the United States of America, Finland and the United Kingdom. The cohorts were grouped into three datasets for assessing the primary external, and temporal validity, and broader transportability of the model. The predicted risks of developing an adverse maternal outcome were calculated using the model equation and model performance was evaluated based on discrimination, calibration, and stratification. Our study included a total of 2429 women, with an adverse maternal outcome rate of 6.7%, 6.6%, and 7.0% in the primary external, temporal, and combined (broader) validation cohorts, respectively. The model had good discrimination in all datasets: 0.81 (95%CI 0.75-0.86), 0.82 (95%CI 0.76-0.87), and 0.75 (95%CI 0.71-0.80) for the primary external, temporal, and broader validation datasets, respectively. Calibration was best for the temporal cohort but poor in the broader validation dataset The likelihood ratios estimated to rule in adverse maternal outcomes were high at a cut-off of >= 30% in all datasets. The fullPIERS model is temporally and externally valid and will be useful in the management of women with pre-eclampsia in high income settings although model recalibration is required to improve performance, specifically in the broader healthcare settings.Peer reviewe

Pentecostal intimacies: women and intimate citizenship in the ministry of repentance and holiness in Kenya

This article explores the intersections of gender, sexuality and citizenship in the context of one prominent neo-Pentecostal movement in Kenya, the Ministry of Repentance and Holiness (MRH) led by the charismatic Prophet David Owuor. Employing the concept of intimate citizenship, the article analyses, first, how MRH engages in a contestation of intimate citizenship in the contemporary Kenyan public sphere, especially in relation to women’s bodies. Second, it examines how MRH simultaneously configures, through a range of highly intimate beliefs, practices and techniques, an alternative form of intimate citizenship defined by moral purity and concerned with a political project of moral regeneration. Coining the notion of ‘Pentecostal intimacies’, the article provides insight into the reasons why so many people, especially women, are attracted to MRH, and hence it interrogates the liberal frame in which intimate citizenship is usually conceptualised