 not have nice, original ones.
Rosa
You can’t have a Corona is a Puerto Rico postcard! Where is the Medalla?
That is a good photo though.Executive Secretary, Nigeria Christian Pilgrim Commission (NCPC), Rev. Yakubu Pam (l) with the Governor of Lagos State, Babajide Sanwo-Olu during the Pilgrimage Sensitization visit by the executive secretary of NCPC to the Governor at the Government House in Marina, Lagos State.
The Governor of Lagos State, Mr Babajide Sanwo-Olu has pledged to continue to support Christian pilgrimage in his state.
He disclosed this recently at Lagos House, Marina while receiving in audience the executive secretary of the Nigeria Christian Pilgrim Commission, Rev. Yakubu Pam who was in the State on a sensitisation visit.
He assured the NCPC boss that he would continue to support the Commission and the activities of the state Christian Pilgrims Welfare Board.
He explained that beyond government sponsorship, that his administration would continue to create the enabling environment so that intending private Pilgrims would have enough resources to sponsor themselves on Holy Pilgrimage.
Governor Sanwo- Olu assured the NCPC boss that he would continue to support NCPC so that the Commission would complement the efforts of the government through prayer and spiritual guidance.
The Lagos State Governor thanked Rev. Pam for commending the giant strides of his administration, especially in the sponsorship of Christians during the 2019 general Pilgrimage.
He averred that good governance is about improving the quality of life of the people, hence his administration would stop at nothing to make sure that the people of Lagos State enjoy the dividends of democracy through youth empowerment and infrastructural development.
He prayed that the tenure of the NCPC boss would experience peace and progress.
Earlier, the NCPC boss told the Governor that he was in the State on a one day sensitisation visit preparatory for the build up of this year’s December general Pilgrimage.
He commended the Governor for his support last year and for hosting the flag off of the 2020 general Pilgrimage exercise.
He stressed that the Holy Bible enjoined Christians to pray for the peace of Jerusalem and any country that is a friend of Israel would continue to experience peace.
He further affirmed that Pilgrimage is the only thing Christian believers enjoy as their own dividends of democracy.
He informed the Governor that the Commission would partner with Lagos State on Agriculture on order to expose the youths to skill acquisition through youth pilgrimage.
Rev Pam also canvassed for increase in the number of Pilgrims being sponsored by the state in this year,s December general Pilgrimage exercise.
RELATIONSHIP RED FLAGS; WHAT ARE THEY?
This might seem as “not being a big deal” but trust me depending on the partner, it is. Apologizing is a great way to hold accountability and helps in reconciliation. If your partner never admits to their wrong or apologizes for something they blatantly did, then this may be a red flag. I mean, how can the two of you grow if one refuses to admit their flaws? Partners with this trait could also gaslight – they make you feel guilty regardless of whether you are at fault or not. To maintain a healthy relationship, you have a responsibility to own up and apologize when you screw up or hurt their feeling.
Games are not cool, especially when you are in a relationship. It should be obvious that your partner is into you, or else what is the point of being in a relationship? Of course, they do not have to bring you flowers or goodies every day, but you should not have to doubt the love they have for you. They should be willing to show you how much they care about you. I mean Nigeria is hard enough and the least we deserve is decent relationships!
The people closest to you should build you up, not break you down. You deserve to date someone who treats you like royalty. Criticizing could be a good thing if done properly and minimally. But being overly critical while not commending? If your partner always scrutinizes how you look, speak or behave without making any compliments then maybe he/she will never be satisfied and perhaps it is better to just end things before they get too difficult or outright mean. A relationship should not make you question your self-worth.
Every partner should have the right to privacy. This varies across relationships but generally, it’s okay for your partner to have private conversations with other people, to have friends of their own and you shouldn’t have to read their messages. With that said, trust is an important ingredient for a long-lasting relationship. A partner being overly possessive of their phone, never having conversations in front of you or being too dodgy may be a red flag. Again, this point is very subjective.
LOL, for all I care you might be the rebound! If your partner still has pictures of their ex on their phone, looks at their social media profiles frequently, always makes the ex the topic of the conversations, claim to be friends with the ex or talks to them excessively, then, you might need to have a very serious conversation.  It also means the other person is likely to move on quickly without developing deep feelings for you, either intentionally or because they are not ready, potentially leaving you heartbroken.
In conclusion, when you encounter red flags in your relationship, it is a good time to pause and reflect. They could be signs of narcissism, aggression or even abusive behaviour. By becoming aware of some common red flags, you can avoid getting involved in a toxic relationship or being served breakfast.
Malnutrition is a significant cause of morbidity and mortality worldwide, leading to ∼ 45% of all deaths in children under the age of five. Approximately 52 million children have wasting with one-third (17 million) suffering from severe acute malnutrition. Even more children (∼ 154.8 million) have stunted growth, indicating widespread chronic malnutrition. In severe cases, primary protein-energy malnutrition (PEM) can develop, which has two major clinical forms: kwashiorkor and marasmus. Kwashiorkor is characterized by muscle atrophy, pitting edema, and distended abdomen with an enlarged fatty liver. It is caused by a deficiency of dietary protein despite sufficient calorie intake (e.g., from carbohydrates). Marasmus is the diffuse loss of muscle and fat tissue (without edema or distended abdomen) due to a severe state of total calorie deficiency of all macronutrients. Secondary PEM occurs due to illnesses affecting appetite, digestion, absorption, metabolism, and/or increased energy/protein demand. In addition to muscle atrophy, it is possible for patients to have clinical features of either marasmus or kwashiorkor. All PEMs are primarily clinical diagnoses; for primary PEM, WHO diagnostic criteria involve a child's weight-for-length/height and mid-upper arm circumference (MUAC). Thorough laboratory testing should also be conducted to evaluate for severity and complications. Treatment involves managing complications, rehydration, and careful nutritional rehabilitation to avoid refeeding syndrome. In the case of secondary PEM, underlying conditions should also be treated.
Protein-energy malnutrition (PEM) is a term that describes pathological conditions resulting from a deficiency of dietary protein and/or total calories.
Widespread in children living in resource-limited countries in Sub-Saharan Africa, South-East Asia, and Central America.
Protein-deficient KWick MEALS lead to Kwashiorkor → Malnutrition, Edema, Anemia, fatty Liver, Skin lesions!
Marasmus causes Muscle wasting but no edema!
Description: A form of PEM caused by illnesses affecting appetite, digestion, absorption, metabolism, and/or increased energy/protein demand rather than a lack of calorie intake.
PEM is primarily a clinical diagnosis. Laboratory testing should be conducted to assess the severity and complications. Additional testing may be required to determine the underlying condition for secondary PEM.
H&P: Take a thorough history and physical exam, focusing on nutrition/potential child maltreatment and typical clinical features.
Anthropometrics: Assess the degree of malnutrition.
Thorough laboratory testing (CBC, electrolyte panel, inflammatory markers, organ function tests) should be conducted to evaluate for severity and any complications.
Test for ova and parasites in stool culture.
Should be initiated slowly at ∼ 20% above the child's recent intake.
Slowly increase calorie intake while monitoring lab values daily.
For kwashiorkor, protein should also slowly be introduced into the diet to avoid acute liver injury.
Refeeding syndrome is a frequent complication if nutritional rehabilitation occurs too rapidly (sudden shift from a catabolic to an anabolic state): It is characterized by fluid retention, hypophosphatemia, hypomagnesemia, and hypokalemia.
2. Goday PS. Malnutrition in Children in Resource-Limited Countries: Clinical Assessment. In: Post TW, ed. UpToDate. Waltham, MA: UpToDate. https://www.uptodate.com/contents/malnutrition-in-children-in-resource-limited-countries-clinical-assessment. Last updated October 29, 2018. Accessed January 9, 2019.
3. Manary MJ, Trehan I. Kwashiorkor. https://bestpractice.bmj.com/topics/en-gb/1022. Updated September 1, 2018. Accessed January 9, 2019.
4. Trehan I, Manary MJ. Management of Moderate Acute Malnutrition in Children in Resource-Limited Countries. In: Post TW, ed. UpToDate. Waltham, MA: Up