The relationship between the past the present and the future.

Life is like a movie theater, where everyone take his part, what matters is your role, did you play your path wisely or foolishly coz your role determines your result, whatever we’ve left out on the lawn comes back to haunt us.


It’s easy to get faded out being busy, but the question is busy doing what!!?

Liverpool played a 2-2 draw tie with Manchester United on Sunday 10 April.

Manchester City and Liverpool played out a compelling 2-2 draw at the Etihad on Sunday  (Apr 10) that leaves the defending champions just one point clear of their rivals at the top of the Premier League.

Goals from Kevin De Bruyne and Gabriel Jesus either side of a Diogo Jota strike put City 2-1 up at half-time but Sadio Mane levelled seconds after the restart to change the tone of the match.

But neither side could find a winner, leaving the league title too close to call with just seven matches to go.

Billed as one of the biggest matches in Premier League history – between two of the finest sides English football has seen – the contest at a crackling Etihad lived up to the hype.

After a cagey opening, the game suddenly burst into life.

Liverpool goalkeeper Alisson Becker raced off his line to deny Raheem Sterling, who was set up by Jesus as the home side attacked in earnest for the first time.

But the Brazil international was powerless to prevent De Bruyne’s wickedly deflected opening goal in the fifth minute after he was fed by a quick free-kick.

The Belgium midfielder skipped past Fabinho and fired in a shot which hit defender Joel Matip and went in off the far post.

A steward had to remove a blue flare from the pitch as home fans celebrated and the momentum was all with City.

But their wild celebrations were cut short just eight minutes later when Jota scored his 15th Premier League goal of the season.

Andy Robertson crossed to the far post where fellow full-back Trent Alexander-Arnold cut the ball to the Portugal forward, who made no mistake.

Suddenly the Liverpool fans in one corner of the packed ground were in full voice.

Midway through the first half, City goalkeeper Ederson almost paid for an astonishing lapse in concentration, allowing a tame back pass to dribble within centimetres of crossing the line, with Jota sliding in.

City were shading possession and had the better of the openings but Liverpool posed a constant threat down the right through Alexander-Arnold and Mohamed Salah.

De Bruyne went close to restoring City’s lead when he shot just wide after a sharp turn and minutes later Joao Cancelo’s powerful shot was blocked.

But the home side were back in front less than 10 minutes before half time when Cancelo picked out the deep run of Jesus, who lifted the ball over Alisson from the edge of the six-yard box.

MANE STRIKES

Incredibly, Liverpool were back in the contest within seconds of the restart, before many fans had even re-taken their seats.

Salah picked out fellow forward Mane, who raced onto the ball through the middle and beat Ederson to celebrate his 30th birthday in style.

City, who had the luxury of a 14-point lead over Liverpool in January, were rattled and Jota forced Ederson to make a fine save soon afterwards.

The home side thought they had re-taken the lead in the 63rd minute but Sterling’s goal was ruled out for offside by VAR.

The two managers swapped attacking substitutions Jurgen Klopp brought on winger Luis Diaz for Jota with 20 minutes to go and Pep Guardiola threw on Riyad Mahrez for Sterling.

Jack Grealish also entered the fray for City while Roberto Firmino was brought on for Liverpool.

Mahrez had a glorious chance to win the match in the last seconds of stoppage time but lifted his shot over the bar.

Homepage

People killing people, Possibility of Ukraine airstrike from Belarus.

It’s quiet unfortunate, disappointing, terrible, fearful, unbelievable that up till date the world still folds their arms watch the Mother-Earth disturbed.

People deriving joy in slaughtering fellow human without conscience.

Why would their be war for the first place?

Problems, killings everywhere in the world and nothing is been done to resolution.

Russia invaded Ukraine on 24 February 2022.

Internationally considered an act of aggression, the invasion has triggered Europe’s largest refugee crisis since World War II, with more than 4.4 million Ukrainians leaving the country and a quarter of the population displaced.

And till date nothing is been done, civilians been killed according to reports everywhere globally.

So Sad when I realized that human are killing fellow Human for fun attached to one reason or the other ranging from betrayal, qaurel, misunderstanding no love .

Sometimes I feel like I was never made.

@oneworldvisionnews

Homepage

Happy weekend world, hope you feeling alive today?

Hello my value readers globally I hope you feeling alive today?, Well donw here I had a safe trip from South to the East and I’m back.

I believe you all are blessed this great, sweet, delicious, fine, funny, and blissful weekend.?

Homepage

Foreign journalist was on Tuesday (May 17) fined S$6,500 for doing freelance work.

A foreign journalist was on Tuesday (May 17) fined S$6,500 for doing freelance work without a valid work pass.

Calum Arthur Alistair Stuart, 36, pleaded guilty to one charge under the Employment of Foreign Manpower Act. Another similar charge was considered for sentencing.

The two co-accused who engaged his services – Refinitiv Asia and media professional Muhammad Firdianshah Salimat – were also fined S$5,500 and S$4,000 respectively.

Stuart, a Briton, married a Singaporean in 2014 and was on a long-term visit pass when he offended in 2015 and 2016.

The Ministry of Manpower received information against Stuart for possible illegal employment in September 2019 and investigated.

Stuart admitted to doing freelance television and video production work for Refinitiv, then known as Thomson Reuters, while he did not hold a valid work pass.

He was paid about S$30,000 for work done over more than half a year from Nov 25, 2015 to Jul 8, 2016, except for a period of about three weeks in June 2016.

The court heard that Stuart was offered an assistant producer role with Refinitiv’s news business in August 2015. He agreed to the offer but did not sign the employment contract.

The company subsequently applied for an employment pass on Stuart’s behalf, but the application was rejected on Sep 9, 2015.

The company then applied for a letter of consent for Stuart to work for them on Nov 23, 2015. This was rejected on Dec 23 that year.

Around Nov 25, 2015, while waiting for approval of the letter of consent, Refinitiv offered freelance work to Stuart at a rate of S$4,500 a month.

Stuart accepted despite knowing that he was prohibited from engaging in any profession without a valid work pass, according to court documents.

The prosecution asked for a fine of S$7,000 to S$8,000, arguing that while Stuart did not take active steps to be illegally self-employed, he accepted the offer only two days after the company had applied for his letter of consent.

Stuart also made significant gains from his illegal employment, said Ministry of Manpower prosecuting officer Houston Johannus.

Stuart’s defence lawyer Remy Choo said his client’s main offence was in failing to check the status of his letter of consent, and disagreed that the amount he earned was relevant to sentencing.

On Refinitiv’s part, the company admitted to being aware that Stuart did not hold a valid work pass when it made the freelance offer.

The company pleaded guilty to one charge of abetting Stuart to commit the offence of being a self-employed foreigner without a valid work pass.

Homepage

Singapore government officials social media accounts spammed.

The social media accounts of a number of political holders and government agencies have been spammed by supporters of an Indonesian preacher who was denied entry into Singapore on Monday (May 16), said a Ministry of Communications and Information (MCI) spokesperson on Wednesday.

Abdul Somad Batubara had arrived at Tanah Merah Ferry Terminal and was placed on a ferry back to Batam on the same day.

Responding to media queries, the MCI spokesperson said there were calls for cyberattacks against Singapore Government social media accounts on public Indonesian chat groups.

CNA understands that the Instagram accounts of President Halimah Yacob, Prime Minister Lee Hsien Loong, Senior Minister Teo Chee Hean and Foreign Minister Vivian Balakrishnan were among those that were affected, as was Mr Lee’s Twitter account.

The Instagram accounts of the Immigration and Checkpoints Authority and Singapore Tourism Board were also spammed. 

In addition, two events management companies have had their websites defaced. The websites have since been recovered and SingCERT will reach out to the companies to extend our assistance,” said the spokesperson.

Organisations are advised to take active steps to strengthen their cybersecurity posture, heighten vigilance, and bolster their online defences to protect their organisation against possible cyberattacks, such as web defacement and distributed denial of service, the spokesperson added.

Local organisations who are affected by a cyberattack or have evidence of any suspicious compromise of their networks should report to SingCERT, MCI said, adding that a report can be made online.

Abdul Somad Batubara, an Indonesian preacher who was denied entry into Singapore on Monday (May 16).

Six people who travelled with Somad were also not allowed to enter Singapore, said the Ministry of Home Affairs (MHA) on Tuesday night. 

Somad has been known to preach extremist and segregationist teachings, which are unacceptable in Singapore’s multi-racial and multi-religious society”, MHA said in a statement.

While Somad had attempted to enter Singapore ostensibly for a social visit, the Singapore Government takes a serious view of any persons who advocate violence and or espouse extremist and segregationist teachings, said MHA.

Homepage

Former Nigeria Senator, Shehu Sani pledge to end insurgence in if elected Kaduna state governor.

Former Senator Shehu Sani who represented the Kaduna Central in the 8th National Assembly and Peoples Democratic Party’s governorship aspirant has said he will end banditry and revive the textile industries if elected as Kaduna State governor in 2023.

Sani said it was unacceptable that bandits decide the fate of citizens of the state, adding that residents could only sleep with their two eyes closed in just two of the 23 Local Government Areas of the state.

The PDP governorship hopeful spoke while addressing journalists at the Nigeria Union of Journalists’ Secretariat in Kaduna on Tuesday ahead of the party’s primary.

Sani maintained that remained the only aspirant that could defeat the ruling party in the state in the race to the Sir Kashim Ibrahim Government House, Kaduna in the 2023 governorship election.

Homepage

Judge deny Mazi Nnamdi Kanu bail application.

Justice Binta Nyako of the Federal High Court in Abuja has refused to admit the leader of the Indigenous People of Biafra, IPOB, Nnamdi Kanu to bail.

The judge held that Kanu must account for his whereabouts for years when he was first granted bail but refused to attend court for trial.

The court disagreed with the defendant that he escaped out of the country when a retinue of armed soldiers allegedly invaded his ancestral home in Abia State.

Homepage

Alhaji Atiku Abubakar, has claimed that the All Progressive Congress (APC) robbed him of his mandate in 2019.

Former Vice President and presidential candidate on the People’s Democratic Party (PDP) platform, Alhaji Atiku Abubakar, has claimed that the All Progressive Congress (APC) robbed him of his mandate, despite the fact that he won the 2019 Presidential election.

He accused the APC of abusing incumbency and the Federal Government’s tool to deny him the mandate granted by voters in 2019.

On Tuesday night, Atiku revealed this when speaking with Kaduna PDP delegates at the party office.

Under no circumstance will that be allowed to repeat itself in the 2023 elections should the party give me the mandate to contest. Give me your votes again like you did in 2018, I assure you that I will not disappoint you,” he pleaded.

If given the party’s mandate and I emerge President in 2023, I will invest in education, decisively address insecurity, and create employment for the youths; unite the country and give every part of the country a sense of belonging.

I am here again to solicit for your votes like you gave me in 2018.

I won the 2019 presidential election squarely but was robbed of it; just like you people were robbed in Kaduna State using government power of incumbency, but we won’t allow a repeat of that again in 2023.

I therefore appeal to you to elect correct and competent leaders, if I get the mandate of the party and emerge victorious in 2023; I will unite Nigerians and give every part of the country a sense of belonging.

If elected President, I will invest in education, decisively address insecurity and provide employment to our youths, give me your votes and you won’t regret doing so he told the delegates.

Homepage

Gunshot fired at large crowth in Kano state.

It was learnt that multiple gunshots have been fired at the scene of the explosion that rocked Sabongari area of Kano on Tuesday morning.

The shots were fired by security agents to disperse the restless crowd at the scene.

Earlier, some of the youths attacked the soldiers with stones but the situation was brought under control.

But while our correspondent was doing a live update at the scene, security agents fired several shots into the air to disperse the crowd.

Daily Trust gathered that while rescue efforts were going on, some hoodlums have started using the commotion to break into People’s shops and houses.

Meanwhile, the evacuation exercise is still ongoing as at the time of filing this report with four casualties already confirmed.

Homepage

Emphysema is a lung condition that causes shortness of breath.

What is emphysema?

Emphysema is a lung condition that causes shortness of breath. In people with this condition, the air sacs in the lungs (alveoli) are damaged. Over time, the inner walls of the air sacs weaken and rupture — creating larger air spaces instead of many small ones. This reduces the surface area of the lungs and, in turn, the amount of oxygen that reaches your bloodstream.

When you exhale, the damaged alveoli don’t work properly and old air becomes trapped, leaving no room for fresh, oxygen-rich air to enter. Most people with emphysema also have chronic bronchitis. Chronic bronchitis is inflammation of the tubes that carry air to your lungs (bronchial tubes), which leads to a persistent cough. Emphysema and chronic bronchitis are two conditions that make up chronic obstructive pulmonary disease (COPD). Smoking is the leading cause of COPD. Treatment may slow the progression of COPD, but it can’t reverse the damage.

Types of Emphysema

Emphysema is a type of COPD, and there are different types of emphysema, depending on which part of the lungs it affects.

These are:

paraseptal emphysema

centrilobular emphysema, which affects mainly the upper lobes and is most common in people who smoke

panlobular emphysema, which affects both the paraseptal and centrilobular areas of the lungs

During diagnosis, a CT scan can show which type of emphysema is present. The type does not affect the outlook and treatment.

Pathophysiology

Emphysema is a pathologic diagnosis defined by permanent enlargement of airspaces distal to the terminal bronchioles. This leads to a dramatic decline in the alveolar surface area available for gas exchange. Furthermore, loss of alveoli leads to airflow limitation by 2 mechanisms. First, loss of the alveolar walls results in a decrease in elastic recoil, which leads to airflow limitation. Second, loss of the alveolar supporting structure leads to airway narrowing, which further limits airflow.

It has 3 morphologic patterns:

Centriacinar

Panacinar

Distal acinar, or paraseptal

Centriacinar emphysema is characterized by focal destruction limited to the respiratory bronchioles and the central portions of the acini. This form of emphysema is associated with cigarette smoking and is typically most severe in the upper lobes.

Panacinar emphysema involves the entire alveolus distal to the terminal bronchiole. The panacinar type is typically most severe in the lower lung zones and generally develops in patients with homozygous alpha1-antitrypsin (AAT) deficiency.

Distal acinar emphysema, or paraseptal emphysema, is the least common form and involves distal airway structures, alveolar ducts, and sacs. This form of emphysema is localized to fibrous septa or to the pleura and leads to formation of bullae (as seen in the images below). The apical bullae may cause pneumothorax. Paraseptal emphysema is not associated with airflow obstruction.

The gradual destruction of alveolar septae (shown in the image below) and of the pulmonary capillary bed in emphysema leads to a decreased ability to oxygenate blood. The body compensates with lowered cardiac output and hyperventilation.

This V/Q mismatch results in relatively limited blood flow through a fairly well oxygenated lung with normal blood gases and pressures in the lung, in contrast to the situation in chronic bronchitis. Because of low cardiac output, the rest of the body also suffers from tissue hypoxia and pulmonary cachexia. Eventually, these patients develop muscle wasting and weight loss and are identified as “pink puffers.”

Causes

The main cause is exposure to airborne irritants, which include tobacco smoke, marijuana smoke, air pollutants, and manufacturing smoke.

Very rarely, emphysema is caused by heredity, wherein a person has a shortage of a protein that guards the elastic structure in the lungs, known as alpha-1 antitrypsin deficiency.

Close relatives of people with emphysema are more likely to develop the disease themselves. This is probably because the tissue sensitivity or response to smoke and other irritants may be inherited. The role of genetics in the development of emphysema, however, remains unclear.

Abnormal airway reactivity, such as bronchial asthma, has been shown to be a risk factor for the development of emphysema.

Who is at risk for emphysema?

The risk factors include

This the main risk factor. Up to 75 percent of people who have emphysema smoke or used to smoke.

Long-term exposure to other lung irritants, such as secondhand smoke, air pollution, and chemical fumes and dusts from the environment or workplace.

Most people who have emphysema are at least 40 years old when their symptoms begin.

This includes alpha-1 antitrypsin deficiency, which is a genetic condition. Also, smokers who get emphysema are more likely to get it if they have a family history of COPD.

Symptoms of emphysema

The symptoms include:

Breathlessness with exertion, and eventually breathlessness most of the time in advanced disease

Susceptibility to chest infections

Cough with phlegm production

Fatigue

Barrel-shaped chest (from expansion of the ribcage in order to accommodate enlarged lungs)

Cyanosis (a blue tinge to the skin) due to lack of oxygen.

Complications of Emphysema

People who have emphysema are also more likely to develop:

Collapsed lung (pneumothorax). A collapsed lung can be life-threatening in people who have severe emphysema, because the function of their lungs is already so compromised. This is uncommon but serious when it occurs.

Heart problems. Emphysema can increase the pressure in the arteries that connect the heart and lungs. This can cause a condition called cor pulmonale, in which a section of the heart expands and weakens.

Large holes in the lungs (bullae). Some people with emphysema develop empty spaces in the lungs called bullae. They can be as large as half the lung. In addition to reducing the amount of space available for the lung to expand, giant bullae can increase your risk of pneumothorax.

How do doctors diagnose Emphysema?

Your chest feels tight, you’re out of breath much of the time, and you have a cough that won’t go away. Do you have emphysema? You can’t go on symptoms alone. See your doctor. They’ll do the following tests to find out for sure:

Medical History

Your doctor will talk to you about your health and any recent changes you might have noticed. If you have emphysema, you’ll probably have had shortness of breath, often over a period of months or years. You may also experience wheezing. You might have a cough that won’t go away, too.

Physical Exam

Your doctor will check your weight and blood pressure. They’ll listen to your heartbeat and keep an eye out for anything that seems strange or unusual.

If you have advanced emphysema, your doctor may notice that you have any of the following:

You have a “barrel chest” caused by larger-than-normal lungs.

You’re wheezing, having a hard time getting air out of your lungs.

Your fingertips are rounded. Doctors call this “clubbing.”

You purse your lips when you breathe, like you’re blowing a kiss.

The oxygen levels in your blood are low (hypoxemia).

The carbon dioxide levels in your blood are high (hypercarbia), because emphysema makes it hard to exhale properly.

Your lips have a blue tinge (cyanosis), another sign of low oxygen in your blood.

Malnutrition causes muscles to slowly waste away in advanced emphysema.

Pulmonary Function Tests (PFTs)

For this exam, you may sit inside an enclosed booth and breathe into a tube. This will allow your doctor to measure:

How much air your lungs can hold

How fast you can blow air out of your lungs

How much air stays trapped in your lungs after you exhale

Whether you’re able to breathe better after using medicines you inhale, such as albuterol

If you have normal lungs, you’ll likely be able to empty most of the air from them in 1 second. If you have emphysema, it’ll probably take longer.

Chest X-ray and CT scan

If you have advanced emphysema, your lungs will appear to be much larger than they should be. In early stages of the disease, your chest X-ray may look normal. Your doctor can’t diagnose emphysema with an X-ray alone.

A CT scan of your chest will show if the air sacs (alveoli) in your lungs have been destroyed. These make it hard for you to breathe out like normal.

Arterial blood gas

This test measures the amount of oxygen and carbon dioxide in blood from an artery. It is a test often used as emphysema worsens. It is especially helpful in determining if a patient needs extra oxygen.

Pulse oximetry

This test is also known as an oxygen saturation test. Pulse oximetry is used to measure the oxygen content of the blood. This is done by attaching the monitor to a person’s finger, forehead, or earlobe.

Electrocardiogram (ECG)

ECGs check heart function and are used to rule out heart disease as a cause of shortness of breath.

How is emphysema treated?

There is no cure for emphysema. Treatment aims to reduce symptoms and slow the progression of the disease with medications, therapies, or surgeries.

If you are a smoker, the first step in treating this condition is to quit smoking, either with medications or cold turkey.

Medications

Bronchodilator Medications

Inhaled as aerosol sprays or taken orally, bronchodilator medications may help to relieve symptoms of emphysema by relaxing and opening the air passages in the lungs.

Steroids

Inhaled as an aerosol spray, steroids can help relieve symptoms of emphysema associated with asthma and bronchitis. Over time, however, inhaled steroids can cause side effects, such as weakened bones, high blood pressure, diabetes and cataracts. It is important to discuss these side effects with your doctor before using steroids.

Antibiotics

Antibiotics may be used to help fight respiratory infections common in people with emphysema, such as acute bronchitis, pneumonia and the flu.

Vaccines

Patients with emphysema should receive a flu shot annually and pneumonia shot every five to seven years to prevent infections.

Oxygen Therapy

As a patient’s disease progresses, they may find it increasingly difficult to breathe on their own and may require supplemental oxygen. Oxygen comes in various forms and may be delivered with different devices, including those you can use at home.

Surgery or Lung Transplant

Lung transplantation may be an option for some patients with emphysema. For others, lung volume reduction surgery, during which small wedges of damaged lung tissue are removed, may be recommended.

Protein Therapy

Patients with emphysema caused by an alpha-1 antitrypsin (AAT) deficiency may be given infusions of AAT to help slow the progression of lung damage.

Pulmonary Rehabilitation

An important part of emphysema treatment is pulmonary rehabilitation, which includes education, nutrition counseling, learning special breathing techniques, help with quitting smoking and starting an exercise regimen. Because people with it are often physically limited, they may avoid any kind of physical activity. However, regular physical activity can actually improve a patient’s health and wellbeing.

Lifestyle changes

Quitting smoking if you are a smoker. This is the most important step you can take to treat this condition.

Avoiding secondhand smoke and places where you might breathe in other lung irritants

Ask your health care provider for an eating plan that will meet your nutritional needs. Also ask about how much physical activity you can do. Physical activity can strengthen the muscles that help you breathe and improve your overall wellness.

Prevention of Emphysema

To prevent emphysema:

If you smoke, talk to your doctor about how to quit

Avoid exposure to secondhand smoke

Avoid exposure to air pollution or irritants

Wear protective gear if you are around irritants or toxins on the job

%d bloggers like this: