Erectile dysfunction isrelatively common in men with diabetes yet there is paucity of information on erectile dysfunction amongNigerian men with diabetes. Some of the complications of diabetes such as erectile dysfunction is aresult of an interplay of both microvascular and macrovascular complications. The Army Headquarters assures Nigerians and the international community that all land-related training, operational, and administrative activities are on course winolympia casino bonus and that the COPP(A) is firmly and effectively running the affairs of the Service pending the return of the COAS,” he added. The army statement further clarified that the appropriate departmental chiefs perform these functions routinely, adding that these departmental chiefs, in their unwavering commitment, are fully carrying out their responsibilities in line with the COAS Command Philosophy. “While some of these are laughable and deserve no further reference, others have bordered on pure mischief calculated to cause panic and confusion within the rank and file, as well as the general public. The army statement described as laughable some of the rumours, and innuendoes about the happenings in the Nigerian Army.
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- The statement explained that the present circumstance is not peculiar to the Nigerian Army, adding that there had been instances where unforeseen human frailty kept service chiefs away for about three months, and their Chiefs of Policy and Plans held sway in their absence.
- The army statement further clarified that the appropriate departmental chiefs perform these functions routinely, adding that these departmental chiefs, in their unwavering commitment, are fully carrying out their responsibilities in line with the COAS Command Philosophy.
- Lt. General Lagbaja also served as a platoon commander in the 93 Battalion and the 72 Special Forces Battalion.
- The prevalence of erectile dysfunction in Nigerian men withdiabetes ranges from 48.4% to 98%.
- The association between erectile dysfunction and durationof diabetes has also been demonstrated by other authors.
- In terms of modernisation and procurement, General Lagbaja understood that an effective army required modern tools and resources.
- Furthermore,in a prospective study conducted in a tertiary health facility inShaanxi Province, China, a group of researchers reported thatthe longer the duration of diabetes, the higher the prevalence oferectile dysfunction among the subjects .
In another systematicreview involving 5 cross-sectional studies and 3299 patients,Binmoammar et al. , reported a significant association betweenpoor glycaemic control and prevalence of erectile dysfunction inmen with diabetes. In a cross-sectional descriptive study involving217 men in Northern Pakistan, prevalence of erectile dysfunctionwas shown to be higher with poor glycaemic control . Poor glycaemic profiles, both short term and especiallylong-term control, have been shown to positively correlate withthe prevalence of erectile dysfunction among men with diabetes,as shown in this systematic review. Furthermore,in a prospective study conducted in a tertiary health facility inShaanxi Province, China, a group of researchers reported thatthe longer the duration of diabetes, the higher the prevalence oferectile dysfunction among the subjects . Theprevalence in this systematic review is also in agreement witha prevalence of 71.5% in a systematic review and meta-analysisof studies done in various African countries on the prevalence oferectile dysfunction among men with diabetes mellitus .
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“Regarding my philosophy of command, when the time comes for me to exit the army, I want to reflect upon that philosophy and the pillars I have outlined. Amongst other things, Chiemelie Ezeobi writes that the late COAS was a thoughtful and disciplined leader, who though his unfortunate demise has cast a pall on all, would be remembered for his vision and legacy of welfarism, equipping the army, operational efficiency and tackling insecurity across board, despite daunting challenges In the same year, he began his service as a platoon commander of the 93 Battalion until 1995, when he moved to the 72 Special Forces Battalion. Themain predictors of erectile dysfunction among Nigerian men withdiabetes are longer duration of diabetes, poor glycaemic control,older age, peripheral arterial disease, autonomic neuropathy andobesity. Microvascularcomplications mediate the autonomic neuropathy responsible forerectile dysfunction in men with diabetes mellitus. In a study involving 690 men,Polonsky et al. demonstrated a significant association betweenperipheral arterial disease and erectile dysfunction.
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Some of these initiatives were already bearing fruit before his unexpected death. Accordingly, his dedication went beyond the battlefield, to instilling a sense of patriotism and duty in every soldier under his command. Thus, his tenure, however short lived was defined by a strategic, goal-oriented approach that focused on operational efficiency, modernisation, and synergy. From his earliest days, he dreamed of a force that would be ready to tackle modern warfare’s complex challenges, an army capable of responding quickly to insurgency, banditry, and any external threats.
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Its prevalence as well as that of its complicationsis rising rapidly especially in the developing nations such as Nigeria 2,3. The visibly elated Permanent Secretary after receiving the award, thanked the office of the Head of Service and OTCI for the recognition, and dedicated the award to the management and staff of the Ministry of Health, who he said have continued to support laudable ideas and initiatives aimed at efficient service delivery in the State Health Sector and Public Service.
- In addition to military operations, Lagbaja placed a strong emphasis on collaboration with local communities, understanding that their cooperation was essential to long-term peace.
- Though untimely was his death, but the path he set forth—a Nigerian Army fortified with modern resources and equipped with operational capacity,-remain an ideal worth continuing.
- This systematicreview also showed a high prevalence of co-morbidities amongmen with diabetes.
- From his earliest days, he dreamed of a force that would be ready to tackle modern warfare’s complex challenges, an army capable of responding quickly to insurgency, banditry, and any external threats.
- The Army Headquarters, the statement said, urged the public to remain confident in the Nigerian Army and be assured that the service remained on top of the security situations in the country and is ever ready to defend Nigeria against any aggression on its land territory.
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These data can be adopted by healthcare givers and policy makers in tackling the problem of erectiledysfunction among men with type 2 diabetes in Nigeria. Advanced glycation end-products and deleterious reductionoxidationreactions producing cell damaging free radicals are some ofthe proposed mechanisms by which patients with diabetes developED . In fact,in a landmark study termed Massachusetts Male Aging Study, theodds of a diabetic man developing ED is 3 . Thisfinding has been replicated in other non-Nigerian studies.
The prevalence of erectile dysfunction in Nigerian men withdiabetes ranges from 48.4% to 98%. Determine the prevalence of erectile dysfunction amongNigerian men with diabetes.2. The army argued that the claims of a leadership vacuum in its command structure were mere speculation, as all routine and scheduled activities of the service were on course. He will definitely be remembered not just for his achievements in improving operational readiness or modernising the military, but for the human touch he brought to his command. In amulticentric study involving 1312 Korean men who were beingmanaged for diabetes, Cho et al., also demonstrated a significantassociation between the occurrence of erectile dysfunction amongdiabetic men and the duration of the diabetes .