When in Africa we speak and dream of and work for, a rebirth of that continent as a full participant in the affairs of the world in the next century, we are deeply conscious of how dependent that is on the mobilisation and strengthening of the continent's resources of learning. Nelson Mandela Address at Harvard University, September, 1998 quoted in East African, September 1-7, 2003 A paradigm can, for that matter, even insulate the community from those socially important problems that (...) are not reducible to the puzzle form, because they cannot be stated in terms of the conceptual and instrumental tools the paradigm supplies. Thomas Kuhn The Structure of Scientific Revolutions p. 37 Africa suffers from a pessimism of description as well as a pessimism of prescription it has suffered for over 500 years from a condescending and often violent gaze from diagnosis to destiny. The usual Eurocentric style in reflecting about Africa has always had an underlying tone of reproach and even moral condemnation. There is a need to protest and resist against this negative projection. We need to start to converse about Africa's problems and challenges with the inclusion of hope as an ontological need for change. Withoug hope, there will be no possibility to struggle on. Hope is an important variable in the way we wish to think, talk, reason, debate and mount intellectual reflection about Africa Re-thinking African development through innovation, social-invention, systems mental images and the logocentric imagination of the productive Africa-nation, and not through market exchange, Smithian or Ricardian comparative advantage can generate a hopeful departure from received approaches to theorising about Africa. The making of African productive power, building the capital of the mind, organising institutions within the progressive imagination of the Africa-nation is a critical launching pad for a new intellectual and research orientation hihgly needed when Africans want to make their history with the revival of the Pan-African ideal and the African renaissance. The article proposes that the national system of innovation provides the metaphor of hope, the heuristics of what is significant data to investigate, and the criticism of conventional and pessimistic theorising and finally the emancipatory knowledge resources for a post-pessimist turn to bring about the cognitive praxis of a post-colonial liberation of Africa as a whole. (shrink)

When in Africa we speak and dream of and work for, a rebirth of that continent as a full participant in the affairs of the world in the next century, we are deeply conscious of how dependent that is on the mobilisation and strengthening of the continent’s resources of learning. Nelson Mandela Address at Harvard University, September, 1998 quoted in East African, September 1–7, 2003A paradigm can, for that matter, even insulate the community from those socially important problems that are (...) not reducible to the puzzle form, because they cannot be stated in terms of the conceptual and instrumental tools the paradigm supplies. Thomas KuhnThe Structure of Scientific Revolutions p. 37Africa suffers from a pessimism of description as well as a pessimism of prescription it has suffered for over 500 years from a condescending and often violent gaze from diagnosis to destiny. The usual Eurocentric style in reflecting about Africa has always had an underlying tone of reproach and even moral condemnation. There is a need to protest and resist against this negative projection. We need to start to converse about Africa’s problems and challenges with the inclusion of hope as an ontological need for change. Withoug hope, there will be no possibility to struggle on. Hope is an important variable in the way we wish to think, talk, reason, debate and mount intellectual reflection about Africa Re‐thinking African development through innovation, social‐invention, systems mental images and the logocentric imagination of the productive Africa‐nation, and not through market exchange, Smithian or Ricardian comparative advantage can generate a hopeful departure from received approaches to theorising about Africa. The making of African productive power, building the capital of the mind, organising institutions within the progressive imagination of the Africa‐nation is a critical launching pad for a new intellectual and research orientation hihgly needed when Africans want to make their history with the revival of the Pan‐African ideal and the African renaissance. The article proposes that the national system of innovation provides the metaphor of hope, the heuristics of what is significant data to investigate, and the criticism of conventional and pessimistic theorising and finally the emancipatory knowledge resources for a post‐pessimist turn to bring about the cognitive praxis of a post‐colonial liberation of Africa as a whole. (shrink)

Background Defensive medicine is physicians’ deviation from standard medical care which is primarily intended either to reduce or avoid medico legal litigation. Although the Federal Ethics Committee review in Ethiopia has shown that applications for medical/surgical error investigation claims are increasing at an alarming rate, there is no study to date done to estimate the degree of defensive practice done by the physicians with an intention of avoiding this increasing legal claim. This study assessed the practice of defensive medicine among (...) highly litigious disciplines (surgery) and described factors associated with its practice. Methods Cross sectional quantitative study using online survey questionnaires was conducted to assess the degree of defensive practice and six factors (age, years of experience, specialty, monthly income, place of practice and previous medico legal history) associated with its practice were assessed among surgeons working in Ethiopia. Results A total of 430 surgeons directly received an online survey questionnaire and 236 of them successfully completed the questionnaire making the response rate 51.2%. Nearly half of the study participants (51.7%) were aware of the concept of defensive medicine and 174 (74%) reported performing one form of defensive practice. Twenty-nine (12.3%) of the participants have legal dispute history, though only 1.3% of them ended up in penalty. Avoiding high risk procedures was the commonest defensive act performed by 60% of the participants, followed by ordering tests unnecessarily (52.1%). Multinomial logistic regression model showed that there was no association between age of the participant, place of practice, year of experience and defensive practice. This model also showed that cardiothoracic and vascular surgeons perform less defensively than surgeons with other specialty with P value of 0.02. Conclusion The practice of defensive medicine is widespread among surveyed Ethiopian surgeons and further studies are required to objectively estimate the effect of defensive practice on the health care system of the country. Policy makers need to develop strategy towards decreasing this high rate of defensive practice. (shrink)