Ethnopharmacology, phytochemistry, pharmacology and toxicity of the genus .

The genus (Rhamnaceae) comprises at least 50 recognized species distributed across tropical and subtropical regions. species have been ethnomedicinally used to treat a variety of ailments. Despite their widespread medicinal use, there is no comprehensive documentation that consolidates the ethnobotanical knowledge, phytochemicals, pharmacological properties, and toxicity of species.

Social media and the mental health of university students in Sub-saharan Africa.

This study applied social learning theory to understand how university students learned new health behaviors that impact their mental health through social media use. A cross-sectional research design was adopted with quantitative research methods to conduct the study. Data were collected using online questionnaires from a sample of 453 university students in Cameroon, Uganda and Nigeria.

Accelerating Success of HIV/AIDS Control Programs: The Significance of Health-Care Workers' Competence.

Background: - Despite the competence-building framework and interventions, the success of HIV/AIDS prevention and treatment programs remains unsatisfactory with scanty empirical evidence on the significance of professional competence to the success of HIV/AIDS control programs.

Methods: - Using a triangulation of quantitative and qualitative data, from 40 health-care workers and 9 managers of the HIV/AIDS program in Kagadi District, this article analyzes the professional and cultural competencies among health-care workers and the significance of the competencies to the success of HIV/AIDS control programs. Descriptive statistics were generated to describe health-care workers' opinions on their competence and success of HIV/AIDS control programs.

Leading from the bottom: The clinical leaders roles in an HIV primary care facility in Eldoret, Kenya.

Background: Clinical leaders in health systems play critical roles in making decisions that impact patient care and health system performance. Current literature has focused on the importance of clinical leaders' roles in healthcare settings and has not addressed the leadership aspect that clinical leaders engage in day-to-day decision-making in HIV facilities while providing HIV patient care. Therefore, identifying the leadership roles that wclinical leaders perform at HIV primary facilities is of critical importance.

Infrastructure adequacy for electricity trading in East Africa.

A well-designed and managed electricity supply infrastructure system is essential for integrated energy market. This paper tracks progress on infrastructure for electricity trading in East Africa integrated electricity market. Using data on electricity infrastructure targets in Master Plan 2013-2023 and actual infrastructure delivered by 2022, we conducted earned value analysis (EVA) to establish whether the completed generation and transmission infrastructure can adequately facilitate electricity trading across EAC countries.

Key drivers of investment initiatives in Uganda's pharmaceutical industry.

This study examines the key drivers of investment initiatives in Uganda's pharmaceutical industry. We adopted a qualitative research design using an in-depth interview guide to collect data from 12 board chairpersons/assistants at the selected manufacturing, marketing and sales pharmaceutical firms. The theory of Investment Behavior (Jorgenson, 1967) was used to underpin the actors' investment objectives beyond profit maximization locus subject to utility maximization.

Addressing vaccine concerns through the spectrum of vaccine acceptance.

Rationale/objective: Several studies have examined attitudes towards COVID-19 vaccines, giving prominence to hesitancy and conceptual models that seek to explain its prevalence, mostly in high-income contexts. An alternative conceptual approach that prioritises an understanding of vaccine concerns, the rationality of the questions people have, the political and media ecologies that raise them, will help recommend ways in which such concerns can be addressed. This current study employs the Spectrum of Vaccine Acceptance as a conceptual framework to explain vaccine concerns, in a low-income context.

Children's lived experience and perceptions of community members' influence on their schooling: a study in Uganda.

Introduction: Global and national initiatives have successfully increased access to public education in low- and middle-income countries. However, many students in rural regions in these countries have high rates of absenteeism and drop-out, and low levels of academic engagement. Together, these significantly limit children's academic performance and achievement.

Stigma mastery in people living with HIV: gender similarities and theory.

Aims: This study aimed to determine the prevalence of, factors associated with, and to build a theoretical framework for understanding Internalsed HIV-related Stigma Mastery (IHSM).

Methods: A cross-sectional study nested within a 2014 Stigma Reduction Cohort in Uganda was used. The PLHIV Stigma Index version 2008, was used to collect data from a random sample of 666 people living with HIV (PLHIV) stratified by gender and age.

Adaptive behaviors in education institutions before and after COVID-19: A systematic literature review.

Background: The final third of the year 2019 was marked by the outbreak of the deadly coronavirus (COVID-19) pandemic. This virus paralyzed almost all economic sectors, including governments, forcing educational institutions to close. School closures resulted in significant learning losses and increased inequality in the education sector across the world.

Interactions between climate and COVID-19.

In this Personal View, we explain the ways that climatic risks affect the transmission, perception, response, and lived experience of COVID-19. First, temperature, wind, and humidity influence the transmission of COVID-19 in ways not fully understood, although non-climatic factors appear more important than climatic factors in explaining disease transmission. Second, climatic extremes coinciding with COVID-19 have affected disease exposure, increased susceptibility of people to COVID-19, compromised emergency responses, and reduced health system resilience to multiple stresses.

Waste as Business: Emerging Ugandan micro- and Small-sized Businesses in Resource Recovery and safe Reuse.

This paper highlights local experiences, opportunities and common challenges faced by micro- and small-sized businesses in Resource Recovery and Reuse (RRR) - with a special focus on briquette making businesses from faecal sludge and other household waste. The study enlisted the potential that RRR has in preserving the environment through through hybrid business models in sanitation. It used field methods of identifying businesses and providing them with business development support, while testing the potential to become sustainable faecal sludge enterprises.

Medicinal plants used to treat "African" diseases by the local communities of Bwambara sub-county in Rukungiri District, Western Uganda.

Ethnopharmacological Relevance: In Africa, traditional medicine encompasses a diverse range of practices, including herbalism and spiritualism, where some diseases are believed to be "African" since they can only be traditionally treated. Indigenous knowledge on the management of "African" diseases using medicinal plants is still handed down orally from generation to generation by tribal societies of tropical Africa, and with the rapid westernization of these societies there is a pressing need to record local knowledge before it is lost forever.

Aim: This study documented medicinal plant species associated with the management of "African" diseases by the local communities of Bwambara sub-county in Rukungiri district, Western Uganda.

Interrelationships between early antenatal care, health facility delivery and early postnatal care among women in Uganda: a structural equation analysis.

Background: Early medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper investigated the interconnectedness between maternal health services in Uganda.

Levels, trends and determinants of technical efficiency of general hospitals in Uganda: data envelopment analysis and Tobit regression analysis.

Background: General hospitals provide a wide range of primary and secondary healthcare services. They accounted for 38% of government funding to health facilities, 8.8% of outpatient department visits and 28% of admissions in Uganda in the financial year 2016/17.

Instant Gratification Behavior Among Gambling Individuals in Uganda.

Gambling has had mixed reactions over the years as a positive economic activity and as a negative action that leads to addiction. The purpose of the study is to examine whether the level of income and nature of employment explain the actual instant gratification behavior among bettors in Uganda. This study adopted a cross-sectional quantitative research design.

Knowledge and use of family planning among men in rural Uganda.

Background: Unmet need for family planning exceeds 33% in Uganda. One approach to decreasing unmet need is promoting male involvement in family planning. Male disapproval of use of family planning by their female partners and misconceptions about side effects are barriers to family planning globally and in Uganda in particular.

Global Study of Social Odor Awareness.

Olfaction plays an important role in human social communication, including multiple domains in which people often rely on their sense of smell in the social context. The importance of the sense of smell and its role can however vary inter-individually and culturally. Despite the growing body of literature on differences in olfactory performance or hedonic preferences across the globe, the aspects of a given culture as well as culturally universal individual differences affecting odor awareness in human social life remain unknown.

Corrigendum: Marital Satisfaction, Sex, Age, Marriage Duration, Religion, Number of Children, Economic Status, Education, and Collectivistic Values: Data from 33 Countries.

[This corrects the article on p. 1199 in vol. 8, PMID: 28785230.

Corrigendum: The Associations of Dyadic Coping and Relationship Satisfaction Vary between and within Nations: A 35-Nation Study.

[This corrects the article on p. 1106 in vol. 7, PMID: 27551269.

The Associations of Dyadic Coping and Relationship Satisfaction Vary between and within Nations: A 35-Nation Study.

Objective: Theories about how couples help each other to cope with stress, such as the systemic transactional model of dyadic coping, suggest that the cultural context in which couples live influences how their coping behavior affects their relationship satisfaction. In contrast to the theoretical assumptions, a recent meta-analysis provides evidence that neither culture, nor gender, influences the association between dyadic coping and relationship satisfaction, at least based on their samples of couples living in North America and West Europe. Thus, it is an open questions whether the theoretical assumptions of cultural influences are false or whether cultural influences on couple behavior just occur in cultures outside of the Western world.

Addressing governance challenges in the provision of animal health services: A review of the literature and empirical application transaction cost theory.

Providing adequate animal health services to smallholder farmers in developing countries has remained a challenge, in spite of various reform efforts during the past decades. The focuses of the past reforms were on market failures to decide what the public sector, the private sector, and the "third sector" (the community-based sector) should do with regard to providing animal health services. However, such frameworks have paid limited attention to the governance challenges inherent in the provision of animal health services.

A framework for sustainable implementation of e-medicine in transitioning countries.

Organizations in developed countries such as the United States of America and Canada face difficulties and challenges in technology transfer from one organization to another; the complexity of problems easily compounds when such transfers are attempted from developed to developing countries due to differing socioeconomic and cultural environments. There is a gap in the formation of research and education programs to address technology transfer issues that go beyond just transferring the technologies to sustaining such transfers for longer periods. This study examined telemedicine transfer challenges in three Sub-Sahara African countries and developed a framework for sustainable implementation of e-medicine.