7,702 results match your criteria: "Rwanda; Dana-Farber Cancer Institute[Affiliation]"

In Rwanda, many abortion services are not currently providing trauma-informed abortion care (TIAC) due to laws that restrict service provision and the incorporation of potentially traumatizing procedures with little attention to the woman's experience and support needs. Midwives working in abortion services often lack adequate training to effectively support clients with trauma. The authors aim to evaluate midwives' knowledge, attitudes, practices, and experiences toward TIAC.

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Background: This study explores the impact of community-based health literacy interventions on the health and mental well-being of disadvantaged young Africans in Zambia, Sierra Leone, Rwanda, and South Africa. The pandemic has exacerbated mental health problems amongst children and young people, underscoring the urgent need for equitable access to mental healthcare resources. Emphasizing the importance of equitable access to mental healthcare resources, the research addresses educational and income disparities in low- and middle-income countries (LMICs), particularly amongst young Africans with disabilities or vulnerabilities.

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Background: Disability inclusive youth research, involving youth with disabilities in the design, implementation and dissemination of study data, is still limited in Africa.

Objectives: To describe and reflect on the experiences of involving youth with disabilities in an exploratory research study, focused on disability-inclusive education and employment in 7 African countries.

Method: 12 youths with different impairments, aged 18 to 35, were employed as researchers in Ethiopia, Ghana, Kenya, Nigeria, Rwanda, Senegal and Uganda.

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Bunyamwera virus (BUNV) is the prototypical member of the Bunyamwera serogroup within the genus. BUNV is transmitted by mosquito vectors of the genera , and and has historically circulated in East Africa, though the transmission has been observed in Argentina. BUNV has been identified as an agent of human and animal disease and has also been misdiagnosed as other agents.

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A Thorough Navigation of miRNA's Blueprint in Crafting Cardiovascular Fate.

Health Sci Rep

November 2024

Department of Medicine Oli Health Magazine Organization, Research and Education Kigali Rwanda.

Introduction: Cardiovascular diseases contribute significantly to global morbidity and mortality. MicroRNAs are crucial in the development and progression of these diseases by regulating gene expression in various cells and tissues. Their roles in conditions like atherosclerosis, heart failure, myocardial infarction, and arrhythmias have been widely researched.

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Global trends in CD4 count measurement and distribution at first antiretroviral treatment initiation.

Clin Infect Dis

November 2024

Centre for Infectious Disease Epidemiology and Research, School of Public Health, University of Cape Town, South Africa. CIDER, Level 3 Falmouth Building, Anzio Road, Observatory, 7925, South Africa.

Background: While people with HIV (PWH) start antiretroviral treatment (ART) regardless of CD4 count, CD4 measurement remains crucial for detecting advanced HIV disease and evaluating ART programmes. We explored CD4 measurement (proportion of PWH with a CD4 result available) and prevalence of CD4 <200 cells/µL at ART initiation within the International epidemiology Databases to Evaluate AIDS (IeDEA) global collaboration.

Methods: We included PWH at participating ART programmes who first initiated ART at age 15-80 years during 2005-2019.

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Nutrition and diet in children with orofacial clefts in Africa: a scoping review.

BMC Oral Health

November 2024

Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Article Synopsis
  • The study reviews research on orofacial clefts (OFCs) and nutrition-related issues among children in African countries, highlighting a significant burden of malnutrition in regions like North Africa.
  • A total of 25 relevant studies were analyzed, predominantly from Nigeria, South Africa, Ghana, and Uganda, focusing mainly on feeding difficulties in children with OFCs and the malnutrition caused by these conditions.
  • The research indicates a lack of funding and limited international collaboration, with most studies conducted in hospital settings and primarily using clinical examinations and questionnaires to gather data.
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Epidemiology and outcomes of critically ill patients in the emergency department of a tertiary teaching hospital in Rwanda.

Int J Emerg Med

November 2024

Department of Anesthesia, Critical Care, and Emergency Medicine, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Article Synopsis
  • The introduction of Emergency Medicine in Rwanda has led to a reduction in patient mortality at Kigali University Teaching Hospital, prompting a study to analyze critically ill patients and their outcomes in the Emergency Department.
  • The study, conducted between April and June 2022, included 320 patients, primarily males with a median age of 40, revealing that medical emergencies were the most common presentations and showing significant mortality rates linked to triage categories.
  • Key interventions like CPR and intubation had low survival rates, highlighting the need for further research on the causes of mortality and improving training in critical care procedures.
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Importance: Cancer prevention and care efforts have been challenged by the COVID-19 pandemic and armed conflicts, resulting in a decline in the global Human Development Index (HDI), particularly in low- and middle-income countries. These challenges and subsequent shifts in health care priorities underscore the need to continuously monitor cancer outcome disparities and statistics globally to ensure delivery of equitable and optimal cancer prevention and care in uncertain times.

Objective: To measure the global burden of 36 cancers in 2022 by sex, age, and geographic location and to project future trends by 2050.

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Introduction: For more than a century, Hand hygiene (HH) has been known to be the most cost-effective hygienic method to minimize infection transmission and risk in healthcare settings. Even though 50% of healthcare-associated infections (HAIs) can be prevented with proper HH, globally 7 per 100 patients from acute-care hospitals in high-income countries (HIC) and 15 per 100 patients in low and middle-income countries (LMIC) acquire at least one HAI during their hospital stay. Even though medical healthcare students do not have the primary responsibility of providing patient care, it is necessary to train, assess, and monitor HH as their interaction with patients could lead to an increased number of HAIs.

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In recent years, the teaching and learning of organic chemistry have frequently faced challenges due to limited student engagement and participation. Consequently, there is a growing demand for innovative teaching methods to tackle these issues. In this context, web-based discussions have emerged as a hopeful approach to enhance students' engagement and foster critical thinking skills.

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Article Synopsis
  • The study investigates how the shift from manual labor to machine-assisted work affects back muscle activity and spinal loading in rural farmers compared to urban office workers.
  • Findings reveal that farmers experience significantly higher back muscle activity and variability in spinal loading, which is linked to greater back muscle endurance, a key factor for preventing back pain.
  • The research suggests that the trend toward more sedentary occupations can lead to underuse of back muscles, increasing the risk of back pain, highlighting the need for more physical activity in both work and leisure.
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Introduction Nanotechnology has emerged as a vital field, particularly in synthesizing nanoparticles. Silver nanoparticles (AgNPs) are recognized for their strong antimicrobial properties against various pathogens, including  and , due to their small size and high surface area. Green synthesis using plant extracts offers an eco-friendly alternative.

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Paul Farmer, a distinguished physician and anthropologist known by many as a pioneer in global health endeavors, made a profound impact on the landscape of healthcare. Through his innovative approaches to healthcare delivery and his unwavering commitment to social justice and health equity, he changed the landscape of healthcare on a global scale. He was a Kolokotrones University Professor, Chair of the Department of Global Health and Social Medicine at Harvard Medical School, Chief of the Division of Global Health Equity at Brigham and Women's Hospital in Boston, Chancellor of the University of Global Health Equity in Rwanda, and Chief Strategist and Co-founder of Partners In Health (PIH).

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The incidence of Chikungunya in tropical Africa is still of major epidemiological significance. This study aims to determine the prevalence of chikungunya in East Africa through a systematic review and meta-analysis of published studies. We conducted a comprehensive search across six electronic databases-Web of Science, PubMed, ScienceDirect, Scopus, and Google Scholar-using specific keywords to address the worldwide impact of chikungunya following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.

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Introduction: The therapeutic potential of yeast in the management of depression is unknown. Thus, we evaluated the modulatory effect of nutritional yeast supplementation on antidepressant activity of fluoxetine in mice models of depressive-like behaviors (DLB).

Methods: A total of 112 mice were divided into 16 groups (n = 7 each) for a 3-stage study.

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Women's dietary diversity is associated with homestead production and market access: A cross-sectional study in rural Rwanda.

Matern Child Nutr

January 2025

School of Natural Sciences, Technology and Environmental Studies, Södertörn University, Alfred Nobel Allé 7 Flemingsberg, Huddinge, Sweden.

Article Synopsis
  • Dietary diversity is crucial for women's micronutrient intake in low- and middle-income countries like Rwanda, with findings from a study highlighting the relationship between diet diversity and factors like homestead production and market access.
  • About 84% of households owned livestock, but many lacked agricultural land, leading to reliance on small homestead gardens for food crops.
  • Key influences on dietary diversity included maternal education, household wealth, land ownership, and the availability of diverse food sources, suggesting that enhancing crop and livestock production through targeted interventions could improve women's dietary outcomes.
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Introduction: Significant inequities exist in surgical care accessibility across marginalized African communities. Non-governmental organizations (NGOs) and humanitarian groups are vital in supporting Africa's surgical infrastructure. This narrative review explores the current status of surgical care in Africa, highlighting NGO initiatives, past challenges, and future opportunities.

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Background: Low-level viremia (LLV) (HIV-RNA 51-999 copies/mL) is associated with increased risk of non viral load suppression (HIV-RNA ≥ 1000 copies/mL). We assessed the association between differentiated service delivery model (DSDM) and LLV among people living with HIV (PLHIV) in Rwanda.

Methods: We conducted a retrospective cohort analysis using routinely collected data of adults living with HIV from 28-healthcare facilities in Rwanda before and after the introduction of DSDM.

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Article Synopsis
  • The study aimed to investigate the incidence and characteristics of eccentric macular holes (EMH) as complications following macular surgery in a black African population.
  • Researchers reviewed the files of 125 patients, ultimately including 14 eyes of 14 patients who underwent surgery with internal limiting membrane (ILM) peeling and examined various outcomes related to EMH.
  • The results revealed an 11.2% incidence of EMH occurring an average of 4.4 weeks post-surgery, predominantly in the temporal macula, with most cases being multiple full-thickness holes and an improvement in best-corrected visual acuity.
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Global Elimination of Hepatitis C Virus.

Annu Rev Med

November 2024

4Task Force for Global Health, Decatur, Georgia, USA.

Article Synopsis
  • Hepatitis C (HCV) is primarily spread through exposure to infected blood or body fluids, with about 58 million people infected worldwide as of 2019 and 290,000 related deaths.
  • Major obstacles to eradicating HCV include limited access to diagnostics, high treatment costs, stigma, and difficulties in reaching marginalized groups like people who inject drugs.
  • The World Health Organization aims to eliminate HCV by 2030, with some countries making progress, while the U.S. government has also announced a national elimination plan, emphasizing the importance of prioritizing this public health issue.
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