7,700 results match your criteria: "Rwanda; and University of Pennsylvania[Affiliation]"

Marburg virus disease outbreak in Rwanda, 2024.

Clin Microbiol Infect

November 2024

Emerging Infections Subcommittee, European Society of Clinical Microbiology and Infectious Disease, Switzerland; High-Level Isolation Unit, Infectious Diseases Unit, La Paz University Hospital, IdiPAZ, CIBERINFEC, Madrid, Spain.

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Understanding progress and challenges in women's health and wellbeing in exemplar countries: a time-series study identifying positive outliers.

Lancet Glob Health

December 2024

Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON, Canada; Centre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan. Electronic address:

Background: Women's health and wellbeing (WHW) forms a multidimensional continuum across the life course, with intersecting power dynamics including socioeconomic and ethnic positioning. The WHW Exemplars project uses robust quantitative approaches to identify best-performing low-income and middle-income countries (LMICs) in improving WHW across the entire life course.

Methods: Using the life course approach, we created a list of 32 cross-sectional indicators belonging to nine dimensions based on a conceptual framework to assess progress in WHW.

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Following the 2018 World Health Organization's (WHO) guidelines on HIV treatment and management, the Zimbabwean government has embraced dolutegravir (DTG)-based regimens as the preferred first-line treatment for people living with HIV (PLWH). Despite this implementation, there remains a paucity of knowledge on the potential associations between DTG-based regimens, body weight and blood lipid levels among PLWH in Zimbabwe. Thus, the aim of this study was to investigate variances in body weight and blood lipid levels at two distinct timepoints-baseline and 6-month post-DTG initiation.

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Innovative Glucagon-based Therapies for Obesity.

J Endocr Soc

October 2024

Department of Internal Medicine, Endocrinology, Diabetes and Metabolism Unit, University of Rwanda, Kigali 00200, Rwanda.

Article Synopsis
  • * Emerging glucagon-based therapies are gaining attention for their ability to influence metabolic processes and appetite regulation, presenting a promising alternative in obesity management.
  • * The review discusses various agonist therapies targeting glucagon and related receptors, highlighting their safety, effectiveness, and potential benefits in treating obesity and related ailments, along with ongoing clinical trials for further validation.
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''Practices and factors affecting on-site medical equipment maintenance at Wau Teaching Hospital, South Sudan''.

BMC Public Health

November 2024

EAC Regional Centre of Excellence for Vaccines, Immunization, and Health Supply Chain Management, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Background Of The Study: Along with developments in the clinical domain, medical equipment is becoming more sophisticated, and it needs to function at peak efficiency. In this case, hospitals should priorities the prompt and effective maintenance of life-saving equipment. The purpose of the study was to determine medical equipment maintenance practices, to find out an important factor that influences on-site medical equipment maintenance practices and to suggest possible areas for improvement.

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Background: One of the greatest challenges to conducting multicenter research studies in low and middle-income countries (LMICs) is the heterogeneity in regulatory processes across sites. Previous studies have reported variations in requirements with a lack of standardization in the Institutional Review Board (IRB) processes between centers, imposing barriers for approval, participation, and development of multicenter research.

Objectives: To describe the regulatory process, variability and challenges faced by pediatric researchers in LMICs during the IRB process of an international multicenter observational point prevalence study (Global PARITY).

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Article Synopsis
  • The study focused on PrEP retention rates among key populations at high HIV risk in Rwanda, specifically female sex workers (FSWs) and men who have sex with men (MSM), highlighting disparities in retention at 1 and 12 months after starting PrEP treatment.* -
  • Results showed that 92% of participants were retained at 1 month and 77% at 12 months, with retention influenced by factors such as living situations and perceived HIV risk, particularly among FSWs, while MSM retention was affected by education and employment status.* -
  • The findings underline the need for targeted interventions to improve PrEP retention, particularly among groups with lower education levels or different employment statuses, to ensure ongoing HIV prevention support.*
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Fight or Flight - Facing the Marburg Outbreak in Rwanda.

N Engl J Med

December 2024

From King Faisal Hospital and the Department of Medicine, College of Medicine and Health Sciences, University of Rwanda - both in Kigali, Rwanda.

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Article Synopsis
  • Antimicrobial resistance (AMR) in Enterobacterales, particularly in Escherichia coli, poses serious health and economic issues for humans and animals, highlighting the "One Health" approach to understanding this problem.
  • The study aimed to find extended-spectrum cephalosporin-resistant Enterobacterales in ruminants across Rwanda's provinces and to characterize the isolates.
  • From 454 rectal swabs collected from cattle, goats, and sheep, 64 resistant isolates were found, predominantly E. coli, with many showing multidrug-resistance and various resistance phenotypes linked to specific genes.
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Personal mobility data from mobile phones and other sensors are increasingly used to inform policymaking during pandemics, natural disasters, and other humanitarian crises. However, even aggregated mobility traces can reveal private information about individual movements to potentially malicious actors. This paper develops and tests an approach for releasing private mobility data, which provides formal guarantees over the privacy of the underlying subjects.

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Beyond the classic GPCR: unraveling the role of GPR155 role in cholesterol sensing and signaling.

Signal Transduct Target Ther

November 2024

Rudolf Schönheimer Institute of Biochemistry, Molecular Biochemistry, Medical Faculty, University of Leipzig, Leipzig, Germany.

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Transforming Africa's food systems: building resilience to deliver healthy diets.

Proc Nutr Soc

November 2024

Division of Community Health Sciences, School of Public Health, University of California, Berkeley, Berkeley, California, USA.

Food systems in Africa are under pressure from climate change, conflicts, health pandemics such as COVID-19 and rising food prices. The COVID-19 pandemic highlighted weaknesses in global food systems and indeed Africa's was not spared. Although COVID-19 mortality and morbidity in Africa were relatively low in comparison to other regions, the containment measures employed by countries amplified a rather dire situation.

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The Global Initiative on Sharing All Influenza Data, a public-access database for sharing severe acute respiratory syndrome coronavirus 2 genomic sequencing data, has received significantly less data from African countries compared to the global total. Furthermore, the contribution of these data was infrequent and, for some countries, non-existent. The primary aim of this review is to identify the technological barriers to routine genomic surveillance in Africa.

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The accelerometer, an onboard sensor, enables remote monitoring of animal posture and movement, allowing researchers to deduce behaviors. Despite the automated analysis capabilities provided by deep learning, data scarcity remains a challenge in ecology. We explored transfer learning to classify behaviors from acceleration data of critically endangered hawksbill sea turtles (Eretmochelys imbricata).

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This review paper provides an in-depth analysis of the current status, challenges, and strategies for improvement within the fish feed industry in East Africa, focusing on Kenya, Uganda, Tanzania, and Rwanda. Aquaculture production in these countries is experiencing steady growth, driven by increasing demand for fish and fish products for both nutritional and economic purposes. Despite the market facilitating the transition from extensive to semi-intensive and moderately intensive farming systems across the four countries, the sector's progress is hampered by a lack of sustainable, locally produced, high-quality, and cost-effective fish feeds tailored to different developmental stages of fish.

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Genetic Diversity Landscape in African Population: A Review of Implications for Personalized and Precision Medicine.

Pharmgenomics Pers Med

November 2024

Department of General Medicine and Surgery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Introduction: Africa, a continent considered to be the cradle of human beings has the largest genetic diversity among its population than other continents. This review discusses the implications of this high African genetic diversity to the development of personalized and precision medicine.

Methodology: A comprehensive search across PubMed, Google Scholar, Science Direct, DOAJ, AJOL, and the Cochrane Library electronic databases and manual Google searches was conducted using key terms "genetics", "genetic diversity", "Africa", "precision medicine", and "personalized medicine".

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Background: Type 2 diabetes mellitus (T2DM) is a significant health issue affecting the quality of life including male reproductive functions. Orange peel ethanolic extract (OPEE) has been established to have antioxidant properties and has been shown to alleviate diabetic complications. This study determined to establish OPEE effect and physical exercise (EX) in T2DM-induced testicular dysfunction

Materials And Methods: Thirty male Wistar rats were randomly distributed in five groups as follows: control group (received 1 ml/b.

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Article Synopsis
  • - The community-based social healing (CBSH) model, created by the Ubuntu Centre for Peace, integrates BREATH-BODY-MIND™ practices with collective storytelling and rituals to help individuals facing trauma and mental health challenges improve their mental well-being.
  • - A pilot study with 1889 participants in Rwanda showed that CBSH significantly reduced depression, anxiety, and PTSD while boosting work productivity and decreasing intimate partner violence.
  • - This upcoming cluster randomized controlled trial will assess the effects of CBSH on Ubuntu and mental health across 54 villages, measuring outcomes like depression and resilience using various standardized tools.
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Breast cancer is the most common malignancy in women globally, stemming from gene mutations that prompt irregular cellular growth and subsequent tumor development. Early-stage detection of cancer cells results in a remarkable 99% survival rate. This research presents a microwave imaging technique for the non-invasive identification of tumors in the initial stages within the women's breast.

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Background: Economic growth in Rwanda is associated with significant changes in food systems, access to health and other services, lifestyle, and nutritional transitions. Nevertheless, our knowledge of dietary patterns in Rwanda remains limited. The present study aimed to identify the dietary habits of young adult population in Rwanda and to assess associated factors.

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Physiology education in Africa faces challenges due to gaps in curricula across many of its universities, such as divergent content, a lack of standardized competencies, and suitable benchmarking. Here, we describe the development of the Physiology Curriculum for African Universities (PhysioCAFUN), a competency-based curriculum development guideline, as a first step to address such shortcomings. A committee of 15 physiologists from different African regions, Europe, and the United States was constituted to draft the PhysioCAFUN, which was introduced and revised during the joint East African Society of Physiological Sciences (EASPS) and African Association of Physiological Sciences (AAPS) conference held in Tanzania late 2023.

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Background: Aflatoxin contamination by section Flavi fungi poses a significant threat to food security and public health in sub-Saharan Africa (SSA). Maize, groundnut, and sorghum are staple crops frequently contaminated with aflatoxins, sometimes at dangerous levels. Despite its detrimental effects, many farmers in SSA lack access to effective tools for mitigating aflatoxin contamination.

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