An empirical comparison of several commercial enzyme immunoassays for the non-invasive assessment of adrenocortical and gonadal function in mountain gorillas
Gen Comp Endocrinol. 2023 Jul 31;342:114351. doi: 10.1016/j.ygcen.2023.114351. Online ahead of print.ABSTRACTWildlife researchers seeking to non-invasively examine endocrine function in their study species are presented with a dense and technical 'garden of forking paths' to navigate between collecting a biological sample and obtaining a final measurement. In particular, the choice of which enzyme immunoassay (EIA) to use with collected fecal samples, out of the many options offered by different manufacturers and research laboratories, may be one of the most consequential for final results. However, guidance for making thi...
Source: General and Comparative Endocrinology - August 2, 2023 Category: Endocrinology Authors: Nicholas M Grebe Winnie Eckardt Tara S Stoinski Rose Umuhoza Rachel M Santymire Stacy Rosenbaum Source Type: research

Economic analysis of a new four-panel rapid screening test in antenatal care in Kenya, Rwanda, and Uganda
We performed an economic analysis of a new technology used in antenatal care (ANC) clinics, the ANC panel. Introduced in 2019 –2020 in five Rwandan districts, the ANC panel screens for four infections [hepatiti... (Source: BMC Health Services Research)
Source: BMC Health Services Research - July 31, 2023 Category: General Medicine Authors: Donald S Shepard, Yara A Halasa-Rappel, Katharine R Rowlands, Maria Kulchyckyj, Robert K Basaza, Emmanuel D Otieno, Boniface Mutatina, Simon Kariuki and Sabine F Musange Tags: Research Source Type: research

Utilizing a mixed-methods approach to assess implementation fidelity of a group antenatal care trial in Rwanda
ConclusionsFor interventions like Group ANC, where “soft-skills” like group facilitation are important, we recommend continuous monitoring and mentoring throughout program implementation to strengthen these new skills, provide corrective feedback and guard against skills decay. We suggest the use of quantitative tools to provide direct measures of implementation fidelity over time and qualitative tools to gain a more complete understanding of what factors influence implementation fidelity. Identifying areas of implementation requiring additional support and mentoring may ensure effective translation of evidence-based i...
Source: PLoS One - July 24, 2023 Category: Biomedical Science Authors: Kalee Singh Source Type: research

Making Advance Care Planning a part of cancer patients' end-of-life care in Rwanda
Z Evid Fortbild Qual Gesundhwes. 2023 Jul 10:S1865-9217(23)00104-6. doi: 10.1016/j.zefq.2023.05.013. Online ahead of print.ABSTRACTAfter the devastating damage inflicted by the 1994 Genocide against the Tutsi, Rwanda made great strides in reconstructing its healthcare system from scratch. Although cancer mortality rates continue to rise, there is still a dearth of qualified healthcare workers for advance care planning (ACP) for terminally ill patients. I will draw on lessons learned through the literature search for the initiation of ACP and reflect on their adaptation to the existing policies, healthcare systems, and work...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - July 12, 2023 Category: Health Management Authors: Christian R Ntizimira Theoneste Maniragaba Diane A Ndoli Lambert C Safari Anitha Uwintsinzi Francois Uwinkindi Source Type: research

Effects of a LPG stove and fuel intervention on adverse maternal outcomes: A multi-country randomized controlled trial conducted by the Household Air Pollution Intervention Network (HAPIN)
In this study, we found that adverse maternal outcomes did not differ based on randomized stove type across four country research sites.PMID:37413928 | DOI:10.1016/j.envint.2023.108059 (Source: Environment International)
Source: Environment International - July 6, 2023 Category: Environmental Health Authors: Ashley Younger Abbey Alkon Kristen Harknett Miles A Kirby Lisa Elon Amy E Lovvorn Jiantong Wang Wenlu Ye Anait é Diaz-Artiga John P McCracken Adly Casta ñaza Gonzalez Libny Monroy Alarcon Alexie Mukeshimana Ghislaine Rosa Marilu Chiang Kalpana Balakrish Source Type: research

Effects of a LPG stove and fuel intervention on adverse maternal outcomes: A multi-country randomized controlled trial conducted by the Household Air Pollution Intervention Network (HAPIN)
In this study, we found that adverse maternal outcomes did not differ based on randomized stove type across four country research sites.PMID:37413928 | DOI:10.1016/j.envint.2023.108059 (Source: Environment International)
Source: Environment International - July 6, 2023 Category: Environmental Health Authors: Ashley Younger Abbey Alkon Kristen Harknett Miles A Kirby Lisa Elon Amy E Lovvorn Jiantong Wang Wenlu Ye Anait é Diaz-Artiga John P McCracken Adly Casta ñaza Gonzalez Libny Monroy Alarcon Alexie Mukeshimana Ghislaine Rosa Marilu Chiang Kalpana Balakrish Source Type: research

Implementation research: including breast examinations in a cervical cancer screening programme, Rwanda
CONCLUSION: In the short-term, integrating clinical breast examination with cervical cancer screening was not associated with detection of early-stage breast cancer among asymptomatic women. Priority should be given to encouraging women to seek timely care for symptoms.PMID:37397178 | PMC:PMC10300777 | DOI:10.2471/BLT.22.289599 (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - July 3, 2023 Category: International Medicine & Public Health Authors: Lydia E Pace Marc Hagenimana Jean-Marie Vianney Dusengimana Jean Paul Balinda Origene Benewe Vestine Rugema Jean de Dieu Uwihaye Amanda Fata Cyprien Shyirambere Lawrence N Shulman Nancy L Keating Francois Uwinkindi Source Type: research

Implementation research: including breast examinations in a cervical cancer screening programme, Rwanda
CONCLUSION: In the short-term, integrating clinical breast examination with cervical cancer screening was not associated with detection of early-stage breast cancer among asymptomatic women. Priority should be given to encouraging women to seek timely care for symptoms.PMID:37397178 | PMC:PMC10300777 | DOI:10.2471/BLT.22.289599 (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - July 3, 2023 Category: International Medicine & Public Health Authors: Lydia E Pace Marc Hagenimana Jean-Marie Vianney Dusengimana Jean Paul Balinda Origene Benewe Vestine Rugema Jean de Dieu Uwihaye Amanda Fata Cyprien Shyirambere Lawrence N Shulman Nancy L Keating Francois Uwinkindi Source Type: research

Implementation research: including breast examinations in a cervical cancer screening programme, Rwanda
CONCLUSION: In the short-term, integrating clinical breast examination with cervical cancer screening was not associated with detection of early-stage breast cancer among asymptomatic women. Priority should be given to encouraging women to seek timely care for symptoms.PMID:37397178 | PMC:PMC10300777 | DOI:10.2471/BLT.22.289599 (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - July 3, 2023 Category: International Medicine & Public Health Authors: Lydia E Pace Marc Hagenimana Jean-Marie Vianney Dusengimana Jean Paul Balinda Origene Benewe Vestine Rugema Jean de Dieu Uwihaye Amanda Fata Cyprien Shyirambere Lawrence N Shulman Nancy L Keating Francois Uwinkindi Source Type: research

Implementation research: including breast examinations in a cervical cancer screening programme, Rwanda
CONCLUSION: In the short-term, integrating clinical breast examination with cervical cancer screening was not associated with detection of early-stage breast cancer among asymptomatic women. Priority should be given to encouraging women to seek timely care for symptoms.PMID:37397178 | PMC:PMC10300777 | DOI:10.2471/BLT.22.289599 (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - July 3, 2023 Category: International Medicine & Public Health Authors: Lydia E Pace Marc Hagenimana Jean-Marie Vianney Dusengimana Jean Paul Balinda Origene Benewe Vestine Rugema Jean de Dieu Uwihaye Amanda Fata Cyprien Shyirambere Lawrence N Shulman Nancy L Keating Francois Uwinkindi Source Type: research

Implementation research: including breast examinations in a cervical cancer screening programme, Rwanda
CONCLUSION: In the short-term, integrating clinical breast examination with cervical cancer screening was not associated with detection of early-stage breast cancer among asymptomatic women. Priority should be given to encouraging women to seek timely care for symptoms.PMID:37397178 | PMC:PMC10300777 | DOI:10.2471/BLT.22.289599 (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - July 3, 2023 Category: International Medicine & Public Health Authors: Lydia E Pace Marc Hagenimana Jean-Marie Vianney Dusengimana Jean Paul Balinda Origene Benewe Vestine Rugema Jean de Dieu Uwihaye Amanda Fata Cyprien Shyirambere Lawrence N Shulman Nancy L Keating Francois Uwinkindi Source Type: research

Implementation research: including breast examinations in a cervical cancer screening programme, Rwanda
CONCLUSION: In the short-term, integrating clinical breast examination with cervical cancer screening was not associated with detection of early-stage breast cancer among asymptomatic women. Priority should be given to encouraging women to seek timely care for symptoms.PMID:37397178 | PMC:PMC10300777 | DOI:10.2471/BLT.22.289599 (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - July 3, 2023 Category: International Medicine & Public Health Authors: Lydia E Pace Marc Hagenimana Jean-Marie Vianney Dusengimana Jean Paul Balinda Origene Benewe Vestine Rugema Jean de Dieu Uwihaye Amanda Fata Cyprien Shyirambere Lawrence N Shulman Nancy L Keating Francois Uwinkindi Source Type: research

Implementation research: including breast examinations in a cervical cancer screening programme, Rwanda
CONCLUSION: In the short-term, integrating clinical breast examination with cervical cancer screening was not associated with detection of early-stage breast cancer among asymptomatic women. Priority should be given to encouraging women to seek timely care for symptoms.PMID:37397178 | PMC:PMC10300777 | DOI:10.2471/BLT.22.289599 (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - July 3, 2023 Category: International Medicine & Public Health Authors: Lydia E Pace Marc Hagenimana Jean-Marie Vianney Dusengimana Jean Paul Balinda Origene Benewe Vestine Rugema Jean de Dieu Uwihaye Amanda Fata Cyprien Shyirambere Lawrence N Shulman Nancy L Keating Francois Uwinkindi Source Type: research

Individual and community level predictors of womens autonomy in health care decision-making among youth in East African countries: a multilevel analysis
Conclusion Almost one-third of young women have no autonomy in healthcare decision-making. Older youth, being educated, having an educated husband, having an occupation, having an employed husband, exposure to media, female household head, rich wealth index and country are significant predictors for being autonomous in healthcare decision-making. Public health interventions should target uneducated and unemployed youth, poor families and those without media exposure to increase autonomy in health decisions. (Source: BMJ Open)
Source: BMJ Open - June 30, 2023 Category: General Medicine Authors: Aragaw, F. M., Teklu, R. E., Belay, D. G., Negash, W. D., Fetene, S. M., Alemu, T. G., Eshetu, H. B., Fentie, E. A., Shewarega, E. S., Asmamaw, D. B. Tags: Open access, Health services research Source Type: research