Browsing Journal Article by Title

Now showing items 60-79 of 92

    • The Next Generation of Rwandan Physicians With a Primary Health Care Mindset 

      Flinkenflögel, Maaike; Kyamanywa, Patrick; Vincent K Cubaka, Vincent K; Cotton, Phil (AOSIS , Postnet Suite 110, Private Bag x 19, Durbanville, South Africa, 7550, 2015)
      Globally there is a need for well-trained primary health care physicians at the district level. Physicians who focus on ambulatory care will be in greater demand in addressing the global burden of chronic disease and ...

    • Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians 

      Eyal, Nir; Cancedda, Corrado; Kyamanywa, Patrick; Hurst, Samia A. (Kerman Univ Medical Sciences , Jahad Blvd, Kerman, Iran, 7619813159, 2016)
      Responding to critical shortages of physicians, most sub-Saharan countries have scaled up training of nonphysician clinicians (NPCs), resulting in a gradual but decisive shift to NPCs as the cornerstone of healthcare ...

    • Opportunities for surgical research in the Covid-19 era 

      Kyamanywa, Patrick (Annals of African Surgery, 2021)
      The World Health Organization (WHO) declared the coronavirus (COVID-19) pandemic on 11 March 2020 (1). This was followed by near total disruption of all sectors, including the health sector, that will have lasting impact. ...

    • Pain assessment following open hemorrhoidectomy under local anesthesia versus saddle block: a multicenter randomized controlled trial 

      Sikakulya, Franck Katembo; Ssebuufu, Robinson; Okedi, Francis Xaviour; Baluku, Moris; Lule, Herman; Kiyaka, Sonye Magugu; Kyamanywa, Patrick (BMC Springer Nature, 2023-05-12)
      There is disparity in evidence on pain assessment post open hemorrhoidectomy (OH) using local anesthesia and its use in developing countries compared to developed countries. Therefore, we conducted this study to assess ...

    • Patterns of Injury at Two University Teaching Hospitals in Rwanda: Baseline Injury Epidemiology Using the Rwanda Injury Registry 

      Petroze, RT; Mumararungu, A; Ndayiragije, V; Ntakiyiruta, G; Kyamanywa, Patrick; Reid, J; Calland, JF; Byiringiro, JC (RBC / Rwanda Health Communication Centre, 2014)
      Introduction: Globally, more worldwide deaths in 2010 could be attributed to injuries than the total number of deaths from infection with AIDS, tuberculosis, and malaria combined, with a disproportionate number of these ...

    • Physician Brain Drain in Sub-Saharan Africa: The Career Plans of Rwanda's Future Doctors 

      Rubagumya, F; Hrdy, Michael; Uwase, MA; Kamanzi, B; Kyamanywa, Patrick; Petroze, R; Calland, JF (RBC / Rwanda Health Communication Centre, P.O.Box 4586 / Kigali Rwanda., 2016)
      Introduction: Brain drain is defined as the migration of health personnel in search of the better standard of living and quality of life, higher salaries, access to advanced technology and more stable political conditio ...

    • Prevalence and factors associated with cancellation and deferment of elective surgical cases at a rural private tertiary hospital in Western Uganda: a cross-sectional study 

      Vahwere, Bienfait Mumbere; Sikakulya, Franck K; Ssebuufu, Robinson; Soria, Jorge; Okedi, X Francis; Abdullah, Shaban; Kyamanywa, Patrick (African Field Epidemiology Network-Afenet , Po Box 12874, Kampala, Uganda, 00000, 2021)
      Introduction: the cancellation of elective surgery is still a worldwide challenge and this is associated with emotional and economical trauma for the patients and their families as well as a decrease in the efficiency ...

    • Prevalence of Breast Masses and Barriers to Care: Results From a Population‐based Survey in Rwanda and Sierra Leone 

      Ntirenganya, Faustin; Petroze, Robin T; Kamara, Thaim B; Groen, Reinou S; Kushner, Adam L; Kyamanywa, Patrick; Calland, J Forrest; Kingham, T Peter (Wiley , 111 River St, Hoboken, Usa, Nj, 07030-5774, 2014)
      Background and Objectives:Breast cancer incidence may be increasing in low‐and middle‐income countries (LMIC). This study estimates theprevalence of breast masses in Rwanda (RW) and Sierra Leone (SL) and identifies barriers ...

    • Prevalence, Indications, Levels and Outcome Limb Amputations at University Teaching Hospital-Butare in Rwanda 

      Murwanashyaka, E.; Ssebuufu, R; Kyamanywa, Patrick (The College of Surgeons of East, Central and Southern Africa (COSECSA), 2013)
      Background: Amputation is one of the oldest surgical procedures with artificial limbs identified from over 2000 years ago. Amputation is still often viewed as a failure of treatment but can be the treatment of choice and ...

    • Psychological Distress and Associated Factors Among Hospital Workers in Uganda During the COVID-19 Lockdown–A Multicentre Study 

      Kirabira, Joseph; Forry, Jimmy Ben; Ssebuufu, Robinson; Akimana, Benedict; Nakawuki, Madrine; Anyayo, Lucas; Mpamizo, Emmanuel; Onen, Bruno Chan; Ingabire, Jane; Gumisiriza, Nolbert; Waiswa, Ali; Mawanda, Anatoli; Ashaba, Scholastic; Kyamanywa, Patrick (Elsevier Science Inc , Ste 800, 230 Park Ave, New York, USA, NY, 10169, 2022)
      Objective To assess the prevalence of psychological distress (PD), and its associated demographic, psychosocial, hospital and health-related factors among hospital workers in Uganda during the COVID-19 related ...

    • Road Traffic Injuries: Cross-sectional Cluster Randomized Countrywide Population Data From 4 Low-income Countries 

      Zafar, Syed Nabeel; Canner, Joseph K; Nagarajan, Neeraja; Kushner, Adam L; Gupta, Shailvi; Tran, Tu M; Stewart, Barclay T; Kamara, Thaim B; Kyamanywa, Patrick; Amatya, Kapendra S; Galukande, Moses; Petroze, Robin T; Nwomeh, Benedict C; Smith, Emily R; Haglund, Michael M; Benedict Nwomeh, Benedict; Groen, Reinou S (Elsevier Science Inc , Ste 800, 230 Park Ave, New York, USA, NY, 10169, 2018)
      Introduction Road traffic injuries (RTI) are a leading cause of morbidity and mortality around the world. The burden is highest in low and middle-income countries (LMICs) and is increasing. We aimed to describe the ...

    • Rural trauma team development training amongst medical trainees and traffic law enforcement professionals in a low-income country: a protocol for a prospective multicenter interrupted time series 

      Lule, Herman; Mugerwa, Michael; SSebuufu, Robinson; Kyamanywa, Patrick; Posti, Jussi P; Wilson, Michael L (National Library of Medicine - PubMed Central, 2024-02-08)
      Road traffic injuries and their resulting mortality disproportionately affect rural communities in low-middle-income countries (LMICs) due to limited human and infrastructural resources for postcrash care. Evidence from ...

    • Rwanda 20 Years on: Investing in Life 

      Binagwaho, Agnes; Farmer, E. Paul; Nsanzimana, Sabin; Karema, Corine; Gasana, Michel; Ngirabega, Jean de Dieu; Ngabo, Fidele; Wagner, Claire M; Nutt, Cameron T; Nyatanyi, Thierry; Gatera, Maurice; Kayiteshonga, Yvonne; Mugeni, Cathy; Mugwaneza, Placidie; Shema, Joseph; Uwaliraye, Parfait; Gaju, Erick; Muhimpundu, Marie Aimee; Dushime, Theophile; Senyana, Florent; Mazarati, Jean Baptiste; Gaju, Cesla Muzayire; Tuyisenge, Lisine; Mutabazi, Vincent; Kyamanywa, Patrick; Rusanganwa, Vincent; Nyemazi, Jean Pierre; Umutoni, Agathe; Kankindi, Ida; Ntizimira, Christian; Ruton, Hinda; Mugume, Nathan; Nkunda, Denis; Ndenga, Espérance; Mubiligi, Joel M; Kakoma, Jean Baptiste; Karita, Etienne; Sekabaraga, Claude; Rusingiza, Emmanuel; Rich, Michael L; Mukherjee, Joia S; Rhatigan, Joseph; Cancedda, Corrado; Bertrand-Farmer, Didi; Bukhman, Gene; Stulac, Sara N; Tapela, Neo M; Holstein, Cassia van der Hoof; Shulman, Lawrence N; Habinshuti, Antoinette; Bonds, Matthew H; Wilkes, Michael S; Lu, Chunling; Smith-Fawzi, Mary C; Swain, JaBaris D; Murphy, Michael P; Ricks, Alan; Kerry, Vanessa B; Bush, Barbara P; Siegler, Richard W; Stern, Cori S; Sliney, Anne; Nuthulaganti, Tej; Karangwa, Injonge; Pegurri, Elisabetta; Dahl, Ophelia; Drobac, Peter C (Elsevier Science Inc , Ste 800, 230 Park Ave, New York, Usa, Ny, 10169, 2014)
      Two decades ago, the genocide against the Tutsis in Rwanda led to the deaths of 1 million people, and the displacement of millions more. Injury and trauma were followed by the effects of a devastated health system and ...

    • Scaling up a Surgical Residency Program in Rwanda 

      Rickard, Jennifer; Ssebuufu, Robinson; Kyamanywa, Patrick; Ntakiyiruta, Georges (The College of Surgeons of East, Central and Southern Africa (COSECSA), 2016)
      Background: Beginning in 2012, the Government of Rwanda implemented the Human Resources for Health (HRH) program to enhance capacity building in the Rwandan health education sector. Through this program, surgical training ...

    • Self-reported Determinants of Access to Surgical Care in 3 Developing Countries 

      Forrester, Joseph D; Forrester, Jared A; Kamara, Thaim B; Groen, Reinou S; Shrestha, Sunil; Gupta, Shailvi; Kyamanywa, Patrick; Petroze, Robin T; Kushner, Adam L; Wren, Sherry M (Amer Medical Assoc , 330 N Wabash Ave, Ste 39300, Chicago, Usa, Il, 60611-5885, 2016)
      IMPORTANCE Surgical care is recognized as a growing component of global public health. OBJECTIVE To assess self-reported barriers to access of surgical care in Sierra Leone, Rwanda, and Nepal using the validated Surgeons ...

    • Sexual and Reproductive Health Problems Among Ugandan Youth During the COVID-19 Pandemic Lockdown: An Online Cross-sectional Study 

      Mambo, Simon Binezero; Sikakulya, Franck K; Ssebuufu, Robinson; Mulumba, Yusuf; Wasswa, Henry; Thompson, Kelly; Rusatira, Jean Christophe; Bhondoekhan, Fiona; Kamyuka, Louis K; Akib, Surat Olabisi; Kirimuhuzya, Claude; Nakawesi, Jane; Kyamanywa, Patrick (2020)
      Background The COVID-19 pandemic threatens access to sexual and reproductive health services. With global health emergencies, there is often a total reversal of priorities and access to sexual and reproductive health ...

    • State of Pedestrian Road Safety in Uganda: A Qualitative Study of Existing Interventions 

      Osuret, Jimmy; Namatovu, Stellah; Biribawa, Claire; Balugaba, Bonny E; Zziwa, Esther Bayiga; Muni, Kennedy; Ningwa, Albert; Oporia, Fredrick; Mutto, Milton; Kyamanywa, Patrick; Guwatudde, David; Kobusingye, Olive (Makerere Univ, Coll Health Sciences,Sch Med , Po Box 7072, Kampala, Uganda, 00000, 2021)
      Background: Pedestrians in Uganda account for 40% of road traffic fatalities and 25% of serious injuries annually. We explored the current pedestrian road traffic injury interventions in Uganda to understand why pedestrian ...

    • State of pedestrian road safety in Uganda: are interventions failing or absent? 

      Osuret, Jimmy; Namatovu, Stellah; Biribawa, Claire; Balugaba, Bonny E; Zziwa, Esther Bayiga; Muni, Kennedy; Ningwa, Albert; Oporia, Frederick; Mutto, Milton; Kyamanywa, Patrick; Guwatudde, David; Kobusingye, Olive (2019)
      Background In Uganda, pedestrians are the most frequently injured category of road users, accounting for 40% of road traffic fatalities and 25% of serious injuries every year. There is paucity of information on existing ...

    • Sterilized Mosquito Net Versus Commercial Mesh for Hernia Repair: An Experimental Study in Goats in Mbarara/Uganda 

      Wilhelm, T.J.; Freudenberg, S.; Jonas, E.; Grobholz, R.; Post, S.; Kyamanywa, Patrick (KARGER , ALLSCHWILERSTRASSE 10, BASEL, SWITZERLAND, CH-4009, 2007-08)
      Background: In industrialized countries alloplastic meshes are routinely used for hernia repair. However, in developing countries they are rarely available or affordable. This study compares textile properties and tissue ...

    • Strategies to improve clinical research in surgery through international collaboration 

      Søreide, Kjetil; Alderson, Derek; Bergenfelz, Anders; Beynon, John; Connor, Saxon; Deckelbaum, L Dan; Dejong, H Cornelis; Earnshaw, Jonathan J; Kyamanywa, Patrick; Perez, O Rodrigo; Sakai, Yoshiharu; Winter, Desmond C (Elsevier Science Inc , Ste 800, 230 Park Ave, New York, Usa, Ny, 10169, 2013)
      More than 235 million patients undergo surgery every year worldwide, but less than 1% are enrolled in surgical clinical trials—few of which are international collaborations. Several levels of action are needed to improve ...