Rwanda Medical Journal最新文献_第6页

Healthcare delivery in Sub-Saharan Africa: exploring the impact of leadership theories and styles 撒哈拉以南非洲的医疗保健服务：探索领导力理论和风格的影响

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.6

T. Azeez, T. Azeez

{"title":"Healthcare delivery in Sub-Saharan Africa: exploring the impact of leadership theories and styles","authors":"T. Azeez, T. Azeez","doi":"10.4314/rmj.v80i2.6","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.6","url":null,"abstract":"Health care delivery involves the dispensation and provision of services that promote and maintainthe health of the people. The World Health Organization recognizes leadership and governance asone of the major pillars of an efficient healthcare delivery system. Effective leadership is integralto organizational success. The World Bank rates the healthcare delivery systems in sub-SaharanAfrica as one of the worst globally. Previous studies have demonstrated that poor leadership has asubstantial contribution to the moribund state of healthcare delivery in the sub-continent.Transactional leaders incentivize workers to boost their morale but gives no room for errors whichare bound to happen in sociological systems. Transformational leaders motivate and empower thesubordinates who can misuse the authority given to them. Contingency leaders analyze situationsbefore taking critical decisions but there are many unknown variables. The traits theory says thatgreat leaders are born. This however discourages inclusivity and diversity. Additionally, leaderscan be trained but they don’t turn out to have the same effectiveness despite undergoing similartraining. Functional leaders aim to eliminate bureaucracy and prioritize organization’s goalsbut organizational change management is complicated in reality. For the integrated approach,everything matters but nobody knows everything.This narrative review aims to examine how each leadership theory and style could be applied toadvance healthcare delivery in sub-Saharan Africa and found different leadership styles with theassociated merits and demerits but the hybrid approach that analyzes relevant variables would bethe optimal approach to reinvigorate healthcare delivery in sub-Sahara Africa.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46895438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A three-year overview of the pattern and outcome of medical conditions in the medical wards of Federal Medical Centre 联邦医疗中心医疗病房医疗状况模式和结果的三年概览

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.2

Stella-Maris C. Egboh, Gesiye E. Bozimo

{"title":"A three-year overview of the pattern and outcome of medical conditions in the medical wards of Federal Medical Centre","authors":"Stella-Maris C. Egboh, Gesiye E. Bozimo","doi":"10.4314/rmj.v80i2.2","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.2","url":null,"abstract":"INTRODUCTION: Hospital admissions reflect the pattern of illnesses in society, and itsdocumentation in various localities may provide clues on decision-making and implementationsin the health sector. This study aimed to ascertain the reasons for admission and outcome in themedical wards of the Federal Medical Centre, Yenagoa, Nigeria.METHODS: The medical records of all patients admitted into the medical wards during thestudy were retrospectively reviewed. Disease classification was done according to the ICD-10classification system. Relevant data were obtained from the admission and discharge registersand were analyzed using Statistical Package for Social Sciences version- 22.RESULTS: A total of 1,782 subjects comprising 933 males (52.4%) and 849 females (47.6%) wererepresented in the final data analysis. The majority of the admitted patients were in their 6th and7th decade of life (18.5% and 18.6%, respectively). Cardiovascular diseases were the commonestindication for annual medical admission, with a cumulative frequency of 35.5%. Stroke andheart failure were the most common cardiovascular diseases. Infectious diseases were thesecond leading cause of medical admission (19.5%). The least common medical disorders wererheumatological dermatological and toxicological conditions representing 0.5%, 0.2%, and 0.2%,respectively, of all medical admissions. The overall mortality during the study period is 16.5%,with malignant diseases being the leading cause of death.CONCLUSION: This study reflects the epidemics of non-communicable diseases in developingcountries and the need for policymakers to be aware of this trend without neglecting to preventinfectious diseases, whose burden is still high.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43582729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neonatal surgical mortality and morbidity at the University Teaching Hospital of Kigali, a tertiary university hospital in Rwanda: analysis of predicting factors 卢旺达三级大学医院基加利大学教学医院的新生儿手术死亡率和发病率：预测因素分析

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.4

Dr. V. Maniraguha, P. Robin, J. Rickard, E. Ntaganda

{"title":"Neonatal surgical mortality and morbidity at the University Teaching Hospital of Kigali, a tertiary university hospital in Rwanda: analysis of predicting factors","authors":"Dr. V. Maniraguha, P. Robin, J. Rickard, E. Ntaganda","doi":"10.4314/rmj.v80i2.4","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.4","url":null,"abstract":"INTRODUCTION: Globally, high morbidity and mortality is associated with neonatal surgicalconditions. This study aimed to determine the factors influencing the mortality in neonates withsurgical conditions at Centre Hospitalier Universitaire de Kigali (CHUK).METHOD: This was a prospective study from October 2019 to March 2020. Analysis of patientswas divided based on a diagnosis of gastroschisis versus non-gastroschisis conditions. Odds ratioswere calculated at a confidence interval of 95%. Factors with p-value <0.05 on bivariate analysiswere considered.RESULTS: Eighty-two neonates were enrolled. 45.1% were admitted within the first 24 hours of life,61% were males, 26.9% were preterm, and 51.2% had birth weight less than 2500g. Gastroschisis(n=43, 52.4%) was the most common diagnosis, followed by intestinal atresia (12.2%). The overallmortality rate was 57%. Mortality was more likely to occur among neonates with gastroschisiscompared to neonates with non-gastroschisis surgical conditions (76.7% vs 35.9%, OR=5.893,p<0.001). Among neonates with gastroschisis, factors associated with mortality were the failureof initiation of enteral feeding (100%, p=0.002) and sepsis (82.5%, p=0.001).Among neonates with non-gastroschisis surgical conditions, factors associated with mortalitywere prematurity (87.5%, OR:24, p=0.001), low birth weight (72.7% vs 21.4%, p=0.003), initiationof enteral feeding at more than 48 hours (33.3% vs 25.8%, p=0.006), sepsis (64.7% vs 13.6%,OR:11.61, p<0.001), and need of mechanical ventilation (63.6% vs 25%, OR:5.25, p=0.024,).CONCLUSION: Neonatal surgical mortality is still a burden and has many predicting factors.Improvement and advocacy are needed to reduce neonatal mortality.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43454341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Household food waste behaviour in Sarawak, Malaysia: a hierarchical regression analysis 马来西亚砂拉越的家庭食物浪费行为：层次回归分析

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.5

Md. Mizanur Rahman, W. L. Tung

{"title":"Household food waste behaviour in Sarawak, Malaysia: a hierarchical regression analysis","authors":"Md. Mizanur Rahman, W. L. Tung","doi":"10.4314/rmj.v80i2.5","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.5","url":null,"abstract":"INTRODUCTION: Food and Agriculture Organization defines food waste as the reductionin the nutritional value or mass of any edible part of food intended for human consumption.Malaysia produces approximately 17 thousand tons of food waste daily, which can threaten theenvironment. Present study aims to apply the Theory of Planned Behaviour to identify the factorsassociated with food waste behaviour in Sarawak.METHODS: A study was conducted between October 2020 and August 2022 using cross-sectionalstudy design. Households across Sarawak state were chosen using multistage random samplingtechnique. 2,059 respondents' data were collected via face-to-face interviews. Data analysiswas performed using SPSS version 27.0 with a p-value of < 0.05 being considered statisticallysignificant.RESULTS: Hierarchical linear regression analysis revealed that personal attitude (p < 0.001),subjective norms (p < 0.01), age (p < 0.05), gender (p < 0.05) and wealth (p < 0.01) positivelyand age inversely related with intentions not to waste food, while personal attitude (p < 0.001),subjective norms (p < 0.001), inversely related and perceived behavioural control (p < 0.001),and intentions (p < 0.05), age (p < 0.01) and gender (p < 0.01) positively related with food wastebehaviour.CONCLUSION: Results from the present study can strengthen the understanding of food wastebehaviour among the Sarawak population. Long-term programs focusing on reducing food wastebehaviour would be more effective in tackling this issue, as changing attitudes and norms in thecommunity usually require a long time.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46838443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paternity testing using 21 STR Loci in a biotechnology approach: case of Rwandan Population 在生物技术方法中使用21个STR位点进行亲子鉴定:卢旺达人口案例

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.9

A. Ndungutse, F. Karege, C. Nsanzabaganwa, L. Mutesa

{"title":"Paternity testing using 21 STR Loci in a biotechnology approach: case of Rwandan Population","authors":"A. Ndungutse, F. Karege, C. Nsanzabaganwa, L. Mutesa","doi":"10.4314/rmj.v80i2.9","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.9","url":null,"abstract":"INTRODUCTION: We focused on a sample size of 141 unrelated Rwandan persons to genotype21 STR loci that were relied up in establishing allele frequencies, heterozygosity and power ofexclusion. This study aims at exploring allele frequencies on a representative sample from Rwandanpopulation to determine probability of paternity for sampled families basing on polymorphic STRsloci, using 21 autosomal-STR loci by Genetic Analyzer 3500X.METHODS: This was an experimental study and global filer TM Express PCR Amplification kit wasused to amplify 21 autosomal STR loci.RESULTS: The total number of observed alleles was 270; the largest number of different alleleswas seen in SE33 and D18S51 loci. The locus with the highest heterozygosity was SE33, while locusTH01 had the lowest heterozygosity. The heterozygosity of the 21 STR loci ranged from 71.3%(TH01) to 91.6% (SE33) with an average of 81.1% a good indicator of high genetic variability. Forall microsatellites analyzed the power of exclusion ranged from 43.4% (TH01) to 78.1% (SE33)with an average of 58.2%. For seven of eight cases examined in paternity test alleged father wasnot excluded as biological father of child. The results found in examination of case 8 indicated thatthe alleged father was not the biological father of the child.CONCLUSION: Based on calculated statistical parameters, the population of Rwanda may usethese 21 STR loci as a vital tool for forensic identification and paternity testing.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48093587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behavioral intention to use mobile health (mHealth) technologies among caregivers of cancer patients 癌症患者护理人员使用移动健康技术的行为意向

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.7

Y. Iskandar, Au Chia Yen

{"title":"Behavioral intention to use mobile health (mHealth) technologies among caregivers of cancer patients","authors":"Y. Iskandar, Au Chia Yen","doi":"10.4314/rmj.v80i2.7","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.7","url":null,"abstract":"INTRODUCTION: According to an analysis by the World Health Organization (WHO), thenumber of deaths caused by cancer has increased every year from 1990 to 2017. Mobile health(mHealth) technologies are powerful tools to improve cancer awareness by providing educationalinformation. Therefore, the aim of this study was to examine factors affecting the behaviorsamong caregivers of cancer patients in Malaysia using mHealth technologies.METHODS: The study applied the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2)model as a theoretical framework, with the I-Change Model (ICM) to extend the UTAUT2. Thepopulation element in this research study focused on caregivers of cancer patients who own asmartphone capable of accessing the internet and can download mobile applications. SmartPLSwas used for model and construct testing. A total of 131 sets of valid data were collected from thetarget population through an online survey.RESULTS: Results showed Effort Expectancy (EE), Facilitating Condition (FC), Habit (HT),Awareness Factor (AWN), and Perceived Privacy Risk (PPR) were found to be significant constructs.Performance Expectancy (PE), Social Influence (SI), Hedonic Motivation (HM), and Price Value (PV)were not significant constructs.CONCLUSION: This study provided baseline data on the use of mHealth technologies to thecaregivers of cancer patients in Malaysia to reduce their caregiving burden.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41614342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of teacher-led educational intervention on knowledge and attitude towards the prevention of diabetes mellitus among students of a secondary school in Southern Nigeria: a single group quasi-experimental study 教师主导的教育干预对尼日利亚南部一所中学学生预防糖尿病知识和态度的影响：一项单组准实验研究

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.3

A. Otovwe, O. Agofure, U. C. Okporu

{"title":"Effects of teacher-led educational intervention on knowledge and attitude towards the prevention of diabetes mellitus among students of a secondary school in Southern Nigeria: a single group quasi-experimental study","authors":"A. Otovwe, O. Agofure, U. C. Okporu","doi":"10.4314/rmj.v80i2.3","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.3","url":null,"abstract":"INTRODUCTION: The widely documented poor knowledge of diabetes mellitus (DM) amongadolescents is a lacuna in the current drive to decrease the prevalence of the disease. This studywas designed to investigate the effects of teacher-led educational interventions on the knowledge,perception, and attitude towards DM among students of Dom-Domingos College Warri, DeltaState, Nigeria.METHODS: This pre-test post-test design study was conducted on 100 secondary school studentsof Dom-Domingos College in 2021, who were selected using the simple random samplingmethod. Data was collected using a validated questionnaire including demographic, knowledge,perception, and attitude sections. Afterward, an educational intervention was implementedamong the students for three weeks in three hourly sessions. After one month, the data wererecollected from the students and analyzed using mean, paired t-test, and logistic regression atP<0.05 level of significance by SPSS Version 17 software.RESULTS: The mean age of the students was 13.95±1.92 years, and 59 (59.0%) were females. Themajority of the students, 88 (88.0%), are aware of DM. The findings showed a significant increasein the mean knowledge, perception and attitude score in the post-test compared to the pre-testat P<0.05.CONCLUSION: Teacher-led educational intervention effectively improves knowledge, perception,and attitude towards DM prevention among in-school adolescents. Therefore, the studyrecommends utilizing this opportunity by educational and health policymakers to increasemessages of DM prevention in secondary schools in Nigeria.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44881395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neurofibromatosis type 1, from gene mutation to clinical presentation 1型神经纤维瘤病，从基因突变到临床表现

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.10

N. Dukuze, P. Sesonga, B. Iradukunada, H. Irere, J. Ndinkabandi, C. Nsanzabaganwa, F. Rutarama, C. Kagimbana, A. Uwineza, L. Mutesa

{"title":"Neurofibromatosis type 1, from gene mutation to clinical presentation","authors":"N. Dukuze, P. Sesonga, B. Iradukunada, H. Irere, J. Ndinkabandi, C. Nsanzabaganwa, F. Rutarama, C. Kagimbana, A. Uwineza, L. Mutesa","doi":"10.4314/rmj.v80i2.10","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.10","url":null,"abstract":"Neurofibromatosis type 1 (NF1) is an autosomal dominant disease with a prevalence of about1/3000. The clinical diagnosis of NF1 is based on the presence of two or more of the followingcriteria: six or more café au lait spots, >2 neurofibromas of any type, freckling in the axillary oringuinal region, optic glioma, a distinctive osseous lesion such as sphenoid dysplasia or thinning oflong bone cortex with or without pseudoarthrosis, and a first degree relative with NF1.We report A 7-year-old male with multiple café au lait spots diagnosed with Neurofibromatosisin Kigali-Rwanda by using next-generation sequencing and copy number variation analysis, thepatient presented with painless nodular skin lesions that first developed 4 years earlier. Skinnodules initially appeared on the anterior chest wall and progressed to the posterior chest wallextending to the axilla region. His medical history and that of his family were unremarkable. To ourknowledge, this is the first case to be diagnosed using this technology; The disease has numerouscomplications. The mutation rate for NF1-gene is high; 50% of all cases of NF1 are from newmutations. The gene protein product - neurofibromin plays an important role in tumor genesis asa tumor-suppressor gene.Combining both clinical findings and molecular genetic evaluation to identify disease-causingmutations is paramount in confirming the diagnosis. Patient care is best done in a multidisciplinarysetting approach for proper patient satisfaction and better prediction of future prognosis.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49601844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can beneficial frequencies in physiotherapy help treatment? Scoping Review 理疗中的有益频率能帮助治疗吗？范围界定审查

Rwanda Medical Journal Pub Date : 2023-06-30 DOI: 10.4314/rmj.v80i2.8

R. Tedeschi

{"title":"Can beneficial frequencies in physiotherapy help treatment? Scoping Review","authors":"R. Tedeschi","doi":"10.4314/rmj.v80i2.8","DOIUrl":"https://doi.org/10.4314/rmj.v80i2.8","url":null,"abstract":"INTRODUCTION: The use of so-called beneficial music such as 432 Hz can be a support before andafter rehabilitation treatment. However, nowadays, they are hardly ever suggested because theyare often little known or disregarded by rehabilitation clinicians. This review aimed to map andsummarise the literature to identify interventions using the beneficial 432 Hz music.METHODS: Four databases were searched until December 2022. The studies considered the useof the beneficial 432 Hz frequency before or after rehabilitation treatment. All interventions andcontexts were considered. No restrictions were applied regarding language, study design, andpublication type. Grey literature and reference lists of included articles were not identified. Theresults were presented in numerical and thematic form.RESULTS: From 23 initial registrations, 4 studies fulfilled the inclusion criteria. Most of the articleswere randomized controlled trials (RCTs) and considered both young and adult sporty and nonsportypatients who used five-toed socks. The authors discussed only one range of interventions:conservative (n = 4). Specifically, the use of five-toed socks for a period of more than one week.CONCLUSIONS: This is the first scoping review to provide a comprehensive overview of the topic.The results revealed clear gaps in primary research, confirming that current management is basedon knowledge of beneficial frequencies, particularly the 432 Hz. This review may be useful forgeneral management and may provide a starting point for future research.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42250524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing an Anatomy Unit in Rwanda: Overcoming Challenges 在卢旺达建立解剖机构：克服挑战

Rwanda Medical Journal Pub Date : 2023-03-31 DOI: 10.4314/rmj.v80i1.15

J. Gashegu, Prof. Julien Gashegu

{"title":"Developing an Anatomy Unit in Rwanda: Overcoming Challenges","authors":"J. Gashegu, Prof. Julien Gashegu","doi":"10.4314/rmj.v80i1.15","DOIUrl":"https://doi.org/10.4314/rmj.v80i1.15","url":null,"abstract":"Rwanda, the historical background reveals that anatomy was introduced into the medical program 6 years after the beginning of medical education. The development of the clinical anatomy unit started in 2002. Initially, the anatomical specimen was collected from amputated limbs and body organs from an autopsy.Growing the field of anatomy in Rwanda has been a long journey guided by a constant commitment by the pioneers. The process was based on a guiding philosophy of delivering anatomy relevant to the clinical practice. The cadaver dissection practice is a gold standard for a challenging task. It needs strategies to build a system that facilitates the acquisition of cadavers, its processing, and the use and disposal of remains in human conditions. A law that regulates the use of human bodies, organs, and tissues in teaching and research was promulgated in 2010, and signed MoU on the supply of cadavers for teaching purposes with various hospitals in Rwanda.In 2020, the Society of Clinical Anatomy of Rwanda (S-CAR) was founded to promote the growth of anatomical sciences and create a community for anatomy in Rwanda. The regular organization of surgical anatomy dissection courses has positively impacted the surgical trainees’ skills and anatomy delivery. Despite the challenges, anatomy is alive in Rwanda, as testified to by the successful organization of the First Anatomy Annual Congress in October 2022.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49123506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0