- Migration, Health and Trauma
- Resilience and Mental Health
- Mental Health Treatment and Access
- Advanced Topics in Algebra
- Health and Conflict Studies
- COVID-19 and Mental Health
- Epigenetics and DNA Methylation
- Homotopy and Cohomology in Algebraic Topology
- Gallbladder and Bile Duct Disorders
- COVID-19 Pandemic Impacts
- COVID-19 epidemiological studies
- Traumatic Brain Injury Research
- Psychosomatic Disorders and Their Treatments
- Middle East and Rwanda Conflicts
- Cerebral Palsy and Movement Disorders
- Identity, Memory, and Therapy
- COVID-19 diagnosis using AI
- Posttraumatic Stress Disorder Research
- Family Support in Illness
- EEG and Brain-Computer Interfaces
- Algebraic structures and combinatorial models
- Family and Disability Support Research
- Natural Language Processing Techniques
- Abdominal Trauma and Injuries
- Voice and Speech Disorders
University of Rwanda
2015-2025
Ohio University
2021
Helios Universitätsklinikum Wuppertal
2016-2018
Witten/Herdecke University
2016-2018
Krankenhaus St. Elisabeth und St. Barbara
2016
Queen Mary University of London
2016
Homerton University Hospital
2016
University of Freiburg
2004-2011
KU Leuven
2010
Helmholtz Centre for Environmental Research
2007
BackgroundThe "treatment gap" (TG) for mental disorders refers to the difference that exists between number of people who need care and those receive care. The concept is strongly promoted by World Health Organization widely used in context low- middle-income countries. Although accepting many demonstrable benefits flow from this approach, it important critically reflect on limitations TG its implications building capacity health services Rwanda.ObjectiveThe article highlights concerns...
Major knowledge gaps remain concerning the most effective ways to address mental health and psychosocial needs of populations affected by humanitarian crises. The Research for Health in Humanitarian Crisis (R2HC) program aims strengthen practice policy through research. As a significant portion R2HC's research has focused on support interventions, been interested strengthening community this field. Following meeting between grantees, we set out provide an overview R2HC portfolio, draw...
Abstract Background The outbreak of the COVID-19 pandemic has been associated with several adverse health outcomes. However, few studies in sub-Saharan Africa have examined its deleterious consequences on mental health. Therefore, we investigated prevalence and changes boredom, anxiety psychological well-being before during Ghana. Methods Data for this study were drawn from an online survey 811 participants that collected retrospective information measures including symptoms generalized...
Background The COVID-19 pandemic and control measures adopted by countries globally can lead to stress anxiety. Investigating the coping strategies this unprecedented crisis is essential guide mental health intervention public policy. This study examined how people are with in Ghana identify factors influencing it. Methods was part of a multinational online cross-sectional survey on Personal Family Coping Global South. population included adults, ≥18 years residents Ghana. Respondents were...
The study examines the effectiveness of both neurofeedback and motor-imagery brain-computer interface (BCI) training, which promotes self-regulation brain activity, using low-cost electroencephalography (EEG)-based wearable neurotechnology outside a clinical setting, as potential treatment for post-traumatic stress disorder (PTSD) in Rwanda.Participants received training/treatment sessions along with pre- post- intervention assessment, (N = 29; control n 9, (NF, 7 sessions) 10, (MI, 6 10)....
Depression and anxiety are psychological physiological disturbances persisting in cancer patients with high prevalence worldwide, particularly low- middle-income countries, due to complexities of determinants health including biological, individual, socio-cultural, treatment-related characteristics. Although depression have an enormous impact on adherence, length stay at the hospital, quality life, treatment outcomes, studies psychiatric disorders remain limited. Thus, this study determined...
Introduction Artificial intelligence (AI) models trained on audio data may have the potential to rapidly perform clinical tasks, enhancing medical decision-making and potentially improving outcomes through early detection. Existing technologies depend limited datasets collected with expensive recording equipment in high-income countries, which challenges deployment resource-constrained, high-volume settings where a profound impact health equity. Methods This report introduces novel protocol...
The challenges of providing sustainable drinking water are growing due to resource mismanagement, contamination threats and rising demand, which further intensified by climate change. This underscores the need for building-in resilience in existing extraction points gain flexibility against uncertain unforeseen developments. Although invisible, groundwater is a key source globally, including Netherlands, where over 60% comes from it. Dutch regulations, limited space competition require...
Conducting research in humanitarian crisis settings poses multiple logistical and ethical challenges. We studied a community-based intervention called 'Living Peace Initiative', collecting household-based data conflict-affected Eastern DRC, inevitably exposing collectors trial participants to risk. This study explores the perceptions of local implementers on ethics setting. used grounded theory qualitative Approach. Structured individual interviews were conducted with (n = 19) supervisors...
Acute perforated cholecystitis (APC) is probably the most severe benign gallbladder pathology with high rates of morbidity and mortality. The cause APC has not been fully understood. We postulated that a complication advanced inflammation. aim this study was to investigate extent inflammation in patients APC. Patients intraoperative histopathologic diagnosis were compared cases acute without perforation respect on histopathology as well surgical outcomes. Fifty 150 perforation. Advanced age...
Refugees fleeing conflict often experience poor mental health due to experiences in their country of origin, during displacement, and new host environments. Conditions refugee camps settlements, the wider socio-political economic context refugees' lives, create structural conditions that compound effects previous adversity. Mental psychosocial support services must address daily stressors adversities refugees face by being grounded lived reality refugee's lives addressing issues relevant...
The European Union Water Framework Directive (WFD) requires a good chemical and ecological status of surface waters by 2015. Integrated, risk-based management river basins is presumed to be an appropriate approach achieve that goal. focusing on distinct hazardous substances in together with investment best available technology for treatment industrial domestic effluents was successful significantly reducing excessive contamination several basins. use the concept WFD based this experience...
Aim & methods: We conducted a pilot epigenome-wide association study of women from Tutsi ethnicity exposed to the genocide while pregnant and their resulting offspring, comparison group who were at time but living outside Rwanda.Results: Fifty-nine leukocyte-derived DNA samples survived quality control: 33 mothers (20 exposed, 13 unexposed) 26 offspring (16 10 unexposed). Twenty-four significant differentially methylated regions (DMRs) identified in 16 children. Conclusions: In utero...
Forcibly displaced people are at elevated risk of experiencing circumstances that can adversely impact on mental health. Culturally and contextually relevant tools to assess their health psychosocial needs essential inform the development appropriate interventions investigate effectiveness such interventions.We conducted two related studies: (1) translate adapt Patient Health Questionnaire (PHQ-9), a measure depressive symptomatology, along with assessment instruments measuring levels daily...
Abstract Observational studies have shown an association between post-traumatic stress disorder (PTSD) and ischemic stroke (IS) but given the susceptibility to confounding it is unclear if these associations represent causal effects. Mendelian randomization (MR) facilitates inference that robust influence of confounding. Using two sample MR, we investigated effect genetic liability PTSD on IS risk. Ancestry-specific instruments four quantitative sub-phenotypes PTSD, including hyperarousal,...
Given widespread misunderstanding of pregnancy risk, awareness one's fertility has the potential to influence sexual and reproductive health behaviors. This mixed-methods study examined impact a serial radio drama in Rwanda, Impano n'Impamba, on other factors related family planning uptake by comparing listeners non-listeners nationally representative household survey (n = 1477) analyzing in-depth interviews with 32 listeners. Listeners had higher than for key concepts, including menstrual...
The role of colonoscopy in the screening colorectal cancer (CRC) has been unequivocally established. In Germany, with full insurance reimbursement is available for individuals aged 55 and above, and/or persons well-known risk factors CRC. However, advanced CRC not uncommon below years. This study was designed to investigate incidence patients < A retrospective analysis data from a prospectively maintained database university hospital Germany performed. Using recommended age as cutoff,...
Word and phrase tables are key inputs to machine translations, but costly produce. New unsupervised learning methods represent words phrases in a high-dimensional vector space, these monolingual embeddings have been shown encode syntactic semantic relationships between language elements. The information captured by can be exploited for bilingual translation transformation matrix that allows matching relative positions across two spaces. This method aims identify high-quality candidates word...
Abstract Background Since the outbreak of COVID-19 pandemic in Rwanda, a vast amount SARS-COV-2/COVID-19-related data have been collected including testing and hospital routine care data. Unfortunately, those are fragmented silos with different structures or formats cannot be used to improve understanding disease, monitor its progress, generate evidence guide prevention measures. The objective this project is leverage artificial intelligence (AI) science techniques harmonizing datasets...