{"title":"Comparison between Outcome of Assisted Reproductive Technique (Art) Cycles with and Without OCP Pretreatment in Infertile Women: A Randomized Clinical Trial","authors":"Rozita Safaei Lapavandani","doi":"10.23880/whsj-16000158","DOIUrl":"https://doi.org/10.23880/whsj-16000158","url":null,"abstract":"The objective of this randomized clinical trial was to assess the effect of pretreatment with oral contraceptive pill (OCP) on assisted reproductive technique outcomes in patient’s candidate for assisted reproductive technique (ART). In a randomized clinical trial University-based infertility center, Tehran, Iran. 160 infertile patient who are candidate for IVF, randomly divided into two groups: 80 patients in OCP pretreatment group and 80 patients in non-OCP pretreatment group. The IVF protocol in all patients was standard long GnRH agonist (long protocol). The oocyte number, embryo formation, fertility rate, gonadotropin dose, ovarian cyst formation and cancelled cycles were evaluated. Oocytes number per patient in OCP group was 13.87 and in non-OCP group was 15.22, pregnancy rate in OCP group was 44.7% and in non-OCP was 31.2%, the abortion rate in OCP group was 10.5% and in non-OCP was 3.1%, that there was no significant difference between two groups, embryo formation in two groups was similar. ovarian cyst in OCP group was 2.6% and in non-OCP was 12.5% (P< 0.05) so the cancelled cycles due to ovarian cyst in OCP group was less than non-OCP group. Based on our data, OCP pretreatment have no effect on oocyte number, embryo formation, pregnancy rate and abortion, but this pretreatment can decrease the cyst formation so decrease the cancelled cycles in OCP pretreatment.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123035208","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}
{"title":"The National HIV Curriculum: Howard University’s Innovative Approach to Strengthening the Nation’s HIV Clinical Workforce","authors":"G. Downer","doi":"10.23880/whsj-16000176","DOIUrl":"https://doi.org/10.23880/whsj-16000176","url":null,"abstract":"HIV has remained a stubborn burden in the African American community. HIV-experienced clinicians are critical for positive outcomes that align with the HIV care continuum. Howard University (HU) used the National HIV Curriculum (NHC,2015) via distance base technology to fill the void and strengthen HIV care, particularly among students and faculty at our Historically Black Colleges and Universities (HBCUs). One major program success was HUs ongoing ability to access a dedicated core of health sciences faculty to champion the NHC. This approach ensured the successful integration of the NHC into the course offerings at the various HBCUs. The effective integration was accomplished despite the unequal challenge that the COVID-19 pandemic unleashed on the vulnerable communities served by our HBCUs. The project success was achieved through the development and strengthening of ongoing partnerships with our cohort of HBCUs, conducting ongoing needs assessments and responding promptly to the findings, emphasizing training opportunities in addition to the NHC, and providing on-demand technical assistance and resources to our partners. Howard University surpassed by 459% its original goal of engaging 1964 students to take the NHC. At the conclusion of the four-year project performance period 10,983 students completed all or part of the NHC.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"51 12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122846152","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}
{"title":"Trivial Issues Which Predisposes Women’s Towards Mental Illness","authors":"Priyesh K Singh","doi":"10.23880/whsj-16000159","DOIUrl":"https://doi.org/10.23880/whsj-16000159","url":null,"abstract":"","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124173036","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}
{"title":"The Impact of Sex Education among Brazilian Adolescents","authors":"Denise Gasparetti Drumond","doi":"10.23880/whsj-16000149","DOIUrl":"https://doi.org/10.23880/whsj-16000149","url":null,"abstract":"By entering into the reality of public schools in Juiz de Fora (MG), the present study aims to describe the scenario of adolescent’s sexual experience altogether with its risks and consequences, considering previous researches about Sexually Transmitted Infections (STIs) rates among the youth. One particular topic that needs attention is the female context, due to the fact that these diseases often have more severe consequences in women’s bodies, such as pelvic inflammatory disease (PID), ectopic pregnancy, and cervical cancer. Based on the assumption that well-informed people are more likely to adopt positive and healthy habits for themselves and considering the lack of knowledge on the topic among young Brazilians, schools symbolize an excellent place for having an informational dialogue. Therefore, the objective of the article is to describe the relation between health and education in the aforementioned scenario, from the perspective of the university extension project “Saber Viver”, conducted in the Medicine School at the Federal University of Juiz de Fora (UFJF). It expands the merely preventive methodology centered on biology into a more human approach, compatible with the socio-cultural context of the young audience. The project is also a key tool to guide public health policies that aim at reducing rates of Sexually Transmitted Infections (STIs).","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"25 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124264112","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}
{"title":"Acute Intestinal Ischemia and Mesenteric Vein Thrombosis with Mortality During Pregnancy","authors":"Yapça Omer Erkan","doi":"10.23880/whsj-16000142","DOIUrl":"https://doi.org/10.23880/whsj-16000142","url":null,"abstract":"Objective: We present a case of acute intestinal ischemia and mesenteric venosus thrombosis in a first trimester pregnant woman with surgical treatment. Case presentation and intervention: Our case was a 23-year-old multigravid woman at 8 weeks gestation. She presented to Ataturk University Research Hospital with complaints of abdominal distention, nausea, vomiting and constipation. The first day after admission, complained of more intense vomiting, abdominal distenrion and pain. An emergency laparotomy was performed. The part of jejenum, entire ileum, part of the ascending colon were necrosis, and thrombosis was discovered in the mesenteric venosus. The necrotic intestine was resected and a end-to-end colo-jejunal anostomosis was perormed. Postoperative, the patient was started on anticoagulants and antibiotherapy in intensive care. Unfortunately, the patient died on the second day after the operation. Conclusion: Mesenteric ischemia and MVT in pregnancy is a rare, but important cause of intestinal ischemia. When a pregnant patient presents with an acute abdomen, mesenteric ischemia and MVT should be included in the differential diagnosis.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131240318","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}
{"title":"Knowledge, Practice and Acceptability of Cervical Cancer Screening among Midwives in the Gambia","authors":"B. Cham","doi":"10.23880/whsj-16000123","DOIUrl":"https://doi.org/10.23880/whsj-16000123","url":null,"abstract":"Cervical cancer is one of the commonest malignancy among women in the world with an estimated 527,624 new cases and 265,653 deaths in 2012.The burden of cervical cancer in developing countries is huge with an incidence rate that exceeds the average worldwide rates of 15.3 per 100,000 women per year. Furthermore, countries like Gambia, Mali, Uganda and Zimbabwe have age incidence rate of 32.5, 37.7, 47.5 and 47.4 per 100,000 women per year respectively. The aim of the study was to assess the Knowledge, Practise and Acceptability of Cervical Cancer Screening among Midwives in public health facilities in the Gambia. A cross-sectional study design was used and a sample size of 91 female midwives was selected from 14 public health facilities using multistage sampling method. A questionnaire consisting of structured and semi-structured questions was used. The questionnaire was pilot tested among 24 midwifery students for validity and had a Cronbach score of 0.76 after deleting six questions. Data was analyzed using SPSS version 20, descriptive and inferential statistics like hypothesis tested was performed. The results shows that 35.2% (n=32) had poor knowledge on cervical cancer, while 27.5% (n=25) had fair knowledge and 37.4% (n=34) had good knowledge on cervical cancer. There is no statistically significant association between length of service and knowledge on cervical cancer (P= 0.397). However, there is a statistically significant association between cadre and knowledge on cervical cancer screening as chi square test shows P= 0.006. There is knowledge deficit on cervical cancer among female midwives working in public health facilities in the Gambia. Very few midwives have been trained on visual inspection using acetic acid.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130080497","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}
{"title":"Mobbing and Bullying in Workers, Pregnant Students and Parents who Work and Study","authors":"R. Valdivieso","doi":"10.23880/whsj-16000140","DOIUrl":"https://doi.org/10.23880/whsj-16000140","url":null,"abstract":"Mobbing, bullying and motherhood coupled with fatherhood in men and women who work and study, is considered part of the violence that is developing in the world of work according to the ILO (International Labor Organization). This research sought to study group violence such as mobbing and intimidation such as bullying when women become pregnant or become mothers. For this reason, we seek to analyze the impact of motherhood and fatherhood on men and women between 20 and 24 years of age, considered by the WHO (World Health Organization) to be full youth. We start from a generalized cultural assumption that men are able to bear the burden of study and work with greater skill than women and it is women who suffer more aggression. The questions that were sought to answer with this research are: Which group of women or men suffers more from group harassment, mobbing and intimidation accompanied by physical aggression such as bullying for being a mother or father? What are the types of violence you faced at school and at work for being a mother or father? The methodology for developing this study was qualitative and ethnographic. The techniques applied were in-depth interviews and case analysis. In addition to consulting various primary and secondary sources. It was interesting to study the modalities of violence in young men and women from 14 to 40 years of age. Our findings show that discrimination at school and at work was one of the main points of the interviewees. The aggression in the family was another reported data. At a younger age, violence against pregnant women is greater. Professionals are the ones who suffer the most aggression in their jobs when they become mother and father.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130087619","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}
{"title":"Assessment of Knowledge, Attitude and Practice of Health Workers towards Safe Abortion Care Services at Asella Referral and Teaching Hospital, Central Ethiopia","authors":"ismael kalayu","doi":"10.23880/whsj-16000125","DOIUrl":"https://doi.org/10.23880/whsj-16000125","url":null,"abstract":"According to World Health Organization safe abortion care include services that are provided by trained health workers, supported by policies, regulations and a functional health infrastructure, including equipment and supplies. Provision of safe abortion to the extent of the law, emergency treatment of abortion complications, provision of post abortion contraception, education and other lifesaving care services are inadequately given the presence of legal, social, cultural and economic impediments. Most of health care providers are not aware of the fact that termination of pregnancy is permitted under certain conditions leading to ranges of inappropriate attitudinal frameworks or mindset implying a major barrier to give the service. The aim of this research was to assess knowledge, attitude and practice of health workers towards safe abortion service at Asella Referral and teaching hospital, Asella town, Arsi Zone, Oromia region, Ethiopia. An institutional based descriptive cross-sectional study design was used to assess knowledge, attitude and practice of health workers towards safe abortion service at Asella Referral and teaching hospital from January 2017 to May 2017. Systematic random sampling technique was used to select 185 health workers. SPSS version 20 statistical software was employed for data entry and analysis. Of the selected subjects, 99(53.5%) were in the age group of 25-29 years with the mean age of 28.45 ± 3.7 years. In this study, 150(81.1%), 126(68.1%) and 127(68.1%) of health workers had good knowledge, positive attitude and good practice towards safe abortion care .Despite the present law is less restrictive and it was found a general positive KAP of health practitioners matching with the abortion law, some areas like antiabortion attitudes, lack of training and service offering facilities, confidentiality and consequences of misinterpreting the law might be still potentially problematic.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127755097","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}
{"title":"Profile and Prognosis of Retro Placental Hematoma Victims at the Regional University Associated Hospital of Borgou (CUAB) in Republic of Benin","authors":"Djima Patrice Dangbemey","doi":"10.23880/whsj-16000146","DOIUrl":"https://doi.org/10.23880/whsj-16000146","url":null,"abstract":"Objectives: Describe the prognosis and profile of the retro placental hematoma(RPH) at CUAB for a better organization of care. Methods: This is a descriptive retrospective study, carried out in the obstetric gynecology service of the CUAB over a 12-months period from January to December 2019. It focused on the complet medical records of patients. Were included pregnant in the third trimester in whom the diagnosis was made either by clinical examination and/or by ultrasound and confirmed by the presence of placental cups. Data entry and analysis were carried out by EPI Data and EPI Info software. Strict compliance with ethical rules and standards has been observed. Results: The RPH in 2019 represented 2,70 % of childbirth at CUAB. The RPH victims were young multiparous women, with an average age of 29 years, housewives, of Bariba or Dendi ethnicity with a history of preeclampsia, diabetes and sickle cell disease. They were referred for irregular uterine bleeding (97,8%), lumbar and pelvic pain (72,3%), suspected RPH (48,9%) or death in utero (46,8%). The clinical pictures were often typical and the forms with coagulation disorders represented (25,5%). Anemia was the main morbidity and found in 80% of cases. Prematurity (32-36 AW and 6 days) was 74,5%. The maternal case-fatality ratio was 6% and the perinatal case-fatality ratio was 68%. Neonatal mortality was proportional to the weight of the cups. Conclusion: Mortality from RPH was high in northern Benin. The victims were nulliparous or multiparous young people of Bariba or Dendi ethnicity with a history of vasculo-renal syndromes or referred diabetes.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130796523","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}
{"title":"Assessment of Knowledge of Cervical Cancer Transmission and Prevention among the Mothers of Daughters Aged Below 10 Years","authors":"Sharmin Zaman Khan","doi":"10.23880/whsj-16000161","DOIUrl":"https://doi.org/10.23880/whsj-16000161","url":null,"abstract":"Introduction: Cervical Cancer is the second most common cancer among women worldwide. It is one of the few preventable human cancers. Maternal knowledge is required for vaccination of their adolescent girls because they are key decision makers and potentially a major source of information for their daughters. Bangladesh Government will introduce HPV vaccine under EPI program for adolescent girls aged 10 years from 2018. For this reason, it is important to assess the knowledge level of mothers of daughters aged below 10 years. Objective: The objective of this study was to assess the knowledge of Cervical Cancer transmission, prevention and HPV vaccine among mothers of daughters aged below 10 years. Methods: A cross sectional descriptive study has been conducted among the mothers of daughters aged below 10 years, live in the Mohakhali ‘Sat Tola’ slum area of Dhaka city. The pre-tested questionnaire was used to collect information from the respondents by face to face interview at house-hold level. Questions were on socio-demographic characteristics, knowledge about Cervical Cancer transmission, prevention and HPV vaccination. Convenient sampling technique was used to select the sample. The sample size was 100 in number. The total no. of questions on knowledge was 22. Knowledge score was divided into 3 categories: poor, average and good knowledge. Poor knowledge score was 0 to 7, average knowledge score was 8 to 14 and good knowledge score was 15 to 22. Frequency, percentage and mean was done by using SPSS version 21. Results: Majority (41%) respondents’ age was 21 to 29 years, most (63%) of them were primary school educated, most (80%) of them were house-wife and most (43%) of their monthly family income was 11,000 to 15,000 taka. Respondent’s mean age at marriage was 15 years and mean age was 17 years when their first child born, majority (39%) had two children. In total, 55% respondents had poor knowledge, 45% respondents had average knowledge and 2% respondents had good knowledge. Among them 98% respondents heard about cancer, 77% respondents heard about Cervical Cancer, 8% respondents knew about sign and symptom and only 2% respondents knew the causes of Cervical Cancer, 3% respondents told prevention of Cervical Cancer is possible but 12% respondents heard about VIA test. Around 18% respondents heard about HPV vaccine but nobody knew in which age this vaccine should be administered. Conclusion: The knowledge of Cervical Cancer transmission, prevention and HPV vaccination among mothers who live in slum of Dhaka city is poor. Providing knowledge to these mothers is essential","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"577 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132707080","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}