Nothando M Mngomezulu, Majapi E Masala-Chokwe, Tshiamo N Ramalepa
{"title":"Barriers to sexual health communication between parents and teenagers: Perspectives of parents in a rural community in Mpumalanga province, South Africa.","authors":"Nothando M Mngomezulu, Majapi E Masala-Chokwe, Tshiamo N Ramalepa","doi":"10.29063/ajrh2025/v29i2.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.4","url":null,"abstract":"<p><p>Teenagers are affected by negative sexual and reproductive health outcomes because of the lack of knowledge and risky decision-making. This may be worsened by teenagers seeking information from questionable sources such as the internet, and social media. This highlights the need for parent-teen communication on sexual health practices. The study aimed to explore the perspectives of parents regarding the barriers to sexual health communication with their teenagers in the Masoyi rural community, Mpumalanga province, South Africa. This exploratory, descriptive, qualitative study was conducted using in-depth interviews and analyzed using content analysis. Purposive sampling was used to select 14 parents who had teenagers aged 12 to 19 years. Parents revealed that the barriers that hindered parent-teen communication include cultural influences, unavailability of parents and conflicting messages from parents and media, age difference and media (television). Parents need to be confident or comfortable in engaging with their teenagers about sexual health content.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"35-41"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical effects of laparoscopic versus open radical prostatectomy in the treatment of early prostate cancer.","authors":"Yi Guan, Changbin Tan, Hengcheng Zhu, Haoyong Li, Haitao Liu, Wei Hu, Huajie Song, Fei Xiao","doi":"10.29063/ajrh2025/v29i2.12","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.12","url":null,"abstract":"<p><p>The objective of this study was to investigate the clinical effects of laparoscopy vs open radical prostatectomy in treating early prostate cancer. Eighty-six early prostate cancer patients accepted therapy in Renmin Hospital of Wuhan University from January 2020 to June 2022 were chosen to be the study participants. They were randomly divided into a control group (CG) and a study group (SG). The CG received open radical prostatectomy. By contrast, the SG underwent laparoscopic radical prostatectomy. Relative to the CG, the SG presented longer surgery time, shorter hospital stay, drainage tube indwelling time, urinary catheter indwelling time and gastrointestinal function recovery time, less intraoperative blood loss, lower occurrence of postoperative intestinal obstruction, and lower occurrence of urinary incontinence after one week, one month and there months after surgery. The SG also had lower the postvoid residual urine, reduced international prostate symptom score, and elevated maximum urinary flow rate at six months after surgery. We conclude that laparoscopic surgery for early prostate cancer is associated with clearer vision, less trauma, less intraoperative bleeding, faster postoperative recovery, and fewer complications as compared to open radical prostatectomy, and has more valuable for clinical outcomes.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"106-112"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yunqin Wang, Wei Zhao, Lanlan Jiang, Wei Fang, Lingling Cui, Juan Cai
{"title":"Effects of psychological nursing and Guizhifuling capsule on the mental state and postoperative pain relief in women undergoing induced abortion.","authors":"Yunqin Wang, Wei Zhao, Lanlan Jiang, Wei Fang, Lingling Cui, Juan Cai","doi":"10.29063/ajrh2025/v29i2.10","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.10","url":null,"abstract":"<p><p>This was a retrospective which explored the effects of psychological nursing in combination with Guizhifuling capsule on the mental state and postoperative pain of induced abortion patients. From January 1, 2021 to June 30, 2023, 90 patients with induced abortion in Affiliated Suzhou Hospital of Medical School of Nanjing University were included, and randomly divided into a control group (CG) and an experimental group (EG). The CG accepted routine nursing and Guizhifuling capsule. In contrast, the EG accepted routine nursing, psychological nursing, and Guizhifuling capsule. Patients' psychological condition, postoperative pain, quality of life, compliance along with nursing satisfaction in two groups was compared. After intervention, relative to the CG, the EG presented lower Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores, lower pain scores when patients were awake under anesthesia, 0.5 h after surgery and 1 h after surgery, higher SF-36 scores, as well as higher total compliance and nursing satisfaction rates. We conclude that psychological nursing combined with Guizhifuling capsule can relieve the mental state, reduce the postoperative pain, and enhance the quality of life of women undergoing induced abortion.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"86-93"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexual health literacy and associated factors in pregnant women.","authors":"Safiye Ağapınar Şahin, Öznur Hasdemir","doi":"10.29063/ajrh2025/v29i2.16","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.16","url":null,"abstract":"<p><p>Sexual health literacy is very important for the development of both sexual and reproductive health. This study aims to determine the sexual health literacy and associated factors in pregnant women living in the Central Anatolia region in Türkiye. This is a cross sectional study and was carried out with 172 pregnant women who applied to primary care clinics in the Central Anatolia region in Türkiye between July and September 2023. Personal Information Form and Sexual Health Literacy Scale (SHLS) were used to collect data. The data were analyzed using arithmetic mean, standard deviation, percentage values, independent sample t-test, One Way ANOVA, Post hoc Tamhane's T2 test. The total mean SHLS score of the pregnant women was found to be 57.5±5.8. It was found that the frequency of sexual relationship of the pregnant women was once a week with 55.2% and the majority used different positions during sexual relationship. The sexual health literacy in pregnant women who were high school graduates and had been married for 1-3 years was high.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"140-150"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of placental blood perfusion monitoring of nitroglycerin and labetalol in treatment of women with pregnancy-induced hypertension.","authors":"Zhili Yang, Jinhong Zhao","doi":"10.29063/ajrh2025/v29i2.7","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.7","url":null,"abstract":"<p><p>This was an original study and elucidated the value of placental blood perfusion monitoring based on quantitative three-dimensional (3D) power Doppler ultrasound in evaluating the efficacy of nitroglycerin and labetalol in treating pregnancy-induced hypertension (PIH). Eighty PIH patients admitted in The Second Affiliated Hospital from October 2021 to October 2023 were divided into mild PIH group (Group A) and severe PIH group (Group B). Another 50 healthy pregnant women without PIH were selected as the control group (CG). Groups A and B received a combination treatment of nitroglycerin and labetalol. The TNF-α levels in Group A and B were higher relative to those in CG. Relative to before treatment, Group A and B had higher vascularization index (VFI), flow index (FI), and placental vascularization index (VI), higher middle cerebral artery pulsatility index (PI) and Apgar scores and lower left uterine artery PI and right uterine artery PI after treatment. After treatment, there was statistical significance in placental VI, FI, and VFI under different efficacy grades. We conclude that the application of quantitative 3D power Doppler ultrasound technology can accurately monitor the therapeutic effect of nitroglycerin and labetalol in treatment of pregnant women with PIH.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"61-68"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reduced sexual activity and increased sexually transmitted infections risk among left-behind women in rural China.","authors":"Qiang Li, Yuli Ye, Lian An","doi":"10.29063/ajrh2025/v29i2.9","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.9","url":null,"abstract":"<p><p>Spousal migration creates a unique situation for \"left-behind women\" in rural China, who face challenges to their sexual and reproductive health and rights (SRHR). Using the Chinese Health and Family Life Survey 2000 dataset, we compare SRH outcomes of left-behind women and non-migrant counterparts. While reporting significantly lower sexual activity, left-behind women are disproportionately affected by chlamydia, despite no increase in risky behaviors. This, coupled with their higher prevalence of unwanted sex, suggests unwanted encounters as a potential contributor to their higher sexually transmitted infections risk. These findings highlight the complex SRH challenges faced by left-behind women and emphasize the need for tailored interventions, including promoting safer sex practices and addressing the risk of unwanted encounters. Furthermore, understanding the situation in China can inform interventions for left-behind women in other contexts with high spousal migration, such as parts of Africa.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"78-85"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kgadi R Mosehla, Melitah M Rasweswe, Mmapheko D Peu
{"title":"Experiences of postnatal mothers regarding the implementation of maternal and neonatal referral system guidelines in Mopani District in the Limpopo Province, South Africa.","authors":"Kgadi R Mosehla, Melitah M Rasweswe, Mmapheko D Peu","doi":"10.29063/ajrh2025/v29i2.2","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.2","url":null,"abstract":"<p><p>South Africa experiences challenges of maternal mortality, caused by pregnancy related conditions. Limpopo Province as one of the provinces in South Africa, is also affected. There are challenges facing obstetric emergency referrals, despite the availability of maternal/neonatal referral system guidelines. Therefore, this study explored the experiences of postnatal mothers aiming at facilitation of prompt referral of obstetric emergencies. Descriptive phenomenological research methods were used. The study was conducted in two selected sites, a maternity unit of a district hospital and a primary healthcare facility (fixed clinic), which is a feeder clinic to the district hospital in a selected sub-district of the Mopani district. Population were eleven (11) postnatal mothers. Purposive sampling was used. Data were collected using in- depth individual face -to- face interviews. Data was analysed using Colaizzi's seven procedural steps. Four essential meanings and their constituents were revealed: postnatal mothers' positive experiences, challenging experiences, consequences of challenges and post-natal mothers' recommendations. Health care facilities to be equipped with adequate, functional, safe, reliable, well equipped obstetrical equipment, material and human resources to facilitate prompt referral of obstetric emergencies.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"17-26"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness and safety of levofloxacin in the treatment of community-acquired pneumonia: A systematic review and meta analysis.","authors":"Fengchun Song, Yating Zheng","doi":"10.29063/ajrh2025/v29i2.19","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.19","url":null,"abstract":"<p><p>This study was conducted to evaluate the efficacy and safety of levofloxacin in the treatment of community-acquired pneumonia (CAP), and to provide a more reliable medication guide for the treatment of community-acquired pneumonia. Clinical studies of levofloxacin for CAP were searched through online literature databases, and the final literature for analysis was identified after screening by inclusion and exclusion criteria. The quality of the literature was assessed according to the risk of bias assessment criteria of the Cochrane system. Literature information was extracted and meta-analysis was performed using RevMan software. The observational indicators were clinical cure rate, microbiologic (bacteriologic) success rate, adverse event rate, and mortality rate. After screening, a total of 8 papers were included in the study, totaling 2,272 study subjects, of which 1,155 patients who received levofloxacin treatment were considered as the study group. 1117 patients who received other antimicrobial drugs were considered as the control group. The literature was evaluated to have a low risk level and a high reference value. The results of meta analysis showed that there was no significant difference in the clinical cure rate, microbiologic (bacteriologic) success rate, adverse event rate and mortality rate between the study group and the control group (P>0.05).As a result of the study, it was concluded that: levofloxacin has significant efficacy and safety in the treatment of CAP, and other antimicrobial drugs (e.g., moxifloxacin) have comparable efficacy and higher safety than levofloxacin, which provides a more diversified solution for the treatment of CAP.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"181-189"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Randomized clinical trial of acupuncture in patients with poor ovarian response.","authors":"Rongli Yuan, Xinyun Zhu, Yunzhu Liu, Mengjing Wang, Tianyu Wang, Zhi Li, Jie Wu","doi":"10.29063/ajrh2025/v29i2.3","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.3","url":null,"abstract":"<p><p>This study investigated the effect of acupuncture in patients with poor ovarian response (POR) receiving controlled ovarian stimulation (COS). Sixty seven patients with POR were randomly divided into two groups: Group A (acupuncture+COS) and Group B (COS only). The results showed that the rate of high-quality embryos and rate of available embryos in group A were significantly higher than those in group B (P<0.01). In addition, the number of high-quality embryos in Group A also significantly increased (P<0.05). There was no significant difference in the number of available embryos between the two groups (P>0.05), but group A showed an upward trend compared to group B. Therefore, acupuncture can be considered as a safe and effective method to add to COS in the treatment of patients with POR.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"27-34"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hongrui Jia, Xin Han, Timothy A Aderemi, Nkiruka E Ifekwem, Mamdouh Abdulaziz Saleh Al-Faryan
{"title":"Out-of-pocket expenditure and human welfare in Nigeria: Evidence from a fully modified ordinary least squares regression.","authors":"Hongrui Jia, Xin Han, Timothy A Aderemi, Nkiruka E Ifekwem, Mamdouh Abdulaziz Saleh Al-Faryan","doi":"10.29063/ajrh2025/v29i2.17","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.17","url":null,"abstract":"<p><p>This study assesses the connection between out-of-pocket expenditure and human welfare in Nigeria using a Fully Modified Ordinary Least Squares regression. The assessment is based on data from the World Development Indicators (2023), from the periods of 2000 to 2023. The results attest that the status of human welfare in the areas of health, education and living standard is just slightly above the average global benchmark of 0.5. However, on an average basis, households in Nigeria pay 71% of their total health expenses directly from their pockets to health care providers. Also, OOP spending and human welfare had a significant negative relationship. Therefore, to improve the health component of human welfare in Nigeria, the policymakers should heavily subsidize the health care services. Both government health expenditure and GDP per capita had a direct but insufficient impact on human welfare in Nigeria. Therefore, for Nigeria to experience a significant improvement in human welfare via public health input and GDP per capita, the policymakers in the country should be allocating at least 15% of its total annual budget towards healthcare as recommended during the Abuja Declaration in 2001 with a view to lessening OOP spending of the households.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"151-159"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}