African journal of reproductive health最新文献_第10页

Assessing the impact of the journey plus curriculum on sexual and reproductive health and rights and behavioural change among Ugandan youth. 评估旅行和课程对乌干达青年性健康和生殖健康及权利以及行为改变的影响。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.6

Patrick Kagurusi, Maureen Nankanja, Michael Muyonga, Irene Ayanga, Arnold Tigaiza, David Okimait, Mary Ssonko Nabacwa

{"title":"Assessing the impact of the journey plus curriculum on sexual and reproductive health and rights and behavioural change among Ugandan youth.","authors":"Patrick Kagurusi, Maureen Nankanja, Michael Muyonga, Irene Ayanga, Arnold Tigaiza, David Okimait, Mary Ssonko Nabacwa","doi":"10.29063/ajrh2025/v29i4.6","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i4.6","url":null,"abstract":"The Journeys Plus curriculum was introduced by the Government of Uganda in 2020 to impart knowledge and empower youth to practice positive behaviours. It also focuses on fostering supportive environments for youths in homes, communities, health facilities, and schools. AMREF Uganda implemented the curriculum in the districts of Budaka, Mbale, Kween, Namayingo and Kalangala, Bukwo, Mayunge, Bugiri and Iganga. This paper explores the outcomes and effectiveness of the intervention and examines its impact on learning, behavioural change, and youth empowerment, using a phenomenological study design among 360 purposively selected young people (9 -14 years) and 80 adults. Aided by Atlas ti software, deductive analysis was applied to the study findings. The findings suggest that the Journeys Plus curriculum has proven effective in promoting behavior change, enhancing knowledge of sexual and reproductive health and rights, practical vocational skills, empowering young people against gender-based violence, and fostering meaningful peer relationships.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 4","pages":"63-77"},"PeriodicalIF":0.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955617","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}

引用次数: 0

Detection of precancerous lesions in cervical images of perimenopausal women using U-net deep learning. 使用U-net深度学习检测围绝经期妇女宫颈图像中的癌前病变。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.10

Na Zhao, Yan Gao, Fang Li, Jingtian Shi, Yanni Huang, Hongyun Ma

{"title":"Detection of precancerous lesions in cervical images of perimenopausal women using U-net deep learning.","authors":"Na Zhao, Yan Gao, Fang Li, Jingtian Shi, Yanni Huang, Hongyun Ma","doi":"10.29063/ajrh2025/v29i4.10","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i4.10","url":null,"abstract":"Due to physiological changes during the perimenopausal period, the morphology of cervical cells undergoes certain alterations. Accurate cell image segmentation and lesion identification are of great significance for the early detection of precancerous lesions. Traditional detection methods may have certain limitations, thereby creating an urgent need for the development of more effective models. This study aimed to develop a highly efficient and accurate cervical cell image segmentation and recognition model to enhance the detection of precancerous lesions in perimenopausal women. based on U-shaped Network(U-Net) and Residual Network (ResNet). The model integrates U-Net with Segmentation Network (SegNet) and incorporates the Squeeze-and-Excitation (SE) attention mechanism to create the 2Se/U-Net segmentation model. Additionally, ResNet is optimized with the local discriminant loss function (LD-loss) and deep residual learning (DRL) blocks to develop the LD/ResNet lesion recognition model. The performance of the models is evaluated using data from 103 cytology images of perimenopausal women, focusing on segmentation metrics like mean pixel accuracy (MPA) and mean intersection over union (mIoU), as well as lesion detection metrics such as accuracy (Acc), precision (Pre), recall (Re), and F1-score (F1). Results show that the 2Se/U-Net model achieves an MPA of 92.63% and mIoU of 96.93%, outperforming U-Net by 12.48% and 9.47%, respectively. The LD/ResNet model demonstrates over 97.09% accuracy in recognizing cervical cells and achieves high detection performance for precancerous lesions, with Acc, Pre, and Re at 98.95%, 99.36%, and 98.89%, respectively. The model shows great potential for enhancing cervical cancer screening in clinical settings.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 4","pages":"108-119"},"PeriodicalIF":0.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959924","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}

引用次数: 0

Perceptions of traumatic birth in Turkish films and television series. 土耳其电影和电视剧中对创伤性分娩的看法。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.15

Hacer Y Dilcen, Yasemin Bilişli, Güleser Ada, Ebru Bulut

引用次数: 0

Experiences of midwifery students and graduates in conflict-affected settings in Yobe State, Nigeria: Evidence from qualitative data. 尼日利亚约贝州受冲突影响地区助产学学生和毕业生的经历：来自定性数据的证据。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.12

Rejoice H Abimiku, Sussan Israel-Isah, Charity P Maina, Rifkatu S Aimu, Kazeem O Ayodeji, George Odonye, Hadiza Sabo, Hannah T Appis, Shatha Elnakib, Emilia N Iwu

{"title":"Experiences of midwifery students and graduates in conflict-affected settings in Yobe State, Nigeria: Evidence from qualitative data.","authors":"Rejoice H Abimiku, Sussan Israel-Isah, Charity P Maina, Rifkatu S Aimu, Kazeem O Ayodeji, George Odonye, Hadiza Sabo, Hannah T Appis, Shatha Elnakib, Emilia N Iwu","doi":"10.29063/ajrh2025/v29i4.12","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i4.12","url":null,"abstract":"Students and graduates in conflict-affected settings face challenges that impact training and practice. This qualitative study, nested in a broader mixed methods study, explored factors influencing midwifery students' and new graduates' experiences in conflict affected contexts in Yobe State Nigeria. Four focus group discussions (FGDs) were conducted in October 2023 with students and graduates from basic and community midwifery programs. The groups consisted of 7-8 female participants, aged 19-26 years. Discussions were audio-recorded, transcribed and analysed thematically. Participants reported positive childhood influences by health workers, strong motivation for a career in midwifery, compassion and desire to save lives. Barriers elicited include stereotypes and myths about midwifery, negative community perceptions of the midwifery profession, restrictive social and gender norms; distrust of young midwives' competence; and security challenges. The graduates felt well-prepared for practice. However, some identified gaps in skills like episiotomy and expressed a preference for more opportunities for practice. All expressed fear of kidnapping and murder due to armed conflict. These findings have important implications for workforce retention and require action by the government and communities.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 4","pages":"131-141"},"PeriodicalIF":0.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953496","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}

引用次数: 0

Chlamydia Trachomatis infection in infertile men from Cotonou, Benin. 贝宁科托努不育男子沙眼衣原体感染。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.8

Simon Azonbakin, Marius Adjagba, Delali N'bouke, Maria Amoussou, Yannick Goussanou, Arnaud Agbanlinsou, Jean Paul Dossou, Anatole Laleye

{"title":"Chlamydia Trachomatis infection in infertile men from Cotonou, Benin.","authors":"Simon Azonbakin, Marius Adjagba, Delali N'bouke, Maria Amoussou, Yannick Goussanou, Arnaud Agbanlinsou, Jean Paul Dossou, Anatole Laleye","doi":"10.29063/ajrh2025/v29i4.8","DOIUrl":"10.29063/ajrh2025/v29i4.8","url":null,"abstract":"Male infertility accounts for 20-30% cases of infertility, and may be due to hormonal, genetic, toxic or infectious factors. Male urogenital infections caused by Chlamydia trachomatis (CT) are potential causes of male infertility. This study determined the prevalence of Chlamydia trachomatis infection among infertile men in Cotonou. The descriptive cross-sectional study used Real time PCR (RT PCR) to detect Chlamydia trachomatis infection on the first urine stream from 90 participants who did sperm analysis for infertility problems between March 2023 and December 2023. The mean age of the patients was 35.31 ± 7.00 years. Most were cases of primary infertility (62.22%), with an average duration of 5 years. The results showed Chlamydia trachomatis genome detection with RT PCR in 3.33% of subjects. Chlamydia trachomatis-positive subjects exhibited leukospermia and low sperm motility. We conclude that Chlamydia trachomatis infection is common and can lead to serious complications, including male infertility. Serological diagnosis lacks specificity and in case of suspected infection, RT-PCR testing is strongly recommended for the detection of CT.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 4","pages":"89-95"},"PeriodicalIF":0.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143951347","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}

引用次数: 0

Impact of migration on HIV/AIDS in South Africa. 南非移徙对艾滋病毒/艾滋病的影响。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.3

Yuting Liu, Haifeng Yue

引用次数: 0

Are traditional honour ideologies associated with fertility goals and contraceptive use? Findings from a cross-sectional study with a national sample of women and men in Uganda. 传统的荣誉意识是否与生育目标和避孕措施的使用有关？一项针对乌干达全国男女样本的横断面研究的结果。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.9

Arnab K Dey, Kalysha Closson, Jarrod E Bock, Ryan P Brown, Pamela Kakande Nabukhonzo, Wilson Nyegenye, Anita Raj

{"title":"Are traditional honour ideologies associated with fertility goals and contraceptive use? Findings from a cross-sectional study with a national sample of women and men in Uganda.","authors":"Arnab K Dey, Kalysha Closson, Jarrod E Bock, Ryan P Brown, Pamela Kakande Nabukhonzo, Wilson Nyegenye, Anita Raj","doi":"10.29063/ajrh2025/v29i4.9","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i4.9","url":null,"abstract":"We used data from a nationally representative sample of men and women of childbearing age in Uganda to assess the association between traditional honour ideologies and fertility goals and contraception use. We used multivariable regression analysis to assess the associations between honour ideologies and a) the ideal number of children, b) male control over contraceptive decision-making, and c) male/female-controlled contraceptive use. Results show that men desired more children and were less likely to use contraception compared to women. For men, honour ideologies about women are linked to both larger desired family size and lower likelihood to use male-controlled contraceptives. Additionally, men's honour ideologies for both genders were associated with a higher likelihood of male control over contraceptive decision-making. We conclude that traditional honour norms not only lead to a preference for more children but also entail male control over contraceptive decisions, undermining women's contraceptive use autonomy.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 4","pages":"96-107"},"PeriodicalIF":0.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959634","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}

引用次数: 0

Paraneoplastic Ma antigen 5 promotes cellular processes of primary cells in ovarian endometriosis. 副肿瘤Ma抗原5促进卵巢子宫内膜异位症原代细胞的细胞过程。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.4

Yinglei Liu, Zhe Chen, Jun You, Yanli Zheng, Haifeng Qiao

{"title":"Paraneoplastic Ma antigen 5 promotes cellular processes of primary cells in ovarian endometriosis.","authors":"Yinglei Liu, Zhe Chen, Jun You, Yanli Zheng, Haifeng Qiao","doi":"10.29063/ajrh2025/v29i4.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i4.4","url":null,"abstract":"This study investigates the role of paraneoplastic Ma antigen 5 (PNMA 5), a member of the PNMA family of proteins, in ovarian endometriosis (EM). These proteins are known to play a significant role in various physiological activities and are highly expressed in cells undergoing carcinogenesis, where they influence cell cycle, apoptosis, and other cellular processes. However, the involvement of PNMA 5 in ovarian EM has not been fully understood. To explore this, the study analyzed PNMA 5 levels in both normal and ectopic endometrial tissues from ovarian EM patients using immunohistochemistry. Small interfering RNA (siRNA) was used to knock down PNMA 5 in ectopic tissue cells, and the effects of this intervention were assessed through qRT-PCR and western blot to evaluate the efficiency of knockdown. Additionally, CCK-8 assays, flow cytometry, transwell, and wound healing assays were employed to examine the impact of PNMA 5 on cell proliferation, apoptosis, migration, and invasion. The results demonstrated that PNMA 5 expression was significantly higher in ectopic tissues compared to normal endometrium. Moreover, the protein inhibited cell proliferation and invasion while promoting apoptosis in primary cells from ectopic tissues. These findings suggest that PNMA 5 could serve as a potential therapeutic target for EM, though further research is needed to fully understand its mechanisms.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 4","pages":"37-48"},"PeriodicalIF":0.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955926","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}

引用次数: 0

Effect of an airway clearance technique in the treatment of children with severe pneumonia. 气道清扫术治疗儿童重症肺炎的疗效观察。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-04-23 DOI: 10.29063/ajrh2025/v29i4.13

Yilin Huang, Yali Bo

{"title":"Effect of an airway clearance technique in the treatment of children with severe pneumonia.","authors":"Yilin Huang, Yali Bo","doi":"10.29063/ajrh2025/v29i4.13","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i4.13","url":null,"abstract":"This was a research study, mainly explored the effect of an airway clearance technique (ACT) in treating children with severe pneumonia. One hundred children with severe pneumonia who accepted therapy in Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College from January 2023 to January 2024 were selected and randomly divided into a control group and observation group. The control group accepted anti-inflammatory, cough, phlegm and asthma treatment, while the observation group accepted ACT therapy including anti-inflammatory, cough, phlegm, and asthma treatment. As compared to the control group, the observation group presented better total effective rate, shorter cough and sputum relief time, defervescence time, length of hospital stay, lung rale and disappeareance time, and lung shadow disappearance time. The observation group also had higher peak expiratory flow (PEF), forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) levels, higher cough reflex, secretion viscosity and secretion volume scores, higher arterial oxygen pressure (PaO2) and arterial oxygen saturation (SaO2) levels as well as lower levels of inflammatory markers. We conclude that, the clinical efficacy of ACT for treatment of children with severe pneumonia is remarkable, which can improve related symptoms, improve lung function and blood gas indices, repress inflammation, and promote airway recovery..","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 4","pages":"142-149"},"PeriodicalIF":0.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967764","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}

引用次数: 0

Three decades after Beijing: Progress and challenges in maternal, reproductive, and child health and rights in Africa. 北京会议后三十年：非洲孕产妇、生殖和儿童健康与权利方面的进展与挑战。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-03-25 DOI: 10.29063/ajrh2025/v29i3.3

Josephine Aikpitanyi

引用次数: 0