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The genome of spermatozoa can undergo changes and mutation due to endogenous and exogenous agents which, in the case of inappropriate repair, leads to production of morphologically abnormal sperms, reduced spermatozoid (oligospermia), and absence of spermatozoid (azoospermia), culminating in male infertility [4,5,6].Typically, during spermatogenesis in mammalian testicles, the process of apoptosis of germ cells that occurs spontaneously can act as a normal physiological mechanism followed by abnormal germ cells elimination, after which finally high-quality sperms are produced [7]

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Applying the Capability-Opportunity-Motivation-Behaviour model can help schools design integrated interventions that build psychological capability, reshape opportunities, and strengthen both reflective and automatic motivation in early adolescence

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