bluuebunny/crossref_metadata_2025_split huggingface dataset:
Business Intelligence and Leadership: Keys to Digital Business Transformation
Authors: Olivares Faúndez Mauricio 
Published: December 2024

The evolution of Business Intelligence and Analytics (BI&A) has transformed business management, becoming a crucial strategic element to achieve competitive advantages in a dynamic and demanding environment. With the growth of the industry, it is essential that companies of all sizes adapt to this new paradigm. This demands analytical leadership in business intelligence and analytics. This leadership requires transformative management of organizational performance, which implies the development of capabilities that respond to high demands. Faced with these challenges, it is imperative that a wide range of professionals adapt their management skills to the advancement of BI&A in agile environments, which raises the need for academic training that quickly and consistently adjusts to change. This chapter presents the Knowledge Domains and Skills for BI&A Leadership (CDM-BI&A) model, designed to measure strategic leadership competencies in BI&A for business managers. This model addresses the challenges that professionals will face in the next 20 years and offers a solid framework for assessing and developing competencies in a multidisciplinary skills context, preparing leaders for a business environment with significant challenges in understanding and making strategic decisions with BI&A.
Çok Yanlı Platformlarda Tüketici Bağlılığı
Authors: Baysal Kar Bahar 
Published: December 2024

Platformlar iktisat biliminde daha çok ¨etkinlik¨ özelinde tartışılan ¨aracı¨ firmalar olmasına rağmen bu firmaların başarısı ve bu başarının devamlılığında platform firma, platform firmaları destekleyen yatırımcılar ve tüketiciler arasındaki ittifakın önemi büyüktür. Literatürde platform modeline temel olan bu yön genellikle ikinci planda kalmaktadır. Bu modele hakim olan platform firmalar, yatırımcılar, tüketiciler, işgücü ve düzenleyiciler arasındaki güç ilişkileri örtük biçimde incelenmektedir. Bu bölümde tüketicilerin neden bu ittifakın bir müttefiki olduğu tartışılmaktadır. Buna göre platform firmalar ¨tüketici çıkarı¨ söylemi altında faaliyetlerini meşrulaştırmaktadır. Tüketiciler bu faaliyetlerden çeşitli kolaylık ve avantajlar (düşük fiyat, hızlı teslimat, yenilik, alternatiflerin çokluğu, daha geniş sosyal çevre, vb.) elde etmektedir. Platformun piyasadaki konumunu güçlendirmesi, piyasa gücü elde etmesi geleneksel eksik rekabet piyasalarının aksine tüketici için yüksek fiyat ve düşük üretim anlamına gelmemektedir. Aksine tüketicilerin platform firmalara olan güven ve bağlılığını daha da arttırmaktadır. Bu nedenle kapitalist sistemde geleneksel olarak tüketicinin hakimiyetinden bahsedilse de, bunun platform kapitalizminde tüketici bağlılığına (consumer dependence) doğru evrilmesi, tüketici verilerine erişim gibi tüketicilerin zararına uygulamalara rağmen, politika yapıcılar ve düzenleyicilerin aleyhlerine yapabilecekleri düzenlemelere karşı platform firmalara politik güç kazandırmaktadır. Zira politika yapıcıların platformlara yönelik rekabeti arttırıcı, faaliyetlerini engelleyici düzenlemeler yapmaları, tüketicilerin onların sağladığı kolaylık ve avantajlardan mahrum olması anlamına gelmektedir. Bu mahrumiyetten doğabilecek tepki nedeni ile politika yapıcılar bu kadar geniş bir seçmen kitlesini karşına almak istememektedir. Buna rağmen yapılabilecek regülasyon öncelikli hedef veya öncelikli kesime göre değişiklik gösterecektir. Ayrıca tüketicilerde belirli kısıtlar altında bu yeni modelin kaybedeni işgücünün durumunun iyileştirilmesine yönelik geliştirilebilecek bir bilinç platform firmaların bu kesim lehine düzenleme yapmasına ön ayak olabilecektir.
Erken Çocukluk Eğitiminde Yönetim
Authors: Öcal Dörterler Sümeyye 
Published: December 2024

Okul öncesi eğitim, çocukların sosyal, duygusal, bilişsel ve fiziksel gelişimini destekleyen temel bir süreçtir. Eğitimde başarı, özellikle erken yaşta tasarlanan etkin politikalar ve etkili yönetim modellerine bağlıdır. Türkiye'de bu süreç, toplumsal ve kültürel dönüşümlere paralel olarak sürekli bir evrim geçirmiştir. Okul öncesi eğitimin yönetiminde yer alan liderlik, öğretmenlerin ve diğer paydaşların çocukların gelişimine katkıda bulunmasını sağlamada önemli bir rol oynamaktadır.
Osmanlı döneminde Sıbyan mektepleri gibi dini eğitime odaklanan kurumlarla sınırlı kalan erken çocukluk eğitimi, Cumhuriyet’in ilanından sonra modernleşme çabalarının bir parçası haline gelmiştir. 1923-1926 yıllarında yapılan girişimlerle anaokulu sayısında artış görülse de kaynak yetersizliği nedeniyle sürdürülebilir bir yapı oluşturulamamıştır. 1980’lerde başlayan reformlarla erken çocukluk eğitiminin önemi vurgulanmış, 2000’li yıllarda ise bu eğitimin yaygınlaştırılmasına yönelik projeler hız kazanmıştır. 2012 yılında zorunlu eğitimin 12 yıla çıkarılması, okul öncesi eğitimi de bu kapsamda daha erişilebilir hale getirmiştir.
Türkiye’de okul öncesi eğitimde farklı yönetim modelleri benimsenmiştir. Bürokratik model, hiyerarşik yapısıyla standartların sağlanmasına odaklanırken; demokratik model, öğretmenler ve ailelerin sürece katılımını teşvik eder. Dönüşümcü model, liderlik kavramını ön plana çıkararak yenilikçi yaklaşımları desteklerken, katılımcı model tüm paydaşların karar süreçlerine aktif katılımını sağlar. Her modelin avantaj ve dezavantajları bulunmakta olup, etkin bir yönetim anlayışı için bu yaklaşımların esnek bir şekilde uygulanması önerilmektedir.
Merkeziyetçi yapının hâkim olduğu Türkiye’de, okul öncesi eğitimde yerel ihtiyaçlar göz ardı edilmekte ve bu durum özellikle kırsal bölgelerdeki okulların kendi koşullarına uygun çözümler geliştirmesini zorlaştırmaktadır. Ayrıca, nitelikli öğretmen eksikliği, mesleki gelişim imkanlarının yetersizliği ve finansman sorunları eğitimin kalitesini olumsuz etkilemektedir. Kırsal bölgelerde eğitime erişim ve fırsat eşitliği gibi konular da önemli sorunlar arasında yer almaktadır.
Okul öncesi eğitim kurumlarında yöneticiler, günlük işleyişin sürdürülmesinin yanı sıra liderlik becerileriyle eğitimde vizyon oluşturma görevini de üstlenmektedir. Müdürlerin liderlik kapasitesi, öğretmenlerin motivasyonunu artırmak ve yenilikçi yaklaşımları teşvik etmek açısından kritik önemdedir. Dönüşümcü liderlik, öğretmenlerin profesyonel gelişimlerini destekleyerek, okul öncesi eğitimin kalitesini artırmada etkili bir yöntem olarak ön plana çıkmaktadır.
Eğitimin yerelleştirilmesi, bölgesel ihtiyaçların daha iyi karşılanması açısından önemlidir. Kaynakların artırılması ve etkin kullanımı, öğretmenlerin sürekli mesleki gelişiminin desteklenmesi, aile katılımının artırılması ve kalite standartlarının belirlenerek düzenli denetlenmesi gerekmektedir. Ayrıca, yöneticilerin liderlik becerilerinin geliştirilmesi, eğitim kalitesini artırarak çocukların gelişim süreçlerine olumlu katkılar sağlayacaktır.
Turizmde Nesnelerin İnterneti
Authors: Toprak Lütfullah Sadi , Güçlü Caner 
Published: December 2024

Turizmin birden fazla endüstriyi entegre edici niteliği ile sektörler arası lokomotif görevi görmesi küresel turizm endüstrisinin hızla genişlemesine yol açmıştır. Ancak geleneksel turizm biçimi turizm bilgilerini paydaşlara iletmede yavaştır ve turistlerin seyahat tercihlerini doğru bir şekilde belirlemek ve belirli seyahat planları yapmak daha da zorlaşmaktadır. Tam da bu nedenle Nesnelerin interneti (IoT) turizm ve seyahat sektöründe verilerin hızlı akışında ve iletilmesinde turistlerin bilgi edinmesinde ve işletmelerin hızlı aksiyon almalarında dönüm noktası olmuştur. Öyle ki işletmeler, insanlar, makineler ve her şey arasındaki etkileşimleri içeren tüm dijital tabanlı endüstriler "Nesnelerin İnterneti" (IoT) ile iletişim sağlamaktadır. Bu çalışma Nesnelerin internetinin (IoT) turizm sektöründe uygulamala/örneklerine ve avantaj ve dezavantajlarına odaklanmaktadır. Bu kapsamda çalışmanın amacı Nesnelerin interneti teknolojisinin turizm sektörüne sağladığı kolaylıklar bağlamında sektörde teknolojinin kullanımına ilişkin örnekler ve uygulamaları incelemektir.
Turizmde Blockchain
Authors: Yıldırım Saçılık Melahat 
Published: December 2024

Bilgi teknolojilerinin gelişmesiyle birlikte hayatın hemen her alanında kulanım ağı da giderek artış göstermektedir. Bilgi teknolojilerin en gelişmiş unsuru “Blockchain” sistemidir. Verilerin işlenme ve depolanma sürelerinin hızlı, şeffaf ve güvenli olması, blockchain teknolojisinin hemen her sektörde yaygın kullanımını sağlamaktadır. Blockchain teknolojisi kullanımı finans, sağlık, eğitim, ekonomi, kültür vb. alanlarda hızla artış göstermektedir. Turizm sektöründe de blockchain sistemi etkin olarak kullanılmakla birlikte yayılma hızı yavaş gerçekleşmektedir. Diğer yandan turizm sektörünün geniş yelpazesi sebebiyle blockchain kullanımının yaygınlaşması gerekmektedir. Blockchain teknolojisi, turizm sektöründeki merkezi dağıtım ağlarında ve çalışma sistemlerinde bir darbe niteliği taşımaktadır. Çünkü blockchain teknolojisi, turistik tüketicilerin her türlü işlemlerinin aracısız olarak turistik işletmelerin kendileriyle yapılmasına izin vermektedir. Tüketicilerin istek ve beklentilerinin daha çabuk, güvenli ve şeffaf şekilde karşılanması turizm işletmelerinin ve turizm destinasyonlarının rekabet avantajı elde etmesi açısından büyük önem arz etmektedir. Özellikle sadık müşteri portföyünün genişlemesi ve sürdürülebilir kılınması için üretim satış, ödeme vb. konularının işlerlik kazanması sebebiyle blockchain teknolojisinin kullanımı sağlanmalıdır.
Políticas de desarrollo productivo en Argentina: estrategias e instrumentos en la pospandemia
Authors: Arza Valeria , López Emanuel 
Published: December 2024

A nivel global, ha resurgido el interés por las políticas industriales, pero aún existe una escasez de estudios empíricos y una diversidad de definiciones. En este contexto, entendemos importante conocer cuáles fueron las políticas de desarrollo productivo (PDP) en Argentina tras la pandemia de COVID-19 y cómo se fundamentaron. A través de un análisis detallado de los instrumentos utilizados y de los planes estratégicos y utilizando una definición y taxonomía que nos permite realizar comparaciones internacionales, se calcula que el país invirtió en torno a 1% del PIB en estas políticas en 2021-2022, guarismo mayor al de otros países de la región y menor al de los países desarrollados. Asimismo, se identifica que las PDP se justificaron desde la necesidad de reactivación económica, el fortalecimiento del sector productivo y la competitividad y el desarrollo inclusivo y sostenible. La mayoría de los instrumentos intervienen directamente sobre las actividades productivas de las empresas y en términos de objetivos, se concentran en apoyar a las pequeñas y medianas empresas, promover la inclusión financiera y fomentar la adopción de tecnologías.
การใช้กิจกรรมละครสร้างสรรค์เพื่อลดพฤติกรรมก้าวร้าวของเด็กนักเรียนชั้นมัธยมศึกษาปีที่ 3 โรงเรียนหนองกี่พิทยาคม อำเภอหนองกี่ จังหวัดบุรีรัมย์
Authors: หลอมประโคน รัศมี , แพทยานนท์ ปรวัน 
Published: December 2024

งานวิจัยนี้มีจุดมุ่งหมายในการพัฒนา ศึกษาผลก่อนและหลังและความพึงพอใจในการใช้กิจกรรมละครสร้างสรรค์ในการลดพฤติกรรมก้าวร้าวของนักเรียนชั้นมัธยมศึกษาปีที่ 3 โรงเรียนหนองกี่พิทยาคม กลุ่มตัวอย่างคือ นักเรียนชั้นมัธยมศึกษาปีที่ 3 จำนวน 24 คน ได้มาจากการคัดเลือกแบบเจาะจง เครื่องมือที่ใช้ในการวิจัย คือ 1) แบบวัดพฤติกรรมก้าวร้าวจากกรมสุขภาพจิต กระทรวงสาธารณสุข 2) กิจกรรมละคร 12 กิจกรรม 3) แบบบันทึกคะแนนพฤติกรรมรายบุคคล ผลวิจัยพบว่า 1. กิจกรรมกิจกรรมละครสร้างสรรค์ เพื่อลดพฤติกรรมก้าวร้าว ทั้งหมด 12 กิจกรรม (IOC = 0.83) ใช้ระยะเวลาในการทำกิจกรรม จำนวน 6 สัปดาห์ สัปดาห์ละ 2 ครั้ง รวม 12 ชั่วโมง 2. ผลสัมฤทธิ์ของการเปลี่ยนแปลงพฤติกรรมก้าวร้าวของนักเรียนหลังจากใช้กิจกรรมละครสร้างสรรค์ต่ำกว่าก่อนใช้กิจกรรมละครสร้างสรรค์ อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 (t = 15.260, df = 23, p = .000) โดยมีคะแนนเฉลี่ยของของการเปลี่ยนแปลงพฤติกรรมก้าวร้าว ก่อนและหลังได้รับการจัดการเรียนรู้ เท่ากับ 17.58 และ 9.92 คะแนนตามลำดับ (ส่วนเบี่ยงเบนมาตรฐาน เท่ากับ 0.50 และ 2.65 ตามลำดับ) 3. นักเรียนระดับชั้นมัธยมศึกษาปีที่ 3 ที่ใช้กิจกรรมละครสร้างสรรค์เพื่อลดพฤติกรรมก้าวร้าว มีความพึงพอใจต่อใช้กิจกรรมละครสร้างสรรค์เพื่อลดพฤติกรรมก้าวร้าว ภาพรวมอยู่ในระดับ มากที่สุด ( x̄= 4.92, S = 0.20) โดยด้านที่ได้รับความพึงพอใจมากที่สุด คือ ด้านผู้ร่วมกิจกรรม มีความรู้ ความเข้าใจและสามารถอธิบายพฤกรรมที่พึงประสงค์และไม่พึงประสงค์ได้ ด้านผู้ร่วมกิจกรรม มองเห็นคุณค่าในตนเองและผู้อื่นมากขึ้น และด้านผู้ร่วมกิจกรรม เห็นใจผู้อื่นมากขึ้น ( x̄}= 5.00, S = 0.00) ส่วนด้านที่นักเรียนพึงพอใจน้อยที่สุด คือ ด้านผู้ร่วมกิจกรรมกล้าแสดงความคิดเห็นและแก้ไขปัญหาในเชิงบวกได้อย่างสร้างสรรค์ ( x̄= 4.79, S = 0.41)
Genetic algorithms for route optimization in the picking problem
Authors: Casarrubias-Vargas Heriberto , V´ásquez-Godínez Noé , Chavéz-Hernández Maribel , Gaviño-Ortiz Gabriela 
Published: December 2024

The picking problem is part of the item picking problem in a warehouse for a given order and is the most expensive in the process; Optimizing the item collection time is essential because it is a bottleneck in the service rate of orders fulfilled and has a significant impact on the efficiency of the supply chain. This work proposes a strategy to reduce the picking time by minimizing the route using a genetic algorithm; a comparison is performed with other heuristic strategies in warehouses with different morphologies and considering orders of different sizes.
RACISMO RELIGIOSO: os desafios da implementação da lei 10.639/03 nas Escolas Públicas do município de São Paulo
Authors: Melo Amanda , Feldmann Marina 
Published: December 2024

Este artigo apresenta a pesquisa desenvolvida no mestrado no Programa de Pós-Graduação em Educação: Currículo, que investigou os desafios da implementação da Lei 10.639/03, sob a perspectiva do racismo religioso e suas repercussões para os estudantes adeptos das religiões de matrizes africanas em escolas públicas da zona Sul do município de São Paulo. Dentre os objetivos destaca-se a análise da compreensão dos professores acerca das religiões de matrizes africanas e afro-brasileiras, que possibilitou constatar em que medida os documentos curriculares produzidos pela rede (Orientações Curriculares para as Relações Étnico Raciais e o Currículo da Cidade de São Paulo) contribuíram para que os docentes reelaborassem os Projetos Políticos Pedagógicos das escolas. A pesquisa foi realizada com abordagem qualitativa com a realização de entrevistas com professores e gestores de quatro escolas pertencentes à Diretoria Regional do Ipiranga. Ancoramos a pesquisa nos subsídios teóricos e conceituais das pesquisadoras Cavalleiro (2003), que investigou as sutilezas e enredos do racismo estrutural presentes nas relações em uma escola de educação infantil, Bakke (2011) e Nogueira (2020), que dissertam e analisam os meandros do racismo religioso e dos desafios da implementação da Lei 10.639/03. Constatamos que o racismo religioso é um dos desafios para a implementação da Lei 10.639/03, notamos a relevância de trabalhos com intencionalidade pedagógica que visam dirimir os equívocos do imaginário social relacionados a essas religiões, possibilitando a construção de uma escola democrática e equânime, que dizima as violências e empodera os estudantes.
Tips and Tricks to Facilitate Late Open Surgical Conversion after Endovascular Aortic Aneurysms Repair
Authors: Davidovic Lazar B. , Ducic Stefan , Roganovic Andrija , Matejevic David , Kostic Ognjen 
Published: December 2024

Endovascular repair has significantly improved the treatment of aortic aneurysms, particularly in older and high-risk patients. However, many studies have not found significant differences in long-term outcomes when comparing open and endovascular repair methods. Additionally, endovascular repair is associated with a higher rate of aortic-related reinterventions compared to open repair (OR), sometimes necessitating late open surgical conversion (LOSC).
The increasing number of endovascular aortic aneurysm repairs exposes vascular surgeons to a growing number of patients requiring late open surgical conversion (LOSC) after previous endovascular aneurysm repair (EVAR) or thoracic endovascular aortic repair (TEVAR). LOSC following endovascular procedures is associated with higher perioperative mortality and complication rates compared to primary open repair of aortic aneurysms.
This review summarizes the current knowledge, indications, possibilities, and techniques for LOSC after initial endovascular procedures. While the incidence of complications requiring LOSC remains relatively low, the number of endovascular procedures performed has increased significantly over the last decade, suggesting a rise in LOSC procedures as well.
Due to the complexity involved, LOSC procedures should be performed in high-volume centers by highly experienced vascular surgeons. This underlines the importance of educating the younger generation of vascular surgeons in both endovascular and open aortic surgery.
Systematic Review and Meta-Analysis of Application of Ultrasound-Guided Thoracic Paravertebral Block in Clinical Surgical Treatment
Authors: Fang Yanchun , Lu Haiyan , Yang Jinxia , He Hailing , Rao Suhuan 
Published: December 2024

AIM: There is a lack of consensus regarding the efficacy of thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB) for postoperative pain in randomized controlled trials (RCTs). The comparison of TPVB and ESPB was explored through a systematic review and meta-analysis (MA) of relevant RCTs.
METHODS: A comprehensive search of relevant literature was conducted using databases such as PubMed, Embase, and MEDLINE, from 2019 to June 2024. The search utilized keywords such as “TPVB”, “ESPB”, and “postoperative analogy”. Following the search, quality evaluation and extraction of outcome indicators were implemented. The software RevMan5.3 was employed for data analysis and evaluation.
RESULTS: The analysis included 18 articles. In patients at rest, a significant difference in pain scores was observed between the TPVB group and the ESPB group at 1 h postoperatively, with a standardized mean difference (SMD) of –0.52 [95% confidence interval (CI): –0.88 to –0.16, p = 0.005]. In non-resting patients, there were significant differences in pain scores between TPVB and ESPB at 24 and 48 h postoperatively. At 24 h postoperatively, the SMD was –0.37 (95% CI: –0.69 to –0.05, p = 0.02), and at 48 h postoperatively, in the visual analog scale (VAS) subgroup, the SMD was –0.38 (95% CI: –0.65 to –0.11, p = 0.006). Furthermore, notable statistical variations were identified in the frequency of rescue analgesia required following surgery between TPVB and ESPB.
CONCLUSIONS: The meta-analysis indicated that lower clinical pain scores in non-resting states at 24 and 48 h post-surgery were associated with TPVB rather than ESPB. This finding was accompanied by a more discernible and accurate analgesic effect, as well as a significant reduction in the need for rescue analgesia following surgical procedures.
Comparison of the Efficacy and Safety of Thyroid Microwave Ablation and Radiofrequency Ablation versus Open Surgery for the Treatment of Benign Thyroid Nodules: A Propensity Score Matching Study
Authors: Chen Jing , Gu Xiaowei , Wang Hong , Bian Jianliang 
Published: December 2024

AIM: With the advantage of preserving thyroid function while minimizing intervention-related morbidity, minimally invasive thermal ablation techniques such as microwave ablation (MWA) and radiofrequency ablation (RFA) have emerged as alternatives to traditional open surgery. This study compares the efficacy and safety of MWA and RFA with that of open surgery for the treatment of benign thyroid nodules by utilizing a propensity score matching study design to improve comparability.
METHODS: This retrospective study included patients with benign thyroid nodules treated at the North China Electric Power University (Baoding) School Hospital between May 2020 and May 2023. Following propensity score matching, the patients were equally divided into three treatment groups: MWA, RFA, and open surgery. Data on demographic characteristics, thyroid function, treatment outcomes (including nodule size reduction, postoperative pain, cosmetics, hospital stay, and quality of life (QoL)), and postoperative complications were analyzed.
RESULTS: A total of 160 patients, including 55 patients who received MWA, 58 patients treated with RFA and 47 patients operated with open surgery, were initially included. Propensity score matching, aimed at minimizing baseline differences among the groups, was conducted, leaving behind 105 patients, who were equally distributed with 35 persons per group. Compared to open surgery, both MWA and RFA significantly reduced intraoperative blood loss, operation time, length of hospital stay, and pain scores (p < 0.05). The incidence of complications, such as hypothyroidism, hematoma, wound pain, and incision adhesion, was also significantly lower (p < 0.05). In addition, the MWA and RFA were superior to open surgery in terms of cosmetic satisfaction and overall QoL scores (p < 0.05). No significant differences were observed between the MWA and RFA groups in terms of treatment efficacy, complication rates, cosmetic satisfaction, and QoL scores (p > 0.05). At the 6-month follow-up, no significant differences in thyroid function were observed among the three treatment modalities (p > 0.05).
CONCLUSIONS: MWA and RFA exhibit comparable outcomes, in terms of efficacy and safety, for the treatment of benign thyroid nodules, with advantages over open surgery including shorter hospital stays, lower level of postoperative pain, better cosmetic outcomes, higher QoL scores, and lower rates of certain complications.
Transurethral Cylindrical Water Sac Prostate Enlargement Surgery for the Treatment of Small-Volume Benign Prostatic Hyperplasia: A Retrospective Analysis
Authors: Fu Tingbo , Jiang Xinjie , Li Guojun , Liu Lizhuan , Chen Youjiao , Mo Junfeng 
Published: December 2024

AIM: To investigate the clinical efficacy of transurethral columnar balloon dilation of prostate (TUCBDP) in the treatment of small-volume benign prostatic hyperplasia (BPH) and provide the optimal treatment for the surgical treatment of small volume benign prostatic hyperplasia.
METHODS: This retrospective study analyzed 106 patients with small-volume BPH who underwent surgical treatment at the Department of Urology, Xiangya Changde Hospital from December 2023 to January 2024. The patients were divided into two groups based on the type of surgery received: TUCBDP group (n = 53) and transurethral resection of prostate (TURP) group (n = 53), which serves as the control group. We observed and measured the primary outcome indexes of the two groups, including international prostate symptom score (IPSS), maximum urinary flow rate (Qmax), postvoid residual (PVR), and quality of life (QoL) score, as well as the secondary outcome indicators, such as operation time, hospital stay, indwelling catheter time, the frequency of night urination and daytime urination, and the total incidence of long-term and short-term complications.
RESULTS: Preoperative IPSS, Qmax, PVR, and QoL scores showed no significant differences between the TUCBDP and TURP groups (p > 0.05). Postoperatively, the TUCBDP group showed superior results in terms of shortened operation time (–15.96 minutes, 95% confidence interval (CI) [–20.06, –11.86], p < 0.001), hospitalization time (–1.73 days, 95% confidence interval (CI) [–2.26, –1.20], p < 0.001), and indwelling catheter time (–1.17 days, 95% CI [–1.55, –0.79], p < 0.001), reduced night urination frequency (–0.71 times, 95% CI [–0.89, –0.53], p < 0.001) and daytime urination frequency (–1.80 times, 95% CI [–2.25, –1.35], p < 0.001). For patients receiving TUCBDP, improvements were also noted in IPSS (–2.27, 95% CI [–3.58, –0.96], p < 0.001), Qmax (4.50 mL/s, 95% CI [3.30, 5.70], p < 0.001), PVR (–6.89 mL, 95% CI [–9.48, –4.30], p < 0.001), and QoL (–0.87, 95% CI [–1.57, –0.17], p = 0.026). The TUCBDP group also had lower rates of near-term (15.09% vs. 35.85%, χ2 = 6.013, p = 0.014) and long-term complications (11.32% vs. 37.74%, χ2 = 9.988, p = 0.002).
CONCLUSIONS: TUCBDP demonstrates significant clinical efficacy in the treatment of small-volume BPH, causing a low incidence of postoperative complications.