bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perineal ultrasound to assess the urethral spatial movement in stress urinary incontinence in women
Authors: Dong Binbin , Shi Yingqiu , Chen Yin , Liu Ming , Lu Xiaoming , Liu Yadong 
Published: March 2023

Abstract
Background
Perineal ultrasound as a non-invasive method for the diagnosis of female stress urinary incontinence has attracted more and more attention. However, the criteria for stress urinary incontinence in women using perineal ultrasound have not been fully established. Our study aimed to evaluate characteristics of the urethral spatial movement with perineal ultrasonography.

Methods
A total of 136 female patients with stress urinary incontinence and 44 controls were enrolled. Stress urinary incontinence was diagnosed using the International Consultation on Incontinence Questionnaire Short Form, medical history and physical examination, and severity was assessed using a 1 h pad test. We described the mobility of four equidistant points (A–D) located along the urethra length. The retrovesical and urethral rotation angles were measured using perineal ultrasonography at rest and during the maximal Valsalva maneuver.

Results
Patients with stress urinary incontinence showed a more significant vertical movement at Points A, B and C than controls. The mean variations in the retrovesical angle were significantly larger in patients with stress urinary incontinence at rest and during the Valsalva maneuver than in controls (21.0 ± 16.5° vs. 14.7 ± 20.1°, respectively). The cut-off value for the retrovesical angle variation was 10.7° with 72% sensitivity and 54% specificity. There was a receiver-operating characteristic curve area of 0.73 and 0.72 for Points A and B, respectively. A cut-off of 10.8 mm, and 9.4 mm provided 71% sensitivity and 68% specificity and 67% sensitivity and 75% specificity, respectively.

Conclusions
The spatial movement of the bladder neck and proximal urethra, and variations in the retrovesical angle may be correlated with clinical symptoms and facilitate to the assessment of SUI.
Simple prediction of COVID-19 convalescent plasma units with high levels of neutralization antibodies
Authors: Jazbec Katerina , Jež Mojca , Žiberna Klemen , Mali Polonca , Ramšak Živa , Potokar Urška Rahne , Kvrzić Zdravko , Černilec Maja , Gracar Melita , Šprohar Marjana , Jovanovič Petra , Vuletić Sonja , Rožman Primož 
Published: March 2023

Abstract
Background
Hyperimmune convalescent COVID-19 plasma (CCP) containing anti-SARS-CoV-2 neutralizing antibodies (NAbs) was proposed as a therapeutic option for patients early in the new coronavirus disease pandemic. The efficacy of this therapy depends on the quantity of neutralizing antibodies (NAbs) in the CCP units, with titers ≥ 1:160 being recommended. The standard neutralizing tests (NTs) used for determining appropriate CCP donors are technically demanding and expensive and take several days. We explored whether they could be replaced by high-throughput serology tests and a set of available clinical data.

Methods
Our study included 1302 CCP donors after PCR-confirmed COVID-19 infection. To predict donors with high NAb titers, we built four (4) multiple logistic regression models evaluating the relationships of demographic data, COVID-19 symptoms, results of various serological testing, the period between disease and donation, and COVID-19 vaccination status.

Results
The analysis of the four models showed that the chemiluminescent microparticle assay (CMIA) for the quantitative determination of IgG Abs to the RBD of the S1 subunit of the SARS-CoV-2 spike protein was enough to predict the CCP units with a high NAb titer. CCP donors with respective results > 850 BAU/ml SARS-CoV-2 IgG had a high probability of attaining sufficient NAb titers. Including additional variables such as donor demographics, clinical symptoms, or time of donation into a particular predictive model did not significantly increase its sensitivity and specificity.

Conclusion
A simple quantitative serological determination of anti-SARS-CoV-2 antibodies alone is satisfactory for recruiting CCP donors with high titer NAbs.
São Paulo Rising: Grassroots Movements and the Right to Health in Authoritarian Brazil
Authors: McDonald Daniel 
Published: March 2023

Abstract
This article examines grassroots constructions of a right to health in São Paulo's urban periphery during Brazil's civil-military dictatorship (1964–85). Centered on the rise of the Movimento de Saúde da Zona Leste (Health Movement of the East Zone), an agglomeration of neighborhood health movements, the article explores how grassroots movements came to articulate a notion of a right to health that incorporated the right to shape the city and the right to democratic participation while under military rule. As frustration with a lack of sanitary infrastructure and poor-quality health care mounted, grassroots movements organized neighborhood health commissions and compelled the state government of São Paulo to recognize elected popular health councils as comanagers of public health-care facilities. In tracing this trajectory, this article demonstrates that health was a key area through which everyday people negotiated the contours of Brazil's emergent democracy during the transition from authoritarian rule.
Predictors of Contraceptive practice in married women of Punjab, Pakistan
Authors: Tauseef Wasima , Malik Nusrat Jahan , Rana Ikram Ahmad , Ihsan Fauzia Nusrat 
Published: March 2023

Objective: Pakistan is the sixth most populous country in the world. Current contraceptive use in Pakistan is only 26% despite being one of the leading countries in Asia to launch National family planning programs. Major constraint of acceptability among women is the lack of awareness and implementation of contraceptive methods. The objective of this study was to explore the reasons behind this behavior.
Methods: A cross-sectional survey was conducted with non-probability convenient sampling with sample size of 400 married women attending Fazle-Omar Hospital, Chenab Nagar, Punjab, having age between 15 to 60 years from August 2019 to February 2020. To assess the awareness of respondents about contraception, a questionnaire was made after testing its internal consistency. Data was analyzed via SPSS-21; nominal data was expressed as frequencies and percentages, quantitative as mean and standard deviation. Binary logistic regression analysis was carried out to determine predictors for contraception practice. P-value < 0.05 was considered significant.
Results: Our respondents mean age was 30.73±5.9 years. Majority of responders (65%) were educated and (61%) belonged to low socio-economic class. Mean awareness score was 65±26. Out of 400 respondents, 260 (65%) were practicing contraception. Relatives and media were major sources of awareness while clinics and LHVs were contributing less. Condom was the most practiced method of contraception. Low socio-economic class, increase number of kids, responders’ education and awareness score were the predictors of contraception practice.
Conclusion: The education of women and awareness score are independent predictors of contraceptive practice in women. Hence by educating mothers and increasing awareness through various means, practice of contraception can be increased. There is much room to improve the working of family health clinics and LHV.
doi: https://doi.org/10.12669/pjms.39.3.6575
How to cite this: Tauseef W, Malik NJ, Rana IA, Ihsan FN. Predictors of Contraceptive practice in married women of Punjab, Pakistan. Pak J Med Sci. 2023;39(3):790-794. doi: https://doi.org/10.12669/pjms.39.3.6575
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Clinical application of ultrasound-guided Core Needle Biopsy Histology and Fine Needle Aspiration Cytology in Cervical Lymph Nodes
Authors: Mu Wei-na , Li Jian-heng , Liu Ying , Wen Ying , Liu Xin 
Published: March 2023

Objectives: To investigate the difference of application of core needle biopsy histology and fine needle aspiration cytology in cervical lymphadenopathy.
Methods: A retrospective analysis was made on 80 patients with cervical lymphadenopathy admitted to Baoding No.1 Central Hospital from to October 2018 to February 2020, and they were randomly divided into two groups: core needle group and fine needle group. Patients in the core needle group were given core needle biopsy histology, while those in the fine needle group were given fine needle aspiration cytology, and the puncture results and surgical complications were compared between the two groups.
Results: The accuracy rates of the core needle group and the fine needle group in the diagnosis of malignant cervical lymph nodes were 95.83% and 72.22% respectively, with a statistically significant difference (χ²=4.683, p=0.030). The sensitivity, specificity, positive predictive value and negative predictive value of the core needle group were 100.00%, 93.75%, 95.83% and 100.00% respectively, while those of the fine needle group were 86.67%, 90.00%, 86.67% and 90.00% respectively, with no statistically significant differences between the two groups (p>0.05). The complication rate in the core needle group was 22.50%, which was higher than the 5.00% in the fine needle group (χ²=5.165, p=0.023).
Conclusions: No significant difference was observed between core needle biopsy histology and fine needle aspiration cytology in diagnosing cervical lymphadenopathy, but the former has a high complication rate.
doi: https://doi.org/10.12669/pjms.39.3.6630
How to cite this: Mu W, Li J, Liu Y, Wen Y, Liu X. Clinical application of ultrasound-guided Core Needle Biopsy Histology and Fine Needle Aspiration Cytology in Cervical Lymph Nodes. Pak J Med Sci. 2023;39(3):752-756. doi: https://doi.org/10.12669/pjms.39.3.6630
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The importance of Vitamin-D and Neutrophil-Lymphocyte Ratio for Alzheimer’s Disease
Authors: Evlice Ahmet , Şanlı Zeynep Selcan , Boz Pınar Bengi 
Published: March 2023

Objective: Ischemia and inflammation play a role in the pathophysiology of Alzheimer’s disease (AD). Plasma neutrophil–lymphocyte ratio (NLR), and 25- hydroxyvitamin D (vitamin D) were used as a biomarker for inflammation and atherosclerosis. The present study aimed to investigate a link between NLR, vitamin D and ischemia in AD.
Methods: The subjects with AD and control groups were enrolled to this retrospective study between 2017-2022 at Cukurova University Hospital. The cognitive assessment (MMSE), and blood tests (NLR, vitamin D) were collected from all subjects. In first part of the study, AD (n:132) and the control group (n:38) were compared. In second part of the study, magnetic resonance imaging (MRI) was used for evaluating ischemic lesions with scoring method of Fazekas. The control group (n:38) and AD subjects with mild ischemic lesions (Fazekas-1 and Fazekas-2) (n:64) were excluded. AD subjects with severe ischemic lesions (Fazekas-3) (n:34) and without ischemic lesions (Fazekas-0) (n:34) were compared again. SPSS 20.0 was used for all analyses. The threshold for statistical significance was set at 0.05.
Results: In the first part of the study, 132 AD patients (69 female and 63 male; mean age 70.83±9.35 (49-87) and age-matched 38 controls were compared. The mean NLR in AD [2.96±2.46 (1.17-19.43)] was higher than the control group [1.9±0.66 (0.9-3.56)] (p=0.005). In the second part of the study, the mean Vitamin D of Fazekas-3 AD group [16.15±9.64 (4.7-35)] was lower than Fazekas-0 AD group [16.27±6.81(4.6-29.7)] (p=0.024).
Conclusion: NLR was higher in AD while there was no difference between the Fazekas-0 and Fazekas-3 AD groups. Vitamin D was lower in the Fazekas-3 AD group. These data suggested that NLR increased independently of ischemia in AD. Also vitamin D deficiency could trigger ischemia in AD.
doi: https://doi.org/10.12669/pjms.39.3.7024
How to cite this: Evlice A, Sanli ZS, Boz PB. The importance of Vitamin-D and Neutrophil-Lymphocyte Ratio for Alzheimer’s Disease. Pak J Med Sci. 2023;39(3):799-803. doi: https://doi.org/10.12669/pjms.39.3.7024
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Quantitative evaluation of acute myocardial infarction by feature-tracking cardiac magnetic resonance imaging
Authors: Ye Jun , Zong Wenxia , Wu Xing , Shao Xiaonan , Wu Yue 
Published: March 2023

Objective: To assess the value of feature-tracking cardiac magnetic resonance (FT-CMR) imaging in the quantitative evaluation of acute myocardial infarction (AMI).
Methods: We retrospectively analyzed medical records of patients with acute myocardial infarction (AMI) diagnosed in the Department of Cardiology of Hubei No.3 People’s Hospital of Jianghan University from April 2020 to April 2022, who underwent feature-tracking cardiac magnetic resonance (FT-CMR) examination. Based on the electrocardiogram (ECG) findings, patients were divided into ST-elevation myocardial infarction (STEMI) (n=52) and non-STEMI (NSTEMI) (n=48) groups. We compared myocardial strain parameters between the two groups and applied the Pearson’s test to reveal any correlations between the left ventricular myocardial strain parameters and the number of late gadolinium enhancement (LGE) positive segments; we assessed the clinical value of FT-CMR for predicting STEMI using a receiver operating characteristic (ROC) curve.
Results: The number of LGE-positive segments in the STEMI group was significantly higher than that in the NSTEMI group. The myocardial radial, circumferential and longitudinal strains in the STEMI group were significantly lower than those in the NSTEMI group (p<0.05). The number of LGE-positive segments in patients with AMI negatively correlated with the radial, circumferential and longitudinal strains. The results of the ROC curve analysis showed that radial, circumferential and longitudinal strain values have a diagnostic value for STEMI (p<0.05).
Conclusion: FT-CMR, a non-invasive and rapid method for analyzing myocardial strains, has a high diagnostic value for AMI and should be helpful for the prevention and intervention of ventricular remodeling after myocardial infarctions.
doi: https://doi.org/10.12669/pjms.39.3.7248
How to cite this: Ye J, Zong W, Wu X, Shao X, Wu Y. Quantitative evaluation of acute myocardial infarction by feature-tracking cardiac magnetic resonance imaging. Pak J Med Sci. 2023;39(3):804-808. doi: https://doi.org/10.12669/pjms.39.3.7248
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Rhetoric Mining: A New Text-Analytics Approach for Quantifying Persuasion
Authors: Şeref Michelle M. H. , Şeref Onur , Abrahams Alan S. , Hill Shawndra B. , Warnick Quinn 
Published: March 2023

Rhetoric mining is a novel text-analytics method for quantifying persuasion based on rhetorical analysis theory. Our mixed-methodology approach combines qualitative context analysis with automated tagging and quantification of rhetorical moves. Rhetorical moves are complex discursive patterns and, thus, require a sequence-based text-mining approach, rather than the simpler word-based frequency analyses. We apply a sequence-alignment method to detect semantically equivalent sequences with high precision and efficiency. We illustrate our method by analyzing arguments used to justify stock picks in an online investment community. For these data, we detect and quantify the rhetorical moves of ethos (personal versus cited expertise), hedging (confidence versus uncertainty), and evidence type (product-, company-, or stock-based evidence). We use rhetoric mining to identify argument styles of persuasiveness (pitches that receive community recommendations) and trustworthiness (pitches that are written by successful investors). Rhetoric mining provides a new analytic lens in Information Systems research to analyze the influence of persuasion in consumer decision making. History: W. Nick Street served as the senior editor for this article. Data Ethics & Reproducibility Note: The code capsule is available on Code Ocean at https://codeocean.com/capsule/9373643/tree/v1 and in the e-Companion to this article (available at https://doi.org/10.1287/ijds.2022.0024 ).
Lending Relationships and the Pricing of Syndicated Loans
Authors: Zhang Donghang , Zhang Yafei , Zhao Yijia (Eddie) 
Published: March 2023

Using a dataset on syndicated loan primary market pricing adjustments, we examine whether relationship banks’ information advantage facilitates price discovery in loan issuances. We find that the lead bank makes fewer adjustments to the initial pricing terms of a syndicated loan and shortens the syndication time when it has a stronger relationship with the borrower. A stronger relationship also reduces loan underpricing. A relationship lead bank relies less on information from syndicate members. Exogenous shocks to relationships caused by bank mergers and closures confirm our findings. We contribute to the literature by showing that relationship lending improves loan pricing efficiency. This paper was accepted by Victoria Ivashina, finance. Supplemental Material: The online appendix and data are available at https://doi.org/10.1287/mnsc.2023.4730 .
Sociocultural ecosystem services of small-scale fisheries: challenges, insights and perspectives for marine resource management and planning
Authors: Stithou M. , Kourantidou M. , Vassilopoulou V. 
Published: March 2023

AbstractSociocultural ecosystem services of fisheries, ranging from social cohesion to sense of place, render their contribution to social wellbeing particularly significant especially at local and regional levels. However, this contribution has not received adequate attention among policy-makers since marine management focuses primarily on provisioning services, and conventional economic indicators used to track performance and inform management, do not allow integration of sociocultural parameters. In our analysis, we draw lessons from small-scale fisheries and discuss in more detail attempts and methodologies to capture such aspects and identify avenues through which they can feed into marine management with an emphasis on spatial planning. The inherent difficulty in capturing sociocultural dimensions along with limited efforts to do so thus far, add to a missed opportunity to improve management and advance spatial planning efforts. In this context, we explore the importance of sociocultural ecosystem services in small-scale fisheries along with attempts and methods to capture and incorporate them into management and planning with a focus in the Mediterranean. We argue that sociocultural ecosystem services of small-scale fisheries constitute an essential element of sustainable development and key factor of enhancing the resilience of coastal communities.
Inland fisheries and the four pillars of food security in Sub-Saharan Africa: Assessing current research trends
Authors: Gondwe Edith , Bennett Abigail , Muhonda Park , Rice Emma 
Published: March 2023

AbstractInland small-scale fisheries provide important ecosystem services in sub-Saharan Africa as a source of nutritious food to over 200 million people and offer avenues for countries to attain Sustainable Development Goal 2. However, there is a dearth of knowledge on the pathways of fish to food security, especially in the case of inland small-scale fisheries, which are often underrepresented in research and policy discussions. We review the literature from 2010 to the present to assess how fish food systems, specifically those associated with inland small-scale fisheries in sub-Saharan Africa, relate to the four pillars of food security: availability, access, utilization, and stability, as well as women's empowerment. We offer an assessment of the extent to which each of these pillars of food security has been thoroughly conceptualized and investigated in the literature, identifying important avenues for future research. Overfishing, post-harvest losses, and trade influences drive fish availability in many contexts. Income benefits from participating in small-scale fisheries were important for attaining access to fish for food security and other important livelihood outcomes. Few studies addressed utilization and stability compared to availability and access pillars. Further, few studies examined how gender shapes outcomes of women's empowerment. The results lead to the proposed research agenda of focusing on all pillars of food security that can enhance the sustainable contribution of inland small-scale fisheries to food security.
Pengaruh Model Pembelajaran Guided Inquiry terhadap Critical Thinking dan Collaborative pada Materi Asam Basa
Authors: Anang Respati Anugrah 
Published: March 2023

Pembelajaran pada kurikulum 2013 ini pendidik dituntut untuk menerapkan proses pembelajaran berbasis penelitian. Salah satu model pembelajaran dalam implementasi kurikulum 2013 adalah model pembelajaran inquiry. Penelitian ini merupakan penelitian kuasi eksperimen dengan desain nonequivalent control group design. Penelitian ini bertujuan untuk mengkaji pengaruh model pembelajaran guided inquiry terhadap critical thinking pada materi asam basa serta pengaruh model pembelajaran guided inquiry terhadap collaborative pada materi asam basa. Populasi dalam penelitian adalah seluruh peserta didik kelas XI IPA MAN 3 Sleman 2019/2020. Sampel yang digunakan adalah kelas eksperimen dan kelas kontrol. Instrumen yang digunakan adalah angket, lembar observasi dan soal pretest dan posttest. Analisis data untuk angket dan lembar observasi menggunakan uji non paramterik yaitu uji Mann Whitney. Analisis data untuk soal pretest dan posttest menggunakan uji independent sample t-test. Uji hipotesis penelitian menggunakan uji non parametrik dengan menggunakan uji Mann Whitney. Hasil penelitian menunjukan bahwa (1) ada pengaruh model pembelajaran guided inquiry terhadap critical thinking pada materi asam basa berdasarkan hasil angket, observasi. Namun, tidak ada pengaruh berdasarkan hasil tes dikarenakan faktor penyajian soal memiliki tingkat kesukaran yang masih tergolong mudah dan sedang; (2) ada pengaruh yang siginifikan pada model pembelajaran guided inquiry terhadap collaborative pada materi asam basa berdasarkan hasil angket dan observasi. Hal ini menunjukkan bahwa penggunaan model pembelajaran guided inquiry dapat mempengaruhi critical thinking dan collaborative peserta didik.
Aplicação do modelo de avaliação LCR
Authors: Pianchi Rubens Vinicius , Panaino Brunna B. de Faria 
Published: March 2023

A construção civil vem ganhando cada vez mais concorrência em um mercado competitivo e com mais exigências de seus clientes. Esse trabalho tem o objetivo, com base em uma pesquisa exploratória, aplicar o modelo de avaliação, Rapid Lean Construction - Quality Rating Model (LCR), para mensurar o grau de aplicação do pensamento enxuto em construtoras atuantes na cidade de Araras, Conchal e Mogi Guaçu. A filosofia Lean Construction, baseada nos 11 princípios de Koskela (1992), tem o intuito de melhorar processos, aperfeiçoar tarefas, evitar desperdícios e aumentar a qualidade do serviço. Pelos resultados obtidos, constatou-se que o grau de aplicação enxuta tem um aumento proporcional de acordo com o porte das empresas, e há uma carência em alguns princípios do Lean Construction. O estudo não representa totalmente a realidade das empresas de construção civil, mas aplica um modelo de avaliação que apresente um indicativo da qualidade do processo de produção.