bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cutoff Value of Ureteral Diameter Ratio for Predicting Spontaneous Resolution of Vesicoureteral Reflux
Authors: Wong Shin Mei , Tseng Chi-Shin , Hong Jian-Hua , Huang Kuo-How , Chiang I-Ni 
Published: June 2023

Purpose:
The five-grade international scale for vesicoureteral reflux (VUR) has been the mainstay for describing VUR severity. The concept of the distal ureteral diameter to the L1–L3 vertebral body distance ratio has been validated. We validated the ureteral diameter ratio (UDR) for predicting VUR outcomes and determined the cutoff value for spontaneous resolution.

Materials and Methods:
This retrospective review included children with primary VUR and detailed serial voiding cystourethrograms (VCUGs) between March 2005 and December 2016. Patient characteristics, VUR grade, laterality, UDR, laboratory data, and follow-up results were collected. UDR was estimated as the largest distal ureteral diameter within the pelvis divided by the distance of the L1–L3 vertebral bodies. The primary outcome was the prediction of spontaneous VUR resolution. The secondary outcome was the determination of the cutoff value of UDR in the present cohort.

Results:
We recruited 101 children (59 boys and 42 girls) diagnosed as having primary VUR based on VCUGs at a mean age of 23.48 months. VUR resolved spontaneously in 31 (30.7%) children, 40 (39.6%) children had persistent disease, and 30 (29.7%) received surgical correction. In univariate analysis, laterality, VUR grade, and UDR were significantly associated with spontaneous resolution (P = 0.017, P = 0.026, and P = 0.001, respectively). Multivariate analysis revealed UDR as the prognostic factor for spontaneous VUR resolution (odds ratio, 4.167; P = 0.023). The area under the curve of UDR indicates that the prediction accuracy was 0.74. The optimal cutoff value for UDR in this study was 0.264 (sensitivity, 0.81 and specificity, 0.63).

Conclusion:
UDR is superior to the VUR grade for predicting spontaneous VUR resolution. Our findings add significant prognostic value for children with primary VUR. A cutoff value of 0.264 may assist with clinical assessment and future management.
Prostate Biopsy Strategy Integrating Prostate Health Index and Multiparametric Magnetic Resonance Imaging Optimizes the Predictive Value of Clinically Significant Prostate Cancer in Prostate Imaging Reporting and Data System Gray-Zone Imaging
Authors: Chiu Shih-Ting , Chen Yu-Ching , Huang Chao-Yuan , Cheng Yung-Ting , Pu Yeong-Shiau , Lu Yu-Chuan , Chiang Chih-Hung , Chen Pei-Ling , Chueh Jeff S , Hong Jian-Hua 
Published: June 2023

Purpose:
The Prostate Health Index (PHI) and multiparametric magnetic resonance imaging (mpMRI) are used as complementary tools for more accurate diagnosis in men with suspected prostate cancer (PCa). This study investigated whether the combination of PHI and mpMRI better predict clinically significant PCa (csPCa), defined as a Gleason score of ≥7.

Materials and Methods:
Ninety-four men with clinical suspicion of csPCa were prospectively included. PHI was determined before the prostate biopsy. A uroradiologist reviewed mpMRI findings by using the Prostate Imaging Reporting and Data System version 2.1 (PI-RADS version 2.1). Fusion-targeted biopsy with systematic biopsy was performed in patients with any suspicious lesions on MRI (PI-RADS assessment category ≥3), whereas systematic biopsy was performed in patients without suspicious lesions. The diagnostic values of different biomarkers and PI-RADS were compared by the area under the receiver operating curve (area under the curve [AUC]) for detecting csPCa.

Results:
Forty-nine (52%) patients were diagnosed with csPCa. The csPCa group had higher median PHI and more abnormal MRI findings than did the non-csPCa group. The median total prostate-specific antigen (PSA) level was similar between the PI-RADS 3 and 4 lesion groups. The median PHI values increased and more patients were diagnosed as having csPCa with an increase in PI-RADS. The receiver operating characteristic curve indicated that PHI and MRI (AUC 0.85 and 0.82, respectively) predicted csPCa more accurately than did the total PSA, free PSA ratio, and PSA density. Adding PHI to mpMRI significantly increased the diagnostic accuracy for csPCa (P = 0.004). PHI remained the optimal biomarker in patients with “gray zone” PI-RADS 3 or PI-RADS 4 lesions.

Conclusion:
PHI can guide decision-making for prostate biopsy for patients with gray-zone mpMRI lesions. We proposed a biopsy strategy incorporating PHI and MRI which resulted in the avoidance of biopsies in 35% of the patients.
La situación de la enseñanza en los colegios de religiosas de Sevilla, a finales del siglo XIX, según el informe Spinola
Authors: Agea Amador Miguel Ángel 
Published: June 2023

El periodo comprendido entre el último tercio del siglo XIX y el primero del siglo XX significó la época dorada de la escuela católica en la archidiócesis de Sevilla. El Informe que Marcelo Spinola y Maestre, arzobispo de la sede hispalense, remitía a la Santa Sede, a petición de ésta, en 1901, reflejaba de modo fiel y detallado la actividad general de las instituciones religiosas masculinas y femeninas. Dicho informe desmonta una serie de prejuicios anticlericales muy difundidos en la época en torno a la educación católica. El presente artículo recoge sólo la parte del informe relativa a las congregaciones religiosas femeninas dedicadas a la enseñanza.
Religião e Teatro
Authors: Mesquita Eryton 
Published: June 2023

O presente estudo busca comparar e discutir a ressignificação poética entre o teatro e a religião através de quatro espetáculos “afropoéticos”, que julgamos ser os principais na cena paraense, quando o quesito é seguir um conceito “estético-religioso”, ou seja, quando o artista cênico convoca a religião como matéria prima seja na performance, no figurino, cenografia ou na própria dramaturgia. Sendo assim, os temas sacros das religiões de matriz africana[1] (Umbanda e Candomblé) ficam em evidência nestes processos teatrais. Busca-se o conceito de Conversão Semiótica, proposto por Loureiro em três de suas obras, a primeira sobre a respeito da poética do imaginário[2]; a segunda um estudo sobre estética e poéticas do mito[3] e o terceiro discute mais a fundo o conceito proposto exemplificado nos aspectos religiosos[4]. No qual o autor esclarece a mudança da qualidade do signo conforme o seu deslocamento nos diferentes campos de relação: como a religião para a arte, as suas trocas simbólicas.

[1] VERGER, P., Orixás.
[2] LOUREIRO, J. J. P., Cultura amazônica.
[3] LOUREIRO, J. J. P., A arte como encantaria da linguagem.
[4] LOUREIRO, J. J. P., A conversão semiótica.
Biblioteca de Bellas Artes de la Universidad Complutense: una historia y muchos relatos en los que conviven personas y cosas
Authors: Pérez Iglesias Javier , Poveda-Mañosa Antonio José 
Published: June 2023

La Biblioteca Complutense, segunda biblioteca del país por tamaño e importancia, resulta ser la suma de fondos correspondientes a las instituciones que han ido componiendo la Universidad. La mas importante de ellas es la antigua Universidad de Alcalá (1499) que fue trasladada a Madrid en 1836.
El tiempo la ha hecho crecer sumando otras instituciones, como la Escuela de Bellas Artes, que tiene su origen en la Real Academia de San Fernando. Su biblioteca cumple 100 años en 2023, y participa como parte de la BUC en el desarrollo de los servicios bibliotecarios adecuados a la comunidad universitaria y la ciudadanía en su más amplio sentido.
Con motivo del Centenario de la Biblioteca de Bellas Artes se desarrolla un amplio programa de actividades para celebrar su edad ya madura. Pero también se esclarece su origen, se define su misión, se describen sus fondos, algunos de ellos únicos, y se difunde su importante labor como centro cultural y de información para alumnos, investigadores y público en general.
Factores de riesgo y citología anormal en mujeres de consulta externa del hospital de Moquegua
Authors: Guevara Gómez Hilda Elizabeth 
Published: June 2023

El objetivo fue determinar la prevalencia de neoplasias de cuello uterino y su asociación con los factores de riesgo y citología anormal en las mujeres en consulta. Tipo aplicada de nivel descriptivo, correlacional, retrospectivo. La muestra de 152 pacientes; El instrumento una guía de observación estructurada. Hipótesis: La prevalencia de neoplasias de cuello uterino es alta y están asociados a los factores de riesgo y citología anormal. Se encontró que los factores de riesgo socio-económicos fueron: el grado de instrucción de secundaria (44.1%), ocupación ama de casa (71,1%) y no tuvieron ingresos propios (64.5%). Los factores de riesgo sexual: inicio sexual a temprana edad entre los 16 a 21 años (67,1%), dos parejas sexuales (55.3%), infección de transmisión sexual (57.2%) y uso de preservativo en forma ocasional (52%). Los factores de riesgo reproductivo: dos partos (34.9%), primer parto de 16 a 21 años (68.4%) y el número de partos vaginales mayor o igual a 3 (42,1%). La prevalencia de citología anormal según la clasificación de Bethestha fue el 100%. Se concluyó que la prevalencia de neoplasias de cuello uterino es alta y estuvieron asociados a los factores de riesgo económico, social, sexual y reproductivo; así como a la citología anormal.
Aceptabilidad del uso del Whater Pasteurization Indicator (WAPI) en la Comunidad Nativa ‘’Shawan Rama’’, San Ramón, Perú
Authors: Cruz Cerrón Dana Nicole , Ángel Pérez Quispe Pedro Luis 
Published: June 2023

El Whater Pasteurization Indicator (WAPI) es una alternativa tecnológica que permite lograr beneficios en la salud y obtener agua segura en comunidades que no cuenten con tratamiento. La inclusión de este tipo de tecnologías es un desafío importante en las comunidades nativas sobre todo por su la aceptabilidad. Por ello la presente investigación tuvo como objetivo evaluar la aceptabilidad del uso del WAPI en la Comunidad Nativa ‘’Shawan Rama’’, ubicada en la selva central del Perú. Se aplicó la metodología Trials of Improved Practices (TIPs) durante siete días, empezando por la inscripción, luego la instrucción y evaluación del uso con una encuesta aplicada a 14 participantes. La aceptabilidad de este estudio se mide a partir de la perspectiva y reacción de los participantes. Se analizaron los datos mediante la clasificación de preguntas por temas, utilizando los programas Excel y SPSS. Los resultados muestran el uso, factores contextuales, psicosociales y técnicos tienen que ver con la aceptabilidad. Se demostró la aceptabilidad positiva (92.9 %) de los dispositivos WAPI en la Comunidad Nativa prueba.
Líquenes como bioindicadores de la calidad del aire en la Comunidad Nativa Shawan Rama, San Ramón (Perú)
Authors: Magan Vargas Kathya P. , Mau Ayala Ricardo F. , Contreras Tovar Luis A. 
Published: June 2023

El empleo de líquenes como bioindicadores es extensamente reconocido, en especial para conocer la presencia de contaminantes atmosféricos en una determinada zona. El objetivo de la investigación fue evaluar la calidad del aire de la Comunidad Nativa (CC.NN.) Shawan Rama utilizando los líquenes. Para este estudio, se tomaron datos de 25 forófitos (arboles de muestreo) agrupadas en 5 zonas de muestreo del área de estudio, circundantes a la zona quemada y alejada al mismo de la CC.NN. Shawan Rama, se calculó el índice de Pureza Atmosférica (IPA) de cada zona. El estudio reveló la presencia de 3 tipos de líquenes (fruticulosos, crustáceos y foliosos), siendo la de mayor frecuencia los líquenes crustáceos. En cuanto a los valores del IPA se encontró que la zona 5 (IPA= 6.4), posee el nivel más bajo en calidad de aire, en relación a las demás zonas, dividiéndose estas en dos grupos respectivamente (Z3 – Z4) y (Z1 – Z2) con valores oscilantes entre (11.8 – 12.6) y (26.8 – 28.6). En conclusión, los valores obtenidos del IPA nos indica que la CC.NN. Shawan Rama posee una calidad del aire regular.
Análisis sísmico de fuerzas estáticas equivalentes de un pórtico de 3 niveles
Authors: Rupay Vargas Marcos Josue , Chavez Ortiz Fredy Luigui , Tacunan Palacios Cristian Alexander , Cornejo Flores Micky Alexander , Torres Berrocal Lorenzo 
Published: June 2023

La investigación tuvo como objetivo realizar el análisis sísmico estático de una edificación de 3 niveles en el eje X-X. El alcance es descriptivo, utiliza el método de análisis sísmico estático, el instrumento empleado para los cálculos es el análisis matricial. Se argumenta que el análisis sísmico estático viene a ser un procedimiento que representa las solicitaciones sísmicas por medio de un grupo de fuerzas actuando en el interior de masas de cada nivel de la edificación, la determinación del peso fue guiada por el Artículo 26 de la norma peruana E.030, la cortante basal, la distribución de la fuerza sísmica en altura y se determinó los desplazamientos elásticos y los desplazamientos inelásticos (derivas). A partir de ello, se realizó el control de derivas para la estructura simétrica. Los resultados más relevantes fueron la cortante basal con un valor de 12.629 tonf, distribución de la fuerza sísmica de cada nivel V_1=12.629 tonf; V_2=10.171 tonf y V_3=5.256 tonf y los desplazamientos inelásticos δ_1=0.0026 m; δ_2=0.0021 m y δ_3=0.0021 m. Al final se concluye que el análisis sísmico estático según la norma E.030 se ha realizado la verificación de derivas (0.0009, 0.0007, 0.0004) que cumplen con el límite de distorsión entre piso establecido para el material predominante de concreto armado igual a 0.0007.
Interactive Marketing Practices and Market Performance in Soft Drinks Industry: An Empirical Study on Competitive Advantage As a Mediator
Authors: Nimusima Pereez , Aryatwijuka Wilbroad , Emmanuel Erem , Charles Kaggwa , Mbabazi Olivia , Rwakihembo John 
Published: June 2023

Purpose: To what extent does competitive advantage mediate the relationship between interactive marketing practices and market performance? In attempt to respond to this question, this study was conducted with the aim of examining the mediating role of competitive advantage on the interactive marketing practices market performance relationship in the soft drink industry context.
Methodology: A cross-sectional research design was taken on a sample of 322 soft drink manufacturing enterprises in the city of Kigali. The unit of inquiry for the quantitative study were the sales, accounting, finance, marketing and communication managers whereas chief executive officers were the unit of inquiry for the qualitative study. The study used both questionnaire and interview guide to collect data. Path analysis, MedGraph v3.xlsm and Hierarchical regression were used to test the model.
Findings: Study findings show that performance of soft drink enterprises is positively associated with interactive marketing practices. It was observed in this study also that competitive advantage partially mediates this relationship. Practically the four conditions for mediation were met as suggested by Baron and Kenny, (1986). Firstly, we observe that there was a significant direct effect of Interactive marketing practices on market performance (=.270; p<.05). Secondly, Interactive marketing practices and competitive advantage have a significant relationship (=.400; p<.05), and thirdly, the observed coefficient of the mediator (competitive advantage) is significant as seen in the regression model 3 (=.396; p<.05). It is observed, finally, that the absolute effect of Interactive marketing practices on market performance is smaller in regression model 3 (=.157; p<.05) than in regression model 2 (=.270; p<.05).This confirm the mediation effects of competitive advantage. Further still a ratio index of 41.9% was observed an indication that competitive advantage reduces the relationship between interactive marketing practices and performance by 41.9% in Kigali city soft drink enterprises.
Recommendations: In line with this confirmed mediation effects, managers are reminded to allocate sufficient resources to customer intimacy, product leadership and operational excellence as specific competitive priorities if they are to attain better market performance results. The study is of a theoretical importance as it empirically confirm the mediating role of competitive advantage in the interactive marketing practices-market performance relationship in a soft drink industry context. The imperative for practitioners to sufficiently attend to operational efficiency, customer intimacy and product leadership is reiterated on in this study.
Assessment of kidney failure risk equation among chronic kidney disease patients: A cross-sectional study
Authors: L. Ewua-Gyan Moses , Abdul-Wahab Osman , Esi Donkoh Irene , A. Awuku Yaw , Okyere Perditer , Abekah Botchway Felix , Togbe Eliezer , K. Dadzie Emmanuel , Abaka-Yawson Albert , KD Ephraim Richard 
Published: June 2023

Background: Patients with chronic kidney disease (CKD) are at increased risk for kidney failure, cardiovascular events, and both cause mortality. Accurate models are needed to predict and identify patients at risk of progression to kidney failure which may facilitate more optimal nephrology care.
Objective: This study assessed the kidney failure risk equation among CKD patients to predict when they need to start renal replacement therapy.
Materials and methods: Total of 38 CKD patients were recruited from the renal unit of the Cape Coast Teaching Hospital. Estimated glomerular filtration rate (eGFR) and albumin creatinine ratio were measured from each patient. Information on age, gender, body mass index, blood pressure, cause of CKD and type of medication on were obtained from the patient’s medical records. The 4-variable Kidney Failure Risk Equation (KFRE) was used to assess the risk of progression to kidney failure among the participants. The KFRE uses 4-variables (age, sex, estimated GFR, albumin).
Results: For both 2-year and 5-year risk of progression, serum creatinine and ACR increases as the risk increases from participants with low risk of progression through to high risk. Mean eGFR decreased from participants with low risk of progression through to those with high risk. Serum creatinine and ACR positively correlated with both 2-year and 5-year risk progression. eGFR, on the other hand, negatively correlated with both 2-year and 5-year risk progression. Participants with high 2- year and 5-year risk were on Linopril/Calcitonin/Atorvostatin drug combination, while participants with low and intermediate risks for both 2-year and 5-year were on lisinopril only.
Conclusion: KFRE was able to discriminate which participants have low, intermediate and high 2-year and 5-year risk of progression to end stage kidney failure and which participants need to start renal replacement therapy.
Evaluation of the Career Stress Levels of Students Studying in the Field of Health Sciences and the Factors Affecting Them.
Authors: ÖZCAN Nesrin , İŞCİ Emre , TARIM Mehveş 
Published: June 2023

The aim of this study is to determine the future expectations and career opinions of students who are about to graduate in the field of health sciences.
The population of the study consists of final-year students studying in the departments of medicine, dentistry, pharmacy, and vocational schools in the field of health sciences of foundations and state universities operating in Istanbul (N:1900). The sample of the study was formed by 581 faculty students (State: 369, Foundation: 212) and 488 SHMYO students (State: 359, Foundation: 129), and 56.26% (n:1069) of the population was reached.
The research participants consisted of 32% male students (n:339) and 68% female students (n:730). In the conducted comparisons, significant differences were found in all three dimensions of career stress according to the field of study (p0.05). To reduce career stress in students, recommendations may include organizing career days with previous graduates and individuals working in high positions in the field, as well as carrying out joint projects and collaborations to increase university-industry cooperation.
Pengebumian Tradisi Megalitik di Long Pasia, Sabah
Authors: Ahmad Lotfee Nurul Mardhiah 
Published: June 2023

AbstrakKajian ke atas tapak pengebumian tradisi megalitik di Long Pasia telah dilakukan dari tahun 2006 hingga 2016. Jenis tinggalan seni bina pengebumian megalitik yang telah ditemui ialah kubur batu kepingan dan dolmen. Tapak pengebumian ini dapat dilihat berdasarkan reka bentuk, seni bina dan tradisi pengebumian megalitik. Juga dapat diterangkan berkaitan keselarasan dan pertentangan di antara data arkeologi dengan tradisi lisan masyarakat setempat, aspek pengurusan tapak dan isu ancaman yang berlaku ke atas tapak tersebut.
AbstractThe study on megalithic burial sites in Long Pasia was been conducted from 2006 to 2016. The types of architectural remains in the megalithic burial that been found were slab grave and dolmen. The burial sites are viewable by design, architecture and megalithic burial tradition. Also can be explained in relation to the alignment and conflict between archaeological data and the oral tradition of the local community, aspects of site management and the issue of threats to the sites.
Dasar Dominasi Ekonomi Berasaskan Sumber Laut di Pantai Timur Borneo Utara Semasa Zaman Kesultanan Sulu (1704â€“1878)
Authors: Tarsat Mosli 
Published: June 2023

Abstrak
Artikel ini membincangkan dasar pemerintahan Kesultanan Sulu dalam pembangunan ekonomi kelautan di pantai timur Borneo Utara. Terdapat empat dasar utama, iaitu dasar pengawalan ekonomi, dasar monopoli perdagangan, dasar dominasi ekonomi berasaskan sumber laut dan dasar amalan perlanunan dan perhambaan. Artikel ini memfokus dasar dominasi ekonomi berasaskan sumber laut yang menjadi agenda utama dalam pembangunan ekonomi di pantai timur Borneo Utara. Kepentingan dasar ini adalah berikutan perkembangan pesat Pelabuhan Jolo dan permintaan bahan mentah yang tinggi oleh China. Dasar ini dilaksanakan oleh golongan pembesar Sulu yang bertindak sebagai pemodal dalam aktiviti memungut, menangkap dan memasarkan. Dasar ini berjaya mencapai matlamat untuk menguasai kekayaan sumber laut di perairan pantai timur Borneo Utara. Kejayaan dasar ini membuktikan Kesultanan Sulu sebagai sebuah kerajaan yang berpentaskan laut sebagai teras kuasa politik dan ekonomi di rantau Asia Tenggara.
Abstract
This paper discusses the policy of the Sultanate of Sulu in maritime economic development on the east coast of North Borneo. There are four main policies, namely the policy of economic control, trade monopoly policy, policy of seabased economic dominance and the policy for the practice of piracy and slavery. This paper focuses on the policy of seaÂ­based economic domination, which is a major agenda in economic development on the east coast of North Borneo. The importance of this policy is due to the rapid development of Jolo port and the high demand of China for raw materials. The policy is implemented by the Sulu officials which act as financiers in the activities of collecting, capturing, and marketing. This policy succeeded in achieving the goal to dominate the wealth of marine resources in the seas of the east coast of North Borneo. The success of this policy proved the Sulu Sultanate as a seaÂ­based government as the cornerstone of political and economic power in the Southeast Asian region.