bluuebunny/crossref_metadata_2025_split huggingface dataset:
Urinary tract infections after transurethral resection of the bladder: Microbiology, antibiotic resistance, and associated risk factors
Authors: Martínez-Delgado Guillermo Hernán , Garza-Gangemi Adrian Mauricio , Castillejos-Molina Ricardo Alonso 
Published: February 2022

Objective: Investigate the microbiology and incidence of drug resistance in patients undergoing TURBT and to identify independent risk factors for UTI following surgery.
Material & Methods : Retrospective observational study of prospectively collected data of 199 patients who underwent TURBT in a tertiary care center in Mexico City between 2017-2019. Baseline characteristics and microbiological data (frequency of isolated bacteria and antibiotic resistance pattern) were analyzed according to the presence of UTI following surgery. Binary logistic regression analysis was performed to identify independent risk factors for UTI.
Results: A preoperative positive urine culture (PUC) was present in 28 patients (14%), the most common isolated pathogens were Escherichia coli(48%), Enterococcus faecalis(24%) and Proteus mirabilis(7%). UTI was documented in 20 patients after TURBT (10%), being E. coli(45%) the most common uropathogen which was resistant to Trimethoprim/Sulfamethoxazole(60%) and Ciprofloxacin(40%). Other common isolated pathogens were E. faecalis(27%) and P. mirabilis(9%). There was significant difference in the presence of a PUC before TURBT and necrosis (p=0.001). On the multivariate analysis the PUC before TURBT was associated with UTI after TURBT (OR7.04 [95%CI 2.11-23.29]).
Limitations: Retrospective study with information limited to the clinical file.
Originality: There is little information about UTI after TURBT in global literature, in Mexico there is no information, being this study unique in his kind.
Conclusions: The incidence of UTI after TURBT was 10%. The strongest associated risk factor for UTI after TURBT was a preoperative PUC. The most common isolated uropathogen was E. coli. Trimethoprim/Sulfamethoxazole(60%) and Ciprofloxacin(40%) were the most resistant antibiotics for E. coli.
Prostate cancer management challenges due to COVID-19 in countries with low-to-middle-income economies: A radiation oncology perspective
Authors: Caicedo-Martínez María , González-Motta Alejandro , Gil-Quiñones Sebastián R. , Galvis Juan Carlos 
Published: February 2022

Description: The COVID-19 pandemic poses an unprecedented challenge for urologic oncology and radiotherapy. Radiation oncology departments and international collaboration groups are sharing their management adaptations made in response to the pandemic. The present narrative review summarizes the current recommendations.
Relevance: There is a need to define which patients are candidates for safe treatment delay until the pandemic is over or controlled, to reduce exposure to the virus in the healthcare personnel and patients.
Conclusions: Telemedicine is recommended for follow-up visits. Active surveillance is the preferred treatment for patients with favorable intermediate risk. In greater risk disease, hormone therapy safely postpones radiotherapy up to 7 months. Radiosurgery is suggested in centers that have the necessary technology and previous experience. A moderately hypofractionated regimen is recommended if radiosurgery/ultra-hypofractionation is not available. Hypofractionation should be implemented if image-guided radiation therapy is already in place. Countries with low and middle-income economies face challenges in adopting the recommendations for prostate cancer management during the pandemic. Postponing treatment may result in the overwhelming of radiation oncology center capacity, after the pandemic.
Urologic manifestations of IgG4-related disease
Authors: Montaño Roca Benjamin Enrique , Vanacore Davide , Gallegos Sánchez Gustavo , Rosales Velázquez César Eduardo , Ruvalcaba Oceguera Guillermo Enrique , Aragón Castro Marco Antonio , Gutiérrez Rosales Rubén , Boissier Romain 
Published: February 2022

IgG4-related disease (IgG4-RD) is a clinical entity characterized by elevated serum IgG4 and tumor-like inflammation, with tissue infiltration by IgG4 and plasma cells. IgG4-RD is rare, but clinically significant, and its urologic manifestations have been reported in the literature. The present review covers a broad spectrum, describing the pathologies related to the area of urology.
In 2003, Terumi Kamisawa was the first to recognize IgG4-RD, characterized by multiorgan lesions in patients with autoimmune pancreatitis and classified as an inflammatory and fibrotic entity with a dense lymphoplasmacytic infiltrate, positive for IgG4.(1–3) It presents in middle-aged patients, between 59-68 years of age, with no clear distribution by sex, (4–6) and has different clinical presentations. The main urologic manifestations are inflammatory pseudotumors and lower urinary tract symptoms. The present article offers a clear, general overview of the disease, encompassing its pathophysiology, diagnosis, and treatment, from the perspective of urology.
Epididimitis fúngica por Histoplasma: Reporte de un caso
Authors: Plazola-Hernández Alejandro , Bustos-Rodríguez Felipe de Jesús , Orozco-Cortez Pascual , Baltazar-Gómez Adriana 
Published: February 2022

Introduction: Epididymitis due to histoplasmosis is a rare pathology, with only 10 cases reported in a total of 8 articles found up to the end of 2020, in a direct search of international databases (PubMed, Scielo).
It manifests as a pseudo-tumor, causing clinical suspicion of malignancy, and is more frequent in patients presenting with immunodeficiency, especially HIV-AIDS.
A 22-year-old man underwent simple orchiectomy at the surgery service due to a solid tumor adhered to the posterosuperior region of the left testis.
The anatomic pathology service received a specimen labeled as a 5x5x2.5cm left testis and a 3.5x2x2cm nodule, with a dark brown, irregular surface of rubbery consistency. Sectioning revealed a smooth light brown surface with light yellow areas. Diagnosis was epididymitis due to histoplasmosis.
Conclusions: Epididymitis due to histoplasmosis is a rare pathology and its diagnosis is made through microbiology. Once the diagnosed disease is treated, undiagnosed immunodeficiency should be suspected.
Estudio de asociación entre la estirpe histológica y el estadio clínico de los tumores testiculares con los marcadores tumorales
Authors: Rodríguez -Valle Edson David , Maldonado-Ávila Miguel , Rodríguez-Sánchez Yunuen , Arévalo-García Fabiola , Jaspersen-Gastelum Jorge , López-Alvarenga Juan Carlos , Reading-Bernal Arturo , Nava-Palacios Joel , Rico-Frontana Eloy , Almanza-González Mario Silvino , Berber-Deseusa Anuar Daniel , Moreno Cabrera Juan Carlos , De los Santos-González Juan Antonio , Magaña-González Jorge Esteban , Cabrera-Mora Norma Alejandra , Hernández-Hernández Raymundo Armando , Sánchez-Núñez Juan Eduardo 
Published: February 2022

Background: Testicular tumor is the most frequent solid tumor in men between 20 and 34 years of age. Testicular tumors can be histologically divided into germ cell tumors, which present in 90–95% of cases, and non-germ cell tumors, which present in around 5%. Tumor markers are crucial for the diagnosis, classification, and prognosis of testicular tumors, as well as for surveillance after treatment.
Objective: To know the actual prevalence of testicular cancer at our service, determine the clinical and pathologic characteristics of testicular cancer, and correlate tumor marker levels with histologic pattern and clinical stage of the disease.
Methodology: A cross-sectional study analyzed the case records of patients with testicular cancer seen at the urology service, within the time frame of January 1, 2014 and December 31, 2018.
Results: Ninety-nine patients with a mean age of 29±8.5 years were included. The most frequent tumors were germ cell tumors, reported in 99% of cases: 50 were mixed germ cell tumors (50.51%), 42 were seminoma (42.42%), and 5 were teratoma (5.05%). The most common TNM combination was T1 N0 M0. The most frequent clinical stage was stage I, followed by stage II, and then stage III. Alpha-fetoprotein was the only tumor marker that was associated with histologic pattern and possible disseminated disease.
Limitations: Small sample size and a low incidence of some of the types of tumor were study limitations.
Originality: Our analysis provides information on testicular cancer in a Latin American population, an infrequently studied cohort.
Conclusions: The most frequent histologic pattern in our patients was mixed germ cell tumor and the most common TNM classification was T1a, N0, M0 and clinical stage I. Alpha-fetoprotein was the only predictive marker for histologic pattern and possible disseminated disease.
Mejoría de la vejiga hiperactiva posterior a cirugía correctiva de prolapso de órganos pélvicos
Authors: Orozco Márquez Celia Berenice , Murguía-Flores Erick Arturo , Zaragoza-Torres Rocío Margarita , Rodríguez-Salazar Dulce Carolina 
Published: February 2022

Aim: To evaluate improvement in overactive bladder, after corrective surgery for pelvic organ prolapse.
Methodology: A descriptive cross-sectional study included 215 patients with overactive bladder and pelvic organ prolapse that underwent corrective surgery for the prolapse. The OAB-V8 questionnaire was applied to the patients preoperatively and 3 months after surgery. The results were reported in frequency and percentage tables and the variables were compared using inferential statistics (95% CI, p<0.05).
Results: There was partial symptom improvement in 89.3% (192) of the patients, complete improvement in 2.3% (5), and a worsening of symptoms in 8.4% (18). No association with the postoperative result was found, with respect to the initial grade of prolapse or the type of surgery performed.
Limitations: The study was retrospective, nonrandomized, and carried out at a single center. None of the patients had a urodynamic evaluation.
Originality or value: Overactive bladder affects 33 million women. Pelvic organ prolapse presents in 50% of women after childbirth and 40% of those patients have overactive bladder. Even though overactive bladder is treated medically, its symptoms have improved after the surgical correction of pelvic organ prolapse.
Conclusions: Surgical treatment of pelvic organ prolapse provided satisfactory results in improving overactive bladder symptomatology, with few complications. There were no differences, regarding prolapse grade or the surgical technique employed.
Linfoma no-Hodgkin testicular primario. Revisión de la literatura y reporte de caso
Authors: García-Manzano Roberto Armando , Vásquez-Ciriaco Sergio , Dávila-Ruíz Ediel Osvaldo , Martínez-Santiago Nallely Ytandehui , Barker-Antonio Alan , Escamilla-Orzuna Kenia , Morales-Chairez Victoria , Arrecilla-Zamora Mirna 
Published: February 2022

Caso clínico: Masculino de 88 años con diagnóstico clínico y ecográfico de hidrocele izquierdo, tratado con orquiectomía radical con reporte inmunohistoquímico de linfoma no-Hodgkin difuso de células grandes inmunofenotipo B en actual tratamiento a base de quimioterapia.
Relevancia: En México el linfoma primario testicular es raro, en nuestra institución es el primer caso reportado. En el 43% de los casos se presenta asociado a patología benigna como hidrocele u orquiepididimitis que dificultad la sospecha en etiología maligna, teniendo en cuenta que el diagnóstico oportuno y el tratamiento expedito es de vital importancia para el pronóstico.
Implicaciones clínicas: Esta entidad poco frecuente, requiere alto índice de sospecha clínica ante patología testicular en un contexto de pacientes mayores de 50 años, con o sin síntomas consuntivos. Se considera una enfermedad agresiva con un mal pronóstico por su alto índice de recaídas a sitios extra ganglionares y a sistema nervioso central.
Discusión y conclusión: El linfoma testicular primario es una neoplasia rara con una incidencia anual de 0.26 casos por 100 000 personas-año, La edad media de presentación es de 60 años, presenta expresión clínica poco específica con diagnóstico definitivo por inmunohistoquímica. El tratamiento multimodal ha demostrado mejoría pronóstico de esta entidad.
Prostatectomía simple robot-asistida con técnica de Madigan: una opción para preservar la eyaculación
Authors: Zapata-González José Antonio , Robles-Torres José Iván , Pallares-Méndez Rigoberto , Cervantes-Miranda Daniel Eduardo , García-Chairez Luis Roberto , Gómez-Guerra Lauro , Gutiérrez-González Adrián 
Published: February 2022

Descripción de casos: El objetivo del presente estudio es describir la técnica de Madigan robot-asistida y reportar nuestra experiencia inicial en tres casos con hiperplasia prostática benigna sometidos a prostatectomía simple robot-asistida con esta técnica. No se reportaron complicaciones mayores en los casos incluidos. Se demostró una mejoría en la sintomatología urinaria y preservación de la función eyaculatoria y eréctil en todos los pacientes durante su seguimiento.
Relevancia: La prostatectomía simple y los procedimientos endourológicos para el manejo de la hiperplasia prostática benigna continúan teniendo el inconveniente de presentar efectos adversos inevitables, como los trastornos eyaculatorios. La técnica de Madigan para prostatectomía simple es una alternativa que permite preservar la uretra prostática y cuello vesical con el objetivo de evitar trastornos eyaculatorios.
Implicaciones clínicas: La técnica de Madigan robot-asistida es una opción terapéutica que debe ser considerada ante un paciente con crecimiento prostático obstructivo que desee preservar la función eyaculatoria posterior al tratamiento quirúrgico.
Conclusiones: Se requieren estudios prospectivos que comparen las diferentes técnicas de prostatectomía simple para validar el papel de esta técnica en la preservación de la eyaculación.
Effects of the Change in Activity Participation During the COVID-19 Pandemic on Children’s Mental Health
Authors: Chien Chi-Wen 
Published: February 2022

Importance: Coronavirus disease 2019 (COVID-19) containment measures such as school closure have been implemented to curb the spread of the virus among children. Subsequent changes in children’s participation in daily activities may exacerbate the risk of mental health problems among them.
Objective: To examine the relationship between children’s activity participation and mental health before and during the pandemic.
Design: Pretest–posttest design.
Setting: Communities in Hong Kong.
Participants: Children (N = 114; 60 boys, 54 girls; M age 11 yr, 4 mo) who participated in a previous school-based study.
Outcomes and Measures: Parents completed the Participation and Environment Measure for Children and Youth and the Strengths and Difficulties Questionnaire for their children.
Results: Parents completed the questionnaires before and during the pandemic. They reported a significant increase in their children’s externalizing problems and a decrease in prosocial behaviors during the pandemic. Increased externalizing problems were found to be significantly associated with less frequency and involvement in school activities and less involvement in community activities. Significant associations were found between decreased prosocial behaviors and reduced participation in all types of activities.
Conclusions and Relevance: Pandemic-related restrictions on children’s participation were unfavorably related to their mental health. Strategies and services that promote children’s involvement in daily activities are needed to decrease the risk of mental health problems during the COVID-19 pandemic.
What This Article Adds: Pandemic-related restrictions (e.g., school closure or social distancing) on activity participation unfavorably affect children’s mental health. Occupational therapy practitioners can play an important role in promoting children’s involvement in daily activities so as to prevent mental health problems among children.
An extensive data set for in situ microphysical characterization of low-level clouds in a Finnish sub-Arctic site
Authors: Doulgeris Konstantinos Matthaios , Lihavainen Heikki , Hyvärinen Anti-Pekka , Kerminen Veli-Matti , Brus David 
Published: February 2022

Abstract. Continuous, semi-long-term, ground-based in situ cloud
measurements were conducted during eight Pallas Cloud Experiments (PaCEs)
held in autumn between 2004 and 2019. Those campaigns were carried out in
the Finnish sub-Arctic region at the Sammaltunturi station
(67∘58′24′′ N,
24∘06′58′′ E;
560 m a.m.s.l.), the part of the Pallas Atmosphere–Ecosystem Supersite and Global
Atmosphere Watch (GAW) program. Two cloud spectrometer ground setups and a
weather station were installed on the roof of the station to measure in situ
cloud properties and several meteorological variables. Thus, the obtained
data sets include the size distribution of cloud droplets as a measured cloud
parameter along with the air temperature, dew point temperature, humidity,
pressure, horizontal wind speed and direction, (global solar) sun radiation,
and visibility at the station. Additionally, the number concentration,
effective diameter, median volume diameter, and liquid water content from
each instrument were derived. The presented data sets provide a insight into
microphysics of low-level clouds in sub-Arctic conditions over a wide range
of temperatures (−25.8 to 8.8 ∘C). The data are available in the Finnish Meteorological
Institute (FMI)
open data repository for each campaign and each cloud spectrometer ground
setup individually: https://doi.org/10.23728/FMI-B2SHARE.988739D21B824C709084E88ED6C6D54B
(Doulgeris et al., 2021).
Method and experimental investigation of surface heat dissipation measurement using 3D thermography
Authors: Schmoll Robert , Schramm Sebastian , Breitenstein Tom , Kroll Andreas 
Published: February 2022

Abstract. Three-dimensional thermography describes the fusion of geometry- and temperature-related sensor data. In the resulting 3D thermogram, thermal and spatial information of the measured object is available in one single model. Besides the simplified visualization of measurement results, the question arises how the additional data can be used to get further information. In this work, the Supplement information is used to calculate the surface heat dissipation caused by thermal radiation and natural convection. For this purpose, a 3D thermography system is presented, the calculation of the heat dissipation is described, and the first results for simply shaped measurement objects are presented.
A comparative flood damage and risk impact assessment of land use changes
Authors: Gabriels Karen , Willems Patrick , Van Orshoven Jos 
Published: February 2022

Abstract. Sustainable flood risk management encompasses the
implementation of nature-based solutions to mitigate flood risk. These
measures include the establishment of land use types with a high (e.g., forest patches) or low (e.g., sealed surfaces) water retention and
infiltration capacity at strategic locations in the catchment. This paper
presents an approach for assessing the relative impact of such land use
changes on economic flood damages and associated risk. This spatially
explicit approach integrates a reference situation, a flood damage model, and
a rainfall-runoff model considering runoff re-infiltration and propagation
to determine relative flood risk mitigation or increment related to the
implementation of land use change scenarios. The applicability of the
framework is illustrated for a 4800 ha undulating catchment in the region of
Flanders, Belgium, by assessing the afforestation of 187.5 ha (3.9 %), located
mainly in the valleys, and sealing of 187.5 ha, situated mainly at higher
elevations. These scenarios result in a risk reduction of 57 % (EUR 100 000) for the afforestation scenario and a risk increment of <1 %
(EUR ∼ 500) for the sealing scenario.
I IMPLEMENTASI KEPMEN ESDM No. 1827 K/30/MEM/2018 TERKAIT KEDALAMAN AKHIR PENAMBANGAN LEBIH DARI 45 METER DALAM PERSPEKTIF ASPEK TEKNIS PERTAMBANGAN DAN ASPEK KONSERVASI MINERAL DAN BATUBARA
Authors: Desianda Yoan 
Published: February 2022

Pedoman Pelaksanaan Kaidah Teknik Pertambangan Yang Baik, pada Lampiran II tentang Pedoman Pengelolaan Teknis Pertambangan, dan menilik lebih dalam lagi pada halaman 94 huruf (x) menyatakan bahwa dalam hal kedalaman akhir penambangan lebih dari 45 (empat puluh lima) meter maka tersedia dua akses untuk jalan masuk dan jalan keluar. Oleh sebab itu, penulis dalam kesempatan ini akan mencoba menuangkan dalam sebuah tulisan. Penelitian yang digunakan bersifat deskriptif kualitatif. Sample diambil pada kegiatan usaha pertambangan batubara dan perhitungan yang dilakukan pada tambang PT XYZ dengan menggunakan metode tambang terbuka di Provinsi Sumatera Selatan. Analisis data dilakukan berdasarkan beberapa pemodelan akses jalan yang dapat direncanakan dan optimalisasi perolehan batubara yang dapat dicapai dari beberapa pemodelan akses jalan tersebut. Data disajikan dalam bentuk gambar, tabel, narasi dan peta. Jalan tambang/produksi saat ini dengan satu akses jalan masuk dan keluar (dua arah) dengan lebar 25 meter, jumlah cadangan batubara terkira 12.984.664 ton. Pemodelan dengan dua akses jalan terpisah antara OB Hauling dan Coal Hauling dengan lebar jalan 20 m, maka jumlah cadangan batubara terambil berkurang menjadi 8.841.657 ton dengan kedalaman maksimal 140 m atau berdasarkan aspek Konservasi maka cadangan yang bisa diambil akan berkurang sebanyak 4.143.007 ton . Dengan berdasarkan pertimbangan aspek teknis dan aspek konservasi mineral dan batubara, agar cadangan bisa terambil secara optimal, maka pilihan diambil dengan membuat jalan yang sudah ada saat ini dengan lebar 25 m, jalan tersebut akan dimodifikasi dengan membagi lebar jalan menjadi 2 (dua) bagian dengan separator, yaitu 9 m untuk alat angkut batubara dan 13 m untuk alat angkut material OB, sehingga cadangan batubara terkira 12.984.664 ton dapat terambil seluruhnya dengan kedalaman maksimal 200 m.
Okul Öncesi Eğitime Devam Eden 5-6 Yaş Çocukların Sosyal Becerilerinin Ailelerin Çocuk Sevme Düzeyleri Açısından İncelenmesi
Authors: CELİK Cengiz , AKYOL Cemal 
Published: February 2022

Bu çalışmanın amacı, okul öncesi eğitime devam eden 5-6 yaş çocukların sosyal becerileri ile ebeveynlerinin çocuk sevme düzeyleri arasındaki ilişkiyi incelemektir. Araştırmada ilişkisel tarama modeli kullanılmıştır. Araştırmanın örneklemini Konya il merkezindeki okul öncesi eğitim kurumuna devam 5 ile 6 yaş arasındaki toplam 224 çocuk ile onların ebeveynleri oluşturmuştur. Araştırmada veri toplama aracı olarak, “Aile Bilgi Formu”, “Barnett Çocuk Sevme Ölçeği” ve ‘OSBED (Okul Öncesi Sosyal Beceri Değerlendirme Ölçeği) kullanılmıştır. Verilerin analizinde SPSS paket programı kullanılarak Pearson korelasyon katsayıları hesaplanmış ve doğrusal regresyon analizi yapılmıştır.
Araştırma sonuçlarına göre okul öncesi 5-6 yaş çocukların sosyal becerileri ile ebeveynlerin çocuk sevme düzeyleri arasında pozitif yönde anlamlı ilişki bulunmuştur. Regresyon analizi sonuçlarına göre ebeveynlerin çocuk sevme düzeyleri çocukların sosyal becerilerini pozitif yönde ve anlamlı bir şekilde yordamaktadır.