Infertility is the hot topic in the 1st number of International Brazilian Journal of Urology in 2024
Bibliographic record
Abstract
The papers came from many different countries such as Brazil, Argentina, Canada, Switzerland, China, Indonesia and USA, and as usual the editor ś comment highlights some of them.The editor in chief would like to highlight the following works:Dr. Ding and collegues from China, presented in page 7 (1) a nice systematic review comparing Balloon Dilation to Non-Balloon Dilation for Access in Ultrasound-Guided Percutaneous Nephrolithotomy (PCNL) and concluded that the ultrasound-guided balloon dilatation offered several advantages in PCNL procedures.It facilitated faster access establishment, as evidenced by shorter access creation time.Additionally, it reduced the risk of kidney injury by minimizing postoperative hemoglobin loss and decreasing the need for transfusions.Moreover, it enhanced the efficiency of surgery by reducing the operation time.However, it is adequately control for confounding factors that may affect the outcomes.Therefore, further research is necessary to validate and strengthen these findings.Dr. Hadziselimovic from Switzerland, presented in page 20 (2) a important narrative review advocating hormonal treatment to prevent adult infertility in patients diagnosed with congenital undescended testes and concluded that abnormal germ cell development in cryptorchidism is not a congenital dysgenesis but rather an endocrinopathy, preceded by hormonal imbalance and perturbation of germ cell-specific gene expression during abrogated mini-puberty.Furthermore, hormonal treatment to achieve epididymo-testicular descent as the primary choice of treatment for cryptorchidism has a long tradition in Europe.It eliminates the need for subsequent surgery, and in cases of nonresponders, it facilitates orchidopexy, contributing to a reduced incidence of unilateral and the more serious bilateral complete post-surgical testicular atrophy.Therefore, the current and optimal therapeutic choice involves two steps of hormonal treatment.Dr. Schmit and collegues from USA, presented in page 37 (3) a important study about the less qualitative multiparametric magnetic resonance imaging in prostate cancer ant the underestimation of extraprostatic extension in higher grade tumors and concluded that the negative predictive value of prostate Multiparametric magnetic resonance imaging for extraprostatic extensionmay be decreased for higher grade tumors.A detailed reference reading and image quality optimization may improve performance.However, urologists should exercise caution in nerve sparing approaches in these patients.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.013 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.004 | 0.004 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.031 | 0.005 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".