METHODS: Clinical data of 400 patients with BPH who underwent TURP between June 2020 and June 2023 at Chengdu University Hospital were retrospectively collected. The data were divided into US group and no US group. Univariate and multivariate logistic regression analyses were performed sequentially to identify independent risk factors associated with US. Based on the results of the multivariate analysis, a nomogram model predicting the risk of US was constructed. We assessed the discriminatory power and calibration of the models using the C index, ROC curves, and calibration plots. In addition, we performed a decision curve analysis to validate the clinical utility of the model.
RESULTS: Data from a total of 400 patients were included in this study, and 35 (8.75%) were diagnosed with US. The results of univariate and multivariate analyses indicated that the following five factors age, prostate size, Preoperative indwelling catheter, Preoperative urethral dilation, Postoperative indwelling catheter time were independent influences on the risk of US. Nomogram model of US was constructed using these independent influences. The area under the curve (AUC) of the subject's operating characteristic was 0.916 (95% CI: 0.868-0.959), and after internal validation, the corrected C-index remained at 0.916. This further validates the accuracy and reliability of the predictive model. Calibration plots and decision curve analyses demonstrated the good clinical value of the column-line diagram model.
CONCLUSIONS: The nomogram model we constructed can have some guidance in clinical work.
RESULTS: All GMY exhibited post-acidification during storage. The amount of 0.5-1.0 g kg-1 SZS raised titratable acidity, while 1.5-2.5 g kg-1 restrained acid accumulation. SZS dose-dependently increased hardness and consistency and reduced cohesiveness and adhesiveness; 2.0-2.5 g kg-1 groups showed the densest gel. SZS decreased particle size and raised absolute zeta potential to stabilize casein micelles, reduced L* and elevated total color difference (ΔE), turning samples creamy yellow. It remarkably improved DPPH and ABTS scavenging capacity, with the 2.5 g kg-1 group hitting 93.30 g 100 g-1. Fourier-transform infrared (FTIR), Raman and intrinsic fluorescence spectroscopy verified protein secondary structure rearrangement and reconstructed intermolecular forces. It was found 2.0 g kg-1 was the optimal dosage; overdose disrupted colloidal and protein conformational stability. SZS optimized casein polysaccharide networks through hydrogen, hydrophobic and electrostatic interactions.
CONCLUSION: Appropriate SZS supplementation achieved optimal quality regulation of GMY with substantially enhanced storage stability, gel texture and antioxidant activity. This study uncovered the molecular mechanism by which natural plant bioactive compounds improve fermented milk quality via regulating protein conformation and non-covalent interactions, providing theoretical support for the targeted formulation design of functional fermented dairy products. © 2026 Society of Chemical Industry.