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The usefulness of a body shape index in assessing muscle function and strength in older adults hemodialysis patients : a
Bojan Knap, Boštjan Žvanut, Lucija Brezočnik, Mihaela Jurdana, 2025, original scientific article

Abstract: Objective: This study investigates the relationship between a new anthropometric measure, the Body Shape Index (ABSI), and body composition and biochemical parameters in hemodialysis patients and, for the first time, the correlation between ABSI and muscle strength and function in these patients. Methods: A cross-sectional study was conducted on a sample of 80 patients who were regularly treated in the hemodialysis unit of a single medical center of the University Hospital of Ljubljana, Slovenia. General anthropometric parameters body mass index (BMI) and ABSI=(WC/(BMI2/3x height½) as well as body composition data (fat mass FM, fat-free mass FFM, fat-free mass index FFMI, skeletal muscle index SMI) were determined in 25 women (aged 74.5 ± 7.5 years) and 55 men (aged 70.1 ± 6.6 years) with overweight (25 kg/m2 ≤ BMI < 30 kg/m2) and obesity (BMI ≥ 30 kg/m2) by bioelectrical impedance analysis (BIA). Muscle strength was determined using a hand grip strength test, while muscle performance was assessed using the sit-to-stand test. Results: ABSI was significantly negatively associated with muscle strength, functional tests and SMI only in men. Based on the median ABSI value (0.090273 m11/6·kg−2/3 in women and 0.090893 m11/6·kg−2/3 in men), women with a higher ABSI had a significantly higher glucose concentration than those with a lower ABSI. Men with a lower ABSI obtained significantly better results in the hand grip test, sit-to-stand test and waist circumference (WC). In conclusion, our findings suggest an inverse association between ABSI and muscle strength and function in male hemodialysis patients, indicating that higher ABSI may reflect poorer physical condition in this population. Further longitudinal studies are needed to explore the clinical significance of this relationship.
Keywords: hemodialysis, muscle strenght, sarcopenia
Published in RUP: 10.11.2025; Views: 354; Downloads: 6
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Enhancing crisis response efficiency through ICT : a Delphi study on operational and decision-making improvements in mass casualty incidents
Primož Režek, Boštjan Žvanut, 2025, original scientific article

Abstract: The potential of information and communication technology (ICT) to improve coordination and decision-making during the training and operational phases of mass casualty incidents (MCIs) has not yet been sufficiently explored. This three-round Delphi study investigates whether ICT use in MCIs can enhance decision-making and increase victim survival rates. The study was conducted from 10 February to 20 September 2024, with 25 international experts from academia, clinical practice, and health informatics. The results were summarised using a SWOT analysis, confirming ICT's perceived potential in MCI management. The analysis revealed a critical asymmetry: while the strengths and opportunities were mainly associated with technical factors (e.g. the effectiveness of drones, global positioning systems, artificial intelligence, dashboards, and virtual and augmented reality to improve the cost-effectiveness of training), weaknesses and threats were mainly social and organisational. These included a lack of standardisation and interoperability, limited ICT-supported training, infrastructure and cybersecurity gaps, resistance to change, legal constraints, underfunding, low technological readiness, and scepticism about the cost-effectiveness of ICT in real-world MCI contexts. Our findings highlight the gap between technological readiness and implementation challenges, suggesting that ICT innovation alone is insufficient without supportive governance, infrastructure, and stakeholder engagement. As the first Delphi study of its kind, it provides a strategic foundation for evidence-based ICT integration in training and operational MCI responses. The findings provide clear priorities for future policy development and empirical validation, emphasising the need to address persistent non-technical barriers to realise ICT’s full potential in crisis management.
Keywords: mass casualty incidents (MCI), information and communication technology (ICT), artificial intelligence (AI), drones, electronic triage systems, delphi study, SWOT analysis
Published in RUP: 08.09.2025; Views: 523; Downloads: 7
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Factors influencing the acceptance of alternative protein sources
Mojca Stubelj, Erika Gleščič, Boštjan Žvanut, Klemen Širok, 2025, original scientific article

Abstract: Introduction The adequate consumption of protein-rich foods is essential for optimal human growth, development and health. However, climate change threatens global food security by disrupting agriculture and food supply chains. One possible strategy to avoid this is a sustainable diet and the consumption of plant-based protein substitutes, insect-derived proteins and cultured meat. Methods The factors that could explain the (non-)acceptance of such foods in the population were investigated. The study included 458 adults who responded to our online questionnaire. Results The results of our survey showed that 66.2 % of the respondents were open to including plant-based sources in their diet. 23.1 % were willing to eat meals derived from insects and 21 % were willing to eat cultured meat. Acceptance of these alternative protein sources was found to be influenced by a number of factors, including demographics, familiarity, frequency of meat consumption and the intention to reduce meat consumption in the future. Men and people who had tried insect-based foods in the past were more favourable towards the consumption of insect-based foods and cultured meat. The regression analysis showed that the higher the level of neophobia towards food technologies and aversion to eating insects, the lower the interest in trying cultured meat. Women have a lower interest in trying cultured meat. Conclusions The consumer acceptance of new protein sources in the diet can be measured by assessing their attitudes towards such sources. This understanding can in turn facilitate the formulation of future public health strategies to create more sustainable dietary standards in the face of climate change.
Keywords: plant proteins, cultured meat, entomophagy, ecological awareness, climate change
Published in RUP: 30.05.2025; Views: 977; Downloads: 8
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