bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of Healthy Lifestyle Factors on Life Expectancy and Lifetime Health Care Expenditure: Nationwide Cohort Study
Authors: Lo Wei-Cheng , Hu Tsuey-Hwa , Shih Cheng-Yu , Lin Hsien-Ho , Hwang Jing-Shiang 
Published: July 2024

Background
The association between lifestyle risk factors and the risk of mortality and chronic diseases has been established, while limited research has explored the impact of healthy lifestyle factors on lifetime health care expenditure using longitudinal individual data.

Objective
We aimed to determine the individual and combined effects of 5 healthy lifestyle factors on life expectancy and lifetime health care expenditure in Taiwan.

Methods
Using data from the National Health Interview Survey cohort, 5 healthy lifestyle behaviors were defined and analyzed: nonsmoking, avoiding excessive alcohol consumption, engaging in sufficient physical activity, ensuring sufficient fruit and vegetable intake, and maintaining a normal weight. We used a rolling extrapolation algorithm that incorporated inverse probability of treatment weighting to estimate the life expectancy and lifetime health care expenditure of the study populations with and without healthy lifestyle factors.

Results
A total of 19,893 participants aged ≥30 (mean age 48.8, SD 13.4) years were included, with 3815 deaths recorded during a median follow-up period of 15.6 years. The life expectancy and per capita estimated lifetime health care expenditures for the overall study population were 35.32 years and US $58,560, respectively. Multivariable-adjusted hazard ratios for all-cause mortality in participants adhering to all 5 healthy lifestyle factors, compared with those adhering to none, were 0.37 (95% CI 0.27-0.49). We found significant increases in life expectancy for nonsmokers (2.31 years; 95% CI 0.04-5.13; P=.03), those with sufficient physical activity (1.85 years; 95% CI 0.25-4.34; P=.02), and those with adequate fruit and vegetable intake (3.25 years; 95% CI 1.29-6.81; P=.01). In addition, nonsmokers experienced a significant reduction in annual health care expenditure (−9.78%; 95% CI −46.53% to −1.45%; P=.03), as did individuals maintaining optimal body weight (−18.36%; 95% CI −29.66% to −8.57%; P=.01). Overall, participants adhering to all 5 healthy lifestyle behaviors exhibited a life gain of 7.13 years (95% CI 1.33-11.11; P=.02) compared with those adhering to one or none, with a life expectancy of 29.19 years (95% CI 25.45-33.62). Furthermore, individuals adopting all 5 healthy lifestyle factors experienced an average annual health care expenditure reduction of 28.12% (95% CI 4.43%-57.61%; P=.02) compared with those adopting one or none.

Conclusions
Adopting a healthy lifestyle is associated with a longer life expectancy and a reduction of health care expenditure in Taiwanese adults. This contributes to a more comprehensive understanding of the impact of healthy lifestyle factors on the overall health and economic burden.
Usability, Ergonomics, and Educational Value of a Novel Telestration Tool for Surgical Coaching: Usability Study
Authors: Kiani Parmiss , Dolling-Boreham Roberta , Hameed Mohamed Saif , Masino Caterina , Fecso Andras , Okrainec Allan , Madani Amin 
Published: July 2024

Background
Telementoring studies found technical challenges in achieving accurate and stable annotations during live surgery using commercially available telestration software intraoperatively. To address the gap, a wireless handheld telestration device was developed to facilitate dynamic user interaction with live video streams.

Objective
This study aims to find the perceived usability, ergonomics, and educational value of a first-generation handheld wireless telestration platform.

Methods
A prototype was developed with four core hand-held functions: (1) free-hand annotation, (2) cursor navigation, (3) overlay and manipulation (rotation) of ghost (avatar) instrumentation, and (4) hand-held video feed navigation on a remote monitor. This device uses a proprietary augmented reality platform. Surgeons and trainees were invited to test the core functions of the platform by performing standardized tasks. Usability and ergonomics were evaluated with a validated system usability scale and a 5-point Likert scale survey, which also evaluated the perceived educational value of the device.

Results
In total, 10 people (9 surgeons and 1 senior resident; 5 male and 5 female) participated. Participants strongly agreed or agreed (SA/A) that it was easy to perform annotations (SA/A 9, 90% and neutral 0, 0%), video feed navigation (SA/A 8, 80% and neutral 1, 10%), and manipulation of ghost (avatar) instruments on the monitor (SA/A 6, 60% and neutral 3, 30%). Regarding ergonomics, 40% (4) of participants agreed or strongly agreed (neutral 4, 40%) that the device was physically comfortable to use and hold. These results are consistent with open-ended comments on the device’s size and weight. The average system usability scale was 70 (SD 12.5; median 75, IQR 63-84) indicating an above average usability score. Participants responded favorably to the device’s perceived educational value, particularly for postoperative coaching (agree 6, 60%, strongly agree 4, 40%).

Conclusions
This study presents the preliminary usability results of a novel first-generation telestration tool customized for use in surgical coaching. Favorable usability and perceived educational value were reported. Future iterations of the device should focus on incorporating user feedback and additional studies should be conducted to evaluate its effectiveness for improving surgical education. Ultimately, such tools can be incorporated into pedagogical models of surgical coaching to optimize feedback and training.
Perfil das prescrições de fitoterápicos anabolizantes comercializados por uma farmácia magistral no Rio de Janeiro
Authors: Lippi Oakim Costa Renata , Santos Maria Isabel Sampaio dos 
Published: July 2024

Introduction: Since antiquity, humans have used plants for various purposes, including improving physical performance. However, in recent years, the search for herbal medicines aimed at mimicking the anabolic effect, with lower health risks and without being detected in doping control, has sparked the interest of athletes and gym users. Objective: To evaluate which herbal drugs with possible androgenic activity are prescribed as magistral formulations in the city of Rio de Janeiro. Method: Data from 10,276 prescriptions recorded in the database of a network of compounding pharmacies located in the city of Rio de Janeiro between January and December 2020 were collected and analyzed. The prescribed and dispensed formulations contained Ajuga turkestanica, Cyanotis vaga, Eurycoma longifolia, Lepidium meyenii, Mucuna pruriens, Tribulus terrestris, Trigonella foenum-graecum, and Withania somnifera. Results: Most prescriptions (57.0%) were for women, prescribed by specialists in orthomolecular medicine (38.0%), and only 4.0% of prescriptions were prescribed by nutritionists. Regarding the types of medications, 8,116 prescriptions (79.0%) were formulations of combinations of one or more anabolic herbal drugs with pharmaceuticals. M. pruriens was the most prescribed herbal drug (29.0%), with or without combination. Conclusions: Most of the prescribed plants still do not have proven efficacy and safety regarding anabolic action; therefore more clinical studies are necessary to determine the possible drug interactions and adverse effects of these herbal drugs.
PHARMA'S NITROSAMINE CHALLENGE: A REVIEW OF A CALL FOR VIGILANCE
Authors: Eissa Mostafa Essam 
Published: July 2024

Nitrosamines are potential carcinogens (cancer-causing agents) that can form in medications under specific conditions. The British Pharmacopoeia (BP) and the United States Pharmacopeia (USP) both set strict guidelines to minimize their presence. Nitrosamines form when nitrites and amines react in acidic environments, potentially occurring in the stomach or during drug production. They are classified as probable human carcinogens, meaning long-term exposure at high levels may increase cancer risk. Fortunately, nitrosamine levels in most medications are very low and unlikely to pose significant health risks. Both BP and USP have implemented a new general chapter: Nitrosamine Impurities (BP: 5.20 and USP: <1469>).These chapters outline acceptable intake limits for six specific nitrosamines and a four-step risk assessment and control strategy. They also detail testing procedures and analytical methods for detecting and measuring nitrosamines in medications. There are similarities between BP and USP as both set comparable acceptable intake limits for the same six nitrosamines. Also, both employ a similar four-step risk management approach. Moreover, both provide information on testing procedures and analytical methods. Nevertheless, there are few differences between both references. There may be slight variations in the specifics of analytical procedures (e.g., detection limits, chromatographic conditions).Regulatory agencies are actively monitoring and controlling nitrosamine levels in medications, ensuring patient safety. Both BP and USP play crucial roles in setting stringent standards and ensuring their consistent implementation across the pharmaceutical industry.

Peer Review History:
Received 28 March 2024; Revised 2 May 2024; Accepted 25 June; Available online 15 July 2024
Academic Editor: Dr. Nuray Arı, Ankara University, Turkiye, ari@ankara.edu.tr
Average Peer review marks at initial stage: 6.0/10
Average Peer review marks at publication stage: 7.0/10
Reviewers:
Dr. Maya Shaaban Eissa Hussein, Egyptian Russian University, Egypt, maya-shaaban@hotmail.com
Dr. Michael Otakhor Erhunmwunse, St. Philomena Catholic Hospital, Nigeria,dedoctor4life@yahoo.com
Perfil antropométrico de pacientes oncológicos em uma associação no sudoeste da Bahia
Authors: Jesus Brito Alane , Alves Alanna Sthefani de Souza , Souza Raquel Christina da Silva , Costa Ruama Larissa Santos da , Ferreira Christini Gomes Senhorinho 
Published: July 2024

RESUMO
A avaliação e a intervenção nutricional desempenham um papel crucial na saúde e qualidade de vida de pacientes oncológicos, como prevenir deficiências nutricionais. Esta pesquisa objetivou descrever o perfil antropométrico de pacientes oncológicos de uma associação. Trata-se de estudo transversal de abordagem quantitativa, realizado com pacientes oncológicos cadastrados em uma associação de um município no sudoeste da Bahia. Para avaliação do perfil antropométrico utilizou-se o índice de massa corporal (IMC), circunferência do braço e prega cutânea tricipital. Os dados foram analisados pelo Microsoft Excel®. Dos 29 pacientes com idade média 50,93 anos, a maioria eram do sexo feminino e 52% sedentários. O câncer prevalente foi de mama (45%). De acordo com IMC, circunferência do braço e área muscular do braço a maioria estavam eutróficos. A prega cutânea tricipital teve predominância de obesidade e 17% dos pacientes apresentaram desnutrição grave. Percebe-se que a desnutrição não foi predominante, entretanto em algumas medidas mostram um alerta quanto ao excesso de gordura corporal. Sendo ambas situações podem afetar a resposta ao tratamento e a qualidade de vida dos pacientes oncológicos. Ressalta-se a importância da avaliação nutricional detalhada para uma intervenção eficiente com foco em melhorar o tratamento e a qualidade de vida dessa população.
Palavras-chave: Avaliação Nutricional; Antropometria; Índice de Massa Corporal; Oncologia.
ABSTRACT
Nutritional assessment and intervention play a crucial role in the health and quality of life of cancer patients, such as preventing nutritional deficiencies. This research aimed to describe the anthropometric profile of cancer patients from an association. This is a cross-sectional study with a quantitative approach, carried out with cancer patients registered in an association in a municipality in the southwest of Bahia. To evaluate the anthropometric profile, body mass index (BMI), arm circumference and triceps skinfold were used. Data were analyzed using Microsoft Excel®. Of the 29 patients with a mean age of 50.93 years, most were female and 52% were sedentary. The prevalent cancer was breast (45%). According to BMI, arm circumference and arm muscle area most were eutrophic. The triceps skinfold had a predominance of obesity and 17% of patients had severe malnutrition. It is noticed that malnutrition was not predominant, however in some measurements they show a warning about excess body fat. Both situations can affect the response to treatment and the quality of life of cancer patients. The importance of a detailed nutritional assessment is emphasized for an efficient intervention focused on improving the treatment and quality of life of this population.

Keywords: Nutritional Assessment; Anthropometry; Body mass index; Oncology.
Publicidade odontológica nas redes sociais: uma análise dos aspectos éticos relacionados
Authors: Brito Lima Larissa Bárbara , De Almeida Vaz Micaele , Donha Yarid Sérgio , Correa Peixoto Saulo , Da Silva Souza Saú 
Published: July 2024

A saturação no mercado de trabalho odontológico e a alta concorrência na odontologia trouxe a necessidade de implantar novas ferramentas para atrair o cliente. Dessa forma, o marketing profissional realizado por meio das redes sociais, tornou-se uma ferramenta fundamental para o estabelecimento de vínculos entre profissionais e clientes. Contudo, estas publicidades nem sempre seguem as normas instituídas pelo Código de Ética Odontológica, caracterizando infrações éticas. Foi analisado o que apontam as evidências científicas sobre as infrações éticas previstas no Código de Ética Odontológica Brasileiro no que tange à prática da publicidade veiculada por cirurgiões-dentistas nas redes sociais. Trata-se de uma revisão integrativa, realizada na Biblioteca Virtual em Saúde, entre os meses de março e abril de 2023. Foram consideradas as publicações a partir do ano de 2012. Após a aplicação dos critérios de inclusão e exclusão, a busca resultou na seleção de cinco artigos. Verificou-se que a maioria dos cirurgiões-dentistas não cumprem as normas estabelecidas pelo capítulo XVI do código de ética odontológica no que concerne a realização de anúncios, propagandas e publicidades, nas redes sociais.
Fortalecimiento de la cultura archivística para la conservación del patrimonio documental en empresas públicas del Área Metropolitana de Pereira
Authors: Mejía Medina Olga Liliana , Duque Galeano Gislesa Gislena , Escarpeta Mena Gloria Stella 
Published: July 2024

El presente artículo surge como producto del proyecto de investigación que se formuló y se ejecutó en el año 2022, con aprendices e instructoras del programa formativo tecnólogo en Gestión Documental del SENA, Regional Centro Comercio y Servicios; con el objetivo de indagar y conocer la situación actual de algunas empresas públicas y privadas con funciones públicas, especialmente en todo lo relacionado con el cumplimiento de la normativa de gestión documental del Archivo General de la Nación de Colombia y la aplicación de los diferentes instrumentos archivísticos.
En este proceso, se aplicó una metodología cualitativa y se acudieron a varias técnicas de recolección de información como: entrevistas semiestructuradas, visitas a empresas y por último se realizó un Evento de Divulgación Tecnológico para fortalecer y sensibilizar a los asistentes enviados de las diferentes empresas y público en general, acerca de la importancia de velar por la adecuada gestión documental en las entidades. El resultado de este trabajo refleja la falta de conciencia archivística en la Región teniendo en cuenta que de 74 empresas a las cuales se les aplicó la entrevista muy pocas cuentan con un programa de gestión documental. En la capacitación de sensibilización se contó con la asistencia de 230 personas conectadas a través de la plataforma Meet y 100 personas de manera presencial, certificando 282 personas
Enhancing hotel employees' well-being and safe behaviors: The influences of physical workload, mental workload, and psychological resilience
Authors: El-Sherbeeny Ahmed M. , Alsetoohy Omar , Sheikhelsouk Samar , Liu Sijun , Abou Kamar Mahmoud 
Published: July 2024

Research background: Despite the dynamically growing cross-sectional academic studies conducted on various aspects related to physical and mental workloads in the context of workplace safety, there is still room for further in-depth analyses of how these workloads affect employees' behavior and well-being. This phenomenon is of particular interest in the case of hospitality, where hotels should recognize the workloads imposed on their employees, since they are considered the most critical and influential stressors in the workplace.
Purpose of the article: Based on the conservation of resources (COR) theory, our study aims to examine how hotel employees' physical and mental workloads affect their well-being and safe behaviors. The study also investigates how employee well-being and psychological resilience play a role in these patterns.
Methods: The study employs an experience-sampling methodology to assess the physical and mental workloads of a group of full-time employees working in luxury hotels in the USA.
Findings & value added: The findings derived from Partial Least Squares Structural Equation Modeling (PLS-SEM) reveal that both physical and mental workloads negatively impact overall well-being and safe behaviors. Additionally, physical workload influences mental workload. Also, employee well-being has been identified as a mediating factor in the relationship between workloads, psychological resilience, and safe behaviors. Notably, psychological resilience has not exhibited a moderating effect. This study expands on the COR theory by examining its impact on the hospitality industry. The study has developed and validated a model for assessing hotel employees' physical workload. Moreover, it emphasizes the significance of employees' well-being and psychological resilience in promoting safe behaviors in hotels. Therefore, this model is a significant step forward toward effectively measuring and maintaining the overall well-being and safe behaviors of employees in the hospitality industry. Furthermore, the value of the research is enhanced by surveying hotel employees directly rather than relying on subjective opinions from management about employee involvement in workplace health and safety. This approach avoids the bias often present in management assessments and provides a more accurate depiction of employee participation.
Marine litter and plastic detection on Black Sea beaches by using unmanned aerial vehicle (UAV)
Authors: Marin Dragoș , Ciucă Andreea-Mădălina , Filimon Adrian , Stoica Elena 
Published: July 2024

Abstract
Plastic and marine litter is one of the current growing issues worldwide, affecting the unique Black Sea ecosystem as well. Litter is yearly monitored for assessing ecological status across the Romanian beaches. We tested aerial drone-inspection or UAV method versus visual census for efficiency of litter monitoring on two Black Sea beaches, located in the Danube Delta area. The detection probability varied between size-category of items, with 71 – 100% accuracy of visual screening of drone images. Our pilot study showed the successful combination of the traditional visual census method with the new emerging UAV techniques for marine litter monitoring in the selected areas. To the best of our knowledge, this is the first study evaluating the UAV method for fast-screening of not-easily accessible sites at the Romanian coast of the Black Sea.
Geoprocessing of archival aerial photos and their scientific applications: A review
Authors: Kostrzewa Adam 
Published: July 2024

Abstract
Poland as well as other countries keep extensive collections of 20th and 21st-century aerial photos, which are underexploited compared to such other archival materials as satellite imagery. Meanwhile, they offer significant research potential in various areas, including urban development, land use changes, and long-term environmental monitoring. Archival photographs are detailed, often obtained every five to ten years, and feature high resolution, from 20 cm to 1 m. Their overlap can facilitate creating precise digital models that illustrate topography and land cover, which are essential variables in many scientific contexts. However, rapidly transforming these photographs into geographically accurate measurements of the Earth’s surface poses challenges. This article explores the obstacles in automating the processing of historical photographs and presents the main scientific research directions associated with these images. Recent advancements in enhancing work˚ows, including the development of modern digital photogrammetry tools, algorithms, and machine learning techniques are also discussed. These developments are crucial for unlocking the full potential of aerial photographs, making them easier accessible and valuable for a broader range of scientific fields. These underutilized photographs are increasingly recognized as vital in various research domains due to technological advancements. Integrating new methods with these historical images offers unprecedented opportunities for scientific discovery and historical understanding, bridging the past with the future through innovative research techniques.
Analysis of Junior High School Students’ Misconceptions About the Human Excretion Using a Four-Tier Diagnostic Test
Authors: Saputri* Irma Dwi , Rusyati Lilit 
Published: July 2024

This study aimed to measure middle school students’ conceptions and misconceptions related to human excretion using a four-tiered diagnostic test. Using a cross-sectional survey design, responses of 113 eighth-grade students, convenience sampled from two schools in Bandung were collected. A four-tiered instrument was developed specifically for the focus of this study and the data analyzed below consists of test results and interviews with teachers. The findings indicate that students’ conceptions of the human excretory system fall into several categories: scientific knowledge (SK) at 46.90%, false positive (FP) at 13.09%, false negative (FN) at 6.13%, misconception (M) at 20.45%, and lack of knowledge (LK) at 13.43%. The most common misconceptions relate to diseases and disorders (38%) and sweating and body thermoregulation (31%). These misconceptions may arise due to factors such as students’ lack of enthusiasm for learning and limited engagement during the learning process. Consequently, there is a need for improved teaching approaches to address misconceptions associated with human excretion and to foster a more comprehensive scientific understanding among students.