Medicine and Health Sciences Commons^™

Fast-Food Consumption And Metabolic Syndrome Risk In African Children And Adolescents, Norkinsha Willis

Walden Dissertations and Doctoral Studies

Childhood obesity and excessive fast-food intake represent a significant public health concern among African American children. Grounded in the social-ecological model, this quantitative, cross-sectional study examined whether frequency of fast-food or pizza meal consumption and reliance on low-cost food was associated with total cholesterol (mg/dL) and waist circumference among African American children and adolescents aged 6–15 years while controlling for key sociodemographic factors (age, gender, parental education status, and annual household income). Secondary data from the 2017–2018 National Health and Nutrition Examination Survey were analyzed (N=184). Descriptive statistics, nonparametric analyses, and a multiple linear regression model were used to analyze …

Navigating The Ethical Landscape Of Ai Created Responsibility Gaps In Healthcare, Kelsey Dwyer '26

Honor Scholar Theses

This work is a philosophical analysis of the ethical dilemma of AI-created responsibility gaps, or the idea that it is challenging to find someone to hold responsible for outcomes produced by an autonomous system. In particular, my focus is specifically on addressing responsibility gaps created by AI used in healthcare. This complex issue of responsibility gaps becomes more intense in the setting of critical areas of life like healthcare, where moral responsibility is a foundational component of upholding medical ethics. My paper will take a deep dive into exploring the intricacies of this complex problem by applying a pre-existing conceptual …

La Dolce Vita Or The American Way: A Comparative Study Into The Italian And American Healthcare Systems Through An Analysis Of Total Knee Replacements, James (Jim) Mcmurray '26

Honor Scholar Theses

This thesis presents a comparative study of the Italian and the American healthcare systems, using Total Knee Replacements (TKRs) as a standardized metric to evaluate the health policy, financing, and patient outcomes. Despite the United States spending over $10,000 more per capita on healthcare than Italy, American life expectancy is 5 years shorter than Italian life expectancy. Through a mixed-methods analysis of data from the American Joint Replacement Registry (AJRR), the Programma Nazionale Esiti (PNE), the Registri Italiani di ArtoProtesi (RIAP), and the HCUPnet (AHRQ) database, this research identifies multiple disparities throughout the system. Key findings in this thesis include …

Plastics, Microplastics, And The Gut Microbiome: Restoring Scientific Communication To Fight For Public Health, Benjamin Sanders '26

Honor Scholar Theses

Over the course of eight years from 2016 to 2024, a study by Nature Medicine found that the concentration of plastics in the brain increased by 50%. Even samples from patients with a documented dementia diagnosis showed a greater accumulation of microplastics (Nihart, 2025). In one of the most protected regions of our body, microplastics have made themselves known. In one of the most exposed regions of the human body, the story is no different. With the emergence of gut microbiome science and understanding, researchers are just beginning to discover the unique interplay between the microbiota of our gastrointestinal tract …

Analysis Of Stance Position On The Accuracy Of Forehand And Backhand Strokes In Beginner Table Tennis Players, Azzahra Julia Putri Anjani, Mochamad Yamin Saputra, Geraldi Novian

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: This study was motivated by the low accuracy of forehand and backhand strokes among beginner table tennis players, which is due to unstable stance positions and poor balance during ball striking. Objective: This study aims to analyze the relationship between stance position and the accuracy of forehand and backhand strokes among beginner table tennis players. Methods: This study used a descriptive correlational design with 7 beginner table tennis athletes. The research instruments were forehand and backhand accuracy tests using the multiball method and stance position analysis through video recordings, analyzed using the Kinovea application. Data analysis was performed using …

Development And Evaluation Of An Iot-Based Data Analytics System For Optimizing Football Learning In Higher Education, M. Said Zainuddin, Sudirman Sudirman, Ahmad Zakaria

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: While smart technology and big data have advanced, football instruction at Indonesian universities lags. Most local classrooms lack high-tech tools, presenting an opportunity to modernize sports science. Objective: This research aimed to develop an IoT-based system and analytics platform for higher education, equipping students and coaches with data-driven insights for modern football training. Methods: Conducted at Universitas Negeri Makassar over five months (August–December), the study followed a Research and Development approach with six phases: needs analysis, design, development, expert validation, field trials, and effectiveness evaluation. Participants included Physical Education students divided into experimental (IoT system) and control (traditional methods) …

Cardiovascular Adaptation To Whole-Body Vibration Exercise In Obese Young Adults: A Systematic Review, Meta-Analysis, And Exploratory Analysis Of Sex Differences, Rafiu Okuneye, Abdulkareem Taiwo, Fatai Akinola Apalara, Okechukwu Kingsley Oforka, Isaiah Whenayon Ajoseh, Ogar Emmanuel Ekawu

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Obesity is strongly associated with hypertension and autonomic dysfunction. Whole-body vibration exercise (WBVE) has been proposed as a low-impact intervention for improving cardiovascular function in obese adults, but sex-specific responses remain unclear. Objective: This study aimed to evaluate the effects of whole-body vibration exercise on blood pressure, autonomic function, and cardiac output in adults with obesity, and to explore potential sex differences in cardiovascular adaptations. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials and quasi-experimental studies examining the effects of WBV on systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate variability (HRV), and …

Physical Fitness, Body Mass Index, And Physical Activity Among Senior Secondary Students: A Cross-Sectional Study In An Indonesian Islamic Secondary School, Ilona Pratiwi Hutabarat, Acep Rohmat Nurhidayat, Aprizal Fikri, Teguh Andi Prabowo, I Bagus Endrawan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Physical fitness is a fundamental component of adolescent health and contributes to academic performance, mental well-being, and lifelong health outcomes. Following the COVID-19 pandemic and the rise in sedentary behavior, evidence on the fitness profiles of Indonesian senior secondary students—particularly in Islamic secondary schools (Madrasah Aliyah)—remains scarce. Objective: To assess the physical fitness level of Madrasah Aliyah students and to examine its association with body mass index (BMI) and self-reported physical activity. Methods: A cross-sectional survey was conducted among 35 students (18 male, 17 female; aged 15–19 years) at MA Raudlatul Irfan, South Tangerang, using purposive sampling. Physical fitness …

The Influence Of Lower-Body Explosive Power, Speed, And Eye-Foot Coordination On Long Jump Performance: A Path Analysis Study, Alwi Fahruzy Nasution, Imanuddin Siregar

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Long jump performance is influenced by various physical and coordinative components, particularly lower-body explosive power, running speed, and eye-foot coordination. However, limited studies have simultaneously examined the predictive relationships among these variables using a path analysis model among university students in physical education programs. Objective: This study aimed to analyze the direct and indirect predictive relationships among lower-body explosive power, speed, eye-foot coordination, and long jump performance. Methods: This study employed a quantitative, cross-sectional, correlational design with path analysis. The sample consisted of 30 students selected using a total sampling technique. Data were collected using standardized physical performance tests, …

Dietary Patterns And Nutritional Status In Soccer Athletes: A Cross-Sectional Study From An Ergonomic Perspective, Rina Mayangsari, Ravi Masitah

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Normal nutritional status has been established as one of the principal determinants in an athlete's performance. Dietary quality plays a critical role in optimizing athletes' physical fitness and performance outcomes. Objective: To examine the associations between dietary patterns on the MacPersona System and nutritional status of soccer players (energy, protein, et cetera, fat, and carbohydrates). Methods: A cross-sectional quantitative study was conducted involving 21 soccer players (total sampling). Dietary patterns were assessed using a validated Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Nutritional status was measured using Body Mass Index(BMI) based on anthropometric data. The chi-square test was used for statistical …

Development And Validation Of A Basic Skill-Based Swimming Training Model For Beginner Athletes: An Addie Approach, Martinus Martinus, Hilmy Aliriad, Karmila Utari, I Bagus Endrawan, Muhamad Rohadi

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Mastery of basic swimming skills is foundational for the development of beginner athletes, yet structured, validated training models tailored to the Indonesian context remain scarce. Objective: This study aims to develop a basic skill-based swimming training model that is content-valid, practical, and effective in improving swimming technical ability in beginner athletes aged 8-12 years, through systematic, staged development procedures. Methods: The research used the Research and Development (R&D) ADDIE model approach with staged procedures: (1) drafting the initial model based on needs analysis, (2) expert validation by four active swimming coaching validators using the Content Validity Ratio (CVR) instrument …

Global Trends And Research Directions Of Augmented Reality In Sports: A Bibliometric And Scoping Review, Novri Gazali, Ahmad Rahmadani, Romi Cendra, M. Fransazeli Makorohim, Syed Kamaruzaman Syed Ali, Joseph Lobo, Edi Setiawan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Advances in digital technology have accelerated the adoption of augmented reality (AR) in sports, enhancing training quality, performance analysis, and learning experiences. However, comprehensive studies that systematically map global research trends and sport-specific applications remain limited. Objective: This study aims to analyze global trends and applications of augmented reality (AR) in sports using a mixed-method approach combining bibliometric analysis and a scoping review. Methods: Bibliographic data were retrieved from Scopus and Web of Science (WoS) databases, covering the period 2016–2025. Following a PRISMA-ScR-based selection process, a total of 520 articles were included. Bibliometric analysis was conducted using VOSviewer and …

Improving Academic Learning Time Effectiveness Through Lesson Study In Elementary Physical Education, Nora Antika, Meirizal Usra, Wahyu Indra Bayu, Iyakrus Iyakrus, Herri Yusfi, Arizky Ramadhan, Asha Hasnimy Mohd Hashim, Japhet Ndayisenga, José Vicente García-Jiménez

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Academic Learning Time in Physical Education (ALT-PE) is a key indicator of instructional effectiveness, reflecting the time students spend actively engaged in meaningful learning activities. However, PE lessons often involve excessive Management and waiting time, reducing opportunities for active participation. Although Lesson Study (LS) is recognized as a collaborative professional development approach that can improve instructional quality, its impact on ALT-PE remains underexplored. Objective: This study examined the effectiveness of Lesson Study (LS) in improving instructional effectiveness and optimizing ALT-PE among elementary school PE teachers. Methods: A qualitative-dominant mixed-methods action research design was employed involving 10 PE teachers from …

Cardiorespiratory Fitness In Indonesian Adolescents: Limited Role Of Bmi And Dominant Influence Of Age And Sex In A Large Cross-Sectional Study, Anies Setiowati, Sri Sumartiningsih, Nur Ilhaini Sucipto, Fatih Hazar, Philip X. Fuchs

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Cardiorespiratory fitness (CRF) is a crucial indicator of long-term cardiovascular and metabolic health. Whether body mass index (BMI) independently predicts CRF beyond demographic factors in large, real-world adolescent cohorts remains inconsistently defined. Objective: To determine the independent contributions of body mass index (BMI), age, and sex to cardiorespiratory fitness among Indonesian adolescents using a large community-based dataset.. Methods: A cross-sectional study was conducted using community-based fitness screening data from Central Java, Indonesia. A total of 2,730 adolescents aged 10-18 years (mean 13.3 +/- 2.2 years; 49.6% male) were included. The primary outcome was CRF measured by the 1,600-meter run …

Association Between Eating Disorders, Macronutrient Intake Levels, And Muscle Mass Percentage Among University Martial Arts Athletes, Emyr Reisha Isaura, Kinasih Josephine Gusti Wiyarso, Lindsay Ozora Sanyaezra Simanjuntak, Amanda Humaira Febriyanti, Sekar Arum Kinasih, Sri Sumartinigsih

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Combat sport athletes often engage in rapid weight-management practices that may increase the risk of disordered eating and inadequate nutritional intake, potentially affecting muscle mass and athletic performance. However, evidence regarding the relationship between eating disorder risk, macronutrient intake, and muscle mass among university martial arts athletes remains limited. Objective: This study examined the association between eating disorder risk and macronutrient intake with muscle mass among martial arts student club members at Universitas Airlangga. Methods: A cross-sectional study was conducted among 60 university students (≥18 years) selected through stratified random sampling from martial arts student activity clubs. Eating disorder …

The Relationship Between Macronutrient Intake And Cardiometabolic Indicators In College Students Who Regularly Exercise, Yosef Ferdy Yangkara, Akhmad Lutfi, Bagus Kusuma Putra, Siti Baitul Mukarromah, Adi S

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Macronutrient intake plays a crucial role in determining body composition and cardiovascular health. Studies that simultaneously examine macronutrient intake and various cardiometabolic indicators in physically active populations without a clinical history remain limited. Objective: This study aims to analyze the relationship between macronutrient intake and BMI, blood pressure, and heart rate among a gymnastics community at Semarang State University. Methods: The study used a cross-sectional design involving 30 students (12 males and 18 females) aged 18–35 years, selected through purposive sampling. Macronutrient intake data were collected using a 2×24-hour food recall method, while BMI, blood pressure, and heart rate …

Body Composition Profiles And Physical Readiness Among Paragliding Trainees: A Cross-Sectional Study, Nanang Indardi, Anies Setiowati, Fajar Syamsudin, Didik Cahyono, Johnlenon Aliser, Sangheon Park

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Physical readiness is essential for performance and safety in paragliding. Body composition has been recognized as an important factor associated with physical performance; however, evidence regarding its collective influence on physical readiness among paragliding trainees remains limited. Objective: This study aimed to examine the role of body composition as an integrated correlate of physical readiness among paragliding trainees using a multiple regression analysis. Methods: A quantitative cross-sectional study was conducted involving 24 paragliding trainees selected through purposive sampling. Body composition variables, including body mass index (BMI), body fat percentage (PBF), skeletal muscle mass (SMM), and basal metabolic rate (BMR), …

Analysis Of Rule Violations Leading To Disqualification In Youth Swimming Competitions: Evidence From Indonesia, Ika Novitaria Marani, Ari Subarkah, Heni Widyaningsih, Ricky Susiono, Muhammad Syahrul Ramadhan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: The purpose of this study was to determine how disqualifications of competition rules in swimming competitions are committed. Rules must be obeyed when competing, and there are consequences for swimmers who violate them. Objective: To find out how the disqualification of the rules of the competition game in the swimming sport is carried out in the swimming competition. Methods: The research was conducted at the GBK Senayan Swimming Pool, and the study used a descriptive observational design. The population in this study consists of all beginner-level swimmers who take part in the 2025 DKI Jakarta swimming competition in Indonesia. …

Reflective Case Study: The Role Of Repeated Observations In Identifying Sepsis In Older Adults With Indwelling Catheters In The Community, Lia Baldock

South West Clinical School Journal

No abstract provided.

Lgr5: From Stem Cell Marker To Therapeutic Target, Peyton C High, Maya G Cappellino, Tiffani A Blackburn, Kendra S Carmon

Faculty, Staff and Student Publications

Leucine-rich repeat-containing G protein-coupled receptor 5 (LGR5) is an established marker of normal and cancer stemlike cells. LGR5 has been implicated in promoting cancer cell plasticity that drives tumorigenesis, metastasis, and therapeutic resistance. LGR5 rapidly and constitutively internalizes and potentiates Wnt (Wingless/Int-1)/β-catenin and adhesion signaling pathways, though its precise mechanisms and interacting partners remain unresolved. An improved understanding of LGR5 signaling may provide invaluable insight into its intricate and important functions in cancer progression. Moreover, several LGR5-targeting therapies, including peptibody- and antibody-drug conjugates and bispecific antibodies, are showing promising efficacy and tolerability in colorectal cancer and other tumor types. This …

A Qualitative Analysis Of Pediatricians' Perspectives Regarding Barriers, Facilitators, And Strategies For Providing Timely Autism Spectrum Disorder Screening And Diagnosis, Mallika Mathur, Jinni Tang, Christine Markham, Sandra Mckay, Ruosha Li, Deepali Ernest, Allison Marshall, Shreela Sharma

Faculty, Staff and Student Publications

Background: Autism spectrum disorder (ASD) is a developmental disorder that has increased in prevalence over the years. Diagnosis and subsequent intervention by the age of 3 is essential for development. However, recent estimates indicate that less than 50% of children receive an evaluation by age 3. Underserved populations are more likely to receive an evaluation at an older age. Several barriers in the diagnostic process have been identified; however, limited studies have aimed at understanding the specifics of these barriers among underserved populations and whether current strategies are beneficial for all children.

Objectives: The aim of this study was to …

Emergency Care Outside Of The Four Walls Of The Emergency Department, Judd E. Hollander

Department of Emergency Medicine Faculty Papers

No abstract available

The Ki-67 Proliferation Index And Recurrence Risk Of Intracranial Meningioma: A Multicenter, Retrospective Cohort Study Of 5,050 Patients, Christian Mirian, Lasse Rehné Jensen, Tareq A Juratli, Andrea Daniela Maier, Anders Broechner, Sverre H Torp, Helen A Shih, Ramin A Morshed, Jacob S Young, Stephen T Magill, Luca Bertero, Walter Stummer, Dorothee Cäcilia Spille, Benjamin Brokinkel, Soichi Oya, Satoru Miyawaki, Nobuhito Saito, Martin Proescholdt, Yasuhiro Kuroi, Konstantinos Gousias, Matthias Simon, Jennifer Moliterno, Ricardo Prat-Acin, Stéphane Goutagny, Vikram C Prabhu, John T Tsiang, Johannes Wach, Erdem Güresir, Junkoh Yamamoto, Young Zoon Kim, Joo Ho Lee, Daniel W Kim, Matthew Koshy, Karthikeyan Perumal, Mustafa K Baskaya, Donald M Cannon, Dennis C Shrieve, Chang-Ok Suh, Jong Hee Chang, Maria Kamenova, Sven Straumann, Jehuda Soleman, Ilker Y Eyüpoglu, Tony Catalan, Austin Lui, Philip V Theodosopoulos, Michael W Mcdermott, Fang Wang, Pedro Góes, Aria Jamshidi, Ricardo Komotar, Michael Ivan, Evan Luther, Luis Souhami, Marie-Christine Guiot, Tamás Csonka, Toshiki Endo, Olivia Claire Barrett, Randy Jensen, Tejpal Gupta, Akash J Patel, Tiemo J Klisch, Jun Won Kim, Francesco Maiuri, Valeria Barresi, María Dolores Tabernero, Simon Skyrman, Ian Law, David Scheie, Bjarne Winther Kristensen, Tina Nørgaard Munch, Torstein Meling, Kåre Fugleholm, Paul Blanche, Tiit Mathiesen

Faculty, Staff and Students Publications

Purpose: The Ki-67 proliferation index (Ki-67 PI) has been associated with meningioma recurrence, yet its clinical utility remains debated. Whether Ki-67 PI provides prognostic information across subgroups defined by both WHO grade and extent of resection remains to be investigated.

Methods: We analyzed 5,050 patients with intracranial meningiomas from the international PERNS cohort (42 centers, diagnosed between 1989-2019) who underwent surgical resection without postoperative radiotherapy. Ki-67 PI prognostic accuracy was assessed up to 10 years postoperatively by using ROC analyses and estimating its association with the risk of recurrence.

Results: Results demonstrated that the prognostic value of Ki-67 PI differed …

Mitochondrial Presequences Harbor Variable Strengths To Maintain Organellar Function, Youmian Yan, Baigalmaa Erdenepurev, Thiago N Menezes, Ian Collinson, Natalie M Niemi

2020-Current year OA Pubs

Hundreds of mitochondrial proteins rely on N-terminal presequences for organellar targeting and import. While generally described as positively charged amphiphilic helices, presequences lack a consensus motif and thus likely promote protein import into mitochondria with variable efficiencies. Indeed, the concept of presequence strength underlies biological models such as stress sensing, yet a quantitative analysis of what dictates strong versus weak presequences is lacking. Furthermore, the extent to which presequence strength affects mitochondrial function and cellular fitness remains unclear. Here, we capitalize on the MitoLuc protein import assay to define multiple aspects of presequence strength. We find that select presequences, including …

Snip Or Skip? Consumer Attitudes And Marketing Message Development For Spay/Neuter Efforts, Rebecca Burcham

Atlantic Marketing Association Proceedings

No abstract provided.

Healthcare Facility Distribution And Utilization Of Tertiary Services: The Case Of Korea, Thomas L. Powers, Seongwon Choi

Atlantic Marketing Association Proceedings

No abstract provided.

Epidemiological Survey Of Abortion In Camels (Camelus Dromedarius) And Histopathological Investigation Of Toxoplasmosis And Neosporosis In Those Animals From Slaughterhouses In Southeastern Algeria, Amira Djeddou-Benabid, Hind Houssou, Omar Bennoune, Ferhat Nouicer, Amel Djaout

The Thai Journal of Veterinary Medicine

Toxoplasma gondii and Neospora caninum are heteroxenous apicomplexan parasites recognized as major causes of reproductive disorders in numerous mammalian species. The present study aimed to assess through an epidemiological survey, the prevalence of reproductive losses in 75 dromedary herds during the period 2022-2025, as well as the associated risk factors, and to detect these protozoa by histopathological analysis in 63 dromedaries slaughtered at the slaughterhouse of El Oued province (126 samples: 63 hearts and 63 diaphragms). The survey revealed that 80% of the herds had a history of abortions, of which 60% also reported cases of stillbirth. Risk factor analysis …

A Regional Scoping Review Of School-Based Nutrition Interventions Conducted Across Nordic Countries, Basil H. Aboul-Enein, Stephen Gambescia, Nada Benajiba, Norah Eid Aljohani, Teresa Keller, Patricia J. Kelly

College of Nursing Faculty Papers & Presentations

BACKGROUND AND AIMS: While Nordic countries have a relatively high socioeconomic status population, they are challenged by the health deficit of rising obesity and overweight among young people. The aim of this regional scoping review is to identify best practices for designing and implementing effective school nutrition programs in Nordic countries and identify gaps for further research.

METHODS: Using the PRISMA-ScR guidelines, a scoping review was conducted across nine academic databases between 1980 and May 2025.

RESULTS: Fifty-three studies met the inclusion criteria, from small pilot interventions to large national or international cohorts involving thousands of students across the five …

The Effect Of The Mind Diet On Cognitive Decline In Als Patients With Frontotemporal Dementia, Riya Thomas, Reba Thomas, Eliana Gitelman

Department of Nutrition Student Projects

Amyotrophic lateral sclerosis (ALS) is a progressive disease that affects nerve cells in the brain and the spinal cord, leading to a broad range of neurological issues. Individuals with ALS experience progressive muscle weakness, dysphagia, slurred speech, and impaired movement and cognition. In addition to physical symptoms, around 15-20% of individuals with ALS also develop frontotemporal dementia (FTD). There are limited interventions to slow cognitive decline in this specific population. The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet has been associated with slower cognitive decline and reduced risk in neurodegenerative disease among older adults; however, its effects have not been …

Study Of The Changes In Vestibular Bone Plate Absorption Values After Implant Placement Under Immediate Loading For A Period Of 5 Months Using Cbct: An In Vivo Study, Hassen Merzouk, Samir Habibi, Ben Ali Boutabout

International Arab Journal of Dentistry

Introduction: The study focuses on the success and durability of dental implants, which depends heavily on the bone surrounding them. Changes in this bone affect how the implant looks and functions. The researchers aimed to use CBCT, a modern three-dimensional imaging tool, to accurately measure changes in the thickness of the bone plate on the cheek side (vestibular bone plate) around implants placed in the lower jaw (mandible). Specifically, they looked at bone changes five months after placing implants that were immediately loaded (meaning they were used for chewing right away) in 15 patients who had missing molars or premolars. …