Medicine and Health Sciences Commons^™

Exercise Promotes Health But Is Not A Vital Sign, Jacob Draves, Halil Tekiner, Steven H. Yale, Eileen S. Yale

HCA Healthcare Journal of Medicine

The term “vital sign” has been attached to at least 83 conditions, symptoms, or phenomena in the literature to highlight their role and importance in overall health and well-being. This has created considerable confusion and overlapping terms in the medical literature. The 4 time-honored vital signs include temperature, pulse, blood pressure, and respiration. Two other measurements, blood oxygen saturation, and capnography (end-tidal CO2) are considered the fifth and sixth vital signs, respectively. The authors argue that exercise should be named a vital sign, and several authors have designated it as the fifth vital sign. However, not all symptoms or phenomena, …

The Art Of Movement, Payton Hedderman

Journal of Undergraduate Research at Minnesota State University, Mankato

I wanted to do this project for my Interdisciplinary Studies Capstone to showcase some of my skills and to articulate what I want to do with my degree. I want to go into Medical Illustration, and I want to make science easier for people to learn. To do this I want to take complicated subjects and remake them into simpler terms. For my capstone, I decided to take anatomy of the arm, leg, and abdominal organs and draw them on professional women athletes. I thought that expressing this anatomy in less of a clinical way is one strategy to make …

Art Therapy In Social Work Practice, Laura Gebur

Journal of Undergraduate Research at Minnesota State University, Mankato

Art therapy is an emerging practice among mental health professionals looking for new ways to engage with their clients and encourage nonverbal communication. Creativity is a means of processing memories, improving relationships, and strengthening the mind-body connection across a variety of age groups and practice settings. The efficacy of art therapy has led to its integration into social work practice, benefitting a diverse range of client populations within the field. While a lack of macro-level research studies has prevented the implementation of standardized art therapy techniques in social work, clinical research trials have examined art therapy across several areas of …

Understanding Tobacco Use Among Bangladeshi Men: A Socio-Demographic Analysis Of Risk Factors, Md. Rashedus Salekin Sabbir, Helal Uddin, Md Shazid Hossain Shohan

Indonesian Journal of Public Health Nutrition (IJPHN)

Tobacco consumption remains a major public health concern in Bangladesh, where adult males represent the most affected group. Despite existing bans on public smoking, cultural norms, media influence, and limited awareness continue to sustain high prevalence. The objective of this study was to examine the socio-demographic determinants of tobacco use among Bangladeshi men, focusing on regional variation, education, media exposure, and family influence. A cross-sectional survey was conducted among 275 adult males in Dhaka Division using a structured questionnaire. Data was analyzed through descriptive statistics, chi-square tests, and binary logistic regression to identify significant predictors of tobacco consumption. Findings reveal …

Proportion Of Chronic Energy Deficiency In Relation To Macronutrient Intake And Other Determinants Among Pregnant Women In Selected Community Health Center Service Areas In Bogor 2025, Fathimah Afliansa, Ratu Ayu Dewi Sartika, Diah Mulyawati Utari, Suparno Suparno

Indonesian Journal of Public Health Nutrition (IJPHN)

The prevalence of chronic energy deficiency (CED) among pregnant women in Indonesia remains relatively high, ranging from 11.6% to 57.6%. This study aimed to examine the differences in the proportion of CED based on macronutrient intake and related factors. The study used a quantitative cross-sectional design with secondary data involving 124 pregnant women in selected areas served by community health centers in Bogor City and Regency. Data were analyzed using the chi-square test. CED prevalence was 11.3% in the overall areas, with 10.9% in Bogor City and 11.7% in Bogor Regency. Significant differences in the CED proportion were found based …

Reframing Nutrition Policy For Under-Five Children In Thailand: Beyond The First 1,000 Toward 2,500 Days, Saipin Chotivichien, Waraporn Jitaree, Wareethip Phuengpan, Saiyed M. Hyder

Indonesian Journal of Public Health Nutrition (IJPHN)

Malnutrition continues to threaten child health globally, with Thailand mirroring this trend: in 2022, 12.4% of children under five were stunted, 7.2% wasted, and 10.9% obese. While the country’s First 1,000 Days initiative—targeting pregnancy to age two—yielded early success in reducing undernutrition, emerging gaps among 3–5-year-olds prompted a policy shift toward a broader 2,500-day framework. This approach, launched in 2022, extends care from preconception through age five and integrates multisectoral action involving five key ministries. Anchored in the “Power of Three Pillars”—policy, partnerships, and resources—the initiative strengthens local governance, enhances service delivery, and fosters family and community engagement through sub-district …

The Relationship Between Anemia, Chronic Energy Deficiency, Knowledge, And Other Factors And Anc Attendance Among Pregnant Women In Bogor City And Regency 2025, Winfried Ichtussend Hartnajaya Chrisna, Ratu Ayu Dewi Sartika, Nurul Dina Rahmawati, Daden Setiawan

Indonesian Journal of Public Health Nutrition (IJPHN)

Antenatal Care (ANC) is a comprehensive health service to optimize pregnancy outcomes. In 2023 in Bogor City, the ANC K6 coverage rate has reached the target (98.63%), but this is not the case with the coverage in Bogor Regency (62.25%). ANC visits that do not reach the standard can be influenced by predisposing factors, supporting factors, and health needs factors. The inequality that occurs can hinder efforts to reduce maternal mortality. This study aims to determine the relationship between knowledge and other factors with ANC visits in Bogor City and Regency in 2025. This study is quantitative with a cross-sectional …

Determinants Of Abdominal Obesity In Adults (19 – 44 Years Old) In Riau Islands Province (Analysis Of Ski 2023 Data), Hanifah Mulia Rachman, Triyanti Triyanti, Ratu Ayu Dewi Sartika, Kusharisupeni Djokosujono

Indonesian Journal of Public Health Nutrition (IJPHN)

Abdominal obesity is a condition characterized by excessive fat accumulation in the abdominal region, which can increases the risk of type 2 diabetes mellitus, dyslipidemia, hypertension, and cardiovascular diseases. In 2023, Riau Islands Province recorded the highest prevalence of abdominal obesity in the island of Sumatra, at 42.5%. This study aimed to analyze the determinants of abdominal obesity among adults aged 19–44 years in Riau Islands Province based on gender, using secondary data from the 2023 Indonesia Health Survey (SKI). A total of 3,466 respondents were analyzed using chi-square tests and multiple logistic regression. The results showed that the prevalence …

Perceived Benefits And Side Effect Of High-Fiber, High-Protein Meal Replacements In Weight Loss Programs, Esti Nurwanti, Harry Fl Muhammad, Naufal M. Nurdin

Indonesian Journal of Public Health Nutrition (IJPHN)

Obesity is a major risk factor for chronic diseases and early mortality. Although dietary counseling is essential in managing obesity, maintaining a calorie deficit and preventing weight regain remain difficult. Functional foods like high-protein, high-fiber meal replacements may enhance adherence and support weight loss. This randomized controlled trial evaluated the subjective outcomes of a weight loss program incorporating a protein- and fiber-enriched meal replacement among 73 overweight women aged 20–30 years. Participants were randomized to an intervention group (n=38), receiving dietary counseling plus one daily meal replacement, or a control group (n=35), receiving counseling alone. Both groups followed an 8-week …

Analysis Of Macronutrient Content, Antioxidant Activity, And Organoleptic Quality Of Snack From Jackfruit Seed Flour (Artocarpus Heterophyllus) And Pigeon Pea Flour (Cajanus Cajanus) As A Snack For Patients With Type 2 Diabetes Mellitus, Maya Siwi Tri Nugroho Heni, Tesa Rafkhani

Indonesian Journal of Public Health Nutrition (IJPHN)

Type 2 diabetes mellitus characterized by chronic hyperglycemia and oxidative stress. Snack bars with functional ingredients such as legumes may help regulate blood glucose levels. Jackfruit seeds and pigeon peas are sources of protein, complex carbohydrates, and bioactive compounds. This study aimed to analyze macronutrient content, antioxidant activity, and organoleptic quality of jackfruit seeds and pigeon pea flour snack bars. This study used a completely randomized design (CRD) one factor with two replications. The proportions of jackfruit seeds and pigeon pea flour are: F1 (30%:70%), F2 (40%:60%), F3 (50%:50%). Macronutrient content was analyzed using proximate analysis, antioxidant activity using the …

Impact Of Fasting On Granulocyte Chemotactic Protein-2 Chemokine And Lactate Dehydrogenase Enzyme Activity In The Development Of Dental Caries, Ghada I. Taha

Sultan Qaboos University Medical Journal

Objectives: This study aimed to evaluate the impact of fasting on the innate defence mechanism by measuring the granulocyte chemotactic protein-2 levels and the enzymatic activity of the lactate dehydrogenase enzyme in individuals diagnosed with dental caries. Methods: This longitudinal observational study included male and female college students attended teaching dentistry clinics in Baghdad, Iraq. The study took place between November 2023 and May 2024. Unstimulated saliva samples were collected from all participants and the biomarkers granulocyte chemotactic protein-2 and lactate dehydrogenase were detected by enzyme-linked immunosorbent assay kits. Every subject under study underwent a clinical examination by a dentist. …

The Key To Acquiring The Language Of Law, Science, And Technology In The Esl College Classroom, Patricia George-Hunter

Journal of English Learner Education

Since vocabulary plays a significant role in second language acquisition, expansive vocabulary targets should be set and pursued. This paper explores the results of introducing affixes to develop vocabulary and increase motivation for beginner to intermediate-level English language learners (ELLs) pursuing academic disciplines in law, science, and technology at a New York City community college. Participants included 23 ELLs with diverse linguistic, educational, and sociocultural backgrounds enrolled in an online synchronous Integrative Language Seminar (ILS) designed to develop all areas of English language proficiency. Pre‑, post‑, delayed tests, questionnaires, and post‑intervention interviews were conducted and analyzed to establish the language …

The Role Of Psilocybin In End-Of-Life Care: Evidence, Mechanisms, And Guidelines, Mackenzie E. Unsworth, Mary Lou Galantino, Robert Sandoval

Oncology Rehabilitation in Practice

This article aims to provide a brief overview of the evidence and mechanisms for psilocybin use in EOL care. Additionally, this article will provide guidelines for clinicians to assess patient use and integrate psilocybin into their clinical practice with respect to its current legal status.

Thriving Through Treatment: A Senior Physical Therapist’S Perspective On Mindset In Cancer Care, Christine C. Masterson

Oncology Rehabilitation in Practice

Mindset plays a pivotal role in the cancer care continuum, influencing not only emotional well-being but also treatment adherence and physical recovery. Drawing on clinical experience as a senior physical therapist at Memorial Sloan Kettering Cancer Center, this Perspective explores how a thriving, wellness-oriented mindset can enhance outcomes for individuals facing cancer. Through case examples and evidence-based discussion, the article highlights how personal resilience, social support, and compassionate care foster post-traumatic growth, reduce complications, and improve engagement in rehabilitation. Physical therapists are uniquely positioned to lead this mindset shift, blending technical skill with emotional insight to empower patients. Cultivating a …

Tissue Quality In Early Stages Of Breast Cancer-Related Lymphedema: A Pilot Study, Tyler Almquist, Gabrielle Schroeder, Ian Villegas, David A. Doubblestein

Oncology Rehabilitation in Practice

Introduction: Breast cancer-related lymphedema (BCRL) is a chronic condition associated with breast cancer treatments. Tissue quality assessment, commonly performed using the pitting edema test, can also be quantified with digital tissue tonometry. However, the role of tonometry in early-stage BCRL — classified as Stages 0 and I by the International Society of Lymphology (ISL) — remains unclear.

Purpose: This pilot study aimed to assess the utility of tonometry in early-stage BCRL by evaluating tissue resistance (N), volume (ml), and circumference (cm) in healthy individuals and those with ISL Stage 0 and I lymphedema.

Methods: A convenience sample of females …

Finding A Certified Lymphedema Therapist: Access To Lymphedema Treatment In Minnesota, Emma M. Tsai, Linda Koehler

Oncology Rehabilitation in Practice

Introduction

Lymphedema is a progressive disease that leads to chronic swelling. Lymphedema treatment includes complete decongestive therapy (CDT) provided by a certified lymphedema therapist (CLT). Locating CLTs can be difficult for patients and providers. Our aims were to 1) describe a method for assessing accessibility of lymphedema treatment in a specific region, and 2) apply this method to a specific region (Minnesota) to describe the lymphedema care in that region.

Methods

This cross-sectional study searched therapist directories on websites related to lymphedema and lymphatic diseases (e.g. lymphedema training programs, professional associations) to assess the current distribution of CLTs in Minnesota. …

Dynamic Overhead Body-Weight Support Improves Walking Performance Following Icu Admission For Allogeneic Hematopoietic Stem Cell Transplantation: A Case Study, Hillary M. Jacobson, Carolyn Miller, Renee Mckenzie, Bryan Wittmeyer, Andrew Ray

Oncology Rehabilitation in Practice

Background: Non-Hodgkin lymphoma is a commonly treated with allogeneic hematopoietic stem cell transplant (allo-HSCT), leading to severe weakness and impaired function. Dynamic body weight support systems (DBWS) are a promising rehabilitation tool for enhancing early mobilization in deconditioned patients.

Purpose: Evaluate the integration of DBWS into the rehabilitation plan of a patient recovering from a prolonged ICU stay post-allo HSCT, focusing on mobility and functional recovery.

Case Description: A 55-year-old male, two years post-allo HSCT for cutaneous T-cell lymphoma, was hospitalized for 14 weeks due to respiratory distress from pneumonia and lung GVHD, resulting in severe deconditioning. DBWS was introduced …

Artificial Intelligence And The Future Of Oncology Rehabilitation, Christopher M. Wilson

Oncology Rehabilitation in Practice

While the promise of AI in oncology rehabilitation is remarkable, successful adoption requires balance between enthusiasm and realism. These technologies must be thoughtfully integrated into existing workflows with safeguards for data privacy, accuracy, and clinician oversight. The goal is not to replace clinical judgment or the human connection at the heart of rehabilitation, but to amplify and augment them—restoring time, focus, and compassion to the clinical encounter. With deliberate implementation and continuous evaluation, AI can become a trusted partner in advancing the quality, accessibility, and humanity of oncology rehabilitation practice.

Editorial Board Message, Bryan A. Spinelli

Oncology Rehabilitation in Practice

With the release of this issue, we would like to announce that Oncology Rehabilitation in Practice have adopted a new publication schedule. Oncology Rehabilitation in Practice will continue to publish 2 issues each calendar year with issues now being released in May and November. The rationale for this change was that our previous publication schedule coincided with the release of the October and April issues of Rehabilitation Oncology, an official publication of APTA Oncology that is a peer-reviewed, indexed resource for advancing oncologic physical therapy practice and cancer rehabilitation. We hope this change will limit the challenges that clinicians …

Cover And Front Matter, Volume 2, Issue 2

Oncology Rehabilitation in Practice

No abstract provided.

The History Of Nazi Neuroscience: Tracing Evidence Through Voids, Angela Gushue

Claremont-UC Undergraduate Research Conference on the European Union

During the Holocaust (1933-1945), voids were created by the destruction of ethics, morality, and human life. We can detect this absence because of material traces of the events. My paper applies the theory of relational ontology of absence to a collection of empty jars on display at the Josephinum, a medical history museum in Vienna. The jars once contained human remains of children murdered in the “euthanasia” program at Am Spiegelgrund, a psychiatric clinic in Vienna where 789 were killed during the Nazi era. These victims were not commemorated until the early 2000s, when the specimen jars were emptied and …

Mental Health Awareness For Teachers: A Review Of The Literature, Jerry Burkett

Journal of Educational Leadership in Action

Mental health is a state of wellbeing in which an individual realizes their abilities and can cope with the normal stresses of life (Bohare & Tiwari, 2020). These individuals are productive in their work, life, and communities. These people can manage their mental health challenges which can range from high to low (MHFA, 2020). Research is showing a growing need for expanding mental health support in K-12 schools. Schools are in a unique position to address today’s mental health crisis among members of the education community. (Mcluckie et al., 2014; National Association of School Psychologists, 2015; Ormiston et al., 2021). …

A Bibliometric Analysis Of The 100 Most Cited Papers In Molecular Biology Studies Of Oral Submucous Fibrosis, Sahil Thuse, Abhirami Premarajan, Gargi Sarode, Muhammad Ruslin, Rajesh Shetty, Sachin Sarode

Journal of Dentomaxillofacial Science

Objective: To systematically map the existing research about molecular biology of OSF along with the notable amount of research in the past and the future insights of the same.

Material and Method: The analysis evaluates the research trends in OSF using Scopus as a primary source due to its comprehensive coverage of peer reviewed literature. The search was performed on 25 April 2025. Only original and review articles were selected wherein "molecular biology" and "oral submucous fibrosis" were the Boolean terms applied. Hundred most cited articles were shortlisted. Network visualisation and bibliometric mapping was performed by VOS viewer. Keyword co-occurrence …

Exploring Student Success In A Clinical Neuroscience Course: A Pilot Study On Early Identification And Academic Advising In Physical Therapy Training, Bindu Balakrishnan, James Mathews, Elizabeth Deluca-Berg, Mohan Ganesan

Journal of Innovation in Health Sciences Education

Introduction: This study explored the impact of early identification and student academic advising on performance in the clinical neuroscience course using a mixed-method design. The researchers hypothesized that early identification of students experiencing academic difficulties, followed by comprehensive advising, would improve performance.

Methods: Twenty Doctor of Physical Therapy (DPT) students from the third trimester of the program participated in this mixed-methods study. Early identification was achieved through a quiz in the first week or early second week of the course, with students scoring below 70% offered voluntary enrollment. Nine students were assigned to the control group, while 11 received …

Exploring Health Care Professionals’ Perceptions Of Live Actor Avatar And Ai Avatar Simulated Patient Interactions, Leslie Rippon, Lorene Cobb, Marcia Downer, Alicia Mcgregor, Natalie Neubauer, Lauren Snowdon, Genevieve Zipp

Journal of Innovation in Health Sciences Education

Introduction: The increasing use of simulation in health care and advancing capabilities of virtual technology have increased the use of virtual avatars. Recently, the development of large language models has created an opportunity for virtual reality (VR) simulation through combination of VR and artificial intelligence (AI). This study sought to evaluate the perception of authenticity in prerecorded virtual simulated patient interactions using two different avatar platforms: AI avatar and live actor avatar.

Methods: Participants included 41 health professionals with patient care experience, of which 32 completed the post experience survey. Using a repeated measures mixed methods research design allowed …

Perceptions Of Respect Among Dental Hygiene Students: A Qualitative Study, Jennifer Fehrenbacher

Journal of Innovation in Health Sciences Education

Introduction: Respect for others is an attribute that honors the dignity of individuals. As such, it is a key component in the creation of a positive teacher–student environment that leads to academic success. Because of the subjective nature of the term respect, it is important to determine how specific students perceive it. The purpose of this qualitative study was to explore dental hygiene student perceptions of respect and inquire into their related academic success and care of their own patients. The insights gained from this study could be used to help guide teacher awareness of the needs of students …

Seroprevalence Of Small Ruminant Lentiviruses (Srlvs) And Peste Des Petits Ruminants Virus (Pprv) In Nonvaccinated Sheep And Goats In Sarawak, Malaysia, Bura Thlama Paul, Ali Saidu, Maria Eva Barudi, Faez Firdaus Abdullah Jesse, Juriah Kamaludeen, Suhaili Mustafa, Masnindah Malahubban, Ali Hanafiah Hakim, Krishnan Nair Balakrishnan, Mohd Azmi Mohd Lila

The Thai Journal of Veterinary Medicine

Small ruminant lentiviruses (SRLVs) and Peste des Petits Ruminants virus (PPRV) are economically important viral diseases that threaten small ruminant production globally. While previous studies have reported their serological status in Peninsular Malaysia, there is limited epidemiological information on their occurrence in East Malaysia. This study aimed to determine the seroprevalence and risk factors of SRLVs and PPRV among nonvaccinated sheep and goats from selected smallholder farms in Sarawak. A total of 245 serum samples collected from sheep (n = 117) and goat (n = 128) were screened using commercial ID Screen^® PPR competition (PPRC ver. 0821) and MVV/CAEV …

Arctic Barnabas Ministries: Another Giving Tradition

West Michigan District Dental Society Bulletin

Each Fall, a team of dedicated dental professionals travel from their West Michigan practices to the heart of Alaska to provide much-needed dental care to missionary families who serve in some of the state’s most remote regions. In this interview Dr. Devin Norman discusses the group's mission, the challenges they face, and the stories that have stayed with them.

Better To Give Than To Receive

West Michigan District Dental Society Bulletin

In this article Dr. Sarah Bouwkamp shares her experience joining a University of Michigan dental mission trip to Guatemala, serving patients in need and rediscovering the deeper purpose of dentistry.

Clinical Corner: Pearls From Local Dentists

West Michigan District Dental Society Bulletin

"Clinical Corner" is a section of the WMDDS Bulletin where local dentists share clinical pearls for fellow practitioners.