Digital Commons Network^™

From Theory To Practice: Simulating Zero Trust Architecture With Python For Cybersecurity, Pankaj R. Chandre, Bhagyashree D. Shendkar, Sulochana Sagar Madachane, Nikita Kulkarni, Sayalee Deshmukh

ASEAN Journal on Science and Technology for Development

The increasing complexity and frequency of cyber threats have necessitated the adoption of advanced security models, such as Zero Trust Architecture (ZTA). ZTA runs on the tenet that no entity whether inside or outside the network should be trusted by default, in contrast to conventional perimeter-based security solutions. This paper describes a thorough method for simulating and implementing Zero Trust Architecture in Python. We examine the essential elements and procedures of ZTA, such as identity verification, access control, and continuous monitoring, through a thorough analysis and step-by-step manual. The simulation shows how ZTA works to ensure strong network security and …

Kadysnet: A Novel Approach To Dyslexia Prediction In Children: Combining Handwritten Text Recognition With A Hybrid Cnn-Bilstm-Ctc Model And Personalized Learning Strategies, Shailesh Prabhakar Patil, Ravindra Sadashivrao Apare, Ravindra Honaji Borhade, Parikshit Narendra Mahalle

ASEAN Journal on Science and Technology for Development

This study introduces a novel approach for early dyslexia detection in children through automated handwriting analysis, integrating a hybrid CNN-BiLSTM-CTC architecture with personalized learning strategies. Our method combines a custom CNN-BiLSTM-CTC model with tailored educational interventions to support dyslexic learners. We analyzed children's handwritten text images in English, collected from specially designed tests involving word rewriting, sentence reconstruction, and paragraph composition, particularly challenging tasks for dyslexic individuals. Notably, our CNN-BiLSTM-CTC model achieved the best result with an accuracy of 97.67%, outperforming other architectures. Compared to pre-trained models like EfficientNetB7, DenseNet121, and MobileNetV2, our custom CNN-BiLSTM-CTC model demonstrated superior performance. Key …

Research On Data Organization Methods And Key Technologies For Product-Oriented Smart Steel Bar Processing Systems, Peijun Zhang, Lianxia Ma, Chunlei Zhang, Xinwu Zan

ASEAN Journal on Science and Technology for Development

This paper addresses the issues in the data organization logic of existing intelligent steel bar processing systems, which are centered on construction projects. It investigates product-oriented data organization methods and the key technologies of logical correspondence between steel bar product identification codes and physical entities. The paper analyzes the product-oriented data organization logic and presents the corresponding data organization architecture. It also examines the feature extraction of steel bar product information classification and coding, as well as the dynamic completeness of the coding rule system. The paper provides a construction method for steel bar product identification codes and designs partial …

Editorial: A Decade Of Apasti – Advancing Regional Prosperity Through Science, Technology And Innovation, Basilios Tsikouras

ASEAN Journal on Science and Technology for Development

A decade after its establishment, APASTI has emerged as a key regional mechanism for promoting science, technology and innovation as drivers of sustainable development, resilience, and shared prosperity in Southeast Asia. This editorial highlights the contributions of APASTI to policy alignment, knowledge exchange, research visibility, and collaborative network-building across ASEAN, while also acknowledging ongoing constraints related to governance, capacity, funding disparities, and uneven regional integration. It introduces a special issue of 14 papers published in AJSTD that collectively evaluate the implementation and impact of APASTI across diverse sectors, including geohazards, energy, materials, health, infrastructure, transport, and information systems. By positioning …

Performance Evaluation And Economic Analysis Of Lithium Iron Phosphate (Lfp) And Nickel Manganese Cobalt (Nmc) Batteries In Electric Vehicles In Indonesia, Yasa Sanusi, Fatwa Tresna Radityan, Farrah Anis Fazliatul Adnan, Jong Soo Rhee, Dianta Ginting

ASEAN Journal on Science and Technology for Development

The transfer to electric vehicles (EVs) in more and more countries is a response to the increasing problems of climate change and air pollution. Electric cars solve this issue as they have zero emissions. EVs can significantly reduce carbon and air pollution, depending on the charging energy mix. In Indonesia, lithium ferro phosphate and nickel manganese cobalt are among the two most preferred types of batteries for EVs, and both have their advantages. This study evaluates the performance of these batteries in terms of power, range, charging speed, and thermal properties, using a range of battery capacities from 26.7 kWh …

To Explore Potential Targets And Their Natural Inhibitors To Combat Diabetes, Rishita Dey, Sisir Nandi, Asmita Samadder

Trends in advanced sciences and technology

Diabetes is a chronic metabolic disorder that affects millions of people around the globe. Prolonged hyperglycemia, abnormal metabolism of fats and carbohydrates, oxidative damage, and a high incidence of microvascular diseases are the common hallmarks of diabetes and its complications. This condition has been shown to hasten the onset of several other disorders, including peripheral neuropathy, nephropathy, and cardiomyopathy, pulmonary arterial disease, and coronary artery disease, thereby necessitating exploration of different avenues of medicinal regimen to address / delineate the complications. The subject matter for this review has been gathered from a range of research publications, review papers, and book …

The Impact Of Hip Fracture Multimodal Pain Management On Mobilization And Length Of Stay For Hospitalized Older Adults, Donna Mangruen

Doctor of Nursing Practice (DNP)

Over 95% of hip fractures are related to falling, which equates to approximately 300,000 hip fractures annually in the United States. Poorly managed pain and immobility are risk factors predisposing patients to prolonged hospitalization, permanent disability, and mortality. At an academic medical center, low adherence to the use of a multimodal pain management order set contributes to the sequelae of unfavorable outcomes. Through stakeholder education, this quality improvement project sought to improve adherence to an MPM order set to promote effective pain management, early mobilization, and decreased length of stay. On a surgical unit, surgeons (n=6; 100%) and nurses (n=46; …

Implementation Of A Nurse-Led Service To Improve Venous Ulcer Healing Time And Access, Amaka Akinade

Doctor of Nursing Practice (DNP)

Venous leg ulcerations (VLUs) commonly affect older adults, rural residents, and those with multiple health conditions, leading to high healthcare costs and significant physical and social challenges. The gap between demand for VLU management and available advanced practice providers (APPs) extends healing time and delays access to specialized care, increasing the risk of complications and patient dissatisfaction. This quality improvement project was designed to understand the effect of implementing a nurse-led service using the TIME tool and the Wound, Ostomy, Continence Nurses Association (WOCN) guidelines in VLUs healing time and time to access care over twelve weeks as compared to …

How Sweet It Is : Implementation Of A Web-Based Application To Assist With Adherence To Diabetes Treatment And Improve Glycemic Control, Jennifer Rohrborn

Doctor of Nursing Practice (DNP)

This was a new program implementation that used evidence-based guidelines to implement the use of mHealth technology via text messages to improve patient adherence to treatment plans and ultimately improve glycemic control. Patients were selected from within an established Internal Medicine practice based on a diagnosis of diabetes and HbA1c greater than 7.5%. Participation in the study was voluntary. Using the self-care of diabetes inventory, self-care was also measured. Baseline HbA1c, BMI, and SCODI scores were collected. Patient education was provided following the American Diabetes Association’s recommendation for patient education. The patients downloaded and utilized the application one drop, and …

Evaluation Of A Remote Blood Pressure Monitoring Program, Angela V. Murphy

Doctor of Nursing Practice (DNP)

Hypertension is a global health problem that impacts millions of people each year and contributes to cardiovascular disease, stroke, chronic kidney disease, and other conditions. Reducing and maintaining control of hypertension leads to better health outcomes. Patient self-measured blood pressure monitoring, along with co-interventions from the healthcare team, is an evidence-based strategy used to reduce and control hypertension. Through advanced technology, remote blood pressure monitoring programs that allow patients to transmit measurements through the internet to physicians’ offices for review and management of hypertension are more readily available. The synthesis of evidence in this document includes the effectiveness of remote …

Integrating A Prediabetes Risk Screening Test In Primary Care: Impact On Referrals To Diabetes Prevention Programs, Jackie Warner

Doctor of Nursing Practice (DNP)

The prevalence of diabetes in the United States for those aged 18 or older climbed considerably from 2001 to the present. Diabetes affects 37.3 million citizens in the United States and 13% of global citizens. Of the 37.3 million individuals affected, 28.7 million have a diagnosis of diabetes, while close to nine million individuals are unaware of a diabetes diagnosis. Prediabetes, characterized by elevated glucose levels not yet classified as diabetes, is a vital warning sign for the progression of type 2 diabetes. Close to 100 million individuals in the United States have prediabetes. However, early screening and detection of …

Establishing Early Postpartum Visits To Identify Hypertensive Complications In Patients With Hypertensive Disorders Of Pregnancy And Postpartum Hypertension, Sonia M. Tavaska

Doctor of Nursing Practice (DNP)

In the postpartum period, hypertensive disorders of pregnancy and postpartum hypertension are the chief causes of maternal morbidity and mortality. The American College of Obstetricians and Gynecologists recommends patients diagnosed with hypertensive disorder of pregnancy and postpartum hypertension have a follow-up visit within 72 hours after discharge, and all postpartum patients have a follow-up visit within 3 weeks after discharge. Acknowledging that recommendation, the Society for Maternal and Fetal Medicine also endorses those patients with hypertensive disorders either before, during, or after pregnancy to be seen earlier than the scheduled six-week postpartum visit. This project focused on a change in …

In Search Of A Sea-Life Balance In An Adverse Environment : Understanding Seafarers' Life, Work And Turnover, Bikram Singh Bhatia, Raphael Baumler, Maria Carrera-Arce

Reports

The Officers’ Union of International Seamen (OUIS) commissioned the World Maritime University (WMU) to conduct the Work & Health Balance at Sea (WHEAB) project to examine some dimensions of seafarers’ working lives.

Building on exploratory interviews, a survey was designed and administered. The current report presents findings on work patterns (onboard and home periods), working hours, work-related stress, safety management system, shore leave, mental well-being, and career intention.

The survey gathered responses from 4,372 seafarers, mainly from India (n=1,098; 25.1%), the Philippines (n=690; 15.8%), the United States (U.S.) (n=501; 11.5%), and other worldwide regions (n=2,083; 47.6%). The overrepresentation of U.S. …

Hemiplegic Shoulder Pain: A Narrative Review, Yeh-Kai Liao, Chueh-Hung Wu, Levent Özçakar

Rehabilitation Practice and Science

Hemiplegic shoulder pain is a common post-stroke complication that negatively affects functional recovery. It is caused by both mechanical and neurological factors. Prevention focuses on proper positioning, patient education, and maintenance of motion. Treatment remains largely conservative; with increasing research surrounding injection therapies, including intra-articular corticosteroid injection, subacromial hyaluronic acid injection, suprascapular nerve blocks, and botulinum toxin injection, all of which have demonstrated improved pain control. Functional electrical stimulation appears to be beneficial, and adjunct therapies such as supportive devices and robotic training may further enhance conventional treatment. Herewith, evidence regarding medications and acupuncture remains limited. Emerging treatments including high-intensity …

Principles And Practices Of Selecting Screening Tools For Oropharyngeal Dysphagia: A Narrative Review, Yu-Hsuan Lai, Tyng-Guey Wang, Nai-Hsin Meng

Rehabilitation Practice and Science

Oropharyngeal dysphagia is a potentially life-threatening condition, particularly affecting individuals with neurological diseases, head and neck cancers, and age-related issues. Its prevalence in the general population ranges from 2.3% to 16%, with much higher rates among patients with stroke, Parkinson’s disease, and traumatic brain injury. Dysphagia is prevalent in geriatric and long-term care settings, where over 50% of elderly residents may experience swallowing difficulties. Given its high prevalence and serious consequences, early detection through dysphagia screening in at-risk populations is essential. Since the 1990s, numerous screening tools for dysphagia have been developed, with over 160 non-instrumental tools identified in review …

Relational Discipleship In Ministry With Youth: Mapping The Past, Confronting The Gaps, Shaping The Future, Rogelio Paquini

Faculty Publications

No abstract provided.

Ethical, Legal, And Social Issues In Metaverse-Enabled Healthcare, Kristin M Kostick-Quenet, Vasiliki Rahimzadeh

Center for Medical Ethics and Health Policy Staff Publications

Metaverse is heralded by some as the next iteration of the internet. It offers three-dimensional, immersive virtual spaces, where users, represented as avatars, can synchronously work, play, interact, and transact. Initially developed within the realm of massive multiplayer online role-playing games, the metaverse now extends into sectors such as music, entertainment, retail, real estate, and, more recently, healthcare. Users engage in the metaverse using augmented reality or virtual reality (AR/VR) headsets that interoperate with other sensory devices to integrate biofeedback and multimodal data streams.1 In this article, the authors offer a conceptual synthesis and anticipatory policy analysis grounded in …

Physical Activity As A Resistance Or Resilience Mechanism In Down Syndrome Alzheimer's Disease, Victoria L Fleming, Beau M Ances, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Adults with Down syndrome (DS) are at risk for Alzheimer's disease (AD). Lifestyle factors such as engagement in moderate-to-vigorous physical activity (MVPA) reduce risk or delay the onset of AD. This study aimed to determine whether MVPA confers a

METHODS: Analyses included 69 adults with DS (aged 26-58) who participated in a longitudinal study across 3.29 years. An actigraphy accelerometer assessed MVPA across 7 days. Directly administered and informant-reported measures assessed cognitive functioning, specifically memory and dementia symptoms. Neuroimaging biomarkers quantified amyloid beta (Aβ) burden, as assessed via positron emission tomography imaging.

RESULTS: In regression models, baseline MVPA was …

A Landscape Analysis Of Psychedelic Retreat Organizations Advertising Online, Logan Neitzke-Spruill, Caroline S Beit, Jill Oliver Robinson, Nikita Singh, Srijith Kambala, Rishi Ramesh, Amy L Mcguire

Center for Medical Ethics and Health Policy Staff Publications

Research into psychedelics' clinical potential has corresponded to a growth in public interest and adult use. One common pathway to accessing psychedelics is through psychedelic retreats. While individual retreats have been characterized in the anthropological literature, no systematic evaluation of the psychedelic retreat industry exists. Assessing the characteristics of the psychedelic retreat industry is critical to understanding the associated ethical, legal, and social implications and ensuring consumer safety. To this end, we conducted a landscape analysis of online, publicly available information to capture and characterize a broad range of organizations offering psychedelic retreats and marketing to English-speaking consumers. From July …

Drosophila Models Uncover Substrate Channeling Effects On Phospholipids And Sphingolipids In Peroxisomal Biogenesis Disorders, Michael F Wangler, Yu-Hsin Chao, Mary Roth, Ruth Welti, James A Mcnew

Duncan NRI Faculty and Staff Publications

Peroxisomal Biogenesis Disorders Zellweger Spectrum (PBD-ZSD) disorders are a group of autosomal recessive defects in peroxisome formation that produce a multi-systemic disease presenting at birth or in childhood. Well documented clinical biomarkers such as elevated very long chain fatty acids (VLCFA) are key biochemical diagnostic findings in these conditions. Additional, secondary biochemical alterations such as elevated very long chain lysophosphatidylcholines are allowing newborn screening for peroxisomal disease. In addition, a more widespread impact on metabolism and lipids is increasingly being documented by metabolomic and lipidomic studies. Here we utilize Drosophila models of pex2 and pex16 as well as human plasma …

Recurrent Carotid Paragangliomas In A Syndromic Patient With A Heterozygous Missense Variant In Dna Methyltransferase 3 Alpha, Ryan J German, Blake Vuocolo, Liesbeth Vossaert, Lisa Saba, Robin Fletcher, Matthew L Tedder, Bekim Sadikovic, Jennifer Kerkhof, Michael Wangler, Carlos A Bacino

Duncan NRI Faculty and Staff Publications

We report a 40-year-old African American female with a novel variant in exon 8 of DNA methyltransferase 3 alpha (DNMT3A), (NM_022552.4: c.905G>C, p.G302A) who presented with a history of recurrent carotid paragangliomas, mediastinal mass, intellectual disability, dysarthria, cholelithiasis, diabetes mellitus, hypertension, and dysmorphic features. We interpret this novel variant as likely pathogenic and causative for the patient's syndromic features of Heyn-Sproul-Jackson syndrome. Heyn-Sproul-Jackson syndrome is a condition caused by gain-of-function genetic changes in DNMT3A. Paragangliomas have also been observed in non-syndromic patients with genetic alterations in DNMT3A. We describe a patient with clinical features of Heyn-Sproul-Jackson syndrome such as …

Challenges Of The Opposition In Cameroon Multipartism, Chick Edmond, Nkenglefack Dessailly Forku

Political Science & Geography Faculty Publications

The main goal of this study was to explore the challenges faced by Cameroon opposition political parties and how these challenges affect presidential electoral outcomes since 1990. We employed both qualitative and quantitative methods to collect data for the study. The research design was the case study design, and the sampling technique was nonprobability sampling (precisely purposeful sampling). We employed the constructivist research philosophy to show that reality resides in the different views of people. Consequently, it finds out that the opposition in Cameroon lacks credibility and vision to achieve victory in presidential elections. They also face challenges of suppression, …

Sociodemographic Factors Predict Outcomes And Reveal Spatial Tumor Patterns In Glioblastoma, Patrick H Luckett, Michael Olufawo, Noah Naddaff-Slocum, Ki Yun Park, Bidhan Lamichhane, Donna Dierker, Gabriel Trevino Verastegui, John J Lee, Peter Yang, Albert Kim, Omar H Butt, Milan G Chheda, Abraham Z Snyder, Joshua S Shimony, Eric C Leuthardt

2020-Current year OA Pubs

BACKGROUND: Glioblastoma (GBM) is the deadliest malignant glioma of the central nervous system. Postsurgical functional impairment correlates with survival and is estimated using metrics such as extent and location of resection. This study uses machine learning to evaluate the predictive ability of baseline sociodemographic and lifestyle factors for forecasting postoperative functional outcomes in GBM patients.

METHODS: Glioblastoma patients (

RESULTS: Utilizing decision trees with age, SVI/SES, sex, tobacco use, alcohol use, obesity, and race as predictors, we achieved 88% accuracy in classifying median KPS and 85% accuracy in classifying KPS slope. Socioeconomic factors were the strongest predictors. Age, sex, and …

Liquid Biopsy For Spinal Tumors: On The Frontiers Of Clinical Application, Sze Kiat Tan, Matthew L Goodwin, Et Al.

2020-Current year OA Pubs

STUDY DESIGN: Narrative review.

OBJECTIVES: This article aims to provide a narrative review of the current state of research for liquid biopsy in spinal tumors and to discuss the potential application of liquid biopsy in the clinical management of patients with spinal tumors.

METHODS: A comprehensive review of the literature was performed using PubMed, Google Scholar, Medline, Embase and Cochrane databases, and the review was limited to articles of English language. All the relevant articles which were identified to be related to liquid biomarker study in spinal tumors, were studied in full text.

RESULTS: Liquid biopsy has revolutionized the field …

Prevention And Management Of Posterior Wound Complications Following Oncologic Spine Surgery: Narrative Review Of Available Evidence And Proposed Clinical Decision-Making Algorithm, Owen P Leary, Matthew L Goodwin, Et Al.

2020-Current year OA Pubs

STUDY DESIGN: Narrative Review.

OBJECTIVE: Contextualized by a narrative review of recent literature, we propose a wound complication prevention and management algorithm for spinal oncology patients. We highlight available strategies and motivate future research to identify optimal and individualized wound management for this population.

METHODS: We conducted a search of recent studies (2010-2022) using relevant keywords to identify primary literature in support of current strategies for wound complication prevention and management following spine tumor surgery. When primary literature specific to spine tumor cases was not available, data were extrapolated from studies of other spine surgery populations. Results were compiled into …

Overview Of Molecular Prognostication For Common Solid Tumor Histologies - What The Surgeon Should Know, C Rory Goodwin, Matthew L Goodwin, Et Al.

2020-Current year OA Pubs

STUDY DESIGN: Narrative Literature review.

OBJECTIVE: To provide a general overview of important molecular markers and targeted therapies for the most common neoplasms (lung, breast, prostate and melanoma) that metastasize to the spine and offer guidance on how to best incorporate them in the clinical setting.

METHODS: A narrative review of the literature was performed using PubMed, Google Scholar, Medline databases, as well as the histology-specific National Comprehensive Cancer Network guidelines to identify relevant articles limited to the English language. Relevant articles were reviewed for commonly described molecular mutations or targeted therapeutics, as well as associated clinical outcomes, and surgery-related …

Measuring Stigma In Pediatric Oncology: A Cross-Sectional Analysis Of Three Global Sites, Lara E Counts, Sara M Malone, Et Al.

2020-Current year OA Pubs

PURPOSE: Stigma contributes to fear and shame, resulting in delays in care-seeking behavior among individuals with cancer. As a social construct, stigma is affected by language, religion, culture, and local norms. This study explored pediatric cancer stigma at the time of diagnosis across diverse settings through the adaptation of two stigma measures.

METHODS: This study was conducted with adolescents and caregivers of children with osteosarcoma and retinoblastoma at three centers in Jordan, Guatemala, and Zimbabwe. The Stigma-related Social Problems (SSP) and the eight-item Stigma Scale for Chronic Illness (SSCI-8) measures were translated into Arabic, Spanish, and Shona and contextually adapted …

Enhancing Engagement In Hiv Care Among Adolescents And Young Adults: A Focus On Phone-Based Navigation And Relationship Building To Address Barriers In Hiv Care, Harriet Fridah Adhiambo, Dorothy Imbuka Mangale, Elvin Geng, Et Al.

2020-Current year OA Pubs

Structural, psychological, and clinical barriers to HIV care engagement among adolescents and young adults living with HIV (AYAH) persist globally despite gains in HIV epidemic control. Phone-based peer navigation may provide critical peer support, increase delivery flexibility, and require fewer resources. Prior studies show that phone-based navigation and automated text messaging interventions improve HIV care engagement, adherence, and retention among AYAH. However, little is known about AYAH experiences utilizing electronic phone-based peer navigation and automated text messaging (E-NAV). We assessed the experiences of AYAH receiving phone-based peer navigation to address barriers to HIV care engagement and viral suppression. We purposefully …

Improving Self-Regulated Learning Among Occupational Therapy Students, Pola Ham

Journal of Occupational Therapy Education

Many occupational therapy students, particularly first-generation students, face significant academic and social challenges in higher education that affect their self-regulated learning (SRL). SRL involves goal setting, self-monitoring, strategy implementation, and reflection. The rigorous academic demands, combined with the unique challenges experienced by many first-generation students, exacerbate these difficulties, particularly in developing SRL skills, which are essential for academic and professional success. While first-generation students often lack these skills due to a variety of factors, many occupational therapy students also struggle to develop these skills, regardless of background. This narrative review examines the role of SRL in occupational therapy education and …

Demographic Factors As Predictors Of Academic Performance In First- And Second-Year Occupational Therapy Students, Eileen Du Plooy, Daleen Casteleijn, Denise Franzsen, Gopika Ramkilawon

Journal of Occupational Therapy Education

Significant disparities in academic performance that may be associated with specific demographics can be utilized for supporting diverse student cohorts. Strategies can be developed for students to enhance equity and inclusivity in undergraduate occupational therapy education to ensure student success. This study aimed to determine the predictive demographic factors influencing academic performance among first- and second-year undergraduate occupational therapy students at a university in South Africa. A quantitative, cross-sectional design was utilized, and the sample included 129 first- and second-year students. Data were collected retrospectively from university records and student dashboards. Key demographic and academic variables were analyzed, including personal …