Digital Commons Network^™

Coping Beyond Cancer: Exploring Fear Of Recurrence In Colorectal Cancer Survivors—A Pilot Investigation, Emily M. Su, Steve Paciorek, Erica L. Laipply, Anuja L. Sarode

HCA Healthcare Journal of Medicine

Background

Evidence is limited on the fear of cancer recurrence (FCR) among colorectal cancer (CRC) survivors in the US, especially regarding patterns and trends of post-recovery coping mechanisms. This pilot mixed-methods study quantified FCR, examined its associations with Brief COPE domains, and contextualized coping through qualitative analysis.

Methods

Twenty-three patients who successfully underwent CRC surgery were included in this pilot study. Fear of cancer recurrence was measured using the FCR Inventory (FCRI) Short Form, and coping strategies were assessed with the Brief Coping Orientation to Problems Experienced (COPE) survey. Descriptive statistics summarized participant characteristics, FCR, and COPE scores. Spearman correlation …

An Acknowledgement To The Hca Healthcare Journal Of Medicine's Reviewers And Editors For The First Half Of 2026, Graig Donini

HCA Healthcare Journal of Medicine

The HCA Healthcare Journal of Medicine would like to thank those behind the scenes who make this publication possible. Our journal would not be possible without the assistance of our peer reviewers, authors, and board members.

Erratum: Presentation Of Cutaneous Large B-Cell Lymphoma, Leg Type

HCA Healthcare Journal of Medicine

This corrects the article “Presentation of Cutaneous Large B-Cell Lymphoma, Leg Type” in volume 6, issue 6 on page 527.

Introduction To Volume 9: Climate And Responsibility, Heather L. Scheuerman, Sylvia J. Whitney Beitzel

International Journal on Responsibility

No abstract provided.

Translating Higher Education Into Vietnamese: An Applied Linguistics Approach To Language Equity And Higher Education Access, Z.W. Taylor, Alan Do, Jase Kugiya, Tuan Le

Journal of Southeast Asian American Education and Advancement

One growing population of non-native English speakers in the U.S. education system are native Vietnamese speakers, yet no studies have examined how higher education communication could be made more accessible for Vietnamese speakers. As a result, this case study reports on human and machine translational linguistics work conducted in partnership with the University of Iowa focused on simplifying and translating English enrollment management information into Vietnamese. Findings suggest that the institution increased the clarity and accessibility of enrollment management information by using second-person pronouns, shorter sentence structures, clearer diction, and explanations of institution-specific jargon. Moreover, analyses of machine and human …

2018 Editor’S Introduction, Lauren M. Bowen

Undercurrents: A Journal of Undergraduate Student Composition

No abstract provided.

Enhancing Ecg Classification Using Systematic Cubic Spline Control Points With Deep Neural Networks, Hussein Qahtan Khalaf, Abeer Tariq Maolood, Nor Shahida Mohd Shah

Engineering and Technology Journal

The healthcare industry has undergone substantial growth over the past few years. Despite the development of medical technology, the diagnosis of cardiac arrhythmia is still a significant challenge for modern diagnostic methods for correct and efficient classification of electrocardiogram (ECG) signals, especially in cases of class imbalance and the complexity of the arrhythmia. This study proposes a novel deep learning model where the class imbalance problem is addressed using the Synthetic Minority Oversampling Technique (SMOTE) and the effect of signal resolution on the classification is investigated using Cubic Spline (CS) interpolation and Lightweight Deep Neural Network (CSLWDNN). Both the MIT-BIH …

Solar-Driven Photocatalytic Ceramic Membrane Reactors For Paracetamol Degradation: Process Optimization, Transport Dynamics, And Preliminary Cyclic Reusability, Adel Zrelli, Asma Abdennebi, Manoj Chandra Garg, Fanghua Li

Engineering and Technology Journal

The use of membrane separation and heterogeneous photocatalysis together appears to be an innovative way to remove long-lasting pollutants such as paracetamol (PCT) from water. To overcome the limited process by understanding hindering the practical deployment of solar-driven photocatalytic membrane reactors (PMRs), this study proposes a process-engineering-centered framework for a low-cost, integrated ceramic PMR. A laboratory-scale system was developed using inexpensive red clay ceramic membranes modified by immobilizing TiO₂ (P25) for paracetamol degradation under natural sunlight and ultraviolet irradiation. Unlike previous studies mainly focused on material development, this work evaluates the coupled effects of TiO₂ loading, membrane inclination, …

Neural Network Modelling Of Magnetic Effects In Solid-State Transformer Performance Under Variable Magnetic Operating Conditions, Godfrey Murairidzi Gotora, Blessed Ziyambe, Emanuel Rashayi

Engineering and Technology Journal

Solid State transformers (SSTs) are pivotal for renewable energy integration and smart grids, yet their performance is critically limited by non-linear magnetic effects such as core losses, flux- density saturation, and magnetising-inductance drift, that conventional analytical methods and prior artificial neural network (ANN) studies have struggled to model simultaneously across the electrical, thermal and magnetic domains. This study develops and evaluates a unified multi-output ANN framework that predicts six SST performance indicators which are efficiency, power density, total harmonic distortion, temperature rise, core loss and magnetising inductance from six operating variables (switching frequency, duty cycle, load current, ambient temperature, input …

Experimental Investigation Of Mechanical Performance Of Glass/Epoxy Hybrid Composites Reinforced With Natural Fibers, Bestwn Omer, Gailan Ismail Hasan

Engineering and Technology Journal

The use of epoxy-based composites has increased significantly due to their wide range of applications across various industries. However, these composites often require enhanced mechanical properties tailored to specific applications through the incorporation of different types of reinforcements. In this study, the effect of natural fibers on the mechanical properties (flexural strength, tensile strength, and impact energy) of composites based on two types of epoxy resins (LR202 and Sikadur®-52 LP) was investigated using the hand lay-up method. Different reinforcement fibers (fiberglass, cotton, and jute) were incorporated at various percentages. The results indicate that, among composites reinforced with a single type …

Ameliorative Effect Of Ethanolic Extract Of Nardostachys Jatamansi Against High Fat Diet Induced Dyslipidemia In Rats, Umanath Preethi, Govindaraj Sumathy, Nathiya Shanmugam

Chulalongkorn Medical Journal

ABSTRACT:

Background and objective: The present study aimed to evaluate the antioxidant and hypolipidemic effects of ethanol extract of Nardostachys Jatamansi (N.J) in a high-fat diet-induced obesity model in male Wistar albino rats.Materials and methods:36 male Wistar albino rats were randomly divided into six groups, each comprising six animals: Group I received a normal diet for 9 weeks, while Group II was fed a high-fat diet (HFD) for the same period. Groups III–VI were also given HFD throughout. From week 5, Group III received rosuvastatin (10 mg/kg), and Groups IV–VI were treated with Nardostachys Jatamansi. extract at 100, 200, and …

Assessing The Reliability Of Machine Learning Models In Classifying Depression Severity Using Facebook Text, Keito Yoneyama

Chulalongkorn Medical Journal

Depression is a growing global issue that requires urgent attention, particularly in Thailand. Without timely intervention, it can lead to serious consequences such as health complications, reduced social participation, and even suicide. Consequently, there has been increased research focused on developing algorithms to identify and classify social media data according to depression severity. This study aimed to evaluate the extent to which such algorithms are a suitable tool for the preliminary classification of Thai Facebook text into different levels of depression severity. The methodology involved data collection through surveys and Facebook scraping, followed by data preprocessing, feature engineering, and model …

The Normative Status Of States' Obligations To Mitigate The Climate Crisis: Implications For The Right To Adequate Housing, Erna Dyah Kusumawati, Sasmini Sasmini

Padjadjaran Jurnal Ilmu Hukum (Journal of Law)

The convergence of the global climate crisis, pursuant to the UNFCCC Paris Agreement and its implementing protocols as well as the fundamental right to housing has fundamentally disrupted established legal paradigms, necessitating a rigorous re-examination of the normative status of state obligations. This paper examines the scope of governmental responsibility to mitigate climate-induced threats to housing security. Drawing upon international human rights frameworks and contemporary legal discourse, the study interrogates the complex friction emerging at the intersection of environmental mandates and housing protections. Through a systematic analysis of the existing literature and recent developments in the international climate change framework, …

Territorial Representation In Fiscal Governance: A Comparative Constitutional Analysis Of Indonesia's Regional Representative Council And South Africa's National Council Of Provinces, Endah Yuniningsih, Deden Rafi Syafiq Rabbani

Padjadjaran Jurnal Ilmu Hukum (Journal of Law)

This article examines the institutional role of territorial chambers in fiscal governance through a comparative constitutional analysis of Indonesia's Regional Representative Council (DPD) and South Africa's National Council of Provinces (NCOP). While the DPD was established to strengthen regional representation following Indonesia's decentralization reforms, its legislative role in fiscal policymaking remains institutionally constrained. Existing scholarship has primarily focused on the DPD's constitutional status in debates on bicameralism, with comparatively little attention to how constitutional design shapes the role of territorial chambers in fiscal governance and intergovernmental fiscal relations. Using a normative legal research method that combines statutory, conceptual, and comparative …

Geoengineering And Criminal Liability Comparative Lessons For Penal Reform, Zico Junius Fernando, Deviana Yuanitasari, Chairul Huda, Muhammad Yamani, Arimbi Fajari Furqon

Padjadjaran Jurnal Ilmu Hukum (Journal of Law)

Geoengineering has emerged as a controversial climate technology involving large-scale interventions such as cloud seeding, weather modification, and unregulated carbon capture. While these practices are promoted as solutions to climate change, they also generate significant ecological risks that remain largely unaddressed within criminal law frameworks. This article examines the absence of explicit criminal liability for geoengineering-related harms and explores how comparative legal experiences can inform future penal reform. This research uses normative research methods with several approaches, including comparative, conceptual, and futuristic approaches. The collected legal materials are analysed qualitatively, and content analysis is employed to classify and interpret relevant …

The Expansive Power Of The House Of Representatives As A Precondition For Constitutional Rot, Isnawati Isnawati, Adam Setiawan

Padjadjaran Jurnal Ilmu Hukum (Journal of Law)

This study examines how the expansive powers of the Indonesian House of Representatives have contributed to constitutional rot because those powers no longer operate effectively or proportionately. It identifies dysfunction in the House of Representatives through weak legislative performance, inadequate oversight of the executive branch, and transactional political practices in appointment processes. Using a doctrinal legal method and contemporary constitutional theory as its analytical framework, this study argues that the expansive powers of the House of Representatives constitute a precondition for constitutional rot, evidenced by the poor exercise of legislative authority and institutional intervention through amendments to the Rules of …

Reconstructing Legal Certainty In Legacy Oil Well Management: A Systemic Model For Resource Governance, Azhar Azhar, Bagaskara Sagita Wijaya, Siti Darwinda Mohamed Pero, Cynthia Azhara Putri

Padjadjaran Jurnal Ilmu Hukum (Journal of Law)

Legacy oil wells present persistent legal and institutional challenges in resource-dependent regions, where ageing infrastructure, informal extraction, environmental risk, and fragmented public authority intersect. This article examines how legal certainty is weakened in the management of legacy oil wells and how it may be reconstructed through a systemic model for resource governance. Using interdisciplinary socio-legal research, the study combines doctrinal legal analysis of Indonesia's oil and gas regulatory framework with qualitative field insights from Musi Banyuasin, a subnational setting in which formally recognised legacy wells coexist with community-operated wells. The analysis shows that legal uncertainty does not arise merely from …

Bank Indonesia's Floating Rate Notes (Bi-Frn) And Federal Reserve Instruments: A Comparative Analysis From An Institutional-Legal Perspective, Abdul Madjid Podungge

Padjadjaran Jurnal Ilmu Hukum (Journal of Law)

This paper analyses the legal validity of Bank Indonesia's Floating Rate Notes (BI-FRN) following the Law Number 4 of 2023 on the Development and Strengthening of the Financial Sector (P2SK Law) from a public law viewpoint. Doctrinal legal research utilises statutory, conceptual, and comparative methodologies, augmented by literature network visualisation, to pinpoint structural deficiencies. The network analysis reveals a significant divide between technical financial transactions and administrative legal oversight. The findings indicate that Article 11 of the P2SK Law enforces a stringent priority clause that centres monetary policy solely on Rupiah stability. This legal barrier prohibits abuse of power by …

How U.S. Legal Stagnation Can Be Aided By Decolonization, Marquel Gardner

McNair Summer Research Program

Decolonization is a term often used to present a simple shift from colonial thinking, heavily maintaining the establishment of colonial systems today. However, this usage oversimplifies and overshadows the word’s key purpose. Common proclamations of the term forgo the fundamental indigenous essence behind the word. Doing so, we not only strip the word of its inherent power, but obstruct further possibilities for actual decolonization to appear in our world. Many argue that the U.S. legal system, a product of colonial factors, has reached an alarming state. Our current legal, political atmosphere gears not towards justice or morality, but fascism and …

Tracking Toward Zero: Implementing A Picc Team Tracker To Prevent Clabsis, Christian Justin Carreon

Master's Projects and Capstones

Problem: Central line-associated bloodstream infections (CLABSIs) remain a significant and preventable patient safety concern in acute care settings, contributing to increased morbidity, mortality, prolonged hospitalization, and substantial healthcare costs.

Context: At Hospital A, a tertiary referral center in Northern California, six adult CLABSIs were identified between June and December 2025 following an eight-month CLABSI-free period. Four events occurred in adult medical surgical telemetry. All peripherally inserted central catheter (PICC) line CLABSIs were attributed to gaps in maintenance bundle adherence and the lack of a standardized, real-time tracking mechanism for the PICC Team.

Interventions: A PICC Team Tracker was implemented as …

Using Clustering Techniques And Mitre Att&Ck Threat Interpretation To Detect Anomalies In Modbus/Tcp For Industrial Control Systems, Shivanjali Khare, Tirthankar Ghosh, Jhansi Sreya Jagarapu, Atharva Haridas Sagare

Journal of Cybersecurity Education, Research and Practice

Recent attacks on America's critical infrastructure have drawn increased attention on securing industrial control systems and operational technology in power plants, utility companies, and other sectors providing public services. Attack detection and mitigation strategies on these systems have shown promising results using machine learning and other statistical baselining techniques, mostly using supervised learning and classification. Unsupervised learning using cluster analysis and other techniques remain mostly unexplored. In this paper, we propose multi-layered feature extraction and hybrid clustering framework to detect fine-grained nested attack patterns in Modbus-over-TCP traffic. Operating under the assumption of known number of distinct network categories, our approach …

Between Digital Transformation And Regulatory Vacuum: Cybersecurity Of Public Services In Mozambique, Faztudo Languisse Eng.

Journal of Cybersecurity Education, Research and Practice

The rapid expansion of digital public services in Mozambique—including e-government platforms, digital health systems, and electronic tax administration—has outpaced the development of a coherent legal framework for cybersecurity. While Law No. 3/2017 (Electronic Transactions Law) of 9 January 2017 introduced foundational data-protection principles, Mozambique long lacked a dedicated cybersecurity regulatory authority, mandatory security standards, and formal incident-notification mechanisms. This regulatory vacuum exposed critical public services to escalating cyber risks as digital transformation was actively promoted as a development priority. This article examines the legal and institutional gaps in Mozambique's cybersecurity governance framework prior to the 2026 Cybersecurity and Cybercrime Laws, …

Nutrition Labeling And Food Choice Behavior In A Cross-Border Context: Evidence From The Rio Grande Valley, Edith Galy

International Business and Entrepreneurship Faculty Publications

Unhealthy dietary habits have been linked to chronic conditions such as obesity, diabetes, and cardiovascular disease. As a result, governments have implemented nutritional labeling policies intended to assist consumers in making informed food choices. While the United States relies primarily on Nutrition Facts panels, Mexico recently adopted a front-of-package warning label system that uses highly visible warning symbols. This study examines how nutritional labels influence food choices among university students in the Rio Grande Valley, a unique border region where consumers are exposed to both U.S. and Mexican food-labeling systems. Data was collected through an online Qualtrics survey administered to …

Waves Of Exhaustion, Currents Of Renewal: An Autoethnography Of Academic Emotional Burnout And Recovery, Rofiza Aboo Bakar

The Qualitative Report

This autoethnography explores my experience of academic burnout and emotional recovery as a mid-career female educator in a Malaysian public university. Drawing from reflective journals, memory work, and embodied recollections between 2023 and 2025, I trace a personal journey through three experiential phases: the weight of expectations, burnout and emotional rupture, and embodied recovery through open sea swimming. The narrative is guided by Chang’s (2016) thematic structuring approach and interpreted through Lazarus and Folkman’s (1984) Transactional Model of Stress and Coping. My story reveals how burnout was not the result of overwork, but of institutional erasure. As I navigated the …

Truly Blown Away — Humanistic Lens Looking At Glassblowers’ Creative Thinking: A Qualitative Case Study, Yugant Patra

The Qualitative Report

This study examines how emotional and cognitive engagement shape glassblowing artists’ decision-making and artistic outcomes throughout the creative process. Using a qualitative case study methodology, the study examines how glassblowing artists conceptualize, execute, and refine their work by balancing their artistic vision with the medium's technical demands through a humanistic lens. Five themes emerge, which are discussed: the identification with self – confronting the demons, I belong here, claiming the molten as my own, the reign of glass and from it fractures rising anew, and having a conversation with glass. The study closes with the need for continued research on …

A Post-Positivist Perspective On The Varieties Of Qualitative Research: The Foris Framework, Marius Bytautas

The Qualitative Report

With the aim of bringing clarity to the realm of qualitative research—and offering a transition from tradition to methodological rationale—I employ Millian and Popperian inductive analysis methods to build a post-positivist account regarding the diversity of qualitative research varieties. I am responding to the problem that common labels in qualitative research often obscure the epistemic reasoning through which a study approaches its object. A brief set of working definitions is introduced to support the framework, but the main contribution is the conceptualization of research approach in five dimensions: focus, orientation, relation to the object, researcher intrusiveness, and scale (FORIS). By …

Community-Based Research: Key Considerations For Researchers And Community Partners When Collaborating, Bothwell Piason, Kathleen A. Fox

The Qualitative Report

Community-based research (CBR) is a research orientation that emphasizes equitable engagement in the process of knowledge production, though researchers and community partners may navigate collaborative partnerships with differing expectations, priorities, and understandings of success. Extant research has demonstrated that successful CBR partnerships can benefit both researchers and community partners, yet little is known about how both groups simultaneously conceptualize successful collaboration across diverse partnership contexts. In this study, we ask: What considerations do researchers and community partners identify as important when engaging in community-based research partnerships? Drawing on semi-structured interviews with 10 university researchers and 10 community partners engaged in …

The Lived Spirituality Experiences Of Adult Diabetes Patients In Adhering To Treatment, Dwight Mahaputera Marulitua Hutapea

The Qualitative Report

This descriptive phenomenological study explored the lived spirituality experiences of adult patients with Type 2 Diabetes Mellitus (T2DM) in adhering to treatment. Prior research has indicated that spirituality may influence attitudes toward and adherence to chronic disease management; however, empirical evidence addressing the spiritual dimension among people with diabetes remains limited. Guided by Colaizzi's (1978) phenomenological method, in-depth interviews were conducted with 12 purposively selected participants, equally distributed among Christians and Muslims. All interviews were transcribed verbatim and subjected to rigorous phenomenological analysis. Seven themes emerged from the data analysis: (a) spirituality strengthens relationships; (b) spirituality affects choices and outcomes; …

Relational-Developmental Autoethnography: A Method Of Qualitative Inquiry That Fosters Personal Growth, Chris Wells

The Qualitative Report

This paper introduces relational–developmental autoethnography (RDA), a qualitative method for exploring psychological growth through personal writing and reflection. Developed through lived experience, RDA traces psychological development through sustained, recursive engagement with personal writing. Drawing on an archive of my journals, letters, clinical records, and correspondence spanning more than 30 years, I show how writing and reflection were first tools for my survival, and later became catalysts for insight, healing, and transformation. RDA is grounded in two developmental frameworks: Dąbrowski’s theory of positive disintegration, which views emotional intensity and inner conflict as signs of developmental potential, and relational-cultural theory, which …

Synodality In The Life And Mission Of The Lutheran Church-Missouri Synod, Ethan Engh

CSB and SJU Distinguished Thesis

This thesis provides a brief analysis of "synodality" and its roots in the Christian tradition, how that notion has been developed and applied during the Roman Catholic Church's "Synod on Synodality," and observes how the concept of "synodality" can be applied to the Lutheran Church-Missouri Synod (LCMS) by analyzing the structure and teachings of the LCMS and highlighting how the tenets of "synodality" harmonize with the LCMS.