Digital Commons Network^™

New Development Of The Neutrosophic Fuzzy Soft Set Framework Using Several Aggregation Operator Techniques, Ahmad A. Abubaker, Abdallah Al-Husban, R. Uma

Neutrosophic Sets and Systems

No abstract provided.

On New Classes Of Supra Soft Connectedness Via M-Polar Neutrosophic Topological Spaces, Asmaa Ghasoob Raoof, Shadia Majeed Noori, S. R., Qays Hatem Imran, S. Khalil, Ali Younis Shakir

Neutrosophic Sets and Systems

No abstract provided.

On Performance Analysis Of A Neutrosophic Bipolar Fuzzy And Texture-Based Model For Covid-19 Detection From Chest X-Rays, Sanjayprabu S, Senthil Kumar L, Santhakumari R, Mareeswari R, Ajithkumar R

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic-Based Feature Set (Nbfs) For Brain Tumor Detection Using Glcm Features And Knn Classifier On Mri Images, S. Gowri, V. M. Vijayalakshmi

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic Super-Hypergraph Fusion For Proactive Cyberattack Countermeasures: A Soft Computing Framework, Ehab Roshdy, Marwa Khashaba, Mariam Emad Ahmed Ali

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic‑Enhanced Cephalometric Analysis With Improved Diagnostic Accuracy For Egyptian Population, Nagham Ahmed Abdelmegeed, Amal F. Abdel-Gawad

Neutrosophic Sets and Systems

No abstract provided.

An Intelligent Soft Computing-Oriented Strategy For Managing Global Sustainability Issues In Dynamic Environments, Walaa M. Sabry

Neutrosophic Sets and Systems

No abstract provided.

Solving Data Mining Challenges In Neutrosophic Environments Using Bio-Inspired Optimization Techniques, Samia Mandour, Abduallah Gamal, Mohamed Belal

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic Probability And Measure For Resilient Supply Chain Management Under Indeterminacy, Mohamed Ismail, Esraa Kamal

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic Sets And Systems, Vol. 94, 2025, Florentin Smarandache, Mohamed Abdel-Basset, Maikel. Leyva Vazquez

Neutrosophic Sets and Systems

No abstract provided.

The Value In Rapid, Multi-Site Team Ethnography For Understanding Context To Design Public Health Interventions: Learning From The Passport Study, Danielle House, Robert Walker, Simona Kent-Saisch, Lydia Emm-Collison, Ruth Salway, Alice Porter, Frank De Vocht, Michael Beets Med, Mph, Phd, Russell Jago, Rebecca Langford

Faculty Publications

Low levels of physical activity is a global public health challenge, and children are not taking part in recommended amounts of physical activity. To date, the majority of school-based physical activity interventions have not yielded increases in pupils’ physical activity levels, and it is suggested that this is partly due to traditional intervention approaches ignoring the role of individual school context. By context we mean the school setting, ethos, staff, and sociodemographic factors. Public health interventions must consider the context in which they are intervening to be sustainable and to capture complexity. Yet in this field, ethnographic approaches have been …

Transnational Mass Tort Litigation: A Proposal For An International Court Of Civil Justice, Maya Steinitz

Faculty Scholarship

This chapter argues for the creation of an International Court of Civil Justice for transnational mass tort cases. It considers the challenges of adjudicating cross-border mass torts along with the incentives and feasibility of a new international court. Drawing upon case studies including the Bhopal disaster, litigation surrounding the devastation of the Ecuadorian rainforest, and the attempts to sue over human rights abuses in Nigeria, the chapter demonstrates that the world's legal systems were not designed to solve these kinds of complex cases, and the absence of mechanisms to ensure coordination means that victims try, but fail, to find justice …

Real-World Outcomes Of Talimogene Laherparepvec As Salvage Therapy For Advanced Melanoma, Melissa M Yamada, Smitha Chandrasekhar, Ted A Gooley, Rita E Chen, Coley Doolittle-Amieva, George Ansstas, Shailender Bhatia, Evan T Hall, Paul T Nghiem, Song Y Park, David Y Chen

2020-Current year OA Pubs

BACKGROUND: Talimogene laherparepvec (T-VEC) is an oncolytic herpes simplex virus therapy approved for treatment of unresectable and metastatic melanoma. However, real-world use often occurs in heavily pretreated patients, where evidence of effectiveness remains limited. This study evaluates treatment responses and clinical factors influencing T-VEC outcomes in patients with diverse treatment histories.

METHODS: We analyzed patients with metastatic melanoma treated with T-VEC between 2015 and 2024. Objective responses (OR), complete response (CR) and partial response were assessed using univariate and multivariate Cox regression models. Durability of responses, progression-free survival (PFS), and overall survival (OS) were evaluated using Kaplan-Meier estimates.

RESULTS: Among …

Multi-Actor Roles In Basic Education Provision For Indonesian Migrant Workers’ Children In Sabah And Sarawak, Neneng Heryati, Chandra Wijaya, Lina Jannah

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This study examines the governance of basic education access for Indonesian Migrant Workers’ children in Sabah and Sarawak by focusing on the roles of multi-actors involved in service provision. Using a qualitative approach through in-depth interviews and document analysis, the study finds that the operation of Community Learning Centers is highly dependent on the interaction between the Malaysian government as the licensing authority, plantation companies as facility providers and funders, and the Indonesian government through Atdikbud, KJRI/KRI, and SIKK as facilitators of educational diplomacy and the roles of PMI communities. Non-governmental organizations such as Humana Child Aid Society also enhance …

Research Advances On Foreign Portfolio Investments: A Bibliometric And Thematic Analysis, Ritu Sapra, Dixit Yadav, Kamal Upreti, Nishant Kumar, Rituraj Jain, Akhilesh Tiwari

Markets, Globalization & Development Review

Foreign portfolio investments have been at the center of research in the finance, economics, and international business domains since the early 1990s when developing economies started to relax their capital account and allowed the entry of foreign investments. Over the years, various macroeconomic (country-specific and global), firm-specific, and quality factors have been studied as determinants in relation to these flows, Still, there is no consensus regarding which factor influences more than the others. This paper uses bibliometric analysis to understand the existing literature to build a solid conceptual base in this research topic. For this study, bibliometric data of 731 …

Engaging Stakeholders To Build, Sustain, And Grow Responsible Business: Some Frameworks, Meena Raghunathan, Kara Li Liu

Markets, Globalization & Development Review

This is a follow-up Dialogue commentary to the MGDR publication:

Raghunathan, Meena and Liu, Kara Li (2024) "Moving from ‘Managing Stakeholders’ to ‘Managing for Stakeholders’: The Imperative for Responsible Business," Markets, Globalization & Development Review: Vol. 9: No. 3, Article 4.
DOI: 10.23860/MGDR-2024-09-03-04
Available at: https://digitalcommons.uri.edu/mgdr/vol9/iss3/4.

In this commentary, the concepts of stakeholder approach to management is expanded and deepened.

Import Substitution Industrialization In Africa: Guinea's Experience, Mamadou Saliou Diallo

Markets, Globalization & Development Review

Import substitution industrialization (ISI) is such a template that many countries lagging behind in terms of development considered as an essential phase. The process of adopting ISI by these countries, however, displays contrasts in many aspects. The more apparent cases of differences in ISI adoption emanate from the East-Asian and Sub-Saharan African (SSA) models. These two regions are both latecomers in that industrial revolution, compared to Latin American countries being pioneers, was a chronologically later undertaking. Despite constraining factors, the East-Asian model thrives to become a successful experience. Meanwhile, SSA and Latin American countries still strive to achieve this ambition. …

Ethics, Social Responsibility, Sustainable Developmental Goals, Economic Development Strategies: Need Is Stronger Than Ever, Nikhilesh Dholakia, Zeynep Ozdamar Ertekin, Delphine Godefroit-Winkel

Markets, Globalization & Development Review

No abstract provided.

Professions At Work: Tax Division Activities 1974-75 A Review And Forecast, Joel M. Forster, American Institute Of Certified Public Accountants. Federal Tax Division

Tax Adviser

No abstract provided.

Development And Validation Of Instruments To Measure Medication Adherence In Hypertensive Patients (Mahp): The Indonesian Case, Burhannudin Ichsan, Erna Herawati, Sri W. Basuki, Ikhwansyah W. Pramudyatama, Umatul Khoiriyah

Journal of Health Research

Background: Hypertension is a chronic disease that poses a significant public health issue globally. Medication adherence among hypertensive patients remains low, leading to various complications that adversely affect individuals, families, and the broader economy and society. To our knowledge, no specific instrument exists to measure medication adherence in hypertensive patients (MAHP) exclusively. This study aims to develop and validate an instrument to measure medication adherence and adherance-related behaviors among hypertensive patients.

Methods: The research consisted of two methods: (1) scale construction and (2) scale validation. The construction phase included: (1) defining the construct and its domains, (2) item development, …

Factors Influencing Tuberculosis Diagnosis, Treatment And Recovery In Alor, East Nusa Tenggara (Ntt), Indonesia, Abdillah Ahsan, Fitri Kurnia Rahim, Elisabeth Kramer, Indah Suci Widyahening, Maulida Gadis Utami

Journal of Health Research

Background: Indonesia aims to reduce tuberculosis (TB) incidence by 50% in 2025 and 80% in 2030. In Alor, TB case notification has reached only 38%, while contact investigation remains low at 21% (46 of 220 cases), ranking 6^th lowest in East Nusa Tenggara (NTT). This study explored factors influencing TB diagnosis, treatment, and recovery.

Method: Focus group discussions were conducted with 32 recovered TB patients at three community health centers (Moru, Alor Kecil, and Kenarilang). In-depth interviews were held with six key local stakeholders, including representatives from the Health Office, the Research and Development Unit, three heads of community …

Association Between Social Isolation And Risk Of Hypertension Among The Middle-Aged And Older: A Propensity Score–Matched Cohort Study, Yiting Kang, Minchao Liu

Journal of Health Research

Background: Social isolation has emerged as a growing public health concern and may be an underrecognized risk factor for hypertension. However, evidence on its longitudinal association with hypertension remains limited and inconsistent.

Methods: The data of the national cohort study were collected from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2020. A total of 3280 participants aged 45 years and older without hypertension at baseline were included. Propensity score matching (PSM) was applied to balance covariates between socially isolated and non-isolated groups. Cox proportional hazards models were used to estimate the association between social isolation and …

Living Arrangements And Depression Among Elderly Persons In China: A National Cross-Sectional Study, Yue Lyu, Seung Chun Paek, Patreeya Kitcharoen, Thammarat Marohabutr

Journal of Health Research

Background: While the positive effect of living alone on depression among elderly persons has been demonstrated by multiple studies in China, evidence regarding other types of living arrangements, specifically considering family size, is scarce. This study assessed the effect of living arrangements, as measured by family size, on depression among elderly persons.

Methods: A cross-sectional analysis of 6,678 adults aged 60+ from the 2020 China Health and Retirement Longitudinal Study was conducted using descriptive and binary logistic regression analyses.

Results: Of the analyzed elderly persons, 35.43% (n=2,366) exhibited depression. Elderly persons living alone exhibited higher levels of depression than those …

Effectiveness Of Self-Management Education On Behavior Improvement Among Stroke Survivors In Indonesia: A Randomized Controlled Trial, Yurike Septianingrum, Ratna Yunita Sari, Lono Wijayanti, Rizqa Septiana, Andis Yuswanto, Ah Yusuf, Ika Yuni Widyawati, Nor Aziyan Yahaya

Journal of Health Research

Background: This study aimed to investigate the impact of stroke self-management education (SSME) on improving self-management behaviors among stroke survivors.

Methods: An individual randomized controlled trial was conducted from June to August 2024 in an educational hospital in Surabaya, Indonesia. Participants were selected based on the inclusion and exclusion criteria and then randomly assigned via computer-generated randomization to the intervention and control groups. After 3 weeks of intervention, the self-management behavior of stroke survivors was evaluated using the Stroke Self-Management Behavior Questionnaire (SSMBQ). A per-protocol analysis was used to compare the intervention groups, which included only those patients who completed …

Attitude And Confidence In Managing Pre-Existing Type 2 Diabetes Mellitus During Pregnancy Among Thai Women, Ratchanok Phonyiam, Chiao-Hsin Teng, Catherine S. Sullivan, Aunchalee E.L. Palmquist, Eric A. Hodges, Yamnia I. Cortés, Marianne Baernholdt

Journal of Health Research

Background: The trend of rising T2DM prevalence is more pronounced in females and is of particular concern for pregnancy. The rate has jumped from 0.7% to 1.5% of all pregnancies over the past 14 years. Additionally, pregnancies affected by T2DM have higher rates of abortion and perinatal mortality compared to those with type 1 diabetes mellitus and gestational diabetes mellitus. The objective of the study was to explore the attitudes and confidence in managing T2DM among Thai women during pregnancy.

Methods: This qualitative study was a part of a parent study using a convergent parallel mixed-methods design. A purposive sampling …

A Hybrid Roberta–Rule-Based Aspect-Based Sentiment Analysis Model For Hospital Patient Reviews: Development, Validation, And Case Application In India, Akash Gajanan Prabhune, Karpaga Priya P S, Vinay R Sri Hari, Akhila Rayampalli, Ankur S Thakur, Ebin M Yohannan

Journal of Health Research

Background: Patient Online Reviews (PORs) provide real-time, unsolicited feedback that complements traditional satisfaction surveys. However, existing sentiment analysis tools often handle only monolingual data, broad sentiment categories, or lack review authenticity checks. This study develops a hybrid Aspect-Based Sentiment Analysis (ABSA) model combining RoBERTa with a rule-based aspect detection layer to extract fine-grained sentiment insights from Indian hospital reviews.

Methods: We curated and manually annotated 4,862 Google Maps reviews from 25 Indian hospitals across six aspects—Doctor Behavior, Staff Behavior, Cleanliness, Facility Experience, Cost, and Waiting Time. Though the scheme included positive/negative/neutral labels, the final model used binary polarity (positive vs. …

Pm2.5 And Respiratory Symptoms Among Primary Schoolchildren In Bangkok, Thailand: A School-Based Cross-Sectional Study, Monrudee Chokprajakchad, Dongruethai Buadong, Lawan Singhasai, Chayannan Jaide

Journal of Health Research

Background: Exposure to fine particulate matter (PM2.5) has been linked to adverse respiratory health in children. However, limited studies in Bangkok have examined the combined influence of environmental exposure and health perceptions. The objective of this study is to investigate the association between PM2.5 concentrations and respiratory symptoms among primary schoolchildren aged 7—12 years in Bangkok, across districts categorized by differing levels of air pollution.

Methods: A cross-sectional study was conducted among 388 primary schoolchildren in Bangkok, recruited through cluster sampling from districts classified into three PM2.5 pollution zones based on data from the Pollution Control Department. Respiratory symptoms were …

Prediction Of Lung Vital Capacity Value From Thoracoabdominal Expansion In Young Adults, Aung Myo Htun, Aung Aung Nwe, Chatchaya Jaimanee, Thiwaphon Chatprem, Saowanee Nakmaroeng, Chatchai Phimphasak

Journal of Health Research

Background: Vital capacity (VC) is a fundamental indicator of pulmonary health, but its routine assessment often depends on spirometry devices that may be unavailable (i.e. because of access, cost) in many clinical or community settings. In contrast, lower costal (LC) and upper abdominal (AB) expansions are simple, equipment-free methods commonly used in physiotherapy.

Method: This cross-sectional study was aimed at developing prediction equations for VC using LC or upper AB expansion alongside demographic and anthropometric variables. The study involved 116 healthy nonsmokers (53 male and 63 female individuals) aged 18–39 years. VC was measured via spirometry using a …

Healthy Weight Intervention Effect On Weight Control Intention Among Overweight School-Aged Children, Pornthip Nawajongphun, Jumpee Granger, Dongruethai Buadong, Autchareeya Patoomwan

Journal of Health Research

Background: The incidence of overweight and obese children is rising all over the world. Various factors are involved, and those deficits affect these children's physical and mental health.

Methods: This study was a quasi-experimental research study to examine the effectiveness of a Healthy Weight Intervention (HWI) on weight control intention among overweight school-aged children using the theory of planned behavior. Participants were 9-12 years old, and there were 31 participants in each group. The study duration was six weeks for both groups. The data were collected using questionnaires on demographics, attitudes, subjective norms, perceived self-efficacy, and intention toward weight …

Intrapersonal, Interpersonal, And Environmental Factors Associated With Self-Directed Ageism Among Older Thai Adults, Jirawan Wittayanukorn, Piyawat Katewongsa, Yothin Sawangdee, Rossarin Gray, Tawanchai Jirapramukpitak

Journal of Health Research

Background: Self-directed ageism occurs when older adults internalize negative age-related stereotypes, a process that undermines self-esteem, reduces social participation, and leads to poorer health outcomes. Understanding the intrapersonal, interpersonal, and environmental factors that contribute to self-directed ageism is essential for developing more effective interventions to reduce it.

Method: Data were drawn from the Survey on Conditions of Society, Culture, and Mental Health (Thai Happiness) 2014, a nationally representative survey. Managed by checking for completeness, duplicates, and missingness, 8,998 people (aged 60 years and over) were included. Factors associated with self-directed ageism were analyzed using binary logistic regression analysis, taking into …