diff --git a/DESCRIPTION b/DESCRIPTION
index e633b9a..7c801c7 100644
--- a/DESCRIPTION
+++ b/DESCRIPTION
@@ -25,7 +25,8 @@ License: MIT + file LICENSE
 URL: https://github.com/raybaser/PROscorer
 BugReports: https://github.com/raybaser/PROscorer/issues
 Imports: PROscorerTools
-Suggests: knitr,
+Suggests: 
+    knitr,
     rmarkdown,
     testthat,
     covr
@@ -34,3 +35,4 @@ VignetteBuilder:
 Encoding: UTF-8
 Roxygen: list(markdown = TRUE)
 RoxygenNote: 7.2.3
+Language: en-US
diff --git a/NEWS.md b/NEWS.md
index e0f3f7e..d284a76 100644
--- a/NEWS.md
+++ b/NEWS.md
@@ -1,4 +1,4 @@
-# PROscorer 0.0.4 (2023-10-14)
+# PROscorer 0.0.4 (2023-10-16)
 
 * This CRAN version includes all updates since PROscorer version 0.0.3 (2022-03-09)
 
diff --git a/R/qlq_cr38.R b/R/qlq_cr38.R
index 9f33409..c5ac346 100644
--- a/R/qlq_cr38.R
+++ b/R/qlq_cr38.R
@@ -85,7 +85,7 @@
 #'   \item \strong{CR_MI}  - Micturition Problems (3 items)
 #'   \item \strong{CR_GI}  - Gastrointestinal Tract Symptoms (5 items)
 #'   \item \strong{CR_CT}  - Chemotherapy Side-Effects (3 items)
-#'   \item \strong{CR_DF}  - Problems with Defacation (Only for Pts WITHOUT a stoma) (7 items)
+#'   \item \strong{CR_DF}  - Problems with Defecation (Only for Pts WITHOUT a stoma) (7 items)
 #'   \item \strong{CR_STO} - Stoma-Related Problems (Only for Pts w/stoma) (7 items)
 #'   \item \strong{CR_MSX} - Male Sexual Problems (2 items)
 #'   \item \strong{CR_FSX} - Female Sexual Problems (2 items)
diff --git a/README.md b/README.md
index d9d9afd..1039d74 100644
--- a/README.md
+++ b/README.md
@@ -130,7 +130,7 @@ For more information on the `qlq_c30` function, you can access its
 - You can access the “help” page for “PROscorer” package by typing
   `?PROscorer` into R.
 
-- For more detailed information on ‘PROscorer’, including future
+- For more detailed information on "PROscorer", including future
   development plans, please see the Introduction to PROscorer vignette
   on the main [PROscorer](https://CRAN.R-project.org/package=PROscorer)
   page on CRAN.
diff --git a/cran-comments.md b/cran-comments.md
index 19e17f6..c119274 100644
--- a/cran-comments.md
+++ b/cran-comments.md
@@ -1,15 +1,15 @@
 ## Test environments
-* Local Windows 10 install, R 4.1.2
-* Ubuntu 20.04.4 LTS (on github actions), devel, release, oldrel-1 
-* Mac OS 11.6.4 (on github actions), devel, release
+* Local Windows 10 install, R 4.2.3
+* Ubuntu 22.04.3 LTS (on github actions), devel, release, oldrel-1 
+* Mac OS 12.7 (on github actions), devel, release
 * win-builder (devel and release)
 
 ## R CMD check results
 
 0 errors | 0 warnings | 0 notes
 
-* This resubmission fixes R CMD check note that caused previous submission to fail. My apologies, thank you for your patience. 
-* This release also addresses CRAN check errors needed to retain this package on CRAN.
+* This submission updates package overview help file with package sentinel "_PACKAGE" to get back all defaults for package documentation.
+* This release also adds several functions and updates to the documentation.
 * My email address is correct.  
 
 ## Reverse dependencies
diff --git a/vignettes/instrument-descriptions.Rmd b/vignettes/instrument-descriptions.Rmd
index a387d0c..3f88494 100644
--- a/vignettes/instrument-descriptions.Rmd
+++ b/vignettes/instrument-descriptions.Rmd
@@ -321,7 +321,7 @@ The 38 items of the QLQ-CR38 yield 12 scale scores.  Of the 12 scores, 8 are
 Symptom Scales and 4 are Functional Scales.  Seven of the Symptom Scales are
 based on multiple items: Micturition Problems (3 items), Gastrointestinal Tract
 Symptoms (5 items), Chemotherapy Side-Effects (3 items), Problems with
-Defacation (Only for Pts WITHOUT a stoma) (7 items), Stoma-Related Problems
+Defecation (Only for Pts WITHOUT a stoma) (7 items), Stoma-Related Problems
 (Only for Pts w/stoma) (7 items), Male Sexual Problems (2 items), and Female
 Sexual Problems (2 items).  There is 1 single-item symptom scale (Weight Loss).
 Two of the Functional Scales are based on multiple items: Body Image (3 items),