Ascorbate (vitamin C) is an essential vitamin for the human body and participates in various physiological processes as an important coenzyme and antioxidant. Furthermore, the role of ascorbate in the prevention and treatment of cancer including gynecological cancer has gained much more interest recently. The bioavailability and certain biological functions of ascorbate are distinct in males versus females due to differences in lean body mass, sex hormones, and lifestyle factors. Despite epidemiological evidence that ascorbate-rich foods and ascorbate plasma concentrations are inversely related to cancer risk, ascorbate has not demonstrated a significant protective effect in patients with gynecological cancers. Adequate ascorbate intake may have the potential to reduce the risk of human papillomavirus (HPV) infection and high-risk HPV persistence status. High-dose ascorbate exerts antitumor activity and synergizes with chemotherapeutic agents in preclinical cancer models of gynecological cancer. In this review, we provide evidence for the biological activity of ascorbate in females and discuss the potential role of ascorbate in the prevention and treatment of ovarian, endometrial, and cervical cancers. Full article

Laterality preferences are intrinsic in most physical activities, and ice hockey is one domain wherein these preferences might influence performance. Biomechanical laterality between dominant and nondominant (or preferred and nonpreferred) limbs is believed to be an advantageous attribute that is linked with skilled performance. Yet little is known about the implications of motor asymmetries for skilled performers in dynamic, time-constrained, team-based activities in an off-ice environment. This can be extended to when player position is considered, notably for those playing in a defensive or an offensive position. In this study, fourteen semi-professional collegiate male ice hockey players (age: 21.87 ± 2.98 years; BMI: 25.26 ± 3.21 kg/m) performed a randomized repeated 15 m sprint-change of direction task. Assessments of lower limb laterality were carried out as participants commenced the 15 m sprint change of direction task in both a right and left foot rear setback position. Biomechanical laterality between right and left rear foot setback positions was inferred by an ActiGraph GTx3 triaxial accelerometer that was located on the participants’ spinous process, representing the trunk centre of mass (CoM). Overall, ANOVA results indicated significant differences across all sprint split times between the right and left foot rear setback positions, with times significantly quicker when players commenced in a right rear foot setback position (p < 0.001). ANOVA revealed significant differences in trunk CoM acceleration between in a right and left rear setback position, specifically during the initial 0–10 m sprint split, with offensive players observed to have lesser trunk anteroposterior and vertical CoM acceleration (p = 0.05) and during the final 5 m sprint split (p = 0.002, d = 0.7), despite overall smaller effect sizes seen in the left foot rear setback position. It appears that starting with the foot in a right rear setback position results in quicker 15 m performance times and concurrent lower magnitudes of trunk CoM acceleration. Although we demonstrated that offensive players were quicker and displayed less trunk CoM acceleration, we recommend that future studies use a greater number of participants for inter-limb symmetry in these movement tests. Full article

The rapidly expanding Internet of Medical Things (IoMT) landscape fosters enormous opportunities for personalized healthcare, yet it also exposes patients and healthcare systems to diverse security threats. Heterogeneous IoMT devices present challenges that need comprehensive risk assessment due to their varying functionality, protocols, and vulnerabilities. Hence, to achieve the goal of having risk-free IoMT devices, the authors used a hybrid approach using fuzzy logic and the Fuzzy Analytical Hierarchy Process (FAHP) to evaluate risks, providing effective and useful results for developers and researchers. The presented approach specifies qualitative descriptors such as the frequency of occurrence, consequence severity, weight factor, and risk level. A case study with risk events in three different IoMT devices was carried out to illustrate the proposed method. We performed a Bluetooth Low Energy (BLE) attack on an oximeter, smartwatch, and smart peak flow meter to discover their vulnerabilities. Using the FAHP method, we calculated fuzzy weights and risk levels, which helped us to prioritize criteria and alternatives in decision-making. Smartwatches were found to have a risk level of 8.57 for injection attacks, which is of extreme importance and needs immediate attention. Conversely, jamming attacks registered the lowest risk level of 1, with 9 being the maximum risk level and 1 the minimum. Based on this risk assessment, appropriate security measures can be implemented to address the severity of potential threats. The findings will assist healthcare industry decision-makers in evaluating the relative importance of risk factors, aiding informed decisions through weight comparison. Full article

Arboviral diseases are serious threats to global health with increasing prevalence and potentially severe complications. Significant arthropod-borne viruses are the dengue viruses (DENV 1-4), the Zika virus (ZIKV), and the chikungunya virus (CHIKV). Among the areas most affected is the South Pacific Region (SPR). Here, arboviruses not only cause a high local burden of disease, but the region has also proven to contribute to their global spread. Outpatient serum samples collected between 08/2016 and 04/2017 on three islands of the island states of Vanuatu and the Cook Islands were tested for anti-DENV- and anti-ZIKV-specific antibodies (IgG) using enzyme-linked immunosorbent assays (ELISA). ELISA test results showed 89% of all test sera from the Cook Islands and 85% of the Vanuatu samples to be positive for anti-DENV-specific antibodies. Anti-ZIKV antibodies were identified in 66% and 52%, respectively, of the test populations. Statistically significant differences in standardized immunity levels were found only at the intranational level. Our results show that in both the Cook Islands and Vanuatu, residents were exposed to significant Flavivirus transmission. Compared to other seroprevalence studies, the marked difference between ZIKV immunity levels and previously published CHIKV seroprevalence rates in our study populations is surprising. We propose the timing of ZIKV and CHIKV emergence in relation to recurrent DENV outbreaks and the impact of seasonality as explanatory external factors for this observation. Our data add to the knowledge of arboviral epidemics in the SPR and contribute to a better understanding of virus spread, including external conditions with potential influence on outbreak dynamics. These data may support preventive and rapid response measures in the affected areas, travel-related risk assessment, and infection identification in locals and returning travelers. Full article

Molybdenum diselenide (MoSe₂) is a promising anode for alkali-ion storage due to its intrinsic advantages. However, MoSe₂ still encounters the issues of structural instability and poor rate performance caused by drastic volume change and sluggish reaction kinetics. Reasonable design of electrode structure is crucial for achieving superior electrochemical performance. Herein, a novel hierarchical structure coupled with 1D/1D subunits is elaborately designed and constructed, in which the MoSe₂/CoSe₂ heterostructure is the “trunk” and the N-doped carbon nanotubes are the “branches” (MoSe₂/CoSe₂/NCNTs). Benefiting from the properties endowed by unique configurations, MoSe₂/CoSe₂/NCNTs electrodes manifest faster reaction kinetics and better structure durability. Evaluated as an anode for LIBs and SIBs, MoSe₂/CoSe₂/NCNTs deliver high reversible capacity, superior rate capability (452 at 10 A g⁻¹ in LIBs and 296 at 10 A g⁻¹ in SIBs), and prominent cycle life (553 after 2000 cycles at 5 A g⁻¹ in LIBs and 310 after 2000 cycles at 5 A g⁻¹ in SIBs). Such design conception can also provide guidance for the development of other high-performance electrodes. Full article

Background and Objectives: This study aims to evaluate the association between the use of oral isotretinoin and menstrual irregularities in acne patients with previously regular menstrual cycles. Materials and Methods: A prospective observational study was conducted on 58,599 female patients aged 14 to 36 at King Abdullah University Hospital in Irbid, Jordan. The patients were followed for a period of 4.5 to 8 months during treatment and for 2 months post-treatment. Menstrual cycle changes were documented, and statistical analysis was performed to identify any significant associations. Results: A total of 111 (37.1%) patients, who were previously known to have regular menstrual cycles, complained of menstrual changes while using oral isotretinoin. Ninety-nine of those patients who complained of menstrual changes had their cycles back to normal post-treatment. There is a significant difference in the total accumulative dose between those with changes in menses and those without; p-value [0.008]. The most common change that occurred was amenorrhea (p < 0.001), followed by oligomenorrhea and menorrhagia (p < 0.001 and p = 0.050, respectively). The duration of treatment was a significant predictor of menstrual irregularities, with an odds ratio (OR) of 5.106 (95% CI: 1.371–19.020, p = 0.015), indicating a higher likelihood of menstrual changes with increased treatment duration. The total accumulative dose was also significantly associated with menstrual irregularities (OR = 0.964; 95% CI: 0.939–0.990; p = 0.006). Additionally, a family history of PCOS significantly increased the odds of menstrual irregularities (OR = 3.783; 95% CI: 1.314–10.892; p = 0.014). Conclusions: The study identified that 37.1% of the participants experienced changes in their menstrual cycles while undergoing isotretinoin therapy, with the vast majority (89.2%) returning to normal within two months post-treatment. Our logistic regression analysis pinpointed the duration of isotretinoin treatment, the total accumulative dose, and a family history of PCOS as significant predictors of menstrual irregularities. Full article

Bees play a crucial role as pollinators, contributing significantly to ecosystems. However, the honeybee population faces challenges such as global warming, pesticide use, and pathogenic microorganisms. Promoting bee growth using several approaches is therefore crucial for maintaining their roles. To this end, the bacterial microbiota is well-known for its native role in supporting bee growth in several respects. Maximizing the capabilities of these microorganisms holds the theoretical potential to promote the growth of bees. Recent advancements have made it feasible to achieve this enhancement through the application of genetic engineering. In this review, we present the roles of gut symbionts in promoting bee growth and collectively summarize the engineering approaches that would be needed for future applications. Particularly, as the engineering of bee gut symbionts has not been advanced, the dominant gut symbiotic bacteria Snodgrassella alvi and Gilliamella apicola are the main focus of the paper, along with other dominant species. Moreover, we propose engineering strategies that will allow for the improvement in bee growth with listed gene targets for modification to further encourage the use of engineered gut symbionts to promote bee growth. Full article

The intersection between sustainability and project management has received significant attention as organizations recognize the criticality of incorporating sustainability practices into their projects. However, incorporating sustainability considerations presents some challenges, requiring the development and adoption of methods, tools and techniques tailored to address sustainability at the project level. Against this backdrop, this study endeavors to develop an understanding of the effective incorporation of sustainability within projects through the micro-level perspective of practices. An online survey was developed based on a comprehensive literature review of which a total of 107 valid responses were collected and analyzed. The results show the most useful sustainable project management practices perceived by experienced project professionals, including ‘Sustainability team management’, ‘Lessons learned towards sustainability’ and ‘Sustainability risk register’, among others. However, a data analysis reveals a prevailing trend marked by the limited perceived usefulness of sustainability practices in the context of project management. Furthermore, through exploratory factor analysis, a clear classification of sustainable project management practices was identified, according to the specific phases of the common project management lifecycle: ‘Initiation and planning’, ‘Execution, monitoring, controlling and replanning’ and ‘Closure’. By providing a set of sustainable project management practices and identifying the underlying factors that elucidate the incorporation of sustainable project management practices across the project management lifecycle, this study extends a guiding hand to practitioners in pursuing successful sustainability integration in their projects. It vividly illustrates that sustainability can be readily incorporated into project-management processes, delivering sustainable products and/or services in a sustainable way, combining both the ‘sustainability of the project’ and ‘sustainability by the project’ perspectives. Full article

Obstructive sleep apnea (OSA) is quite prevalent during pregnancy and is associated with adverse perinatal outcomes, but its potential influence on fetal development remains unclear. This study investigated maternal OSA impact on the fetus by analyzing gene expression profiles in whole cord blood (WCB). Ten women in the third trimester of pregnancy were included, five OSA and five non-OSA cases. WCB RNA expression was analyzed by microarray technology to identify differentially expressed genes (DEGs) under OSA conditions. After data normalization, 3238 genes showed significant differential expression under OSA conditions, with 2690 upregulated genes and 548 downregulated genes. Functional enrichment was conducted using gene set enrichment analysis (GSEA) applied to Gene Ontology annotations. Key biological processes involved in OSA were identified, including response to oxidative stress and hypoxia, apoptosis, insulin response and secretion, and placental development. Moreover, DEGs were confirmed through qPCR analyses in additional WCB samples (7 with OSA and 13 without OSA). This highlighted differential expression of several genes in OSA (EGR1, PFN1 and PRKAR1A), with distinct gene expression profiles observed during rapid eye movement (REM)-OSA in pregnancy (PFN1, UBA52, EGR1, STX4, MYC, JUNB, and MAPKAP). These findings suggest that OSA, particularly during REM sleep, may negatively impact various biological processes during fetal development. Full article

Advances in electronics and medical diagnostics have made organic dyes extremely popular as key functional materials. From a practical viewpoint, it is necessary to assess the spectroscopic and physicochemical properties of newly designed dyes. In this context, the condensation of 1,3-dimethylbarbituric acid with electron-rich alkylaminobenzaldehyde derivatives has been described, resulting in a series of merocyanine-type dyes. These dyes exhibit intense blue-light absorption but weak fluorescence. An electron-donating alkylamino group at position C4 is responsible for the solvatochromic behavior of the dyes since the lone electron pair of the nitrogen atom is variably delocalized toward the barbituric ring, which exhibits electron-withdrawing properties. This was elucidated, taking into account the different geometry of the amino group. The intramolecular charge transfer in the molecules is responsible for the relatively high redshift in absorption and fluorescence spectra. Additionally, an increase in solvent polarity moves the absorption and fluorescence to lower energy regions. The observed solvatochromism is discussed in terms of the four-parameter Catalán solvent polarity scale. The differences in the behavior of the dyes were quantified with the aid of time-dependent density functional theory calculations. The obtained results made it possible to find regularities linking the basic spectroscopic properties of the compounds with their chemical structure. This is important in the targeted search for new, practically important dyes. Full article

Background: Severe burns may induce hyperglycaemia in the absence of diabetes, but how glucose trajectories relate to burns outcomes is unclear. Aim: To assess incidence of hyperglycaemia following acute burn injury, and associations with diabetes history and length of stay (LOS). Methods: Retrospective cohort study of adults admitted with acute burns to tertiary centres. Blood glucose level (BGL), hyperglycaemic episodes (BGL ≥ 11.1 mmol/L) and hyperglycaemic days were recorded. Stress hyperglycaemia was defined as BGL ≥ 11.1 mmol/L without a diabetes history. Results: A total of 30 participants had a diabetes history and 260 did not. Participants with known diabetes had higher mean BGLs (9.7 vs. 9.0 mmol/L, p < 0.001), more hyperglycaemic episodes (28.0 vs. 17.2%, p < 0.001) and hyperglycaemic days (51 vs. 21%, p < 0.001), compared to those without diabetes, despite smaller burns (total body surface area 1.0 vs. 14.8%, p < 0.001). Fourteen participants with stress hyperglycaemia had similar BGLs (at admission 10.3 vs. 11.5 mmol/L; during inpatient stay 9.9 vs. 9.8 mmol/L), more severe burns (15.6% vs. 1.0% TBSA) and longer LOS (18 vs. 7 days, p < 0.001) compared to participants with known diabetes. Extent of burns, having NGT nutrition, age, having inpatient BGL monitoring in the setting of diabetes, or having inpatient BGL monitoring in the absence of diabetes were associated with longer LOS. Conclusions: In participants with known diabetes, small burn injuries were associated with hyperglycaemia. Stress hyperglycaemia can be triggered by major burn injuries, with early and sustained elevation of BGLs. Further research is warranted to improve inpatient management of BGL in patients with acute burn injury. Full article

Sensors are a key component in industrial automation systems. A fault or malfunction in sensors may degrade control system performance. An engineering system model is usually disturbed by input uncertainties, which brings a challenge for monitoring, diagnosis, and control. In this study, a novel estimation technique, called adaptive unknown-input observer, is proposed to simultaneously reconstruct sensor faults as well as system states. Specifically, the unknown input observer is used to decouple partial disturbances, the un-decoupled disturbances are attenuated by the optimization using linear matrix inequalities, and the adaptive technique is explored to track sensor faults. As a result, a robust reconstruction of the sensor fault as well as system states is then achieved. Furthermore, the proposed robustly adaptive fault reconstruction technique is extended to Lipschitz nonlinear systems subjected to sensor faults and unknown input uncertainties. Finally, the effectiveness of the algorithms is demonstrated using an aircraft system model and robotic arm and comparison studies. Full article

Chromosomal instability is a hallmark of colorectal carcinogenesis and produces an accumulation of different forms of aneuploidies or broad copy number aberrations. Colorectal cancer is characterized by gain-type broad copy number aberrations, specifically in Chr20, Chr8q, Chr13 and Chr7, but their roles and mechanisms in cancer progression are not fully understood. It has been suggested that broad copy number gains might contribute to tumor development through the so-called caricature transcriptomic effect. We intend to investigate the impact of broad copy number gains on long non-coding RNAs’ expression in colorectal cancer, given their well-known role in oncogenesis. The influence of such chromosomal aberrations on lncRNAs’ transcriptome profile was investigated by SNP and transcriptome arrays in our series of colorectal cancer samples and cell lines. The correlation between aneuploidies and transcriptomic profiles led us to obtain a class of Over-UpT lncRNAs, which are transcripts upregulated in CRC and further overexpressed in colon tumors bearing specific chromosomal aberrations. The identified lncRNAs can contribute to a wide interaction network to establish the cancer driving effect of gain-type aneuploidies. Full article

Underwater camera calibration plays a pivotal role in underwater positioning and underwater mapping reconstruction, making it crucial for achieving precise spatial measurements in underwater environments. To elevate measurement accuracy, we have refined the calibration methodology for underwater cameras. Firstly, we conducted an in-depth investigation into the intricate challenges posed by double refraction errors arising from light passing through water–glass–air interfaces. To address this issue, we established a double refraction model based on the actual underwater light paths, laying the groundwork for our calibration efforts. Furthermore, to tackle the problem of determining multiple camera parameters, we proposed a parameter optimization method based on genetic algorithms, capable of navigating the complex parameter space. Finally, compared with other algorithms, our method enables more precise determination of underwater camera parameters. Full article

There are no evidence-based recommendations regarding the introduction of solid foods in preterm infants. The objective of this study was to investigate whether age at the introduction of solid foods affects neurodevelopmental outcomes. This study focuses on analyzing secondary outcomes from a prospective trial involving very low birth weight infants who were randomly assigned to either an early (10–12th week corrected age) or a late (16–18th week corrected age) complementary feeding group. The study evaluated neurodevelopmental outcomes at one and two years of corrected age, as well as at three years and four months of uncorrected age by utilizing Bayley scales. In total, 89 infants were assigned to the early and 88 infants to the late group, all with a mean gestational age of 27 + 1 weeks. A linear mixed-effects model was used to compare neurodevelopmental outcomes across the study groups, taking into account variables such as gestational age at birth, sex, nutrition at discharge, parents’ highest education level, and high-grade intraventricular hemorrhage. The analysis did not reveal any significant differences between the groups. The timepoint of the introduction of solid foods had no impact on neurodevelopmental outcomes at one and two years of corrected age, and at three years and four months of uncorrected age. Full article

Rice, a staple food for billions around the globe, is cultivated in numerous forms. Among them, soft rice is well known, which is characterized by its tender, creamy consistency and desirable texture. In this study, we examined the physicochemical properties and fine structure of starch from two soft rice varieties, Jinong Xiangruan 1 and DGR1, cultivated in different regions in China (Baodi District, Tianjin City; Liaoning Province; and Fengyang City, Anhui Province). The aim was to understand how amylopectin content (AC) influences rice quality. This research aims to bridge the knowledge gap regarding the role of amylopectin in determining rice’s adhesive consistency and viscosity. Significant regional differences were observed in yield components such as the number of grains per panicle, seed setting rates and 1000-grain weight, with Liaoning generally showing higher performance metrics compared to other regions. Physicochemical analysis highlighted that though glue consistency and taste values showed little regional variation, AC significantly influenced rice hardness and viscosity. Rapid Visco Analyzer (RVA) profile analysis further demonstrated distinct differences in viscosity characteristics, underscoring the regional impacts on starch behavior. Additionally, molecular weight distribution and amylopectin chain length analysis, conducted via SEC-MALLS-RI and ICS ion chromatography, revealed notable differences in starch composition across varieties and locations. The findings suggest that environmental conditions play a crucial role in defining starch characteristics and, consequently, the eating quality of rice. This provides valuable insights for breeding high-quality japonica rice with broad adaptability. Full article

Women have an over 50% greater risk of dementia than men, which is a main topic of much research. This review aims to investigate the impact of a woman’s reproductive history on dementia risk. The consequences of stillbirth are long-term health and psychosocial problems for women. Because of the awareness of an endangered pregnancy, many parents experience deep anxiety and stress in subsequent pregnancies. There are contradictory conclusions from research about abortion and the risk of dementia correlation. When it comes to the late age of first birth, which is said to be above 35 years old, it was observed that older mothers have a decreased risk of dementia compared to those who gave birth in their 20s; however, being a child of the older mother is connected with a higher risk of developing dementia. Using hormonal contraception can result in decreased risk of dementia as estrogen stimulates microglia-related Aβ removal and reduces tau hyperphosphorylation. The influence of postmenopausal hormonal therapy and the duration of the reproductive period on developing dementia remains unclear. Although female disorders like endometriosis and polycystic ovary syndrome are reported to increase the risk of dementia, the research on this topic is very limited, especially when it comes to endometriosis, and needs further investigation. Interestingly, there is no conclusion on whether hypertensive disorders of pregnancy increase the risk of dementia, but most articles seem to confirm this theory. Full article

Integrated energy systems (IESs) can easily accommodate renewable energy resources (RESs) and improve the utilization efficiency of fossil energy by integrating various energy production, conversion, and storage technologies. However, the coupled multi-energy flows and the uncertainty of RESs bring challenges regarding optimal scheduling. Therefore, this study proposes an energy bus-based matrix-modeling method and a coordinated scheduling strategy for the IES. The matrix-modeling method can be used to formulate the steady- and transient-state balances of the multi-energy flows, and the transient model can clearly express the multi-time-scale characteristics of the different energy flows. The model parameters are fitted with data from experiments and the literature. To address the inherent randomness of the RESs and loads, a coordinated scheduling strategy is designed that contains two components: day-ahead optimization and rolling optimization. Day-ahead optimization uses the system steady-state model and multiple scenarios from the RES and load forecast data to minimize the operation cost while rolling optimization is based on the system’s transient-state model and aims to achieve the optimal real-time scheduling of the energy flows. Finally, a case study is conducted to verify the advantages and effectiveness of the proposed model and optimization method. The results show that stochastic optimization reduces the total daily cost by 1.48% compared to deterministic optimization when considering the prediction errors associated with the RESs and loads, highlighting the stronger adaptability of stochastic optimization to prediction errors. Moreover, rolling optimization based on the system’s transient-state model can reduce the errors between day-ahead scheduling and rolling correction. Full article

As a major emitter of CO₂, China needs to take responsibility for slowing down global warming. In this paper, the potential carbon emission intensity of provinces is firstly calculated using the non-radial directional distance function under the group- and meta-frontier techniques, and then six scenarios based on two factors (economic development and carbon intensity) are set up to estimate the emission reduction potential of China and each province. Considering the goal of carbon neutrality, the calculation of CO₂ emission reduction potential quantifies the amount of emissions that can be reduced and the amount of emissions that should be balanced. Additionally, the degree of difficulty in achieving abatement potential is also calculated. The findings are as follows: First, assuming that the economic growth rate is reduced to 4.4% (achieving the second “100-year goal”) and each province adopts the most advanced low-carbon technologies, China could reduce carbon emissions by 5970.56 Mt compared to 2019 levels. To achieve net-zero emissions, the remaining 3824.2 Mt of carbon emissions should be removed by carbon reduction technologies. Second, the effect of slowing down economic growth and decreasing carbon intensity varies greatly among provinces. Hebei and Shandong should be prioritized as they have the greatest potential for emission reductions under both scenarios. Third, it is more difficult for Beijing, Shanghai, Hubei, Hunan, Inner Mongolia Autonomous Region, Chongqing, and Sichuan to achieve the abatement potential and they require more effort to reduce the same amount of carbon emissions compared to other provinces. The study provides a reference for achieving carbon neutrality and helps provinces to develop differentiated emission reduction strategies. Full article

This study examines the strategic use of life cycle cost analyses (LCCAs) in the management and conservation of heritage sites, emphasizing the need for comprehensive financial planning. With an increasing number of heritage sites showing signs of deterioration, our aim was to improve the sustainability and effectiveness of restoration practices. We used dynamic life cycle costing methods and developed the MONUREV software V2 to simulate different restoration scenarios, providing accurate, data-driven projections for maintaining structural, functional and aesthetic integrity. The field research involved testing these methods through case studies of heritage buildings in the Czech Republic, focusing on holistic cost management from initial analysis to practical application. The results showed that LCC analysis can significantly assist in making informed decisions, balancing economic and cultural values, and ensuring long-term conservation outcomes. This study concludes that the integration of a detailed LCC analysis into heritage conservation strategies represents a methodological advance that can significantly improve the economic and operational planning of the maintenance of heritage buildings, thereby ensuring their preservation for future generations. Full article

Introduction: The role of stereotactic body radiation therapy (SBRT) as a locally effective therapeutic approach for liver oligometastases from tumors of various origin is well established. We investigated the role of robotic SBRT (rSBRT) treatment on oligometastatic patients with liver lesions. Material and Methods: This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The PubMed and Scopus databases were accessed by two independent investigators concerning robotic rSBRT for liver metastases, up to 3 October 2023. Results: In total, 15 studies, including 646 patients with 847 lesions that underwent rSBRT, were included in our systematic review. Complete response (CR) after rSBRT was achieved in 40.5% (95% CI, 36.66–44.46%), partial response (PR) in 19.01% (95% CI, 16.07–22.33%), whereas stable disease (SD) was recorded in 14.38% (95% CI, 11.8–17.41%) and progressive disease (PD) in 13.22% (95% CI, 10.74–16.17%) of patients. Progression-free survival (PFS) rates at 12 and 24 months were estimated at 61.49% (95% CI, 57.01–65.78%) and 32.55% (95% CI, 28.47–36.92%), respectively, while the overall survival (OS) rates at 12 and 24 months were estimated at 58.59% (95% CI, 53.67–63.33%) and 44.19% (95% CI, 39.38–49.12%), respectively. Grade 1 toxicity was reported in 13.81% (95% CI, 11.01–17.18%), Grade 2 toxicity in 5.57% (95% CI, 3.82–8.01%), and Grade 3 toxicity in 2.27% (955 CI, 1.22–4.07%) of included patients. Conclusions: rSBRT represents a promising method achieving local control with minimal toxicity in a significant proportion of patients. Further studies are needed to evaluate the role of rSBRT in the management of metastatic liver lesions. Full article

Due to the convenience of online grocery apps and home delivery, online grocery shopping has become popular in recent years. Globally, consumer behavior has significantly changed the consumption and purchase patterns of online grocery shopping. This study aimed to develop an efficient model for online grocery order fulfillment that both reduces costs and increases supply chain efficiency and sustainability. This study first aimed to develop the current picking model by adopting real-world data from a store in Riyadh, Saudi Arabia. Subsequently, four proposed models were developed to improve the efficiency and sustainability of the online grocery order fulfillment process. The results show a significant improvement in all models over the current picking model. The percentage improvements in fulfillment time per product are as follows: single order picking—8.33%; batch order picking—6.78%; zone order picking—3.08%; and hybrid order picking—13.20%, which combines zone and batch order picking. Retailers and online grocery apps could adopt these models to increase efficiency and sustainability. Also, these models have great potential for future research and improvement by optimizing product placement, in addition to picking methods and picking routes, which are the focus of this study. Full article