Metastasis-directed stereotactic radiotherapy and systemic treatment continuation for patients with oligoprogressive metastatic breast cancer.

Background: About 15-20 % of patients with metastatic breast cancer (mBC) can experience oligoprogressive disease (OPD) in ≤ 5 sites of disease. Patients with OPD may benefit from metastasis-directed stereotactic radiotherapy (SBRT) to all sites of cancer progression while maintaining the same systemic treatment, aiming to prolong the time to next systemic treatment (NEST). This study aims to assess the outcomes provided by this multimodal strategy.

Personalizing the shoulder rhythm in a computational upper body model improves kinematic tracking in high range-of-motion arm movements.

Musculoskeletal models of the shoulder are needed to understand the mechanics of overhead motions. Existing models implementing the shoulder rhythm are generic and might not accurately represent an individual's scapular kinematics. We introduce a method to personalize the shoulder rhythm of a computational model of the upper body that defines the orientations of the clavicle and scapula based on glenohumeral joint angles.

Optimization of the thermal performance of a lobed triplex-tube solar thermal storage system equipped with a phase change material.

The thermal performance of a PCM-based triple-tube lobed heat exchanger storage system is here simulated and optimized, including performance improvements via lobed surfaces, Y-shaped fins, dispersed multi-walled carbon nanotubes, and metal foams, to be used in combination, or singly. Such computations are done with the finite volume method under different operating conditions. The reason behind this study is to look for solutions to improve the poor thermal performance of phase change materials (PCMs) as thermal energy storage materials, that limits their compactness and instantaneous heat stored/released.

Exploring the Association between Health-Related Physical Fitness and Quality of Life in Patients with Cancer: A Cross-Sectional Study.

Whereas an exercise intervention effectively improves patients' quality of life, little information is available about the contribution of each physical fitness component. This study aims to explore the association between physical fitness components and the quality-of-life domain in patients with cancer. Between September 2021 and August 2023, 160 patients with mixed cancer types visiting the Oncology Unit were selected on a consecutive basis according to selection criteria.

Telemetry discontinuation education for Nurse Practitioners decreases hospital costs-A quality-improvement project.

Background: Despite updated American Heart Association guidelines, interventions designed to reduce telemetry misuse are uncommon.

Local Problem: There was a systemic failure within the institution to adopt the most recent guidelines, resulting in poor use of resources and downstream costs.

Methods: Case-control.