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  • Open Access

    REVIEW

    Effectiveness and Safety of Lenvatinib and Everolimus after Immune Checkpoint Inhibitors in Metastatic Renal Cell Cancer: A Systematic Review

    Giacomo Iovane1,*, Luca Traman2, Michele Maffezzoli1,3, Giuseppe Fornarini2, Domenico Corradi4, Debora Guareschi4, Matteo Santoni5,#, Sebastiano Buti1,#

    Oncology Research, Vol.34, No.1, 2026, DOI:10.32604/or.2025.070523 - 30 December 2025

    Abstract Background: While the treatment of metastatic renal cell carcinoma (mRCC) is evolving due to immune checkpoint inhibitors (ICIs), optimal strategies for later lines of therapy have yet to be defined. The combination of lenvatinib and everolimus represents a viable option, and the present review aimed to summarize its activity, effectiveness, and safety. Methods: A systematic review of the literature was conducted using PubMed, targeting studies published between 2018 and 2025. Eligible studies included English-language prospective and retrospective trials reporting survival outcomes in mRCC patients treated with lenvatinib and everolimus after at least one ICI-containing regimen. Results:More > Graphic Abstract

    Effectiveness and Safety of Lenvatinib and Everolimus after Immune Checkpoint Inhibitors in Metastatic Renal Cell Cancer: A Systematic Review

  • Open Access

    ARTICLE

    A Q-Learning Improved Particle Swarm Optimization for Aircraft Pulsating Assembly Line Scheduling Problem Considering Skilled Operator Allocation

    Xiaoyu Wen1,2, Haohao Liu1,2, Xinyu Zhang1,2, Haoqi Wang1,2, Yuyan Zhang1,2, Guoyong Ye1,2, Hongwen Xing3, Siren Liu3, Hao Li1,2,*

    CMC-Computers, Materials & Continua, Vol.86, No.1, pp. 1-27, 2026, DOI:10.32604/cmc.2025.069492 - 10 November 2025

    Abstract Aircraft assembly is characterized by stringent precedence constraints, limited resource availability, spatial restrictions, and a high degree of manual intervention. These factors lead to considerable variability in operator workloads and significantly increase the complexity of scheduling. To address this challenge, this study investigates the Aircraft Pulsating Assembly Line Scheduling Problem (APALSP) under skilled operator allocation, with the objective of minimizing assembly completion time. A mathematical model considering skilled operator allocation is developed, and a Q-Learning improved Particle Swarm Optimization algorithm (QLPSO) is proposed. In the algorithm design, a reverse scheduling strategy is adopted to effectively… More >

  • Open Access

    ARTICLE

    Implementation of opioid-reduced protocols after penile prosthesis surgery

    Luke Patrick O’Connor1, Alexander Jordan Henry2, Wendy Michelle Novicoff3, Marwan Ali2, Adam Seth Baumgarten4, Nicolas Martin Ortiz2,*

    Canadian Journal of Urology, Vol.32, No.6, pp. 621-626, 2025, DOI:10.32604/cju.2025.065217 - 30 December 2025

    Abstract Background: Postoperative pain management after penile prosthesis (PP) has traditionally required opioid medication. Recently, urologic prosthetic surgeons have sought to establish opioid-free protocols (OFP) and/or opioid-reduced protocols (ORP) for PP postoperative pain management. We sought to investigate the adoption patterns of OFP/ORP among surgeons who perform PP surgery and identify barriers to implementation. Methods: A 13-question confidential survey was sent to members of the Sexual Medicine Society of North America (SMSNA) and the Society of Urologic Prosthetic Surgeons (SUPS) via email. The survey was administered via Qualtrics. A t-test was used to analyze survey responses. Results:More >

  • Open Access

    CASE REPORT

    Pseudoaneurysm after prostate biopsy: case report

    William Daly*, Daniel Pelzman, P. Dafe Ogagan, Stephen V. Jackman

    Canadian Journal of Urology, Vol.32, No.6, pp. 669-672, 2025, DOI:10.32604/cju.2025.063778 - 30 December 2025

    Abstract Background: Minor bleeding after prostate biopsy is a relatively common complication, but clinically significant hemorrhage happens rarely. Management of prostatic artery pseudoaneurysm has not been described in the literature. Case Description: In this case, an 84-year-old man presented after prostate biopsy with rectal bleeding and required a massive transfusion. Ultimately, he was found to have a prostatic artery pseudoaneurysm, which to our knowledge is heretofore undescribed after prostate biopsy. Bleeding ultimately stopped spontaneously as the patient deferred angioembolization. He had not recurrent bleeding on follow up but is still deciding on treatment course for newly diagnosed More >

  • Open Access

    ARTICLE

    Polystyrene-Grafted Molybdenum Disulfide Filled Polypropylene Composites for Enhanced Laser Marking Performance

    Minglei Hu1, Wei Zhang1, Bin Hu1, Haicun Yang2, Fuqiang Chu2, Zheng Cao2,*

    Journal of Polymer Materials, Vol.42, No.4, pp. 1125-1141, 2025, DOI:10.32604/jpm.2025.073300 - 26 December 2025

    Abstract Polypropylene (PP) has low inherent susceptibility to common industrial lasers, which poses a significant challenge for laser-based marking. To improve the laser sensitivity of PP, molybdenum disulfide grafted with polystyrene (MoS2-g-PS) was synthesized via in-situ free radical polymerization and used as a laser-sensitive filler for PP composites prepared by melt blending. The composites were then marked with a 1064 nm semiconductor laser, producing clear and legible patterns. The marked surfaces were characterized using scanning electron microscopy (SEM), transmission electron microscopy (TEM), colorimetry, Raman spectroscopy, and thermogravimetric analysis (TGA). The results demonstrate that the PP/MoS2-g-PS composites exhibit significantly More >

  • Open Access

    ARTICLE

    Evaluating the Association between Acute Postoperative Enteral Nutrition and Clinical Outcomes in Infants after Congenital Heart Surgery: A Retrospective Cohort Study

    Shun Maki1,*, Satoshi Nakano1, Taiki Haga2, Takehiro Niitsu1, Ikuya Ueta1

    Congenital Heart Disease, Vol.20, No.5, pp. 547-558, 2025, DOI:10.32604/chd.2025.072277 - 30 November 2025

    Abstract Background: Considering the limited evidence for acute postoperative nutritional therapy for congenital heart disease (CHD), this study evaluated the effects of achieving enteral nutrition (EN) targets in the acute postoperative phase on clinical outcomes in infants after congenital heart surgery. Methods: This retrospective cohort study, conducted in a multivalent pediatric intensive care unit (PICU), enrolled infants aged ≤6 months following congenital heart surgery between April 2021 and March 2023. Based on the American Society for Parenteral and Enteral Nutrition guidelines, the EN target was defined as two-thirds of the resting energy expenditure with a protein intake… More >

  • Open Access

    CASE REPORT

    A Case Report of Primary Pulmonary Lymphoepithelioma-Like Carcinoma with “Harmful” Pseudoprogression and a Pathological Complete Response (pCR) after Immunotherapy Plus Radiotherapy

    Si Qin, Shu Tang, Lijiao Xie, Jianbo Zhu, Jianguo Sun*

    Oncology Research, Vol.33, No.12, pp. 4145-4154, 2025, DOI:10.32604/or.2025.068300 - 27 November 2025

    Abstract Background: Primary pulmonary lymphoepithelioma-like carcinoma (PPLELC) is a rare subtype of primary non-small cell lung cancer (NSCLC), with no established treatment guidelines. We present a case of a young female with PPLELC who achieved a pathological complete response (pCR) in both primary and metastatic lesions after receiving combined immunotherapy and radiotherapy. Case description: We present a 33-year-old female patient with stage IVa (cT2bN0M1b) PPLELC. As a first-line treatment, the patient received seven cycles of nab-paclitaxel combined with toripalimab (a PD-1 inhibitor) and achieved stable disease. This was followed by toripalimab maintenance therapy for nearly 30 months.… More >

  • Open Access

    PROCEEDINGS

    Dynamics and Control of a Tethered Solar Sail Spacecraft for Solar Corona Observation Under the Sun-Earth CRTBP Framework

    Xinyu Jiang1, Chongrui Du1, Yamin Wang2, Honghua Dai1,*

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.33, No.4, pp. 1-1, 2025, DOI:10.32604/icces.2025.011552

    Abstract Persistent high-resolution observation of the solar corona is essential for advancing human’s understanding of critical solar phenomena, including coronal heating, solar wind acceleration, and the initiation of coronal mass ejections that significantly impact space weather. This study proposes a novel space-based solar corona observation mission concept, which uses a tethered solar sail spacecraft to create a sustained artificial total solar eclipse near the Sun-Earth L2 point. By positioning a probe at the end of Earth’s umbra cone and leveraging Earth as a natural occulter, the mission enables uninterrupted observations of the innermost solar corona. To… More >

  • Open Access

    CASE REPORT

    Spontaneous rupture of the urinary bladder after pelvic angioembolization: high clinical suspicious for prompt diagnosis is the key

    Raidizon Mercedes, Eric Eidelman, Michael Mawhorter, Max Yudovich, Alireza Aminsharifi*

    Canadian Journal of Urology, Vol.32, No.5, pp. 515-520, 2025, DOI:10.32604/cju.2025.067973 - 30 October 2025

    Abstract Background: Spontaneous rupture of the urinary bladder (SRUB) is a rare condition characterized by bladder rupture without any trauma or previous instrumentation. Diagnosing SRUB can be challenging, leading to potential delays in treatment and significant morbidity. Case description: We present a case of a 75-year-old male with a complex medical history, including atrial fibrillation, systemic lupus erythematosus, antiphospholipid syndrome, and chronic anticoagulation, who developed sudden onset gross hematuria and abdominal pain following bilateral internal iliac artery angioembolization for a spontaneous pelvic hematoma in the setting of supratherapeutic anticoagulation. Extraperitoneal bladder perforation was confirmed by CT cystogram.… More >

  • Open Access

    PROCEEDINGS

    Koopman-Operator-Based Optimal Predictive Control for Libration Point Orbit Rendezvous

    Zhiguang Zhang, Caisheng Wei, Guanhua Huang, Zeyang Yin*

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.33, No.3, pp. 1-1, 2025, DOI:10.32604/icces.2025.010967

    Abstract An optimal predictive control method for spacecraft rendezvous based on Koopman operator is proposed for the the libration point rendezvous problem of Earth-moon system. Firstly, the relative motion dynamics model between the chaser and the target spacecraft in the Earth-moon system is established. Secondly, considering the influence of nonlinearity on spacecraft rendezvous control, a global linearization method of nonlinear rendezvous system driven by Koopman operator is proposed. In this method, the Koopman linearization operator is approximated by the extended dynamic mode decomposition (EDMD) method on the finite dimension. Subsequently, based on the linearization model of… More >

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