Background: Waste collection is a critical logistical challenge in urban management, and while Internet of Things (IoT) technologies are increasingly used to optimize collection routes, a systematic, quantitative synthesis of their impact is lacking. This study aims to bridge this gap by quantifying the effect of IoT-enabled routing optimization on waste collection distances. Methods: We conducted a systematic review and meta-analysis following the PRISMA protocol, searching the Scopus, IEEE Xplore, and ACM Digital Library databases. This process yielded 11 eligible studies, providing 21 distinct samples for quantitative synthesis. Results: The analysis reveals that IoT-enabled routing optimization reduces collection distance by a combined average of 21.51%. A significant disparity was found between study types, with simulation-based approaches reporting higher reductions (−39.79%) compared to real-world deployments (−12.37%). No statistically significant performance differences were observed across different routing algorithm categories or Vehicle Routing Problem (VRP) variants. Conclusions: These findings provide robust quantitative evidence of the significant efficiency gains from implementing IoT-based smart waste management systems. The gap between simulated and real-world results underscores the need for practitioners to set realistic expectations, while our analysis supports the adoption of these technologies for more sustainable urban logistics.

This study investigates the impact of different types of personal protective equipment (PPE), specifically Powered Air-Purifying Respirators (PAPRs) and traditional N95 masks with face shields, on the physiological stress responses of healthcare workers (HWs) during the COVID-19 pandemic. Utilizing an interventional randomized crossover trial design, the research encompasses a simulation phase with ten participants followed by field testing involving thirty frontline healthcare professionals in a tertiary-care hospital setting. Heart rate (HR) and movement data were collected through smartwatches, while trained observers recorded the duration and nature of various activities undertaken during simulations. Data analysis employed statistical techniques, including Principal Component Analysis (PCA) and t-Distributed Stochastic Neighbor Embedding (t-SNE), to explore potential correlations between PPE type, HR, and movement. Clustering validation measures such as the Calinski–Harabasz, Davies–Bouldin, and Silhouette scores were applied to evaluate the difference between each type of PPE. The results indicated no significant differentiation in HR responses between the two PPE types. However, because HR may lack the sensitivity to fully capture variations in cognitive load or stress, these findings should be interpreted as an exploratory baseline. Additionally, no clear distinctions were observed regarding individual user responses or the activities performed, even when considering movement data. Although the findings imply non-inferiority of the examined PPE, future research including heart rate variability as a more comprehensive indicator of stress would be informative. This research contributes valuable insights into PPE selection and its implications for healthcare worker performance and well-being in high-stress environments, ultimately aiming to inform guidelines and training programs to enhance healthcare delivery during infectious disease outbreaks.