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29841
Overcoming the Challenges to Primary Healthcare and Universal Health Coverage in Nigeria: The Pivotal Role of the Family Physician
Published 2025-08-01“…Other significant challenges include chronic underfunding, with health expenditure consistently below the 15% target set by the Abuja Declaration, and out-of-pocket expenses making up to 70% of health costs. Infrastructure gaps are extensive, as only about 20% of PHC facilities are fully operational, further strained by critical shortages of water, sanitation, and reliable electricity. …”
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29842
Vocal constraints on song amplitude in star finches Bathilda ruficauda
Published 2025-07-01“…While the evolution of birdsong is often viewed as constrained by neural costs and body size, or selective pressures from predators and social aggression, our results emphasise the importance of understanding phonetic features as well. …”
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29843
A Novel Evolutionary Deep Learning Approach for PM<sub>2.5</sub> Prediction Using Remote Sensing and Spatial–Temporal Data: A Case Study of Tehran
Published 2025-01-01“…Training LSTM models, however, is an NP-hard problem, with gradient-based methods facing limitations such as getting trapped in local minima, high computational costs, and the need for continuous objective functions. …”
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29844
The Effect of Hearing Aid Amplification on Gait Parameters: A Pilot Study Using Ear-Worn Motion Sensors
Published 2025-04-01“…For stride time, we observed a significant interaction effect; however, the effect size was negligible. The dual-task costs were lower than in previous reports, indicating that the applied dual-task paradigm did not induce the expected cognitive demand. …”
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29845
Privacy-Preserving Keyword Search With Access Control for Secret Sharing-Based Data Outsourcing
Published 2025-01-01“…We compare the proposed methods in terms of their computational and communication costs. Finally, we present a detailed performance analysis using Python, including a comparison with conventional secret sharing-based methods.…”
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29846
Handheld lidar sensors can accurately measure aboveground biomass
Published 2025-06-01“…Together, our results demonstrate that data collected using a more widely available platform will perform similarly to a more costly option and outline a workflow for modeling AGB using remote sensing systems alone.…”
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29847
MMEFU-Net: A Mamba-Guided Multi-Encoder Fusion U-Net for Tumor Segmentation in CT Images
Published 2025-01-01“…The model achieves superior Dice Similarity Coefficients (DSC) and Intersection over Union (IoU) scores while significantly reducing computational costs. Notably, MMEFU-Net improves the DSC by 2.16% compared to nnU-Net on the LiTS2017 dataset, with a <inline-formula> <tex-math notation="LaTeX">$35\times $ </tex-math></inline-formula> reduction in parameters and a <inline-formula> <tex-math notation="LaTeX">$25\times $ </tex-math></inline-formula> reduction in computational complexity. …”
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29848
Improving wheat yield and water use efficiency through soil water-guided furrow irrigation and hydraulic simulation
Published 2025-09-01“…Despite the increasing adoption of precision irrigation technologies including drip and sprinkler systems, traditional methods such as furrow irrigation remain widely used among small-scale farmers due to their lower costs and simpler management requirements. However, limited research has focused on improving the efficiency of furrow irrigation, which holds significant potential for enhancing water use efficiency and agricultural productivity, particularly in regions prone to drought and flood. …”
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29849
Transcending Fixed Infrastructure: Leveraging Mobile RSUs for Dynamic Collective Perception Services in VANETs
Published 2025-01-01“…This increase is likely to result in more accidents and greater financial costs due to traffic congestion. Vehicular Ad Hoc Networks (VANETs) offer a promising solution to address these issues by facilitating information exchange, thereby enhancing situational awareness. …”
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29850
Fluid-Dynamic and Structural Optimization of a Suction-Enabled Autonomous Grass-Cutter Robot
Published 2025-09-01“…Autonomous grass-cutter robots are increasingly important for precision agriculture and turf management, offering the potential to reduce labour costs, improve safety, and enhance operational efficiency. …”
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29851
An evaluation of patient satisfaction with telemedicine at the Rheumatology Outpatient Clinic of the San Fernando Teaching Hospital
Published 2025-06-01“…Time off issues (13.0%), timing inconvenience (12.4%), and traveling costs (12.4%) were identified as challenges with face-to-face consultations. …”
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29852
The Impact of Obesity in the UAE: Real-world Physician and Patient Perspectives
Published 2024-12-01“…PwO voluntarily completed questionnaires reporting out-of-pocket costs and patient-reported outcomes: Work Productivity and Activity Impairment Questionnaire (WPAI), Short Form 36 v2 Health Survey (SF-36v2), Jenkins Sleep Evaluation Questionnaire ( JSEQ). …”
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29853
Prediction of microbe-drug associations using a CNN-Bernoulli random forest model
Published 2025-08-01“…Since traditional wet-lab experiments are time-consuming and costly, computational models offer an efficient alternative for discovering potential applications of existing drugs against previously untested microbes. …”
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29854
Predicting Readmission Among High-Risk Discharged Patients Using a Machine Learning Model With Nursing Data: Retrospective Study
Published 2025-03-01“… Abstract BackgroundUnplanned readmissions increase unnecessary health care costs and reduce the quality of care. It is essential to plan the discharge care from the beginning of hospitalization to reduce the risk of readmission. …”
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29855
Feasibility of milk mid-infrared spectroscopy for large-scale screening of hematic traits in dairy buffaloes
Published 2025-08-01“…However, conducting extensive analyses on a large scale is not feasible due to high costs, labor, the need for invasive procedures, and consequent animals' stress. …”
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29856
Progression to AIDS in South Africa is associated with both reverting and compensatory viral mutations.
Published 2011-04-01“…Interventions that maintain viral fitness costs could potentially slow progression.…”
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29857
A Systematic Review of Advanced Imaging Modalities for Bladder Cancer: Comparative Analysis of Strengths and Limitations
Published 2025-07-01“…It was found that PET was crucial to detecting distant metastasis despite it being costly. Standardization and integration of these modalities into clinical practice would improve diagnostic precision as well as patient care. …”
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29858
The role of oxidative stress and inflammatory response in the pathogenesis of mastitis in dairy cows
Published 2017-04-01“…These losses are reflected through: reduced milk production, increased costs of medication and the other animal health services, reduced fertility, early culling of animals and the value of discarded milk. …”
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29859
Advancements in Clinical Utilization of Recombinant Human Collagen: An Extensive Review
Published 2025-04-01“…However, challenges such as high production costs, regulatory complexities, and long-term biocompatibility remain barriers to widespread clinical adoption. …”
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29860
Effect of Tin Oxide/Black Paint Coating on Absorber Plate Temperature for Improved Solar Still Production: A Controlled Indoor and Outdoor Investigation
Published 2022-01-01“…In this regard, solar still is becoming a prominent and promising future technology due to its environment-friendly nature, less maintenance and operational costs, and simple design. The technological challenge regarding solar still is its low distillate yield. …”
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