Low HIV-risk aligned discontinuation among HIV pre-exposure prophylaxis users within public HIV clinics in Kenya: A mixed method study. by Njeri Wairimu, Kenneth Ngure, Vallery Ogello, Emmah Owidi, Paul Mwangi, Lydia Etyang, Winnie Waituika, Margaret Mwangi, Dominic M Githuku, Simon Maina, Elizabeth Irungu, Nelly Mugo, Kenneth K Mugwanya

“…Accessibility challenges (4%), and opportunity costs such as fear of missing/losing work (1%) were reported less frequently. …”
Get full text

Effects of dexmedetomidine on delirium and mortality during sedation in ICU patients: a systematic review and meta-analysis protocol by Rao Sun, Shuo Wang, Shiyong Li, Chun Yang, Yilin Zhao, Ailin Luo

“…After quality appraisal and data extraction of included studies, we will conduct meta-analyses for outcomes of interest, including delirium, mortality, length of ICU/hospital stay, time to extubation, ICU costs and adverse effects. The statistical heterogeneity among studies will be assessed by the χ2 test and quantified by the I2 statistics. …”
Get full text

Research on an hourly heat load forecasting model for district heating systems based on heterogeneous model fusion by Tieliu Jiang, Wenyue Liu, Jianqing Lin, Xu Jin, Zhongyan Liu

“…This model can provide high-precision guidance for thermal scheduling, facilitating optimization of energy losses and control of operational costs.…”
Get full text

Comparative Analysis of LLMs in Dry Eye Syndrome Healthcare Information by Gloria Wu, Hrishi Paliath-Pathiyal, Obaid Khan, Margaret C. Wang

“…<b>Background/Objective:</b> Dry eye syndrome affects 16 million Americans with USD 52 billion in annual healthcare costs. With large language models (LLMs) increasingly used for healthcare information, understanding their performance in delivering equitable dry eye guidance across diverse populations is critical. …”
Get full text

Assessment of Personalized Exercise Prescriptions Issued by ChatGPT 4.0 and Intelligent Health Promotion Systems for Patients with Hypertension Comorbidities Based on the Transtheo... by Xu Y, Liu Q, Pang J, Zeng C, Ma X, Li P, Ma L, Huang J, Xie H

“…However, when patients exhibited certain functional movement disorders, GPT’s exercise prescriptions involved higher health risks, whereas the more conservative approach of IHPS was advantageous.Conclusion: The path of generating exercise prescriptions using artificial intelligence, whether via ChatGPT or IHPS, cannot achieve a completely satisfactory state.But can serve as a supplementary tool for professionals issuing exercise prescriptions to patients with hypertension comorbidities, especially in alleviating the financial burden of consulting costs. Future research could further explore the performance of AI in issuing exercise prescriptions, harmonize it with physiological indicators and phased feedback, and develop an interactive user experience.Keywords: artificial intelligence, exercise prescription, hypertension, intelligent health promotion systems, transtheoretical model…”
Get full text

An adaptive k-means clustering algorithm based on grid and domain centroid weights for digital twins in the context of digital transformation by Wei Cai, Fei Yang, Bo Yao, Chuanxian Li, Guangyu Sun

“…This characteristic presents challenges in digital twin data mining, including high computational costs, performance limitations, and inefficiencies. …”
Get full text

Lived experiences of Iranian employed women with maintaining work-life balance: a descriptive phenomenological study by Nastaran Heydarikhayat, Saba Heydarikhayat, Tahmineh Salehian, Narges Heydarikhayat, Camelia Rohani

“…Subthemes of the study included: A gap in parenting, self-sacrificing, the hidden costs of being employed, intensifying situations, gender shadow, and stuck in organizational issues. …”
Get full text

Meta-analysis of the frequency of thoracolumbar junction fractures in the context of traumatic spinal injuries in the adult population by O.S. Nekhlopochyn, V.V. Verbov, S.A. Verbovska, I.V. Cheshuk

“…Traumatic spinal injuries are a significant medical and social issue, due to both the high costs associated with initial medical care for the injured and the extensive and expensive rehabilitation required. …”
Get full text

Cervical vertebral body segmentation in X-ray and magnetic resonance imaging based on YOLO-UNet: Automatic segmentation approach and available tool by Hongyan Wang, Jie Lu, Song Yang, Yin Xiao, Liangliang He, Zhi Dou, Wenxing Zhao, Liqiang Yang

“…In this study, the challenge of large-scale medical annotation tasks was addressed, thereby reducing project costs and supporting advancements in medical information technology and clinical research.…”
Get full text

Interventions to Promote Civic Engagement Among Youth and Its Outcomes on Mental Health: A Scoping Review by Marina Oubiña López, Diego Gómez Baya

“…<b>Conclusions</b>: Youth civic engagement programs should integrate mental health support to mitigate the emotional costs of activism, ensuring greater participation and well-being. …”
Get full text

Machine Learning with Administrative Data for Energy Poverty Identification in the UK by Lin Zheng, Eoghan McKenna

“…The Low Income Low Energy Efficiency (LILEE) indicator and previously the Low Income High Costs (LIHC) indicator have been used by the UK government to monitor national energy poverty levels. …”
Get full text

Driving forces for sustainable development of smallholder sugarcane agribusiness: a system dynamics approach to circular economy strategies by Budisantoso Wirjodirdjo, Ahmad Fatih Fudhla, Moses Laksono Singgih, Hafidz Ridho

“…The findings reveal that the R4 strategy reduces unexpected costs, stabilises income, and increases farmers’ savings by 37.5 %. …”
Get full text

CFR-YOLO: A Novel Cow Face Detection Network Based on YOLOv7 Improvement by Guohong Gao, Yuxin Ma, Jianping Wang, Zhiyu Li, Yan Wang, Haofan Bai

“…Traditional contact cattle identification methods are costly; are easy to lose and tamper with; and can lead to a series of security problems, such as untimely disease prevention and control, incorrect traceability of cattle products, and fraudulent insurance claims. …”
Get full text

Adversarial domain adaptation for deforestation detection in remote sensing imagery by José Matheus Fonseca dos Santos, Pedro Juan Soto Vega, Guilherme Lucio Abelha Mota, Gilson Alexandre Ostwald Pedro da Costa

“…While state-of-the-art deep semantic segmentation networks offer high classification performance, producing the references for supervised training often proves to be quite laborious and costly. Additionally, the accuracy delivered by those networks is directly impacted by the quality and volume of training data. …”
Get full text

Do children with uncomplicated severe acute malnutrition need antibiotics? A systematic review and meta-analysis. by Gabriel Alcoba, Marko Kerac, Serge Breysse, Cécile Salpeteur, Annick Galetto-Lacour, André Briend, Alain Gervaix

“…However, given that these antibiotics have side-effects, costs, and risks as well as benefits, their routine use needs urgent testing. …”
Get full text

Antifouling Mussel-Inspired Hydrogel with Furanone-Loaded ZIF-8 for Quorum Sensing-Mediated Marine Antifouling by Yanbin Xiong, Junnan Cui, Xiaodan Liu, Haobo Shu, Pan Cao

“…Marine biofouling, the process of marine microorganisms, algae, and invertebrates attaching to and forming biofilms on ship hulls, underwater infrastructure, and marine equipment in ocean environments, severely impacts shipping and underwater operations by increasing fuel consumption, maintenance costs, and corrosion risks, and by threatening marine ecosystem stability via invasive species transport. …”
Get full text

Awareness and barriers to accessing sexual and reproductive healthcare services among Deaf women in Krachi West District of Ghana: a qualitative study by John Kwame Agbenyeavu, Gilbert Eshun, Richard Gyan Aboagye, John Kuumuori Ganle

“…The study identified several key barriers to accessing these services, including financial constraints, high service costs, communication difficulties with healthcare providers, stigma, inappropriate attitudes from healthcare providers, and a lack of community support. …”
Get full text

Depression in older adults: prevalence and risk factors in a primary health care sample by Uschenka Padayachey, S Ramlall, J Chipps

“…Early identification and treatment of depression reduces medical costs and lessens caregiver burden. Epidemiological data and prevalence rates of geriatric depression in Africa are limited, although such data are vital to mobilise and plan government mental health initiatives aimed at screening and early intervention. …”
Get full text

The Role of Personality Factors in Predicting Resilience and Coping Styles of Patients with Type 2 Diabetes: A Cross-sectional Study by Reza Nemati, Hakimeh Vahedparast, Yaghob Rashedi, Kamran Mirzaei, Masoud Bahreini

“…Introduction: Diabetes is a serious, progressive, and costly disease that creates many limitations for its patient. …”
Get full text

The Role of Sensor Technologies in Estrus Detection in Beef Cattle: A Review of Current Applications by Inga Merkelytė, Artūras Šiukščius, Rasa Nainienė

“…High initial investment costs and the complexity of data analysis may limit their adoption, particularly in small and medium-sized farms. …”
Get full text