Circulating Tumor Cells in Early Breast Cancer: A 10-Year Follow-Up Update by Tania Rossi, Emanuela Scarpi, Roberta Maltoni

“…Although associated with specific pathological features such as vascular invasion, the role of CTC analysis in this setting remains limited by methodological challenges and cost. Larger, standardized studies are needed to validate the prognostic relevance of conventional and non-conventional CTC populations in early BC.…”
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Production of concrete expansive agents from freshwater sludge and carbide sludge by Mingqian Yang, Bo Xu, Jiawei Tan, En-Hua Yang, Yaolin Yi

“…However, conventional EA production consumes substantial quantities of non-renewable resources, which is costly and not sustainable. This study explores the feasibility of producing cost-effective calcium sulfoaluminate-based EAs from two industrial by-products/wastes, freshwater sludge (FS) and carbide sludge (CS). …”
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A PERFORMANCE ANALYSIS OF DIFFERENT ATTACHED WAVELENGTHS BASED WDM-ROF SYSTEM FOR FRONTHAUL 5G COMMUNICATION by Aqeel Al-Hilali, Haitham Bashar, Mohammed Abdul Majeed, Ayad Ghany, Hussein Alaa Diame

“…In 5G communication networks, the use of Dense Wavelength Division Multiplexing Radio over Fiber (DWDM-RoF) technology has produced several benefits, including cost savings, increased capacity, and faster data rates. …”
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Evaluating the Efficacy of Enzyme-Induced Carbonate Precipitation (EICP) for Aeolian Sand Fixation by Lina Xiao, Jiaming Zhang, Yi Luo, Xinlong Wang, Xiaojian Qi, Zhongyi Hu, Javid Hussain, Guosheng Jiang

“…EICP demonstrates notable advantages in enhancing mechanical performance, environmental compatibility, and cost efficiency, positioning cemented AS as a viable construction material while offering insights for sand stabilization engineering. …”
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Unveiling HRM dynamics through PLS model: The moderating roles of self-efficacy and organizational commitment in work engagement and talent turnover intention by Md Abul Mohaimen, Imroz Mahmud, Md Sharif Hassan, Mohammad Bin Amin, Sanjoy Kumar Roy

“…Retaining good people is one of organizations' greatest challenges, as the cost of losing employees is high. This study offers a more sophisticated perspective on the higher-order nexus between HRM practices, work engagement, and turnover intention that can help inform future sound HR strategies.…”
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Identification of new sources of resistance to charcoal rot caused by Macrophomina phaseolina (Tassi) Goid in cowpea by Francis Sodji, Theophilus Kwabla Tengey, Charles Kodia Kwoseh

“…Host plant resistance is the most reliable and cost-effective method of controlling this disease. …”
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Design Principles and Engineering Strategies for Stabilizing Ni-Rich Layered Oxides in Lithium-Ion Batteries by Alain Mauger, Christian M. Julien

“…These materials, characterized by low cobalt content, offer a promising path toward sustainable and cost-effective energy storage solutions. However, their electrochemical performance remains below theoretical expectations, primarily due to challenges related to structural instability, limited thermal safety, and suboptimal cycle life. …”
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Features of harvesting machinery operation on weak soils in the Far East Region by A. N. Panasyuk, Z. A. Godzhaev, M. V. Kandelya, A. V. Lipkan', V. M. Shiryaev, V. A. Kuz'min

“…The authors based on own researches established actual problems of harvesting in the Amur region: ensuring passability of machines on the waterlogged soil, need of machines adaptivising to technologies of soybean harvesting, transfer of a part of the combine fleet to a caterpillar track, implementation of reloading reducing impact on the soil technologies of harvesting, increase in cost efficiency of mashines use and postharvest drying of grain and corn.Perspective solutions of problems are shown: design development of caterpillar end trucks of combines with the rubber-reinforced tracks (RRT); engineering and production of the soybean-grain harvester with RRT or a set of devices for the grain harvester with RRT as the option transferring it to the category the soybean-grain ones; process development to provide harvesting of soybean heap by the machine with RRT which crush and spread straw across the field simultaneous, to deliver soybean heap to stationary point of postharvest handling for the subsequent separation into seeds, marketable soybean and a soy chaff as valuable protein feed for livestock production, ready for feeding and storage; engineering of the forage harvester with RRT on a block and modular basis, that is based on the multipurpose power mean on RRT with the 4-machine scheme of a hydrostatic power drive of a undercarriager; development of a design of caterpillar blocks with triangular shape of contour; implementation of reloading technologies of harvest operations on system VIMLIFT.Production of harvest transport vehicles should be performed on a block and modular basis - in the form of a complex of self-propelled agricultural machines based on the released multipurpose power module with a set of the replaceable technological adapters providing its loading within a year. …”
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Clearance of penicillin allergies via direct oral provocation testing (DOPT): a systematic review by Michael Dore, Ashley Otto, Annie Wang, Carly Heintz, Sarah Cantrell, Daniel Shields, Allyson Burkhart

“…Inappropriate penicillin allergies are associated with adverse patient outcomes, poor antimicrobial stewardship, and increased healthcare costs. Direct oral provocation testing (DOPT) is a safe and cost-effective way to remove false penicillin allergy labels (PAL). …”
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Reliability-Based Estimation of Traffic Interruption Probability due to Road Waterlogging by Manuel Contreras-Jara, Tomás Echaveguren, José Vargas Baecheler, Alondra Chamorro Giné, Hernán de Solminihac Tampier

“…Floods affect road infrastructure physically and operationally, increase road user costs and road agencies cost, and eventually isolate communities. …”
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Three-Dimensional Object Recognition Using Orthogonal Polynomials: An Embedded Kernel Approach by Aqeel Abdulazeez Mohammed, Ahlam Hanoon Al-sudani, Alaa M. Abdul-Hadi, Almuntadher Alwhelat, Basheera M. Mahmmod, Sadiq H. Abdulhussain, Muntadher Alsabah, Abir Hussain

“…Experimental results show that the proposed method exhibits higher accuracy and lower computational costs compared to the benchmark methods in various conditions for a wide range of parameter values.…”
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Optimized design and performance evaluation of a highly precise variable rate mis-planting and replanting potato electronic-metering mechanism by Abdallah Elshawadfy Elwakeel, Ahmed Elbeltagi, Ali Salem, Ali Salem, Ahmed Z. Dewidar, Ahmed Z. Dewidar

“…Current manual detection and correction methods introduce inefficiencies, increase labor costs, and risk human error.MethodologyTo address these limitations, this study developed and evaluated a high-precision variable-rate electronic metering mechanism (EMM) capable of automated mis-planting detection and replanting under controlled laboratory conditions. …”
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A Blockchain-Assisted Fair Exchange Signature Protocol Using Quantum Key Distribution for Metaverse Environment by Sunil Prajapat, Pankaj Kumar, Goutham Reddy Alavalapati

“…The results indicate a computational cost of <inline-formula> <tex-math notation="LaTeX">$0.815 ms$ </tex-math></inline-formula>, and communication costs of 1312 bits, demonstrating the protocol&#x2019;s resilience and performance by conducting a thorough safety and efficiency analysis and demonstrating compliance with essential security features, including unforgeability, undeniability, verifiability, and traceability.…”
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Feasibility of a Symptomatic Screening Program for Early Detection of Gastric Cancer in Roatán, Honduras by Jade Tso, Susana Galeas, Brendalee Martinez, Kallie Vallecillo, Mustafa Faleh Abidalhassan, Natan Webster, Heidy Leiva, Mustafa Al-Qaraghli, Cameron Gaskill

“…Two (29%) had a family history of cancer, four (57%) had a previous H. pylori infection, six (71%) took medication for acid reflux, and four (57%) had dietary risk factors for GC. All patients cited cost as a barrier to care, while two (29%) each reported difficulty traveling to a facility, lack of knowledge on which facilities did endoscopy, and uncertainty of whether they needed the procedure as other barriers.CONCLUSIONAlthough symptomatic screening guidelines are feasible for screening GC in Honduras, limitations in endoscopy access and capacity pose barriers to early diagnosis. …”
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Low-light image enhancement method for underground mines based on an improved Zero-DCE model by WANG Yiwei, LI Xiaoyu, WENG Zhi, BAI Fengshan

“…A Cascaded Convolution Kernel (CCK) was employed in the deep network to reduce the number of model parameters and computational cost, thereby shortening the training time. Experimental validation was conducted using the LOL public dataset and a self-built mine dataset. …”
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Economic impact of TAVI pathway optimisation: the experience of the University Hospital of Parma by Simone Fanelli, Gianluca Lanza, Lorenzo Pratici, Giorgio Benatti, Luigi Vignali

“…We estimated that in our cohort TAVI optimisation would have saved approximately 112 ICCU bed-days and have led to an average cost reduction of about €3,900 per patient. Conclusions This study showed a process of optimisation of the TAVI pathway highlighting the positive impacts for patients, caregivers, healthcare workers, and the hospital. …”
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Research Insights on Recent Power Converter Topologies and Control Strategies for Wireless EV Chargers: A Comprehensive Study by Venugopal Ramadoss, Balaji Chandrasekar, M.M.R. Ahmed, Dominic Savio A, Narayanamoorthi Rajamanickam, Thamer A. H. Alghamdi

“…At the same time, the technologies for wireless charging of EVs are advancing due to their convenience, cost-effectiveness, and reliability as charging solutions. …”
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Current practices and knowledge of adenosine administration for paroxysmal supraventricular tachycardia: a multi-province survey in Chinese emergency departments by Hao Zou, Guanguan Luo, Cheng Jiang, Xiaopeng Tu, Jiaohong Gan, Ruikai Zhu, Jie Qin, Jian Xia

“…However, its adoption remains limited in China due to accessibility challenges, cost concerns, and entrenched reliance on traditional antiarrhythmics. …”
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PRELIMINARY EXPERIENCE OF THE AORTO-FEMORAL SHUNTING USING THE DA VINCI SURGICAL SYSTEM by V. N. Pavlov, V. V. Plechev, R. I. Safiullin, V. Sh. Ishmetov, M. Sh. Kashaev, P. V. Ignatenko, A. N. Arhipov, A. A. Rabtsun, R. F. Safin, A. E. Pushkareva, S. I. Blagodarov

“…The above-mentioned advantages eventually resulted in reduction of post-operation stay of patients in in-patient department and of cost of treatment.Conclusion. Robot-assisted surgical system Da Vinci being the most cutting-edge in the realm of endoscopic surgery, enables to carry out operational interference with minimal blood loss and injury of tissues which helps to reduce postoperation and recovery periods.…”
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Enhanced power sharing and voltage regulation for islanded nano-satellite DC microgrids in spinning flight scenarios by Khalil Louassaa, Josep M. Guerrero, Baseem Khan, Muhammad Zain Yousaf, Mohamed Ali Zdiri, Liu Zhang, Rajkumar Sivanraju

“…Abstract The Small Satellite (SmallSat) industry has advanced significantly, with CubeSats playing crucial roles in Earth observation and scientific research due to their low cost and modularity. The Electrical Power System (EPS) is a critical subsystem that integrates photovoltaic sources, energy storage, and power converters to ensure reliable operation. …”
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