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. …”
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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. …”
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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.…”
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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. …”
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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. …”
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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. …”
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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.…”
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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. …”
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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. …”
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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. …”
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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. …”
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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. …”
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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. …”
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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. …”
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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. …”
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Ontology-conformal recognition of materials entities using language models by Sai Teja Potu, Rachana Niranjan Murthy, Akhil Thomas, Lokesh Mishra, Natalie Prange, Ali Riza Durmaz

“…Data scarcity further motivates employing solutions such as foundation language models for extracting information which can in principle address several subtasks of the information extraction problem in a range of domains without the need of generating costly large-scale annotated datasets for each downstream task. …”
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Short-term scheduling optimization of battery electric buses in the context of sustainable energy resources under uncertainty by Muhammad Ahmad Iqbal, Ismail I. Almaraj

“…The model is enhanced through a robust counterpart formulation, incorporating a realistic case study that addresses uncertainties in critical parameters such as electricity selling prices and purchasing costs. By dynamically optimizing charging station selection and energy trading strategies, the robust model successfully maintains 90 % of the deterministic profit under independent price fluctuations (box uncertainty) and 78 % under correlated market risks (polyhedral uncertainty). …”
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The impact of environmental tax reform on industrial green development: evidence from China by Zhaoyang Lu, Diao Gou, Lanqin Yang, Ziyue Wu, Hailong Feng

“…This reform aligns fiscal instruments with environmental objectives, aiming to internalize environmental costs and incentivize greener industrial behavior. …”
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Optimizing gas well deliquification: Experimental analysis of surfactant-based strategies for liquid unloading in gas wells for enhanced recovery by Najeeb Anjum Soomro, Ubedullah Ansari, Bilal Shams, Muhammad Khan Memon, Darya Khan Bhutto, Zhang Rui, Yi Pan

“…The findings also contribute to enhanced oil and gas recovery by prolonging well lifespan, reducing operational costs, and improving production efficiency. This work serves as a foundation for future studies in surfactant-based well unloading strategies, paving the way for improved reservoir management and sustained hydrocarbon production.…”
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A three stage attention enabled stacked deep CNN-BiLSTM (ASDCBNet) model for end-to-end monitoring of wastewater treatment plant by S. Ullas, B. Uma Maheswari, Seshaiah Ponnekant, T. M. Mohan Kumar

“…However, traditional WWTPs face challenges including high operational costs, manual monitoring dependencies, and inefficiencies in real-time quality control. …”
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