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In the absence of large Indian cohort data, combining GATS-2 prevalence with GBD mortality provides a balanced, defensible approach that aligns with national findings such as those by Jha et al

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Comparative evidence, particularly within assisted reproductive technology, is limited, and further research is needed to clarify these uncertainties

To overcome these shortcomings, this paper adds NWD ( For small target objects, since most real objects are unlikely to be standard rectangles, the bounding boxes often carry some background information

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