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However, treatment costs may limit scale-up, and should be addressed.
Marcuse [ 44] points out that many lousy programs are sustainable, and, when sustained, they may limit the scaling up of new and innovative programs, including new healthcare treatments and other interventions.
Lastly, the overall relatively high discontinuation rate (64%) may limit inference of results on outcome scales.
We oversampled at sites selected for further follow-up, which may limit generalizability to all sites.
The PST approach may be personalised or tried out on a limited scale with the patient.
This may limit their ability to take up extra income generation opportunities.
The actual production may have been even smaller if for example poor management capacity limits scale-up.
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Contrary to long-distance dispersal, short-distance dispersal may limit gene exchange at a local scale.
However, the computational complexity of this method may limit its practical use in large-scale applications.
This could be because area-wide management of these pests has been effective enough to prevent high levels of damage in refugia [ 1, 2], because the results here which are based on a small-scale field trial may not scale up to larger refugia or because bivoltine dynamics limit the opportunities for damage-avoiding oviposition to a single generation per year [ 44].
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