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Reklama“Anybody can make kids; it takes a real man to look after your kids”: Aboriginal men’s discourse on parenting
Authors: Kootsy Canuto aff001; Kurt Towers aff004; Joshua Riessen aff005; Jimmy Perry aff006; Shane Bond aff004; Dudley Ah Chee aff004; Alex Brown aff001
Authors place of work: Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute, Adelaide, Australia aff001; Freemasons Foundation Centre for Men’s Health, University of Adelaide, Adelaide, Australia aff002; Faculty of Health and Medical Sciences, School of Medicine, the University of Adelaide, Adelaide, Australia aff003; Watto Purrunna Aboriginal Primary Health Care Service, Adelaide, Australia aff004; Aboriginal Health Council of South Australia, Adelaide, Australia aff005; Aboriginal Drug & Alcohol Council (SA) Aboriginal Corporation, Underdale, Australia aff006
Published in the journal: PLoS ONE 14(11)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0225395Summary
Background
The realms of parenting have long belonged to females. In many cultures it has been a female who has predominantly cared for and raised children. For many Aboriginal and Torres Strait Islander male parents this has resulted in them being largely overlooked from contributing to the parenting conversation. Predictably, such a dominant discourse has led to an inadequate distribution of opportunities available and a societal perception that Aboriginal and Torres Strait Islander male parents are disinterested in and/or disengaged from their parental roles and responsibilities, however, this is far from the truth.
Methods
This study is entrenched in an Indigenist research approach which privileges Indigenous lives, Indigenous knowledges and Indigenous voices, and utilised the Research Topic Yarning method to capture participants stories.
Results
Four yarning groups were conducted across South Australia in Coober Pedy, Yalata, Port Lincoln and metropolitan Adelaide. In total, 46 Aboriginal men contributed their experiences and stories of their roles and responsibilities as parents to this study.
Men described being a dad as a privilege, emotionally fulfilling and rewarding and although at times it can be challenging, neglecting their roles and responsibilities are not considered options. Lack of employment and therefore financial security were described as a challenge to fatherhood especially for fathers who live in remote communities. Aboriginal culture, connection to country and family were identified as critical elements and strengths for Aboriginal male parents. Furthermore, Aboriginal male parents are yearning for opportunities to participate in parenting programs including men’s parenting groups.
Conclusion
Consideration of and concern for Aboriginal and Torres Strait Islander men’s involvement and experiences prior to conception, prenatal and postpartum has slowly gained momentum in recent years, yet there has been little improvement in the overall provision of appropriate parenting support services and/or programs for these men.
Keywords:
Human learning – Human families – Employment – children – emotions – Culture – Fathers – Health services research
Introduction
Men in general have largely been overlooked from contributing to the parenting conversation [1] and ‘until fairly recently, most research on family behaviour focused on women and children’ exclusively [2]. With this in mind, it has been found that ‘upholding or supporting rigid stereotypes can potentially hamper both girls’ and boys’ development’ [3]. Predictably, such a discourse has led to an inadequate distribution of opportunities available for male parents to engage in, and a societal perception that these males are disinterested in and/or disengaged from their parental roles and responsibilities.
A systematic review by Baldwin & Bick (2018) of first time fathers’ experiences and needs revealed that ‘fathers wanted more guidance and support to prepare them for parenthood, specifically to better prepare them for subsequent relationship changes with their partner’ [4]. Similarly, and in line with earlier research, Huusko and colleagues (2018) found that fathers in their study lacked the time during parental education classes to ‘strengthen social support for first-time fathers’ as they didn’t have appropriate time to ‘discuss with other expectant fathers since they had different needs and thoughts than mothers’ [5].
In Australia, Western influence has dominated the maternal and child health care space with services giving ‘centre stage to a women’s passage through motherhood’ [6]. Currently, there are a vast number of maternal programs whose focus is solely on mothers and their child whilst very few include fathers or are established exclusively for male parents [6, 7]. This theme also materializes within health research, where there is a plethora of studies concerning female parenting in contrast to that of male parenting [3, 8]. When the focus is on male parents, most ‘studies to date have more often focused on the negative impacts of poor or absent fathering on children’ [9]. Although there is considerable evidence regarding the positive influence fathers can have on their children’s health, social success and academic achievements [10], the roles and responsibilities of male parents continue to be largely ignored by Australian maternal and early years services and research. The lack of emphasis placed on the important roles and responsibilities of Aboriginal and/or Torres Strait Islander male parents has led to regions of Australia where father-son and uncle-nephew relationships have been eroded [11]. Adams (2006) continues by suggesting ‘the roles and responsibilities of Aboriginal elders, fathers, uncles, and grandfathers need to be emphasised and shared to strengthen family ties.’ [11]. Disappointingly, the importance of family and family values within Aboriginal and Torres Strait Islander culture is rarely acknowledged, supported, and or understood by government authorities [12]. Similarly, Reilly and Rees (2018) suggest;
Traditional Australian Aboriginal and Torres Strait Islander societies value men’s role as parents; however, the importance of promoting fatherhood as a key social determinant of men’s well-being has not been fully appreciated in Western medicine [7].
While it is noted that consideration of, and concern for, Aboriginal and Torres Strait Islander men’s involvement and experiences prior to conception and throughout the prenatal and postpartum period has slowly gained momentum in recent years, there has been little improvement in the overall provision of appropriate support services and/or programs for these men.
This study aimed to (i) explore the roles and responsibilities of Aboriginal and/or Torres Strait Islander male parents in South Australia as defined by men themselves and (ii) uncover strategies to assist how these men can be engaged appropriately to participate in the parenting realm to continue to be successful and supportive in their parenting roles.
Within this article, the term parent[ing] is interchangeably referred to as dad, guardian, carer and/or nurturer, as parenting is not just a biological role but one men assume as a social and cultural obligation [13]. The study took place in South Australia, which has a low proportion of the population who identify as Torres Strait Islander or Aboriginal and Torres Strait Islander, 4.5% of the total Aboriginal and Torres Strait Islander population, compared to 20% of the population in Queensland [14], although both Aboriginal and/or Torres Strait Islander men were the intended participants of this study, no Torres Strait Islander men participated in any of the four yarning groups, hence the title stating ‘Aboriginal men’ only.
Methods
Study design
A study reference group (SRG) made up of representatives from supporting organisations and services was established. The SRG members are Aboriginal and Torres Strait Islander people (men and women), including Aboriginal and Torres Strait Islander male community members and one non-Indigenous male. The Aboriginal and Torres Strait Islander men of the SRG guided the research team throughout the research process; their guidance ensured the research was conducted appropriately.
To better understand Aboriginal and Torres Strait Islander men’s perceptions, expectations, and aspirations of successful parenting it was important to document their narratives. Through these narratives, we would be able to comprehend what these parents needed to strengthen their social and emotional wellbeing thus enabling them to perform their roles and responsibilities as parents. The study utilised the framework and domains of Social and Emotional Wellbeing put forth by Gee et al which depicted the domains of wellbeing that typically characterise social and emotional wellbeing from an Aboriginal and Torres Strait Islanders’ Perspective [15]. This study is entrenched in an Indigenist research approach which privileges Indigenous lives, Indigenous knowledges and Indigenous voices [16].
This study uses a yarning research process called Research Topic Yarning, of which the sole purpose is to ‘gather information through participant’s stories that are related to the research topic. While the yarn is relaxed and interactive it is also purposeful with a defined beginning and end’ [17]. Geia, Hayes & Usher (2013) support such a process and contend that ‘insights from Indigenous persons/cultures can contribute to our understanding of storytelling or yarning as a methodological research practice in relation to Indigenous peoples and their communities’ [18]. Furthermore, Dean (2010) explains how ‘Indigenous research should reflect the authority and foundations of Indigenous knowledge systems and yarning as a methodology can permit this’ [19].
The research was led by a Torres Strait Islander man (KC), who is an experienced qualitative researcher. The yarning groups were co-facilitated by KC and an Aboriginal male health worker and health service team leader (KT). KT led the yarning group discussions using a semi-structured yarning guide. At the beginning of each yarning group, the co-facilitators spoke about confidentiality, privacy and the proposed nature of the discussion, explaining that the group is there to discuss parenting from an Aboriginal and/or Torres Strait Islander male perspective. At each yarning group at least one Aboriginal male social and emotional wellbeing health worker was present and available for participants if needed before, during or after the yarning groups. Aboriginal male health workers were also invited to participate in and observe the yarning groups sessions as a capacity building opportunity for them and to assist in community engagement as they were well known and respected Aboriginal men in South Australia. This study provided the research team with opportunities to learn from each other and all Aboriginal male health workers and social and emotional wellbeing workers engaged in the project were active research team members, with each attending at least one yarning group and as such are authors on this manuscript.
As explained by Tong, Sainsbury and Craig (2007) within the comprehensive Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist, it is important to let the reader understand the personal characteristics of the researcher and/or research team and the relationship the researcher and/or team have with the participants [20]. As mentioned previously, lead author (also lead researcher of this study) KC is a Torres Strait Islander man with his own children and several nephews and nieces for who he provides parenting to. The remaining members of the research team are all Aboriginal men who work within Aboriginal and Torres Strait Islander health and have children of their own. The fact that the researchers were all Aboriginal or Torres Strait Islander fathers allowed for common ground with the participants and an ability to have far deeper and more frank conversations with the participants before, during and after the recorded yarning group sessions. At each of the yarning group sites, at least one member of the research team either had an established relationship with some or all of the participants which created favourable and safe interview conditions. Tong et al. (2007) explains how;
The relationship and ‘extent of interaction between the researcher and their participants should be described as it can have an effect on participants’ responses and also on the researchers’ understanding of the phenomena [20].
Data collection
The study was approved by the Aboriginal Health Council of South Australia’s Aboriginal Health Research Ethics Committee (04-18-785).
Participant recruitment
All participants were invited to participate opportunistically at locations deemed suitable by the participants and at suitable times according to community protocols; for example, avoiding cultural ceremony or sorry business (death in the community). To be included the participants had to be male, identify as Aboriginal and/or a Torres Strait Islander, aged 16 years and over, were parents or provided nurturing and/or caring roles and responsibilities, resided in one of the four catchment areas of Yalata, Coober Pedy, Port Lincoln and metropolitan Adelaide, and were able to provide informed written consent. It should be noted that no minors (under 18 years) were involved in this study. As a token of appreciation, a $50 gift voucher was presented to the men for their input, time and knowledge. Protocols relating to the collection, use, management and storage of data were developed by the SRG, in accordance with the South Australian Aboriginal Health Research Accord [21] and adhered to by the research team. This was a small pilot study. Available resources limited the study to only four yarning groups, one per community.
Yarning group locations
The Port Lincoln yarning group was conducted at the Port Lincoln Aboriginal Health Service (PLAHS) where many of us from the research team had a rapport with staff and some of the local men. We knew the men of the community were comfortable coming to PLAHS for a yarning group.
The Coober Pedy yarning group was conducted at the Umoona Tjutagku Health Service Aboriginal Corporation where they serve a daily breakfast for many members of the community. The men were more than willing to participate at this setting.
Due to sorry business, the yarning group with Yalata participants was conducted at the Wahgunyah Conservation Reserve, 90-minutes’ drive from Yalata, as requested by the men, creating a safe space for deep conversations.
The Adelaide metro yarning group was conducted at the Aboriginal Health Council of South Australia (AHCSA) where the research team and participants all had a rapport with the service and some of the staff.
Informed consent
Prior to each yarning group, the study was explained to the participants with the aid of a participant information sheet and verbally by the co-facilitators. It was estimated that each yarning group would take approximately one hour to complete. Informed consent to audio record, transcribe and analyse the data from each of the yarning groups was obtained from every participant. Although English is not the first language of the Aboriginal male participants in Yalata, members of the research team (KT and JP) have strong cultural connections with the community and it was deemed not necessary to have an interpreter as their conversational English is sufficient to have meaningful conversations. Yarning group recordings were transcribed for analysis by KC.
Yarning group prompt questions
All four groups were asked the same semi-structured broad, open-ended questions which focused on their roles and responsibilities as parents, nurturers and/or carers whether they were fathers, uncles, grandfathers or within their role within the kinship system. Some of the questions asked were; what keeps you strong as parents?; when it comes to caring for your child how do you lead and overcome challenges? and what do you think you need to be successful or to continue to be successful in your role? Participants were also asked how services can make being a dad, uncle, grandparent or carer easier for them.
Data analysis
Data collected from the yarning groups was analysed using thematic network analysis which extracts themes into three distinct categories; basic themes, organising themes and global themes [22]. Thematic network analysis was chosen because the data collected can be represented as a web-like map which illustrates the relationship between the three categories [22]. This process was completed by KC without the use of computer software. KC, SB, DA, JR all listened to the recordings and discussed the coding of the data until consensus was reached. KC, KT & JP, who were all present at each yarning session, clarified all meanings and quotes from parts of the audio recording that were difficult to hear.
Results
Participants were recruited from Coober Pedy (n = 12), Yalata (n = 12), Port Lincoln (n = 17) and Adelaide metro (n = 5). The four yarning groups ran for an average of approximately 49 minutes, with the longest being 1 hour and 14 minutes.
From our experience in this study it was evident how the teams identity, credentials, occupations, gender, experience and training influenced how the yarning groups were performed and how the participants from each of the community supported and interacted with the research team [20].
From the thematic analysis four global themes were identified; being a dad, employment, cultural and community connections and opportunities to participate. The analysis including the organisational and local themes are outlined in Table 1. Within and across these themes are identified roles and responsibilities of being a dad/male parent; some of the barriers and enablers influencing men’s ability to fulfil these roles and responsibilities; and potential strategies to improve engagement of men through appropriate services to support their parenting roles.
Tab. 1. Being a dad
All four yarning groups were asked what it means to be a father and although all men spoke of the positive elements of fatherhood, they also acknowledged a number of challenges having a child to care for involved, “I love my kids and I will continue to love my kids for as long as I am alive”. (Adelaide metro participant). “You still worry for your kids regardless of what age they are, it’s just a natural thing”. (Yalata participant). “The principle of being a father is to protect your family and provide the things that they need to have a happy and healthy life”. (Adelaide metro participant). “It’s harder for us as a male especially if we have daughters, especially when they go through their periods of life and their development, how are we as males supposed to give them [our daughters] advice”? (Port Lincoln participant). For some of the male parents it was just being present in their child’s lives that brought them the most satisfaction in their roles;
Just watching them succeed in life is the best, to be there to watch them, to grow as individuals and succeed, it doesn’t have to be huge things, watching my daughter at her year-12 formal; beautiful woman, she’s growing into a beautiful woman …as a father there are so many things, but just watching them grow and being successful in their own little ways, it doesn’t have to be winning the Nobel Peace Prize, but those little things have been the best for me. (Port Lincoln participant).
Moreover, the role of male parents to support their children was clear throughout the four focus-groups, “Supporting kids, especially the young to go to school”. (Yalata participant). One parent believed that staying healthy was important to be a dad, “fundamentally it’s about being alive, fit, strong and healthy so you’re there for your children, nieces and nephews” (Adelaide metro participant). Also, “I just want to be there with my kids”. (Yalata participant). An Adelaide metro participant summed it up;
Being there for your children, especially through their milestones, sharing in their experiences as they grow up, being there when they hopefully graduate, guiding them through school, being there for their birthdays, under any circumstances try to be there in their life, have a presence in their life. (Adelaide metro participant).
Being present, involved and there for their children under any and all circumstances were echoed by most of the men throughout the four focus-groups across all four regions. For example, a Yalata participant stated that “it’s quite easy to be a father, but you’ve got to be a dad as well”. (Yalata participant). This reaffirmed that these parents understood the importance and significance of their role in the family unit and as parents. As one Port Lincoln participant describes;
We all know what we want for our kids and we all struggle to get that for our kids and it’s all positive. From my perspective, it’s our creations, we bought those lives into this world and it’s our responsibility to make sure we give them a start to life. Developing them and watching them grow from this age [young] and giving them the tools, like we spoke about, then we wrapped around that nurturing, love and caring that we do actually care about them and try to point them in the right direction …it’s just a matter of guidance, love and care, and knowing that they know you are there for them through thick and thin. (Port Lincoln participant).
However, it was acknowledged that being a dad was not always the easiest role to perform. As one participant explained;
I remember having times when I thought I can’t do this [being a dad] …but you get through it, everybody does. It [parenting] is an emotional rollercoaster of highs and lows and worries that you’ve never had. You worry sometimes about everything and stupid stuff, but that’s just probably all part of it. I think one of the challenges is trying not to let that get in the way of your parenting because when you’re stressed or you’re angry about stuff happening with your relationship, or anything in your life, you don’t want that to come in to your interactions with your children. However, it’s really hard to separate sometimes stuff happening outside of your family and stuff happening inside of your family. (Adelaide metro participant).
For another Adelaide metro participant, being a dad was like being a spectator at times;
I feel like I did a lot of things around the care of the babies, but it wasn’t actual providing direct care. I still changed nappies and stuff like that, but I was more sort of doing stuff around being supportive, whereas the mum was doing the more of the direct stuff. I did more of the stuff around the edges … Both my kids breast fed as well, and it was almost like they were attached to their mum all the time. I would go to work, and it wasn’t until they were one or so when they come to the next sort of phase of development that I could even get a closer bond. Not that you don’t love them or anything, but it’s something about when they were babies they were these little people that are so dependent on their mums I feel for everything, and when they get a bit older the dads can have a bit more involvement in doing the care and feeding. (Adelaide metro participant).
What it meant to be a dad varied amongst the men. For some, it was a privilege, emotionally fulfilling and rewarding, especially as the father’s role changed over time;
Being a guide and a teacher, sharing your wisdom you’ve learned in life and try to guide your kids in the right way …at times I was a mentor, I was a coach and I was a teacher [to my kids]. Being involved in their lives and taking an interest and showing that they matter to you. I’ve found that it is paying off big time for me now that they are adults. It’s really great having conversations with them now. It’s kind of like having your own best friends. (Adelaide metro participant).
For some, it was a challenge. However, for all the men, neglecting their roles and responsibilities as parents were never considered options;
I want to change the [negative Aboriginal man’s] narrative in the child’s life. I want others to see a man who has a job and he is behaving decently …setting the example. (Adelaide metro participant).
Employment
Without employment it is difficult to afford the basic necessities to raise a child and to provide for the whole family unit. In Coober Pedy, employment was identified as a major challenge to performing the roles and responsibilities of these male parents;
My job is to go to work, to be there for them to put food on the table to pay bills. If you take that away from a bloke then what have you got, unemployment. They [employment services] are not going to fix it, they not fixing it for the last twenty years …I nearly worked all my life, but without work how you meant to deal with, you gonna hit rock bottom and you gonna feel it …we work, we wanna go to work, give us something [employment] to be happy to go to work. (Coober Pedy participant).
When these males are afforded employment opportunities they are then confronted with complex challenges. As one participant explained;
There are jobs out of town …but do you want to work away from family for five years, five years in the mines doing twelve-hour shifts? …it took me a while to get a job back in this town … there’s no jobs here [Coober Pedy] …when you work away from family that’s when your mind starts working overtime, you start stressing out, money is coming in but I’m working away from my family. (Coober Pedy participant).
Employment was noted throughout all four yarning groups as essential to contributing to the health and wellbeing of families. For example, “putting oneself into a position of financial security” (Port Lincoln participant) was important to some of the male parents. For one Yalata male parent, employment, along with connection to country, was a catalyst for positive change;
Participant: A father is everything, I lost my father at a young age [10 years of age] and it hurt me …when my father passed, I had nothing left for me and I moved to sniffing petrol for a while then I moved to the city and starting getting into crime in Adelaide and could of ended up in jail, but charges got dropped then I ended up having a son so I moved back home for work and now I got two boys and I am still working and I haven’t stopped working [since 2009].
Facilitator: What made you be a better person/dad?
Participant: Being back on country. (Yalata participant).
Cultural and community connections
The participants all commented on how culture was a critical element to successfully performing the roles and responsibilities as parents. Although cultures across Australia’s Aboriginal and Torres Strait Islander people differ greatly for example in language, customs, beliefs and traditions there are many commonalities shared, such as the importance and connection to place. Throughout the four regions, connection to culture, country and family was essential. In Coober Pedy, teaching the children respect and culture was important and so was challenging how technology was encroaching on culture. This challenge meant alternate strategies were being developed to continue to embrace culture;
We grew up and there was no technology that is around now …we grew up out bush hunting …we trying to find other ways and strategies for our kids to grow up proper way, out of town teaching them the ropes to survival, getting them away from town but also teaching. We as leaders [are] trying to show them how, to encourage their friends and their cousins, and they go back to talk to their parents to give them a little nudge to help them to take them out bush to find plants, to keep them motivated, take them out fishing. (Coober Pedy participant).
Although technology was challenging for some of the male parents with regards to infringing on culture, it was also seen as beneficial, “technology is good for our kids because they learn to read and they keep up with their technology, we [parents] not keeping up with them, we are behind …I find it [technology] good in a way but bad too”. (Coober Pedy participant).
For an Adelaide metro parent family was important;
family do support you and they do give you strength in times of at your lows and stuff. I think knowing I’m going to see my kids again and everything I do is for my boys, absolutely everything, so that gives me strength and I give that back to them. It comes back to being a good role model. I draw a lot of strength from just thinking about them every day and everything I do”. (Adelaide metro participant).
In Port Lincoln one of the participants highlighted how “knowing who you are, and where you are connected, is very important” (Port Lincoln participant). For one of the participants living away from his country in metropolitan Adelaide he longed for connection to culture for his children;
I want my kids to be linked in with all my family and then that culture as well. I want my kids to have opportunities to learn more culture and ways that I can support that and do that with my family more as well …Opportunities to do that when you are not there with your kids can be a bit harder as well. (Adelaide metro participant).
As demonstrated, culture is viewed as critical to the development of the child and strengthening of the family unit. Culture is also important when it comes to how other males participate in the role of parenting. In Port Lincoln participants spoke about the roles of non-biological fathers, “I don’t have any kids, but I still have a fatherly role”. (Port Lincoln participant). Furthermore, Coober Pedy male parents agreed that, “it does not matter what tribe you are from; we are all one”. (Coober Pedy participant). One participant stated that, “our brothers and nephews play the roles as fathers too …even if they uncles they play a part, they have a responsibility, they’re dads too, even the grandfathers”. (Coober Pedy participant). This sentiment was echoed by a Yalata participant who explained that, “uncles have a very important role, as in respect, for their nieces and nephews to bring them up with respect”. (Yalata participant).
Being present at the birth of the child formed a stronger family bond and appreciation from the father’s perspective, “it changes you seeing the pain the mother goes through [child birth] …I was so drained afterwards but not as much as she was [mother] …made me appreciate her [mother] more”. (Adelaide metro participant). Also, transgenerational behaviour effects parenting and the child’s ultimate outcomes as a Yalata participant explained, “becoming a grandfather is a whole new ballgame, everything changes, do the right thing for your kids and they will do the right thing for their kids”. (Yalata participant). This was echoed by a Port Lincoln participant, “give them [children] the tools to move forward …to live their own life and when they’re old enough, hopefully, what you taught them now, they keep in their heads”. (Port Lincoln participant). Notably, challenging the stereotypical culture of parenting was seen as necessary, and could be achieved by recognising;
The importance that dads play [in parenting] and [understanding] it’s not just the mums [who] look after kids. We have an important role to play and having spaces and a chance to come together and talk [is critical]”. (Adelaide metro participant).
Having an opportunity to participate in the parenting process
The Aboriginal male parents who participated in this research all appreciated the invitation and opportunity to participate in this research. They were all happy to speak about the roles and responsibilities they have as parents. Without doubt, being included in the parenting process was important to these males;
Create opportunities for men …it would be good for men to have [the opportunity to learn more], you’re about to be a dad check, let’s have a yarn about what kind of dad you are going to be and what’s involved in being a dad, because I never had anything like that, and you don’t know anything I guess when you are a new dad for the first time. You are really just learning as you go. (Adelaide metro participant).
In the same yarning group, another Adelaide metro participant explained that;
…men [should] come together and talk more. As the father aspect, we need to normalise that a bit more …and we would benefit from that I reckon as well. It is bloody good talking about things, and you do feel better when you talk about things and heard stories from other people. (Adelaide metro participant).
Having a space for Aboriginal and Torres Strait Islander male parents to come together was also echoed by a Port Lincoln participant who stated how;
We need something that needs to be permanent, not something that is run just a couple hours a week and goes away and that’s it. Somewhere everyday …a hub for the males to come to that is always available. (Port Lincoln participant).
Again, as one participant explained, the importance of a safe place to talk and connect was important;
Providing a space like this [men’s parent group] to be able to communicate …it’s so refreshing, and it helps you to understand what you are going through is shared with many others and yeah, it takes a bit of weight of your shoulders. (Adelaide metro participant).
Similarly, in Port Lincoln, one male parent was concerned for other male parents “more support like this session should be more regular for young fellas around here, there are more like me, men who should be here to know what’s going on”. (Port Lincoln participant).
Many men from all four yarning groups acknowledged the plethora of maternal programs and support offered and the lack of programs for fathers, “there’s a lot of programs for mums and bubs and families …and they’re good things, I’m not dragging them down, but where’s the dads voice in there?” (Adelaide metro participant). Further, although the male parents from Adelaide metro and Port Lincoln had plenty to say about what they needed in way of access to and opportunities to participate and come together, for some of the Yalata participants, they were more focussed on “needing something for the kids to do”. (Yalata participant). Whilst, for some of the Coober Pedy participants, they highlighted support from their community as being important, “we need the support from the whole community to all work as one”.(Coober Pedy participant).
Finally, when the men spoke about the services they did receive, one participant explained his disappointment at the lack of empathy and support he received during the birth of his child;
Acknowledging that this is not your 30,000th baby for you. This is actually something so special and that it is hard, and it is full on and you don’t know what you’re doing. Just to be really respectful, friendly and supportive and have some empathy and all that kind of stuff and not just be like get it out of the way and the next one comes in. (Adelaide metro participant).
Despite gender, someone having feelings of exclusion from any emotional and practical support during this critical time is cause for concern.
Discussion
This study summarises the roles and responsibilities of Aboriginal male parents as defined by the men themselves. This study also outlines the many challenges these men face as Aboriginal men entering parenting for the first time or of those currently involved in the parenting realm. The results of our study correlate with the limited literature surrounding Aboriginal and Torres Strait Islander male parenting; highlighting the need for maternal and early years services to improve their understanding of the needs and desires of Aboriginal male parents and provide culturally appropriate services to these men.
The majority of parenting services are designed for and focused on female parents; and as previously mentioned, for good reason. However, the roles and responsibilities traditionally bestowed upon female parents from all sectors of Western society has led to male parents being largely excluded from the parenting conversation. In their report, Engaging fathers: Evidence review, Fletcher et al. (2014) highlights the importance of inclusivity within the parenting domain;
Research clearly demonstrates that without deliberate measures to develop and incorporate father-inclusive practice into all aspects of services delivery, service providers will overwhelmingly concentrate their efforts on maternal/child dyads. Research also shows this may result in both lower levels of satisfaction for families using the service and poorer outcomes for children, mothers and fathers [10].
Although the journey to full inclusivity within maternal and early years services will take time, it should be noted in recent years the parenting domain is beginning to consider the roles, responsibilities and value male parents can add prior to conception and through the birthing and parenting journey. This change in approach is due to the ‘mounting evidence supporting the critical role of fathering’ [9] and community demand.
Whilst there has been a rise in male parents wanting to be included in the parenting realm, the voices of Aboriginal and Torres Strait Islander men still remain on the margins and largely unheard. As positive as this is for male parents in general, the roles and responsibilities of Aboriginal and Torres Strait Islander male parents remain complex and underexplored. What is clear, is the ‘importance of creating a father-friendly environment’ [23] for Aboriginal and Torres Strait Islander men.
This study has revealed, given the opportunity, Aboriginal and/or Torres Strait Islander male parents are interested and committed to their roles and responsibilities as parents. Unfortunately, appropriate programs and services remain out of reach for some Aboriginal and Torres Strait Islander male parents as the Aboriginal Dads Program in Port Augusta, South Australia, noted, ‘there are no services offering support and education to new Aboriginal fathers’ [24]. The importance of having appropriate resources for Aboriginal and Torres Strait Islander male parents has been well documented [11, 23, 25–27], however, the motivation and ability to adhere to these wants and needs remains lacking.
Furthermore, this study highlighted the want and need of Aboriginal men to be involved in the parenting process from pre-natal, during pregnancy, post-partum and throughout the child’s life. As previously mentioned, the changing role of fathers across the different stages of their child’s growth is important to recognise and support. Subsequently, providing appropriate education and support services that can allow Aboriginal and Torres Strait Islander men to perform their roles and responsibilities to the best of their ability is crucial for the whole family.
The strengths and limitations of this small qualitative research study need to be considered. One of the key strengths of this study is the research team are all Aboriginal and/or Torres Strait Islander male parents, which assisted with the team’s engagement with the participants in deeper, more meaningful conversations and their contextual knowledge for the interpretation of the discussions.
Although yarning groups were conducted across urban, remote and very remote locations, due to the small sample size it may not be representative of all Aboriginal male parents across Australia. In addition, demographic information was not collected from participants limiting our ability to determine the contextual factors that may influence their responses, such as their relationship status or their current employment status.
The study participants may be a bias sample as the yarning group topic was advertised in advance. In addition, the group setting may have deterred participants from expressing opinions that might have been deemed negative or have gone ‘against the grain’, which is a common phenomenon in group interviews. In addition, as mentioned previously, no Torres Strait Islander male parents participated in the study.
It should be noted that opportunities to translate the study’s findings into sustainable changes in policy and/or practice continue to be explored by members of the SRG and the research team.
Conclusion
The lack of parental education, support programs and services that exists for Aboriginal and Torres Strait Islander male parents along with a societal perception that undervalues the importance of these parents clearly demonstrates a damaged system. In saying this, any shift of the social norms and stigmas regarding Aboriginal and Torres Strait Islander males parenting will take significant time, in the meantime maternal and early years services ‘should acknowledge the local stigmas that exist and work with local Indigenous men to find ways to make accessing service more appropriate’ [28].
As this study revealed, maternal and early years services should do more to better engage Aboriginal and Torres Strait Islander male parents. Although there is limited opportunity for these parents to fully participate in and contribute to such services, when given the opportunity, Aboriginal and Torres Strait Islander male parents are willing to engage with and contribute to appropriate opportunities of inclusivity.
The third report of the State of the World’s Fathers: Unlocking the power of men’s care:2019, focused on equality in unpaid care work around the world and suggests;
…by mobilizing new laws and policies, shifting social and gender norms, promoting family and relationship equality, and empowering individual men and fathers to become equitable caregivers, the world will see radical transformations [29].
This report highlights the importance of including male parents into the realm of parenting and argues for equality between male and female parents in all aspects of child rearing and parental responsibilities for the benefit of the whole family and the community. However, for Aboriginal and Torres Strait Islander people, being a marginalised minority of a colonised country, achieving equity and equality continues to be a challenge. Therefore, the best Aboriginal and Torres Strait Islander male parents can hope for, right now, is to be included into the conversation regarding parenting.
It is evident that more should be done to support Aboriginal and Torres Strait Islander male parents, and this should start with the acknowledgment of our vital roles in the healthy development of children and our families. This study uncovered the roles, responsibilities, wants and needs of Aboriginal male parents and unfortunately, the exclusion of Aboriginal and Torres Strait Islander men from the parenting domain highlights a birthing and early years system that is broken. Without urgent correction, this will be to the detriment of these male parents, their children, families and communities.
Zdroje
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- Sex differences in the treatment and outcome of emergency general surgery
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- Barriers to integration of bioinformatics into undergraduate life sciences education: A national study of US life sciences faculty uncover significant barriers to integrating bioinformatics into undergraduate instruction
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- Effect of self-rated health status on functioning difficulties among older adults in Ghana: Coarsened exact matching method of analysis of the World Health Organization’s study on global AGEing and adult health, Wave 2
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- The impact of hepatic steatosis on portal hypertension
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- Methods for the identification of farm escapees in feral mink (Neovison vison) populations
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- Predicting atrial fibrillation in primary care using machine learning
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- Insight into the relationship between aryl-hydrocarbon receptor and β-catenin in human colon cancer cells
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- The role of stigma in the acceptance and disclosure of HIV among recently diagnosed men who have sex with men in Australia: A qualitative study
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- Questioning the lasting effect of galvanic vestibular stimulation on postural control
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- The mutational landscape of quinolone resistance in Escherichia coli
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- Trends and predictors of mother-to-child transmission of HIV in an era of protocol changes: Findings from two large health facilities in North East Nigeria
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- Serum miR-33a is associated with steatosis and inflammation in patients with non-alcoholic fatty liver disease after liver transplantation
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- Investigation of biochemical and physiological parameters of the newborn Saiga antelope (Saiga tatarica) in Gansu Province, China
- One-year follow-up of changes in refraction and aberrations induced by corneal incision
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- An assessment of the Dutch experience with health insurers acting as healthcare advisors
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- Optogenetically transduced human ES cell-derived neural progenitors and their neuronal progenies: Phenotypic characterization and responses to optical stimulation
- Ion torrent high throughput mitochondrial genome sequencing (HTMGS)
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- Acute Influenza A virus outbreak in an enzootic infected sow herd: Impact on viral dynamics, genetic and antigenic variability and effect of maternally derived antibodies and vaccination
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- CRISPR/Cas9 gene editing in the West Nile Virus vector, Culex quinquefasciatus Say
- Genetic susceptibility to angiotensin-converting enzyme-inhibitor induced angioedema: A systematic review and evaluation of methodological approaches
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- Comparative distribution of extended-spectrum beta-lactamase–producing Escherichia coli from urine infections and environmental waters
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- Intolerance of uncertainty fuels depressive symptoms through rumination: Cross-sectional and longitudinal studies
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- Can adoption of pollution prevention techniques reduce pollution substitution?
- The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes
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- Affective disorders in the elderly in different European countries: Results from the MentDis_ICF65+ study
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- Exploiting open source 3D printer architecture for laboratory robotics to automate high-throughput time-lapse imaging for analytical microbiology
- Long non-coding RNAs and latent HIV – A search for novel targets for latency reversal
- Clinical characteristics of neonatal fulminant necrotizing enterocolitis in a tertiary Children's hospital in the last 10 years
- Effects of neuromuscular electrical stimulation training on muscle size in collegiate track and field athletes
- Adaptive fuzzy flow rate control considering multifractal traffic modeling and 5G communications
- Evaluation of four commercial tests for detecting ceftiofur in waste milk bulk tank samples
- A smart tele-cytology point-of-care platform for oral cancer screening
- Vasopressin SNP pain factors and stress in sickle cell disease
- Carbonate production of Micronesian reefs suppressed by thermal anomalies and Acanthaster as sea-level rises
- Microbial metabolisms in an abyssal ferromanganese crust from the Takuyo-Daigo Seamount as revealed by metagenomics
- Incidence of chronic kidney disease hospitalisations and mortality in Espírito Santo between 1996 to 2017
- The impact of short-term machine perfusion on the risk of cancer recurrence after rat liver transplantation with donors after circulatory death
- Proteomic profiling of the thrombin-activated canine platelet secretome (CAPS)
- Blood metal levels and serum testosterone concentrations in male and female children and adolescents: NHANES 2011–2012
- The effects of prolonged single night session of videogaming on sleep and declarative memory
- Diversity, distribution and dynamics of large trees across an old-growth lowland tropical rain forest landscape
- Mapping developmental QTL for plant height in soybean [Glycine max (L.) Merr.] using a four-way recombinant inbred line population
- Vaginal ring acceptability and related preferences among women in low- and middle-income countries: A systematic review and narrative synthesis
- UM171 induces a homeostatic inflammatory-detoxification response supporting human HSC self-renewal
- Positive selection and precipitation effects on the mitochondrial NADH dehydrogenase subunit 6 gene in brown hares (Lepus europaeus) under a phylogeographic perspective
- Evaluation of Minimum Inhibitory Concentrations for 154 Mycoplasma synoviae isolates from Italy collected during 2012-2017
- Enhancement of antibiotics antimicrobial activity due to the silver nanoparticles impact on the cell membrane
- Correction: Smoking, alcohol use disorder and tuberculosis treatment outcomes: A dual co-morbidity burden that cannot be ignored
- Correction: Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa
- Knowledge-based best of breed approach for automated detection of clinical events based on German free text digital hospital discharge letters
- Importance of thorough tissue and cellular level characterization of targeted drugs in the evaluation of pharmacodynamic effects
- Integrated value-chain and risk assessment of Pig-Related Zoonoses in Ghana
- Failed sperm retrieval from severely oligospermic or non-obstructive azoospermic patients on oocyte retrieval day: Emergent oocyte cryopreservation is a feasible strategy
- Cassava yield traits predicted by genomic selection methods
- Verification of hub genes in the expression profile of aortic dissection
- Pig farmers’ willingness to pay for management strategies to reduce aggression between pigs
- Metabolomic response of Euglena gracilis and its bleached mutant strain to light
- Diagnostic value of ASVS for insulinoma localization: A systematic review and meta-analysis
- Newly educated care managers’ experiences of providing care for persons with stress-related mental disorders in the clinical primary care context
- Real-time telemetry monitoring of oxygen in the central complex of freely-walking Gromphadorhina portentosa
- Qualification programmes for immigrant health professionals: A systematic review
- An analytical model to minimize the latency in healthcare internet-of-things in fog computing environment
- Grain filling of early-season rice cultivars grown under mechanical transplanting
- Intercalation of small molecules into DNA in chromatin is primarily controlled by superhelical constraint
- Correlative evidence for co-regulation of phosphorus and carbon exchanges with symbiotic fungus in the arbuscular mycorrhizal Medicago truncatula
- How to design a dose-finding study on combined agents: Choice of design and development of R functions
- Altered expression of Notch1 in Alzheimer's disease
- The ZJU index is a powerful surrogate marker for NAFLD in severely obese North American women
- Trunk velocity-dependent Light Touch reduces postural sway during standing
- Evaluation of cytological diagnostic accuracy for canine splenic neoplasms: An investigation in 78 cases using STARD guidelines
- Trade-offs in motivating volunteer effort: Experimental evidence on voluntary contributions to science
- Does caching strategy vary with microclimate in endangered Mt. Graham red squirrels?
- Assessment of energy expenditure during high intensity cycling and running using a heart rate and activity monitor in young active adults
- Evaluating rectal swab collection method for gut microbiome analysis in the common marmoset (Callithrix jacchus)
- Implementation of a screening, brief intervention and referral to treatment programme for risky substance use in South African emergency centres: A mixed methods evaluation study
- Can the CalproQuest predict a positive Calprotectin test? A prospective diagnostic study
- The calcium sensor OsCBL1 modulates nitrate signaling to regulate seedling growth in rice
- Acceptability of and treatment preferences for recurrent bacterial vaginosis—Topical lactic acid gel or oral metronidazole antibiotic: Qualitative findings from the VITA trial
- Mathematical determination of the HIV-1 matrix shell structure and its impact on the biology of HIV-1
- Contingent negative variation during a modified cueing task in simulated driving
- CAMDI interacts with the human memory-associated protein KIBRA and regulates AMPAR cell surface expression and cognition
- Effect of feeding patterns on growth and nutritional status of children aged 0-24 months: A Chinese cohort study
- A fecal sequel: Testing the limits of a genetic assay for bat species identification
- Measuring the impact of chronic conditions and associated multimorbidity on health-related quality of life in the general population in Hong Kong SAR, China: A cross-sectional study
- Short and long-term clinical effectiveness and cost-effectiveness of a late-phase community-based balance and gait exercise program following hip fracture. The EVA-Hip Randomised Controlled Trial
- Vaccine cold chain in general practices: A prospective study in 75 refrigerators (Keep Cool study)
- Brazilian norms for the Bank of Standardized Stimuli (BOSS)
- Distinct varieties of aesthetic chills in response to multimedia
- Interaction between apolipoprotein E genotype and hypertension on cognitive function in older women in the Nurses’ Health Study
- Correction: Resistance profile of the HIV-1 maturation inhibitor GSK3532795 in vitro and in a clinical study
- New formulation of the Gompertz equation to describe the kinetics of untreated tumors
- Development of visual perception of others’ actions: Children’s judgment of lifted weight
- Retrospective comparative analysis of intraocular lens calculation formulas after hyperopic refractive surgery
- Human vitreous concentrations of citicoline following topical application of citicoline 2% ophthalmic solution
- Development and validation of exhaled breath condensate microRNAs to identify and endotype asthma in children
- Arthroscopic release for frozen shoulder: Does the timing of intervention and diabetes affect outcome?
- Risk factors affecting dairy cattle protective grouping behavior, commonly known as bunching, against Stomoxys calcitrans (L.) on California dairies
- Acceleration of chemical shift encoding-based water fat MRI for liver proton density fat fraction and T2* mapping using compressed sensing
- Characterisation and microbial community analysis of lipid utilising microorganisms for biogas formation
- Sexuality in male partners of women with fibromyalgia syndrome: A qualitative study
- Exploring optimization strategies for improving explicit water models: Rigid n-point model and polarizable model based on Drude oscillator
- Artificial insemination with fresh, liquid stored and frozen thawed semen in dromedary camels
- Moving into an urban drug scene among people who use drugs in Vancouver, Canada: Latent class growth analysis
- Numerical study on the start and unstart phenomena in a scramjet inlet-isolator model
- Effects of dietary supplementation with apple peel powder on the growth, blood and liver parameters, and transcriptome of genetically improved farmed tilapia (GIFT, Oreochromis niloticus)
- Urban growth simulation in different scenarios using the SLEUTH model: A case study of Hefei, East China
- Chronic bronchitis without airflow obstruction, asthma and rhinitis are differently associated with cardiovascular risk factors and diseases
- Factors associated with medication adherence among people with diabetes mellitus in poor urban areas of Cambodia: A cross-sectional study
- Mammary microbiome of lactating organic dairy cows varies by time, tissue site, and infection status
- Force field generalization and the internal representation of motor learning
- Polyphenism of visual and chemical secondary sexually-selected wing traits in the butterfly Bicyclus anynana: How different is the intermediate phenotype?
- Minimal genetic differentiation of the malaria vector Nyssorhynchus darlingi associated with forest cover level in Amazonian Brazil
- The impact of leisure activities on older adults’ cognitive function, physical function, and mental health
- scafSLICR: A MATLAB-based slicing algorithm to enable 3D-printing of tissue engineering scaffolds with heterogeneous porous microarchitecture
- Association of serum leptin and adiponectin concentrations with echocardiographic parameters and pathophysiological states in patients with cardiovascular disease receiving cardiovascular surgery
- Operation of cognitive memory inhibition in adults with Down syndrome: Effects of maintenance load and material
- Influences on surgical antimicrobial prophylaxis decision making by surgical craft groups, anaesthetists, pharmacists and nurses in public and private hospitals
- Post-treatment Lyme disease symptoms score: Developing a new tool for research
- Expression of Concern: The Role of the RACK1 Ortholog Cpc2p in Modulating Pheromone-Induced Cell Cycle Arrest in Fission Yeast
- Equine bronchial fibroblasts enhance proliferation and differentiation of primary equine bronchial epithelial cells co-cultured under air-liquid interface
- Investigating cooperation with robotic peers
- Synthesis, purification and crystallization of a putative critical bulge of HAR1 RNA
- Prosthetic push-off power in trans-tibial amputee level ground walking: A systematic review
- A case study of the use of verbal reports for talent identification purposes in soccer: A Messi affair!
- Transgenerational deep sequencing revealed hypermethylation of hippocampal mGluR1 gene with altered mRNA expression of mGluR5 and mGluR3 associated with behavioral changes in Sprague Dawley rats with history of prolonged febrile seizure
- Obesity is associated with an impaired survival in lymphoma patients undergoing autologous stem cell transplantation
- Periodontal disease: Repercussions in pregnant woman and newborn health—A cohort study
- Origins of Chinese reindeer (Rangifer tarandus) based on mitochondrial DNA analyses
- Regional, racial, gender, and tumor biology disparities in breast cancer survival rates in Africa: A systematic review and meta-analysis
- How effective are films in inducing positive and negative emotional states? A meta-analysis
- 3D nanostructural characterisation of grain boundaries in atom probe data utilising machine learning methods
- An outbreak of tuberculosis in a middle school in Henan, China: Epidemiology and risk factors
- Initial clinical radiological findings and staging to predict prognosis of primary hepatic angiosarcoma: A retrospective analysis
- A new early Eocene deperetellid tapiroid illuminates the origin of Deperetellidae and the pattern of premolar molarization in Perissodactyla
- Longevity and marginal bone loss of narrow-diameter implants supporting single crowns: A systematic review
- Impact of UVC-sustained recirculating air filtration on airborne bacteria and dust in a pig facility
- Cold-related Florida manatee mortality in relation to air and water temperatures
- Conceptual fluency in inductive reasoning
- Clinical outcomes and treatment patterns among Medicare patients with nonvalvular atrial fibrillation (NVAF) and chronic kidney disease
- Improvements in the learnability of smartphone haptic interfaces for visually impaired users
- Role of the malic enzyme in metabolism of the halotolerant methanotroph Methylotuvimicrobium alcaliphilum 20Z
- Cyclic loading test study on a new cast-in-situ insulated sandwich concrete wall
- Natural compounds as angiogenic enzyme thymidine phosphorylase inhibitors: In vitro biochemical inhibition, mechanistic, and in silico modeling studies
- Analysis of virulence potential of Escherichia coli O145 isolated from cattle feces and hide samples based on whole genome sequencing
- Pre-clinical medical student reflections on implicit bias: Implications for learning and teaching
- Prognostic significance of non-sustained ventricular tachycardia on stored electrograms in pacemaker recipients
- Determinants of preterm birth among mothers who gave birth at public hospitals in the Amhara region, Ethiopia: A case-control study
- Real-world evidence of the effectiveness of ombitasvir-paritaprevir/r ± dasabuvir ± ribavirin in patients monoinfected with chronic hepatitis C or coinfected with human immunodeficiency virus-1 in Spain
- Unique transcriptomic landscapes identified in idiopathic spontaneous and infection related preterm births compared to normal term births
- Restrained expansion of the recall germinal center response as biomarker of protection for influenza vaccination in mice
- Arabidopsis TRM5 encodes a nuclear-localised bifunctional tRNA guanine and inosine-N1-methyltransferase that is important for growth
- Achievement of weight loss in patients with overweight during dietetic treatment in primary health care
- Autophagy deficiency exacerbates colitis through excessive oxidative stress and MAPK signaling pathway activation
- The impacts of parity on lung function data (LFD) of healthy females aged 40 years and more issued from an upper middle income country (Algeria): A comparative study
- Reorganization of spatial configurations in visual working memory: A matter of set size?
- Unravelling travellers’ route choice behaviour at full-scale urban network by focusing on representative OD pairs in computer experiments
- Evaluating the higher-order structure of the Profile of Emotional Competence (PEC): Confirmatory factor analysis and Bayesian structural equation modeling
- HIV prevalence and correlated factors among male clients of female sex workers in a border region of China
- Next generation sequencing and RNA-seq characterization of adipose tissue in the Nile crocodile (Crocodylus niloticus) in South Africa: Possible mechanism(s) of pathogenesis and pathophysiology of pansteatitis
- Association between advanced maternal age and maternal and neonatal morbidity: A cross-sectional study on a Spanish population
- Ethnic differences in the prevalence, socioeconomic and health related risk factors of knee pain and osteoarthritis symptoms in older Malaysians
- Increasing knowledge of HIV status in a country with high HIV testing coverage: Results from the Botswana Combination Prevention Project
- Friends with benefits: The effects of vegetative shading on plant survival in a green roof environment
- Comparison of the fecal, cecal, and mucus microbiome in male and female mice after TNBS-induced colitis
- Identifying candidate diagnostic markers for early stage of non-small cell lung cancer
- Complex alternative splicing of human Endonuclease V mRNA, but evidence for only a single protein isoform
- Correction: KML001 Induces Apoptosis and Autophagic Cell Death in Prostate Cancer Cells via Oxidative Stress Pathway
- Unique developmental trajectories of risk behaviors in adolescence and associated outcomes in young adulthood
- Enhanced fibrinolysis detection in a natural occurring canine model with intracavitary effusions: Comparison and degree of agreement between thromboelastometry and FDPs, D-dimer and fibrinogen concentrations
- Overexpression of Saussurea involucrata dehydrin gene SiDHN promotes cold and drought tolerance in transgenic tomato plants
- Foxtail millet (Setaria italica (L.) P. Beauv) CIPKs are responsive to ABA and abiotic stresses
- Autonomous drone hunter operating by deep learning and all-onboard computations in GPS-denied environments
- Heterogeneity Diffusion Imaging of gliomas: Initial experience and validation
- Frequency cluster formation and slow oscillations in neural populations with plasticity
- DHP23002 as a next generation oral paclitaxel formulation for pancreatic cancer therapy
- Diagnostic accuracy of SOX11 immunohistochemistry in mantle cell lymphoma: A meta-analysis
- Analytical solution to swing equations in power grids
- Pathways to conspiracy: The social and linguistic precursors of involvement in Reddit’s conspiracy theory forum
- Spatiotemporally random and diverse grid cell spike patterns contribute to the transformation of grid cell to place cell in a neural network model
- Empathic concern and personal distress depend on situational but not dispositional factors
- Who is more susceptible to job stressors and resources? Sensory-processing sensitivity as a personal resource and vulnerability factor
- Cost-effectiveness of integrating postpartum antiretroviral therapy and infant care into maternal & child health services in South Africa
- A substitution mutation in a conserved domain of mammalian acetate-dependent acetyl CoA synthetase 2 results in destabilized protein and impaired HIF-2 signaling
- One step at a time: Physical activity is linked to positive interpretations of ambiguity
- Calreticulin regulates vascular endothelial growth factor-A mRNA stability in gastric cancer cells
- Evaluation of various methods of selection of B. subtilis strains capable of secreting surface-active compounds
- Association between US Pharmacopeia (USP) monograph standards, generic entry and prescription drug costs
- Molecular characterisation of the synovial fluid microbiome in rheumatoid arthritis patients and healthy control subjects
- On sorption hysteresis in wood: Separating hysteresis in cell wall water and capillary water in the full moisture range
- Inbreeding, Allee effects and stochasticity might be sufficient to account for Neanderthal extinction
- Reliability and construct validity of the stepping-forward affordance perception test for fall risk assessment in community-dwelling older adults
- Socioeconomic determinants of nutritional status among ‘Baiga’ tribal children In Balaghat district of Madhya Pradesh: A qualitative study
- Study on characteristics of fire plume in building facade window under lateral blow
- ‘When you talk to someone in a bad way or always put her under pressure, it is actually worse than beating her’: Conceptions and experiences of emotional intimate partner violence in Rwanda and South Africa
- Effects of 6-mercaptopurine in pressure overload induced right heart failure
- The association between haemoglobin levels in the first 20 weeks of pregnancy and pregnancy outcomes
- Implementation and evaluation of an antimicrobial stewardship programme in companion animal clinics: A stepped-wedge design intervention study
- Factors associated with persistently high-cost health care utilization for musculoskeletal pain
- Nitrogen and chlorophyll status determination in durum wheat as influenced by fertilization and soil management: Preliminary results
- Effect of repeated in vivo microCT imaging on the properties of the mouse tibia
- Coupling environment and physiology to predict effects of climate change on the taxonomic and functional diversity of fish assemblages in the Murray-Darling Basin, Australia
- Hematology and plasma biochemistries in the Blanding’s turtle (Emydoidea blandingii) in Lake County, Illinois
- CRISPR-Cas influences the acquisition of antibiotic resistance in Klebsiella pneumoniae
- Phosphorylation-dependent activity-based conformational changes in P21-activated kinase family members and screening of novel ATP competitive inhibitors
- Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: A population cohort analysis
- Why men with a low-risk prostate cancer select and stay on active surveillance: A qualitative study
- Imported severe malaria and risk factors for intensive care: A single-centre retrospective analysis
- Combined treatment (image-guided thrombectomy and endovascular therapy with open femoral access) for acute lower limb ischemia: Clinical efficacy and outcomes
- Low-latency single channel real-time neural spike sorting system based on template matching
- Quantifying the scale effect in geospatial big data using semi-variograms
- Paper-and-pencil versus computerized administration mode: Comparison of data quality and risk behavior prevalence estimates in the European school Survey Project on Alcohol and other Drugs (ESPAD)
- Regression adjusted colocalisation colour mapping (RACC): A novel biological visual analysis method for qualitative colocalisation analysis of 3D fluorescence micrographs
- Ostrich eggshell bead diameter in the Holocene: Regional variation with the spread of herding in eastern and southern Africa
- Spatial and temporal variations in female size at maturity of a Southern Rock Lobster (Jasus edwardsii) population: A likely response to climate change
- Inactive USP14 and inactive UCHL5 cause accumulation of distinct ubiquitinated proteins in mammalian cells
- Training rhesus macaques to take daily oral antiretroviral therapy for preclinical evaluation of HIV prevention and treatment strategies
- Left ventricular structural and functional changes in Friedreich ataxia – Relationship with body size, sex, age and genetic severity
- Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study
- Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review
- Hydrogen sulphide-induced hypometabolism in human-sized porcine kidneys
- Correction: Comparison of the molecular properties of retinitis pigmentosa P23H and N15S amino acid replacements in rhodopsin
- Retraction: Regulation of gastric smooth muscle contraction via Ca2+-dependent and Ca2+-independent actin polymerization
- Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT
- Blood type and breed-associated differences in cell marker expression on equine bone marrow-derived mesenchymal stem cells including major histocompatibility complex class II antigen expression
- Induced abortion and future use of IVF treatment; A nationwide register study
- Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
- Measurement of finger joint angle using stretchable carbon nanotube strain sensor
- Determinants of mortality among patients with drug-resistant tuberculosis in northern Nigeria
- Drugs modulating stochastic gene expression affect the erythroid differentiation process
- Efficacy of UB0316, a multi-strain probiotic formulation in patients with type 2 diabetes mellitus: A double blind, randomized, placebo controlled study
- Prognostic value of des-γ-carboxy prothrombin in patients with hepatocellular carcinoma treated with transarterial chemotherapy: A systematic review and meta-analysis
- Avermectin induces the oxidative stress, genotoxicity, and immunological responses in the Chinese Mitten Crab, Eriocheir sinensis
- Antibiotic use in mandarin production (Citrus reticulata Blanco) in major mandarin-producing areas in Thailand: A survey assessment
- Application of CPI cutoff value based on parentage testing of duos and trios typed by four autosomal kits
- Correction: Good and Bad in the Hands of Politicians: Spontaneous Gestures during Positive and Negative Speech
- Adolescents with worse levels of oral health literacy have more cavitated carious lesions
- Effective methods for the inactivation of Francisella tularensis
- Detection of early-stage Alzheimer’s pathology using blood-based autoantibody biomarkers in elderly hip fracture repair patients
- Correlation between internal pudendal artery stenosis and erectile dysfunction in patients with suspected coronary artery disease
- Analysis of HER2 genomic binding in breast cancer cells identifies a global role in direct gene regulation
- Population productivity of shovelnose rays: Inferring the potential for recovery
- Correction: Long-term clinical outcomes in a cohort of patients with solitary plasmacytoma treated in the modern era
- Effects of tetracycline on myocardial infarct size in obese rats with chemically-induced colitis
- Mineral absorption is an enriched pathway in a brain region of restless legs syndrome patients with reduced MEIS1 expression
- Changes in weight and body composition across five years at university: A prospective observational study
- Adeno-associated virus-mediated expression of human butyrylcholinesterase to treat organophosphate poisoning
- Effects of insulin signaling on mouse taste cell proliferation
- Patient-level cost of home- and facility-based child pneumonia treatment in Suba Sub County, Kenya
- TAP: A static analysis model for PHP vulnerabilities based on token and deep learning technology
- Cost-effectiveness of QuantiFERON-TB Gold In-Tube versus tuberculin skin test for diagnosis and treatment of Latent Tuberculosis Infection in primary health care workers in Brazil
- Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial
- Changes over time in creatinine clearance and comparison of emergent adverse events for HIV-positive adults receiving standard doses (300 mg/day) of lamivudine-containing antiretroviral therapy with baseline creatinine clearance of 30–49 vs ≥50 mL/min
- Population dynamics of foxes during restricted-area culling in Britain: Advancing understanding through state-space modelling of culling records
- Impacts of experimental advisory exit speed sign on traffic speeds for freeway exit ramp
- In-hospital outcomes and 30-day readmission rates among ischemic and hemorrhagic stroke patients with delirium
- Monitoring quality indicators for the Xpert MTB/RIF molecular assay in Ethiopia
- Delivering genes across the blood-brain barrier: LY6A, a novel cellular receptor for AAV-PHP.B capsids
- Correction: Using remote sensing to detect whale strandings in remote areas: The case of sei whales mass mortality in Chilean Patagonia
- Comparison of the inoculum size effects of antibiotics on IMP-6 β-lactamase-producing Enterobacteriaceae co-harboring plasmid-mediated quinolone resistance genes
- Contrast-enhanced computed tomography findings of canine primary renal tumors including renal cell carcinoma, lymphoma, and hemangiosarcoma
- Non-invasive in vivo imaging of UCP1 expression in live mice via near-infrared fluorescent protein iRFP720
- Overexpression of pink1 or parkin in indirect flight muscles promotes mitochondrial proteostasis and extends lifespan in Drosophila melanogaster
- Fiber stiffness, pore size and adhesion control migratory phenotype of MDA-MB-231 cells in collagen gels
- Comparison of two experimental ARDS models in pigs using electrical impedance tomography
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- Stroke risks in women with dysmenorrhea by age and stroke subtype
- Changes in patterns of mortality rates and years of life lost due to firearms in the United States, 1999 to 2016: A joinpoint analysis
- In vitro modeling of Batrachochytrium dendrobatidis infection of the amphibian skin
- Development and validation of LC-MS/MS method for imatinib and norimatinib monitoring by finger-prick DBS in gastrointestinal stromal tumor patients
- Correction: Habitat disturbance and the organization of bacterial communities in Neotropical hematophagous arthropods
- Characterisation of early metazoan secretion through associated signal peptidase complex subunits, prohormone convertases and carboxypeptidases of the marine sponge (Amphimedon queenslandica)
- Time trends between 2002 and 2017 in correlates of self-reported sitting time in European adults
- Performance of patient acuity rating by rapid response team nurses for predicting short-term prognosis
- Changes in HbA1c during the first six years after the diagnosis of Type 2 diabetes mellitus predict long-term microvascular outcomes
- Correction: Antimicrobial resistance genotypes and phenotypes of Campylobacter jejuni isolated in Italy from humans, birds from wild and urban habitats, and poultry
- Correction: Mental health and quality of life outcomes in family members of patients with chronic critical illness admitted to the intensive care units of two Brazilian hospitals serving the extremes of the socioeconomic spectrum
- Correction: Establishing an infrastructure for collaboration in primate cognition research
- Correction: The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review
- Health provider and service-user experiences of sensory modulation rooms in an acute inpatient psychiatry setting
- Comparison of potential drug-drug interactions with metabolic syndrome medications detected by two databases
- The Polish version of the Cultural Intelligence Scale: Assessment of its reliability and validity among healthcare professionals and medical faculty students
- Selection of optimal reference genes for qRT-PCR analysis of shoot development and graviresponse in prostrate and erect chrysanthemums
- Metastasis risk prediction model in osteosarcoma using metabolic imaging phenotypes: A multivariable radiomics model
- Defining hospital community benefit activities using Delphi technique: A comparison between China and the United States
- Establishment of the experimental procedure for prediction of conjugation capacity in mutant UGT1A1
- A robust multi-objective optimization framework to capture both cellular and intercellular properties in cardiac cellular model tuning: Analyzing different regions of membrane resistance profile in parameter fitting
- Sea star wasting disease demography and etiology in the brooding sea star Leptasterias spp.
- Diagnostic plasma miRNA-profiles for ovarian cancer in patients with pelvic mass
- Genetic diversity and drug resistance of HIV-1 among infected pregnant women newly diagnosed in Luanda, Angola
- I’ve been robbed! – Can changes in floral traits discourage bee pollination?
- Visualising statistical models using dynamic nomograms
- Assessing the capacity of Malawi’s district and central hospitals to manage traumatic diaphyseal femoral fractures in adults
- Diagnostic performance of basal cortisol level at 0900-1300h in adrenal insufficiency
- The Mastery Rubric for Bioinformatics: A tool to support design and evaluation of career-spanning education and training
- Microdissection and whole chromosome painting confirm karyotype transformation in cryptic species of the Lariophagus distinguendus (Förster, 1841) complex (Hymenoptera: Pteromalidae)
- Quality of Kangaroo Mother Care services in Ethiopia: Implications for policy and practice
- Gemcitabine potentiates the anti-tumour effect of radiation on medullary thyroid cancer
- iTRAQ-based high-throughput proteomics analysis reveals alterations of plasma proteins in patients infected with human bocavirus
- The detection of a non-anemophilous plant species using airborne eDNA
- Perception and control of low cable operation forces in voluntary closing body-powered upper-limb prostheses
- Neoadjuvant chemotherapy plus surgery versus concurrent chemoradiotherapy in stage IB2-IIB cervical cancer: A systematic review and meta-analysis
- Randomized methods to characterize large-scale vortical flow networks
- Disentangling the coexistence strategies of mud-daubing wasp species through trophic analysis in oases of Baja California peninsula
- Front-of-pack nutritional labels: Understanding by low- and middle-income Mexican consumers
- Distress in patients with end-stage renal disease: Staff perceptions of barriers to the identification of mild-moderate distress and the provision of emotional support
- Pathways to antibiotics in Bangladesh: A qualitative study investigating how and when households access medicine including antibiotics for humans or animals when they are ill
- DOC export is exceeded by C fixation in May Creek: A late-successional watershed of the Copper River Basin, Alaska
- Behavioral observation of prosocial behavior and social initiative is related to preschoolers’ psychopathological symptoms
- Evaluating the impact of citations of articles based on knowledge flow patterns hidden in the citations
- Correction: Economic sanctions and academia: Overlooked impact and long-term consequences
- Correction: A novel association between relaxin receptor polymorphism and hematopoietic stem cell yield after mobilization
- Expression of Concern: Cooperativity of Oncogenic K-Ras and Downregulated p16/INK4A in Human Pancreatic Tumorigenesis
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- Sex differences in body composition but not neuromuscular function following long-term, doxycycline-induced reduction in circulating levels of myostatin in mice
- The emotion regulation effect of cognitive control is related to depressive state through the mediation of rumination: An ERP study
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- Correction: A 1D computer model of the arterial circulation in horses: An important resource for studying global interactions between heart and vessels under normal and pathological conditions
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- Correction: Identifying performance benchmarks and determinants for reproductive performance and calf survival using a longitudinal field study of cow-calf herds in western Canada
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- Correction: Interspecific Phylogenic Relationships within Genus Melilotus Based on Nuclear and Chloroplast DNA
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- Correction: KETOS: Clinical decision support and machine learning as a service – A training and deployment platform based on Docker, OMOP-CDM, and FHIR Web Services
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- In vitro endothelial cell migration from limbal edge-modified Quarter-DMEK grafts
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- Mitochondrial alarmins are tissue mediators of ventilator-induced lung injury and ARDS
- Complete Chloroplast Genomes of Vachellia nilotica and Senegalia senegal: Comparative Genomics and Phylogenomic Placement in a New Generic System
- Retraction: Over-Expression of Superoxide Dismutase Ameliorates Cr(VI) Induced Adverse Effects via Modulating Cellular Immune System of Drosophila melanogaster
- Effect of pre-season training phase on anthropometric, hormonal and fitness parameters in young soccer players
- Exosomes from conditioned media of bone marrow-derived mesenchymal stem cells promote bone regeneration by enhancing angiogenesis
- Outcome of patients with heart failure after transcatheter aortic valve implantation
- Fatty acid profile of Romanian’s common bean (Phaseolus vulgaris L.) lipid fractions and their complexation ability by β-cyclodextrin
- Appropriate empirical antibiotic therapy and mortality: Conflicting data explained by residual confounding
- Treatment of corneal endothelial damage in a rabbit model with a bioengineered graft using human decellularized corneal lamina and cultured human corneal endothelium
- Telbivudine on IgG-associated hypergammaglobulinemia and TGF-β1 hyperactivity in hepatitis B virus-related liver cirrhosis
- Correction: Axial variation of deoxyhemoglobin density as a source of the low-frequency time lag structure in blood oxygenation level-dependent signals
- Correction: Mobile health-based physical activity intervention for individuals with spinal cord injury in the community: A pilot study
- Retraction: Placental expression of CD100, CD72 and CD45 is dysregulated in human miscarriage
- Correction: Use of IoT sensing and occupant surveys for determining the resilience of buildings to forest fire generated PM2.5
- Correction: The modulation of facial mimicry by attachment tendencies and their underlying affiliation motives in 3-year-olds: An EMG study
- Correction: Cognitive impairment in multiple sclerosis: An exploratory analysis of environmental and lifestyle risk factors
- Discovering novel disease comorbidities using electronic medical records
- Glutathione contributes to efficient post-Golgi trafficking of incoming HPV16 genome
- Epidemiology and antimicrobial resistance of methicillin-resistant Staphylococcus aureus isolates colonizing pigs with different exposure to antibiotics
- Social information use in adolescents: The impact of adults, peers and household composition
- Public practices on antibiotic use: A cross-sectional study among Qatar University students and their family members
- Effects of Topper Training on psychosocial problems, self-esteem, and peer victimisation in Dutch children: A randomised trial
- Comparative studies of two generations of NanoString nCounter System
- General practitioners’ perceptions of delayed antibiotic prescription for respiratory tract infections: A phenomenographic study
- Can altered magnetic field affect the foraging behaviour of ants?
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- A prospective observational study of on-treatment plasma homocysteine levels as a biomarker of toxicity, depression and vitamin supplementation lead-in time pre pemetrexed, in patients with non-small cell lung cancer and malignant mesothelioma
- A strategy to identify protein-N-myristoylation-dependent phosphorylation reactions of cellular proteins by using Phos-tag SDS-PAGE
- Expression profile of sonic hedgehog signaling-related molecules in basal cell carcinoma
- Seasonal alternation of the ontogenetic development of the moon jellyfish Aurelia coerulea in Maizuru Bay, Japan
- Reliability of measurement of active trunk movement in wheelchair basketball players
- Chinese SLE Treatment and Research group (CSTAR) registry: Clinical significance of thrombocytopenia in Chinese patients with systemic lupus erythematosus
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- Male-pattern baldness and incident coronary heart disease and risk factors in the Heinz Nixdorf Recall Study
- Quality and utilization patterns of maternity waiting homes at referral facilities in rural Zambia: A mixed-methods multiple case analysis of intervention and standard of care sites
- Determining an optimal pool size for testing beef herds for Johne’s disease in Australia
- Correction: Change in larval fish assemblage in a USA east coast estuary estimated from twenty-six years of fixed weekly sampling
- APOE-knockout in rabbits causes loss of cells in nucleus pulposus and enhances the levels of inflammatory catabolic cytokines damaging the intervertebral disc matrix
- Testing Species Assignments in Extant Terebratulide Brachiopods: A Three-dimensional Geometric Morphometric Analysis of Long-Looped Brachidia
- A daily diary study on maladaptive daydreaming, mind wandering, and sleep disturbances: Examining within-person and between-persons relations
- Improved chemotherapy modeling with RAG-based immune deficient mice
- Effect of tracheal antimicrobial peptide on the development of Mannheimia haemolytica pneumonia in cattle
- The internal realities of individuals with type 2 diabetes – a functional framework of self-management practices via Grounded Theory approach
- Role of platelet parameters in early detection and prediction of severity of preeclampsia: A comparative cross-sectional study at Ayder comprehensive specialized and Mekelle general hospitals, Mekelle, Tigray, Ethiopia
- eIF4E and 4EBP1 are prognostic markers of head and neck squamous cell carcinoma recurrence after definitive surgery and adjuvant radiotherapy
- Smoking and other determinants of bone turnover
- Oxygen delivery, oxygen consumption and decreased kidney function after cardiopulmonary bypass
- School engagement of children in early grades: Psychometric, and gender comparisons
- Correction: A review of the elusive bicolored iris Snouted Treefrogs (Anura: Hylidae:Scinax uruguayus group)
- Perceived attractiveness of Czech faces across 10 cultures: Associations with sexual shape dimorphism, averageness, fluctuating asymmetry, and eye color
- Discovery of stable and prognostic CT-based radiomic features independent of contrast administration and dimensionality in oesophageal cancer
- Correction: Population-based dementia prediction model using Korean public health examination data: A cohort study
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- Correction: ISED: Constructing a high-resolution elevation road dataset from massive, low-quality in-situ observations derived from geosocial fitness tracking data
- Correction: Use of validated objective methods of locomotion characteristics and weight distribution for evaluating the efficacy of ketoprofen for alleviating pain in cows with limb pathologies
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- Metabolic costs of spontaneous swimming in Sprattus sprattus L., at different water temperatures
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- Correction: Transcriptome profiling of mouse brain and lung under Dip2a regulation using RNA-sequencing
- Genetic diversity and antiretroviral resistance-associated mutation profile of treated and naive HIV-1 infected patients from the Northwest and Southwest regions of Cameroon
- Maximum parsimony interpretation of chromatin capture experiments
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- First evidence of hepatitis E virus infection in a small mammal (yellow-necked mouse) from Croatia
- The inhibitory effects of polypyrrole on the biofilm formation of Streptococcus mutans
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- Upregulation of ERK phosphorylation in rat dorsal root ganglion neurons contributes to oxaliplatin-induced chronic neuropathic pain
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- Remote heart rate monitoring - Assessment of the Facereader rPPg by Noldus
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- Molecular diet analysis of Anguilliformes leptocephalus larvae collected in the western North Pacific
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- Correction: The C-reactive protein/albumin ratio as an independent predictor of mortality in patients with severe sepsis or septic shock treated with early goal-directed therapy
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