A little good is good enough: Ethical consumption, cheap excuses, and moral self-licensing
Authors:
Jannis Engel aff001; Nora Szech aff001
Authors place of work:
Department of Economics, Karlsruhe Institute of Technology (KIT), Karlsruhe,Germany
aff001; Berlin Social Science Center (WZB), Berlin, Germany
aff002; CESifo, Munich, Germany
aff003
Published in the journal:
PLoS ONE 15(1)
Category:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0227036
Summary
This paper explores the role of cheap excuses in product choice. If agents feel that they fulfill one ethical aspect, they may care less about other independent ethical facets within product choice. Choosing a product that fulfills one ethical aspect may then suffice for maintaining a high moral self-image in agents and render it easier to ignore other ethically relevant aspects they would otherwise care about more. The use of such cheap excuses could thus lead to a “static moral self-licensing” effect, and this would extend the logic of the well-known dynamic moral self-licensing. Our experimental study provides empirical evidence that the static counterpart of moral self-licensing exists. Furthermore, effects spill over to unrelated, ethically relevant contexts later in time. Thus, static moral self-licensing and dynamic moral self-licensing can exist next to each other. However, it is critical that agents do not feel that they fulfilled an ethical criterion out of sheer luck, that is, agents need some room so that they can attribute the ethical improvement at least partly to themselves. Outsiders, although monetarily incentivized for correct estimates, are completely oblivious to the effects of moral self-licensing, both static and dynamic.
Keywords:
Labor economics – Behavior – Decision making – Personality – Personality traits – Economic agents – Psychological attitudes – Experimental economics
Introduction
The production of green, environmentally sustainable products has been increasing. This phenomenon includes products from organic agriculture [1, 2]and sustainably produced electronic items [3, 4]. However, even though consumers buy more green products, purchases seem to fall short compared with the stated intents that consumers express. Experts have argued that the ratio is one to ten: Spending on ethically improved products amounts to approximately 10% of what consumers claimed they would be willing to spend [5]. Moreover, data suggests that many consumers attempt to ignore ethically questionable production standards when possible [6]. This finding suggests that although many consumers have some awareness of ethical problems in production processes and some willingness to pay (WTP), cheap excuses may be welcome when regarding opting for less-ethical items.
Some brands, such as Wholefoods, foster a universal approach toward production that adheres to high, broad ethical standards. By contrast, many companies have focused on one ethical facet of their products while remaining rather silent on others. For example, fashion-producer H&M advertises that it replaces conventional cotton in its “conscious collection” with organic or recycled cotton [7]. In a similar manner, Apple publicly announced to audit of all its suppliers regarding the use of conflict minerals [8]. However, even though H&M and Apple have included the well-being of their workers in their codes of conduct [9–11], emphasizing its importance, reports of problematic working conditions have been repeatedly observed. For example, articles by Duhigg and Barboza [12], Burke [13]and Fullerton [14] have highlighted problematic working conditions in the production of Apple products, and Preston and Leffler [15] reported workers’ rights violations among some of the best-ranked suppliers of H&M.
We follow Bandura [16] and Gert [17] and define moral and ethical behavior as avoiding harm to other people and/or the environment. For a company, focusing on improving one ethical facet of their production process compared with many might be easier. For example, textile producers might limit environmental damage from growing cotton but ignore other ethically relevant aspects of their production processes. What might also be is that some facets such as environmental impact are easier to address than other facets such as labor and safety standards. This may partly explain why many companies stress specific ethical aspects to increase their ethical reputation. Another reason for such practices could be that they serve customers’ moral interests. Maybe, for customers, fulfilling one ethical aspect is sufficient to ease their moral conscience when buying a product. Potentially, for many product decisions, “a little good is good enough.” If so, the need to improve other ethical facets may become irrelevant for companies as soon as they address one aspect.
In three experiments, we explore whether subjects care comparatively less about another ethical, unrelated dimension as soon as one ethical aspect of a product appears to be fulfilled. For this purpose, in so-called Product treatments, we randomize subjects into different conditions and elicit their WTP for improved manufacturing standards of textile products. Subjects make decisions on towels in neutral colors and of a comparable size and weight (grammage of the cotton used). If they opt for a towel manufactured under certified conditions, they receive less money for themselves. Subjects make real economic decisions, that is, they receive a towel and money in the end, depending on their decisions in the study. Thus, in line with Levitt and List [18], we employ a real item to increase the outside validity of our economic experiments. We also elicit beliefs on how other subjects may behave in an incentivized manner. In all experiments, we follow the standards of economic experiments that have been described in Charness and Fehr [19] and Falk and Heckman [20].
In all treatments, the instructions inform subjects that manufacturing (i.e., sewing towels) is a production step unrelated to generating the raw material, in our case cotton, and that the two production steps often occur in different countries. Thus, whether a towel is made from conventional versus organic cotton has nothing to do with the manufacturing standards in the sewing step. Nevertheless, our data shows that the WTP for secure working standards in the sewing process is highly significantly smaller if subjects know that they decide between towels made from organic cotton instead of conventional cotton. The organic cotton is observed operate as a type of moral excuse to care less about the workers’ conditions in the sewing sector.
Next, we explore whether fulfilling one ethical dimension (organic cotton) also has spillovers to another, unrelated ethical context later in time and find the following. In our study, approximately half an hour after the main part of the experiment, in which the subjects’ focused on towels, they are offered the opportunity to share money with refugees from a local refugee camp. We find that subjects who know they will receive a towel made from organic cotton after the experiment donate less than subjects who know their towel will be made from conventional cotton. Again, organic cotton is observed to serve as an excuse to not care about another, ethically relevant context. We observe these effects even though subjects most likely knew that the refugee crisis was drastic when the experiments occurred, and that all help was needed to cope with it [21, 22].
Potentially, we find these static and dynamic moral spillovers because for the subjects, all ethical behaviors load on one and the same personality factor: “being an ethical person.” Akerlof and Kranton [23] argue that identity may play a critical role from which people derive positive utility. Falk and Szech [24] demonstrate that people care about their moral identity. However, maybe fulfilling one ethical aspect is sufficient for a decent moral identity and a positive self-image[25, 26].
Knowledge of these effects could be a critical first step to discussing social implications. Therefore, we incentivize new, independent subjects to predict the behavior of subjects in our original product choice treatments. Our data shows that these outsiders are completely unaware of the effects of static moral self-licensing, and they underestimate moral spillover effects in time. Potentially, outsiders follow a different moral compass and consider different product facets and contexts over time as what they are, namely, unrelated regarding consequences. Thus, outsiders do not anticipate that subjects, when weighing self-interest against something morally relevant, may prefer to find some type of moral excuse for self-oriented behavior.
The question arises as to whether self-attribution is critical for the small moral excuses we identify. Therefore, we run two additional treatments identical to the original product choice treatments, respectively, with one difference: The instructions stress and visually illustrate that it is perfectly random whether a subject makes decisions about towels made from conventional or from organic cotton. In this manner, organic cotton may become a less valid, self-attributable excuse to not care about sewing conditions and refugees, and this is indeed what we find.
Studies of economic institutions in which agents make morally relevant decisions are a pressing and strongly growing field within economics. Recent contributions from economics include Sobel [27], Falk and Szech [28], Kirchler et al. [29], and Pigors and Rockenbach [30] on market trading and morals. Falk and Szech [31] and Rothenhäusler et al. [32] have studied morals in group voting. Kerschbamer et al. [33], Bartling et al. [34], and Friedrichsen and Engelmann [35] have considered ethical consumption and/or morally relevant credence goods. Our results indicate that consumers’ moral excuses should receive specific attention in follow-up research.
Literature review
Our results relate to the classic moral self-licensing effect. However, we explore a static decision context, whereas the classical literature on moral self-licensing has focused on dynamic effects only. Researchers have documented that ethical behavior in the past serves as a justification to act less ethically later. Such dynamic moral self-licensing was first described by Monin and Miller [36] in the contexts of racism and sexism in a two-stage experiment. Subjects had to make a hypothetical job decision in a neutrally framed environment. In one treatment group, the best applicant was African American, and in the other group, the best applicant was white. After making their decision, all subjects were confronted with another hypothetical hiring scenario: A chief of police had to hire a new deputy in a racially charged job environment. All subjects were asked to rate whether the job was better suited for a white or a black person. Subjects with the opportunity to present themselves as non-prejudiced before were significantly more likely to prefer a white person now. Thus, subjects who could demonstrate they were not racist in the first step, tended to prefer the white police applicant later. A second study by Monin and Miller [36] yielded similar findings in the field of sexism.
Sachdeva et al. [37] found that subjects use dynamic moral self-licensing to justify selfish behavior. Subjects asked to write positive short stories on their good past deeds were later observed to be more selfish than others regarding making a real donation to charity. In a related study, Mazar and Zhong [38] demonstrated that subjects who acquired “green” products in the first step are more likely to cheat for personal gain and steal later compared with subjects who could only acquire conventional products in the first step in time. For more examples of dynamic moral self-licensing, see Merritt et al. [39].
Another closely related concept from the field of behavioral economics is conscience accounting, proposed in Gneezy et al. [40]. In the first stage of their experiment, subjects could lie to increase their profit at the expense of their fellow players. In stage two, subjects had the opportunity to make a small donation to charity. The authors observed that the share of donations was significantly higher among the subjects who lied in stage one compared with those who told the truth. This finding suggests that by donating, subjects atone for past moral norm violations. Furthermore, the share of donations among the liars decreases significantly if the time delay between the two stages increases. A possible explanation for this finding is that the memory of an individual’s own unethical behavior fades over time. Another finding is that subjects are more likely to lie if they know that they have the opportunity to donate later. This leads to the conclusion that people set off their future ethical behavior against their current ethical behavior, and this conclusion is in line with the idea that all types of moral behavior may load on one aspect of personality if subjects can attribute those moral improvements to themselves [24, 25, 26]. The authors also documented that a comparatively cheap future possibility of “compensation” might be sufficient for subjects to maintain a high moral self-image.
What differentiates this approach from ours is that in our Product treatments, subjects make decisions on the static moral improvement (the upgrade to the fair wear towel at the dispense of different monetary amounts) in a price list. They do not know which of their decisions the computer will randomly select when they decide to donate money to refugees a half an hour later. Moreover, the subjects are unaware of the opportunity to make a donation beforehand. This design enables the subjects to focus on whether deciding about towels made from organic instead of conventional cotton is sufficient to care less about other ethically relevant aspects—static and dynamic.
Design of the study
We explore the effects of moral self-licensing across different ethical facets in purchase decisions and across different points in time. To this end, we implement a product choice regarding different towels and a subsequent donation situation. In addition to behavior, we study beliefs of outsiders about the behavior of decision-makers to analyze whether beliefs of outsiders are in line with real choice behavior. Therefore, we conduct four treatments: Product Control, Product Organic, Belief Control, and Belief Organic.
In our experiment, we employed towels for the following three reasons. First, the value of the fashion industry is USD trillions, encompassing a wide variety of companies [41] and employs over 57 million people worldwide [42]. Thus, this sector is a critical industrial sector. Second, the bulk of the production occurs in developing and newly industrialized countries, such as China, India, Vietnam, Bangladesh [43, 44], and the textile industry has often been the focus of consumers’ demand for improved production standards. Third, we specifically used a product that we hoped most subjects found useful, independent of personal characteristics such as gender or taste in fashion. Therefore, the subjects made decisions about towels in neutral colors.
Product treatments
In Product Control and in Product Organic, subjects made ethically relevant product decisions. Subjects were randomized into the two treatments. They choose between ethically different yet otherwise comparable towels. In a price list, they weighed money and receiving a more conventionally produced towel against receiving no money and a towel that fulfills a more ethical set of production standards. The subjects choose between towels in neutral colors; in a standard, medium size of 100 cm x 50 cm, and with a standard surface weight of approximately 450 g/m2.
Belief treatments
In Belief Control and in Belief Organic, we elicited in an incentivized manner outsiders’ beliefs about the behavior of the subjects in Product Control and in Product Organic, respectively. The Belief treatments provided information on what the uninvolved third parties, who did not make the decisions, predicted about the individuals involved. Subjects were randomly assigned to the two Belief treatments. For organizational reasons, randomization in this study was at the session level.
In all treatments, the instructions informed subjects of the different ethically relevant dimensions in the production of textiles such as towels. We focused on two important, separate aspects. First, the cotton used could be conventional or certified “organic.” Here, we relied on the well-known Global Organic Textile Standard (GOTS) and the Organic Content Standard (OCS), which certify the organic origin of cotton. All subjects knew from the instructions that the certified organic cotton was produced without the use of agrochemicals, such as synthetic pesticides, herbicides, and fertilizers commonly used in conventional production and that pollute the soil. Second, the manufacturing conditions under which workers must work when sewing the towel can be certified by the well-established Fair Wear Foundation (FWF), or not. The FWF is a well-established, independent non-profit organization that aims to improve labor standards in factories based on the conventions of the International Labour Organization (ILO). Subjects were informed that under these FWF conditions, safety, economic living standards, and political rights of workers are monitored. These benefits are not guaranteed in conventional production. Indeed, on the topic of ethics, the textile and garment industry is one most frequently discussed industries, e.g., Danzer and Grundke [45].
The instructions also provided information on the fragmentation of production chain in the garment industry, that is, the cotton is typically grown and manufactured in different countries. Thus, subjects knew that these two aspects, growing organic cotton and ensuring FWF-controlled manufacturing standards, could be considered separate from each other.
To analyze moral self-licensing within product decisions, we elicited the monetary value subjects assigned to the FWF manufacturing standards in Product Control and in Product Organic. In Product Organic, subjects knew that the towel already fulfilled another independent, ethically relevant criterion (i.e., organic cotton). Decisions were elicited in a price list. Subjects choose between a towel that was manufactured under the FWF-controlled standards and no additional money versus a towel without FWF-controlled manufacturing standards and additional money. Monetary amounts varied from 0.25 to 12 euro in steps of 25 cents. Subjects knew that one of their decisions would be randomly selected at the individual level and implemented. That is, subjects received—in any case—a towel with the respective ethical attributes from their choice in the price list and, depending on the choice, additional money.
We defined the lowest monetary amount for which subjects still preferred no FWF certificate over the FWF certificate as the WTP for FWF certification. The lower the switch point, the less a subject cared about FWF-certified working standards. In cases of multiple switching, we used the mean switch point for our analysis. We observed that the results were robust to multiple switching.
Fig 1 illustrates the price list in Product Organic. Product Control was similar except that the cotton was conventional (see Appendix B in S1 Appendix. for details). After this main decision, subjects completed questionnaires on their political preferences, personal characteristics, and socioeconomic background. We used standard tests of personality, such as the Big Five [46], and of Machiavellianism [47] and the rather new Preference Survey Module [48]. At the end of the study, approximately half an hour later, the instructions confronted subjects with another ethically relevant decision. Subjects did not know this in advance, and therefore, compared with the study of Gneezy et al. [40], subjects could not use the later sharing decisions as a justification for selfish behavior in the towel decision. Through the computer screen, subjects had to decide whether they wanted to share their show-up fee (i.e., 2 euro) with refugees from a local refugee camp. We chose to implement a binary decision instead of a price list to distinguish this choice, also regarding its framing, from the previous decision on towels. The donation amount was substantial but not exceedingly high compared with the payout that subjects could earn in the study, which comprised the show-up fee, a towel, and a potential payoff from the price list. At this point, subjects had not received feedback on whether they would receive a towel produced under the FWF or conventional production standards.
In the Belief treatments, that is, in Belief Control and in Belief Organic, subjects did not make any ethically relevant product or donation decision themselves. Instead, subjects indicated their expectations of subjects in the respective Product treatments behaved. We incentivized these estimates through quadratic scoring rules. The respective estimation for the mean willingness to pay, given in cents, had the following payout: max {500 - 14 (true—guess)2, 0} cent.
In Belief Control, subjects guessed the average WTP for controlled manufacturing standards in Product Control. Subjects in Belief Control knew the instructions from the Product Control treatment for the towel decision. Thus, they had the exact same information as the subjects in Product Control. After indicating their estimate, they also filled out the same questionnaires as subjects in the Product treatments. Then, the instructions confronted them with a second estimation task, requiring them to guess what percentage of subjects in Control opted to share their show-up fee with refugees. Again, we employed a quadratic scoring rule to incentivize this task. The payout for the estimated willingness to share was max {5 - 15 (true–guess)2, 0} euro. Subjects had to type in integer percentage values.
In Belief Organic, subjects accordingly guessed the behavior from Product Organic. In total, subjects in Belief Control and in Belief Organic could earn up to 10 euro for good estimates, in addition to a show-up fee of 7 euro.
The study took place at the Karlsruhe Decision and Design Laboratory (KD2 Lab) at the Karlsruhe Institute of Technology. We used ORSEE [49] and hroot [50] to recruit 200 subjects (50 subjects per treatment). Subjects were placed in separate cubicles. Instructions regarding the towels were presented on paper, and questionnaires were presented on a computer screen by using SoSci Survey [51]. See Appendix B in S1 Appendix for details.
Hypotheses
The insights gained from the experiments on moral self-licensing [36, 37, 38] and conscience accounting [40] show that people use acquired moral credentials to justify less-ethical behavior at a later point in time. In a similar fashion, they morally redeem themselves from unethical behavior in the past by performing subsequent ethical deeds. Even if the ethical deeds are small and cheap later on, they seem to serve as a good justification for rather selfish behavior at an earlier point in time [40]. Gneezy et al. [40] asserted that a similar logic may have been behind the sale of indulgences, as practiced by the Catholic Church in medieval times. Yet in that case, moral redemption was often costly.
Moral cleansing may provoke a reduction in moral behavior in the first place, specifically if subjects know about the possibility to morally cleanse themselves afterward [40]. Such a mechanism could also exist in the framework of a static decision across different ethically relevant facets of one product. The satisfaction of fulfilling one ethical dimension could lead to a decreased valuation of a second—though unrelated—ethical dimension at the same point in time. This would imply that the time dimension is not what renders moral cleansing relevant; instead, it is the opportunity to have some type of “moral excuse.” This logic would be specifically attractive if subjects did not care about consequences but instead considered all these decisions relevant for one specific aspect about themselves, that is, a positive self-image [24, 25, 26]. Our first and main hypothesis is therefore that subjects in Product Organic have a lower WTP for controlled manufacturing conditions than subjects in Product Control; thus, static moral self-licensing exists.
In addition to the static product decision, subjects later had to make another unrelated ethical decision by choosing whether to share their show-up fee with local refugees. Because our subjects do not receive any feedback on their payoff from the price list until after the experiment, they know whether their towel is ethical in one dimension (the material) but cannot be sure whether it was produced under controlled manufacturing conditions. (The exception is subjects willing to pay the maximal amount or unwilling to pay the minimal amount for the controlled manufacturing conditions.) In line with the findings on dynamic moral self-licensing, the certainty of having acquired a product that fulfills (at least) one ethical facet in the first stage should “free” the subjects to behave less ethically afterward. This leads to our second hypothesis: Subjects in Product Organic will be less likely to share their show-up fee than subjects in Product Control, that is, static moral self-licensing and dynamic moral self-licensing can exist next to each other:
Exploratively, we also investigate the incentivized beliefs of outsiders about the behavior of subjects in the respective Product treatments. Thus, we conduct two Belief treatments: Belief Control and Belief Organic. In these treatments, subjects do not face trade-offs between more ethical decisions and money. Instead, they are incentivized to predict the decisions of other subjects from the respective Product treatment.
It may be that subjects in the Belief treatments predict that moral self-licensing will take place in the Product treatments. This is not so clear, however, for several reasons. First, subjects in the Belief treatments do not face a trade-off between more ethical decisions and money. In the literature, hypothetical questions and real behavior have often correlated regarding altruistic versus selfish behavior. However, typically, in real behavior, subjects care much more about their self-interest than when hypothetically asked. Accordingly, the literature on ethical consumption speaks of the famous 30 : 3 ratio [5] or attitude behavior gap[52, 53], comparing stated intent from questionnaires to real decisions in the market. Furthermore, the literature has shown that context can affect morally relevant judgments (see e.g.,[16, 28, 29, 31, 34, 54, 55, 56]).
Therefore, we expect that
If subjects do not predict that moral self-licensing will take place, that is, if both formulas hold with equality, emphasis on the importance of moral self-licensing in social and public debate might be relevant.
Results
Static moral self-licensing
We hypothesized that static moral self-licensing takes place, that is, subjects treat orthogonal, ethically relevant aspects as if they were substitutes in product choice. Therefore, we expected that subjects in Product Organic would pay less money to ensure FWF-controlled manufacturing standards than in Product Control, as reflected in a lower switch point in the price list. The hypothesis was validated. In Product Control, the average switch point was 5.73 euro. We have seven multiple switchers in the sample. Our findings remain robust if we exclude them or use the first switch point, last switch-point, or median switch-point to approximate their willingness to pay. (See the robustness checks in Appendix A in S1 Appendix. for details.) In Product Organic, the average switch point and therefore WTP was 4.00 euro (Fig 2). This is a decrease of 30% (p = 0.002, one-sided t test), which is highly significant. We will speak of “highly significant” if the p value is below 0.01.
Subjects know from the instructions that sewing the towel is a very different production step than growing the cotton because the people involved and ecological consequences differ. Nevertheless, they attribute less value to guaranteeing minimum working standards when they know that their towel is made from organic cotton. Potentially, subjects already have a fairly good moral conscience in the latter case and accordingly care less about the workers in manufacturing. Thus, we find that static moral self-licensing exists.
Beliefs about static moral self-licensing
Do uninvolved people expect static moral self-licensing to take place? To consciously counter the effects of static moral self-licensing, people must be aware of it. We hypothesized, that for at least three reasons, this phenomenon may not be the case. Our data from Belief Organic demonstrates that subjects are not aware of the effects of static moral self-licensing (Fig 3). Estimates for switch points are at any conventional level and are virtually identical to those from Belief Control (4.39 vs. 4.33, p = 0.89, two-sided t test).
Dynamic moral self-licensing
At the end of the study, approximately half an hour later, subjects in the Product treatments were asked whether they wanted to share their show-up fee of 2 euros with refugees from a local refugee camp. Subjects did not know beforehand that they would be confronted with this decision. If static moral self-licensing has spillovers in time, subjects in Product Organic should less frequently share their show-up fee with refugees than subjects in Product Control, and this is what we observed (Fig 4): 72% of subjects are willing to share in Product Control, and 56% of subjects are willing to share in Product Organic (p = 0.048, one-sided test of proportions). As subjects in Product Organic could expect to leave with a higher income than subjects in Product Control because of the higher costs of organic textiles, they may be even more inclined to donate. The data display the opposite effect, and this demonstrates that the effects of dynamic moral self-licensing may be stronger than this potential income effect.
Looking into the estimates from the two Belief treatments (Fig 5), there is again no significant difference in estimates of willingness to share with refugees for the two Product treatments (65% in Belief Organic vs. 67% in Belief Control, p = 0.68, two-sided t test). Outsiders therefore neither expect static nor dynamic moral self-licensing.
In summary, although the effects of moral self-licensing with regard to specific ethical dimensions are pronounced within decisions and over time, uninvolved parties do not anticipate their effects. This occurs even though uninvolved parties were monetarily incentivized and could earn much more money from making accurate guesses than from the flat payment they received for participating in the study. Many subjects’ beliefs were far from the correct answer such that they did not earn additional money for this task. 27% of subjects earned money for their estimates. Potentially, subjects in the Belief treatments merely indicate what they consider morally appropriate and do not figure in the effects of moral self-attribution. Subjects in Belief Control underestimated the willingness to pay in Product Control (p = 0.018, two-sided t test) but do not underestimate subjects’ willingness to donate to refugees.
Discussion
In the following, we discuss our results. First, we demonstrate robustness by controlling for sociodemographic variables, personality traits, and attitudes toward refugees across Product treatments. Second, we discuss whether self-attribution is critical to our results. For this purpose, we run two new treatments that demonstrate that self-attribution seems to matter significantly. Third, we discuss the potential effects of decreasing attention in subjects and an alternative interpretation of why subjects pay less for certified working conditions in Product Organic. Fourth, we stress the need for follow-up research.
First, subjects were randomly assigned to treatments. This was also the case for the Product treatments. Nevertheless, a concern might be that treatment effects may be driven by differences in age or demographic background; reassuringly, Table 1 demonstrates that this is not the case. Subjects in Product Control and Product Organic do not significantly differ in age (p = 0.22, two-sided t test) or gender (p = 0.65, two-sided test of proportions). Furthermore, subjects have comparable amounts of money at their monthly disposal (p = 0.77, two-sided t test) and state no significant differences in their concern for their financial situation (p = 0.20, two-sided t test). In addition, subjects have similar opinions on whether Germany should support refugees fleeing war (p = 0.66, two-sided t test), political, religious or ethnic persecution (p = 0.65, two-sided t test), hunger, insufficient nourishment or natural disasters (p = 0.39, two-sided t test), or unemployment (p = 082, two-sided t test).
Regarding personality traits, we elicit measures that might influence ethical decision-making: Machiavellianism and agreeableness. Machiavellianism encompasses a variety of world views and actions characterized by a general disregard for other people to increase personal gain. Machiavellianism has been found to correlate negatively with ethical orientation and decision-making [54]. Machiavellianism has furthermore been positively linked to love for money [57] and economic opportunism[58]. Sacrificing money to improve the working conditions of unknown people without personal benefit would therefore not constitute Machiavellian behavior. The second trait of interest is agreeableness, and it is elicited in the Big Five. Agreeableness encompasses positive personal attitudes and behaviors, such as generosity, trustworthiness, and compassion [59, 60]. We find that subjects in Product Control and Product Organic show similar levels of Machiavellianism (p = 0.47, two-sided t test) and agreeableness (p = 0.37, two-sided t test). These similarities in sociodemographics and personality traits suggest that differences across Product treatments are based on other factors, that is, differences in decision contexts.
Second, a question could be whether self-attribution is critical for the treatment effect we observe in the Product treatments. An argument could be made for an alternative driver, that is, subjects' utility functions are concave regarding fulfilling separate ethical dimensions of products. This could imply a lower marginal utility in the organic treatment and lead to a lower WTP in Product Organic compared with Product Control. A related argument could be that subjects in Product Organic bunched the ethical attributes differently and therefore became less willing to pay for the certified sewing conditions (we thank an anonymous referee for pointing this out). If subjects in Product Organic consider the organic cotton and certified sewing conditions as part of one ethical factor, this could reduce their willingness to pay for the individual certificates, although they address very diffferent ethical aspects from a consequentialist viewpoint.
Thus, a question arises as to whether self-attribution significantly affected our results. Do people indeed need self-attribution to find some minimal yet plausible excuse to pay less in Product Organic? This question motivated us to run two additional treatments: Lottery Control and Lottery Organic. These treatments are similar to the original product choice treatments, respectively, with only one difference: much less room for self-attribution. The instructions stress that it is perfectly random regarding whether a subject decides about towels made from conventional or organic cotton. In this manner, subjects deciding about organic towels may attribute the fulfillment of this ethically relevant criterion less to themselves. Accordingly, fulfilling this criterion may not serve as a morally relevant excuse anymore, such that subjects may care more about the upgrade to the fair wear certificate and about donating to refugees. These two treatments were run 19 months after the original Product treatments with 50 subjects per treatment. Unfortunately, we had to exclude one subject (in Lottery Control) due to incorrect handling of the price list.
In Lottery Control and Lottery Organic, the randomness is made salient to subjects as follows. Blue and yellow cards are alternatingly handed to subjects. Next, all subjects within a session receive the same information on the chain of production of textile products, on FWF standards, and on organic cotton production (as in the original Product treatments). Subjects learn that a random coin toss and the color of their card determine whether they subsequently decide about towels made of conventional or organic cotton. Thus, the design renders the following salient: subjects are randomly distributed to one of the two treatments: Lottery Control or Lottery Organic. After the coin toss, subjects receive their respective price lists and instructions (see Appendix II for details). In contrast, in the original Product treatments, assignment to the specific treatment was random. This randomness was neither stressed nor visually demonstrated.
If self-attribution matters, we expect that both moral self-licensing effects should be less pronounced in the Lottery treatments. The following simple model describes the approach. We capture the self-attribution from fulfilling the ethically relevant cotton criterion in the Product Organic treatment through α. In Product Control, in which towels are never made from ethically produced cotton, we set α to 0. In the Lottery treatments, we assume that it is α2 because subjects know that fulfilling the organic cotton criterion is random and has a probability of 50%. In Product Organic, α is 1.
We assume that utility is separable between the moral and the monetary dimensions, and quasilinear in monetary payments. Utility from receiving a monetary amount m and having a moral value of α is thus given by u(α)+m. We assume that u is three times continuously differentiable. The monetary amount m*(α) that renders the agent indifferent between receiving money or receiving an additional moral value of f is given by m*(α) = u(α+f)−u(α)
In particular, under risk aversion, u′′<0, m* is decreasing in α. Moreover, if the agent is prudent in the sense of Kimball [61] in the moral dimension, u′′′>0, then m* is convex. Conversely, imprudence, u′′′<0 implies the concavity of m*.
Thus, for a prudent agent, we have by Jensen’s inequality
In the Lottery treatments, self-attribution of the morally relevant organic cotton should amount to the same value α2. Therefore, the WTP for a second, morally relevant criterion should be comparable across the two Lottery treatments. Indeed, the data shows that WTP is statistically comparable.
In Lottery Organic, the average WTP for controlled manufacturing conditions is 5.49 euro, and it is 4.86 euro (p = 0.30, two-sided t test) in Lottery Control (Fig 6). As hypothesized, the moral self-licensing effect disappears.
Analogously to the Product treatments, all subjects in the Lottery treatments were offered to share their show-up fee of 2 euro with local refugees. The share of subjects willing to donate is 66% in Lottery Organic and 62% in Lottery Control (Fig 7). In accordance with the hypothesis, the difference is not statistically significant (p = 0.68, two-sided test of proportions). The results suggest that moral self-attribution differs if the role of randomness in the experiment is emphasized.
A direct comparison to the original Product treatments, elicited 19 months earlier, must be used with some caution because, of course, ethical values in the population of interest may change over time. Notably, the general attitude toward refugees could have changed substantially between the sessions, which is why we refrain from conducting comparisons between the willingness to share between the Product and the Lottery treatments. Reassuringly though, when we ask our subjects whether Germany should support refugees fleeing from different causes, comparing the Product and the Lottery treatments, we find no significant differences. This is valid whether refugees are fleeing war (p = 0.96, two-sided t test), political, religious or ethnic persecution (p = 0.30, two-sided t test), hunger, insufficient nourishment or natural disasters (p = 0.37, two-sided t test), or unemployment (p = 0.21, two-sided t test).We find that compared with the original Product treatments, the average WTP for controlled manufacturing conditions does not change (p = 0.47, two-sided t test). When examining at the organic treatments only, however, subjects in Lottery Organic are willing to pay significantly more than subjects in Product Organic (5.49 euro vs. 4.00 euro, p = 0.01, two-sided t test). This finding is another indication that subjects care more about additional, ethically relevant facets if it is more difficult to attribute the fulfillment of the ethically relevant criterion regarding organic cotton to themselves.
Third, an argument could be that other drivers could play a critical role in the original Product treatments or that the effects in the Product treatments could be driven by decreasing attention when reading the instructions. Maybe, subjects no longer focus on what other ethical upgrades are possible for a towel once they learn of the first aspect (cotton production). Likewise, subjects may have not paid attention to the later donation decisions. However, as a driver of the differences across the Product treatments, this seems unlikely. Notably, instructions were identical in length across Product treatments. All subjects learned about cotton production first, then about the conditions in the sewing sector, and then (approximately half an hour later) about the donation opportunity.
Fourth, further research in different contexts is necessary to explore how general the moral self-licensing effects are that we documented in our study. Of course, as the first step, further research could also vary the design we used, that is, allow subjects to decide about certified cotton instead of the Fair Wear certification. Another important follow-up focus could be market analyses because maybe for firms, offering products that fulfill exactly one ethical criterion, for example, ecological cotton in textile items, is a smart strategy for selling products to customers with easy-to-ease ethical concerns. A further possibility is that leaving moral wiggle room (see Dana et al. [62], van der Weele [63], Bartling et al. [64], Grossman [65], Grossman and van der Weele [66], Freddi [67], Serra-Garcia and Szech [68], and Golman et al. [69] for a recent overview) and/or room for motivated reasoning [70, 71] could further decrease morally responsible behavior in customers. This potential interaction of moral self-licensing and other well-known mechanisms providing moral excuses is also a topic for further research.
Conclusion
Our data documents that people behave as if there was strong substitutive relations between ethically relevant, non-correlated product dimensions. Our data thus suggest that static moral self-licensing exists. Fulfilling one ethical dimension in a product choice seems to ease moral conscience in a later, unrelated yet morally relevant context. Thus, different aspects of moral self-licensing and static (across morally relevant dimensions at one point in time) over different points in time seem to coexist.
Outsiders were not observed to infer that moral self-licensing could occur. Although monetarily incentivized to make accurate estimates, subjects were observed to be completely oblivious to effects of moral self-licensing, both static and dynamic. Therefore, it may have value for social and political debates on the potential effects of moral self-licensing. Firms know better than ordinary customers about effects of moral self-licensing and other mechanisms of moral excuses. Providing such excuses to customers may be a profitable approach. If so, political and societal debate should be aware of these mechanisms.
Supporting information
Zdroje
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- The potential impact of the Affordable Care Act and Medicaid expansion on reducing colorectal cancer screening disparities in African American males
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- The role of narrative in collaborative reasoning and intelligence analysis: A case study
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- Trends of litter decomposition and soil organic matter stocks across forested swamp environments of the southeastern US
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- Disruption in daily eating-fasting and activity-rest cycles in Indian adolescents attending school
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- Association between baseline abundance of Peptoniphilus, a Gram-positive anaerobic coccus, and wound healing outcomes of DFUs
- The earliest farming communities north of the Carpathians: The settlement at Gwoździec site 2
- Trends of the prevalence and incidence of hypertrophic cardiomyopathy in Korea: A nationwide population-based cohort study
- Percent amplitude of fluctuation: A simple measure for resting-state fMRI signal at single voxel level
- Antimicrobial activity of Asteraceae species against bacterial pathogens isolated from postmenopausal women
- Designing information provision to serve as a reminder of altruistic benefits: A case study of the risks of air pollution caused by industrialization
- Are changes in depressive symptoms, general health and residential area socio-economic status associated with trajectories of waist circumference and body mass index?
- Extracellular vesicles of U937 macrophage cell line infected with DENV-2 induce activation in endothelial cells EA.hy926
- FlexGraph: Flexible partitioning and storage for scalable graph mining
- Post-weaning infant-to-mother bonding in nutritionally independent female mice
- A little good is good enough: Ethical consumption, cheap excuses, and moral self-licensing
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- Multimodal hand gesture recognition using single IMU and acoustic measurements at wrist
- Variance based weighting of multisensory head rotation signals for verticality perception
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- Tobacco smoking and health-related quality of life among university students: Mediating effect of depression
- Drivers of the opioid crisis: An appraisal of financial conflicts of interest in clinical practice guideline panels at the peak of opioid prescribing
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- LTA1 and dmLT enterotoxin-based proteins activate antigen-presenting cells independent of PKA and despite distinct cell entry mechanisms
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- Use of Nanotrap particles for the capture and enrichment of Zika, chikungunya and dengue viruses in urine
- Pancreatic secretory trypsin inhibitor reduces multi-organ injury caused by gut ischemia/reperfusion in mice
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- Biochemical characterization of Ty1 retrotransposon protease
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- The validation of the Beijing version of the Montreal Cognitive Assessment in Chinese patients undergoing hemodialysis
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- Impact of multi-drug resistant bacteria on economic and clinical outcomes of healthcare-associated infections in adults: Systematic review and meta-analysis
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- Intraoperative computed tomography imaging for dose calculation in intraoperative electron radiation therapy: Initial clinical observations
- Multiple paedomorphic lineages of soft-substrate burrowing invertebrates: parallels in the origin of Xenocratena and Xenoturbella
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- Soluble AXL as a marker of disease progression and survival in melanoma
- Using machine learning methods to determine a typology of patients with HIV-HCV infection to be treated with antivirals
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- Impact of scion/rootstock reciprocal effects on metabolomics of fruit juice and phloem sap in grafted Citrus reticulata
- Adapting cognitive diagnosis computerized adaptive testing item selection rules to traditional item response theory
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- Autumn shifts in cold tolerance metabolites in overwintering adult mountain pine beetles
- Management of veterinary anaesthesia in small animals: A survey of current practice in Quebec
- Genetic structure of the European hedgehog (Erinaceus europaeus) in Denmark
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- Forecasting stock prices with long-short term memory neural network based on attention mechanism
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- Impact of viral disease hypophagia on pig jejunal function and integrity
- Enzyme response of activated sludge to a mixture of emerging contaminants in continuous exposure
- Molecular evidence for horizontal transmission of chelonid alphaherpesvirus 5 at green turtle (Chelonia mydas) foraging grounds in Queensland, Australia
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- Evaluation and validation of 2D biomechanical models of the knee for radiograph-based preoperative planning in total knee arthroplasty
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- Age-related differences in the temporal dynamics of spectral power during memory encoding
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- Mugharat an-Nachcharini: A specialized sheep-hunting camp reveals high-altitude habitats in the earliest Neolithic of the Central Levant
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- Tuberculosis recurrences and predictive factors in a vulnerable population in Catalonia
- Dome-shaped macula in children and adolescents
- Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers
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- Preliminary evidences of the presence of extracellular DNA single stranded forms in soil
- A comparison of quality of life between patients treated with different dialysis modalities in Taiwan
- The effectiveness of substance use interventions for homeless and vulnerably housed persons: A systematic review of systematic reviews on supervised consumption facilities, managed alcohol programs, and pharmacological agents for opioid use disorder
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- Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis
- Morphological association between the muscles and bones in the craniofacial region
- Transcriptome analysis of Actinidia chinensis in response to Botryosphaeria dothidea infection
- Evaluating two decision aids for Australian men supporting informed decisions about prostate cancer screening: A randomised controlled trial
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- Linguistic Z-number weighted averaging operators and their application to portfolio selection problem
- Comparative study on skin protection activity of polyphenol-rich extract and polysaccharide-rich extract from Sargassum vachellianum
- Real-world data about emotional stress, disability and need for social care in a German IBD patient cohort
- The regenerative compatibility: A synergy between healthy ecosystems, environmental attitudes, and restorative experiences
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- Time for change is now: Experiences of participants in a community-based approach for iron and folic acid supplementation in a rural county in Kenya, a qualitative study
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- Statistical learning for turboshaft helicopter accidents using logistic regression
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- The effect of various metal-salts on the sedimentation of soil in a water-based suspension
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- Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
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- Occurrence and distribution of anthropogenic persistent organic pollutants in coastal sediments and mud shrimps from the wetland of central Taiwan
- Intensified visual clutter induces increased sympathetic signalling, poorer postural control, and faster torsional eye movements during visual rotation
- Restoration of cortical symmetry and binaural function: Cortical auditory evoked responses in adult cochlear implant users with single sided deafness
- A smartphone-enabled wireless and batteryless implantable blood flow sensor for remote monitoring of prosthetic heart valve function
- Gut microbiota composition alterations are associated with the onset of diabetes in kidney transplant recipients
- Shock index and TIMI risk index as valuable prognostic tools in patients with acute coronary syndrome complicated by cardiogenic shock
- Merit overrules theory of mind when young children share resources with others
- Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
- Comparison of balance changes after inspiratory muscle or Otago exercise training
- Correction: Escherichia coli and Salmonella spp. isolated from Australian meat chickens remain susceptible to critically important antimicrobial agents
- Metabolic analysis of amino acids and vitamin B6 pathways in lymphoma survivors with cancer related chronic fatigue
- Cell-free DNA donor fraction analysis in pediatric and adult heart transplant patients by multiplexed allele-specific quantitative PCR: Validation of a rapid and highly sensitive clinical test for stratification of rejection probability
- Immunopathogenesis of canine chronic ulcerative stomatitis
- Correction: Quantification of speech and synchrony in the conversation of adults with autism spectrum disorder
- Efficacy and safety of ultrasonic circular cyclocoagulation with second-generation probe in glaucoma: A retrospective study
- Generalizing findings from a randomized controlled trial to a real-world study of the iLookOut, an online education program to improve early childhood care and education providers’ knowledge and attitudes about reporting child maltreatment
- Self-selection of food ingredients and agricultural by-products by the house cricket, Acheta domesticus (Orthoptera: Gryllidae): A holistic approach to develop optimized diets
- Machine learning detection of Atrial Fibrillation using wearable technology
- Comparative proteomic analysis of different stages of breast cancer tissues using ultra high performance liquid chromatography tandem mass spectrometer
- A cross-sectional study of psychopathy and khat abuse among prisoners in the correctional institution in Jimma, Ethiopia
- Head impulse compensatory saccades: Visual dependence is most evident in bilateral vestibular loss
- Complementarity of empirical and process-based approaches to modelling mosquito population dynamics with Aedes albopictus as an example—Application to the development of an operational mapping tool of vector populations
- Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation
- When and what to test for: A cost-effectiveness analysis of febrile illness test-and-treat strategies in the era of responsible antibiotic use
- Comparison of effects and safety in providing controlled hypotension during surgery between dexmedetomidine and magnesium sulphate: A meta-analysis of randomized controlled trials
- The gene encoding the ketogenic enzyme HMGCS2 displays a unique expression during gonad development in mice
- Seroepidemiological study of rubella in Vojvodina, Serbia: 24 years after the introduction of the MMR vaccine in the national immunization programme
- Efficacy of a mitochondrion-targeting agent for reducing the level of urinary protein in rats with puromycin aminonucleoside-induced minimal-change nephrotic syndrome
- Association of endothelial nitric oxide synthase (NOS3) gene polymorphisms with primary open-angle glaucoma in a Saudi cohort
- Antitrust analysis with upward pricing pressure and cost efficiencies
- Machine learning models for identifying preterm infants at risk of cerebral hemorrhage
- Natural selection contributes to food web stability
- Pyramiding QTLs controlling tolerance against drought, salinity, and submergence in rice through marker assisted breeding
- Diversity and plant growth-promoting functions of diazotrophic/N-scavenging bacteria isolated from the soils and rhizospheres of two species of Solanum
- Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression
- Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
- The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
- Sequencing artifacts derived from a library preparation method using enzymatic fragmentation
- Analysis of the Rdr1 gene family in different Rosaceae genomes reveals an origin of an R-gene cluster after the split of Rubeae within the Rosoideae subfamily
- Concomitant phytonutrient and transcriptome analysis of mature fruit and leaf tissues of tomato (Solanum lycopersicum L. cv. Oregon Spring) grown using organic and conventional fertilizer
- Quantitative analysis of adsorption and desorption of volatile organic compounds on reusable zeolite filters using gas chromatography
- Comparing bioinformatic pipelines for microbial 16S rRNA amplicon sequencing
- TMEM98 is a negative regulator of FRAT mediated Wnt/ß-catenin signalling
- Modeling migration patterns in the USA under sea level rise
- Quo vadis Pantanal? Expected precipitation extremes and drought dynamics from changing sea surface temperature
- Cloud-computing and machine learning in support of country-level land cover and ecosystem extent mapping in Liberia and Gabon
- An exploratory study on the quality of patient screening and counseling for hypertension management in Tanzania
- Relation of fibroblast growth factor receptor 2 expression to hepatocellular carcinoma recurrence after liver resection
- The Brief Measure of Emotional Preoperative Stress (B-MEPS) as a new predictive tool for postoperative pain: A prospective observational cohort study
- The impact of diabetes mellitus medication on the incidence of endogenous endophthalmitis
- Correction: Chl1 DNA helicase and Scc2 function in chromosome condensation through cohesin deposition
- Clinical and pathological features of thrombotic microangiopathy influencing long-term kidney transplant outcomes
- Multidisciplinary investigation of two Egyptian child mummies curated at the University of Tartu Art Museum, Estonia (Late/Graeco-Roman Periods)
- Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season
- Morphological adjustment in free-living Steinernema feltiae infective juveniles to increasing concentration of Nemafric-BL phytonematicide
- Murine Surf4 is essential for early embryonic development
- Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries
- Algorithmic handwriting analysis of the Samaria inscriptions illuminates bureaucratic apparatus in biblical Israel
- Key necroptotic proteins are required for Smac mimetic-mediated sensitization of cholangiocarcinoma cells to TNF-α and chemotherapeutic gemcitabine-induced necroptosis
- Concurrent lipidomics and proteomics on malignant plasma cells from multiple myeloma patients: Probing the lipid metabolome
- Short treatment with antalarmin alters adrenal gland receptors in the rat model of endometriosis
- Is it really always only the others who are to blame? GP’s view on medical overuse. A questionnaire study
- Serum visfatin and vaspin levels in hepatocellular carcinoma (HCC)
- Retraction: SDR9C7 Promotes Lymph Node Metastases in Patients with Esophageal Squamous Cell Carcinoma
- iTRAQ proteomics reveals the regulatory response to Magnaporthe oryzae in durable resistant vs. susceptible rice genotypes
- A smartphone-based test for the assessment of attention deficits in delirium: A case-control diagnostic test accuracy study in older hospitalised patients
- Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis
- Incidence and predictors of loss to follow up among adult HIV patients on antiretroviral therapy in University of Gondar Comprehensive Specialized Hospital: A competing risk regression modeling
- Point-of-care diagnostic (POCD) method for detecting Bursaphelenchus xylophilus in pinewood using recombinase polymerase amplification (RPA) with the portable optical isothermal device (POID)
- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
- Biosynthetic pathway of indole-3-acetic acid in ectomycorrhizal fungi collected from northern Thailand
- Clinical implications of elevated serum interleukin-6 in IgG4-related disease
- Downscaling NLDAS-2 daily maximum air temperatures using MODIS land surface temperatures
- Sex-specific and opposite modulatory aspects revealed by PPI network and pathway analysis of ischemic stroke in humans
- Plasma Trimethylamine-N-oxide and impaired glucose regulation: Results from The Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS)
- Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates
- Control of the microsporidian parasite Nosema ceranae in honey bees (Apis mellifera) using nutraceutical and immuno-stimulatory compounds
- The effect of storage conditions on microbial communities in stool
- Role of donor genotype in RT-QuIC seeding activity of chronic wasting disease prions using human and bank vole substrates
- Influence of flow on phosphorus-dynamics and particle size in agricultural drainage ditch sediments
- A prospective, randomized, double-blind trial to compare body weight-adjusted and fixed doses of palonosetron for preventing postoperative nausea and vomiting in obese female patients
- Application of computerized 3D-CT texture analysis of pancreas for the assessment of patients with diabetes
- Predictive validation and forecasts of short-term changes in healthcare expenditure associated with changes in smoking behavior in the United States
- An information-based approach to handle various types of uncertainty in fuzzy bodies of evidence
- Oral magnesium supplementation for leg cramps in pregnancy—An observational controlled trial
- Health care professionals’ knowledge of commonly used sedative, analgesic and neuromuscular drugs: A single center (Rambam Health Care Campus), prospective, observational survey
- Campylobacter portucalensis sp. nov., a new species of Campylobacter isolated from the preputial mucosa of bulls
- OGG1 deficiency alters the intestinal microbiome and increases intestinal inflammation in a mouse model
- Transgenic interleukin 11 expression causes cross-tissue fibro-inflammation and an inflammatory bowel phenotype in mice
- Novel method to measure temporal windows based on eye movements during viewing of the Necker cube
- Whole blood transcriptomic analysis of beef cattle at arrival identifies potential predictive molecules and mechanisms that indicate animals that naturally resist bovine respiratory disease
- Effects of smoke flavoring using different wood chips and barbecuing on the formation of polycyclic aromatic hydrocarbons and heterocyclic aromatic amines in salmon fillets
- Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue
- The role of peer, parental, and school norms in predicting adolescents’ attitudes and behaviours of majority and different minority ethnic groups in Croatia
- Filtered beauty in Oslo and Tokyo: A spatial frequency analysis of facial attractiveness
- The impact of rehabilitation frequency on the risk of stroke in patients with rheumatoid arthritis
- Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo
- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
- Detection of posttraumatic pneumothorax using electrical impedance tomography—An observer-blinded study in pigs with blunt chest trauma
- Educators’ perceptions of organisational readiness for implementation of a pre-adolescent transdisciplinary school health intervention for inter-generational outcomes
- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
- The effects of sport expertise and shot results on basketball players’ action anticipation
- Framework and algorithms for identifying honest blocks in blockchain
- Efficacy and safety of anti-viral therapy for Hepatitis B virus-associated glomerulonephritis: A meta-analysis
- Selective transmission of some HIV-1 subtype C variants might depend on Envelope stimulating dendritic cells to secrete IL-10
- Noise reduction and quantification of fiber orientations in greyscale images
- Exploring the impact of terminology differences in blood and organ donor decision making
- Ontogenetic similarities between giraffe and sauropod neck osteological mobility
- Load transfer mechanism and critical length of anchorage zone for anchor bolt
- Income inequalities in stroke incidence and mortality: Trends in stroke-free and stroke-affected life years based on German health insurance data
- Community’s perception, experiences and health seeking behavior towards newborn illnesses in Debre Libanos District, North Shoa, Oromia, Ethiopia: Qualitative study
- Platelet indices significantly correlate with liver fibrosis in HCV-infected patients
- Reanalysis of the Bridge et al. study of suicide following release of 13 Reasons Why
- Validation of the easyscreen flavivirus dengue alphavirus detection kit based on 3base amplification technology and its application to the 2016/17 Vanuatu dengue outbreak
- The nitrate content of fresh and cooked vegetables and their health-related risks
- Bioreactor for mobilization of mesenchymal stem/stromal cells into scaffolds under mechanical stimulation: Preliminary results
- Serotonin transporter dependent modulation of food-seeking behavior
- Implicit task switching in Parkinson’s disease is preserved when on medication
- Root treatment with oxathiapiprolin, benthiavalicarb or their mixture provides prolonged systemic protection against oomycete foliar pathogens
- Real-world effectiveness and safety of ranibizumab for the treatment of myopic choroidal neovascularization: Results from the LUMINOUS study
- Non-gradient and genotype-dependent patterns of RSV gene expression
- Multiplex real-time PCR for the detection of Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato and pathogenic Xanthomonas species on tomato plants
- The 24-hour urinary cortisol in post-traumatic stress disorder: A meta-analysis
- Parasites modulate the gut-microbiome in insects: A proof-of-concept study
- The dynamics of shapes of vesicle membranes with time dependent spontaneous curvature
- Vascularization and biocompatibility of poly(ε-caprolactone) fiber mats for rotator cuff tear repair
- The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism
- Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis
- Advanced biofilm analysis in streams receiving organic deicer runoff
- Upregulation of long non-coding RNA ROR1-AS1 promotes cell growth and migration in bladder cancer by regulation of miR-504
- Method development and validation for rapid identification of epigallocatechin gallate using ultra-high performance liquid chromatography
- Neonatal sepsis in Iran: A systematic review and meta-analysis on national prevalence and causative pathogens
- Drug-eluting versus bare-metal stents for first myocardial infarction in patients with atrial fibrillation: A nationwide population-based cohort study
- Same-day antiretroviral therapy initiation for HIV-infected adults in South Africa: Analysis of routine data
- Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study
- Photocatalytic biocidal effect of copper doped TiO2 nanotube coated surfaces under laminar flow, illuminated with UVA light on Legionella pneumophila
- The interoceptive hippocampus: Mouse brain endocrine receptor expression highlights a dentate gyrus (DG)–cornu ammonis (CA) challenge–sufficiency axis
- Educational attainment and HIV testing and counselling service utilisation during antenatal care in Ghana: Analysis of Demographic and Health Surveys
- Dissection of flag leaf metabolic shifts and their relationship with those occurring simultaneously in developing seed by application of non-targeted metabolomics
- Centromeres of Cucumis melo L. comprise Cmcent and two novel repeats, CmSat162 and CmSat189
- Acute high-intensity and moderate-intensity interval exercise do not change corticospinal excitability in low fit, young adults
- “I like the way I am, but I feel like I could get a little bit bigger”: Perceptions of body image among adolescents and youth living with HIV in Durban, South Africa
- Nanoparticle-based ‘turn-on’ scattering and post-sample fluorescence for ultrasensitive detection of water pollution in wider window
- The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study
- Insights into the strategy of micro-environmental adaptation: Transcriptomic analysis of two alvinocaridid shrimps at a hydrothermal vent
- Thirty-day readmission after medical-surgical hospitalization for people who experience imprisonment in Ontario, Canada: A retrospective cohort study
- The effect of long-term brine discharge from desalination plants on benthic foraminifera
- Hyper-spectral response and estimation model of soil degradation in Kenli County, the Yellow River Delta
- Prescribing trends of glaucoma drugs in six major cities of China from 2013 to 2017
- Significant changes in synovial fluid microRNAs after high tibial osteotomy in medial compartmental knee osteoarthritis: Identification of potential prognostic biomarkers
- Reassortment and adaptive mutations of an emerging avian influenza virus H7N4 subtype in China
- Ischemia and reperfusion injury in superficial inferior epigastric artery-based vascularized lymph node flaps
- High failure rates of protease inhibitor-based antiretroviral treatment in rural Tanzania – A prospective cohort study
- Switchable resolution in soft x-ray tomography of single cells
- Mitochondrial DNA variations and mitochondrial dysfunction in Fanconi anemia
- Extended-spectrum beta-lactamase (ESBL)-producing and non-ESBL-producing Escherichia coli isolates causing bacteremia in the Netherlands (2014 – 2016) differ in clonal distribution, antimicrobial resistance gene and virulence gene content
- Molecular characterization of blaKHM-1 encoding plasmid in an Enterobacter hormaechei subsp. hoffmannii isolate from blood culture
- PR3 levels are impaired in plasma and PBMCs from Arabs with cardiovascular diseases
- Sex differences in self-regulation in early, middle and late adolescence: A large-scale cross-sectional study
- Interaction between elevated temperature and different types of Na-salicylate treatment in Brachypodium dystachion
- A highway crash risk assessment method based on traffic safety state division
- A brain connectivity characterization of children with different levels of mathematical achievement based on graph metrics
- Quantifying the level of difficulty to treat major depressive disorder with antidepressants: Treatment Resistance to Antidepressants Evaluation Scale
- Occupational gender segregation and economic growth in U.S. local labor markets, 1980 through 2010
- The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome
- Construction of a high-density genetic map and fine mapping of a candidate gene locus for a novel branched-spike mutant in barley
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
- Parameters impacting the live birth rate per transfer after frozen single euploid blastocyst transfer
- Deep2Full: Evaluating strategies for selecting the minimal mutational experiments for optimal computational predictions of deep mutational scan outcomes
- Economic compensation interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review and meta-analysis
- Distinctive effect of anesthetics on the effect of limb remote ischemic postconditioning following ischemic stroke
- Natural hybridization between Phyllagathis and Sporoxeia species produces a hybrid without reproductive organs
- Preliminary evaluation of a novel nine-biomarker profile for the prediction of autism spectrum disorder
- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
- Spatial and climatic variables independently drive elevational gradients in ant species richness in the Eastern Himalaya
- What is the qualitative evidence concerning the risks, diagnosis, management and consequences of gastrointestinal infections in the community in the United Kingdom? A systematic review and meta-ethnography
- Naringenin protects AlCl3/D-galactose induced neurotoxicity in rat model of AD via attenuation of acetylcholinesterase levels and inhibition of oxidative stress
- Key barriers and enablers associated with uptake and continuation of oral pre-exposure prophylaxis (PrEP) in the public sector in Zimbabwe: Qualitative perspectives of general population clients at high risk for HIV
- Characterizing the University of California’s tenure-track teaching position from the faculty and administrator perspectives
- Restoration of Mal overcomes the defects of apoptosis in lung cancer cells
- Patient preferences for maintenance therapy in Crohn’s disease: A discrete-choice experiment
- Diagnostic performance of serum interferon gamma, matrix metalloproteinases, and periostin measurements for pulmonary tuberculosis in Japanese patients with pneumonia
- Hesperidin improves insulin resistance via down-regulation of inflammatory responses: Biochemical analysis and in silico validation
- Accuracy of intraocular lens power calculation formulas using a swept-source optical biometer
- Characterization of black patina from the Tiber River embankments using Next-Generation Sequencing
- Comparison of blood lactate and perceived exertion responses in two matched time-under-tension protocols
- Fibrin hydrogels are safe, degradable scaffolds for sub-retinal implantation
- Post-translational modifications of Drosophila melanogaster HOX protein, Sex combs reduced
- Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment
- Liganded T3 receptor β2 inhibits the positive feedback autoregulation of the gene for GATA2, a transcription factor critical for thyrotropin production
- Characterization of METTL16 as a cytoplasmic RNA binding protein
- Impact of long-term storage and freeze-thawing on eight circulating microRNAs in plasma samples
- Nanosheet wrapping-assisted coverslip-free imaging for looking deeper into a tissue at high resolution
- Assessment of dynamic cerebral autoregulation in humans: Is reproducibility dependent on blood pressure variability?
- Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study
- Validity of cerebrovascular ICD-9-CM codes in healthcare administrative databases. The Umbria Data-Value Project
- Tuberculoid leprosy: An in vivo microvascular evaluation of cutaneous lesions
- Neuromuscular blockers in the acute respiratory distress syndrome: A meta-analysis
- Identification of putative Type-I sex pheromone biosynthesis-related genes expressed in the female pheromone gland of Streltzoviella insularis
- Redefining transcriptional regulation of the APOE gene and its association with Alzheimer’s disease
- Disease-relevant mutations alter amino acid co-evolution networks in the second nucleotide binding domain of CFTR
- A bushel of viruses: Identification of seventeen novel putative viruses by RNA-seq in six apple trees
- Torque teno virus viral load is related to age, CMV infection and HLA type but not to Alzheimer's disease
- The variability of bacterial communities in both the endosphere and ectosphere of different niches in Chinese chives (Allium tuberosum)
- Tripartite factors leading to molecular divergence between human and murine smooth muscle
- Characterization of dermal skin innervation in fibromyalgia syndrome
- A neonatal nonhuman primate model of gestational Zika virus infection with evidence of microencephaly, seizures and cardiomyopathy
- A scoping review of importation and predictive models related to vector-borne diseases, pathogens, reservoirs, or vectors (1999–2016)
- Assessment of climate change impact on the malaria vector Anopheles hyrcanus, West Nile disease, and incidence of melanoma in the Vojvodina Province (Serbia) using data from a regional climate model
- Associations of cigarette smoking and burden of thoracic aortic calcification in asymptomatic individuals: A dose-response relationship
- Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias
- Evaluation of questionnaire as an instrument to measure the level of nutritional and weight gain knowledge in pregnant women in Poland. A pilot study
- TranCEP: Predicting the substrate class of transmembrane transport proteins using compositional, evolutionary, and positional information
- Non-Invasive Functional-Brain-Imaging with an OPM-based Magnetoencephalography System
- Expression of acyl-CoA-binding protein 5 from Rhodnius prolixus and its inhibition by RNA interference
- Transforming assessment of speech in children with cleft palate via online crowdsourcing
- High prevalence of off-label and unlicensed paediatric prescribing in a hospital in Indonesia during the period Aug.—Oct. 2014
- General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care
- Estimating the population size of female sex workers and transgender women in Sri Lanka
- Can helmet decrease mortality of craniocerebral trauma patients in a motorcycle accident?: A propensity score matching
- Obesity, smoking habits, and serum phosphate levels predicts mortality after life-style intervention
- Treatment of children under 4 years of age with medulloblastoma and ependymoma in the HIT2000/HIT-REZ 2005 trials: Neuropsychological outcome 5 years after treatment
- Can a semi-quantitative method replace the current quantitative method for the annual screening of microalbuminuria in patients with diabetes? Diagnostic accuracy and cost-saving analysis considering the potential health burden
- A two-arm parallel double-blind randomised controlled pilot trial of the efficacy of Omega-3 polyunsaturated fatty acids for the treatment of women with endometriosis-associated pain (PurFECT1)
- Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age
- Burden and risk factors of cutaneous leishmaniasis in a peri-urban settlement in Kenya, 2016
- Predicting strike susceptibility and collision patterns of the common buzzard at wind turbine structures in the federal state of Brandenburg, Germany
- Embryonic thermal manipulation has short and long-term effects on the development and the physiology of the Japanese quail
- High-order radiomics features based on T2 FLAIR MRI predict multiple glioma immunohistochemical features: A more precise and personalized gliomas management
- Human-raptor conflict in rural settlements of Colombia
- Regional adaptations and parallel mutations in Feline panleukopenia virus strains from China revealed by nearly-full length genome analysis
- Long-term ecological research in southern Brazil grasslands: Effects of grazing exclusion and deferred grazing on plant and arthropod communities
- Assessment of peritoneal microbial features and tumor marker levels as potential diagnostic tools for ovarian cancer
- Survival analysis of 230 patients with unresectable hepatocellular carcinoma treated with bland transarterial embolization
- Adverse drug reaction reporting practice and associated factors among medical doctors in government hospitals in Addis Ababa, Ethiopia
- TaWAK6 encoding wall-associated kinase is involved in wheat resistance to leaf rust similar to adult plant resistance
- Deficiency syndromes in top predators associated with large-scale changes in the Baltic Sea ecosystem
- The inhibitor of apoptosis proteins antagonist Debio 1143 promotes the PD-1 blockade-mediated HIV load reduction in blood and tissues of humanized mice
- Allele specific expression of Dof genes responding to hormones and abiotic stresses in sugarcane
- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
- Quantitative evaluation of choriocapillaris using optical coherence tomography and optical coherence tomography angiography in patients with central serous chorioretinopathy after half-dose photodynamic therapy
- Structure-function analyses of candidate small molecule RPN13 inhibitors with antitumor properties
- Extracting lung function measurements to enhance phenotyping of chronic obstructive pulmonary disease (COPD) in an electronic health record using automated tools
- Multiple fragmented habitat-patch use in an urban breeding passerine, the Short-toed Treecreeper
- Histological and immunohistochemical characterization of the porcine ocular surface
- Household environmental tobacco smoke exposure in healthy young children in Hong Kong: Prevalence and risk factors
- Wind energy development and wildlife conservation in Lithuania: A mapping tool for conflict assessment
- Characteristics and prognosis of primary treatment-naïve oral cavity squamous cell carcinoma in Norway, a descriptive retrospective study
- Effect of epoch length on intensity classification and on accuracy of measurement under controlled conditions on treadmill: Towards a better understanding of accelerometer measurement
- Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study
- Error rates of human reviewers during abstract screening in systematic reviews
- Faecal analyses and alimentary tracers reveal the foraging ecology of two sympatric bats
- Urethral realignment with maximal urethral length and bladder neck preservation in robot-assisted radical prostatectomy: Urinary continence recovery
- Error metrics determination in functionally approximated circuits using SAT solvers
- Spatial movement pattern recognition in soccer based on relative player movements
- A novel visual ranking system based on arterial spin labeling perfusion imaging for evaluating perfusion disturbance in patients with ischemic stroke
- Prospective Validation of the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score for Necrotizing Fasciitis of the Extremities
- The importance of transporters and cell polarization for the evaluation of human stem cell-derived hepatic cells
- Incidence, trends, and outcomes of infection sites among hospitalizations of sepsis: A nationwide study
- Morphological and functional characteristics of mitral annular calcification and their relationship to stroke
- And the nominees are: Using design-awards datasets to build computational aesthetic evaluation model
- Service delivery interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review
- Multidimensional Scales of Perceived Self-Efficacy (MSPSE): Measurement invariance across Italian and Colombian adolescents
- Diversity of Mycobacteriaceae from aquatic environment at the São Paulo Zoological Park Foundation in Brazil
- A graph-based algorithm for RNA-seq data normalization
- Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study
- Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs
- Spatial variation in fertilizer prices in Sub-Saharan Africa
- Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies
- Successful isolation of Treponema pallidum strains from patients’ cryopreserved ulcer exudate using the rabbit model
- Effects of size and elasticity on the relation between flow velocity and wall shear stress in side-wall aneurysms: A lattice Boltzmann-based computer simulation study
- Pupil response to noxious corneal stimulation
- Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients
- The impact of computed radiography and teleradiology on patients’ diagnosis and treatment in Mweso, the Democratic Republic of Congo
- Differential effects of synthetic psychoactive cathinones and amphetamine stimulants on the gut microbiome in mice
- Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey
- Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement
- Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: Prevalence and associated factors
- Association of single nucleotide polymorphisms with dyslipidemia in antiretroviral exposed HIV patients in a Ghanaian population: A case-control study
- Sonic Hedgehog upregulation does not enhance the survival and engraftment of stem cell-derived cardiomyocytes in infarcted hearts
- The pharmacokinetic parameters and the effect of a single and repeated doses of memantine on gastric myoelectric activity in experimental pigs
- Blind method for discovering number of clusters in multidimensional datasets by regression on linkage hierarchies generated from random data
- Predictive factors of first dosage intravenous immunoglobulin-related adverse effects in children
- Description and characterization of the artisanal elasmobranch fishery on Guatemala’s Caribbean coast
- Individual and community level determinants of short birth interval in Ethiopia: A multilevel analysis
- Effects of rejection intensity and rejection sensitivity on social approach behavior in women
- The impact of IoT security labelling on consumer product choice and willingness to pay
- The development and validation of a measurement instrument to investigate determinants of health care utilisation for low back pain in Ethiopia
- Validity of the French version of the Autonomy Preference Index and its adaptation for patients with advanced cancer
- The epidemiological characteristics and spatio-temporal analysis of childhood hand, foot and mouth disease in Korea, 2011-2017
- Exponential random graph model parameter estimation for very large directed networks
- The implementation of community-based diabetes and hypertension management care program in Indonesia
- Effect of temperature variation on hospital admissions and outcomes in dogs with myxomatous mitral valve disease and new onset pulmonary edema
- The development of the Police Practices Scale: Understanding policing approaches towards street-based female sex workers in a U.S. City
- A capability approach to assess aquaculture sustainability standard compliance
- Pre-collecting lymphatic vessels form detours following obstruction of lymphatic flow and function as collecting lymphatic vessels
- Construct validity and reliability of the Talent Development Environment Questionnaire in Caribbean youth track and field athletes
- Optimization of cytotoxic activity of Nocardia sp culture broths using a design of experiments
- Tissue-resident macrophages can be generated de novo in adult human skin from resident progenitor cells during substance P-mediated neurogenic inflammation ex vivo
- Microbiota in foods from Inuit traditional hunting
- Investigating Italian disinformation spreading on Twitter in the context of 2019 European elections
- In vivo expression of peptidylarginine deiminase in Drosophila melanogaster
- Modelling zero-truncated overdispersed antenatal health care count data of women in Bangladesh
- Detection and density of breeding marsh birds in Iowa wetlands
- A lineage-specific rapid diagnostic test (Chagas Sero K-SeT) identifies Brazilian Trypanosoma cruzi II/V/VI reservoir hosts among diverse mammalian orders
- Aromatase deficiency in hematopoietic cells improves glucose tolerance in male mice through skeletal muscle-specific effects
- If host is refractory, insistent parasite goes berserk: Trypanosomatid Blastocrithidia raabei in the dock bug Coreus marginatus
- Antimicrobial resistance patterns and molecular resistance markers of Campylobacter jejuni isolates from human diarrheal cases
- Protective role of brain derived neurotrophic factor (BDNF) in obstructive sleep apnea syndrome (OSAS) patients
- An IL-18-centered inflammatory network as a biomarker for cerebral white matter injury
- Prevalence of antiphospholipid antibodies in Behçet's disease: A systematic review and meta-analysis
- Chemical analysis of snus products from the United States and northern Europe
- Effect of prednisolone on glyoxalase 1 in an inbred mouse model of aristolochic acid nephropathy using a proteomics method with fluorogenic derivatization-liquid chromatography-tandem mass spectrometry
- Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study
- Aggregation of CAT tails blocks their degradation and causes proteotoxicity in S. cerevisiae
- Expression of concern: Compensatory increase of transglutaminase 2 is responsible for resistance to mTOR inhibitor treatment
- Common mental illness among epilepsy patients in Bahir Dar city, Ethiopia: A cross-sectional study
- Staging dementia based on caregiver reported patient symptoms: Implications from a latent class analysis
- Health-related quality of life and its determinants among ambulatory patients with epilepsy at Ambo General Hospital, Ethiopia: Using WHOQOL-BREF
- In silico analysis and high-risk pathogenic phenotype predictions of non-synonymous single nucleotide polymorphisms in human Crystallin beta A4 gene associated with congenital cataract
- Fungal diversity in canopy soil of silver beech, Nothofagus menziesii (Nothofagaceae)
- Referral decisions and its predictors related to orthopaedic care. A retrospective study in a novel primary care setting
- Readiness to prescribe: Using educational design to untie the Gordian Knot
- Influence of gelation on the retention of purple cactus pear extract in microencapsulated double emulsions
- Factors related to met needs for rehabilitation 6 years after stroke
- Association of cataract and sun exposure in geographically diverse populations of India: The CASE study. First Report of the ICMR-EYE SEE Study Group
- Investigation of injury severity in urban expressway crashes: A case study from Beijing
- Clinical outcomes of incident peritoneal dialysis patients coming from kidney transplantation program: A case-control study
- Evaluation of the factors influencing the housing safety awareness of residents in Shanghai
- Morphometric study of the diaphragmatic surface of the liver in the human fetus
- Food insecurity and dietary diversity among lactating mothers in the urban municipality in the mountains of Nepal
- Genetic characterization of Bacillus anthracis strains circulating in Italy from 1972 to 2018
- Promising antifungal activity of new oxadiazole against Candida krusei
- An atlas of personality, emotion and behaviour
- Long-term effects of intracranial islet grafting on cognitive functioning in a rat metabolic model of sporadic Alzheimer's disease-like dementia
- Compartmentalized profiling of amniotic fluid cytokines in women with preterm labor
- Comparison of the myometrial transcriptome from singleton and twin pregnancies by RNA-Seq
- Adverse reproductive effects of S100A9 on bovine sperm and early embryonic development in vitro
- Functional dynamics of bacterial species in the mouse gut microbiome revealed by metagenomic and metatranscriptomic analyses
- Astrocyte senescence promotes glutamate toxicity in cortical neurons
- Primary ciliary dyskinesia and psychological well-being in adolescence
- Dipeptidyl peptidase-4 is increased in the abdominal aortic aneurysm vessel wall and is associated with aneurysm disease processes
- Primary care physician knowledge, attitudes, and diagnostic testing practices for norovirus and acute gastroenteritis
- Microfluidic-prepared DOTAP nanoparticles induce strong T-cell responses in mice
- Intraocular scattering as a predictor of driving performance in older adults with cataracts
- Reduced bone mineral density among HIV infected patients on anti-retroviral therapy in Blantyre, Malawi: Prevalence and associated factors
- Correction: Extraversion personality, perceived health and activity participation among community-dwelling aging adults in Hong Kong
- A rainwater control optimization design approach for airports based on a self-organizing feature map neural network model
- Influence of inflammasome NLRP3, and IL1B and IL2 gene polymorphisms in periodontitis susceptibility
- 18F-FDG-PET/MRI in the diagnostic work-up of limbic encephalitis
- The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis
- Treatment patterns among patients with moderate-to-severe ulcerative colitis in the United States and Europe
- City to city learning and knowledge exchange for climate resilience in southern Africa
- Nuclear translocation of Atox1 potentiates activin A-induced cell migration and colony formation in colon cancer
- Activity-dependent switches between dynamic regimes of extracellular matrix expression
- Molecular sequencing and morphological identification reveal similar patterns in native bee communities across public and private grasslands of eastern North Dakota
- A mathematical model for assessing the effectiveness of controlling relapse in Plasmodium vivax malaria endemic in the Republic of Korea
- Cryo-focused ion beam preparation of perovskite based solar cells for atom probe tomography
- Physiological and transcriptomic responses of Lanzhou Lily (Lilium davidii, var. unicolor) to cold stress
- Unusual genome expansion and transcription suppression in ectomycorrhizal Tricholoma matsutake by insertions of transposable elements
- Estimating associations between antidepressant use and incident mild cognitive impairment in older adults with depression
- The use of telephone communication between nurse navigators and their patients
- CNP mediated selective toxicity on melanoma cells is accompanied by mitochondrial dysfunction
- HIV RNA measurement in dried blood spots of HIV-infected patients in Thailand using Abbott m2000 system
- Retraction: Oncogenic Fibulin-5 Promotes Nasopharyngeal Carcinoma Cell Metastasis through the FLJ10540/AKT Pathway and Correlates with Poor Prognosis
- Ultra-rapid cooling of ibex sperm by spheres method does not induce a vitreous extracellular state and increases the membrane damages
- Some animals are more equal than others: Validation of a new scale to measure how attitudes to animals depend on species and human purpose of use
- Observation and quantification of the morphological effect of trypan blue rupturing dead or dying cells
- The visual perception of emotion from masks
- Hexavalent chromium removal and total chromium biosorption from aqueous solution by Quercus crassipes acorn shell in a continuous up-flow fixed-bed column: Influencing parameters, kinetics, and mechanism
- The predictive value of anthropometric indices for cardiometabolic risk factors in Chinese children and adolescents: A national multicenter school-based study
- Lean back and wait for the alarm? Testing an automated alarm system for nosocomial outbreaks to provide support for infection control professionals
- Regional disparities in health care resources in traditional Chinese medicine county hospitals in China
- Analysis on hydraulic characteristics of improved sandy soil with soft rock
- Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students
- Factors for starting biosimilar TNF inhibitors in patients with rheumatic diseases in the real world
- Correction: Force field generalization and the internal representation of motor learning
- Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria
- Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
- Microbiome signatures in neonatal central line associated bloodstream infections
- Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health
- Opening gap width influences distal tibial rotation below the osteotomy site following open wedge high tibial osteotomy
- The impact of lowbush blueberry (Vaccinium angustifolium Ait.) and cranberry (Vaccinium macrocarpon Ait.) pollination on honey bee (Apis mellifera L.) colony health status
- Surveys of knowledge and awareness of antibiotic use and antimicrobial resistance in general population: A systematic review
- Managerial capacity among district health managers and its association with district performance: A comparative descriptive study of six districts in the Eastern Region of Ghana
- Knee joint distraction in regular care for treatment of knee osteoarthritis: A comparison with clinical trial data
- Reconstruction of a regulated two-cell metabolic model to study biohydrogen production in a diazotrophic cyanobacterium Anabaena variabilis ATCC 29413
- Cochlear dysfunction is associated with styrene exposure in humans
- Intra-individual variation of particles in exhaled air and of the contents of Surfactant protein A and albumin
- Revisits, readmissions, and outcomes for pediatric traumatic brain injury in California, 2005-2014
- Enhanced handover mechanism using mobility prediction in wireless networks
- Association between regular exercise and asthma control among adults: The population-based Northern Finnish Asthma Study
- Pharyngeal microbiome alterations during Neisseria gonorrhoeae infection
- Assessment of the clinical utility of four NGS panels in myeloid malignancies. Suggestions for NGS panel choice or design
- Assessment of time management practice and associated factors among primary hospitals employees in north Gondar, northwest Ethiopia
- Genetic diversity and population structure of feral rapeseed (Brassica napus L.) in Japan
- Are the current gRNA ranking prediction algorithms useful for genome editing in plants?
- Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain
- Heterogeneity in the distribution of 159 drug-response related SNPs in world populations and their genetic relatedness
- Metabolic and lipidomic profiling of steatotic human livers during ex situ normothermic machine perfusion guides resuscitation strategies
- Investigating cumulative effects of pre-performance routine interventions in beach volleyball serving
- Dispensing of antibiotics without prescription and associated factors in drug retail outlets of Eritrea: A simulated client method
- MicroRNA expression and DNA methylation profiles do not distinguish between primary and recurrent well-differentiated liposarcoma
- Assessment of acyl-CoA cholesterol acyltransferase (ACAT-1) role in ovarian cancer progression—An in vitro study
- Cytoplasmic factories, virus assembly, and DNA replication kinetics collectively constrain the formation of poxvirus recombinants
- The wavelet power spectrum of perfusion weighted MRI correlates with tumor vascularity in biopsy-proven glioblastoma samples
- Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population
- Constructing HLM to examine multi-level poverty-contributing factors of farmer households: Why and how?
- Patterns of symptoms possibly indicative of cancer and associated help-seeking behaviour in a large sample of United Kingdom residents—The USEFUL study
- An automated alarm system for food safety by using electronic invoices
- Neural effects of acute stress on appetite: A magnetoencephalography study
- Use of magnetic resonance imaging to determine laterality of meniscal size in healthy volunteers
- Co-prevalence of extracranial carotid aneurysms differs between European intracranial aneurysm cohorts
- Thermal biology of two tropical lizards from the Ecuadorian Andes and their vulnerability to climate change
- When weight is an encumbrance; avoidance of stairs by different demographic groups
- Non-mycosis fungoides cutaneous lymphomas in a referral center in Taiwan: A retrospective case series and literature review
- From the host's point of view: Effects of variation in burying beetle brood care and brood size on the interaction with parasitic mites
- Kernel-based Gaussian process for anomaly detection in sparse gamma-ray data
- Unmet care needs of children with ADHD
- Accelerometer-assessed outdoor physical activity is associated with meteorological conditions among older adults: Cross-sectional results from the OUTDOOR ACTIVE study
- Identification of Korean cancer survivors’ unmet needs and desired psychosocial assistance: A focus group study
- Evaluation of inactivated Bordetella pertussis as a delivery system for the immunization of mice with Pneumococcal Surface Antigen A
- The role of moral reasoning & personality in explaining lyrical preferences
- Would you like to participate in this trial? The practice of informed consent in intrapartum research in the last 30 years
- Correction: Mutation spectrums of TSC1 and TSC2 in Chinese women with lymphangioleiomyomatosis (LAM)
- Forward lunge before and after anterior cruciate ligament reconstruction: Faster movement but unchanged knee joint biomechanics
- Challenges associated with homologous directed repair using CRISPR-Cas9 and TALEN to edit the DMD genetic mutation in canine Duchenne muscular dystrophy
- Integrated targeted serum metabolomic profile and its association with gender, age, disease severity, and pattern identification in acne
- A prospective case-control study on miRNA circulating levels in subjects born small for gestational age (SGA) evaluated from childhood into young adulthood
- Polymer-fiber-coupled field-effect sensors for label-free deep brain recordings
- Global depth perception alters local timing sensitivity
- How to detect a polytrauma patient at risk of complications: A validation and database analysis of four published scales
- Module for SWC neuron morphology file validation and correction enabled for high throughput batch processing
- Reduced gray matter volume and cortical thickness associated with traffic-related air pollution in a longitudinally studied pediatric cohort
- Recombinant human soluble thrombomodulin is associated with attenuation of sepsis-induced renal impairment by inhibition of extracellular histone release
- Human and climatic drivers affect spatial fishing patterns in a multiple-use marine protected area: The Galapagos Marine Reserve
- Correction: Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
- Application of the mixture item response theory model to the Self-Administered Food Security Survey Module for Children
- Numerical simulation of atmospheric CO2 concentration and flux over the Korean Peninsula using WRF-VPRM model during Korus-AQ 2016 campaign
- Feline irradiated diet-induced demyelination; a model of the neuropathology of sub-acute combined degeneration?
- Improved multi-parametric prediction of tissue outcome in acute ischemic stroke patients using spatial features
- Genome-wide association and epistatic interactions of flowering time in soybean cultivar
- Correction: Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses
- Correction: Estimation of membrane bending modulus of stiffness tuned human red blood cells from micropore filtration studies
- Correction: Limited indirect effects of an infant pneumococcal vaccination program in an aging population
- Correction: Targeting of the Plzf Gene in the Rat by Transcription Activator-Like Effector Nuclease Results in Caudal Regression Syndrome in Spontaneously Hypertensive Rats
- Fieldwork-based determination of design priorities for point-of-use drinking water quality sensors for use in resource-limited environments
- Young women’s reproductive health conversations: Roles of maternal figures and clinical practices
- Correction: Differential recordings of local field potential: A genuine tool to quantify functional connectivity
- Survival of medial versus lateral unicompartmental knee arthroplasty: A meta-analysis
- Novel MscL agonists that allow multiple antibiotics cytoplasmic access activate the channel through a common binding site
- Is it time to stop sweeping data cleaning under the carpet? A novel algorithm for outlier management in growth data
- Changes in oak (Quercus robur) photosynthesis after winter moth (Operophtera brumata) herbivory are not explained by changes in chemical or structural leaf traits
- Mutual interaction between motor cortex activation and pain in fibromyalgia: EEG-fNIRS study
- Evaluation of liposomal ciprofloxacin formulations in a murine model of anthrax
- Analysis of cholesterol in mouse brain by HPLC with UV detection
- Sugar, amino acid and inorganic ion profiling of the honeydew from different hemipteran species feeding on Abies alba and Picea abies
- Exploring prior diseases associated with incident late-onset Alzheimer’s disease dementia
- Hypertension prevalence in patients attending tertiary pain management services, a registry-based Australian cohort study
- SRL pathogenicity island contributes to the metabolism of D-aspartate via an aspartate racemase in Shigella flexneri YSH6000
- Correction: Comprehensive genome-wide analysis of the pear (Pyrus bretschneideri) laccase gene (PbLAC) family and functional identification of PbLAC1 involved in lignin biosynthesis
- Epilepsy in a melanocyte-lineage mTOR hyperactivation mouse model: A novel epilepsy model
- Water consumption and prevalence of irritable bowel syndrome among adults
- Mixed evidence for the relationship between periodontitis and Alzheimer’s disease: A bidirectional Mendelian randomization study
- Correction: Health conditions associated with overweight in climacteric women
- Correction: Determining Glomerular Filtration Rate in Homozygous Sickle Cell Disease: Utility of Serum Creatinine Based Estimating Equations
- Modelling the number of antenatal care visits in Bangladesh to determine the risk factors for reduced antenatal care attendance
- Correction: Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
- Dominant negative effects by inactive Spa47 mutants inhibit T3SS function and Shigella virulence
- ICOS-deficient and ICOS YF mutant mice fail to control Toxoplasma gondii infection of the brain
- Diel patterns in swimming behavior of a vertically migrating deepwater shark, the bluntnose sixgill (Hexanchus griseus)
- Life history of northern Gulf of Mexico Warsaw grouper Hyporthodus nigritus inferred from otolith radiocarbon analysis
- Physiology education for intensive care medicine residents: A 15-minute interactive peer-led flipped classroom session
- Strengthening capacity for natural sciences research: A qualitative assessment to identify good practices, capacity gaps and investment priorities in African research institutions
- Systematic scoping review of the concept of ‘genetic identity’ and its relevance for germline modification
- Height of overburden fracture based on key strata theory in longwall face
- Laboratory strains of Bacillus anthracis lose their ability to rapidly grow and sporulate compared to wildlife outbreak strains
- Improvement of classification performance of Parkinson’s disease using shape features for machine learning on dopamine transporter single photon emission computed tomography
- Comparative pharmacokinetics and pharmacodynamics of the advanced Retinol-Binding Protein 4 antagonist in dog and cynomolgus monkey
- Correction: A handy method to remove bacterial contamination from fungal cultures
- Correction: Effect of statin on life prognosis in Japanese patients undergoing hemodialysis
- Retraction: Outer Membrane Protein A (OmpA) of Shigella flexneri 2a Induces TLR2-Mediated Activation of B Cells: Involvement of Protein Tyrosine Kinase, ERK and NF-κB
- Retraction: Biofabrication of streptomycin-conjugated calcium phosphate nanoparticles using red ginseng extract and investigation of their antibacterial potential
- Receiver operating characteristic curve analysis of clinical signs for screening of convergence insufficiency in young adults
- Correction: Drivers of deforestation in the basin of the Usumacinta River: Inference on process from pattern analysis using generalised additive models
- Efficacy of fertilizing method for different potash sources in cotton (Gossypium hirsutum L.) nutrition under arid climatic conditions
- Podocyte autophagy is associated with foot process effacement and proteinuria in patients with minimal change nephrotic syndrome
- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
- Retraction: MiR-30a-5p Antisense Oligonucleotide Suppresses Glioma Cell Growth by Targeting SEPT7
- Correction: Dynamics of plasma micronutrient concentrations and their correlation with serum proteins and thyroid hormones in patients with paracoccidioidomycosis
- Impact of lower limb osteoarthritis on health-related quality of life: A cross-sectional study to estimate the expressed loss of utility in the Spanish population
- Correction: Prevalence of damaged and missing teeth among women in the southern plains of Nepal: Findings of a simplified assessment tool
- Correction: Tissue-Specific Expressed Antibody Variable Gene Repertoires
- Retraction: Immunoglobulin G Expression in Lung Cancer and Its Effects on Metastasis
- Correction: Causal knowledge promotes behavioral self-regulation: An example using climate change dynamics
- Retraction: Use of Granulocyte Colony-Stimulating Factor for the Treatment of Thin Endometrium in Experimental Rats
- Correction: Dynamic mechanical and nanofibrous topological combinatory cues designed for periodontal ligament engineering
- Correction: Evaluating the foundations that help avert antimicrobial resistance: Performance of essential water sanitation and hygiene functions in hospitals and requirements for action in Kenya
- From seed to flour: Sowing sustainability in the use of cantaloupe melon residue (Cucumis melo L. var. reticulatus)
- Core Scientific Dataset Model: A lightweight and portable model and file format for multi-dimensional scientific data
- Accounting for measurement error to assess the effect of air pollution on omic signals
- Leucine zipper transcription factor-like 1 binds adaptor protein complex-1 and 2 and participates in trafficking of transferrin receptor 1
- Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study
- Genetic predisposition to celiac disease in Kazakhstan: Potential impact on the clinical practice in Central Asia
- A lower psoas muscle volume was associated with a higher rate of recurrence in male clear cell renal cell carcinoma
- Two angles of overqualification-the deviant behavior and creative performance: The role of career and survival job
- Cost-utility analysis of de-escalating biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis
- Efficient estimation of stereo thresholds: What slope should be assumed for the psychometric function?
- Learning efficient haptic shape exploration with a rigid tactile sensor array
- Effects of dietary supplementation with a microalga (Schizochytrium sp.) on the hemato-immunological, and intestinal histological parameters and gut microbiota of Nile tilapia in net cages
- Regional versus local wind speed and direction at a narrow beach with a high and steep foredune
- Fragmented QRS complex in patients with systemic lupus erythematosus at the time of diagnosis and its relationship with disease activity
- Severe thiamine deficiency in eastern Baltic cod (Gadus morhua)
- Transfer entropy as a variable selection methodology of cryptocurrencies in the framework of a high dimensional predictive model
- Psychometric validation of Czech version of the Sport Motivation Scale
- Correction: Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
- Correction: Strategies for achieving high sequencing accuracy for low diversity samples and avoiding sample bleeding using illumina platform
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