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ReklamaEngaging with change: Information and communication technology professionals’ perspectives on change at the mid-point in the UK/EU Brexit process
Authors: Elizabeth Lomas aff001; Julie McLeod aff002
Authors place of work: Department of Information Studies, iSchool, University College London, London, England, United Kingdom aff001; Department of Computer and Information Sciences, iSchool, Northumbria University, Newcastle-Upon-Tyne, England, United Kingdom aff002
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0227089Summary
Background
Information and Communication Technology (ICT) has been a key agent of change in the 21st century. Given the role of ICT in changing society, this research explores the responses and attitudes to change over time from ICT professionals and ICT academics in dealing with the potentially far reaching political challenge triggered by the UK’s 2016 European Union Referendum and its decision to leave the European Union (Brexit). Whilst the vote was a UK based decision its ramifications have global implications and as such the research was not confined to the UK. This article presents the second phase of the research at the mid-point in the UK/European Union (EU) Brexit process, thus complementing the findings gathered immediately after the Referendum decision. The fundamental question being researched was: What are ICT professionals’ personal and professional perspectives on the change triggered by Brexit in terms of opportunities and threats?
Methods and findings
Data was collected through a survey launched in March 2018, one year on from the UK’s triggering of Article 50 and marking the mid-point in the two-year Brexit process. The survey replicated the one delivered at the point of the Referendum decision in 2016 with some developments. In addition, two appreciative inquiry focus groups were conducted. The research sought to understand any shifting perspectives on the opportunities and threats that would exist post-Brexit for ICT professionals and academics. 59% of survey participants were negative regarding the Brexit decision. Participants noted the position post-Brexit for the UK, and the remaining 27 EU Member States (EU27), was still very uncertain at this stage. They observed that planned change versus uncertainty provides for very different responses. In spite of the uncertainty, the participants were able to consider and advocate for potential opportunities although these were framed from national perspectives. The opportunities identified within the appreciative inquiry focus groups aligned to those recorded by survey participants with similar themes highlighted. However, the optimum conditions for change have yet to be reached as there is still not an informed position, message and clear leadership with detailed information for the ICT context. Further data will be gathered after the UK exit from the EU, assuming this occurs.
Keywords:
Communications – Surveys – Qualitative studies – European Union – Telecommunications – Governments – Elections – Workshops
Introduction
Information and Communication Technology (ICT) is fundamental to the delivery and support of all aspects of society, in addition to significantly contributing directly to each nation’s GDP [1, 2]. Over the last 50 years it has been a key agent of change [3, 4]. It has been seen to drive revolutions internationally and organizationally [5]. As such, those professionals who work in ICT and/or manage information, whether in the public or private sectors, are in theory well practised at harnessing opportunities in response to fast changing environments. ICT professionals have often been active participants in identifying, pushing and supporting change. Others involved in change processes may potentially be more passive actors in the transformation [6]. The focus of this research was to examine ICT professionals’ responses and attitudes to change through the lens of the challenges triggered by the Brexit Referendum decision, which has complex consequences. This event has potentially cast ICT professionals in a new role within the change process, whereby there is possibly less control but equally a need for ICT to contribute to and support the change as it emerges. The fundamental question being researched was: What are ICT professionals’ personal and professional perspectives on the change triggered by Brexit in terms of opportunities and threats? This provides for some learning about change and engagement with complex change more generally.
The Brexit decision is an unprecedented opportunity to chart a change process that will take a number of years and for which the overall outcomes were unclear at the time of the initial Referendum decision. For example, it was not known whether the Brexit decision would result in a clean UK break from the European Union (EU) or an altered relationship between the territories with some maintained UK-EU connections such as a customs union. Whilst Brexit is a UK decision, this shift in national relationships has potentially global ramifications. Aspects of ICT operate based on global innovation and network delivery. Therefore, this research sought to draw on global not just UK or EU perspectives.
This long-term study approached the data collection and analysis from a qualitative perspective in order to develop an understanding of attitudes to change through time. Qualitative studies do not require large data sets but rather analyze perspectives to enable an in-depth picture to emerge. This study used a STEEPLE model as a framework to structure data collection against seven factors: Socio-cultural, Technological, Economic, Environmental, Political, Legal and Ethical. Within an organizational context the STEEPLE model is used to understand the agencies of internal and external forces which influence change. It is a familiar tool for ICT professionals [7] [8].
The first phase of this research was a global survey launched on the first working day after the Brexit Referendum decision was announced in the UK (Monday 27th June 2016), the results of which have been published [9]. This article presents results from the second phase of the research which was conducted between March and June 2018 through a global survey launched in March 2018 and two appreciative inquiry workshops in Newcastle and London. March 2018 was pertinent as it represents the mid-point within the period of notice provided by the UK to the EU prior to the UK’s theoretical exit from the EU on 29th March 2019.
This article provides an analysis of the entire data set, including opportunities, threats and perspectives on responding to change from ICT professionals. It first provides a brief contextual background on ICT and change; this is followed by the key political events relating to Brexit following the UK Referendum decision in 2016 up until the end of July 2018 when the EU and UK Parliament broke for a summer recess, and finally a summary of key studies which deal with ICT considerations in relation to Brexit. The research methodology is then presented with a discussion of the data and findings. It is the intention to undertake a further survey after March 2019 (the planned date of a UK exit from the EU) in order to track perspectives on the change over time as events develop.
Research context
ICT and change
ICT has been perceived to be an agent of change and revolution as it has enabled new ways of global communication, living and working. Bodrozic and Adler [5] highlight that as each technological revolution has occurred it has changed behaviors and models of working particularly in organizations. In addition, as discussed by Barrett et al [10], an increasing proportion of planned organizational interventions, designed to engender change, are managed through the active delivery of ICT. Within an organizational context the model of STEEPLE is used to understand the influences of internal and external forces on change considering seven factors: Socio-cultural, Technological, Economic, Environmental, Political, Legal and Ethical [7]. More et al [11] note the value of this approach to providing for strategic planning and organizational change. Whilst the STEEPLE model identifies influences on change it has often been aligned to change models which frame transitional steps. For example, Hiatt’s ADKAR Model [12] highlights a number of steps to change:
A—Awareness of the need for change which recognizes why change is necessary;
D—Desire to participate in and support the change;
K—Knowledge of how to change and what the change looks like;
A—Ability to implement the change on a day-to-day basis;
R—Reinforcement to sustain the change.
Many of the change models identify the emotional journey involved in change. For example, Kubler-Ross and Kessler’s model on human loss more generally has been shaped into a model used to understand responses to organizational or national change which take into account and acknowledge the loss, grief and ranging emotions involved in the change process [13]. Models by Kotter [14] and Bridge [15] respectively, deal with the same need to support individuals through the emotional process of change with each model focusing on moving the groups forward collectively taking into account that individuals have differing concerns and needs. In the model used by Kelly and Connor [16], information and communication help engender change as people can engage with and support a change even if they are pessimists, provided they are informed pessimists. Ultimately the goal is to move people towards informed optimism. Lawrence [17] identifies the process of participation as enabling this change and ending resistance. Appelbaum et al’s [18, p.215] synthesis of the change literature identifies different group dynamics which, whilst individuals have diverse engagement with the change process, nevertheless commit a group to moving towards a successful change. These are:
Affective commitment to change: beliefs in the inherent benefits of the change.
Normative commitment: sense of obligation to provide support for the change.
Continuance commitment: recognition of the costs associated with failure to support the change.
Key in change is strong leadership, collective dynamics and a clear and positive message around change crafted through time [19, 20, 21, 22, 23, 24 and 25]. In change contexts there will often be opportunities and threats; change is a process of risk management. Within an organizational context, case studies have indicated that change can be complex, with mixed outcomes and many projects failing [26]. In terms of political delivery there are very few government projects and initiatives which have been rigorously evaluated for their effectiveness in delivering largescale change. The closest comparison is in the history of warfare and diplomacy literature which deals with the influence of politics, power and negotiation in effecting change. In terms of ICT projects, governments have assessed delivering change through ICT transformation. Interestingly in this regard, a review of lessons learned from ICT delivery across national governments, concludes that projects fail when they are too complex and do not have embedded risk management processes including controls [27]. These issues are implicit in the Brexit context which is very complex and politically charged resulting in the risk planning not being open but rather confidentially held within the central UK and EU Government administrations. As noted in the risk management literature a lack of Brexit facts has created problems for planning [28]. Following the context of the politics of Brexit has been key to engaging with the change.
The politics of Brexit
On the 23rd June 2016, the citizens of the UK (England, Northern Ireland, Scotland and Wales) and Gibraltar were given the opportunity to vote ‘leave’ or ‘remain’ to the single question ‘Should the United Kingdom remain a member of the European Union or leave the European Union?’ Following a voter turnout of 72%, 51.9% of the votes cast were in favor of leaving the EU [29]. Regionally the voter breakdown indicated that England and Wales were in favor of leaving the EU with Gibraltar, Scotland and Northern Ireland in favor of remaining. These regional differences have been significant in the subsequent discussions and political perspectives on the shape of any potential agreement between the EU and the UK and Gibraltar. Ownership of voting ‘leave’ has been complex with some voters reporting a stigma attached to voting leave and others indicating that their vote was a protest vote made on the assumption that the ‘leave’ campaigners would not win [30, 31]. There has also been conflict across the age spectrum with older voters being blamed for the leave vote and a suggestion that with younger voters becoming eligible to vote this would make a difference if there were a second vote, although typically the election turnout for younger voters is lower [32].
The process of the UK exiting the EU follows certain key stages. In the first instance the UK provided notice to the EU of its intention to leave by triggering Article 50. Following this trigger, the UK agreed with the remaining 27 EU Members States (EU27) a political mandate for the negotiations after which the negotiations commenced [33]. Table 1 below provides a high-level overview of key political events following the Brexit Referendum decision up until the end of July 2018.
Tab. 1. Timeline of key political Brexit related events 23 June 2016–31 July 2018. Since the Brexit vote, within the UK, politicians, media, wider commentators and citizens have remained conflicted on what the Referendum decision means in reality in terms of its delivery. Commentators have argued that the simple binary choice of leaving or remaining within the EU meant the vote was not constructed to properly surface citizens’ wishes in terms of the shape of the future relationship between the UK and EU. Within the UK Parliament, MPs have remained split across all parties regarding stances to Brexit. Whilst the immediate impact of the decision did not bring widespread chaos to the UK, as some had predicted, there are a range of views on the longer terms implications of leaving depending on the terms of departure from a range of perspectives including the position for services, goods and agriculture. The idea of the UK leaving the EU in March 2019 with no deal in place has been claimed by many politicians and economists to be the worst potential outcome for UK business. However, a key issue in the discussions has been the importance of recognizing the democratic decision and voice of citizens in contrast to evaluating the economic damage for the UK if leaving the EU is fully enacted as a ‘hard Brexit’ which would mean that there would be no ongoing customs union [34]. In Europe there have been some calls within other nations for discussions on exiting the EU, e.g. France/Frexit, Italy/Italexit and Poland/Polexit, but to date these have not gained mass support. The EU27 have seemingly presented a united negotiating stance in dealing with the UK. Brexit developments have received ongoing global news coverage and comment.
Within the UK, YouGov polls [35, 36] have charted citizens’ perspectives on Brexit. These evidence an overall shift in terms of perspectives on the potential impact of Brexit with some fluctuations. For example, in the sample polled on whether the UK would be economically worse off following Brexit, 35% agreed that it would be in 2016 and 40% in 2017. 22% felt it would be better off in 2016 and 28% in 2017. The polls clearly evidence the continuing polarized perspectives from the Leavers and Remainers. In 2017, 78% of Remainers felt the UK would be economically worse off and only 7% of Leavers. However, what is likely to be the overall outcome of the Brexit decision is perceived by citizens to be complex. On 29th June 2018, Danny Dyer a UK celebrity, summed up the national mood of many by describing Brexit as “No one knows what it is–it’s like this mad riddle that no one knows what it is, right” [37]. The Brexit situation is somewhat akin to the political context Donald Rumsfeld described in regard to the global war on terror in 2002:
The message is that there are no "knowns." There are things we know that we know. There are known unknowns. That is to say there are things that we now know we don't know. But there are also unknown unknowns. There are things we don't know we don't know. So when we do the best we can and we pull all this information together, and we then say well that's basically what we see as the situation, that is really only the known knowns and the known unknowns. And each year, we discover a few more of those unknown unknowns. [38]
In this regard, the context of the lens of Brexit as a focus for understanding change has to date provided a situation where the stages of change are not currently clearly defined.
Brexit and ICT
If the UK leaves the EU without a deal with the EU, then it becomes a ‘third country’ from the perspective of the EU. This has implications for the ICT sector in terms of supply chains and tariffs, which may apply for the transport of goods. It will increase the cost of movement of goods between the UK and the rest of Europe. The World Trade Organization has a list of the taxes which will apply to goods outside of trade agreements which make evident the economic implications. In addition, the accompanying paperwork requirements will slow up operations between the regions. Separately there are implications for ICT service impacts, which are harder to ascertain as services are supplied in more complex ways; for example sometimes in person or sometimes through channels with more complex borders. Whilst services are not restricted by borders and tariff barriers in quite the same way as goods, nevertheless other barriers may exist. There may be licensing, quotas, or professional qualifications, which determine whether foreign providers are allowed to enter a market. In addition, the legislative landscape for operations shifts, if the UK leaves, as information rights laws are impacted. For example, the EU would need to determine whether the UK had appropriate safeguards in place relating to the protection of personal data, i.e. GDPR ‘adequacy’, in order for the UK and EU to continue to exchange personal data. For intellectual property law and trademarks, an EU trademark will no longer cover the UK, so organizations would need to take steps for UK protection. Other laws around intellectual property will require similar evaluation, including software development and copyright. These considerations have implications, as the ICT industry will consider physical operational logistics weighed against differing concerns related to services and customer bases.
In determining the impact of Brexit and the permutations for a deal, the UK Government has taken evidence from a range of experts and sectors. The July 2017 Technology ICT Sector Report, produced by the UK House of Commons Committee on Exiting the European Union, recognized the role of ICT in supporting the UK’s delivery of services and goods, providing employment and income generation [39]. This picture has been further developed by the evidence provided to the UK House of Commons Digital Culture and Media Sport Committee as published in January 2018 [40]. Other important work has been undertaken to understand aspects of ICT delivery which are not necessarily specific to the Brexit situation but have helped to develop the picture, e.g. the ScotlandIS report on ICT public sector expenditure in Scotland [41].
In an EU context there have been discussions at Committee level on the impact of Brexit on ICT policies. For example, in the context of the Industry, Research and Energy Committee, these have revolved around the implications for policymaking and regulation, as well as innovation and deployment of 5G [42]. A testimony by J Scott Marcus, before the Committee in June 2018, warned that a complete break between the UK and EU was not advisable as it would have a significant impact, for example in the Artificial Intelligence (AI) research and development arena [43]. Key for the UK in terms of the support for innovation has been the EU research relationship and funding which remains to be determined [44].
In a trading context there has been widespread discussion of the potential impact. In 2015 Nesta launched a European Digital City index which, in November 2016 after the Referendum vote, still placed London first out of 60 European cities as a location for digital startups with eight other UK cities featuring in the listing [45]. However, interviews and analysis by Oliver Patel, UCL, in December 2016 indicated that across the ICT sector there was concern regarding immigration status for those working in this sector in the UK and, in addition, regarding future access to skills as well as market access for UK businesses [46]. In 2017, Richard Reynold from Atradius commented that whilst the Brexit decision will impact the UK ICT sector, particularly given the significance of EU markets, there remain sector opportunities [47]. Atradius, in 2018, indicated that the UK ICT industry had been worth 97 billion GBP to the economy in 2017, which was up 30% from 2012, but that due to Brexit uncertainties this growth had slowed, in part because of concerns about talent shortages [48]. However, considering the significance of the ICT sector to the UK and EU there has been limited information and analysis put into the public domain in terms of the impacts to ICT goods and services.
Methods
The overarching aim of this research was to gather an in-depth picture of ICT professionals’ responses and attitudes to change through the lens of the challenges triggered by the Brexit Referendum decision. The fundamental question being researched was: What are ICT professionals’ personal and professional perspectives on the change triggered by Brexit in terms of opportunities and threats? The UK’s Brexit Referendum decision represented a major exogenous shock for the ICT industry, which would require responses and actions through time. Whilst its impact was unknown at the outset, it was envisaged that the changes required would become evident more quickly than has potentially been the case.
The study took a qualitative approach. Qualitative research was determined to be best suited to the research aim. It enabled an inductive approach to the study, which was important for considering change with unknown outcomes. In addition, the particular strengths of qualitative research are that it can provide insights into complex events where there are many interconnecting factors some of which are intangible considerations that are difficult to identify and measure quantitatively [49, 50]. As noted by Dafoe and Lyall, rich causal processes relating to ICT and human dimensions, can have varied, complex dynamics which quantitative research may fail to identify [51]. In the context of Brexit, there were many complex factors and tensions between personal, professional, national and industry specific considerations. In an ICT context, different considerations exist dependent upon the nature of the service delivery, for example whether there are goods or services involved in a supply chain. The data was collected via a survey and appreciative inquiry focus groups. The former provided an opportunity for fully anonymized free and frank exchanges. The latter enabled collaborative discussions to develop and counter key considerations.
The research was a collaboration between University College London and Northumbria University. It went through the University College London Research Committee including providing data protection approval (Ref: UCL/13101/001).
Survey
The survey (S1 Fig) was developed and administered using the online survey tool Opinio which is UK hosted for EU data protection purposes. The survey was open to anyone across the world. Whilst Brexit itself was an emotive issue, contributions were requested to be made in a constructive manner. It was noted by a number of potential participants working in industry contexts, and in particular UK based banking, that for cyber security reasons they were not allowed to click on links to online surveys. As such this potentially limited the pool of contributors.
The intention was to repeat the 2016 survey, in order to be able to consider changing perspectives. The participants were not necessarily the same although the question was asked whether individuals had previously participated. Some alterations were made to the survey design to take into account considerations identified from the previous data set. For this second survey it was possible to plan the work over a longer timeframe and gain ethical approval to ask further questions. In addition to collecting the participants’ place of residence and nationality, their age and gender were collected. Some studies have indicated that age and gender influence attitudes to change and that this can be a significant variable [52]. In line with the previous survey, in order to aid the protection of the identities of those who participated, IP address data was not captured. The survey provided an opening consent page which explained its purpose. All questions were optional. In order to enable free and frank contributions permission was not sought for the full data set to be shared as anonymity was promised. All the qualitative data quoted was carefully manually reviewed in order to protect both personal data and organizations’ commercial confidentiality.
In line with the 2016 survey, a STEEPLE model was used as the central data collection framework, which is a common tool used to understand agents of change in an ICT context [7, 11]. The STEEPLE model provided participants with a familiar framework of prompts to consider the opportunities and threats against seven factors: Socio-cultural, Technological, Economic, Environmental, Political, Legal and Ethical. Participants from the 2016 survey had commented that on occasions it was problematic to separate out these factors and furthermore they had sometimes wanted to discuss their answers making connections across the factors. Taking this into account, the second survey asked participants to respond to the opportunities with reference to any or all of the factors, rather than each one individually, and then to repeat this process considering the threats. This enabled participants to respond in one text box highlighting observations and linking these on occasion to multiple factors. As the survey was trying to understand ICT change in the light of Brexit, participants were asked whether they had completed the first survey, whether they had changed their attitudes on Brexit since the Referendum, and whether, as an ICT professional, they felt confident in dealing with uncertainty.
The possibility of translating the survey into French and German was investigated in order to gain a wider set of EU responses. However, funding did not allow for translation assistance and therefore it was ruled out for this survey iteration. The fact the survey was only in English did potentially limit the pool of participants.
The survey was piloted on five researchers and five practitioners from the target audience. It was distributed globally by the authors using a virtual snowballing (i.e. referral) sampling method [53]. The initial launch was at the opening of the international iConference on Sunday 25th March 2018 in Sheffield, UK. This conference attracts ICT academics and some professionals. Contacts at the conference were asked to tweet the survey link which initiated the snowballing process. At the same time messages were posted through direct email, email listservs, online newsletters and social media posts (e.g. Facebook, LinkedIn and Twitter). The survey remained open until 27th April 2018. This chosen date aligned to the mid-point in the planned two-year period for negotiations. It is to be noted that this also coincided with a holiday period in many countries and the researchers did receive some comments that potential participants would have completed the survey if it had been left open for longer.
During the period of data collection, research participants could amend or add to their answers. The survey data was analyzed manually and using Excel. An inductive process to coding the qualitative responses was adopted, utilizing the steps set out by Lewins and Silver [54]. Codes were not reviewed from the first survey in order to try to minimize bias in the coding. Line by line open coding was undertaken and axial codes were then developed to identify linked themes. The data was then reviewed and under each coded axial theme every separate mention of an idea identified against that theme was counted under the relevant STEEPLE factor. Participants had largely self identified the relationship to the STEEPLE factors. The total count of all mentions across the STEEPLE factors was then tallied. The process of counting in qualitative approaches is recognized to be controversial as each single contribution by a participant has value. It is recognized that qualitative coding is a subjective sense making process. Counting can help make sense of data when dealing with largescale complex issues but is nevertheless potentially contentious [55]. In order to address these issues, the full list of open codes has been provided in addition to the axial codes or themes (S1 Table). This has been checked to ensure that the coding provided does not reveal any personal or commercially confidential data.
Appreciative inquiry focus groups
In addition, two appreciative inquiry workshops were held, the first in Newcastle on 3rd May 2018 and the second in London on 26th June 2018. At each workshop there were 9 participants. The participants included both UK and international representatives. Dynamo North East (http://www.dynamonortheast.co.uk/), a community interest company whose mission is to grow the IT economy in the North East of England, assisted with sourcing participants for the Newcastle event. Each of the participants was provided with an information sheet and consent sheet (S2 Fig). Participants could choose to be acknowledged for their participation or to have their contributions anonymized.
Appreciative inquiry is a strengths-based approach, intended to focus only on the potential positives for change and to develop these possibilities [56]. It seeks to establish a basis for positive development and change. In the shared setting of a focus group, positive discussions can be developed, whereas the challenging situation of lone contemplation can make positivity difficult. In the context of the challenge posed by Brexit, this more positive collaborative approach enabled all participants to contribute to analyzing IT perspectives and possibilities regardless of their personal perspectives on the Brexit Referendum decision. The participants were asked to assume that Brexit would occur, although it was acknowledged at the outset that the format it could take and the continuing relationships between the UK and other EU member states were uncertain.
Within each workshop participants were split into two sub-groups and, as in the survey, the STEEPLE model provided the framework for focusing their discussion (S3 Fig). The sub-groups then rejoined and discussed their perspectives on each of the seven factors. They then concluded the workshop by pulling out their highlight opportunities. Responses were not coded and counted but rather themes were captured on flipchart sheets. The responses in this context reflected a rich set of shared narratives.
Participant demographics
A total of 245 participants completed the survey. Despite cascading the survey through the same networks as for the first survey, only 27 participants (11%) confirmed that they had completed the first survey. Table 2 indicates the gender, age (S2 Table), nationalities (S3 Table) and locations (S4 Table) of those who responded and compares these to 2016 responses. Table 3 contains the professional contexts for the participants. The modal values for each variable are highlighted in grey in Tables 2 and 3. Whilst less people responded to this second survey, they indicate a relatively similar statistical profile of the background demographics and contexts of the participants.
Tab. 2. Personal characteristics of survey participants. Tab. 3. Professional contexts of survey participants. In respect of personal demographics, a number of participants noted their complex nationalities and residency statuses or did not wish to comment on these. 40% of the survey participants indicated they were female, 32% male with 28% preferring not to comment. Three people explicitly commented that questions on so called ‘gender’ were no longer valid. There were very low numbers of responses from those at either end of the age spectrum, which is potentially to be expected for a professional survey. 26% of participants did not wish to state their age, with a lower percentage of participants from 45 years upwards identifying as completing the 2018 survey than in the 2016 survey. This result may be due to the conflict since the Referendum around voting patterns linked to age, with younger voters condemning older voters for voting ‘leave’. It potentially evidences the 2018 survey participants’ sensitivities to wider social divisions within the UK caused by the Referendum decision.
Despite being circulated globally, the majority (64%) of participants were based in the UK as in the 2016 survey. 59% of participants were UK nationals. The highest number of European responses, excluding UK nationals, was from the Republic of Ireland (3.5%) followed by France (2.5%). Excluding EU nationals, the highest number of responses was from the USA (3%). Only one person responded from Belgium although it is at the heart of EU administration. 20% of participants either preferred not to specify their location or nationality or commented that this was complex. Several participants were in the process of transitioning to new locations due to the Brexit decision. In the 2018 survey, there were less non-UK EU participants than in the 2016 survey although the matter has been widely debated across the EU news. There was a 15.5% drop in non-UK EU participants. However, there was an 11% rise in participants choosing to identify complex nationalities or specifically indicating they did not wish to state their nationality. The complexity of nationality has been brought to the fore by Brexit, in circumstances where people are now needing to make passport and residency choices. In terms of residency, the participant figures also shifted with a drop of 11% respectively both in terms of the participants resident in the UK and in the EU excluding the UK. 19% of people indicated complex residency or preferred not to state their place of residence.
In respect of professional demographics, academics from ICT related disciplines and librarians provided high numbers of responses in both the 2016 and 2018 survey. However, the 2018 survey captured responses from a wider range of participant professions. Several participants noted their connection to multiple professions and job roles. In both surveys, 51% were not managers with 48%/49% in management roles. 35% were working or volunteering in global enterprises, with many others noting in the comments fields that their organizations, whilst located in one country, managed information, markets and services across geographical boundaries. The number of participants from global organizations rose by 7% with an increase of 7% of participants being from organizations with over 1000 employees. Potentially global organizations have been engaging more actively with Brexit planning. The majority of participants in 2016 and 2018 were employees.
Within the workshops three participants were resident outside the UK and 15 were UK based. 14 of the participants were working in organizations or roles with international networks or bases. The participants who chose to be acknowledged were Sally Edgar, Adam Hill, May Ladd, Professor Tero Päivärinta, Cesare Rizzo, Alan Shipman and Professor Hrvoje Stancic.
The Brexit context
Despite the potential wider impact of the Brexit decision and global media coverage, it is important to note that the survey was largely completed by UK citizens. This is potentially telling in terms of how significant other nationalities perceive this issue. However, even though Brexit is of significance for the UK, a number of UK contacts did indicate they were ‘weary of the topic’ or ‘depressed by this’ and did not feel motivated to spend time on the survey. This emotion was also expressed within some of the actual participant survey responses:
“Tired of it all—it is difficult to feel motivated by any of it.”
In the context of the workshops, three out of four international participants approached agreed to attend; one declined due to commitments elsewhere. Only one out of nine participants approached in the UK agreed to attend the workshops with the reasons for declining including commitments elsewhere, but also either a sense that it was problematic to contribute whilst the situation was still so uncertain or often weariness for the topic. In addition, UK participants were not keen to be associated with a Brexit event as, despite being able to anonymize their contributions in publications, some felt it would be harder to guarantee complete anonymity given the group dynamic. Given that workshop participants potentially felt less able to be anonymous, they were not asked for their age, gender or voting position on Brexit, only their national and industry contexts. Many workshop participants chose to disclose their position on the Brexit vote at the outset of this event largely in many cases to dismiss any assumptions that they were pro-Brexit, although some participants were ‘leave’ supporters.
This problem of acknowledging a ‘leave’ vote is potentially evident in the survey where it was of note that on a number of questions relating to perspectives or a voting position on Brexit, people did not wish to comment on their position despite the assurance of anonymity. ICT professionals are predominantly situated in the demographic of remain voters, as indicated in the 2016 survey results. Therefore, voting leave is potentially more contentious to declare professionally.
Results and discussion
Plans post Brexit
In terms of organizational contexts, 18% of the 2018 survey participants indicated that there were no plans in place relating to the Brexit decision, 28% of participants did not know if there were plans in place and 28% indicated that there were now plans in place within their organization in the light of Brexit. This was a significant increase from the position in June 2016 where only 6.5% of participants indicated that their organization had any plans. However, it is notable that nevertheless it remains a relatively low percentage given that the Referendum decision had now been known for some time. As one person commented from a UK perspective, “there seems to be a seemingly false hope we will not leave”. For those who had plans in process these were wide ranging, with some indicating working groups/committees actively meeting to manage potential change. A number of participants commented that their organization was looking at new locations and relocating parts of the business/organization, mapping new supply chains/agents, leveraging currency fluctuations, identifying areas of future growth including international global consultancy outside the EU, reviewing regulatory change, identifying wide-ranging needs, fostering UK/EU links, and lobbying the UK Government for a deal supporting businesses. In addition, there were a high number of comments relating to protecting and supporting staff with different nationalities. Not all were complimentary about the organizational plans in place, for example one participant noted that the plans were ‘half-baked and confused’. It is important to note that there were no responses which indicated that any of the participants were driving the change or making key decisions for their organizational contexts relating to the impact of Brexit.
Perspectives on the Brexit decision
Of the 56% of participants eligible to vote or willing to state their position on Brexit, 46% indicated that they had voted to remain with only 9% indicating that they had voted to leave and 1% not voting (Fig 1).
Fig. 1. 2016 Brexit referendum voting position as indicated by 2018 survey participants. 59% of 2018 survey participants indicating a view saw the Brexit decision negatively (Fig 2). This was a decrease from the 2016 survey participants but largely due to a significant shift in those who were neutral, unsure or preferred not to say (25% as compared with 6% in 2016). Only 4% viewed the decision as positive, which was a drop of 3% from the first survey. Looking more generally at the impact of Brexit, the dominant perspective on this was that it was negative. The negative view was the modal value irrespective of gender or age group (Table 4, Figs 3 and 4).
Fig. 2. General perspectives on the Brexit decision comparing 2016 and 2018 survey results. Fig. 3. General perspectives on the Brexit decision by gender. Fig. 4. General perspectives on the Brexit decision by age. Tab. 4. Breakdown of 2018 survey general perspectives on the Brexit decision by demographics by participant count (modal values shaded in grey). The following sample comments evidence the wide-ranging views on the process:
“it's a disaster!”
“Where is the still distraught and very negative option?”
“I have complex sentiments”
“I believe there will be immediate losses but long term gains.”
“Presents an opportunity for people to democratically control the destiny of the country”
“Powerful undemocratic forces in the UK are colluding with the EU to undermine Brexit and try to keep the UK shackled to the EU. If these forces can be defied I shall be very positive about leaving the EU”
“This survey seems to assume that Brexit is a done deal but it isn't. I'm actively involved in the campaign for a referendum on the final deal which, if successful, will provide voters with the opportunity to mandate the Government to withdraw Article 50.”
Related to this question, participants were asked if they had changed their perspectives on Brexit since the Referendum debate (Fig 5). 67% had not changed their original viewpoint. A significant number of participants (19%) did not want to comment or were now unsure about their views. 8% of participants had changed their view.
Fig. 5. Changed perspectives on Brexit. Many comments indicated anger at those involved in the process from the UK and EU. Examples of quotes which indicated changing, conflicted and angry perspectives include:
“Voted remain to keep status quo, based on limited EU knowledge. Since referendum, I have learnt so much more about what we will lose and how the EU actually works in detail that I am now even more pro-remain.”
“become reconciled to it happening and see there are opportunities arising from change (even unwanted change)”
“Although much more tired by it all. It is never ending divisive and uncertain. I have heard vast sums are being expended in Government on this—it is such a waste of money. When people were told about the sums sent to EU no one quoted cost of all this change. It is difficult to see how any of this can turn out ok”
“The Leave faction fought the referendum on a false prospectus and nobody explained the difficulties and complexities of untangling the UK from Europe. The Electorate did not understand what it was voting for and now one year on we still don't know where we are going or where we will end up. I am even more strongly opposed to Brexit than I was before.”
“Let's be honest, the negotiations really are going badly. And it isn't even a surprise! The issue of the Irish border was raised during the referendum—and yet people claim in the news etc that they weren't told.”
“My position has moved from being mildly pro-'Remain' to mildly pro-'Leave', even as I can see the threats and risks that lie ahead. I never have been sure what to think of the whole thing! One thing I certainly know, though, is that I dislike the souring of the tone of the national conversation. Both sides have been to blame in this regard, and I'm afraid I have personally been put off the 'Remain' camp by its bitterness since the vote.”
“I think the EU has not helped the UK turn back. If we have another vote I think more people will vote leave both to respect the initial democratic process and due to the EU tone.”
In regard to participants’ personal perspectives on the impact of the Brexit decision for ICT, 5% saw it as an opportunity with 26% seeing it as a threat (Fig 6). Many participants were either unsure (2%), preferred not to say (17%) or ackowledged the complexities of the potential outcomes for ICT with 25% seeing it as too unpredictable to judge and 25% seeing it as a combination of threats and opportunities. When broken down by gender, the modal value revealed that female participants perceived the change to be too uncertain to judge for ICT professionals in terms of opportunities. The highest modal value for male counterparts perceived it as threat which did have a high participant score for female participants (Table 5, Fig 7). There were some different perspectives on this from across the age spectrum (Fig 8).
Fig. 6. 2018 survey perspectives on Brexit from an ICT professional perspective. Fig. 7. Breakdown of 2018 survey perspectives on Brexit from an ICT professional perspective by gender. Fig. 8. Breakdown of 2018 survey perspectives on Brexit from an ICT professional perspective by age. Tab. 5. Breakdown of 2018 survey perspectives on Brexit from an ICT professional perspective by demographics (modal values shaded in grey). An additional question was asked in this survey in order to better understand ICT professionals’ attitudes to change and uncertainty (Fig 7). 28% of participants indicated that they were confident, with 7% very confident. However, 25% of participants did not state an answer. When the responses were broken down by gender and age there were some distinctions (Figs 9, 10 and 11 and Table 6).
Fig. 9. ICT professional confidence in dealing with uncertainty. Fig. 10. ICT professional confidence in dealing with uncertainty by gender. Fig. 11. ICT professional confidence in dealing with uncertainty by age. Tab. 6. Breakdown of 2018 survey perspectives on ICT professional confidence in dealing with uncertainty (modal values are shaded in grey). A number of the comments indicated that uncertainty and change differ and that in the case of Brexit it was very difficult to gain any control on aspects of the change:
“Entirely depends on the nature of the uncertainty as there are always things outside of one's immediate control. The concern I have primarily with Brexit is that its complexity and interconnected nature to virtually every aspect of society means that no one at all is in control.”
“general uncertainty and dealing with change, is part and parcel of being an information professional and technology. However, Brexit terms are a political uncertainty which shifts this answer to not entirely confident. In particular over the land border being virtual or soft, only technology will address that and the implications are not being fully addressed by government negotiating with the EU.”
“Change and uncertainty are not the same. I can deal with change and the narrow parameters of managed uncertainty but this is a different kind of uncertainty”
“I can handle change but feel uncertainty is problematic as this potentially implies someone else/some force is entirely in control. However I can deliver risk management frameworks.”
These comments also reflected a theme that was repeated in response to other questions that the politicians, in the UK Government in particular, were not providing a clear narrative and framework or advice to respond to the change.
Opportunities and threats
Open codes were created from the survey analysis of the responses to the open questions (S1 Table). 227 open codes were linked to opportunities, whilst 163 open codes were linked to threats. There was some overlap in the themes identified. Table 7 provides an overview of the themes with the highest coded counts. It was significant to note that participants were able to list a number of opportunities even when being negative overall about the process. Nine participants did specifically record that there were no opportunities and 27 participants indicated that reversing the Brexit decision was the only opportunity. These comments are not included in Table 7. It lists the top 30 most frequently occurring codes which represents all codes with a count of 8 or more. The coding frequency ratio for opportunities compared to threats was 1.27 : 1 which was a positive shift from the 1 : 2.02 ratio in the 2016 survey. It was interesting that, despite the uncertainty, the participants were able to consider and advocate for potential opportunities. This is potentially explained by Appelbaum et al’s analysis of change that even when people are negative about change, they can still focus on finding positive solutions, particularly if the potential consequences of unsuccessful change are very significant. However, this was a qualitative survey and the ratios are not conclusive about perspectives. In addition, it is possible that those who felt they could not see opportunities did not choose to complete the survey.
Tab. 7. Highest frequency occurring coded themes (opportunities and threats) from the survey linked to STEEPLE factors. The themes developed from the appreciative inquiry workshops focused on identifying opportunities for action. They had a synergy with those comments coded through the survey (Table 8).
Tab. 8. Themes identified from the appreciative inquiry workshop linked to STEEPLE factors. Certainty, polarization and mistrust
A number of issues emerged from reflection on the themes and coded comments. An immediate concern was a desire for certainty and decisions regardless of Brexit perspectives. This was highlighted as a clear need for a range of reasons including business planning, economic stability, labor force planning and wider social cohesion. In terms of action and expertise the UK Government was particularly criticized. Comments around these issues included:
“Again I am not sure the Government are properly linking up all the pieces in the puzzle.”
“Lack of Government expertise and action.”
“We know there are Government discussions occuring but please get a move on and produce more substantive action before it is all too late.”
“It is not possible to deal with a lack of facts. This makes planning very hard. So whilst I can change in response to situations the current waivering is not great”
In terms of delivering that change a constructive dialogue was seen as required to move on the agenda positively. However, it was noted that diplomacy had been lacking on all sides and, in addition, the media were not assisting the debates:
“It would be really helpful if the media were more responsible and messaged people more appropriately rather than causing divisions. The media's entertainment track has undermined serious collaboration and discussions.”
“In terms of threats and opportunities when sitting on your own it is far easier to list out lots of problems of which I see many—the world is a scary place at present—but to build a better world we need better discussions and projects delivered across all communities. It feels like negativity sells news—the media have a role in developing more positive rather than alarmist dialogues.”
The development of polarized politics and mistrust of official information was perceived to be a significant issue. Moves to agendas on the left and right were both highlighted as potentially dangerous with a growing concern about the possibility of “more Trumps”:
“The politics has been shaken up and there is a move to right and left wing extremes. Whilst there are problems in the middle there everything is quite scary.
Isolation and xenophobia
Isolation and xenophobia were highlighted as key threats across the EU and for the UK more particularly. There were fears that isolationism would create growing hostile environments and, in addition, underpin an environment which could foster dangers around cyber security and warfare:
“Loss of [UK] opportunities for partnerships across Europe; loss of transferable status; isolationism; broken relationships, huge increase in unemployment, rising xenophobia.”
STEEPLE—The whole cyber crime scene and warfare through this is all really worrying. The Web and our ICT world has been positive and optimistic but we may need ICT borders to keep us safe. Will our bank accounts be hacked, our energy supplies cut down, our hospitals stopped? Will we move back to physical management and paper to keep us safe?”
Global collaboration
In the longer term the greatest opportunities were seen to align to the promotion and delivery of global collaboration to develop internationalized networks, trade, labor and talent exchange. A particular example was that, “environmental change relies on global agreement—the EU made the Kyoto agreement happen.” It was observed that whilst clearly the EU is a larger political entity than the UK, it had nevertheless been seen to be protectionist, which has at times limited innovation and global development. In addition, the structures of the EU were noted to make progress and change slow, and decision making at the lowest common denominator level to gain agreement. The ability for a defined, agile and unique UK set of law, policy and investment planning provided critical UK opportunities. However, more significantly in this context, was the perceived need for the UK to have allies including maintaining EU relationships and strengthening ties with other countries such as China, the USA and Commonwealth nations. In the ICT context the need for global collaboration, law and international standards was particularly identified as the following comments illustrate:
“An opportunity: collaboration with non-European countries, perhaps English-speaking Commonwealth countries, which might (from a governmental perspective) reward investment and good relations. There is a great deal of youth and energy in these places, and strong cultures. Two countries that come to mind are India and Nigeria. Much fruit might be yielded for both partners in seeing what each can offer the other.”
“We need to have better more serious global debates.”
“EU legislation is restrictive and [an] overreaching. Without having to adhere to the different laws opportunities will be widened. When we sell digital subscription to EU customers we have to add VAT which makes the service less attractive. We do not have to do this with customers in America, Australia and other countries that are outside the EU. This will create a more attractive level playing field. We live in a global world so a focus on all markets and not just working within the EU is a positive outcome. Brexit is great for politics as it means that our government can't use the EU as an excuse to hide behind. All laws and decisions will be based on our national interests and will be made in the UK. Brexit was about claiming back control of our own laws in order to enhance democracy.”
There were mixed perspectives on the benefits of the current form of protecting personal data as set out in the EU’s General Data Protection Regulation [57], although a majority of participants viewed the EU legislative system as socially responsible and wanted to ensure the continued protection of rights and values. Others saw opportunities to lower or alter some compliance areas and to reduce worker rights to make the UK a more attractive prospect for business to locate. New compliance and regulation were seen as providing leverage for new networks and relationships globally. ICT was noted to be globally delivered and rely on complex international legal contexts. However, politicians were deemed to be lacking in skills and knowledge to properly understand ICT needs including laws/regulation, policies and education required to support and effectively deliver this change. An example was provided in one of the workshops of the failure of the USA Congress to properly cross examine Mark Zuckerberg at his Congress appearance in 2018. The need to better engage with ICT experts and to be open about this process was deemed critical. Ironically, whilst noting the need for global collaboration most comments continually reflected on personalized and national contexts.
Role of ICT
At the workshops, the ICT sector was seen as somewhat of a false premise as ICT encompasses a number of functions ranging from IT support within particular private and public sector contexts through to ICT driven industries producing software, hardware, content and services, including broadcasting, cyber-security, e-commerce, gaming, Fintech and telecommunications. As ICT is an integral part of all sectors, it was suggested that it is perhaps best described as a knowledge ‘domain’.
Events triggered by Brexit across the UK and EU27 were identified as requiring ICT support to deliver solutions. For example:
“Technology and research are needed for making this massive change.”
“We need information professionals to deal with, support and deliver on the Referendum and all the cascade of impacts”
Within the workshops the need for new systems around supply chains and border controls were identified as areas where ICT could provide solutions. In addition, the need for information literacy skills and ethics was highlighted as having been evidenced to aid better citizen engagement for political change:
“information literacy instruction, which should now be leaving the academy and the workplace to be taught as a basic universal skill.”
“A great opportunity to raise the profile of information literacy (S) and information ethics (E)”
The development and pace of technological change was noted as a much bigger concern for society than Brexit. For one participant “a bigger threat than any BREXIT or remain is AI” whilst for others AI represented a significant pathway for ICT and societal development:
“We have a strong ICT sector including robotics, AI and machine learning. We need to lead with clear frameworks so we can develop these further.”
For a number of participants, the UK was seen as being well positioned to capitalize on ICT development in a range of contexts, including AI, blockchain and Fintech. To do this the UK needed to be able to continue to attract ICT global labor and talent. This was noted to require political recognition of ICT skills for visa purposes. Supporting student visas and exchange was seen to be part of the process of educating and developing a strong skilled workforce. At a developmental level ICT education in schools was seen as needing to be re-thought to ensure that the workplace needs were better met. In this context the model of classroom teacher-led learning was seen as requiring review. It was noted at one of the workshops that school-based teachers cannot keep up with the pace of change in this subject area and industry exchange needs to be fostered and funded.
In regard to developing skills and moving ICT forward an opportunity was seen to be the continued EU27 and UK research collaborations which are mutually beneficial and, in particular, remain possible as the EU research position includes others beyond the EU context. In addition, it was stated that the UK could re-envisage its research and innovation funding focuses if outside the EU. This could include revising competition law, R&D business/tax breaks, VAT and other tax laws. Business models were seen to have fundamentally shifted in the last 20 years with technology changing political and social control. New business frameworks and models were felt to be needed. It was suggested that the UK could become an ethical leader in this regard. In the latter context ethical and environmental agendas, including data capture, ownership, storage, maintenance and deletion, were seen to be a global concern. However, ICT was noted by some participants as not borderless and supply changes, together with inflation, were real concerns for UK based businesses. The following interwoven comments reflect these complex issues:
“S = English is still a dominant language and will remain the key mode of communications in IT and information resources after Brexit. T = UK has some of the best games industry specialists in the world and will be unaffected by Brexit. May be able to get tax breaks after leaving EU. L = things like GDPR and freedom of information could grow. IPR will stay important and may need further investment in new regulatory environment.”
“The opportunities are really highlighted through focusing on analysing each component of the business model to work out likely areas of increased profit and losses. Some parts of the ICT business costs are more flexible and it is possible to try to take advantage of the weaker pound. This may make our work more competitive when bidding against other suppliers. As an existing business one works through things …”
Action to support the ICT domain
The emergent themes from the workshops and survey when analyzed together can be distilled into a series of high-level opportunities for the ICT domain, viz.:
UK/EU Brexit plan and an ICT Brexit roadmap to reduce uncertainty and enable planning across both the UK and the EU
Active and evidenced Government engagement with the ICT domain
UK infrastructure to support ICT delivery
Pushing new knowledge and ICT development
UK workforce frameworks to attract the best ICT talent
Growing ICT skills in schools
Planning for future societal needs and linked ICT requirements/skills
Supporting international study in the UK
R&D and innovation frameworks and funding
New international business models and tax frameworks
Optimizing legislation and regulatory frameworks for an ICT driven world
UK leading on international standards
Smart living underpinned by ICT driven global environmental solutions
Ethical data storage, management and deletion
Ethical ICT delivered from across ICT practice and into society
For each one corresponding concerns around the threats posed by uncertainty, division, ICT ignorance, misinformation and generally lack of engagement with a wide range of ICT threats including cyber warfare were evident in the survey. They form an agenda for further exploration and action by policy makers and are the subject of the briefing document that makes the case for the UK Government to work with a range of ICT experts to support and grow the ICT domain through the changes Brexit presents [58].
ICT change in the Brexit context
Reflecting on the change literature a number of issues are highlighted around the problems for the Brexit change and this is reflected in the perspectives of participants’ comments. The conditions for Applebaum et al’s commitment to change exist [18] and the participants’ responses did reflect the three different levels of engagement with change (affective, normative and continuance commitment). However, what change Brexit requires is uncertain and this is reflected in the comments, both explicitly and in terms of the lack of contextual detailed information and leadership at a national and organizational level. The crafted positive messages, information and strategic plans for action are lacking. The high-level information required to manage change, such as the planned basis of trade relationships between the UK and EU, is still unknown. This has created uncertainty. Furthermore, the change may not happen with calls for a further Referendum–the People’s Vote. As such people have not been transitioned forwards emotionally with appropriate information. Many people are still in the stages of grief, loss and anger which are part of the stages of change within a number of the change management models [13, 14, 15]. If, ultimately, the goal for effective change is to move people towards informed optimism, as highlighted by Lawrence [17], then the conditions for this do not yet exist. This is reflected in the data gathered in the study. However, the potential for opportunities nevertheless exists within these uncertainties and this was highlighted in responses, even though it is not possible to fully engage with these more proactively given the lack of information on what the change means, as highlighted by Rumsfeld’s statement about the problem of the “unknown unknowns” [38].
Conclusions
In regard to perspectives on the Brexit Referendum, whilst a high percentage of the participant responses were not personally positive about the decision, there had been a significant shift from the first survey to a recognition of the complexities of analyzing the situation. The analysis revealed that, whilst the participants saw the benefits and opportunities in global collaboration, most viewpoints were presented from a national perspective. This was further evidenced by the larger numbers engaging with Brexit from UK bases or with UK nationality and the limited engagement from non-UK contexts. In terms of the survey coding and workshop themes, the high-level emergent ICT opportunities from the workshops did mirror those comments coded from the survey.
In regard to understanding the change triggered by Brexit for ICT, even at this mid-point in the process participants were still very uncertain on what the Brexit change would mean. This is reflected in the sample of ICT professionals’ personal and professional perspectives on the change triggered by Brexit. As noted by participants this uncertainty presented a different context for responding than dealing with a more clearly established future position, which could enable planning and engagement with change. The responses indicated the ability of those participating to contribute constructively and positively in spite of their wider viewpoints which they still acknowledged. The participants were able to consider and advocate for potential opportunities with a ratio of opportunities to threats of 1.27 : 1. This is potentially explained by Appelbaum et al’s analysis of change that even when people are negative about change, they can still focus on finding positive solutions, particularly if the potential consequences of unsuccessful change are very significant, as in this case. Many opportunities and threats were not necessarily dependent upon the Brexit change but rather existed in spite of Brexit. The conditions of the Brexit process have yet to reach a stage where there is the potential to foster positive change through information, clear messaging and facts. The survey is part of a longer-term study. Using the same methodological approach, further data will be collected assuming the UK leaves the EU. As the facts of the Brexit process emerge more clearly, and the many ‘unknown unknowns’ are replaced by more ‘known knowns’ and ‘known unknowns’ [32], it will be possible to see whether certainty influences perspectives on the change in what is a complex transition. As such any data gathered after Brexit will be able to gather more explicit data on ICT professionals’ personal and professional perspectives on the change triggered by Brexit in terms of opportunities and threats.
Supporting information
S1 Table [pdf]
Coding 2018.S5 Table [pdf]
Sample of responses.
Zdroje
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- Training interval in cardiopulmonary resuscitation
- Quantum isomer search
- Ultrastructure of light-activated axons following optogenetic stimulation to produce late-phase long-term potentiation
- Optimization of tissue sampling for Borrelia burgdorferi in white-footed mice (Peromyscus leucopus)
- How do critical care staff respond to organisational challenge? A qualitative exploration into personality types and cognitive processing in critical care
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- Effects of supplemental creatine and guanidinoacetic acid on spatial memory and the brain of weaned Yucatan miniature pigs
- Predicting antibacterial activity from snake venom proteomes
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- Comparison of gridded precipitation datasets for rainfall-runoff and inundation modeling in the Mekong River Basin
- Functional interactions in patients with hemianopia: A graph theory-based connectivity study of resting fMRI signal
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- The effects of dual-task cognitive interference on gait and turning in Huntington’s disease
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- Hyperkalemia treatment modalities: A descriptive observational study focused on medication and healthcare resource utilization
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- Long term impact of PositiveLinks: Clinic-deployed mobile technology to improve engagement with HIV care
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- A definition-by-example approach and visual language for activity patterns in engineering disciplines
- A network analysis revealed the essential and common downstream proteins related to inguinal hernia
- Use of conventional cardiac troponin assay for diagnosis of non-ST-elevation myocardial infarction: ‘The Ottawa Troponin Pathway’
- Low risk pregnancies after a cesarean section: Determinants of trial of labor and its failure
- Exploratory analysis of the potential for advanced diagnostic testing to reduce healthcare expenditures of patients hospitalized with meningitis or encephalitis
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- Research on motion planning for an indoor spray arm based on an improved potential field method
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- The role of survivin in the progression of pancreatic ductal adenocarcinoma (PDAC) and a novel survivin-targeted therapeutic for PDAC
- Filling the human resource gap through public-private partnership: Can private, community-based skilled birth attendants improve maternal health service utilization and health outcomes in a remote region of Bangladesh?
- HIV antiretroviral drugs, dolutegravir, maraviroc and ritonavir-boosted atazanavir use different pathways to affect inflammation, senescence and insulin sensitivity in human coronary endothelial cells
- Still standing: Recent patterns of post-fire conifer refugia in ponderosa pine-dominated forests of the Colorado Front Range
- Surrogate R-spondins for tissue-specific potentiation of Wnt Signaling
- Biogeographic study of human gut-associated crAssphage suggests impacts from industrialization and recent expansion
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- Treating patients with driving phobia by virtual reality exposure therapy – a pilot study
- The impact of race relations on NFL attendance: An econometric analysis
- The potential impact of the Affordable Care Act and Medicaid expansion on reducing colorectal cancer screening disparities in African American males
- Efficient processing of raster and vector data
- Rewilding with large herbivores: Positive direct and delayed effects of carrion on plant and arthropod communities
- Early life experience and alterations of group composition shape the social grooming networks of former pet and entertainment chimpanzees (Pan troglodytes)
- Muscarinic modulation of M and h currents in gerbil spherical bushy cells
- Therapeutic hypothermia after out of hospital cardiac arrest improve 1-year survival rate for selective patients
- Carotid plaques and neurological impairment in patients with acute cerebral infarction
- Deep learning based image reconstruction algorithm for limited-angle translational computed tomography
- Subterranean Deuteraphorura Absolon, 1901, (Hexapoda, Collembola) of the Western Carpathians — Troglomorphy at the northern distributional limit in Europe
- Fragmentation and inefficiencies in US equity markets: Evidence from the Dow 30
- Association between coffee drinking and telomere length in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial
- Hyperbaric oxygen preconditioning and the role of NADPH oxidase inhibition in postischemic acute kidney injury induced in spontaneously hypertensive rats
- Rad51 paralogs and the risk of unselected breast cancer: A case-control study
- Aqueous ethanol extract of Libidibia ferrea (Mart. Ex Tul) L.P. Queiroz (juca) exhibits antioxidant and migration-inhibiting activity in human gastric adenocarcinoma (ACP02) cells
- Diagnostic differences in respiratory breathing patterns and work of breathing indices in children with Duchenne muscular dystrophy
- The role of narrative in collaborative reasoning and intelligence analysis: A case study
- Proportions of CD4 test results indicating advanced HIV disease remain consistently high at primary health care facilities across four high HIV burden countries
- Modelling of amino acid turnover in the horse during training and racing: A basis for developing a novel supplementation strategy
- Single-modal and multi-modal false arrhythmia alarm reduction using attention-based convolutional and recurrent neural networks
- Eye-gaze information input based on pupillary response to visual stimulus with luminance modulation
- Predictive value of comb-push ultrasound shear elastography for the differentiation of reactive and metastatic axillary lymph nodes: A preliminary investigation
- Type 1 diabetes is associated with an increased risk of venous thromboembolism: A retrospective population-based cohort study
- Trends of litter decomposition and soil organic matter stocks across forested swamp environments of the southeastern US
- Post mortem evaluation of inflammation, oxidative stress, and PPARγ activation in a nonhuman primate model of cardiac sympathetic neurodegeneration
- Were ancient foxes far more carnivorous than recent ones?—Carnassial morphological evidence
- Disruption in daily eating-fasting and activity-rest cycles in Indian adolescents attending school
- Plasma proteome profiling of freshwater and seawater life stages of rainbow trout (Oncorhynchus mykiss)
- 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
- Link-centric analysis of variation by demographics in mobile phone communication patterns
- Multimodal hand gesture recognition using single IMU and acoustic measurements at wrist
- Variance based weighting of multisensory head rotation signals for verticality perception
- Eligibility for hepatitis B antiviral therapy among adults in the general population in Zambia
- 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
- Nutritional inadequacies in commercial vegan foods for dogs and cats
- LTA1 and dmLT enterotoxin-based proteins activate antigen-presenting cells independent of PKA and despite distinct cell entry mechanisms
- The Shapley value for a fair division of group discounts for coordinating cooling loads
- Comparison and evaluation of the morphology of crowns generated by biogeneric design technique with CEREC chairside system
- Assessing risk factors and impact of cyberbullying victimization among university students in Myanmar: A cross-sectional study
- Incidence of hospital-acquired pressure ulcers in patients with "minimal risk" according to the "Norton-MI" scale
- Intra-host symbiont diversity in eastern Pacific cold seep tubeworms identified by the 16S-V6 region, but undetected by the 16S-V4 region
- Lipoprotein(a) plasma levels are not associated with survival after acute coronary syndromes: An observational cohort study
- 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
- The effect of diet on the gastrointestinal microbiome of juvenile rehabilitating green turtles (Chelonia mydas)
- Biochemical characterization of Ty1 retrotransposon protease
- Lateral pressure equalisation as a principle for designing support surfaces to prevent deep tissue pressure ulcers
- Immunomodulatory function of the cystic fibrosis modifier gene BPIFA1
- The validation of the Beijing version of the Montreal Cognitive Assessment in Chinese patients undergoing hemodialysis
- All of gene expression (AOE): An integrated index for public gene expression databases
- Characterization of the visceral and neuronal phenotype of 4L/PS-NA mice modeling Gaucher disease
- Inflammasome expression is higher in ovarian tumors than in normal ovary
- HCV genotype profile in Brazil of mono-infected and HIV co-infected individuals: A survey representative of an entire country
- Engaging with change: Information and communication technology professionals’ perspectives on change at the mid-point in the UK/EU Brexit process
- Adherence to iron-folic acid supplement and associated factors among antenatal care attending pregnant mothers in governmental health institutions of Adwa town, Tigray, Ethiopia: Cross-sectional study
- Flower, seed, and fruit development in three Tunisian species of Polygonum: Implications for their taxonomy and evolution of distyly in Polygonaceae
- Development of a risk score for prediction of poor treatment outcomes among patients with multidrug-resistant tuberculosis
- Preclinical evaluation of AT-527, a novel guanosine nucleotide prodrug with potent, pan-genotypic activity against hepatitis C virus
- Aqueous extract from Mangifera indica Linn. (Anacardiaceae) leaves exerts long-term hypoglycemic effect, increases insulin sensitivity and plasma insulin levels on diabetic Wistar rats
- Marine seafood production via intense exploitation and cultivation in China: Costs, benefits, and risks
- Signatures of medical student applicants and academic success
- Discovery of Jogalong virus, a novel hepacivirus identified in a Culex annulirostris (Skuse) mosquito from the Kimberley region of Western Australia
- The effects of extended photoperiod and warmth on hair growth in ponies and horses at different times of year
- Modeling the effect of prolonged ethanol exposure on global gene expression and chromatin accessibility in normal 3D colon organoids
- Clinical, cytogenetic and molecular genetic characterization of a tandem fusion translocation in a male Holstein cattle with congenital hypospadias and a ventricular septal defect
- Severity of misophonia symptoms is associated with worse cognitive control when exposed to misophonia trigger sounds
- Detection of Torque Teno Virus (TTV) and TTV-Like Minivirus in patients with presumed infectious endophthalmitis in India
- CD4 rate of increase is preferred to CD4 threshold for predicting outcomes among virologically suppressed HIV-infected adults on antiretroviral therapy
- The evolution of secondary flow phenomena and their effect on primary shock conditions in shock tubes: Experimentation and numerical model
- Estimating the basic reproduction number of a pathogen in a single host when only a single founder successfully infects
- What drugs modify the risk of iatrogenic impulse-control disorders in Parkinson’s disease? A preliminary pharmacoepidemiologic study
- Evaluating emotional distress and health-related quality of life in patients with heart failure and their family caregivers: Testing dyadic dynamics using the Actor-Partner Interdependence Model
- Community- and trophic-level responses of soil nematodes to removal of a non-native tree at different stages of invasion
- Association of ECG parameters with late gadolinium enhancement and outcome in patients with clinical suspicion of acute or subacute myocarditis referred for CMR imaging
- Sonographic measurement of normal common bile duct diameter and associated factors at the University of Gondar comprehensive specialized hospital and selected private imaging center in Gondar town, North West Ethiopia
- Catchment-scale export of antibiotic resistance genes and bacteria from an agricultural watershed in central Iowa
- Impact of multi-drug resistant bacteria on economic and clinical outcomes of healthcare-associated infections in adults: Systematic review and meta-analysis
- Characterization of a universal screening approach for congenital CMV infection based on a highly-sensitive, quantitative, multiplex real-time PCR assay
- Proof-of-concept for a non-invasive, portable, and wireless device for cardiovascular monitoring in pediatric patients
- On PTV definition for glioblastoma based on fiber tracking of diffusion tensor imaging data
- Multiregional origins of the domesticated tetraploid wheats
- Racism against Totonaco women in Veracruz: Intercultural competences for health professionals are necessary
- Increased inflammation and endothelial markers in patients with late severe post-thrombotic syndrome
- Genes associated with body weight gain and feed intake identified by meta-analysis of the mesenteric fat from crossbred beef steers
- 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
- Human lung epithelial BEAS-2B cells exhibit characteristics of mesenchymal stem cells
- Simple non-mydriatic retinal photography is feasible and demonstrates retinal microvascular dilation in Chronic Obstructive Pulmonary Disease (COPD)
- Evaluating poverty alleviation strategies in a developing country
- RNAmountAlign: Efficient software for local, global, semiglobal pairwise and multiple RNA sequence/structure alignment
- Maternal depressive symptoms and children’s cognitive development: Does early childcare and child’s sex matter?
- Pan-cancer analysis of somatic mutations and epigenetic alterations in insulated neighbourhood boundaries
- Evaluation of a bioengineered ACL matrix’s osteointegration with BMP-2 supplementation
- Psychosocial profiles of physical activity fluctuation in office employees: A latent profile analysis
- Prevalence and characteristics of Livestock-Associated Methicillin-Resistant Staphylococcus aureus (LA-MRSA) isolated from chicken meat in the province of Quebec, Canada
- HIV treatment response among female sex workers participating in a treatment as prevention demonstration project in Cotonou, Benin
- 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
- Quantifying tourism booms and the increasing footprint in the Arctic with social media data
- Gender differences influence over insomnia in Korean population: A cross-sectional study
- 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
- Usability assessment of seven HIV self-test devices conducted with lay-users in Johannesburg, South Africa
- 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
- Molecular karyotyping of Siberian wild rye (Elymus sibiricus L.) with oligonucleotide fluorescence in situ hybridization (FISH) probes
- Umbilical cord separation time, predictors and healing complications in newborns with dry care
- The strain distribution in the lumbar anterior longitudinal ligament is affected by the loading condition and bony features: An in vitro full-field analysis
- Marine resource congestion in China: Identifying, measuring, and assessing its impact on sustainable development of the marine economy
- Analysis of attitudinal components towards statistics among students from different academic degrees
- Effects of fatigue induced by repeated-sprint on kicking accuracy and velocity in female soccer players
- A pre-clinical validation plan to evaluate analytical sensitivities of molecular diagnostics such as BD MAX MDR-TB, Xpert MTB/Rif Ultra and FluoroType MTB
- Leadership for success in transforming medical abortion policy in Canada
- Clinical correlates associated with the long-term response of bipolar disorder patients to lithium, valproate or lamotrigine: A retrospective study
- Determinants of change in long-acting or permanent contraceptives use in Ethiopia; A multivariate decomposition analysis of data from the Ethiopian demographic and health survey
- Forecasting stock prices with long-short term memory neural network based on attention mechanism
- On the genus Crossaster (Echinodermata: Asteroidea) and its distribution
- Intracellular and in vivo evaluation of imidazo[2,1-b]thiazole-5-carboxamide anti-tuberculosis compounds
- Serum amyloid P component promotes formation of distinct aggregated lysozyme morphologies and reduces toxicity in Drosophila flies expressing F57I lysozyme
- Optogenetically induced cellular habituation in non-neuronal cells
- An integrated vitamin E-coated polymer hybrid nanoplatform: A lucrative option for an enhanced in vitro macrophage retention for an anti-hepatitis B therapeutic prospect
- The effect of strontium and silicon substituted hydroxyapatite electrochemical coatings on bone ingrowth and osseointegration of selective laser sintered porous metal implants
- Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children
- Molecular prevalence of Bartonella, Babesia, and hemotropic Mycoplasma species in dogs with hemangiosarcoma from across the United States
- Color discrimination and gas chromatography-mass spectrometry fingerprint based on chemometrics analysis for the quality evaluation of Schizonepetae Spica
- Comparisons of recurrence-free survival and overall survival between microwave versus radiofrequency ablation treatment for hepatocellular carcinoma: A multiple centers retrospective cohort study with propensity score matching
- Transcriptome-wide identification of novel circular RNAs in soybean in response to low-phosphorus stress
- Oral misoprostol, low dose vaginal misoprostol, and vaginal dinoprostone for labor induction: Randomized controlled trial
- The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort
- Gene expression noise in a complex artificial toxin expression system
- Dynamic Extreme Aneuploidy (DEA) in the vegetable pathogen Phytophthora capsici and the potential for rapid asexual evolution
- Assertive, trainable and older dogs are perceived as more dominant in multi-dog households
- Prediction of Uropathogens by Flow Cytometry and Dip-stick Test Results of Urine Through Multivariable Logistic Regression Analysis
- Accelerated brain aging towards transcriptional inversion in a zebrafish model of the K115fs mutation of human PSEN2
- Copper to Tuscany – Coals to Newcastle? The dynamics of metalwork exchange in early Italy
- The Brazilian TP53 mutation (R337H) and sarcomas
- Interleukin 6 is increased in preclinical HNSCC models of acquired cetuximab resistance, but is not required for maintenance of resistance
- Detection of amitraz resistance and reduced treatment efficacy in the Varroa Mite, Varroa destructor, within commercial beekeeping operations
- 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
- Technology anxiety and resistance to change behavioral study of a wearable cardiac warming system using an extended TAM for older adults
- Evaluation and validation of 2D biomechanical models of the knee for radiograph-based preoperative planning in total knee arthroplasty
- Soil-Transmitted Helminth infections reduction in Bhutan: A report of 29 years of deworming
- Age-related differences in the temporal dynamics of spectral power during memory encoding
- cagA gene EPIYA motif genetic characterization from Colombian Helicobacter pylori isolates: Standardization of a molecular test for rapid clinical laboratory detection
- Mugharat an-Nachcharini: A specialized sheep-hunting camp reveals high-altitude habitats in the earliest Neolithic of the Central Levant
- Spectral characteristics of urine from patients with end-stage kidney disease analyzed using Raman Chemometric Urinalysis (Rametrix)
- Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project
- Quantitative PCR provides a simple and accessible method for quantitative microbiota profiling
- Fast quantitative time lapse displacement imaging of endothelial cell invasion
- Two novel mutations in MSX1 causing oligodontia
- 7,200 years old constructions and mudbrick technology: The evidence from Tel Tsaf, Jordan Valley, Israel
- 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
- Evaluation of KRAS, NRAS and BRAF mutations detection in plasma using an automated system for patients with metastatic colorectal cancer
- Targeted transcriptomic study of the implication of central metabolic pathways in mannosylerythritol lipids biosynthesis in Pseudozyma antarctica T-34
- 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
- Spatiotemporal characteristics and driving forces of construction land expansion in Yangtze River economic belt, China
- 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
- Serum galectins as potential biomarkers of inflammatory bowel diseases
- 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
- Fusion of augmented reality imaging with the endoscopic view for endonasal skull base surgery; a novel application for surgical navigation based on intraoperative cone beam computed tomography and optical tracking
- Functional characterization of NK cells in Mexican pediatric patients with acute lymphoblastic leukemia: Report from the Mexican Interinstitutional Group for the Identification of the Causes of Childhood Leukemia
- Radiomics signature for prediction of lateral lymph node metastasis in conventional papillary thyroid carcinoma
- Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: A systematic review and meta-analysis
- Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research
- The role of refugee and migrant migration status on medication adherence: Mediation through illness perceptions
- Job stress and emotional exhaustion at work in Spanish workers: Does unhealthy work affect the decision to drive?
- Correction: Amphibians on the hotspot: Molecular biology and conservation in the South American Atlantic Rainforest
- Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
- 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
- Non-invasive genetic monitoring for the threatened valley elderberry longhorn beetle
- Statistical learning for turboshaft helicopter accidents using logistic regression
- Vegetation change over seven years in the largest protected Pacific Northwest Bunchgrass Prairie remnant
- The effect of various metal-salts on the sedimentation of soil in a water-based suspension
- Using electronic health record system triggers to target delivery of a patient-centered intervention to improve venous thromboembolism prevention for hospitalized patients: Is there a differential effect by race?
- Effects of CK2β subunit down-regulation on Akt signalling in HK-2 renal cells
- Novel broad-spectrum activity-based probes to profile malarial cysteine proteases
- Health-related quality of life in cancer patients treated with immune checkpoint inhibitors: A systematic review on reporting of methods in randomized controlled trials
- Environmental tobacco smoke (ETS) and hyperlipidemia modified by perceived work stress
- Association between opioid analgesic therapy and initiation of buprenorphine management: An analysis of prescription drug monitoring program data
- 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
- Radiocarbon dating of two old African baobabs from India
- Improvement project in higher education institutions: A BPEP-based model
- An updated evaluation of serum sHER2, CA15.3, and CEA levels as biomarkers for the response of patients with metastatic breast cancer to trastuzumab-based therapies
- Genome-wide association study of metabolic syndrome in Korean populations
- The diagnostic accuracy of liver fibrosis in non-viral liver diseases using acoustic radiation force impulse elastography: A systematic review and meta-analysis
- Drug therapy problems and treatment satisfaction among ambulatory patients with epilepsy in a specialized hospital in Ethiopia
- Short- & long-term effects of monetary and non-monetary incentives to cooperate in public good games: An experiment
- Niche modeling reveals life history shifts in birds at La Brea over the last twenty millennia
- Morphological consequences of artificial cranial deformation: Modularity and integration
- Distributed flux balance analysis simulations of serial biomass fermentation by two organisms
- Plasma kynurenines and prognosis in patients with heart failure
- 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)
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- iTRAQ proteomics reveals the regulatory response to Magnaporthe oryzae in durable resistant vs. susceptible rice genotypes
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- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
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- Clinical implications of elevated serum interleukin-6 in IgG4-related disease
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- 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
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- 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
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- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
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- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
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- Load transfer mechanism and critical length of anchorage zone for anchor bolt
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- Community’s perception, experiences and health seeking behavior towards newborn illnesses in Debre Libanos District, North Shoa, Oromia, Ethiopia: Qualitative study
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- 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
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- 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
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- 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
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- The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism
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- 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
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- Dissection of flag leaf metabolic shifts and their relationship with those occurring simultaneously in developing seed by application of non-targeted metabolomics
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- 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
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- 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
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- Sex differences in self-regulation in early, middle and late adolescence: A large-scale cross-sectional study
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- 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
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- Correction: Mutation spectrums of TSC1 and TSC2 in Chinese women with lymphangioleiomyomatosis (LAM)
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- Correction: Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
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- 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
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- Correction: Differential recordings of local field potential: A genuine tool to quantify functional connectivity
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- Hypertension prevalence in patients attending tertiary pain management services, a registry-based Australian cohort study
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- Correction: Comprehensive genome-wide analysis of the pear (Pyrus bretschneideri) laccase gene (PbLAC) family and functional identification of PbLAC1 involved in lignin biosynthesis
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- 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
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- Correction: Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
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- Retraction: Biofabrication of streptomycin-conjugated calcium phosphate nanoparticles using red ginseng extract and investigation of their antibacterial potential
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- 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
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- 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
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- 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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