Citation gaming induced by bibliometric evaluation: A country-level comparative analysis
Authors:
Alberto Baccini aff001; Giuseppe De Nicolao aff002; Eugenio Petrovich aff001
Authors place of work:
Department of Economics and Statistics, University of Siena, Siena, Italy
aff001; Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
aff002
Published in the journal:
PLoS ONE 14(9)
Category:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0221212
Summary
It is several years since national research evaluation systems around the globe started making use of quantitative indicators to measure the performance of researchers. Nevertheless, the effects on these systems on the behavior of the evaluated researchers are still largely unknown. For investigating this topic, we propose a new inwardness indicator able to gauge the degree of scientific self-referentiality of a country. Inwardness is defined as the proportion of citations coming from the country over the total number of citations gathered by the country. A comparative analysis of the trends for the G10 countries in the years 2000-2016 reveals a net increase of the Italian inwardness. Italy became, both globally and for a large majority of the research fields, the country with the highest inwardness and the lowest rate of international collaborations. The change in the Italian trend occurs in the years following the introduction in 2011 of national regulations in which key passages of professional careers are governed by bibliometric indicators. A most likely explanation of the peculiar Italian trend is a generalized strategic use of citations in the Italian scientific community, both in the form of strategic author self-citations and of citation clubs. We argue that the Italian case offers crucial insights on the constitutive effects of evaluation systems. As such, it could become a paradigmatic case in the debate about the use of indicators in science-policy contexts.
Keywords:
Biology and life sciences – Research and analysis methods – Psychology – Social sciences – People and places – Population groupings – Geographical locations – Europe – Behavior – Research assessment – Citation analysis – European Union – Veterinary science – Ethnicities – European people – Italian people – Italy – Bibliometrics – Research quality assessment – Veterinary medicine
Introduction
Starting from the late 1980s, several European and extra-European countries implemented national systems to monitor, assess, and evaluate the research performance of their scientific workforce [1, 2]. One of the key features of such research evaluation systems is the focus on quantitative indicators (metrics) as crucial science policy tools [3]. Accordingly, in the last years, several scientometric indicators, based on publications or citations (or on a combination of both, such as the h-index), have increasingly appeared in the academic evaluation systems, alongside with the traditional peer-review-based procedures.
The use of these indicators in the evaluation of research performance has generated a heated debate in the scientific community. The advocates argue that scientometric measures are not only more objective than the peer-review [4]; they would also improve both the quantity and the quality of the scientific production [5, 6]. This would occur because the indicators are integrated within a system of incentives that rewards the achievement of the scientometric targets set by the evaluation system [7]. On the other hand, critics claim that the same mechanisms that are designed to improve the research performance create at the same time room for strategic behaviors [8]. For instance, when productivity is positively rewarded, the number of publications become a goal that can be pursued not only by positive behaviors (doing more research), but also by opportunistic strategies (e.g., slicing one scientific work into multiple publications) [9, 10]. Analogously, when citations become a goal, the “citation game” starts [11]. Criticisms themselves have been challenged: for instance, Butler’s conclusions about the Australian case have been widely discussed [12]. A mediating position is represented by scholars proposing a “responsible use” of metrics. According to this approach, research metrics can provide valuable insights on the research performance, granted that they are carefully designed in order to avoid unintended consequences. Thus, a distillation of best practices has been proposed for improving the use of metrics in research assessment [13].
Recently, the idea that the consequences of the use of indicators on the behavior of researchers can be easily sorted between the intended and the unintended ones, has been questioned as too simplistic [14, 15]. Instead, the notion of “constitutive effects” has been advanced to capture the way in which the indicators act on the researchers [16]. Within this new framework, indicators are conceived as shaping the activity of research deeply and at different levels, from the citation habits to the research agenda, redefining at the same time key evaluative terms such as research quality [17]. They become crucial actors in the “epistemic living spaces” of academic researchers [18] and researchers begin to “think with indicators” pervasively [19].
The main constitutive effects of the indicators described in the literature can be grouped into three main types: i) Goal-displacement: scoring high on the indicators becomes a target in itself, that is to be achieved also by gaming the system [20, 21]; ii) Risk avoidance: highly innovative, not mainstream, and interdisciplinary research topics are avoided because they could do not score well on indicators that tend to reward more traditional research programmes [19, 22–26]; iii) Task reduction: when academic activities such as teaching and public engagement are not rewarded, academics tend to avoid them to concentrate only on publishable academic research [27–29].
Although these effects have been highly debated, until recently the evidence of their occurrence has been mainly anecdotal. It is only in the last years that the methodical empirical study of such effects has been undertaken [14, 22]. In the present paper, we aim to advance the knowledge on this topic by focusing on the case of Italy. Among European and extra-European countries, Italy is the only one in which some key career passages of scientific researchers are entirely regulated by rules based on bibliometric indicators (except for the scholars in the Social Sciences and Humanities, see next section). Thus, Italy is ideally suited to studying the response of researchers to the use of metrics in research evaluation.
In particular, we will investigate whether Italian scientists have pervasively adopted a strategic use of citations in order to boost their indicators. By “pervasively”, we mean that the effect of this behavior should be visible in the great majority of scientific fields, at the national level. As we will highlight in the Conclusion, the Italian case provides important insights on the constitutive effects of evaluation systems in general.
The rest of the paper is organized as follows. In the next two sections, the specificity of the Italian case is explained and the literature dealing with self-citing strategic behaviors is reviewed. Next, a new “inwardness” indicator is introduced that is sensitive to collective strategic citation behaviors at a country level. In the Data section, the procedure for retrieving the data is described, while the main findings are presented in the Results section. In the Discussion, after examining alternative explanations, it is argued in favor of the emergence of a collective strategic behavior devised to meet the demands of the evaluation system. In the Conclusions, some general lessons from the Italian case are drawn.
The Italian case
In 2010, the Italian university system underwent a wide process of reformation, regulated by the Law 240/2010. The reform created the Agency for the Evaluation of the University and Research (ANVUR), a centralized agency whose main task is the monitoring and the evaluation of the Italian research system. The Agency started in 2011 a research assessment exercise called VQR, relative to the period 2004-2010. A second research assessment exercise was started in 2015, relative to the period 2011-2014. In both exercises, the evaluation of submitted articles was largely based on the automatic or semi-automatic use of algorithms fed by citation indicators [30] while other research outputs, such as books, were evaluated by peer reviews.
The reform modified also the recruitment and advancement system for university professors by introducing the National Scientific Habilitation (ASN). Both for hiring and promotion, having obtained the ASN has become mandatory for applying to academic positions. The bibliometric rules rely on three indicators. For the hard sciences, life sciences, and engineering, the indicators considered by ANVUR are the number of journal articles, the number of citations, and the h-index. For the social science and humanities, the indicators are the number of research outputs, the number of monographs, and the number of papers published in “class A” journals. At each new round of habilitation, ANVUR calculates for each of these indicators the “bibliometric thresholds” that the candidates must overcome to achieve the ASN. For the first edition of the ASN the national rules were defined in the Ministerial Decree 7 June 2012 n. 76. http://attiministeriali.miur.it/media/192901/dm_07_06_12_regolamento_abilitazione.pdf. ANVUR defined the thresholds used for the first edition of the ASN: https://web.archive.org/web/20190207112821/http://www.anvur.it/attivita/asn/asn-2012-2013/indicatori-e-relative-mediane/. Candidates whose indicators do not overcome two thresholds out of three cannot be habilitated (exceptions were possible in specific circumstances only in the first edition, ASN 2012). When first introduced, the thresholds were stated to be the median values of the indicators of the permanent academic staff holding that position (associate or full professor). To make and example, in order to obtain a full professor habilitation, the candidate was required to score better than half of the current full professors in two indicators out of three. Applicants overcoming the fixed thresholds are then evaluated by a committee composed by five referees who are in charge of the final decision about attributing habilitation.
Note that the focus on indicators is not confined to the national procedures but “trickles down” to the university committees in charge of recruiting and promotion that are required to take into account production and citation metrics when they evaluate and rank the habilitated applicants. Finally, also the members of both the national habilitation and the local recruitment committees are required to overcome bibliometric thresholds.
In sum, in Italy, starting from 2011, bibliometric indicators have gained a central role not only in the national research assessment but in the entire body of the recruitment procedures. A remarkable peculiarity of the Italian system is that the indicators based on citations, used both in the habilitation procedure and in the research evaluation exercise, are calculated by including self-citations. Thus, researchers can increase their indicators just by self-citing their own work.
Anecdotal evidence of the adoption of strategic behaviors in the form of author self-citations has been presented by Baccini [31]. Two recent studies have documented more thoroughly the rise of opportunistic behaviors in response to the ASN rules. Seeber et al. has analyzed how the use of self-citations in four Italian research areas changed after the introduction of the habilitation procedure. They have found that scientists in need of meeting the thresholds (i.e., those looking for habilitation as a prerequisite for tenure-track or promotion to full professor) did increase significantly their self-citations after 2010 [32]. Scarpa et al. focused on the Italian engineering area and found an anomalous peak in the self-citations rate (i.e., the number of self-citations to the total number of citations) in correspondence of the second round of the habilitation procedure, in 2013 [33]. Even if the aforementioned studies have highlighted some recent behavior changes by Italian scientists, they did not address a subtler form of strategic behavior, the one based on the so-called citation clubs or citation cartels.
Strategic behaviors, country self-citations, and the inwardness indicator
A citation club is an informal structure in which citations are strategically exchanged among its members to boost the respective citation scores [34–36]. Citation clubs are difficult to spot, especially when their members exchange citations but are not co-authors. Indeed, if we only examine the self-citation rates of the individual members, we would not spot any anomaly, in so far as they keep their individual self-citations under control (i.e., they do not cite disproportionately their own work). Thus, a well-concealed citation club is invisible if monitoring is limited to individual self-citations [37, 38]. If we consider a group of scholars, the citation club becomes visible as it increases the citation traffic internal to the group (group self-citations). Obviously, groups of scholars may be individuated in many ways and in different social networks. A most natural example may be a group of scholars that are not directly co-authors but at a relatively small distance in a co-authorship network. However, a citation club may also thrive on an interlocking editorship network [39, 40], in which case citations are exchanged between scholars serving as editors in the same set of journals. Or, again, the citation club may be rooted at an institutional level (universities or departments). In all these cases, although it is possible to record the citation traffic inside the citation club, it is nonetheless impossible to distinguish the citations generated as a normal by-product of the research activity from those resulting from strategic behaviours.
Along this rationale, the key idea of this paper is that a sudden and strong increase of strategic citations internal to a country is going to affect in a visible way self-citations recorded at country level. Such occurrence may be spotted by a macro level analysis, without the need of documenting the existence of clubs, whatever defined, and of a criterion to distinguish between types of citations. Hence, hereafter the focus is on country self-citations, a not much studied form of self-citation [41]
A country self-citation occurs whenever the set of the countries of the authors of the citing publication and the set of the countries of the authors of the cited publication are not disjoint, that is, if these two sets share at least one country [42, 43]. Notably, any citation exchanged within a citation club formed by researchers working in the same country is counted as country self-citations, even when it is not an author self-citation.
Thus, considering that most of the standard author self-citations are country self-citations too (the only exception being authors that changed their country between the citing and the cited publication), by analyzing the country self-citations, we can capture both the “classic” strategy based on author self-citations, and the “elaborated” one based on citation clubs.
It is very important to underline that country self-citations are not always generated by citation clubs, just as not all author self-citations originate from gaming purposes. The literature on author self-citations agrees on the fact that a certain amount of them is a normal byproduct of the scientific communication. There are many perfectly legitimate reasons for citing one’s own works, such as building on previously obtained results, avoiding repetition, and so on [44–46]. By the same token, it is normal that a country has an internal exchange of citations amongst its researchers insofar the knowledge produced by the country is used (i.e., cited) by the same country’s scientific staff. Moreover, in the research fields that are characterized by a national focus (e.g., some areas in the Social Science and Humanities), it is normal to expect a larger number of country self-citations.
Consider also that international collaboration positively affects the number of country self-citations. In fact, the more a country collaborates with other countries, the higher will be the number of country self-citations. Take for instance a paper authored in collaboration by Italy and France. Any future citation to that paper coming from an Italian-authored or a French-authored publication will count as a country self-citation for both Italy and France, since the citing and the cited publication will share at least one country of affiliation.
In sum, the country self-citations are not per se a sign of strategic behavior. The level of self-citations of a country depends both on the internal exchange of knowledge within a country and the amount of international collaboration. Nonetheless, if the researchers of a single country initiate strategic behaviors in order to boost their citations, this is likely to produce an anomalous increase of country self-citations compared to the other countries. Thus, to detect the strategic behaviors, one has to focus on the changes in the country self-citations over time, rather than on their absolute value.
In order to obtain a normalized measure of country self-citations, we introduce a simple indicator of “inwardness”. For a given year and a country c, the inwardness is defined as the percentage ratio between the total number of country self-citations (Sc) and the total number of citations (Cc) of that country:
It is easy to show that the inwardness indicator is a variant of the Relative Citation Impact (RCI) of a country. The RCI is defined by May [47] as the ratio between the average citation per paper of a country and the average citation per paper of the world (see also [48]). The RCI of the country c in a given year is defined as R C I c = C c P c × P w C w where Cc and Cw are the total number of citations of the country and of the world, and Pc and Pw the publications of the country and of the world. The total number of citations is the sum of the country self-citations (Sc) and the external citation (Xc); when the world is considered Cw = Sw, since obviously Xw = 0. If a Relative Self-citation Impact is defined as R S I c = S c P c × P w S w, the inwardness indicator can be expressed as
Note that the inwardness indicator is normalized for the size of the country in terms of publications.
From a conceptual point of view, the inwardness of a country is an indicator of how much the knowledge produced in the form of scientific publications in a given year in a country flows, through citations, into the knowledge produced in that country in the following years [49–51]. Indeed, 1 − Ic indicates how much of the knowledge produced in a year in a country flows, through citations, into the knowledge (publications) produced by other countries [52, 53]. A higher level of inwardness suggests that the knowledge produced by a country attracts mainly the interest of the national community. By contrast, a lower level suggests that the research of the country does not remain confined within its own borders but flows also toward the rest of the world. It is important to stress that the inwardness, as such, has not an evaluative connotation. The inwardness is a descriptive measure of the self-referentiality of a country in a certain research area. It serves to provide a quantitative indicator of a phenomenon (the self-referentiality), not to judge it.
As said above, the strategic use of citations, both as author self-citations and as citation clubs, affects the country self-citations and, hence, also the inwardness indicator. The start of a strategic use of citations at the country level should therefore be associated with an anomalous rise of the inwardness indicator.
Recall, however, that inwardness is positively affected also by increases of international collaboration. It is therefore necessary to control the trend of the international collaboration before concluding that an inwardness rise is due to strategic behaviors and not to an increase of international collaboration.
Data
We retrieved the data for calculating the Inwardness indicator from SCIval, an Elsevier’s owned platform powered by Scopus data (https://www.scival.com/home). The data were exported from SCIval on October 16, 2018. They correspond to the last update on Scopus of September 21, 2018. Data were retrieved in compliance with the terms of service of SCIval.
In particular, we exported from SCIval two metrics: (1) Citation Count including self-citations, and (2) Citation Count excluding self-citations. For both metrics, we included articles, reviews, and conference papers, leaving aside other types of publications. The first Citation Count metrics represents the countries’ total number of citations, whereas the countries’ number of self-citations was obtained as the difference between (1) and (2). Note that the SCIval’s definition is binary and non-fractional: a citation can either be a self-citation or not [54]. The weight of a country self-citation remains always 1, irrespective of the number of countries producing the citing or the cited publications: if an Italian publication is cited by another Italian publication, this self-citation will have the same weight as if the same publication was cited by an international Italo-French-Chinese publication.
We retrieved the data for the G10 countries (Belgium-BE, Canada-CA, France-FR, Germany-DE, Italy-IT, Japan-JP, the Netherlands-NL, Sweden-SE, Switzerland-CH, United Kingdom-GB, United States-US). In the years 2000-2016, the output of these countries corresponded to 61.2% of the world output and they collected 95% of world citations. In order to study the spread of the strategic behavior in different research areas, data were exported for all the Scopus fields aggregated, i.e., without any filter for subject area, and for each of the 27 Scopus Main Categories (total number of datasets = 28), for the years 2000-2016 included. In order to account for the effect of international collaboration on the inwardness indicators, we retrieved from SCIval also the Percentage of International Collaboration metric for the target countries. The percentage of international collaboration for a country in a given year is defined as the share of publications of the country coauthored by at least one different country. The graphs were implemented in R by using the package “ggplot2” [55].
Results
Fig 1 shows the trend of the inwardness over time for the eleven target countries (all Scopus fields aggregated). All countries share a rather similar profile with apparent differences in the absolute value. The ranking is partially explained by the size of the scientific production of the countries. Countries with a large scientific output, such as the Unites States, naturally attract more citations from their own production, simply because they have more citing and citable articles than smaller countries such as Belgium. For all the countries under analysis, not only the inwardness increases slowly and regularly over time, but the yearly ranks of countries according to their inwardness are remarkably stable.
Inwardness for G10 countries (2000-2016).
Source: elaboration on SCIval data.
In this landscape, Italy stands out as a notable exception. In 2000, at the beginning of the period, Italy has an inwardness of 20.62% and ranks sixth, just behind UK. In 2016, at the end of the period, Italy ranks second, with an inwardness of 30.73%. Note that, until 2009, Italy’s inwardness grows parallel to those of comparable countries (UK, Germany, France). However, around 2010, the Italian trend shows a sudden acceleration. In the following six years, Italy overcomes UK, Germany, and Japan, becoming the first European country and the second one in the G10 group.
Table 1 shows the variations (deltas) of the inwardness for each country, for the whole period and by considering two sub-periods, 2008-2000 and 2016-2008. Note that in the first period, Italy’s increase is in line with other countries, while in the second period (2008-2016), Italy’s exhibits the largest inwardness delta: 8.29 p.p., more than 4 p.p. above the G10 average and almost 3 p.p. above Germany. As a result, Italy is by far the country with the highest inwardness delta also in the whole period 2000-2016 (10.11 p.p. vs 5.22 of the G10 average).
Inwardness delta.
Delta is calculated as simple difference (p.p.) between the inwardness in the last and the first year of the period.
However, as already said, inwardness is affected by the amount of International Collaboration of a country. In order to allow for this effect, in Fig 2, inwardness is plotted against the average international collaboration score of each country. More precisely, inwardness at year Y is plotted against the three-years moving average value of international collaboration calculated starting from year Y. In fact inwardness at year Y depends also on citations coming from publications appeared in the following years [56].
Inwardness versus average international collaboration for the G10 countries.
The average international collaboration is the 3-year moving average calculated starting from the considered year. The international collaboration is defined as the share of publications of a country coauthored by at least a coauthor of a different country. Source: elaboration from SCIval data.
The data shows indeed a positive relation between the two variables: for all the countries, inwardness grows with the average international collaboration. The plot shows a peculiar trajectory for Italy. Although for most years Italy ranks last in Europe for international collaboration (x-axis), nevertheless, at the end of the period, it is the first European country for inwardness (y-axis). Before 2010, Italy is close to and moves together with a group of three European countries, namely Germany, UK, and France. Starting from 2010, Italy departs from the group along a steep trajectory, to eventually become the European country with the lowest international collaboration and the highest inwardness.
Until now, we focused on the aggregated output of the target countries, without considering the different research areas (Scopus Main Categories). In order to investigate whether and how inwardness changes across research areas, we calculated the inwardness time series for each of the 27 Scopus Main Categories. The time series, as well as the scatterplots of the inwardness against the international collaboration, are fully provided in the Supplementary Materials. For reasons of space, these data are summarized in Fig 3, where the variation of the inwardness indicator in the periods 2000-2008 (A) and 2008-2016 (B) is displayed for each of the 27 Scopus Categories. Italy shows a remarkable difference between the two periods. In the first one (Fig 3A), before the university reform, Italy is in line with the other G10 countries in most of the research fields. In the second period, after the reform (Fig 3B), Italy stands out with the highest inwardness increase in 23 out of 27 fields. The only exceptions are earth and planetary sciences (EPS), multidisciplinary (MUL), nursing (NUR), and physics and astronomy (PA).
Inwardness delta in Scopus Main Categories in the periods 2000-2008 (A) and 2008-2016 (B).
ABS = Agricultural and Biological Sciences, AH = Arts and Humanities, BGMB = Biochemistry, Genetics and Molecular Biology, BMA = Business, Management and Accounting, CE = Chemical Engineering, CHEM = Chemistry, CS = Computer Science, DEN = Dentistry, DS = Decision Sciences, E = Energy, EEF = Economics, Econometrics and Finance, ENG = Engineering, EPS = Earth and Planetary Sciences, ES = Environmental Science, HP = Health Professions, IM = Immunology and Microbiology, MAT = Mathematics, MED = Medicine, MS = Materials Science, MUL = Multidisciplinary, NEU = Neuroscience, NUR = Nursing, PA = Physics and Astronomy, PSY = Psychology, PTP = Pharmacology, Toxicology and Pharmaceutics, SOC = Social Sciences, VET = Veterinary. Source: elaboration from SCIval data.
As we show in the Supplementary Information (S1 Fig, 1-27), the inwardness increase is not matched by a parallel increase of the international collaboration at the field level. In particular, at the end of the period, Italy is the European country with the lowest level of international collaboration and the highest value of inwardness in the following Scopus Categories (11 on 27): agricultural and biological sciences (ABS), biochemistry, genetics and molecular biology (BGMB), chemical engineering (CE), economics, econometrics and finance (EEF), earth and planetary sciences (EPS), environmental science (ES), immunology and microbiology (IM), pharmacology, toxicology and pharmaceutics (PTP), veterinary (VET). In other 9 Categories, Italy is first for inwardness but not the lowest for international collaboration: business, management and accounting (BMA), computer science (CS), dentistry (DEN), decision sciences (DS), engineering (ENG), health professions (HP), mathematics (MAT), materials science (MS), psychology (PSY). Note that the Italian production in the arts and humanities (AH) and social sciences (SOC) is only partially covered by Scopus as a large part is published in books and in the national language. Therefore, the results about these scholarly areas should be taken with great caution [57].
Discussion
As seen from Fig 1 and Table 1, Italy shows a different trend compared to the other G10 countries. The comparative analysis of the inwardness indicator showed that Italian research grew in insularity in the years after the adoption of the new rules of evaluation. While the level of international collaboration remained stable and comparatively low, the research produced in the country tended to be increasingly cited by papers authored by at least an Italian scholar.
The anomalous trend of the inwardness indicator detected at the macro level can be explained by a generalized change in micro-behaviours of Italian researchers induced by the introduction of bibliometric thresholds in the national regulations for recruitment and career advancement. Indeed, in 2011 research and careers evaluation were revolutionized by the introduction of quantitative criteria in which citations played a central role. In particular, citations started being rewarded in the recruiting and habilitation mechanisms, regardless of their source. This created an incentive to inflate those citation scores by means of strategic behaviors, such as opportunistic self-citations and the creation of citation clubs.
A possible objection to the above explanation is that, in order to postulate individual and collective behaviors, the collection of evidence at the micro level is an indispensable step. According to this objection, unless you draw on co-authorship networks, you should avoid talking about citations clubs, citations cartels, and citation gaming. Evidence, for instance, could be searched by checking the existence of groups of researchers frequently exchanging citations, that are not directly co-authors but at a relatively small distance in a co-authorship network. Without this kind of micro level analysis, one could just record the increase of inwardness as a response to the reformation of the Italian reward system, but should not hazard an explanation at the micro level.
As a matter of fact, a simple argument, based on set theory, shows that the above objection is unduly conservative. The set C of the country self-citations is the union of two sets (C = A ∪ B): the self-citations A generated by country-based researchers as a normal byproduct of the research activity and the self-citations B resulting from strategic activities, including both opportunistic self-citation and country-based citation clubs. Put in other words, the set A is the “physiological” quota of country self-citations, whereas B is the “pathological” quota. An increase of the inwardness indicator is, by definition, an increase of the cardinality of the set C of the country self-citations. There are two possible explanations for that increase: (i) the cardinality of A has increased, i.e. the physiological quota A of country self-citations has increased; or (ii) the cardinality of B has increased, i.e. the pathological quota B of country self-citations has increased.
Two explanations for an increase of cardinality of physiological quota A could be advanced. According to the first one, internationalization, the increase may be due to a sudden rise, after 2009, of the amount of international collaborations of Italian scholars. In fact, we have already observed that, other things left unchanged, an increase of international collaboration positively affects the inwardness indicator. However, Fig 2 rules out this explanation. No peculiar increase in the Italian international collaboration can be spotted.
The second explanation, specialization, is a narrowing of the scientific focus of Italian researchers, i.e. a dynamic of scientific specialization leading to the growth of author self-citations [32]. The idea is that focusing on narrower topics results in a contraction of the scientific community of reference. Thus, the number of citable papers would diminish and the chances for author self-citation would correspondingly increase, generating also the growth of the country self-citations. Although we do not have direct evidence falsifying the specialization hypothesis, nonetheless, this explanation appears largely implausible. Indeed, it implies that Italian researchers in all fields suddenly narrowed their focus to topics mainly investigated in the national community. This sudden change would be not only peculiar of Italy, but also so strong as to make the Italian inwardness diverge from those of the other G10 countries. Notably, Fig 3 shows that the Italian post-2008 acceleration is visible in most of the research areas. Not only the change has been widespread, regarding most research fields, but in some of them, such as engineering (ENG), mathematics (MAT) or veterinary (VET), the increase reached outstanding proportions. In any case, it would still be necessary to explain why a physiological specialization occurred only in Italy and at the same time as the adoption of new rules for evaluation.
Summing up, we have no plausible reasons in favor of a notable change in the physiological quota A of country self-citations, sufficient to explain the anomalous boost of inwardness with respect to the other G10 countries. Recalling that C = A ∪ B, the only alternative explanation of the change in the cardinality of C is a notable expansion of the pathological set B of country self-citations, i.e., an increase of author self-citations and an increase of citations exchanged within citation-clubs formed by Italian scholars, aimed at boosting bibliometric indicators set by ANVUR.
The slight discrepancy between the starting year of the inwardness acceleration and the launch of bibliometric evaluation system, with the former occurring slightly earlier than the latter, is easily explained by the “backward effect” typical of citation measures. Any change in the citation habits taking place in a given year produces a backward effect on the citation scores of the previous years because researchers cite previously published papers, so that the change reverberates also on the citation scores of the past production. Citations received by the most recent articles have a more lasting effect in the calculations of forthcoming indicators. It is therefore more convenient to self-cite one’s own recent production rather than the remote one. Hence, a strategic reaction to rules introduced in year 2011 is expected to produce an inwardness acceleration that starts a few years before, just as observed for Italy.
Conclusions
In this paper, we contributed to the empirical study of the constitutive effects that indicator-based research evaluation systems have on the behavior of the evaluated researchers. By focusing on the Italian case, we investigated how the Italian scientific community responded, at the national level, to the introduction of a research evaluation system, in which bibliometric indicators play a crucial role. Our results show that the behavior of Italian researchers has indeed changed after the introduction of the evaluation system following the 2010 university reform. Such a change is visible at a national scale in most of the scientific fields. The comparative analysis of the inwardness indicator showed that Italian research grew in insularity in the years after the adoption of the new rules of evaluation. While the level of international collaboration remained stable and comparatively low, the research produced in the country tended to be increasingly cited by papers authored by at least an Italian scholar.
We explained this as the result of the pervasively adoption of strategic citation behaviors within the Italian scientific community. Even if they escape a direct observation, we argue that such behaviors are the most likely explanation of the peculiar trend exhibited by the Italian inwardness. This because our indicator was especially designed to be sensible to the effects of both the opportunistic use of author self-citation and the creation of citation clubs.
We believe that three main lessons can be derived from the Italian case. Firstly, our results support the claim that scientists are quickly responsive to the system of incentives in which they act [32]. Thus, any policy aiming at introducing or modifying such a system should be designed and implemented very carefully. In particular, considerable attention should be placed on the constitutive effects of bibliometric indicators. They are not neutral measures of performance but actively interact and quickly shape the behavior of the evaluated researchers.
Secondly, our results show that the “responsible use” of metrics would not be enough to prevent the emergence of strategic behaviors. For instance, the Leiden Manifesto recommends the use of a “suite of indicators” instead of a single one as a way to prevent gaming and goal displacement (see the principle number 9 in [13]). The Italian case shows that, even if the researchers are evaluated against multiple indicators, as recommended, strategic behaviors manifest themselves anyway.
Lastly, our results prompt some reflections on the viability of the mixed evaluation systems, in which the indicators are intended for complementing or integrating the expert judgment expressed by the peer review. In fact, the Italian system was designed in principle according to such a mixed approach, both for the research assessment exercises where research products were evaluated by bibliometric indicators or by peer reviewers, and for the ASN where to overcome bibliometric thresholds is but a necessary condition for being admitted to the final evaluation by habilitation committees. Nonetheless, our results show that the mere presence of bibliometric indicators in the evaluative procedures is enough to structurally affect the behavior of the scientists, fostering opportunistic strategies. Therefore, there is the concrete risk that in mixed evaluation systems, the indicator-based component overcomes the peer review-based one. Hence, they de facto collapse to indicator-centric approaches. We believe that further research is needed to better understand and fully appreciate the possibility of such a collapse. In the meantime, we suggest that policy makers should exercise the most extreme caution in the use of indicators in science policy contexts.
Supporting information
S1 Fig [pdf]
1-27—Inwardness over time (left) and inwardness vs average international collaboration (right) for the G10 countries in each of the Scopus Main Categories.
S1 File [zip]
1-28—Zipped CSV files for the G10 countries.
Zdroje
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23. Gillies D. How should research be organised? London: College Publications; 2008.
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25. Lee FS, Pham X, Gu G. The UK Research Assessment Exercise and the narrowing of UK economics. Cambridge Journal of Economics. 2013;37(4):693–717. doi: 10.1093/cje/bet031
26. Viola M. Evaluation of Research(ers) and its Threat to Epistemic Pluralisms. European journal of analytic philosophy. 2018;13(2):55–78. doi: 10.31820/ejap.13.2.4
27. Broz L, Stöckelová T. The culture of orphaned texts: Academic books in a performance-based evaluation system. Aslib Journal of Information Management. 2018;70(6):623–642. doi: 10.1108/AJIM-03-2018-0063
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- Comparative analysis of postural control and vertical jump performance between three different measurement devices
- Hierarchical multi-view aggregation network for sensor-based human activity recognition
- Clavien–Dindo classification for grading complications after total pharyngolaryngectomy and free jejunum transfer
- Significantly different expression levels of microRNAs associated with vascular invasion in hepatocellular carcinoma and their prognostic significance after surgical resection
- Clinical correlates of workplace injury occurrence and recurrence in adults
- Medicine and the media: Medical experts’ problems and solutions while working with journalists
- Phylogenic classification and virulence genes profiles of uropathogenic E. coli and diarrhegenic E. coli strains isolated from community acquired infections
- Genetic relatedness in carbapenem-resistant isolates from clinical specimens in Ghana using ERIC-PCR technique
- Forest resilience under global environmental change: Do we have the information we need? A systematic review
- Improving the production of podophyllotoxin in hairy roots of Hyptis suaveolens induced from regenerated plantlets
- Controls on planktonic foraminifera apparent calcification depths for the northern equatorial Indian Ocean
- Notch and Delta are required for survival of the germline stem cell lineage in testes of Drosophila melanogaster
- Children with HIV: A scoping review of auditory processing skills
- Correction: Two distinct actin waves correlated with turns-and-runs of crawling microglia
- Expression of Concern: Neurotoxicity Induced by Bupivacaine via T-Type Calcium Channels in SH-SY5Y Cells
- Sex-dependent and -independent transcriptional changes during haploid phase gametogenesis in the sugar kelp Saccharina latissima
- Vehicle modeling for the analysis of the response of detectors based on inductive loops
- New Mycobacteroides abscessus subsp. massiliense strains with recombinant hsp65 gene laterally transferred from Mycobacteroides abscessus subsp. abscessus: Potential for misidentification of M. abscessus strains with the hsp65-based method
- A prognostic Bayesian network that makes personalized predictions of poor prognostic outcome post resection of pancreatic ductal adenocarcinoma
- Impact of care provider network characteristics on patient outcomes: Usage of social network analysis and a multi-scale community detection
- Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics
- Comparison of risk models for mortality and cardiovascular events between machine learning and conventional logistic regression analysis
- Upgraded molecular models of the human KCNQ1 potassium channel
- Mental health and quality of life outcomes in family members of patients with chronic critical illness admitted to the intensive care units of two Brazilian hospitals serving the extremes of the socioeconomic spectrum
- Correction: Secretome profiling of PC3/nKR cells, a novel highly migrating prostate cancer subline derived from PC3 cells
- The extraordinary osteology and functional morphology of the limbs in Palorchestidae, a family of strange extinct marsupial giants
- Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro
- Implementation of home blood pressure monitoring among French GPs: A long and winding road
- In vitro and molecular chemosensitivity in human cholangiocarcinoma tissues
- Saiga horn user characteristics, motivations, and purchasing behaviour in Singapore
- The health and cost burden of antibiotic resistant and susceptible Escherichia coli bacteraemia in the English hospital setting: A national retrospective cohort study
- Retraction: Comprehensive Comparison of Three Different Immunosuppressive Regimens for Liver Transplant Patients with Hepatocellular Carcinoma: Steroid-Free Immunosuppression, Induction Immunosuppression and Standard Immunosuppression
- Can acute suicidality be predicted by Instagram data? Results from qualitative and quantitative language analyses
- Computational and experimental analysis of the glycophosphatidylinositol-anchored proteome of the human parasitic nematode Brugia malayi
- Antibacterial activity of silver nanoparticles of different particle size against Vibrio Natriegens
- Genetic variations associated with response to dutasteride in the treatment of male subjects with androgenetic alopecia
- To eat or not to eat: Reward delay impulsivity in children with loss of control eating, attention deficit / hyperactivity disorder, a double diagnosis, and healthy children
- Factors associated with newborn care knowledge and practices in the upper Himalayas
- Correction: A more physiological approach to lipid metabolism alterations in cancer: CRC-like organoids assessment
- Correlates of concurrent partnerships and patterns of condom use among men who have sex with men and transgender women in Peru
- Ocular and systemic risk factors associated with recurrent disc hemorrhage in primary open-angle glaucoma
- Development of a denoising convolutional neural network-based algorithm for metal artifact reduction in digital tomosynthesis for arthroplasty: A phantom study
- Low-level sensory processes play a more crucial role than high-level cognitive ones in the size-weight illusion
- The prevalence of asthma and allergic rhinitis in Nigeria: A nationwide survey among children, adolescents and adults
- Retraction: Human Cystathionine-β-Synthase Phosphorylation on Serine227 Modulates Hydrogen Sulfide Production in Human Urothelium
- Which clinical and biochemical predictors should be used to screen for diabetes in patients with serious mental illness receiving antipsychotic medication? A large observational study
- Characteristics of diabetic macular edema patients refractory to anti-VEGF treatments and a dexamethasone implant
- Correction: Effects of dietary n-6: n-3 polyunsaturated fatty acid ratios on meat quality, carcass characteristics, tissue fatty acid profiles, and expression of lipogenic genes in growing goats
- Speckle tracking derived reference values of myocardial deformation and impact of cardiovascular risk factors – Results from the population-based STAAB cohort study
- Impact of pterygium on the ocular surface and meibomian glands
- Lack of association between hypothyroxinemia of prematurity and transient thyroid abnormalities with adverse long term neurodevelopmental outcome in very low birth weight infants
- Transcriptome divergence during leaf development in two contrasting switchgrass (Panicum virgatum L.) cultivars
- Study on Dalfampridine in the treatment of Multiple Sclerosis Mobility Disability: A meta-analysis
- Circulating progenitor cells and the expression of Cxcl12, Cxcr4 and angiopoietin-like 4 during wound healing in the murine ear
- EUSKOR: End-to-end coreference resolution system for Basque
- Inactivating pathogenic bacteria in greywater by biosynthesized Cu/Zn nanoparticles from secondary metabolite of Aspergillus iizukae; optimization, mechanism and techno economic analysis
- Exopolysaccharide producing rhizobacteria and their impact on growth and drought tolerance of wheat grown under rainfed conditions
- Structural equation modeling for hypertension and type 2 diabetes based on multiple SNPs and multiple phenotypes
- Correction: Association between ultraviolet radiation exposure dose and cataract in Han people living in China and Taiwan: A cross-sectional study
- Short-term exercise training improves cardiac function associated to a better antioxidant response and lower type 3 iodothyronine deiodinase activity after myocardial infarction
- Unexpected low genetic variation in the South American hystricognath rodent Lagostomus maximus (Rodentia: Chinchillidae)
- PRC2 activates interferon-stimulated genes indirectly by repressing miRNAs in glioblastoma
- Surgical resection is sufficient for incidentally discovered solitary pulmonary nodule caused by nontuberculous mycobacteria in asymptomatic patients
- “I do all I can but I still fail them”: Health system barriers to providing Option B+ to pregnant and lactating women in Malawi
- Impact of major illnesses and geographic regions on do-not-resuscitate rate and its potential cost savings in Taiwan
- Implementation of intermittent theta burst stimulation compared to conventional repetitive transcranial magnetic stimulation in patients with treatment resistant depression: A cost analysis
- Genome-wide analysis of DNA methylation profile identifies differentially methylated loci associated with human intervertebral disc degeneration
- Correction: Artificial neural networks reveal individual differences in metacognitive monitoring of memory
- Combining fish and environmental PCR for diagnostics of diseased laboratory zebrafish in recirculating systems
- Reading skill modulates the effect of parafoveal distractors on foveal lexical decision in deaf students
- Association between the posterior part of the circle of Willis and the vertebral artery hypoplasia
- Exposure to marital conflict: Gender differences in internalizing and externalizing problems among children
- Ethanol locks for the prevention of catheter-related infection in patients with central venous catheter: A systematic review and meta-analysis of randomized controlled trials
- The effect of age and perturbation time on online control during rapid pointing
- Oilseed rape (Brassica napus) resistance to growth of Leptosphaeria maculans in leaves of young plants contributes to quantitative resistance in stems of adult plants
- Lymphocyte proliferation induced by high-affinity peptides for HLA-B*51:01 in Behçet’s uveitis
- Sensitization of avian pathogenic Escherichia coli to amoxicillin in vitro and in vivo in the presence of surfactin
- Genomic characterization of the complete terpene synthase gene family from Cannabis sativa
- Inhibition of gap junctional intercellular communication by an anti-migraine agent, flunarizine
- Levels of serum eosinophil cationic protein are associated with hookworm infection and intensity in endemic communities in Ghana
- Plant growth promoting rhizobacterium Stenotrophomonas maltophilia BJ01 augments endurance against N2 starvation by modulating physiology and biochemical activities of Arachis hypogea
- Hierarchical integrated and segregated processing in the functional brain default mode network within attention-deficit/hyperactivity disorder
- Rising co-payments coincide with unwanted effects on continuity of healthcare for patients with schizophrenia in the Netherlands
- Analysis of Zobellella denitrificans ZD1 draft genome: Genes and gene clusters responsible for high polyhydroxybutyrate (PHB) production from glycerol under saline conditions and its CRISPR-Cas system
- False-negative errors in next-generation sequencing contribute substantially to inconsistency of mutation databases
- Identification of potassium phosphite responsive miRNAs and their targets in potato
- Quantification of bell-shaped size selectivity in shrimp trawl fisheries using square mesh panels and a sorting cone after a Nordmøre grid
- Deactivation of somatosensory and visual cortices during vestibular stimulation is associated with older age and poorer balance
- Combined immunization with attenuated live influenza vaccine and chimeric pneumococcal recombinant protein improves the outcome of virus-bacterial infection in mice
- Flooding performance evaluation of alkyl aryl sulfonate in various alkaline environments
- An artificial intelligent diagnostic system on mobile Android terminals for cholelithiasis by lightweight convolutional neural network
- Enhanced detection of prion infectivity from blood by preanalytical enrichment with peptoid-conjugated beads
- COI metabarcoding primer choice affects richness and recovery of indicator taxa in freshwater systems
- Retraction: APRIL Induces Tumorigenesis and Metastasis of Colorectal Cancer Cells via Activation of the PI3K/Akt Pathway
- The intake pattern and feed preference of layer hens selected for high or low feed conversion ratio
- Individualized pattern recognition for detecting mind wandering from EEG during live lectures
- Ontogenetic expression of thyroid hormone signaling genes: An in vitro and in vivo species comparison
- Post-activation potentiation effect of eccentric overload and traditional weightlifting exercise on jumping and sprinting performance in male athletes
- Effectiveness of different central venous catheter fixation suture techniques: An in vitro crossover study
- Quantitative detection of ALK fusion breakpoints in plasma cell-free DNA from patients with non-small cell lung cancer using PCR-based target sequencing with a tiling primer set and two-step mapping/alignment
- Nuclei deformation reveals pressure distributions in 3D cell clusters
- Strategies for increasing diagnostic yield of community-onset bacteraemia within the emergency department: A retrospective study
- Rapid evolution of Mexican H7N3 highly pathogenic avian influenza viruses in poultry
- Certified service dogs – A cost-effectiveness analysis appraisal
- Endothelial dysfunction and low-grade inflammation in the transition to renal replacement therapy
- Assessing the impact of a research funder’s recommendation to consider core outcome sets
- Validity of six consumer-level activity monitors for measuring steps in patients with chronic heart failure
- Detection of deceptive motions in rugby from visual motion cues
- The impact of antenatal care on neonatal mortality in sub-Saharan Africa: A systematic review and meta-analysis
- Epidemiological investigation and management of bloody diarrhea among children in India
- Irisin promotes C2C12 myoblast proliferation via ERK-dependent CCL7 upregulation
- Bacteria isolated from Bengal cat (Felis catus × Prionailurus bengalensis) anal sac secretions produce volatile compounds potentially associated with animal signaling
- Petri net–based model of the human DNA base excision repair pathway
- Complexation and conformation of lead ion with poly-γ-glutamic acid in soluble state
- The effects of sympathetic activity induced by ice water on blood flow and brachial artery flow-mediated dilatation response in healthy volunteers
- The Youth-Physical Activity Towards Health (Y-PATH) intervention: Results of a 24 month cluster randomised controlled trial
- The COPD multi-dimensional phenotype: A new classification from the STORICO Italian observational study
- Morphological identification of Amphitetranychus species (Acari: Tetranychidae) with crossbreeding, esterase zymograms and DNA barcode data
- Maintaining hope after a disabling stroke: A longitudinal qualitative study of patients’ experiences, views, information needs and approaches towards making treatment decisions
- Cultural differences in the use of acoustic cues for musical emotion experience
- Effects of a rifampicin pre-treatment on linezolid pharmacokinetics
- High prevalence of multidrug resistant Enterobacteriaceae among residents of long term care facilities in Amsterdam, the Netherlands
- Infection/inflammation-associated preterm delivery within 14 days of presentation with symptoms of preterm labour: A multivariate predictive model
- Prognostic value of preoperative hydronephrosis in patients with bladder cancer undergoing radical cystectomy: A meta-analysis
- Correction: Early life predictors of midlife allostatic load: A prospective cohort study
- PCR-free whole exome sequencing: Cost-effective and efficient in detecting rare mutations
- Epstein-Barr virus genome packaging factors accumulate in BMRF1-cores within viral replication compartments
- Symbiotic incompatibility between soybean and Bradyrhizobium arises from one amino acid determinant in soybean Rj2 protein
- Does anticoagulation needed for distally located incidental pulmonary thromboembolism in patients with active cancer?
- Control of human testis-specific gene expression
- Speaking up culture of medical students within an academic teaching hospital: Need of faculty working in patient safety
- Appraisal on the wound healing potential of Melaleuca alternifolia and Rosmarinus officinalis L. essential oil-loaded chitosan topical preparations
- Understanding parental perspectives on outcomes following paediatric encephalitis: A qualitative study
- Results of scoping review do not support mild traumatic brain injury being associated with a high incidence of chronic cognitive impairment: Commentary on McInnes et al. 2017
- Native seed, soil and atmosphere respond to boreal forest topsoil (LFH) storage
- Development of a quantitative polymerase chain reaction assay and environmental DNA sampling methods for Giant Gartersnake (Thamnophis gigas)
- Genetic diversity and population structure of four Chinese rabbit breeds
- Knowledge, attitude and behaviors towards patients with mental illness: Results from a national Lebanese study
- Correction: An impact evaluation of two rounds of mass drug administration on the prevalence of active trachoma: A clustered cross sectional survey
- Comparative prognostic accuracy of sepsis scores for hospital mortality in adults with suspected infection in non-ICU and ICU at an academic public hospital
- Graph convolutional network approach applied to predict hourly bike-sharing demands considering spatial, temporal, and global effects
- Impact of traffic variability on geographic accessibility to 24/7 emergency healthcare for the urban poor: A GIS study in Dhaka, Bangladesh
- Feeling the heat: Elevated temperature affects male display activity of a lekking grassland bird
- Constructing a comprehensive disaster resilience index: The case of Italy
- Intraocular pressure according to different types of tonometry (non-contact and Goldmann applanation) in patients with different degrees of bilateral tearing
- Prevalent vertebral fracture is dominantly associated with spinal microstructural deterioration rather than bone mineral density in patients with type 2 diabetes mellitus
- Silent volumetric multi-contrast 7 Tesla MRI of ocular tumors using Zero Echo Time imaging
- Nonverbal synchrony in virtual reality
- Do speed cameras reduce road traffic collisions?
- A zero-shot learning approach to the development of brain-computer interfaces for image retrieval
- Use of non-HIV medication among people living with HIV and receiving antiretroviral treatment in Côte d’Ivoire, West Africa: A cross-sectional study
- DNA barcoding of southern African crustaceans reveals a mix of invasive species and potential cryptic diversity
- Development of an international external quality assurance program for HIV-1 incidence using the Limiting Antigen Avidity assay
- Correction: The mean cell volume difference (dMCV) reflects serum hypertonicity in diabetic dogs
- Structural characteristics of lipocalin allergens: Crystal structure of the immunogenic dog allergen Can f 6
- Transport oil product consumption and GHG emission reduction potential in China: An electric vehicle-based scenario analysis
- Ontogenetic shift in the energy allocation strategy and physiological condition of larval plaice (Pleuronectes platessa)
- Increased proliferation and altered cell cycle regulation in pancreatic stem cells derived from patients with congenital hyperinsulinism
- Diagnostic accuracy of Xpert MTB/RIF assay and non-molecular methods for the diagnosis of tuberculosis lymphadenitis
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania
- Spatial distribution of breast cancer in Sudan 2010-2016
- Human-induced fire regime shifts during 19th century industrialization: A robust fire regime reconstruction using northern Polish lake sediments
- Enhanced effectiveness of oil dispersants in destabilizing water-in-oil emulsions
- Development of UV spectrophotometry methods for concurrent quantification of amlodipine and celecoxib by manipulation of ratio spectra in pure and pharmaceutical formulation
- Iron and manganese co-limit growth of the Southern Ocean diatom Chaetoceros debilis
- Bilateral and unilateral load-velocity profiling in a machine-based, single-joint, lower body exercise
- Veterans Health Administration nurses’ training and beliefs related to care of patients with traumatic brain injury
- Supplementation strategies affect the feed intake and performance of grazing replacement heifers
- Active transcutaneous bone conduction hearing implants: Systematic review and meta-analysis
- Parameterization-induced uncertainties and impacts of crop management harmonization in a global gridded crop model ensemble
- Acidification effects on isolation of extracellular vesicles from bovine milk
- GPR40 full agonism exerts feeding suppression and weight loss through afferent vagal nerve
- Mining version history to predict the class instability
- Humpback whale song occurrence reflects ecosystem variability in feeding and migratory habitat of the northeast Pacific
- A phase 2 study of an oral mTORC1/mTORC2 kinase inhibitor (CC-223) for non-pancreatic neuroendocrine tumors with or without carcinoid symptoms
- Asprosin response in hypoglycemia is not related to hypoglycemia unawareness but rather to insulin resistance in type 1 diabetes
- Muscle oxygenation maintained during repeated-sprints despite inspiratory muscle loading
- Reconstructing systematic persistent impacts of promotional marketing with empirical nonlinear dynamics
- Trans-national conservation and infrastructure development in the Heart of Borneo
- Prediction of cardiovascular disease risk among people with severe mental illness: A cohort study
- Data in question: A survey of European biobank professionals on ethical, legal and societal challenges of biobank research
- Hypertensive APOL1 risk allele carriers demonstrate greater blood pressure reduction with angiotensin receptor blockade compared to low risk carriers
- Reconstructing birth in Australopithecus sediba
- Value of contrast-enhanced ultrasound for preoperative assessment of liver reserve function in patients with liver tumors
- Correction: Identifying obesity/overweight status in children and adolescents; A cross-sectional medical record review of physicians’ weight screening practice in outpatient clinics, Saudi Arabia
- Incidence and risk factors of loss to follow-up among HIV-infected children in an antiretroviral treatment program
- Changes in intracellular folate metabolism during high-dose methotrexate and Leucovorin rescue therapy in children with acute lymphoblastic leukemia
- Functional role and evolutionary contributions of floral gland morphoanatomy in the Paleotropical genus Acridocarpus (Malpighiaceae)
- On the efficiency of HIV transmission: Insights through discrete time HIV models
- Metabolic cost calculations of gait using musculoskeletal energy models, a comparison study
- Comparison of molecular profile in triple-negative inflammatory and non-inflammatory breast cancer not of mesenchymal stem-like subtype
- Evolutionary analysis of six chloroplast genomes from three Persea americana ecological races: Insights into sequence divergences and phylogenetic relationships
- Cultural transmission in a food preparation task: The role of interactivity, innovation and storytelling
- Correction: Effects of affective priming through music on the use of emotion words
- Safety and immunogenicity of investigational seasonal influenza hemagglutinin DNA vaccine followed by trivalent inactivated vaccine administered intradermally or intramuscularly in healthy adults: An open-label randomized phase 1 clinical trial
- Estimation of vaccination coverage from electronic healthcare records; methods performance evaluation – A contribution of the ADVANCE-project
- Dietary phytogenics and galactomannan oligosaccharides in low fish meal and fish oil-based diets for European sea bass (Dicentrarchus labrax) juveniles: Effects on gut health and implications on in vivo gut bacterial translocation
- Suicide by hanging: Results from a national survey in Switzerland and its implications for suicide prevention
- Gene dysregulation in peripheral blood of moyamoya disease and comparison with other vascular disorders
- Genome wide genetic dissection of wheat quality and yield related traits and their relationship with grain shape and size traits in an elite × non-adapted bread wheat cross
- Safety and tolerability of artesunate-amodiaquine, artemether-lumefantrine and quinine plus clindamycin in the treatment of uncomplicated Plasmodium falciparum malaria in Kinshasa, the Democratic Republic of the Congo
- Factors influencing the admission decision for Medical Psychiatry Units: A concept mapping approach
- Comparison of post-traumatic changes in circulating and bone marrow leukocytes between BALB/c and CD-1 mouse strains
- Physiological stress reactivity and recovery related to behavioral traits in dogs (Canis familiaris)
- Associations between birth order with mental wellbeing and psychological distress in midlife: Findings from the 1970 British Cohort Study (BCS70)
- Non-steroidal anti-inflammatory drugs use in older adults decreases risk of Alzheimer’s disease mortality
- The cost-effectiveness of neonatal versus prenatal screening for congenital toxoplasmosis
- Ancient technology and punctuated change: Detecting the emergence of the Edomite Kingdom in the Southern Levant
- Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- Randomized control trial of Tools of the Mind: Marked benefits to kindergarten children and their teachers
- Preserving cultural heritage: Analyzing the antifungal potential of ionic liquids tested in paper restoration
- PNPLA3 rs738409 G allele carriers with genotype 1b HCV cirrhosis have lower viral load but develop liver failure at younger age
- Correction: Unraveling the genetic complexity underlying sorghum response to water availability
- Impact of tear metrics on the reliability of perimetry in patients with dry eye
- Using DNA barcoding to improve invasive pest identification at U.S. ports-of-entry
- Correction: Effects of Lactobacillus plantarum 15-1 and fructooligosaccharides on the response of broilers to pathogenic Escherichia coli O78 challenge
- Physico-chemical characterization and transcriptome analysis of 5-methyltryptophan resistant lines in rice
- Patient factors affecting successful linkage to treatment in a cervical cancer prevention program in Kenya: A prospective cohort study
- Is this a man’s world? The effect of gender diversity and gender equality on firm innovativeness
- Procalcitonin to stop antibiotics after cardiovascular surgery in a pediatric intensive care unit—The PROSACAB study
- Temporal trends, predictors, and outcomes of acute kidney injury and hemodialysis use in acute myocardial infarction-related cardiogenic shock
- Quantitation of free glycation compounds in saliva
- Resolving an 87-year-old taxonomical curiosity with the description of Psylla frodobagginsi sp. nov. (Hemiptera: Sternorrhyncha: Psyllidae), a second distinct Psylla species on the New Zealand endemic plant kōwhai
- The effect of cathodal tDCS on fear extinction: A cross-measures study
- Physiological responses to affiliation during conversation: Comparing neurotypical males and males with Asperger syndrome
- Human cord blood (hCB)-CD34+ humanized mice fail to reject human acute myeloid leukemia cells
- Investigating the dispersal of antibiotic resistance associated genes from manure application to soil and drainage waters in simulated agricultural farmland systems
- Continuous norming of psychometric tests: A simulation study of parametric and semi-parametric approaches
- Phylogenetic microbiota profiling in fecal samples depends on combination of sequencing depth and choice of NGS analysis method
- Cost-effectiveness of apixaban compared to other anticoagulants in patients with atrial fibrillation in the real-world and trial settings
- Biochemical profile and in vitro biological activities of extracts from seven folk medicinal plants growing wild in southern Tunisia
- Low genetic differentiation yet high phenotypic variation in the invasive populations of Spartina alterniflora in Guangxi, China
- A mathematical model for designing networks of C-Reactive Protein point of care testing
- Prevalence of hypochondriac symptoms among health science students in China: A systematic review and meta-analysis
- Femtosecond laser induced step-like structures inside transparent hydrogel due to laser induced threshold reduction
- From In Situ to satellite observations of pelagic Sargassum distribution and aggregation in the Tropical North Atlantic Ocean
- The polyether ionophore salinomycin targets multiple cellular pathways to block proliferative vitreoretinopathy pathology
- BRAF V600E and Pten deletion in mice produces a histiocytic disorder with features of Langerhans cell histiocytosis
- HIV prevalence and risk behavior among male and female adults screened for enrolment into a vaccine preparedness study in Maputo, Mozambique
- Sputum microbiota and inflammation at stable state and during exacerbations in a cohort of chronic obstructive pulmonary disease (COPD) patients
- Direct estimation of the parameters of a delayed, intermittent activation feedback model of postural sway during quiet standing
- Occurrence mechanism and coping paths of accidents of highly aggregated tourist crowds based on system dynamics
- Correction: Low Dose Aerosol Fitness at the Innate Phase of Murine Infection Better Predicts Virulence amongst Clinical Strains of Mycobacterium tuberculosis
- Effects of enalapril and paricalcitol treatment on diabetic nephropathy and renal expressions of TNF-α, p53, caspase-3 and Bcl-2 in STZ-induced diabetic rats
- Correction: Public reaction to Chikungunya outbreaks in Italy—Insights from an extensive novel data streams-based structural equation modeling analysis
- Correction: Comparison of neurodegenerative types using different brain MRI analysis metrics in older adults with normal cognition, mild cognitive impairment, and Alzheimer’s dementia
- Intra-individual variability of sleep and nocturnal cardiac autonomic activity in elite female soccer players during an international tournament
- Therapeutic efficacy of equine botulism heptavalent antitoxin against all seven botulinum neurotoxins in symptomatic guinea pigs
- Interleukin 10 knock-down in bovine monocyte-derived macrophages has distinct effects during infection with two divergent strains of Mycobacterium bovis
- Clinical outcomes of bortezomib-based therapy in Taiwanese patients with multiple myeloma: A nationwide population-based study and a single-institute analysis
- Scope and efficacy of the broad-spectrum topical antiseptic choline geranate
- Hematological and biochemical parameters for Chinese rhesus macaque
- Veterinary peer study groups as a method of continuous education—A new approach to identify and address factors associated with antimicrobial prescribing
- Correction: The prognosis of heart failure patients: Does sodium level play a significant role?
- Maternal malaria but not schistosomiasis is associated with a higher risk of febrile infection in infant during the first 3 months of life: A mother-child cohort in Benin
- Systematic identification of facility-based stillbirths and neonatal deaths through the piloted use of an adapted RAPID tool in Liberia and Nepal
- Effects of salbutamol and phlorizin on acute pulmonary inflammation and disease severity in experimental sepsis
- Correction: Age, sex and storage time influence hair cortisol levels in a wild mammal population
- Reasons to care: Personal motivation as a key factor in the practice of the professional foster carer in Romania
- Determinants of clinical, functional and personal recovery for people with schizophrenia and other severe mental illnesses: A cross-sectional analysis
- Continuity of care for TB patients at a South African hospital: A qualitative participatory study of the experiences of hospital staff
- EGF receptor stimulation shifts breast cancer cell glucose metabolism toward glycolytic flux through PI3 kinase signaling
- The Better Management of Patients with Osteoarthritis Program: Outcomes after evidence-based education and exercise delivered nationwide in Sweden
- The negative effects of short-term extreme thermal events on the seagrass Posidonia oceanica are exacerbated by ammonium additions
- Pathogen invasion history elucidates contemporary host pathogen dynamics
- Chinese herbal formulae for the treatment of menopausal hot flushes: A systematic review and meta-analysis
- Healthcare resource utilization and costs for multiple sclerosis management in the Campania region of Italy: Comparison between centre-based and local service healthcare delivery
- Deconstruction of central line insertion guidelines based on the positive deviance approach—Reducing gaps between guidelines and implementation: A qualitative ethnographic research
- PBMCs transcriptome profiles identified breed-specific transcriptome signatures for PRRSV vaccination in German Landrace and Pietrain pigs
- The impact of admission serum lactate on children with moderate to severe traumatic brain injury
- Hypervirulent Klebsiella pneumoniae serotype K1 clinical isolates form robust biofilms at the air-liquid interface
- Determination of the bruise degree for cherry using Vis-NIR reflection spectroscopy coupled with multivariate analysis
- Genome-wide identification and expression profile analysis of nuclear factor Y family genes in Sorghum bicolor L. (Moench)
- Trends in maternal prepregnancy body mass index (BMI) and its association with birth and maternal outcomes in California, 2007–2016: A retrospective cohort study
- Distribution of the Duffy genotypes in Malaysian Borneo and its relation to Plasmodium knowlesi malaria susceptibility
- Hippocampal connectivity with sensorimotor cortex during volitional finger movements: Laterality and relationship to motor learning
- A self-adaptive deep learning method for automated eye laterality detection based on color fundus photography
- The effect of child marriage on the utilization of maternal health care in Nepal: A cross-sectional analysis of Demographic and Health Survey 2016
- Identification of QTLs for powdery mildew (Podosphaera aphanis; syn. Sphaerotheca macularis f. sp. fragariae) susceptibility in cultivated strawberry (Fragaria ×ananassa)
- Chemical volatiles present in cotton gin trash: A by-product of cotton processing
- PTP1B negatively regulates nitric oxide-mediated Pseudomonas aeruginosa killing by neutrophils
- Differential metabolomics networks analysis of menopausal status
- Experimental study of the temporal profile of breath alcohol concentration in a Chinese population after a light meal
- Association between regional brain volumes and BMI z-score change over one year in children
- Relationships between Potentially Toxic Elements in intertidal sediments and their bioaccumulation by benthic invertebrates
- Long-term outcomes of dialysis in patients with chronic kidney disease and new-onset atrial fibrillation: A population-based cohort study
- Hospital burden of pulmonary arterial hypertension in France
- Understanding the variability of Australian fire weather between 1973 and 2017
- Photon-counting cine-cardiac CT in the mouse
- Ecophysiological impacts of Esca, a devastating grapevine trunk disease, on Vitis vinifera L.
- Black “Reading the Mind in the Eyes” task: The development of a task assessing mentalizing from black faces
- Osmolytes ameliorate the effects of stress in the absence of the heat shock protein Hsp104 in Saccharomyces cerevisiae
- Reliable and robust method for abdominal muscle mass quantification using CT/MRI: An explorative study in healthy subjects
- Validation of the Rainbow Model of Integrated Care Measurement Tools (RMIC-MTs) in renal care for patient and care providers
- Multiple origins and the population genetic structure of Rubus takesimensis (Rosaceae) on Ulleung Island: Implications for the genetic consequences of anagenetic speciation
- Genetic profiling of fatty acid desaturase polymorphisms identifies patients who may benefit from high-dose omega-3 fatty acids in cardiac remodeling after acute myocardial infarction—Post-hoc analysis from the OMEGA-REMODEL randomized controlled trial
- A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders
- Optimising outputs from a validated online instrument to measure health-related quality of life (HRQL) in dogs
- Young adults’ perceptions of using wearables, social media and other technologies to detect worsening mental health: A qualitative study
- Characteristics of prescription in 29 Level 3 Neonatal Wards over a 2-year period (2017-2018). An inventory for future research
- Genetic characterization of fall armyworm (Spodoptera frugiperda) in Ecuador and comparisons with regional populations identify likely migratory relationships
- Correction: Lkb1 Deficiency Alters Goblet and Paneth Cell Differentiation in the Small Intestine
- Cardiac resynchronization therapy-heart failure (CRT-HF) clinic: A novel model of care
- Synteny and phylogenetic analysis of paralogous thyrostimulin beta subunits (GpB5) in vertebrates
- Dual-Subpopulation as reciprocal optional external archives for differential evolution
- NGS analysis in Marfan syndrome spectrum: Combination of rare and common genetic variants to improve genotype-phenotype correlation analysis
- Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one
- Silymarin in non-cirrhotics with non-alcoholic steatohepatitis: A randomized, double-blind, placebo controlled trial
- Clinical evaluation of General Electric new Swiftscan solution in bone scintigraphy on NaI-camera: A head to head comparison with Siemens Symbia
- Pharmacist-led academic detailing improves statin therapy prescribing for Malaysian patients with type 2 diabetes: Quasi-experimental design
- Proton pump inhibitors attenuate myofibroblast formation associated with thyroid eye disease through the aryl hydrocarbon receptor
- Clinical outcomes with neoadjuvant versus adjuvant chemotherapy for triple negative breast cancer: A report from the National Cancer Database
- Identification and characterization of a novel heparan sulfate-binding domain in Activin A longest variants and implications for function
- Wikipedia network analysis of cancer interactions and world influence
- Using path signatures to predict a diagnosis of Alzheimer’s disease
- Development and verification of prediction models for preventing cardiovascular diseases
- Additive and heterozygous (dis)advantage GWAS models reveal candidate genes involved in the genotypic variation of maize hybrids to Azospirillum brasilense
- Fish tank granuloma: An emerging skin disease in Iran mimicking Cutaneous Leishmaniasis
- Transience effect in capture-recapture studies: The importance of its biological meaning
- Detailed global modelling of soil organic carbon in cropland, grassland and forest soils
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- Retraction: Modulation of the Pentose Phosphate Pathway Induces Endodermal Differentiation in Embryonic Stem Cells
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- Correction: In vitro larval rearing protocol for the stingless bee species Melipona scutellaris for toxicological studies
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- A matter of taste: Spatial and ontogenetic variations on the trophic ecology of the tiger shark at the Galapagos Marine Reserve
- Retraction: Adaptive double threshold energy detection based on Markov model for cognitive radio
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- Confounding by indication of the safety of de-escalation in community-acquired pneumonia: A simulation study embedded in a prospective cohort
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- Drivers of HIV-1 transmission: The Portuguese case
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- Synergy of the flow behaviour and disperse phase of cellulose nanoparticles in enhancing oil recovery at reservoir condition
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- Detection and prognostic relevance of circulating tumour cells (CTCs) in Asian breast cancers using a label-free microfluidic platform
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- Comparing record linkage software programs and algorithms using real-world data
- Antimicrobial resistance and molecular genotyping of Salmonella enterica serovar Enteritidis clinical isolates from Guizhou province of Southwestern China
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- Effectiveness, safety/tolerability of OBV/PTV/r ± DSV in patients with HCV genotype 1 or 4 with/without HIV-1 co-infection, chronic kidney disease (CKD) stage IIIb-V and dialysis in Spanish clinical practice – Vie-KinD study
- The genome of Alcaligenes aquatilis strain BU33N: Insights into hydrocarbon degradation capacity
- A randomized pilot efficacy and safety trial of diazoxide choline controlled-release in patients with Prader-Willi syndrome
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- Lung clearance index to detect the efficacy of Aztreonam lysine inhalation in patients with cystic fibrosis and near normal spirometry – A single-centre feasibility study
- Association of vitamin D nutrition with neuro-developmental outcome of infants of slums in Bangladesh
- Effect of PEPFAR funding policy change on HIV service delivery in a large HIV care and treatment network in Nigeria
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- Tipping the balance towards long-term retention in the HIV care cascade: A mixed methods study in southern Mozambique
- Diagnosis and classification of pediatric acute appendicitis by artificial intelligence methods: An investigator-independent approach
- Stylistic variation on the Donald Trump Twitter account: A linguistic analysis of tweets posted between 2009 and 2018
- Kinematic determinants of scoring success in the fencing flick: Logistic and linear multiple regression analysis
- Preferences for formal and traditional sources of childbirth and postnatal care among women in rural Africa: A systematic review
- Spectral characteristics of urine specimens from healthy human volunteers analyzed using Raman chemometric urinalysis (Rametrix)
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- Development of peptide biosensor for the detection of dengue fever biomarker, nonstructural 1
- The predictive performance of SAPS 2 and SAPS 3 in an intermediate care unit for internal medicine at a German university transplant center; A retrospective analysis
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- Retraction: Impacts of rock properties on Danxia landform formation based on lithological experiments at Kongtongshan National Geopark, northwest China
- Correction: SVR12 rates higher than 99% after sofosbuvir/velpatasvir combination in HCV infected patients with F0-F1 fibrosis stage: A real world experience
- Retraction: Plexin-B1 Activates NF-κB and IL-8 to Promote a Pro-Angiogenic Response in Endothelial Cells
- Relationship between cognitive behavioral variables and mental health status among university students: A meta-analysis
- Association between temperature, sunlight hours and alcohol consumption
- Using graph learning to understand adverse pregnancy outcomes and stress pathways
- Correction: The step-to-step transition mode: A potential indicator of first-fall risk in elderly adults?
- Surgical referral systems in low- and middle-income countries: A review of the evidence
- In vivo clearance of nanoparticles by transcytosis across alveolar epithelial cells
- Correction: The Economic Impact of Malignant Catarrhal Fever on Pastoralist Livelihoods
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- Correction: Maturation of three-dimensional, hiPSC-derived cardiomyocyte spheroids utilizing cyclic, uniaxial stretch and electrical stimulation
- Correction: To keep or not to keep? Decision making in adolescent pregnancies in Jamestown, Ghana
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