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Irgang dos Santos, L. F., Sestino, A., Barth, H. & Holmén, M. (2025). Healthcare workers' adoption of and satisfaction with artificial intelligence: The counterintuitive role of paradoxical tensions and paradoxical mindset. Technological forecasting & social change, 212, Article ID 123967.
Open this publication in new window or tab >>Healthcare workers' adoption of and satisfaction with artificial intelligence: The counterintuitive role of paradoxical tensions and paradoxical mindset
2025 (English)In: Technological forecasting & social change, ISSN 0040-1625, E-ISSN 1873-5509, Vol. 212, article id 123967Article in journal (Refereed) In press
Abstract [en]

Artificial intelligence (AI) is revolutionizing healthcare by introducing novel treatments and applications, thereby transforming the sector. However, the complexity, ambiguity, and inherent risks associated with AI can create tensions for healthcare workers that may result in stress, anxiety, and discomfort when they make decisions. These tensions are paradoxical in nature as they may present conflicting demands that can persist over time and develop into seemingly irrational situations. Understanding how these paradoxical tensions affect healthcare workers' responses to AI is crucial in addressing their concerns. This study investigates the role of paradoxical tensions and the paradoxical mindset in shaping healthcare workers' responses to AI. The study examines how these two factors influence individuals' intention to adopt AI systems and tools and evaluates the users' satisfaction with them. Using a quantitative survey design, data were collected from 357 healthcare workers. The results, based on regression analysis, indicate that paradoxical tensions positively influence both individuals' intention to adopt AI systems and tools and their satisfaction with the current use of AI systems and tools. The results also indicate that the paradoxical mindset positively mediates these relationships. © 2024 The Authors

Place, publisher, year, edition, pages
New York: Elsevier, 2025
Keywords
Artificial intelligence, Health technology, Paradox theory, Paradoxical mindset, Paradoxical tensions, Technology adoption, User satisfaction
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-55288 (URN)10.1016/j.techfore.2024.123967 (DOI)001402475800001 ()2-s2.0-85214009960 (Scopus ID)
Funder
Knowledge Foundation
Note

This research was supported by the BINECO project (grant agreement no. 220021), funded by the Swedish Knowledge Foundation (KK-stiftelsen).

Available from: 2025-01-24 Created: 2025-01-24 Last updated: 2025-02-05Bibliographically approved
Zalkat, G., Barth, H., Ulvenblad, P.-O. & Ulvenblad, P. (2024). Information and Communication Technology, Animal Welfare and Business model innovation in the Agricultural sector - Bibliometric Literature Review.
Open this publication in new window or tab >>Information and Communication Technology, Animal Welfare and Business model innovation in the Agricultural sector - Bibliometric Literature Review
2024 (English)Report (Other (popular science, discussion, etc.))
Abstract [en]

Background: Information and Communication Technology (ICT) adoption across the agricultural sector has grown and changed rapidly over the past years, which may contribute significantly to addressing global challenges. However, ICT adoption is facing technology-integrating challenges in business operations and business model innovation. Thus, to develop and strengthen a sustainable, competitive agricultural sector and to achieve profitable development, it is important to increase the knowledge of ICTs and their impacts, especially when it comes to animal welfare. Moreover, it is important to empower developed business models and governance of innovation ecosystems to release the full potential of ICT and its widespread adoption. 

Purpose: This paper aims to explore the literature on ICT and business model innovation in the Agricultural sector. The research aims to stimulate the use of ICT in the agricultural sector, recognizing the role of business model innovation in releasing the full potential of ICT and promoting the widespread adoption of ICT, and address the sustainable aspect of animal welfare.

Method: This study combines a systematic literature review approach with bibliometric analysis. To develop the Bibliometric Literature Review, Scopus and Web of Science databases were used together with software: Rayyan and VOSviewer. Rayyan was used to manage the collaboration between the researcher team during the review process. Then, the maps were created by VOSviewer. We conduct a science mapping to examine the relationships between research constituents. The techniques for science mapping include citation analysis, co-citation analysis, bibliographic coupling, co-word analysis, and co-authorship analysis.

Findings: The study shows an increasing trend of year-on-year publications, authors' performance, publication journals, associated institutions, and research-driving countries, along with key insights from co-citation network analysis. Different perspectives showed the multidisciplinary nature of the topic. It is a fragmented literature regarding the authors and countries' publications.  The results map and discuss the main issues that are covered in ICT fields and business models in agriculture, thereby providing suggestions for future research and policy. The bibliometric analysis reveals the descriptive statistics on this field and the main themes through the authors' keywords.

Research limitations/implications: The research explores a topic in the early stage to define key strands of literature. Limitations arise from the sources used to develop our analysis and how the topic appears as a frontier innovation.

Originality/value: Originality is the integration of literature strands related to ICT and business model innovation in the Agricultural sector, highlighting its multidisciplinary nature to provide a holistic understanding of the themes. 

This Bibliometric Literature Review provides a supporting output that can help both research and policies that aim to boost innovation in the agricultural sector. The paper contributes to the knowledge by organizing, rationalizing, and extending the extant literature with valuable insights about the current status of research; most cited articles, authors, journals, keywords, and contributing communities using various bibliometric techniques.

Publisher
p. 33
Keywords
information and communication technology, business models, agricultural sector, literature review
National Category
Economics and Business
Research subject
Smart Cities and Communities, PROACTS
Identifiers
urn:nbn:se:hh:diva-55414 (URN)
Funder
Swedish Research Council Formas, 2020-02729
Available from: 2025-02-07 Created: 2025-02-07 Last updated: 2025-03-13Bibliographically approved
Zalkat, G., Barth, H. & Rashid, L. (2024). Refugee entrepreneurship motivations in Sweden and Germany: a comparative case study. Small Business Economics, 63(1), 477-499
Open this publication in new window or tab >>Refugee entrepreneurship motivations in Sweden and Germany: a comparative case study
2024 (English)In: Small Business Economics, ISSN 0921-898X, E-ISSN 1573-0913, Vol. 63, no 1, p. 477-499Article in journal (Refereed) Published
Abstract [en]

Refugee entrepreneurs can make a significant contribution to sustainable growth and development in host countries. However, comprehensive comparative studies of refugee entrepreneurial motivations are scarce, particularly in the absence of a theoretical framework on entrepreneurship motivation that is suitable for such contexts. This is a research topic that is increasingly of interest to scholars and policymakers working with refugee workforce integration, particularly in light of forecasted increases in global forced displacement over the next years. This paper tests and extends newly constructed entrepreneurship motivation measures, comparing person-related factors and the perceptions of environmental-related factors for Syrian refugee entrepreneurs in Sweden and Germany. The results indicate that their motivations differ between the two countries with respect to market conditions, the educational environment, dissatisfaction, and know-how. However, refugee entrepreneurs in both countries have similar levels of entrepreneurial ambition and attitude and are motivated by similar perceptions of social environments and cultural norms. This paper identifies how entrepreneurship motivation differences could be considered by governments to better shape and inform host countries' programs and policies to improve refugee entrepreneurship and subsequent integration. Syrian refugees in Germany and Sweden differ in their motivation to pursue entrepreneurship, as evidenced by our comparative study, emphasizing the role of country context in shaping refugees' perception of environmental factors that influence their entrepreneurial motivation. We find that Germany-based refugee entrepreneurs are more motivated by market structures and educational offerings, have more know-how, and were less prone to negative motivation resulting from experiencing dissatisfaction (e.g. due to discrimination or lack of opportunities) compared with Sweden-based refugee entrepreneurs. The results emphasize the importance of policy reforms and initiatives that provide financial, administrative, and legal assistance to refugee entrepreneurs as they start and establish their businesses, as well as specialized entrepreneurship training and education programs. We call for future research on inter-country evaluations of institutional differences and migrant integration programs as well as trans-border exchange of lessons learned and success stories, particularly in-light of prognosed increases in global forced displacement over the next years. © The Author(s) 2023

Place, publisher, year, edition, pages
New York, NY: Springer, 2024
Keywords
Refugee entrepreneurship, Entrepreneurial motivation, Migration, Socioeconomic integration, Sweden, Germany
National Category
International Migration and Ethnic Relations
Identifiers
urn:nbn:se:hh:diva-52190 (URN)10.1007/s11187-023-00830-x (DOI)001088002800001 ()2-s2.0-85174528094& (Scopus ID)
Available from: 2023-12-06 Created: 2023-12-06 Last updated: 2024-12-02Bibliographically approved
Barth, H. & Ulvenblad, P. (2024). Safety First as a Competitive Advantage for Agri-Business. In: : . Paper presented at 4th Edition of the Global Conference on Agriculture and Horticulture, Rome, Italy, 16-18 September, 2024.
Open this publication in new window or tab >>Safety First as a Competitive Advantage for Agri-Business
2024 (English)Conference paper, Oral presentation only (Refereed)
National Category
Economics and Business
Research subject
Smart Cities and Communities, PROACTS
Identifiers
urn:nbn:se:hh:diva-55510 (URN)
Conference
4th Edition of the Global Conference on Agriculture and Horticulture, Rome, Italy, 16-18 September, 2024
Available from: 2025-02-21 Created: 2025-02-21 Last updated: 2025-02-26Bibliographically approved
Ulvenblad, P.-O., Ulvenblad, P. & Barth, H. (2024). Sustainable business model innovation: – digitalization and traceability in the value chain for meat and dairy products.
Open this publication in new window or tab >>Sustainable business model innovation: – digitalization and traceability in the value chain for meat and dairy products
2024 (English)Report (Other (popular science, discussion, etc.))
Abstract [en]

This report is based on case studies from Sweden, indicating that the local context can be developed into a competitive advantage when using sustainable and digital solutions. The study also draws on findings from a consumer study, targeting sustainable shopping habits and interest towards new ways of purchasing food in the future. Results indicate that new sustainable business models can provide sustainable values for both farmers as well as end-consumers, but the traditional value chain need to be evaluated on value adding aspects and traceability along the process. Additionally, the end-consumer indicate an interest to purchase food directly from the farmer, which is considered as an important aspect for better animal health and welfare. This is an important aspect to include when doing business model innovation in the agricultural sector.

Publisher
p. 10
Keywords
Sustainable business model innovation, digitalization, traceability, value chain, agri firms
National Category
Economics and Business
Research subject
Smart Cities and Communities, PROACTS
Identifiers
urn:nbn:se:hh:diva-55415 (URN)
Funder
Swedish Research Council Formas, 2020-02729
Available from: 2025-02-07 Created: 2025-02-07 Last updated: 2025-03-04Bibliographically approved
Sestino, A., Nasta, L., Rossi, M. V. & Barth, H. (2024). The combined effect of behavioural activation system and perceived anthropomorphism on individuals’ intention to use digital therapeutics tools for asthma and respiratory-related diseases. Technology Analysis & Strategic Management
Open this publication in new window or tab >>The combined effect of behavioural activation system and perceived anthropomorphism on individuals’ intention to use digital therapeutics tools for asthma and respiratory-related diseases
2024 (English)In: Technology Analysis & Strategic Management, ISSN 0953-7325, E-ISSN 1465-3990Article in journal (Refereed) Epub ahead of print
Abstract [en]

The integration of Digital Therapeutics (DTx) is profoundly transforming patients’ care management. Original combinations of IoT medical devices and related mobile applications resulting in DTx, may boost patients’ engagement and adherence to treatment regimens, resulting as ‘intelligent’ assistants in patients’ health recovery. In this paper we conducted a study among a sample of 507 participants by setting a prototype of DTx able to monitor respiratory-related diseases as a setting. Results demonstrated that individuals’ perceived product intelligence of such digital tools led to higher intention to use, through the effect of their Behavioural Activation System, that is, the psychological mechanism influencing their motivation towards engaging in rewarding and goal-directed behaviours. Moreover, individuals’ perceived anthropomorphism of these tools, in terms of individuals’ tendency attribute human-like characteristics or emotions to non-human entities such in these technological tools, increase such effect. © 2024 Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Oxon: Routledge, 2024
Keywords
Behavioral activation system, digital therapeutics, intention to use, product intelligence
National Category
Psychology
Identifiers
urn:nbn:se:hh:diva-54761 (URN)10.1080/09537325.2024.2405137 (DOI)001319157800001 ()2-s2.0-85204809343 (Scopus ID)
Available from: 2024-10-29 Created: 2024-10-29 Last updated: 2024-12-02Bibliographically approved
Barth, H., Holmén, M., Irgang dos Santos, L. F., Ismail, M. & Petersson, L. (2024). Towards a Mass Customised Healthcare - Healthcareprofessionals Experience of AI. In: : . Paper presented at 15th International Odyssey Conference on Economics and Business, Akademis Academia, Dubrovnik, Croatia, 22-25 May, 2024.
Open this publication in new window or tab >>Towards a Mass Customised Healthcare - Healthcareprofessionals Experience of AI
Show others...
2024 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

A growing and aging population provides challenges for the healthcare sector, generating higher healthcare costs, and ineffective work process that results in long patient queues and problems with recruiting and retaining healthcare professionals. Artificial intelligence (AI) is considered as one means to provide efficient processes for healthcare professionals, e.g. in diagnostics and treatment recommendations. However, research has shown that there are many obstacles to successfully introducing and using AI applications in healthcare, especially by focusing on the organizational level. However, individual healthcare professionals have an important role to play in the transition towards information driven healthcare. 

Therefore, we address the healthcare professionals' perception of the usefulness and value of AI applications, as well as challenges and considerations of this new technology. 

The study is based on an exploratory approach with more than 350 healthcare professionals in Sweden, carried out beginning of 2024. The questionnaire includes perceptions of the use of AI and identifies potential challenges that need to be addressed. The respondents include doctors (92%) and nurses (8%). The sample consists of answers from 221 (62%) male and 136 (38%) female respondents. Most of the respondents work in public hospitals (54%) and health centers (20% public and 14% private). Several AI applications are used by healthcare professionals, spanning from administrative work reduction to new insights in the analysis of complex cases.

Thematic analysis is conducted to create a model of perception of usefulness, values and problems (barriers). The analysis includes a stepwise analysis to identify patterns and themes.

The  results from the project provide insights into how the introduction of AI applications in healthcare changes the work of healthcare professionals and the perceived challenges that need to be addressed to improve their work by using AI. To some extent, implementation and use is based on healthcare professionals’ interest in using new advanced technology but for others the decision to adopt AI is primarily based on formal decisions within the organization. Respondents that have been using AI for at least six months, indicate AI supports decision making, with the main benefit consisting of a more effective and faster work process, while other respondents do not perceive any changes. A surprising result is that healthcare professionals have identified the possibility to test and evaluate new ideas and more complex cases. One interpretation is that AI has made the workload easier, which may allow for more innovative work. Another interpretation is that their experience-based knowledge is augmented by AI, and this makes it possible for them to handle more complex cases.   However, others experience a learning paradox – challenging to find time and learn how to use the technology, while at the same time adopting by testing AI applications.

Conclusions drawn from the ongoing study provide insights on the transformation phase towards implementing and using AI applications in healthcare.

Keywords
artificial intelligence, implementation, information driven healthcare, AI-applications, healthcare professions, decision-making
National Category
Medical and Health Sciences
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-54083 (URN)
Conference
15th International Odyssey Conference on Economics and Business, Akademis Academia, Dubrovnik, Croatia, 22-25 May, 2024
Projects
BINECO
Available from: 2024-06-25 Created: 2024-06-25 Last updated: 2024-12-02Bibliographically approved
Osmanovic, S., Barth, H. & Ulvenblad, P. (2024). Uncaptured value in sustainable business model innovation: the missing link. Technological Sustainability, 3(3), 262-285
Open this publication in new window or tab >>Uncaptured value in sustainable business model innovation: the missing link
2024 (English)In: Technological Sustainability, ISSN 2754-1312, Vol. 3, no 3, p. 262-285Article, review/survey (Refereed) Published
Abstract [en]

Purpose: The purpose of this systematic literature review is to understand what the phenomenon of uncaptured value is, identify where it is operationalized and explore how it can be transformed into value opportunities. Uncaptured value in sustainable business model innovation can lead to new value creation which, in turn, can promote practices of innovation, sustainability and inclusiveness. Design/methodology/approach: A systematic literature review was conducted using eight databases to identify 47 articles using the phrase sustainable business model innovation along with the terms value uncaptured, value surplus, value absence, value missed and value destroyed. Findings: The findings have identified that uncaptured value is reoccurring in sustainable business model innovation but is left as the missing link. This paper outlines the novelties of uncaptured value in sustainable business model innovation into a framework that can be used for future research, which is also discussed, concluded and suggested. Originality/value: A framework for the continued research on uncaptured value in sustainable business model innovation with an emphasis on influences, operationalization and practices has been created to further the research frontier and capture the missing link. © 2024, Senad Osmanovic, Henrik Barth and Pia Ulvenblad.

Place, publisher, year, edition, pages
Bingley: Emerald Group Publishing Limited, 2024
Keywords
Sustainability, Sustainable business model innovation, Systematic literature review, The missing link, Uncaptured value
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-53503 (URN)10.1108/TECHS-02-2024-0010 (DOI)2-s2.0-85193703754 (Scopus ID)
Note

Funding: The authors would like to acknowledge financial support through the Ploutos project. This project has received funding from the European Union’s Asylum, Migration and Integration Fund under grant agreement number 101038463.

Available from: 2024-05-31 Created: 2024-05-31 Last updated: 2024-12-02Bibliographically approved
Irgang dos Santos, L. F., Barth, H. & Holmén, M. (2023). Data-Driven Technologies as Enablers for Value Creation in the Prevention of Surgical Site Infections: a Systematic Review. Journal of Healthcare Informatics Research, 7, 1-41
Open this publication in new window or tab >>Data-Driven Technologies as Enablers for Value Creation in the Prevention of Surgical Site Infections: a Systematic Review
2023 (English)In: Journal of Healthcare Informatics Research, ISSN 2509-4971, E-ISSN 2509-498X, Vol. 7, p. 1-41Article, review/survey (Other academic) Published
Abstract [en]

Despite the advances in modern medicine, the use of data-driven technologies (DDTs) to prevent surgical site infections (SSIs) remains a major challenge. Scholars recognise that data management is the next frontier in infection prevention, but many aspects related to the benefits and advantages of using DDTs to mitigate SSI risk factors remain unclear and underexplored in the literature. This study explores how DDTs enable value creation in the prevention of SSIs. This study follows a systematic literature review approach and the PRISMA statement to analyse peer-reviewed articles from seven databases. Fifty-nine articles were included in the review and were analysed through a descriptive and a thematic analysis. The findings suggest a growing interest in DDTs in SSI prevention in the last 5 years, and that machine learning and smartphone applications are widely used in SSI prevention. DDTs are mainly applied to prevent SSIs in clean and clean-contaminated surgeries and often used to manage patient-related data in the postoperative stage. DDTs enable the creation of nine categories of value that are classified in four dimensions: cost/sacrifice, functional/instrumental, experiential/hedonic, and symbolic/expressive. This study offers a unique and systematic overview of the value creation aspects enabled by DDT applications in SSI prevention and suggests that additional research is needed in four areas: value co-creation and product-service systems, DDTs in contaminated and dirty surgeries, data legitimation and explainability, and data-driven interventions. © 2023, The Author(s).

Place, publisher, year, edition, pages
Cham: Springer, 2023
Keywords
Healthcare technology, Surgical site infections, Infection prevention and control, Value-based Care, Technology implementation, Systematic review
National Category
Nursing Engineering and Technology
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-50052 (URN)10.1007/s41666-023-00129-2 (DOI)000939789800001 ()2-s2.0-85149042899 (Scopus ID)
Funder
Halmstad University, 220021Knowledge Foundation
Note

Funding: Open access funding provided by Halmstad University.

Available from: 2023-03-02 Created: 2023-03-02 Last updated: 2024-12-02Bibliographically approved
Barth, H., Vedantha Krishna, A., Reddy, V. V. & Rosén, B. G. (2023). From Traditional Manufacturing to Digital Manufacturing: Two Swedish Case Studies. In: Aldieri, Luigi (Ed.), Innovation - Research and Development for Human, Economic and Institutional Growth: . Rijeka: InTech
Open this publication in new window or tab >>From Traditional Manufacturing to Digital Manufacturing: Two Swedish Case Studies
2023 (English)In: Innovation - Research and Development for Human, Economic and Institutional Growth / [ed] Aldieri, Luigi, Rijeka: InTech, 2023Chapter in book (Refereed)
Abstract [en]

Digital manufacturing can produce new and advanced tools more rapidly and at lower cost than traditional manufacturing. This new technology means manufacturers need to develop innovative business models adapted to this change in the manufacturing landscape. With digital manufacturing, companies have both an opportunity and a challenge. They can enter new markets where large-scale production provides competitive advantage. They can enter niche markets that become more attractive as old boundaries and structures lose relevance. Yet their additive manufactured components must meet the same standards set for conventional manufactured components. However, we know little about how companies manage this change as they make the transition from traditional manufacturing to digital manufacturing. This chapter presents two co-creation digital manufacturing projects between university researchers and Swedish companies. In each project, the goal was to develop sustainable and efficient digital production methods that offer tailor-made product solutions. Various technical methods used in the projects are described as materials, and prototypes are developed, tested, and analyzed.

Place, publisher, year, edition, pages
Rijeka: InTech, 2023
Series
Business, Management and Economics, ISSN 2753-894X
Keywords
additive manufacturing, business model, digital manufacturing, co-creation, FabLab
National Category
Production Engineering, Human Work Science and Ergonomics
Research subject
Smart Cities and Communities, PROACTS
Identifiers
urn:nbn:se:hh:diva-52366 (URN)10.5772/intechopen.111862 (DOI)978-1-83768-996-5 (ISBN)978-1-83768-997-2 (ISBN)978-1-83768-998-9 (ISBN)
Available from: 2024-01-05 Created: 2024-01-05 Last updated: 2024-12-02Bibliographically approved
Projects
Releasing the potential of ICT for sustainable milk and beef cattle value chains [2020-02729_Formas]; Halmstad University; Publications
Zalkat, G., Barth, H., Ulvenblad, P.-O. & Ulvenblad, P. (2024). Information and Communication Technology, Animal Welfare and Business model innovation in the Agricultural sector - Bibliometric Literature Review. Ulvenblad, P.-O., Ulvenblad, P. & Barth, H. (2024). Sustainable business model innovation: – digitalization and traceability in the value chain for meat and dairy products.
Business Models for Information-driven Healthcare Ecosystems – BINECO; Publications
Barth, H., Holmén, M., Irgang dos Santos, L. F., Ismail, M. & Petersson, L. (2024). Towards a Mass Customised Healthcare - Healthcareprofessionals Experience of AI. In: : . Paper presented at 15th International Odyssey Conference on Economics and Business, Akademis Academia, Dubrovnik, Croatia, 22-25 May, 2024. Irgang dos Santos, L. F. (2024). Value Creation and Digitalization in Healthcare: Technology Adoption and MedTech Firm’s Capabilities. (Doctoral dissertation). Halmstad: Halmstad University PressIrgang dos Santos, L. F., Sestino, A., Barth, H. & Holmén, M. (2023). The Role of Complementary Capabilities in AI-Based Product-Service Systems: Evidence from the MedTech. In: : . Paper presented at ACERE – Australian Centre for Entrepreneurship Research Exchange, Brisbane, Australia, 6-10 February, 2023. Irgang dos Santos, L. F., Holmén, M., Gama, F. & Svedberg, P. (2021). Facilitation activities for change response: a qualitative study on infection prevention and control professionals during a pandemic in Brazil. Journal of Health Organization & Management, 35(7), 886-903Irgang dos Santos, L. F., Zborowski, W., Stakionyte, E., Barth, H. & Holmén, M.Eye-tracking and digitalization in hands-free healthcare: A study about value co-creation interactions. Irgang dos Santos, L. F., Sestino, A., Barth, H. & Holmén, M.Healthcare workers’ adoption of and satisfaction with artificial intelligence: The counterintuitive role of paradoxical tensions and paradoxical mindset.
Consulting EUTHFinancial independence for transitional cooperation (PLOUTOS)FORMILL – new revolutionary biomaterial from waste material with unique scale-up process;
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0030-3402

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