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A 11 matched analysis (N = 102) with contemporary HCV D-/R- transplants (controls) showed that although the pretransplant wait time was significantly shorter for D+/R- compared with D-/R- (mean 1.8 vs. 4.4 years; p less then .001), there were no differences in infections, rejection, development of de novo donor-specific antibody, or transplant outcomes up to 6 months of transplant.The Research Center Borstel developed a bottom-up approach based on communication and team scouts to create a culture that fosters research integrity.Explaini