Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 31) Show all publications
Stridsman, C., Axelsson, M., Warm, K. & Backman, H. (2020). Uncontrolled asthma occurs in all GINA treatment steps and is associated with worse physical health: a report from the OLIN adult asthma cohort. Journal of Asthma
Open this publication in new window or tab >>Uncontrolled asthma occurs in all GINA treatment steps and is associated with worse physical health: a report from the OLIN adult asthma cohort
2020 (English)In: Journal of Asthma, ISSN 0277-0903, E-ISSN 1532-4303Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: To study asthma exacerbations, healthcare utilization and health status among subjects with asthma with different treatment regimens and levels of asthma control.

Methods: In 2012–2014, n = 1425 adults from a population-based asthma cohort within the OLIN studies (Obstructive Lung disease in Northern Sweden) were invited to a follow-up including spirometry and a structured interview, n = 1006 participated. Asthma Control Test (ACT) was used to detect uncontrolled asthma, and physical and mental dimensions of health were measured with SF-8. Pharmacological treatment use was classified by Global Initiative for Asthma treatment steps. Out of n = 830 with current asthma, n = 714 answered ACT (57% women, 32–92 years) and were included in the study.

Results: Uncontrolled asthma increased per treatment step (no treatment 9.9%, treatment step 1–3 24.1%, and treatment steps 4–5 39.9%, p < 0.001). A higher proportion of subjects with uncontrolled asthma reported exacerbations, healthcare utilization, and worse health status than those with controlled asthma. The proportion of subjects reporting exacerbations, healthcare visits, emergency room visits and regular follow-up visits increased per treatment step. Worse health was associated with uncontrolled asthma, but not with the level of treatment. A higher proportion of women than men reported exacerbations, any healthcare visits, and lower health. Regular follow-up visits to a physician were uncommon (women 21.2% vs. men 14.6%, p = 0.022).

Conclusions: Uncontrolled asthma is common in all treatment steps, and is associated with worse health status. However, health status did not differ by treatment steps. Identifying subjects with uncontrolled asthma regardless of treatment regimens should be a priority, thus follow-up visits are important.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Epidemiology, management/control, quality of life, treatment
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-77776 (URN)10.1080/02770903.2020.1713150 (DOI)
Available from: 2020-02-19 Created: 2020-02-19 Last updated: 2020-02-19
Selberg, S., Hedman, L., Jansson, S.-A., Backman, H. & Stridsman, C. (2019). Asthma control and acute health care visits among young adults with asthma: A population‐based study. Journal of Advanced Nursing, 75(12), 3525-3534
Open this publication in new window or tab >>Asthma control and acute health care visits among young adults with asthma: A population‐based study
Show others...
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 12, p. 3525-3534Article in journal (Refereed) Published
Abstract [en]

Aims

To study asthma control and acute health care visits among young adults with asthma.

Background

Despite the access to effective treatment and nursing interventions, poor asthma control is still common among individuals with asthma. However, studies describing clinical characteristics among young adults with asthma are rare.

Design

A population‐based cohort study.

Methods

In 2015, as a part of the OLIN pediatric cohort I (recruited in 1996 at age 7‐8yr), N=2291 young adults (27‐28 yr) completed a postal questionnaire survey including questions on asthma and respiratory symptoms. Of these, N=280 (12%) were identified as having current asthma and were further studied.

Results

Of those with current asthma, women reported respiratory symptoms and smoking to a greater extent than men. Approximately one‐fourth had uncontrolled asthma and acute health care visits due to asthma was reported by 15% of women and 8% of men. Uncontrolled asthma was associated with smoking, lower educational level, use of reliever treatment most days and acute health care visits. Acute health care visits due to asthma were associated with periodic use of regular controller treatment also after adjustment for uncontrolled asthma.

Conclusion

The result indicate poor adherence to asthma treatment which may lead to decreased asthma control and acute health care visits.

Impact

Most young adults with asthma are diagnosed and treated in primary care, ideally in a team with a nurse. The main findings highlight the need for evidenced‐based nursing interventions, contributing to a more efficient asthma management in primary care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
asthma, health services, nurses, nursing, patient care, primary healthcare, smoking, treatment adherence and compliance, young adult, quantitative research
National Category
Nursing Other Health Sciences
Research subject
Nursing; Health Science
Identifiers
urn:nbn:se:ltu:diva-75786 (URN)10.1111/jan.14174 (DOI)000486799500001 ()31441107 (PubMedID)2-s2.0-85074391870 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-12-06 (johcin)

Available from: 2019-08-30 Created: 2019-08-30 Last updated: 2020-01-23Bibliographically approved
Backman, H., Jansson, S.-A., Stridsman, C., Eriksson, B., Hedman, L., Eklund, B.-M., . . . Rönmark, E. (2019). Severe asthma: A population study perspective. Clinical and Experimental Allergy, 49(6), 819-828
Open this publication in new window or tab >>Severe asthma: A population study perspective
Show others...
2019 (English)In: Clinical and Experimental Allergy, ISSN 0954-7894, E-ISSN 1365-2222, Vol. 49, no 6, p. 819-828Article in journal (Refereed) Published
Abstract [en]

BackgroundSevere asthma is a considerable challenge for patients, health care professionals and society. Few studies have estimated the prevalence of severe asthma according to modern definitions of which none based on a population study.

ObjectiveTo describe characteristics and estimate the prevalence of severe asthma in a large adult population‐based asthma cohort followed for 10‐28 years.

MethodsN=1006 subjects with asthma participated in a follow‐up during 2012‐14, when 830 (mean age 59y, 56% women) still had current asthma. Severe asthma was defined according to three internationally well‐known criteria: the ATS workshop definition from 2000 used in the US Severe Asthma Research Program (SARP), the 2014 ATS/ERS Task force definition and the GINA 2017. All subjects with severe asthma according to any of these criteria were undergoing respiratory specialist care, and were also contacted by telephone to verify treatment adherence.

ResultsThe prevalence of severe asthma according to the three definitions was 3.6% (US SARP), 4.8% (ERS/ATS Taskforce), and 6.1% (GINA) among subjects with current asthma. Although all were using high ICS doses and other maintenance treatment, >40% had uncontrolled asthma according to the asthma control test. Severe asthma was related to age >50 years, nasal polyposis, impaired lung function, sensitization to aspergillus, and tended to be more common in women. Further, neutrophils in blood significantly discriminated severe asthma from other asthma.

Conclusions and clinical relevanceSevere asthma differed significantly from other asthma in terms of demographic, clinical and inflammatory characteristics, results suggesting possibilities for improved treatment regimens of severe asthma. The prevalence of severe asthma in this asthma cohort was 4‐6%, corresponding to approximately 0.5% of the general population.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
epidemiology, asthma, eosinophils, neutrophils, IgE, lung function
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-73200 (URN)10.1111/cea.13378 (DOI)000475694600009 ()30817038 (PubMedID)2-s2.0-85066803309 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-07-11 (johcin)

Available from: 2019-03-14 Created: 2019-03-14 Last updated: 2019-08-20Bibliographically approved
Hedman, L., Backman, H., Stridsman, C., Bosson, J. A., Lundbäck, M., Lindberg, A., . . . Ekerljung, L. (2018). Association of Electronic Cigarette Use With Smoking Habits, Demographic Factors, and Respiratory Symptoms. JAMA Network Open, 1(3), Article ID e180789.
Open this publication in new window or tab >>Association of Electronic Cigarette Use With Smoking Habits, Demographic Factors, and Respiratory Symptoms
Show others...
2018 (English)In: JAMA Network Open, E-ISSN 2574-3805, Vol. 1, no 3, article id e180789Article in journal (Refereed) Published
Abstract [en]

Importance  Increases in total knee arthroplasty (TKA) utilization rates suggest that its indications have been expanded to include patients with less severe symptoms. A recent study challenged the cost-effectiveness of TKA in this group of patients.

Objective  To determine the association of the 36-Item Short Form Health Survey physical component summary score (SF-36 PCS) with patient satisfaction 2 years after TKA.

Design, Setting, and Participants  This cohort study reviewed registry data from 2 years of follow-up of patients who underwent unilateral TKA from January 1, 2010, to December 31, 2014, at a single-center tertiary institution in Singapore. Data were acquired on April 27, 2017, and analyzed from August 15, 2017, to December 22, 2017.

Main Outcomes and Measures  Patient satisfaction and SF-36 PCS. Preoperative disability and postoperative function as measured by the SF-36 PCS were correlated with Δ (2-year end point score minus baseline score) and patient satisfaction, scored on a 6-point Likert scale, with lower scores indicating greater satisfaction.

Results  Of the 6659 patients, 5234 (78.6%) were female and 5753 (86.4%) were of Chinese ethnicity. Mean (SD) age was 67.0 (7.7) years, and mean (SD) body mass index (calculated as weight in kilograms divided by height in meters squared) was 27.7 (4.6). At 2-year follow-up, the mean (SD) SF-36 PCS score improved from 32.2 (10.1) to 48.2 (9.5) (P < .001). There were 1680 patients (25.2%) who described their satisfaction as excellent, 2574 (38.7%) very good, 1879 (28.2%) good, 382 (5.7%) fair, 96 (1.4%) poor, and 48 (0.7%) terrible. The minimal clinically important difference (change in SF-36 PCS of 10 from baseline) was met in 4515 patients (67.8%), and overall satisfaction was 97.8% (6515 patients). Covariance analysis showed significantly higher satisfaction in patients with preoperative scores of 40 to less than 50. Patients who were unlikely to meet the minimal clinically important difference compared with those who were likely to meet it (SF-36 PCS of ≥42.1 vs <42.1) had significantly higher 2-year satisfaction (mean [SD], 2.15 [0.9] vs 2.23 [1.0]; P = .009).

Conclusions and Relevance  The findings suggest that a general health score, such as SF-36, is not associated with patient satisfaction 2 years after TKA. Functional assessment, preoperative counseling, and modification of expectations appear to remain vital before TKA.

Place, publisher, year, edition, pages
American Medical Association, 2018
National Category
Nursing Other Health Sciences
Research subject
Nursing; Health Science
Identifiers
urn:nbn:se:ltu:diva-73046 (URN)10.1001/jamanetworkopen.2018.0789 (DOI)000452641400010 ()30646032 (PubMedID)
Available from: 2019-02-27 Created: 2019-02-27 Last updated: 2020-01-23Bibliographically approved
Backman, H., Jansson, S.-A., Stridsman, C., Muellerova, H., Wurst, K., Hedman, L., . . . Rönmark, E. (2018). Chronic airway obstruction in a population-based adult asthma cohort: Prevalence, incidence and prognostic factors. Respiratory Medicine, 138, 115-122
Open this publication in new window or tab >>Chronic airway obstruction in a population-based adult asthma cohort: Prevalence, incidence and prognostic factors
Show others...
2018 (English)In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 138, p. 115-122Article in journal (Refereed) Published
Abstract [en]

Background

Asthma and COPD may overlap (ACO) but information about incidence and risk factors are lacking. This study aimed to estimate prevalence, incidence and risk factors of chronic airway obstruction (CAO) in a population-based adult asthma cohort.

Methods

During 1986–2001 a large population-based asthma cohort was identified (n = 2055, 19-72y). Subsamples have participated in clinical follow-ups during the subsequent years. The entire cohort was invited to a clinical follow-up including interview, spirometry, and blood sampling in 2012–2014 when n = 983 subjects performed adequate spirometry. CAO was defined as post-bronchodilator FEV1/FVC<0.7.

Results

At study entry, asthmatics with prevalent CAO (11.4%) reported more respiratory symptoms, asthma medication use, and ischemic heart disease than asthmatics without CAO (asthma only). Subjects who developed CAO during follow-up (17.6%; incidence rate of 16/1000/year) had a more rapid FEV1 decline and higher levels of neutrophils than asthma only. Smoking, older age and male sex were independently associated with increased risk for both prevalent and incident CAO, while obesity had a protective effect.

Conclusions

In this prospective adult asthma cohort, the majority did not develop CAO. Smoking, older age and male sex were risk factors for prevalent and incident CAO, similar to risk factors described for COPD in the general population.

Place, publisher, year, edition, pages
Elsevier, 2018
National Category
Nursing Other Health Sciences
Research subject
Nursing; Health Science
Identifiers
urn:nbn:se:ltu:diva-68195 (URN)10.1016/j.rmed.2018.03.036 (DOI)000432442400017 ()2-s2.0-85045212522 (Scopus ID)
Note

Validerad;2018;Nivå 2;2018-04-13 (rokbeg)

Available from: 2018-04-05 Created: 2018-04-05 Last updated: 2020-01-23Bibliographically approved
Strandkvist, V., Andersson, M., Backman, H., Larsson, A., Stridsman, C. & Lindberg, A. (2018). Hand grip strength is associated with fatigue among men with COPD: epidemiological data from northern Sweden. Physiotherapy Theory and Practice
Open this publication in new window or tab >>Hand grip strength is associated with fatigue among men with COPD: epidemiological data from northern Sweden
Show others...
2018 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of this study was to investigate if hand grip strength (HGS) is associated with: 1) fatigue, and specifically clinically relevant fatigue (CRF); 2) low physical activity; and 3) fatigue independent of physical activity level, among individuals with and without COPD. Data were collected from the Obstructive Lung Disease in Northern Sweden (OLIN) COPD-study in 2014. HGS was measured with a hand-grip dynamometer, fatigue and physical activity were assessed by questionnaires; FACIT-Fatigue respectively IPAQ. Among individuals with COPD (n = 389), but not without COPD (n = 442), HGS was lower among those with CRF than those without CRF, significantly so among men (p = 0.001) and close to among women (p = 0.051). HGS was not associated with physical activity levels within any of the groups. HGS was associated with fatigue among men, but not women, with COPD independent of physical activity level, age, height, and smoking habits (Beta = 0.190, 95% CI 0.061-0.319, respectively Beta = 0.048, 95% CI-0.056-0.152), while there were no corresponding significant findings among individuals without COPD. In summary, HGS was associated with CRF among individuals with COPD in this population-based study. Among men with COPD, HGS was associated with fatigue independent of physical activity level and common confounders.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Physiotherapy Nursing
Research subject
Physiotherapy; Nursing
Identifiers
urn:nbn:se:ltu:diva-69970 (URN)10.1080/09593985.2018.1486490 (DOI)
Available from: 2018-06-28 Created: 2018-06-28 Last updated: 2019-08-23
Stridsman, C., Svensson, M., Johansson Strandkvist, V., Hedman, L., Backman, H. & Lindberg, A. (2018). The COPD Assessment Test (CAT) can screen for fatigue among patients with COPD. Therapeutic advances in respiratory disease, 12, Article ID 1753466618787380.
Open this publication in new window or tab >>The COPD Assessment Test (CAT) can screen for fatigue among patients with COPD
Show others...
2018 (English)In: Therapeutic advances in respiratory disease, ISSN 1753-4658, Vol. 12, article id 1753466618787380Article in journal (Refereed) Published
Abstract [en]

Background:

Fatigue is one of the most common symptoms among subjects with chronic obstructive pulmonary disease (COPD), but is rarely identified in clinical practice. The aim of this study was to evaluate the association between fatigue and health-related quality of life (HRQoL) assessed with clinically useful instruments, both among subjects with and without COPD. Further, to investigate the association between fatigue and the COPD Assessment Test (CAT)-energy question.

Methods:

Data were collected in 2014 within the population-based OLIN COPD study. Subjects with (n = 367) and without (n = 428) COPD participated in clinical examinations including spirometry and completed questionnaires about fatigue (FACIT-Fatigue, clinically relevant fatigue ⩽43), and HRQoL (EQ-5D-VAS, lower score = worse health; CAT, lower score = fewer symptoms/better health).

Results:

Subjects with clinically relevant fatigue had worse HRQoL measured with EQ-5D-VAS, regardless of having COPD or not. Decreasing EQ-5D-VAS scores, any respiratory symptoms and anxiety/depression were associated with clinically relevant fatigue also when adjusted for confounders. Among subjects with COPD, clinically relevant fatigue was associated with increasing total CAT score, and CAT score ⩾10. The proportion of subjects with clinically relevant fatigue increased significantly, with a higher score on the CAT-energy question, and nearly 50% of those with a score of 2, and 70% of those with a score of ⩾3, had clinically relevant fatigue.

Conclusions:

Fatigue was associated with respiratory symptoms, anxiety/depression and worse HRQoL when using the clinically useful instruments EQ-5D-VAS and CAT. The CAT-energy question can be used to screen for fatigue in clinical practice, using a cut-off of ⩾2.

Place, publisher, year, edition, pages
SAGE Open, 2018
National Category
Nursing Physiotherapy
Research subject
Nursing; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-70212 (URN)10.1177/1753466618787380 (DOI)000455407900001 ()30035671 (PubMedID)2-s2.0-85054592561 (Scopus ID)
Note

Validerad;2018;Nivå 2;2018-08-06 (andbra)

Available from: 2018-08-06 Created: 2018-08-06 Last updated: 2020-01-23Bibliographically approved
Backman, H., Hedman, L., Stridsman, C., Jansson, S.-A., Lindberg, A., Lundbäck, B. & Rönmark, E. (2017). A population-based cohort of adults with asthma: mortality and participation in a long-term follow-up. European Clinical Respiratory Journal, 4(1), Article ID 1334508.
Open this publication in new window or tab >>A population-based cohort of adults with asthma: mortality and participation in a long-term follow-up
Show others...
2017 (English)In: European Clinical Respiratory Journal, ISSN 2001-8525, Vol. 4, no 1, article id 1334508Article in journal (Refereed) Published
Abstract [en]

Background and objective: Asthma is a major public health concern. The aim of this study was to characterize a large population-based cohort of adults with asthma, and to study factors associated with all-cause mortality and non-participation in a long-term follow-up. Design: Random and stratified samples from five population-based cohorts were clinically examined during 1986-2001, and all subjects with asthma were included in the study (n = 2055, age 19-72 years, 55% women). Independent associations between different risk factors and (i) mortality and (ii) non-participation in a clinical follow-up in 2012-2014 were estimated. Results: In 1986-2001, 95% reported any wheeze and/or attacks of shortness of breath in the past 12 months, and/or asthma medication use. Over the up to 28 years of follow-up time, the cumulative mortality was 22.7%. Male gender, current smoking, and lower forced expiratory volume in 1 sec of predicted (FEV1% of predicted) were independent risk factors for mortality, while obesity was associated with non-participation in the follow-up. Older ages, ischemic heart disease, and low socioeconomic status were associated with both mortality and non-participation. Conclusions: The risk factors associated with mortality in this adult population-based asthma cohort were similar to those commonly identified in general population samples, i.e. male gender, current smoking, and lower FEV1% of predicted, while obesity was associated with non-participation in a long-term follow-up. Ischemic heart disease, low socioeconomic status, and older ages were associated with both mortality and non-participation.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-65110 (URN)10.1080/20018525.2017.1334508 (DOI)000403663400001 ()28680543 (PubMedID)
Note

Validerad; 2017; Nivå 2; 2017-08-15 (andbra)

Available from: 2017-08-15 Created: 2017-08-15 Last updated: 2020-01-23Bibliographically approved
Stridsman, C., Backman, H., Eklund, B.-M., Rönmark, E. & Hedman, L. (2017). Adolescent girls with asthma have worse asthma control and health-related quality of life than boys: A population based study. Pediatric Pulmonology, 52(7), 866-872
Open this publication in new window or tab >>Adolescent girls with asthma have worse asthma control and health-related quality of life than boys: A population based study
Show others...
2017 (English)In: Pediatric Pulmonology, ISSN 8755-6863, E-ISSN 1099-0496, Vol. 52, no 7, p. 866-872Article in journal (Refereed) Published
Abstract [en]

Background

Population-based studies investigating health-related quality of life (HRQoL) among asthmatic adolescents are rare. Further, among subjects with asthma, HRQoL may be affected by asthma control and severity.

Aim

To investigate HRQoL in relation to asthma control and asthma severity among adolescents.

Method

As a part of the population-based OLIN pediatric study, 266 adolescents with current asthma (14-15 yr) were identified. N = 247 completed the DISABKIDS HRQoL asthma module, including the domains impact and worry. The Asthma Control Test (ACT) was used and a disease severity score was calculated based on symptoms and medicine use.

Results

The prevalence of current asthma was 11%. Well-controlled asthma was reported by 15% of the adolescents, and 53% had partly controlled asthma. The prevalence of uncontrolled asthma was significantly higher among girls than boys (38% vs 25%), and girls also reported lower HRQoL scores. There was a fairly strong correlation between the ACT and DISABKIDS scores. Independent risk factors for low HRQoL impact (a score <67) were female sex (OR 4.66, 95%CI 1.82-9.54) and decreased ACT scores (1.38, 1.18-1.62). Risk factors for low HRQoL worry (a score <70) were female sex (3.33, 1.41-7.86), decreased ACT scores (1.35, 1.16-1.57), severe asthma (6.23, 1.46-16.50), and having current eczema (2.68, 1.00-7.24).

Conclusion

Only a minority of the asthmatic adolescents reported well-controlled asthma, and poor asthma control and female sex were risk factors for low HRQoL. Our results demonstrate that evaluation of asthma control is of great importance for asthma management.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2017
National Category
Nursing Other Health Sciences
Research subject
Nursing; Health Science
Identifiers
urn:nbn:se:ltu:diva-63171 (URN)10.1002/ppul.23723 (DOI)000403325700004 ()28444980 (PubMedID)2-s2.0-85018346286 (Scopus ID)
Note

Validerad;2017;Nivå 2;2017-06-14 (rokbeg)

Available from: 2017-04-27 Created: 2017-04-27 Last updated: 2020-01-23Bibliographically approved
Stridsman, C., Dahlberg, E., Zandrén, K. & Hedman, L. (2017). Asthma in adolescence affects daily life and school attendance: Two cross-sectional population-based studies 10 years apart. Nursing Open, 4(3), 143-148
Open this publication in new window or tab >>Asthma in adolescence affects daily life and school attendance: Two cross-sectional population-based studies 10 years apart
2017 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 4, no 3, p. 143-148Article in journal (Refereed) Published
Abstract [en]

Aim

The aim of this study was to study the impact of asthma on daily life, school absenteeism and physical education. In addition, to describe asthma triggers at school.

Design

Two cross-sectional population-based studies ten years apart.

Method

Within the OLIN-studies, in 2003 (= 3,327) and in 2013 (= 2,345) adolescents (14–15 years) answered an expanded ISAAC questionnaire. Of these, 8% and 11%, respectively with current asthma participated in this study.

Results

Between the years 2003–2013, the proportion of adolescents reporting that asthma interfered with daily life had increased, in 2013, girls were significantly more affected than boys. The proportion reporting a worsening of asthma at school had decreased, but it was still over a quarter. The proportion of absenteeism from school and from physical education was at the same level both years. Asthma triggers were described to be poor air quality, poorly cleaned environment, allergens, strong fragrance, rebuilding projects, physical education and stress.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-62371 (URN)10.1002/nop2.77 (DOI)000405085600004 ()28694978 (PubMedID)
Note

Validerad;2017;Nivå 2;2017-08-16 (inah)

Available from: 2017-03-09 Created: 2017-03-09 Last updated: 2020-01-23Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6622-3838

Search in DiVA

Show all publications