118 results on '"Van Remoortel, Hans"'
Search Results
102. Physical Activity Counseling And Long-Term Effects Of Pulmonary Rehabilitation
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Burtin, Chris, primary, Langer, Daniel, additional, Van Remoortel, Hans, additional, Gosselink, Rik, additional, Decramer, Marc, additional, Janssens, Wim, additional, and Troosters, Thierry, additional
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- 2012
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103. Vitamin D Supplementation During Rehabilitation In Patients With Chronic Obstructive Pulmonary Disease: An Intervention Study
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Hornikx, Miek, primary, Lehouck, An, additional, Carremans, Claudia, additional, Mathieu, Claudia, additional, Muylaert, Ilse, additional, Barbier, Veronica, additional, Coosemans, Iris, additional, Van Remoortel, Hans, additional, Decramer, Marc, additional, Troosters, Thierry, additional, and Janssens, W., additional
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- 2011
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104. Seasonal Variation Of The Impact Of Pulmonary Rehabilitation On Daily Physical Activity In COPD
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Burtin, Chris, primary, Langer, Daniel, additional, Van Remoortel, Hans, additional, Pitta, Fabio, additional, Gosselink, Rik, additional, Janssens, W., additional, Decramer, Marc, additional, and Troosters, Thierry, additional
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- 2011
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105. The Impact Of Mild COPD On Daily Physical Activity In Patients With Overweight
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Van Remoortel, Hans, primary, Hornikx, Miek, additional, Saucedo Marquez, Cinthia M., additional, Avila, Andrea, additional, Burtin, Chris, additional, Langer, Daniel, additional, Gosselink, Rik, additional, Decramer, Marc, additional, Janssens, W., additional, and Troosters, Thierry, additional
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- 2011
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106. Relationship Between Amount And Intensity Of Physical Activity In Daily Life And Exercise Tolerance In COPD
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Burtin, Chris, primary, Van Remoortel, Hans, additional, Langer, Daniel, additional, Gosselink, Rik, additional, Decramer, Marc, additional, and Troosters, Thierry, additional
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- 2010
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107. Evidence-based first aid and prevention guidelines for laypeople in India.
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De Buck, Emmy, Van Remoortel, Hans, Geuvens, Hugo, Veegaete, Axel Vande, Singhal, Maneesh, Vandekerckhove, Philippe, and Agarwal, Satya Paul
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DIARRHEA , *THERAPEUTICS , *FIRST aid in illness & injury , *HEALTH education , *INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL information storage & retrieval systems , *MEDICAL protocols , *MEDLINE , *ONLINE information services , *RED Cross & Red Crescent , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *PROFESSIONAL practice , *PSYCHOLOGY ,RESPIRATORY infection treatment - Abstract
Background: Training first medical responders is considered an extremely cost-effective intervention for frequently occurring diseases and injuries in low and middle-income countries. Aims & Objectives: The Belgian Red Cross-Flanders together with the Indian Red Cross Society, aimed to develop evidence-based guidelines to train lay people on how to manage and prevent emergency situations in India. Methods: Evidence-based guidelines were developed adhering to the principles of AGREE II. The reporting of the systematic literature reviews was done according to the PRISMA statements. We identified evidence on the effectiveness of various first aid and preventive procedures from Indian studies and on alternative interventions that have been used by Indian laypeople. The quality of the scientific evidence was determined using the GRADE methodology. Values and preferences from the target group were collected and inputs from a multidisciplinary panel of 12 Indian experts were taken. Result: After developing 77 specific search strategies in PubMed, 10055 references were screened and 90 relevant studies were included as a basis for the recommendations in the guidelines. Examples of effective interventions include rice water for diarrhoea, and gargling to prevent respiratory infections. Conclusion: Evidence-based first aid and prevention guidelines for Indian laypeople were developed. These guidelines will increase the capacity of the Indian Red Cross Society in providing appropriate first aid training and first aid information to the public, and in delivering first aid assistance in case of disasters, disease outbreaks, emergencies, and road accidents in India. [ABSTRACT FROM AUTHOR]
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- 2015
108. Fysieke (in)activiteit bij patiënten met chronisch obstructief longlijden.
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Troosters, Thierry, Burtin, Chris, Van Remoortel, Hans, Langer, Daniel, and Gosselink, Rik
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- 2011
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109. RISK FACTORS AND COMORBIDITIES IN THE PRE-CLINICAL STAGES OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE.
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Van Remoortel, Hans, Hornikx, Miek, Langer, Daniel, Burtin, Chris, Everaerts, Stephanie, Verhamme, Peter, Boonen, Steven, Gosselink, Rik, Decramer, Marc, Troosters, Thierry, and Janssens, Wim
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- 2014
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110. The effect of a standard whole blood donation on oxygen uptake and exercise capacity: a systematic review and meta-analysis.
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Van Remoortel, H., De Buck, E., Van Remoortel, Hans, De Buck, Emmy, Compernolle, Veerle, Deldicque, Louise, and Vandekerckhove, Philippe
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DIRECTED blood donations ,AEROBIC capacity ,PHYSICAL training & conditioning ,ERYTHROCYTES ,BLOOD donors ,EXERCISE ,HEMATOCRIT ,HEMOGLOBINS ,META-analysis ,PHYSICAL fitness ,HEALTH self-care ,SELF-evaluation ,TIME ,OXYGEN consumption ,FERRANS & Powers Quality of Life Index ,IMPACT of Event Scale - Abstract
Background: Blood is a life-saving product for many people worldwide. Voluntary blood donation serves the demand for blood but there are concerns among potential donors about the impact of blood loss on exercise performance. This systematic review aimed to collect the best available evidence of the effect of a standard whole blood donation on aerobic exercise performance.Study Design and Methods: Studies from six databases dealing with a standard whole blood donation (400-500 mL) followed by (sub)maximal exercise were retained. The outcomes included exercise-related blood variables (hemoglobin [Hb] concentration, hematocrit, and red blood cell count) and endurance exercise variables ((sub)maximal oxygen uptake, peak work rate, and time to exhaustion). Overall effects at different time points postdonation were investigated by performing meta-analyses and calculating mean differences (and 95% confidence intervals). The GRADE methodology (Grades of Recommendation, Assessment, Development, and Evaluation) was used to assess the quality of evidence.Results: We identified 6237 references and finally included 18 before-after studies of low quality. Twenty-four to 48 hours after a blood donation, 1) Hb concentration was reduced (7% decrease) until 14 days after the blood donation (4% decrease), 2) maximal oxygen uptake (VO2max ) was lower (7% decrease), and 3) a reduction in maximal exercise capacity (10% decrease) was present.Conclusion: The best available evidence indicates that a standard whole blood donation (400-500 mL) leads to small but potentially physiologically important reductions in Hb levels, VO2max , and maximal exercise capacity in the first 2 days after the blood donation. [ABSTRACT FROM AUTHOR]- Published
- 2017
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111. High-Intensity Training for 6 Months Safely, but Only Temporarily, Improves Exercise Capacity in Selected Solid Organ Transplant Recipients.
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Cappelle, Marie, Masschelein, Evi, Vos, Robin, Van Remoortel, Hans, Smets, Sven, Vanbekbergen, Jonas, Verreydt, Joris, Troosters, Thierry, Goetschalckx, Kaatje, Gosselink, Rik, and Monbaliu, Diethard
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AEROBIC capacity , *TRANSPLANTATION of organs, tissues, etc. , *BODY mass index , *PHYSICAL mobility , *QUALITY of life - Abstract
• Physical fitness only slowly/incompletely recovers after transplantation. • High-intensity training (HIT) restores physical fitness (general population). • Data on HIT among different types of transplantation are lacking. • A 6-month, cycling-based HIT program for different transplant types was developed. • Cardiorespiratory fitness was temporarily improved in all transplant types post-HIT. Organ transplantation is a life-saving intervention that improves quality of life of patients with irreversible organ failure. Although exercise training immediately after transplantation has been suggested to be beneficial, such interventions remain rare in stable transplant recipients, whereas effects of high-intensity training (HIT) are even less frequently investigated. Moreover, sustainability of such interventions has not yet been reported. We investigated the effects of a 6-month, cycling-based HIT program on physical performance in long-term stable solid organ transplant (SOT) recipients, with follow-up evaluation after 6 months. Forty-two adult, stable, and selected SOT recipients participated in a 6-month individualized home- and group-based HIT program. Exercise capacity (VO 2 max), maximal power (Wmax), and body mass index were measured before, at the end, and 6 months after completion of the intervention. The study comprised 12 heart, 7 lung, 8 liver, and 15 kidney recipients (mean age, 41.4 ± 11.1 years; median time posttransplant, 3.4 [1.7-8.0] years). For 6 months, VO 2 max increased in the heart, lung, and kidney groups, Wmax increased in the heart group, and body mass index decreased in the liver group. Six months after the HIT program, the achieved gain in exercise capacity had disappeared in all groups. Despite voluntary participation selection bias, our observations indicate that HIT is safe and may result in a beneficial effect on physical performance in selected, stable SOT recipients. However, there was no sustained beneficial effect once training stopped. Larger scale and longer term studies are still required to investigate longevity of improvement and overall beneficial effects on clinical outcomes. [ABSTRACT FROM AUTHOR]
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- 2021
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112. Mass gathering events: a retrospective analysis of the triage categories, type of injury or medical complaint and medical usage rates
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Hans Van Remoortel, Hans Scheers, Karen Lauwers, Johan Gillebeert, Stijn Stroobants, Pascal Vranckx, Emmy De Buck, Philippe Vandekerckhove, Van Remoortel, Hans, Scheers, Hans, Lauwers, Karen, Gillebeert, Johan, De Buck, Emmy, VRANCKX, Pascal, STROOBANTS, Stijn, and Vandekerckhove, Philippe
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Emergency Medical Services ,Science & Technology ,Mass Gatherings ,General Medicine ,Critical Care and Intensive Care Medicine ,mass casualty incidents ,triage ,Emergency Medicine ,First Aid ,Humans ,Triage ,Life Sciences & Biomedicine ,Retrospective Studies - Abstract
BackgroundAdequate on-site first aid delivery at mass gatherings (MGs) is one of the cornerstones to ensure safe and healthy MGs. We investigated medical usage rates, frequency of triage categories and type of injury or medical complaint, among attendees at MGs in Belgium.MethodsWe analysed the Medical Triage and Registration Informatics System database, which includes prospectively collected person-level data regarding individuals visiting on-site posts at MGs in Belgium. MGs attended by >10 000 people and organised ≥5 times between 2009 and 2018 were included. We determined the proportion of patients in each triage category (‘first aid’ vs ‘medical condition’ vs ‘medical emergency’ vs ‘no treatment’) and each type of injury or medical complaint, and we calculated patient presentation rate (PPR) and transfer to hospital rate (TTHR).ResultsTwenty-eight MGs, totalling 194 events, were included involving 148 265 patient visits. ‘First aid’ was the most common triage category (80%, n=118 514). The need for a nurse/physician (‘medical condition’), and for the treatment of life-threatening conditions (‘medical emergency’) was rare (8.9%, n=13 052, and 0.6%, n=860, of all patient presentations, respectively), but remarkably higher during indoor electronic dance music (EDM) events (17.8% (n=26 391) and 4.0% (n=5930), of all patient presentations, respectively). ‘Skin wounds’ were the most common injury category (42.4%, n=62 275). ‘Respiratory problems’, ‘neurological problems’, ‘intoxication’, ‘heart complaints’ and ‘gastrointestinal complaints’ were more frequent during indoor (electronic) dance, whereas ‘burns’, ‘fracture/contusion’ and ‘skin wounds’ were higher during outdoor music, sports events and city festivals, respectively. PPR (per 10 000 attendees) was highest for outdoor EDM and outdoor music (median 130 (IQR 79) and 129 (IQR 104), respectively). TTHR (per 10 000 attendees) was highest for indoor EDM (median 4.4 (IQR 8.5)).ConclusionMedical usage rates, proportion of patients in triage and injury or medical complaint categories varied across different MG categories, suggesting opportunities for planning medical coverage at these events.
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- 2022
113. Engagement of stakeholders in the development of a Theory of Change for handwashing and sanitation behaviour change
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Emmy De Buck, Margaret Cargo, Thashlin Govender, Hans Van Remoortel, Axel Vande Veegaete, Taryn Young, Hans Joachim Mosler, Philippe Vandekerckhove, Karin Hannes, De Buck, Emmy, Hannes, Karin, Cargo, Margaret, Van Remoortel, Hans, Vande veegaete, Axel, Mosler, Hans-Joachim, Govender, Thashlin, Vandekerckhove, Philippe, and Young, Taryn
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Sanitation ,Health, Toxicology and Mutagenesis ,media_common.quotation_subject ,sanitation ,Health Behavior ,Stakeholder engagement ,Context (language use) ,handwashing ,010501 environmental sciences ,behaviour change ,01 natural sciences ,Stakeholder engagement, Theory of Change, handwashing, sanitation, behaviour change, low- and middle-income countries ,03 medical and health sciences ,0302 clinical medicine ,Hygiene ,Humans ,030212 general & internal medicine ,low- and middle-income countries ,0105 earth and related environmental sciences ,media_common ,business.industry ,stakeholder engagement ,Public Health, Environmental and Occupational Health ,Stakeholder ,General Medicine ,Theory of change ,Theory of Change (ToC) ,Public relations ,Pollution ,Work (electrical) ,Business ,Qualitative research ,Hand Disinfection - Abstract
A Theory of Change (ToC) is an approach to map programmes aimed at inducing change in a specific context, with the goal of increasing their impact. We applied this approach to the specific case of handwashing and sanitation practices in low- and middle-income countries and developed a ToC as part of a systematic review exercise. Different existing sources of information were used to inform the initial draft of the ToC. In addition, stakeholder involvement occurred and peer review took place. Our stakeholders included methodological (ToC/quantitative and qualitative research) and content experts (WASH (Water, Sanitation, Hygiene)/behaviour change), as well as end-users/practitioners, policy-makers and donors. In conclusion, the development of a ToC, and the involvement of stakeholders in its development, was critical in terms of understanding the context in which the promotional programmes are being implemented. We recommend ToC developers to work with stakeholders to create a ToC relevant for practice. ispartof: International Journal of Environmental Health Research vol:28 issue:1 pages:8-22 ispartof: location:England status: published
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- 2018
114. Cost Effectiveness of Different Platelet Preparation, Storage, Selection and Dosing Methods in Platelet Transfusion: A Systematic Review.
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Laermans J, Van Remoortel H, Scheers H, Avau B, Georgsen J, Nahirniak S, Shehata N, Stanworth SJ, De Buck E, Compernolle V, and Vandekerckhove P
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Background and Objective: Evidence-based guidelines on platelet transfusion therapy assist clinicians to optimize patient care, but currently do not take into account costs associated with different methods used during the preparation, storage, selection and dosing of platelets for transfusion. This systematic review aimed to summarize the available literature regarding the cost effectiveness (CE) of these methods., Methods: Eight databases and registries, as well as 58 grey literature sources, were searched up to 29 October 2021 for full economic evaluations comparing the CE of methods for preparation, storage, selection and dosing of allogeneic platelets intended for transfusion in adults. Incremental CE ratios, expressed as standardized cost (in 2022 EUR) per quality-adjusted life-year (QALY) or per health outcome, were synthesized narratively. Studies were critically appraised using the Philips checklist., Results: Fifteen full economic evaluations were identified. Eight investigated the costs and health consequences (transfusion-related events, bacterial and viral infections or illnesses) of pathogen reduction. The estimated incremental cost per QALY varied widely from EUR 259,614 to EUR 36,688,323. For other methods, such as pathogen testing/culturing, use of apheresis instead of whole blood-derived platelets, and storage in platelet additive solution, evidence was sparse. Overall, the quality and applicability of the included studies was limited., Conclusions: Our findings are of interest to decision makers who consider implementing pathogen reduction. For other preparation, storage, selection and dosing methods in platelet transfusion, CE remains unclear due to insufficient and outdated evaluations. Future high-quality research is needed to expand the evidence base and increase our confidence in the findings., (© 2023. The Author(s).)
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- 2023
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115. Cost-Effectiveness of Thrombopoietin Mimetics in Patients with Thrombocytopenia: A Systematic Review.
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Van Remoortel H, Scheers H, Avau B, Georgsen J, Nahirniak S, Shehata N, Stanworth SJ, De Buck E, Compernolle V, and Vandekerckhove P
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- Adult, Humans, Cost-Benefit Analysis, Hemorrhage, Quality-Adjusted Life Years, Thrombopoietin therapeutic use, Thrombocytopenia drug therapy
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Objectives: Thrombopoietin (TPO) mimetics are a potential alternative to platelet transfusion to minimize blood loss in patients with thrombocytopenia. This systematic review aimed to evaluate the cost-effectiveness of TPO mimetics, compared with not using TPO mimetics, in adult patients with thrombocytopenia., Methods: Eight databases and registries were searched for full economic evaluations (EEs) and randomized controlled trials (RCTs). Incremental cost-effectiveness ratios (ICERs) were synthesized as cost per quality-adjusted life year gained (QALY) or as cost per health outcome (e.g. bleeding event avoided). Included studies were critically appraised using the Philips reporting checklist., Results: Eighteen evaluations from nine different countries were included, evaluating the cost-effectiveness of TPO mimetics compared with no TPO, watch-and-rescue therapy, the standard of care, rituximab, splenectomy or platelet transfusion. ICERs varied from a dominant strategy (i.e. cost-saving and more effective), to an incremental cost per QALY/health outcome of EUR 25,000-50,000, EUR 75,000-750,000 and EUR > 1 million, to a dominated strategy (cost-increasing and less effective). Few evaluations (n = 2, 10%) addressed the four principal types of uncertainty (methodological, structural, heterogeneity and parameter). Parameter uncertainty was most frequently reported (80%), followed by heterogeneity (45%), structural uncertainty (43%) and methodological uncertainty (28%)., Conclusions: Cost-effectiveness of TPO mimetics in adult patients with thrombocytopenia ranged from a dominant strategy to a significant incremental cost per QALY/health outcome or a strategy that is clinically inferior and has increased costs. Future validation and tackling the uncertainty of these models with country-specific cost data and up-to-date efficacy and safety data are needed to increase the generalizability., (© 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
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- 2023
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116. Adverse events of iron and/or erythropoiesis-stimulating agent therapy in preoperatively anemic elective surgery patients: a systematic review.
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Laermans J, Van Remoortel H, Avau B, Bekkering G, Georgsen J, Manzini PM, Meybohm P, Ozier Y, De Buck E, Compernolle V, and Vandekerckhove P
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- Adult, Elective Surgical Procedures adverse effects, Erythropoiesis, Ferric Oxide, Saccharated therapeutic use, Humans, Anemia drug therapy, Anemia etiology, Hematinics adverse effects
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Background: Iron supplementation and erythropoiesis-stimulating agent (ESA) administration represent the hallmark therapies in preoperative anemia treatment, as reflected in a set of evidence-based treatment recommendations made during the 2018 International Consensus Conference on Patient Blood Management. However, little is known about the safety of these therapies. This systematic review investigated the occurrence of adverse events (AEs) during or after treatment with iron and/or ESAs., Methods: Five databases (The Cochrane Library, MEDLINE, Embase, Transfusion Evidence Library, Web of Science) and two trial registries (ClinicalTrials.gov, WHO ICTRP) were searched until 23 May 2022. Randomized controlled trials (RCTs), cohort, and case-control studies investigating any AE during or after iron and/or ESA administration in adult elective surgery patients with preoperative anemia were eligible for inclusion and judged using the Cochrane Risk of Bias tools. The GRADE approach was used to assess the overall certainty of evidence., Results: Data from 26 RCTs and 16 cohort studies involving a total of 6062 patients were extracted, on 6 treatment comparisons: (1) intravenous (IV) versus oral iron, (2) IV iron versus usual care/no iron, (3) IV ferric carboxymaltose versus IV iron sucrose, (4) ESA+iron versus control (placebo and/or iron, no treatment), (5) ESA+IV iron versus ESA+oral iron, and (6) ESA+IV iron versus ESA+IV iron (different ESA dosing regimens). Most AE data concerned mortality/survival (n=24 studies), thromboembolic (n=22), infectious (n=20), cardiovascular (n=19) and gastrointestinal (n=14) AEs. Very low certainty evidence was assigned to all but one outcome category. This uncertainty results from both the low quantity and quality of AE data due to the high risk of bias caused by limitations in the study design, data collection, and reporting., Conclusions: It remains unclear if ESA and/or iron therapy is associated with AEs in preoperatively anemic elective surgery patients. Future trial investigators should pay more attention to the systematic collection, measurement, documentation, and reporting of AE data., (© 2022. The Author(s).)
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- 2022
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117. Predicting medical usage rate at mass gathering events in Belgium: development and validation of a nonlinear multivariable regression model.
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Scheers H, Van Remoortel H, Lauwers K, Gillebeert J, Stroobants S, Vranckx P, De Buck E, and Vandekerckhove P
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- Belgium, Crowding, Humans, Mass Behavior, Mass Gatherings, Emergency Medical Services, Nonlinear Dynamics
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Background: Every year, volunteers of the Belgian Red Cross provide onsite medical care at more than 8000 mass gathering events and other manifestations. Today standardized planning tools for optimal preventive medical resource use during these events are lacking. This study aimed to develop and validate a prediction model of patient presentation rate (PPR) and transfer to hospital rate (TTHR) at mass gatherings in Belgium., Methods: More than 200,000 medical interventions from 2006 to 2018 were pooled in a database. We used a subset of 28 different mass gatherings (194 unique events) to develop a nonlinear prediction model. Using regression trees, we identified potential predictors for PPR and TTHR at these mass gatherings. The additional effect of ambient temperature was studied by linear regression analysis. Finally, we validated the prediction models using two other subsets of the database., Results: The regression tree for PPR consisted of 7 splits, with mass gathering category as the most important predictor variable. Other predictor variables were attendance, number of days, and age class. Ambient temperature was positively associated with PPR at outdoor events in summer. Calibration of the model revealed an R
2 of 0.68 (95% confidence interval 0.60-0.75). For TTHR, the most determining predictor variables were mass gathering category and predicted PPR (R2 = 0.48). External validation indicated limited predictive value for other events (R2 = 0.02 for PPR; R2 = 0.03 for TTHR)., Conclusions: Our nonlinear model performed well in predicting PPR at the events used to build the model on, but had poor predictive value for other mass gatherings. The mass gathering categories "outdoor music" and "sports event" warrant further splitting in subcategories, and variables such as attendance, temperature and resource deployment need to be better recorded in the future to optimize prediction of medical usage rates, and hence, of resources needed for onsite emergency medical care., (© 2022. The Author(s).)- Published
- 2022
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118. Lack of Cost-Effectiveness of Preoperative Erythropoiesis-Stimulating Agents and/or Iron Therapy in Anaemic, Elective Surgery Patients: A Systematic Review and Updated Analysis.
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Avau B, Van Remoortel H, Laermans J, Bekkering G, Fergusson D, Georgsen J, Manzini PM, Ozier Y, De Buck E, Compernolle V, and Vandekerckhove P
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- Cost-Benefit Analysis, Erythropoiesis, Humans, Iron, Quality-Adjusted Life Years, Hematinics therapeutic use
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Objectives: For anaemic elective surgery patients, current clinical practice guidelines weakly recommend the routine use of iron, but not erythrocyte-stimulating agents (ESAs), except for short-acting ESAs in major orthopaedic surgery. This recommendation is, however, not based on any cost-effectiveness studies. The aim of this research was to (1) systematically review the literature regarding cost effectiveness of preoperative iron and/or ESAs in anaemic, elective surgery patients and (2) update existing economic evaluations (EEs) with recent data., Methods: Eight databases and registries were searched for EEs and randomized controlled trials (RCTs) reporting cost-effectiveness data on November 11, 2020. Data were extracted, narratively synthesized and critically appraised using the Philips reporting checklist. Pre-existing full EEs were updated with effectiveness data from a recent systematic review and current cost data. Incremental cost-effectiveness ratios were expressed as cost per (quality-adjusted) life-year [(QA)LY] gained., Results: Only five studies (4 EEs and 1 RCT) were included, one on intravenous iron and four on ESAs + oral iron. The EE on intravenous iron only had an in-hospital time horizon. Therefore, cost effectiveness of preoperative iron remains uncertain. The three EEs on ESAs had a lifetime time horizon, but reported cost per (QA)LY gained of 20-65 million (GBP or CAD). Updating these analyses with current data confirmed ESAs to have a cost per (QA)LY gained of 3.5-120 million (GBP or CAD)., Conclusions: Cost effectiveness of preoperative iron is unproven, whereas routine preoperative ESA therapy cannot be considered cost effective in elective surgery, based on the limited available data. Future guidelines should reflect these findings., (© 2021. The Author(s).)
- Published
- 2021
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