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Andersson, E. K., Moraes, A. L., Marcinowicz, L., Stjernberg, L., Björling, G., Anderberg, P. & Bohman, D. (2023). Self-Reported eHealth literacy among nursing students in Sweden and Poland: The eNursEd cross-sectional multicentre study. Health Informatics Journal, 29(4)
Open this publication in new window or tab >>Self-Reported eHealth literacy among nursing students in Sweden and Poland: The eNursEd cross-sectional multicentre study
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2023 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 29, no 4Article in journal (Refereed) Published
Abstract [en]

This study aimed to provide an understanding of nursing students’ self-reported eHealth literacy in Sweden and Poland. This cross-sectional multicentre study collected data via a questionnaire in three universities in Sweden and Poland. Descriptive statistics, the Spearman’s Rank Correlation Coefficient, Mann–Whitney U, and Kruskal–Wallis tests were used to analyse different data types. Age (in the Polish sample), semester, perceived computer or laptop skills, and frequency of health-related Internet searches were associated with eHealth literacy. No gender differences were evidenced in regard to the eHealth literacy. Regarding attitudes about eHealth, students generally agreed on the importance of eHealth and technical aspects of their education. The importance of integrating eHealth literacy skills in the curricula and the need to encourage the improvement of these skills for both students and personnel are highlighted, as is the importance of identifying students with lacking computer skills. © The Author(s) 2023.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
Cross-sectional multicentre study, eHealth literacy, nursing education, nursing student, Cross-Sectional Studies, Health Literacy, Humans, Poland, Self Report, Students, Nursing, Surveys and Questionnaires, Sweden, Telemedicine, clinical trial, cross-sectional study, human, multicenter study, questionnaire
National Category
Nursing Learning
Identifiers
urn:nbn:se:bth-25681 (URN)10.1177/14604582231214588 (DOI)001106545500001 ()2-s2.0-85177169125 (Scopus ID)
Available from: 2023-12-04 Created: 2023-12-04 Last updated: 2023-12-08Bibliographically approved
Piculell, E., Skär, L., Sanmartin Berglund, J., Anderberg, P. & Bohman, D. (2021). A concept analysis of health communication in a home environment: Perspectives of older persons and their informal caregivers. Scandinavian Journal of Caring Sciences, 35(3), 1006-1024
Open this publication in new window or tab >>A concept analysis of health communication in a home environment: Perspectives of older persons and their informal caregivers
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2021 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 35, no 3, p. 1006-1024Article in journal (Refereed) Published
Abstract [en]

Background Health communication (HC) is a vast research field focusing on changing health behaviours, and rapidly evolving technology is creating different ways and possibilities to reach target groups and audiences. In the context of home care, a deeper understanding of HC is lacking, specifically for older persons with care needs and their informal caregivers. The aim of this concept analysis is to identify and construct the meaning of HC from the perspective of older persons in need of care in the home environment and their informal caregivers. Materials and methods This study utilised Rogers' (2000) Evolutionary Concept Analysis Method (EMCA) to create and construct a meaning of the concept of HC. The EMCA was based on a systematic literature review of scientific articles, using CINAHL, Pubmed and Inspec (2000-2017). A total of 29 articles were retrieved and analysed. Results The identified attributes of the concept were as follows: resources of the recipient, influence on decisions and advantages of tailored information. HC was described as both contributing to knowledge as well as being overwhelming where habits and resources influenced the use of information. The attributes led to the following descriptive definition of HC: 'Tailored HC, based on needs and resources of the recipient influence care decisions'. The home environment influenced HC by habits and interactions between older persons and their informal caregivers. Conclusions The home environment influenced HC in terms of social aspects of interactions and habits and between the older person and the informal caregiver. Tailored information with the use of technology contributed to knowledge in care of older persons and their informal caregivers. HC was shown to contribute to improve care for older people in their home environment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
health communication, home environment, informal caregivers, older persons, technology
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:bth-20783 (URN)10.1111/scs.12928 (DOI)000585679000001 ()33145836 (PubMedID)2-s2.0-85096724974 (Scopus ID)
Funder
EU, Horizon 2020, 643399
Note

Open access

Available from: 2020-11-27 Created: 2020-11-27 Last updated: 2023-02-16Bibliographically approved
Piculell, E., Skär, L., Sanmartin Berglund, J., Anderberg, P. & Bohman, D. (2021). Using a mobile application for health communication to facilitate a sense of coherence: experiences of older persons with cognitive impairment. International Journal of Environmental Research and Public Health, 18(21), Article ID 11332.
Open this publication in new window or tab >>Using a mobile application for health communication to facilitate a sense of coherence: experiences of older persons with cognitive impairment
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2021 (English)In: International Journal of Environmental Research and Public Health, Vol. 18, no 21, article id 11332Article in journal (Refereed) Published
Abstract [en]

The increasing use of technology by older persons and their preferences for living at home and being independent have created an avenue for self-care and care delivery using mobile technologies and health communication. This study aimed to explain how older persons with cognitive impairment experienced technology-based health communication through the use of a mobile application to facilitate a sense of coherence. Individual, semi-structured interviews with 16 participants in the SMART4MD project were conducted. The interviews were transcribed then coded deductively and thematically, creating themes that corresponded to the central components of the sense of coherence model: comprehensibility, manageability, and meaningfulness. The findings produced an overall theme: a challenging technology that can provide support, based on the three identified themes: making sense of mobile technologies, mastering mobile technologies, and the potential added value to use mobile technologies. The participants’ experiences were influenced by their previous use and expectations for the application. Personal support, cognitive and physical ability, and different sources for information impacted use. The participants experienced that using the application created an ambiguity to be challenging and have possible benefits. The study suggests that the sense of coherence model may be used as a method to understand the use of technology by older populations.

Place, publisher, year, edition, pages
MDPI, 2021
National Category
Other Health Sciences
Research subject
Applied Health Technology
Identifiers
urn:nbn:se:bth-21276 (URN)10.3390/ijerph182111332 (DOI)000722372700001 ()34769845 (PubMedID)2-s2.0-85118328185 (Scopus ID)
Funder
EU, Horizon 2020, 643399
Note

open access

SMART4MD project (The European Union, Horizon) Grant Number 643399

Available from: 2021-03-19 Created: 2021-03-19 Last updated: 2021-12-09Bibliographically approved
Anderberg, P., Björling, G., Stjernberg, L. & Bohman, D. (2019). Analyzing nursing students’ relation to electronic health and technology as individuals and students and in their future career (the ENURSED study): Protocol for a longitudinal study. Journal of Medical Internet Research, 21(10), Article ID e14643.
Open this publication in new window or tab >>Analyzing nursing students’ relation to electronic health and technology as individuals and students and in their future career (the ENURSED study): Protocol for a longitudinal study
2019 (English)In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 21, no 10, article id e14643Article in journal (Refereed) Published
Abstract [en]

Background: The nursing profession has undergone several changes in the past decades, and new challenges are to come in the future; patients are now cared for in their home, hospitals are more specialized, and primary care will have a key role. Health informatics is essential in all core competencies in nursing. From an educational perspective, it is of great importance that students are prepared for the new demands and needs of the patients. From a societal point of view, the society, health care included, is facing several challenges related to technological developments and digitization. Preparation for the next decade of nursing education and practice must be done, without the advantage of certainty. A training for not-yet-existing technologies where educators should not be limited by present practice paradigms is desirable. This study presents the design, method, and protocol for a study that investigates undergraduate nursing students’ internet use, knowledge about electronic health (eHealth), and attitudes to technology and how experiences of eHealth are handled during the education in a multicenter study. Objective: The primary aim of this research project is to describe the design of a longitudinal study and a qualitative substudy consisting of the following aspects that explore students’ knowledge about and relation to technology and eHealth: (1) what pre-existing knowledge and interest of this area the nursing students have and (2) how (and if) is it present in their education, (3) how do the students perceive this knowledge in their future career role, and (4) to what extent is the education capable of managing this knowledge? Methods: The study consists of two parts: a longitudinal study and a qualitative substudy. Students from the BSc in Nursing program from the Blekinge Institute of Technology, Karlskrona, Sweden, and from the Swedish Red Cross University College, Stockholm/Huddinge, Sweden, were included in this study. Results: The study is ongoing. Data analysis is currently underway, and the first results are expected to be published in 2019. Conclusions: This study presents the design of a longitudinal study and a qualitative substudy. The eHealth in Nursing Education eNursEd study will answer several important questions about nursing students’ attitudes toward and use of information and communications technology in their private life, their education, and their emerging profession. Knowledge from this study will be used to compare different nursing programs and students’ knowledge about and relation to technology and eHealth. Results will also be communicated back to nursing educators to improve the teaching of eHealth, health informatics, and technology. ©Peter Anderberg, Gunilla Björling, Louise Stjernberg, Doris Bohman.

Place, publisher, year, edition, pages
Journal of Medical Internet Research, 2019
Keywords
Digitization, EHealth, Internet, Nursing, Nursing student, adult, article, career, controlled study, data analysis, female, human, human experiment, longitudinal study, male, medical informatics, multicenter study, nursing education, Red Cross, Sweden, teaching, telehealth
National Category
Nursing
Identifiers
urn:nbn:se:bth-18816 (URN)10.2196/14643 (DOI)000494002200021 ()2-s2.0-85073196380 (Scopus ID)
Note

open access

Available from: 2019-10-31 Created: 2019-10-31 Last updated: 2024-01-17Bibliographically approved
Marcinowicz, L., Andersson, E. K., Bohman, D., Hjelm, M., Skarbalienė, A., Shpakou, A., . . . Jamiolkowski, J. (2019). Nursing students’ perception of the professional nurse's role in four European countries. International Nursing Review, 66(2), 250-258
Open this publication in new window or tab >>Nursing students’ perception of the professional nurse's role in four European countries
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2019 (English)In: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 66, no 2, p. 250-258Article in journal (Refereed) Published
Abstract [en]

Background: Understanding how nursing students in European countries perceive their future professional role is an important step in creating awareness of the diversity and similarities between countries. Investigating nursing students’ perceptions of their future profession could help in the design of education and the retention of nurses. Aim: To compare nursing students’ perceptions of the professional nurse's role between Belarus, Lithuania, Poland and Sweden. Method: A cross-sectional design was implemented. The study used two scales of the Professional Nursing Image Survey, which has questions about 10 skills and abilities and 14 functions and duties of a nurse. Results: A total of 392 final-year nursing students in four countries participated in the study. Statistically significant differences were found between countries in terms of all 10 skills and abilities and in the distribution of responses concerning functions and duties of a nurse. Conclusions: Nursing students in Belarus, Lithuania, Poland and Sweden perceive differently the role of a nurse in terms of some functions and responsibilities. This may influence the adaptation of nurses who enjoy freedom of movement among the countries. Implications for nursing policy: The knowledge gained in this study could be beneficial in improving nursing education, as it could illuminate the discrepancy between educational goals and students’ perceptions of their future professional role. © 2018 International Council of Nurses

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019
Keywords
Baccalaureate, Education, Nursing, Nursing Education, Nursing Roles, Quantitative Methods, Research, article, Belarus, controlled study, cross-sectional study, human, human experiment, Lithuania, nurse attitude, nursing role, nursing student, perception, Poland, quantitative analysis, responsibility, skill, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:bth-17284 (URN)10.1111/inr.12494 (DOI)000469269800014 ()2-s2.0-85055865709 (Scopus ID)
Available from: 2018-11-15 Created: 2018-11-15 Last updated: 2021-03-31Bibliographically approved
Lindberg, T., Wimo, A., Elmstahl, S., Qiu, C., Bohman, D. & Sanmartin Berglund, J. (2019). Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care. Gerontology and geriatric medicine, 5
Open this publication in new window or tab >>Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care
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2019 (English)In: Gerontology and geriatric medicine, E-ISSN 2333-7214, Vol. 5Article in journal (Refereed) Published
Abstract [en]

Aim: To study the prevalence and cumulative incidence of arrhythmias in the general population of adults aged 60 and older over a 6-year period. Study Design and Setting: Data were taken from the Swedish National Study on Aging and Care (SNAC), a national, longitudinal, multidisciplinary study of the general elderly population (defined as 60 years of age or older). A 12-lead resting electrocardiography (ECG) was performed at baseline and 6-year follow-up. Results: The baseline prevalence of atrial fibrillation (AF) was 4.9% (95% confidence interval [CI] = [4.5%, 5.5%]), and other arrhythmias including ventricular premature complexes (VPCs), supraventricular tachycardia (SVT), and supraventricular extrasystole (SVES) were seen in 8.4% (7.7%, 9.0%) of the population. A first- or second-degree atrioventricular (AV) block was found in 7.1% of the population (95% CI = [6.5%, 7.7%]), and there were no significant differences between men and women in baseline arrhythmia prevalence. The 6-year cumulative incidence of AF was 4.1% (95% CI = [3.5%, 4.9%]), or 6.9/1,000 person-years (py; 95% CI = [5.7, 8.0]). The incidence of AF, other arrhythmias, AV block, and pacemaker-induced rhythm was significantly higher in men in all cohorts except for the oldest. Conclusion: Our data highlight the prevalence and incidence of arrhythmias, which rapidly increase with advancing age in the general population.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS INC, 2019
Keywords
epidemiology, public health/public policy, cardiovascular diseases and risk, chronic diseases
National Category
Public Health, Global Health, Social Medicine and Epidemiology Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:bth-18598 (URN)10.1177/2333721419859687 (DOI)000475381100001 ()31276022 (PubMedID)
Note

open access

Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2023-06-02Bibliographically approved
Hoffman, J., Roos, V., Stols, A. & Bohman, D. (2018). Older people's user patterns of mobile phones in South Africa. In: W, Boot, G. Gutman, W. Kearns, J. Fozard, S. Leong (Ed.), Conference Issue. Abstracts of the 11th World Conference: . Paper presented at ISG’s 11th World Conference of Gerontechnology, St. Petersburg, Florida. International Society for Gerontechnology, 17
Open this publication in new window or tab >>Older people's user patterns of mobile phones in South Africa
2018 (English)In: Conference Issue. Abstracts of the 11th World Conference / [ed] W, Boot, G. Gutman, W. Kearns, J. Fozard, S. Leong, International Society for Gerontechnology , 2018, Vol. 17Conference paper, Published paper (Refereed)
Abstract [en]

Purpose Globally and in South Africa a growth in population ageing will consequently result in increasing care needs for older persons1. Given the deep penetration of mobile technology in developing countries (in Sub-Saharan Africa) it is expected to potentially play a more prominent role in social and health care provision2. The aim of this study is to explore older persons' user patterns and how intrdintergenerational relations manifest through the use of mobile phones in a South African context. Method A convergent parallel mixed methods design was employed3. Participants were representative of a broad range of different socio-economic levels based on the Living Standards Measure (LSM) scale. Quantitative data was collected by using a selfconstructed questionnaire (n=125), which was analysed using descriptive statistics and a chi- square test. Qualitative data were gathered by using semi-structured (n=23) and group interviews (n=10) as well as the Mmogo-methoda4, a visual data-collection method (n=19) and analysed thematically. Results & Discussion Findings indicated that the majority of older persons mainly use two functions of their mobile phones: to make and receive calls and sms' (texting) contact mostly in relation to their children and grandchildren. The limited knowledge and skill and in some instances negative attitude of older persons hamper full utilisation of their phones. Older persons across all LSM groups resort to other people to assist them, based on their assessment of the other person's knowledge, skill and attitude - constituting mobile use by older persons as an essentially intrdintergenerational project. Suitable interventions should include appropriate educational opportunities for all older persons, despite their level of knowledge and skills, but the importance of people who are perceived as competent is highly appraised by the older persons and interventions should also focus on this possibility. © 2018 International Society for Gerontechnology.

Place, publisher, year, edition, pages
International Society for Gerontechnology, 2018
Series
Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X
Keywords
Care, Intergenerational relationships, Mobile phone technology, Older persons, aged, cell phone use, chi square test, child, conference paper, female, grandchild, human, human experiment, information processing, interview, major clinical study, male, questionnaire, skill, South Africa, statistics, text messaging
National Category
Nursing
Identifiers
urn:nbn:se:bth-16134 (URN)10.4017/gt.2018.17.s.057.00 (DOI)2-s2.0-85045385671 (Scopus ID)
Conference
ISG’s 11th World Conference of Gerontechnology, St. Petersburg, Florida
Available from: 2018-04-27 Created: 2018-04-27 Last updated: 2018-04-27Bibliographically approved
Lindberg, T., Sanmartin Berglund, J., Elmståhl, S. & Bohman, D. (2017). Older individuals’ need for knowledge and follow-up about their chronic atrial fibrillation, lifelong medical treatment and medical controls. Scandinavian Journal of Caring Sciences, 31(4), 1022-1030
Open this publication in new window or tab >>Older individuals’ need for knowledge and follow-up about their chronic atrial fibrillation, lifelong medical treatment and medical controls
2017 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 1022-1030Article in journal (Refereed) Published
Abstract [en]

Older individuals with chronic atrial fibrillation (AF) often experience physical symptoms and feel psychologically unwell. In addition, these persons are prescribed lifelong medical treatment that requires regular monitoring. Through 11 individual interviews, this interpretive description study aimed to explore and describe lifelong medical treatment and the need for medical controls as experienced from the perspective of older individuals living with chronic AF. The interviews were performed during 2014–2015; furthermore, they were recorded, transcribed verbatim and analysed for thematic patterns using thematic analysis inspired by Braun and Clarke. Ethical standards were followed throughout the study. The findings revealed one main theme: ‘ambivalence in the need of knowledge’ showing that lifelong medical treatment and the need for medical controls, in general, meant experiencing feelings of ‘it doesn't matter, but it does matter’ and ‘being in the hands of the healthcare system’. The older persons lacked knowledge about their condition, which generated poor insight into their medical treatment and this in turn affected their daily life. They had thoughts and questions about their medication, but did not have an opportunity to ask the questions because of lack of follow-up from the healthcare system. The findings underscore the negative impact chronic AF has on older people's life and emphasises the need for follow-up and providing information from health care to these individuals. © 2017 Nordic College of Caring Science

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2017
Keywords
ageing, heart health, interpretive methods, lived experience, medication, older people, qualitative method
National Category
Nursing
Identifiers
urn:nbn:se:bth-15658 (URN)10.1111/scs.12427 (DOI)000416413000042 ()2-s2.0-85035333640 (Scopus ID)
Available from: 2017-12-14 Created: 2017-12-14 Last updated: 2023-06-02Bibliographically approved
Lindberg, T., Bohman, D. M., Elmstahl, S., Jogreus, C. & Berglund, J. S. (2016). Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG. Clinical Interventions in Aging, 11, 1083-1090
Open this publication in new window or tab >>Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG
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2016 (English)In: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 11, p. 1083-1090Article in journal (Refereed) Published
Abstract [en]

Purpose: With longer life expectancies, the prevalence of arrhythmias is increasing; thus, there is a need for new methods to screen the older outpatient population. This population-based study describes the prevalence of arrhythmias in 200 outpatients aged. 66 years. We also investigated the feasibility of wireless long-term recording (LTR) using the ECG-BodyKom (R). Methods: Two hundred elderly persons aged 66-93 years were recruited from the Swedish National Study on Aging and Care in 2010-2013, and data were collected via wireless LTR ECG-BodyKom. Results: Screening with the LTR ECG revealed that persistent atrial fibrillation (AF) occurred in 10% of the outpatient population aged. 66 years. Paroxysmal AF occurred in 5.5% of the population, with no difference between younger (60-80 years) and older (>80 years) elderly participants. Furthermore, all patients with paroxysmal AF had a CHA(2)DS(2)VASc score of >= 2 and were therefore potential candidates for follow-up and medical examination. LTR ECG-BodyKom can be considered a feasible method to screen for arrhythmias in older outpatient populations. This simple method requires little of the user, and there was high satisfaction with the equipment and a good overall experience wearing it. Conclusion: The increasing occurrence of arrhythmias in the older population, as well as the high number of untreated cases of arrhythmias such as persistent AF and paroxysmal AF, poses a challenge for health care. Therefore, it is essential to develop effective strategies for their prevention and treatment.

Keywords
arrhythmia, older people, prevalence, wireless long-term ECG
National Category
Geriatrics Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-13061 (URN)10.2147/CIA.S110532 (DOI)000381118600001 ()27570450 (PubMedID)
Available from: 2016-09-30 Created: 2016-09-30 Last updated: 2023-06-02Bibliographically approved
Hjelm, M., Holmgren, A.-C., Willman, A., Bohman, D. & Holst, G. (2015). Family members of older persons with multi-morbidity and their experiences of case managers in Sweden: an interpretive phenomenological approach. International Journal of Integrated Care, 15(Jan-Mar)
Open this publication in new window or tab >>Family members of older persons with multi-morbidity and their experiences of case managers in Sweden: an interpretive phenomenological approach
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2015 (English)In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 15, no Jan-MarArticle in journal (Refereed) Published
Abstract [en]

Background: Family members of older persons (75+) with multi-morbidity are likely to benefit from utilising case management services performed by case managers. However, research has not yet explored their experiences of case managers. Objectives: The aim of the study was to deepen the understanding of the importance of case managers to family members of older persons (75+) with multi-morbidity. Design: The study design was based on an interpretive phenomenological approach. Method: Data were collected through individual interviews with 16 family members in Sweden. The interviews were analysed by means of an interpretive phenomenological approach. Results: The findings revealed one overarching theme: “Helps to fulfil my unmet needs”, based on three sub-themes: (1) “Helps me feel secure – Experiencing a trusting relationship”, (2) “Confirms and strengthens me – Challenging my sense of being alone” and (3) “Being my personal guide – Increasing my competence”. Conclusion and discussion: The findings indicate that case managers were able to fulfil unmet needs of family members. The latter recognised the importance of case managers providing them with professional services tailored to their individual needs. The findings can contribute to the improvement of case management models not only for older persons but also for their family members.

Place, publisher, year, edition, pages
Igitur publishing, 2015
Keywords
case management, integrated care, family members, interpretive phenomenology, multi-morbidity, older persons
National Category
Nursing
Identifiers
urn:nbn:se:bth-6326 (URN)000352658200010 ()oai:bth.se:forskinfo937D754C744053A5C1257E22004A23E7 (Local ID)oai:bth.se:forskinfo937D754C744053A5C1257E22004A23E7 (Archive number)oai:bth.se:forskinfo937D754C744053A5C1257E22004A23E7 (OAI)
External cooperation:
Note

Open Access Journal

Available from: 2015-05-26 Created: 2015-04-09 Last updated: 2017-12-04Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5687-7894

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