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Leo Swenne, ChristineORCID iD iconorcid.org/0000-0001-8109-179x
Publications (10 of 43) Show all publications
Christiansen, M., Normark, L. & Leo Swenne, C. (2023). Hur AI-verktyget ChatGPT klarar en hemtentamen i palliativ vård. Högre Utbildning, 13(2), 56-62
Open this publication in new window or tab >>Hur AI-verktyget ChatGPT klarar en hemtentamen i palliativ vård
2023 (Swedish)In: Högre Utbildning, E-ISSN 2000-7558, Vol. 13, no 2, p. 56-62Article in journal (Other academic) Published
Abstract [sv]

Dataprogrammet ChatGPT är en bott som utför automatiska uppgifter. Denna chattbott skapade rubriker under hösten på grund av dess förmåga att med artificiell intelligens (AI) skapa svar på riktade frågor och texter utifrån ett beskrivet syfte. I slutet av december 2022 lades 16 frågor från en hemtentamen i palliativ vård vid sjuksköterskeprogrammet in i AI-botten för att få dem besvarade och testa bottens förmåga att besvara frågorna korrekt. Vi ville även testa om man kunde se någon skillnad på svaren i rättningsmallen och på studenternas svar och på de svar som genererats från AI-botten. En bedömning av bottens svar visade på att den hade klarat examinationen. Somliga svar var mycket bra och resonerande till sin natur, något gav reducerade poäng pga. bristande innehåll och ett par svar felaktiga. Ett svar stack ut då det var på engelska. Svaren hade ibland smärre grammatiska fel, men var främst betydligt längre och bättre strukturerade än studerandes. Möjligheten att upptäcka försök till vilseledande i examination hade varit svårt. Det finns skillnad i svarens diskurs, där svaren från botten har en mer amerikansk stil i sin formulering.

Abstract [en]

The ChatGPT computer program is a bot that performs automatic tasks. This chatbot made headlines during the fall due to its ability to use Artificial Intelligence (AI) to create answers to targeted questions and texts based on a described purpose. At the end of December 2022, 16 questions from a home exam in palliative care at the nursing program were put into the AI bot to get them answered and test its ability to answer the questions correctly but also an assessment of whether the answers could be detected. An evaluation of the bot’s answers showed it had passed the examination. Some answers were excellent and reasoned, some gave reduced points due to lack of content, and some were incorrect. One answer stood out as it was in English. The answers sometimes had minor grammatical errors but were significantly more prolonged and better structured than the students’ answers. The possibility of detecting attempts at deception in the examination had been difficult. There is a difference in discourse in the answers, with the answers from the bot having a more American style.

Place, publisher, year, edition, pages
Oslo: Cappelen Damm Akademisk, 2023
Keywords
examination, nursing education, assessment, sjuksköterskeutbildning, examination, bedömning
National Category
Pedagogy Nursing
Research subject
Education; Caring Sciences
Identifiers
urn:nbn:se:uu:diva-503739 (URN)10.23865/hu.v13.5331 (DOI)
Available from: 2023-06-21 Created: 2023-06-21 Last updated: 2023-06-22Bibliographically approved
Falk-Brynhildsen, K., Raepsaet, C., Wistrand, C., Baath, C., Leo Swenne, C., Gifford, M., . . . Beeckman, D. (2023). Swedish translation, cultural adaptation and psychometric evaluation of the pressure ulcer knowledge assessment tool for use in the operating room. International Wound Journal, 20(5), 1534-1543
Open this publication in new window or tab >>Swedish translation, cultural adaptation and psychometric evaluation of the pressure ulcer knowledge assessment tool for use in the operating room
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2023 (English)In: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 20, no 5, p. 1534-1543Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to psychometrically evaluate the Swedish operating room version of PUKAT 2.0. In total, 284 Swedish operating room nurses completed the survey of whom 50 completed the retest. The item difficulty P-value of 14 items ranged between 0.38 and 0.96 (median 0.65). Three items were found to be too easy (0.90-0.96). The D-value of 14 items ranged between 0.00 and 0.42 (median 0.46). Three items had a D-value lower than 0.20 (0.11-0.16) and eight items scored higher than 0.40 (0.45-0.61). The quality of the response alternatives (a-value) ranged between 0.00 and 0.42. This showed that nurses with a master's degree had a higher knowledge than nurses with a professional degree (respectively 9.4/14 versus 8.6/14; t = -2.4, df = 199, P = 0.02). The ICC was 0.65 (95% CI 0.45-0.78). The ICCs for the domains varied from 0.12 (95% CI = -0.16-0.39) to 0.59 (95% CI = 0.38-0.75). Results indicated that 11 of the original items contributed to the overall validity. However, the low participation in the test-retest made the reliability of the instrument low. An extended evaluation with a larger sample should be considered in order to confirm aspects of the psychometric properties of this instrument.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
knowledge, operating room nurse, pressure ulcer, psychometric evaluation, PUKAT2, 0
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-501897 (URN)10.1111/iwj.14008 (DOI)000877217900001 ()36318882 (PubMedID)
Available from: 2023-05-16 Created: 2023-05-16 Last updated: 2023-05-16Bibliographically approved
Pålsson, Y., Engström, M., Leo Swenne, C. & Mårtensson, G. (2022). A peer learning intervention in workplace introduction - managers’ and new graduates’ perspectives. BMC Nursing, 21, Article ID 12.
Open this publication in new window or tab >>A peer learning intervention in workplace introduction - managers’ and new graduates’ perspectives
2022 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, article id 12Article in journal (Refereed) Published
Abstract [en]

Background: Evaluation of a complex intervention are often described as being diminished by difficulties regarding acceptability, compliance, delivery of the intervention, recruitment and retention. Research of peer learning for nursing students have found several positive benefits while studies of peer learning for newly graduated nurses are lacking. This study aimed (1) to investigate the study process in terms of (a) first-line managers' perspectives on the intervention study, the difficulties they face and how they handle these and (b) new graduates' fidelity to the intervention and (2) to examine the effect of the peer learning intervention in workplace introduction for newly graduated nurses.

Methods: A mixed-methods approach using semi-structured interviews with eight managers, repeated checklist for fidelity and questionnaires conducted with 35 new graduates from June 2015 and January 2018, whereof 21 in the intervention group. The peer learning intervention's central elements included pairs of new graduates starting their workplace introduction at the same time, working the same shift and sharing responsibility for a group of patients for 3 weeks. The intervention also included 3 months of regular peer reflection.

Results: Managers offered mostly positive descriptions of using peer learning during workplace introduction. The intervention fidelity was generally good. Because of recruitment problems and thereby small sample size, it was difficult to draw conclusions about peer learning effects and, thus, the study hypothesis could either be accepted or rejected. Thereby, the study should be regarded as a pilot.

Conclusions: The present study found positive experiences of, from managers, and fidelity to the peer learning intervention; regarding the experimental design, there were lessons learned.

Place, publisher, year, edition, pages
BioMed Central (BMC)BMC, 2022
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-398695 (URN)10.1186/s12912-021-00791-0 (DOI)000738633200001 ()34983518 (PubMedID)
Note

Title in dissertation list of papers: A PEER LEARNING INTERVENTION IN WORKPLACE INTRODUCTION - FIRST-LINE MANAGERS’ AND NEWLY GRADUATED NURSES’ PERSPECTIVES: A MIXED-METHODS STUDY GUIDED BY THE MEDICAL RESEARCH COUNCIL FRAMEWORK.

Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2024-01-15Bibliographically approved
Enö Persson, J., Leo Swenne, C., von Essen, L., Bohman, B., Rasmussen, F. & Ghaderi, A. (2022). Experiences of nurses and coordinators in a childhood obesity prevention trial based on motivational interviewing within Swedish child health services. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2096123.
Open this publication in new window or tab >>Experiences of nurses and coordinators in a childhood obesity prevention trial based on motivational interviewing within Swedish child health services
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2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2096123Article in journal (Refereed) Published
Abstract [en]

Purpose: To explore the experiences of nurses and coordinators in the PRIMROSE childhood obesity prevention trial, and to understand the factors that might help to improve the outcome of future primary prevention of obesity.

Methods: Using a qualitative approach, data were obtained by interviewing nine intervention nurses and three regional study coordinators. All participants were female. The interviews were transcribed and analysed using content analysis.

Results: Two themes emerged: The nurses experienced that it was rewarding to participate in the trial, but challenging to combine the intervention with regular work; and The study coordinators experienced that they were in a difficult position handling the conflicting needs of the research group and the nurses' commitment to usual child health care services. The importance of support, encouragement, briefer and simpler intervention, and adaptation of the training in motivational interviewing to the setting was emphasized. Stress and lack of time were major barriers to deliver the intervention as intended.

Conclusions: Although the PRIMROSE intervention was developed in collaboration with representatives from the child health services, and additional research funding was provided to compensate for time spent working with the trial, nurses experienced stress and time constraints.

Place, publisher, year, edition, pages
Taylor & Francistaylor, 2022
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pediatrics
Research subject
Pediatrics; Medical Science
Identifiers
urn:nbn:se:uu:diva-481067 (URN)10.1080/17482631.2022.2096123 (DOI)000825937700001 ()35838058 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-0226Forte, Swedish Research Council for Health, Working Life and Welfare, 2011-0413Swedish Research Council, K2006-27X-20069-01-3Swedish Research Council, K2012-69X-22058-01-3Stockholm County Council, 2006-0324Region UppsalaStockholm County Council, 0803-377Vårdal Foundation, B2007-006Afa Trygghetsförsäkringsaktiebolag, H-06:05/070001Diabetesfonden, TMA2006-004Region Sörmland
Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2024-01-15Bibliographically approved
Falk-Brynhildsen, K., Raepsaet, C., Wistrand, C., Leo Swenne, C., Gifford, M., Gunningberg, L., . . . Beeckman, D. (2022). The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR): A nationwide psychometric evaluation. JOURNAL OF TISSUE VIABILITY, 31(1), 46-51
Open this publication in new window or tab >>The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR): A nationwide psychometric evaluation
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2022 (English)In: JOURNAL OF TISSUE VIABILITY, ISSN 0965-206X, Vol. 31, no 1, p. 46-51Article in journal (Refereed) Published
Abstract [en]

Introduction: To assess operating room (OR) nurses' attitudes towards pressure ulcer prevention, the Attitude towards Pressure Ulcer Prevention (APuP) instrument was developed. Aim: The aim of this study was to psychometrically evaluate the Attitude towards Pressure Ulcer Prevention (APuP) instrument in a Swedish OR context. Materials and methods: A psychometric evaluation study was conducted, using a convenience sample, between February and August 2020. Validity (content, construct, discriminatory power) and reliability (stability and internal consistency) were evaluated. Results: The first survey (test) was completed by 284 Swedish OR nurses, of whom n = 50 (17.6%) completed the second survey (retest). A Principal Component Analysis was conducted for the 13-item instrument. The KMO value for this model was 0.62. Bartlett's test for sphericity was statistically significant (p 0.001). Five factors were identified which accounted for 56% of the variance in responses related to attitudes toward pressure ulcer prevention. The Cronbach's a for the instrument "attitude towards Pressure Ulcer Prevention" was 0.66. The intraclass correlation coefficient was 0.49 (95% CI = 0.25-0.67). Conclusion: This Swedish version of the APuP- OR is the first step in the development of an instrument to measure OR nurses' attitudes towards PU prevention in a Swedish OR context. The reliability of the instrument was low and the validity moderate. A larger sample and the revision or addition of items related to the context of the operating room should be considered in order to confirm aspects of the psychometric properties.

Place, publisher, year, edition, pages
ElsevierElsevier BV, 2022
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-469171 (URN)10.1016/j.jtv.2021.12.005 (DOI)000754396300007 ()34969580 (PubMedID)
Available from: 2022-03-07 Created: 2022-03-07 Last updated: 2024-01-15Bibliographically approved
Pålsson, Y., Mårtensson, G., Leo Swenne, C., Mogensen, E. & Engström, M. (2021). First-year nursing students’ collaboration using peer learning during clinical practice education: an observational study. Nurse Education in Practice, 50, Article ID 102946.
Open this publication in new window or tab >>First-year nursing students’ collaboration using peer learning during clinical practice education: an observational study
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2021 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 50, article id 102946Article in journal (Refereed) Published
Abstract [en]

The purpose of this observational study was to describe the collaboration between first-year nursing students using peer learning during their first clinical practice education. In earlier, predominantly interview studies, peer learning has been described as a model with several positive outcomes. However, no studies on how students act in collaboration in a real-life context have been found. The present study observed sixteen arbitrarily paired nursing students (eight pairs) on three to five occasions per pair, in total 164 h from September 2015 to March 2016. Repeated unstructured observations including informal conversations were used. Using qualitative content analysis, one theme 'Involuntary collaboration leads to growth in different competencies' emerged and three categories 'Practising nursing skills and abilities when working together', 'Establishing knowledge by helping each other to understand' and 'Sharing thoughts, feelings, and knowledge and put them into words'. In conclusion, nursing students using peer learning were observed practising several competencies, some of them not so easily elicited according to earlier research as organization, nursing leadership, teaching, and supervision.

Place, publisher, year, edition, pages
Elsevier, 2021
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-398692 (URN)10.1016/j.nepr.2020.102946 (DOI)000614932700018 ()33310510 (PubMedID)
Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2024-01-15Bibliographically approved
Blomgren, P.-O., Lytsy, B., Hjelm, K. & Swenne, C. L. (2021). Healthcare workers' perceptions and acceptance of an electronic reminder system for hand hygiene. Journal of Hospital Infection, 108, 197-204
Open this publication in new window or tab >>Healthcare workers' perceptions and acceptance of an electronic reminder system for hand hygiene
2021 (English)In: Journal of Hospital Infection, ISSN 0195-6701, E-ISSN 1532-2939, Vol. 108, p. 197-204Article in journal (Refereed) Published
Abstract [en]

Background:Healthcare-associated infections (HCAIs) have a large negative impact onmorbidity, mortality, and quality of life. Approximately 9% of all patients hospitalized inSweden suffer from HCAI. Hand hygiene plays a key role and is considered the single mostimportant measure to reduce HCAI. The hospital organization works actively to reduceHCAI. Implementing electronic systems to remind and/or notify healthcare workers raisesawareness of and adherence to hand hygiene. However, there is a paucity of studiesaddressing individuals’ perceptions of having such a system and how the organizationworks.

Aim:To investigate healthcare workers’ perceptions of infection prevention in thehealthcare organization and perceptions and acceptance of an electronic reminder systemthat encourages good hand hygiene.

Methods:Qualitative descriptive design with data collected in eight focus group inter-views including assistant nurses, nurses, and physicians (N¼38). Content analysis wasapplied and data were related to the Theory of Planned Behaviour.

Findings:Healthcare workers perceive lack of feedback from the hospital organizationand are positive towards an electronic reminder system to increase adherence to handhygiene. The electronic reminder system should not register data at an individual levelsince it could be used as an instrument for control by the management that could bestressful for staff.

Conclusion:In general, there is positive acceptance of the electronic reminder system,and the respondents perceived it as having the ability to change behaviour. However, theconcept has to be further developed to protect the individual’s integrity and needs to beused with feedback on a group level

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Cross-infection, Healthcare-associated infection, Perception, Reminder systems
National Category
Other Basic Medicine Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:uu:diva-429559 (URN)10.1016/j.jhin.2020.12.005 (DOI)000747809800025 ()33309939 (PubMedID)
Available from: 2021-01-04 Created: 2021-01-04 Last updated: 2024-01-15Bibliographically approved
Von Vogelsang, A.-C., Leo Swenne, C., Åkesdotter Gustafsson, B. & Falk Brynhildsen, K. (2020). Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: a discursive paper. Nursing Open, 7(2), 495-502
Open this publication in new window or tab >>Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: a discursive paper
2020 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 2, p. 495-502Article in journal, Editorial material (Other academic) Published
Abstract [en]

Aim

To discuss specialist operating theatre nurses' competence in relation to the general six core competencies and patient safety.

Design

A discursive analysis of legal statutes and scientific articles.

Methods

Swedish legal statutes and an overview of scientific articles on operating theatre nursing were deductively analysed and classified into healthcare providers' general six core competencies.

Results

All healthcare professionals should possess the general core competencies, regardless of their discipline. The specific content within these competencies differs between disciplines. The specialized operating theatre nurse is the only healthcare professional having the competence to be responsible for asepsis, instrumentation, infection and complication, control and management of biological specimens during the surgical procedure. Besides operating theatre nurses, no other healthcare profession has the formal education, competence or skills to perform operating theatre nursing care in the theatre during the surgical procedure. Operating theatre nurse competence is therefore indispensable to ensure patient safety during surgery.

Keywords
evidence-based practice, informatics, interdisciplinary health team, operating room nursing, patient safety, patient-centred care, quality improvement
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-401746 (URN)10.1002/nop2.424 (DOI)000498437600001 ()32089845 (PubMedID)
Available from: 2020-01-08 Created: 2020-01-08 Last updated: 2021-03-23Bibliographically approved
Randmaa, M., Engström, M., Mårtensson, G., Leo Swenne, C. & Högberg, H. (2019). Psychometric properties of an instrument measuring communication within and between the professional groups licensed practical nurses and registered nurses in anaesthetic clinics. BMC Health Services Research, 19(1), Article ID 950.
Open this publication in new window or tab >>Psychometric properties of an instrument measuring communication within and between the professional groups licensed practical nurses and registered nurses in anaesthetic clinics
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2019 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 19, no 1, article id 950Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The most common cause of clinical incidents and adverse events in relation to surgery is communication error. There is a shortage of studies on communication between registered nurses and licenced practical nurses as well as of instruments to measure their perception of communication within and between the professional groups. The aim of the present study was to evaluate the psychometric properties of the Swedish version of the adapted ICU Nurse-Physician Questionnaire, designed to also measure communication within and between two professional groups: licensed practical nurses and registered nurses. Specifically, the aim was to examine the instrument's construct validity using confirmatory factor analysis and its internal consistency using Cronbach's Alpha.

METHODS: A cross-sectional and correlational design was used. The setting was anaesthetic clinics in two Swedish hospitals. A total of 316 questionnaires were delivered during spring 2011, of which 195 were analysed to evaluate the psychometric properties of the questionnaire. Construct validity was assessed using confirmatory factor analysis and internal consistency using Cronbach's Alpha. To assess items with missing values, we conducted a sensitivity analysis of two sets of data, and to assess the assumption of normally distributed data, we used Bayesian estimation.

RESULTS: The results support the construct validity and internal consistency of the adapted ICU Nurse-Physician Questionnaire. Model fit indices for the confirmative factor analysis were acceptable, and estimated factor loadings were reasonable. There were no large differences between the estimated factor loadings when comparing the two samples, suggesting that items with missing values did not alter the findings. The estimated factor loadings from Bayesian estimation were very similar to the maximum likelihood results. This indicates that confirmative factor analysis using maximum likelihood produced reliable factor loadings. Regarding internal consistency, alpha values ranged from 0.72 to 0.82.

CONCLUSIONS: The tests of the adapted ICU Nurse-Physician Questionnaire indicate acceptable construct validity and internal consistency, both of which need to be further tested in new settings and samples.

TRIAL REGISTRATION: Current controlled trials http://www.controlled-trials.com Communication and patient safety in anaesthesia and intensive care. Does implementation of SBAR make any differences? Identifier: ISRCTN37251313, retrospectively registered (assigned 08/11/2012).

Keywords
Anaesthetic clinic, Communication, Confirmatory factor analysis, ICU nurse-physician questionnaire, Methodological, Psychometric, Validation
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-402188 (URN)10.1186/s12913-019-4805-7 (DOI)000506198900003 ()31823775 (PubMedID)
Available from: 2020-01-11 Created: 2020-01-11 Last updated: 2022-09-15Bibliographically approved
Pålsson, Y., Engström, M., Swenne, C. L. & Mårtensson, G. (2018). A peer learning intervention targeting newly graduated nurses: A feasibility study with a descriptive design based on the Medical Research Council framework. Journal of Advanced Nursing, 74(5), 1127-1138
Open this publication in new window or tab >>A peer learning intervention targeting newly graduated nurses: A feasibility study with a descriptive design based on the Medical Research Council framework
2018 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 74, no 5, p. 1127-1138Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of this study was to describe the feasibility of a peer learning intervention targeting newly graduated nurses. Feasibility was tested concerning consistency of the theoretical description of peer learning with empirical findings in a new context, compliance and acceptability, as well as usability of a questionnaire measuring the intended future outcome variables.

Background: Newly graduated nurses who meet, socialize and share experiences have described supporting each other's ability to cope with stress. Peer learning involves individuals in a similar situation learning from and with each other through interaction. When implementing new interventions, feasibility studies are used to minimize problems in future evaluation studies.

Design: Quasi‐experimental design with an intervention group, followed over time using descriptive methods. The study was based on the Medical Research Council framework.

Methods: Repeated semi‐structured interviews, a checklist for fidelity and a questionnaire were conducted with 10 newly graduated nurses from January to March 2015. The intervention's main component included pairs of newly graduated nurses working the same shift and having joint responsibility for a group of patients for a period of 3 weeks. The intervention also included 3 months of regular reflection by the pair.

Findings: Using deductive analysis, the peer learning intervention was found to be consistent with the theoretical description. Due to the compliance and acceptability, there were lessons learnt. The tested questionnaire was found to be useful.

Conclusions: This peer learning intervention seems to be feasible in this context. This study will serve as the basis for a future full‐scale evaluation study.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
acceptability, compliance, feasibility, intervention, newly graduated nurses, peer learning, process evaluation
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-342752 (URN)10.1111/jan.13513 (DOI)000430121900015 ()29193242 (PubMedID)
Available from: 2018-02-23 Created: 2018-02-23 Last updated: 2023-11-27Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8109-179x

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