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An Integrated Approach to Asthma Management

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References

  1. Boulet LP. Asthma education: what has been its impact? Can Respir J. 1998;5:91A–6A.

    PubMed  Google Scholar 

  2. Schuermans D, Hanon S, Wauters I, Verbanck J, Vanderhelst E. Impact of a single 10 min education session on asthma control as measured by ACT. Respir Med. 2019;143:114–7. https://doi.org/10.1016/j.rmed.2018.08.003.

    Article  Google Scholar 

  3. Olajos-Clow J, Costello E, Lougheed MD. Perceived control and quality of life in asthma: impact of asthma education. J Asthma. 2005;42(9):751–6. https://doi.org/10.1080/02770900500308080.

    Article  PubMed  Google Scholar 

  4. Kamps AW, Brand PL. Education, self-management and home peak flow monitoring in childhood asthma. Paediatr Respir Rev. 2001;2(2):165–9. https://doi.org/10.1053/prrv.2000.0125.

    Article  CAS  PubMed  Google Scholar 

  5. Haffejee IE. Effect of supine posture on peak expiratory flow rates in asthma. Arch Dis Child. 1988;63:127–9. https://doi.org/10.1136/adc.63.2.127.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Sly PD. Peak flow monitoring in children. Monaldi Arch Chest Dis. 1993;48(6):662–7.

    CAS  PubMed  Google Scholar 

  7. Fritz GK, McQuaid EL, Spirito A, Klein RB. Symptom perception in pediatric asthma: relationship to functional morbidity and psychological factors. J Am Acad Child Adolesc Psychiatry. 1996;35(8):1033–41. https://doi.org/10.1097/00004583-199608000-00014.

    Article  CAS  PubMed  Google Scholar 

  8. Tough SC, Hessel PA, Green FH, Mitchell I, Rose S, Aronson H, et al. Factors that influence emergency department visits for asthma. Can Respir J. 1999;6(5):429–35. https://doi.org/10.1155/1999/743628.

    Article  CAS  PubMed  Google Scholar 

  9. Hessel PA, Mitchell I, Tough S, Green FH, Cockcroft D, Kepron W, et al. Risk factors for death from asthma. Prairie provinces asthma study group. Ann Allergy Asthma Immunol. 1999;83(5):362–8. https://doi.org/10.1016/s1081-1206(10)62832-3.

    Article  CAS  PubMed  Google Scholar 

  10. Cantrell FL. Adverse effects of e-cigarette exposures. J Community Health. 2014;39(3):614–6. https://doi.org/10.1007/s10900-013-9807-5.

    Article  PubMed  Google Scholar 

  11. E-cigarette use triples among middle and high school students in just one year. https://www.cdc.gov/tobacco/basic_information/e-cigarettes/ Accessed 11 June 2020.

  12. Govias G. Vaping – yet another smokescreen. 2016. www.AsthmaEd.com

  13. Mitchell I, Tough S, Semple LK, Green F, Hessel PA. Near-fatal asthma: a population based study of risk factors. Chest. 2002;121(5):1407–13. https://doi.org/10.1378/chest.121.5.1407.

    Article  PubMed  Google Scholar 

  14. Edelman NH, Kaplan RM, Buist AS, Cohen AB, Hoffman LA, Kleinhenz ME, et al. Chronic obstructive pulmonary disease. Chest. 1992;102(3 Suppl):243S–56S. https://doi.org/10.1378/chest.102.3.243s.

    Article  CAS  PubMed  Google Scholar 

  15. Jain P, Kavuru MS, Emerman CL, Ahmad M. Utility of peak expiratory flow monitoring. Chest. 1998;114(3):861–76. https://doi.org/10.1378/chest.114.3.861.

    Article  CAS  PubMed  Google Scholar 

  16. Kolbe J. Asthma education, action plans, psychosocial issues and adherence. Can Respir J. 1999;6(3):273–80. https://doi.org/10.1155/1999/413547.

    Article  CAS  PubMed  Google Scholar 

  17. Sawyer G, Miles J, Lewis S, Fitzharris P, Pearce N, Beasley R. Classification of asthma severity: should the international guides be changed? Clin Exp Allergy. 1998;28(12):1565–70. https://doi.org/10.1046/j.1365-2222.1998.00451.x.

    Article  CAS  PubMed  Google Scholar 

  18. Reddel H, Ware S, Marks G, Salome C, Jenkins C, Woolcock A. Differences between asthma exacerbations and poor asthma control. Lancet. 1999;353(9150):364–9. https://doi.org/10.1016/S0140-6736(98)06128-5.

    Article  CAS  PubMed  Google Scholar 

  19. Cross D, Nelson HS. The role of the peak flow meter in the diagnosis and management of asthma. J Allergy Clin Immunol. 1991;87(1 Pt 1):120–8. https://doi.org/10.1016/0091-6749(91)90223-b.

    Article  CAS  PubMed  Google Scholar 

  20. Sullivan S, Elixhauser A, Buist AS, Luce BR, Eisenberg J, Weiss KB. National asthma education and prevention program working group report on the cost effectiveness of asthma care. Am J Resp Crit Care Med. 1996;154(3 Part 2):S84–95. https://doi.org/10.1164/ajrccm/154.3_Pt_2.S84.

    Article  CAS  PubMed  Google Scholar 

  21. National Asthma Education and Prevention Program Expert Panel Report 3. Guidelines for the diagnosis and management of asthma. NIH pub #12–5075. Revised September 2012.

    Google Scholar 

  22. Simmons M, Wynegar T, Hess D. Evaluation of the agreement between portable peak flow meters and a calibrated pneumotachometer. Respir Care. 1993;38(8):916–22. At http://www.rcjournal.com/contents/08.93/08.93.pdf.

    Google Scholar 

  23. Jackson AC. Accuracy, reproducibility, and variability of portable peak flow meters. Chest. 1995;107(3):648–51. https://doi.org/10.1378/chest.107.3.648.

    Article  CAS  PubMed  Google Scholar 

  24. Nguyen BP, Wilson SR, German DF. Patients’ perceptions compared with objective ratings of asthma severity. Ann Allergy Asthma Immunol. 1996;77(3):209–15. https://doi.org/10.1016/S1081-1206(10)63257-7.

    Article  CAS  PubMed  Google Scholar 

  25. Hargreave FE, Dolovich J, Newhouse MT. The assessment and treatment of asthma: a conference report. J Allergy Clin Immunol. 1990;85(6):1098–111. https://doi.org/10.1016/0091-6749(90)90056-a.

    Article  CAS  PubMed  Google Scholar 

  26. McGrath AM, Gardner DM, McCormack J. Is home peak expiratory flow monitoring effective for controlling asthma symptoms? J Clin Pharm Ther. 2001;26(5):311–7. https://doi.org/10.1046/j.1365-2710.2001.00374.

    Article  CAS  PubMed  Google Scholar 

  27. Grampian Asthma Study of Integrated Care (GRASSIC). Effectiveness of routine self monitoring of peak flow in patients with asthma. BMJ. 1994;308(6928):564–7.

    Article  Google Scholar 

  28. Cote J, Cartier A, Malo JL, Rouleau M, Boulet LP. Compliance with peak expiratory flow monitoring in home management of asthma. Chest. 1998;133(4):968–72. https://doi.org/10.1378/chest.113.4.968.

    Article  Google Scholar 

  29. Woolcock AJ, Dusser D, Fajac I. Severity of chronic asthma. Thorax. 1998;53(6):442–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Holguin F, Cardet JC, Chung KF, Diver S, Ferreira DS, Fitzpatrick A, et al. Management of severe asthma: a European Respiratory Society/American Thoracic Society guideline. Eur Respir J. 2020;55:1900588. https://doi.org/10.1183/13993003.00588-2019.

    Article  CAS  PubMed  Google Scholar 

  31. Hansell S, Mechanic D. Introspectiveness and adolescent symptom reporting. J Hum Stress. Winter 1985;11(4):165–76. https://doi.org/10.1080/0097840X.1985.9936755.

  32. Chapman MD. Cockroach allergens: a common cause of asthma in North American cities. Insight. 1993;8:1–8.

    Google Scholar 

  33. Sign 158 British guideline on the management of asthma. July 2019. www.sign.ac.uk/our-guidelines. Accessed 6 June 2020.

  34. Ross S, Cochran DP. Method for manipulating peak flow measurements producing falsely raised readings. Thorax. 2001;56(6):500–1. https://doi.org/10.1136/thorax.56.6.500.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Sly PD, Cahill P, Willet K, Burton P. Accuracy of mini peak flow meters in indicating changes in lung function in children with asthma. BMJ. 1994;308(6928):572–4. https://doi.org/10.1136/bmj.308.6928.572.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Self TH, George CM, Wallace JL, Patterson SJ, Finch CK. Incorrect use of peak flow meters: are you observing your patients? J Asthma. 2014;51(6):566–72. https://doi.org/10.3109/02770903.2014.914218.

    Article  PubMed  Google Scholar 

  37. Jindal SK, Aggarwal AN, Gupta D. Diurnal variability of peak expiratory flow. J Asthma. 2002;39(5):363–73. https://doi.org/10.1081/jas-120004029.

    Article  PubMed  Google Scholar 

  38. Hyland ME, Kenyon CA, Allen R, Howarth P. Diary keeping in asthma: comparison of written and electronic methods. BMJ. 1993;306(6876):487–9. https://doi.org/10.1136/bmj.306.6876.487.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Kamps AWA, Roorda RJ, Brand PLP. Peak flow diaries in childhood asthma are unreliable. Thorax. 2001;56(3):180–2. https://doi.org/10.1136/thorax.56.3.180.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Antalffy T, De Simoni A, Griffiths CJ. Promising peak flow diary compliance with an electronic peak flow meter and linked smartphone app. NPJ Prim Care Respir Med. 2020;30(1):19. https://doi.org/10.1038/s41533-020-0178-y.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Uwyyed K, Springer C, Avital A, Bar-Yishay E, Godfrey S. Home recording of PEF in young asthmatics: does it contribute to management? Eur Respir J. 1996;9(5):872–9. https://doi.org/10.1183/09031936.96.09050872.

    Article  CAS  PubMed  Google Scholar 

  42. Malo JL, L’Archeveque J, Trudeau C, d’Aquino C, Cartier A. Should we monitor peak expiratory flow rates or record symptoms with a simple diary in the management of asthma? J Allergy Clin Immunol. 1993;91(3):702–9. https://doi.org/10.1016/0091-6749(93)90189-m.

    Article  CAS  PubMed  Google Scholar 

  43. Jones KP, Mullee MA, Middleton M, Chapman E, Holgate ST. Peak flow based asthma self-management: a randomised controlled study in general practice. The British Thoracic Society research committee. Thorax. 1995;50(8):851–7. https://doi.org/10.1136/thx.50.8.851.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Lloyd BW, Ali MH. How useful do parents find home peak flow monitoring for children with asthma? BMJ. 1992;305(6862):1128–9. https://doi.org/10.1136/bmj.305.6862.1128.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Cowie RL, Revitt SG, Underwood MF, Field SK. The effect of a peak flow-based action plan in the prevention of exacerbations of asthma. Chest. 1997;112(6):1534–8. https://doi.org/10.1378/chest.112.6.1534.

    Article  CAS  PubMed  Google Scholar 

  46. Powell H, Gibson P. Options for self-management education for adults with asthma. Cochrane Database Syst Rev. 2003;1:CD004107. https://doi.org/10.1002/14651858.CD004107.

    Article  Google Scholar 

  47. Charlton I, Charlton G, Broomfield J, Mullee MA. Evaluation of peak flow and symptoms only self management plans for control of asthma in general practice. BMJ. 1990;301(6765):1355–9. https://doi.org/10.1136/bmj.301.6765.1355.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Beasley R, Cushley M, Holgate ST. A self management plan in the treatment of adult asthma. Thorax. 1989;44(3):200–4. https://doi.org/10.1136/thx.44.3.200.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Ignacio-Garcia JM, Gonzalez-Santos P. Asthma self-management education program by home monitoring of peak expiratory flow. Am J Respir Crit Care Med. 1995;151(2 Pt 1):353–9. https://doi.org/10.1164/ajrccm.151.2.7842191.

    Article  CAS  PubMed  Google Scholar 

  50. Brand PL, Duiverman EJ, Waalkens HJ, van Essen-Zandvliet EE, Kerrebijn KF. Peak flow variation in childhood asthma: correlation with symptoms, airways obstruction, and hyperresponsiveness during long-term treatment with inhaled corticosteroids. Dutch CNSLD study group. Thorax. 1999;54(2):103–7. https://doi.org/10.1136/thx.54.2.103.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Sly PD, Landau LI, Weymouth R. Home recording of peak expiratory flow rates and perception of asthma. Am J Dis Child. 1985;139(5):479–82. https://doi.org/10.1001/archpedi.1985.02140070053032.

    Article  CAS  PubMed  Google Scholar 

  52. Tse M, Bridges-Webb C. Asthma management in general practice. Med J Aust. 1993;158(11):766–70.

    Article  CAS  PubMed  Google Scholar 

  53. Janson S, Becker G. Reasons for delay in seeking treatment for acute asthma: the patient’s perspective. J Asthma. 1998;35(5):427–35. https://doi.org/10.3109/02770909809048951.

    Article  CAS  PubMed  Google Scholar 

  54. 2020 Focused updates to the asthma management guidelines. A report from the national asthma education and prevention program coordinating committee expert panel working group. NIH publication No. 20-HL-8140. December 2020.

    Google Scholar 

  55. D’Souza W, Crane J, Burgess H, Te Karu H, Fox C, Harper M, et al. Community-based asthma care: trial of a “credit card” asthma self-management plan. Eur Respir J. 1994;7(7):1260–5. https://doi.org/10.1183/09031936.94.07071260.

    Article  PubMed  Google Scholar 

  56. Ducharme FM, Bhogal SK. The role of written action plans in childhood asthma. Curr Opin Allergy Clin Immunol. 2008;8(2):177–88. https://doi.org/10.1097/ACI.0b013e3282f7cd58.

    Article  PubMed  Google Scholar 

  57. Powell H, Gibson PG. Options for self-management education for adults with asthma (Cochrane review). Cochrane Database Syst Rev. 2003;1:CD004107. https://doi.org/10.1002/14651858.CD004107.

    Article  Google Scholar 

  58. Fishwick D, Beasley R. Use of peak flow-based self management plans by adult asthmatic patients. Eur Respir J. 1996;9:861–5. https://doi.org/10.1183/09031936.96.09050861.

    Article  CAS  PubMed  Google Scholar 

  59. de Asis ML, Greene R. A cost-effectiveness analysis of a peak flow-based asthma education and self-management plan in a high-cost population. J Asthma. 2004;41(5):559–65.

    Article  PubMed  Google Scholar 

  60. Bowler SD, Green A, Mitchell CA. Buteyko breathing techniques in asthma: a blinded randomised controlled trial. Med J Aust. 1998;169(11–12):575–8.

    Article  CAS  PubMed  Google Scholar 

  61. Persaud DI, Barnett SE, Weller SC, Baldwin CD, Neibuhr V, McCormick DP. An asthma self-management program for children, including instruction in peak flow monitoring by school nurses. J Asthma. 1996;33(1):37–43. https://doi.org/10.3109/02770909609077761.

    Article  CAS  PubMed  Google Scholar 

  62. Vazquez MI, Buceta JM. Psychological treatment of asthma: effectiveness of a self-management program with and without relaxation training. J Asthma. 1993;30(3):171–83. https://doi.org/10.3109/02770909309054515.

    Article  CAS  PubMed  Google Scholar 

  63. Field T, Henteleff T, Hernandez-Reif M, Martinez E, Mavunda K, Kuhn C, et al. Children with asthma have improved pulmonary functions after massage therapy. J Pediatr. 1998;132(5):854–8. https://doi.org/10.1016/s0022-3476(98)70317-8.

    Article  CAS  PubMed  Google Scholar 

  64. Milgrom H, Bender B, Ackerson L, Bowry P, Smith B, Rand C. Noncompliance and treatment failure in children with asthma. J Allergy Clin Immunol. 1996;98(6 Pt 1):1051–7. https://doi.org/10.1016/s0091-6749(96)80190-4.

    Article  CAS  PubMed  Google Scholar 

  65. Garden GM, Ayres JG. Psychiatric and social aspects of brittle asthma. Thorax. 1993;48(5):501–5. https://doi.org/10.1136/thx.48.5.501.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Rubin NJ. Severe asthma and depression. Arch Fam Med. 1993;2(4):433–40. https://doi.org/10.1001/archfami.2.4.433.

    Article  CAS  PubMed  Google Scholar 

  67. Friday GA, Fireman P. Morbidity and mortality of asthma. Pediatr Clin N Am. 1988;35(5):1149–62. https://doi.org/10.1016/s0031-3955(16)36554-3.

    Article  CAS  Google Scholar 

  68. Bender B, Milgrom H, Rand C. Nonadherence in asthmatic patients: is there a solution to the problem? Ann Allergy Asthma Immunol. 1997;79(3):177–85. https://doi.org/10.1016/S1081-1206(10)63001-3.

    Article  CAS  PubMed  Google Scholar 

  69. Strunk RC. Asthma deaths in childhood: identification of patients at risk and intervention. J Allergy Clin Immunol. 1987;80(3 Pt 2):472–7. https://doi.org/10.1016/0091-6749(87)90078-9.

    Article  CAS  PubMed  Google Scholar 

  70. Bender B, Milgrom H, Rand C, Ackerson L. Psychological factors associated with medication non-adherence in asthmatic children. J Asthma. 1998;35(4):347–53. https://doi.org/10.3109/02770909809075667.

    Article  CAS  PubMed  Google Scholar 

  71. Fritz GK, Rubinstein S, Lewiston NJ. Psychological factors in fatal childhood asthma. Am J Orthopsychiatry. 1987;57(2):253–7. https://doi.org/10.1111/j.1939-0025.1987.tb03535.x.

    Article  PubMed  Google Scholar 

  72. Martin AJ, Campbell DA, Gluyas PA, Coates JR, Ruffin RE, Roder DM, et al. Characteristics of near-fatal asthma in childhood. Pediatr Pulmonol. 1995;20(1):1–8. https://doi.org/10.1002/ppul.1950200102.

    Article  CAS  PubMed  Google Scholar 

  73. Strunk RC, Mrazek DA. Deaths from asthma in childhood: can they be predicted? N Engl Reg Allergy Proc. 1986;7(5):454–61. https://doi.org/10.2500/108854186778984691.

    Article  CAS  PubMed  Google Scholar 

  74. Fernandes AG, Souza-Machado C, Coelho RC, Franco PA, Esquivel RM, Souza-Machado A, et al. Risk factors for death in patients with severe asthma. J Bras Pneumol. 2014;40(4):364–72. https://doi.org/10.1590/s1806-37132014000400003.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Jones TL, Neville DM, Chauhan AJ. Diagnosis and treatment of severe asthma: a phenotype-based approach. Clin Med (Lond). 2018;18(Suppl 2):s36–40. https://doi.org/10.7861/clinmedicine.18-2-s36.

    Article  Google Scholar 

  76. Gullach AJ, Risgaard B, Lynge TH, Jabbari R, Glinge C, Haunsø S, et al. Sudden death in young persons with uncontrolled asthma—a nationwide cohort study in Denmark. J BMC Pulm Med. 2015;15(35) https://doi.org/10.1186/s12890-015-0033-z.

  77. Lang DM. Asthma deaths and the athlete. Clin Rev Allergy Immunol. 2005;29(2):125–9. https://doi.org/10.1385/CRIAI:29:2:125.

    Article  PubMed  Google Scholar 

  78. Friedman MS. Psychological factors associated with pediatric asthma death: a review. J Asthma. 1984;21(2):97–117. https://doi.org/10.3109/02770908409077408.

    Article  CAS  PubMed  Google Scholar 

  79. Strunk RC. Identification of the fatality-prone subject with asthma. J Allergy Clin Immunol. 1989;83(2 Pt 1):477–85. https://doi.org/10.1016/0091-6749(89)90137-1.

    Article  CAS  PubMed  Google Scholar 

  80. Strunk RC, Mrazek DA, Fuhrmann GS, LaBrecque JF. Physiologic and psychological characteristics associated with deaths due to asthma in childhood. A case-controlled study. JAMA. 1985;254(9):1193–8.

    Article  CAS  PubMed  Google Scholar 

  81. Rand CS, Wise RA. Measuring adherence to asthma medication regimens. Am J Respir Crit Care Med. 1994;149(2 Pt 2):S69–76. https://doi.org/10.1164/ajrccm/149.2_Pt_2.S69.

    Article  CAS  PubMed  Google Scholar 

  82. Tough SC, Hessel PA, Ruff M, Green FH, Mitchell I, Butt JC. Features that distinguish those who die from asthma from community controls with asthma. J Asthma. 1998;35(8):657–65. https://doi.org/10.3109/02770909809048968.

    Article  CAS  PubMed  Google Scholar 

  83. Tough SC, Green FH, Paul JE, Wigle DT, Butt JC. Sudden death from asthma in 108 children and young adults. J Asthma. 1996;33(3):179–88. https://doi.org/10.3109/02770909609054550.

    Article  CAS  PubMed  Google Scholar 

  84. Spitzer WO, Suissa S, Ernst P, Horwitz RI, Habbick B, Cockcroft D, et al. The use of beta-agonists and the risk of death and near death from asthma. N Engl J Med. 1992;326(8):501–6. https://doi.org/10.1056/NEJM199202203260801.

    Article  CAS  PubMed  Google Scholar 

  85. Mullen M, Mullen B, Carey M. The association between beta-agonist use and death from asthma. A meta-analytic integration of case-control studies. JAMA. 1993;270(15):1842–5.

    Article  CAS  PubMed  Google Scholar 

  86. Campbell DA, Yellowlees PM, McLennan G, Coates JR, Frith PA, Gluyas PA, et al. Psychiatric and medical features of near fatal asthma. Thorax. 1995;50(3):254–9. https://doi.org/10.1136/thx.50.3.254.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  87. Miller BD. Depression and asthma: a potentially lethal mixture. J Allergy Clin Immunol. 1987;80(3 Pt 2):481–6. https://doi.org/10.1016/0091-6749(87)90080-7.

    Article  CAS  PubMed  Google Scholar 

  88. Krishnan JA, Riekert KA, McCoy JV, Stewart DY, Schmidt S, et al. Corticosteroid use after hospital discharge among high-risk adults with asthma. Am J Respir Crit Care Med. 2004;170(12):1281–5. https://doi.org/10.1164/rccm.200403-409OC.

    Article  PubMed  Google Scholar 

  89. Patterson R, Greenberger PA, Patterson DR. Potentially fatal asthma: the problem of noncompliance. Ann Allergy. 1991;67(2 Pt 1):138–42.

    CAS  PubMed  Google Scholar 

  90. Bosley CM, Corden ZM, Cochrane GM. Psychosocial factors and asthma. Respir Med. 1996;90(8):453–7. https://doi.org/10.1016/s0954-6111(96)90170-5.

    Article  CAS  PubMed  Google Scholar 

  91. Sears MR, Rea HH, Fenwisk J, Beaglehole R, Gillies AJ, Holst PE, et al. Deaths from asthma in New Zealand. Arch Dis Child. 1986;61(1):6–10. https://doi.org/10.1136/adc.61.1.6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Mitchell, I., Govias, G. (2021). An Integrated Approach to Asthma Management. In: Asthma Education. Springer, Cham. https://doi.org/10.1007/978-3-030-77896-5_10

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