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Ng CKC, Baldock M, Newman S. Use of Smart Glasses (Assisted Reality) for Western Australian X-ray Operators' Continuing Professional Development: A Pilot Study. Healthcare (Basel) 2024; 12:1253. [PMID: 38998788 PMCID: PMC11241730 DOI: 10.3390/healthcare12131253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 06/19/2024] [Accepted: 06/20/2024] [Indexed: 07/14/2024] Open
Abstract
Previous studies have explored use of smart glasses in telemedicine, but no study has investigated its use in teleradiography. The purpose of this study was to implement a six-month pilot program for Western Australian X-ray operators (XROs) to use smart glasses to obtain assisted reality support in their radiography practice from their supervising radiographers, and evaluate its effectiveness in terms of XROs' competence improvement and equipment usability. Pretest-posttest design with evaluation of the XROs' competence (including their X-ray image quality) and smart glasses usability by XROs in two remote centers and their supervising radiographers from two sites before and after the program using four questionnaire sets and X-ray image quality review was employed in this experimental study. Paired t-test was used for comparing mean values of the pre- and post-intervention pairs of 11-point scale questionnaire and image quality review items to determine any XROs' radiography competence improvements. Content analysis was used to analyze open questions about the equipment usability. Our study's findings based on 13 participants (11 XROs and 2 supervising radiographers) and 2053 X-ray images show that the assisted reality support helped to improve the XROs' radiography competence (specifically X-ray image quality), with mean post-intervention competence values of 6.16-7.39 (out of 10) and statistical significances (p < 0.001-0.05), and the equipment was considered effective for this purpose but not easy to use.
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Affiliation(s)
- Curtise K. C. Ng
- Curtin Medical School, Curtin University, GPO Box U1987, Perth, WA 6845, Australia;
- Curtin Health Innovation Research Institute (CHIRI), Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA 6845, Australia
| | - Moira Baldock
- Western Australia Country Health Service, Grace Vaughan House, 233 Stubbs Terrace, Shenton Park, WA 6008, Australia;
| | - Steven Newman
- Curtin Medical School, Curtin University, GPO Box U1987, Perth, WA 6845, Australia;
- South Metropolitan Health Service, 14 Barry Marshall Parade, Murdoch, WA 6150, Australia
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Aranda-García S, Martínez-Isasi S, Barcala-Furelos R, Darné M, Rodríguez-Núñez A. Augmented reality smart glasses: a new resuscitation training tool or a worthless gadget? Intern Emerg Med 2024; 19:873-874. [PMID: 38051373 DOI: 10.1007/s11739-023-03476-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 10/30/2023] [Indexed: 12/07/2023]
Affiliation(s)
- Silvia Aranda-García
- SICRUS Research Group (Institute of Research of Santiago-IDIS) and CLINURSID Research Group (University of Santiago de Compostela), Santiago de Compostela, Spain.
- Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona, Barcelona, Spain.
| | - Santiago Martínez-Isasi
- SICRUS Research Group (Institute of Research of Santiago-IDIS) and CLINURSID Research Group (University of Santiago de Compostela), Santiago de Compostela, Spain
| | - Roberto Barcala-Furelos
- SICRUS Research Group (Institute of Research of Santiago-IDIS) and CLINURSID Research Group (University of Santiago de Compostela), Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
| | - Marc Darné
- Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona, Barcelona, Spain
| | - Antonio Rodríguez-Núñez
- SICRUS Research Group (Institute of Research of Santiago-IDIS) and CLINURSID Research Group (University of Santiago de Compostela), Santiago de Compostela, Spain
- Pediatric Critical, Intermediate and Palliative Care Section, Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
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Fijačko N. Rethinking realities: A call for accurate terminology in eXtended Reality studies. Resusc Plus 2024; 17:100558. [PMID: 38586864 PMCID: PMC10995636 DOI: 10.1016/j.resplu.2024.100558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Accepted: 01/09/2024] [Indexed: 04/09/2024] Open
Affiliation(s)
- Nino Fijačko
- Corresponding author at: Žitna ulica 15, University of Maribor, Faculty of Health Sciences, 2000 Maribor, Slovenia. @NinoFijacko
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Aranda-García S, Otero-Agra M, Berlanga-Macías C, Rodríguez-Núñez A, Barcala-Furelos R, Domingo J, Seijas-Vijande A, Fernández-Méndez F. New communication tool for basic life support training: smart glasses. A quasi-experimental study. Med Intensiva 2024; 48:77-84. [PMID: 37923607 DOI: 10.1016/j.medine.2023.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 09/07/2023] [Accepted: 09/09/2023] [Indexed: 11/07/2023]
Abstract
AIM To analyze the effectiveness of a teaching-learning methodology for teletraining in basic life support (BLS) based on communication through smart glasses. DESIGN Pilot quasi-experimental non-inferiority study. PARTICIPANTS Sixty college students. INTERVENTIONS Randomization of the participants in: tele-training through smart glasses (SG) and traditional training (C) groups. Both training sessions were very brief (less than 8 min) and included the same BLS content. In SG, the instructor trained through a video call with smart glasses. MAIN VARIABLES OF INTEREST The BLS protocol, the use of AED, the quality of resuscitation and the response times were evaluated. RESULTS In most of the BLS protocol variables, the resuscitation quality and performance times, there were no statistically significant differences between groups. There were significant differences (in favor of the SG) in the assessment of breathing (SG: 100%, C: 81%; p = 0.013), the not-to-touch warning before applying the shock (SG: 79%, C: 52%; p = 0.025) and compressions with correct recoil (SG: 85%, C: 32%; p = 0.008). CONCLUSIONS Laypeople BLS-AED brief tele-training through smart glasses could potentially be, at least, as effective as traditional training methods. In addition, smart glasses could be more advantageous than traditional teaching for certain points of the BLS protocol and chest compressions quality, probably due to the capability of real-time visualization of images which supports the BLS sequence. Augmented reality supported teaching should be considered for BLS training, although caution is required in extrapolating findings, and further in-depth studies are needed to confirm its potential role depending on concrete target populations and environments.
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Affiliation(s)
- Silvia Aranda-García
- Grupo de Investigación GRAFAIS, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain; Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - Martín Otero-Agra
- Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain; Escuela de Enfermería de Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Carlos Berlanga-Macías
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, Cuenca, Spain; Facultad de Enfermería, Universidad de Castilla-La Mancha, Albacete, Spain.
| | - Antonio Rodríguez-Núñez
- Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain; Grupo de Investigación en Simulación, Soporte Vital y Cuidados Intensivos (SICRUS), Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, Spain; Sección de Pediatría Crítica, Cuidados Intermedios y Paliativos Pediátricos. Hospital Clínico Universitario de Santiago, Santiago de Compostela España, Spain; RICORS de Intervenciones en Atención Primaria para prevenir las enfermedades maternas e infantiles crónicas de origen perinatal y del desarrollo, RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
| | - Roberto Barcala-Furelos
- Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain
| | - Júlia Domingo
- Grupo de Investigación GRAFAIS, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | | | - Felipe Fernández-Méndez
- Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain; Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain; Escuela de Enfermería de Pontevedra, Universidade de Vigo, Pontevedra, Spain; Grupo de Investigación en Simulación, Soporte Vital y Cuidados Intensivos (SICRUS), Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, Spain
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Aranda-García S, Barrio-Cortes J, Fernández-Méndez F, Otero-Agra M, Darné M, Herrera-Pedroviejo E, Barcala-Furelos R, Rodríguez-Núñez A. Dispatcher-assisted BLS for lay bystanders: A pilot study comparing video streaming via smart glasses and telephone instructions. Am J Emerg Med 2023; 71:163-168. [PMID: 37418840 DOI: 10.1016/j.ajem.2023.06.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Revised: 06/16/2023] [Accepted: 06/17/2023] [Indexed: 07/09/2023] Open
Abstract
OBJECTIVE To determine whether dispatcher assistance via smart glasses improves bystander basic life support (BLS) performance compared with standard telephone assistance in a simulated out-of-hospital cardiac arrest (OHCA) scenario. METHODS Pilot study in which 28 lay people randomly assigned to a smart glasses-video assistance (SG-VA) intervention group or a smartphone-audio assistance (SP-AA) control group received dispatcher guidance from a dispatcher to provide BLS in an OHCA simulation. SG-VA rescuers received assistance via a video call with smart glasses (Vuzix, Blade) connected to a wireless network, while SP-AA rescuers received instructions over a smartphone with the speaker function activated. BLS protocol steps, quality of chest compressions, and performance times were compared. RESULTS Nine of the 14 SG-VA rescuers correctly completed the BLS protocol compared with none of the SP-AA rescuers (p = 0.01). A significantly higher number of SG-VA rescuers successfully opened the airway (13 vs. 5, p = 0.002), checked breathing (13 vs. 8, p = 0.03), correctly positioned the automatic external defibrillator pads (14 vs.6, p = 0.001), and warned bystanders to stay clear before delivering the shock (12 vs. 0, p < 0.001). No significant differences were observed for performance times or chest compression quality. The mean compression rate was 104 compressions per minute in the SG-VA group and 98 compressions per minute in the SP-AA group (p = 0.46); mean depth of compression was 4.5 cm and 4.4 cm (p = 0.49), respectively. CONCLUSIONS Smart glasses could significantly improve dispatcher-assisted bystander performance in an OHCA event. Their potential in real-life situations should be evaluated.
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Affiliation(s)
- Silvia Aranda-García
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain; CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Health, University Camilo José Cela, Madrid, Spain
| | - Jaime Barrio-Cortes
- Faculty of Health, University Camilo José Cela, Madrid, Spain; Foundation for Biosanitary Research and Innovation in Primary Care, Madrid, Spain
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain; Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain.
| | - Marc Darné
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | | | - Roberto Barcala-Furelos
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain; Paediatric Critical, Intermediate and Palliative Care Section, Santiago de Compostela's University Hospital, Santiago de Compostela, Spain; Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
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Barcala-Furelos R, Aranda-García S, Otero-Agra M, Fernández-Méndez F, Alonso-Calvete A, Martínez-Isasi S, Greif R, Rodríguez-Núñez A. Are smart glasses feasible for dispatch prehospital assistance during on-boat cardiac arrest? A pilot simulation study with fishermen. Intern Emerg Med 2023; 18:1551-1559. [PMID: 37014496 PMCID: PMC10412669 DOI: 10.1007/s11739-023-03251-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 03/02/2023] [Indexed: 04/05/2023]
Abstract
The aim of the study was to explore feasibility of basic life support (BLS) guided through smart glasses (SGs) when assisting fishermen bystanders. Twelve participants assisted a simulated out-of-hospital cardiac arrest on a fishing boat assisted by the dispatcher through the SGs. The SGs were connected to make video calls. Feasibility was assessed whether or not they needed help from the dispatcher. BLS-AED steps, time to first shock/compression, and CPR's quality (hands-only) during 2 consecutive minutes (1st minute without dispatcher feedback, 2nd with dispatcher feedback) were analyzed. Reliability was analyzed by comparing the assessment of variables performed by the dispatcher through SGs with those registered by an on-scene instructor. Assistance through SGs was needed in 72% of the BLS steps, which enabled all participants to perform the ABC approach and use AED correctly. Feasibility was proven that dispatcher's feedback through SGs helped to improve bystanders' performance, as after dispatcher gave feedback via SGs, only 3% of skills were incorrect. Comparison of on-scene instructor vs. SGs assessment by dispatcher differ in 8% of the analyzed skills: greatest difference in the "incorrect hand position during CPR" (on-scene: 33% vs. dispatcher: 0%). When comparing the 1st minute with 2nd minute, there were only significant differences in the percentage of compressions with correct depth (1st:48 ± 42%, 2nd:70 ± 31, p = 0.02). Using SGs in aquatic settings is feasible and improves BLS. CPR quality markers were similar with and without SG. These devices have great potential for communication between dispatchers and laypersons but need more development to be used in real emergencies.
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Affiliation(s)
- Roberto Barcala-Furelos
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Silvia Aranda-García
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona, Av. De l'Estadi 22, 08038, Barcelona, Spain.
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Felipe Fernández-Méndez
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Alejandra Alonso-Calvete
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- Faculty of Physiotherapy, Universidade de Vigo, Pontevedra, Spain
| | - Santiago Martínez-Isasi
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Robert Greif
- University of Bern, Bern, Switzerland
- School of Medicine, Sigmund Freud University Vienna, Vienna, Austria
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Paediatric Critical, Intermediate and Palliative Care Section, Santiago de Compostela's University Hospital, Santiago de Compostela, Spain
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Aranda-García S, Otero-Agra M, Fernández-Méndez F, Herrera-Pedroviejo E, Darné M, Barcala-Furelos R, Rodríguez-Núñez A. Augmented reality training in basic life support with the help of smart glasses. A pilot study. Resusc Plus 2023; 14:100391. [PMID: 37128627 PMCID: PMC10148024 DOI: 10.1016/j.resplu.2023.100391] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2023] Open
Abstract
Introduction Laypeople should be trained in basic life support and traditional and innovative methodologies may help to obtain this goal. However, there is a knowledge gap about the ideal basic life support training methods. Smart glasses could have a role facilitating laypeople learning of basic life support. Aim To analyze the potential impact on basic life support learning of a very brief training supported by smart glasses video communication. Methods Twelve laypeople were basic life support tele-trained by means of smart glasses by an instructor in this pilot study. During training (assisted trough smart glasses) and after the training (unassisted) participants' performance and quality of basic life support and automated external defibrillation procedure were assessed on a standardized simulated scenario. Results After the training all participants were able to deliver good quality basic life support, with results comparable to those obtained when real time remotely guided by the instructor through the smart glasses. Mean chest compression rate was significantly higher when not guided (113 /min vs. 103 /min, p = 0.001). When not assisted, the participants spent less time delivering the sequential basic life support steps than when assisted while training. Conclusions A very brief remote training supported by instructor and smart glasses seems to be an effective educational method that could facilitate basic life support learning by laypeople. This technology could be considered in cases where instructors are not locally available or in general in remote areas, providing basic internet connection is available. Smart glasses could also be useful for laypeople rolling-refreshers.
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Affiliation(s)
- Silvia Aranda-García
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), University of Barcelona, Barcelona, Spain
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- Corresponding author at: Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Av de l’Estadi 22, 08038, Barcelona, Spain.
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Physical Activity and Educational Science, University of Vigo, Pontevedra, Spain
- Pontevedra School of Nursing, University of Vigo, Pontevedra, Spain
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Physical Activity and Educational Science, University of Vigo, Pontevedra, Spain
- Pontevedra School of Nursing, University of Vigo, Pontevedra, Spain
| | | | - Marc Darné
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), University of Barcelona, Barcelona, Spain
| | - Roberto Barcala-Furelos
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Physical Activity and Educational Science, University of Vigo, Pontevedra, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- Pediatric Critical, Intermediate and Palliative Care Section, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
- SICRUS Research Group, Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
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