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Wong EC, Kaplan CP, Barulich M, Melisko M. Assessing preferences for receiving supportive care resources among patients seen at a Breast Care Center. Breast Cancer Res Treat 2020; 183:381-389. [PMID: 32647938 DOI: 10.1007/s10549-020-05786-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 07/02/2020] [Indexed: 12/24/2022]
Abstract
BACKGROUND Patients with breast cancer or at high risk for breast cancer have supportive care needs. Although cancer centers offer social, psychological, and other support to these patients, these services are not always utilized, and patients continue to report unmet supportive care needs. Reasons for non-utilization of these services have not been well documented. In this analysis, we examine patient reasons for service non-utilization and evaluate patients' interest in receiving information about and paying for other supportive care services. METHODS Study participants were contacted by email 7-14 months following appointments at the University of California, San Francisco (UCSF) Breast Care Center (BCC) and were invited to complete a 26-question survey about supportive care utilization at UCSF. RESULTS In total, 195 patients (45%) completed surveys. Of these, 68% had breast cancer. Among patients with breast cancer, fewer than half completed appointments with psychological services. Lack of self-perceived need was the primary reason patients did not pursue psychological services. Overall, 61% of participants were interested in learning more about psychological services, 27% in nutrition counseling, and 20% in exercise counseling. Participants were more interested in individual counseling than in group counseling but were less interested in paying for services. CONCLUSION Patients often feel that they do not need supportive services. Breast cancer patients are interested in learning more about psychological services, exercise counseling, and nutrition counseling. Although many cancer centers offer group coaching and counseling sessions on these topics, patients may be more willing to engage in individual counseling.
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Affiliation(s)
- Emily C Wong
- University of California San Francisco, San Francisco, California, USA.
| | - Celia P Kaplan
- University of California San Francisco, San Francisco, California, USA.,Multi-Ethnic Health Equity Research Center (MERC), University of California San Francisco, San Francisco, California, USA
| | - Mikela Barulich
- University of California San Francisco, San Francisco, California, USA
| | - Michelle Melisko
- University of California San Francisco, San Francisco, California, USA
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2
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Cuthbert CA, Farragher JF, Hemmelgarn BR, Ding Q, McKinnon GP, Cheung WY. Self‐management interventions for cancer survivors: A systematic review and evaluation of intervention content and theories. Psychooncology 2019; 28:2119-2140. [DOI: 10.1002/pon.5215] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 08/18/2019] [Accepted: 08/21/2019] [Indexed: 12/24/2022]
Affiliation(s)
- Colleen A. Cuthbert
- Department of Oncology, Cumming School of MedicineUniversity of Calgary Calgary Alberta Canada
| | - Janine F. Farragher
- Department of Community Health SciencesUniversity of Calgary Calgary Alberta Canada
| | - Brenda R. Hemmelgarn
- Department of Community Health SciencesUniversity of Calgary Calgary Alberta Canada
- Department of MedicineUniversity of Calgary Calgary Alberta Canada
| | - Qirui Ding
- Department of Molecular Genetics, Faculty of MedicineUniversity of Toronto Toronto Ontario Canada
| | - Geoffrey P. McKinnon
- Department of Oncology, Cumming School of MedicineUniversity of Calgary Calgary Alberta Canada
| | - Winson Y. Cheung
- Department of Oncology, Cumming School of MedicineUniversity of Calgary Calgary Alberta Canada
- Alberta Health Services Cancer ControlTom Baker Cancer Center Calgary Alberta Canada
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3
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Thompson-Lastad A, Atreya CE, Chao MT, Pollak C, Dhruva A, Santana T, Abrams DI. Improving Access to Integrative Oncology Through Group Medical Visits: A Pilot Implementation Project. J Altern Complement Med 2019; 25:733-739. [PMID: 31314561 PMCID: PMC6648219 DOI: 10.1089/acm.2019.0073] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Objectives: This article describes the implementation of a group medical visit (GMV) model to increase access to integrative oncology (IO) care. The most challenging and critical time to access high-quality IO care is while patients are receiving conventional cancer therapy. Often demand for individual IO clinic consultations precludes this from occurring. A three-session GMV program was designed to alleviate barriers to receiving integrative care during active cancer treatment. Design: A consolidated framework was used for implementation research and focused ethnography methods to describe the IO GMV implementation process. Data sources included patient evaluations, participant observation, and brief provider and patient interviews. Setting: A pilot program was created to assess the feasibility and acceptability of implementing IO GMVs at a comprehensive cancer center. Intervention: Each three-session GMV consisted of a didactic session, followed by individual visits with the integrative oncologist. Results: The setting, intervention, and implementation process of the IO GMV program were described. Thirty-two patients participated in the first five cohorts of the program. Twenty-two were women; 24 were White. The median age of participants was 52. Patient evaluations demonstrate high levels of satisfaction with the program with all scored aspects rated >4.0 on a five-point Likert scale. For the medical center, group visits are a financially viable alternative to individual IO visits; revenue from group visits exceeded the revenue potential of 6 h of individual visits by an average of 38%. Conclusion: GMVs are a feasible and promising model for increasing access to IO. Patients in active cancer treatment were able to participate in the program. Future research and implementation efforts could examine health outcomes over time after participation in GMVs, as well as the feasibility of using this model with more diverse patient populations.
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Affiliation(s)
| | - Chloe E. Atreya
- Division of Hematology/Oncology, UC San Francisco Department of Internal Medicine, San Francisco, CA
- Helen Diller Family Comprehensive Cancer Center, UC San Francisco, San Francisco, CA
| | - Maria T. Chao
- Osher Center for Integrative Medicine, UC San Francisco, San Francisco, CA
- Division of General Internal Medicine, UC San Francisco Department of Internal Medicine, San Francisco, CA
| | - Christine Pollak
- Helen Diller Family Comprehensive Cancer Center, UC San Francisco, San Francisco, CA
| | - Anand Dhruva
- Osher Center for Integrative Medicine, UC San Francisco, San Francisco, CA
- Division of Hematology/Oncology, UC San Francisco Department of Internal Medicine, San Francisco, CA
- Helen Diller Family Comprehensive Cancer Center, UC San Francisco, San Francisco, CA
| | - Trilce Santana
- Osher Center for Integrative Medicine, UC San Francisco, San Francisco, CA
| | - Donald I. Abrams
- Osher Center for Integrative Medicine, UC San Francisco, San Francisco, CA
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4
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Abstract
PURPOSE OF REVIEW The transition from primary cancer treatment to posttreatment follow-up care is seen as critical to the long-term health of survivors. However, relatively little attention has been paid to understanding this pivotal period. This review will offer a brief outline of the significant work surrounding this pivotal time published in the past year. RECENT FINDINGS The growing number of cancer survivors has stimulated an emphasis on finding new models of care, whereby responsibility for survivorship follow-up is transitioned to primary care providers. A variety of models and tools have emerged for follow-up care. Survivorship care plans are heralded as a key component of survivorship care and a vehicle for supporting transition. Uptake of survivorship care plans and implementation of evidence-based models of survivorship care has been slow, hindered by a range of barriers. SUMMARY Evaluation is needed regarding survivorship models in terms of feasibility, survivor friendliness, cost effectiveness, and achievement of sustainable outcomes. How, and when, to introduce plans for transition to the patient and determine transition readiness are important considerations but need to be informed by evidence. Additional study is needed to identify best practice for the introduction and application of survivorship care plans.
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Dunne S, Coffey L, Sharp L, Timmons A, Desmond D, Gooberman-Hill R, O'Sullivan E, Keogh I, Timon C, Gallagher P. Barriers to active self-management following treatment for head and neck cancer: Survivors' perspectives. Psychooncology 2018; 27:2382-2388. [DOI: 10.1002/pon.4835] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 06/05/2018] [Accepted: 06/22/2018] [Indexed: 11/07/2022]
Affiliation(s)
- Simon Dunne
- School of Nursing and Human Sciences; Dublin City University; Dublin Ireland
| | - Laura Coffey
- Department of Psychology; Maynooth University; Maynooth Co. Kildare Ireland
| | - Linda Sharp
- Institute of Health and Society; Newcastle University; Newcastle UK
| | | | - Deirdre Desmond
- Department of Psychology; Maynooth University; Maynooth Co. Kildare Ireland
| | | | | | - Ivan Keogh
- Academic Department of Oto Rhino Laryngology; National University of Ireland Galway; Galway Ireland
| | - Conrad Timon
- Head and Neck Cancer Programme; St. James's Hospital; Dublin Ireland
| | - Pamela Gallagher
- School of Nursing and Human Sciences; Dublin City University; Dublin Ireland
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6
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Fitch M. [Not Available]. Can Oncol Nurs J 2018; 28:3. [PMID: 31148642 PMCID: PMC6516215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
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7
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Fitch M. Transitioning to survivorship: An imperative for cancer nurses. Can Oncol Nurs J 2018; 28:2. [PMID: 31148633 PMCID: PMC6516216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
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8
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Abstract
Introduction There has been a growing emphasis on the use of integrated care plans to deliver cancer care. However little is known about how integrated care plans for cancer patients are developed including featured core activities, facilitators for uptake and indicators for assessing impact. Methods Given limited consensus around what constitutes an integrated care plan for cancer patients, a scoping review was conducted to explore the components of integrated care plans and contextual factors that influence design and uptake. Results Five types of integrated care plans based on the stage of cancer care: surgical, systemic, survivorship, palliative and comprehensive (involving a transition between stages) are described in current literature. Breast, esophageal and colorectal cancers were common disease sites. Multi-disciplinary teams, patient needs assessment and transitional planning emerged as key features. Provider buy-in and training alongside informational technology support served as important facilitators for plan uptake. Provider-level measurement was considerably less robust compared to patient and system-level indicators. Conclusions Similarities in design features, components and facilitators across the various types of integrated care plans indicates opportunities to leverage shared features and enable a management lens that spans the trajectory of a patient's journey rather than a phase-specific silo approach to care.
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9
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Staccini P, Fernandez-Luque L. Health Social Media and Patient-Centered Care: Buzz or Evidence? Findings from the Section "Education and Consumer Health Informatics" of the 2015 Edition of the IMIA Yearbook. Yearb Med Inform 2017; 10:160-3. [PMID: 26293862 DOI: 10.15265/iy-2015-032] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To summarize the 2014 state of the art in the areas related to consumer health informatics and social media. METHODS We conducted a systematic review of articles published in 2014 in PubMed with a predefined set of queries. We identified 439 articles relevant for the review. The two section editors independently screened those papers taking into account their relevance to the topics covered by the section. In a second step, they jointly selected the 20 most representative papers as candidate best papers. Candidate best papers were then submitted for full review and scoring by external reviewers. Based on the scoring, section editors together with the IMIA Yearbook editorial board selected the four best papers published in 2014 in consumer health informatics. RESULTS Helping patients acquire a healthier lifestyle is a crucial part of patient empowerment. In this line of work, new studies are exploring the efficacy of online health interventions for patient behavioral change. The special case of smoking cessation for consumers with low socio-economic status is particularly noticeable. Another study has explored how an online intervention can reduce the anxiety of women who experience an abnormal mammography. The team of PatientsLikeMe has studied how online support groups could play a role in the quality of life of organ transplant recipients. The patient perspective of online forums' users is also analyzed in the domain of anticoagulation therapy. CONCLUSIONS Online health interventions, many of them using social media, have confirmed their potential to impact consumer behavioral change. However, there are still many methodological issues that need to be addressed in order to prove cost-effectiveness.
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Affiliation(s)
- P Staccini
- Pr Pascal Staccini, 1INSERM UMR 912 SESSTIM, IRIS Dept, UFR Médecine,, Université Nice-Sophia Antipolis, 28 avenue de Valombrose, 06107 Nice cedex 2, France, E-mail:
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Szalai M, Szirmai A, Füge K, Makai A, Erdélyi G, Prémusz V, Bódis J. Special aspects of social support: Qualitative analysis of oncologic rehabilitation through a belly dancing peer support group. Eur J Cancer Care (Engl) 2017; 26. [PMID: 28194904 DOI: 10.1111/ecc.12656] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2016] [Indexed: 11/29/2022]
Abstract
Tumour-related peer support groups (PSGs) show long-term development in quality of life and coping, and decrease distress in cancer care. To clarify channels of social support in oncologic rehabilitation by combined exercise and psychosocial therapy, individual semi-structured interviews were conducted after 1 year additional belly dance rehabilitation in a closed PSG among 51 patients with malignant tumour diagnosis in Budapest, Hungary. Interview data were transcribed and analysed using qualitative content analysis (ATLAS.ti 6 Win). Results suggest that group experience provides emotional-, practical- and informational support. We could point out specific social effects of "role model" function and extend the coping model. The group dispose all the features of effective suggestion and may be effectively applied as additional therapy for patients with malignancies. The extended coping model and the introduction of "role model" function could be useful for PSGs' efficacy assessment.
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Affiliation(s)
- M Szalai
- Department of Head and Neck Surgery, National Institute of Oncology, Budapest, Hungary.,Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - A Szirmai
- Doctoral School of Psychology, Faculty of Humanities, Eötvös Loránd University, Budapest, Hungary
| | - K Füge
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - A Makai
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - G Erdélyi
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - V Prémusz
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - J Bódis
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.,Department of Obstetrics and Gynaecology, Medical School, University of Pécs, Pécs, Hungary
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Hoeck B, Ledderer L, Ploug Hansen H. Dealing with cancer: a meta-synthesis of patients' and relatives' experiences of participating in psychosocial interventions. Eur J Cancer Care (Engl) 2017; 26. [PMID: 28169475 DOI: 10.1111/ecc.12652] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2016] [Indexed: 11/28/2022]
Abstract
The aim was to synthesise patients' and relatives' experiences of participating in a psychosocial intervention related to having cancer. The study was a meta-synthesis inspired by Noblit & Hare's 'meta-ethnography' approach. We systematically searched six databases and included 33 studies in the meta-synthesis. Inclusion criteria were qualitative studies with relevance to the synthesis topic. The meta-synthesis conceptualised the way in which participants develop their way of living with cancer, and the role psychosocial interventions play in helping them to live through the illness. Five themes symbolising the participants' core experiences were identified: (1) Emotional relief and a sense of well-being, (2) normalisation of experiences and a sense of control, (3) shared experience and a sense of community, (4) a safe place and (5) transformation and adaptability. The findings indicated that psychosocial interventions were used to try to deal with the changes in the human conditions caused by cancer. Sharing their experiences and forming social relationships helped the participants adapt to cancer. An existential perspective may provide a nuanced understanding of patients' and relatives' experiences of participating in psychosocial interventions.
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Affiliation(s)
- B Hoeck
- Research Unit of User Perspectives, Department of Public Health, University of Southern Denmark, Odense, Denmark
| | - L Ledderer
- Section for Health Promotion and Health Services, Department of Public Health, Aarhus University, Aarhus, Denmark
| | - H Ploug Hansen
- Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark
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12
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Cancer survivors’ perspectives on adjustment-focused self-management interventions: a qualitative meta-synthesis. J Cancer Surviv 2016; 10:1012-1034. [DOI: 10.1007/s11764-016-0546-3] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2016] [Accepted: 04/27/2016] [Indexed: 10/21/2022]
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13
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Group medical consultations in the follow-up of breast cancer: a randomized feasibility study. J Cancer Surviv 2015; 9:450-61. [DOI: 10.1007/s11764-014-0421-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2014] [Accepted: 12/16/2014] [Indexed: 11/25/2022]
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14
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Szalai M, Lévay B, Szirmai A, Papp I, Prémusz V, Bódis J. A clinical study to assess the efficacy of belly dancing as a tool for rehabilitation in female patients with malignancies. Eur J Oncol Nurs 2014; 19:60-5. [PMID: 25201130 DOI: 10.1016/j.ejon.2014.07.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2013] [Revised: 07/14/2014] [Accepted: 07/17/2014] [Indexed: 12/22/2022]
Abstract
PURPOSE This prospective, non-randomised follow-up study was designed to compare the health-related quality of life (HRQoL), perceived social support (PSS) and overall life satisfaction (OLS) in female patients receiving standard medical care for malignant diseases with or without additional belly dancing. METHOD The patients were recruited in the Outpatient Department of the National Institute of Oncology, Budapest, Hungary during the period of 2008-2009. 55 patients joined the one-year-long rehabilitation program (research group, RG) while 59 age-matched patients who received only standard medical care volunteered for clinical assessment (control group, CG). HRQoL, PSS and OLS were assessed using validated questionnaires: EORTC QLQ-C30, F-SozU-K14, and Campbell's OLS, respectively. The scores obtained in RG and CG were controlled for baseline socio-demographic characteristics and evaluated by ANCOVA analysis. RESULTS It was found that patients of the RG scored better at both the baseline and follow-up than the CG, and the differences between the two groups' measured parameters increased further during the course of the study. The respective baseline values in RG and CG were 56.6 ± 10.3 vs 63.5 ± 12 for HRQoL, 65.2 ± 5.5 vs 57.4 ± 8.8 for PSS and 57.4 ± 8.1 vs 48.4 ± 10.7 for OLS. The corresponding follow-up scores were 51.9 ± 4.4 vs 59.9 ± 11.2 (F = 10.637, p = 0.001) for HRQoL, 67.5 ± 2.7 vs 53.9 ± 10.5 (F = 2.646, p = 0.000) for PSS and 59.5 ± 9.6 vs 45.0 ± 11.5 (F = 2.402, p = 0.001) for OLS. CONCLUSIONS Belly dance intervention can be applied as a complementary rehabilitation method to improve HRQoL, PSS and OLS in female patients treated for malignant diseases.
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Affiliation(s)
- Márta Szalai
- Department of Head and Neck Surgery, National Institute of Oncology, Ráth György utca 7-9, H-1122 Budapest, Hungary; Doctoral School of Health Sciences, Department of Health Sciences, University of Pécs, Vörösmarty u. 4, H-7621 Pécs, Hungary
| | - Bernadett Lévay
- Department of Head and Neck Surgery, National Institute of Oncology, Ráth György utca 7-9, H-1122 Budapest, Hungary
| | - Anna Szirmai
- Doctoral School of Psychology, Faculty of Humanities, Eötvös Loránd University, Egyetem tér 1-3, H-1053 Budapest, Hungary
| | - István Papp
- Doctoral School of Health Sciences, Department of Health Sciences, University of Pécs, Vörösmarty u. 4, H-7621 Pécs, Hungary
| | - Viktória Prémusz
- Doctoral School of Health Sciences, Department of Health Sciences, University of Pécs, Vörösmarty u. 4, H-7621 Pécs, Hungary.
| | - József Bódis
- Doctoral School of Health Sciences, Department of Health Sciences, University of Pécs, Vörösmarty u. 4, H-7621 Pécs, Hungary
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