Skip to main content

2018 | OriginalPaper | Buchkapitel

Virtual Reality for Pain Management Among Children and Adolescents: Applicability in Clinical Settings and Limitations

verfasst von : Barbara Atzori, Laura Vagnoli, Andrea Messeri, Rosapia Lauro Grotto

Erschienen in: Universal Access in Human-Computer Interaction. Virtual, Augmented, and Intelligent Environments

Verlag: Springer International Publishing

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Background. In recent years, virtual reality (VR) has emerged as an efficient distraction technique to reduce procedural pain among both adults and children. However, the effectiveness of VR as a distraction technique remains scarcely evaluated during many painful procedures. In many countries, such as Italy, VR analgesia is hardly applied.
Aim. The current study aims to highlight the potentials and the limitations of VR analgesia for children’s pain management in clinical settings and to explore the feasibility and the effectiveness of VR distraction in Italy.
Methods. Studies that applied VR analgesia to children and adolescents undergoing painful procedures in clinical settings were included in the analysis. Factors influencing VR analgesia and the effectiveness of VR distraction for pain management were considered. The feasibility and the effectiveness of a low-cost VR system was evaluated for patients undergoing venipuncture in an Italian children’s hospital.
Results. Factors influencing VR analgesia are still sparsely investigated, particularly regarding the psychological variables, such as anxiety and coping strategies. Italian patients suffering from cancer and kidney diseases who used VR distraction reported lower levels of pain and higher levels of fun compared with the control group.
Discussion. VR analgesia is destined to be applied more in clinical settings; however, VR systems designed for the specific use of VR analgesia in clinical settings are needed. In the Italian context, VR systems are necessary to improve the knowledge of VR analgesia among physicians, nurses, and clinical psychologists and encourage further research in this field.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Literatur
1.
Zurück zum Zitat Heinemann, D.S.: Porting game studies research to virtual reality. New Media Soc. 18, 2793–2799 (2016)CrossRef Heinemann, D.S.: Porting game studies research to virtual reality. New Media Soc. 18, 2793–2799 (2016)CrossRef
2.
Zurück zum Zitat Eccleston, C., Crombez, G.: Pain demands attention: a cognitive-affective model of the interruptive function of pain. Psychol. Bull. 125, 356–366 (1999)CrossRef Eccleston, C., Crombez, G.: Pain demands attention: a cognitive-affective model of the interruptive function of pain. Psychol. Bull. 125, 356–366 (1999)CrossRef
3.
Zurück zum Zitat Caprilli, S., Anastasi, F., Lauro Grotto, R., Scollo Abeti, M., Messeri, A.: Interactive music as a treatment for pain and distress in children during venipuncture: a randomized prospective study. J. Dev. Behav. Pediatr. 28, 399–403 (2007)CrossRef Caprilli, S., Anastasi, F., Lauro Grotto, R., Scollo Abeti, M., Messeri, A.: Interactive music as a treatment for pain and distress in children during venipuncture: a randomized prospective study. J. Dev. Behav. Pediatr. 28, 399–403 (2007)CrossRef
4.
Zurück zum Zitat Koller, D., Goldman, R.D.: Distraction techniques for children undergoing procedures: a critical review of pediatric research. J. Pediatr. Nurs. 27, 652–681 (2012)CrossRef Koller, D., Goldman, R.D.: Distraction techniques for children undergoing procedures: a critical review of pediatric research. J. Pediatr. Nurs. 27, 652–681 (2012)CrossRef
5.
Zurück zum Zitat Birnie, K.A., Noel, M., Parker, J.A., Chambers, C.T., Uman, L.S., Kisely, S.R., McGrath, P.J.: Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents. J. Pediatr. Psychol. 39(8), 783–808 (2014)CrossRef Birnie, K.A., Noel, M., Parker, J.A., Chambers, C.T., Uman, L.S., Kisely, S.R., McGrath, P.J.: Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents. J. Pediatr. Psychol. 39(8), 783–808 (2014)CrossRef
6.
Zurück zum Zitat Vagnoli, L., Caprilli, S., Vernucci, C., Zagni, S., Mugnai, F., Messeri, A.: Can presence of a dog reduce pain and distress in children during venipuncture? Pain Manag. Nurs. 16, 89–95 (2015)CrossRef Vagnoli, L., Caprilli, S., Vernucci, C., Zagni, S., Mugnai, F., Messeri, A.: Can presence of a dog reduce pain and distress in children during venipuncture? Pain Manag. Nurs. 16, 89–95 (2015)CrossRef
8.
Zurück zum Zitat Atzori, B., Hoffman, H.G., Vagnoli, L., Messeri, A., Lauro-Grotto, R.: Virtual reality as distraction technique for pain management in children and adolescents. In: Khosrow-Pour, M.: Encyclopedia of Information Science and Technology, 4th edn., Hershey, pp. 5955–5965 (2017) Atzori, B., Hoffman, H.G., Vagnoli, L., Messeri, A., Lauro-Grotto, R.: Virtual reality as distraction technique for pain management in children and adolescents. In: Khosrow-Pour, M.: Encyclopedia of Information Science and Technology, 4th edn., Hershey, pp. 5955–5965 (2017)
9.
Zurück zum Zitat Lee, K.M.: Presence, explicated. Commun. Theor. 14(1), 27–50 (2004)CrossRef Lee, K.M.: Presence, explicated. Commun. Theor. 14(1), 27–50 (2004)CrossRef
10.
Zurück zum Zitat Bulu, S.T.: Place presence, social presence, co-presence, and satisfaction in virtual worlds. Comput. Educ. 58, 154–161 (2012)CrossRef Bulu, S.T.: Place presence, social presence, co-presence, and satisfaction in virtual worlds. Comput. Educ. 58, 154–161 (2012)CrossRef
11.
Zurück zum Zitat Slater, M., Wilbur, S.: A framework for immersive virtual environment (FIVE): speculations on the role of presence in virtual environments (1997)CrossRef Slater, M., Wilbur, S.: A framework for immersive virtual environment (FIVE): speculations on the role of presence in virtual environments (1997)CrossRef
12.
Zurück zum Zitat Hoffman, H.G., Seibel, E.J., Richards, T.L., Furness III, T.A., Patterson, D.R., Sharar, S.R.: Virtual reality helmet display quality influences the magnitude of virtual reality analgesia. J. Pain 7, 843–850 (2006)CrossRef Hoffman, H.G., Seibel, E.J., Richards, T.L., Furness III, T.A., Patterson, D.R., Sharar, S.R.: Virtual reality helmet display quality influences the magnitude of virtual reality analgesia. J. Pain 7, 843–850 (2006)CrossRef
13.
Zurück zum Zitat Hoffman, H.G., Sharar, S.R., Coda, B., Everett, J.J., Ciol, M., Richards, T., Patterson, D.R.: Manipulating presence influences the magnitude of virtual reality analgesia. Pain 111, 162–168 (2004)CrossRef Hoffman, H.G., Sharar, S.R., Coda, B., Everett, J.J., Ciol, M., Richards, T., Patterson, D.R.: Manipulating presence influences the magnitude of virtual reality analgesia. Pain 111, 162–168 (2004)CrossRef
14.
Zurück zum Zitat Chan, E.A., Chung, J., Wong, T., Lien, A., Yang, J.Y.: Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan. J. Clin. Nurs. 16, 786–793 (2007)CrossRef Chan, E.A., Chung, J., Wong, T., Lien, A., Yang, J.Y.: Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan. J. Clin. Nurs. 16, 786–793 (2007)CrossRef
15.
Zurück zum Zitat Sharar, S.R., Carrougher, G.J., Nakamura, D., Hoffman, H.G., Blough, D.K., Patterson, D.R.: Factors influencing the efficacy of virtual reality distraction analgesia during postburn physical therapy: preliminary results from 3 ongoing studies. Archiv. Phys. Med. Rehab. 88, S43–S49 (2007)CrossRef Sharar, S.R., Carrougher, G.J., Nakamura, D., Hoffman, H.G., Blough, D.K., Patterson, D.R.: Factors influencing the efficacy of virtual reality distraction analgesia during postburn physical therapy: preliminary results from 3 ongoing studies. Archiv. Phys. Med. Rehab. 88, S43–S49 (2007)CrossRef
16.
Zurück zum Zitat Triberti, S., Repetto, C., Riva, G.: Psychological factors influencing the effectiveness of virtual reality–based analgesia: a systematic review. Cyberpsychol. Behav. Soc. Netw. 17(6), 335–345 (2014)CrossRef Triberti, S., Repetto, C., Riva, G.: Psychological factors influencing the effectiveness of virtual reality–based analgesia: a systematic review. Cyberpsychol. Behav. Soc. Netw. 17(6), 335–345 (2014)CrossRef
17.
Zurück zum Zitat Swindells, C., Po, B.A., Hajshirmohammadi, I., Corrie, B., Dill, J.C., Fisher, B.D., Kellogs, S.B.: Comparing CAVE, wall, and desktop displays for navigation and wayfinding in complex 3D models. In: Proceedings of Computer Graphics International, pp. 420–427. IEEE, New York (2004) Swindells, C., Po, B.A., Hajshirmohammadi, I., Corrie, B., Dill, J.C., Fisher, B.D., Kellogs, S.B.: Comparing CAVE, wall, and desktop displays for navigation and wayfinding in complex 3D models. In: Proceedings of Computer Graphics International, pp. 420–427. IEEE, New York (2004)
18.
Zurück zum Zitat Santos, B.S., Dias, P., Pimentel, A., Baggerman, J.W., Ferreira, C., Silva, S., Madeira, J.: Head-mounted display versus desktop for 3D navigation in virtual reality: a user study. Multimed. Tools Appl. 4, 161–181 (2009)CrossRef Santos, B.S., Dias, P., Pimentel, A., Baggerman, J.W., Ferreira, C., Silva, S., Madeira, J.: Head-mounted display versus desktop for 3D navigation in virtual reality: a user study. Multimed. Tools Appl. 4, 161–181 (2009)CrossRef
19.
Zurück zum Zitat Pallavicini, F., Ferrari, A., Zini, A., Garcea, G., Zanacchi, A., Barone, G., Mantovani, F.: What distinguishes a traditional gaming experience from one in virtual reality? An exploratory study. In: Ahram, T., Falcão, C. (eds.) AHFE 2017. AISC, vol. 608, pp. 225–231. Springer, Cham (2018). https://doi.org/10.1007/978-3-319-60639-2_23CrossRef Pallavicini, F., Ferrari, A., Zini, A., Garcea, G., Zanacchi, A., Barone, G., Mantovani, F.: What distinguishes a traditional gaming experience from one in virtual reality? An exploratory study. In: Ahram, T., Falcão, C. (eds.) AHFE 2017. AISC, vol. 608, pp. 225–231. Springer, Cham (2018). https://​doi.​org/​10.​1007/​978-3-319-60639-2_​23CrossRef
20.
Zurück zum Zitat Hoffman, H.G., Doctor, J.N., Patterson, D.R., Carrougher, G.J., Furness III, T.A.: Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain 85, 305–309 (2000)CrossRef Hoffman, H.G., Doctor, J.N., Patterson, D.R., Carrougher, G.J., Furness III, T.A.: Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain 85, 305–309 (2000)CrossRef
21.
Zurück zum Zitat Gershon, J., Zimand, E., Pickering, M., Rothbaum, B.O., Hodges, L.: A pilot and feasibility study of virtual reality as a distraction for children with cancer. J. Am. Acad. Child Adolesc. Psychiatr. 43, 1243–1249 (2004)CrossRef Gershon, J., Zimand, E., Pickering, M., Rothbaum, B.O., Hodges, L.: A pilot and feasibility study of virtual reality as a distraction for children with cancer. J. Am. Acad. Child Adolesc. Psychiatr. 43, 1243–1249 (2004)CrossRef
22.
Zurück zum Zitat Hua, Y., Qiu, R., Yao, W., Zhang, Q., Chen, X.: The effect of virtual reality distraction on pain relief during dressing changes in children with chronic wounds on lower limbs. Pain Manag. Nurs. 16(5), 685–691 (2015)CrossRef Hua, Y., Qiu, R., Yao, W., Zhang, Q., Chen, X.: The effect of virtual reality distraction on pain relief during dressing changes in children with chronic wounds on lower limbs. Pain Manag. Nurs. 16(5), 685–691 (2015)CrossRef
23.
Zurück zum Zitat Van Twillert, B., Bremer, M., Faber, A.W.: Computer-generated virtual reality to control pain and anxiety in pediatric and adult burn patients during wound dressing changes. J. Burn Care Res. 28, 694–702 (2007)CrossRef Van Twillert, B., Bremer, M., Faber, A.W.: Computer-generated virtual reality to control pain and anxiety in pediatric and adult burn patients during wound dressing changes. J. Burn Care Res. 28, 694–702 (2007)CrossRef
24.
Zurück zum Zitat Wender, R., Hoffman, H.G., Hunner, H.H., Seibel, E.J., Patterson, D.R., Sharar, S.R.: Interactivity influences the magnitude of virtual reality analgesia. J. Cybertherapy Rehab. 2, 27–33 (2009) Wender, R., Hoffman, H.G., Hunner, H.H., Seibel, E.J., Patterson, D.R., Sharar, S.R.: Interactivity influences the magnitude of virtual reality analgesia. J. Cybertherapy Rehab. 2, 27–33 (2009)
25.
Zurück zum Zitat Ploghaus, A., Narain, C., Beckamm, C.F., Clare, S., Bantik, S., Wise, R., Matthews, P.M., Rawlins, J.N.P., Tracey, I.: Exacerbation of pain by anxiety is associated with activity of hippocampal network. J. Neurosci. 21, 9896–9903 (2001)CrossRef Ploghaus, A., Narain, C., Beckamm, C.F., Clare, S., Bantik, S., Wise, R., Matthews, P.M., Rawlins, J.N.P., Tracey, I.: Exacerbation of pain by anxiety is associated with activity of hippocampal network. J. Neurosci. 21, 9896–9903 (2001)CrossRef
26.
Zurück zum Zitat Jeffs, D., Dorman, D., Brown, S., Files, A., Graves, T., Kirk, E., Meredit-Neve, S., Danders, J., White, B., Swearingen, C.: Effect of virtual reality on adolescent pain during wound care. J. Burn Care Res. 35, 395–407 (2014)CrossRef Jeffs, D., Dorman, D., Brown, S., Files, A., Graves, T., Kirk, E., Meredit-Neve, S., Danders, J., White, B., Swearingen, C.: Effect of virtual reality on adolescent pain during wound care. J. Burn Care Res. 35, 395–407 (2014)CrossRef
27.
Zurück zum Zitat Gold, J.I., Kim, S.H., Kant, A.J., Joseph, M.H., Rizzo, A.: Effectiveness of virtual reality for pediatric pain distraction during IV placement. Cyberpsychol. Behav. 9, 207–212 (2006)CrossRef Gold, J.I., Kim, S.H., Kant, A.J., Joseph, M.H., Rizzo, A.: Effectiveness of virtual reality for pediatric pain distraction during IV placement. Cyberpsychol. Behav. 9, 207–212 (2006)CrossRef
28.
Zurück zum Zitat Sander Wint, S., Eshelman, D., Steele, J., Guzzetta, C.E.: Effects of distraction using virtual reality glasses during lumbar punctures in adolescents with cancer. Oncol. Nurs. Forum 29, E8–E15 (2002)CrossRef Sander Wint, S., Eshelman, D., Steele, J., Guzzetta, C.E.: Effects of distraction using virtual reality glasses during lumbar punctures in adolescents with cancer. Oncol. Nurs. Forum 29, E8–E15 (2002)CrossRef
29.
Zurück zum Zitat Caprilli, S.: I bambini non devono provare dolore. Giornale Italiano di Scienze Infermieristiche e Pediatriche 2, 44 (2010) Caprilli, S.: I bambini non devono provare dolore. Giornale Italiano di Scienze Infermieristiche e Pediatriche 2, 44 (2010)
30.
Zurück zum Zitat Wolitzky, K., Fivush, R., Zimand, L.H., Hodges, L., Rothbaum, B.O.: Effectiveness of virtual reality distraction during a painful medical procedure in pediatric oncology patients. Psychol. Health 20, 817–824 (2005)CrossRef Wolitzky, K., Fivush, R., Zimand, L.H., Hodges, L., Rothbaum, B.O.: Effectiveness of virtual reality distraction during a painful medical procedure in pediatric oncology patients. Psychol. Health 20, 817–824 (2005)CrossRef
31.
Zurück zum Zitat Guelman, M.: Dental fear in children may be related to previous pain experience during dental treatment. J. Evid. Based Dent. Pract. 5(3), 143–144 (2005)CrossRef Guelman, M.: Dental fear in children may be related to previous pain experience during dental treatment. J. Evid. Based Dent. Pract. 5(3), 143–144 (2005)CrossRef
32.
Zurück zum Zitat Shahrbanian, S., Ma, X., Aghaei, N., Korner-Bitensky, N., Moshiri, K., Simmonds, M.J.: Use of virtual reality (immersive vs. non immersive) for pain management in children and adults: a systematic review of evidence from randomized controlled trials. Eur. J. Exp. Biol. 2, 1408–1422 (2012) Shahrbanian, S., Ma, X., Aghaei, N., Korner-Bitensky, N., Moshiri, K., Simmonds, M.J.: Use of virtual reality (immersive vs. non immersive) for pain management in children and adults: a systematic review of evidence from randomized controlled trials. Eur. J. Exp. Biol. 2, 1408–1422 (2012)
34.
Zurück zum Zitat Michael, D., Chen, S.: Serious games: games that educate, train, and inform. Thomson Course Technology, Boston (2006) Michael, D., Chen, S.: Serious games: games that educate, train, and inform. Thomson Course Technology, Boston (2006)
35.
Zurück zum Zitat Aminabadi, N.A., Erfanparast, L., Sohrabi, A., Oskouei, S.G., Naghili, A.: The impact of virtual reality distraction on pain and anxiety during dental treatment in 4–6 year-old children: a randomized controlled clinical trial. J. Dent. Res. Dent. Clin. Dent. Prospects 6, 117–124 (2012) Aminabadi, N.A., Erfanparast, L., Sohrabi, A., Oskouei, S.G., Naghili, A.: The impact of virtual reality distraction on pain and anxiety during dental treatment in 4–6 year-old children: a randomized controlled clinical trial. J. Dent. Res. Dent. Clin. Dent. Prospects 6, 117–124 (2012)
36.
Zurück zum Zitat Axia, G., Bonichini, S.: La valutazione delle strategie di coping al dolore fisico nei bambini di età scolare. Psicologia Clinica dello Sviluppo 1, 97–123 (2000) Axia, G., Bonichini, S.: La valutazione delle strategie di coping al dolore fisico nei bambini di età scolare. Psicologia Clinica dello Sviluppo 1, 97–123 (2000)
37.
Zurück zum Zitat Sil, S., Dahlquist, L.M., Thompson, C., Hahn, A., Herbert, L., Wohlheiter, K., Horn, S.: The effects of coping style on virtual reality enhanced videogame distraction in children undergoing cold pressor pain. J. Behav. Med. 6(4), 117–124 (2012) Sil, S., Dahlquist, L.M., Thompson, C., Hahn, A., Herbert, L., Wohlheiter, K., Horn, S.: The effects of coping style on virtual reality enhanced videogame distraction in children undergoing cold pressor pain. J. Behav. Med. 6(4), 117–124 (2012)
38.
Zurück zum Zitat Riva, G., Bacchetta, M., Baruffi, M., Rinaldi, S., Molinari, E.: Virtual reality based experiential cognitive treatment of anorexia nervosa. J. Behav. Ther. Exp. Psychiatr. 30(3), 221–230 (1999)CrossRef Riva, G., Bacchetta, M., Baruffi, M., Rinaldi, S., Molinari, E.: Virtual reality based experiential cognitive treatment of anorexia nervosa. J. Behav. Ther. Exp. Psychiatr. 30(3), 221–230 (1999)CrossRef
39.
Zurück zum Zitat Riva, G.: Virtual reality: an experiential tool for clinical psychology. Br. J. Guid. Counc. 37(3), 335–343 (2009)CrossRef Riva, G.: Virtual reality: an experiential tool for clinical psychology. Br. J. Guid. Counc. 37(3), 335–343 (2009)CrossRef
40.
Zurück zum Zitat Mantovani, F., Castelnuovo, G., Gaggioli, A., Riva, G.: Virtual reality training for health-care professionals. Cyberpsychol. Behav. 6(4), 389–395 (2003)CrossRef Mantovani, F., Castelnuovo, G., Gaggioli, A., Riva, G.: Virtual reality training for health-care professionals. Cyberpsychol. Behav. 6(4), 389–395 (2003)CrossRef
41.
Zurück zum Zitat Bisogni, S., Dini, C., Olivini, N., Ciofi, D., Giusti, F., Caprilli, S., Lopez, J.R.G., Festini, F.: Perception of venipuncture pain in children suffering from chronic diseases. BMC Res. Notes 7, 735–739 (2014)CrossRef Bisogni, S., Dini, C., Olivini, N., Ciofi, D., Giusti, F., Caprilli, S., Lopez, J.R.G., Festini, F.: Perception of venipuncture pain in children suffering from chronic diseases. BMC Res. Notes 7, 735–739 (2014)CrossRef
43.
Zurück zum Zitat Gracely, R.H., McGrath, F., Dubner, R.: Ratio scales of sensory and affective verbal pain descriptors. Pain 5, 5–18 (1978)CrossRef Gracely, R.H., McGrath, F., Dubner, R.: Ratio scales of sensory and affective verbal pain descriptors. Pain 5, 5–18 (1978)CrossRef
44.
Zurück zum Zitat Atzori, B., Hoffman, H.G., Vagnoli, L., Messeri, A., Alhalabi, W., Patterson, D., Lauro Grotto, R.: Virtual Reality pain management for children with onco-hematological diseases undergoing venipuncture. In: 18th International Psycho-oncology Society Congress, 17th–21st October 2016, Dublin, Ireland (2016) Atzori, B., Hoffman, H.G., Vagnoli, L., Messeri, A., Alhalabi, W., Patterson, D., Lauro Grotto, R.: Virtual Reality pain management for children with onco-hematological diseases undergoing venipuncture. In: 18th International Psycho-oncology Society Congress, 17th–21st October 2016, Dublin, Ireland (2016)
Metadaten
Titel
Virtual Reality for Pain Management Among Children and Adolescents: Applicability in Clinical Settings and Limitations
verfasst von
Barbara Atzori
Laura Vagnoli
Andrea Messeri
Rosapia Lauro Grotto
Copyright-Jahr
2018
DOI
https://doi.org/10.1007/978-3-319-92052-8_2

Neuer Inhalt