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Editor-in-Chief: Giuseppe Leone | Italy

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  • HEMATOPOIETIC STEM CELL TRANSPLANTATION IN EGYPT CHALLENGES AND OPPORTUNITIES

    Hossam Kamel Mahmoud, Gamaleldin Mohamed Fathy, Alaa Elhaddad, Omar Abdelrahman Fahmy, Mohamed Abdelmooti, Raafat Abdelfattah, Mahmoud Tarek Sayed Ahmed Bokhary
    e2020023
    2020-04-27
    https://doi.org/10.4084/mjhid.2020.023
    1757
    PDF: 954
    HTML: 592
  • A PROSPECTIVE STUDY OF BRUCELLOSIS IN CHILDREN: RELATIVE FREQUENCY OF PANCYTOPENIA

    Mohamed El Koumi, Mona Afify, Salha Al-Zahrani
    e2013011
    2013-02-16
    https://doi.org/10.4084/mjhid.2013.011
    2128
    PDF: 812
    HTML: 3996
  • Microangiopathic Hemolytic Anemia in 57-year-old woman with Borderline Serous Tumor of the Ovary:Real-Time Management of Common Pathways of Hemostatic Failure

    Gloria Joan Morris
    e2012030
    2012-05-06
    https://doi.org/10.4084/mjhid.2012.030
    1072
    PDF: 784
    HTML: 12722
  • REFRACTORY THROMBOCYTOPENIA AND NEUTROPENIA: A DIAGNOSTIC CHALLENGE

    Emmanuel Gyan, François Dreyfus, Pierre Fenaux
    e2015018
    2015-02-13
    https://doi.org/10.4084/mjhid.2015.018
    12263
    PDF: 1646
    HTML: 4142
    Cover letter: 182
    Figure 1: 185
  • CLINICO-PATHOLOGICAL SPECTRUM AND NOVEL KARYOTYPIC FINDINGS IN MYELODYSPLASTIC SYNDROME: EXPERIENCE OF TERTIARY CARE CENTRE IN INDIA.

    Ruchi Gupta, Khaliqur Rahman, Manish Kumar Singh, Surabhi Kumari, Geeta yadav, Soniya Nityanand
    e2017048
    2017-08-16
    https://doi.org/10.4084/mjhid.2017.048
    1928
    PDF: 768
    HTML: 930
    Untitled: 191
  • EPSTEIN-BARR VIRUS RELATED LYMPHOPROLIFERATIONS AFTER STEM CELL TRANSPLANTATION

    Simona Sica, Elisabetta Metafuni, Silvia Bellesi, Patrizia Chiusolo
    e2009019
    2009-12-14
    https://doi.org/10.4084/mjhid.2009.019
    1257
    PDF: 547
    HTML: 2968
  • The significance of purity: Leukaemias involving the erythroid lineage Erythroid lineage leukemia

    Prof. Vincenzo Liso, Prof. Arcangelo Liso, Prof. Gina Zini
    e2020077
    2020-10-27
    https://doi.org/10.4084/mjhid.2020.077
    766
    PDF: 402
    HTML: 268
  • SOCIOECONOMIC STATUS IS GLOBALLY A PROGNOSTIC FACTOR FOR OVERALL SURVIVAL OF MULTIPLE MYELOMA PATIENTS; SYNTHESIS OF STUDIES AND REVIEW OF THE LITERATURE SES as prognostic factor for myeloma survival

    Stergios Intzes, Marianthi Symeonidou, Konstantinos Zagoridis, Aikaterini Pentidou, Spanoudakis Emmanouil
    e2021006
    2021-01-01
    https://doi.org/10.4084/mjhid.2021.006
    1965
    PDF: 782
    HTML: 196
  • Successful Outcomes of Severe COVID-19 in Patient with Chronic Lymphocytic Leukemia: Diagnostic Challenges in Immunocompromised Hosts COVID-19 in cancer patients

    Alexandre Malek
    e2020044
    2020-06-28
    https://doi.org/10.4084/mjhid.2020.044
    1141
    PDF: 752
    HTML: 205
  • CMV Reactivations During and after Letermovir Prophylaxis In Allogeneic Hematopoietic Stem Cell Transplantation: a Single-Center Experience.

    Edoardo Olivari
    e2025079
    2025-10-31
    https://doi.org/10.4084/MJHID.2025.079
    375
    PDF: 185
    Html: 48
  • OUTCOME OF ALLOGENEIC STEM CELL TRANSPLANTATION FOLLOWING REDUCED-INTENSITY CONDITIONINIG REGIMEN IN PATIENTS WITH IDIOPATHIC MYELOFIBROSIS: THE G.I.T.M.O. EXPERIENCE AND REVIEW OF THE LITERATURE

    Francesca Patriarca, Andrea Bacigalupo, Alessandra Sperotto, Miriam Isola, Maria Teresa Van Lint, Anna Paola Iori, Paolo Di Bartolomeo, Maurizio Musso, Pietro Pioltelli, Giuseppe Visani, Pasquale Iacopino, Renato Fanin, Alberto Bosi
    e2010010
    2010-05-07
    https://doi.org/10.4084/mjhid.2010.010
    1462
    PDF: 748
    HTML: 751
  • Severe autoimmune hemolytic anemia in Covid-19 infection Autoimmune hemolytic anemia in Covid-19

    Fehmi Hindilerden, Ipek Yonal-Hindilerden, Emre Akar, Zuhal Yesilbag, Kadriye Kart-Yasar
    e2020053
    2020-09-14
    https://doi.org/10.4084/mjhid.2020.053
    3069
    PDF: 1540
    HTML: 249
  • COST OF HEMATOPOIETIC STEM CELL TRANSPLANTATION IN INDIA

    Sanjeev Kumar Sharma, Dharma Choudhary, Nitin Gupta, Mayank Dhamija, Vipin Khandelwal, Gaurav Kharya, Anil Handoo, Rasika Setia, Arpita Arora
    e2014046
    2014-06-29
    https://doi.org/10.4084/mjhid.2014.046
    2594
    PDF: 946
    HTML: 4686
  • ANTIFUNGAL THERAPY IN HEMATOPOIETIC STEM CELL TRANSPLANT RECIPIENTS

    Alessandro Busca, Livio Pagano
    e2016039
    2016-09-01
    https://doi.org/10.4084/mjhid.2016.039
    4660
    PDF: 1513
    HTML: 2231
    Untitled: 191
    Untitled: 208
    Untitled: 213
    Untitled: 196
    Untitled: 197
  • Acquired Sideroblastic Anemia: An exploratory Comparative Statistical Analysis Between Clonal and Non-clonal cases Acquired Sideroblastic Anemia

    Dina Sameh Soliman, Samah Kohla, Shehab Fareed, Susanna Akiki , Aliaa Amer, Ibrahim Ganwo, Prem Chandra, Halima El-Omri, Feryal Ibrahim
    e2022067
    2022-08-27
    https://doi.org/10.4084/MJHID.2022.067
    884
    PDF: 549
    HTML: 309
  • OUTCOME OF ANTIFUNGAL COMBINATION THERAPY FOR INVASIVE MOLD INFECTIONS IN HEMATOLOGICAL PATIENTS IS INDEPENDENT OF THE CHOSEN COMBINATION

    Rafael Rojas, José R. Molina, Isidro Jarque, Miguel A. Sanz
    e2012011
    2012-02-10
    https://doi.org/10.4084/mjhid.2012.011
    1035
    PDF: 528
    HTML: 1676
    Figures: 150
    Fifures Sanz: 161
    tables Sanz: 165
    Untitled: 160
  • Spontaneous pneumothorax in an allogeneic cell transplant recipient with invasive pulmonary aspergillosis and antecedent RSV pneumonitis

    Liang Piu Koh, Michelle L Poon, John K Tam, Lynette Teo, Li Yang Hsu
    e2011014
    2011-03-29
    https://doi.org/10.4084/mjhid.2011.014
    995
    PDF: 825
    HTML: 15525
  • IS THERE A ROLE FOR MINIMAL RESIDUAL DISEASE MONITORING IN FOLLICULAR LYMPHOMA IN THE CHEMO-IMMUNOTHERAPY ERA?

    Giuseppe Gritti, Chiara Pavoni, Alessandro Rambaldi
    e2017010
    2017-01-01
    https://doi.org/10.4084/mjhid.2017.010
    3318
    PDF: 1250
    HTML: 2195
    Fi.1 Gritti.Rambaldi: 189
  • PROGNOSTIC IMPACT OF IMMUNOHISTOCHEMICAL P53 EXPRESSION IN BONE MARROW BIOPSY IN HIGHER RISK MDS: A PILOT STUDY

    Alfredo Molteni, Emanuele Ravano, Marta Riva, Michele Nichelatti, Laura Bandiera, Lara Crucitti, Mauro Truini, Roberto Cairoli
    e2019015
    2019-02-26
    https://doi.org/10.4084/mjhid.2019.015
    1770
    PDF: 951
    HTML: 293
  • EPIDEMIOLOGY OF INVASIVE FUNGAL INFECTIONS IN THE MEDITERRANEAN AREA

    Ulrike Binder, Cornelia Lass-Flörl
    e2011016
    2011-03-30
    https://doi.org/10.4084/mjhid.2011.016
    2180
    PDF: 951
    HTML: 4872
  • TUBERCULOSIS IN PATIENTS WITH HAEMATOLOGICAL MALIGNANCIES

    Luis Anibarro, Alberto Pena
    e2014026
    2014-04-06
    https://doi.org/10.4084/mjhid.2014.026
    3182
    PDF: 1192
    HTML: 8084
  • BACTERIAL INFECTIONS IN HEMATOPOIETIC STEM CELL TRANSPLANT RECIPIENTS

    Elisa Balletto, Malorzata Mikulska
    e2015045
    2015-07-01
    https://doi.org/10.4084/mjhid.2015.045
    3043
    PDF: 1781
    HTML: 3542
  • ESCHERICHIA COLI: AN IMPORTANT PATHOGEN IN PATIENTS WITH HEMATOLOGIC MALIGNANCIES

    Daniel Olson, Abraham Tareq Yacoub, Gelenis Domingo, John Norman Greene
    e2014068
    2014-08-28
    https://doi.org/10.4084/mjhid.2014.068
    1782
    PDF: 692
    HTML: 2085
    Untitled: 196
    Untitled: 140
    Untitled: 157
    Untitled: 142
    Untitled: 148
    Untitled: 161
    Untitled: 171
  • Anemia in the elderly: not always what it seems.

    Marco Cerrano, Elena Crisà, Valentina Giai, Mario Boccadoro, Dario Ferrero
    e2016017
    2016-02-25
    https://doi.org/10.4084/mjhid.2016.017
    3253
    PDF: 990
    HTML: 1753
    Figure 1: 162
    Figure 1 revised: 165
  • COVID-19 induces prolonged immunological exhaustion leading to relapse of hematological malignancies except in hematopoietic cell transplant recipients

    SUPARNO CHAKRABARTI, Snigdha Banerjee, Mahak Agarwal, Gitali Bhagawati, Nilanjan Saha, SARITA JAISWAL
    e2025042
    2025-04-30
    https://doi.org/10.4084/MJHID.2025.042
    970
    PDF: 679
    HTML: 100
  • NOVEL DRUGS IN FOLLICULAR LYMPHOMA

    Giuseppe Rossi, Antonella Anastasia
    e2016061
    2016-11-01
    https://doi.org/10.4084/mjhid.2016.061
    4255
    PDF: 1452
    HTML: 1534
    Untitled: 210
  • FEBRILE NEUTROPENIA IN ACUTE LEUKEMIA. EPIDEMIOLOGY, ETIOLOGY, PATHOPHYSIOLOGY AND TREATMENT

    Bent-Are Hansen, Øystein Wendelbo, Øyvind Bruserud, Anette Lodvir Hemsing, Knut Anders Mosevoll, Håkon Reikvam
    e2020009
    2019-12-30
    https://doi.org/10.4084/mjhid.2020.009
    6690
    PDF: 5486
    HTML: 801
  • OUTBREAK OF BURKHOLDERIA CEPACIA INFECTION: A SYSTEMATIC STUDY IN A HEMATOLOGY-ONCOLOGY UNIT OF A TERTIARY CARE HOSPITAL FROM EASTERN INDIA.

    Shuvra Neel Baul, Rajib De, PRAKAS KUMAR MANDAL, Swagnik Roy, Tuphan Kanti Dolai, Prantar Chakrabarti
    e2018051
    2018-09-01
    https://doi.org/10.4084/mjhid.2018.051
    2088
    PDF: 897
    HTML: 389
    Outbreak of Burkholderia cepacia infection: a systematic study in a hematolo-oncology unit of a tertiary care hospital from Eastern India: 200
    UntitOutbreak of Burkholderia cepacia infection: a systematic study in a hematolo-oncology unit of a tertiary care hospital from Eastern Indialed: 327
    Outbreak of Burkholderia cepacia infection: a systematic study in a hematolo-oncology unit of a tertiary care hospital from Eastern India: 226
    Outbreak of Burkholderia cepacia infection: a systematic study in a hematolo-oncology unit of a tertiary care hospital from Eastern India: 165
    Outbreak of Burkholderia cepacia infection: a systematic study in a hematolo-oncology unit of a tertiary care hospital from Eastern India: 174
    Outbreak of Burkholderia cepacia infection: a systematic study in a hematolo-oncology unit of a tertiary care hospital from Eastern India: 245
  • The diagnostic sensitivity of beta-D-glucan assay in patients with chronic disseminated candidiasis

    Hyo Ju Son, Kyung Hwa Jung
    e2025009
    2024-12-31
    https://doi.org/10.4084/MJHID.2025.009
    1257
    PDF: 1057
    PDF: 848
    HTML: 147
  • BACTERIAL INFECTIONS FOLLOWING SPLENECTOMY FOR MALIGNANT AND NONMALIGNANT HEMATOLOGIC DISEASES

    Giuseppe Leone, Eligio Pizzigallo
    e2015057
    2015-10-12
    https://doi.org/10.4084/mjhid.2015.057
    4744
    PDF: 1923
    HTML: 8277
  • Glucocorticoids and antivirals for HBV reactivation in onco-hematologic patients

    Alfredo Marzano, Andrea Marengo, Michela di Fonzo, Antonella Ferrari, Bruno Monarca, Gianfranco delle Fave, Massimo Marignani
    e2010035
    2010-12-13
    https://doi.org/10.4084/mjhid.2010.035
    897
    PDF: 559
    HTML: 2180
    Cover Letter: 175
  • OUTCOMES OF OVERT AND NON-OVERT DISSEMINATED INTRAVASCULAR COAGULATION USING THE ISTH DIC SCORING SYSTEM IN CHILDREN: A SINGLE-CENTER STUDY

    Jassada Buaboonnam, Chonthida Wnagkittikal, Nattee Narkbunnam, Nassawee Vathana, Chayamon Takpradit, Kamon Phuakpet, Phakatip Sinlapamongkolkul, Kleebsabai Sanpakit, Khemajira Karaketklang, Bunchoo Pongtanakul
    e2023004
    2023-01-01
    https://doi.org/10.4084/MJHID.2023.004
    1145
    PDF: 1079
    HTML: 592
  • SAFETY OF BRONCHOALVEOLAR LAVAGE IN HEMATOLOGICAL PATIENTS WITH THROMBOCYTOPENIA – A RETROSPECTIVE COHORT STUDY

    Ivan GUR, Roei Tounek, Yaniv Dotan, Elite Vainer Evgrafov, Stav Rakedzon, Eyal Fuchs
    e2024006
    2024-01-01
    https://doi.org/10.4084/MJHID.2024.006
    1080
    PDF: 1265
    HTML: 161
  • DIAGNOSTIC PERFORMANCE AND SAFETY OF BRONCHOALVEOLAR LAVAGE IN THROMBOCYTOPENIC HAEMATOLOGICAL PATIENTS FOR ASPERGILLOSIS DIAGNOSIS: A MONOCENTRIC, RETROSPECTIVE EXPERIENCE.

    Mariagiovanna Cefalo, Ermanno Puxeddu, Loredana Sarmati, giovangiacinto paterno, Carla Fontana, Daniela Nassa, Gloria Pane, Eleonora De Bellis, Raffaele Palmieri, Elisa Buzzatti, Federico Meconi, Roberta Laureana, Paola Casciani, Anna Giulia Zizzari, Paola Rogliani, Paolo de Fabritiis, Luca Maurillo, Francesco Buccisano, Maria Cantonetti, William Arcese, Adriano Venditti, Maria Ilaria Del Principe
    e2019065
    2019-10-30
    https://doi.org/10.4084/mjhid.2019.065
    1275
    PDF: 934
    HTML: 246
  • Rhino-Orbital-Cerebral Mucormycosis after Allogeneic Hematopoietic Stem Cell Transplantation and Isavuconazole Therapeutic Drug Monitoring during Intestinal Graft versus Host Disease

    Giacomo Andreani, Gianluca Fadda, Dario Gned, Matteo Dragani, Giovanni Cavallo, Valentina Monticone, Alessandro Morotti, Marco De Gobbi, Angelo Guerrasio, Antonio D'Avolio, Daniela Cilloni
    e2019061
    2019-10-30
    https://doi.org/10.4084/mjhid.2019.061
    1352
    PDF: 1039
    HTML: 186
  • JC Virus leuko-encephalopathy in reduced intensity conditioning cord blood transplant recipient.

    jean elcheikh
    e2012043
    2012-06-20
    https://doi.org/10.4084/mjhid.2012.043
    1075
    PDF: 790
    HTML: 10913
  • SARS-CoV-2 (COVID-19) and Chronic Myeloid Leukemia (CML): a case report and review of ABL kinase involvement in viral infection CML and COVID-19

    Elisabetta Abruzzese, Luigia Luciano, Francesco D'Agostino, Malgorzata Monika Trawinska, Fabrizio Pane, Paolo de Fabritiis
    e2020031
    2020-04-27
    https://doi.org/10.4084/mjhid.2020.031
    3187
    PDF: 1487
    HTML: 396
  • Bordetella Bronchiseptica in the Immunosuppressed Population – A Case Series and Review.

    Abraham Tareq Yacoub, Mitsuya Katayama, JoAnn Tran, Ronit Zadikany, Manasa Kandula, John Norman Greene
    e2014031
    2014-04-06
    https://doi.org/10.4084/mjhid.2014.031
    2378
    PDF: 1260
    HTML: 1723
    CoverLetter: 160
  • High Tuberculosis density incidence rate in Matched Unrelated Allogeneic stem cell transplantation recipients in the state of São Paulo, Brazil

    Marcelo Nóbrega Litvoc, silvia F costa, Fabio Eudes Leal, Diogo Boldim Ferreira, Max Igor Banks Ferreira Lopes, Ligia Capuani, Vanderson Geraldo Rocha
    e2023037
    2023-06-29
    https://doi.org/10.4084/MJHID.2023.037
    560
    PDF: 809
    Suppl. Files: 72
    HTML: 199
  • Evaluating the use of meropenem in hematologic patients with febrile neutropenia A retrospective observational single-cohort study

    R.A. Stuurman, E. Jong, P.C.R. Godschalk, M.F. Corsten, J.E. Nagtegaal
    e2023067
    2023-10-30
    https://doi.org/10.4084/MJHID.2023.067
    892
    PDF: 404
    HTML: 113
  • CMV MANAGEMENT WITH SPECIFIC IMMUNOGLOBULINS: A MULTICENTRIC RETROSPECTIVE ANALYSIS ON 92 ALLOTRANSPLANTED PATIENTS. Anti-CMV immunoglobulins for CMV treatment

    Michele Malagola, Raffaella Greco, Stella Santarone, Anna Paola Iori, Luisa Quatrocchi, Walter Barberi, Bruzzese Antonella, Salvatore Leotta, Alessandra Carotti, Antonio Pierini, Simon Bernardi, Enrico Morello, Nicola Polverelli, Alessandro Turra, Federica Cattina, Lisa Gandolfi, Benedetta Rambaldi, Francesca Lorentino, Francesca Serio, Annalisa Natale, Giuseppe Milone, Andrea Velardi, Robin Foà, Fabio Ciceri, Domenico Russo, Jacopo Peccatori
    e2019048
    2019-08-29
    https://doi.org/10.4084/mjhid.2019.048
    1876
    PDF: 1132
    HTML: 254
  • Peripheral Red Blood Cell Split Chimerism as a Consequence of Intramedullary Selective Apoptosis of Recipient Red Blood Cells in a Case of Sickle Cell Disease

    Marco Marziali, Antonella Isgrò, Pietro Sodani, Javid Gaziev, Daniela Fraboni, Katia Paciaroni, Cristiano Gallucci, Cecilia Alfieri, Andrea Roveda, Gioia De Angelis, Luisa Cardarelli, Michela Ribersani, Marco Andreani, Guido Lucarelli
    e2014066
    2014-08-28
    https://doi.org/10.4084/mjhid.2014.066
    1580
    PDF: 869
    HTML: 1857
    Untitled: 180
    Untitled: 162
  • Chemotherapy-colchicine interaction in a child with Familial Mediterranean Fever and Hodgkin Lymphoma

    Karin Petra Sabine Langenberg-Ververgaert, Ronald M. Laxer, Angela S. Punnett, Lee L Dupuis, Yaron Finkelstein, Oussama Abla
    e2018019
    2018-03-01
    https://doi.org/10.4084/mjhid.2018.019
    2756
    PDF: 783
    HTML: 387
  • A case of severe gastrointestinal toxicity after allogeneic hematopoietic stem cell transplantation: can we improve the evaluation of the “gut fitness“ ?

    Gabriele Magliano, Enrico Morello, Mirko Farina, Vera Radici, Marco Galli, giulia brambilla, Michele Malagola, Domenico Russo, Daniele Avenoso
    e2025054
    2025-06-29
    https://doi.org/10.4084/MJHID.2025.054
    612
    PDF: 443
    HTML: 46
  • WHAT ARE FUNGAL INFECTIONS?

    Ben E de Pauw
    e2011001
    2011-01-03
    https://doi.org/10.4084/mjhid.2011.001
    4054
    PDF: 2314
    HTML: 27551
    de Pauw: 221
  • COMPARISON OF THE POWER OF PROCALCITONIN AND C-REACTIVE PROTEIN TO DISCRIMINATE BETWEEN DIFFERENT AETIOLOGIES OF FEVER IN PROLONGED PROFOUND NEUTROPENIA: A SINGLE-CENTRE PROSPECTIVE OBSERVATIONAL STUDY.

    Anke Verlinden, Veronique De Vroey, Herman Goossens, Ella Roelant, Ann Van de Velde, Zwi Berneman, Wilfried Schroyens, Alain Gadisseur
    e2019023
    2019-02-26
    https://doi.org/10.4084/mjhid.2019.023
    6704
    PDF: 1047
    HTML: 292
  • CLINICAL SIGNS AND TREATMENT OF NEW-ONSET BONE MARROW FAILURE ASSOCIATED SARS-COV-2 INFECTION IN CHILDREN : A SINGLE INSTITUTION PROSPECTIVE COHORT STUD

    Mervat A M youssef, Ebtisam Shawky hmed, Dalia Tarik Kamal, khalid Elsayh,, Mai A Abdelfatta, Hyam Hassan Mahran Mahran, Mostafa M Embaby
    e2024034
    2024-02-29
    https://doi.org/10.4084/MJHID.2024.034
    1120
    PDF: 1226
    HTML: 100
  • DISSEMINATED HISTOPLASMOSIS AS AIDS PRESENTATION. CASE REPORT AND COMPREHENSIVE REVIEW OF CURRENT LITERATURE

    Paola Zanotti, Claudia Chirico, Maurizio Gulletta, Laura Ardighieri, Salvatore Casari, Eugenia Quiros Roldan, Ilaria Izzo, Gabriele Pinsi, Giovanni Lorenzin, Fabio Facchetti, Francesco Castelli, Emanuele Focà
    e2018040
    2018-07-01
    https://doi.org/10.4084/mjhid.2018.040
    3583
    PDF: 1255
    HTML: 705
    Figure 2: 432
    Figure 1: 3093
  • Idiopathic pulmonary embolism in a case of severe family ANKRD26 thrombocytopenia

    Jérôme Guison, Gilles Blaison, Oana Stoica, Remy Hurstel, Marie Favier, Remi Favier
    e2017038
    2017-06-16
    https://doi.org/10.4084/mjhid.2017.038
    2100
    PDF: 806
    HTML: 912
    Patient’s family tree: 151
  • Bacillus cereus in the neutropenic patient: case report in a patient with myelodysplastic syndrome and review of the literature

    Mariam Markouli, Sevastianos Chatzidavid, Dimitra Vlachopoulou, Nefeli Giannakopoulou, Amalia Anastasopoulou, Nora-Athina Viniou, Panagiotis Diamantopoulos
    e2022071
    2022-08-27
    https://doi.org/10.4084/MJHID.2022.071
    848
    PDF: 717
    HTML: 186
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