scholarly journals Clinicians’ Knowledge and Attitudes About Delirium Detection and Management

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 519-520
Author(s):  
Priyanka Shrestha ◽  
Erica Husser ◽  
Diane Berish ◽  
Long Ngo ◽  
Marie Boltz ◽  
...  

Abstract Delirium is a serious and potentially life-threatening problem, but it remains clinically under-recognized. Various factors contribute to this under-recognition, including limited understanding of delirium, insufficient training and application of delirium assessments, potential stigma for the patient and increased workload for the clinician. As a part of an NIH funded study testing a rapid two-step delirium identification protocol at two hospitals in the U.S. (one urban and one rural), clinicians completed a 12-item survey to assess their knowledge and attitudes about delirium and their confidence in preventing and managing delirium. Survey response options followed a 5-point rating scale (strongly disagree, disagree, undecided, agree, strongly agree). The sample for this analysis included 399 clinicians (MDs=53; RNs=235; CNAs=111). Chi-square was used to test for group differences between clinician types. Less than half of the clinicians reported agreeing with the statement, “delirium is largely preventable” (MDs: 47%; RN: 44%; CNA: 41%, p-value=0.021). MDs and RNs indicated a high level of confidence in recognizing delirium while CNAs endorsed lower levels of confidence (MDs: 87%; RN: 81%; CNA: 65%, p-value=0.001). All types of clinicians reported lower confidence in managing delirium (MDs: 29%; RN: 36%; CNA: 44%, p-value=0.117). 47% of CNAs and 37% of RNs agreed there is a need for additional training in caring for persons with delirium while only 21% of MDs agreed (p = 0.031). Understanding how different types of clinicians think and feel about delirium will inform training and communication initiatives, clinical implementation, and research on best practices for delirium identification and management.

2016 ◽  
Vol 12 (29) ◽  
pp. 95 ◽  
Author(s):  
Patricia Martinez-Lanz ◽  
Paulina Alanis Cazares ◽  
Nathalie Aziz Kuri ◽  
Michelle Duran Huerta ◽  
Ana Leticia Perez Araiza ◽  
...  

The purpose of this research was to analyze the relationship between dating violence and the social media. A sample of 400 university students from both private and public institutions of Mexico City was selected. From these sample, 46.6% were men and 52.4% women, with an age range of 16-29. Two scales were used to evaluate, the first one corresponds to violence in dating and the second scale to violence in dating through social media. Both instruments are Likert scale with response options ranging from strongly disagree to strongly agree. A pilot test was used to evaluate the usefulness of the instrument and its validness and reliability. Statistical analysis of Chronback alpha and factor analysis of the scales were used. In the reliability analysis appropriate values for both scales were obtained, which means that there was an appropriate relationship between the reagents with the scales proposed in general. To analyze the relationship between intimate partner violence and intimate partner violence on social media crosstabs were performed with analysis chi square, the results showed significant differences between dating violence and intimate partner violence on social media on significance levels. Thus, the relationship between intimate partner violence and intimate partner violence on social media showed that in a low (high) level of violence there is also a low (high) level of violence in social media likewise in a severe level of intimate partner violence the level of violence involving social media is also severe.


2020 ◽  
Vol 5 (2) ◽  
pp. 240-249
Author(s):  
Satrio Wibowo Rahmatullah ◽  
◽  
Ika Maulida Nurrahma ◽  
Adnan Syahrizal

Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.


2016 ◽  
Vol 2 (2) ◽  
pp. 181
Author(s):  
Shodiq Shodiq ◽  
Zamroni Zamroni ◽  
Kumaidi Kumaidi

The study aims to develop an instrument used to measure  faith of the students of Islamic senior high schools. The study was a research and development study consisting of three steps: pre development, development process, and presentation. The quantitative data analysis was to test the validity and reliability of the instrument and to test the model fit through the Confirmatory Factor Analysis (CFA) using LISREL 8.80 Program. The results of the study show that: (1) the faith instrument of the study is an inventory model of summated rating scale containing 113 items named as Islamic Faith Scale; (2) the instrument validity is considered as the loading factor value (the lowest loading factor value is 0.47 and the highest is 0.89). The instrument reliability regarded as the coefficient of the construct reliability is > 0.7, (the coefficient of reliability construct of tashdiq al-qalb is 0.847, and the coefficient of the construct reliability of amal al-qalb is 0.999); (3) the overall model fit produces a fit model indicated by Chi Square (χ2) = 48.23, df = 64, p-value = 0.929 (p > 0.05), and Root Mean Square Error of Approximation = 0.000 (< 0.08).


2020 ◽  
Vol 5 (2) ◽  
pp. 61-67
Author(s):  
Widiharti Widiharti ◽  
Wiwik Widiyawati ◽  
Widya Lita Fitrianur

Tekanan darah adalah faktor penting dalam sistem sirkulasi tubuh manusia. Tekanan darah dapat dengan mudah berubah meski dalam hitungan detik (Sasmalinda, Syafriandi, & Helma, 2013). Pada 2 Maret 2020, pemerintah Indonesia pertama kali mengumumkan dua kasus pasien postif Covid-19. (Pranita, 2020). Pasien tidak berani melakukan pemeriksaan ke rumah sakit, sehingga jika ada keluhan yang tidak begitu berat mereka akan membeli obat di apotik tanpa mengetahui tekanan darahnya. Hal ini sangat mengkhawatirkan karena tekanan darah yang tidak terkontrol dapat menyebabkan komplikasi lain seperti stroke. Tujuan penelitian menganalisis faktor yang berhubungan dengan tekanan darah. Desain penelitian analitik observasional, dengan pendekatan Cross Sectional (Notoatmodjo, 2012). Pelaksanaan bulan  Maret – Mei 2020. Populasi dari Seluruh warga  babatan RT 8 RW 2 Kelurahan Babatan Kecamatan Wiyung sebanyak 110 orang. Teknik Sampel total sampling. Variabel independen; jenis kelamin, beban kerja, pendapatan, tingkat kecemasan dan riwayat keluarga. Variabel dependen; tekanan darah. Instrument penelitian; timbangan injak digital, tensi digital, dan kuesioner. Variabel Tingkat kecemasan  menggunakan HARS (Hamilton Anxiety Rating Scale). Dianalisis uji statistik Chi Square dengan nilai p value <0.05. Hasil penelitian chi square  beban kerja nilai p-value 0,004<0,005 ada hubungan beban kerja dengan  tekanan darah. Hasil  p – value 0,002<0,05 ada hubungan antara jenis kelamin dengan tekanan darah.  Hasil p value 0,463<0,05 tidak ada hubungan antara tingkat kecemasan, hasilnya p – value 0,000<0,05 ada hubungan riwayat keluarga dengan tekanan darah. Kesimpulan faktor yang berhubungan dengan tekanan darah yaitu jenis kelamin, beban kerja, pendapatan, riwayat keluarga sedangkan faktor yang tidak berhubungan dengan tekanan darah yaitu kecemasan


Author(s):  
Mallikarjuna Rao I. ◽  
Usha Kiran Prayaga ◽  
Dharma Rao Uppada ◽  
Ramachandra Rao E. ◽  
B. L. Kudagi

Background: The SSRIs being used as 1st line therapy in treatment of depression have delayed therapeutic effect which makes the patient vulnerable to an increased risk of suicide and decreased adherence to the treatment and will prematurely discontinue the therapy. The present study was conducted to evaluate if low dose mirtazapine-escitalopram combination therapy has any add on benefit over monotherapy with escitalopram.Methods: In a single-centered, comparative study involving patients with depression attending the out-patient after screening and exclusion, 60 eligible patients were randomly assigned to receive tablet mirtazapine 7.5 mg plus tablet escitalopram 10 mg intervention or tablet escitalopram 10 mg plus placebo intervention in a double-blind 6-week treatment phase. The primary outcome measure was the change in the 17-item Hamilton Depression Rating Scale (HDRS) and Montgomery-Asberg Depression Rating Scale (MADRS) score from baseline. Participants were evaluated at baseline, 1st, 2nd,4th and 6th week. Results were analyzed using Chi-Square test for adverse effects and independent t-test analysis for efficacy parameter.Results: In the analysis of results at 6th week the numbers of patients achieved remission in mirtazapine group are more with a p-value of 0.018 which is significant and the numbers of responders in mirtazapine group are also more which is statistically significant on chi-square test. There is no significant difference was observed between the two groups with reference to occurrence of adverse effect.Conclusions: Adding low dose mirtazapine has an added benefit in terms of efficacy and getting remission early with more number of responders in the treatment of major depression.


2019 ◽  
Vol 3 (1) ◽  
pp. 27-32
Author(s):  
Piscolia Dynamurti Wintoro ◽  
Wiwin Rohmawati ◽  
Ana Sulistyowati

Latar Belakang: Seorang ibu hamil biasa mengalami kecemasan. Pada TM III kecemasan disebabkan oleh kekhawatiran menghadapi persalinan dan apakah bayinya lahir normal atau cacat. Kecemasan meningkatkan kadar norepinefrin dalam darah melalui stimulasi sistem saraf simpatis. Perubahan kimia ini menyebabkan kurangnya waktu tidur tahap IV NREM dan tidur REM serta lebih banyak perubahan dalam tahap tidur lain dan lebih sering terbangun. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat kecemasan dengan kualitas tidur pada ibu hamil trimester III di BPM Siti Sujalmi Socokangsi Jatinom. Metode: Desain penelitian deskriptif korelasional dengan pendekatan cross sectional. Populasi penelitian ini ibu hamil trimester III di BPM Siti Sujalmi Socokangsi Jatinom, sebanyak 40 responden dengan teknik total sampling. Alat pengambilan data menggunakan kuesioner Hamilton Rating Scale For Anxiety (HRS-A) untuk mengukur tingkat kecemasan dan Pittsburgh Sleep Quality Index (PSQI) untuk mengukur kualitas tidur. Analisis data yang digunakan chi square. Hasil : Penelitian ini menunjukkan ada hubungan tingkat kecemasan dengan kualitas tidur pada ibu hamil trimester III di BPM Siti Sujalmi Socokangsi dengan P value sebesar 0,021. Simpulan : Ibu hamil trimester III dapat memperbaiki kualitas tidur dengan mengurangi aktivitas dan istirahat yang cukup, perasaan cemas dengan cara relaksasi, senam ibu hamil, dan yoga.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Vicka V. A. Tartum ◽  
Theresia M. D. Kaunang ◽  
Christofel Elim ◽  
Neni Ekawardani

Abstract: Depression is a disturbance in the function of human nature associated with feelings of sadness and accompanying symptoms, including changes in sleep patterns and appetite, anhedonia, concentration, psychomotor, fatigue, despair and helplessness. Depression can be obtained by any person, including a person suffering from chronic diseases such as chronic renal disease requiring hemodialysis therapy for life. However, the impact of depression was not only felt by the patient, but also the patient's family, especially spouses of patients would be very easy to get depressed as a result of seeing a loved one suffer, so will affect the support and motivation given to patients, especially in patients undergoing hemodialysis should undergo dialysis for life, so a lot of depression in patients and their families, especially spouses of patients. This study aimed to determine the relationship of the length of hemodialysis with the level of depression in spouses of hemodialysis patients in Prof. Dr. R. D. Kandou Hospital Manado. This was an observational analystical study with a cross sectional design. This study used Hamilton Depression Rating Scale questionaire (HDRS). Data were processed by using SPSS 20.0. The chi-square analysis test showed a p value of 0.105 (p > 0.05). Conclusion: There was no correlation between the duration of hemodialysis with the degree of depression of chronic kidney failure patient’s live spouses.Keywords: depression, chronic kidney disease, hemodialysis, spouse.Abstrak: Depresi adalah terganggunya fungsi manusia yang berkaitan dengan alam perasaan yang sedih dan gejala penyertanya, termasuk perubahan pada pola tidur dan nafsu makan, anhedonia, konsentrasi, psikomotor, kelelahan rasa putus asa dan tidak berdaya. Depresi bisa didapatkan oleh setiap orang termasuk seseorang yang menderita penyakit kronik seperti penyakit ginjal kronik yang membutuhkan terapi hemodialisis seumur hidup. Dampak depresi pun tidak hanya dirasakan oleh pasien, keluarga pasien terutama pasangan hidup pasien akan sangat mudah mendapatkan depresi akibat melihat orang yang dicintai menderita, sehingga akan memengaruhi dukungan dan motivasi yang akan diberikan kepada pasien, terutama pada pasien yang menjalani hemodialisis yang harus menjalani proses cuci darah seumur hidup, sehingga banyak terjadi depresi pada pasien dan keluarganya terutama pasangan hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan lamanya hemodialisis dengan tingkat depresi pada pasangan hidup pasien hemodialisis di RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian yang digunakan ialah analitik observasional dengan pendekatan potong lintang. Penelitian ini menggunakan kuesioner Hamilton Depression Rating Scale (HDRS) dan data diolah menggunakan SPSS 20.0. Uji analisis chi-square mendapatkan nilai p sebesar 0,105 (p >0,05). Simpulan: Tidak terdapat hubungan antara lama hemodialisis dengan tingkat depresi pasangan hidup pasien penyakit ginjal kronik.Kata kunci: depresi, penyakit ginjal kronik, hemodialisis, pasangan hidup


2020 ◽  
Vol 11 (1) ◽  
pp. 1396-1400
Author(s):  
Mustopa Mustopa ◽  
Muhammad Kamaludin ◽  
Rahmawaty Neny Triatny

ABSTRAKLansia banyak menghadapi berbagai masalah kesehatan yang perlu penanganan segera dan terintegrasi seperti insomnia. Insomnia merupakan suatu keadaan yang menggambarkan seseorang tidak memiliki kualitas hidup yang baik sehingga merasa tidak cukup tidur, meskipun mempunyai pola waktu tidur yang baik, akan tetapi dengan keadaan tersebut menyebabkan seseorang tidak tampak segar untuk menjalankan aktifitas sehari-hari pada siang hari. Kualitas hidup diartikan sebagai persepsi individu mengenai berfungsinya mereka di dalam bidang kehidupan. Adapun tujuan penelitian ini untuk mengidentifikasi tingkat insomnia, untuk mengetahui kualitas hidup lansia dan mencari hubungan antara tingkat insomnia dengan kualitas hidup lansia yang hidup sendiri.Metode penelitian ini adalah korelasi yang bersifat deskriptif, dengan menggunakan pendekatan crossectional. Populasi dalam penelitian ini adalah seluruh lansia yang mengalami insomnia di Wilayah Kerja Puskesmas Kaliwedi dengan jumlah sampel sebanyak 42 lansia dengan metode pengambilan data total sampling. Tingkat insomnia diukur dengan IRS (Insomnia Rating Scale) dan kualitas hidup diukur dengan WHOQOL-BREF. Hasil penelitian dengan hasil uji statistik chi-square diperoleh p value (0,001) <  =0,05 (lebih kecil dari 0,05). Hal tersebut menunjukkan bahwa H0  (Hipotesis Nol) ditolak dan Ha  (Hipotesis Alternatif) diterima.Berdasarkan hasil penelitian tersebut maka dapat disimpulkan bahwa ada hubungan antara tingkat insomnia dengan kualitas hidup Lansia yang hidup sendiri di Wilayah Kerja Puskesmas Kaliwedi Kabupaten Cirebon.Kata Kunci          : Lansia, insomnia, kualitas hidup    ABSTRACTMany elderly face many health issues that need immediate handling and integrated such as insomnia. Insomnia is a State that describes a person does not have a good quality of life so feel not enough sleep, despite having a good sleep pattern, but with the circumstances cause someone didn't look fresh to run day-to-day activities during the day. Quality of life is defined as an individual's perception about their functioning in the areas of life. As for the purpose of this research was to identify the level of insomnia, to know the quality of life of the elderly and looking for the relationship between the level of insomnia with the quality of life of the elderly who live alone.The method of this research is the correlation that is descriptive, using the crossectional approach. The population in this research is the entire elderly who experience insomnia Clinics in the region Kaliwedi with the number of samples as much as 42 elderly with total data retrieval method of sampling. The level of insomnia is measured by the IRS (Insomnia Rating Scale) and quality of life measured by the WHOQOL-BREF. Research results with the results of the statistical test of chi-square obtained p value (0.001) = 0.05 < (less than 0.05). This indicates that H0 (Zero Hypothesis) was rejected and Ha (alternative hypothesis) is received.Based on the results of the study can be concluded there is a connection between the level of insomnia with the quality of life of the elderly who live alone in the region of Cirebon district health centers Work Kaliwedi.Keywords: Elderly, insomnia, quality of life


2021 ◽  
Vol 7 (01) ◽  
pp. 43-55
Author(s):  
Andriani Andriani

Background: Menarche in young women can cause anxiety. Many teenagers view menarche as a frightening thing, because menarche will cause discomfort, pain, dizziness and so on, Psychological symptoms to reject the physiological process. Anxiety is an excessive emotional reactivity, a dull depression, or a sensitive context, an emotional response. Purpose: The objective of the study was to understand the relationship of attitude knowledge and family support with the level of anxiety of adolescent girls. Methods: This research is quantitative type with anlitik design with coss sectional approach. The study was conducted in February - April 2018. The sample in this study was female teenager amounting to 25 people. The sampling technique used is simple random sampling. The study was conducted using primary data obtained from the questionnaire, and univariate and bivariate analysis using chi-square statistical test. Results: From the result of research analysis of knowledge relationship with anxiety level got 15 respondents who have high knowledge of 8 people (53,3%) with high level of anxiety and 7 people (46,70%) with low level of anxiety. 13 respondents were positive attitude 6 people (46,2%) with high level of anxiety and 7 people (53,8%) with low level of anxiety. of 14 respondents who received family support and 7 people (46.2%) with high anxiety level and 7 people (53.8%) with low anxiety level. Conclusion: Based on the results of the study found no relationship of knowledge with anxiety level with p value 0.742> ? 0.05, Based on the results of the study found no relation attitude with anxiety level with p value 0,529> ? 0.05, Based on the results obtained did not there is a relationship of family support with anxiety level with p value 0,495> ? 0,05. Latar Belakang: Menarche yaitu haid pertama kali pada remaja putri dapat menimbulkan kecemasan. Banyak remaja memandang menarche adalah hal yang menakutkan, karena menarche akan menimbulkan ketidaknyamanan, sakit, pusing dan sebagainya, Gejala psikologis untuk menolak proses fisiologis tersebut. Kecemasan  merupakan  reaktivitas  emosional  berlebihan, depresi  yang  tumpul,  atau  konteks  sensitif,  respon  emosional. Tujuan: Tujuan penelitian adalah untuk mengetuhui hubungan pengetahuan sikap dan dukungan keluarga dengan tingkat kecemasan remaja putri. Metode: Penelitian ini berjenis kuantitatif dengan desain analitik dengan pendekatan cross sectional. Penelitian dilakukan pada bulan Februari – April 2018. sampel dalam penelitian ini adalah remaja putri yang berjumlah 25 orang. Teknik sampling yang digunakan adalah simple Random sampling. Penelitian dilakukan menggunakan data primer yang diperoleh dari kuesioner, dan analisis secara univariat dan bivariat menggunakan uji statistik chi-square. Hasil: Dari hasil analisis penelitian hubungan pengetahuan dengan tingkat kecemasan didapatkan  15 responden yang berpengetahuan tinggi 8 orang (53,3%) dengan tingkat kecemasan yang tinggi dan 7 orang (46,70%) dengan tingkat kecemasan yang rendah. 13 responden yang sikap positif 6 orang (46,2%) dengan tingkat kecemasan yang tinggi dan 7 orang (53,8%) dengan tingkat kecemasan yang rendah. dari 14 responden yang mendapat dukungan keluarga dan 7 orang (46,2%) dengan tingkat kecemasan yang tinggi dan 7 orang (53,8%) dengan tingkat kecemasan yang rendah. Kesimpulan: Berdasarkan hasil dari penelitian didapatkan tidak ada hubungan pengetahuan dengan tingkat kecemasan dengan p value 0,742 > ? 0,05, Berdasarkan hasil dari penelitian didapatkan tidak ada hubungan sikap dengan tingkat kecemasan dengan p value 0,529 > ? 0,05, Berdasarkan hasil dari penelitian didapatkan tidak ada hubungan dukungan keluarga dengan tingkat kecemasan dengan p value 0,495 > ? 0,05.


2020 ◽  
Vol 8 (2) ◽  
pp. 991-997
Author(s):  
Iin Kristanti

Jumlah timbunan sampah Kabupaten Cirebon mencapai 4839,31 m³/hari sedangkan yang dapat terangkut hanya 3353,64 m³/ hari atau yang tidak terangkut sebanyak 1.636 m³/hari. Kondisi ini terjadi antara lain karena kemampuan pemerintah Kabupaten Cirebon untuk pengadaan sarana prasarana yang dapat melayani kebutuhan yang ada masih terbatas. Oleh karena itu perlu dipikirkan pengurangan volume sampah melalui dari sumbernya. Hasil pengamatan yang penulis lakukan pada tanggal 2 Januari 2016 di Desa Jagapura Lor Kecamatan Gegesik Kabupaten Cirebon masih ditemukan warga masyarakat yang mengolah sampah dengan caradibakar, membuang sampahnya di kali dan dibiarkan terbuka di halaman atau kebun sehingga menimbulkan bau dan kemungkinan terjadinya perkembangbiakan lalat,  tikus, dan nyamuk selain itu dapat menjadi sumber pengotoran tanah, sumber pengotoran air dan pencemaran udara. Penelitian ini bertujuan untuk menganalisis tentang hubungan pengetahuan dan sikap tentang pengelolaan sampah dengan Perilaku Pembuangan sampah di Desa Jagapura Lor Kecamatan Gegesik Kabupaten Cirebon. Jenis penelitian  yang digunakan adalah bersifat deskriptif analitik dengan metode cross sectional. Yang menjadi sampel dalam penelitian ini adalah kepala keluarga yang  mengelola sampah yang berjumlah 89 orang dengan menggunakan teknik wawancara dan observasi dan analisis data menggunakan uji chi square. Penelitian ini menggunakan uji statistik chi square. Hasil penelitian menunjukan ada hubungan antara pengetahuan (pvalue = 0,013) dan sikap (pvalue = 0,037) tentang pengelolaan sampah dengan pembuangan sampah di desa Jagapura Lor kecamatan Gegesik kabupaten Cirebon tahun 2016.Kata Kunci          : Pengetahuan dan sikap, Perilaku Pembuangan Sampah ABSTRACTThe amount of waste Cirebon reach 4839.31 m³ /day while that can be transported only 3353.64 m³ / day or were not transported as much as 1,636 m³/day. This condition occurs partly because the government's ability to procure Cirebon infrastructure that can serve the needs are still limited. Therefore, it needs to consider a reduction in the volume of waste through source. The observation that the author did on January 2, 2016 in Jagapura Lor Gegesik Subdistrict Cirebon still found citizens who process waste by burning, throwing trash at times and left open in the yard or garden so that cause odor and the possibility of proliferation of flies, mice and mosquitoes but it can be a source of ground fouling, fouling water sources and air pollution. This study aimed to analyze the influence of knowledge and attitudes about waste management garbage disposal Behavior in Jagapura Lor Gegesik District of Cirebon. This type of research is descriptive analytic with cross sectional method. The sample in this study is the head of the family who manage waste totaling 89 people by using interview and observation techniques. This study uses a statistical test Chi Square. The results showed no relationship between knowledge (p value = 0.013) and attitude (p value = 0.037) on waste management with waste disposal in rural districts Gegesik Jagapura Lor Cirebon regency in 2016.Keywords             : Knowledge and attitudes, Garbage Disposal Behavior


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