scholarly journals Tingkat Pengetahuan, Sikap, dan Persepsi Mengenai Epilepsi antara Masyarakat Pedesaan dan Perkotaan di Padang

2020 ◽  
Vol 3 (1) ◽  
pp. 14-19
Author(s):  
Hendra Permana

Introduction: The Knowledge, perception and attitude about epilepsy in developing country, including Indonesia is still low. These problems can cause stigma and discrimination to the patient. Society still has the view that epilepsy is not a disease, but because of the inclusion of evil spirits, possessions, witches or a curse. Furthermore, the information gap between rural and urban society could contribute to the issues. Aims: This study was aimed to explore the knowledge, perception and attitude about epilepsy between rural and urban society in Padang. Method: This study used cross sectional comparative design. This study was conducted on February – June 2018 at Ulak Karang (urban) and Bungus (rural) public health center. The subjects of this study were 140 visitors of both public health centers. The inclusions criteria of this study was all visitors ≥ 17 years old and the exclusion criteria was all incomplete data. Data was taken by using questionnaire with 13 close questions. These data was analyzed with SPSS 22. Mannwhitney tests and Chi Square test were used to compare the knowledge, perception and attitude from the two groups. A P value below 0.05 was considered asstatistically significant. Result: From demographic data, there were no significant differences between urban and rural communities. In terms of knowledge about epilepsy, there are significant differences regarding the causes of epilepsy with a value of p = 0.002. In addition, perceptions of epilepsy stigma that differed significantly in urban and rural communities were regarding malformations in epilepsy patients with p = 0.046. As for community attitudes towards epilepsy patients, there were no significant differences between urban and rural areas Conclusion: Stigma is a frightening thing for people with epilepsy, because it can interfere with their social interactions and also reduce the opportunity to get a job and also the opportunity to get married.  

Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


2022 ◽  
pp. 1-46
Author(s):  
Prosper Bazaanah

This chapter examined the link between ecological governance and water conservation as sustainable pathways for enhancing rural livelihoods in the Savannah Region. Designs adopted were post-positivist and cross-sectional. Probability sampling techniques were used to sample 450 household and official respondents. Questionnaires were administered, while descriptive statistics and chi-square test were utilised to analyse the data. Findings showed significant relationship between conservation initiatives, finance, rehabilitation/maintenance, and gender inclusion and domestic water conservation. Therefore, with commitment to maintenance, funding, and gender inclusion in water decisions, there is the likely for water to be locally sustainable in rural communities of the region. Democratic, decentralised, and participatory approaches to ecological governance and empowerment of the local communities are recommended as essential preconditions for achieving ecologically self-governing communities and sustaining domestic water systems in the rural areas of the region.


2020 ◽  
Vol 10 (2) ◽  
pp. 111-116
Author(s):  
Marni Br Karo ◽  
Nurfauziah Cahyanti ◽  
Farida Simanjuntak ◽  
R. Haryo Bimo Setiarto

Abstrak Latar belakang: Kandidiasis vulvovaginalis adalah infeksi mukosa pada vagina maupun vulva yang disebabkan oleh jamur Candida. Infeksi terjadi secara akut, subakut, dan kronis, baik endogen maupun eksogen yang menimbulkan keluhan pada vagina. Umumnya infeksi pertama di vagina disebut vulvitis. Tujuan: Penelitian ini bertujuan menganalisis hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada usia subur di Puskesmas Kecamatan Cipayung. Metode: Penelitian dilakukan dengan menggunakan pendekatan cross sectional. Penelitian dilakukan pada bulan Februari sampai Juli 2018 di Unit Infeksi Menular Seksual Puskesmas Kecamatan Cipayung. Populasinya adalah sejumlah orang yang datang ke Puskesmas Kecamatan Cipayung. Sampel adalah sebanyak 33 orang, metode pengambilan sampel adalah secara accidental sampling kemudian data dikumpulkan dengan menyebarkan kuesioner dan pemeriksaan laboratorium. Analisis statistik yang digunakan adalah Chi-Square.  Hasil: Hasil penelitian menunjukkan bahwa kebersihan vulva tidak baik (75,8%) dan berpengaruh positif terhadap kandidiasis vulvovaginalis di Puskesmas Cipayung (87,9%). Hasil uji statistik diperoleh nilai p = 0,036 (p<0,05), atau ada hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada wanita usia subur di Puskesmas Cipayung. Kesimpulan: Kebersihan vulva ada hubungannya dengan kejadian kandidiasis vulvovaginalis di Puskesmas Kecamatan Cipayung. Hal ini disebabkan oleh kurangnya kebersihan vagina pada wanita usia subur yang menyebabkan meningkatnya kejadian kandidiasis.   Kata kunci: Kebersihan vulva, kandidiasis vulvovaginalis, wanita usia subur, puskesmas cipayung   Abstract Background: Vulvovaginalis candidiasis is infection in the mucosal of vagina or vulva caused by Candida fungus. Infection can occur acutely, subacute, and chronic, both endogenously and exogenously which often cause symptoms in the vagina. Generally, first infection in the vagina called vulvitis. Objective: This study aims to determine the association of the vulva higiene with vulvovaginal candidiasis on fertile age in Cipayung sub-district Public Health Center (PHC). Method: The study used cross sectional design approach. The study was conducted from February to July 2018 in sexually transmitted infection unit. Total sample was 33 patients at Cipayung sub-district PHC. The sampling method is purposive sampling and data were collected by questionnaire and laboratory results. Statistical analysis used is Chi-Square. Results: The results showed that the vulva hygiene was poor (75.8%) and there was positive association with vulvovaginal candidiasis in Cipayung PHC (87.9%). The result of statistical tests obtained p-value = 0.036 (p <0.05), or there is a relationship of vulva hygiene with vulvovaginal candidiasis in women of childbearing age at Cipayung PHC. Conclusion: There is a relationship between vulva hygiene and vulvovaginal candidiasis at Cipayung sub-district PHC due to lack of vaginal hygiene on woman of childbearing age, which increased the incidence of candidiasis. Keywords: Vulva hygiene, vulvovaginal candidiasis, woman age reproductive, public health center cipayung


2018 ◽  
Vol 4 (2) ◽  
pp. 27
Author(s):  
Endang Susilowati

AbstrakPemberian Imunisasi Dasar Lengkap (IDL) pada bayi, merupakan suatu keharusan. Hasil survei Riskesdas tahun 2013 didapatkan data cakupan imunisasi HB-0 (79,1%), BCG (87,6%), DPT-HB-3 (75,6%), Polio-4 (77,0%), dan imunisasi campak (82,1%). Cakupan imunisasi lengkap di Jawa Tengah pada tahun 2013 mengalami penurunan. Jumlah sasaran bayi pada tahun 2013 adalah 575.011 menurun dibanding tahun 2012 sebanyak 592.712. Dampak dari cakupan imunisasi yang rendah yaitu cukup tingginya proporsi kematian bayi yang disebabkan karena tetanus neonatorum (TN) di Indonesia,  meningkatnya angka morbiditas dan mortalitas. Tujuan dari penelitian ini adalah mengetahui faktor-faktor  apa yang mempengaruhi minat ibu dalam pelaksanaan program lima imunisasi dasar lengkap di Wilayah Puskesmas Bangetayu Kota Semarang, Jenis penelitian yang digunakan adalah explanatory research, adapun pendekatannya menggunakan rancangan cross sectional. Hasil analisis dengan chi square diperoleh hasil signifikansi p value = 0,000 pada karakteristik umur, pendidikan dan pengetahuan, karena p value < 0,05 maka secara statistik ada hubungan yang signifikan antara umur, pendidikan dan pengetahuan  ibu dengan minat ibu dalam pelaksanaan lima imunisasi dasar lengkap.Kata Kunci : Minat ; Lima Imunisasi Dasar Lengkap THE AFFECTING FACTORS OF INTEREST OF MOTHERS TO IMPLEMENT FIVE BASIC IMMUNIZATIONS PROGRAM IN  BANGETAYU PUBLIC HEALTH CENTER,  SEMARANG DISTRICT Abstract In the immunization program, the provision of Complete Basic Immunization in infants is a must. The result of Riskesdas survey in 2013 revealed immunization coverage of HB-0 was 79,1%, BCG was 87,6%, DPT-HB-3 was 75,6%, Polio-4 was 77,0%, and measles immunization was 82.1%. The coverage of complete immunization in Central Java in 2013 has decreased. The number of targeted infants in 2013 was 575,011, decreased from 592,712 in 2012. The impact of low immunization coverage was the high proportion of infant deaths due to Tetanus Neonatorum (TN) in Indonesia, morbidity and mortality rates among infants also increase. The purpose of this research was to know factors that influence interest of mothers to implement five basic immunization program in Bangetayu Public Health Center, Semarang District. The research type is explanatory research with cross sectional design. The result of analysis with chi square showed p value = 0,000 on the characteristics of age, education and knowledge. As p value <0,05, therefore there is a significant correlation between age, education and mother knowledge with interest of mother to implement five complete basic immunization. Keywords: Interest; Five Basic Immunizations Program


2019 ◽  
Vol 9 (4) ◽  
pp. 370-375
Author(s):  
Anthonia A. Ikpeme*,Nchiewe E. Ani, Edoise M. Isiwele, Andrew E. Ekpenyong,Emmanuel E. Ekanem

Introduction: Over 80% of cardiovascular deaths take place in low and middle incomecountries. These cardiovascular deaths are caused by modifiable risk factors. Evidenceis emerging that some of these factors maybe even more prevalent in rural areas whichare generally underserved.Aim: The aim of this study was to record risk factors for cardiovascular disease inrural communities in south southern Nigeria and review some related literature.Methods: A cross sectional study during clinical outreach activities that took placein 2016 to 2018 in several rural and few urban communities in Cross River State,Nigeria. Participating individuals gave full consent and ethical clearance obtained.Socio-demographic data, Anthropometric data and Blood sugar measurements wereobtained. Data extracted was transferred into EXCEL thereafter analysis was doneusing SPSS version 21. p values less than 0.05 were deemed statistically significant.Tests of significance included Anova, chi square and student t- tests.Results: Total population investigated over the 3 year period was 504. (2016-33.1%),(2017 -37.9%), (2018 – 28%) with a Female: Male distribution of 1:1.Most participants tended to be overweight across the years 59.7%, 59.1%, 73.7%,2016, 2017, and 2018 respectively. The prevalence of Hypertension was 10.71%. Nosignificant gender difference in the prevalence of Hypertension (6.94% males to 3.77%females, p=0.097). The prevalence of Diabetes Mellitus was 10.67%. There was nosignificant gender prevalence (6.67% males to 4.00% females, p =0.431)Conclusion: Cardiovascular disease remains relatively uncommon in Sub-SaharanAfrica, despite an increasing prevalence of risk factors, but it’s incidence is rising.Steps should be taken in Sub-Saharan Africa to prevent an epidemic. This involvesdetailed and regular screening for cardiovascular risk factors in rural communities.Key words: RISK FACTORS, Cardio vascular disease, South South Nigeria.


2020 ◽  
Vol 12 (02) ◽  
pp. 129
Author(s):  
Wahyunti Kristiningtyas ◽  
Kristiana Puji Purwandari

ABSTRAK Imunisasi merupakan bentuk intervensi kesehatan yang sangat efektif dalam menurunkan  angka kematian bayi dan balita. Dengan imunisasi berbagai penyakit seperti TBC, difteri, pertusis, tetanus, hepatitits B, poliomielitis, dan campak dapat dicegah. Oleh karena itulah, imunisasi pada bayi dan balita harus lengkap serta diberikan sesuai jadwal. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan ketepatan waktu pemberian imunisasi dasar. Jenis penelitian adalah survei analitik dengan pendekatan cross sectional. Populasi  penelitian adalah ibu yang mengimunisasikan bayinya ke Puskesmas Wonogiri I pada  bulan Mei – Juni sebanyak 200. Sampel penelitian sebanyak 80 ibu. Teknik sampling menggunakan  quota sampling. Instrumen penelitian menggunakan kuesioner. Analisis data univariat, bivariat dengan chi square dan multivariat dengan regresi logistik ganda model prediksi. Hasil penelitian menunjukkan 60% ibu berpendidikan lanjut, 58,8% ibu  berpengetahuan baik,  52,5% ibu tidak bekerja, 63,8% ibu dengan ekonomi tinggi.  Bayi  dengan imunisasi dasar tepat waktu 71,3%. Variabel  pendidikan ibu (p value = 0,0001) dan pekerjaan ibu (p value = 0,001)  memiliki hubungan signifikan dengan ketepatan waktu pemberian imunisasi dasar. Variabel pengetahuan ibu (p value = 0,131) dan Ekonomi keluarga (p value = 0,266) tidak memiliki hubungan signifikan dengan ketepatan waktu pemberian imunisasi dasar. Variabel yang memiliki hubungan paling dominan terhadap ketepatan waktu pemberian imunisasi dasar di Puskesmas Wonogiri I adalah pekerjaan ibu dengan nilai OR = 12,739. Kata kunci : faktor – faktor, ketepatan waktu, imunisasi dasarFACTORS RELATED TO THE TIMELINESS OF BASIC IMMUNIZATION AT WONOGIRI 1 PUBLIC HEALTH CENTERABSTRACTImmunization is a form of  health intervention that is very effective in reducing infant and under-five mortality.  With immunization of various diseases such as tuberculosis, diphtheria, pertussis, tetanus, hepatitits b, poliomyelitis, and measles can be prevented. Therefore , immunization in infants and toddlers must be complete and given according to schedule.  The study aims to analyze factors related to the timeliness of basic immunization.  The type of this research analytic survey with cross sectional approach. The population  are mothers to immunize their babies the Wonogiri 1 Public Health Center during May - June as many as 200. Samples of this research 80 mothers. Technique sampling is quota sampling.  The research instrument  a questionnaire.  Data analysis with univariate , bivariate  with chi square and multivariate with multiple logistic regression prediction models.  The results showed 60%  of mothers had advanced education levels,  58.8% of mothers with good knowledge, 52.5% of mothers were unemployed, 63.8% of mothers with high economics.  Babies who received timely basic immunizations   71.3%.   Mother’s education variable (p value = 0.0001) and mother's occupation (p value = 0.001)  have a significant relationship with the timeliness of basic immunization.  Mother's knowledge variable (p value = 0.131) and family economy (p value = 0.266) do not have a significant relationship with the timeliness of basic immunization.  The variable that has the most dominant relationship to the timeliness of basic immunization in wonogiri 1 public health center is mother’s occupation with a value of OR = 12,739.Keywords: factors, timeliness, basic immunization


2021 ◽  
Vol 5 (1) ◽  
pp. 15
Author(s):  
Dwi Astuti

AbstrakLatar Belakang: Premenopause terjadi pada usia dewasa madya, masa dewasa madya dalam terminologi kronologis yaitu tahun-tahun antar usia 45 dan 65 tahun. Pada masa dewasa madya ini seksualitas mengalami penurunan. Masa dewasa madya ditandai dengan adanya perubahan-perubahan jasmani dan mental. Perubahan kejiwaan yang dialami seorang wanita menjelang prmenopause meliputi merasa tua, tidak menarik lagi, tertekan karena takut menjadi tua, mudah tersinggung, mudah kaget sehingga jantung berdebar, takut tidak bisa memenuhi kebutuhan seksual suami, rasa takut bahwa suami akan menyeleweng, keinginan seksual menurun dan sulit mencapai kepuasaan (orgasme), merasa sudah tidak berguna dan tidak menghasilkan sesuatu, merasa memberatkan keluarga dan orang lain. Tujuan: Mengetahui Hubungan Antara Selt acceptance Dengan Kecemasan Dalam Menghadapi Menopouse Pada Wanita Premenopouse Di Puskesmas gabus II Pati Metode: analitik korelasi dengan pendekatan Cross sectional, sampel seluruh pasien premenopouse di Puskesmas Gabus II Pati usia 40-45 tahun sebanyak 40 orang sebanyak 36 orang. teknik Purposive sampling. Data di analisa dengan uji statistik Chi square. Hasil: Ada hubungan selt acceptance dengan kecemasan dalam menghadapi menopouse pada wanita premenopouse di Puskesmas Gabus II Pati dengan nilai P Value 0,001< 0,05. Kata kunci      : Selt acceptance, Kecemasan, perimenopouseDaftar Pustaka : 39 Daftar Pustaka (2009-2016) ABSTRACTBackground: Premenopause occurs in middle adulthood, middle adulthood in chronological terminology, namely years between 45 and 65 years. During this middle adulthood sexuality has decreased. Middle adulthood is characterized by physical and mental changes. Psychiatric changes experienced by a woman before prmenopause include feeling old, not attractive anymore, depressed for fear of growing old, easily offended, easily shocked so that heart palpitations, fear of not being able to meet the sexual needs of the husband, fear that the husband will deviate, decreased sexual desire and difficult to achieve satisfaction (orgasm), feel it is useless and does not produce something, feel burdensome for family and others. Objective: To find out the relationship between self-acceptance and anxiety in dealing with menopause in premenopouse women in Public Health center Gabus II. Method: analytic correlation with cross sectional approach, a sample of all premenopouse patients in Public Health Center Gabus II, 40-45 years old, 36 people, 36 person. Purposive sampling technique. Data were analyzed by Chi square statistical test. Results: There is a relationship of self-acceptance with anxiety in facing menopause in premenopausal women in Public Health Center Gabus II Pati Health Center area with a P value of 0.001 <0.05


Author(s):  
Siti Sakinah ◽  
Jacob M Ratu ◽  
Pius Weraman

Introduction: Caring and treatment of hypertension is a long process that requires a strategy in managing the disease, one of which is self management. The purpose of This study was to determine the correlation between Demographic Characteristics and knowledge with Self Management of Hypertension in the Timor tribal community. Methods: This research was a descriptive analytic study with a coros sectional approach conducted on 70 the timor tribal community in the Province of East Nusa Tenggara. The study was conducted in February 2020. Demographic characteristics studied include gender, age, education level, employment and family income. Components of Self Management Hypertension measured include drug swallowing, diet and control of blood pressure. Demographic data, knowledge and Self Management of Hypertension were measured using a questionnaire and analyzed using chi square test using SPSS 21. Results: The demographic characteristics (age and education level) and knowledge correlated positively with self management of hypertension. Age with p value (0,001), while level of education and knowledge with p value (0,000). Conclusions and recommendations: increasing age reduces hypertension self management abilities, meanwhile higher education and good knowledge improve hypertension self management. The recommendations of this study are that early and ongoing education is needed to increase knowledge in the management of hypertension. Keywords: demographic characteristics; knowledge; self management; hypertension ABSTRAK Pendahuluan: Pengobatan dan perawatan hipertensi merupakan suatu proses panjang yang membutuhkan strategi dalam mengelola penyakit tersebut, salah satunya adalah menegemen diri (self management). Penelitian ini bertujuan untuk mengetahui Hubungn antara Karakteristik Demografi dan pengetahuan dengan Self Management Hipertensi Pada Masyarakat Suku Timor. Metode: Penelitian ini adalah penelitian deskriptif analitik dengan pendekatan coros sectional yang dilakukan pada 70 masyarakat suku Timor di propinsi Nusa Tenggara Timur. Penelitian dilaksanakan pada bulan Februari 2020. Karakteristik demografi yang diteliti antara lain Jenis Kelamin, Usia, Tingkat Pendidikan, Pekerjaan dan Penghasilan Keluarga. Komponen Self Management Hipertensi yang diukur yaitu tindakan menelan obat, diet dan kontrol tekanan darah. Data demografi, pengetahuan dan Self Management Hipertensi diukur dengan menggunakan kuesioner dan dianalisis dengan menggunkan chi square Test dengan bantuan SPSS 21. Hasil: Karakteristik demografi (usia dan tingkat pendidikan) dan pengetahuan berkolerasi positif dengan self management hipertensi . Usia dengan pvalue (0,001), sedangkan tingkat pendidikan dan pengetahuan dengan p value (0,000). Kesimpulan dan rekomendasi : semakin bertambah usia mengurangi kemampuan self management hipertensi, sementara itu pendidikan tinggi dan pengetahuan yang baik meningkatkan self management hipertensi. Rekomendasi penelitian ini adalah diperlukan edukasi sejak dini dan berkelanjutan untuk meningkatan pengetahuan dalam penatalaksanaan penyakit hipertensi. Kata kunci: karakteristik demografi; pengetahuan; self management; hipertensi


2016 ◽  
Vol 23 (03) ◽  
pp. 324-327
Author(s):  
Ahsan Beg Beg ◽  
Muhammad Younas ◽  
Touseef Asma

Objectives: To investigate the role of socio-economic factors for Acute RheumaticFever (ARF) and Rheumatic Heart Disease (RHD) in Pakistan. Methodology: Study Design:Descriptive cross-sectional. Setting: OPD of Pediatric Cardiology Department, CPE Institute ofCardiology, Multan. Period: July 2014 to December 2014. Convenience Sampling was done.Sample size of 130 cases with ages between 5 to 12 years were selected for the study. Results:Overcrowding was noticed in 61% and 85% in urban and rural areas, respectively. In rural areas,most parents were illiterate; similar status was seen in urban areas (64.4%; 67.1% respectively).60% and 55 % patients have habit of hand washing in rural and urban patients respectively.Toilet facility is available to 60% and 55.6% in rural and urban patients respectively. Economicstatus of the family is even worse. Average income per family was only Rs.3800 per month.Conclusion: There is a high prevalence of Rheumatic heart disease (RHD) and acute rheumaticfever (ARF) in Pakistan. Overcrowding, poor hygienic conditions, low socio-economic status,illiteracy are major risk factors for ARF and RHD in Pakistan. In order to address this alarmingsituation, platforms like Pakistan Pediatric Cardiac Society and Pakistan Pediatric Associationneed to be mobilized.


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