scholarly journals HUBUNGAN RIWAYAT PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN DIARE AKUT PADA ANAK DI RSUP PROF DR. R. D. KANDOU

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Tuti Jatiningrum Ibrahim

Abstract: Background: The breast milk has higher nutrient value. Because of the antibody contained in the breast milk, the leucocytes, enzymes, and hormones will protect the baby from infections. Babies who were breastfed from childbirth to several months after will be protected from any kinds of infections, whether they are caused by the bacteria, viruses, or other antigens. In the developing countries, babies who were not given the exclusive breastfeed from the age of 0 to 5 months and no breastfed from the age of 6 to 23 months could raise the risk of morbidity and mortality caused by diarrhea. In Indonesia, diarrhea is still the second of 10 most common diseases in the population on the primary health care. Objective: To find out the relations between exclusive breastfeeding history and the incidence of acute diarrhea on children in Prof. Dr. R. D. Kandou Hospital, Manado. Methods: This research is an observational analytic study with cross sectional approach, done in the Department of Pediatric of Prof. Dr. R. D. Kandou Hospital, Manado from November to December 2013. The subject of the experiment is around 100 children age 6 months to 5 years old and classified into 50 children with acute diarrhea and 50 children as the control group. The data are gathered using questionnaires given to the parents of the subjects and analyzed using the chi square. Results: From 100 children as the subject, in 44 children with exclusive breastfeeding history there are 16 children with diarrhea and 28 without diarrhea. Meanwhile, in the remaining 56 children without history of exclusive breastfeeding, 34 children are infected with diarrhea and 22 are not infected. The value of the significance result is p < 0.05 with significance value of 0.016 means significant. Conclusion: There is a significant relation between exclusive breastfeeding history and the incidence of acute diarrhea on children in Prof. Dr. R. D. Kandou Hospital, Manado.Keywords:Exclusive breastfeeding, acute diarrhea on children.   Abstrak: Latar Belakang: ASI memiliki nilai gizi lebih tinggi, karena adanya antibodi pada ASI, sel-sel leukosit, enzim dan hormon akan melindungi bayi terhadap infeksi. Bayi yang mendapatkan ASI pada waktu lahir sampai beberapa bulan sesudahnya akan terlindungi dari berbagai macam infeksi, baik yang disebabkan oleh bakteri, virus dan antigen lainnya. Di negara berkembang, bayi yang tidak diberikan ASI eksklusif  pada usia 0-5 bulan dan tidak mendapatkan ASI pada usia 6-23 bulan dapat meningkatkan risiko morbiditas dan mortalitas karena diare. Di Indonesia, diare masih menempati urutan kedua dalam urutan 10 penyakit terbanyak dipopulasi pada pelayanan kesehatan primer. Tujuan: Mengetahui hubungan riwayat pemberian ASI eksklusif dengan kejadian diare akut pada anak di RSUP. Prof. Dr. R. D.  Kandou Manado. Metode: Penelitian ini merupakan studi analitik observasional dengan pendekatan cross sectional, dilakukan di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado selama bulan November – Desember 2013. Subyek penelitian sebanyak 100 anak berumur 6 bulan – 5 tahun dan dikelompokkan menjadi 50 anak diare akut dan 50 anak kelompok kontrol. Pengumpulan data menggunakan kuesioner kepada orangtua subyek penelitian.Data dianalisis dengan chi square. Hasil: Subyek penelitian berjumlah 100 anak yang terdiri atas 44 anak dengan riwayat asi eksklusif yang terdiri dari 16 mengalami diare dan 28 tidak mengalami diare sedangkan 56 anak dengan riwayat tidak asi eksklusif yang terdiri dari 34 mengalami diare dan 22 tidak mengalami diare. Hasil signifikansi bernilai p < 0.05 dengan nilai signifikansi 0.016 yang berarti signifikan atau bermakna. (p=0,016) Kesimpulan: terdapat hubungan antara riwayat pemberian ASI eksklusif dengan kejadian diare akut pada Anak di RSUP Prof. DR. R. D. Kandou Manado.Kata kunci :ASI eksklusif, diare akut pada anak.

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Tri Aprillia Tauriska ◽  
Farida Umamah

The correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya. The mothers feel reluctant to breastfeed their babies even though the exclusive breastfeeding has become a government’s propaganda. The pre-data taken from 15 breastfeeding mothers inform that 60% had a low breast milk production. Purpose of this study was to find out the correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya.The design of study was analytic-observational done by applying cross sectional approach. The population involved all breastfeeding mothers as imumnunization visiting the hospital with their babies, totally 18 people, in which 17 respondents were taken by using probability sampling technique. The instrument used for collecting the data was a checklist. The variables used in this study were baby’s suck and breast milk production. The data were analyzed by using Chi-Square test with the significance level α = 0.05.The result of study showed that nearly all of the babies (94.1%) sucked correctly, whereas nearly all of the mothers (88.2%) had sufficient breast milk production. Moreover, the result of statistic test showed that p = 0.018 with the significance level α = 0.05 so that p < α. It also meant that H0 was rejected. The conclusion of study often the babies suck correctly, breast milk is produced. Hence, the breastfeeding mothers to still maintaining for breastfeed their baby with train them how to breastfeed correctly to increase breast milk production.


2017 ◽  
Vol 9 (01) ◽  
pp. 59
Author(s):  
Is Susiloningtyas ◽  
Dewi Ratnawati

ABSTRAKMenyusui adalah proses fisiologis untuk memberikan nutrisi kepada bayi. ASI adalah nutrisi ideal bagi bayi untuk menunjang kesehatan, pertumbuhan dan perkembangan bayi secara optimal. ASI memiliki energi dan komposisi gizi yang lengkap bagi pertumbuhan dan perkembangan bayi terutama di awal kehidupan bayi. Di era industrialisasi kegiatan menyusui telah mengalami penurunan yang signifikan. Ibu yang bekeja menjadi alasan untuk tidak menyusui. Kondisi tersebut menyebabkan semakin menurunnya angka ibu menyusui di Indonesia dalam 5 tahun terakhir. Pencapaian angka menyusui yang rendah telah mempengaruhi angka cakupan pemberian ASI Eksklusif pada tahun 2014 hanya berkisar 27,5%. Oleh karena itu pemerintah Indonesia memandang perlu untuk meningkatkan program ASI Eksklusif dengan diterbitkannya Peraturan Pemerintah Nomor 33 tahun 2012 tentang Pemberian ASI Eksklusif. Pemerintah telah menetapkan bahwa setiap penyelenggara fasilitas kesehatan dan pengurus tempat kerja serta penyelenggara tempat umum harus menyediakan ruang laktasi sesuai dengan ketentuan dan standar prosedur yang telah ditetapkan. Jenis penelitian yang digunakan adalah explanatory research, yaitu bertujuan untuk menguji suatu hipotesis dari hubungan antara variabel. Adapun pendekatannya menggunakan rancangan cross sectional dengan sampel penelitian 99 orang. Analisa data menggunakan analisis univariabel dan bivariabel. Hasil Uji chi square faktor usia dengan pemanfaatan Ruang Laktasi didapatkan  nilai p value 0,06 sehingga tidak ada hubungan antara faktor usia dengan pemanfaatan Ruang Laktasi sedangkan hasil uji chi square faktor pendidikan, persepsi dan motivasi dengan pemanfaatan Ruang Laktasi didapatkan nilai p value 0,05 sehingga ada hubungan antara faktor pendidikan, persepsi dan motivasi dengan pemanfaatan Ruang Laktasi. Sarannya adalah melakukan sosialisasi pemanfaatan ruang laktasi. Kata Kunci : ASI, Ruang LaktasiFACTORS THAT INFLUENCE THE USE OF LAKTATION ROOM IN PRIMARY HEALTH CARE GUNUNG PATI  SEMARANGABSTRACTBreastfeeding is a physiological process to provide nutrition to the baby. Breast milk is the ideal nutrition for babies to optimally support the health, growth and development of babies. Breast milk has a complete energy and nutritional composition for infant growth and development, especially early in life. In the industrialization era of breastfeeding activity has decreased significantly. A working mother is the reason not to breastfeed. This condition causes the decreasing number of nursing mothers in Indonesia in the last 5 years. The achievement of low breastfeeding rates has affected the coverage rate of exclusive breastfeeding in 2014 to only about 27.5%. Therefore the Indonesian government considers it necessary to improve the exclusive breastfeeding program by the issuance of Government Regulation No. 33 of 2012 on Exclusive Breastfeeding. The Government has determined that every provider of health facilities and workplaces and public place providers should provide lactation chambers in accordance with established provisions and standard procedures. The type of research used is explanatory research, which aims to test a hypothesis of the relationship between variables. The approach using cross sectional design with a sample of 99 people. Data analysis using univariable and bivariable analysis. The result of chi square test of age factor with Lactation Space utilization got p value 0,06 so there is no correlation between age factor with Lactation Room utilization whereas chi square test of education factor, perception and motivation with Lactation space utilization got p value 0,05 So there is a relationship between educational factors, perceptions and motivation with the utilization of Lactation Space. The suggestion is to socialize the utilization of lactation space.Keywords: Breast milk, Lactation Room


2020 ◽  
Vol 2 (2) ◽  
pp. 31-37
Author(s):  
Rahmi Fitri ◽  
Nurhikmah Panjaitan

    Breast milk contains substance known as IgA for the defense system in digestive tract against infection. This study aims to determine the relationship between knowledge and working mothers with exclusive breastfeeding in Sidomulyo, Stabat. The type of research used is a descriptive analytic survey using a cross sectional study. The sampling technique used accidental sampling with 150 as population and 30 people is involved as the research sample.  The data analysis applied chi square test to determine the relationship between two variables. The results of this study revealed that there is a relationship between mother's knowledge of exclusive breast feeding with a significant level (ɑ) = 5% (0.05) and df = 2, the result is value = 0.026 at df = 2 where sig <ɑ (0.026 < 0.05) then Ho is rejected and Ha is accepted.  Therefore, mothers are advised to continue to provide exclusive breastfeeding to their babies even though they work by storing breast milk in the refrigerator.  


1970 ◽  
Vol 7 (02) ◽  
pp. 99-107
Author(s):  
Widya Juliarti ◽  
Atifa Merlin

Exclusive breastfeeding is the only breast milk given to infants without additional other liquids without solid food for six additional 6 months. Breastfed babies have a greater chance of early success exclusive breastfeeding. Based on preliminary studies in December 2015 in BPM Khairani Asnita, in the know of 20 people who gave birth to entirely successfully perform IMD but only 3-5 people who exclusively breastfed rest melanjutlan with formula. The purpose of this study to determine the factors associated with exclusive breastfeeding in mothers who carry BPM Khairani Asnita IMD in Riau Province in 2015. This type of research is analytic survey with cross sectional study design. The population is mothers delivered in BPM Khairani Asnita and do IMD with babies aged 16-12 months amounted to 60 m people. The sampling technique used is total sampling. Bivariate data analysis with test of chi-square test. Based on the results of the univariate analysis showed that the majority of mothers breastfeed as much as 56.7% exclusive. The results of the bivariate analysis pvalue values obtained for each variable with α 0.05 is for attitude p = 0.000, husband support the value of p = 0.004, p = success IMD 0,007, maternal age the value of p = 0.031. The conclusion of this study that the attitude of the mother, husband support, the success of IMD and the mother's age is a factor that affects exclusively breastfeeding mothers do IMD in BPM Khairani Asnita Year 2015. It is expected the next BPM Khairani Asnita able to reassure patients who visit or maternity there for can give only breast milk until the child is 6 months old, as well as explaining the benefits of exclusive breastfeeding for babies and mothers.


2019 ◽  
Vol 1 (2) ◽  
pp. 95
Author(s):  
SIWI HESTI UTAMI ◽  
BUDIYANTI WIBOWORINI ◽  
ETI PONCORINI PAMUNGKASARI

<p><strong><em>Introduction</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>Motor development needs to be considered to detect the presence or absence of delays in infant’s development which can affect their potency in the future. Exclusive breastfeeding contains lactose, taurine, DHA, and AA which are needed for motor development. Head circumference is related to brain development as one of motor control organs. This study aimed to analyze the relationship between exclusive breastfeeding and head circumference with motor development of infants aged 6-12 months in Surakarta.</em><em> </em><em></em></p><p><strong><em>Methods</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>This was</em><em> an</em><em> analytical observational </em><em>study</em><em> with a cross sectional</em><em> design. The subject were infants aged 6-12 months in Puskesmas Gajahan and Puskesmas Ngoresan Surakarta who met the inclusion criteria. Data obtained from interviews, measurements of head circumference, and assessments of motor development, in 84 subjects that selected purposely. The</em><em> data were analyzed using </em><em>Chi Square</em><em> test, Odds Ratio (OR)</em><em>, and logistic regression</em><em>.</em><em></em></p><p><strong><em>Result</em></strong><strong><em>s: </em></strong><em>There was a significant relationship between exclusive breastfeeding and motor development (p&lt;0,001; OR=9,88) but no significant relationship was found between head circumference and motor development (p=0,208; OR=5,35), complementary feeding and motor development (p=0,242; OR=0,52), sex and motor development (p=0,400; OR=1,59), age and motor development (p=0,432; OR=0,65).</em><strong><em> </em></strong><em></em></p><p><strong><em>Conclusion</em></strong><strong><em>: </em></strong><em>Infants aged 6-12 months who are exclusive breastfed and had normal head circumference have greater chances to experience motor development that is age – appropriate.</em><em></em></p>


2018 ◽  
Vol 3 (2) ◽  
pp. 20-25
Author(s):  
Eka Saudur Sihombing ◽  
Rohanta Manihuruk

Exclusive breastfeeding is the first, main and best food for a natural baby. Asi contains various nutrients needed in the process of growth and development of babies. ) The efficacy of breast milk is so large as breast milk can reduce the risk of babies suffering from various diseases. If the baby is sick it will heal faster when getting breast milk. Breast milk also helps the growth and development of children's intelligence Goals: The aim of the study was to determine the relationship between family knowledge and support for mothers with exclusive breastfeeding. Methods: The research method used an analytical survey type with a cross sectional approach to 75 breastfeeding mothers who had babies aged 7-24 months. Data analysis was performed by univariate analysis to obtain an overview of each independent and dependent variable. Data will be presented in the form of distribution, frequency and bivariate analysis to determine whether there is a relationship between independent variables (categorical) and independent variables (categorical) using Chi Square Test. Results: The results of the study obtained the frequency distribution of respondents with good knowledge 45 people (60%), less knowledge of 30 people (40%), family support 33 respondents (44%), family support 42 respondents (56%), ASI actions Exclusive 17 respondents (22.7%), did not provide exclusive breastfeeding 58 respondents (77.3%). There is no relationship between mother's knowledge of exclusive breastfeeding (p-value 0.063). There is no relationship between family support for exclusive breastfeeding p = 0.063 and p = 0.098 (α = 0.05) means that there is no relationship between knowledge and family support for mothers with exclusive breastfeeding. Conclusion: It is recommended to the community especially to mothers and families to increase exclusive breastfeeding so that the baby's needs for breastfeeding are met, and the family continues to provide support for the mother to give the baby exclusive breastfeeding, further researchers use different and varied variables and dig deeper into the mother's attitude towards exclusive breastfeeding with direct interviews with nursing mothers.


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Saiful Salim ◽  
Sarah M. Warouw ◽  
Julia Rottie

Abstract: One of the fundamental efforts to ensure the achievement of the highest quality of child development is the provision of breast milk (milk) from birth until the age of two years. Mother's Milk (Air Susu Ibu, ASI) is the most perfect food for babies because it contains many nutrients that are high-value required for the growth and development of the nerves and brain and gives substances immunity against some diseases. Breast milk can meet the nutritional needs of infants during the first six months (exclusive breastfeeding). The government up until now continues to promote the program through the promotion of increased use of exclusive breastfeeding, but unexpectdly still there are mothers, who do not exclusively breastfeed their babies. The purpose of this study is to know the relationship between maternal characteristics and the successfulness of exclusive breastfeeding. The desaigned study  was Analytic Observational, with cross sectional approach, with a sample of 65 people. Determination of the samples was done by using a non-probability (purposive sampling). Data collection was accomplished by using questionnaires. Processing data using the computer program SPSS version 20 was presented in narrative form and table. Statistical test used was chi-square with significance level α = 0.05. The results of statistical tests showed that the obtained maternal characteristics values ​​are as follows: for Age characteristic the p-value = 0.25 (p > α), the education characteristic p-value = 0.04 (p < α), a job characteristic p-value = 0.015 (p < α), and the knowledge characteristic p-value = 0.042. (P < α). There is no relationship or association between the age and the exclusive breastfeeding success. There is a relationship of education, employment, knowledge of the mother and the success of exclusive breastfeeding. However the relationship obtained is a significant negative relationship because highly educated mothers, mother who work or carier women and mothers who are actually more knowledgeable are there who fail to braestfeed exclusively. From this this study it can be suggested to the clinic to have to do counseling/ training or dairy feeding for working mothers (Pegawai Negeri Sipil / Swasta), proposed to the Government, the mayor and the head of private institutions to be able to grant permission or instructions to all employees mothers who have a six months old baby to be given permission to go home for breastfeeding while still on the working hours. Keywords: Maternal characteristic, exlusive breastfeeding.   Abstrak: Salah satu upaya mendasar untuk menjamin pencapaian tertinggi kualitas tumbuh kembang anak adalah dengan pemberian Air Susu Ibu (ASI) sejak lahir hingga usia dua tahun. Air Susu Ibu (ASI) merupakan makanan yang paling sempurna bagi bayi karena mengandung banyak zat-zat gizi yang bernilai tinggi yang dibutuhkan untuk pertumbuhan dan perkembangan saraf dan otak, memberikan zat-zat kekebalan terhadap beberapa penyakit. Air susu ibu dapat memenuhi kebutuhan gizi bayi selama enam bulan pertama (ASI eksklusif). Sampai sekarang pemerintah terus berupaya mempromosikan program ASI eksklusif melalui gencarnya promosi peningkatan penggunaan ASI eksklusif, namun masih saja didapatkan ibu menyusui bayinya tidak secara eksklusif sesuai yang diharapkan. Tujuan penelitian ini untuk mengetahui hubungan karakteristik ibu dengan keberhasilan pemberian ASI eksklusif. Desain penelitian yang digunakan adalah Analitik Observasional dengan pendekatan Cross Sectional, dengan jumlah sampel 65 orang. Penentuan besar sampel dengan menggunakan Non probability (purposive Sampling). Pengumpulan data dengan menggunakan kuesioner. Pengolahan data menggunakan komputer dengan program SPSS versi 20 yang disajikan dalam bentuk narasi dan tabel. Uji statistik yang digunakan adalah Chi-Square dengan tingkat signifikasi α = 0,05. Hasil uji statistik menunjukan bahwa karakteristik ibu (umur) diperoleh nilai p-value = 0,25 (p > α), pendidikan diperoleh nilai p-value = 0,04 (p < α), pekerjaan diperoleh nilai  p-value = 0,015 (p < α), dan pengetahuan diperoleh nilai p-value = 0,042. (p < α). Kesimpulan dalam penelitian ini adalah tidak ada hubungan umur dengan keberhasilan pemberian ASI eksklusif dan ada hubungan pendidikan, pekerjaan, pengetahuan dengan  keberhasilan pemberian ASI eksklusif. Namun hubungan yang didapatkan adalah hubungan yang bermakna negatif dikarenakan ibu yang berpendidikan tinggi, ibu yang bekerja dan ibu yang berpengetahuan baik justru lebih banyak yang tidak berhasil memberikan ASI eksklusif. Dari penelitian ini dapat disarankan kepada pihak puskesmas untuk perlu dilakukannya penyuluhan/pelatihan tentang pemberian ASI perah kepada ibu-ibu pekerja (PNS/Swasta), mengusulkan  ke Pemerintah Daerah dalam hal Wali Kota dan pimpinan instansi swasta untuk dapat memberikan izin/intruksi kepada seluruh pegawai ibu-ibu yang mempunyai bayi enam bulan kebawah agar dapat diberi izin pulang ke rumah untuk menyusui bayinya meskipun masih jam kerja. Kata kunci: Karakteristik Ibu, ASI eksklusif.


2020 ◽  
Vol 2 (3) ◽  
pp. 94
Author(s):  
Yayuk Fatmawati ◽  
Biyanti Dwi Winarsih ◽  
Hirza Ainin Nur

Breast milk is a food source for infants with essential nutrition for their health, growth, and development. Breast milk has various benefits including preventing children from a variety of conditions that can inhibit their growth and development such as malnutrition. Malnutrition is associated with 45% of deaths and illnesses of children. Exclusive breastfeeding is considered to be able to help overcome nutritional problems such as stunting and malnutrition. A report from the Ministry of Health Republic of Indonesia in 2015 showed that 18.8% of toddlers suffer from malnutrition while 12.7% experience stunting. This study aimed to analyse factors influence breastfeeding given by working mothers. This was a quantitative descriptive study with a cross-sectional approach. The study involved 101 respondents who were working mothers of children aged 7-24 months old. The respondents were selected using questionnaire measurement tools. Data analysis used the Chi-Square test with an alpha value of 0.05. The results show that there was no relationship between knowledge of breastfeeding and exclusive breastfeeding. However, there was a significant relationship between family support and exclusive breastfeeding. Good knowledge must be followed by a good attitude and family support, especially from the husband, so that the mother will give exclusive breastfeeding to the baby.


2018 ◽  
Vol 25 (1) ◽  
pp. 47
Author(s):  
Aswita Amir ◽  
Nursalim Nursalim ◽  
Aliffiani Widyansyah

Breast milk contains high immune antibodies and killer germs that can reduce the risk of infant mortality but exclusive breastfeeding coverage in Indonesia is only 55,7% and has not reached the government target of 80%. This study aims to determine the relation between delivery process of baby, breast crawl and mother’s knowledge with exclusive breastfeeding  at RSIA Pertiwi Makassar.The research is an analytical research with cross sectional design. Samples of this study are 155 newborn babies at RSIA Pertiwi Makassar. Data collected  by interview using questionnaire then analyzed by Chi Square Test in SPSS program. The results show that there are 54,2% respondents who gave exclusive breastfeeding. There are 59,4% respondents with normal delivery process. There are 20,6% respondents who did breast crawl. Thera are 11,6% respondents with good knowledge. The result of statistical test shows that there are relation between delivery process of baby, breast crawl, and mother’s knowledge with exclusive breastfeeding.


2020 ◽  
Vol 1 (6) ◽  
pp. 7-16
Author(s):  
Kanaang Mabe Parenreng ◽  
Veni Hadju ◽  
Burhanuddin Bahar ◽  
Nurhaedar Jafar ◽  
Healthy Hidayanty ◽  
...  

Nationally, the prevalence of stunting in children under five in Indonesia is 30.8%. The incidence of stunting varies from region to region. This study aims to determine the determinants of stunting in children aged 6-23 months in the locus and non-loci in East Luwu Regency. This research is an observational analytic study using a cross sectional design. The study population was 858 children aged 6-23 months in five locus villages and five non-locus villages. A sample of 200 people was taken using purposive sampling method, data were analyzed using the chi square test and logistic regression using the SPSS application. The results showed the similarity in terms of parental education in both regions. In general, the father has a job and the mother is a housekeeper. Income levels are higher in locus areas. As much as 43.1% of baduta had stunting at locus area and 22.4% at non locus. The logistic regression test showed that the factors associated with stunting in the locus were family members smoking (p = 0.032), hand washing practices (p = 0.036) and exclusive breastfeeding (p = 0.001). Meanwhile, non-locus areas were a history of diarrhea disease (p = 0.049) and hand washing practices (p = 0.052). Combined analysis of locus and non-loci showed that family members smoking (p = 0.005), exclusive breastfeeding (p = 0.001), frequency of complementary feeding (p = 0.027) and hand washing practices (p = 0.001) were determinants of stunting. The most dominant variable in the locus was exclusive breastfeeding, while non-locus was a history of diarrhea. Conclusion: The determinants of locus stunting are family members smoking, hand washing practices and exclusive breastfeeding. Meanwhile, non-locus areas are a history of diarrhea disease and hand washing practices.


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