LIVIVO - Search results -

Search results

Result 1 - 10 of total 22

Search options

Article ; Online: Factors affecting utilization of sexual and reproductive health services among women with disabilities- a mixed-method cross-sectional study from Ilam district, Nepal

Rupa Shiwakoti / Yogendra Bahadur Gurung / Ram Chandra Poudel / Sandesh Neupane / Ram Krishna Thapa / Sailendra Deuja / Ram Sharan Pathak

BMC Health Services Research, Vol 21, Iss 1, Pp 1-

2021 Volume 19

Abstract: Abstract Background Persons with disabilities can have physical, mental, intellectual, or sensory impairments which can hinder their social participation. Despite Sustainable Development Goals call for “universal access to sexual and reproductive health ( ...

Abstract	Abstract Background Persons with disabilities can have physical, mental, intellectual, or sensory impairments which can hinder their social participation. Despite Sustainable Development Goals call for “universal access to sexual and reproductive health (SRH)”, women with disabilities (WwDs) continue to experience barriers to access SRH services in Nepal. This study evaluated factors affecting the utilization of SRH services among WwDs in Ilam district, Nepal. Methods A mixed-method study with 384 WwDs of reproductive age was conducted in Ilam district, eastern Nepal. Quantitative data were collected using a structured questionnaire. Relationships between utilization of SRH services and associated factors were explored using multivariate logistic regression analysis. Qualitative data were collected from focus groups with female community health volunteers and interviews with WwDs, health workers and local political leaders. They were audio-recorded, translated and transcribed into English and were thematically analyzed. Results Among 384 respondents (31% physical; 7% vision,16% hearing, 7% voice&speech,12% mental/psychosocial, 9% intellectual, 18% multiple disabilities), only 15% of them had ever utilized any SRH services. No requirement (57%) and unaware of SRH services (24%) were the major reasons for not utilizing SRH services. A majority (81%) of them reported that the nearest health facility was not disability-inclusive (73%), specifically referring to the inaccessible road (48%). Multivariate analysis showed that being married (AOR = 121.7, 95% CI: 12.206–1214.338), having perceived need for SRH services (AOR = 5.5; 95% CI: 1.419–21.357) and perceived susceptibility to SRH related disease/condition (AOR = 6.0; 95% CI:1.978–18.370) were positively associated with the utilization of SRH services. Qualitative findings revealed that illiteracy, poor socioeconomic status, and lack of information hindered the utilization of SRH services. WwDs faced socioeconomic (lack of empowerment, lack of family support), ...
Keywords	Women with disabilities ; Sexual and reproductive health ; Utilization ; Health belief model ; Ilam ; Nepal ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2021-12-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Stroke among Patients Admitted to a Tertiary Care Centre

Ram Narayan Kurmi / Laxman Mandal / Raj Singh / Prateek Kumar Chaudhary / Tirth Dhungana / Sandesh Lamichanne / Nimish Raj Bastola / Prajjwal Pokharel

Journal of Nepal Medical Association, Vol 61, Iss

A Descriptive Cross-sectional Study

2023 Volume 260

Abstract: Introduction: Stroke is the second most common cause of mortality after ischemic heart disease and the leading cause of morbidity around the world. This study aimed to find out the stroke among patients admitted to a tertiary care centre. Methods: A ... ...

Abstract	Introduction: Stroke is the second most common cause of mortality after ischemic heart disease and the leading cause of morbidity around the world. This study aimed to find out the stroke among patients admitted to a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in the Department of Internal Medicine and Neurosurgery from 15 July 2021 to 15 June 2022 after taking ethical approval from Institutional Review Committee (Reference number: 78/79-083). Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Among 5034 patients, 149 (2.95%) (2.48-3.41, 95% Confidence Interval) patients had stroke. Out of 149 cases, male to female ratio was 1.06 with a mean age of 65.05±14.06 years. The most common presentation was hemiparesis 128 (85.90%). Hypertension 106 (71.14%) was the most common underlying condition. The frontal area 17 (32.02%) was the most common site of ischemic stroke. Putamen (55.26%) was most common site in hemorrhagic stroke. The mean hospital stays was 6.3±5.18 days. There were 5 (3.40%) cases of in-hospital mortality. Conclusions: The prevalence of stroke was similar to other studies done in similar settings.
Keywords	hemorrhagic stroke ; ischemic stroke ; prevalence ; Medicine (General) ; R5-920
Subject code	590
Language	English
Publishing date	2023-04-01T00:00:00Z
Publisher	Nepal Medical Association
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Factors affecting utilization of sexual and reproductive health services among women with disabilities- a mixed-method cross-sectional study from Ilam district, Nepal.

Shiwakoti, Rupa / Gurung, Yogendra Bahadur / Poudel, Ram Chandra / Neupane, Sandesh / Thapa, Ram Krishna / Deuja, Sailendra / Pathak, Ram Sharan

BMC health services research

2021 Volume 21, Issue 1, Page(s) 1361

Abstract: Background: Persons with disabilities can have physical, mental, intellectual, or sensory impairments which can hinder their social participation. Despite Sustainable Development Goals call for "universal access to sexual and reproductive health (SRH)", ...

Abstract	Background: Persons with disabilities can have physical, mental, intellectual, or sensory impairments which can hinder their social participation. Despite Sustainable Development Goals call for "universal access to sexual and reproductive health (SRH)", women with disabilities (WwDs) continue to experience barriers to access SRH services in Nepal. This study evaluated factors affecting the utilization of SRH services among WwDs in Ilam district, Nepal. Methods: A mixed-method study with 384 WwDs of reproductive age was conducted in Ilam district, eastern Nepal. Quantitative data were collected using a structured questionnaire. Relationships between utilization of SRH services and associated factors were explored using multivariate logistic regression analysis. Qualitative data were collected from focus groups with female community health volunteers and interviews with WwDs, health workers and local political leaders. They were audio-recorded, translated and transcribed into English and were thematically analyzed. Results: Among 384 respondents (31% physical; 7% vision,16% hearing, 7% voice&speech,12% mental/psychosocial, 9% intellectual, 18% multiple disabilities), only 15% of them had ever utilized any SRH services. No requirement (57%) and unaware of SRH services (24%) were the major reasons for not utilizing SRH services. A majority (81%) of them reported that the nearest health facility was not disability-inclusive (73%), specifically referring to the inaccessible road (48%). Multivariate analysis showed that being married (AOR = 121.7, 95% CI: 12.206-1214.338), having perceived need for SRH services (AOR = 5.5; 95% CI: 1.419-21.357) and perceived susceptibility to SRH related disease/condition (AOR = 6.0; 95% CI:1.978-18.370) were positively associated with the utilization of SRH services. Qualitative findings revealed that illiteracy, poor socioeconomic status, and lack of information hindered the utilization of SRH services. WwDs faced socioeconomic (lack of empowerment, lack of family support), structural (distant health facility, inaccessible-infrastructure), and attitudinal (stigmatization, bad behaviour of health care providers, perception that SRH is needed only for married) barriers to access SRH services. Conclusions: Utilization of SRH services among WwDs was very low in Ilam district, Nepal. The findings of this study warrant a need to promote awareness-raising programs to WwDs and their family members, sensitization programs to health service providers, and ensure the provision of disability-inclusive SRH services in all health facilities.
MeSH term(s)	Cross-Sectional Studies ; Disabled Persons ; Female ; Health Services Accessibility ; Humans ; Nepal ; Reproductive Health ; Reproductive Health Services
Language	English
Publishing date	2021-12-23
Publishing country	England
Document type	Journal Article
ISSN	1472-6963
ISSN (online)	1472-6963
DOI	10.1186/s12913-021-07382-4
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

Order via subito

This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Details ▾
- Full text online
- Order with fees

Article: Thermal kinetics and morphological investigation of alkaline treated rice husk biomass

Choudhary, Manish / Jain, Sandesh Kumar / Devnani, G.L. / Sonawane, Shri Ram S. / Singh, Dhananjay

Indian Chemical Society Journal of the Indian Chemical Society. 2022 Mar. 24,

2022

Abstract: Agro waste bio mass are creating challenges for environment in term of air pollution due to improper disposal. Rice milling is the process in which rice husk is produced as by-product. The agro-waste rice husk has tremendous potential to be used either ... ...

Abstract	Agro waste bio mass are creating challenges for environment in term of air pollution due to improper disposal. Rice milling is the process in which rice husk is produced as by-product. The agro-waste rice husk has tremendous potential to be used either in its raw form or in ash form. The inherent component of this waste cellulose provides enhanced properties in a reinforced composite when used as filler. Rice husk is the hard outer layer and covering rice seed, which makes reinforcement challenging in its original form. Fiber surface treatment significantly improves adhesion with matrix and various thermo chemical properties of filler as well as of composites. NaOH treatment is cost-effective and it ensures the adhesion with matrix by removal of hemicellulose and lignin. The chemical treatment of agro-waste (rice husk) is performed with 5% alkali solutions of NaOH in water. Results are compared with the properties of untreated rice husk for thermal and morphological characterizations. In the present work, we are trying to quantify the impact of chemical treatment on rice husk thermal decomposition and its kinetics. Thermogravimetric analysis and kinetics study of thermal degradation, provide key input towards pyrolysis pattern of rice husk, while FTIR and SEM analysis provide the prospects of this bio filler using a reinforcing agent to develop green composite and productive disposal. The FTIR data helps to find the possibilities of blending different bio fillers and natural fibers to find suitable reinforcing substances. The average activation energy of treated fiber is noted as 137.95 by KAS method and 108.08 by FWO method as compared to 55.56 by KAS method & 54.26 by FWO method for untreated rice husk.
Keywords	activation energy ; adhesion ; agricultural wastes ; air pollution ; biocomposites ; biomass ; cellulose ; chemical treatment ; cost effectiveness ; hemicellulose ; lignin ; pyrolysis ; rice ; rice hulls ; thermogravimetry
Language	English
Dates of publication	2022-0324
Publishing place	Elsevier B.V.
Document type	Article
Note	Pre-press version
ISSN	0019-4522
DOI	10.1016/j.jics.2022.100444
Database	NAL-Catalogue (AGRICOLA)

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Stroke among Patients Admitted to a Tertiary Care Centre: A Descriptive Cross-sectional Study.

Kurmi, Ram Narayan / Mandal, Laxman / Singh, Raj / Chaudhary, Prateek Kumar / Dhungana, Tirth / Lamichanne, Sandesh / Bastola, Nimish Raj / Pokharel, Prajjwal

JNMA; journal of the Nepal Medical Association

2023 Volume 61, Issue 260, Page(s) 305–309

Abstract	Introduction: Stroke is the second most common cause of mortality after ischemic heart disease and the leading cause of morbidity around the world. This study aimed to find out the stroke among patients admitted to a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in the Department of Internal Medicine and Neurosurgery from 15 July 2021 to 15 June 2022 after taking ethical approval from Institutional Review Committee (Reference number: 78/79-083). Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Among 5034 patients, 149 (2.95%) (2.48-3.41, 95% Confidence Interval) patients had stroke. Out of 149 cases, male to female ratio was 1.06 with a mean age of 65.05±14.06 years. The most common presentation was hemiparesis 128 (85.90%). Hypertension 106 (71.14%) was the most common underlying condition. The frontal area 17 (32.02%) was the most common site of ischemic stroke. Putamen (55.26%) was most common site in hemorrhagic stroke. The mean hospital stays was 6.3±5.18 days. There were 5 (3.40%) cases of in-hospital mortality. Conclusions: The prevalence of stroke was similar to other studies done in similar settings. Keywords: hemorrhagic stroke; ischemic stroke; prevalence.
MeSH term(s)	Humans ; Female ; Male ; Middle Aged ; Aged ; Hemorrhagic Stroke ; Cross-Sectional Studies ; Tertiary Care Centers ; Stroke/epidemiology ; Ischemic Stroke
Language	English
Publishing date	2023-04-01
Publishing country	Nepal
Document type	Journal Article
ZDB-ID	2209910-4
ISSN	1815-672X ; 0028-2715
ISSN (online)	1815-672X
ISSN	0028-2715
DOI	10.31729/jnma.8075
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article: Impact of COVID-19 on the Mental Health of Healthcare Professionals in Pakistan.

Sandesh, Ram / Shahid, Wajeeha / Dev, Kapeel / Mandhan, Nikeeta / Shankar, Prem / Shaikh, Anam / Rizwan, Amber

Cureus

2020 Volume 12, Issue 7, Page(s) e8974

Abstract: Introduction As a result of the ongoing COVID-19 pandemic, health care professionals (HDPs) are facing immense strain due to the heavy load of cases. In many cases, they work increasingly long hours, often with limited resources and a dubious ... ...

Abstract	Introduction As a result of the ongoing COVID-19 pandemic, health care professionals (HDPs) are facing immense strain due to the heavy load of cases. In many cases, they work increasingly long hours, often with limited resources and a dubious infrastructure. Thus, it is important to check on the mental health of caregivers. Methods and materials This cross-sectional study was conducted in May 2020, at various hospitals in Karachi, Pakistan. All HCPs posted in the COVID-19 isolation wards were invited to participate and a total of 112 completed this study. A carefully structured form was created, which included the Depression Anxiety Stress Scale-21 (DASS-21). Results The overall mean score of anxiety was 19.01 ± 9.2, depression was 18.12 ± 10, and stress was 20.12 ± 12.0. There were 81 (72.3%) participants who suffered from moderate to extremely severe depression, 96 ( 85.7%) participants who suffered from moderate to extremely severe anxiety, and 101 (90.1%) participants who reported moderate to extreme stress levels Conclusions It is evident that there are a high number of healthcare workers affected by various psychological ailments such as anxiety, stress, and depression. It is important that the government take steps to ensure that HCPs' mental health is regularly checked and that efforts are made to reduce their burdens.
Keywords	covid19
Language	English
Publishing date	2020-07-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.8974
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article ; Online: Migration Count of Steppe Eagle at Thoolakharka Watch Site, Nepal

Tulsi Ram Subedi / Sandesh Gurung / Hem Sagar Baral

Пернатые хищники и их охрана, Vol 0, Iss

2018 Volume 1

Abstract: Steppe Eagle (Aquila nipalensis) is a globally endangered species that breeds at high latitudes of Palearctic and winters in Africa and Indian subcontinent. Migration count from bottleneck sites along the flyways is an appropriate method to monitor ... ...

Abstract	Steppe Eagle (Aquila nipalensis) is a globally endangered species that breeds at high latitudes of Palearctic and winters in Africa and Indian subcontinent. Migration count from bottleneck sites along the flyways is an appropriate method to monitor population of this species and other migrating raptors. In 2012–2015, we carried out autumn migration count at Thoolakharka raptor migration watch site along the foothills of Annapurna Himalayan Range of Nepal to investigate population dynamics of migrating Steppe Eagle. Each year, migration of Steppe Eagle started from the first week of October and continued throughout the count until 8 of December. Every year, we observed high fluctuation in the total number of migrating Steppe Eagles that ranged between 8 684 (in 2013) to 4 302 (in 2015). Similar results were observed in the proportion of juveniles (first year bird) 23.7% to 17.6%, subadults (2nd to 4th year) 44.8% to 33.6% and adults (≥ 5th year) 48.8% to 34.9%. High fluctuation in the total count and the proportion of age groups could have two possible reasons: 1) the actual change in population over different years and 2) changes in the actual migration route eagles follow depending on the local or regional weather conditions. For these reasons, we could not ascertain that the population of migrating Steppe Eagle at Thoolakharka watch site is actually declining. Therefore, we stress a long term monitoring of migrating Steppe Eagle population from Thoolakharka watch site in the future to investigate the real changes in population
Keywords	birds of prey ; steppe eagle ; aquila nipalensis ; General. Including nature conservation ; geographical distribution ; QH1-199.5 ; Zoology ; QL1-991
Language	English
Publishing date	2018-10-01T00:00:00Z
Publisher	LLC Sibecocenter
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article: The Role of Vitamin C in Reducing Pain Associated With Diabetic Neuropathy.

Bai, Amerta / Abdullah, Fnu / Kumar, Jatender / Lal, Amar / Abbas, Mohammed / Sandesh, Ram / Naz, Sidra / Shahid, Simra / Anees, Faryal / Memon, Sidra

Cureus

2021 Volume 13, Issue 6, Page(s) e15895

Abstract: Introduction: Neuropathic pain is a painful condition that arises after a lesion or an insult to the somatosensory nervous system, either in a central or peripheral location. The most common cause of neuropathic pain is diabetes. Controlled trials have ... ...

Abstract	Introduction: Neuropathic pain is a painful condition that arises after a lesion or an insult to the somatosensory nervous system, either in a central or peripheral location. The most common cause of neuropathic pain is diabetes. Controlled trials have been conducted on recent advancements in medicine to investigate the effect of vitamin C in the treatment of neuropathic pain. In this study, we aim to investigate the role of vitamin C in reducing pain associated with diabetic neuropathy. Methods: This open-label, parallel-arm, interventional study was conducted in a public tertiary care hospital in Pakistan from April 2019 to March 2021. A total of 300 type II diabetic patients with newly diagnosed painful peripheral diabetic neuropathy, of either gender, were enrolled in the study. The intervention group received 60 mg duloxetine along with 200 mg oral vitamin C. The control group received 60 mg duloxetine without any additional intervention. Patients were asked to return for follow-up after 12 weeks. Results: The mean visual analog score (VAS) was significantly lower in both, the intervention (5.54 ± 0.81 vs. 6.72 ± 0.90; p-value: <0.0001) and the control group (5.91 ± 0.80 vs. 6.79 ± 0.94; p-value: <0.0001), at week 12 compared to day 0. However, in comparison, VAS score in intervention at week 12 was significantly lower as compared to the control group (5.54 ± 0.81 vs. 5.91 ± 0.80; p-value: 0.0002). Conclusion: The use of vitamin C could be cost-effective and would be a safe and useful adjunctive therapy for pain associated with diabetic peripheral neuropathy.
Language	English
Publishing date	2021-06-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.15895
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article: Impact of COVID-19 on the Mental Health of Healthcare Professionals in Pakistan

Sandesh, Ram / Shahid, Wajeeha / Dev, Kapeel / Mandhan, Nikeeta / Shankar, Prem / Shaikh, Anam / Rizwan, Amber

Cureus

Abstract: Introduction As a result of the ongoing COVID-19 pandemic, health care professionals (HDPs) are facing immense strain due to the heavy load of cases In many cases, they work increasingly long hours, often with limited resources and a dubious ... ...

Abstract	Introduction As a result of the ongoing COVID-19 pandemic, health care professionals (HDPs) are facing immense strain due to the heavy load of cases In many cases, they work increasingly long hours, often with limited resources and a dubious infrastructure Thus, it is important to check on the mental health of caregivers Methods and materials This cross-sectional study was conducted in May 2020, at various hospitals in Karachi, Pakistan All HCPs posted in the COVID-19 isolation wards were invited to participate and a total of 112 completed this study A carefully structured form was created, which included the Depression Anxiety Stress Scale-21 (DASS-21) Results The overall mean score of anxiety was 19 01 ± 9 2, depression was 18 12 ± 10, and stress was 20 12 ± 12 0 There were 81 (72 3%) participants who suffered from moderate to extremely severe depression, 96 ( 85 7%) participants who suffered from moderate to extremely severe anxiety, and 101 (90 1%) participants who reported moderate to extreme stress levels Conclusions It is evident that there are a high number of healthcare workers affected by various psychological ailments such as anxiety, stress, and depression It is important that the government take steps to ensure that HCPs' mental health is regularly checked and that efforts are made to reduce their burdens
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #709497
Database	COVID19

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Details ▾

Article ; Online: Psychological Distress Related to COVID-19 Among Nepalese Professionals

Asraf, Hussain / Sandesh, Sawant / Mishra, Jeetendra / Ram, Ramji / pandey, Mahendra / Bista, Sagun / Sarraf, Pramod Kumar

Med Phoenix; Vol 5 No; 10-18 ; 2631-1992 ; 2392-425X

An Online Cross-sectional Study

2020 Volume 1

Abstract: Background: COVID-19 is a highly infectious disease caused by SARS-CoV2 virus. It's psychological distress would be a major obstacle towards social normalcy to pre-COVID era. There were lacks of studies to assess these distresses. The aim of this study ... ...

Abstract	Background: COVID-19 is a highly infectious disease caused by SARS-CoV2 virus. It's psychological distress would be a major obstacle towards social normalcy to pre-COVID era. There were lacks of studies to assess these distresses. The aim of this study was to study psychological distress related to COVID-19 among Nepalese professionals. Methods: This online cross-sectional survey was conducted from 12th-20th, June-2020. Questionnaires were based on Corona-virus Anxiety Scale (CAS) and Obsession with COVID-19 scale (OCS). Results: Among 244 participants, majority were in the age group of 20-45 years with male female ratio of 2.1:1. About one third were health workers, 46% were teachers and service holders and remaining were from other professions. Majority of participants had subclinical obsessive (83.2%) and sub-clinical anxiety symptoms (69.3%). Law enforcement professionals (30.0%) and journalists 18.2% had highest prevalence of problematic obsessive symptoms. Law enforcement professionals (40%) had highest prevalence of problematic anxiety symptoms followed by health care workers (28.4%). About 35% of participants opted for multiple positive methods to cope with their obsessive and anxiety symptoms. Participants with higher obsession score had higher anxiety symptoms (r=0.592, p=<0.001). Conclusion: Majority of participants only had sub-clinical obsession and anxiety related to COVID. But, health workers, law enforcement and journalism professionals were having problematic symptoms. Thus, efforts need to be concentrated towards formulation of policies for safe and productive environment for these professionals.
Keywords	covid19
Subject code	150
Language	English
Publishing date	2020-09-22
Publisher	National Medical College
Publishing country	np
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

To top

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

Full text online

More links

Kategorien

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED