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Trial registered on ANZCTR
Registration number
ACTRN12618000543280
Ethics application status
Approved
Date submitted
9/01/2018
Date registered
11/04/2018
Date last updated
11/04/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Incidence of intraabdominal hypertension and abdominal compartment syndrome in pediatric intensive care units in Ukraine.
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Scientific title
Incidence of intraabdominal hypertension and abdominal compartment syndrome in pediatric intensive care units in Ukraine: a prospective multicentre observational study.
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Secondary ID [1]
293741
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Intraabdominal hypertension
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Abdominal compartment syndrome
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Condition category
Condition code
Oral and Gastrointestinal
305236
305236
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cardiovascular
305703
305703
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
1
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Target follow-up type
Days
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Description of intervention(s) / exposure
Number of children with intraabdominal hypertension and abdominal compartment syndrome in 50 PICUs in Ukraine will be registered. These conditions will be registered in all children who are hospitalized in PICU on a certain day in 2018 year. Responsible person of each PICU will have 1 certain day to register these conditions and second day to send information to investigators. Beside this underlying conditions, ventilation, hemodynamics, diuresis etc. will be analyzed. After data collection conclusions about incidence and its dependance on other variables will be made.
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Intervention code [1]
299992
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Diagnosis / Prognosis
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Incidence of intraabdominal hypertension in children in PICU.
Number of patients with intraabdominal pressure above 10 mm Hg will be registered. Data will be collected from Google forms which will be filled by staff on site. Then this number will be divided by general number of patient in PICU and incidence of intraabdominal hypertension (in %) will be calculated.
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Assessment method [1]
304389
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Timepoint [1]
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Primary outcome [2]
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Incidence of abdominal compatrment syndrome in children in PICU.
Number of patients with intraabdominal pressure above 10 mm Hg with new or worsening organ dysfunction will be registered. Data will be collected from Google forms which will be filled by staff on site. Then this number will be divided by general number of patient in PICU and incidence of abdominal compatrment syndrome (in %) will be calculated.
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Assessment method [2]
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Timepoint [2]
304390
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Secondary outcome [1]
341795
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Hypothermia as a risk factor for IAH and ACS. Will be assessed by registration of body temperature below 36 Celsius. Data will be collected from Google forms which will be filled by staff on site.
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Assessment method [1]
341795
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Timepoint [1]
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Secondary outcome [2]
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Acidosis as a risk factor for IAH and ACS. Will be assessed by blood gases analysis.
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Assessment method [2]
343325
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Timepoint [2]
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Secondary outcome [3]
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Mechanical ventilation as a risk factor for IAH and ACS. Will be assessed by registration of the fact of MV. Data will be collected from Google forms which will be filled by staff on site.
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Assessment method [3]
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Timepoint [3]
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Secondary outcome [4]
343327
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Shock as a risk factor for IAH and ACS. Will be assessed by registration of hemodynamic values, plasma lactate level above 4 mmol/l
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Assessment method [4]
343327
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Timepoint [4]
343327
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Secondary outcome [5]
343328
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Sepsis as a risk factor for IAH and ACS. Will be assessed by registration of infection, SIRS criteria and procalcitonin level above 0.5 ng/ml. Data will be collected from Google forms which will be filled by staff on site.
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Assessment method [5]
343328
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Timepoint [5]
343328
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Secondary outcome [6]
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Aggressive fluid resuscitation as a risk factor for IAH and ACS. Will be assessed by positive hydrobalance. Data will be collected from Google forms which will be filled by staff on site.
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Assessment method [6]
343329
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Timepoint [6]
343329
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Secondary outcome [7]
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Gastrointestinal dysfunction as a risk factor for IAH and ACS. Will be assessed by registration of peristaltic movements (auscultation), stool presence, feeding tolerance (intolerance will be registered when regurgitaton through nasogastric tube will be above 50% of feeding volume). Data will be collected from Google forms which will be filled by staff on site. This secondary outcome is composite.
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Assessment method [7]
343330
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Timepoint [7]
343330
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Each PICU will have 1 certain day through period of investigation on which staff will collect data and transfer it to investigators. On that day all children hospitalized in this PICU will be assessed.
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Eligibility
Key inclusion criteria
Children hospitalized in PICU
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Minimum age
1
Months
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Maximum age
15
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
None
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
2/03/2018
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Date of last participant enrolment
Anticipated
1/03/2019
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Actual
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Date of last data collection
Anticipated
4/03/2019
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Actual
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Sample size
Target
300
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Accrual to date
11
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Final
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Recruitment outside Australia
Country [1]
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Ukraine
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State/province [1]
9475
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Lviv Regional Children's Clinic Hospital
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Address [1]
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Lysenka 31, Lviv 79008
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Country [1]
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Ukraine
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Primary sponsor type
Hospital
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Name
Lviv Regional Children's Clinic Hospital
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Address
Lysenka 31, Lviv 79008
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Country
Ukraine
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Secondary sponsor category [1]
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None
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Name [1]
297477
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Address [1]
297477
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Country [1]
297477
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299348
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Lviv Regional Children’s Hospital Ethics Committee
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Ethics committee address [1]
299348
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Lysenka str. 31, Liviv 79008
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Ethics committee country [1]
299348
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Ukraine
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Date submitted for ethics approval [1]
299348
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04/12/2017
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Approval date [1]
299348
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09/01/2018
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Ethics approval number [1]
299348
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1-1-2018
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Summary
Brief summary
Intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS) can lead to morbidity and mortality if untreated. Conditions that contribute to IAH and ACS development are decreased abdominal wall compliance (hernia repair, burns), increased intraabdominal volume (bowel obstruction, ileus, ascites, tumor), capillary leak (aggressive fluid resuscitation in sepsis and trauma), etc. Incidence and risk factors of IAH and ACS in children are not studied well. Beside this intraabdominal pressure monitoring and prompt treatment of IAH and ACS are not standard care in PICUs. We plan to study incidence and risk factors of IAH and ACS in critically ill children and to draw attention to this problem among intensivists in Ukraine.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Andrew Albokrinov
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Address
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Lviv Regional Children’s Clinic Hospital, Lysenka str. 31, Lviv 79008, Ukraine.
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Country
80138
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Ukraine
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Phone
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+380672867103
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Fax
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+380322759467
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Email
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[email protected]
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Contact person for public queries
Name
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Valentyna Perova-Sharonova
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Address
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Lviv Regional Children’s Clinic Hospital, Lysenka str. 31, Lviv 79008, Ukraine.
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Country
80139
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Ukraine
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Phone
80139
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+380673971913
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Fax
80139
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+380322759467
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Email
80139
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[email protected]
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Contact person for scientific queries
Name
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Andrew Albokrinov
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Address
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Lviv Regional Children’s Clinic Hospital, Lysenka str. 31, Lviv 79008, Ukraine.
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Country
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Ukraine
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Phone
80140
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+380672867103
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Fax
80140
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+380322759467
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Email
80140
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF