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Efektivitas Kompres Daun Sirih Hijau (Piper Betle R) terhadap Penurunan Intensitas Nyeri Payudara pada Ibu Menyusui di Wilayah Kerja UPTD Puskesmas Kawalu Nurakilah, Heni; Atma Battya, Annesya; Sopiah Suryani, Iis; Sulastri, Meti; Daryanti, Eneng
Jurnal Kesehatan Pertiwi Vol 6 No 1 (2024): Jurnal Kesehatan Pertiwi (Vol. 6 No.1 - Juni 2024)
Publisher : Poltekes Bhakti Pertiwi Husada

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Pendahuluan: Payudara terasa nyeri dan bengkak akan berdampak pada pengeluaran ASI dan proses menyusui sehingga diperlukan penanganan yang tepat untuk mengatasi hal tersebut dengan terapi non farmakologi yaitu menggunakan kompres daun sirih. Tujuan penelitian ini untuk efektivitas terapi kompres daun sirih (piper betle R) terhadap kelancaran pengeluaran ASI. Penelitian ini dilakukan di Puskesmas Kawalu Kota Tasikmalaya pada Bulan Februari s.d April 2024. Metode Penelitian: Penelitian ini merupakan pre-eksperimen dengan rancangan penelitian one group pretest-postest. Subjek penelitian sebanyak 22 orang ibu menyusui. Variabel kompres daun sirih hijau (piper betle r) terhadap penurunan intensitas nyeri payudara di analisis menggunakan Uji Wilcoxon untuk mengetahui efektivitas sebelum dan sesudah pemberian kompres daun sirih hijau (piper betle r). Hasil penelitian diperoleh penuurunan intensitas nyeri payudara dengan nilai 11,5 dan nilai p=0,001maka <0,05. Kesimpulan: Pengompresan daun sirih hijau (piper betle r) memiliki efektivitas terhadap penurunan intensitas nyeri payudara pada ibu menyusui di wilayah kerja Puskesmas Kawalu Kota Taiskmalaya dengan intensitas nyeri sedang.

Efektivitas bolu kukus daun kelor terhadap kelancaran produksi ASI pada ibu menyusui bayi 0-6 bulan Nurakilah, Heni; Suryani, Iis Sopiah; Sulastri, Meti; Nugraha, Budy
Jurnal Asuhan Kebidanan Vol 5 No 1 (2024): Journal of Midwifery Care
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jmc.v5i1.1414

Latar Belakang: Pemberian ASI eksklusif selama 6 bulan mampu mencegah kematian balita sebanyak 13%. ASI merupakan makanan terbaik bagi bayi baru lahir, tetapi terdapat beberapa ibu nifas yang tidak berhasil dalam memberikan ASI eksklusif dikarenakan mengalami ketidaklancaran dalam produksi ASI. Daun Kelor merupakan salah satu tanaman galaktagogue yang dapat membantu meningkatkan produksi ASI.Metode: Metode yang digunakan quasi eksperimen dengan rancangan penelitian one group pretest- postest. Pengambilan sampel penelitian ini dengan cara consecutive sampling sebanyak 30 responden.Hasil: Berdasarkan hasil analisis data menggunakan Uji Wilcoxon dan Uji Man-Whitney untuk mengetahui efektivitas bolu kukus daun kelor (moringa oleifera) terhadap peningkatan produksi ASI diperoleh p-value=0,001.Kesimpulan: Terdapat efektivitas pemberian bolu kukus daun kelor (moringa oleifera) terhadap peningkatan produksi ASI pada ibu menyusui bayi 0-6 bulan.

The Effect of Parenting Styles Using Athoritarian Methods on the Independence of 7-Year-Old Children during the Covid 19 Pandemic Suryani, Iis Sopiah; Nurakilah, Heni; Daryanti, Eneng; Jamil, Maria Ulfah; Sulastri, Meti; Marlina, Lina; Amalia, Novianti Rizki
Operations Research: International Conference Series Vol. 4 No. 1 (2023): Operations Research International Conference Series (ORICS), March 2023
Publisher : Indonesian Operations Research Association (IORA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47194/orics.v4i1.203

The Indonesian government has made policies in almost all fields. That is to prevent the spread of the Covid-19 virus, with one of them being the policy of workers to work from home and study from home which is often also called online or online learning. Early childhood education to tertiary institutions practice online learning policies so that children are at home for 24 hours. During the pandemic, children were accompanied by their parents studying at home online. Thus, parents must have the right parenting style in accompanying children while at home. Good behavior emerges from good parenting. To produce independence for children during a pandemic, they must also apply good parenting. state the problem One effective way to increase independence is to provide good parenting. purpose of your study to determine the effect of anoritarian parenting on the independence of children aged 7 years describe the research methods; the method used is by means of analytic observation tested using chi suare. results or outcomes of the work parenting style with authoritarian methods has an effect even if only partially on the independence of children aged 7 years. This research can make it easier for parents to educate their children in self-sufficient children, especially during the postcovid 19 pandemic. the method used is by means of analytic observation tested using chi suare. results or outcomes of the work parenting style with authoritarian methods has an effect even if only partially on the independence of children aged 7 years. This research can make it easier for parents to educate their children in self-sufficient children, especially during the post-covid 19 pandemic. the method used is by means of analytic observation tested using chi suare. results or outcomes of the work parenting style with authoritarian methods has an effect even if only partially on the independence of children aged 7 years. This research can make it easier for parents to educate their children in self-sufficient children, especially during the post-covid 19 pandemic.

The Relationship between the Knowledge of Posyandu Cadres and the Implementation of Stunting Prevention in Community Midwifery Practices Ulfah Jamil, Maria; Rizki Amalia, Novianti; Mulyana, Asep; Nurakilah, Heni
Nurul Ilmi : Journal of Health Sciences and Midwifery Vol. 2 No. 2 (2024): Nurul Ilmi: Journal of Health Sciences and Midwifery (September 2024)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/nuri.v2i2.713

Introduction: Stunting is a child's failure to achieve his growth potential due to serious malnutrition and often experiencing illness in his childhood, thus determining his growth and development abilities and mental and will cause long-term damage. The prevalence of stunting in Indonesia from the results of the Indonesian Nutrition Status Survey (SSGI) decreased from 24.4% in 2021 to 21.6% in 2022, while the World Health Organization (WHO) standard must be below 20%. The problem of stunting is a big problem, because in stunted children, not only their physical growth is disturbed, but it will also affect their brains. In handling stunting, the government involves several parties, one of which is posyandu cadres, but not all posyandu cadres know about stunting prevention. Objective: The purpose of this study is to find out and evaluate the relationship between the knowledge of posyandu cadres and the implementation of stunting prevention in community midwifery practices. Method: The method used in this research is an analytical survey with a cross sectional approach. The sample in this study met the inclusion criteria as many as 21 people. Result: The results of this study show that good posyandu cadres have a high level of knowledge in implementing stunting prevention in community work practices. Conclusion: Based on the research results obtained, there is a relationship between posyandu cadres' knowledge and the implementation of stunting prevention.

Strategi Peningkatan Keterlibatan Pasien dan Keluarga dalam Advance Care Planning di Unit Gawat Darurat Assidiqy, Birry; Rahmawati, Ai; Nurakilah, Heni
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.22747

ABSTRACT A visit to the Emergency Department (ER) provides an opportunity to empower patients and families to discuss advanced care planning (ACP). However, various obstacles are felt when implementing ACP in the ER. Lack of patient and family participation in ACP formulation is a significant obstacle to overcome. This review aims to identify strategies or interventions that can increase the participation and involvement of patients and families in formulating ACP in the ED. This study used a narrative review by identifying articles from three databases: Pubmed, EBSCOhost: Medline Ultimate, ScienceDirect, and one Google Scholar search engine. The keywords used were “chronic disease OR chronic condition” AND “advance care planning OR advance directive” AND “emergency room OR emergency unit OR emergency context”. The articles analyzed underwent a selection stage based on inclusion and exclusion criteria and were analyzed thematically and qualitatively. A total of seven studies were analyzed in this review and found to include a brief negotiated interview, ACP toolkit, ACP video decision support tool, and remote ACP with a goals-of-care approach. Conclusion: This review concludes that the successful strategies identified in this review can help health workers increase the participation and involvement of patients and families in the ACP formulation process in the ER. Keywords: Advance Care Planning, Emergency Room, Family Participaton and Engagement. ABSTRAK Kunjungan ke Unit Gawat Darurat (UGD) memberikan kesempatan untuk memberdayakan pasien dan keluarga untuk mendiskusikan advance care planning (ACP). Namun, berbagai macam hambatan yang dirasakan dalam pelaksanaan ACP di UGD. Kurangnya partisipasi pasien dan keluarga dalam perumusan ACP menjadi salah satu hambatan yang penting untuk diselesaikan. Review ini bertujuan untuk mengidentifikasi strategi atau intervensi yang dapat meningkatkan partisipasi dan keterlibatan pasien dan keluarga dalam perumusan ACP di UGD. Studi ini menggunakan narrative review dengan mengidentifikasi artikel dari tiga databases seperti Pubmed, EBSCOhost: Medline Ultimate, dan Sciencedirect serta satu search engine Google Scholar. Kata kunci yang digunakan adalah “chronic disease OR chronic condition” AND “advance care planning OR advance directive” AND “emergency room OR emergency unit OR emergency context”. Artikel yang dianalisis sudah melalui tahap seleksi berdasarkan kriteria inklusi dan eksklusi serta dianalisis secara tematis dan kualitatif. Sebanyak tujuh studi yang dianalisis pada review ini dan diapatkan meliputi: Brief negotiated interview, ACP toolkit, ACP video decision support tool, dan remote ACP dengan pendekatan goals of care. Review ini menyimpulkan bahwa strategi-strategi yang berhasil teridentifikasi pada review ini dapat membantu petugas kesehatan untuk meningkatkan partisipasi dan keterlibatan pasien serta keluarga dalam proses perumusan ACP di UGD. Kata Kunci: Advance Care Planning, Partisipasi dan Keterlibatan Keluarga, Unit Gawat Darurat.

Upaya Peningkatan Pemahaman Remaja Dari Bahaya Seks Bebas Guna Pencegahan HIV/AIDS Dengan Video Animasi Ulfah Jamil, Maria; Rahmawati, Ai; Mulyana, Asep; Sopiah Suryani, Iis; Mulyana, Hilman; Nurdianti, Reni; Nurakilah, Heni; Daryanti, Eneng
Jurnal Adiguna Pengabdian Masyarakat Vol 1 No 1 (2024): Jurnal Adiguna Pengabdian Masyarakat Juli 2024
Publisher : Universitas Bhakti Kencana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70410/japm.v1i1.18

Adolescence is a period of transition from childhood to adulthood, which includes all the development experienced in preparation for entering adulthood. These developmental changes include physical, psychological and psychosocial aspects. The most difficult task of adolescent development is related to social adjustment. Teenagers who have to adjust to opposite sex relationships that have never existed before so they adjust to adults outside the family and school environment. Teenagers spend more time with friends, so the influence of peers on attitudes, conversations, interests, appearance and behavior is greater than the influence of family. The problems faced by teenagers originate from changes due to the maturation of reproductive organs which are often unknown to teenagers themselves. These changes can provide certain psychological and emotional impulses which often cause confusion in teenagers. This can cause teenagers to search for self-identity, develop a desire to date, have a deep sense of love, develop the ability to think abstractly and fantasize about sexual activities with the opposite sex. Community service carried out for teenagers at MTsN 2 Tasikmalaya City through providing education about the importance of knowing about free sex in order to prevent sexually transmitted diseases which can lead to HIV/AIDS with animated videos. The results of the counseling showed that MTsN 2 Tasikmalaya City students understood the importance of protecting themselves from free sex in order to avoid contracting HIV/AIDS.

Perbandingan Efektivitas Daun Labu Kuning (Curcubita Moschata) dan Daun Lembayung (Vigna Sinensis L) Terhadap Kelancaran Pengeluaran Asi pada Ibu 3-4 Hari Pospartum Nurakilah, Heni; Jamil, Maria Ulfah; Sulastri, Meti; Nugraha, Budy
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.12757

ABSTRACT The problems with breast milk production can be influenced by nutrition factors during pregnancy and during breastfeeding, that is will be impact on the flow breast milk. Management to irregular milk production can be use pharmacologicalyl and non-pharmalogically. One of pharmacological therapy to help breast milk production by using plants that can be stimulate breast milk production. Pumpkin leave contain several important components that is protein, carbohydrates, phisphorus, calcium, iron, vitamin A, itamin B, vitamin C. Apart from pumpkin leaves, breastfeeding mothers can be consume long bean or lembayung leaves because have a saponins and polyphenols which can incease prolactin levels. Lembayung leaves have a contain several substances that is: calories, protein, carbohydrtaes, fat, phosphorus, iron, vitamin A, vitamin B and vitamin C. This study to compare the effectiveness of pumpkin leaves and lavender leaves on the smoothness of milk production in mothers 3-4 days postpartum. The novelty in this study is to find out which plants are more effective in influencing the smooth release of breast milk. The mthode used was quasi-experimental with a one group pretest-posttest research design. Analysis data used the Man-Whitney test to determine the comparison after treatment between the two groups regarding the smooth flow of breast milk. The results of the research that is breast milk flow was smooth with giving pumpin leaves and lembayung leaves with a mean ±SD 10,22±0,97 dan 26,78±1.12 (p=0,001). treatment with giving lembayung levaes has a greater effect on the smooth production of breast milk in postpartum 3-4 day mothers compared to giving pumpkin leaves Keywords: Pumpkin Leaves, Lembayung Leaves, Expenditure of Breast Milk ABSTRAK Permasalahan produksi ASI dapat di pengaruhi oleh faktor nutrisi sejak saat kehamilan dan saat menyusui, sehingga akan berdampak pada ketidaklancaran pengeluaran ASI. Penatalaksanaan ketidaklancaran pengeluaran ASI dapat dilakukan secara farmakologis dan non-farmakologis (Nurakilah et al., 2019). Salah satu terapi non-farmakologis yang dapat dilakukan untuk memperlancar pengeluaran ASI adalah dengan memanfaatkan tanaman yang dapat merangsang pengeluaran ASI. Daun labu kuning mengandung beberapa komponen penting yaitu: protein, karbohidrat, fosfor, kalsium, zat besi, vitamin A, vitamin B, vitamin C (Erwiyani et al., 2022). Selain daun labu kuning, ibu menyusui dapat mengkonsumsi daun kacang panjang atau lembayung yang dapat memperlancar ASI dikarenakan memiliki kandungan saponin dan polifenol yang dapat meningkatkan kadar prolactin. Daun lembayung memiliki beberapa kandingan zat yaitu: kalori, protein, karbohidrat, lemak, fosfor, zat besi, vitamin A, vitamin B, vitamin C (Djama, 2018). Penelitian ini untuk mengetahui perbandingan efektivitas daun labu kuning dan daun lembayung terhadap kelancaran pengeluaran ASI pada ibu 3-4 hari postpartum. Kebaharuan pada penelitian ini untuk mengetahui tanaman mana yang lebih efektif dalam mempengaruhi kelancaran pengeluaran ASI. Metode yang digunakan quasi eksperimen dengan rancangan penelitian one group pretest- postest. Analisis data menggunakan Uji Man-Whitney untuk mengetahui perbandingan sesudah perlakuan kedua kelompok terhadap kelancaran pengeluaran ASI. Hasil penelitian menunjukan kelancaran pengeluaran ASI dengan pemberian daun labu kuning dan daun lembayung nilai rerata±SD 10,22±0,97 dan 26,78±1.12 (p= 0,001). Pemberian daun lembayung lebih berpengaruh terhadap kelancaran pengeluaran ASI pada ibu 3–4 pospartum dibanding dengan pemberian sayur daun labu kuning. Kata Kunci: Daun Labu Kuning, Daun Lembayung, Kelancaran Pengeluaran ASI

Efektivitas Pijat Endorphine dan Bonapace Terhadap Penurunan Rasa Nyeri Persalinan Kala I Pada Primipara Daryanti, Eneng; Sulastri, Meti; Nurakilah, Heni; Jamil, Maria Ulfah; Marlina, Lina
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.12769

ABSTRACT Pain is a natural process in the birth process. If it cannot be handled properly, it can cause other problems, for example increased anxiety during childbirth so that the production of the hormone adrenaline increases and can result in vasoconstriction which causes the mother's blood flow to the fetus to decrease. The fetus will experience hypoxia while the mother will experience prolonged labor and can increase systolic and diastolic pressure. Problems that occur during the first stage of labor, primiparous mothers experience an increase in the level of pain during the first stage, so it needs to be anticipated to reduce the pain, this encourages mothers who are about to give birth to choose surgery because they don't want to feel the pain. To analyze the effectiveness of endorphine massage with bonaface in reducing pain in the first stage of labor in primiparas. The method used was quasi-experimental with a pretest-posttest only control group design. Data analysis was carried out before and after the procedure using the Wilcoxon test, while to determine the effectiveness of the endorphine and Bonapace massage procedures using the Mann Whitney test. The results obtained showed that the endorphine and bonapace massage procedures each showed a p value of <0.005, which means that there was a significant difference in the mean of labor pain during the first active phase in primiparous mothers before and after the endorphine massage, as well as for bonapace. The results of the analysis carried out on these two actions obtained a p value of 0.74 (more than 0.005), this shows that there is no difference in the effectiveness of endorphine and bonapace massage in reducing pain in the first stage of labor in primiparas in the Malangbong Community Health Center working area. There is an effect of endorphine massage on reducing pain in the first stage of labor in primiparas and there is also an effect of bonapace on reducing pain in the first stage of labor in primiparas in the working area of the Malangbong Community Health Center, but there is no difference in the effectiveness of endorphine massage and bonapace in reducing pain during labor. I in primipara. Keywords: Massage Endorphine, Bonapace, Pain Labour ABSTRAK Nyeri adalah proses alamiah dalam proses persalinan. Apabila tidak bisa diatasi dengan baik, dapat menimbulkan masalah lain misalnya meningkatnya kecemasan pada saat menghadapi persalinan sehingga produksi hormon adrenalin meningkat dan bisa mengakibatkan vasokonstriksi yang menyebabkan aliran darah ibu ke janin menurun. Janin akan mengalami hipoksia sedangkan ibu akan mengalami persalinan lama dan dapat meningkatkan tekanan sistolik dan diastolic (Solehati, 2018). Permasalahan yang terjadi pada proses persalinan kala I ibu primipara didapatkan tingkat nyeri saat proses kala I meningkat, sehingga perlu diantisipasi untuk mengurangi rasa sakit tersebut, hal ini mendorong ibu yang akan melahirkan memilih jalan dengan operasi karena tidak ingin merasakan rasa sakit. Untuk menganalisis keefektivitasan antara pijat endorphine dengan bonaface dalam menurunkan rasa nyeri persalinan kala I pada primipara. Metode yang digunakan adalah quasi eksperimen dengan rancangan preetest-posttest only control group design. Analisis data dilakukan sebelum dan sesudah tindakan menggunakan uji wilcoxon, sedangkan untuk mengetahui efektivitas dari tindakan pijat endorphine dan bonapace dengan uji mann whitney. Hasil yang diperoleh menunjukkan bahwa tindakan pijat endorphine dan bonapace masing-masing menunjukkan nilai p <0,005 yang artinya terdapat perbedaan rerata nyeri persalinan kala I fase aktif pada ibu primipara yang bermakna sebelum dan sesudah tindakan pijatan endorphine, begitu juga untuk bonapace. Hasil analisis yang dilakukan pada kedua tindakan ini mendapatkan nilai p 0,74 (lebh dari 0,005), hal ini menunjukkan bahwa tidak ada perbedaan efektivitas pijat endorphine dan bonapace terhadap penurunan rasa nyeri persalinan kala I pada primipara di wilayah kerja Puskesmas Malangbong. Ada pengaruh pijatan endorphine terhadap penurunan rasa nyeri persalinan kala I pada primipara dan ada pengaruh juga dari bonapace terhadap penurunan rasa nyeri persalinan kala I pada primipara di wilayah kerja Puskesmas Malangbong, akan tetapi tidak ada perbedaan efektivitas pijat endorphine dan bonapace terhadap penurunan rasa nyeri persalinan kala I pada primipara. Kata Kunci: Pijat Endorphine, Bonapace, Nyeri Persalinan

EDUKASI ANEMIA REMAJA PUTRI DAN PEMERIKSAAN HEMOGLOBIN PASCA PEMBERIAN TABLET TAMBAH DARAH DI SMP AL-MA’ARIF KOTA TASIKMALAYA Amalia, Novianti Rizki; Dewi, Heni Aguspita; Meti Sulastri; Jamil, Maria Ulfah; Marlina, Lina; Eneng Daryanti; Suryani, Iis Sopiah; Nurakilah, Heni
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 3 (2024): Volume 5 No. 3 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i3.28893

Dalam rangka mendukung program pencegahan anemia pada remaja dan anak sekolah, sesuai hasil obeservasi didapatkan bahwa siswi belum mengetahui mengenai manfaat tablet tambah darah pada wanita, serta belum diadakannya pemeriksaan kepada remaja putri. Maka pihak sekolah mengharapkan adanya pendidikan kesehatan mengenai pentingnya tablet tambah darah untuk remja putri. Tujuan pengabdian ini adalah untuk memberikan edukasi tentang anemia dan melakukan pemeriksaan pasca pemberian Tablet Tambah Darah. Metode pengabdian ini menggunakan pendekatan Pengabdian Partisipatory Action Research (PAR). Kegiatan pengabdian ini dilaksanakan oleh mahasiswa dan dosen Universitas Bhakti Kencana Tasikmalaya berkerjasama dengan mitra lembaga SMP Al-Ma’arif Kota Tasikmalaya. Kegiatan dimulai dengan melaksanakan sosialisasi kegiatan ke sekolah terkait dengan pelaksanaan pengabdian masyarakat yang dilaksankan pada bulan November-Desember 2023. Selanjutnya dilaksanakan pengabdian masyarakat dengan memberikan edukasi kepada siswa secara ofline. Media yang digunakan adalah leaflet. Selanjutnya dilakukan pemeriksaan Hb dengan menggunakan essy touch dan pengambilan sampel darah 3cc (khusus untuk remaja putri dengan anemia). Hasil pengabdian menunjukkan bahwa hasil observasi yang dilakukan kepada 140 siswi putri di SMP Al-Ma’Arif kota Tasikmalaya didapatkan pemahaman siswi mengenai anemia, rendahnya pemahaman bahwa anemia bisa menimbulkan dampak lainnya anemia pada remaja putri yaitu keterlambatan pertumbuhan fisik, gangguan perilaku serta emosional, menghambat perkembangan psikomotor, merusak kinerja kognitif, dan kinerja skolastik. Dan dikemudian hari akan terjadi komplikasi dalam kehamilan dan persalinan serta bayi dan balita. Selain itu melakukan obervasi terhadap kadar Hb dari remaja putri pasca konsumsi tablet tambah darah. Dengan kegiatan ini diharapkan dapat meningkatkan pemahaman tentang anemia dan deteksi dini terhadap anemia. Kegiatan dilakukan SMP Al-Ma’arif Kota Tasikmalaya.

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