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All Journal Nurse Media Journal of Nursing Jurnal Kedokteran Brawijaya MEDISAINS Majalah Kesehatan FKUB Jurnal Aisyah : Jurnal Ilmu Kesehatan Caring : Jurnal Pengabdian Masyarakat Journal of Applied Nursing and Health Nursing Information Journal Journal of Nursing Science Update

Ismail, Dina Dewi Sartika Lestari

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Author-ID : 1986291

Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Kedokteran Brawijaya Vol 31, No 4 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Fatigue is the primary complaint most frequently reported by patients on hemodialysis. The importance of knowing the factors related to fatigue is a strategy that can be carried out by health workers in optimally applying interventions to reduce patient fatigue problems. This systematic review aimed to determine the factors associated with fatigue in patients undergoing hemodialysis. The systematic review method began by identifying research articles in the Pubmed, ProQuest, Ebsco, and ScienceDirect databases in 2011â€“2020. Articles were selected using PRISMA. Based on the results of the analysis, it was obtained 23 articles that discussed demographic factors, physiological factors, socioeconomic factors, situational factors, and psychological factors that could be associated with fatigue in hemodialysis patients. There is much to learn about fatigue in patients undergoing hemodialysis, including causative factors, assessment of severity, and effective management of fatigue so that it can be used as a benchmark for determining appropriate interventions

The Quality of Communication and Depression Levels among Elderly Residents in Nursing Homes Setyoadi, Setyoadi; Setyorini, Ika; Irmayanti , Ni Kadek Ayu Depy; Ismail, Dina Dewi Sartika Lestari
Journal of Nursing Science Update (JNSU) Vol. 12 No. 1 (2024): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2024.012.01.06

Nursing home residents are more likely to experience symptoms of depression compared to seniors living at home. Older individuals face various physical and psychological challenges, such as hearing loss, vision impairment, and memory decline, which can hinder effective communication and diminish their overall well-being. This study aims to investigate the link between the quality of communication among older people in nursing homes and their levels of depression. The study uses observational analytics with a cross-sectional approach. The sample comprises 50 older individuals living in nursing homes, selected through purposive sampling. The independent variable is communication quality, evaluated using the Quality of Communication (QOC) questionnaire, while the dependent variable is depression level, assessed using the Geriatric Depression Scale (GDS) questionnaire. Data analysis involves calculating the Spearman Rank Correlation Coefficient at a 95% confidence level. The research findings show that 60% of the older participants exhibited moderate communication quality, while 88% experienced mild depression. The Spearman Rho statistical test resulted in a p-value of 0.009 and a correlation coefficient of -0.366, indicating a significant inverse relationship between communication quality and depression among older people. Nurses are encouraged to promote communication among nursing home residents by organizing activity groups, facilitating interactions, and creating environments conducive to social engagement. In conclusion, effective communication plays a crucial role in lowering the depression levels of nursing home residents.

In vivo study of celery (Apium graveolens L) extract for regenerating pancreatic β-cell Ismail, Dina Dewi Sartika Lestari; Kristianto, Heri; Setyoadi, Setyoadi; Maydinah, Anissa
MEDISAINS Vol 22, No 1 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i1.20079

Background: The celery plant (Apium graveolens L.) is a widely distributed herbal plant globally known for being a significant source of natural active products, including phenolic compounds and antioxidants demonstrating antidiabetic activity. Previous research findings have indicated the impact of celery leaf extract on reducing blood glucose levels. However, up to now, there is a dearth of research investigating the potential effect of celery leaf extract on the regeneration of pancreatic beta cells in mice with diabetes models.Objective: This study aims to determine the effect of the ethanol extract of celery leaves on the number of pancreatic cells in Streptozotocin (STZ)-induced mice.Method: This research method uses a randomized controlled group posttest only design. Experimental animals were divided into five groups, including a group of experimental animals in a healthy condition, the group with hyperglycemia, hyperglycemia group with celery extract at 200 mg/kg BW, hyperglycemia group with celery extract at 400 mg/kg, and hyperglycemia group with extract celery is 800 mg/kg BW. Termination was performed on day 60 after therapy and pancreas hematoxylin and eosin staining. They are counting the number of cells with a photo slide with 400x magnification in 5 fields of view—statistical analysis using One-Way ANOVA.Results: The study revealed that celery extract could increase the number of pancreatic cells compared to the control group (P<0.002). Notably, the highest increase in pancreatic cell count was observed in the group administered with 400 mg/BW of celery extract.Conclusion: Celery leaf extract effectively increased the number of beta cells in vivo.

Family Support in the Care of Patients with Type 2 Diabetes Mellitus: A Scoping Review Setyoadi, Setyoadi; Mudianti, Jihan Faadhilah; Nifangelya, Prisilya; Ramadhania, Lailatul; Ismail, Dina Dewi Sartika Lestari
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.01.05

The growing global incidence of Type 2 Diabetes Mellitus (T2DM) underscores the pressing need to investigate practical and sustainable management strategies. Type 2 diabetes mellitus (T2DM) is a chronic health condition that necessitates continuous monitoring and long-term care to maintain blood glucose levels within optimal limits. One critical factor influencing diabetes self-management is family support, which encompasses emotional, instrumental, informational, and appreciative dimensions. Family members play a crucial role in supporting individuals with T2DM by assisting with daily care routines, promoting adherence to treatment regimens, and offering motivation. This scoping review aims to critically evaluate the significance of family support as a key component in enhancing self-management among individuals diagnosed with type 2 diabetes mellitus (T2DM). It will outline the key elements of family support and investigate their relationship with diabetes-related outcomes, including glycemic control, medication adherence, and dietary adherence. The review encompasses an analysis of 15 pertinent articles retrieved from three key databases: ScienceDirect, Google Scholar, and ProQuest. The keywords employed comprised "family or caregiver support" and "diabetes mellitus type 2," integrated through the use of Boolean operators. The findings of this review indicate that family involvement considerably contributes to improved health outcomes for patients with T2DM. Individuals possessing robust family support demonstrate enhanced medication adherence, improved blood glucose levels, and greater compliance with dietary recommendations. In concludion, the integration of family support within diabetes management interventions has the potential to facilitate more effective and holistic approaches to treating type 2 diabetes mellitus (T2DM).

Utilization of virgin coconut oil as an effort for promotion and prevention of diabetic foot in PROLANIS participants Ismail, Dina Dewi Sartika Lestari; Adi, Setyo; Kristianingrun, Niko Dima; Dwi, Arisma Septia; Nurdiana, Sevia; Astuti, Fitri Dwi; Davelin, Valencia Nadya Carissa
Caring: Jurnal Pengabdian Masyarakat Vol 5, No 1 (2025): CARING Jurnal Pengabdian Masyarakat (April 2025)
Publisher : Caring: Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2025.005.01.2

This community service activity aims to improve participants' knowledge and skills in diabetic foot care through foot exercise and massage training using Virgin Coconut Oil (VCO). A total of 80 participants took part in the intervention, which included counseling, demonstrations, and questionnaire completion. The evaluation results showed a significant increase in participants' knowledge, with a decrease in the number of participants in the low category from 50% to 12.5% and an increase in the high category from 12.5% to 37.5%. An improvement in skills was also observed, where foot exercise skills increased from 18.8% to 43.8%, while foot massage skills rose from 12.5% to 56.2% after the intervention. Interactive education improves knowledge and skills; regular programs with healthcare professionals and social media use are recommended to promote diabetic foot care.

Optimalisasi Program Pencegahan Stunting: Hubungan Pengetahuan Ibu dengan Persepsi Keluarga Dewi, Elvira Sari; Choiriyah, Muladefi; Suryanto, Suryanto; Kumboyono, Kumboyono; Ismail, Dina Dewi Sartika Lestari; Wihastuti, Titin Andri; Habibie, Intan Yusuf; Istifiani, Lola Ayu; Kusumastuty, Inggita; Astari, Asti Melani; Ariska, Hanisa Iis; Rosuli, Ahmad; Pamungkas, Akhmad Yanuar Fahmi; Satrianto, Anang; Hermanto, Andrik; Ariyani, Anita Dwi; Munif, Badrul; Kusumawati, Diana; Rahmawan, Fajri Andi; Damayanti, Fransiska Erna; Prasetyawan, Riyan Dwi; Balqis, Rani Diana; Rudiyanto, Rudiyanto; Supriyanto, Supriyanto; Kawitantri, Orchidara Herning; Agustina, Mulya; Caressa, Dea Amanda; Toga, Erik; Roshanti, Dian; Amanda, Efina; Murdani, Agus Putra
Nursing Information Journal Vol. 4 No. 2 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v4i2.1023

Pendahuluan: Jumlah anak stunting di Desa Paspan, Banyuwangi, masih mengalami peningkatan, sehingga diperlukan optimalisasi upaya pencegahan untuk menghindari dampak negatif terhadap kehidupan anak. Pengetahuan dan persepsi ibu mengenai stunting merupakan faktor penting dalam upaya pencegahan kondisi ini. Tujuan penelitian mengkaji hubungan antara pengetahuan ibu tentang stunting dengan persepsi keluarga terhadap stunting pada ibu yang memiliki anak dengan stunting di Desa Paspan, Banyuwangi. Metode: Penelitian kuantitatif cross-sectional dilakukan di Desa Paspan, Banyuwangi, pada bulan Desember 2022. Kriteria inklusi dan eksklusi digunakan dan didapatkan 26 responden dari 32 populasi ibu anak dengan stunting. Data dikumpulkan melalui kuesioner yang terdiri atas sepuluh pertanyaan tentang pengetahuan mengenai stunting dan sebelas pertanyaan tentang persepsi keluarga mengenai stunting. Uji korelasi gamma, dengan tingkat signifikansi 0,05, digunakan untuk mengkaji hubungan antara dua variabel. Hasil: Mayoritas responden memiliki tingkat pengetahuan yang baik mengenai stunting (96%), sementara 84,6% memiliki persepsi yang cukup terhadap stunting. Hasil analisis uji korelasi gamma menunjukkan bahwa tidak terdapat hubungan yang signifikan antara pengetahuan ibu tentang stunting dengan persepsi keluarga terhadap stunting (p = 0,340; r = 1,000). Kesimpulan: Pengetahuan ibu mengenai stunting tidak selalu berkorelasi dengan persepsi keluarga terhadap stunting. Oleh karena itu, upaya pencegahan stunting memerlukan pendekatan holistik yang mempertimbangkan faktor sosial, budaya, dan lingkungan guna meningkatkan pemahaman serta mendorong perubahan perilaku masyarakat.

Correlational Analysis of Physiological and Psychological Factors with Fatigue on Chronic Kidney Disease Patients Undergoing Hemodialysis Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Fatigue is a major problem commonly experienced by chronic kidney disease patients undergoing hemodialysis. However, currently, the factors that correlate with fatigue in chronic kidney diseases patients undergoing hemodialysis are not comprehensive studies and there are still contradictory results from previous studies in Indonesia. This study aims to investigate the correlational analysis of physiological and psychological factors with fatigue on chronic kidney disease patients undergoing hemodialysis. This studi use a cross-sectional study with a sample count of 80 patients undergoing hemodialysis in Yarsi Public Hospital Pontianak, Indonesia. The sampling was carried out using the total sampling approach. A FACIT fatigue scale tool and depression and anxiety stress scale (DASS) 42 were employed to measure fatigue and depression, while hemoglobin and urea levels were taken based on medical history. The Spearman’s Rho test shows the physiological factor from the urea level had an insignificant correlation with fatigue (p-value 0.585). The physiological factor of hemoglobin level had a weak positive correlation (p-value 0.001 and r= 0.349) with fatigue. The psychological factor of depression had a strong negative correlation (p-value 0.000 and r = -0.812) with fatigue. The psychological factor of depression was the dominant factor causing fatigue than other factors based on the standardized coefficient beta value of -0.717. Factors that correlate with fatigue on chronic kidney disease patients undergoing hemodialysis are hemoglobin levels and depression. The most dominant factor influencing fatigue in chronic kidney disease patients undergoing hemodialysis is depression.Abstrak: Kelelahan merupakan masalah utama yang sering dialami oleh pasien gagal ginjal kronik yang menjalani hemodialisis. Namun, saat ini faktor-faktor yang berkorelasi dengan kelelahan pada pasien gagal ginjal kronik yang menjalani hemodialisis belum diteliti secara komprehensif dan masih terdapat hasil yang kontradiktif dengan penelitian-penelitian sebelumnya di Indonesia. Penelitian ini bertujuan untuk mengetahui analisis korelasi faktor fisiologis dan psikologis dengan kelelahan pada pasien gagal ginjal kronis yang menjalani hemodialisis. Penelitian ini menggunakan studi potong lintang dengan jumlah sampel 80 pasien yang menjalani hemodialisis di RSU Yarsi Pontianak, Indonesia. Pengambilan sampel dilakukan dengan menggunakan pendekatan total sampling. Alat FACIT Fatigue Scale dan depression and anxiety stress scale (DASS) 42 digunakan untuk mengukur kelelahan dan depresi, sementara kadar hemoglobin dan urea diambil berdasarkan riwayat medis. Uji Spearman's Rho menunjukkan faktor fisiologis dari kadar urea tidak terdapat korelasi dengan kelelahan (p-value 0,585). Faktor fisiologis kadar hemoglobin memiliki korelasi positif yang lemah (p value 0,001 dan r= 0,349) dengan kelelahan. Faktor psikologis depresi memiliki korelasi negatif yang kuat (p-value 0,000 dan r = -0,812) dengan kelelahan. Faktor psikologis depresi merupakan faktor dominan penyebab kelelahan dibandingkan faktor lainnya berdasarkan nilai koefisien standar beta sebesar -0,717. Faktor yang berhubungan dengan kelelahan pada pasien penyakit ginjal kronik yang menjalani hemodialisis adalah kadar hemoglobin dan depresi. Faktor yang paling dominan mempengaruhi kelelahan pada pasien penyakit ginjal kronis yang menjalani hemodialisis adalah depresi.

Nurse Anxiety of Handling Patient Covid-19 in Emergency Department Nur, Mangsur M; Andarini, Sri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Coronavirus or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a virus that attacks the respiratory system. Coronavirus can cause mild disorders of the respiratory system, severe lung infections, and even death. This study aims to determine the relationship between knowledge, workload, an increasing number of patients, risk of exposure and infrastructure with nurses' anxiety. This study used an analytic observational design with a cross-sectional approach. The sample is 61 nurses, the sampling technique uses Total Sampling, and the analysis uses the Spearman Rank test, Pearson correlation. The results of this study indicate that there is a relationship between knowledge (p = .002, r = - .389), workload (p-value = .047, r = .256), an increase in the number of patients (p-value = .009, r = .333), risk exposure (p-value = .048, r = - .254), and infrastructure (p-value = .040, r = - .264) with anxiety. There is a significant relationship between knowledge, workload, an increasing number of patients, risk of exposure, and facilities and infrastructure with anxiety. The hospital needs to prepare adequate infrastructure and facilities for medical personnel who are on the front line, especially related to personal protective equipment.Abstrak: Virus Corona atau severe acute respiratory syndrome coronavirus 2 (SARS-CoV- 2) merupakan virus yang menyerang sistem pernapasan. Virus Corona bisa menyebabkan gangguan ringan pada sistem pernapasan, infeksi paru-paru yang berat, hingga kematian. penelitian ini bertujuan untuk mengetahui hubungan pengetahuan, beban kerja, peningkatan jumlah pasien, resiko paparan dan sarana prasarana dengan kecemasan perawat. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross sectional. Sampel sebanyak 61 orang perawat, tehnik sampling menggunakan Total Sampling, dan analisis menggunakan uji Spearman Rank, korelasi pearson. Hasil penelitian ini menunjukkan adanya hubungan antara pengetahuan (p= .002, r= - .389), beban kerja (p value= .047, r= .256), peningkatan jumlah pasien (p value = .009, r = .333), resiko paparan (p value=.048, r = -.254), dan sarana prasarana (p value= .040, r= - .264) dengan kecemasan. Terdapat hubungan signifikan antara Pengetahuan, beban kerja, peningkatan jumlah pasien, resiko paparan, dan sarana dan prasarana dengan Kecemasan. pihak rumah sakit perlu mempersiapkan sarana dana prasarana yang memadai buat tenaga medis yang berada di garda terdepan terutama terkait dengan alat pelindung diri.

Burnout and Human Needs Fulfillment Based on Watson’s Ninth Carative Factor: A Correlational Study Among Hemodialysis Nurses in Malang, Indonesia Sassanti, Suci Wulandari; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.349

Background: Burnout among hemodialysis nurses has reached critical levels globally. Grounded in Watson's Theory of Human Caring, this study examined the relationship between Watson's ninth carative factor (assisting with human needs gratification while preserving dignity and wholeness) and burnout levels among hemodialysis nurses. Methods: A cross-sectional correlational study was conducted among 113 hemodialysis nurses from the Indonesian Dialysis Nurses Association in Malang (April-May 2025). Stratified random sampling used Slovin's formula with 5% margin of error. Inclusion criteria: actively working hemodialysis nurses providing informed consent. Exclusion criteria: nurses on leave, retired, experiencing health issues, or in training programs. Burnout (independent variable) was measured using Professional Quality of Life Scale version V (ProQOL-V) burnout subscale (10 items, 5-point Likert, scores 10-55). Human needs fulfillment (dependent variable) used 10 items from Caring Nurse-Patient Interactions Scale (5-point Likert, scores 10-50). Both instruments underwent pilot testing (n=10), demonstrating validity (r>0.632) and reliability (Cronbach's α>0.6). Data collection utilized online surveys. Statistical analysis employed Spearman's correlation (α=0.05). . Results: Participants were predominantly female (59.3%), aged 36-45 years (48.7%), with bachelor's degrees plus nursing credentials (53.1%), and >5 years experience (65.5%). Burnout distribution: 56.6% low, 43.4% moderate, 0% high. Human needs fulfillment: 90.3% high, 9.7% moderate, 0% low. Spearman's analysis revealed significant negative correlation between burnout and human needs fulfillment (ρ=-0.446, p<0.001, moderate effect size). Conclusion: Higher implementation of Watson's ninth carative factor significantly reduces burnout among hemodialysis nurses. The theoretical model demonstrates that addressing patients' holistic needs while preserving dignity creates meaningful work experiences protecting nurses from burnout. Healthcare organizations should integrate Watson's Theory into professional development programs. Future longitudinal studies across diverse contexts are recommended to establish causal relationships.

Minahasa Culture, Family Support, Health Worker Support, Self-Efficacy, and Knowledge Associated with Self-Care Behavior among Hypertensive Patients: A Cross-Sectional Study Ismail, Dina Dewi Sartika Lestari; Pelealu, Christina Yunitha; Supriati, Lilik
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.481

Background: Hypertension is a leading cause of stroke and cardiovascular disease, and its high prevalence in Indonesia remains difficult to control. Evidence on how psychosocial and cultural factors, including Minahasa local culture, influence self-care is still limited. This study examined the effects of knowledge, self-efficacy, family support, health worker support, and Minahasa culture on self-care behavior among hypertensive patients in Southeast Minahasa Regency. Methods: A quantitative correlational cross-sectional study was conducted among 165 hypertensive patients recruited by consecutive purposive sampling from the outpatient clinic of a general hospital in Southeast Minahasa. Data were collected using validated questionnaires, and associations between predictors and self-care behavior were analyzed using multiple linear regression (p < 0.05). Results: Self-efficacy (β = 0.381; p < 0.001) and family support (β = 0.329; p < 0.001) had significant positive effects on self-care behavior. Knowledge (β = –0.009; p = 0.895), health worker support (β = –0.065; p = 0.643), and Minahasa culture (β = 0.127; p = 0.405) showed no significant direct effects. The model explained 34.7% of variance in self-care behavior (R² = 0.347). Conclusion: Self-efficacy and family support are the main determinants of self-care behavior, whereas knowledge, health worker support, and Minahasa culture do not exert significant direct effects. These findings indicate that local cultural values alone do not automatically improve self-care and may act indirectly through family and psychosocial pathways. Hypertension programs should prioritize strengthening self-efficacy and mobilizing family support, and future longitudinal studies should test culturally grounded, family-centered interventions

Co-Authors Abdul Wafi, Abdul Adi, Setyo Agus Putra Murdani Amanda, Efina Andrik Hermanto Anita Dwi Ariyani Ariska, Hanisa Iis Asti Melani Astari Balqis, Rani Diana Damayanti, Fransiska Erna Davelin, Valencia Nadya Carissa Dea Amanda Caressa Dwi, Arisma Septia Elvira Sari Dewi Ferry Efendi Firman Prastiwi Fitri Dwi Astuti, Fitri Dwi Fransiska Imavike Fevriasanty Hayati, Yati Sri Heri Kristianto Ida Ayu Putu Sri Widnyani Inggita Kusumastuty Intan Yusuf Habibie Irmayanti , Ni Kadek Ayu Depy Joni Haryanto Karimah, Dian Naelatul Kawitantri, Orchidara Herning Kristianingrun, Niko Dima Kumboyono Kumboyono Kusumawati, Diana Lilik Supriati, Lilik Lola Ayu Istifiani Maydinah, Anissa Mudianti, Jihan Faadhilah Muladefi Choiriyah Mulya Agustina Munif, Badrul Nifangelya, Prisilya Nur, Mangsur M Nurdiana, Sevia Pamungkas, Akhmad Yanuar Fahmi Pelealu, Christina Yunitha Prasetyawan, Riyan Dwi Rahmawan, Fajri Andi Ramadhania, Lailatul Retno Lestari Roshanti, Dian Rosuli, Ahmad Rudiyanto Rudiyanto, Rudiyanto Sassanti, Suci Wulandari Satrianto, Anang Setyoadi Setyoadi Setyorini, Ika Sri Andarini Suryanto Suryanto Titin Andri Wihastuti Toga, Erik

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