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All Journal Jurnal Penelitian Kesehatan Suara Forikes Jurnal Kesehatan Holistic Jurnal Ilmiah Kesehatan Diagnosis Kosala : Jurnal Ilmu Kesehatan Journal of Nursing Education & Practice (JNEP) Idea Pengabdian Masyarakat Shihatuna : Jurnal Pengabdian Kesehatan Masyarakat The Journal of Nursing and Midwifery Sciences Jurnal Keperawatan AMMA : Jurnal Pengabdian Masyarakat JPMB Parahita Strada Jurnal Ilmiah Kesehatan (SJIK) Service Quality (Jurnal Pengabdian Masyarakat)

Yari, Yarwin

Sekolah Tinggi Ilmu Kesehatan RS Husada

Author-ID : 2001660

Humanities Chemistry Dentistry Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences

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Pengetahuan Mahasiswa STIKES RS Husada dalam Memberikan Edukasi Kepada Pasien Diabetes Mellitus dengan Mengunakan Diabetes Self Management Education Fendy Yesayas; Fatima Ura Pabanne; Yulian Heiwer; Yarwin Yari; Jolan Wenno
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12 (2021): Nomor Khusus November 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12nk341

Diabetes mellitus (DM) is a chronic non-communicable disease and one of the main public health problems in the world with an increase in new cases which continues to increase from year to year. The latest estimate of the International Diabetes Federation (IDF), there were 382 million people living with diabetes mellitus in the world in 2013 and in 2017 there were 451 million people with an age range of 18-99 years. This figure is estimated to increase to 693 million people in 2045, analyzing the knowledge of STIKES RS Husada students before and after being given diabetes self-management education in providing education to diabetes mellitus patients. The type of research carried out was a Quasi Experiment using the One Group Pre follow-up method. -Post Test is to see the knowledge of STIKES RS Husada students before and after being given Diabetes Self Management Education on the ability to provide education to diabetes millitus patients. There is a variable relationship between respondents and a history of having a family history of DM patients with knowledge before being given diabetes selfmanagement education, it was found a value of 0,000 and after being given diabetes self-management education it was found a value of Pvalue 0.009. There was a difference in Good Knowledge before being given diabetes self-management education as much as 44.2% and after being given diabetes self-management education as much as 71.2%, with a value of Pvalue 0.000. Based on the results of the estimated parameter test, the variable history of having a family of DM sufferers greatly influences the knowledge of students in providing education to DM sufferers with a value of 0.003. There are differences in knowledge Both before and after being given diabetes self-management education, this is obtained by having a family history of DM sufferers.Keywords: diabetes mellitus; knowledge; diabetes self management educationABSTRAKDiabetes Militus (DM) adalah penyakit kronik yang tidak menular dan salah satu menjadi masalah kesehatan utama masyarakat di dunia dengan peningkatan kasus baru yang terus meningkat dari tahun ke tahun. Estimasi terakhir International Diabetes Federation (IDF), terdapat 382 juta jiwa yang hidup dengan diabetes melitus di dunia pada tahun 2013 dan tahun 2017 terdapat 451 juta jiwa dengan rentang usia 18-99 tahun. Angka ini di perkirakan meningkat menjadi 693 juta jiwa di tahun 2045, Untuk menganalisis pengetahuan mahasiswa STIKES RS Husada sebelum dan sesudah diberikan diabetes self management education dalam memberikan edukasi kepada pasien diabetes mellitus, Jenis penelitian yang dilakukan adalah Quasi Eksperimen dengan menggunakan metode follow up dengan pendekatan desain One Group Pre – Post Test yaitu untuk melihat pengetahuan mahasiswa STIKES RS Husada sebelum dan sesudah diberikan Diabetes Self Management Education terhadap kemampuan dalam memberikan edukasi kepada pasien diabetes millitus. Terdapat hubungan variabel responden dengan riwayat memiliki keluarga penderita DM terhadap pengetahuan sebelum diberikan diabetes self management education ditemukan nilai Pvalue 0,000 dan sesudah diberikan diabetes self management education ditemukan nilai Pvalue 0,009. Terdapat perbedaan Pengetahuan Baik sebelum diberikan diabetes self management education sebanyak 44,2% dan sesudah diberikan diabetes self management education sebanyak 71,2%, dengan nilai Pvalue 0,000. Berdasarkan hasil uji Parameter Estimates variabel riwayat memiliki keluarga Penderita DM sangat berpengaruh terhadap pengetahuan mahasiswa dalam meberikan edukasi kepada penderita DM dengan Pvalue 0,003. Terdapat perbedaan Pengetahuan Baik sebelum dan sesudah diberikan diabetes self management education hal ini dipengaruhi oleh riwayat memiliki keluarga Penderita DM.Kata Kunci: diabetes melitus; pengetahuan; diabetes self management education

Optimalisasi Penatalaksanaan Kegawatan di Ruang Kegawatdaruratan pada Era New Normal Yarwin Yari; Veronica Yeni Rahmawati; Ernawati Ernawati; Fendy Yesayas; Ayu Lestari; Arizton Putra Jaya; Eni Fatma Sari
Idea Pengabdian Masyarakat Vol. 1 No. 02 (2021): May
Publisher : PT.Mantaya Idea Batara

Abstract: Since COVID-19 was first discovered in Wuhan, it has caused COVID-19 referral hospitals to be "overwhelmed" including in Indonesia. In patients with confirmed COVID-19 or in patients with suspected COVID-19, the Basic Life Support (BHD) does not need to be postponed. However, there are some principles that must be adapted to keep patients and caregivers safe. The purpose of this community service activity is to increase the knowledge and insight of participants in general regarding emergency management during the COVID-19 pandemic. The method in implementing community service activities is divided into several stages, namely first conducting socialization, conducting webinars, followed by FGD. The result of this activity is that there is an increase in BHD knowledge among emergency room nurses before and after participating in the training. The provision of online BHD knowledge and training has proven to be effective in increasing the knowledge of emergency room nurses

Hubungan Tingkat Pengetahuan dan Sikap dengan Kesiapsiagaan Bencana Banjir pada Mahasiswa Kesehatan di DKI Jakarta Yarwin Yari; Hardin La Ramba; Fendy Yesayas
Jurnal Kesehatan Holistic Vol 5 No 2 (2021): Jurnal Kesehatan Holistic Volume 5/Nomor 2/Juli 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Floods are the world's leading natural disaster. Nursing students as prospective nursing staff are required to know the actions in disaster preparedness. As the spearhead in health services, nurses have an important role in every disaster event in the world. This research was carried out by DKI Jakara. This type of research is quantitative with a cross-sectional design. The sample in this study were DIII Nursing students in DKI Jakarta, 98 respondents. The results showed that 93.9% of respondents had sufficient knowledge, 90.8% of respondents were in the positive attitude category, and 86.7% of respondents were in the ready category. Based on the results of the multivariate statistical analysis of knowledge with preparedness, it was obtained a value (p value 0.006 < 0.05), attitude with preparedness obtained a value (p value 0.004 < 0.05). The conclusion is that there is a significant relationship between the level of knowledge and attitudes with disaster preparedness in students. As prospective nurses, it is hoped that students will continue to improve disaster knowledge, especially about floods through training related to nurse skills, and add to the list of reading references and always be able to apply a positive attitude and always be a motivator for the community in disaster preparedness effort.

Hubungan Antara Stres dengan Kualitas Tidur Perawat COVID-19 di Ruang Perawatan Yarwin Yari; Hardin La Ramba; Dameria Saragih
Jurnal Kesehatan Holistic Vol 7 No 1 (2023): Jurnal Kesehatan Holistic Volume 7/ Nomor 1/ Januari 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Introduction: Nurses are one of the health workers who are always in contact with Covid-19 patients, of course, they have a high enough risk of infection to be exposed to Covid-19. Objective: This study aimed to identify the relationship between stress and the quality of sleep of Covid-19 nurses in the Husada Hospital Jakarta treatment room. Methods: Quantitative research design with Cross-Sectional design, the number of samples in the study of 75 nurses working in the Covid-19 treatment room of Husada Hospital Jakarta, using the Depression Anxiety Stress Scale-21 research questionnaire and the Pittsburgh Sleep Quality Index (PSQI). Data analysis using Descriptive Statistics Crosstabs with the Chi-Square Test. Result: From the results of the study, it was found that the age distribution of the respondents was the most, namely nurses with < age of 35 years as many as 35 people (46.7%), the most gender, namely women, 71 (94.7%) nurses, the most working time of respondents was > 10 years, namely 41 people (54.7%). The most stress variables were mild stress 36 people (48%), normal 30 people (40%), and moderate 9 people (12%), based on sleep quality variables category no disturbance 71 people (94.7%), severe disorder 4 people (5.3%). The result of Correction Pearson Chi-Square was gotten a p-value of 0.000 (p<ɑ 0.05). Conclusion: Stress in Covid-19 nurses is closely related to the quality of nurses' sleep. The lighter the stress experienced by the nurse, the better the quality of sleep. But the heavier the stress experienced by the nurses, the quality of sleep will be disturbed. Thus, it can be concluded that there is a relationship between stress and the quality of nurses’ sleep.

Efektivitas Pursed Lips Breathing dan Posisi Pronasi dalam Mengatasi Dispnea pada Pasien Penyakit Paru Obstruktif Kronis (PPOK): Randomized Controlled Trial Yarwin Yari; Dewi Gayatri; Rohman Azzam; Fitrian Rayasari; Dian Novita Kurniasih
Jurnal Keperawatan Vol 14 No 3 (2022): Jurnal Keperawatan: Supp September 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.408 KB)

Penyakit Paru Obstruktif Kronik merupakan terjadinya suatu penyumbatan yang sifatnya menetap di saluran pernapasan dan ditimbulkan karena adanya emfisema serta bronkhitis kronik, sampai saat ini, PPOK merupakan penyakit paling mematikan di dunia. Tujuan dari penelitian ini adalah diketahui efektivitas pursed lips breathing dan posisi pronasi dalam mengatasi dispnea pada pasien PPOK Desain yang digunakan dalam penelitian ini adalah randomized controlled trial dengan parallel design, kelompok kontrol dan intervensi masing-masing 20 responden, penelitian ini dilaksanakan di RSUD Labuang Baji Makassar dan RS Bhayangkara Makassar pada 14 april – 14 mei 2022. Hasil uji homogenitas nilai Peak expiratory flow (PEF), SPO2 dan frekuensi pernapasan sebelum intervensi pada kedua kelompok dinyatakan homogen dengan masing-masing nilai p>α:0,05. Selisih nilai PEF pre-post perlakuan pada kelompok intervensi didapatkan rerata 12,5 % (±9,06) sedangkan kelompok kontrol 2,25% (±4,14), selisi SPO2 pre-post perlakuan pada kelompok intervensi rerata 5,2% (±15,76) sementara kelompok kontrol 0,95% (±0,75), selisi frekuensi pernapasan pre-post perlakuan pada kelompok intervensi rerata 2,75 x/menit (±1,61) dan kelompok kontrol 2,05 x/menit (±1,90). Kedua kelompok terjadi perbaikan pernapasan namun pada kelompok intervensi terjadi perbaikan pernapasan yang lebih baik dari kelompok kontrol. Kesimpulan dari penelitian ini adalah setelah dilakukan intervensi pursed lips breathing dan posisi pronasi terjadi perbaikan pernapasan pada pasien dispnea yang ditandai dengan adanya peningkatan nilai PEF, SPO2 serta penururnan frekuensi pernapasan. Dari hasil tersebut intervensi direkomendasikan untuk dapat diterapkan pada pasien PPOK. Diharapkan pada penelitian berikutnya dapat menambahkan jumlah sampel yang lebih banyak dengan intervensi yang berbeda.

Effect of Pursed Lips Breathing (PLB) on Increased Oxygen Saturation in Chronic Obstructive Pulmonary Disease (COPD) Patients: Literature Review Yarwin Yari; Ulfa Nur Rohmah; Shinta Prawitasari
Jurnal Kesehatan Holistic Vol 7 No 2 (2023): Jurnal Kesehatan Holistic Volume 7/ Nomor 2/ Juli 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v7i2.163

Introduction: Pursed-lips breathing (PLB) is a breathing exercise performed on patients with chronic obstructive pulmonary disease (COPD) to relieve symptoms of dyspnea so that the patient's oxygen saturation value increases, and its practice is widely taught as a breathing strategy to increase tolerance in performing activities. Objective: Determine the effect of pursed lips breathing (PLB) on increasing oxygen saturation in patients with chronic obstructive pulmonary disease (COPD). Method: This study used the method of literature review study. Result: Initial search results found as many as 4011 potential articles. After discarding articles identified as duplication and relevance to the topic, there were 6 articles that met the theme of the literature study, the six journals discussed the effectiveness of PLB in COPD patients. Conclusion: PLB is able to increase the patient's oxygen saturation value, so PLB intervention is recommended for COPD patients with dyspnea symptoms.

Deskripsi Tingkat Kecemasan Perawat Saat Bertugas di Ruang Perawatan Covid-19: Description of the Anxiety Level of Nurses While on Duty in the COVID-19 Care Ward. Yarwin Yari; Teti Oktianingsih; Irma gita; Desi Luanda; M.Khalid Fredy; Wawan Kurniawan; Neneng Ilah Rohilah; Idawati; Deny Alfiansyah; Ida Farida
Journal of Nursing Education and Practice Vol. 1 No. 1 (2021): Journal of Nursing Education & Practice
Publisher : MPI Press

Introduction: Novel Coronavirus Disease (Covid-19) caused by SARS-COV2 was first discovered in Wuhan, China, December 2019. WHO has designated Covid 19 as a pandemic which has resulted in an increase in mortality worldwide. Covid-19 attacks the respiratory system similar to pneumonia but has signs of decreased oxygen saturation. In Indonesia, all health workers and paramedics, especially for a nurse, must always be ready to serve and provide direct care, the transmission rate is very high and the number of cases is increasing every day. This will make nurses as health workers have more workloads and are very vulnerable to experiencing psychological problems in the form of anxiety. Objectives: This study aims to describe the anxiety level of nurses working in the COVID-19 isolation room. Method: This type of research is an analytic study with a cross sectional design. Total population 100 people, with inclusion and exclusion criteria. Result: This study showed that most of the nurses did not experience anxiety, 97 respondents (77.6%), 16 respondents (12.8%) mild anxiety, 11 respondents (8.8%), moderate anxiety, and 1 respondent (0.8%) severe anxiety. Conclusion: the picture of anxiety in nurses who work in the Covid-19 isolation room has the ability to respond to anxiety well.

Peningkatan Pengetahuan Dan Keterampilan Masyarakat Dalam Penanganan Pertama Luka Bakar Di Kelurahan Mangga Dua Selatan Kecamatan Sawah Besar Hardin La Ramba; Yarwin Yari; Enni Juliani
AMMA : Jurnal Pengabdian Masyarakat Vol. 2 No. 7 : Agustus (2023): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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

Burns are damage to the body's skin caused by heat trauma or cold trauma (frost bite). The community does not have optimal knowledge about burns, therefore the community does not have optimal knowledge about the first treatment of burns and the community does not have good skills in the first treatment of burns. The purpose of this community service is to provide knowledge about burns, burn first handlers and provide training on first handlers of burns first handlers. The methods used are burn treatment, counseling on the first treatment of burns and training on burn management. The number of respondents was 15 people. From the results of the pretest conducted, it was found that the average respondent had less knowledge and skills in handling burns. Evidenced by the average value of repondents below 7, and only one respondent has a value of 7 which means that they have less knowledge in handling burns. This is likely because respondents already know little about burns. After respondents were given knowledge about burn management, as well as demonstrations related to burn management, there was an increase in knowledge in burn management, although some have not achieved scores in the good category, but all have shown increased knowledge and skills in burn management.

EFEKTIVITAS SISTEM ADMINISTRASI RUMAH SAKIT DALAM MENINGKATKAN PELAYANAN KESEHATAN: SCOPING REVIEW Yurita Mailintina; Ribka Sabarina Panjaitan; Ludovikus Ludovikus; Ellynia Ellynia; Rizqa Wahdini; Yarwin Yari; Hardin La Ramba
KOSALA : Jurnal Ilmu Kesehatan Vol. 12 No. 1 (2024): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v12i1.330

Latar Belakang: sistem administrasi memiliki peran yang sangat penting dalam mengelola semua aspek operasional di rumah sakit, terutama dalam pelayanan kesehatan. Kualitas pelayanan yang diberikan oleh rumah sakit sangat bergantung pada seberapa efektif sistem administrasi yang diterapkan. Oleh karena itu, penelitian lebih lanjut diperlukan untuk mengukur sejauh mana efektivitas sistem administrasi rumah sakit dapat meningkatkan kualitas pelayanan kesehatan bagi pasien. Penelitian ini bertujuan untuk menganalisis efektivitas sistem administrasi rumah sakit dalam mengelola operasional pelayanan kesehatan, menilai dampaknya terhadap peningkatan kualitas pelayanan, dan memberikan rekomendasi perbaikan untuk meningkatkan efektivitas sistem administrasi rumah sakit demi pelayanan kesehatan yang lebih baik dan efisien. Metode: Peneliti memilih metode scoping review untuk menyelami topik penelitian secara mendalam, membuka peluang untuk analisis lanjutan. Konsep PCC (Population, Concept, Context) dalam penelitian ini merujuk pada Patient, Hospital administration system dan Health Services, artikel-artikel yang digunakan dalam penelitian ini ditemukan melalui database seperti Pubmed, Sagepub, Science Direct. Hasil JBI Critical Appraisal Checklist for Analytical Systematic Review memiliki 11 pertanyaan, Quasi Experiment memiliki 9 pertanyaan, Cross Sectional Studies memiliki 7 pertanyaan, dan Simple Review memiliki 11 pertanyaan. Dari 569 artikel yang diidentifikasi, 15 artikel memenuhi kriteria, sementara 6 artikel tidak memenuhi kriteria dan dikecualikan. Dari 9 artikel yang dievaluasi, skor penelitian lebih dari 50%, dengan total skor berkisar 72% - 100%, menunjukkan kualitas studi yang tinggi. Sebagian besar studi menggunakan desain Systematic Review (4 artikel), diikuti oleh Quasi Experiment (2 artikel), Cross Sectional (2 artikel), dan Simple Review (1 artikel). Kesimpulan penelitian menunjukkan bahwa sistem administrasi rumah sakit, dengan intervensi berbasis model teori seperti Health Belief, Theory of Planned Behavior, dan Social Cognitive Theory, dapat meningkatkan kualitas pelayanan kesehatan. Desain penelitian yang paling umum adalah Systematic Review dan Quasi Experiment, dengan sebagian besar studi memiliki kualitas tinggi dengan demikian, penggunaan sistem administrasi rumah sakit yang efektif, didukung oleh intervensi berbasis model teori, dapat signifikan meningkatkan pelayanan kesehatan. Namun, diperlukan lebih banyak penelitian untuk memperkuat temuan ini dan memperluas pemahaman tentang pengaruh sistem administrasi rumah sakit terhadap kualitas pelayanan kesehatan Kata kunci: pasien, pelayanan kesehatan, sistem administrasi rumah sakit Background: Administrative systems have a very important role in managing all aspects of hospital operations, especially in health services. The quality of services provided by a hospital depends greatly on how effective the administrative system implemented is. Further research is needed to measure the extent to which the effectiveness of hospital administration systems can improve the quality of health services for patients. This research aims to analyze the effectiveness of the hospital administration system in managing health service operations, assess its impact on improving service quality, and provide recommendations for improvements to increase the effectiveness of the hospital administration system for better and more efficient health services. Methods: The 9 articles evaluated had a total score of 73% - 100%, indicating high study quality. The researcher chose the scoping review method to dive deeply into the research topic, opening up opportunities for further analysis. The PCC concept (Population, Concept, Context) in this research refers to Patients, Hospital administration systems and Health Services. The articles used in this research were found through databases such as Pubmed, Sagepub, Science Direct. Results: JBI Critical Appraisal Checklist for Quasi Experiment has 9 questions, Cross Sectional Studies has 7 questions, and Simple Review has 11 questions. Of the 569 articles identified, 15 articles met the criteria, while 6 articles did not meet the criteria and were excluded. Most of the research results used a Quasi Experiment design with 2 articles, Cross Sectinal with 6 articles and Simple Review with 1 article. Conclusion: This research shows that the hospital administration system, with interventions based on theoretical models such as Health Belief, Theory of Planned Behavior, and Social Cognitive Theory, can improve the quality of health services. The most common research design is Quasi Experiment, with the majority of studies being of high quality thus, the use of an effective hospital administration system, supported by theoretical model-based interventions, significantly improves health services. More research is needed to strengthen these findings and expand understanding of the influence of hospital administrative systems on the quality of health care. Keywords: health services, hospital administration system, patient

Peningkatan Pengetahuan dan Keterampilan Kader Kesehatan dalam Pertolongan Pertama pada Kecelakaan Yari, Yarwin; Ramba, Hardin La; Silaban, Merri; Sartika, Ikah; Rahman, Fajar Nur; Hayati, Intan Nurul
Shihatuna : Jurnal Pengabdian Kesehatan Masyarakat Vol 4 No 1 (2024): Juni
Publisher : FKM UIN Sumatera Utara Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/shihatuna.v4i1.17940

Emergency events can occur at any time, so the readiness of initial handling knowledge is an important point to prevent worsening of the patient's condition before being taken to a health facility. The general purpose of this community service is to improve people's knowledge and skills in performing first aid in accidents. The method of implementing community service is carried out pre-test then given Health Education and a test post is carried out regarding community knowledge and skills in performing first aid in accidents. The results of community service are respondents' knowledge related to first aid for fainting patients, bites and stings, poisoning, choking, burns and accidents, fractures before Health Education and demonstrations are on average in the sufficient and less categories, after Health Education and demonstrations the average is in the good and very good category. The conclusion of community service is that health education with demonstration methods in conducting first aid in accidents is very effective for health cadres, as evidenced by every assessment point there is an increase in knowledge on respondents' post test scores.

Co-Authors adi wahyudi, adi Ardiansyah, Rifki Arizton Putra Jaya Ayu Lestari Dameria Saragih Deny Alfiansyah Desi Luanda Dewi Gayatri Dian Novita Kurniasih Ellynia Ellynia Eni Fatma Sari Enni Juliani Erginata, Enggry Ernawati Ernawati Fatima Ura Pabanne Harahap, Sarah Geltri Hardin La Ramba Hardin La Ramba Hariyanto, Sandra Hayati, Intan Nurul Heriyanto, Sandra Ida Farida Idawati Irma gita Jolan Wenno Juliani, Enni Kristoforus, Marselinus La Ramba, Hardin Ludovikus Ludovikus Ludovikus, Ludovikus M Didin Wahyudin M.Khalid Fredy Mahyudin Mahyudin Mailintina, Yurita MERRI SILABAN Neneng Ilah Rohilah Nur Rahman, Fajar Nurul Hayati:, Intan Pipin, Apriliana Rahman, Fajar Nur Rahmawati, Veronica Yeni Ramba, Hardin La Ramba, Hardin La Rayasari, Fitrian Ribka Sabarina Panjaitan Rita Erlina Rizqa Wahdini Rohmah, Ulfa Nur Rohman Azzam Rosliany, Nia Sabarina, Ribka Sartika, Ikah Shinta Prawitasari Shinta Prawitasari Sibualamu, Khalida Ziah Silaban, Merri Sri Agung Letari Suarti, Ni Made Syahrul Handoko Syamsuriah Teti Oktianingsih Wawan Kurniawan Yulian Heiwer Yurita Mailintina

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