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Pengalaman Menggunakan Terapi Komplementer pada Pasien Kanker Payudara Stevani Basry; Kusman Ibrahim; Ida Maryati
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.805 KB) | DOI: 10.31539/jks.v6i1.4533

Abstract

This study aims to obtain information related to the experiences of breast cancer patients using complementary therapies at Adventist Hospital in Bandung City. This research method is qualitative research with a descriptive explorative research type. The results of this study provide an overview of breast cancer patients' experiences using complementary therapies. This experience is described in six themes, namely: (1) herbal is the leading choice of complementary therapy; (2) friends are a source of information in determining the type of complementary therapy; (3) complementary therapy requires a lengthy healing time; (4) fear of surgery is the main reason for choosing complementary therapy; (5) expensive cost is an obstacle that is often encountered in using complementary therapy; (6) the use of CAM as an effort to improve the welfare of breast cancer patients. In conclusion, complementary therapies such as good herbal medicine, juice therapy, electro-capacitive cancer therapy (ECCT), gamat jelly, and Papuan ant nest teas have varying prices. When used for a long time, the accumulated costs incurred are more expensive than operating costs. . Keywords: Breast Cancer, Experience, Complementary Therapy
Cancer Care in the Community Setting: A Mixed Method Study Rahayuwati, Laili; Ibrahim, Kusman; Nurhidayah, Ikeu; Komariah, Maria; Amelia, Vira; Cabanes, Ria C
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.786

Abstract

Aims: This study evaluated palliative care services in Indonesia, focusing on proposing a community-based model to enhance cancer care. Method: A mixed-method approach was employed, involving quantitative analysis of 200 patients’ personal and treatment factors and qualitative insights from 21 stakeholders to FGDs and in-depth interviews. Results: The qualitative results highlight five themes: 1) illness as a subjective and culturally influenced concept, 2) family’s role in treatment decision-making, 3) perceptions of healing through multiple treatment modalities, 4) finding positive meaning in illness, and 5) hopes and aspirations for recovery. The quantitative results show that 55.5% of patients had inadequate knowledge, with 69.5% preferring modern therapy. A significant relationship was found between knowledge, perception, and treatment options, while no significant correlation was observed with self-confidence or diagnosis date. Conclusion: An integrated community-based palliative care model tailored to Indonesia’s healthcare system is proposed to improve the quality of life for cancer patients.
Healthy and Productive Villages: Utilization Local Technology for Organic Waste Management Maziyya, Nur; Rahayuwati, Laili; Pramukti, Iqbal; Luthfi, Wazirul; Agustina, Habsyah Saparidah; Ibrahim, Kusman; Lukman, Mamat; Witdiawati, Witidiawati
Media Karya Kesehatan Vol 8, No 1 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i1.59117

Abstract

Waste management has become a crucial environmental issue as an increase of waste volume due to population growth and rapid urbanization. Lack of effective waste management can have an impact not only on polluting the environment, but can also threaten public health. Therefore, it is important to implement effective waste management to prevent environmental damage caused by waste. This Community Service aims to increase the ability and active role of the community in managing household waste through the establishment of a Healthy Productive Village program. This activity was carried out through several stages and a series of activities including socialization, demonstrations and training on household waste processing for 13 cadres and also 15 assisted families. The results of the service showed that participants knew and were able to sort waste based on its type, namely organic and inorganic, the formation of fostered families who were able to implement waste sorting and the creation of eco enzymes and hand washing soap from processing household waste. The result of this activity, namely the Healthy Productive Village Program, is expected to be a program that is not only implemented in Compreng village but also in other villages and districts in Indonesia to overcome the waste problem with effective and economically valuable waste management. Keyword: Productive healthy village, eco enzyme, waste management.
Knowledge and Income Determining Treatment Options for Breast Cancer Patients Jain, Oktavia Nur Azizah; Rahayuwati, Laili; Mamuroh, Lilis; Ibrahim, Kusman; Fauziyyah, Raden Nabilah Putri
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 1 (2022): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i1.17124

Abstract

Breast cancer is still the most common case in many countries. Breast cancer can threat a person's quality of life, especially for someone who has difficulty choosing treatment due to lack of understanding of treatment options. In choosing a treatment influenced by knowledge and income which are internal factors that must be present in determining treatment options, because it will determine the right choice of treatment. This study aims to discover the choice of treatment in breast cancer patients based on knowledge and income. This research is a cross sectional study. This study used secondary data from a Leading Tertiary Study grant in 2015. Sampling in this study were 200 breast cancer patients undergoing chemotherapy. Data processing used univariate and crosstabs techniques with the correlation test using Chi-Square. In this study, there was a relationship between knowledge and choice of treatment, but there was no relationship between income and choice of treatment. The conclusion from this research is the treatment of breast cancer is significantly influenced by the patient's knowledge. this is obtained from the p value of 0.008 <0.05, which indicates that the relationship significantly influences each other It is hoped that this research can be a source of information that can be used by health workers in providing nursing care.
Cancer Care in the Community Setting: A Mixed Method Study Rahayuwati, Laili; Ibrahim, Kusman; Nurhidayah, Ikeu; Komariah, Maria; Amelia, Vira; Cabanes, Ria C
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.786

Abstract

Aims: This study evaluated palliative care services in Indonesia, focusing on proposing a community-based model to enhance cancer care. Method: A mixed-method approach was employed, involving quantitative analysis of 200 patients’ personal and treatment factors and qualitative insights from 21 stakeholders to FGDs and in-depth interviews. Results: The qualitative results highlight five themes: 1) illness as a subjective and culturally influenced concept, 2) family’s role in treatment decision-making, 3) perceptions of healing through multiple treatment modalities, 4) finding positive meaning in illness, and 5) hopes and aspirations for recovery. The quantitative results show that 55.5% of patients had inadequate knowledge, with 69.5% preferring modern therapy. A significant relationship was found between knowledge, perception, and treatment options, while no significant correlation was observed with self-confidence or diagnosis date. Conclusion: An integrated community-based palliative care model tailored to Indonesia’s healthcare system is proposed to improve the quality of life for cancer patients.
Booklet-Based Education in Diabetes Mellitus Patients: A Scoping Review Saritessa, Nining; Ibrahim, Kusman; Haroen, Hartiah
Journal of Health and Nutrition Research Vol. 4 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i1.372

Abstract

Diabetes mellitus (DM) is a significant global health issue requiring effective patient self-management to prevent severe complications like cardiovascular disease and organ damage. Health education is crucial for empowering patients, and booklets offer a cost-effective, accessible, and structured medium for delivering essential information. This scoping review investigated the use and impact of booklet-based education for DM patients. Following the Arksey and O'Malley framework, researchers searched CINAHL, PubMed, and Scopus databases for original English-language studies published between 2015 and 2024, using keywords related to diabetes, education, and booklets. From the search, 11 relevant articles were selected for analysis. The findings consistently showed that using booklets as an educational intervention effectively improved DM patients' knowledge, self-efficacy, and self-care behaviours. Key themes identified included the direct impact of booklets on knowledge enhancement, the benefit of combining theoretical information with practical application advice within the booklets, and the important role of family support in successful diabetes management, which can be facilitated by shared educational materials. The success of booklets is attributed to their structured format, ease of understanding, and continuous accessibility for patients. Factors influencing the effectiveness of this educational approach include patient literacy levels, the degree of family involvement, and the frequency of educational reinforcement. In conclusion, booklet-based education is a proven, effective strategy for improving self-management components in DM patients. The review highlights booklets as affordable and flexible tools, while also suggesting areas for future research, particularly concerning long-term clinical outcomes and the potential for integrating booklet content with modern digital health.
Factors Affecting Vascular Complications in Patients with Diabetes Mellitus: A Literature Review Widaningsih, Ida; Ibrahim, Kusman; Nursiswati, Nursiswati
Journal of Health and Nutrition Research Vol. 4 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i1.373

Abstract

Vascular complications in patients with diabetes mellitus (DM) are a major cause of morbidity and mortality, presenting a considerable impact on quality of life and global health burden. Although diabetes management continues to improve, vascular complications remain a major challenge. It is important to understand the factors that influence these complications to support more effective prevention and management. To explore the factors influencing vascular complications in patients with DM. This study used a literature review method. Articles were searched through three major databases, namely CINAHL, PubMed, and Scopus, using keywords such as "vascular complications," "DM," and "factors affecting." Inclusion criteria included English-language articles published within the last ten years (2016–2025), in the form of original research relevant to vascular complications in patients with DM. Data were extracted manually using a table that included authors, objectives, design, samples, variables, and outcomes. Analysis was conducted using a qualitative descriptive approach to identify key themes. A total of 14 articles met the inclusion criteria. From the analysis, six main themes were obtained: biochemical factors and biomarkers, clinical factors, cardiometabolic risk factors, vascular structural and anatomical changes, molecular mechanisms, and prevalence of vascular complications. The results showed that high HbA1c levels, hypertension, diabetes duration of more than 10 years, and increased biomarkers such as Bisphenol A (BPA) significantly increased the risk of vascular complications. Vascular complications in patients with DM are multifactorial, involving complex interactions between biochemical, clinical, and molecular factors.
Estimating the 10-year fracture risk among persons with HIV and person without HIV: A comparative study Pramukti, S.Kp., MsC, Iqbal; Ibrahim, Kusman; Lukman, Mamat; Harun, Hasniatisari; Nugraha, Andri; Lin, Chung-Ying
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2715

Abstract

Background: The risk of osteoporotic fracture among persons with HIV was higher than the persons without HIV. Traditional factors are also found as the risk factor affecting fracture risk among persons with HIV and general population. Predicting the fracture risk among the high-risk group is important to develop a comprehensive fracture prevention program. Purpose: This study aimed to compare the estimation of the 10-year fracture risk between persons with HIV and persons without HIV using the FRAX™ algorithm. Methods: This study recruited 245 participants from August to November 2023, while 221 participants agreed to participate. The participants consist of 107 persons with HIV and 114 persons without HIV. The estimation of the ten-year probability of major osteoporotic and hip fractures was calculated using the FRAX™ algorithm. The participant's characteristics related to osteoporotic fracture risk was analyzed using a Chi-Square analysis. Results: The overall mean score of 10-year probability of major osteoporotic fracture (MOF) was 3.1% (SD 1.9) for the HIV group and 2.7% (SD 2.3) for non-HIV. For the 10-year probability, hip fracture (HF) risk was 0.5% (SD 0.5) for the HIV group and 0.6% (SD 0.9) for non-HIV. For MOF, HIV persons with fracture history showed a lower score (3.5%) compared to persons without HIV (5.3%). Smoker HIV persons showed the same MOF score (4.6% vs. 4.6%) but lower HF score (0.8% vs. 1.6%) when comparing to persons without HIV, respectively. HIV persons with glucocorticoid use showed a higher MOF probability score than persons without HIV (2.8% vs 2.7%). Conclusions: The 10-year fracture risk was higher among persons with HIV compared to persons without HIV. Fracture history, smoking behavior, and glucocorticoid use were identified as the potential factors associated with the risk. Further analysis using multivariate regression analysis may require to confirm the factors associated with high fracture risk.
Surgical hand preparation metode handscrub dan handrub berbasis antiseptik: A scoping review Olivia, Claudia; Ibrahim, Kusman; Kurniawan, Titis
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.925

Abstract

Background: Healthcare-associated infections (HAIs) are complications of healthcare that can increase morbidity, mortality, length of hospitalization, and additional costs, including surgical site infections (SSIs) caused by various factors such as microorganisms from the surgical environment. One important step in preventing SSIs is surgical hand preparation using antimicrobial soap or alcohol-based fluids which aims to reduce microorganisms, prevent infection, and increase the success of surgical procedures according to WHO and CDC guidelines. Purpose: To determine the effectiveness of implementing surgical hand preparation using antiseptic-based hand washing and hand rubbing methods. Method: Scoping review with article sources from PubMed, Scopus, and ScienceDirect published in the last 6 years in the period 2018-2024. The keywords used are "surgical team" or surgical staff or surgical procedures, "surgical hand preparation" or surgical cleaning or surgical rubbing, "bacteria" or microorganisms. Article assessment uses guidelines from The PRISMA Extension for Scooping Review (PRISMA-ScR). Results: The most widely used type of antiseptic fluid in the operating room area is chlorhexidine gluconate with concentrations of 1%, 3%, and 5% for the handrub method, and a concentration of 4% for the handwash-scrub method. The amount of antiseptic needed for handrub is 6-10 ml and for handwash-scrub 20 ml; and the surgical handwash and surgical handrub methods are equally effective in reducing the number of germs on the hands. Conclusion: Surgical handwash-scrub and surgical handrub are equally effective in reducing the number of bacteria on the hands, but surgical handrub with alcohol-based antiseptic and chlorhexidine is the main choice recommended by WHO and CDC because it is more practical, efficient, and effective than surgical handwash.   Keywords: Antiseptic; Handscrub; Handrub; Surgical Hand Preparation.   Pendahuluan: Health care–associated infections (HAIs) adalah komplikasi pelayanan kesehatan yang dapat meningkatkan morbiditas, mortalitas, durasi rawat inap, dan biaya tambahan, termasuk infeksi daerah operasi (IDO) yang disebabkan oleh berbagai faktor seperti mikroorganisme dari lingkungan operasi. Salah satu langkah penting dalam pencegahan IDO adalah persiapan tangan bedah menggunakan sabun antimikroba atau cairan berbasis alkohol yang bertujuan mengurangi mikroorganisme, mencegah infeksi, dan meningkatkan keberhasilan prosedur bedah sesuai pedoman WHO dan CDC. Tujuan: Untuk meyelidiki tentang efektivitas dari pelaksanaan surgical hand preparation metode handscrub dan handrub berbasis antiseptik. Metode: Scoping review dengan sumber artikel berasal dari pubMed, Scopus, dan ScienceDirect yang diterbitkan 6 tahun terakhir pada rentang 2018-2024. Kata kunci yang digunakan yaitu “surgical team” or surgical staff or surgical procedures, “surgical hand preparation” or surgical scrubbing or surgical rubbing, “bacteria” or microorganism. Penilaian artikel menggunakan panduan dari The PRISMA Extension for Scooping Review (PRISMA-ScR). Hasil: Jenis cairan antiseptik area kamar operasi yang paling banyak digunakan adalah chlorhexidine gluconate konsentrasi 1%, 3%, dan 5% untuk metode handrub, konsentrasi 4% untuk metode handwash-scrub. Jumlah antiseptik yang diperlukan untuk handrub 6-10 ml dan untuk handwash-brush 20 ml; dan metode surgical handwash dan surgical handrub sama-sama efektif dalam menurunkan jumlah kuman ditangan. Simpulan: Surgical handwash-scrub dan surgical handrub sama-sama efektif dalam menurunkan jumlah bakteri di tangan, tetapi surgical handrub dengan antiseptik berbasis alkohol dan chlorhexidine, menjadi pilihan utama yang direkomendasikan WHO dan CDC karena lebih praktis, efisien, dan efektif dibandingkan surgical handwash.   Kata Kunci: Antiseptik; Handscrub; Handrub; Surgical Hand Preparation.
Retention in HIV care among Southeast Asian people living with HIV: A systematic review and meta-analysis Maulana, Sidik; Ibrahim, Kusman; Pramukti, Iqbal; Amirah, Shakira; Hartantri, Yovita
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3719

Abstract

Background: Despite the effectiveness of antiretroviral therapy (ART) in reducing HIV-related morbidity and mortality, the retention of HIV care remains suboptimal in Southeast Asia. Objective: This systematic review and meta-analysis aimed to investigate the coverage of retention in care and the likelihood factors for retention in HIV care among Southeast Asian people living with HIV, to inform targeted interventions and policy improvements. Methods: Following the Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA) guidelines, this study included observational studies reporting factors associated with retention in HIV care among Southeast Asian adults, with searches conducted in PubMed, Scopus, Cochrane Library, and CINAHL up to July 15, 2024. Demographic and clinical factors were analyzed using a random-effects model with the generalized linear mixed-effect model (GLLM) to estimate proportion and the DerSimonian-Laird method to estimate odds ratios (OR) with 95% confidence intervals (CI), assessing heterogeneity using the I² statistic. Results: Among the eleven studies with 46,480 pooled participants analyzed, the coverage of retention in care revealed a pooled proportion of 75.2% (95% CI: 66.7-82.1). Significant clinical factors associated with a higher likelihood of retention included high CD4 count (≥200 cells/mm³) (OR 2.17 (95%CI: 1.19-3.97, p = 0.01), WHO stage 3-4 (OR 2.06, 95%CI: 1.09-3.87, p = 0.02), not being on ART (OR 6.88, 95%CI: 1.89-25.06, p = 0.001), hemoglobin levels ≥10 g/dL (OR 0.50, 95% CI: 0.25-0.99, p = 0.04), and demographic factors of employment (OR 1.18, 95% CI: 1.02-1.38; p = 0.03). Other clinical factors, such as HIV stage, TB co-infection, drug abuse/substance use, and hemoglobin levels, did not significantly affect the likelihood of retention. Similarly, demographic factors such as age, gender, education, marital status, and geographic setting also showed no significant impact on likelihood retention. Conclusion: Retention in care among Southeast Asian people living with HIV was still below 95%. Clinical factors, particularly high CD4 counts, WHO stage, and the absence of ART, were likelihood factors for retention in HIV care, whereas other clinical and demographic factors studied did not show a significant impact. A universal test and treatment strategy is required to improve retention in care.
Co-Authors Aan Nur&#039;aini Aan Nuraeni Aan Nur’aini Aat Sriati Abdul Rahman Aditya Salya Adnyana , I Made Dwi Mertha Ai Nuraeni Alfian Alfian Amelia, Iftikar Salma Amelia, Vira Amirah, Shakira ANA IKHSAN HIDAYATULLOH Andri Nugraha Anita Setyawati Aprilia Aulia Ardianti Aria Nurahman Hendra Kusuma Arlette Suzy Puspa Pertiwi Asadul Islam Asep Supriatna Astilia, Astilia Baiq Emi Nurmalisa Cabanes, Ria C Cahyo Nugroho, Cahyo Cecep Eli Kosasih Christina Listha Citra Windani Mambang Sari Cruz, Zito Viegas da Dadang Purnama Derison Marsinova Bakara Desy Indra Yani Dian Adiningsih Didi Kurniawan Dwi Pudjonarko Dwinka Syafira Eljatin Dyah Setyorini Dyah Setyorini Earlyana Octavia limbong ENDAH NESTITI URIP RAHAYU Erin M. Kahle Ermiati Ermiati Etika Emaliyawati Etika Emaliyawati Etika Emliyawati Eva Nurlaela Faizal Idrus Fauziyyah, Raden Nabilah Putri Fera Imelia Agustin Gina Nurdina Habsyah Saparidah Agustina Hadi Nasbey Hana Rizmadewi Agustina Hardhono Susanto Harmita, Devi Hartiah Haroen Harun, Hasniatisari Harun, Hasniatisari Harun, Hasniatisari Harwadi, Hendra Hasanah, Ulung Hayaty, Helmi Helmi Hayaty Hendra Harwadi Heri Budiawan Herliani, Yusshy Kurnia HIDAYATULLOH, ANA IKHSAN Ida Maryati Ida Rosidawati Ihda Al Adawiyah Mz Ikeu Nurhidayah Imas Rafiyah Indriono Hadi Inriyana, Ria Iqbal Pramukti Irman Somantri Ita Vusfita Iyus Yosep Jabareen, Raifa Jain, Oktavia Nur Azizah Jayalangkara Tanra Kesumawati, Rianti Kintan Komala Kombong, Rita Kurniawan Yudianto La Rangki La Rangki La Rangki Laili Rahayuwati Lia Meilianingsih Lilin Rosyanti Lilis Lismayanti Lilis Lismayanti Lilis Mamuroh limbong, Earlyana Octavia Lin, Chung-Ying Luh Nik Armini Luthfi, Wazirul Made Yos Kresnayana Mamat Lukman Manumara, Theophylia Melisa Maria Komariah Maria komariah Maulana, Sidik Maziyya, Nur Mediawati, Ati Surya Meidiana Dwidiyanti Meilita Enggune Meita Dhamayanti Mia Listia Mochammad Hatta Mustari Aji, Nandang Nasrulloh, Iqbal Nia Kurniasih Nita Arisanti Nita Fitria Novi Malisa Novi Malisa, Novi Nur Chayati Nursiswati Nur’aeni, Aan Oktavia Nur Azizah Jain Olivia, Claudia Priambodo, Ayu Prawesti Purwo Suwignyo Putri Karisa Raden Nabilah Putri Fauziyyah Raden Nabilah Putri Fauziyyah Raden Nabilah Putri Fauziyyah Rahmah, Tira Nur Rahmi Muthia Raini Diah Susanti Ramadani, Regina Cahya Ramoo, Vimala Restuning Widiasih Ria Bandiara Ria Inriyana Riri Amalina Riri Amalina Ristina Mirwanti, Ristina Rudi Kurniawan Rudi Wisaksana Rudi Wisaksana Sandra Pebrianti Saritessa, Nining Septian Andriyani, Septian Setiawan Setiawan Setiyawan Setiyawan siti romadoni Siti Ulfah Rifa’atul Fitri Slamet Riyanto Sri Elis Rohaeti Sri Hartati Pratiwi Sri Hendrawati Sri Hendrawati Sri Hendrawati SRI WULANDARI Sridiawati, Esy Stevani Basry Suryani Suryani Tati Sumarni Tertianto Prabowo Titin Mulyati Titin Sutini Titis Kurniawan Titis Kurniawan Titis Kurniawan Tuti Anggriani Utama Tuti Pahria Udin Rosidin Umar, Tungki Pratama Untung Sujianto Upit Pitriani Urip Rahayu Veny Hadju Waluya, Ady Waluya, Jajang Ganjar Widaningsih, Ida Windiramadhan, Alvian Pristy Witdiawati Witdiawati Witdiawati, Witdiawati Witdiawati, Witidiawati Yanny Trisyani Yanny Trisyani Yeni Yulianti Yovita Hartantri Yusshy Kurnia H Yusshy Kurnia Herliani Yusshy Kurnia Herliani Zahara Farhan