Claim Missing Document
Check
Articles

Hubungan Infeksi Cacing Soil Transmitted Helminth dengan Kejadian Alergi: Sebuah Tinjauan Literatur Sistematis Sutrisna, Betti Endang; Nurhayati, Nurhayati; Alvarino, Alvarino; Irawati, Nuzulia; Khaira, Fathiyyatul
ANATOMICA MEDICAL JOURNAL | AMJ Vol 7, No 3 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v7i3.19000

Abstract

Alergi adalah gangguan inflamasi yang umumnya disebabkan respon imun yang tidak tepat terhadap alergen lingkungan. Respon imun tubuh terhadap penyakit alergi mirip dengan respon tubuh host terhadap infeksi cacing. Tinjauan ini dilakukan untuk mengetahui hubungan infeksi soil transmitted helminth dengan kejadian alergi. Pencarian literatur dilakukan melalui database elektronik Pubmed dan Proques menggunakan kriteria inklusi dan eksklusi. Literatur terpilih dinilai kelayakannya menggunakan kuesioner The Joanna Broggs Institute (JBI checklist) yang disesuiakan dengan desain masing-masing literatur. Sebanyak 13 studi dimasukkan ke dalam tinjauan sistematis. Terdapat 7 artikel yang menjelaskan adanya hubungan negatif dimana infeksi soil transmitted helminth dapat memproteksi terhadap penyakit alergi. Terdapat 3 studi menunjukkan adanya hubungan positif antara dua variable tersebut atau infeksi soil transmitted helminth tidak bersifat proteksi terhadap penyakit alergi. Namun, terdapat 3 artikel yang menyatakan bahwa tidak terdapat hubungan antara infeksi soil transmitted helminth dengan kejadian alergi. Berdasarkan literatur yang didapatkan terdapat hasil yang bervariasi terkait dengan hubungan infeksi soil transmitted helminth dengan kejadian alergi, sebagian besar menunjukkan adanya hubungan negatif yang dipengaruhi oleh berbagai faktor.Kata kunci: infeksi soil transmitted helminth, alergi
Malondialdehyde Expression in HT29 Cells with Blastocystis sp. Exposure Rusjdi, Selfi Renita; Irawati, Nuzulia; Yanwirasti, Yanwirasti; Hilbertina, Noza
Journal of Agromedicine and Medical Sciences Vol. 10 No. 3 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i3.47044

Abstract

Blastocystis sp. is one of the intestinal protozoa that is frequently found in stool specimens of colorectal cancer patients. This protozoan infection will trigger the host cell defense response to produce Reactive Oxygen Species (ROS) which causes oxidative stress. Oxidative stress can cause and aggravate colorectal cancer. Lipid peroxidation is one of the best indicators of ROS levels. Malondialdhyde is its end product so it is used as a marker of oxidative stress. This study aims to determine the exposure of Blastocystis sp. on malondialdehyde expression in colorectal cancer cell line HT29. This research is an experimental study in vitro. HT29 cells were treated with various concentrations of Blastocystis sp. antigen (0.005 μg/ml, 0.01 μg/ml, 0.05 μg/ml, 0.1 μg/ml and 0.5 μg/ml) for 72 hours. Malondialdehyde expression was examined using spectrophotometric method. Data analysis was performed using One Way Anova test. The results of the study are the mean expression of malondialdehyde in nmol/ml. The mean malondialdehyde levels of the control group, treatment with concentrations of 0.005 μg/ml, 0.01 μg/ml, 0.05 μg/ml, 0.1 μg/ml and 0.5 μg/ml were 3.134 nmol/ml, 2.682 nmol/ml, 2.556 nmol/ml, 2.744 nmol/ml, 2.84 nmol/ml and 3.286 nmol/ml respectively. The conclusion is that there is an effect of exposure to Blastocystis sp. on malondialdehyde expression of HT29 cells. Keywords: Blastocystis sp., HT29, malondialdehyde
SKRINING PENYAKIT KECACINGAN DAN GANGGUAN VISUS PADA SISWA SD DI KELURAHAN SUNGAI PISANG KECAMATAN BUNGUS TELUK KABUNG KOTA PADANG Cimi Ilmiawati; Siti Nurhajjah; Nur Afrainin Syah; Mohamad Reza; Efrida Efrida; Eka Nofita; Hasmiwati Hasmiwati; Selfi Renita Rusjdi; Nuzulia Irawati; Sukri Rahman; Elmatris Elmatris; Desmawati Desmawati; Nur Indrawaty Lipoeto; Afriwardi Afriwardi
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 2 No. 4 (2019)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v2i4.114

Abstract

Sungai Pisang Village is a village that has only been accessible by smooth road roads in the past year in Padang City. Previously this village was only accessible by sea and by lousy road. This condition causes the Pisang River community to lag in socio-economic and health aspects. This activity aims to screen for worms in elementary school students in Sungai Pisang village because worms are closely related to environmental health and affect the quality of human resources experiencing growth and development. Screening for worms is carried out by examining fecal preparations. This activity also aims to check visual acuity in elementary students and make references for sharp vision correction to learn well. Visual acuity checks were carried out using a Snellen card. The results of the examination showed that 3/143 students had worms and 3/273 students had visual disturbances. Students with worms are recommended to go to the Puskesmas to be given deworming medicine, and students with visual impairments are facilitated for examination by an ophthalmologist and given glasses if needed.
GAMBARAN PERSONAL HYGIENE DAN INFEKSI SOIL-TRANSMITTED HELMINTHS PADA ANAK PANTI ASUHAN WILAYAH KOTA PADANG TAHUN 2023 Putri, Salsa Utami; Hasmiwati, Hasmiwati; Rusjdi, Selfi Renita; Irawati, Nuzulia; Lestari, Rahmi; Burhan, Ida Rahmah
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 9 (2025): SINERGI : Jurnal Riset Ilmiah, September 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i9.1794

Abstract

Orphanage children are group that is vulnerable to infections, which one is Soil-Transmitted Helminths infection. This happens because the limited number of caregivers results in a lack of monitoring of the personal hygiene conditions of their foster children. This research aims to determine the description of personal hygiene and Soil-Transmitted Helminth infections in orphanages  children in the City Padang area in 2023. This research is descriptive research conducted in several orphanages in Padang City. This research was conducted from October to December 2023 with 110 respondents. Sampling in this research used a total sampling technique. The research instrument used was a personal hygiene questionnaire sheet. Soil-Transmitted Helminths infection data was obtained from direct fecal laboratory examination results. The research results showed that 56.4% of respondents had poor levels of personal hygiene and 43.6% of respondents had good personal hygiene , and no Soil-Transmitted Helminths infections were found in children from orphanages in the Padang City area in 2023
Deteksi crypstosporidium sp. pada pasien dengan kanker kolorektal Handayani, Sri Wahyuni; Irawati, Nuzulia; Tjong, Djong Hon; Tofrizal, Tofrizal; Firdamila, Elli
Majalah Kedokteran Andalas Vol. 48 No. 3 (2025): MKA July 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v48.i3.p299-308.2025

Abstract

Cryptosporidium sp. adalah parasit obligat intraseluler yang menyerang sel epitel usus. Infeksinya mengakibatkan diare, malnutrisi, dehidrasi dan cedera usus terutama pada orang dengan gangguan imunitas. Tingginya infeksi Cryptosporidium pada pasien HIV-AIDS pada penelitian  sebelumnya menandakan sumber infeksi yang tinggi di lingkungan. Cryptosporidium dilaporkan memiliki hubungan dengan kanker kolorektal baru-baru ini. Tujuan: tujuan penelitian ini adalah untuk mengetahui prevalensi infeksi Cryptosporidium pada pasien dengan kanker kolorektal. Metode: metode yang digunakan observasional dengan desain cross-sectional study pada 43 pasien kanker kolorektal yang sesuai dengan kriteria yaitu pasien yang baru didiagnosis dan belum mendapatkan terapi onkologis. Pengumpulan sampel feses dilakukan dari bulan April hingga Agustus 2023. Pemeriksaan ookista dilakukan secara mikroskopik dengan pewarnaan tahan asam modifikasi ziehl neelsen. Hasil: hasil penelitian didapatkan 46,5% (20/43) pasien positif terinfeksi Cryptosporidium. Kesimpulan: kesimpulan hasil penelitian, infeksi Cryptosporidium tinggi pada pasien kanker kolorektal, terutama pada lokasi kanker rektum. Penelitian lebih lanjut untuk mengetahui spesies Cryptosporidium diperlukan untuk mengetahui  rute penularan dan sumber infeksi.
Identifikasi Soil Transmitted Helminths pada Orang Dewasa di Kelurahan Pasie Nan Tigo Kota Padang Naufal, Daffa Ahmad; Irawati, Nuzulia; Burhan, Ida Rahmah; Nofita, Eka
JIK-JURNAL ILMU KESEHATAN Vol 6, No 2 (2022): JIK-Oktober Volume 6 Nomor 2 Tahun 2022
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v6i2.528

Abstract

Soil-Transmitted Helminths (STH) merupakan parasit yang paling sering ditemukan pada manusia, infeksi STH sering menyebabkan morbiditas namun kerap terabaikan sehingga di kategorikan oleh WHO sebagai neglegted tropical disease, penelitian ini memiliki tujuan untuk mengidentifikasi infeksi STH pada orang dewasa sehat. Penelitian ini merupakan penelitian deskriptif kategorik, dengan metode pengambilan sampel multi stage random sampling. Penelitian ini dilakukan di Kelurahan Pasie Nan Tigo, Kecamatan Koto Tangah, Kota Padang dan menergetkan populasi dewasa dengan total 127 sampel pada bulan Juli 2020 . Kemudian sampel akan diperiksa secara mikroskopis dengan metode kato-katz. Berdasarkan hasil penelitian tersebut didapatkan dari 127 sampel, 18,9% terpapar STH, infeksi terbanyak dijumpai pada kelompok usia 18-49 tahun (83,3%) dan jenis kelamin perempuan (70,8,%). Spesies yang ditemukan adalah Ascaris lumbricoides (8,3%), Trichuris trichura (87,5%) dan mixed infection Ascaris lumbricoides dan Trichuris trichura pada satu sampel feses (4,2%). Keseluruhan infeksi (100%) dalam intensitas ringan, namun responden laki-laki memiliki proporsi infeksi yang lebih tinggi (26,9%) dibanding perempuan (16,8%). Kesimpulan penelitian ini adalah masih teridentifikasinya infeksi STH pada orang dewasa sehat di Kelurahan Pasie Nan Tigo, Kecamatan Koto Tangah, Kota Padang. Oleh karena itu, dibutuhkan tindakan pengendalian untuk menurunkan angka infeksi STH pada orang dewasa.
The Influence of Online and Offline Health Counseling on Covid-19 Prevention for Pregnant Women Ningsih, Fitria; Irawati, Nuzulia; Evareni, Lisma
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1335

Abstract

There were 399 pregnant women who suffered from COVID-19 in Padang in 2021 and the highest number of cases happened in Andalas Health Center. The Objective of this research was to determine the influence of health counseling using online and offline media about covid-19 prevention on the knowledge, attitudes, and actions of pregnant women in the work area of Andalas Health Center of Padang in 2022. This research was a quasy experiment with a two-group pre-posttest group design. The research was carried out in the work area of Andalas Health Center Padang on March 2021 - August 2022. The population was all pregnant women in Andalas Health Center Padang and the samples were 60 pregnant women in two groups; 30 cases and 30 controls. The bivariate analysis used Wilcoxon and Paired Sample T-Test, p <0,05. There was an influence of counseling on knowledge, attitudes, and actions in online media groups (p=0.027, p=0.039, and p=0.032). There was an influence of counseling on knowledge and action (p=0,010; p=0,024) but there was no influence on attitudes in the offline media group (p=0,063). There were differences in the influence of health counseling on preventing COVID-19 used online and offline media with different means were 1.7, 12.7, and 1,7. In conclusion, there was differences in the influence of health counseling using online and offline media on COVID-19 prevention on the knowledge, attitudes, and actions of pregnant women and health counseling using offline media was better than the online. Keywords: Knowledge, Attitudes, Actions, Prevention of COVID-19, Pregnant Women.
The consumption of protein, zinc, and vitamin a associated with ferritin levels in pregnancy Siregar, Eka Darmayanti Putri; Amir, Arni; Irawati, Nuzulia
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 10 ISSUE 3, 2022
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2022.10(3).100-108

Abstract

 ABSTRAKLatar Belakang: Permasalahan gizi dalam kehamilan berupa defisiensi makronutrien, mikronutrien, dan anemia. Kejadian anemia defisiensi besi pada ibu hamil di Indonesia berdasarkan data WHO tahun 2019 dan Riskesdas 2018 adalah 44,2% dan 48,9%. Persentase kasus anemia pada ibu hamil di Sumatera Barat dan Kota Padang tahun 2019 adalah 18,10% dan 11,2% dengan penyebab antara lain defisiensi makronutrien dan mikronutrien dan pola konsumsi. Defisiensi besi dapat diidentifikasi dengan pemeriksaan kadar ferritin. Tujuan: Penelitian ini bertujuan mengetahui hubungan asupan protein, asupan zink, dan  vitamin A dengan kadar ferritin ibu hamil trimester III.Metode: Penelitian analitik cross sectional ini dilaksanakan di Puskesmas Lubuk Kilangan dan Laboratorium Biomedik Universitas Andalas pada November 2021-Juli 2022. Subjek penelitian sebanyak 64 orang ibu hamil trimester III dan teknik sampling menggunakan total sampling. Asupan protein, zink, dan vitamin A diperoleh melalui wawancara menggunakan kuesioner SQ-FFQ dan kadar ferritin diperiksa dengan metode ELISA. Uji normalitas data mengunakan Kolmogorov Smirnov sementara analisis bivariat dan multivariat menggunakan uji korelasi Pearson dan regresi linear (p<0,05). Hasil: Rerata asupan protein adalah 92.56 gr, asupan zink 7.35 mg, vitamin A 824,98 µgRE dan kadar ferritin 16,267 µg/L. Asupan protein (p=0,001; r= 0,714), zink (p=0,001; r=0,428) dan vitamin A (p=0,001; r=0,531) memiliki hubungan bermakna dengan kadar ferritin. Hasil uji regresi linear menunjukkan asupan protein merupakan factor yang paling berhubungan dengan kadar ferritin (p= 0,001; β=0,598).Kesimpulan: Penelitian ini menyimpulkan terdapat hubungan bermakna antara asupan protein, zink, dan vitamin A dengan kadar ferritin ibu hamil trimester III. Pada kelas ibu hamil perlu diberikan edukasi gizi mengenai jenis dan peran gizi dalam mencegah anemia dan defisiensi besi  KATA KUNCI: asupan protein;  ferritin; kehamilan; vitamin A; zink;   ABSTRACTBackground: Macronutrient and micronutrient deficiencies, as well as anemia, are nutritional issues during pregnancy. According to WHO in 2019 and Basic Health Research in 2018, 44.20% and 48.90% of pregnant women in Indonesia were anemic. In 2019 there were 18.10% and 11.20% respectively of pregnant women who were anemic in West Sumatra Province and Padang City. Macro and micronutrient deficiencies as well as poor eating habits were the main causes of anemia in pregnancy. A trustworthy sign to detect iron deficiency anemia was the ferritin level.Objectives: This research aimed to determine the association between protein, zinc, and vitamin A consumption  with ferritin level in third trimester of pregnancy.Methods: This analytical cross-sectional research was held in Lubuk Kilangan Health Center and the Biomedical Laboratory of Andalas University on November 2021-July 2022. The subject were 64 third trimester pregnant women. Protein, zinc, and vitamin A consumption were obtained by the SQ-FFQ questionnaire and the ferritin levels were examined by ELISA method. Normality test used Kolmogorov Smirnov. The bivariate and multivariate analysis used Pearson correlation and linear regression (p <0,05).Results: The mean level of protein, zinc, and vitamin A consumption  were 92.56 g, 7.35 mg and 824.98 µgRE and ferritin level 16.26 µg/L. Protein (p=0.001; r=0.771), zinc (p=0.001; r=0.428) and vitamin A consumption (p=0.001; r=0.531) were significantly associated with ferritin levels. The linear regression test revealed protein consumption was the most associated factor with ferritin levels (p = 0.001; β= 0.598).Conclusions: There was a significant association of protein, zinc, and vitamin A consumption with ferritin levels in third trimester of pregnancy. Nutritional education about the types and roles of nutrients should be given to pregnant women in the antenatal class to prevent anemia and iron deficiency. KEYWORD: ferritin; protein; pregnancy; vitamin A consumption; zinc
Persepsi Remaja Terhadap Program Pusat Informasi dan Konseling Remaja di SMKN 4 Padang dan Wilayah Bukit Gado-gado Kota Padang Tahun 2023 Auwilla Marta Tasman; Joserizal Serudji; Nuzulia Irawati
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48258

Abstract

Program Pusat Informasi dan Konseling Remaja (PIK-R) bertujuan memberikan layanan informasi dan konseling bagi remaja. Namun, pemanfaatannya masih rendah sehingga perilaku remaja terhadap program ini belum optimal. Penelitian kualitatif dengan pendekatan fenomenologi ini dilakukan di SMKN 4 Padang dan wilayah Bukit Gado-Gado Kota Padang pada Februari 2023–Juli 2024. Informan utama adalah remaja peserta PIK-R, sedangkan pengurus dan pembina menjadi informan pendukung. Data dikumpulkan melalui wawancara mendalam, observasi, dan studi dokumentasi, lalu dianalisis dengan reduksi, kategorisasi, sintesis, dan penyusunan hipotesis kerja. Hasil penelitian menunjukkan keikutsertaan remaja dipicu sosialisasi dari pengurus, orang tua, dan teman. Persepsi remaja dipengaruhi pemahaman, kegiatan, materi, dan peran pengurus. Mayoritas remaja belum pernah melakukan konseling, tetapi mereka merasakan manfaat berupa peningkatan pengetahuan dan kepercayaan diri. Temuan ini diharapkan menjadi acuan pengembangan program agar lebih efektif dan menarik minat remaja.
PENYULUHAN PENYAKIT INFEKSI KECACINGAN DAN GIARDIASIS TERHADAP ANAK BALITA STUNTING DI KELURAHAN KAMPUNG BARU NAN XX KECAMATAN LUBUK BEGALUNG KOTA PADANG Adrial Adrial; Nuzulia Irawati; Hasmiwati Hasmiwati; Nurhayati Nurhayati; Selfi Renita Rusjdi; Eka Nofita; Husnil Wardiyah
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 7 No. 4 (2024)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v7i4.615

Abstract

Stunting is a condition of growth failure in toddlers due to chronic malnutrition and chronic infections, including worm infections and giardiasis. Kampung Baru Nan XX Village, Lubuk Begalung District, Padang City, is one of the areas with a high stunting rate. Education related to the prevention and treatment of this infectious disease is needed to improve public understanding in order to break the chain of causes of stunting. This counseling activity aims to improve public knowledge, especially mothers of toddlers, about the relationship between worm infections and giardiasis with stunting and preventive measures. The methods used are interactive lectures and discussions. The counseling involved mothers of toddlers and integrated health post cadres in the area. From the examination of 20 feces samples of toddlers in this area, no positive cases of worm infections and giardiasis were found. The results of this activity showed a good understanding of the participants regarding the importance of environmental sanitation, personal hygiene, and providing nutritious food to children. This counseling is effective in increasing public awareness regarding worm infections and giardiasis as risk factors for stunting. Follow-up activities can be carried out in the form of monitoring and providing nutritional interventions to support sustainable stunting prevention in this region.
Co-Authors Abdiana Abdiana Abdiana Abdiana, Abdiana Adeline Sacharissa Firdaus Adrial Adrial Adrial Adrial Afriwardi Afriwardi Afrizal Afrizal Ahlul Zikri Ahlul Zikri Aladin Aladin Almurdi Almurdi Alvarino Alvarino Amir, Arni Anandila Maulina Arni Amir Aswiyanti Asri Auwilla Marta Tasman Avit Suchitra Bagas Pandega Wirayuda Darmadi Darmadi Darmayanti Siregar Dedi Afandi Delmi Sulastri Delmi Sulastri Desmawati Desmawati Dina Arfiani Rusjdi Djong Hon Tjong dr Nora Harminarti Dr. Efrida Dzakiyyah Nafies Zirma Efrida Efrida Eka Kurniawan Eka Nofita Eka Nofita Eka Nofita Elli Firdamila Ellyza Nasrul Elmatris Sy Endang Suriani Ennesta Asri Eva Chundrayetti Evareni, Lisma Fadjar Goembira Fajrul Ikhsan Faroliu, Goldha Fathiyyatul Khaira, Fathiyyatul Febby Arrahmi Fika Tri Anggraini Firdamila, Elli Firdawati Firdawati fitria ningsih Genia Alda Fitria Gusti Revilla Gusyaliza, Rini Hafni Bachtiar Hasmiwati Hildya Kusmi Hillbertina, Noza Hirowati Ali Husna Yetti Husnil Kadri Husnil Wardiyah Huvaid, Sevilla Ukhtil Ida Rahma Burhan Ida Rahma Burhan Ida Rahmah Burhan Ilmiawati, Ilmiawati Irma Yulianti Johanes C Mose Joserizal Serudji Lestari, Rahmi Lili Irawati Machdawaty Masri Mareza Dwithania Meka Melani Sari Melina Vania Elian Mohamad Reza Mohammad Tegar Indrayana Murniwati Murniwati Mustika Dewi Najirman Najirman Naufal, Daffa Ahmad Netti Suharti Nora Harminarti Noza Hilbertina, Noza Nur Afrainin Syah Nur Indrawaty Lipoeto Nurhayati Nurhayati Nurhayati Nurhayati Nurhayati, Nurhayati Nursyirwan Effendi, Nursyirwan Nurul Arbaniah Nusirwan Acang Putri Gemala Sari Putri, Salsa Utami Rahayu, Yanti Randi Septiah Hendri Rauza Sukma Rita Renny Adelia Tarigan Riche Anggresti Rika Susanti Rima Semiarty Rizanda Machmud Rizka Yunidha Anwar Rizki Dwi Lestari Rosfita Rasyid Roza Kurniati Kurniati Roza Silvia Rufi'i Sandra Ilona Selfi Renita Rusjdi Seto, Astari Siregar, Eka Darmayanti Putri Siti Nurhajjah Sitti Monica Astrilia Ambon Sri Wahyuni Handayani Sri Wahyuni Handayani, Sri Wahyuni Sukri Rahman Surya Nelis Sutrisna, Betti Endang Syahputra, Roni Eka Syawal Andika Putra Syawal Andika Putra Teguh Imana Nugraha TEVINA EDWIN Tivany Edwin Tofrizal Tuti Gusra Veri Syah Putra Weni Mulyani Yanwirasti Yanwirasti Yessi Pertiwi Yuniar Lestari Yuniar Lestari Yusrawati Yusrawati