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All Journal International Journal of Public Health Science (IJPHS) Jurnal Sain Veteriner Jurnal Kesehatan Lingkungan indonesia Jurnal Ilmu Dasar Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kedokteran Brawijaya Jurnal Kesehatan Masyarakat Althea Medical Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Majalah Geografi Indonesia Jurnal Kesehatan Jurnal Kesehatan Andalas Journal of Agromedicine and Medical Sciences Biology, Medicine, & Natural Product Chemistry Jurnal Media Gizi Indonesia (MGI) JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) UNEJ e-Proceeding MNJ (Malang Neurology Journal) Universa Medicina Paediatrica Indonesiana Journal Of Vocational Health Studies Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya NurseLine Journal Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Al-sihah: The Public Health Science Journal Jurnal Medik Veteriner Journal of Health Sciences JHECDs: Journal of Health Epidemiology and Communicable Diseases JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Nursing and Health Sciences Journal (NHSJ) JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Berita Kedokteran Masyarakat Jember Medical Journal (JMJ) Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Journal of Agropharmacy ASPIRATOR - Journal of Vector-Borne Diseases Studies JI-KES (Jurnal Ilmu Kesehatan)

Yunita Armiyanti

Department Of Parasitology Faculty Of Medicine University Of Jember, Jember, Indonesia

Author-ID : 3307742

Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Effect of micronutrient deficiency on protozoal infection in stunting toddler Utami, Wiwien Sugih; Ramadanti, Novi Awalia; Rachmawati, Dwita Aryadina; Ratnawati, Leersia Yusi; Armiyanti, Yunita; Hermansyah, Bagus
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 4, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(4).233-241

Background: Stunting is a developmental disorder caused by chronic inadequate nutritional intake in toddlers, leading to deficiencies in various nutrients, including iron and zinc. This can weaken toddlers' immunity, making them more vulnerable to infectious diseases, such as intestinal protozoa. An infected digestive tract can interfere with absorbing nutrients and reduce appetite, causing the infection to persist and become chronic. Chronic infection triggers the formation of pro-inflammatory cytokines that affect bone growth, hindering growth and causing stunting.Objectives: This study confidently investigates the correlation between iron and zinc micronutrient intake and intestinal protozoan infection in stunting toddlers in Jember District.Methods: The research is observational and cross-sectional, with 568 stunting toddlers aged 0-59 months in Jember District, East Java as study subjects. Iron and zinc intake were collected through 2x24-hour food-recall questionnaire interview and processed using the Nutrisurvey software. Protozoan infection status in toddler feces samples was identified using direct smear and modified Ziehl-Neelsen methods. The data analysis method chosen was the Spearman correlation test.Results: The study found that stunted toddlers in Jember District had mostly deficient micronutrient intake. The average iron intake is 2.56±3.06 mg and the average zinc intake is 1.8±1.47 mg. Protozoan infection was found in this study has a prevalence of 15.7%, with identified species including Entamoeba histolytica (3.3%), Giardia lamblia (2.6%), Cryptosporidium parvum (3.2%), Blastocystis hominis (5.3%), and mixed infections (1.2%). The statistical analysis confirms that there is no significant correlation between the intake of micronutrients iron (p=0.91;r=0.005) and zinc (p=0.76;r=0.013) and intestinal protozoan infection in stunting toddlers in Jember District.Conclusions: Based on the data, protozoan infection may be caused by multiple factors, such as parenting practices and family socioeconomics. However, improving nutrition by education and giving additional supplementation are crucial to reduce the prevalence of malnutrition in toddlers.

EOSINOPHILIA AS A PREDICTOR MORBIDITY OF SOIL- TRANSMITTED HELMINTHIASES AMONG WIDODAREN PLANTATION WORKERS IN JEMBER Primadana, Aditya; Nurdian, Yudha; Agustina, Dini; Hermansyah, Bagus; Armiyanti, Yunita
Journal of Vocational Health Studies Vol. 3 No. 2 (2019): November 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: Helminthiasis is a neglected tropical disease and still remain a health problem in tropical and sub-tropical countries, including Indonesia. According to WHO, approximately 1,5 billion people or 24% of the world's population, are infected with Soil-Transmitted Helminth (STH). Morbidity is directly related to the intensity of STH infestation. Some of the studies shown a significant correlation between eosinophilia and helminthiasis. Eosinophilia on the blood smear examination may be used as a marker of STH infestation. Purpose: to determine the correlation between Soil-Transmitted Helminthiases and eosinophilia as a predictor of morbidity of STH infestation among Widodaren Plantation Workers in Jember. Method: This observational analytical study use the Kato-Katz method to determine infestation of STH and its intensity measured by egg count per gram stool (EPG). Blood smear examination stained with Giemsa conduct to determine eosinophil count. Result: Prevalence of STH infestation was 22,7% (15/66). Ascaris lumbricoides infection was 13,6% (9/66) and Hookworm infection was 4,5% (3/66). There is mixed infection between A. lumbricoides and Hookworm, the prevalence was 4,5%% (3/66). All of the infection intensity was light. The prevalence of eosinophilia was 27,2% (18/66). There was a significant correlation between STH infection and eosinophilia (P=0,000) but, there was a very weak correlation between the intensity of STH infection and eosinophilia (r=0,281; p=0,258). Conclusion: The prevalence of STH infection among Widodaren Plantation Workers is 22,7% and predominated by A. lumbriocides. There is a positive correlation between intensity of STH infection and eosinophilia as predictor morbidity of STH infection with very weak power.

Toxicity of Ceremai (Phyllanthus Acidus) and Zodia (Evodia Suaveolens) Leaf Extracts on Mortality of Aedes Aegypti Larvae Imtiyaz, Andi Hilman; Armiyanti, Yunita; Ulfa, Evi Umayah; Rohmah, Etik Ainun
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.v10i3.48674

Aedes aegypti is the vector that carries Dengue Hemorrhagic Fever (DHF). Various strategies have been implemented to control the spread of the Aedes aegypti, one of which is using temephos larvicide. The use of temephos causes Aedes aegypti resistance and environmental pollution. Therefore, it is necessary to develop a bio-larvicide using ceremai leaf (Phyllanthus acidus) and zodia leaf (Evodia suaveolens). This study aimed to determine the toxicity of ceremai leaf and zodia leaf extracts on the mortality of Aedes aegypti larvae. This type of research is a pure experiment using a Completely Randomized Design. The research sample was third instar Aedes aegypti larvae. There were 7 groups consisting of 1 negative control (aquadest and tween20), 1 positive control (temephos 0.008%) and 5 treatment groups (ceremai leaf extract and zodia leaf extract). Larval mortality data were observed after 24 hours of exposure. The results of the Kruskal Wallis test showed that there was a difference in mortality between groups with a value of p : 0.020 (p < 0.05). Zodia leaf extract at 0.2% has the highest toxicity to the mortality of Aedes aegypti larvae. The probit test results of zodia leaf extract showed LC50 and LC90 values of 0.075% and 0.121% within 24 hours of exposure. Zodia leaf ethanol extract has effectiveness as larvicide of Aedes aegypti. Keywords: Aedes aegypti, larvicide, extract, ceremai, zodia

Hubungan Infeksi Soil-Transmitted Helminths (STH) dengan Angka Kejadian Tuberculosis (TB) pada Balita Stunting di Kecamatan Rambipuji Ayundasari, Asti; Hermansyah, Bagus; Nurmaida, Eny; Utami, Wiwien Sugih; Armiyanti, Yunita; Sulistyaningsih, Erma
Jurnal Kesehatan Andalas Vol 13, No 2 (2024): July 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v13i2.2386

Infection is one of the factors associated with stunting. The relationship between stunting and infection can have reciprocal effects. Stunting can increase the risk of infection. Conversely, infections such as Soil-Transmitted Helminths (STH) and Mycobacterium tuberculosis (M. tuberculosis) can also increase the risk of stunting. Objective: To analyzed the correlation between STH infection and the incidence of tuberculosis (TB) in stunting toddlers. Methods: The subjects of this study were 108 stunting toddlers obtained from a simple random sampling method. It was conducted from May 2023 to March 2024 in several villages within the Rambipuji District of Jember Regency, including Gugut, Rambigundam, Pecoro, and Kaliwining. The statistical analysis used in this study was the contingency coefficient test. Results: Findings revealed that the occurrence of STH infection with TB in stunting toddlers was 0%. Conclusion: There is no statistically significant relationship between STH infection and the incidence of TB in stunting toddlers in the Rambipuji District, Jember Regency.Keywords: soil-transmitted helminths, tuberculosis, stunting

In silico determination of fenthion, permethrin, and carbaryl as FFAR2 inhibitors: Type 2 diabetes mellitus pathomechanism study Elly Nurus Sakinah; Nabil Athoillah; Komang Yunita Wiryaning Putri; Yunita Armiyanti
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 3, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss3.art3

Background: In the last few decades, many studies have shown that pesticides have a close relationship with increasing blood glucose levels and the incidence of diabetes. Some examples of pesticides include fenthion, permethrin, and carbaryl. Recently, free fatty acid receptor 2 (FFAR2) was identified as having a critical function in preventing insulin resistance. Activation of FFAR2 will reduce fat accumulation and induce glucagon-like peptide 1 (GLP-1) secretion, which plays an important role in regulating type 2 diabetes mellitus (T2DM) prevention.Objective: This study aims to determine a comparison of the binding ability between fenthion, permethrin, and carbaryl to FFAR2 protein for predicting the mechanism of pesticide toxicity to T2DM through an in silico study.Methods: This is an exploratory bioinformatic study. The protein structure was FFAR2 receptor (UniProt: O15552), while the ligand was fenthion (PubChem CID: 3346), permethrin (PubChem CID: 40326), and carbaryl (PubChem CID: 6129). This molecular docking was conducted in October 2022 using Asus X202XE with Intel® Core™ i3-3217U CPU equipped with BIOVIA Discovery Studio, AutoDockTools, and AutoDock Vina. Results: The binding affinity values generated after docking between fenthion, permethrin, and carbaryl with FFAR2 indicate that the binding affinity comparison is permethrin < carbaryl < fenthion. This explains that permethrin could form a stronger bond with FFAR2 protein than other pesticides. However, the visualisation results of the form of bond interactions show that permethrin does not bind to the active site of FFAR2, so it could not be called an inhibitor. This is different from fenthion and carbaryl, which could bind to several amino acid residues on the active site of FFAR2 and have the potential to become inhibitors.Conclusion: Carbaryl is a pesticide with the strongest FFAR2 inhibitor. Carbaryl could cause type 2 DM through its inhibitory pathway to FFAR2.

Soil-Transmitted Helminth Infection and Macronutrient Intake among Stunted Toddlers in Panti Sub-district, Jember Ghaiska Najma Amnur; Yunita Armiyanti; Irawan Fajar Kusuma; Leersia Yusi Ratnawati; Wiwien Sugih Utami; Bagus Hermansyah
Media Gizi Indonesia Vol. 20 No. 1 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i1.74-80

Soil-transmitted helminth (STH) infections are one of the most common infectious diseases in the developing world, with prevalence rates as high as 65%. STH infections generally affect the digestive system, which can reduce appetite and nutrient absorption. This study aimed to determine the association between STH infection and macronutrient intake in stunted toddlers aged 12-36 months in Panti Sub-district, Jember Regency. This study used observational analysis method with cross-sectional approach. The total number of subjects was 83 stunted toddlers. Data on STH infection were collected through fecal examination and 2x24 hour food recall questionnaire to assess their macronutrient intake. The results of the study showed that the prevalence of STH was 4.8% with species identified in the examinations such as Ascaris lumbricoides (2.4%) and hookworm (2.4%). The majority of macronutrient intake was considered sufficient for protein (77.1%), deficit for carbohydrate (94%) and fat (77.1%). Bivariate analysis using the contingency coefficient correlation test showed that there was no significant correlation between STH infection and macronutrient intake. Based on the results of this study, macronutrient intake may be influenced by other factors such as the role of parents in preparing nutritious food, economic status, and mild degree of infection. However, the underlying mechanism remains unclear and should be further investigated.

Hubungan Infeksi Soil-Transmitted Helminths (STH) dengan Angka Kejadian Tuberculosis (TB) pada Balita Stunting di Kecamatan Rambipuji Ayundasari, Asti; Hermansyah, Bagus; Nurmaida, Eny; Utami, Wiwien Sugih; Armiyanti, Yunita; Sulistyaningsih, Erma
Jurnal Kesehatan Andalas Vol. 13 No. 2 (2024): July 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v13i2.2386

Hubungan Tingkat Pengetahuan dan Sikap Masyarakat terhadap Upaya Pencegahan Penyakit Malaria di Kelurahan Dulanpokpok Kecamatan Pariwari Kabupaten Fakfak: The Relationship Between Community Knowledge and Attitudes Toward Malaria Prevention Efforts in Dulanpokpok Village, Pariwari District, Fakfak Regency Risyanto, Chusnul Aulia Arisny Putri; Armiyanti, Yunita; Hermansyah, Bagus; Rachmawati, Dwita Aryadina
Aspirator Vol 15 No 2 (2024): Jurnal Aspirator Volume 15 Nomor 2 2024
Publisher : Perkumpulan Entomologi Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58623/aspirator.v15i2.29

Indonesia ranks second in Southeast Asia for the highest number of malaria cases. High endemicity areas are primarily in Eastern Indonesia, including Fakfak Regency in West Papua Province. Malaria is transmitted by Anopheles mosquitoes, and vector control plays a vital role in prevention, especially with challenges such as drug resistance and the lack of a widely applicable vaccine. Malaria cases in Fakfak Regency remain high, possibly due to inadequate community prevention efforts. These efforts are influenced by knowledge and attitudes. This study aimed to examine the relationship between knowledge, attitudes, and malaria prevention efforts in Dulanpokpok Village, Pariwari District, Fakfak Regency. The research employed an observational analytic method with a cross-sectional design, involving 100 respondents. Data were collected through questionnaires on sociodemographics, malaria knowledge, and attitudes, alongside observations of prevention practices. The Spearman Rho test revealed a significant positive correlation between knowledge and prevention efforts (p < 0.05; r = 0.227). However, no significant relationship was found between attitudes and prevention efforts (p > 0.05). The findings suggest that knowledge and attitudes alone are insufficient without concrete prevention actions. Continuous education and monitoring are needed to enhance community efforts in combating malaria effectively.

The Relationship between Knowledge and Attitude of Slaughterhouse Workers in Relation with Cattles' Fascioliasis as an Effort to Prevent Halzoun Syndrome in Jember Hermansyah, Bagus; Salsabilla, Safira Putri Nur; Febrianti, Zahrah; Utami, Wiwien Sugih; Armiyanti, Yunita
Jurnal Sain Veteriner Vol 43, No 2 (2025): Agustus
Publisher : Faculty of Veterinary Medicine, Universitas Gadjah Mada bekerjasama dengan PB PDHI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jsv.102910

Prevalensi fascioliasis pada sapi di Jember mencapai 56,6%, sehingga berpotensi menimbulkan kerugian ekonomi di Indonesia sekitar 6,9 miliar rupiah. Mengonsumsi hati sapi mentah atau setengah matang yang terkontaminasi cacing Fasciola spp. dewasa dapat menyebabkan sindrom halzoun, yaitu reaksi hipersensitivitas yang mengenai mukosa bukafaring dan saluran pernapasan atas. Pencegahan sindrom halzoun yang efektif memerlukan penerapan prinsip “ASUH” oleh pekerja rumah potong hewan, yang harus memiliki pengetahuan yang baik dan sikap proaktif terhadap tugasnya. Penelitian ini bertujuan untuk mengkaji hubungan antara pengetahuan dan sikap pekerja rumah potong hewan dengan prevalensi fascioliasis pada sapi sebagai upaya pencegahan sindrom halzoun di Jember. Desain penelitian yang digunakan adalah cross-sectional, dengan pengumpulan data dilakukan pada 35 pekerja di 9 rumah potong hewan di Jember pada bulan Agustus sampai dengan Desember 2024. Analisis menggunakan Uji Fisher's Exact. Hasil analisis menunjukkan nilai p untuk pengetahuan dan sikap terhadap fascioliasis pada sapi masing-masing adalah p=0,103 dan p=0,592. Kesimpulan dari penelitian ini adalah tidak terdapat hubungan yang signifikan antara pengetahuan dan sikap petugas rumah potong hewan dengan prevalensi fascioliasis pada sapi sebagai upaya pencegahan sindrom halzoun di Jember.

Molecular Method Optimization to Identify Plasmodium falciparum Multidrug Resistance 1 (pfmdr1) gene as a Predictor of Antimalarial Resistance Sulistyaningsih, Erma; Dewi, Rosita; Rachmania, Sheilla; Kusuma, Irawan Fajar; Kholifaturrohmy, Muhammad Rizqi; Armiyanti, Yunita; Kholifaturrohmah, Sakinatus Sariroh; Andriani, Made Prasanti
Biology, Medicine, & Natural Product Chemistry Vol 14, No 2 (2025)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2025.142.673-678

Several approaches have been designed to control malaria, a disease with high morbidity and mortality, but they face some hurdles. Antimalarial resistance is one of the major challenges for malaria elimination, so the detection of antimalarial resistance is essential. Several molecular markers for antimalarial resistance have been identified, including Plasmodium falciparum multidrug resistance 1 (pfmdr1) gene. This study determined the optimization of molecular techniques to identify the pfmdr1 gene as an antimalarial resistance predictor in Indonesia. The study included patients diagnosed with uncomplicated or severe malaria originating from the health district of Kerom Regency, Papua Province, and Dr. Soebandi Hospital, Jember, East Java Province. Blood samples were collected in the Whatmann filer paper after informed consent. DNA was isolated from dried blood filter paper, and nested PCR was performed using a specific primer, the pfmdr1-A and pfmdr1-B genes. The PCR cycle was optimized based on previous studies. The pfmdr1-A has a similar setting to the earlier study, but the pfmdr1-B had a different optimum setting from the previous study with the annealing temperature of 57oC for nested-1 and 62oC for nested-2. This PCR setting could be used for further examination. The positive results of the amplification indicated the potential for antimalarial resistance in the parasite population. A study on the gene copy number and polymorphism is essential to determine the definitive conclusion on antimalarial resistance.

Co-Authors Achmad Maududie Adinda Putri Yusri Amrina Adrial Adrial Ahmad Hasbi Al-Muzaky Ahmad Hasbi Al-Muzaky Ahmad, Shabrina Izzata Afiyati Ali Machrus Amrina, Adinda Putri Yusri Andriani, Made Prasanti Angga Mardro Raharjo Anisah Ardiana Anthia Ayu Nandira Ardyansyah, Rizky Robeth Aulya Rahmi Ayundasari, Asti Ayundasari, Asti Azham Purwandhono Aziz , Ayu Munawaroh Aziz, Ayu Munawaroh Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Brillian Adexa Yudinda Cholis Abrori, Cholis Cicih Komariyah Desi Dwi Cahyani Diana Chusna Mufida Dicky Setiawan Dina Helianti Dini Agustina Drajad, Rahadinda Mutia Dhamar Dwita Aryadina Rachmawati Edi Widjajanto Elly Nurus Sakinah Elvia Rahmi Marga Putri Enny Suswanti ENNY SUSWATI Eny Nurmaida Epafroditus Sanjaya Adiguna Erfan Efendi Erma Sulistyaningsih Erma Sulistyaningsih Evi Umayah Ulfa Febrianti, Zahrah Fitri, Nadya Eka Fitriyah, Ainun Nadiratul Ghaiska Najma Amnur Hanu Neda Septian Heni Fatmawati Hermansyah, Bagus Hidayat Teguh Wiyono Himma, Alyatul Ida Srisurani Wiji Astuti Ika Rahmawati Sutejo Imtiyaz, Andi Hilman Irawan Fajar Kusuma Ivan Iqbal Baidowi Jauhani, M. Afiful Kartika Senjarini Kholifaturrohmah, Sakinatus Sariroh Kholifaturrohmy, Muhammad Rizqi Komang Yunita Wiryaning Putri Kristianningrum Dian Sofiana Laily Nurhayati Laksmi Indreswari Leersia Yusi Ratnawati Loeki Enggar Fitri M. Ali Shodikin Mash’ab Zirrun Al-Qomah Mei Diastutik, Vike Mirawati Moh Mirza Nuryady, Moh Mirza Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Alif Taryafi Nabil Athoillah Nabila Putri Anissa Nanda Nuramna Nidya Husna Kholidah Nihayah Lukman Nisrina Salsabila Firmansyah Nita Alfianti Nizar Fiska Bayu Agustian Nuri Nurmaida, Eny Nurmaida, Eny Nurus Saffana Yulianto Pangestu, Ahmad Yudho Hadi Primadana, Aditya Rachmawati, Dwita Aryadina Rahardi, Verdian Rahardjo, Angga Mardro Rahmadhan, Adiz Dwiputra Rahmawati, Iis Rahmi, Aulya Ramadanti, Novi Awalia Ramadhani, Rafindra Ratnawati, Leersia Yusi Rezza Putri Mahartika Rini Riyanti Risyanto, Chusnul Aulia Arisny Putri Rohmah, Etik Ainun Rosita Dewi Sa'bani, Begawan Saiful Akhyar Lubis Salsabilla, Safira Putri Nur Saputra, Antonius Dwi Sheilla Rachmania, Sheilla Sugeng Setyo Utomo, Sugeng Setyo Sulistyaningsih, Erma Syamsuddin, Alif Fazduani Teguh Wahju Sardjono Teguh Wahju Sardjono Tohari, Achmad Ilham Widhiasari Normaningtyas Wiwien Sugih Utami Wulandari, Lindi Priyantika Tri Yoga Setyo Yudha Nurdian Yudha Nurdian Yudi Wicaksono Zahrah Febianti Zulaikha Rizqina Rahmawati

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