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Pelvic Floor Exercise for Post Partum Spontan Induction Rehabilitation, Indications of Chronic Energy Deficiency: A Case Report Pramesti, Redita Salma Ayusandra; Rahayu, Umi Budi; Sulistyawati, Irma
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Post Partum Spontan Induction is a normal birthing process that refers to iatrogenic stimulation of uterine contractions before the start of spontaneous labor. The prevalence of induced labor increased significantly at the 41st week of pregnancy from 9.7% to 25.9%. The condition of pregnant women with the risk of chronic energy deficiency is at risk of decreasing muscle strength that helps the birth process, which can result in prolonged labor and postpartum bleeding. Case Presentation: This article was a case study of a patient at Rumah Sakit Khusus Ibu dan Anak Ummi Khasanah, Bantul, Yogyakarta (Mrs NA, 26 years old) after giving birth spontaneously induction due to chronic energy deficiency. The patient is given breathing exercises, active limb movement, transfer and ambulation exercises, pelvic floor exercises. Management and Outcome: Pelvic floor exercise is capable of strengthening the pelvic floor muscles and stimulating the recovery of the urogenital organs to their physiological function in post partum mothers. Discussion: The training provided is: pelvic floor exercise which aims to ensure that postpartum mothers can carry out functional activities well without any discomfort to the body parts that work during the birth process. Conclusion: Physiotherapy in the rehabilitation process for postpartum mothers is carried out 3 times over 2 days with administration pelvic floor exercise effective in reducing pain relief and increasing the patient's functional ability.
Hubungan aktivitas fisik dengan kualitas tidur mahasiswa semester akhir di Surakarta Khairunissa, Hatifa; Rahayu, Umi Budi
Holistik Jurnal Kesehatan Vol. 18 No. 5 (2024): Volume 18 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i5.347

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Background: Sleep disorders can happen to anyone at any time. As experienced by students, especially those who are expected to have high knowledge, skills and professionalism. High physical activity and psychological pressure can cause stress which leads to decreased sleep quality. Poor sleep quality causes a decrease in quality of life for students. Purpose: To determine the correlation between physical activity and sleep quality in final year students. Method: Observational quantitative research with correlational methods. The sample taken consisted of final students who were completing their thesis. The sample size was determined using the Slovin Formula, with a minimum sample size of 163. Samples were selected based on inclusion and exclusion criteria. Physical activity was measured using IPAQ, while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) which was filled in via Google form. Data analysis was carried out using the Product Moment Correlation Test using SPSS 25.00 with a confidence level of 95%. Results: Based on analysis using Pearson Correlation, it was found that there was a significant relationship between Physical Activity and Sleep Quality (p = 0.016, p < 0.05). However, the correlation coefficient value of 0.189 indicates that the relationship between the two is weak. Conclusion: There is a significant correlation between physical activity levels and sleep quality in final year students.   Keywords: Final Year Students; Physical Activity; Sleep Quality.   Pendahuluan: Gangguan tidur bisa menimpa siapa pun dan kapan pun. Seperti yang dialami oleh mahasiswa, terutama mereka yang diharapkan memiliki pengetahuan, keterampilan dan profesionalisme yang tinggi. Aktivitas fisik tinggi dan tekanan psikologis dapat menyebabkan stres yang berujung pada penurunan kualitas tidur. Kualitas tidur yang buruk menyebabkan penurunan kualitas hidup pada mahasiswa. Tujuan: Untuk mengetahui korelasi antara aktivitas fisik dengan kualitas tidur pada mahasiswa tingkat akhir. Metode: Penelitian kuantitatif observasional dengan metode korelasional. Sampel yang diambil terdiri dari mahasiswa akhir yang sedang menyelesaikan skripsi. Besar sampel ditentukan menggunakan Rumus Slovin, dengan hasil minimum sampel sebanyak 163. Sampel dipilih berdasarkan kriteria inklusi dan eksklusi. Pengukuran aktivitas fisik menggunakan IPAQ, sedangkan kualitas tidur menggunakan Pittsburgh Sleep Quality Index (PSQI) yang diisi melalui google formulir. Analisis data dilakukan dengan Uji Korelasi Product Moment menggunakan SPSS 25.00 dengan tingkat kepercayaan 95%. Hasil: Berdasarkan analisis menggunakan Pearson Correlation, ditemukan bahwa terdapat hubungan signifikan antara Aktivitas Fisik dan Kualitas Tidur (p = 0.016, p < 0.05). Namun, nilai koefisien korelasi sebesar 0.189 menunjukkan bahwa hubungan antara keduanya bersifat lemah. Simpulan: Terdapat korelasi yang signifikan antara tingkat aktivitas fisik dan kualitas tidur pada mahasiswa tingkat akhir.   Kata Kunci: Aktivitas Fisik; Kualitas Tidur; Mahasiswa Tingkat Akhir.  
Pencegahan Hipertensi Dengan Meningkatkan Kesadaran Pengetahuan Melalui Kegiatan Promosi Kesehatan Di Posyandu Lansia Rahayu, Umi Budi; Sudarsono, Wahyu Tri; Nusaibah, Yasmin; Anindita, Putri Maharani
Jurnal Pengabdian Masyarakat Bangsa Vol. 2 No. 10 (2024): Desember
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v2i10.1878

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Hipertensi adalah salah satu masalah kesehatan yang sering dijumpai pada lansia dan memiliki risiko komplikasi serius jika tidak ditangani. Hipertensi dipengaruhi oleh faktor sosio-demografi seperti umur, jenis kelamin, pendidikan, dan pekerjaan, serta faktor perilaku seperti merokok, konsumsi alkohol, dan kurangnya aktivitas fisik. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan pra-lansia dan lansia Posyandu Menur 8 Makamhaji tentang hipertensi serta cara pencegahannya. Kegiatan ini dimulai dengan survei analisis situasi melalui wawancara dengan Ketua Pengampu, dilanjutkan penyuluhan dengan materi edukasi seputar hipertensi, meliputi definisi, faktor risiko, gejala, komplikasi, serta pencegahan melalui olahraga dan latihan pernapasan. Penyuluhan ini menggunakan metode pre-test dan post-test untuk evaluasi pemahaman peserta sebelum diberikan pengetahuan melalui penyuluhan dan sesudah peyuluhan. Hasil pre-test menunjukkan bahwa terdapat sebesar 89,7% total jawaban benar, sedangkan post-test mencapai 95,3% total jawaban benar, yang menunjukkan bahwa terdapat peningkatan sebesar 5,6%. Kegiatan ini berhasil meningkatkan pengetahuan para peserta mengenai hipertensi, terutama mengenai pengelolaan tekanan darah melalui pendekatan non-farmakologis seperti olahraga dan manajemen stres. Simpulan dari pengabdian ini adalah bahwa penyuluhan terbukti efektif dalam meningkatkan kesadaran dan pengetahuan lansia mengenai hipertensi serta pentingnya gaya hidup sehat untuk mencegah komplikasi lebih lanjut.
EFFECT OF EARLY MOBILIZATION IN PEDIATRIC PATIENT AFTER ATRIAL SEPTAL DEFECT CLOSURE: A CASE STUDY Jayanti, Fitri Dwi; Rahayu, Umi Budi; Setiawan, Purnomo Gani
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Congenital Heart Disease (CHD) is a congenital disease since the child was born due to the formation of a less than perfect heart. Atrial Septal Defect (ASD) is one of the common CHD. ASD occurs because the partition separating the right and left atriums is damaged, which causes blood rich in oxygen and carbon dioxide mixed. Valve repair surgery in ASD is recomendation and safe treatment procedure with low mortality rate. Bed rest after surgery can lead to prolonged immobilization according to the recovery period of each individual. The usual treatment for physiotherapy is early mobilization to reduce the disorder.Case Presentation: A 6-year-old child was referred to RSUP Semarang with complaints of discomfort and dyspnea during activities. In December 2019 the family took the child to one of the doctors in Salatiga, and the doctor diagnosed that the child had congenital heart disease and was advised to have an examination. The results of catheterization and echocardio examination showed that the child had ASD II.Management and Outcome: Treatments provided such as mobility in bed, range of motion (ROM) exercises, transfers, ambulation and walking exercises. The measuring instrument used is 6 Minute Walk Test (6MWT) which is done when the patient is able to walk and use how long the patient stays in the hospital.Discussion: Early mobilization following surgery in Intensive Care Unit (ICU) is effective to prevent the risk of bed rest and prolonged stay in ICU as well as prevent deep vein thrombosis, pneumonia, preasure ulcers (decubitus) and can improve functional mobility. An important element for the recovery of patients post-cardiac surgery, is not the type of early mobilization but rather interventions that start from the best time according to the patient's condition to prevent the harmful effects of a long bed rest.Conclusion : Early mobilization given postoperatively can prevent the risk of worsening due to long bed rest, long stay in the hospital and can improve functional mobility. Early mobilization and breathing exercise can produce positive effects for patients post cardiac surgery.
COMPREHENSIVENESS OF PHYSIOTHERAPY INTERVENTION TO PREVENT FALL IN DIABETIC NEUROPATHY PATIENT AT Dr. H ARJONO S PONOROGO HOSPITAL: A CASE REPORT Kingkinnarti, K; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Diabetic Neuropathy has a negative impact on leg and ankle function (Strength and flexibility) which in itself affect the patients’s physical activity and quality of life. Physiotherapy protocols aimed at increasing intrinsic and extrinsic leg muscle strenght maybe a promosing approach to improve lower extremity function , prevent further complications and improve the patient's activities of dayli living.. Case Presentation: A 65-years old patients with diagnosis of Diabetic N europathy ,came to the Medical Rehabilitation Installation at RSUD Dr Hardjono Ponorogo with complains of burning sensation,tingling and numbness in both leg. Genu varus was seen in both legs,decreased right leg muscle strength,sensory los on feeling of touch,pain and temperature in both legs from the toes to the lower border of the knee. Management and Outcome: Aerobic Exercise, flexibility exercise, strengthening and balance exercise as well as gait training are given to patient with Diabetic Neuropathy. Exercise is given 3 times a week for 4 week. The measuring instrument uses Time Up And Go Test where it is reported that after undergoing comprehensive exercise therapy there is decreased in the TUG score from a score 22 second to score 19 second which means there is an increase in the patients static and dinamic’s balance. Discussion: Ankle exercises theraphy has also shown good results for improving ankle Range Of Motion and Diabetic Neuropathy symptoms as well as for redistributing plantar pressure during movement. Interventions in the form of strengthening, stretching, balance and gait training are very useful in preventing foot ulcers and amputations, reducing the risk of falls, increasing daily physical activity and quality of life, all of which can be beneficial in reducing mortality and comorbidities.. Conclusion: Combining Exercise therapy in the form of aerobic exercise, flexibility exercise, strengthening and balance exercise for the lower limbs, and gait training is beneficial in increasing muscle strength, balance and gait so that it can reduce the risk off falling in diabetic neuropathy patient.
NEW BOBATH CONCEPT APPROACH IN ADOLESCENT WITH TRAUMATIC INTRACEREBRAL HEMORRHAGE (TICH): A CASE STUDY Mufidati, Husna; Rahayu, Umi Budi; Kurniawan, Adhy
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : This case report shows the application of the exercise therapy method with the New Bobath Concept Approach in cases of Traumatic Intracerebral Hemorrhage (TICH) and reports the results of the exercise. Case presentation: Mr. AR, a 16-year-old student with a clinical diagnosis of Traumatic Intracerebral Hemorrhage (TICH) received an exercise therapy program with a New Bobath Concept Approach consisting of abdominal exercise, facilitate foreward & backward pelvic, bridging exercise, sensibility exercise, sitting and sitting balance exercise, mobilization and facilitation of the scapula and arm, core stability exercise, standing exercise, facilitation of walking patterns and walking exercise. Management and outcome: Exercise was carried out for 12 weeks with a frequency of twice a week and a duration of 60 minutes per training session. Discussion: After giving exercise therapy with the New Bobath Concept Approach for 12 weeks, the results showed an increase MMT value in muscles shoulder, elbow, wrist, fingers, hip and knee from 0 to 2 and 3. Meanwhile for the Barthel index from a value of 2 (total dependence) to 10 (moderate dependence). Conclusion: Mr. AR is able to sit, stand independently and walk 100 meters with assistance.
MOTOR CONTROL FOR GAIT IN CASES OF IDIOPATHIC TOE WALKING Salsabila, Savira Rizka Meidy; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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This case report shows a motor control exercise program as a treatment for walking patterns in children with idiopathic tip toe walking. A 5 year old child with talipes equiness walking pattern, during treatment received motor control with stair-step standing, standing balance, stooping and transition activities, control stepping, sensory and intrinsic foot activities, age-appropriate motivation method, information for parents, and home activities to facilitate a more upright standing and walking posture to strengthen surface reaction forces relative to the ankle axis. This program is conducted for 1 hour per session twice a week. Prior to intervention the patient had a Functional Gait Assessment (FGA) score of 8 with the highest score of 30. After 2 weeks of treatment, the Functional Gait Assessment (FGA) score increased by 17 with the highest score of 30. Our results suggest that a functional rehabilitation program may be beneficial in functional recovery. walking patients with idiopathic tip toe walking in children.
THE USE OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS), PATELLAR MOBILIZATION, AND QUADRICEPS SETTING IN BILATERAL KNEE OSTEOARTHRITIS GRADE 2 CASE IN OLDER ADULTS Pramaisella, Inggrid Pitaloka; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis (OA) is known as degenerative joint disease where there is joint abnormality causing inflammation involving cartilage and surrounding tissue which result in morbidity and functional limitations, especially for older adults. Method: The aim of the study was to determine the benefits of performing Transcutaneous Electrical Nerve Stimulation (TENS), Patellar Mobilization, and Quadriceps Setting in Bilateral Knee Osteoarthritis Grade 2 on Elderly. The assessment used was Numerical Rating Scale Pain Assessment (NRS), Manual Muscle Testing (MMT), and Western Ontario and McMaster Universities Osteoarthritis (WOMAC). Discussion: The giving of Patellar Mobilization is able to increase function in older adults and also decrease knee joint stiffness and pain, meanwhile the giving of Quadriceps Setting is also able to increase Quadriceps muscle strength, and the application of Transcutaneous Electrical Nerve Stimulation (TENS) is able to decrease pain caused by OA and increase physical performance in patient with Knee OA. Conclusion: After doing physiotherapy as many as 4 times using Transcutaneous Electrical Nerve Stimulation (TENS), Patellar Mobilization, and Quadriceps Setting, it is gained the decrease of pressure and movement pain, the increase of right and left leg muscle strength, and also the increase of WOMAC functional Test result after being given Transcutaneous Electrical Nerve Stimulation (TENS), Patellar Mobilization, and Quadriceps Setting.
PHYSIOTHERAPY STRATEGY FOR PATIENT WITH HERNIATED DISC Nastiti, Rindang Rizky; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Hernia Nucleus Pulposus (HNP) is a condition that occurs due to biochemical changes in the spinal disc tissue. This change will cause rupture of the annulus fibrosus which makes the nucleus pulposus bulging (protrudes) towards the spinal canal which will put pressure on the nerve roots, causing symptoms in the form of neurological pain. Case Presentation : Mrs. E is a 37-year-old housewife with low back pain due to disc herniation with a history of post chemotherapy for breast cancer. Pain is felt when the patient is undergoing treatment, pain is like being stabbed and radiates from the lower back to both legs and especially the right leg, numbness and weakness in the right leg Management and Outcome : Treatments provided such us infrered, TENS, stretching, and core stability exercise performed 2 times a week for 4 weeks. The measuring instrument used is NRS, MMT, and Oswestry Disability Index. Discussion : One type of exercise that can be done for patients with lumbar HNP is core stability exercises in the form of abdominal hollowing exercises, prone lying, prone on elbow, prone press-up, prone press up with overpressure which can be selected by taking into account the ability of the patient. Core stability exercise is an exercise that functions as a synergistic activation that contracts the trunk and pelvic stabilizer muscles, to improve the control of the neuromuscular system and the strength of the trunk muscles and to maintain spinal stability which functions to maintain body posture and optimize the patient to control the trunk position. Core stability performed by the patient is able to reduce pressure on the nucleus pulposus during the spine extension position, so that nerve clamping can be reduced and can reduce pain symptoms, Conclusion : It can be concluded that in this case, the provision of physiotherapy programs in the form of infrared, TENS, stretching hamstrings, and core exercises performed 2 times a week for 4 weeks was able to reduce pain and improve functional ability in patients.
PHYSIOTHERAPY MANAGEMENT FOR DEGENRATION KNEE OSTEOARTHRITIS BILATERAL Sunyiwara, Arum Sekar; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Intoduction: Osteoarthritis is a degenerative disease characterized by the deterioration of joint cartilage which causes bones to rub against each other and triggers pain, stiffness and movement disorders. Osteoarthritis comes from the Greek word osteo which means bone. arthro which means joint, itis which means inflammation. Case Presentation : A 87 years old patient with Knee osteoarthritis come to PFDA Pekalongan Clinic. The patient had pain in both knees since 1 year ago. The patient feels pain in the knee when sitting to standing position, the patient complains of aches and pains in both knees when walking long distances. Pain is felt during activity. The intensity of pain increases at night. The patient has been to the doctor and has been injected 4 times. Management and Outcome : IR, TENS and strengthening exercises using theraband with hip extension standing position with elastic band and knee extension sitting position with elastic band was performed for 30 minutes per session, 3 times a week for 4 weeks. Before the intervention, the patient still felt pain and impaired functional activities with a NRS value of 6 and a WOMAC score of 28 . However, after a 4-week intervention, there was a decrease in pain (NRS) to 2 and functional disability increased with a WOMAC score of 23. Discussion : Exercise is carried out repeatedly according to a predetermined dose, This is where there is a decrease in subchondral inflammation resulting in decreased pain, and increased stability. To increase functional activity, theraband exercise provides direct stimulation to the skin receptors and which affects proprioception and maximizes sensation around the knee joint thereby increasing the performance of daily activities Conclusion : It can be concluded that in this case, the provision of a physiotherapy intervention program in the form of: IR, TENS and Theraband Exercises performed 3 times a week for 4 weeks was able to reduce pain, increase muscle strength and increase functional activity.
Co-Authors Abi Muhlisin Adhy Kurniawan Agus Setiya Agus Setiyawan Ajeng Marshela Tiara Ningrum Ajeng Sabtorini Akib, Marliyanti Nur Rahmah Al-Kubro, Putri Balqis Alfiyani, Lina Alinda Nur Ramadhani Alviana Dwi Lestari Amanda, Tasya Ghea Ambarwati Amelia Dwi Putika Sari Amir, Suliati P Andiyani, Rhavida Anniza Anindita, Putri Maharani Annisa Fitri Dewi Arif Pristianto Arifin Agung Prehanto Arum Pratiwi Atik Hidayati Atik Hidayati Ayu Tri Kusumaningrum Subiyanto Baihaqi, Muhamad Adzib Cahyana, Aris Alfaldieka Cahyo Setiawan Chaiyawat, Pakaratee Della Annisa Thalib Dewangga, Mahendra Wahyu Dwiky Yudhistira Edy Waspada Effran, Endy Faizah Betty Rahayuningsih Firnadia Septika Rahajeng Fitri Dwi Jayanti Fitriyya, Munaaya Guswiyamto, G Hafiduddin, Muhammad Harun, Andi Qonita Hasmar, Wanti Ida Untari Imtiyaz Nisa Indiana Radinda Intan Herlinawati Irfan Muhammad Ismadi Ismail Setyopranoto Kadek Agustini Aryani Kasumbung, Muhammad Tasa Katno Asha Khairi Rizqi Fadhlika Khairunissa, Hatifa Kingkinnarti Kingkinnarti Kingkinnarti Kingkinnarti, K Komalasari, Dwi Rosella Kurnia Kusuma Ramadhan Kurniawati, Susilo Lusia Intan Purnamasari M. Halim Mardianto, Halim Maulidia, Kamila Mufidati, Husna Muhamad Nasuka Muhammad fauzan Muhammad Fawwaz Malik Azhari Muhammad Nasuka Muhammad Raffi Muhammad Sena Nurrahman Pasya Muhammad Taufik Ilyas Muliyono, Didik Mulyadi, Farah Ekawati Mulyanto Mulyanto Mustiko, Prihantoro Larasati Mutalazimah Namirah, Hanna Aulia Napisah, Sri Nastiti, Rindang Rizky Natalia, Ike Ni Putu Riantini Ni Putu Riantini Nia Hayati Nilam Nur Hamidah Nora Eny Zulekha Nurhidayah, Indah Suci Nusaibah, Yasmin Oktiva, Yayuk Dwi Perdana, Suryo Saputra Pramaisella, Inggrid Pitaloka Pramesti, Redita Salma Ayusandra Prihantoro Larasati Mustiko Puad, Laylin Ramadhani, Muhammad Mumtaz Rini Mustikasari Kurnia Pratama Ririt Ika Lestari Ririt Ika lestari Rivan Danuaji Rizy, Muhammad Hasbi Alfa Rosidah, Nikmatur sakinah sakinah Salsabila, Savira Rizka Meidy Samekto Wibo Samekto Wibowo Seliana Sinta Debi Seliana Sinta Debi Setiawan, Purnomo Gani Setyawati, Yayuk Silvia Rahma Maulida Sirajuddin Handalguna Siti Raihani Siti Soekiswati Sri Sat Titi Hamranani Sri Utami Subandi Sudarsono, Wahyu Tri Sugiarto, Rahmat Sulistyawati, Irma Sunyiwara, Arum Sekar Syavira Nooryana Tiara Paramitha Sugiri Syah Putri Trisnandhika Galang Pratama Ulfah Zulfahmi Umam, Devid Noor Umar Jamaludin W Wahyuni, W Wahyu Tri Sudaryanto Wanda Kurnia Yuda Yakob, Asmirati Yantini, Sri Yuli Kusumawati Yunita Nur Rochmah