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EDUKASI KESEHATAN MEMENGARUHI PERILAKU PENCEGAHAN PENULARAN TUBERKULOSIS: A SYSTEMATIC REVIEW Marwah, Marwah; Rekawati, Etty; Nursasi, Astuti Yuni; Sari, Indah Permata
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 2 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i2.2534

Abstract

Tuberkulosis (TB) saat ini masih menjadi masalah kesehatan dunia dan merupakan penyakit menular. Penularan TB terutama terjadi melalui udara ketika seseorang yang terinfeksi batuk atau bersin, dan orang lain menghirup bakteri Mycobacterium tuberculosis. Edukasi tentang Tuberkulosis memiliki peran yang sangat penting dalam pencegahan dan pengendalian penyebaran penyakit ini, dengan edukasi TB dapat meningkatkan pengetahuan dan kesadaran masyarakat terhadap penyakit TB, dapat membantu mengurangi stigmatisasi, meningkatkan pemahaman tentang cara penularan, gejala dan langkah pencegahan yang dapat diambil. Jika tidak dilakukan edukasi tentang TB, berbagai konsekuensi negatif dapat terjadi seperti penyebaran penyakit yang lebih luas, keterlambatan dalam deteksi dan pengobatan, stigma terhadap TB mungkin tetap bahkan meningkat. Tujuan tinjauan sistematis untuk menganalisis pengaruh edukasi kesehatan terhadap perilaku pencegahan penularan TB. Pencarian literatur dilakukan menggunakan kata kunci ‘Lung tuberculosis’ AND (‘health education’ OR ‘health literacy’ OR ‘education’) AND (‘Preventive health service’ OR ‘Preventive behaviour’).  di berbagai database seperti ProQuest, Pubmed, ClinicalKey, Embase, dan database online lainnya, ditemukan 12.295 artikel dan 7 artikel terpilih yang memenuhi kriteria inklusi: Artikel merupakan penelitian kuantitatif dan dipublikasikan menggunakan bahasa inggris antara tahun 2018 dan 2023. Artikel dianalisis menggunakan metode PRISMA. Hasil menunjukkan bahwa edukasi kesehatan telah terbukti efektif dalam meningkatkan pengetahuan dan mengubah perilaku terkait pencegahan Tuberkulosis (TB). Informasi ini dapat digunakan untuk mendukung pembuatan kebijakan kesehatan, perencanaan program, dan pengembangan strategi intervensi yang lebih efektif dalam mengurangi beban penyakit TB di masyarakat.
PENGARUH LATIHAN RESISTENSI TERHADAP KADAR HBA1C LANSIA DENGAN DIABETES MELITUS TIPE 2: A SYSTEMATIC REVIEW Fitriani, Fitriani; Rekawati, Etty; Sahar, Junaiti; Rachmawati, Utami
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 2 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i2.2541

Abstract

Type 2 diabetes mellitus is a common metabolic disorder that often occurs in the elderly. One key component in diabetes management is physical activity. Various studies have been conducted to examine the effectiveness of physical exercise on glycemic control and it has been found that physical exercise can improve insulin sensitivity and glycemic control. The research aimed to identify the impact of resistance exercise on HbA1c in elderly individuals with diabetes. Research method with systematic review on ProQuest, Scopus, PubMed, EBSCO Host, Clinical Key Nursing, and Science Direct databases. The inclusion criteria were articles published between 2018 and 2023 in the English language. A total of 7,812 articles were found based on the keywords (Older adult OR elderly OR aged OR Older People OR Older person) AND (type 2 diabetes OR diabetes OR diabetes mellitus OR Noninsulin Dependent Diabetes Mellitus OR NIDDM OR Diabetes Mellitus Type II) AND ("resistance exercise" OR "resistance training" OR "Strength Training") AND (HbA1c OR Glycated Hemoglobin OR Hemoglobin A1c OR glycemic index), and after screening, 9 articles were included in the final analysis. Resistance exercise has a significant impact on glycemic control when performed using a circuit or progressive approach with proper supervision. Resistance training can be applied in diabetes management in the elderly and should be conducted circuit (a series of exercises performed sequentially) or progressive (gradual increase in intensity or load of exercises) approaches, as well as supervision.
Terapi Komplementer untuk Penatalaksanaan Kecemasan atau Depresi pada Lansia yang Tinggal di Komunitas Arjuna Arjuna; Etty Rekawati
Jurnal Keperawatan Silampari Vol 4 No 1 (2020): 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 (596.733 KB) | DOI: 10.31539/jks.v4i1.1430

Abstract

This study aims to determine complementary therapies that can be applied to managing anxiety and depression in the elderly in the community. Methods for searching articles through English databases: EBSCO host, Scopus, Pro-Quest, Wiley Online Library, Sage Publications, Science direct, and Springer Link in the last ten years. The search results obtained 282 articles, and six reports identified that met the inclusion criteria. Systematic review analysts use the PRISMA diagram. There are six complementary therapies used: aromatherapy, reiki, laughter therapy, acupressure, religion, aromatherapy, music, and reiki. In conclusion, all of these complementary therapies are effective in the management of anxiety or depression. The complementary treatment suggested in the direction of pressure is aromatherapy, while depression is religious therapy. Keywords: Depression, Anxiety, Parents, Complementary Therapy
Intervensi Berbasis Kelompok Sebaya (Peer Group Suport) dalam Upaya Peningkatan Kepatuhan Pengobatan ARV pada ODHA Iswanto Iswanto; Sri Yona; Etty Rekawati
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jks.v6i2.5728

Abstract

This study aims to determine the effect of peer group support on adherence to ARV treatment. The method used is a systematic review by searching articles according to the formulation of research questions using the PICO formula through online database searches, namely Pubmed, PubMed, SAGE, Scopus, and Springer Link with full text), published 2020-2023. The results showed that peer group-based interventions were critical in increasing ARV adherence in PLHIV. In conclusion, peer group intervention for ODHAcan increase ARV adherence and thereby automatically improve the quality of life for ODHA. Keywords: HIV AIDS, Peer Group, Compliance
Buerger Allen Exercise terhadap Sirkulasi dan Sensori Perifer pada Pasien dengan Diabetes Melitus Fina Mahardini; Debie Dahlia; Dikha Ayu Kurnia; Etty Rekawati
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jks.v6i2.6099

Abstract

This study aims to systematically evaluate the results of studies assessing the effectiveness of the Buerger Allen Exercise (BAE) in improving circulation and peripheral sensory status in patients with Diabetes Mellitus (DM). The method used is a systematic review in which researchers carry out a comprehensive and systematic search based on PRISMA's recommendations for research articles using randomized controlled trial (RCT) methods, quasi-experiments, and cohorts using the keywords "diabetes," "Buerger Allen, "perfusion," "neuropathy," and related MeSH terms published in international journals over the last five years. The results showed that of the nine articles included, six proved the effectiveness of BAE in improving peripheral circulation, two reports showed their effectiveness in improving peripheral neurosensory, and one other showed the efficacy of BAE in improving peripheral circulation and neurosensory. In conclusion, BAE can significantly improve DM patients' circulation and peripheral sensory status. Keywords: Buerger Allen Exercise (BAE), Diabetes Mellitus, Peripheral Sensory, Peripheral Circulation
PENANGANGAN KONSTIPASI PADA LANSIA DENGAN URUT PERUT DAN LATIHAN ELIMINASI (UPLANASI) Kristamuliana Kristamuliana; Juniati Sahar; Etty Rekawati
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 8 No 01 (2020): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v8i01.893

Abstract

Latar Belakang: Konstipasi merupakn salah satu gangguan sistem pencernaan dan sistem eliminasi yang sering dialami oleh lansia. Hal ini terjadi sebagai akibat dari penurunan fungsi sistem pencernaan dan eliminasi karena proses penuaan. Sekitar 74 -45 % lansia yang tinggal di PSTW dan sekitar 50% lansia yang tinggal di komunitas mengalami konstipasi. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh uplanasi terhadap konstipasi pada lansia di PSTW di DKI Jakarta. Metode: Desain penelitian yang digunakan adalah quasi experiment pre – post test with control group. Jumlah sampel sebanyak 64 lansia, 32 lansia untuk intervensi dan 32 lansia untuk non-intervesi. Sampel dipilih melalui metode random sampling. Instrumen penelitian yang digunakan adalah Constipation Skoring System. Hasil: Hasil penelitian menunjukkan adanya pengaruh uplanasi terhadap konstipasi pada lansia (p = 0,000). Frekuesni defekasi meningkat secara signifikan (p = 0,000), lama proses defekasi menurun secara signifikan (p = 0,003) dan kenyamanan saat defekasi meningkat secara signifikan (p = 0,000). Kesimpulan: Urut perut dan latihan eliminasi layak dijadikan sebagai salah satu intervensi keperawatan untuk menangani masalah konstipasi pada lansia. Kata Kunci: Urut perut, latihan eliminasi, lansia, PSTW, konstipasi. ABSTRACT Introduction: Constipation is one of problems in digestive system and elimination system in elderly. Constipation accur because of ageing process. There are 74 – 75% elderlies in nursing home and 50% in community have constipation. Aim: The aims of this research is to know effect of uplanasi in Elderly who live in Nursing homes in DKI Jakarta. Metod: Desain of this research was quasi experiment pre – post test with control group. Total samples were 64 elderlies, 32 erderlies for intervension group and 32 elderlies for control group. Samples were choosen by way of random sampling. The instruments that were used in this research were Constipation Scoring System (CSS). Results: The results showed that uplanasi have significant influence to handle constipation in elderly (p = 0,000). The uplanasi incrase frequency of defecation (p = 0,000), decreasing time of defecation (p = 0,003) and increasing comfort during defecation (p = 0,000). Conclution: Uplanasi could be one of nursing intervenstions to handle constipation in elderly. Key words: Uplanasi, elderly, nursing home, constipation
Lived experiences of hypertensive older adults living alone in Kendari City: a phenomenological aprroach Prio, Asminarsih Zainal; Sahar, junaiti; Rekawati, Etty
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.51986

Abstract

Introduction: This study aimed to explore lived experiences as evidence-based in developing health services for hypertensive older adults living alone. Methods: This study employed a qualitative phenomenological approach, with in-depth and semi-structured interviews of hypertensive older adults living alone in Kendari City Southeast Sulawesi. Purposive sampling was utilized. 15 participating older adults, predominantly female, and with ages ranging from 61-80.  Data were collected from April until July 2022, and Colaizzi’s steps were used to guide the data analysis. Results: Three themes were identified: 1) health changes in the older adults living alone consisting of physical, emotional, social, and spiritual changes; 2) coping mechanisms consisting of emotion-focused coping, biobehavior-focused coping, social-focused coping, and spiritual-focused coping; and 3) healthcare needs consisting of health information needs, regular health checks, group activities, and spiritual activities. Conclusions: This research highlights the needs of hypertensive older adults living alone to adapt to their health changes and requiring holistic hypertensive care as well as regular health services. Recommendations in this study include developing a holistic hypertensive care program consisting of physical, psychological, social, and spiritual activities. Further research needs to explore the effectiveness of holistic hypertension care on blood pressure, stress, coping, and quality of life of older adults with hypertension by comparing older adults living alone with older adults living with family, and qualitative research using ethnographic methods to determine the adaptation process of the older adults living alone according to culture.
Efektivitas Implementasi Intervensi Keperawatan dengan Inovasi “DEKADEE” dalam Mengontrol Gula Darah pada Pasien Diabetes Lansia di Masyarakat Safaruddin; Rekawati, Etty; Sahar, Juniati
Journal of Pubnursing Sciences Vol 2 No 4 (2024): Journal of Pubnursing Sciences (JPS)
Publisher : PT. Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/jps.v2i04.160

Abstract

Introduction: Diabetes Mellitus (DM) is one of the leading non-communicable diseases (NCDs) in Indonesia, ranking as the sixth leading cause of death. The impact of DM on health has been increasingly detrimental over the years, necessitating serious mitigation efforts. As a response, an innovative nursing intervention known as "DEKADEE" (Diet, Foot Exercise, and Benson Relaxation) was developed. This study aims to evaluate the effect of the DEKADEE nursing intervention on reducing blood sugar levels in elderly diabetes patients. Methods: A community case study design with a pre-experimental approach was used to evaluate the effect of the DEKADEE intervention (Diet, Foot Exercise, Benson Relaxation) on the behavior and blood sugar levels of 44 elderly individuals with diabetes in Jatijajar, Depok. Pre- and post-intervention data were measured using the Easy Touch device and a behavior assessment instrument, analyzed with a paired T-test (p < 0.05). Results: Significant improvements were observed in elderly behavior, with knowledge increasing by 3.95 points, attitudes by 2.53 points, skills by 3.66 points, and a reduction in blood sugar levels by 61.045 mg/dL. A paired T-test on behavior variables and blood sugar levels showed significant results, with a p-value of 0.000 (p < 0.05). Conclusion: The DEKADEE Nursing Intervention significantly influenced behavior and had a profound impact on controlling random blood sugar levels in elderly individuals in Jatijajar Subdistrict, Depok City.
The Effect of Community Based Intervention on People with Type 2 Diabetes Mellitus: Systematic Review M Agung Akbar; Junaiti Sahar; Rekawati, Etty; Ratu Ayu Dewi Sartika; Prateek Gupta
Public Health of Indonesia Vol. 11 No. S1 (2025): Special Issue
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11iS1.884

Abstract

Background:The rising prevalence of Type 2 Diabetes Mellitus (T2D) has become a significant global health burden, with profound implications for healthcare systems and affected individuals. Strengthening primary healthcare services by integrating health and community-based interventions is critical for improving health outcomes. This rapid systematic review aimed to evaluate the effectiveness of community-based interventions in enhancing health outcomes for patients with T2D. Objectives:To evaluate the effectiveness of community-based interventions in managing T2D, focusing on their impact on health outcomes Methods:This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data collection involved five major databases: Scopus, Cochrane Library, PubMed, Web of Science, and Clinical Key, covering publications from January 2013 to May 2024. Eligible studies included randomized controlled trials, mixed-methods research, clinical trials, prospective studies, experimental repeated-measures designs, and quasi-experimental designs. The risk of bias in the included studies was assessed using the RevMan 5.4.1 software. Article selection, risk of bias evaluation, data extraction, and synthesis were conducted independently by the authors, with discrepancies resolved through discussion and consensus. Results:Out of 4.463 identified articles, 13 met the eligibility criteria for inclusion in the review. The community-based intervention strategies identified in these studies involved three primary approaches: family-centered interventions, peer support, and community volunteer programs. Conclusion:This systematic review concludes that community-based interventions are effective in improving health outcomes for individuals with T2D. Integrating and strengthening health and community-based collaborations within the broader healthcare system is crucial for achieving optimal health outcomes. Nurses are encouraged to collaborate with community-based networks to bridge the gap between healthcare providers and communities, thereby enhancing public health outcomes. Keywords:community participation; diabetes mellitus; family; peer; volunteers
Pengaruh cold application terhadap nyeri pada anak yang dilakukan tindakan invasif: Tinjauan sistematik Rahayu, Bhekti Yuniarti; Rekawati, Etty; Wanda, Dessie; Lestari, Ayu Widya
Holistik Jurnal Kesehatan Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.511

Abstract

Background: Hospitals are often scary places for children. Especially when undergoing invasive medical procedures such as blood draws and injections. Children feel greater pain and anxiety than adults, causing fussiness and psychological trauma. The role of nurses is very important in creating a safe and comfortable environment. They must apply pain management techniques that include pharmacological approaches such as the use of analgesics, and non-pharmacological methods such as distraction and relaxation techniques. One non-pharmacological method is the use of ice packs. This technique is thought to reduce pain with a cold sensation. Cold applications using ice packs can be considered because they are more affordable and easy to access. Purpose: To analyze the results of research related to the effect of cold application on pain in children undergoing invasive procedures. Method: The systematic review study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) scheme guidelines. The search for articles was conducted by searching the literature through online databases, namely PubMed, ScienceDirect, ProQuest, Scopus, and ClinicalKey for Nursing. Results: The application of the ice pack application to reduce the pain experienced by children when undergoing invasive procedures has proven to be effective. However, further research with a broader scope and stronger research design is needed to generalize these findings to a wider population with various types of invasive procedures. Conclusion: Ice packs are effective in reducing pain in children undergoing invasive procedures. The mechanism of action is by slowing the transmission of pain signals to the brain. Ice packs are easy to use, inexpensive, readily available, and environmentally friendly.   Keywords: Children; Ice Pack; Invasive Procedures; Pain.   Pendahuluan: Rumah sakit sering menjadi tempat yang menakutkan bagi anak-anak, terutama saat menjalani tindakan medis invasif seperti pengambilan darah dan suntikan. Anak-anak merasakan rasa sakit dan kecemasan yang lebih besar dibandingkan orang dewasa, sehingga menyebabkan rewel dan trauma psikologis. Peran perawat sangat penting dalam menciptakan lingkungan yang aman dan nyaman. Mereka harus menerapkan teknik manajemen nyeri yang mencakup pendekatan farmakologis penggunaan analgesik dan nonfarmakologis, seperti teknik distraksi dan relaksasi. Salah satu metode nonfarmakologis adalah penggunaan ice pack yang dapat mengurangi rasa sakit dengan sensasi dingin. Tujuan: Untuk menganalisis hasil-hasil penelitian terkait pengaruh cold application terhadap nyeri pada anak yang dilakukan tindakan invasif. Metode: Penelitian systematic review menggunakan panduan skema Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). Pencarian artikel dilakukan dengan penelusuran literatur melalui database online yaitu PubMed, ScienceDirect, ProQuest, Scopus, dan ClinicalKey for Nursing. Hasil: Penerapan aplikasi ice pack dalam mengurangi nyeri yang dialami anak-anak saat menjalani tindakan invasif terbukti efektif. Namun, perlu dilakukan penelitian lebih lanjut dengan cakupan yang lebih luas dan desain penelitian yang lebih kuat untuk menggeneralisasi temuan ini pada populasi yang lebih luas dengan berbagai jenis prosedur invasif. Simpulan: Aplikasi ice pack efektif dalam mengurangi nyeri pada anak saat menjalani tindakan invasif. Mekanisme kerjanya dengan memperlambat transmisi sinyal nyeri ke otak. Aplikasi ice pack mudah dalam penggunaannya, murah, mudah didapat, dan ramah lingkungan.   Kata Kunci: Anak-anak; Ice Pack; Nyeri; Tindakan Invasif.
Co-Authors A.A. Ayu Rani Puspadewi AA Sudharmawan, AA Achir Yani S. Hamid Adawiyah, Robiyatul Agung Waluyo Agus Setiawan Agus Setiawan Akbar, M. Agung Al Djuwardi, Aminah Soemadi Allenidekania Allenidekania Anggraini Marissa Aria Kekalih Arief Andriyanto Arief Andriyanto, Arief Arifin, Yelly Sari Arjuna Arjuna Arnoldy, Vincentia Exandy Salvera Astuti Nursasi Astuti Yuni Nursasi Azwar Azwar Budi Anna Keliat Cahyani, Reztika Candra, Adil Chodidjah, Siti Dahlia, Debie - Defrima Oka Surya Didi Kurniawan Didi Kurniawan Didi Kurniawan Dikha Ayu Kurnia Dwi Cahya Rahmadiyah Dwi Nurviyandari Ede Surya Darmawan Efendi, Jamilatur Rasyidah Eriska, Winda Faridah, Ida Fatin, Nurul Fikri Fikri Fina Mahardini Fitriani Fitriani Fonny Veronika Runtulalo Fransiska Novita Sari Gupta, Prateek Handayani, Eka Sila Henny Permatasari Ikhwanudin Ikhwanudin Imami Nur Rachmawati Indah Permata Sari Indah Permata Sari Indah Permatasari Iskandar, Syahrani Istifada, Rizkiyani Iswanto Iswanto Junaiti Sahar Juniati Sahar Juniati Sahar, Juniati Kartika, Annisa Wuri Kasfi, Anna Kristamuliana Kristamuliana Kuntarti Kusuma, Ceacilia Nika Candra Lestari, Ayu Widya Lily Herlinah Lita Heni Kusumawardani Mahmuddin Mahmuddin Mardhatillah, Mardhatillah Marwah Marwah Matanari, Tety Nikasia Mersiliya Sauliyusta Nani Nurhaeni Ni Made Candra Citra Sari Nuridah Nuridah Oky Octaviani Poppy Fitriani Poppy Fitriyani Prateek Gupta Prio, Asminarsih Zainal Pulungan, Indira Mastura Putra, Mepsa Rachmawati, Utami Rahayu, Bhekti Yuniarti Rahmawani, Atika Ratna Lestari Ratu Ayu Dewi Sartika Ratu Ayu Dewi Sartika Ratu Ayu Dewi Sartika Rita Hadi Widyastuti Rita Hadi Widyastuti Rita Hadi Widyastuti Rizkiyani Istifada rohayati rohayati Rohayati, Rohayati Royani Royani Ryanti Maranata Safaruddin Sagala, Adi Brando M Sahara, Elvira Saraswati, Sarita Sari, Ni Luh Putu Dian Yunita Sheirly Mariani Sigit Mulyono Silvia Elki Putri Sinurat, Diana Nurhayati Siti Hardiyanti Sovia Sovia Sri Wulan Widyawati Sri Yona Susana Susana Sutrisno, Sutrisno Tandilangi, Trisnawati Paulus Tinneke A. Tololiu Trisno Putri, Noor Rochmah Ida Ayu Wafa Sofia Fitri Wahyuni, Anyta Hera Wanda , Dessie Wang, Jing Jy Wati, Dwi Nurviandari Kusuma Wati, Dwi Nurviyandari Kusuma Widyatuti Widyatuti Wiwin Wiarsih Yossie Susanti Eka Putri Yulita, Refi Yusriana Yusriana Zubair, M. Abdul Hamid