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All Journal The Indonesian Journal of Occupational Safety and Health Jurnal Respirologi Indonesia Jurnal Respirasi (JR) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL JK Unila (Jurnal Kedokteran Universitas Lampung) Essential: Essence of Scientific Medical Journal Industrika : Jurnal Ilmiah Teknik Industri Respiratory Science Journal of Scientech Research and Development The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Agus Dwi Susanto
Departement Of Pulmonology And Respiratory Medicine, Faculty Of Medicine, Universitas Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Public Health Social Sciences

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PERLINDUNGAN KEKAYAAN INTELEKTUAL KOMUNAL OLEH KANTOR WILAYAH KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA KALIMANTAN TENGAH Susanto, Agus Dwi; Hayati, Mulida; Kristianto, Kiki
Journal of Scientech Research and Development Vol 7 No 1 (2025): JSRD, June 2025
Publisher : Ikatan Dosen Menulis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56670/jsrd.v7i1.843

Abstract

Hak Kekayaan Intelektual Komunal (KIK) adalah hak intelektual yang dimiliki oleh suatu kelompok masyarakat secara kolektif dan perlu mendapat perlindungan. Dengan pesatnya perkembangan teknologi, Direktorat Teknologi Informasi DJKI menciptakan Aplikasi DGIP berbasis web untuk mempermudah pencatatan KIK secara cepat dan efisien. Penelitian ini membahas pelaksanaan perlindungan KIK melalui Aplikasi DGIP oleh Kantor Wilayah Kementerian Hukum dan HAM Kalimantan Tengah serta hambatan yang dihadapi. Menggunakan pendekatan yuridis empiris, data diperoleh melalui wawancara dengan instansi terkait serta dokumentasi peraturan perundang-undangan, kemudian dianalisis secara deskriptif kualitatif. Sepanjang 2024, Kantor Wilayah Kementerian Hukum Kalimantan Tengah telah mengambil langkah aktif dalam inventarisasi KIK berpotensi ekonomi, termasuk memperkuat sinergi dengan pemangku kepentingan dan mengembangkan peta jalan inventarisasi. Selain itu, telah dipetakan faktor-faktor yang mendukung serta menghambat pencatatan KIK untuk menentukan solusi optimal. Sebagai rekomendasi, Kantor Wilayah perlu mengoptimalkan penyebarluasan informasi mengenai KIK guna mendorong pembentukan regulasi daerah untuk perlindungan KIK. Selain itu, sosialisasi Aplikasi DGIP perlu ditingkatkan agar lebih banyak masyarakat yang memanfaatkannya.
Efek Program Telerehabilitasi Paru pada Penyintas COVID-19: Penilaian Status Fungsional Menggunakan 30-Second Sit-To-Stand Test Widjanantie, Siti Chandra; Maylani, Lina; Ilyas, Muhammad; Nusdwinuringtyas, Nury; Susanto, Agus Dwi
Majalah Kedokteran Indonesia Vol 73 No 5 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.5-2023-1224

Abstract

Introduction: Long COVID is a persistent symptom among COVID-19 survivors. Fatigue and other symptoms related to respiratory or non-respiratory cause disturbance of patient functional status. Pulmonary telerehabilitation program after hospitalization was needed to optimize patients’ functional status. Assessment of functional status using 30-Second Sit-To-Stand Test (30s-STST) was easily to apply. The aim of this study was to know the changes of functional status in COVID-19 survivors after pulmonary telerehabilitation program.Method: This study was analytic experimental with one group pre-test and post-test design, conducted in Persahabatan Hospital from August to September 2020. The COVID-19 patient’s discharge records were recruited consecutively, 24 patients were eligible for this study to get pulmonary telerehabilitation program for four weeks. The patients were evaluated with 30s-STST twice, at discharge (baseline) and four weeks after discharge.Result: Participants consist of 19 men (79,2%) and 5 women (20,8%). The result of thirty second-STST before and after four weeks pulmonary telerehabilitation program result was 7,75 ± 2,19 dan 13,70 ± 4,23 times. There was a strong positive correlation (significant) between 30s STST result before and after program (r = 0,757, p less than 0,01).Conclusion: There was functional status improvement in COVID-19 survivors after pulmonary telerehabilitation for four weeks, evaluated with 30s-STST.
The Correlation between Air Pollution Levels in East Jakarta and COPD Exacerbation at Persahabatan Hospital in 2019 Habibi, Januar; Susanto, Agus Dwi; Ratnawati, Ratnawati
Respiratory Science Vol. 5 No. 3 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i3.169

Abstract

Background: Air pollution has become a global environmental issue that has an impact on public health. Chronic obstructive pulmonary disease (COPD) is a chronic lung disease that can be caused by exposure to noxious gases and environmental factors. Cigarette smoke is a major risk factor for the development of COPD. However, several studies have shown that environmental exposures such as air pollution can contribute to the worsening of COPD. This study aimed to evaluate the correlation between the level of air pollution and exacerbation of COPD in East Jakarta in 2019. Method: This was a retrospective cohort study on COPD patients who experienced exacerbation in 2019 and came to the emergency room of Persahabatan National Respiratory Referral Hospital (PNRRH). Data was taken from the medical records by consecutive sampling. Data on the Index of Air Pollution Standards were obtained from the DKI Jakarta Provincial Environmental Service. Results: A total of 198 subjects met the inclusion criteria. Most of the subjects were male (92.4%), and the mean age was 63.39 years. Three pollutants had a positive correlation with COPD exacerbation rates, including PM10 (r=0.245), SO2 (r=0.497), and O3 (r=0.344). While the negative correlation were the levels of CO (r=-0.187) and NO2 (r=-0.366). However, the correlations were not statistically significant. Conclusion: PM10, SO2, and O3 are correlated with COPD exacerbations, whose visits to the emergency department of Persahabatan hospital. However, this correlation does not establish a cause-and-effect correlation because there are still other factors that trigger COPD exacerbations.
Mortality Audit In COVID-19 Cases of the Omicron Variant in Persahabatan Hospital Susanto, Agus Dwi; Djasri , Hanevi
Respiratory Science Vol. 5 No. 3 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i3.176

Abstract

Background: SARS-CoV-2, the virus that causes COVID-19, has mutated into various variants. Deaths in COVID-19 cases caused by the Omicron variant had the highest rate compared to other variants.  This research aims to mortality audit of the Omicron variant of COVID-19 in 2022 at Persahabatan Hospital. Method: This is a cross-sectional observational study focusing on the death audit form recommended by the official Indonesian Hospital Association. Used data from Medical Cause of Death Certificate (SMPK) and medical records of patients treated and died at Persahabatan Hospital in January-December 2022. The causes of death (COD) from the audit results were compared with SMPK. Conducted interviews with the doctor who takes care of patients to explore the root of the problem and improvement efforts. Results: Of the 568 COVID-19 patients with the Omicron variant hospitalized, 130/568 died. As many as 42.52% of the COVID-19 variant Omicron patients died from COVID-19 and 57.48% had COVID-19. The three most COD were respiratory failure, MOF and septic shock. The three underlying COD were COVID-19, bacterial pneumonia and lung cancer. The COD in SMPK and the results of the mortality audit are only appropriate for 23.62%. The best three suggestions for improving clinical management are evaluating the patient supervision/monitoring system, testing for COVID-19 antigens carried out earlier before PCR, and providing special services for COVID-19 patients with comorbid. The top three suggestions for improving hospital managerial aspects are to create and evaluate a special SOP for COVID-19 patients with comorbid, add special service facilities for COVID-19 patients with comorbid and increase ICU bed capacity and human resources. Conclusion: The COVID-19 variant Omicron patients died due to COVID-19 and had COVID-19. The three most COD were respiratory failure, MOF and septic shock. Only 23.62% of COD from SMPK were consistent with the results of the mortality audit.
Epidemiological and Clinical Features of COVID-19 Patients at National Emergency Hospital Wisma Atlet Kemayoran, Jakarta, Indonesia Susanto, Agus Dwi; Rozaliyani, Anna; Prasetyo, Budi; Agustin, Heidy; Baskoro, Hario; Arifin, Arief Riadi; Pratama, Satria; Zaini, Jamal; Hasto, Bambang Dwi; Ratmono, Tugas; Savitri, Ary Indriana; Samoedro, Erlang; Husain, Bahtiar; Nawas, Arifin; Burhan, Erlina
Kesmas Vol. 16, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The emergency hospital is intended to prevent transmission of COVID-19 in the community by isolating patients without symptoms, with mild or moderate symptoms. This study evaluated the clinical characteristics and outcomes of COVID-19 patients who were admitted to this facility. This retrospective study re-viewed data of patients treated at the National Emergency Hospital Wisma Atlet Kemayoran in Jakarta, Indonesia, from March 23 to April 30, 2020. Patient characteristics (clinical symptoms, laboratory test results, Chest X-Ray, SARS-CoV-2 immunoserology, and RT-PCR results from nasopharyngeal/ oropharyngeal preparations) were compared between severity groups. There were 413 COVID-19 cases analyzed, of which 190 (46%) were asymptomatic, 93 (22.5%) were mild, and 130 (31.5%) were moderate cases. Most asymptomatic cases were male, with young age, and without comorbidity. Mild cases were dominated by female and young patients, while most moderate cases were male and older patients. The number of patients with comorbidities was higher in mild and mod-erate cases. The patient’s overall outcome was good and did not differ based on the severity of symptoms. Despite the many challenges, patients with moderate symptoms can be safely treated in the emergency hospital.
Combined Institutional and Telerehabilitation Programs for A Post-Tuberculosis Lung Disease Patient with Low Cardiorespiratory Endurance: A Case Report Widjanantie, Siti Chandra; Agustin, Heidy; Handayani, Diah; Burhan, Erlina; Susanto, Agus Dwi
Jurnal Respirologi Indonesia Vol 45 No 4 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497//jri.v45i4.719

Abstract

Background: Post-tuberculosis lung disease (PTLD) can lead to long-term respiratory issues and impaired lung function, which can impact quality of life. Pulmonary rehabilitation (PR) is a personalized strategy designed to address these problems and improve overall well-being. It is administered by a diverse team of experts. Case: A 28-year-old female patient with a history of tuberculosis (TB) presented with breathing difficulty. The physical examination revealed decreased chest expansion, shoulder asymmetry, a slight forward neck, and a rounded shoulder. The radiologic findings and bronchoscopy showed PTLD, atelectasis in several parts of the right lung, and regional destruction of the right lung. Discussion: The patient underwent pulmonary rehabilitation (PR), which included endurance exercises, strength training, several types of breathing exercises, breath-stacking exercises, thoracic expansion exercises, physical agents for rehabilitation modalities, education on posture correction, and energy conservation in daily activities. The patient was also monitored remotely through telerehabilitation from home. There were significant improvements in pulmonary function tests. Measurement of FVC, FEV1, the six-minute walking test (6MWT), and the PCF after two weeks of follow-up. After eight weeks of training, there were improvements in cardiopulmonary endurance, muscle endurance, and reduced dyspnea. Conclusion: Comprehensive pulmonary rehabilitation programs, including a combination of institutional and telerehabilitation synchronous approaches, can help improve cardiopulmonary endurance, muscle strength-endurance, and the overall patient's functional life who was suffering from chronic respiratory diseases, such as post-TB sequelae.
Rehabilitation Management for Sarcopenia in Chronic Obstructive Pulmonary Disease: A Literature Review Widjanantie, Siti Chandra; Lestari, Fiona; Nusdwinuringtyas, Nury; Susanto, Agus Dwi
Respiratory Science Vol. 4 No. 3 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v4i3.136

Abstract

Chronic obstructive pulmonary disease (COPD) is a prevalent and debilitating chronic respiratory condition that not only affects the lungs but has far-reaching systemic consequences; one such consequence is the heightened risk of developing sarcopenia, a condition characterized by progressive loss of skeletal muscle mass and strength. Recent studies have highlighted the significant prevalence of sarcopenia among COPD patients, with rates ranging from 7.9% to 66.7%. This association underscores the importance of early identification and intervention to mitigate the adverse outcomes related to both conditions. Managing COPD patients with sarcopenia is fraught with challenges, primarily due to the multifaceted nature of both conditions. Sarcopenia exacerbates the decline in respiratory function and physical performance in COPD patients, complicating treatment and management strategies. The complexity is further amplified by the need for personalized treatment plans that address these conditions' pulmonary and musculoskeletal aspects. Precise assessment and re-evaluation are essential to ensure optimal outcomes and enhance physical and functional well-being. Rehabilitation for COPD patients with sarcopenia involves a multidisciplinary approach, focusing on exercise training, nutritional support, and pulmonary interventions. Pulmonary rehabilitation programs, tailored to individual patient needs and capabilities, have shown promise in improving exercise capacity, functional performance, and overall health status, thereby enhancing the quality of life for these patients.  In this literature review, we will discuss the elevated risk of sarcopenia in COPD patients, highlight the significance of rehabilitation management, and emphasize the pivotal role of precise assessment and re-evaluation in optimizing the care provided to this population.
Risk of Developing Chronic Obstructive Pulmonary Disease in Non-Smoking Adults Exposed to Particulate Matter 2.5 Compared to Those Without Exposure Notariza, Kemas Rakhmat; Amien, Bagus Radityo; Susanto, Agus Dwi
Jurnal Respirologi Indonesia Vol 44 No 4 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i4.478

Abstract

Background: Chronic obstructive pulmonary disease (COPD) development involves a complex pathway of host and environmental factors. Besides cigarette smoking, previous studies showed exposure to air pollution, such as particulate matter sized 2.5 μm or less (PM2.5), might also have an important role in COPD development because it might lead to airway remodeling and chronic lung inflammation. However, the cause-and-effect relationship between PM2.5 and COPD in non-smoking patients is still unclear.Methods: Literature searches were performed in five online medical databases (PubMed, EMBASE, ScienceDirect, EBSCOhost, and Cochrane Library) and hand-searching in Google Scholar. Filtering literature with the inclusion and exclusion criteria resulted in three relevant articles (1 case-control and 2 cohort studies). Critical appraisal was conducted using the Center of Evidence-Based Medicine (CEBM) worksheet from the University of Oxford for etiologic studies.Results: All three articles were considered valid. The prospective cohort was decided unimportant because of the non-significant adjusted hazard ratio (HR 1.23; 95% confidence interval [CI]=0.50-3.06). The case-control and retrospective studies had important results with adjusted odds ratio of 1.29 (95% CI=1.01-1.65) and 1.69 (95% CI=1.11-2.58), respectively. The relatively low number needed to harm (NNH) of 10-23 indicated that PM2.5 exposure was a meaningful factor for the risk of developing COPD in non-smoker adults. Both articles were considered applicable to our case. Conclusion: Non-smoking adults with exposure to PM2.5, compared to those without exposure, are at higher risk of developing COPD.
The 4T Approach for Smoking Cessation Compliance for Pulmonary Tuberculosis Patients in Persahabatan Referral Hospital Septauli, Kolanda Maria; Susanto, Agus Dwi; Agustin, Heidy; Ginting, Tribowo Tuahta; Taufik, Feni Fitriani
Jurnal Respirologi Indonesia Vol 44 No 1 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i1.578

Abstract

Background: Smoking increases the risk of tuberculosis infection and affects its treatment success rate and mortality. Most TB patients who smoke quit at the initial diagnosis, but may continue to smoke if the clinical symptoms improve. Studies show that the 4T approach (Tanya, Telaah, Tolong nasehati, and Tindak lanjut) helps smokers quit. The 4T approach was applied in Indonesia as a smoking cessation program for TB patients.Methods: We conducted a randomized controlled trial on 43 male TB patients who smoke. The trial group received a 4T approach consisting of education, counseling, and motivation to quit smoking for three months. The control group received a self-help leaflet. Smoking status, Fagerström nicotine dependence scale, exhaled carbon monoxide level, and peak expiratory flow rate were collected. We observed the subjects at months 1, 2, and 3 after quitting smoking and reported on the Motivation and Minnesota Withdrawal Scale.Results: Smoking cessation levels during months I, II, and III (Continuous Abstinence Rate I, II, and III) were higher in the trial group than in the control group. The trial group had a higher percentage of smoking cessation than the control group: until 4 weeks (66.7% vs. 54.5%), until 8 weeks (57.1% vs. 45.5%), and until 12 weeks (52.4% vs. 45.5%). The control group had higher numbers of smoking relapses (18.2% vs. 14.3%) and still smokers (18.2% vs. 9.5%) after the study. Withdrawal symptoms included an increase in appetite (44.1%), cigarette cravings (6.9%), agitation (2.3%), insomnia (2.3%), and irritability (2.3%). There were no significant differences in the withdrawal scale between groups (P=0.788), but the trial group showed better motivation to stop smoking during CAR II (P=0.043).Conclusion: The 4T approach is effective in maintaining abstinence from smoking among lung tuberculosis patients until months 1, 2, and 3 after quitting. Smoking cessation programs during tuberculosis treatment can help patients quit smoking and reduce relapse.
Successful Pulmonary Rehabilitation in COPD During COVID-19 Pandemic Era: A Case Report Widjanantie, Siti Chandra; Ayuningtyas, Putu Duhita; Susanto, Agus Dwi
Jurnal Respirologi Indonesia Vol 44 No 2 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i2.597

Abstract

Background: Chronic obstructive pulmonary disease (COPD) patients are at high risk for COVID-19 infection and severe pulmonary complications. Exercise-based pulmonary rehabilitation (PR) in outpatient settings is essential for COVID-19 survivors with COPD comorbidities, providing the most critical patient benefits, but it is challenging during the pandemic.Case: A sixty-four-year-old man with COPD since 2 years ago, a history of COVID-19 one month ago, and Pulmonary Tuberculosis since 1 year ago presented with chief complaints of tiredness, cough, and breathlessness after walking for more than 100 meters. We performed PR, including breathing retraining exercise, chest mobility exercise, active cycle breathing technique (ACBT), posture correction, and aerobic exercise with static ergo-cycle for 8 weeks.Discussion: After 8 weeks of PR, there was a 3% increase in the O2 saturation level from 94-95% room air to 98%, an increase of single breath counting test (SBCT) from 20 to 38 counts, improvement of peak cough flow from 100-110-100 to 420-435-425 L/minute, and peak flow meter from 140-150-145 to 380-400-400 L/minute. Before PR the patient could not perform the sit-to-stand test (STS) and a 6-minute walking test (6MWT), but after 8 weeks of PR, STS was 5 times in 30 seconds, and 6MWT maximum distance was 248 meters. COPD assessment test (CAT) score improved from 23 to 9, and the Modified Medical Research Council (mMRC) dyspnea scale improved from 3 to 2.Conclusion: Eight weeks of pulmonary rehabilitation showed benefits for the patient in reducing dyspnea and improving exercise tolerance and quality of life, especially in hospital-based settings.
Co-Authors Achmad Hudoyo Adityo Wibowo Agustin, Heidy Ahmad Hudoyo Airin Aldiani Alfiyyah, Arifah Amien, Bagus Radityo Anna Rozaliyani Anna Yusrika Antono, Wahyu Arief Riadi Arifin Arif Widiyantoro Arifin Nawas Arifin Nawas Arifin, Arief Riadi Ary Indriana Savitri Ayesya Nasta Lestari Ayuningtyas, Putu Duhita Bahtiar Husain Bambang Dwi Hasto Baskoro, Hario Budhi Antariksa Budi Prasetyo Budi Prasetyo Caecilia Marliana Caecilia Marliana Deva Bachtiar Dewi Yennita Sari Diah Handayani Dita Kurnia Sanie Dita Kurnia Sanie Dita Kurnia Sanie Djasri , Hanevi Erlina Burhan Fahrial Harahap Fahrial Harahap Faisal Yunus Faisal Yunus Faiza Hatim Farhan Hilmi Taufikulhakim Feni Fitriani Feni Fitriani Fiona Lestari, Fiona Fransisca Sinaga Galoeh Adyasiwi Ginting, Tribowo Tuahta Habibi, Januar Hario Baskoro Harris Abdullah Haruyuki Dewi Faisal Hasibuan, Thariq Emyl Taufik Hasto, Bambang Dwi Hayati, Mulida Hera Afidjati Herman Suryatama Hetti Rusmini Husain, Bahtiar Ibrahim Nur Insan Putra Darmawan INDRA YOVI Indy Larasati Wardhana Isbaniah, Fathiyah Isti Mardiana Soetartio Kartikawati, Falah Khairunnisa Imaduddin Kristianto, Kiki Kurniawidjaja, Meily Lestari, Ayesya Nasta Lestari, Fetrina Malsephira Hasmeryasih Marini Puspita Sari Maylani, Lina Mega Juliana Menaldi Rasmin Mia Elhidsi Mirza Purwitasari Mohamad Fahmi Alatas Momon, Ade Muchtarrudin Mansyur Muhammad Alkaff Muhammad Ilyas Mukhtar Ikhsan Nalapraya , Widhy Yudistira Nesia Priandari Nina Aspiah Nina Ratu Nur Kharima Notariza, Kemas Rakhmat Nury Nusdwinuringtyas Nuryunita Nainggolan Prasenohadi Prasenohadi Putra, Andika Chandra Putri C Eyanoer Putri Suci Putri Suci Ramadhany Rahardjo, Tri Apriliawan Bendarto Ratnawati Ratnawati Retno A S Soemarwoto Retno Ariza S Soemarwoto Rita Rogayah Robiana Modjo Rudi Kurniawan Rudy Satriawan Ruswhandi M Samoedro, Erlang Satria Pratama Satria Pratama Savitri, Ary Indriana Seira Putri Boru Rambe Septauli, Kolanda Maria Sita Andarini Sita Laksmi Andarini Soehardiman, Dicky Sri Wening Pamungkasningsih Syafruddin AR Lelosutan Syazili Mustofa Tarigan, Amira Permatasari Taufik, Feni Fitriani Tugas Ratmono Tugas Ratmono, Tugas Wahyuni, Hendra Widjanantie, Siti Chandra Wirya Sastra Amran Zaini, Jamal