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All Journal Jurnal Kesehatan Masyarakat Jurnal Media Gizi Indonesia (MGI) Sari Pediatri Paediatrica Indonesiana Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Indonesian Journal of Medicine Journal of Maternal and Child Health Amerta Nutrition Proceeding Muhammadiyah International Public Health and Medicine Conference Proceeding of International Conference on Special Education in South East Asia Region

Harsono Salimo

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Author-ID : 369345

Humanities Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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KEEFEKTIFAN PROGRAM KELOMPOK PENDUKUNG IBU DALAM MENGUBAH PERILAKU IBU MENYUSUI Ichsan, Burhannudin; Salimo, Harsono; Soebijanto, H.A.A.
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3380

Pemerintah Surakarta menyelenggarakan program kelompok pendukung ibu untuk meningkatkan cakupan ASI eksklusif. Penelitian cross sectional ini bertujuan menganalisis perbedaan pengetahuan, sikap, dan tindakan ASI eksklusif antara ibu-ibu yang mengikuti dan tidak mengikuti pada tahun 2014. Populasi penelitian adalah ibu-ibu yang memiliki bayi berusia 6-24 bulan. Besar sampel yaitu 384. Hasil uji Mann-Whitney menunjukkan bahwa pengetahuan dan sikap tentang ASI eksklusif pada ibu-ibu yang mengikuti program pendukung ibu lebih tinggi secara bermakna dibanding ibu-ibu yang tidak mengikuti (p=0,04Â dan p=0,001). Uji Chi-Square menunjukkan bahwa tidak terdapat perbedaanÂ tindakan yang bermakna pada kelompok tersebut (p=0,82). Regresi logistik dilanjutkan tes stratifikasi menunjukkan bahwa dukungan keluarga lain (selain suami) merupakan variabel perancu. Kesimpulannya yaitu ibu-ibu yang mengikuti program pendukung ibu memiliki pengetahuan dan sikap yang lebih tinggi secara bermakna dibanding yang tidak mengikuti.Â Surakarta government established mother support group program to increase covering of exclusive breastfeeding. This cross sectional study aimed to analyze the difference of knowledge, attitude, and practice of exclusive breastfeeding among mothers who followed and did not follow in 2014.Â The population was mothers whose babies aged 6-24 months old. Sample size was 384. The results of the Mann-Whitney test shows that knowledge and attitude about exclusive breastfeeding in mothers who follow mother support group program significantly higher than mothers who did not follow (p=0,04 and p=0,001). The chi-square test shows that there is not significant difference practice in those group (p=0,82). Logistic regression continued with stratification test showed that other family support (besides her husband) is a confounding variable. The conclusion shows that mothers who follow the program have significantly higher knowledge and attitude about exclusive breastfeeding than mothers who did not.

Multilevel Analysis on the Contextual Effect of Village and Sociodemographic Factors on Neonatal Death in Karanganyar, Central Java Sukoco, Amin; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.506 KB)

Background: Globally, the number of neo

Comparison Neutrophil to Lymphocyte Count Ratio with C-Reactive Protein as a Predictor for Neonatal Sepsis Nugroho, Irfan Dzakir; Hidayah, Dwi; Salimo, Harsono
Indonesian Journal of Medicine Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Accurate early detection of bacteriemia plays an important role in the treatment and prognosis of infected neonates, but is constrained by the limitations of specific sepsis markers for detecting bacteriemia. NLCR or neutrophil to lymphocyte count ratio in adult population shows a more sensitive parameter in predicting infection and has the advantage of being economical and widely available. The role of NLCR in the neonatal population has not been widely studied. The purpose of this study was to analyze NLCR versus CRP as a predictor of neonatal sepsis.Subjects and Method: This study take analytic observatinal with diagnostic test approach to subject with sepsis risk factor and neonatal sepsis at dr. Moewardi hospital from April until May 2017. Characteristics data as gestational age, gender, birth weight, IT ratio, leucocyte count, neutrophil and lymphocyte count, NLCR, CRP and blood culture. Data presented descriptively and statistical analysis was performed.Results: No significant correlation between subject’s characteristics and neonatal sepsis. NLCR with cutoff point for 2.22 has sensitivity, specificity, positive and negative predictive value for 87.5%, 75%, 70% and 90%, respectively. CRP with cutoff point for 0.25 has sensitivity, specificity, positive and negative predictive value for 83.3%, 55.6%, 55.6% and 83.3% respectively. While IT-rasio has sensitivity, specificity, positive and negative predictive value for 29.2%, 91.7%, 70% and 66%, respectively.Conclusion: NLCR has a satisfactory predictive value for neonatal sepsis that widely available and economic predictor alternative with cutoff point for 2.22.Keywords: NLCR, CRP, predictor, neonatal sepsisCorrespondence: Irfan Dzakir Nugroho. Masters Program in Family Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java.Indonesian Journal of Medicine (2021), 06(01): 112-118https://doi.org/10.26911/theijmed.2021.06.02.02

Hubungan rasio netrofil limfosit dengan hipertensi arteri pulmonal pada anak dengan penyakit jantung bawaan asianotik Galih Herlambang; Sri Lilijanti Widjaja; Yulidar Hafidh; Harsono Salimo
Sari Pediatri Vol 21, No 2 (2019)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp21.2.2019.96-101

Latar belakang. Hipertensi arteri pulmonal (HAP) merupakan komplikasi yang sering terjadi penyakit jantung bawaan (PJB). Peningkatan tekanan vaskular paru disebabkan oleh disfungsi sel endotel paru yang ditandai oleh inflamasi perivaskular. Rasio neutrofil limfosit (RNL) merupakan salah satu penanda biologis inflamasi yang murah dan mudah dan berhubungan dengan penyakit jantung.Tujuan. Untuk mengetahui hubungan RNL dengan HAP pada anak dengan PJB asianotik.Metode. Penelitian potong lintang pada pasien anak usia 1 bulan â€“ 18 tahun dengan penyakit jantung bawaan sianotik yang dirawat dan/atau poliklinik anak RSUD dr. Moewardi Surakarta antara Januari 2018 â€“ Januari 2019. Diagnosis HAP berdasarkan pemeriksaan ekokardiografi Doppler. Semua subyek dilakukan pemeriksaan darah rutin lengkap. Analisis data dengan uji t tidak berpasangan, uji Mann Whitney dan uji chi square/fisher exact test. Hasil. Tiga puluh pasien PJB asianotik (aliran sistemik ke paru) terdiri atas 17 anak laki-laki, 13 anak perempuan. Hipertensi arteri pulmonal terjadi pada 17 pasien dan tidakHAP sebanyak 13 pasien. Defek PJB paling banyak defek septum atrium (DSA) dan defek septum ventrikel (DSV). Rasio neutrofil limfosit pada HAP lebih tinggi daripada tidak HAP pada anak dengan PJB asianotik (3,56Â±1,07 vs 2,04Â±0,34; p<0,001). Nilai cut off point RNL sebesar 2,355 dengan nilai AUC sebesar 0,901 dengan sensitivitas 84,2% dan spesifisitas 84,6%. Kesimpulan. Peningkatan RNL berhubungan dengan HAP pada anak dengan PJB asianotik.

Perbedaan Kadar Thyroid Stimulating Hormone dan Free Thyroxine pada Pasien Talasemia Î’-Mayor dengan Kelasi Besi Deferasirox dan Deferiprone Aries - Krisbiyantoro; Harsono Salimo; Annang Giri Moelyo
Sari Pediatri Vol 19, No 4 (2017)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Latar belakang. Talasemia Î² Mayor merupakan kelainan herediter yang disebabkan gangguan produksi rantai globin. Transfusi rutin menyebabkan kelebihan besi yang tertimbun dalam jaringan sehingga menyebabkan kardiomiopati, gangguan liver, dan komplikasi endokrin. Tiroid merupakan kelenjar endokrin yang berperan penting bagi anak. Pengendapan besi di kelenjar tiroid dapat menyebabkan gangguan fungsi tiroid. Pemberian kelasi besi deferiprone dan deferasirox dan pengaruhnya pada kadar TSH dan FT4 perlu dievaluasi lebih lanjut.Tujuan. Menganalisis perbedaan kadar TSH dan FT4 pada pasien anak dengan talasemia Î² mayor menggunakan kelasi besi deferiprone dan deferasirox Metode. Penelitian analitik dengan rancangan potong lintang (cross sectional) terhadap 43 pasien talasemia Î² mayor anak berusia 9-18 tahun pada bulan April sampai Juni 2017. Pemilihan subjek dilakukan secara consecutive sampling. Data di analisis dengan SPSS 20 mengunakan uji t independen dan uji man whitney.Hasil. Rerata usia pasien 12,5+3,12 tahun. Rerata kadar TSH kelompok deferiprone dan deferasirox adalah 3.051,78 IU/ml dan 2.351,29 IU/ml. Sedangkan rerata kadar FT4 untuk kelompok deferiprone dan deferasirox 15.424,12 mmol/l dan 15.822,75 IU/ml. Tidak terdapat perbedaan kadar TSH dan FT4 pada kelompok yang mendapatkan deferasirox dan deferiprone berturut-turut nilai TSH (p=0,148; p>0,05) dan FT4 (p=0,836; p>0,05). Kesimpulan. Tidak terdapat perbedaan kadar TSH dan FT4 pada pasien talasemia beta mayor yang mendapatkan kelasi deferasirox maupun deferiprone.

Association between C-reactive protein levels and physical fitness in 7 to 9 year old children at poor elementary schools in Surakarta, Indonesia Lilisianawati Lilisianawati; Endang Dewi Lestari; Diana Mayasari Hadianto; Maria Galuh Kamenyangan Sari; Leilani Lestarina; Harsono Salimo
Paediatrica Indonesiana Vol 49 No 2 (2009): March 2009
Publisher : Indonesian Pediatric Society

BackgroundÂ DataÂ regarding inflammatory factorsÂ inÂ children arenotÂ soÂ well developedÂ asÂ in adults. Higher levelsÂ ofÂ physical fitnessmay be helpful in modifying the low-grade inflammatory stateÂ thatisÂ indexedÂ byÂ C-reactive protein (CRP) levels.ObjectiveÂ ToÂ evaluate the associationÂ ofÂ physical fitness withÂ CRPlevels in childrenÂ andÂ to identify the possible related factors.MethodsÂ ThisÂ cross-sectional study wasÂ conductedÂ atÂ poorelementary schools in Surakarta, Indonesia using a groupÂ ofÂ 217underweight children aged from 7 to 9 years old. Physical fitnesswas assessed using a modified Harvard Step Test.Â CRPÂ levels weremeasured using a high-sensitivityÂ assay.Â TheÂ association betweenphysical fitness andÂ CRPÂ level was assessed using linear regressionanalysis. Multivariate analyses were used to adjust covariates,and statistical analyses were performed using SPSS for Windowssoftware version 15.0.ResultsÂ Subjects were 48% femaleÂ andÂ 52% male, and elevenchildren (5%) had aÂ CRPÂ levelÂ >Â 5 mg/L. Mean fitness levelÂ andCRPÂ level did not differÂ byÂ age and gender. Fitness level was notinversely correlated withÂ CRPÂ (r=0.10,Â P=0.14).Â Physical fitnesswas significantly correlated with BMIÂ (r=0.14;Â P=0.04),Â physicalactivityÂ [0R=3.3Â (95% CIÂ 1.7Â to 6.4)], and fat intakeÂ [0R=0.5(95%Â CIÂ 0.2 to 0.9) ].ConclusionÂ These findings indicateÂ thatÂ physical fitnessÂ isÂ notinversely correlated toÂ CRPÂ levels in children. However, ourstudy reveasedÂ anÂ association between high fat intake and lowphysical fitness as wellÂ asÂ a significant associationÂ betweenhigh physical activiry and physical fitness.

Effect of iron ... zinc fortified milk on iron status and functional outcomes in underweight children Endang Dewi Lestari; Saptawati Bardosono; Leilani Lestarina; Harsono Salimo
Paediatrica Indonesiana Vol 49 No 3 (2009): May 2009
Publisher : Indonesian Pediatric Society

Background Iron and zinc are essential micronutrients duringschool-age period. Milk could be an alternative medium formineral fortification because it is consumed frequently bychildren.Objective To evaluate the effect of iron-zinc fortified milksupplementation on iron status and functional outcomes inunderweight children.Methods 44 2 underweight subjects aged 7-10 years attending 10primary schools in Jakarta and Solo were recruited in the study.Subjects who had chronic illnesses, severe anemia, thalassemiaor cow's milk allergy were excluded. Blood samples were analyzedto determine hemoglobin, serum ferritin and serum zinc. SerumCRP was measured in sub sampled subjects (n= 60). Subjectswere randomizedly allocated to receive iron-zinc fortified milk(n = 225) and standard milk (n = 217) for six months. The fortifiedmilk will provide additional6.3 mg iron and 1.5 mg zinc per day (2feeds). The main outcomes measured were iron status, cognitivefunction, growth, physical fitness and morbidity.Results Study groups were comparable at baseline. The fortifiedmilk group had better physical fitness score and exercise durationat baseline. Both milk supplementations reduced the prevalenceof anemia and iron deficiency. Fortified milk improved the speedprocessing score (P< 0.0001), height (P<0.0001) and sittingheight (P=O.Ol) significantly.Conclusion Supplementation of milk reduces the prevalence ofanemia and iron deficiency. Zinc-iron fortified milk gives positiveimpact on cognitive performance, growth, and physical fitness.

Hubungan Pemberian Asi Eksklusif Dan Status Gizi Ibu Dengan Pertumbuhan Lingkar Kepala Bayi Usia 6 Bulan Ivanda Glanny Anindya; Harsono Salimo; Yulia Lanti Retno Dewi
Amerta Nutrition Vol. 3 No. 4 (2019): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v3i4.2019.263-268

Background: Measurement of head circumference is highly crucial during the early years of life which considered as an anthropometric parameter substantially correlated with brain size. The emergence of head circumference aberration functions to warn of abnormal brain development. Breast milk is the ideal nutritional provider that babies need for optimal healthy growth. Nursing mothers with good nutrition will affect their nutritional status. The nutritional status will determine the quantity and quality of dairy products that indirectly play a role in determining children’s nutritional status.Objective: Analyzing the relationship between exclusive breastfeeding and maternal nutritional status with the growth of the head circumference of 6 months old infants.Method: Using a cross-sectional design in the Kaliwates, Jember. Subjects were 6 months old infants in which 128 babies were selected by purposive sampling. Data on maternal nutritional status were based on Body Mass Index (BMI). Data on exclusive breastfeeding were based on interviews and KMS data. The baby’s head circumference data were based on direct measurements and those were interpreted using WHO growth charts. Then, the data were analyzed using Chi-Square test.Results: The results showed that there was a significant relationship between exclusive breastfeeding (p<0.001) and maternal nutritional status (p=0.028) with the growth of the baby’s head circumference.Conclusion: Exclusive breastfeeding and maternal nutritional status are associated with the growth of the baby’s head circumference. ABSTRAKLatar Belakang : Pengukuran lingkar kepala sangat penting selama tahun awal kehidupan, hal ini merupakan parameter antropometri yang sangat berkorelasi dengan ukuran otak. Terjadi penyimpangan pada lingkar kepala, maka memperingatkan perkembangan otak yang tidak normal. Air susu ibu merupakan penyedia nutrisi ideal yang dibutuhkan bayi untuk pertumbuhan yang sehat secara optimal. Ibu menyusui dengan pemenuhan gizi yang baik akan mempengaruhi status gizinya. Status gizi tersebut akan menentukan kuantitas dan kualitas produk susu yang secara tidak langsung berperan dalam menentukan status gizi anak.Tujuan : Menganalisis hubungan pemberian ASI eksklusif dan status gizi ibu dengan pertumbuhan lingkar kepala bayi usia 6 bulan.Metode : Menggunakan desain cross-sectional di wilayah Kecamatan Kaliwates, Kabupaten Jember. Subjek penelitian adalah bayi usia 6 bulan, 128 bayi dipilih dengan purposive sampling. Data status gizi ibu berdasarkan IMT. Data pemberian ASI eksklusif berdasarkan wawancara dan data KMS. Data lingkar kepala bayi berdasarkan pengukuran langsung dan diinterprestasikan menggunakan grafik pertumbuhan WHO. Analisis data menggunakan uji Chi-Square.Hasil : Hasil penelitian menunjukkan bahwa ada hubungan yang bermakna antara pemberian ASI eksklusif (ρ = <0,001 dan OR 9,58) dan status gizi ibu (ρ = 0,028 dan OR 0,28) dengan pertumbuhan lingkar kepala bayi usia 6 bulan.Kesimpulan : Pemberian ASI eksklusif pada bayi akan memberikan pertumbuhan lingkar kepala yang normal dibandingkan bayi yang tidak diberikan ASI eksklusif dan pada ibu yang memiliki status gizi baik juga akan memberikan pertumbuhan lingkar kepala bayi yang normal dibandingkan dengan ibu berstatus gizi kurang dan gemuk. Kata kunci : status gizi, ASI eksklusif, lingkar kepala

Survival and prognostic factors in pediatric osteosarcoma: A 5-year single-center experience in Central Java, Indonesia Riza, Muhammad; Salimo, Harsono; Wasita, Brian; Idulhaq, Mujaddid; Saputra, Rhyan Darma; Widyaningsih, Vitri; Soestrisno, Soestrisno; Zahidah, Fairuz; Wayanshakty, Janur
Paediatrica Indonesiana Vol. 64 No. 1 (2024): January 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.1.2024.10-6

Background The advent of chemotherapy with multimodal treatment has improved the survival rate of osteosarcoma. However, the survival rate of patients with osteosarcoma in low- and middle-income countries (LMICs) remains lower than in high-income countries (HICs). Objective To assess prognostic factors associated with survival rate of pediatric patients with osteosarcoma in Moewardi Hospital, Surakarta. Methods This retrospective study was performed in pediatric osteosarcoma patients at Moewardi Hospital, Surakarta from 2018 to 2022. We described patients’ clinical presentations and assessed prognostic factors. Survival rate was calculated using Kaplan–Meier survival analysis. Prognostic factors were analyzed using univariate and multivariate Cox regression methods. Results Of the 82 patients included in the study, 40 (48.8%) were male and 42 (51.2%) were female. Most subjects (75.6%) were diagnosed with osteosarcoma at the age of >10 years, 45 patients (54.9%) had primary tumors in the femur, and 16 patients (19.5%) had limb salvage surgery. The mean event-free survival duration was 13.6 (95%CI 9.7 to 17.5) months. The mean duration of overall survival was 22.7 (95%CI 17.3 to 28.1) months, with a 44.1% survival probability. Type of surgery was a significant prognostic factor (P=0.018), with limb salvage having better survival probability (93.3%) than amputation (19.8%). Conclusion The overall survival rate of osteosarcoma patients at our center is still lower than in other regional centers. Limb salvage surgery was a significant prognostic factor for survival, while gender, location of primary tumor, histological subtype, and metastasis at the time of diagnosis were not.

A Scoping Review of Educational Intervention on Feeding Practice for caregivers to Support Eating and Drinking Ability of Children with Cerebral Palsy Sagita, Desita Ike; Salimo, Harsono; Andayani, Tri Rejeki
Proceeding of International Conference on Special Education in South East Asia Region Vol. 2 No. 1 (2023): 13th International Conference on Special Education in South East Asia Region (I
Publisher : Angstrom Centre of Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57142/picsar.v2i1.82

Children with cerebral palsy (CP) have eating and drinking difficulties, so caregivers should have knowledge and skills about feeding practice. Education to caregivers about feeding practice aims to support children with CP to be able to eat and drink safely and efficiently. Feeding practice about diet, food consistency, food variety, and appropriate eating and drinking utensils for children with CP can support their functional ability in receiving food and drinks. The method used was the scoping review of articles obtained from PUBMED, Science Direct, and Google Scholar database. The articles obtained were then selected using the article selection diagram. This review focused on feeding practice educational intervention for caregivers to support the eating and drinking ability of children with CP. The results showed that the caregivers’ knowledge and skills in carrying out the feeding practice could increase the safety, time efficiency, and eating and drinking ability of children with CP.

Co-Authors -, Suradi Abd. Rasyid Syamsuri Adi Magna Patriadi Nuhriawangsa Alfianrisa, Anggityas Alinda Nur Ramadhani Anggraini, Yeni Anindya, Ivanda Glanny Annang Giri Moelyo Annang Giri Moelyo Argyo Demartoto, Argyo Aries - Krisbiyantoro Arini Tri Lestari Astuti, Fitriyani Dwi Azis Halid, A Annisa Ashliyatul Aziza Bachtiar, Harrys Bhisma Murti Brian Wasita Burhannudin Ichsan Dhewi Nurahmawati Diana Mayasari Hadianto Didik Tamtomo, Didik Dwi Hidayah Dwi Wijayanti Dyah Ratna Budiani Eko Dewi Ratna Utami Endang Dewi Lestari Endang Sutisna Sulaeman Eti Kuswandari Eti Poncorini Pamungkasari Fadhilah Tia Nur, Fadhilah Tia Farida, Jauharotul Fauziyah, Rahma Fitria Mushollini Galih Herlambang H.A.A. Soebijanto Hardilla, Dinda Septiani Hartanti, Ainurrizma Tri Idulhaq, Mujaddid Ika Yuli Ayuningrum Ilma, Nabilah Nurul Indriasih, Merlita Indriasih, Merlita Indriyani, Eny Inggar Ratna Kusuma Iskandar, Nurdin Aji Ivanda Glanny Anindya Juhrotun Nisa, Juhrotun Khalifah, Intan Noor Kusumastuti, Nurry Ayuningtyas Kusumawardhani, Wahyu Leilani Lestarina Lestari, Nining Lilik Retna Kartika Sari Lilisianawati Lilisianawati Listiani, Funik Rahma Mei Maria Galuh Kamenyangan Sari Marlinawati, Iin Tri MS, Novi Paramitasari Muhammad Riza Muslimah, Putri Andini Nabilah Nurul Ilma Nugraha, Sandi Nugroho, Irfan Dzakir Nur Hafidha Hikmayani Nurmayanti, Rika Poncorini, Eti Prasetyo, Medita Rahmah Rahmah Risya Cilmiaty, Risya Rita Adriani Benya Adriani Riza, Muhamad Rohaniyati, Retno Dwi Rokhayati, Rokhayati Rokhayati, Rokhayati Safriana, Latifah Sagita, Desita Ike Saptawati Bardosono Saputra, Rhyan Darma Sari, Lutfiana Puspita Setyorini, Wenny Sinta, Prabawati Soestrisno, Soestrisno Soetrisno Soetrisno Sri Lilijanti Widjaja Sri Martuti Sukoco, Amin Sumardiyono Sumardiyono Titah Pujangkara, Ajeng Ayu Tri Rejeki Andayani Trisnawati, Iga Uki Retno Budihastuti USMAN, FAHMIL Vitri Widyaningsih Wayanshakty, Janur yulia lanti retno dewi Yulia Lanti Retno Dewi Yulidar Hafidh Yusup Subagio Zahidah, Fairuz Zummatul Atika

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