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POTENTIAL USE OF VIRTUAL REALITY IN OVERCOMING NEEDLE PHOBIA IN COVID-19 VACCINATION Penggalih Mahardika Herlambang; Nanang Wiyono; Hendry Gunawan; Rani Tiyas Budiyanti
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 6 (2021): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v10i6.31504

Abstract

Background: Vaccination is very important because it can help prevent diseases that can be prevented by immunization (PD3I) such as polio, tetanus, diphtheria, measles, mumps, and rubella. During the Coronavirus Disease -19 (COVID-19) pandemic, the role of vaccination is very crucial, especially to reach herd immunity. However, there are many problems related to the implementation of vaccination, including needle phobia, which is a phobia of needles because it is considered painful. Virtual reality is a technology that develops in the form of a virtual image that can be used in vaccination services. This study aims to determine the potency of virtual reality to solve the needle phobia in vaccination services.Methods: The method used in this study is a literature review with sources from journals in the Scopus, ProQuest, and ScienceDirect database that was published in 2000 until 2020, and also books and articles with the keywords "virtual reality" "AND" "immunization," virtual reality " AND " vaccination " , "Needle phobia" "AND" "vaccination". This research was conducted from January to February 2021.Results: Based on the results obtained, virtual reality can be used in vaccination services, especially in the treatment of needle phobia. Virtual reality can become a distraction so that the patient will be distracted from fear and can lower the pain threshold. In addition, virtual reality can also be used as a means of education about immunization.Conclusion: Product development and clinical research need to be developed to assess the use of virtual reality in vaccination services during the COVID-19 pandemic. The use of virtual reality for other medical procedures that use needles can also be further investigated
KESIAPAN AKREDITASI KLINIK PRATAMA DALAM MENINGKATKAN MUTU PELAYANAN KESEHATAN Melinda Novitasari; Rani Tiyas Budiyanti; Ayun Sriatmi
Jurnal LINK Vol 18, No 1 (2022): MEI 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.099 KB) | DOI: 10.31983/link.v18i1.7685

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Akreditasi merupakan penilaian fasilitas kesehatan oleh Komisi Akreditasi agar fasilitas kesehatan dapat memberikan pelayanan yang berkualitas sesuai standar. Belum dilakukanya akreditasi berdampak pada mutu kinerja Klinik Pratama, kepuasan pasien, kualitas SDM, keamanan SDM dan keberlanjutan kerjasama antara Klinik Pratama dengan BPJS. Penelitian ini bertujuan untuk menganalisis kesiapan Klinik Pratama dalam menghadapi akreditasi di Kapubaten Cirebon dan faktor–faktor yang mempengaruhinya menggunakan metode kualitatif – deskriptif. Pengambilan data dilakukan melalui wawancara mendalam kepada subjek yang dipilih menggunakan teknik purposive sampling. Berdasarkan hasil penelitian, Klinik Pratama di Kabupaten Cirebon belum membentuk tim akreditasi, dikarenakan pengetahuan SDM terkait persiapan akreditasi masih minim dan belum memiliki pedoman akreditasi. Akibatnya, perencanaan administratif manajemen akreditasi belum dilakukan. Selain itu, anggaran akreditasi masih dialokasikan untuk pemenuhan fasilitas yang menyebabkan alokasi anggaran pada akreditasi tidak maksimal. Berdasarkan hal tersebut, Klinik Pratama di Kabupaten Cirebon belum siap menghadapi akreditasi karena terkendala persiapan akreditasi pada faktor standar dan tujuan kebijakan, sumber daya, komunikasi, karakteristik lembaga pelaksana, dan dukungan dinas kesehatan yang belum optimal.
Comparative Study of Sex Selection in Assisted Reproductive Technology’s Regulation Between Indonesia and England Rani Tiyas Budiyanti; Anggita Doramia Lumbanraja
SOEPRA Vol 6, No 1: Juni 2020
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (393.155 KB) | DOI: 10.24167/shk.v6i1.2627

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Sex selection through assisted reproduction technology can be done by sperm sorting and Pre-Implantation Genetic Diagnosis (PGD) However, there were different regulations in many countries. This study aims to determine the regulation of sex selection with assisted reproductive technology in Indonesia and its comparison with other countries, namely the United Kingdom. This research was a normative study with a comparative and statue approach. Based on research, regulations regarding sex selection with assisted reproduction in Indonesia have been regulated in Government Regulation No. 61 of 2014 concerning Reproductive Health. Indonesia legalizes sex selection by assisting reproduction for second and subsequent children without differentiating the underlying medical and non-medical reasons. The sex selection method regulated in the regulation is the sperm sorting method, whereas, for the PGD method. It has not been regulated further, Indonesia does not yet have further regulations regarding the implementation of sex selection by assisting reproduction along with negative excesses that can occur. Whereas the UK legalizes the selection of sex by assisting reproduction for serious medical reasons and does not allow for non-medical reasons. The sex selection method regulated in the regulation is PGD. Organizing sex selection in the UK will be done after obtaining a license from the Human Fertilization and Embryology Authority (HFEA).
STRENGTHENING MATERNAL AND CHILD PROGRAM IN INDONESIA THROUGH INTEGRATED PLANNING AND BUDGETING Sutopo Patria Jati; Ayun Sriatmi; Martini Martini; Rani Tiyas Budiyanti; Nikie Astorina Yunita Dewanti; Nurhasmadiar Nandini; Budiyono Budiyono; Syamsulhuda B M
Journal of Public Health for Tropical and Coastal Region Vol 3, No 1 (2020): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v3i1.8709

Abstract

Background: Indonesia applies decentralization policy in health sector. However, there are Health Minimum Service Standards (HMSS) that must be met at provincial and district level. In district level, there are 12 indicators that must be achieved include of maternal and child health with the coverage must be 100%. Nevertheless, there are various problems in achieving HMSS both quantity and quality aspect. This study aimed to determine the problems that were happened and determine alternative solutions in the implementation of HMSS especially in maternal and child sector.Methods: This research was done in three steps. The first step was conducted by Focus Group Discussion (FGD) with participant from many stakeholders in Central Java and Yogyakarta. This step aims to identify problems in the implementation of HMSS and develop the alternative solution. Second stage was developing the conceptual framework.Results: Based on the research, there are many problems in quantitative and qualitative aspects related to healthcare services. Program planning and budgeting is the main key to achievement HMSS. In second and third steps, an integrated planning and budgeting framework between multisector was obtained including problem identification, problem cause analysis, multisector identification, setting solutions and programs, planning and budgeting, and monitoring and evaluation. So that, there were no overlapping programs, less optimal, and lack of supervision and guidance.Conclusions: Integrated planning and budgeting was alternative solution to solve the implementation problem in HMSS especially in maternal and child aspect. However, strong commitment and monitoring was needed between stakeholder.
Workplace Requirements in New Normal Era due to COVID-19 Pandemic: Design Criteria and Health Environment Perspectives Undayani Cita Sari; Rani Tiyas Budiyanti
Journal of Public Health for Tropical and Coastal Region Vol 3, No 2 (2020): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v3i2.8628

Abstract

New normal era is being done in many countries after COVID-19 pandemic. This era allows people back to office with certain condition. Many requirements must be fulfilled in workplace before starts new normal era. This study aims to identification workplace requirements in new normal era. Evaluation of this study obtained from design engineering criteria and health environment perspective which used literature review method. Based on the analysis, it shows that there are many requirements that must be fulfilled to create safety zone in workplace in new normal era such as workspace layout, ventilation, lighting, establishment of equipment, and thermal comfort. Design of workplace which is ergonomic and health environment also be developed in this research. However, employee still keep applying health protocol in office.
HUBUNGAN DOKTER-PASIEN MELALUI MEDIA SOSIAL DITINJAU DARI PRINSIP DASAR BIOETIKA Rani Tiyas Budiyanti
Majalah Kedokteran Andalas Vol 37 (2014): Supplement 1 | Published in March 2014
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (708.65 KB)

Abstract

AbstrakPerkembangan teknologi yang ditandai munculnya berbagai alat canggih, kemudahandan kecepatan akses informasi serta komunikasi terjadi di segala aspek kehidupan masyarakattermasuk aspek kedokteran. Munculnya web 2.0 memudahkan penyebarluasan informasi olehadmin maupun pengguna. Salah satunya adalah munculnya media sosial yang dapat diaksesoleh siapa saja, termasuk dokter dan pasien. Fleksibilias dan keterbukaan penggunaan mediasosial menyebabkan pergeseran makna 'kontrak terapeutik' antara dokter dan pasien.Kebebasan interaksi antara dokter pasien mulai dari masalah personal hingga konsultasimasalah kesehatan dapat dilakukan melalui media sosial seperti facebook atau twitter denganmudah dan cepat. Seorang dokter seharusnya berpijak pada kaidah dasar bioetika sebagaiprinsip dasar hubungan dokter-pasien. Hubungan melalui media sosial sebaiknyadipertimbangkan lebih lanjut berdasarkan konsep beneficience, otonomy, nonmaleficience, danjustice. Hubungan dokter-pasien melalui media sosial memberikan efek yang menguntungkanbagi dokter dan pasien, dengan syarat terdapat aturan terlentu yang harus disepakati bersama.Kata kunci: hubungan dokter-pasien, media sosial, prinsip dasar bioetikaAbstractTechnology improvemenf resuifs variety of sophisticated tool, ease of communication inall aspects of iife including meriical aspecfs. The advent of Web 2.0 facilitate dissemination ofinformation by the admin and user. One of them is social media that can be acces-ced by anyane,inctuding doctors and patients. Flexibility oi social media change the meaning of 'therapeuticcontract' between doctors and patients. Free interactions between physicians and patients aboutpersonal to heatth problems can be done through social media like facebook or twitter easily andquickly A doctor should stand on the basic principles of bioethics as a l.rasic principle of thedoctor - patient relationship. Relationship through social media should be considered further bythe concept of beneficience, otonomy, nonmaleficience, and iustice. Doctor-patient relationshipthrough social ntedia provide a beneficial effect for doctars and patients with the ceftain rules.Keywords. doctor - patient relattonship, social media, basic principles of bioethics
Tantangan Etika dan Hukum Penggunaan Rekam Medis Elektronik dalam Era Personalized Medicine Rani Tiyas Budiyanti; Penggalih Mahardika Herlambang; Nurhasmadiar Nandini
Jurnal Kesehatan Vokasional Vol 4, No 1 (2019): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.363 KB) | DOI: 10.22146/jkesvo.41994

Abstract

Background: Personalized medicine is one of the health treatment approaches that has developed in the last ten years. This treatment is specific because it considers the genomics of patients and requires a complete database or medical record covering clinical and genomic data. Nevertheless, there are ethical and legal challenges in the implementation of electronic medical records in personalized medicine.Objective: This study aimed  to determine the ethical and legal challenges in the use of electronic medical records in personalized medicine based on previous literature.Methods: The method used in this study was literature review with sources from journals, books, and articles on electronic medical records, personalized medicine, as well as legal and ethical aspects related both domestically and abroad. Results: Ethical and legal challenges that can occurred in the use of electronic medical records in the personalized medicine era include security and ownership of data, legal responsibility, genomic discrimination, and changes in the relationship between doctors and patients.Conclusion: Indonesia does not yet have specific regulations regarding data security, data ownership, and data sharing in the health sector. Further regulations regarding the use of electronic medical records in the personalized era are needed so that their implementation does not conflict with the ethics and laws that apply in Indonesia
Pemberdayaan Kader Dalam Manajemen KIPI Pada Vaksinasi Covid-19 Di Wilayah Kerja Puskesmas Bandarharjo Rani Tiyas Budiyanti; Nurhasmadiar Nandini; Sutopo Patria Jati; Septo Pawelas Arso; Eka Yunila Fatmasari
Journal of Community Development Vol. 2 No. 2 (2022): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.487 KB) | DOI: 10.47134/comdev.v2i2.41

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Indonesia targeting that at least 70% of the population vaccinated and formed the herd immunity. However, there are several challenges in reaching that target, such as the anti-vaccine movements, disinformation or hoaxes, fear of the Adverse Event Following Immunization (AEFI), and fear of needles. Based on the preliminary study, the area of Bandarharjo Public Health Centre was in the lowest 3rd place related to the COVID-19 vaccination coverage in Semarang. This was due to lack of education to the community regarding the vaccination, the high resistance to vaccination due to concerns about AEFI, and so on. Health cadres are one of the main actors in the supporting the health programs in PHC, therefore the role of health cadres need to be optimized in education and management of AEFI related to COVID-19 vaccination. This community service program was carried out offline in 30 health cadres in the working area of Bandarharjo PHC. The activity began with a pre-test, continued with the presentation of the topic, discussion session, and ends with post-test. The results of the pre-test and post-test showed that there was an increase in the knowledge of cadres between before the presentation and after the presentation session. Health cadres also received booklets containing general information about COVID-18 vaccination and also related to AEFI. Booklets given to cadres not only to increase their knowledge but also can be used to educate the community. Hopefully, with the increase in knowledge and understanding of cadres, the community will be easily get the right information. The health cadres commitment to educate the community regarding COVID-19 vaccination also hoped to increase the community knowledge related to the vaccination and also the willingness of community to receive the COVID-19 vaccination, especially in the working area of Bandarharjo PHC, Semarang City, Central Java Province.
PERLINDUNGAN HUKUM PASIEN DALAM LAYANAN KONSULTASI KESEHATAN ONLINE Rani Tiyas Budiyanti; Penggalih Mahardika Herlambang
Jurnal MHKI Vol 1 No 01 (2021): Volume 01, Nomor 01, April 2021
Publisher : Masyarakat Hukum Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.728 KB) | DOI: 10.53337/jhki.v1i01.1

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Online medical consultation or often known as teleconsultation is part of telemedicine. The technology began to develop in Indonesia in line with the development of information technology. Flexibility of time, lower consultation costs, wide coverage, and improved health services are the benefits gained from implementing the technology. Nevertheless, the implementation of online medical consultation has potency to create ethical and legal issues in Indonesia such as legality of healthcare, legality of practice licenses, therapeutic transactions, and the issue of confidentiality and security of patient data. Indonesia does not yet have a specific regulation on the implementation of online doctor consultations. Regulations are required for the implementation of online medical consultation so that not to conflict with ethics and law. In addition, information technology in the health sector should be developed to support the implementation of online medical consultation services.
SYSTEMATIC REVIEW PELAKSANAAN PROGRAMMATIC MANAGEMENT OF DRUG-RESISTANT TUBERCULOSIS PADA PASIEN TUBERKULOSIS RESISTAN OBAT Fitri Aviana; Sutopo Patria Jati; Rani Tiyas Budiyanti
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 2 (2021): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (43.52 KB) | DOI: 10.14710/jkm.v9i2.28719

Abstract

Drug Resistance Tuberculosis (DR TB) adalah penyakit TB yang telah mengembangkan resistansi terhadap satu atau lebih obat anti tuberkulosis (OAD) berdasarkan uji laboratorium yang terstandarisasi dan merupakan salah satu masalah kesehatan yang mengancam keberhasilan pengendalian TB. WHO membentuk Programmatic Management of Drug-Resistant Tuberculosis (PMDT) sebagai upaya pengendalian DR TB. Kajian pustaka ini bertujuan untuk mengetahui implementasi strategi PMDT dalam pengendalian DR TB. Penelitian ini menggunakan metode tinjauan sistematis dengan pendekatan sederhana. Pencarian artikel dilakukan pada sepuluh database dengan kriteria pencantuman artikel berbahasa Indonesia dan Inggris, batasan publikasi tahun 2011-2020, open access, full text, dan menggunakan strategi PMDT dalam pengobatan. Sebanyak 138 artikel ditemukan dalam pencarian awal. Hasil pemilihan artikel diperoleh 21 artikel yang sesuai dengan kriteria inklusi yang telah ditentukan. Konsep DOTS Plus atau PMDT menggunakan framework yang sama dengan strategi DOTS dalam upaya pengendalian kasus RO TB. Prosedur PMDT mencakup penemuan pasien; diagnosa; pengobatan; manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat. Konsep DOTS Plus atau PMDT menggunakan framework yang sama dengan strategi DOTS dalam upaya pengendalian kasus RO TB. Prosedur PMDT mencakup penemuan pasien; diagnosa; pengobatan; manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat. Konsep DOTS Plus atau PMDT menggunakan framework yang sama dengan strategi DOTS dalam upaya pengendalian kasus RO TB. Prosedur PMDT mencakup penemuan pasien; diagnosa; pengobatan; manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat. manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat. manajemen pasien yang putus pengobatan dan gagal; dan pengobatan pasien dengan TB MDR dan koinfeksi HIV. Hasil pengobatan TB DR dengan strategi PMDT menunjukkan hasil yang berbeda: di Indonesia keberhasilan pengobatan hanya 47,8%, di India rata-rata keberhasilan pengobatan ≥55%, dan di Taiwan keberhasilan pengobatan 82,9%. Faktor-faktor yang mempengaruhi pelaksanaan pengobatan RO TB adalah jenis kelamin, usia, tingkat pendidikan pasien, lama waktu pengobatan, dana, dan efek samping obat.
Co-Authors Addela Sekar Pramesthi Artyasari Ahmad, Nurul Fauziah Alvira Putri Calista Amalia Ninggar Anis Fuad Annisa Rakhmaningtyas Annisa, Viona Antono Surjoputro Antono Surjoputro Antono Suryoputro Antono Suryoputro Arum Rohana Asti, Helwa Firdausa Astriyani, Sri Ayun Sriatmi Ayun Sriatmi Aziza, Nafra Bella Octaviani Violinansa Budiyono Budiyono Budiyono, Shabrina Putri Chriswardani Suryawati Dyah Ayu Oktavia Eka Yunila Fatmasari Eka Yunila Fatmasari, Eka Yunila Ervina Yuni Ariani Farah Fauziah Rahmasari Fathahidin, Ghaniya Afiifa Fitri Aviana Gunanto Gunanto Hendry Gunawan Indrawati, Chaterina Ria Wahyu Irvine Nahla Anggraini Jati, Sutop Patria Khalishah, Jihan Nurul Qamariah Lumbanraja, Anggita Doramia Mabrukah, Aina Maftuh Dadang Setiana Manullang, Jessika Putri Natasya Martini Martini Matsna Hanifah Matsna Hanifah Matsna Haniifah Maylin Djuana Siboro Mela Nofitri Mela Notri Melinda Novitasari Muhammad Junaedi Muhammad Junaedi Murni Murni Murni Murni Murni Murni Murni Murni Murni Murni Murni Murni Nadira Hafizatin Izza Nanang Wiyono Nandini, S.KM., M.Kes, Nurhasmadiar Ni Made Deviana Widiantari Nida Adyaningrum Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nissa Kusariana Nissa Kusariana Nofitri, Mela Nugrahaeni, Ardhina Nur Laili Agustin Nurhasmadiar Nandini Nurhasmadiar Nandini Patricia Lydia Honey Patricia Penggalih M Herlambang Penggalih Mahardika Herlambang Penggalih Mahardika Herlambang Penggalih Mahardika Herlambang Penggalih Mahardika Herlambang Pratiwi, Rachma Widya Pujiyono Pujiyono Pujiyono Putri Asmita Wigati Putri Asmita Wigati Putri, Farah Afanindya Jessedanta Radita, linggana Raditya Noriski Rahmadani, Annisa Nurindra Ramadhanisa Dwi Primastuti Rinna Dwi Lestari Rohmah, Virda Inzatur Roro Isyawati Permata Ganggi Roro Isyawati Permata Ganggi Roro Isyawati Permata Ganggi Roro Isyawati Permata Ganggi, Roro Isyawati Permata Santoso, Bagus Satrio Septo Pawelas Arso Septo Pawelas Arso Septo Pawelas Arso Septo Pawelas Arso Sofiyyah, Nailil Izza Surjoputro, Antono Sutopo Patria Jati Syamsulhuda BM Undayani Cita Sari Unzila, Erliana Wida Khoirunnisa Widyaputri, Anak Agung Ayu Wanda Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Yudhanto, Yoga