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FACTOR ANAYSIS THE CAUSE OF DELAYED INTERVENTION WITH LENGTH OF STAY PATIENTS ADMISSION IN EMERGENCY DEPARTMENT OF PROF. DR. W.Z. JOHANNES GENERAL HOSPITAL KUPANG Maria Fatimah Fouk; Titin Andri Wihastuti; Dewi Kartikawati Ningsih
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (10279.286 KB) | DOI: 10.21776/ub.jik.2017.005.02.7

Abstract

Overcrowding patients is a crisis  problem in hospital and plays a significant role as a front line in hospital which performing good and bad quality of care. Length of Stay (LOS) patients admission measurement indicator toward service process and patients density marker. Length of stay has important essence in reviewing process because helping to identify the cause of action delay and elongated LOS. EDLOS is influenced by input and trough put factor. Input factor: age, coming time, main complaint and co-morbidity. Trough put factor: triage level, door to doctor, the quickness in laboratory check, the quickness in specialist consultation and patients transfer to nursing room, staffing. This study is aimed to analyze the correlation of causing factor on action delay with LOS patients admission  in Prof. Dr. W. Z. Johannes Public Hospital Kupang. This study uses cross sectional approach and quota sampling by the number of 200 patients and nurses also doctors. Data was collected by observation sheet. Result of this study shows that there are significant correlation between co-morbidity with LOS patients admission (p value = 0,001 and r = - 0,227), between the quickness of specialist consultation with LOS patients admission (p value = 0,001 and r = 0,238) and between patients transfer to nursing room LOS patients admission (p value = 0,000 and r = 0,699). Based on the result of linear regression test, it is concluded that factor that has very close correlation with LOS patients admission patients transfer to nursing room (p value < 0,001, regression coefficient 0,015 and correlation coefficient 0,774). Conclusion: co-morbidity, specialist consultation and patients transfer to nursing room is LOS patients admission predictor. Developing centralized bed control dan transporter is mandatory for decrease overcrowding and LOS patients admission in emergency department.
ANALYSIS OF FACTORS AFFECTING BEHAVIORAL INTENTION OF NURSING STUDENT AS BYSTANDER CARDIOPULMONARY RESUSCITATION (CPR) ON HANDLING OUT OF HOSPITAL CARDIAC ARREST (OHCA) IN MALANG Suis Galischa Wati; Titin Andri Wihastuti; Tina Handayani Nasution
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5067.097 KB) | DOI: 10.21776/ub.jik.2017.005.02.11

Abstract

The incident of Out of Hospital Cardiac Arrest (OHCA) increased every year. One of effort to enhance survival rate due to the incident is by increasing the number of bystander CPR. Besides of a good knowledge and skill about CPR, the tendency of someone for willing or unwilling to behave as a bystander CPR is strongly influenced by their behavioral intention. The aims of this research was to analyze various factors that influence behavioral intention of nursing students to become a bystander CPR. This was a cross-sectional study with proportional sampling tecnique. As a sample of this study were 108 students from various nursing institution in Malang. Multivariat analysis with logistic regression was used to identify the most dominant factor which influencing behavioral intention. Logistic regression showed the following result: age p=0,341, OR=1,683; gender p=0,022, OR=3,113; CPR experience=0,327, OR=1,808 and knowledge: p=0,007, OR=3,101. The result of this study conclude that knowledge about CPR is the most dominant predictor factor in influencing behavioral intention.
THE DIFFERENCES OF CORRELATION OF THE TIMI, GRACE, AND KILLIP RISK SCORES AS PREDICTOR PROGNOSIS PATIENTS WITH NON ST-ELEVATION MYOCARD INFARCTION ACUTE CORONARY SYNDROME IN ICCU RSUD DR.ISKAK TULUNGAGUNG Rina Anggraini; Titin Andri Wihastuti; Dewi Kartikawatiningsih
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.439 KB) | DOI: 10.21776/ub.jik.2018.006.01.8

Abstract

Acute Coronary Syndromes is the leading cause of short-term and long –term mortality. An aggressive treatment approach has the potential to change the prognosis of patients with ACS, although its depends on risk factors. There are several risk scores  such as Thrombholysis in Myocardial Infarction (TIMI), Global Registry of Acute Coronary Events (GRACE), and Killip. The aim of this study is to analyse the differences of correlation of TIMI, GRACE, and Killip risk scores as predictor Length Of Stay patients with Non St-Elevation Myocard Infarction ACS. The method of this study utilized an analytic observational design with the cohort retrospective. The research was conducted at RSUD Dr.Iskak Tulungagung used 98 samples of medical records patient with NSTEMI ACS in the past 8 months (January-August 2017). The data collection techniques was completing risk score of TIMI, GRACE, and Killip and Length of Stay patient in ICCU ward. The results and analyse of Spearman Rank showed that TIMI has p = 0,000 r = 0.466,  GRACE p = 0,000 r = 0.598, and Killip p = 0,000 r = 0.441 (p < 0,05), so that it can be said that there was  significant differences between the risk score of TIMI, GRACE and Killip as predictor prognosis patient with NSTEMI ACS. It can be concluded that the TIMI, GRACE and Killip risk scores have correlation as predictor prognosis patient with NSTEMI ACS, which is GRACE risk score has superior to TIMI and Killip.
WORKLOAD RELATION BASED ON WORKLOAD ASSESSMENT WITH THE COMPLETENESS OF NURSING CARE DOCUMENTATION BY IMPLEMENTING NURSES IN THE EMERGENCY DEPARTMENT OF RSU. ANUTAPURA PALU AND RSU. UNDATA PALU Sasnita Salam; Titin Andri Wihastuti; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.439 KB) | DOI: 10.21776/ub.jik.2018.006.01.9

Abstract

Proper, readable, and complete documentation will have an impact on the quality of care and defense of potential malpractice suits, may be used as legal evidence in the event of a claim, but much of the nursing documentation is found to be incompatible or does not contain the necessary information in the case of the judiciary, lack of records or documentation in the patient’s medical record often hampers the exercise of the protection of nursing professional rights, both legally and administratively. The purpose of this research is to know the relation of workload factor based on workload assessment with the completeness of nursing care documentation by the nurses in the room IGD RSU. Anutapura Palu and RSU. Undata Palu. This research use correlation analytic design with cross sectional approach with total sampling to 65 samples period from 25 March 2017 until 25 April 2017. in IGD RSU room. Anutapura Palu and RSU. Undata Palu. From result of bivariate analysis known that there is correlation between work load factor with completeness of nursing care documentation with p value = 0,022. The result of regression test showed that the work load factor has regression coefficient value is -15.648 (negative value), which means that the higher workload, the percentage of completeness of the documentation of nursing care will be lower.
Reasons and Hindrances of the Community Leaders in Releasing Stocked Persons with Mental Problems in Southern East Sulawesi Abdul Patawari; Titin Andri Wihastuti; Nurul Muslihah; Asti Melani Astari; Yulian Wiji Utami
Jurnal Kedokteran Brawijaya Vol. 31 No. 3 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.03.3

Abstract

Undertaking stock punishment is an action to immobilized individuals that suffer mental health disorders. It is mostly done by placing woods on individuals' ankles. They are designed to restrict the patients' movements and made from wooden bars. The patients are chained or locked in a special room. A community leader, as the leader of certain people, has important roles in undertaking the stocks. It is done by considering various reasons based on the constructed understanding and emerging assumptions in the middle of society. This research aims to explore the reasons and hindrances of the community leader in releasing the stocks undertaken on individuals with mental health disorders. The applied research method is qualitative research with an interpretative phenomenology. 7 participants were selected by using purposive sampling. Then, an analysis was carried out by the Interpretative Phenomenological Analysis (IPA). The findings dealing with the reasons for the community leader to undertake the stocks consisted of two themes. They dealt with the administered medication to recover individuals with mental health disorders and to protect them, their families, and society. Meanwhile, the hindrances of the community leader in discharging or releasing the punishment dealt with the difficulty to get psychiatric service. The conclusions are the stocks reasons deal with a lack of the community leader's understanding to care for the individuals with mental health disorders and the necessity of active participation of medical officers. Thus, the people could obtain maximum psychiatric service
Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review Firman Prastiwi; Titin Andri Wihastuti; Dina Dewi Sartika Lestari Ismail
Jurnal Kedokteran Brawijaya Vol. 31 No. 4 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.04.12

Abstract

Fatigue is the primary complaint most frequently reported by patients on hemodialysis. The importance of knowing the factors related to fatigue is a strategy that can be carried out by health workers in optimally applying interventions to reduce patient fatigue problems. This systematic review aimed to determine the factors associated with fatigue in patients undergoing hemodialysis. The systematic review method began by identifying research articles in the Pubmed, ProQuest, Ebsco, and ScienceDirect databases in 2011–2020. Review protocol was using PRISMA. Based on the results of the analysis, it was obtained 23 articles that discussed demographic factors, physiological factors, socioeconomic factors, situational factors, and psychological factors that could be associated with fatigue in hemodialysis patients. There is much to learn about fatigue in patients undergoing hemodialysis, including causative factors, assessment of severity, and effective management of fatigue so that it can be used as a benchmark for determining appropriate interventions.
Effectiveness of Motivational Interviewing on Self-Management of Type 2 Diabetes Mellitus Patients: A Systematic Review Siska Puji Lestari; Titin Andri Wihastuti; Dina Dewi Sartika Lestari Ismail
Jurnal Kedokteran Brawijaya Vol. 31 No. 4 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.04.11

Abstract

Diabetes mellitus is a health problem that will affect the health status of patients. Motivational interviewing a counseling technique focusing on clients and it is designed for helping individuals explore and accomplish ambivalence in behavior. This systematic review aimed at describing effectiveness motivationaI interviewing on self-management of diabetes mellitus type 2 patients. There are 1359 articles of 526 ScienceDirect articles, 422 ProQuest, 290 PubMed, and 121 Ebsco articles. The systematic review method began by identifying 20 articles from four electronic databases for previous studies that were published during 2011-2021. The results of the systematic review obtained that motivational interviewing can provide improved self-management and control blood glucose DM type 2 patients. The conclusion motivational interviewing can affect the patient's self-management especially on blood glucose profile, dietary compliance, quality of life, self-efficacy, HbA1c levels of DM type 2 patients.
Correlation between Nurse Practice and Pre-hospital Ambulance Service Satisfaction in Bali I Wayan Edi Sanjana; Titin Andri Wihastuti; Nurul Muslihah
Jurnal Kedokteran Brawijaya Vol. 32 No. 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.8

Abstract

The pre-hospital emergency service was the first guard of nursing and treatment delivery. The pre-hospital ambulance service could be used to offer first aid to the patient or victim who experienced trauma or non-trauma with unpredictable condition. The improvement of service quality on emergency sector was required to assure that the health service was given and performed well. This research was aimed to analyze the correlation between nurse practice and pre-hospital ambulance service satisfaction in Bali. The correlative analytic research method and cross sectional approach were exerted to accomplish this research. The total sample was 271 respondents which were consisted of 144 patients and 127 nurses. The result of Spearman-rank referred p value 0.024; r 0.189 which it was indicated a significant relation between nurse practice and pre-hospital ambulance service satisfaction in Bali. The nurse practice was instituted through educational degree and training experience. The improvement of nurse practice value was in line with the pre-hospital ambulance service satisfaction value in Bali.
Nurses’ Burnout Level and Clinical Competence in Emergency Department: A Scoping Review Nur &#039;Aini; Titin Andri Wihastuti; Tita Hariyanti; Juwitasari Juwitasari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (693.702 KB) | DOI: 10.30604/jika.v8i1.1610

Abstract

The condition of nurse fatigue includes emotional exhaustion, lack of respect for others, and decreased self-achievement (Burnout) results in the disruption of routine services in the Emergency Room. Routine services in the Emergency Room such as CPR procedures that require special nurse competence with zero tolerance will result in suboptimal results and delays in service. This literature study aimed to determine the relationship between nurse fatigue and nurse competence in the Emergency Room. The method used in writing this Scooping Review is PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Searching for literature or references focuses on 2018 – 2022 and Original Research. The databases used in the search for references or literature are Pubmed, Proquest, Science Direct, and Google Scholar. The data was analyzed using the Joanna Briggs Institute (JBI) for cross-sectional, quantitative and prospective/cohort study. The results from 10 articles show a relationship between the nurses’ burnout level and clinical competence in the Emergency Department. A better arrangement of emergency units work patterns, such as proportional remuneration, regular supervision, rewards mechanism, safe operating conditions, cooperative team, balance nature of work, regular work promotion, and effective communication, could reduce the burnout level of the emergency nurse. Abstrak: Kondisi kelelahan perawat yang meliputi kelelahan emosional, kurang menghargai orang lain, dan penurunan prestasi diri (Burnout) mengakibatkan terganggunya pelayanan rutin di IGD. Pelayanan rutin di IGD seperti prosedur CPR yang membutuhkan kompetensi perawat khusus dengan zero tolerance akan mengakibatkan hasil yang kurang optimal dan keterlambatan pelayanan. Tujuan dari studi literatur ini adalah untuk mengetahui hubungan kelelahan perawat dengan kompetensi perawat di Instalasi Gawat Darurat. Metode yang digunakan dalam penulisan Scooping Review ini adalah PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses). Proses pencarian literature atau referensi berfokus pada tahun 2018 – 2022 serta Original Research. Basis data yang digunakan dalam pencarian referensi atau literatur adalah Pubmed, Proquest, Science Direct, dan Google Scholar. Data dianalisis menggunakan Joanna Briggs Institute (JBI) untuk studi cross sectional, kuantitatif dan prospektif/kohort. Hasil yang diperoleh dari 10 artikel adalah ada hubungan antara tingkat burnout perawat dengan kompetensi klinis di Instalasi Gawat Darurat. Penataan pola kerja unit gawat darurat yang lebih baik, seperti remunerasi yang proporsional, pengawasan teratur, mekanisme penghargaan, kondisi operasi yang aman, tim kooperatif, sifat keseimbangan kerja, promosi kerja reguler, komunikasi yang efektif, dapat mengurangi tingkat kejenuhan perawat gawat darurat.
NEUROPROTECTANT OF 7,8-DIHYDROXYFLAVONE IN ISCHEMIC STROKE THROUGH MODULATION GLUTATHIONE S-TRANSFERASE AND TYROSINE RECEPTOR KINASE C: A BIOINFORMATICS STUDY Aldita Husna Violita; Safira Dita Arviana; Rislan Faiz Muhammad; Basyar Adnani; Titin Andri Wihastuti; Husnul Khotimah; Shahdevi Nandar Kurniawan; Yuyun Yueniwati
MNJ (Malang Neurology Journal) Vol. 9 No. 2 (2023): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2023.009.02.8

Abstract

Background: Times New Roman 9, single space, contains the brief description of the research. Stroke is the greatest cause of disability and mortality worldwide. Several biological mechanisms underlying this disease such as failure of glutamate reuptake and ATP synthesis, resulting in high levels of reactive oxygen species (ROS), neuroinflammatory responses, and apoptosis, resulted in cell death and brain tissue damage. Neurotherapeutics agents are given to affect the pathophysiological pathways and prevent expanding infarct area. Objective: This study aims to analyze the modulation of Gluthatione S-Transferase (GST) and Tyrosine kinase receptor C (TrkC) by 7,8-DHF as neuroprotective agent in ischemic in silico. Methods: This study used in silico simulation to predict 7,8-dihydroxyflavone (DHF) as neuroprotective agent by using PubChem, RCSB, Biovia Discovery Studio, PyRx, and PyMol. This study analyzes the pharmacodynamics, pharmacokinetics, and molecular interactions between 7,8-DHF as a ligand with GST (13GS) and TrkC (6KZC) as protein target, compared to their native ligand. Results: 7,8-DHF may increase intracellular endogenous antioxidants mainly GST and stimulate TrkC to activate further neuron survival signaling. 7,8 DHF has a much lower bond energy (-8.1 Kcal/mol) when it binds to GST compared to the native ligand (-5.9 Kcal/mol). Besides, binding affinity between 7,8-DHF-TrkC was -9 Kcal/mol, while native ligand-TrkC was -10.6 Kcal/mol. This study showed that there were the same amino acid residues between 7,8-DHF-GST and 7,8-DHF-TrkC, compared to their native ligand. Conclusion: As an adaptive response to hypoxia caused by ischemic stroke, these findings are likely to induce protective mechanism through indirectly TrkC activation which regulates neurogenesis and increasing intracellular endogenous antioxidants.
Co-Authors A.A Istri Dalem Hana Yundari A.A. Ketut Agung Cahyawan W Abdul Patawari Abdul Patawari Adi Suyitno Adi Suyitno, Adi Agus Putra Murdani Agustina, Mulya Akbar Farid Hasibuan Akhiyan Hadi Susanto Aldita Husna Violita Amanda, Efina Amanda, Febrina Andrik Hermanto Antonius Christianto Anwar Santoso Ardhia, Jessica Fio Ardiansyah, Wahyu Arif Wicaksono Arifah, Medisa Roro Putri Nur Ariska, Hanisa Iis Ariyani, Anita Dwi Asti Melani Astari Asy’ary, Qomaruddin Awaliyah Muslimah Suwetty Ayut Merdikawati Ayut Merdikawati, Ayut Balqis, Rani Diana Basyar Adnani Berty Febrianti Rahayu Caressa, Dea Amanda Cathrine Theodora Sukotjo Cece Indriani Cholid Tri Tjahjono Christianingsih, Siska Christianto, Antonius Cipto Susilo Damayanti, Fransiska Erna Debby Hatmalyakin Dewi Kartikawati Ningsih Dewi Kartikawatiningsih Dewi, Heriberta Tabita Marta Dhelya Widasmara Dhiar Widianingtyas, Dhiar Dina Dewi Sartika Lestari Ismail Dina Dewi Sartika Lestari Ismail Dina Dewi Sartika Lestari Ismail Djanggan Sargowo Djanggan Sargowo Djanggan Sargowo Dudella Desnani Firman Yasin, Dudella Desnani Firman Dwi Agustian Faruk Ibrahim Efris Kartika Sari, Efris Kartika Eko Suyanto Elvira Sari Dewi Emi Wuri Wuryaningsih Endrian Kurniawan, Dicky Erik Irham Lutfi Evie, Sova Fahmi, Muhamad Fajar Ari Nugroho fatchiyah . Fatchiyah Fatchiyah Faza Zahruna Fakhra Firman Prastiwi FitriaNugraha Aini Fransiska Endang Widyastuti Dapi Hasibuan, Akbar Farid Hayati, Yati Sri Heri Kristanto Heri Kristianto Hidayat Sujuti Husnul Khotimah I Wayan Edi Sanjana Ida Ayu Putu Sri Widnyani Indah Nur Chomsy Indah Nur Chomsy Indhiarti, Tantri Refa Indriyani, Damayanti Inggita Kusumastuty Intan Yusuf Habibie Ismail, Dina Dewi Sartika Lestari Jannah, Riska Raudhatul Jatim Sugiyanto Juwitasari Juwitasari Kartika, Annisa Wuri Karyono Mintaroem Katsuhiro Miyajima Kawitantri, Orchidara Herning Kumboyono Kumboyono Kumboyono Kumboyono Kumboyono Kumboyono Kumboyono Kumboyono Kurnianingsih, Nia Kurnianingsih, Novi Kusuma, Ayu Widia Kusumawati, Diana Laily Yuliatun Lidwina Faraline Triprisila Lidwina Faraline Triprisila Liemena Harold Adrian Lilik Supriati Lilik Supriati Lilik Supriati Lilik Supriati, Lilik Lola Ayu Istifiani M Saifur Rohman Machfud, Savinka Salsabiela Iriana Maria Fatimah Fouk Maulidah Maulidah Mayu Rahmayanti Merry P Mochamad Ali Sodikin Muhammad Ridwan Mukhamad Fathoni Mukhamad Fathoni Muladefi Choiriyah Munif, Badrul Nana Septiana Widayati Nanang Bagus Sasmito Nanik Setijowati Narwasthu, Sekararum Nawang Wulandari Nawang Wulandari, Nawang Nofita Dewi Kok Mesa Nur &#039;Aini Nurdiana Nurdiana Nurdiana Nurdiana Nurul Evi Nurul Muslihah Nurul Uswatin Olivia Handayani Palis, Christine Natalia Pamungkas, Akhmad Yanuar Fahmi Patawari, Abdul Prasanti Mahesa Anjani Prasetyawan, Riyan Dwi Putra Agina Widyaswara Suwaryo Rahmawan, Fajri Andi Renny Nova Renny Nova, Renny Retno Lestari Retno Lestari Ridhoyanti Hidayah, Ridhoyanti Rina Anggraini Rislan Faiz Muhammad Rismawan Adi Yunanto Rista Nikmatu Rohmah Rista Nikmatu Rohmah, Rista Nikmatu Rizal, Ardian Roesardhyati, Ratna Roshanti, Dian Rosikhah Al-Maris Rosuli, Ahmad Rudiyanto Rudiyanto, Rudiyanto Safira Dita Arviana Sanjana, I Wayan Edi Saputri, Diana Nanda Sartika Lestari Ismail, Dina Dewi Sasnita Salam Sassanti, Suci Wulandari Satrianto, Anang Satwikajati, Sawitri Septi Dewi Rachmawati Servasius To’o Jala Mulu Setyoadi Setyoadi Setyoadi Setyoadi Shahdevi Nandar Kurniawan, Shahdevi Nandar Shila Wisnasari Siska Christianingsih Siska Puji Lestari Siska Puji Lestari Siska Puji Lestari Suis Galischa Wati Supriyadi, Muchamad Suryanto Suryanto Susilowati Susilowati Susilowati Susilowati Suwaryo, Putra Agina Widyaswara Swastikaputri, Valerina Yogibuana Teuku Heriansyah Tina Handayani Nasution Tita Hariyanti Toga, Erik Tony Suharsono Tony Suharsono Tony Suharsono, Tony Turhadi Turhadi Umar, Ja’far Widiani, Luh Widito, Sasmojo Wiesye Roryn Sanyoto Winoto, Fajar Prasetyo Wisnasari, Shila Yati Sri Hayati Yati Sri Hayati Yoga Tribakti Rachmad Yulian Wiji Utami Yulian Wiji Utami Yulian Wiji Utami Yulian Wiji Utami Yuliatun . Yuliatun ., Yuliatun Yuyun Yueniwati Zahra Nazkiano