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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal Kedokteran Brawijaya Research Journal of Life Science Majalah Kesehatan FKUB Indonesian Journal of Rheumatology International Journal of Community Service Learning Caring : Jurnal Pengabdian Masyarakat ADPEBI International Journal of Business and Social Science
Dian Hasanah
Laboratorium Fisiologi, Fakultas Kedokteran, Universitas Brawijaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Prevalensi Infeksi Hepatitis B pada Ibu Hamil di Malang Mustika, Syifa; Hasanah, Dian
Jurnal Kedokteran Brawijaya Vol 30, No. 1 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.01.13

Abstract

Ibu hamil yang terinfeksi hepatitis B dapat menularkan virus ke bayi mereka selama kehamilan atau persalinan, sehingga penapisan perlu dilakukan untuk mengetahui prevalensi ibu hamil yang mengidap hepatitis B di wilayah Malang. Penapisan dilaksanakan di dua Puskesmas Kota Malang yaitu Dinoyo dan Kedungkandang, dua Puskesmas Kabupaten Malang yaitu Sumberpucung dan Gondanglegi, serta RS Hermina. Peserta diberikan penyuluhan, dilakukan anamnesis, pemeriksaan tanda-tanda vital, dan pengumpulan sampel darah pada ibu hamil yang setuju berpartisipasi. Serum peserta dilakukan pemeriksaan HBsAg dan Anti-HBS, metode yang digunakan adalah ELISA. Terdapat 156 ibu hamil mengikuti penapisan. Rerata usia peserta adalah 28,55,8 tahun dan rerata usia saat menikah adalah 22,53,8 tahun. Didapatkan prevalensi hepatitis B sebesar 1% dan 8% anti-HBs yang positif pada pasien dengan HBsAg negatif. Data ini diharapkan menjadi dasar kebijakan tentang pencegahan hepatitis B, seperti penggalakan vaksinasi hepatitis B dan edukasi hepatitis B ke populasi yang lebih luas.
HUBUNGAN ANTARA PARAMETER KLINIS DAN LABORATORIS DENGAN STATUS REMISI PENYAKIT PADA PASIEN ARTRITIS REUMATOID YANG MENDAPAT TERAPI METOTREKSAT Putra Suryana, Bagus Putu; Sari, Retty Kharisma; Tamayanti, Wahyu Dewi; Hasanah, Dian
Majalah Kesehatan FKUB Vol 6, No 2 (2019): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (390.49 KB) | DOI: 10.21776/ub.majalahkesehatan.006.02.5

Abstract

Artritis reumatoid (AR) adalah penyakit autoimun yang etiologinya belum diketahui. Metotreksat adalah DMARD (disease-modifying antirheumatic drug) yang paling sering digunakan pada AR, namun respons  terhadap metotreksat bervariasi di antara populasi. Data mengenai faktor klinis dan laboratoris yang berhubungan dengan remisi pada AR yang diterapi dengan metotreksat masih tidak konsisten. Penelitian inibertujuan untuk mengetahui faktor-faktor klinis dan laboratoris yang berhubungan dengan remisi pada pasien AR yang mendapat terapi metotreksat. Data diperoleh dari pasien AR yang memenuhi kriteria ACR-EULAR 2010 dengan desain penelitian observasional dan pendekatan potong lintang. Data meliputi jenis kelamin, usia onset penyakit, durasi penyakit, indeks masa tubuh (IMT), tender joint count (TJC), swollen joint count (SJC), visual analog scale (VAS) nyeri, disease activity score (DAS)-28 awal, laju endap darah (LED), anti-cyclic citrullinated protein (CCP), dan rheumatoid factor (RF). Variabel dianalisis secara statistik dengan uji chi square dilanjutkan regresi logistik multipel. Penelitian ini melibatkan 88 pasien AR, terdiri dari 85,2% wanita (n = 75) dan 14,8% pria (n = 13), rerata usia 54,78±11,34. Proporsi remisi pasien adalah 26,1%. Dari analisis bivariat dengan uji chi square didapatkan variabel yang berhubungan bermakna terhadap remisi, yaitu usia onset (p = 0,037), VAS nyeri (p = 0,030) dan LED (p = 0,038). Dapat disimpulkan bahwa usia onset, VAS nyeri, dan LED  berhubungan bermakna dengan remisi penyakit pasien AR yang diterapi dengan metotreksat.   
Membangun Desa Binaan Tanggap COVID-19, Lupus, Reumatik, dan Alergi: Upaya Menurunkan Angka Kejadian dan Mencegah Kekambuhan di Malang Handono, Kusworini; Wahono, Cesarius Singgih; Barlianto, Wisnu; Dewi, Elvira Sari; Sari, Tita Luthfia; Hasanah, Dian; Rahman, Perdana Aditya; Anshory, Muhammad; Wulandari, Desy; Sari, Dewi Purnama; Endharti, Agustina Tri; Nurdiana, Nurdiana; Kalsum, Umi; Susianti, Hani; Kalim, Handono
International Journal of Community Service Learning Vol 5, No 1 (2021): February 2021
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/ijcsl.v5i1.30161

Abstract

Kurangnya pengetahuan masyarakat tentang COVID-19, lupus, reumatik, dan alergi mempengaruhi keberhasilan terapi, penurunan angka kejadian, dan pencegahan kekambuhan. Tujuan pengabdian masyarakat adalah membangun desa-desa binaan tanggap COVID-19, lupus, reumatik, dan alergi di Malang oleh Tim Kelompok Kajian Lupus, Autoimun, Reumatik, dan Alergi (LAURA) Universitas Brawijaya. Warga desa binaan diberikan penyuluhan berupa seminar awam dan pelatihan tentang pertolongan awal pada penyakit COVID-19, lupus, reumatik, dan alergi, kemudian diminta mengisi kuesioner posttest untuk mengukur pemahaman. Desa-desa binaan diberikan thermo-gun dan wastafel untuk menerapkan protokol kesehatan. Satu bulan kemudian dievaluasi adanya kejadian COVID-19, lupus, reumatik, dan alergi di desa binaan. Hasil evaluasi menunjukkan rata-rata warga desa binaan memahami 78,3% materi yang diberikan dan menerapkan protokol kesehatan sesuai yang diajarkan saat penyuluhan. Dilaporkan tidak ada kejadian COVID-19 serta kekambuhan lupus, reumatik, dan alergi dalam satu bulan terakhir kegiatan. Kesimpulan: pembangunan desa-desa binaan di Malang meningkatkan tanggap warga terhadap COVID-19, lupus, reumatik, dan alergi.
Hubungan Kadar Vitamin D Dengan Jumlah Set T Regulator pada Pasien Lupus Eritematosus Sistemik Handono Kalim; Kusworini Handono; Dian Hasanah
Research Journal of Life Science Vol 2, No 1 (2015)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (593.976 KB) | DOI: 10.21776/ub.rjls.2015.002.01.5

Abstract

Latar Belakang. Lupus Eritematosus Sistemik (LES) merupakan penyakit autoimun yang semakin sering dijumpai dengan angka kematian tinggi. Etiopatogenesis penyakit ini belum begitu jelas, meskipun telah ditunjukkan adanya abnormalitas berbagai sel-sel imun termasuk hiper-reaktivitas sel T, sel B, sel dendrit; dan menurunnya fungsi sel T regulator (Treg). Vitamin D memiliki peran dalam pengaturan sistem imun. Penelitian pada ras Kaukasia menunjukkan bahwa kadar vitamin D yang rendah berkaitan dengan timbulnya penyakit autoimun termasuk LES. Peran vitamin D pada sistem imun pasien LES masih banyak kontroversi. Penelitian ini bertujuan untuk mengetahui hubungan kadar vitamin D dengan jumlah sel Treg.Metoda Penelitian. Penelitian ini adalah penelitian kasus-kontrol yang membandingkan jumlah sel Treg pada pasien LES dan kontrol sehat dengan melihat status vitamin D-nya. Kadar vitamin D pasien LES diukur dengan metoda ELISA, jumlah sel Treg (CD4+,CD25+,FoxP3+) ditentukan dengan metoda flowcytometri.Hasil. Kadar vitamin D pada pasien LES lebih rendah daripada kontrol sehat (p=0,000) dan didapatkan korelasi negatif antara status vitamin D dengan persentase sel Treg (koefisien korelasi -0,358 dan p=0,006). Hal ini mungkin merupakan umpan balik positif untuk menanggulangi hiperreaktifitas dari sel T dan sel B.Kesimpulan. Status vitamin D berkorelasi negatif dengan persentase sel Treg.
The Differences in Serum Complements and Anti-dsDNA Levels between Renal and Non-renal Manifestations in Systemic Lupus Erythematosus Bagus Putu Putra Suryana; Lya Rosita; Nursamsu Djais; Dian Hasanah
Indonesian Journal of Rheumatology Vol. 11 No. 1 (2019): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/ijr.v11i1.121

Abstract

Background. Systemic lupus erythematosus (SLE) has diverse clinical manifestations, including renal and non-renal. Renal manifestation is related to significant morbidity and mortality. SLE is also characterized by serological aberrations, including levels of complement C3, C4 and anti-dsDNA, but the association of them with clinical manifestations including renal and non-renal is unclear. This study investigated the associations of C3, C4 and anti-dsDNA levels with renal and non-renal manifestations in SLE patients. Method. A cross-sectional study was conducted in the Polyclinic of Rheumatology, Dr. Saiful Anwar Hospital Malang. A number of 43 subjects fulfilled the 1997 American College of Rheumatology criteria participated in this study, that consisted of 11 patients with renal manifestation and 32 patients with non-renal manifestations. Serum C3 and C4 levels were measured using immunoturbidimetry, and serum anti-dsDNA levels were measured using enzyme-linked immunosorbent assays (ELISA). The independent T-test was used to compare C3 levels and the Mann-Whitney U test was used to compare C4 and anti-dsDNA levels between groups. Result. SLE with renal manifestation had significant lower levels of serum C3 compare to non-renal manifestations (mean ± SD: 71.27 ± 32.65 mg/dL and 94.47 ± 26.29 mg/dL respectively, p=0.022). SLE with renal manifestation also had significantly lower levels of serum C4 compare to non-renal manifestations (mean ± SD: 14.55 ± 8.20 mg/dL and 25.50 ± 11.05 mg/dL respectively, p=0.002). Conversely, SLE with renal manifestation had significantly higher levels of serum anti-dsDNA compare to non-renal manifestations (mean ± SD: 249.27 ± 240.34 IU/mL and 109.91 ± 166.11 IU/mL respectively, p=0.014). Conclusion. SLE patients with renal manifestation have significantly lower levels of serum C3 and C4 and a higher level of serum anti-dsDNA than SLE patients with non-renal manifestations.
Behçet's Disease with Multiorgan Infection: Alternative Treatment to Systemic Immunosuppressants Dian Hasanah
Indonesian Journal of Rheumatology Vol. 12 No. 2 (2020): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/ijr.v12i2.122

Abstract

A B S T R A C T Background. Behçet's disease is a rare systemic autoimmune vasculitis. The presence of infection makes it difficult to manage. Case. Ms. X, 19 years old, complained of mouth and genitalia ulcers and joints pain. She had typhoid fever two months before; and a week after recovery, she experienced reddish skin lesions on her legs. Her condition was weak and the pain visual analog score (VAS) was 9/10. Multiple oral ulcers were found in her oral cavity and vulva. Her lungs were hypersonor. There were hyperpigmented maculae in her lower extremities. Her ankle joints were painful in passive and active movements. Blood leukocytes: 13,210/µl, urine leukocytes: 20-23/hpf, ANA, anti-dsDNA and Pathergy tests were negative. The diagnosis of Behçet's disease was based on multiple oral and genital ulcers, history of erythema nodosum and arthritis. The patient was treated with topical triamcinolone. Joint ulcers and pain worsened; so that intravenous methylprednisolone was administer. Two days later, the patient had cough and oxygen desaturation. Chest X-ray showed emphysematous lungs and pneumonia. Methylprednisolone was stopped, ceftriaxone and levofloxacin were given, treatment for ulcers and arthritis was replaced with colchicine and rebamipide. Sucralfate is given for gargle and applied to the genital ulcers. On the seventh day, the ulcers were greatly reduced, joint pain resolved, cough subsided and VAS became 2/10. On the twelfth day, the chest X-ray was normal and ulcers were healed, ankle pain was suffered again accompanied by swelling. The patient was treated with methylprednisolone and azathioprine. Discussion. Treatment for this disease is immunosuppressants. In severe conditions with infection, colchicine can be an alternative treatment. Adjuvant treatment are rebamipide and/or sucralfate. Emphysematous lungs can be caused by alpha-1 antitrypsin deficiency or pulmonary vasculitis, which can be manifested in autoimmune diseases. Emphysematous lungs, leads us to follow up on the development to other autoimmune disorders such as lupus. Conclusion. Behçet's disease with infection can be successfully managed with colchicine, rebamipide and sucralfate.
Tinjauan Literatur: SUMBER POTENSIAL PENYEBARAN SARS-CoV-2 DARI LINGKUNGAN RUMAH SAKIT DAN PENTINGNYA PEMANTAUAN SANITASI RUMAH SAKIT UNTUK MENEKAN PANDEMI COVID-19 DI INDONESIA Dian Hasanah
Majalah Kesehatan FKUB Vol. 9 No. 3 (2022): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2022.009.03.7

Abstract

Beberapa bukti menunjukkan sumber potensial penyebaran SARS-CoV-2 dari lingkungan rumah sakit. Sanitasi rumah sakit penting untuk mencegah infeksi nosokomial dan menekan penyebaran COVID-19. Telaah literatur ini bertujuan mengidentifikasi potensi bahaya terkait sanitasi serta metode pemantauan sanitasi di rumah sakit selama pandemi COVID-19. Literatur diperoleh dengan menelusuri jurnal dan laporan lembaga resmi luar negeri terkait COVID-19 di internet. Banyak prosedur di rumah sakit yang menghasilkan aerosol, sementara banyak ruangan di rumah sakit belum memenuhi standar ventilasi udara. Di sisi lain, karena penapisan tidak memadai, pegawai rumah sakit dapat bertemu pasien COVID-19 di semua area rumah sakit. Kondisi ini menimbulkan keraguan  akan kebersihan udara dan permukaan benda-benda, serta penyebaran virus antar ruangan di rumah sakit. Identifikasi sanitasi rumah sakit yang sering terlewatkan adalah: 1) kontaminasi virus di udara dan permukaan benda-benda di seluruh area rumah sakit, 2) kontaminasi virus di kasur, bantal, dan guling yang sering terlewatkan pada pembersihan rutin, 3) kontaminasi virus di toilet oleh proses aerosolisasi ekskreta, dan 4) kontaminasi virus di air limbah rumah sakit. Sebaiknya terdapat instansi di setiap kota/kabupaten yang dapat menangani pemeriksaan spesimen lingkungan yang dikumpulkan dari berbagai rumah sakit. Deteksi virus di udara, dapat menggunakan kit deteksi SARS-CoV-2 udara; deteksi permukaan benda, dapat menggunakan swab; pada limbah, dapat digunakan sampel cairan limbah untuk deteksi genom SARS-CoV-2 dengan RT-PCR. Hasil pemeriksaan dapat menjadi panduan untuk mengubah atau mempertahankan aturan dan kebijakan rumah sakit. Kesimpulannya, identifikasi potensi bahaya serta kebutuhan dan metode pemantauan sanitasi rumah sakit harus dikembangkan untuk mencegah infeksi nosokomial COVID-19 dan menekan penyebaran pandemi.
REDUCING LUPUS PATIENTS' HOPELESSNESS THROUGH BEAUTY CLASS IN MALANG CITY IN HONOR OF WORLD LUPUS DAY Cesarius Singgih Wahono; Elvira Sari Dewi; Tri Wahyudi Iman Dantara; Perdana Aditya Rahman; Kusworini Handono; Nurdiana Nurdiana; Hani Susianti; Dian Hasanah; Choirinnisa Meilia Ayu Putri; Nora Ariyanti; Handono Kalim
Caring : Jurnal Pengabdian Masyarakat Vol 2, No 3 (2022): CARING Jurnal Pengabdian Masyarakat (Desember 2022)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2022.002.03.4

Abstract

Lupus is a systemic autoimmune rheumatic disease with mild to severe clinical features and can lead to hopelessness if not treated properly. The purpose of this activity is to give a beauty class and see how it affects the hopelessness of lupus patients in honor of World Lupus Day. Methods: Organizing World Lupus Day activities such as experts seminars on lupus at a glance, being friendly with lupus, and staying beautiful with lupus; a musical drama and dance performance by a lupus support group with the theme “You Are Beautiful”; and a lupus beauty class. The activity was completed in one day in May 2018 by collecting pre-test and post-test data on the incidence of hopelessness in lupus patients using the Beck Hopelessness Scale (BHS). A total of 100 lupus patients participated in the activity, and all of them underwent pre- and post-testing. The Wilcoxon Signed Rank Test with α=0.05 was used to analyze the collected data. Results: All participants expressed delight and satisfaction with their participation in this activity. The mean BHS scores before and after the beauty class were 8.62+2.68 and 6.36+1.59, respectively, with a significant difference (p=0.000). Conclusion: Beauty class is a fun way for lupus patients to feel less hopeless about their illness. Every year, an activity to commemorate World Lupus Day is required, which is beneficial for lupus patients.
Modifying Effect of Anthocyanin from Purple Sweet Potatoes on Visceral Fat Tissue Inflammation and Liver Oxidative Stress in Psychological Stress-Induced Mice: Purple Sweet Potatoes on Psychological Stress Nia Kurnianingsih; Dian Artamevia; Antania Kashira Winarta; Andini Putri Wulandari; Dian Hasanah; Edwin Widodo; Retty Ratnawati
Journal of Tropical Life Science Vol. 13 No. 2 (2023)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.13.02.18

Abstract

Psychological stress generates inflammation and oxidative stress in various tissues. Visceral fat as the target site of inflammation is then correlated with stress-induced obesity. Redox imbalance following inflammation also has prominent impacts on hepatic tissue. Therefore, the development of anti-inflammatory and antioxidant properties from plant bioactive compounds is necessary to be investigated. Anthocyanin (ANC) from various plants is previously described as a powerful anti-inflammatory and antioxidant even though its effect in psychological stress remains underexplored. Purple sweet potatoes (PSP) has ANC as its natural pigment. Previous studies revealed the potential effect of ANC from PSP on behavior and an antidepressant candidate. Thus, this study was purposed to determine the effect of ANC from PSP on inflammation and oxidative stress in visceral fat and hepatic tissue respectively. A total of 25 adult male BALB/c mice were assigned into groups of control, stress, stress+ANC 10 mg/kgBW, stress+ANC 20 mg/kgBW and stress+ANC 40 mg/kgBW. Restraint stress was applied 2 hours/day for 14 days. Enzyme-linked immunoassay (ELISA) was conducted to measure level of IL-6 and IL-10 in visceral fat as well as SOD and MDA from hepatic tissue. The results demonstrated that the supplementation of ANC reduces the level of IL-6 cytokine (p=0.005), tends to increase IL-10 (p=0.612), reduces hepatic SOD (p=0.03), and does not significantly affect the level of hepatic MDA (p=0.432). Both ratios of IL-6/IL-10 and SOD/MDA were reduced following ANC administration. Total ANC extracts are suggested to have a potential role of resisting inflammation and oxidative stress in the psychologically stressed model. Further studies are necessary to evaluate the benefits of ANC from PSP in other peripheral organs under psychological stress exposure.
Alterations in Blaood Profiles and Spleen Tissue Following Purple Sweet Pota-to Anthocyanin Extract Treatment in Restraint-Stressed Mice: Blood Profiles and Spleen Tissue Following Purple Sweet Potato Anthocyanin Extract Treatment Kurnianingsih, Nia; Artamevia, Dian; Hasanah, Dian; Harbiyanti, Novita Titis; Ratnawati, Retty
Journal of Tropical Life Science Vol. 14 No. 1 (2024)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.14.01.19

Abstract

Stress is associated with broad changes in blood and immune cell dysfunction, which are correlated with the spleen as a secondary lymphoid organ. Anthocyanin, a plant bioactive compound from purple sweet potatoes, has previously been reported to have a beneficial effect on stress response behavior. However, the limited studies evaluated anthocyanin's effect on blood profiles and spleen tissue under stress. Therefore, this study aimed to explore the effect of total anthocyanin extract (ANC) from purple sweet potatoes (PSP) on the blood profiles and spleen tissue of restraint stressed mice. A total of 20 male adult BALB/c mice were divided into control (CTRL), stress (STR), stress + ANC 10 mg/kgBW (STR+ANC10), stress + ANC 20 mg/kgBW (STR+ANC20), and stress + ANC 40 mg/kgBW (STR+ANC10). Restraint stress was applied two hours/day for 14 days. An automatic blood analyzer was used for blood profiling. Immunoblotting of caspase-3 and hematoxylin-eosin-stained histological slides were observed for spleen tissue analysis. Combination of STR and ANC treatment reduced the erythrocyte count, hemoglobin level, and leucocyte count. The ANC-treated groups had a higher percentage of lymphocytes and a lower percentage of granulocytes. The expression of caspase-3 declined among ANC-treated groups. Spleen extramedullary erythropoiesis, vacuolization, and white pulp involution were demonstrated in stress and ANC-treated animals. In summary, restraint stress modified the blood cell profiles and spleen tissue in the mice model. Further research is necessary to evaluate the mechanism of ANC during stress on blood cells and splenic tissue repair enhancement.
Co-Authors Abd. Rasyid Syamsuri Agustina Tri Endharti Andini Putri Wulandari Antania Kashira Winarta Artamevia, Dian Bahtiar Usman, Bahtiar Choirinnisa Meilia Ayu Putri desy wulandari Dewi Purnama Sari Dian Artamevia Edwin Widodo Elvira Sari Dewi Handono Kalim Handono Kalim Hani Susianti Harbiyanti, Novita Titis Kurnianingsih, Nia Kusworini Handono Kusworini Handono Kusworini Handono Lya Rosita Muhammad Anshory, Muhammad Nora Ariyanti Novi Kurnianingsih Nurdiana Nurdiana Nurdiana Nurdiana Nursamsu Djais Perdana Aditya Rahman Retty Ratnawati Retty Ratnawati Sarfilianty Anggiani, Sarfilianty Sari, Retty Kharisma Sari, Tita Luthfia Solly Aryza Suryana, Bagus Putu Putra Syifa Mustika Tri Wahyudi Iman Dantara Wahono, Cesarius Singgih Wahyu Dewi Tamayanti, Wahyu Dewi Wisnu Barlianto