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Analisis Pemilihan Tenaga Penolong Persalinan Di Desa Wailabubur Kecamatan Kodi Utara Kabupaten Sumba Barat Daya Tahun 2022 Septiana Lia Wungo; Titin Eka Sugiatini
Jurnal Pendidikan dan Konseling (JPDK) Vol. 4 No. 4 (2022): Jurnal Pendidikan dan Konseling
Publisher : Universitas Pahlawan Tuanku Tambusai

Persalinan merupakan salah satu peristiwa penting dan senantiasa di ingat dalam kehidupan wanita, setiap wanita memiliki pengalaman melahirkan tersendiri yang dapat diceritakan ke orang lain. Pemilihan penolong persalinan juga merupakan suatu penetapan keputusan dalam memilih penolong persalinan yang sesuai standar pada ibu yang akan melahirkan, pemilihan tenaga penolong persalinan dan tempat persalinan sangat penting karena akan berdampak pada bayi. Berdasarkan data bahwa ibu melahirkankan masih banyak yang memilih penolong persalinan yang tidak sesuai dan akan berdampak dengan keselamatan ibu dan bayinya maka kementerian kesehatan telah mewajibkan bahwa persalinan harus ditolong oleh tenaga kesehatan yang memiliki kewenangan dan kompetensi Penelitian ini kuantitatif menggunakan data kuantitatif dengan desain penelitian deskriptif dan analitik, dengan pendekatan cross sectional. dapat ditarik kesimpulan bahwa hasil penelitian diperoleh data bahwa dari 30 responden ibu yang melahirkan bayi berdasarkan penolong persalinan di desa Wailabubur. Kecamatan Kodi Utara, Kabupaten Sumba Barat Daya Tahun 2022, didapatkan yang ditolong oleh tenaga kesehatan (Dokter Kandungan,Dokter, BIdan) ada 15 responden (50%), dan yang yang ditolong oleh tenaga non kesehatan IDukun, Paraji) ada 15 responden (50%), jadi masih banyak 50% ibu melahirkan masih ditolong oleh Paraji yang masih memerlukan penyuluhan dan informasi gunanya penolong persalinan oleh tenaga kesehatan (Dokter spesialis kandungan, Dokter umum, dan Bidan).

FACTORS AFFECTING THE LOW ACHIEVEMENT OF THE COVID-19 VACCINE AT SALAPRAYA VILLAGE, JIPUT HEALTH CENTER WORKING AREA PANDEGLANG REGENCY IN 2022 Ma'rifatul Hayati; Titin Eka Sugihartini
International Journal Of Health Science Vol. 3 No. 1 (2023): March : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i1.1128

Backgrounds : The vaccination program in the Jiput Puskesmas Working Area has been running according to the procedures set by the government, but in the process there are still obstacles, namely the rejection of the Covid-19 vaccine from some people, so that vaccination does not reach the expected targets. Salapraya Village has the lowest vaccination achievement among the 13 villages assisted by the Jiput Health Center, where dose 1 vaccination only reaches 35.81%, dose 2 reaches 21.31% and dose 3 reaches 0.89% of the target of 1,572 people. Purpose of Authorship: It is known that the factors that affect the low achievement of the Covid-19 vaccine at Salapraya Village, Jiput Health Center Working Area, Pandeglang Regency in 2022. Method: The research method uses a quantitative cross-sectional design. The sample of this study was the people of Salapraya Village who were targeted for Covid-19 vaccination as many as 91 people with a sampling technique using cluster sampling. Instruments use questionnaires. Data analysis using univariate and bivariate. Results: Most respondents stated that they refused to be vaccinated against Covid-19 (65.9%), had a negative perception of the Covid-19 vaccine (56%), had less knowledge about the Covid-19 vaccine (67%), and were influenced by the socio-cultural community (59.3%). There is a relationship between perception (p=0.030), knowledge (p=0.003) and socio-cultural (p=0.027) with the low achievement of the Covid-19 vaccine at Salapraya Village, Jiput Health Center Working Area, Pandeglang Regency in 2022. Conclusion and Advice: The low achievement of the Covid-19 vaccination is influenced by perception, knowledge and socio-culture. It is hoped that the public can find the right information about the Covid-19 vaccine by following the counseling provided by health workers and or utilizing existing social media and electronic media to be used as educational media to access information about the Covid-19 vaccine.

The Effect Of Giving Pineapple Juice And Honey On Reducing Menstrual Pain (Dysmenorrhea) In Adolescent Women At SMPN 1 Rangkasbitung Lebak Banten Nineu Nineu; Titin Eka Sugiatini; Vina Oktiarina
International Journal Of Health Science Vol. 3 No. 1 (2023): March : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i1.1234

Painful menstruation (Dysmenorrhea) is the most common cause of repeated absences from school. Several studies have shown that adolescents with dysmenorrhea experience a decrease in academic achievement, social and sports activities. Pain management pharmacologically, menstrual pain can be treated with analgesic therapy, which is the most commonly used method for pain relief (Potter and Perry, 2006). Meanwhile, Harahap's research (2020) found the effect of giving pineapple juice and honey on a decrease in menstrual pain in female adolescents. The purpose of this study was to determine the effect of giving pineapple juice and honey on reducing menstrual pain in young women at SMPN 1 Rangkasbitung Lebak Banten. The samples taken were 32 people with the criteria of being menstruating and dysmenorrhea, the data is not normally distributed then use the willcoxson test. Statistical test results using the SPSS 21 for Windows program obtained a Z value of -3.873 with a p value of 0.000, at alpha 0.05 it was known that p <alpha, it could be concluded that there was an effect of giving pineapple juice and honey on menstrual pain in young women.

Analysis Of Risk Factors For Stunting In Toddlers Age 12-59 Months In The Working Area The Cabangbungin Bekasi District Health Center Year 2022 Titin Dahliawati; Titin Eka Sugiantini
International Journal Of Health Science Vol. 3 No. 1 (2023): March : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i1.1283

Stunting is a condition of failure to thrive in toodler caused by chronic malnutrition so that children are too short for their age, as measured according to height/age indicators. Stunting has become a national problem, and is found in many developing countries, one of which is Indonesia. Stunting is caused by multiple factors. Risk factors for stunting in toddlers include birth weight, exclusive breastfeeding. parenting patterns, infectious diseases such as diarrhea and upper respiratory infections, health services and family income.The purpose of this study was to determine the risk factors for stunting in toodler. This research is a quantitative study using case-control research methods conducted in the working area of the Branchbungin Public Health Center, Bekasi City. The research sample was 70 in the case and control groups. Technique of collecting data using questioner. Data analysis was performed by univariate analysis, bivariate analysis, multivariate analysis using multiple logistic regression and Population Attributable Risk (PAR) calculations with 95% confidence intervals. The results of multiple logistic regression showed that the risk factor for stunting was health services, and was the most dominant risk factor (Exp(B) = 7.334, 95% CI; 1.250-10.758). The results of the calculation of the Population Attributable Risk (PAR) for health services were 80%, meaning that the use of health services would reduce the incidence of stunting in children under five by 80%. The health workers can provide counseling about the use of under-five health services at the puskesmas as an effort to reduce the incidence of stunting in under-five children.

Pengaruh Pendidikan Kesehatan melalui Konseling terhadap Peningkatan Pengetahuan Ibu Hamil tentang Tablet Fe di Puskesmas Pematang Kragilan, Serang Eviyana Eviyana; Titin Eka Sugiatini
Malahayati Nursing Journal Vol 7, No 4 (2025): Volume 7 Nomor 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i4.19259

ABSTRACT WHO states that more than 30% of the world's population suffers from anemia, in developed countries it is 4.3-20% and in developing countries it is 30-48%, while 38% of anemia occurs in pregnant women. In 2023 in Indonesia, 27.7% of pregnant women will experience anemia. Coverage of giving Fe tablets to pregnant women in Indonesia is 88.5%, and in Banten Province it reaches 93.8%. Taking Fe tablets during pregnancy can reduce various risks such as low birth weight, premature labor, hyperemesis gravidarum, premature rupture of membranes, and infection. One of the factors that causes pregnant women not to want to take Fe tablets is a lack of knowledge. Efforts by health workers to increase knowledge through health education by providing counseling to pregnant women about Fe tablets, including compliance with taking iron supplements. To determine the effect of health education through counseling on increasing pregnant women's knowledge about Fe tablets. Quasi experiment with one group pretest-posttest method. The sample in this study was all 32 pregnant women in the 1st, 2nd and 3rd trimesters who underwent pregnancy checks (ANC) at the Pematang Kragilan Community Health Center, Serang in December 2024. The sampling technique was total sampling. Before being given health education through counseling, the majority of pregnant women had sufficient knowledge, 59.4% and afterward, 65.6% had good knowledge. There is an influence of health education through counseling on increasing pregnant women's knowledge about Fe tablets with a p value of 0.000. There is an influence of health education through counseling on increasing pregnant women's knowledge about Fe tablets. Keywords: Health Education, Knowledge, Pregnant Women, Fe Tablets ABSTRAK WHO menyebutkan lebih dari 30% penduduk di dunia mengalami anemia, di negara maju sebesar 4,3-20% dan pada negara berkembang sebesar 30-48%, sedangkan 38% anemia terjadi pada ibu hamil. Pada tahun 2023 di Indonesia terdapat 27,7% ibu hamil mengalami anemia. Cakupan pemberian Tablet Fe pada ibu hamil di Indonesia sebesar 88,5%, dan di Provinsi Banten mencapai 93,8%. Minum tablet Fe selama hamil bisa mengurangi berbagai macam resiko seperti berat bayi lahir rendah, persalinan premature, hyperemesis gravidarum, ketuban pecah dini, dan infeksi. Salah satu faktor yang menyebabkan ibu hamil tidak mau mengonsumsi tablet Fe adalah kurangnya pengetahuan. Upaya tenaga kesehatan dalam meningkatkan pengetahuan melalui pendidikan kesehatan dengan memberikan konseling kepada ibu hamil tentang tablet Fe, termasuk kepatuhan minum suplemen zat besi. Mengetahui pengaruh pendidikan kesehatan melalui konseling terhadap peningkatan pengetahuan ibu hamil tentang tablet Fe. Quasi eksperimen dengan metode one grup pretest-posttest. Sampel dalam penelitian ini adalah seluruh ibu hamil trimester 1,2 dan 3 yang melakukan pemeriksaan kehamilan (ANC) di Puskesmas Pematang Kragilan, Serang pada bulan Desember 2024 sebanyak 32 orang, teknik pemgambilan sampel yaitu total sampling. Sebelum diberikan pendidikan kesehatan melalui konseling mayoritas ibu hamil berpengetahuan cukup 59,4% dan sesudahnya berpengetahuan baik 65,6%. Ada pengaruh pendidikan kesehatan melalui konseling terhadap peningkatan pengetahuan ibu hamil tentang tablet Fe nilai p value0,000. Ada pengaruh pendidikan kesehatan melalui konseling terhadap peningkatan pengetahuan ibu hamil tentang tablet Fe. Kata Kunci: Pendidikan Kesehatan, Pengetahuan, Ibu hamil, Tablet Fe

Dampak Baby Spa terhadap Tumbuh Kembang Anak Usia 3-5 Bulan di Momby Spa Labuan Kabupaten Pandeglang Ardila Ardila; Titin Eka Sugiatini
Malahayati Nursing Journal Vol 7, No 4 (2025): Volume 7 Nomor 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i4.19260

ABSTRACT Infancy is a golden age and a critical period of development, it is said to be a critical period because at this time the baby is very sensitive to the environment and it is said to be a golden period because infancy lasts very short and cannot be repeated. In stimulating child development with baby SPA can help children get the appropriate stimulation. Baby Spa which is done at the age of 3-5 months is very useful for supporting the development of gross and fine motor skills of babies. Purpose This study aims to determine the impact of Baby Spa on the Growth and Development of Children Aged 3-5 Months at Momby Spa Labuan, Pandeglang Regency. The type of research used in this study is quantitative research. Quantitative research uses a type of pre-experimental research with pre-test and post-test in one group (One-group pre-posttest). The number of samples in this study was 36 children. Univariate data analysis is displayed in the form of a frequency distribution table. Bivariate analysis using the T test with the help of SPSS. Based on the results of the normality test, in the data before Baby Spa p = 0.001 0.05, and after Baby Spa the p value = 0.0000.05, it can be concluded that the data is normally distributed. From the T-test table before and after baby spa in the experimental group, it can be seen that the 2-tailed probability (significance) value is 0.000 0.05, so Ho is rejected and Ha is accepted. So it can be concluded that this study shows that there is a significant difference in children who have baby spa. It can be concluded that there is an impact of Baby Spa on the growth and development of children aged 3-5 months at Momby Spa Labuan, Pandeglang Regency. Baby spa stimulation plays a role in improving the growth and development of babies so that they can develop optimally supported by other factors. Regular and continuous stimulation can encourage the formation and strengthen the relationship between nerves that have been formed. Keywords: Baby Spa, Growth and Development, Children Aged 3-5 Months ABSTRAK Masa bayi adalah masa keemasan serta masa kritis perkembangan, dikatakan masa kritis karena pada masa ini bayi sangat peka terhadap lingkungan dan dikatakan masa keemasan karena masa bayi berlangsung sangat singkat dan tidak dapat diulang kembali. Dalam menstimulasi perkembangan anak dengan baby SPA dapat membantu agar anak memperoleh rangsangan yang sesuai. Baby Spa yang dilakukan pada usia 3-5 bulan sangat bermanfaat untukmenunjang perkembangan motorik kasar dan halus bayi. Penelitian ini bertujuan untuk mengetahui dampak Baby SpaTerhadap Tumbuh Kembang Anak Usia 3-5 Bulan Di Momby Spa Labuan Kabupaten Pandeglang. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif. Penelitian kuantitatif menggunakan jenis penelitian pra-experimental dengan pre test dan post test dalam satu kelompok (One-group pre-posttest). Jumlah sampel dalam penelitian ini adalah 36 anak. Analisis data univariat ditampilkan dalam bentuk tabel distribusi frekuensi. Analisis bivariat menggunakan uji wilcoxon dengan bantuan SPSS. Berdasarkan hasil uji normalitas, pada data sebelumdilakukan Baby Spa p= 0,0010,05, dan setelah dilakukan Baby Spa nilai p= 0,0000,05, maka dapat disimpulkan bahwa data tidak berdistribusi normal. Dari tabel uji wilcoxon sebelum dilakukan baby spa dan sesudah dilakukan baby spa pada kelompok eksperimen dapat diketahui nilai probabilitas (signifikansi) 2-tailed adalah 0,000 0,05 maka Ho ditolak dan Ha diterima. Jadi dapat disimpulkan bahwa pada penelitian ini menunjukkan terdapat perbedaan yang signifikan pada anak yang dilakukan baby spa. Dapat disimpulkan bahwa adanya dampak Baby Spa terhadap tumbuh kembang anak usia 3 – 5 bulan di Momby Spa Labuan Kabupaten Pandeglang. Stimulasi baby spa berperan dalam meningkatkan tumbuh kembang bayi agar dapat berkembang secara optimal didukung dengan faktor lainnya. Stimulasi yang teratur dan terus menerus dapat mendorong pembentukan dan memperkuat hubungan antar saraf yang sudah terbentuk. Kata Kunci: Baby Spa, Pertumbuhan dan Perkembangan, Anak Usia 3-5 Bulan

Efektifitas Pemberian Wedang Jahe Merah Terhadap Penurunan Nyeri Dismenorhoe Pada Remaja Putri di Pondok Pesantren Al - Khoiriah Cibaliung Pandeglang Hikma Tusolihah; Titin Eka Sugiatini
Malahayati Nursing Journal Vol 7, No 5 (2025): Volume 7 Nomor 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i5.19511

ABSTRACT Dysmenorrhea is generally not dangerous, but it is felt to be disturbing for women who experience it, so that the impact on sufferers of menstrual pain that will occur is that adolescents choose to withdraw from social, academic activities, sports, difficulty sleeping, sensitivity and activity limitations due to the discomfort they feel. Moreover, their quality of life also decreases. This study aims to determine the effectiveness of giving red ginger tea on reducing dysmenorrhea pain in adolescent girls. The type of research used in this study is quantitative research. Quantitative research uses a pre-experimental research type with pre-test and post-test in one group (One-group pre-posttest). The sample is 35 adolescent girls who are menstruating. Univariate data analysis is displayed in the form of a frequency distribution table. Bivariate analysis uses the Wilcoxon statistical test with the help of SPSS. Based on dysmenorrhea pain before being given red ginger tea, it was found that most of the respondents had moderate dysmenorrhea pain, namely 19 people (54%) and after being given red ginger tea, it was found that most of the respondents had mild dysmenorrhea pain, namely 34 people (97%). Based on the Wilcoxon signed Rank Test, the results of Asymp.sig (2-tailed) 0.000 α = 0.05 were significant, so Ha was accepted and Ho was rejected. It can be concluded that there is effectiveness in giving red ginger tea in reducing dysmenorrhea pain in adolescent girls. Islamic Boarding Schools are expected to cooperate with related agencies or health workers to provide information on adolescent health. Keywords: Red Ginger Tea, Adolescents, Dysmenorrhea ABSTRAK Dismenorea pada umumnya tidak berbahaya, namun dirasa mengganggu bagi wanita yang mengalaminya, sehingga dampak bagi penderita nyeri haid yang akan terjadi yaitu remaja memilih menarik diri dari kegiatan sosial akademik, olah raga, kesulitan tidur, sensitif dan limitasi aktivitas karena ketidak nyamanan yang dirasakan. Lebih dari itu, kualitas hidup mereka juga mengalami penurunan. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian wedang jahe merah terhadap penurunan nyeri dismenorea pada remaja putri. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif. Penelitian kuantitatif menggunakan jenis penelitian pra-experimental dengan pre test dan post test dalam satu kelompok (One-group pre-posttest). Sampel adalah remaja yang sedang mengalami mentruasi sebanyak 35 remaja putri. Analisis data univariat ditampilkan dalam bentuk tabel distribusi frekuensi. Analisis bivariat menggunakan uji statistik Wilcoxon dengan bantuan SPSS. Berdasarkan nyeri dismenorea sebelum diberikan wedang jahe maerah didapatkan bahwa selbagian belsar relspolndeln delngan nyeri dismenorea sedang yaitu selbanyak 19 olrang (54 %) dan setelah diberikan wedang jahe maerah didapatkan bahwa selbagian belsar relspolndeln delngan nyeri dismenorea ringan yaitu selbanyak 34 olrang (97 %). Berdasarkan uji Wilcoxon signed Rank Test didapatkan hasil Asymp.sig (2-tailed) 0,000 α = 0,05 berarti signifikan, sehingga Ha diterima Ho ditolak. Dapat disimpulkan bahwa terdapat 9efektifitas pemberikan wedang jahe merah dalam menurunkan nyeri dismenorea pada remaja putri. Pondok Pesantren diharapkan melakukan kerja sama dengan instansi terkait atau tenaga kesehatan untuk memberikan informasi mengenai kesehatan remaja. Kata Kunci: Wedang Jahe Merah, Remaja, Dismenorea

Efektifitas Antara Jamu Gapyokan Terhadap Pemberian Asi Pada Masa Nifas di BPM Bidan Asah Sri Dariyah; Titin Eka Sugiatini
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.10537

ABSTRACT During the postpartum period, the mother will experience many physical changes that are physiological in nature and cause a lot of discomfort in the early postpartum period. The first two years of age are a crucial phase for a child because optimal nutrition during this period reduces morbidity and mortality, reduces the risk of chronic disease, and promotes better overall development. Therefore, optimal breastfeeding, when children are aged 0-23 months, is very important. However, the coverage of exclusive breastfeeding is only 52% in 2017, at least this has reached 50% of the national target, but the coverage of exclusive breastfeeding continues to decline as children get older so it is important to have various efforts to support the smooth production of breast milk, one of which is traditional herbal medicine. The gepyokan mentioned can be useful for increasing the milk production of nursing mothers. To determine the effectiveness of gapyokan herbs on breastfeeding during the postpartum period at PMB Midwives Asah. The type of research conducted was static group comparison research, which is a pre-experimental design by adding a control group, by observing the treatment group after treatment and observing the control group only. The method of data collection used was the researcher directly giving herbal medicine to post partum mothers and conducting interviews and observations based on questionnaires and checklists to find out the smoothness of breastfeeding in post partum mothers. Then the data were analyzed using a non-parametric statistical test, namely the Man-Whitney test. Based on the results of data analysis, it was found that there were 28 respondents (70%) producing smooth breastfeeding consisting of 20 respondents (100%) who consumed gapyokan herbs and 8 respondents (40%) who produced breast milk smoothly but did not consume gapyokan herbs, while 12 Respondents (60%) did not expend breast milk smoothly and did not consume gapyokan herbs. There is an effect of giving gapyokan herbs on the smooth production of breast milk in Post Partum mothers in the Midwife Asah PMB area in 2022 KeyWords: Post Partum, Breastfeeding, Herb, Gapyokan ABSTRAK Pada masa nifas, ibu akan mengalami banyak perubahan fisik yang bersifat fisiologis dan menimbulkan banyak ketidaknyamanan pada awal masa nifas. Usia dua tahun pertama adalah fase penting bagi seorang anak karena nutrisi yang optimal selama periode ini mengurangi morbiditas dan mortalitas, mengurangi risiko penyakit kronis, dan mendorong perkembangan yang lebih baik secara keseluruhan. Oleh karena itu pemberian ASI secara optimal pada saat anak berusia 0-23 bulan menjadi sangat penting. Namun cakupan ASI eksklusif baru 52% pada tahun 2017, setidaknya sudah mencapai 50% dari target nasional, namun cakupan ASI eksklusif terus menurun seiring dengan bertambahnya usia anak sehingga penting dilakukan berbagai upaya untuk mendukung program tersebut. melancarkan produksi ASI, salah satunya jamu tradisional. Gepyokan tersebut bisa bermanfaat untuk meningkatkan produksi ASI ibu menyusui. Untuk mengetahui efektivitas jamu gapyokan terhadap pemberian ASI pada masa nifas di PMB Bidan Asah. Jenis penelitian yang dilakukan adalah penelitian perbandingan kelompok statis, yaitu rancangan pra-eksperimen dengan menambahkan kelompok kontrol, dengan mengamati kelompok perlakuan setelah perlakuan dan mengamati kelompok kontrol saja. Metode pengumpulan data yang digunakan adalah pemberian jamu secara langsung pada ibu post partum dan melakukan wawancara serta observasi berdasarkan kuesioner dan checklist untuk mengetahui kelancaran menyusui pada ibu post partum. Kemudian data dianalisis dengan menggunakan uji statistik non parametrik yaitu uji Man-Whitney. Berdasarkan hasil analisis data diketahui bahwa terdapat 28 responden (70%) menghasilkan ASI lancar yang terdiri dari 20 responden (100%) mengkonsumsi jamu gapyokan dan 8 responden (40%) menghasilkan ASI lancar tetapi tidak mengkonsumsi jamu gapyokan, sedangkan 12 responden (60%) tidak lancar mengeluarkan ASI dan tidak mengkonsumsi jamu gapyokan. Ada pengaruh pemberian jamu gapyokan terhadap kelancaran produksi ASI pada ibu Post Partum di wilayah PMB Bidan Asah Tahun 2022. Kata Kunci: Nifas, Menyusui, Jamu, Gepyokan

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