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                <text>cover JURNAL INTERNASIONAL BABALI NURSING RESEARCH vol.6 no.1 2025</text>
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                <text>Anemia Prevention in Adolescent Females with Lawrence W. Green Theory Approach: A Literature Review</text>
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                <text>adolescent girls,&#13;
anemia, Lawrence&#13;
W. Green's Theory,&#13;
prevention</text>
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                <text>Introduction: The prevalence of anemia worldwide is very high,&#13;
particularly in developing countries, including Indonesia. Adolescent girls&#13;
are especially susceptible to anemia, with the monthly menstrual cycle&#13;
being one of the contributing factors. This review aims to synthesize data&#13;
by analyzing several articles that focus on the prevention of anemia in&#13;
adolescent girls using the Lawrence W. Green theory approach.&#13;
Methods: The method used for this article is a literature review of articles&#13;
published between 2020 and 2024. The sources include Google Scholar,&#13;
PubMed, and ScienceDirect, with the keywords "Anemia," "Prevention,"&#13;
"Adolescent girls," and "Lawrence W. Green's Theory." After the screening&#13;
process, 15 articles were selected for review out of the 883 articles initially&#13;
identified.&#13;
Results: The findings indicate that individual behaviors vary widely, even&#13;
among identical twins. Behavior does not always follow a predictable&#13;
pattern, and the development of positive behavior is not solely determined&#13;
by knowledge or positive attitudes. According to Lawrence W. Green's&#13;
Theory, factors influencing actions or behaviors are classified into three&#13;
categories: 1) Predisposing factors, 2) Enabling factors, and 3) Reinforcing&#13;
factors.&#13;
Conclusion: The prevention of anemia in adolescent girls is influenced by&#13;
factors such as knowledge levels, attitudes, peer support, and the&#13;
availability of health facilities.</text>
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                <text>Mujiono1, Siti Aisah1*&#13;
&#13;
, Edy Soesanto1, &amp; Satriya Pranata1</text>
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                <text>https://doi.org/10.37363/bnr.2025.61404</text>
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                <text>Determinant Factors of Stress Family Caregiver in Caring for Stroke Patients: A Literature Review</text>
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                <text>caring, determinant&#13;
factors, family&#13;
caregiver, stress,&#13;
stroke</text>
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                <text>Introduction: Stroke is a common disease that disrupts daily activities and&#13;
can even lead to death. According to the World Health Organization (2016),&#13;
stroke is the leading cause of disability worldwide and the second leading&#13;
cause of death. Stroke affects various aspects of life, including mobility,&#13;
emotions, attitudes, and communication. Stroke patients often experience&#13;
activity limitations, making them dependent on family caregivers for&#13;
assistance with daily needs. This dependency can place a significant&#13;
burden on family caregivers, leading to stress. This research aims to&#13;
analyze the key factors contributing to stress among family caregivers of&#13;
stroke patients.&#13;
Methods: This study employed a literature review approach, analyzing 16&#13;
articles published between 2017 and 2024 in either Indonesian or English.&#13;
Only full-text articles were included. The literature review followed the&#13;
PRISMA checklist to ensure the appropriate selection of studies aligned&#13;
with the research objectives.&#13;
Results: Several factors contribute to stress among family caregivers of&#13;
stroke patients, including (1) age, (2) duration of caregivers, (3) gender,&#13;
(4) burden, and (5) (1) age, (2) duration of caregiving, (3) gender, (4)&#13;
burden, and (5) social support received from other family members.&#13;
Conclusion: This highlights the need for tailored stress management&#13;
strategies, stronger social support networks, and further research to&#13;
understand varying stressors. Policymakers and healthcare providers&#13;
should prioritize creating resources, raising awareness, and offering&#13;
personalized support to alleviate caregiver burden and improve overall&#13;
well-being.</text>
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                <text>I Kade Miki Indra Bela1, Ni Putu Kamaryati1*&#13;
&#13;
, A.A. Ayu Yuliati Darmini1, &amp; Wayan&#13;
&#13;
Edi Sanjana1</text>
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                <text>https://doi.org/10.37363/bnr.2025.61445</text>
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                <text>26 January 2025</text>
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                <text>peri irawan</text>
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                  <text>VOL. 6 NO. 1 2025</text>
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            <description>A name given to the resource</description>
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                <text>The Determining Factors of Quality of Life in Chronic Kidney Disease Patients with Hemodialysis in Hospitals: A Literature Review</text>
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          <element elementId="49">
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                <text>chronic kidney&#13;
disease,&#13;
hemodialysis,&#13;
quality of life</text>
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                <text>Introduction: Patients with chronic renal failure undergoing hemodialysis&#13;
often experience a decline in quality of life. This decline is due to challenges&#13;
in accepting their condition, the physical and emotional impact of&#13;
treatment, and significant lifestyle changes. Maintaining or improving&#13;
quality of life is essential for these patients to manage their condition&#13;
effectively and live well.&#13;
Methods: This study employed a literature review design, adhering to the&#13;
PRISMA checklist for study selection. The review utilized five journal&#13;
databases: ScienceDirect, EBSCO, PubMed, Neliti, and Google Scholar, with&#13;
keywords aligned with MeSH terms: "quality of life," "chronic renal&#13;
failure," "determinants," and "hemodialysis." The inclusion criteria&#13;
encompassed articles published between 2015 and 2024 in English or&#13;
Indonesian. A total of 15 eligible articles were included in the analysis.&#13;
Results: The literature review identified several factors influencing the&#13;
quality of life in hemodialysis patients. These included demographic&#13;
factors such as age, gender, and education; clinical aspects like&#13;
hemodialysis duration, medication adherence, complications, and&#13;
comorbidities; psychological factors such as depression; and social&#13;
determinants like family support and income. Nutritional status and&#13;
hemoglobin levels were also significant contributors.&#13;
Conclusion: This study identified several factors affecting the quality of life&#13;
of hemodialysis patients, including hemodialysis duration, medication&#13;
adherence, age, gender, education, occupation, family support, nutritional&#13;
status, depression, hemoglobin levels, and comorbidities. Future research&#13;
should explore additional factors not covered in this review to understand&#13;
better the most influential determinants of quality of life in patients with&#13;
chronic kidney failure.</text>
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                <text>Ni Wayan Sri Wahyuni1*&#13;
&#13;
, Ni Putu Kamaryati1, Made Rismawan1, &amp; Putu Inge Ruth&#13;
&#13;
Suantika1</text>
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                <text>https://doi.org/10.37363/bnr.2025.61454</text>
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                <text>Implementation of the “CANTIK” (Preventing Anemia with Acupressure Techniques and Consuming Blood Supplement Tablets) in Adolescent Girls to Prevent Stunting</text>
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                <text>acupressure,&#13;
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                <text>Introduction: The study explores the connection between anemia in&#13;
adolescent girls and the risk of stunting in their future children. To prevent&#13;
this, researchers developed the CANTIK program, which combines&#13;
acupressure techniques and iron supplementation. The aim is to evaluate&#13;
the program's effectiveness in improving hemoglobin levels and&#13;
preventing anemia in adolescent girls.&#13;
Methods: A pre-experiment with a one-group pretest-post-test design was&#13;
conducted to evaluate the effect of acupressure and blood supplement&#13;
tablets on hemoglobin levels. The study involved 33 second-year&#13;
adolescent girls from SMAN 3 Denpasar, selected through stratified&#13;
random sampling from 149. Participants met the criteria of having&#13;
menstruation and being healthy. Hemoglobin levels were measured before&#13;
and after the one-month intervention using a hemoglobin meter, with&#13;
results analyzed using a paired t-test.&#13;
Results: The average age of participants was 16, with most having a normal&#13;
BMI (54.40%), not being at risk of chronic energy deficiency (72.70%), and&#13;
having regular (81.82%) and normal-length periods (93.94%). The study&#13;
showed a significant increase in hemoglobin levels from pre-intervention&#13;
(Mean = 11.60, SD = 1.27) to post-intervention (Mean = 12.51, SD = 1.11)&#13;
with a p-value of 0.001. The mean increase was 0.97, with a 95%&#13;
confidence interval. Additionally, compliance with blood supplement&#13;
tablet consumption rose from 0% to 97.0% after one month.&#13;
Conclusion: Blood supplement tablet consumption and acupressure&#13;
significantly increased adolescent girls' hemoglobin levels. Applying&#13;
acupressure as a complementary therapy to increase hemoglobin levels is&#13;
highly recommended.</text>
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                <text>Factors associated with anxiety among nurses during the omicron variant COVID-19 outbreak</text>
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                <text>Introduction: The COVID-19 pandemic, especially the Omicron variant, has&#13;
had a broad impact on human life, especially on the economic and health&#13;
aspects, including for nurses working on the front lines who are at risk of&#13;
experiencing anxiety. This study aims to identify factors related to nurses'&#13;
anxiety towards the Omicron variant of COVID-19.&#13;
Methods: This study was conducted in Bangli Regency, Bali, Indonesia. The&#13;
sampling technique used was snowball sampling with a sample size of 311&#13;
nurses. The instrument used was a questionnaire filled out by respondents&#13;
via Google Forms. The analysis was univariate, bivariate (Chi-square test),&#13;
and multivariate (multiple logistic regression).&#13;
Results: The results of this study found that 25.7% of respondents&#13;
experienced anxiety towards the Omicron variant of COVID-19. Perception&#13;
and completeness of Personal Protective Equipment (PPE) were&#13;
significantly related to nurses' anxiety towards the Omicron variant of&#13;
COVID-19. On the contrary, the work environment and history of&#13;
comorbidities did not affect anxiety.&#13;
Conclusion: The factors that most influence the level of nurses' anxiety are&#13;
perception and use of personal protective equipment (PPE).</text>
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              <elementText elementTextId="126993">
                <text>I Made Agus Budi Wijaya1*&#13;
&#13;
, I Ketut Swarjana1, I Gusti Ayu Rai Rahayuni1, &amp; I&#13;
&#13;
Nyoman Arya Mahaputra1</text>
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                <text>https://doi.org/10.37363/bnr.2025.61469</text>
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          <element elementId="37">
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              <elementText elementTextId="126996">
                <text>peri irawan</text>
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                  <text>VOL. 6 NO. 1 2025</text>
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            <description>A name given to the resource</description>
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                <text>Social and Cultural of Stigma for Children with Stunting: A Literature Review</text>
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          <element elementId="49">
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                <text>community, cultural, social, stigma, stunting</text>
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                <text>Introduction: Children living with stunting face unique challenges&#13;
influenced by social and cultural factors. Social stigmas arising from&#13;
traditional cultures, norms, and beliefs exacerbate families' access to&#13;
health services and negatively impact children's mental and emotional&#13;
well-being. This literature review aims to identify factors related to social&#13;
and cultural stigma affecting children with stunting within communities.&#13;
Methods: This study employed a literature review design, utilizing a&#13;
selection and evaluation process guided by the PRISMA protocol and&#13;
checklist. The inclusion criteria included articles discussing the impact of&#13;
socio-cultural stigma on stunting, qualitative or quantitative studies&#13;
published between 2016 and 2024, and articles written in English or&#13;
&#13;
Indonesian with full access. The exclusion criteria comprised non-&#13;
relevant articles focused solely on medical aspects without an association&#13;
&#13;
to stigma and literature presented only as general reviews without&#13;
empirical data.&#13;
Results: Social, cultural, and economic factors, including poverty, low&#13;
parental education levels, and gender role disparities, contribute to the&#13;
prevalence of stunting among children. The stigma associated with&#13;
stunting negatively affects children's overall health. These children often&#13;
experience discrimination and social isolation due to their physical&#13;
condition, further impacting their mental well-being.&#13;
Conclusion: Social and cultural stigmas are significantly related to stunting&#13;
among children in Indonesia. Therefore, culturally sensitive and&#13;
community-based approaches should be integrated into health services&#13;
to reduce stigma within communities.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127003">
                <text>Social and Cultural of Stigma for Children with&#13;
Stunting: A Literature Review</text>
              </elementText>
            </elementTextContainer>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127004">
                <text>https://doi.org/10.37363/bnr.2025.61456</text>
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            <elementTextContainer>
              <elementText elementTextId="127006">
                <text>peri irawan</text>
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                <text>The Effect of Combination Foot Massage and Active Range of Motion (ROM) on Foot Sensitivity among Patients with Type 2 Diabetic Mellitus</text>
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          <element elementId="49">
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                <text>foot sensitivity, foot&#13;
massage, type 2 DM,&#13;
range of motion</text>
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                <text>Introduction: T2DM can increase morbidity and mortality. Almost half of&#13;
T2DM patients have impaired foot sensitivity. This increases the risk of&#13;
diabetic foot ulcers, causing the patient to not feel any injuries to the legs,&#13;
even to amputation. Therefore, handling the proper treatment to prevent&#13;
these complications is necessary, one of which is using foot massage and&#13;
active ROM. This study aimed to determine the effect of the combination of&#13;
foot massage and active ROM on foot sensitivity among T2DM patients at&#13;
Mangusada Hospital.&#13;
Methods: This study was carried out in the Kecak Room of Mangusada&#13;
Hospital, involving 30 T2DM patients. This study uses a pre-experiment&#13;
design with a one-group pretest-posttest design. The instrument used to&#13;
assess foot sensitivity among T2DM patients was a 10-g monofilament&#13;
applied at five points on each patient's right and left soles.&#13;
Results: The results showed that median foot sensitivity scores improved&#13;
from 7 to 8. Before the intervention, most foot sensitivity scores were 7,&#13;
and after the intervention, they were 8. It can be concluded that a&#13;
combination of foot massage and active ROM affected foot sensitivity&#13;
among T2DM patients at Mangusada Hospital.&#13;
Conclusion: Future studies should incorporate a control group and&#13;
randomization to enhance validity.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127013">
                <text>I Made Cahyadi Agastiya1*&#13;
&#13;
, Ni Ketut Romani2, &amp; I Made Artana1</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127014">
                <text>https://doi.org/10.37363/bnr.2025.61443</text>
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              <elementText elementTextId="127015">
                <text>21 January 2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127016">
                <text>peri irawan</text>
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                  <text>VOL. 6 NO. 1 2025</text>
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                <text>Ethical Dilemma in Diabetes Wound Care: A Literature Review</text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="127021">
                <text>dilemma ethics, diabetic wound care, decision making</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
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                <text>Introduction: One of the main complications of diabetes is diabetic foot&#13;
ulcer (DFU), which often requires intensive care and involves&#13;
collaboration between various disciplines. In managing diabetic foot&#13;
ulcers, several ethical dilemmas arise regarding autonomy, beneficence,&#13;
non-maleficence, and justice. This review of the literature aims to&#13;
examine ethical dilemmas in the care of diabetic wounds.&#13;
Methods: A literature review was conducted to analyze articles published&#13;
over the last five years (2019–2024). The analysis involved a detailed&#13;
review of healthcare workers' ethical dilemmas, particularly nurses, in&#13;
managing diabetic wounds.&#13;
Results: Nurses are crucial in addressing ethical dilemmas in diabetic&#13;
wound care. They must have a comprehensive knowledge of diabetic&#13;
wounds, including their pathophysiology, complications, and treatment&#13;
options. Nurses must also have strong decision-making skills, allowing&#13;
them to analyze situations, weigh various factors, and make appropriate&#13;
decisions. Furthermore, they must maintain effective relationships with&#13;
patients and their families.&#13;
Conclusion: Ethical dilemmas in wound care present complex and&#13;
multidimensional challenges. Nurses must possess adequate knowledge,&#13;
skills, and support to navigate these situations effectively. By doing so,&#13;
they can provide high-quality, dignified care to patients while protecting&#13;
their well-being.</text>
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                <text>Harsah Bahtiar Zainudin1 &amp; Tantut Susanto2*</text>
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                <text>https://doi.org/10.37363/bnr.2025.61455</text>
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                <text>peri irawan</text>
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        <name>dilemma ethics, diabetic wound care, decision making</name>
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                <elementText elementTextId="126940">
                  <text>VOL. 6 NO. 1 2025</text>
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              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
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                  <text>peri irawan</text>
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                <text>Acupuncture as a Therapeutic Intervention for Alleviating Pain Associated with Knee Osteoarthritis in the Elderly</text>
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                <text>Introduction: Osteoarthritis is a common joint disease associated with&#13;
aging, with knee osteoarthritis (KOA) affecting both elderly men and&#13;
women in Indonesia. KOA is a major cause of disability and immobility,&#13;
significantly impacting the quality of life of the elderly. Acupuncture is&#13;
frequently used as a complementary and alternative medicine therapy to&#13;
alleviate pain associated with KOA. This study aims to investigate the&#13;
effect of acupuncture in relieving KOA-related pain in the elderly.&#13;
Methods: A pre-experimental study with a one-group pre-post-test design&#13;
was conducted, involving 30 elderly respondents from the Payangan Desa&#13;
hamlet, selected using purposive sampling. Data were collected using an&#13;
observation sheet and the Comparative Pain Scale to evaluate pain levels.&#13;
All respondents provided informed consent before participating in the&#13;
study. The Wilcoxon Signed Rank Test was used to analyze and interpret&#13;
the results.&#13;
Results: Before the intervention, 9 respondents (30.0%) reported&#13;
moderate knee pain, 10 (33.3%) reported severe pain, and 9 (30.0%)&#13;
reported very severe pain. After the intervention, pain levels decreased&#13;
significantly: 4 respondents (13.3%) reported no pain, 14 (46.7%)&#13;
experienced mild pain, and 12 (40.0%) had moderate pain. The change in&#13;
pain levels was statistically significant (p &lt; 0.05). The median pain score&#13;
decreased from Md = 5.50 before the intervention to Md = 2.00 after, with&#13;
a z-value of -4.53 and r = 0.58.&#13;
Conclusion: Acupuncture therapy is effective in alleviating pain levels&#13;
among elderly individuals suffering from KOA-related pain, with no&#13;
observed negative side effects. Acupuncture is a promising, safe, and&#13;
effective alternative medicine for elderly patients with KOA.</text>
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                <text>Ida Ayu Suptika Strisanti1*, Ida Ayu Anom Rastiti1, Kadek Buja Harditya1, I Dewa&#13;
Ayu Agra Darmawati1, &amp; Komang Rosa Tri Anggaraeni1</text>
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              <elementText elementTextId="127034">
                <text>https://doi.org/10.37363/bnr.2025.61450</text>
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                <text>16 January 2025</text>
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                <text>peri irawan</text>
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