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                  <text>Prosiding STIKES Bethesda VOL 5 NO 1 2025</text>
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                <text>Butterfly Hug untuk menurunkan Gangguan Tidur pada pasien Anemia: Case Report</text>
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                <text>anaemia, butterfly hug</text>
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                <text>Anaemia is a condition where the number of red blood cells (erythrocytes) or haemoglobin (Hb) levels in&#13;
the blood (&lt;12gd/l Butterfly Hug is a nonpharmacological intervention that can reduce sleep pattern&#13;
disturbances in anaemic patients because it can soothe with a calm state a person can increase melatonin&#13;
horons that can stimulate sleep and reduce the hormone cartisol. The research design used is descriptive&#13;
quantitative with a case study design with a case study approach through the butterfly hug action by asking&#13;
the patient to cross their arms in the form of hugging the patient's upper arm asking the patient to suggest&#13;
thoughts by emptying the mind and imagining a preferred place then doing deep breathing techniques and&#13;
patting the upper arm with a slow tempo repeat until the patient falls asleep. The result of the intervention&#13;
was a decreased sleep pattern disorder with the patient lying down from 20-30 minutes to 5 minutes carried&#13;
out for three days. Advice for nurses is that this intervention can be a non-pharmacological alternative to&#13;
reduce sleep disturbances in anaemic patients.&#13;
Keywords: anaemia, butterfly hug</text>
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                <text>1Dewi Jati Satyani*,&#13;
2&#13;
Ignasia Yunita Sari,&#13;
&#13;
3Ganang Agus</text>
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                  <text>Prosiding STIKES Bethesda VOL 5 NO 1 2025</text>
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                <text>HUBUNGAN SELF COMPASSION DENGAN KUALITAS HIDUP PASIEN&#13;
HEMODIALISA</text>
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                <text>Self Compassion; Kualitas Hidup; Hemodialisis</text>
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                <text>Introduction: Patients depend on long-term hemodialysis therapy and restriction of fluid intake so that they often&#13;
lose their enthusiasm for life and affect their quality of life. Phenomenon at the research site, there are still many&#13;
patients who say that they are reluctant to participate in social activities because they are tired, do not want to&#13;
bother others, experience physical changes, social, environmental and psychological changes and find it difficult&#13;
to accept their disease conditions, fear death, anxiety, easily give up on disease. and do not perform routine&#13;
maintenance. Objective: To determine the relationship between self-compassion and quality of life of hemodialysis&#13;
patients. Methods: This study used a quantitative method with a cross-sectional correlation design. The sampling&#13;
technique used purposive sampling with a total sample of 85 patients. Data analysis using analysis univariate&#13;
and bivariate with spearman rank. Results: The results showed that most of the self-compassion was in the&#13;
moderate category as many as 71.8% of respondents and most of the quality of life was in the good category as&#13;
many as 72.9% of respondents with a p value of 0.000 (&lt;0.05)&#13;
Conclusion: There is the relationship of self-compassion with the quality of life of hemodialysis patients.&#13;
Suggestion: For Researchers Furthermore, it is recommended to conduct research with qualitative methods so&#13;
that they can express in depth about self-compassion in helping to overcome quality of life problems from the&#13;
patient's point of view.&#13;
Keywords: Self Compassion; Quality of Life; Hemodialysis</text>
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                <text>Kristianti, Nimsi Melati*, Ch. Hatri Istiarini, Indah Prawesti</text>
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        <name>Self Compassion; Kualitas Hidup; Hemodialisis</name>
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                  <text>Prosiding STIKES Bethesda VOL 5 NO 1 2025</text>
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                <text>PEMBERIAN PETROLEUM JELLY PADA PASIEN CHRONIC KIDNEY DISEASE DENGAN PRURITUS YANG MENJALANI HEMODIALISA DI RS BETHESDA YOGYAKARTA</text>
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                <text>Gagal ginjal kronik - hemodialisa – petroleum jelly – pruritus</text>
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                <text>Background: Chronic kidney failure or chronic kidney disease (CKD) is a problem faced&#13;
globally. According to a report from the united stases renal disease data system (USRDS),&#13;
the prevalence of chronic kidney failure increases by 20-25% every year, with around&#13;
100,000 new patients every year (Septiyanti, 2021). Pruritus is one of the forms of&#13;
discomfort experienced by GGK patients due to uremic toxins (Asri &amp; Zuryati, 2018).&#13;
Petroleum jelly is considered an emollient and occlusion ointment that softens and&#13;
smoothes the skin, helps to replace the oil that prevents transdermal water loss (TEWL)&#13;
from the skin, making it ideal for dry skin. Main Symptoms: Patients with chronic kidney&#13;
failure experience complications, namely uremic pruritus which appears due to urea&#13;
buildup and fluid withdrawal during hamodialysis. Terpeutik Intervention: Giving&#13;
petroleum jelly for 8 days with application which is done 2 times a day in the morning and&#13;
evening after taking a shower. Conclusion: Petroleum jelly is able to lower the pruritus&#13;
scale in chronic kidney failure patients who undergo hemodylysis.&#13;
Keywords: Chronic kidney failure - hemodialysis - petroleum jelly – pruritus</text>
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                <text>Ayu Puspita Rudiastuti1*&#13;
&#13;
, Fransisca Winandari1&#13;
&#13;
, Agustina Eka Kristiningsih2</text>
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                <text>Simulasi Model Epidemi Discrete Time Markov Chain Susceptible Infected Recovered-Susceptible Infected pada Penyebaran Penyakit Demam Berdarah Dengue</text>
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                <text>Penyebaran penyakit menular yang meluas dan terjadi dalam jangka waktu tertentu disebut dengan&#13;
epidemi. Demam berdarah dengue merupakan penyakit yang menular melalui gigitan nyamuk Aedes&#13;
aegypti atau Aedes albopticus yang telah terinfeksi virus dengue. Penyebaran penyakit demam berdarah&#13;
dengue pada populasi manusia terbagi menjadi kelompok manusia susceptible (Sh), manusia infected&#13;
(Ih), dan manusia recovered (Rh), serta pada populasi nyamuk terbagi menjadi kelompok nyamuk&#13;
susceptible (Sm), dan nyamuk infected (Im). Manusia yang terinfeksi dengue dapat sembuh dan&#13;
memiliki kekebalan permanen, sedangkan nyamuk yang terinfeksi akan membawa virus tersebut&#13;
selama hidupnya. Perubahan jumlah individu kedua populasi ditinjau mengikuti proses Markov waktu&#13;
diskrit atau disebut Discrete Time Markov Chain Susceptible Infected Recovered-Susceptible Infected&#13;
(DTMC SIR-SI). Penelitian ini menyimulasikan model epidemi DTMC SIR-SI dengan menentukan&#13;
probabilitas transisi, asumsi, variabel acak, serta parameter yang digunakan. Hasil simulasi menyatakan&#13;
bahwa memperkecil laju kontak antara nyamuk-manusia (βhb) dapat memperlambat perluasan&#13;
penyebaran epidemi dengan cara mengurangi jumlah individu yang terinfeksi. Selain itu, pengendalian&#13;
epidemi dapat dilakukan dengan memperbesar laju kesembuhan (γh) untuk mempercepat proses&#13;
pemulihan individu terinfeksi.&#13;
Kata kunci: epidemi, demam berdarah dengue, discrete time markov chain</text>
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                <text>*Dian Prihatiningsih, Respatiwulan, Sri Subanti</text>
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                <text>SIMULASI MODEL EPIDEMI CONTINUOUS TIME MARKOV CHAINS&#13;
SUSCEPTIBLE VACCINATED EXPOSED INFECTED RECOVERED PADA&#13;
PENYEBARAN CACAR AIR</text>
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                <text>Cacar air merupakan penyakit menular yang disebabkan oleh virus Varicella-Zoster dan dapat menyebar&#13;
melalui kontak langsung dengan individu yang terinfeksi. Penelitian ini menggunakan model epidemi&#13;
stokastik Continuous Time Markov Chain Susceptible Vaccinated Exposed Infected Recovered (CTMC&#13;
SVEIR) untuk mensimulasikan penyebaran cacar air. Model ini membagi populasi menjadi lima&#13;
kelompok: rentan, divaksinasi, terpapar, terinfeksi, dan sembuh. Model CTMC SVEIR&#13;
merepresentasikan probabilitas transisi individu antar kelompok dengan mempertimbangkan parameter&#13;
seperti laju penularan, laju vaksinasi, tingkat kegagalan vaksinasi, serta laju kesembuhan. Simulasi&#13;
dilakukan dengan mengubah parameter laju penularan dan laju vaksinasi untuk menganalisis dinamika&#13;
epidemi. Hasil menunjukkan bahwa semakin besar laju penularan, semakin lama waktu mencapai&#13;
puncak epidemi dan semakin banyak individu terinfeksi. Sementara semakin tinggi laju vaksinasi,&#13;
jumlah individu terinfeksi cenderung lebih sedikit. Model ini memberikan wawasan baru tentang&#13;
pentingnya efektivitas vaksinasi dalam mengendalikan penyebaran cacar air.&#13;
Kata kunci: Continuous-Time Markov Chain; SVEIR; cacar air; vaksinasi; simulasi.</text>
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                <text>Aurellia Lintang Alis Kurniawati*&#13;
&#13;
, Respatiwulan, Hasih Pratiwi</text>
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        <name>Continuous-Time Markov Chain; SVEIR; cacar air; vaksinasi; simulasi.</name>
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                  <text>Prosiding STIKES Bethesda VOL 5 NO 1 2025</text>
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                <text>Pengaruh Slow Stroke Back Massage Terhadap Penurunan Tekanan Darah Pada Pasien Dengan Hipertensi Di RSU Santa Elisabeth Purwokerto : Case Report</text>
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                <text>Background: Hypertension or high blood pressure is a medical condition that occurs when blood&#13;
pressure increases above normal limits. Hypertension can cause more complex ones if not treated. One&#13;
therapy that can be used is slow stroke back massage. Main Symptoms: The patient has hypertension.&#13;
Research Method: therapeutic intervention: Slow stroke back massage exercise for 3x24 hours, blood&#13;
pressure decreased from 150/90 mmHg to 130/80 mmHg. Outcome: slow stroke back massage therapy&#13;
can lower blood pressure in patients with hypertension. It is expected that nurses can provide slow&#13;
stroke back massage therapy to patients with hypertension. Conclusion: Providing slow stroke back&#13;
massage therapy can lower blood pressure in patients with hypertension at Santa Elisabeth Hospital,&#13;
Purwokerto.&#13;
Keywords: Hypertension – Blood pressure – slow stroke back massage</text>
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                <text>Elisabet Asti Setyaningsih1&#13;
&#13;
, Chatarina Hatri Istiarini1 *, Ch Sri Kartini2</text>
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                <text>Peri Irawan</text>
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              <description>A name given to the resource</description>
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                <elementText elementTextId="140289">
                  <text>Prosiding STIKES Bethesda VOL 5 NO 1 2025</text>
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            <element elementId="37">
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              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="140290">
                  <text>peri irawan</text>
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    <elementSetContainer>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="140309">
                <text>SIMULASI MODEL DISCRETE TIME MARKOV CHAIN (DTMC) SIA DAN SIAT PADA PENYEBARAN PENYAKIT HIV/AIDS</text>
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                <text>epidemic, DTMC, HIV, AIDS, treatment</text>
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            <description>An account of the resource</description>
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                <text>Human Immunodeficiency Virus (HIV) is a virus that can attack human white blood cells, thus reducing&#13;
the immune system, and making sufferers susceptible to infection. Decreased immunity due to HIV can&#13;
cause a collection of symptoms of the disease, commonly called Acquired Immunodeficiency Syndrome&#13;
(AIDS). Until now, no cure has been found for HIV/AIDS, but there is type of drug that can be used to&#13;
slow the development of the virus, namely antiretroviral (ARV). The purpose of this article is to model&#13;
the spread of HIV/AIDS using Discrete Time Markov Chain (DTMC) SIA (Susceptible-Infected-AIDS)&#13;
and SIAT (Susceptible-Infected-AIDS-Treatment) and then compare the two models through&#13;
simulation. The parameters used are rate of HIV transmission (β), rate of AIDS progression (δ), rate&#13;
of HIV treatment (α1), and rate of AIDS treatment (α2). The data used for calculating parameter&#13;
estimates are from Ministry of Health for cases 2014-2023. Simulations on the DTMC SIA epidemic&#13;
model show that the number of HIV individuals has decreased, while the number of AIDS individuals&#13;
has increased, reaching its peak with 24 individuals infected AIDS at t=1000. In contrast, DTMC SIAT&#13;
epidemic model with ARV shows that the number of HIV/AIDS individuals has decreased, while the&#13;
number of individuals receiving treatment has increased.&#13;
Keywords: epidemic, DTMC, HIV, AIDS, treatment</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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                <text>*Agnes Monica Puspitaningtyas, Respatiwulan, Isnandar Slamet</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="140313">
                <text>2025</text>
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="140314">
                <text>Peri Irawan</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="140315">
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="140316">
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            <elementTextContainer>
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        <name>epidemic, DTMC, HIV, AIDS, treatment</name>
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                  <text>Prosiding STIKES Bethesda VOL 5 NO 1 2025</text>
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            <element elementId="37">
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                <elementText elementTextId="140290">
                  <text>peri irawan</text>
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    <elementSetContainer>
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                <text>STUDI KUALITATIF DINAMIKA RESILIENSI REMAJA DALAM MENGHADAPI TRUST ISSUES PADA MAHASISWA KEPERAWATAN&#13;
DI YOGYAKARTA</text>
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                <text>Resiliensi; Broken Home; Trust Issues</text>
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            <description>An account of the resource</description>
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                <text>Background: Many situations fall into the category of resilience, one of which is parental divorce. When&#13;
bad parental relationships continue after divorce, not only father and mother, but children also&#13;
experience major changes in their lives. Objective: To determine the dynamics of resilience among&#13;
broken home teenagers in dealing with trust issues among students at a health sciences high school in&#13;
Yogyakarta in 2024. Method: This research is qualitative research with a case study approach. The&#13;
participant selection method was carried out using a purposive sampling design according to&#13;
predetermined inclusion criteria. Data were collected using semi-structured interviews with five&#13;
participants. Research results: From 5 participants, 104 codes and 13 categories were obtained, four&#13;
themes were then raised, experiences of teenagers facing situations of family breakdown with social and&#13;
psychological impacts, dynamics of emotional responses of teenagers facing situations of family&#13;
breakdown with trust issues, emotional support, resilience of teenagers facing situations of family&#13;
breakdown with trust issues towards oneself and society. Conclusion: Adolescents with resilience are&#13;
able to adapt to the psychological and social problems experienced by adolescents today because they&#13;
learn from the family breakdown situations they experience.&#13;
Keywords: Resilience; Broken Home; Trust Issues</text>
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            <elementTextContainer>
              <elementText elementTextId="140303">
                <text>Anna Maria Violeta Narmada, Chatarina Hatri Istiarini, Indah Prawesti,&#13;
&#13;
Christina Yeni Kustanti*</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="140304">
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            <elementTextContainer>
              <elementText elementTextId="140305">
                <text>Peri Irawan</text>
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              <elementText elementTextId="140306">
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          <element elementId="44">
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="140307">
                <text>english</text>
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                  <text>Prosiding STIKES Bethesda VOL 5 NO 1 2025</text>
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            <element elementId="37">
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    <elementSetContainer>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>HUBUNGAN DUKUNGAN KELUARGA DENGAN SELF-CARE PADA PASIEN STROKE DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2024</text>
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          <element elementId="49">
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                <text>Family support, Self-care, Stroke</text>
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                <text>Stroke is the leading cause of disability and death worldwide, which occurs when blood vessels that&#13;
supply oxygen and nutrients to the brain are blocked or ruptured. One of the main challenges for stroke&#13;
patients is the inability to perform self-care, which is caused by weakness in the extremities and&#13;
decreased mobility function, disrupting daily activities. The family system is an important factor in&#13;
meeting the self-care needs of stroke patients. Family support can be in the form of family attitudes and&#13;
involvement towards sick members through attention, emotions and assessment in interpersonal&#13;
relationships. The research method uses a correlation design with a cross-sectional approach. The&#13;
research sample was 57 outpatient stroke patients who were taken using a purposive sampling&#13;
technique. The measuring instrument used was the family support questionnaire and the Barthel index&#13;
checklist. The results of the statistical test using chi-square showed that the p value = 0.036, which&#13;
means there is a significant relationship between family support and self-care in stroke patients at the&#13;
Santa Elisabeth Hospital Medan in 2024. Family members should actively participate in accompanying,&#13;
training and motivating stroke patients in improving self-care. Further researchers are expected to&#13;
educate patients and their families in implementing a healthy lifestyle to prevent recurrent stroke&#13;
attacks.&#13;
Keyword: Family support, Self-care, Stroke</text>
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                <text>Ance Siallagan*, Lindawati Simorangkir, Agustaria Ginting, Maria Siahaan</text>
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                <text>Peri Irawan</text>
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