scholarly journals Association between Personal Hygiene and Incidence of Soil-Transmitted Helminthiasis among Workers at Widodaren Plantation in Jember Regency

2020 ◽  
Vol 6 (1) ◽  
pp. 7
Author(s):  
Zulaikha Rizqina Rahmawati ◽  
Bagus Hermansyah ◽  
Erfan Efendi ◽  
Yunita Armiyanti ◽  
Yudha Nurdian ◽  
...  
Keyword(s):  
Personal Hygiene ◽  
Multiple Infections ◽  
Stool Examination ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Intestinal Nematode ◽  
Hygiene Factor ◽  
Chi Square Analysis ◽  
Soil Transmitted Helminthiasis

Soil-Transmitted Helmithiasis is an infection caused by intestinal nematode worms which in the process of transmission requires soil as media to fullfil its life cycle from non-infective forms to infective forms. The number of infections is influenced by personal hygiene. Personal hygiene consists of the habit of washing hands, cutting nails, eating, defecating and ownership of latrines, and the use of personal protective equipment. This study used a cross sectional research design conducted at Widodaren Plantation with 68 people of samples. Stool examination was determined by kato-katz method, sedimentation, and floatation to detect the presence of Soil-Transmitted Helminth (STH) eggs, while personal hygiene was assessed using questionnaires. Questionnaire and stool examination datas were processed using SPSS data analysis with chi-square method. The results of this study found 26 respondents who were positive for soil-trasmitted helminthiasis infection. The most frequent worm species obtained in this study were Ascaris lumbricoides (57.7%), followed by multiple infections between Hookworm and A. lumbricoides (21.3%), and Hookworm (19.2%). In the chi-square analysis the results were significant between personal hygiene and soil-transmitted helminthiasis with p value of 0,000 (p <0.05). So, it can be concluded that a bad personal hygiene factor has a significant relationship to the incidence of Soil-Transmitted Helminthiasis at Widodaren Plantation. Keywords: Personal hygiene, STH, plantation

Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi

2017 ◽  
Vol 6 (2) ◽  
pp. 129
Author(s):  
Entia Nopa ◽  
Ranissa Dwi Imansari ◽  
Irwandi Rachman
Keyword(s):  
Cross Sectional Study ◽  
Personal Hygiene ◽  
P Value ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional

Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi 1Entianopa, 2Ranissa Dwi Imansari, 3Irwandi Rachman       123Program Studi Kesehatan Masyarakat STIKES Harapan Ibu, Jambi   Abstrak Latar Belakang: Kulit merupakan organ terbesar pada tubuh manusia yang membungkus otot-otot dan organ-organ dalam serta merupakan jalinan jaringan pembuluh darah, saraf, dan kelenjar yang tidak berujung, semuanya memiliki potensi untuk terserang penyakit yang salah satunya adalah penyakit kulit. Penyakit kulit merupakan salah satu gangguan kesehatan yang sering dialami oleh pekerja pengangkut sampah. Berdasarkan komposisi sampah yang diangkut serta waktu paparan kerja. Tujuan penelitian ini untuk mengetahui hubungan antara masa kerja, pemakaian Alat Pelindung Diri (APD), dan personal hygiene dengan kejadian penyakit kulit pada pekerja pengangkut sampah di Kota Jambi. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional study. Sampel penelitian yaitu sebanyak 62 pekerja pengangkut sampah yang berada di Kantor Pekerjaan Umum dan Penata Ruang, yang mana seluruh populasi dijadikan sampel. Data dikumpulkan berdasarkan pemeriksaan kesehatan oleh dokter dan dengan kuesioner, kemudian dianalisa menggunakan uji statistik chi-square. Hasil: Hasil menunjukan bahwa pekerja yang mengalami penyakit kulit sebanyak 35 pekerja (56,5%). Berdasarkan hasil analisis chi-square didapatkan bahwa ada hubungan yang bermakna antara masa kerja dengan kejadian penyakit kulit pada pekerja pengangkut sampah dimana nilai (p-value= 0,006), Pemakaian Alat Pelindung Diri (APD) nilai (p-value= 0,008), personal hygiene nilai (p-value= 0,008). Kesimpulan: Untuk meminimalisir risiko terjadinya penyakit kulit pada pekerja pengangkut sampah disarankan perlunya disusun standar operasional prosedur yang aman, penyediaan sarana sanitasi agar dapat mengurangi resiko terkena penyakit kulit. Pentingnya pemakaian APD dan perilaku hidup bersih dan sehat selama bekerja, serta diharapkan pekerja menggunakan APD pada saat bekerja dan lebih memperhatikan personal hygiene.   Kata kunci      : Masa Kerja, APD, Personal Hygiene

ANALISIS PERILAKU HYGIENE MENSTRUASI MELALUI HEALTH BELIEF MODEL (HBM) PADA SISWI SMP DI JAKARTA UTARA

2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Luqman Effendi ◽  
Nurul Khotimah
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Personal Hygiene ◽  
Perceived Threat ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Pruritus Vulvae ◽  
Perceived Benefit ◽  
Belief Model

Keluhan pada organ reproduksi yang sering terjadi adalah Pruritus vulvae yaitu ditandai dengan adanya sensasi gatal parah dari alat kelamin perempuan. Pruritus vulvae disebabkan oleh jamur, bakteri dan virus yang muncul 44% karena buruknya Personal Hygiene dan Hygiene Menstruasi. Penelitian Tahun 2015 di 4 wilayah di Indonesia yaitu di Nusa Tenggara Timur (NTT), Jawa Timur, Papua, dan Sulawesi Selatan terkait kebersihan saat menstruasi menemukan 67% remaja di kota dan 41% remaja di desa masih adanya perilaku negatif. Tujuan penelitian untuk mengetahui beberapa faktor yang berhubungan dengan perilaku hygiene menstruasi melalui Health Belief Model (HBM). Penelitian ini adalah penelitian kuantitatif  dengan menggunakan pendekatan cross sectional dengan sampel sebanyak 101 siswi SMPN 244 di Jakarta Utara, dianalisis secara univariat dan bivariat menggunakan chi square. Perilaku Hygiene Menstruasi baik baru dilakukan 55,4% responden. Perilaku Hygiene Menstruasi berhubungan secara signifikan dengan pengetahuan (OR=5,1), perceived threat (OR=3,9) dan perceived benefit (OR=3,3) dengan P Value < 0.005. Health Belief Model (HBM) bisa dipertimbangkan sebagai suatu pendekatan dalam upaya memperbaiki perilaku hygiene menstruasi pada remaja. Peningkatan pengetahuan direkomendasikan dengan menekankan pada ancaman penyakit yang berkaitan dengan perilaku hygiene menstruasi dan manfaat-manfaat yang langsung dirasakan oleh remaja berkenaan dengan perilaku higiene menstruasi.

PENGARUH PEMBERIAN PELAYANAN INFORMASI OBAT DAN KONSELING TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELITUS DENGAN HIPERTENSI DI RUMAH SAKIT DAERAH IDAMAN BANJARBARU

2020 ◽  
Vol 5 (2) ◽  
pp. 240-249
Author(s):  
Satrio Wibowo Rahmatullah ◽  
◽  
Ika Maulida Nurrahma ◽  
Adnan Syahrizal
Keyword(s):  
Drug Information ◽  
Treatment Success ◽  
Information Service ◽  
Regional Hospital ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Quasi Experimental ◽  
High Level ◽  
Chi Square Analysis

Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.

scholarly journals DUKUNGAN KELUARGA DAN PERSONAL HYGIENE PADA PASIEN STROKE DI RUMAH SAKIT MITRA HUSADA PRINGSEWU

2022 ◽  
Vol 4 (1) ◽  
pp. 179-193
Author(s):  
Nur Fadhilah ◽  
Lusiyana Pangestuti ◽  
Rani Ardina
Keyword(s):  
Personal Hygiene ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Stroke merupakan penyebab umum kematian ke tiga di Negara maju setelah penyakit kardiovaskular dan kanker. Stroke terjadi karena ada gangguan aliran darah ke bagian otak. Bentuknya dapat berupa lumpuh sebelah (hemiplegia), berkurangnya kekuatan sebelah anggota tubuh (hemiparesis), akibat lanjut pasien mengalami gangguan kebersihan diri (personal hygiene). Dorthea Orem menjelaskan bahwa perawatan diri merupakan kegiatan memenuhi kebutuhan dalam mempertahankan kehidupan, kesehatan dan kesejahteraan individu baik dalam keadaan sehat maupun sakit. Model Orem diperluas dari perawatan individu menjadi perawatan keluarga. Salah satu faktor yang mempengaruhi kebutuhan pemenuhan kebersihan diri menurut Orem adalah sistem keluarga. Tujuan penelitan ini adalah diketahuinya  hubungan dukungan keluarga dengan personal hygiene pada pasien stroke di Ruang Rawat Inap Rumah Sakit Mitra Husada Pringsewu Tahun 2020. Jenis penelitian ini menggunakan metode analitik dengan pendekatan cross sectional.  Populasi  berjumlah 83 orang dan sampel 69 orang dengan teknik sampling accidental sampling. Alat pengumpul data menggunakan kuesioner dan lembar observasi kemudian dianalisis menggunakan chi square. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan (p-value = 0,000) dukungan keluarga dengan personal hygiene pada  Pasien Stroke. Pemberian perawatan yang komprehensif sebaiknya melibatkan peran serta keluarga,  hal ini sejalan dengan tugas keluarga yaitu memberikan perawatan pada angota keluarga yang mengalami masalah kesehatan.

scholarly journals PERSONAL HYGIENE DENGAN KEJADIAN PENYAKIT SKABIES PADA SANTRI WUSTHO (SMP) DI PESANTREN AL-FALAH BANJARBARU

2017 ◽  
Vol 4 (1) ◽  
pp. 43
Author(s):  
Norhalida Rahmi ◽  
Syamsul Arifin ◽  
Endang Pertiwiwati
Keyword(s):  
Infectious Disease ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Personal Hygiene ◽  
P Value ◽  
Sampling Techniques ◽  
Chi Square ◽  
Cross Sectional ◽  
Total Respondent ◽  
Chisquare Test

ABSTRAKSkabies merupakan penyakit infeksi menular yang disebabkan oleh infeksi dan sensitisasi oleh tungau Sarcoptes scabei var hominis (Sarcoptes sp.). Penularan dapat terjadi secara langsung dan tidak langsung. Salah satu dampak kejadian skabies yaitu personal hygiene yang buruk. Tujuan penelitian ini adalah mengetahui hubungan personal hygiene dengan kejadian penyakit skabies pada santri Wustho di Pondok (SMP) Pesantren Al-Falah Putera Banjarbaru. Metode penelitian ini adalah penelitian korelasional dengan pendekatan cross-sectional.Tteknik sampling menggunakan probality sampling dengan simple random sampling. Populasi penelitian adalah seluruh santri wustho kelas 1 yang berasrama sebanyak 341 santri. Sampel yang digunakan ada 184 santri yang berasrama.H asil analisis didapatkan personal hygiene baik terkena skabies 24% dan personal hygiene baik tidak terkena skabies 76%. Personal hygiene buruk terkena skabies 53% dan personal hygiene buruk tidak terkena skabies 47 %. Hasil uji chi- square didapatkan nilai= 0,000 (r) = 12.590. Kesimpulan penelitian ini personal hygiene berhubungan dengan kejadian skabies. Hygiene perseorangan merupakan salah satu usaha yang dapat mencegah kejadian skabies.Kata- kata kunci : personal hygiene, skabies, pesantren.ABSTRACTScabies is a contagious infectious disease caused by infection and sensitization by Sarcoptes scabei var hominis mites (Sarcoptes sp.). transmission can occur directly and indirectly. one of the effects of scabies is poor personal hygiene. To determine the correlation personal hygiene with incidence of scabies in Islamic boarding Wustho students (SMP) Al Falah Putera Banjarbaru. This study was a correlational study with cross-sectional approach, using sampling techniques probality sampling with simple random sampling. The population was all studentswere Islamic boarding wustho in first class as many as 341 students. Total respondent were 184 students in Islamic boarding. Analysis of the Personal hygiene exposed to scabies 24% good, good personal hygiene was not affected by scabies 76%. Personal hygiene badly affected by scabies 53%, poor personal hygiene was not affected by scabies 47%. Result of correlation chisquare test p value = 0.000 and (r) = 12.590. personal hygiene associated with the incidence ofscabies. Personal hygiene was one of effort that can prevent the incidence of scabies.Keywords: personal hygiene, scabies, islamic boarding.

scholarly journals Hubungan antara Mencuci Wajah dengan Kejadian Akne Vulgaris pada Remaja Laki-laki di Manado

e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Fifin R. T. Sole ◽  
Pieter L. Suling ◽  
Tara S. Kairupan
Keyword(s):  
Propionibacterium Acnes ◽  
Acne Vulgaris ◽  
Adolescent Males ◽  
Personal Hygiene ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Severe Acne ◽  
Akne Vulgaris ◽  
The Relationship

Abstract: Acne vulgaris is a chronic skin condition involving inflammation of the pilosebaceous follicle. The highest prevalence of acne vulgaris is at the age of 16-17 years. Pathogenic factors contributing to the development of acne vulgaris include increased sebum production, pilosebaceous follicular blockage, and increased colonization of Propionibacterium acnes. Personal hygiene is suggested as an important factor that needs to be maintained in acne prevention. Males tend to lack of awareness to seek information and health services in dealing with acne problems. This study was aimed to evaluate the relationship between facial washing and the incidence of acne vulgaris in adolescent males in Manado. This was an analytical and observational study using a cross-sectional design. Subjects were male students of 3rd grade at SMA Negeri 9 Manado, aged 16-19 years old, and met the inclusion and exclusion criteria, with a total number of 95 students. Subjects who washed their faces 2-3 times a day were 38 students (40%) while those who washed their faces less than twice or more than thrice a day were 57 students (60%). Subjects with no or mild acne vulgaris were 39 students (41.1%), while those with moderate to severe acne vulgaris were 56 students (58.9%). The chi-square showed a p-value of 0.004 for the relationship between the frequency of facial washing and the incidence of acne vulgaris. In conclusion, there was a significant relationship between facial washing and the incidence of acne vulgaris in adolescent males in Manado.Keywords: facial washing, acne vulgaris Abstrak: Akne vulgaris merupakan peradangan kronis folikel pilosebasea dengan prevalensi tertinggi pada usia 16-17 tahun. Faktor yang memengaruhi terjadinya akne vulgaris antara lain peningkatan produksi sebum, penyumbatan folikel pilosebasea, dan peningkatan kolonisasi bakteri Propionibacterium acnes. Kebersihan diri merupakan faktor penting yang perlu dijaga sebagai salah satu usaha untuk mencegah timbulnya akne. Laki-laki cenderung kurang memiliki kesadaran untuk mencari informasi dan pelayanan kesehatan dalam menangani masalah akne. Penelitian ini bertujuan untuk menilai hubungan antara mencuci wajah dengan kejadian akne vulgaris pada remaja laki-laki di Manado. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Subjek penelitian ialah siswa laki-laki kelas 3 di SMA Negeri 9 Manado, usia 16-19 tahun, dan memenuhi kriteria inklusi dan eksklusi, dengan jumlah total 95 siswa. Subjek yang mencuci wajah 2-3 kali sehari sebanyak 38 siswa (40%) sedangkan yang mencuci wajah kurang dari 2 kali atau lebih dari 3 kali sehari sebanyak 57 siswa (60%). Subjek tanpa akne vulgaris atau akne derajat ringan sebanyak 39 siswa (41,1%) sedangkan yang dengan akne vulgaris derajat sedang sampai berat sebanyak 56 siswa (58,9%). Uji chi-square memperlihatkan nilai p=0.004 terhadap hubungan antara frekuensi mencuci wajah dengan kejadian akne vulgaris. Simpulan penelitian ini ialah terdapat hubungan bermakna antara mencuci wajah dengan kejadian akne vulgaris pada remaja laki-laki di Manado.Kata kunci: mencuci wajah, akne vulgaris

scholarly journals Utilization of MCH handbooks and attitudes of pregnant women regarding pregnancy and childbirth complications

2019 ◽  
Vol 27 (2) ◽  
pp. 71
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina
Keyword(s):  
Pregnant Women ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Live Births ◽  
Pregnancy And Childbirth ◽  
Independent Variable ◽  
The Right ◽  
Chi Square Analysis ◽  
The Relationship

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.

scholarly journals BEHAVIOR RELATIONSHIP MOTHER AND OWNERSHIP OF TOILET FAMILIES WITH CHILDREN EVENTS

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Eti Kurniawati
Keyword(s):  
Cross Sectional Study ◽  
Personal Hygiene ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Chi Square Test ◽  
Immune Health

<p>Ascariasis incidence in children under five in the region work of Puskesmas Olak Kemang still a health problem that needs to be addressed, with a percentage of 51.0% is higher than in other wilayh. The disease is not lethal but can undermine the health of the human body so that the resulting decline in nutritional status, decreased intelligence and brain power or immune health in children.</p><p>               This research is a quantitative study using descriptive analytic method with cross sectional study design that aims to determine the relationship between the independent variables and the dependent variable. The population in this research that all children under five in the area of Puskesmas Olak Kemang, samples in this study were 75 children under five. Data were analyzed using analysis Univariate and Bivariate analysis with Chi-Square Test.</p><p>               The results showed that 78.0% of mothers of children under five who are not air personal hygiene, 60.4% of mothers of children under five unusual CTPS, 82.1% of respondents who did not state house meliliki latrine / WC. The results of the bivariate analysis showed that there was a significant relationship between personal hygiene (p-value = 0.000), customs CTPS (p-value = 0.001), latrine ownership (p-value = 0.000) with the incidence of intestinal worms in Puskesmas Olak Kemang Jambi.</p><p>               In connection with the results obtained, that the danger of de- worming is dependent on the cleanliness of his mother in serving as personal hygiene, CTPS and Owners toilets in every home. Thus the researchers suggested that the health center may be able to provide information to the public education about the dangers of de- worming to create a healthy society.</p><p> </p>Keyword                     :  Behavior, Children Events

Number of Bleeding, Placenta Remaining, and Episiotomy Actions on the Incidence of Puerperal Sepsis

2021 ◽  
Vol 2 (2) ◽  
pp. 134-138
Author(s):  
Sheryl Putri Asri ◽  
Soetimah
Keyword(s):  
Sampling Method ◽  
Analytical Description ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Puerperal Sepsis ◽  
Birth Complications ◽  
Chi Square Analysis ◽  
Postpartum Mothers

It is estimated that 60% of maternal mortality resulting from gestation happened right after giving birth, and 50% of puerperium deaths happened in the first 24 hours. This research aims to know the relation between the amount of bleeding, remaining placenta, and the act of episiotomy to puerperal sepsis cases. This research uses analytical description methods with a cross-sectional approach. The population of this research was the postpartum mothers in puerperal sepsis cases in October – December 2017 at RSAB Harapan Kita Jakarta Barat counted 85 persons. The sampling method used in this research is an accidental sampling method with 32 respondents. The Instruments of this research are medical records and questionnaires with the chi-square analysis method. This research data analysis has the quality of univariate and bivariate, which means knowing about the relation between the amount of bleeding, remaining placenta, and the act of episiotomy to puerperal sepsis cases. This research shows a relation between the amount of bleeding with a p-value (0,035) and OR (7,200). There is a relation between remained placenta variable with a p-value (0,035) and OR (7,200). There is no relation in the act of episiotomy variable with p-value (0,142) and OR (3,500) to puerperal sepsis cases. The researcher suggests RSAB Harapan Kita increase the quality of their health services, mainly socialize information and give education for maternity women about various birth complications, such as bleeding and remaining placenta and sepsis puerperalis's risks.

KNOWLEDGE OF TEENAGERS AND PERSONAL HYGIENE BEHAVIOR IN SMP 036 KOTA BATAM

2021 ◽  
Vol 11 (2) ◽  
pp. 20
Author(s):  
Ronny Sutanto ◽  
Isramilda Isramilda
Keyword(s):  
Young Women ◽  
Sampling Technique ◽  
Total Sample ◽  
Personal Hygiene ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Hygiene Behavior ◽  
Class Viii ◽  
The Relationship

Background : One of the problems that must be considered by young women is their reproductive health. It is very important to inform young women about the menstrual process knowledge so that they will be able to maintain personal hygiene. Lack of knowledge about personal hygiene can increase the risk of infection. This study aims to determine the relationship between knowledge of young girls and personal hygiene behavior. Method : The research method used was an analytic survey with a cross sectional approach. Conducted at SMPN 036 Batam City, the study was conducted for 6 months, the population in this study were all 270 students of SMPN 036 class VIII, with a total sample of 162, the sampling technique was carried out by purposive sampling technique with research instruments using a questionnaire. Data analysis using Chi square. Result :The results of the study were obtained from 162 respondents, the majority of respondents had good knowledge of 110 people (68%), and good personal hygiene behavior as many as 152 people (94%). Chi-square statistical test obtained p-value = 0.008 <0.05, conclusion : that there is a significant relationship between the knowledge of uterine adolescents with personal hygiene behavior at SMPN 036 Batam City. Advice for teenagers to maintain personal hygiene behavior.

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