scholarly journals DETERMINAN DISMENOREA DI SMAN 2 BAGAN SINEMBAH KABUPATEN ROKAN HILIR

2018 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Juliana Juliana

<p><em>Dysmenorrhea is one of gynecological disorder which commonly found in women. The preliminary survey at SMAN 2 Bagan Sinembah revealed that many female students were absent from school because of suffering from dysmenorrhea. The objective of the research was to identify the determinants of the factors which were correlated with dysmenorrhea at SMAN 2 Bagan Sinembah, Rokan Hilir Regency, in 2016. The research used cross sectional designand 141 of them were used as the samples. The research variables were anemia, the habit of doing sport, history of family, and nutritional status. The data were analyzed by using univariate analysis, bivariate analysis, and multivariate analysis with logistic regression test. The result of bivariate analysis showed the variables of anemia (p=&lt;0.000), the habit of doing sport (p=&lt;0.000), history of family (p=&lt;0.000), and nutritional status (p=&lt;0.000), while the result of multivariate analysis showed that nutritional status had p-value=0.000 (p&lt;0.05), OR=5,508 (95% CI; 2.842-23.824). The conclusion was that there was the correlation of anemia, the habit of doing sport, history of family, and nutritional status with dysmenorrhea. The factor which had the most dominant correlation was nutritional status. The respondents should improve their knowledge of determinants of dysmenorrhea, either from their eating pattern or from their habitual actions</em></p><p><em><br /></em></p><p>Dismenorea atau nyeri haid merupakan salah satu keluhan ginekologi yang paling umum pada perempuan muda. Berdasarkan survey pendahuluan yang peneliti lakukan di SMAN 2 Bagan Sinembah banyak siswi yang izin tidak masuk sekolah, dan alasan yang didapat oleh peneliti mereka izin tidak masuk sekolah dikarenakan dismenorea yang mereka alami. Penelitian ini bertujuan untuk mengidentifikasi determinan faktor-faktor yang berhubungan dengan dismenorea di SMAN 2 Bagan Sinembah Kabupaten Rokan Hilir Tahun 2016. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel sebanyak 141 orang. Variabel dalam penelitian ini adalah, anemia, kebiasaan olahraga, riwayat keluarga dan status gizi. Analisis data digunakan secara bertahap mencakup analisis univariat, analisis bivariat, serta analisis multivariat dengan uji regresi logistik. Hasil analisis bivariat diperoleh variabel anemia (p=&lt;0,000), kebiasaan olahraga (p=&lt;0,000), riwayat keluarga (p=&lt;0,000) dan status gizi (p=&lt;0,000), sedangkan analisis multivariat menunjukkan status gizimemiliki nilai p=0,000 (p&lt;0,05), OR = 5,508 (95% CI; 2,842-23,824). Kesimpulannya adanya hubungan anemia, kebiasaan olahraga, riwayat keluarga dan status gizi dengan dismenorea, serta faktor yang paling dominan adalah status gizi. Disarankan kepada responden untuk lebih menambah pengetahuannya tentang determinan dismenorea baik dari segi menjaga pola makanannya serta kebiasaan yang dilakukannya.</p><p><em><br /></em></p>

2020 ◽  
Vol 8 (2) ◽  
pp. 112-118
Author(s):  
Yulaeka Yulaeka

Anemia is a condition when the levels of hemoglobin and erythrocytes are lower than normal. The normal value of hemoglobin in women is 12 -16 g / dl with erythrocytes from 3.5 to 4.5 jt / mm3. This study aimed to determine the relationship between nutritional status and Anemia of teenage girl. This research is analytic with cross sectional study design. The samples taken are 66 teenage girls, chosen by quote sampling. The data of this research used primary data obtained through checking up of body mass index and hemoglobin level. The data analysis used univariate analysis and bivariate analysis used Chi-square test. The results of this study indicate that there is a relationship between nutritional status and Anemia (p value 0.001).


2020 ◽  
Vol 10 (03) ◽  
pp. 59-64
Author(s):  
Sofiya Rahmawati ◽  
Diah Ratnawati

Abstract Introduction: Healthy the card serves as a tool for monitoring the motion of growth. The population in this study were a number of mothers in the Posyandu Dadali III, Tugu, Cimanggis, Depok. Objective: This research was conducted to find out the relationship between the mother's knowledge about healthy cards with the nutritional status of children. Method: The design of this study was cross-sectional with 83 respondents were used as samples. The univariate analysis used frequency and proportion. The bivariate analysis in this study used the Chi-Square test with a p-value <0.05. Results: The results of this study obtained a p-value of 0.021 which means that there is a relationship between a mother's knowledge about a healthy card with the nutritional status of children. Conclusion: The results of this study obtained a p-value of 0.021 which means that there is a relationship between a mother's knowledge about a healthy card with the nutritional status of children.


Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 233-239
Author(s):  
Eichi Septiani

Latar Belakang: Infeksi saluran pernapasan adalah penyakit infeksi yang menyerang salah satu bagian dari saluran nafas yang berlangsung selama 14 hari. Berbagai macam faktor penyebab terjadinya ISPA, salah satunya adalah status gizi yang tidak baik. ISPA merupakan salah satu penyebab utama kunjungan pasien pada sarana kesehatan. Berdasarkan data yang didapat di wilayah kerja puskesmas Tanjung Agung pada periode Januari-Maret 2019 terdapat Penderita ISPA berjumlah 391 balita. Tujuan: Untuk mengetahui Hubungan antara status gizi dengan kejadian ISPA pada balita di UPTD Puskesmas Tanjung Agung Kabupaten Ogan Komering Ulu tahun 2019. Metode: Populasi dalam penelitian adalah ibu yang memiliki balita di UPTD PuskesmasTanjung Agung Kabupaten Ogan Komering Ulu pada bulan Juli Tahun 2019 yang berjumlah 76 orang. Analisa data menggunakan analisa univariat dan analisa bivariat dengan  menggunakan tabel distribusi dan uji statistik Chi-Square, dengan derajat kepercayaan 95%. Penelitian ini menggunakan metode analitik dengan pendekatan cross sectional. Pengumpulan data dengan melalui wawancara langsung terhadap responden dengan menggunakan check list yang berkaitan dengan kejadian ISPA dan pengamatan terhadap status gizi. Hasil penelitian: Variabel yang diteliti pada penelitian ini Status Gizi pada balita dan Kejadian ISPA. Pada analisa bivariat didapatkan ada hubungan yang bermakna antara Status Gizi Balita dengan Kejadian ISPA di UPTD PuskesmasTanjung Agung Kabupaten Ogan Komering Ulu pada bulan Juli Tahun 2019 dengan p value 0,023. Kesimpulan: Ada hubungan yang bermakna antara Status Gizi Balita dengan Kejadian ISPA     Background: Respiratory tract infection is an infectious disease that attacks one part of the respiratory tract that lasts for 14 days. Various factors cause ARI, one of which is poor nutritional status. ARI is one of the main causes of patient visits to health facilities. Based on data obtained in the working area of the Tanjung Agung puskesmas in the JanuaryMarch 2019 period, there were 391 children with ARI. Objective: To find out the relationship between nutritional status and the incidence of ARI in infants in Tanjung Agung UPTD Puskesmas Ogan Komering Ulu in 2019. Methods: The population in this study was mothers who had children under five years old at UPTD Puskesmas Tanjung Agung, Ogan Komering Ulu Regency in July 2019, totaling 76 people. Data analysis uses univariate analysis and bivariate analysis using distribution tables and Chi-Square statistical tests, with a 95% confidence level. This research uses analytic method with cross sectional approach. Collecting data through direct interviews with respondents using a check list related to ARI events and observations of nutritional status. Results: In the bivariate analysis there was a significant relationship between Toddler Nutrition Status and ARI in UPTD Puskesmas Agung Tanjung Ogan Komering Ulu in July 2019 with p value 0.023. Conclusion: There is a significant relationship between Toddler Nutrition Status with ARI.


Author(s):  
Y. Widyastuti Y. Widyastuti

ABSTRACT Preeclampsia is a disease with signs of hypertension, edema, and protein urine due to pregnancy. In Indonesia preeclampsia is still one of the cause of maternal death, range 1,5 % - 2,5 %. The purpose of this study is to determine the relationship between maternal disease and a history of gravida with severe preeclampsia incidience in the General Hospital Center Dr. Mohammad Hoesin Palembang in 2012. The method used in this reserch is Analytical research with Cross Sectional Design. The Population in this research is a case of delivering mothers with severe preeclampsia and control mothers with lower preeclampsia. The number of samples is 242 maternal, 181 maternal with weight preeclampsia and 61 maternal with lower preeclampsia. The data analysis conducted univariate and bivariate statistics with Chi-Square test with significance level α = 0,05. For the univariate analysis of 242 maternal, 181 mothers ( 74,8 % ) with  severe preeclampsia.which belong to the category of mother with primigravida as much as 131 people ( 72,3 % ) and maternal with history of genetic maternal illnes of 90 people ( 49,7 % ) . while the results of the bivariate analysis, Chi-square statistical test showed that there was sifnificant association between gravida status with weight preeclampsia accident where ( p value = 0,008 ) and also significant relationship between history of genetic maternal illnes with weight preeclampsia accident where ( p value = 0,012 ). We hope this research can be turn of weight preeclampsia accident Suggestion with prevention, early diagnose and prompt treatment with Antenatal Care Consistenly.   ABSTRAK  Preeklampsia adalah penyakit dengan tanda-tanda hipertensi, edema, dan protein urine akibat kehamilan. Diindonesia preeklampsia berat masih merupakan salah satu penyebab kematian ibu berkisar antara 1,5% - 2,5 %.. Tujuan penelitian ini adalah untuk mengetahui hubungan antara status gravida dan riwayat penyakit genetik pada ibu hamil dengan kejadian preeklampsia berat di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012. Metode yang digunakan dalam penelitian ini adalah Survei Analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah kasus ibu hamil dengan preeklampsia berat dan kontrol yaitu ibu hamil dengan preeklampsia ringan. Jumlah sampel yang diperoleh sebanyak 242 ibu hamil, terdapat 181 ibu yang menderita Preeklampsia berat dan 61 ibu menderita preeklampsia ringan. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square melalui tingkat kemaknaan α = 0,05. Untuk hasil analisa univariat dari 242 ibu hamil, 181 ibu ( 74,8 % ) menderita preeklampsia berat. Yang termasuk kategori ibu dengan primigravida sebanyak 131 orang ( 72,3 % ) dan ibu yang mempunyai riwayat penyakit genetik sebanyak 90 orang ( 49,7 % ). Sedangkan hasil dari analisa bivariat, uji statistik Chi-Square menunjukan bahwa ada hubungan yang bermakna antara status gravida dan kejadian preeklampsia berat dimana ( p value = 0,008 ) dan ada hubungan yang bermakna antara riwayat penyakit genetik dengan kejadian preeklampsia berat dimana ( p value = 0,012 ). Hasil penelitian ini diharapkan dapat menurunkan angka kejadian preeklampsia berat tentunya dengan melakukan pencegahan dan deteksi dini melalui pemeriksaan secara  teratur.  


Author(s):  
Wulan Citra Sari Wulan Citra Sari

ABSTRAK   Data World Health Organizationmenurut WHO (2010) diperkirakan 15% diseluruh kelahiran didunia dengan batasan 3,3%-3,8% dan lebih sering terjadi di negara berkembang atau ekonomi rendah.Tujuan Penelitian Diketahuinya hubungan status gizi dan riwayat penyakit ibu dengan kejadian BBLR di RumahSakit Muhammadiyah Palembang Tahun 2016. Populasi dalam penelitian ini adalah semua ibu bersalin 1881responden.Sampel pada penelitian ini adalah sebagian ibu bersalin 236 responden. Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan Case Contro. di Rumah Sakit Muhammadiyah Palembang Tahun 2016. Analisa univariat Hasi penelitian ini yang BBLR pada kelompok kasus118  sedangkan yang tidak BBLR 118, dengan nilai OR 1:1 berdasarkan analisa bivariat didapat tidak ada hubungan yang bermakna antara status gizi dengan kejadian (p value=1,00) dan mengalami riwayat penyakit 117 dan tidak mengalami riwayat penyakit 119 menunjukan tidak ada hubungan yang bermakna antara riwayat penyakit dengan kejadian BBLR (p value=0,60). Hasil penelitian ini diharapkan dapat menjadi bahan masukan bagi rumah saki tmuhmmadiyah untuk lebih meningkatkan mutu dan upaya pelayanan di rumah sakit.       ABSTRACT   World Health Organization data according to WHO (2010) is estimated 15% in all births in the world with a limit of 3.3% -3.8% and is more common in developing countries or low economies. Research Objectives Knowing the relationship of nutritional status and history of maternal disease with LBW occurrence in Hospital Muhammadiyah Palembang 2016. Population in this research is all maternal mother 1881responden.Sampel in this research is partially mother of 236 respondents. This research uses quantitative research design with Case Contro approach. at the hospital  MuhammadiyahPalembang in 2016. Univariate analysis The result of this study is BBLR in the case group118, while those who are not BBLR 118, with OR 1: 1 score based on bivariate analysis, there is no significant relationship between nutritional status and occurrence (p value = 1, 00) and a history of disease 117 and no history of disease 119 showed no significant relationship between history of disease with the incidence of BBLR (p value = 0.60). The results of this study are expected to be input for Hospital muhammadiyah palembang  to further improve the quality and service efforts in hospitals.  


2021 ◽  
pp. 55-64
Author(s):  
Helmi Suryani Nasution ◽  
Rd. Halim

Background: Indonesia was ranked third in 2018 for tuberculosis (TB) incidence among other countries in the world. Indonesia is also facing non-communicable diseases (NCDs) and re-emerging disease. One of the NCDs problems in Indonesia is diabetes mellitus. These two diseases are interrelated. The prevalence of TB and diabetes mellitus in the elderly is much higher than in the other age groups. The purpose of this study was to determine the proportion of TB and diabetes mellitus and risk factors associated with each of these diseases in the elderly. Methods: The research was conducted at the Budi Luhur Nursing Home. The number population and sample is 70 people. The research design was cross-sectional. Univariate analysis was shown in the distribution of frequencies and proportions and bivariate analysis was performed using a chi-square test. Results: The proportion of TB was 2.4% while the proportion of diabetes mellitus was 14.6%. History of diabetes mellitus was associated with diabetes mellitus (p-value=0.015 and POR 7.11 (95% CI 1.543 - 32.764)). Age, gender, nutritional status, stress, physical activity, and history of TB were not associated with diabetes mellitus. Conclusion: : It is recommended to conduct other studies with a better design and to consider a research method that is suitable for the elderly.


2021 ◽  
Vol 6 (1) ◽  
pp. 58
Author(s):  
Suci Saftari Apriani ◽  
Ranti Lestari ◽  
Elizabeth Widayati ◽  
Yani Suryani ◽  
Karlina Angga P

The nutritional status of pregnant women before and during pregnancy can affect the growth of the fetus in the womb. The purpose of this study was to look at the risk factors of  LBW events based on nutritional status based on the MUAC size of pregnant women. This research is analytical with cross sectional study design by sampling using the total sampling technique of 98 pregnant women in Kubang Village, Sukaresmi District, Cianjur Regency. Analyze data using Chi Square. Univariate analysis results from 98 respondents have good nutritional status (MUAC≥23.5 cm) which is as much as 78 (80%) and normal birth weight 64 (65.3%) pregnant women. The results of bivariate analysis there is a meaningful relationship between the nutritional status of pregnant women based on LBW and the incidence of LBW value P value = 0.006 (P value<0.05). In conclusion there is a meaningful relationship between the nutritional status of pregnant women based on MUAC and the incidence of LBW value P value = 0.006 (P value<0.05) value (OR=3.345, CI 2.234-8.562), respondents who have a history of malnutrition status while pregnant have a risk of 3,354 times giving birth to babies with LBW


Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana

ABSTRACT [Preeclampsia is a disease with signs of hypertension, edema, and protein urine due to pregnancy. In Indonesia preeclampsia is still one of the cause of maternal death, range 1,5 % - 2,5 %. Until recently, the cause of severe preeclampsia is unknown. Some risk factors include severe preeclampsia parity, age mother, gravida status, history of preeclampsia in the family, history of Genetic maternal illness and others. The purpose of this study is to determine the relationship between parity and age maternal disease weight preecklampsia mother with genesis in the General Hospital Center Dr. Mohammad Hoesin Palembang in 2012. The method used in this reserch is Analytical research with Cross Sectional Design. The Population in this research is a all maternal three semester. The number of samples is 157 maternal, 90 maternal with weight preeclampsia and 67 maternal that happen’t weight preeclampsia . The data analysis conducted univariate and bivariate statistics with Chi-Square test with significance level α = 0,05. For the univariate analysis of 157 maternal, 90 maternal (57,3%) with weight preeclampsia. Which belong to the category of mother with high resico parity as 60 maternal (38,2%), and mother with low resico parity as 97 maternal (61,8%). Mother with high resico age  as 84 maternal (53,5%), and mother with low age as 73 maternal (46,5%) . While the results of the bivariate analysis, Chi-square statistical test showed that there was sifnificant association between parity with weight preeclampsia accident where (p value=0,007) and also significant relationship between    age   maternal   with    weight      preeclampsia    accident      where. (p value = 0,000). We hope this research can be turn of weight preeclampsia accident Suggestion with prevention, early diagnose and prompt treatment with Antenatal Care Consistenly.     ABSTRAK Preeklampsia adalah penyakit dengan tanda-tanda hipertensi, edema, dan protein urine akibat kehamilan. Di Indonesia preeklampsia berat masih merupakan salah satu penyebab kematian ibu berkisar antara 1,5% - 2,5 %. Sampai saat ini penyebab terjadinya preeklampsia berat belum diketahui, beberapa faktor resiko terjadinya preeklampsia berat antara lain paritas, usia ibu, status gravida, riwayat preeklampsi dalam keluarga, riwayat penyakit genetik ibu, dsb. Tujuan penelitian ini adalah untuk mengetahui hubungan antara paritas dan usia ibu hamil dengan kejadian preeklampsia berat pada ibu hamil di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012. Metode yang digunakan dalam penelitian ini adalah Survei Analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang pernah di rawat di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang. Jumlah sampel yang diperoleh sebanyak 157 ibu hamil, terdapat 90 ibu hamil yang mengalami preeklampsia berat dan 67 ibu hamil yang tidak mengalami preeklampsia berat. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square melalui tingkat kemaknaan α = 0,05. Untuk hasil analisa univariat dari 157 ibu hamil, 90 ibu hamil (57,3%) menderita preeklampsia berat. Yang termasuk kategori ibu dengan paritas resiko tinggi sebanyak 60 ibu hamil (38,2%), dan ibu dengan paritas resiko rendah sebanyak 97 ibu hamil (61,8%). Ibu yang mempunyai usia resiko tinggi sebanyak 84 ibu hamil (53,5%), dan ibu yang mempunyai usia resiko rendah sebanyak 73 (46,5%). Sedangkan hasil dari analisa bivariat, uji statistik Chi-Square menunjukan bahwa ada hubungan yang bermakna antara paritas dan kejadian preeklampsia berat dimana (p value = 0,007) dan ada hubungan yang bermakna antara usia ibu hamil dengan kejadian preeklampsia berat dimana (p value = 0,000). Hasil penelitian ini diharapkan dapat menurunkan angka kejadian preeklampsia berat tentunya dengan melakukan pencegahan dan deteksi dini melalui pemeriksaan secara  teratur.    


2020 ◽  
Vol 5 (1) ◽  
pp. 74-79
Author(s):  
Rani Oktarina

Based on the results of the 2014 National Socio-Economic Survey, the number of elderly people in Indonesia reached 20.24 million or around 8.03% of the total population of Indonesia. The purpose was to determine the relationship between nutritional status and physical activity with the incidence of dementia in Prabumulih City Market Health Center in 2019. This study uses Analytical Survey using the Cross-Sectional approach. The population is elderly people aged 45-59 years, amounting to 94 people. The sample amounted to 94 respondents. In the univariate analysis of 94 respondents, it was found that respondents with good nutritional status were 56 respondents (59.6%) and respondents with malnutrition status were 38 respondents (40.4%). Good physical activity was 52 respondents (55.3%) and respondents who had bad physical activity were 42 respondents (44.7%). Bivariate analysis showed Nutritional Status had a significant relationship with the incidence of dementia (p-value 0.003) and Physical Activity had a significant relationship with the incidence of dementia (p-value 0.001). This study concludes that there is a relationship between nutritional status and physical activity with the incidence of dementia in Prabumulih City Market Health Center in 2019.


2021 ◽  
Vol 5 (1) ◽  
pp. 304-310
Author(s):  
Nur Afrinis ◽  
Besti Verawati ◽  
Any Tri Hendarini

The condition of the Covid-19 pandemic can cause changes in social conditions and affect the nutritional status of infants. The research objective was to analyze the relationship between maternal knowledge, occupation and history of exclusive breastfeeding with the nutritional status of infants aged 6-12 months during the Covid 19 pandemic. This study was a quantitative study with a cross-sectional design. The research sample was 62 mothers who had infants aged 6-12 months with total sampling technique. The research was conducted from January to March in Pulau Tinggi village, the working area of Puskesmas Kampar. The tools used are scales, and questionnaires. Data analysis used univariate and bivariate analysis with the chi square test. The results showed that as many as 45 mothers (72.58%) lacked knowledge of mothers, 49 mothers (79.03%) did not work, 33 babies (53.23%) were given exclusive breastfeeding, and as many as 41 babies (66.1%) ) abnormal nutritional status. Meanwhile, bivariate analysis showed a relationship between maternal knowledge (p-value = 0.001) and history of exclusive breastfeeding (p-value = 0.000), with the nutritional status of the baby. There is no relationship between maternal occupation and infant nutritional status (p-value = 0.058.) There was a significant relationship between maternal knowledge and history of exclusive breastfeeding with infant nutritional status and there is no relationship between maternal occupation and maternal nutritional status. It was recommended that health workers provide counseling to mothers to increase knowledge about balanced nutrition in infants. Keywords : maternal knowledge, history of exclusive breastfeeding, occupation, nutritional status of infants ABSTRAK Kondisi Pandemi covid-19 dapat menyebabkan terjadinya perubahan kondisi sosial dan mempengaruhi status gizi bayi. PTujuan penelitian untuk menganalisis hubungan faktor pengetahuan ibu, pekerjaan dan riwayat pemberian ASI ekskusif dengan status gizi bayi usia 6-12 bulan pada masa pandemi covid 19. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Sampel penelitian adalah 62 ibu yang mempunyai bayi usia 6-12 bulan dengan teknik total sampling. Penelitian dilakukan pada Januari- Maret di desa Pulau Tinggi wilayah kerja Puskesmas Kampar. Alat yang digunakan timbangan, dan kuesioner. Analisis data menggunakan analisa univariat dan bivariat dengan uji chi square. Hasil penelitian didapatkan bahwa sebanyak 45 ibu (72,58%) pengetahuan ibu kurang, 49 ibu (79,03%) tidak bekerja, sebanyak 33 bayi (53,23%) diberikan ASI ekslusif, dan sebanyak 41 bayi (66,1%) status gizinya tidak normal. Sedangkan analisis bivariat menunjukkan adanya hubungan pengetahuan ibu (p-value=0.001) dan riwayat pemberian ASI eksklusif (p-value=0.000), dengan status gizi bayi. Tidak terdapat hubungan antara pekerjaan ibu dengan sttaus gizi bayi (p-value=0.058.) Terdapat hubungan yang signifikan antara pengetahuan ibu dan riwayat pemberian ASI eksklusif dengan status gizi bayi dan tidak ada hubungan antara pekerjaan ibu dengan status gizi ibu. Disarankan kepda petugas kesehatan untuk memberikan penyuluhan kepada ibu untuk meningkatkan pengetahuan tentang gizi seimbang pada bayi.


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