scholarly journals Penerapan Terapi Relaksasi Otot Progresif Untuk Menurunkan Tekanan Darah Pada Lansia Yang Mengalami Hipertensi

2021 ◽  
Vol 1 ◽  
pp. 1572-1577
Author(s):  
Jessica Putri Arifiani ◽  
Dwi Fijianto
Keyword(s):  
Blood Pressure ◽  
Muscle Relaxation ◽  
Blood Pressure Reduction ◽  
The Elderly ◽  
Progressive Muscle Relaxation ◽  
Lower Blood Pressure ◽  
Relaxation Therapy ◽  
Measuring Device ◽  
Lower Blood

AbstractHypertension in the elderly is the elderly who experience an increase in blood pressure above normal with a normal range of 120/80 mmHg on blood pressure examinion using a blood pressure measuring device. One of the actions to lower blood pressure is the progressive musle relaxation technique. The purpose of this scientific paper is to apply progressive muscle in Proto Tambahrejo village, Bandar sub district,Batang district. Case study method by applying muscle relaxation therapy progressive blood pressure reduction in the elderly with hypertension in Proto Tambahrejo Village Bandar Distract Batang Regency. The data Collection.The results of the application showed that during the 6-day visit, two elderly people were able to lower blood pressure, on the first day the client was 170/100 mmHg and the sixth day it was 130/90 mmHg, while on the second day the client was 160/100 mmHg and the sixth day 120/90 mmHgm Conclusion This case study shows that progressive muscle relaxation therapy is effective in the elderly with hypertension. Suggestions from the authors are expected that progressive muscle relaxation therapy can be used as an effective application in the elderly who have hypertension.Keywords: Hypertension, Progressive muscle relaxation, the elderly. AbstrakHipertensi pada lansia adalah lansia yang mengalami peningkatan tekanan darah diatas normal yaitu dengan rentang normal 120/80 mmHg pada pemeriksaan tensi darah menggunakan alat pengukur tekanan darah.Tindakan untuk menurunkan tekanan darah salah satunya adalah dengan teknik relaksasi otot progersif. Tujuan Karya Tulis Ilmiah ini adalah mengaplikasikan tindakan teknik relaksasi otot progresif untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Metode studi kasus dengan menerapkan terapi relaksasi otot progresif untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Subyek studi kasus yang digunakan adalah dua lansia yang mengalami hipertensi. Metode pengumpulan data yang digunakan berupa wawancara dan observasi. Hasil penerapan menunjukkan selama 6 hari kunjungan dua lansia mampu menurunkan nyeri tekanan darah, pada klien I hari pertama skala nyeri 7 tekanan darah 170/100 mmHg dan hari keenam menjadi skala nyeri 1 tekanan darah 130/90 mmHg, Sedangkan pada klien II hari pertama skala nyeri 5 tekanan darah 160/100 mmHg dan hari keenam menjadi skala nyeri 1 tekanan darah 120/90 mmHg. Kesimpulan dari studi kasus ini menunjukkan terapi relaksasi otot progresif efektif digunakan untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Kata kunci: Hipertensi, relaksasi otot progresif, lansia

scholarly journals Penerapan Terapi Relaksasi Otot Progresif Untuk Menurunkan Hipertensi Di Desa Glandang Bantarbolang

2021 ◽  
Vol 1 ◽  
pp. 1501-1508
Author(s):  
Hema Agustian ◽  
Wiwiek Natalya ◽  
I Isytiaroh
Keyword(s):  
Blood Pressure ◽  
Muscle Relaxant ◽  
Muscle Relaxation ◽  
Progressive Muscle Relaxation ◽  
Lower Blood Pressure ◽  
Relaxation Therapy ◽  
Hypertensive Patients ◽  
Lower Blood ◽  
Health Field ◽  
Descriptive Method

AbstractHypertension is the increase of blood pressure which is higher than or equal to 140 mmHg at systolic blood pressure and higher or equal to 90 mmHg at diastolic blood pressure. The purpose of this study is to implement actions of progressive muscle relaxant therapy to lower blood pressure on hypertensive patients. This research uses descriptive method and tye subjects of this research are two hypertension clients with blood pressure higher than 140/100 mmHg at Glandang Village, Bantarbolang. Intervention is done by giving progressive muscle relaxation therapy for six days and is done once a day. The result of the study shows a drop in blood pressure on both clients, for client 1 to drop blood pressure from 160/100mmhg to 130/90mmhg and for the second client to drop in blood pressure from 170/100mmhg to 130/100mmhg. The study of the case indicates that progressive muscle relaxation therapy reduces blood pressure on hypertensive people. It is recommended for nurses or people working in health field to provide therapy in order to lower blood pressure in the form of progressive muscle relaxation therapy in hypertensive people.Keywords: Progressive Muscle Relaxation, Hypertension AbstrakHipertensi merupakan penyakit the silent killer yang menyebabkan 1 dari 3 orang dewasa terkena penyakit hipertensi dan diperkirakan 7,5 juta kematian didunia ini akibat hipertensi. Pada umumnya penyakit hipertensi ini tidak disadari oleh penderitanya, 50% penderita hipertensi tidak memperlihatkan pertanda yang pasti, terutama apabila sedang dalam taraf awal. Tujuan studi kasus ini adalah untuk mengaplikasikan tindakan terapi relaksasi otot progresif untuk menurunkan tekanan darah pada penderita hipertensi. Rancangan Karya Tulis Ilmiah ini menggunakan metode studi kasus deskriptif dengan subyek dua klien hipertensi yang mengalami tekanan darah tinggi diatas 140/100mmHg di Desa Glandang Bantarbolang. Intervensi yang dilakukan adalah pemberian terapi relaksasi otot progresif selama enam hari dan dilakukan satu kali sehari. Hasil studi ini menunjukan adanya penurunan tekanan darah pada kedua klien, untuk klien 1 mengalami penurunan tekanan darah dari 160/100mmHg menjadi 130/90mmHg dan untuk klien kedua mengalami penurunan tekanan darah dari 170/100mmHg menjadi 130/90mmHg jadi rata-rata penurunan tekanan darah dari kedua klien adalah untuk tekanan darah sistolik sebanyak 30-40mmHg dan untuk tekanan diastolik sebanyak 10mmHg. Simpulan studi kasus ini menunjukan bahwa terapi relaksasi otot progresif mampu menurunkan tekanan darah pada penderita hipertensi. Saran bagi tenaga kesehatan diharapkan dapat memberikaan tindakan terapi untuk menurunkan tekanan darah yang berupa terapi relaksasi otot progresif pada penderita hipertensi.Kata kunci: Relaksasi Otot Progresif, Hipertensi

Penerapan Relaksasi Otot Progresif dalam Menurunkan Tekanan Darah pada Keluarga dengan Hipertensi : Literature Review

2020 ◽  
Vol 8 (2) ◽  
pp. 86-93
Author(s):  
Habibi Habibi
Keyword(s):  
Blood Pressure ◽  
Literature Review ◽  
Muscle Relaxation ◽  
Empirical Studies ◽  
Progressive Muscle Relaxation ◽  
Google Scholar ◽  
Lower Blood Pressure ◽  
Relaxation Therapy ◽  
Control Blood Pressure ◽  
Lower Blood

Hypertension is a deadly disease in the world and can affect anyone. One of the treatments that can be done to control blood pressure is progressive muscle relaxation therapy. The purpose of this literature review is to analyze the application of progressive muscle relaxation therapy in lowering blood pressure in families with hypertension based on empirical studies over the last ten years. The design of this study is a literature review. The method of this study was carried out by analyzing articles related to progressive muscle relaxation therapy in reducing blood pressure in families with hypertension through google scholar data in an empirical study in the last 10 years as many as 5 journals according to the study. The results of the analysis show that the application of progressive muscle relaxation can lower blood pressure in families with hypertension. Thus it is expected that progressive muscle relaxation therapy can be applied by nurses as an implementation strategy in reducing blood pressure in families with hypertension.Keywords: Hypertensive, Blood Pressure, Progressive Muscle RelaxationABSTRAKHipertensi merupakan penyakit yang mematikan di dunia dan dapat menyerang siapa saja. Salah satu penanganan yang dapat dilakukan untuk mengontrol tekanan darah yaitu dengan terapi relaksasi otot progresif. Tujuan literature review ini untuk menganalisis penerapan terapi relaksasi otot progresif dalam menurunkan tekanan darah pada keluarga penderita hipertensi berdasarkan studi empiris selama sepuluh tahun terakhir. Desain penelitian ini adalah literature review. Metode studi ini dilakukan dengan menganalisis artikel yang berkaitan dengan terapi relaksasi otot progresif dalam menurunkan tekanan darah pada keluarga dengan hipertensi melalui data google scholar secara study empiris dalam 10 tahun terakhir sebanyak 5 jurnal yang sesuai dengan penelitian. Hasil analisis menunjukkan bahwa penerapan relaksasi otot progresif dapat menurunkan tekanan darah pada keluarga dengan hipertensi. Dengan demikian diharapkan terapi relaksasi otot progresif dapat diterapkan perawat sebagai strategi pelaksanaan dalam penurunan tekanan darah pada keluarga dengan hipertensi. Kata kunci: Hipertensi, Tekanan Darah, Relaksasi Otot Progresif 

Penerapan Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi

2021 ◽  
Vol 1 ◽  
pp. 799-805
Author(s):  
Ella Listiana ◽  
Firman Faradisi
Keyword(s):  
Blood Pressure ◽  
Communicable Disease ◽  
Muscle Relaxation ◽  
Pain Scale ◽  
Progressive Muscle Relaxation ◽  
Relaxation Therapy ◽  
Pharmacological Treatments ◽  
Hypertensive Patients ◽  
Non Communicable Disease

AbstractHypertension is a non-communicable disease and is the most consistent risk factor for stroke.Most people with hypertension do not know that they suffer from hypertension so they do not get good treatment. Handling hypertension can be done pharmacological and non-pharmacological.One of the non-pharmacological treatments to reduce high blood pressure is progressive muscle relaxation therapy. The subjects in this case study were two patients who had high blood pressure.This study aims to apply progressive muscle relaxation therapy and its effect on reducing blood pressure in hypertensive patients.The research design is a case study on 2 hypertensive patients. The intervention is by applying progressive muscle relaxation for 3 consecutive days with one relaxation time of 15-30 minutes.The results show that Progressive Muscle Relaxation Therapy can decreases in blood pressure and pain scale in both patients.Accordance with this, nurses are suggested to apply Progressive Muscle Relaxation as a non-pharmacologic intervention to decrease blood pressure in hypertensive patients.Keywords: Hypertension; pain; progressive muscle relaxation AbstrakHipertensi merupakan salah satu penyakit yang tidak menular dan merupakan faktor resiko yang paling konsisten pemicu stroke.Sebagian besar penderita Hipertensi tidak mengetahui bahwa dirinya menderita Hipertensi sehingga tidak mendapatkan penanganan dengan baik. Penanganan hipertensi ini dapat dilakukan secara farmakologi maupun non farmakologi.Salah satu penanganan nonfarmakologi untuk menurunkan tekanan darah tinggi adalah terapi relaaksasi otot progresif.Subyek dalam studi kasus ini adalah dua pasien yang mengalami tekanan darah tinggi. Penelitian ini bertujuan untuk mengaplikasikan terapi relaksasi otot progresif dan pengaruhnya terhadap penurunan tekanan darah pada pasien hipertensi. Desain penelitian berupa studi kasus pada 2 pasien hipertensi.Intervensi dengan ngaplikasikan relaksasi otot progresif selama 3 hari berturut-turut dengan sekali relaksasi 15-30 menit. Hasil yang didapatkan pada pasien I maupun II mengalami penurunan tekanan darah dan skala nyeri. Kesimpulan dari studi kasus ini bahwa relaksasi otot progresif dapat menurunkan tekanan darah dan skala nyeri pada kedua pasien. Saran bagi perawat diharapkan dapat menerapkan relaksasi otot progresif sebagai tindakan nonfarmakoogi untuk menurunkan tekanan darah pada pasien hipertensi.Kata kunci: Hipertensi; nyeri; relaksasi otot progresif

scholarly journals KEEFEKTIFAN PEMBERIAN JUS BELIMBING PADA LANSIA DALAM MENURUNKAN TEKANAN DARAH DI PANTI WREDHA HARAPAN IBU SEMARANG

2017 ◽  
Vol 1 (1) ◽  
pp. 44-54
Author(s):  
Mariyati Mariyati ◽  
Wahyuningsih Wahyuningsih
Keyword(s):  
Blood Pressure ◽  
Fruit Juice ◽  
The Elderly ◽  
Magnesium Content ◽  
Use Case ◽  
Lower Blood Pressure ◽  
Star Fruit ◽  
Lower Blood ◽  
Before And After

ABSTRAK   Hipertensi adalah suatu kondisi abnormal dari tekanan darah yang di tandai dengan peningkatan tekanan darah di atas normal. Salah satu faktor yang menyebabkan peningkatan tekanan darah tinggi adalah usia. Karena semakin bertambahnya usia seseorang maka pembuluh darah akan cenderung lebih kaku dan elisitasnya berkurang, sehingga mengakibatkan tekanan darah meningkat. Salah satu cara untuk mengobati hipertensi yaitu dengan mengkonsumsi jus belimbing. Jus belimbing dapat menurunkan tekanan darah, dikarenakan adanya kandungan kalium, kalsium dan magnesium pada buah belimbing yang mampu menurunkan tekanan darah.Penelitian ini bertujuan untuk mengetahui keefektifan pemberian jus belimbing pada lansia dalam menurunkan tekanan darah di Panti Wredha Harapan Ibu Semarang.Metode yang di gunakan studi kasus dengan mengambil sampel sebagian dari keseluruhan lansia yang menderita hipertensi di Panti Wredha Harapan Ibu Semarang. Jumlah responden sebanyak 10 lansia yang di bagi menjadi dua kelompok yaitu 5 yang di beri jus belimbing dan 5 lagi yang tidak di beri jus belimbing. Instrumen dari penelitian ini adalah tensimeter, stetoskop dan lembar observasi. Hasil penelitian yang di lakukan didapatkan pada 5 responden sebelum dan sesudah di berikan jus belimbing selama 7 hari, kelima responden mengalami penurunan tekanan darah sistolik maupun diastoliknya. Kesimpulan dari penelitian ini adalah ada keefektifan pemberian jus belimbing pada lansia dalam menurunkan tekanan darah di Panti Wredha Harapan Ibu Semarang.   ABSTRACT Hypertension is an abnormal condition of blood pressure that is marked by an increase in blood pressure above normal. One of the factors that causes elevated high blood pressure is age. Because of the increasing age of a person the blood vessels will tend to be more rigid and reduced elicity, resulting in increased blood pressure. One way to treat hypertension is by consuming star fruit juice. Star fruit juice can lower blood pressure, due to the presence of potassium, calcium and magnesium content in star fruit that can lower blood pressure. This study aims to determine the effectiveness of starfruit juice in the elderly in lowering blood pressure in Panti Wredha Harapan Ibu Semarang.Metode in use case study by sampling a portion of the whole elderly who suffer from hypertension at Wredha Harapan Ibu Semarang Orphanage. The number of respondents as many as 10 elderly who are divided into two groups, namely 5 which is given starfruit juice and 5 more that is not given star fruit juice. Instruments of this research are tensimeter, stethoscope and observation sheet. The results of the research were obtained on 5 respondents before and after giving starfruit juice for 7 days, the five respondents had decreased systolic blood pressure and diastolic. The conclusion of this research is the effectiveness of juice starfruit juice in elderly in lowering blood pressure at Wedha Harapan Ibu Ibu Semarang.

scholarly journals APPLICATION OF JUICE CHAYOTE TO REDUCE BLOOD PRESSURE IN HYPERTENSION ELDERLY

2021 ◽  
Vol 5 (1) ◽  
pp. 30-39
Author(s):  
Siti Juwariyah
Keyword(s):  
Blood Pressure ◽  
Pressure Drop ◽  
Elderly Patients ◽  
Blood Vessels ◽  
The Elderly ◽  
Reduce Blood Pressure ◽  
Lower Blood Pressure ◽  
Case Study Method ◽  
Lower Blood

Hypertension in the elderly is often not realized (silent disease), this is due to the result of reduced muscle flexibility of the blood vessels which will cause thickening of the arteries and even stiffening, causing the arteries and aorta to lose their adaptive capacity and the walls of these blood vessels to become inelastic and causes the blood that leaves the heart to flow that is not smooth. Treatment for hypertension sufferers can also be done non pharmacologically or using traditional medicine, one of which can use chayote. Chayote can lower blood pressure because chayote contains potassium. Potassium is a mineral that is good for lowering or controlling blood pressure. The aim of this case study was giving chayote juice to reduce blood pressure in hypertensive elderly. This type of research is descriptive with the case study method. The subjects of this study were two hypertensive elderly patients with blood pressure more than 140 - 90 mmHg and able to communicate. The results of the case studies show that there is a change in blood pressure drop from before consuming chayote juice and after consuming chayote juice, so it is hoped that the elderly can consume chayote juice regularly.

scholarly journals Control of Elderly Hypertension with Merona Program

2021 ◽  
Vol 7 (3) ◽  
pp. 347-353
Author(s):  
Didi Kurniawan ◽  
Etty Rekawati ◽  
Junaiti Sahar
Keyword(s):  
Blood Pressure ◽  
Muscle Relaxation ◽  
The Elderly ◽  
Community Health Services ◽  
Progressive Muscle Relaxation ◽  
Family Case ◽  
Cluster Random Sampling ◽  
Family Case Study ◽  
Elderly Control

Hypertension is a silent killer is the most common health problem experienced by the elderly. Control of hypertension in the elderly is very necessary to reduce complications of hypertension. Based on these conditions, the MERONA Program was developed. The purpose is to provide an overview of the implementation of the blush program in the elderly with hypertension. The method used is a family case study and an aggregate using a family and community nursing process approach involving 10 foster families and 60 elderly people in the community selected using cluster random sampling. This program is an integration of hypertension self-management and relaxation therapy, namely music therapy, progressive muscle relaxation, and deep breathing relaxation which is carried out for 12 weeks. Evaluation of changes in behavior and family independence was carried out at the end of the 12th week using a questionnaire. Blood pressure measurements were carried out at weeks 4, 8, and 12. The results of the implementation were an increase in the behavior of the elderly, an increase in the level of family independence, and a significant decrease in systolic and diastolic blood pressure (p<0.05). The MERONA program is recommended to be applied in community health services.

scholarly journals EFEKTIVITAS TERAPI RELAKSASI OTOT PROGRESIF DALAM MENURUNKAN HIPERTENSI PADA LANSIA

2019 ◽  
Vol 8 (1) ◽  
pp. 58
Author(s):  
M Ilham ◽  
Armina Armina ◽  
Hasyim Kadri
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Elderly People ◽  
Muscle Relaxation ◽  
The Elderly ◽  
Progressive Muscle Relaxation ◽  
P Value ◽  
Relaxation Therapy ◽  
Experimental Group

The prevalence of cases of hypertension is very high in the elderly, namely 60% -80% at the age above 65 years. The number of elderly people suffering from hypertension at Budi Luhur Jambi PSTW in November 2018 was 22 elderly and had received regular hypertension medication every day but the elderly blood pressure was still high. The purpose of this study is to see whether there is any effect of progressive muscle relaxation therapy on blood pressure in elderly people with hypertension. This study used the Quasi Experiment method with the design of Non Equivalent Control Group Pretest-Posttest, with random sampling technique, the number of samples was 20 elderly consisting of 10 elderly experimental groups given hypertension drugs as well as progressive muscle relaxation therapy and 10 elderly control groups who only given hypertension medication. This research was conducted at Budi Luhur PSTW Jambi on 28 January-2 February 2019. Progressive muscle relaxation therapy is given once a day every morning for six consecutive days. Based on the analysis using the Dependent T test in the experimental group, it was found that systolic blood pressure was p value 0.0001 and diastolic blood pressure was p value 0.002 <(0.05). the results of the analysis using the Independent T test found differences in the blood pressure of the experimental group and control where systolic blood pressure p value 0.031 <(0.05), while the diastolic blood pressure p value 0.009 <(0.05), it can be concluded that there significant to the blood pressure of elderly people with hypertension before and after being given progressive muscle relaxation therapy. This study is expected to be a new program at PSTW Budi Luhur Jambi to reduce high blood pressure in elderly people who suffer from hypertension.

[PP.29.34] LOWER BLOOD PRESSURE IS RELATED TO WORSE FUNCTIONAL OUTCOME AFTER STROKE IN THE ELDERLY

2017 ◽  
Vol 35 ◽  
pp. e330-e331
Author(s):  
C. Alonzo ◽  
L. Brescacín ◽  
M. Zurrú ◽  
G. Linares ◽  
G. Fucile ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Functional Outcome ◽  
The Elderly ◽  
Lower Blood Pressure ◽  
Lower Blood

scholarly journals The improvement of elderly sleeping quality with progressive muscle relaxation therapy

2020 ◽  
Vol 7 (5) ◽  
pp. 1684
Author(s):  
Emira Apriyeni ◽  
Helena Patricia
Keyword(s):  
Sleep Quality ◽  
Sleep Disorders ◽  
Muscle Relaxation ◽  
The Elderly ◽  
Nursing Intervention ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Relaxation Therapy ◽  
Before And After

Background: Sleep is one part of physiological needs and it is a basic need which is needed by all humans to be able to function optimally. However, the elderly will often experience sleep disorders. Sleep disorders in the elderly will affect the quality of sleep. One of nursing intervention that can improve the elderly sleeping quality is progressive muscle relaxation therapy. This study aims to determine the differences of sleep quality before and after having progressive muscle relaxation therapy toward the elderly with sleep disorders.Methods: This research was conducted at the Tresna Werdha Sabai Nan Aluih Social Home, Sicincin in 2019. The research was conducted for 2 weeks with one-week intervention. This research is a Quasy experiment using one group pre-test and post-test without control group design approach. This study used the sample of 16 respondents taken by purposive sampling. The analysis of data uses dependent T-test with a significance level of 95% (α 0.05).Results: The results of the study found that the average sleep quality of the elderly before being given the intervention was 13.63 and after the intervention it became 8.44 with p value of 0.000.Conclusions: The results showed that there were significant differences before and after the intervention. For this reason, it is recommended for the elderly with sleep disorders to be able to do progressive muscle relaxation therapy to improve sleep quality.  

scholarly journals Pengaruh Teknik Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Puskesmas Mariat Kabupaten Sorong

Nursing Arts ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 31-35
Author(s):  
Norma Norma ◽  
Ade Supriatna
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Diastolic Blood Pressure ◽  
Statistical Tests ◽  
Muscle Relaxation ◽  
Blood Pressure Reduction ◽  
Progressive Muscle Relaxation ◽  
Relaxation Techniques ◽  
Hypertensive Patients ◽  
Quasi Experimental

Effect of Progressive Muscle Relaxation Technique on Decreasing Blood Pressure in Hypertensive Patients in Mariat Health Center, Sorong Regency. Hypertension is a disease that results from an increase in systolic and diastolic blood pressure consistently above 140/90 mmHg. Hypertension is a factor that contributes to stroke deaths and factors that aggravate myocardial infarction (heart attack). The number of people with hypertension continues to increase along with the growing population, the world prevalence reaches 29.2% in men and 24% in women. This study was conducted with the aim to determine whether there is an effect of progressive muscle relaxation techniques on the reduction of blood pressure in hypertensive patients at the Mariat Health Center in Sorong Regency. In this study the researchers used the Quasi experimental Design design with a one-group pretest-posttest design approach (one pretest-posttest group). The population in this study were hypertensive patients who came to the Mariat Health Center in 2018 as many as 32 patients. While the research sample is a total population of 32 respondents. The results of the statistical test using the Paired Sample t-test obtained a value of p_value for systolic blood pressure 0,000 smaller than 0.05 and the value of p_value for a diastolic blood pressure of 0,000 less than 0.05. From the results of statistical tests show that there is an effect of progressive muscle relaxation techniques on blood pressure reduction in hypertensive patients at Mariat Health Center, Sorong Regency.  

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