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Development of Mother’s Behavior Model in Severe Malnutrition Prevention for Under Five Children Fauziah, Ika Nur; Djuari, Lilik; Arief, Yuni Sufyanti
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.323 KB) | DOI: 10.20473/%oj.Ners102%y195-207

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Introduction: Child malnutrition still a major health problem in the world, including in Indonesia. According to World Health Organization (WHO) African Region and South-East Asia Region data, malnutrition affects nearly 20 million under five children and the main factors that affects about a third of child mortality worldwide. The aims of this study was to analyze and develop mother’s behavior model in severe malnutrition prevention for under five children based on Integration Health Belief Model and Health Promotion Model. Method: Type of this research was an explanatory observational with cross sectional design. Affordable population namely children under five’s years and cadres who visited Posyandu in April 2015 as many as 136 and 20 peoples. This study used proportional random sampling, with sample size 65 mothers; 10 children under five’s mothers and 10 Posyandu Balita’s cadres for FGD. Variables were personal factors, behavioral specific cognitions and affect, individual perceptions, commitment, cues to action and mothers behavior in severe malnutrition prevention. Data were collected by using questionnaires and food recall 24 hours, analyzed by Smart PLS. Result: Mother’s behavior model in severe malnutrition prevention for under five children can be formed by mothers commitment, behavioral specific cognition and affect and personal factors (income and motivation). Discussion: Nurse as a community health care providers have a role in improving community health status through health promotion. High commitment to behave in certain ways according to plan, improving the ability of individuals to maintain health promotion behavior all the timeKeywords: models, mother’s behavior, severe malnutrition prevention, Health Belief Model, Health Promotion Model
Determinants of HIV provider-initiated testing and counseling screening service used by pregnant women  in primary health centers in Surabaya Handayani, Samsriyaningsih; Andajani, Susilowati; Djuari, Lilik
Medical Journal of Indonesia Vol 26, No 4 (2017): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.929 KB) | DOI: 10.13181/mji.v26i4.1398

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Background: Offering free HIV screening service for pregnant women in primary health center in Surabaya has become obligatory since 2014, but only 70% used the service. Prior studies on HIV screening mostly focused on Voluntary Counseling and Testing.Methods: This was a cross-sectional study. Interviews were conducted with 150 pregnant women attending antenatal care in 1 of 9 public health centers (PHCs) in Surabaya and offered HIV screening within the same PHC. The eligibility criterium was pregnant women attending antenatal care in PHCs. The exclusion criteria were having been counseled for HIV prior to the interviews and/or experiencing an obstetric emergency. Using PRECEDE Framework with the concept of a comprehensive framework, this study focuses on identifying determinants of HIV PITC service use in PHCs in Surabaya. Binary logistic regressions and multiple binary logistic regressions were used in analyses.Results: The service use was associated with self-confidence of getting blood drawn for the test (p<0.001, adjusted OR=12.368, 95% CI=3.237–47.250) and past use of midwife private service for current pregnancy (p=0.029, adjusted OR=3.902, 95% CI=1.150–13.246). Self-confidence of getting blood drawn for HIV test mediated the effect of past use of midwife’s private service on HIV screening use.Conclusion: Past use of midwife’s private service affected self-confidence of getting blood drawn for HIV test on HIV screening use, and self-confidence affected the use of HIV PITC. This study results suggest that more midwives’ private practices are needed to increase the use of HIV PITC screening in PHC.
Age Group With Severity Scales And Functional Status Carpal Tunnel Syndrome On Elderly At Nursing Home Santo Yosef Surabaya Liong, Andryano; Dian, Teuku Arief; Djuari, Lilik
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 2, No 1 (2020): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (377.618 KB) | DOI: 10.33508/jwmj.v2i1.2332

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Introduction: Carpal tunnel syndrome (CTS) is a condition which is known as one of the cumulative trauma disorder (CTD) that can happen to the wrist or arm with a symptoms like pain, loss of sensitivity, weakness, and tingling that commonly occur to the thumb, index finger and middle finger. Prevalence of CTS that has been reported keep increasing each year, up to 276/100.000 cases each year. Aim: The aim of this research is to know if there’s a correlation between age group and carpal tunnel syndrome symptom on elderly at nursing home Santo Yosef Surabaya. Methods: This research use observational study with analytic design and the method that’s used in this research is cross sectional. Analysis in this research will be using spearman correlation test to know the correlation between variables. The population in this research is 154 elderly at the senior home facility Santo Yosef Surabaya. There is 70 elderly for this research sample. Results: From the analytic result, it has been found that the symptom severity (SSS) and age group and functional status (FSS) and age group is significant with the p score of p =0.0017 and p= 0.049 respectively, from the data that’s acquired from the result of spearman test it can be also concluded that from the coefficient correlation score of r=0.284 there’s a weak correlation between severity symptom (SSS) and age group, the correlation score of r=0.236 from the functional status (FSS) and age group indicate that it also have a weak correlation power. Conclusion: In conclusion, there was a significant correlation between age group and severity symptom in CTS (SSS). There is a significant correlation between age group and functional status in CTS (FSS).
GAMBARAN KEBUTUHAN HIDUP PASIEN SKIZOFRENIA DAN GANGGUAN PSIKOTIK LAINNYA MENURUT DIRINYA DAN PELAKU RAWAT DI POLI RAWAT JALAN JIWA RSUD. DR. SOETOMO SURABAYA TAHUN 2017 M. Fata Fatihuddin; Khairina Khairina; Lilik Djuari
Jurnal Kedokteran Syiah Kuala Vol 18, No 1 (2018): Volume 18 Nomor 1 April 2018
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v18i1.11207

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Abstrak. Setiap makhluk hidup mempunyai kebutuhan, tidak terkecuali manusia.  Kebutuhan tersebut menjadi dasar dan syarat untuk keberlangsungan hidup manusia. Adanya penyakit didalam tubuh dapat menyebabkan perubahan pemenuhan kebutuhan, baik secara fisiologis maupun psikologis. Karena beberapa fungsi organ tubuh memerlukan pemenuhan kebutuhan lebih besar dari biasanya. Tujuan utama dari terapi pada skizofrenia adalah pemulihan. Pemulihan dapat dicapai baik dari segi fungsi mental maupun fisik. Terdapat empat faktor penilaian dalam menentukan terapi pemulihan termasuk diantaranya hilangnya gejala, fungsi pekerjaan, kehidupan mandiri, dan relasi yang perlu melibatkan peran pasien skizofrenia sendiri, pelaku rawat, maupun masyarakat (Lieberman dan Murray, 2001). Penelitian ini bertujuan untuk mengetahui gambaran kebutuhan hidup pasien skizofrenia dan gangguan psikotik lainnya menurut dirinya sendiri dan menurut pelaku rawatnya. Dan membandingkan gambaran kebutuhan hidup pasien skizofrenia dan gangguan psikotik lainnya menurut dirinya dan pelaku rawatnya.Subjek penelitian mencakup 30 pasien skizofrenia dan pelaku rawatnya yang berobat jalan di poli jiwa RSUD. Dr. Soetomo pada bulan November-Desember 2017. Pemilihan subjek dilakukan secara konsekutif menggunakan kriteria inklusi dan eksklusi. Penelitian ini mengambil data dari wawancara dan kuesioner dari instrumen Camberwell Assessment of Need Short Appraisal Schedule (CANSAS). Penelitian ini menggunakan studi analitik observasional cross-sectional dan chi square untuk mengolah datanya.Perbandingan jenis kelamin laki-laki dan perempuan pada pasien skizofrenia dan gangguan psikotik lainnya adalah 1,1:1. Umur pasien skizofrenia dan gangguan psikotik lainnya (73,3%) berkisar antara 19-39 tahun. Sebagian besar pasien skizofrenia dan gangguan psikotik lainnya belum menikah (53,33%). Pasien skizofrenia dan gangguan psikotik lainnya memiliki pekerjaan menjadi ibu rumah tangga (30%) bagi yang perempuan dan (16,7%) tidak bekerja. 50% dari pasien skizofrenia dan gangguan psikotik lainnya terdiagnosa skizofrenia paranoid, dan sudah menyandang lama sakit lebih dari 5 tahun (63,3%). Hubungan kekerabatan dari pelaku rawat pasien skizofrenia dan gangguan psikotik lainnya sebesar 56,7% adalah orang tua. Didapatkan beberapa kebutuhan pasien skizofrenia dan gangguan psikotik lainnya yang tidak terpenuhi dalam penelitian ini menurut pasien skizofrenia dan gangguan psikotik lainnya dan menurut pelaku rawatnya. Dari 22 pertanyaan CANSAS, kebutuhan pasien skizofrenia dan gangguan psikotik lainnya yang dilaporkan pelaku rawatnya lebih tinggi daripada menurut pasien skizofrenia. Pasien skizofrenia dan gangguan psikotik lainnya dan pelaku rawatnya menilai adanya masalah akomodasi, perawatan rumah, telefon/alat komunikasi, aktivitas sehari-hari dan kesehatan fisik yang dinilai tinggi dalam pemenuhan kebutuhan hidup pasien skizofrenia dan gangguan psikotik lainnya. Tidak adanya hasil yang bermakna (p0,05) dalam penelitian ini yang berarti tidak adanya perbedaan dalam menilai kebutuhan hidup menurut pasien skizofrenia dan gangguan psikotik lainnya dan menurut pelaku rawatnya. Diharapkan instrumen ini bisa digunakan untuk pemantauan kebutuhan pasien skizofrenia apakah pasien skizofrenia mempunyai masalah dalam memenuhi kebutuhan hidupnya ke depannya. Kata Kunci: Skizofrenia, Kebutuhan hidup, Pelaku asuh, Instrumen CANSAS Abstract. Background: Every human being has a need that becomes the basis and conditions for the sustainability of his life. The presence of disease in the body can cause changes in the needs, both physiological and psychological. The main goal of therapy in schizophrenia is restoration. Recovery can be achieved both in term of mental and physical function. There are four assessment factors in determining revobertu including loss of symptoms, occupational function, independent living, and relationships that need to involve the role of self-schizophrenic, caregiver, and community. And the recovery is related to the needs of people with schizophrenia.Objective: To determine the description of the needs schizophrenia and other psychotic disorders according to theirself and according to their caregiver. And to compare the description of the needs of a schizophrenic person and other psychotic disorders according to theirself and according to their caregiver.Materials and Method: The subjects include 30 people with schizophrenia and 30 their caregiver(S). who went to the hospital in RSUD. Dr. Soetomo in November-Desember 2017. Subject selection is done consecutively and use inclusion and exclusion creteria. This study takes data from interviews and questionnaires from the Camberwell Instrument assessment of need short appraisal schedule (CANSAS). Used the analitic observasional study cross-sectional and chi square descriptibe study to process the data.Result: The male and female sex ratioin schizophrenia patient and other psychotic disorders is 1.1: 1. Schizophrenia and other psychotic disorders age is ranged from 19-39 years (73.3%). Most of the schizophrenia and other psychotic disorders are unmarried (53.33%). People with schizophrenia and other psychotic disorders have a job of being housewives (30%) for women and (16.7%) not working. 50% of schizophrenic outcomes and other psychotic disorders are diagnosed with paranoid schizophrenia, and have been sick for more than 5 years (63.3%). The relationship of caregiver of schizophrenia and other psychotic disorder is parent (56,7%). Some needs of schizophrenic and other psychotic disorders are not met in this study according to schizophrenia and other psychotic disorders and according to their caregiver.Conclusion: From 22 CANSAS questions, the need of people with schizophrenia and other psychotic disorders reported by caregivers is higher than according to schizophrenics. People with schizophrenia and other psychotic disorders and their caregiver(s) assess the problem of accommodation, home care, telephones / communication devices, daily activities and physical health are highly rated in the needs of people with schizophrenia and other psychotic disorders. The absence of significant results (p 0.05) in this study meant that there was no difference in viewpoints in assessing the schizophrenic needs of the schizophrenic life according itself and according to the caregiver. In addition, It is expected that this instrument can be used to monitor the needs of people with schizophrenia whether people with schizophrenia have problems in their future life needs. Keywords: Schizophrenia, life needs, caregiver, CANSAS instrumen
Skill Improvement for Public Health Center Staffs in the Management of Toxic and Hazardous Materials Lilik Djuari; Linda Dewanti; Sulistiawati Sulistiawati; Arya Ivan Mahendra; Ahmad Cholifa Fahruddin
Folia Medica Indonesiana Vol. 58 No. 1 (2022): March
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (898.56 KB) | DOI: 10.20473/fmi.v58i1.30663

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Highlight:There was an increase in the accumulation of B3 waste in health centers during the COVID-19 pandemic.The knowledge and skills level of health center staff in medical THM waste management before and after medical THM waste management training were determined.Medical THM waste management training was increasing the knowledge and skills level of health center staff. Abstract:The generation of medical toxic and hazardous material (THM) waste at public health centers tends to increase during the Covid-19 pandemic. Only 6.89% of the health centers have medical waste management practices that meet the standards. Medical waste management practices not in accordance with the procedures can be a source of infection, even though only 56% of health workers have good knowledge and attitudes in solid medical waste management. For this reason, it is necessary to increase the skills of health center staff in managing medical THM waste during the Covid-19 pandemic. The purpose of this study was to determine the level of knowledge and skills of health center staff in medical THM waste management before and after medical THM waste management training. The training participants were 20 health center staffs who filled out a pretest questionnaire to measure their level of knowledge and skills prior to the training. The training materials include THM waste, medical THM waste, medical THM waste management and medical THM Temporary Storage. After the training, a post-test was conducted to measure the knowledge and skills scores of the trainees. The results of this study indicated that there was a significant difference in knowledge before and after training (p < 0.05). The average knowledge score before training was 6.2 (sufficient knowledge) and after training 8.15 (good knowledge). There was a significant difference in skill scores before and after training (p <0.05). The average skill before training was 6.3 (adequate) and after training 8.65 (good). In conclusion, there was an increase in the skills of health center staff in managing medical THM waste during covid-19 pandemic after participating in medical THM waste management training by the Community Service Team, Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Development of Mother’s Behavior Model in Severe Malnutrition Prevention for Under Five Children Ika Nur Fauziah; Lilik Djuari; Yuni Sufyanti Arief
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.323 KB) | DOI: 10.20473/jn.v10i2.1241

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Introduction: Child malnutrition still a major health problem in the world, including in Indonesia. According to World Health Organization (WHO) African Region and South-East Asia Region data, malnutrition affects nearly 20 million under five children and the main factors that affects about a third of child mortality worldwide. The aims of this study was to analyze and develop mother’s behavior model in severe malnutrition prevention for under five children based on Integration Health Belief Model and Health Promotion Model.Method: Type of this research was an explanatory observational with cross sectional design. Affordable population namely children under five’s years and cadres who visited Posyandu in April 2015 as many as 136 and 20 peoples. This study used proportional random sampling, with sample size 65 mothers; 10 children under five’s mothers and 10 Posyandu Balita’s cadres for FGD. Variables were personal factors, behavioral specific cognitions and affect, individual perceptions, commitment, cues to action and mother's behavior in severe malnutrition prevention. Data were collected by using questionnaires and food recall 24 hours, analyzed by Smart PLS.Result: Mother’s behavior model in severe malnutrition prevention for under five children can be formed by mother's commitment, behavioral specific cognition and affect and personal factors (income and motivation).Discussion: Nurse as a community health care providers have a role in improving community health status through health promotion. High commitment to behave in certain ways according to plan, improving the ability of individuals to maintain health promotion behavior all the time.
Kebutuhan Riil Tenaga Perawat dengan Metode Workload Indicator Staff Need (WISN) Ni Luh Ade Kusuma Ernawati; Nursalam Nursalam; Lilik Djuari
Jurnal Ners Vol. 6 No. 1 (2011): April 2011
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (176.137 KB) | DOI: 10.20473/jn.v6i1.3970

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Introduction: Nurses are health workers in hospitals that provide nursing care to patients for 24 hours. Workload of nurses was high due to insufficient numbers of nurses. It will have an impact on the decrease in work productivity that may affect nurses care for patients. To get the human resources necessary to suit the needs of nursing manpower planning to increase the competitiveness of hospitals in the era of globalization. The research objective was to analyze the real needs of nurses on staff workload indicators need (WISN).Method: The study design was observational analytic. Analysis of workload using the method of approach to time and motion study. Sample were 24 nurses who met the inclusion criteria. Analysis of the needs of staff nurses using the workload indicators need (WISN).Result: The results obtained based on the calculation of nurses with WISN method needs of nurses in the medical-surgical nurses as many as 54 people. Objective workload of nurses in the room medical surgery general state hospital of Bali is the average 82.61%, including height. The total time required to complete the productive activities of more than 80%.Conclusion: Conclusion of this study show the number of nurses in the medical-surgical general hospital bali is still lacking as many as 30 people. It is suggest to the hospital management to increase gradually the number of nurses in the medical room.
Profile of Parenting Style in University Students with Tendency of Hedonism Lifestyle Maura Tuzzahrah; Erikavitri Yulianti; Lilik Djuari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 1 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (532.287 KB) | DOI: 10.20473/juxta.V10I12019.29-33

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Introduction: This research is to determine the profile of parenting style with tendency of hedonism lifestyle in university students of Medicine Program Faculty Of Medicine Airlangga University Batch 2015.Methods: This study is a observational analytic research with cross-sectional time and used questionnare as research instrument given to 200 respondentsResults: : 16 university students raised with authoritarian parenting style (8.30%), 169 students raised with authoritative parenting style (87.56%), and 8 students raised with permissive parenting style (4.14%). Students with tendency of hedonism lifestyle in category low is 45 students (23.32%), in category intermediate is 146 students (75.64%), and in category high is 2 students (1.04%). Tendency of hedonism lifestyle is  low in 2 students raised with authoritarian parenting style (1.04%), 42 students raised  with authoritative parenting style (21.76%), and 1 students raised with permissive parenting style (0.52%). Tendency of hedonism lifestyle in category intermediate has 12 students raised with authoritarian parenting style (6.22%), 127 students raised with authoritative parenting style (65.80%), and 7 students raised with permissive parenting style (3.62%). In category high tendency of hedonism lifestyle is 2 students raised with authoritarian parenting style (1.04%). Using Kruskal-Willis test, it was found that p = 0.123 .Conclusion: Most parenting style used in the students is authoritative. Category of tendency of hedonism lifestyle in most students is category intermediate. Tendency of hedonism lifestyle in category low has most students raised with authoritative parenting style. Tendency of hedonism lifestyle in category intermediate has most students raised with authoritative parenting style. Tendency of hedonism lifestyle category high has most students raised with authoritarian parenting style. And it was found that there is no significant difference in proportion in parenting style with the tendency of hedonism lifestyle with value of  p = 0.123  with α = 0.05 (p>α)
Profile of Chronic Mental Disorder Patients with or without Suicide Ideation in the Psychiatric Ward of Dr. Soetomo General Hospital, Surabaya Khoirun Nada Salsabila; Khairina Khairina; Lilik Djuari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 12 No. 2 (2021): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V12I22021.48-53

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Introduction: Risk factors for suicide ideation or suicide are the history of mental illness, family history with suicide or depression, and having suicide attempts. This study aimed to determine patients with mental disorder profiles that had suicide ideation and never had suicide ideation. This study also aimed to identify the intensity of suicide idea and history of suicide attempts at a subject that had suicide ideation.Methods: This was a descriptive observational study. This study was conducted using C-SSRS questionnaires and some additional interviews with chronic mental disorder patients in the Psychiatric Ward, Dr. Soetomo General Hospital, Surabaya.Results: Total patients that had suicide ideation were 11 patients, consisted of 8 patients with schizophrenia, and 2 patients with bipolar disorder. The mean length of illness was 16.55 years, GAF Scale when suicide ideation appeared was at range 40-31 until 60-51. GAF Scale got better in range 60-51 until 80-71, mostly in teenagers and adults when suicide ideation appeared, primarily women. Many of them were unemployed, had lower income, did not have income, and were non-college graduates. The total subjects that never had suicidal ideation were 23 patients, 2 of them with depression, mean age of illness onset was 12.04 years old, the balance between women and men, some of them were sellers and worked in a private field, with income range between 2 until 5-6 million, and few of them were college graduates.Conclusion: Suicide ideation was mostly found in some subjects with younger age, had longer length of illness, had lower GAF Scale, primarily women, unemployed, had lower income, and had lower education.
TOT Pemberdayaan Kesehatan dan Ketahanan Keluarga Terkait Covid-19 Linda Dewanti; Lilik Djuari; Sulistiawati Sulistiawati; Arya Ivan Mahendra; Ahmad Cholifa Fahruddin
MATAPPA: Jurnal Pengabdian Kepada Masyarakat Volume 5 Nomor 1 Tahun 2022
Publisher : STKIP Andi Matappa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31100/matappa.v5i1.1590

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Tujuan Pengabdian Masyarakat ini untuk pemberdayaan dan penguatan ketahanan keluarga terkait covid-19 melalui kegiatan Training of Trainer (TOT) pada 20 Kader Kesehatan, baik sisi kognitif tentang materi covid-19 maupun pelatihan ketrampilan pembuatan masker dan konektor yang laik jual sehingga membantu perekonomian keluarga. Masing-masing peserta mendapat materi pelatihan berupa buku modul covid-19, video 6 langkah cuci tangan, video cara memakai dan melepas masker dengan benar, dan softcopy materi (ppt) yang dikembangkan oleh tim pengabdi. Sedangkan dalam pelatihan pembuatan masker dari kain perca batik, 2 mesin jahit dan berbagai perlengkapan dihibahkan kepada peserta. Semua kegiatan dikemas dalam TOT (training of trainer) dengan pengukuran keberhasilan dinilai dari hasil dari pre- dan post-test, kemampuan melakukan gerakan 6 langkah cuci tangan dan keberhasilan membuat masker dan konektornya. Masing-masing 4 Kader Kesehatan yang ada di 5 Desa di Kecamatan Wongsorejo, Kabupaten Banyuwangi diundang sebagai peserta TOT. Hasil kegiatan ini menunjukkan bahwa terjadi beda peningkatan nilai post-test sebesar 24.8 ±15.3 dibandingkan dengan nilai pre-test (paired t-test, p<0.001). Peningkatan nilai tersebut terjadi dengan peningkatan pengetahuan tentang pelacakan kontak erat di masyarakat, mempersiapkan ruang karantina dan isolasi, mempersiapkan ruang rapat di Balai Desa atau Balai RW, dan pembukaan sekolah kembali, ventilasi ideal, dan apakah anak wajib memakai masker di sekolah, serta pemakaian bahan rumah tangga yang dapat digunakan untuk desinfeksi permukaan benda. Semua peserta TOT juga mampu menyelesaikan membuat masker dan konektornya.