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There was no significant correlation between cSCC grading and Ki-67 expression (p 0.05). Ki-67 antigen tumour marker, widely used to determine the level of tumour cell proliferation. Copyright © 2019 Ibnu T. Alferraly, D. Munir, I. B. Putra, R. J. Sembiring.BACKGROUND Hospital-acquired infection (HAI) is a major problem for the patient's health care and may impact the duration of treatment. Hand hygiene is a simple procedure but giving good prevention usually done among nurses at the hospital. AIM Objective of the study is to deter