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Pertami, Sumirah Budi
Poltekkes Kemenkes Malang
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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CHANGES IN THE STRENGTH OF THE MUSCLE OF EXTREMITY THROUGH ROM (RANGE OF MOTION) EXERCISE IN STROKE PATIENTS IN THE WORKING AREA OF KARANGPLOSO HEALTH CENTER OF MALANG DISTRICT Hanifatus Sabira Astrid; Sumirah Budi Pertami; Budiono Budiono
TERAPEUTIK JURNAL : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas Vol 4 No 02 (2018): Terapeutik Jurnal : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas
Publisher : LPPM STIKes Karya Kesehatan

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Abstract

Stroke is a disorder of the nervous system characterized by an acute attack resulting in paralysis of one side of the body persistently and causing death of nerve cells (neurons). Stroke can cause one of the effects of musculoskeletal disorders that is the reduction of muscle strength. One alternative therapy in the rehabilitation process in stroke patients is the Range Of Motion Exercise is a movement in the body segment occurs as a result of muscle contraction or force from the outside (external forces) that move the bone. This therapy is already known by therapists as well as health workers but in some hospitals The purpose of this study to determine the effect of ROM Exercise on changes in upper extremity muscle strength in stroke patients. The design of this study is a case study description with a sample size of 2 subjects of respondents. The observation result showed that muscle strength was> 3 in good category, showed a significant increase between muscle strength scale before and after done ROM Exercise caused by muscle contractions and frequent movements so that muscle mass increases and increases muscle strength and maintains joint mobility. It is expected that the results of this study, ROM Exercise can be used as health care workers as one of the effective treatment measures for stroke patients who experience weakness of muscle strength in the extremities and aims to speed recovery by appropriate and unscheduled techniques. Stroke merupakan gangguan pada sistem saraf ditandai dengan serangan akut / mendadak yang mengakibatkan kelumpuhan pada salah satu sisi badan secara persisten dan menimbulkan kematian sel saraf (neuron). Stroke dapat menimbulkan dampak salah satunya terjadi gangguan muskuloskeletal yaitu penururnan kekuatan otot. Salah satu terapi alternatif dalam proses rehabilitasi pada pasien stroke yaitu Range Of Motion Exercise merupakan gerakan pada segmen tubuh terjadi sebagai akibat kontraksi otot atau gaya dari luar (external forces) yang menggerakkan tulang. Terapi ini sudah dikenal oleh terapis maupun tenaga kesehatan namun pada beberapa rumah sakit. Tujuan penelitian ini untuk mengetahui pengaruh ROM Exercise terhadap perubahan kekuatan otot ekstremitas atas pada pasien stroke. Desain penelitian ini adalah studi kasus deskripsi dengan jumlah sampel 2 subjek responden. Hasil observasi menunujukan kekuatan otot yaitu >3 dalam kategori baik, menunjukan adanya peningkatan signifikan antara skala kekuatan otot sebelum dan sesudah dilakukan ROM Exercise disebabkan oleh kontraksi otot dan pergerakan yang sering dilakukan sehingga masa otot bertambah dan membuat kekuatan otot meningkat serta memelihara mobilitas persendian. Diharapkan hasil penilitian ini, ROM Exercise bisa dijadikan petugas kesehatan sebagai salah satu tindakan perawatan yang efektif untuk pasien stroke yang mengalami kelemahan kekuatan otot pada bagian ekstremitas dan bertujuan untuk mempercepat pemulihan dengan teknik yang sesuai dan terjadwal.
EFFECT OF CUCUMBER (CUCUMIS SATIVUS) JUICE ON LOWERING BLOOD PRESSURE IN ELDERLY Pertami, Sumirah Budi; Rahayu, Dian Yuniar Syanti; Budiono, Budiono
Public Health of Indonesia Vol. 3 No. 1 (2017): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.82 KB) | DOI: 10.36685/phi.v3i1.93

Abstract

Background: Hypertension is one of the diseases that cause high morbidity. The use of modern hypertension medical treatment may cause a side effect, so cucumber as one of traditional medicines may become a choice.Objective: This study aims to see the effect of cucumber (Cucumis sativus) juice on lowering blood pressure in elderly at working area of Puskesmas (public health center) of Abeli, Kendari, 2015.Methods: This was a pre-experiment study with one group pretest-posttest design. Twenty elderly > 60 years old were selected by simple random sampling.Results: The result showed that there was a significant effect of cucumber juice on lowering blood pressure in elderly people at working area of Puskesmas of Abele, with t test for systolic blood pressure showed that t count > t table (7.095>2.093) or P-value is 0.000 < 0.05; and t test for diastolic blood pressure showed that t count > t table (6.190>2,093) or P-value is 0.000 < 0.05.Conclusion: The significant effect of cucumber (Cucumis sativus) juice on lowering blood pressure in elderly suggested that health professional might need to have the cucumber to deal with hypertension. However, further study is needed to examine the effect.
EFFECT OF 30° HEAD-UP POSITION ON INTRACRANIAL PRESSURE CHANGE IN PATIENTS WITH HEAD INJURY IN SURGICAL WARD OF GENERAL HOSPITAL OF Dr. R. SOEDARSONO PASURUAN Pertami, Sumirah Budi; Sulastyawati, Sulastyawati; Anami, Puthut
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.324 KB) | DOI: 10.36685/phi.v3i3.131

Abstract

Background: Head-injured patients have traditionally been maintained in the head-up position to ameliorate the effects of increased intracranial pressure (ICP). However, it has been reported that the 15 degrees head-up position may improve cerebral perfusion pressure (CPP) and outcome. We sought to determine the impact of 30 and 15 degrees on intracranial pressure change.Methods: This was a quasi-experimental study with posttest only control time series time design.  There were 30 head-injured patients was selected using consecutive sampling, with 15 assigned in the treatment (30° head-up position) and control group (15° head-up position). Intracranial pressure variable was identified using the level of consciousness and mean arterial pressure parameters. Wilcoxon signed rank test was used for data analysisResults: Findings showed p-value 0.010 (<0.05) on awareness level and p-value 0.031 (<0.05) on mean arterial pressure, which indicated that there was a statistically significant effect of the 30° head-up position on level of awareness and mean arterial pressure.Conclusion: There was a significant effect of the 30° head-up position on intracranial pressure changes, particularly in the level of awareness and mean arterial pressure in patients with head injury. It is recommended that for health workers to provide knowledge regarding this intervention to prevent increased intracranial pressure.
PEMBERDAYAAN LANSIA MELALUI AKTIVITAS RELAKSASI PROGRESIF UNTUK MENURUNKAN NYERI KEPALA DAN TEKANAN DARAH DI PANTI WERDHA PANGESTI DI KELURAHAN KALIREJO KEC. LAWANG KAB. MALANG Sumirah Budi Pertami; Budiono Budiono; Mustayah Mustayah
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 2 No 1 (2018): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

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Abstract

Hipertensi pada lansia sering dipicu oleh adanya stress dan gangguan psikologis, untuk mencegah dan menghidari terjadinya hipertensi pada lansia dapat diajarkan teknik relaksasi progresif, yang dapat merelaksasikan otot yang tegang, sistem kardiovaskular, dan menurunkan tekanan darah dan sakit kepala. Tujuan pengabdian masyarakat adalah meningkatkan status kesehatan lansia agar tetap Sehat, Aktif dan Produktif terhidar dari penyakit hipertensi dan nyeri kepala melalui melalui aktifitas relaksasi progresif. Hasil kegiatan pengabmas, terjadi penurunan tekanan darah pada lansia dari 62% turun 55%, yang menderita nyeri kepala ringan dan sedang dari 58% turun 48% dan mengalami Insomnia dari 65% turun 53% .
PEMBERDAYAAN LANSIA MELALUI “RELAKSASI BENSON BERBASIS SPIRITUAL DZIKRULLOH” UNTUK MENURUNKAN TEKANAN DARAH DAN MENINGKATKAN KUALITAS TIDUR Sumirah Budi Pertami; Budiono .
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 3 No 2 (2019): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v(3)i(2)y(2019).page:102-114

Abstract

Hipertensi yang disertai dengan nyeri kepala sering menimbulkan rasa cemas, penurunan kualitas tidur, akibat gangguan tidur menyebabkan kualitas hidup seseorang menjadi turun. Ada beberapa dampak serius gangguan tidur pada lansia misalnya mengantuk berlebihan di siang hari, gangguan memori, mood, depresi, sering terjatuh, penggunaan hipnotik yang tidak semestinya, dan penurunan kualitas hidup. Gangguan tidur yang dialami usia lanjut merupakan salah satu penyebab tingginya angka morbiditas pada usia lanjut.Unit Pelayanan Sosial Tresna Werdha Pasuruan di huni sebanyak 98 lansia, terdiri dari 39 orang laki-laki dan 49 orang perempuan, dengan rentang usia antara 65 th - 84 th, dan sebagian besar berumur 70 th – 75 th. Secara umum kondisi status kesehatan mereka perlu mendapatkan perhatian yang serius terkait dengan kondisi kesehatanya, karena lebih dari 45 % (45 org) menderita hipertensi, mulai dari hipertensi sedang sampai berat. Sebanyak 32 orangmenderita arthritis rheumatoid (rematik), 12 orang, mengalami gangguan pergerakan, dan beberapa lansia mendapat perawatan khusus karena sudah tidak bisa melakukan kegiatan kesehariannya.Tujuan Pengabdian Masyarakat (Pengabmas) adalah melakukan pelatihan “Relaksasi Benson Berbasis Spiritual Dzikrulloh” pada lansian untuk menurunkan tekanan darah dan meningkatkan kwalitas tidur lansiaPengabdian Masyarakat (Pengabmas) dilakukan di Unit Pelayanan Sosial Tresna Werdha Pasuruan selama empat minggu, yang di laksanakan setiap hari Sabtu dan Minggu. Kegiatan diawali dengan pemeriksaan kesehatan dasar (pengukuran tanda-tanda fital, dan masalah tidur ), penyuluhan kesehatan lansia, latihan Relaksasi Benson Berbasis Spiritual Dzikrulloh secara bersama-sama dilanjutkan dengan latihan berkelompok (pervisma/tempat tinggal lansia). Hasil kegiatan pengabmas, pertama pengelola panti merasa bersyukur dan terima kasih kepada Direktur Poltekkes Kemenkes Malang khususnya kepada dosen-dosen dan mahasiswa dari Kampus II Prodi D-III Keperawatan Lawang yang turun dan berpasipasi secara langsung untuk menjaga dan meningkatkan status kesehatan lansia melalui pemberdayaan lansia dengan melatih Relaksasi Benson Berbasis Spiritual Dzikrulloh. Kedua para lansia sangat antusian mengikuti kegiatan Relaksasi Benson Berbasis Spiritual Dzikrulloh ini walaupun dengan keterbatasan mereka, bahkan mereka berharap agar kegiatan semacam ini tidak hanya berhenti sampai disini, mereka berharap agar kegiatan ini berlangsung secara berkesinambungan.
PEMBERDAYAAN REMAJA PUTRI MELALUI PEMBENTUKAN “SASEDY” (SANGGAR SENAM DYSMENORRHEA) UNTUK MENGATASI DYSMENORRHEA Sumirah Budi Pertami; Budiono .
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 4 No 1 (2020): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

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Abstract

Dysmenorrhea atau nyeri haid biasanya terjadi di daerah perut bagian bawah, pinggang, bahkan punggung bisa juga berupa kram perut bagian bawah yang menjalar ke punggung atau kaki dan biasanya disertai gejala gastrointestinal dan neurologis seperti kelemahan. Permasalahan Dysmenorrhea sering dikeluhkan saat wanita atau remaja putri datang ke dokter atau tenaga kesehatan yang berkaitan dengan haid. Kondisi ini akan bertambah parah apabila disertai dengan kondisi psikis yang tidak stabil. Terlebih lagi di kalangan wanita yang bekerja dan harus tetap masuk kerja dalam kondisi kesakitan, Meski kebanyakan nyeri haid dapat hilang dengan sendirinya, tetapi jika berlangsung sepanjang hari, akan mengganggu aktivitas Tujuan dan sasaran kegiatan pengabdian masyarakat adalah Terbentuknya Sasedy (Sanggar senam Dysmenorrhae) di SMA 1 Lawang sebagai sarana edukasi, yaitu untuk alternatif terapi penanganan non farmakologi bagi remaja putri yang mengalami Dysmenorrhae dan mengalami ketidaknyamanan ketika sedang mengalami menstruasi. Sasaran dalam pengabdian kepada masyarakat ditujukan untuk remaja putri yang mengalami Dysmenorrhae di SMAN I Lawang .Metode yang digunakan adalah bersifat persuasif edukatif, dengan metode penyuluhan, pelatihan, dan pendampingan IPTEK (Ilmu Pengetahuan dan Teknologi). Teknik pelatihan yang diberikan sendiri yaitu mengenai senam Dysmenorrhae dengan menggunakan media video. Hasil evaluasi kegiatan pengabmas terbukti bahwa kegiatan ini mampu mengurangi dan mengadaptasikan rasa nyeri yang dialami oleh siswi SMAN I lawang setelah melakukan senam dysmenorhae
Polyscias scutellaria Aqueous Leaves Extract Increases Insulin Levels and Improves Mammary Gland Histology in Lactating Rats Budiono Budiono; Sumirah Budi Pertami; Kasiati Kasiati; Tutik Herawati; Nurul Pujiastuti; Siti Nur Arifah; Mochammad Fitri Atho&#039;illah
The Indonesian Biomedical Journal Vol 15, No 4 (2023)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v15i4.2425

Abstract

BACKGROUND: Exclusive breastfeeding could be a protective step to avoid infant stunting. During lactation, several hormones are involved in milk secretion, including insulin. Polyscias scutellaria is a perennial plant which has traditionally been used to increase breast milk production. This study was conducted to examine the impact of P. scutellaria leaf extract on the mammary gland histology, expression of insulin in the mammary gland, as well as plasma insulin and the insulin receptor levels.METHODS: Five female unmated rats (UR) and twenty female lactating rats were divided into five groups, namely UR, lactating rats only (LRO), lactating rats treated with Asifit (LRA), lactating rats treated with PSAE at a dosage of 250 and 500 mg/kg body weight (BW) (LRPSAE 250 and 500). Treatments were given orally for 14 days. The dams were sacrificed after the weaning stage (third week after parturition), and the serum, mammary gland, liver, and muscle were collected for further analysis.RESULTS: The histoarchitecture of mammary gland between the LRA and LRPSAE groups were similar. The LRPSAE 250 group had higher plasma level and immunofluorescent expression of insulin than the LRA group. PSAE did not affect insulin receptor beta subunit (INSR-β) levels in both liver and muscle of lactating rats.CONCLUSION: PSAE could be used as an herbal treatment to increase breast milk production by improving mammary gland histology and maintaining the mother's insulin levels.KEYWORDS: Polyscias scutellaria, lactating rats, insulin, INSR-β
PENGARUH TERAPI TOTOK PUNGGUNG TERHADAP TEKANAN DARAH, NYERI KEPALA, KUALITAS TIDUR, KADAR GLUKOSA DARAH DAN KOLESTEROL PADA LANSIA PENDERITA HIPERTENSI Budiono Budiono; Sumirah Budi Pertami
Jurnal Keperawatan Terapan Vol 8 No 2 (2022): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/joan.v8i2.3636

Abstract

Hypertension in the elderly is often caused by a degenerative process in the arteries, the blood vessels become stiff so that peripheral resistance increases as a result of increased blood pressure/hypertension causing various problems in the elderly. Full-blooded back is one type of complementary therapy that is useful for blood circulation and provides a relaxing effect, by stimulating the release of endorphins, cortisol, this hormone can provide a calm/relaxing effect and vasodilation occurs in blood vessels resulting in a decrease in blood pressure. blood pressure, headaches, sleep quality, blood glucose and cholesterol levels in the elderly with hypertension. This research method is pre-experimental with one group pre-post test design. The sampling technique used accidental sampling with a sample size of 30. The results of the statistical analysis of the Wilcoxon sign rank test, obtained a p-value of 0.001 for blood pressure, headache, sleep quality and cholesterol levels (LDL), while for glucose levels p-value: 0.018 then H0 is rejected, meaning that there is an effect of full-blooded therapy on blood pressure, headaches, sleep quality, blood glucose and cholesterol (LDL) levels in elderly people with hypertension.
EFEKTIFITAS GUIDED IMAGERY DAN SLOW DEEP BREATHING TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI RSUD dr. R. SOEDARSONO PASURUAN Dzurrotun Nafiah; Sumirah Budi Pertami; mustayah .
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v6i01.395

Abstract

Hypertension is one of the most influential risk factors for the incidence of heart disease and blood vessels. Lack of knowledge about the management of hypetension is a contributing factor. The purpose of this study is to determine The Effectiveness of Guided Imagery and Slow Deep Breathing Against the Decline of Blood Pressure on the Patient Hypertension. This research uses Quasi Experimental Design design withdesign non equivalent pretest posttest design and Group Comparasion, with consecutive sampling technique, great samples 30 respondents divided into 2 groups namely Guided Imagery and Slow Deep Breathing. Each group received treatment for 15 minutes once a day for three days, each treatment performed before and after the blood pressure measurement. The results of this study used dependent t test, wilcoxon sign rank test, two samples independent t test, and U Mann Whitney test showed that diatolic systolic blood pressure in each group decreased, in Guided Imagery 4.07 mmHg and 3.4 mmHg (p value sebesar 0,000), Slow Deep Breathing 8 mmHg and 6.8 mmHg (p value sebesar 0,000 , 0.001). It was concluded that Slow Deep Breathing is more effective than Guided Imagery in lowering blood pressure in hypertensive patients. As nurses are expected to apply nonpharmacology like a Guided Imagery and Slow Deep Breathing as a pharmacological companion therapy in blood pressure.
GERAKAN PERILAKU “CERDIK” BAGI LANSIA SEBAGAI TINDAKAN PREVENTIF TERHADAP PTM DAN PENYAKIT INFEKSI Budiono Budiono; Sumirah Budi Pertami; Nurul Pujiastuti; Ira Rahmawati
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 6 (2023): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i6.19221

Abstract

Abstrak: Perilaku CERDIK merupakan tindakan preventif agar lansia tetap sehat, bugar, dan bebas dari penyakit tidak menular (PTM) dan penyakit infeksi. Tujuan pengabdian untuk meningkatkan pengetahuan dan perilaku CERDIK, mencegah serta menghindari terjadinya PTM dan penyakit infeksi pada lansia. Metode kegiatan berupa penyuluhan dan pemeriksaan kesehatan bertempat di Desa Sumberporong selama 3 bulan (Juni-Agustus 2022), melibatkan 35 lansia. Hasil kegiatan; terjadi peningkatan pengetahuan dan perilaku dalam menjalankan perilaku CERDIK pada peserta. Pengetahuan peserta saat pre-test sebesar 60% baik dan post-test sebesar 85% baik. Pada pemeriksaan kesehatan terjadi penurunan rerata tekanan darah dari (148,05/90,34 mmHg) menjadi (138,35/82,94 mmHg), rerata kadar gula darah dari (164,8mg/dL) menjadi (152,74mg/dL), dan rerata kadar kolesterol total dari (195,34 mg/dL) menjadi (180,32 mg/dL). Kesimpulan kegiatan pengabdian kepada masyarakat Gerakan Perilaku CERDIK berhasil meningkatkan pengetahuan dan perilaku hidup sehat, dibuktikan terjadinya penurunan rerata tekanan darah dan kadar glukosa darah pada peserta kegiatan. Diharapkan lansia tetap melakukan perilaku CERDIK sebagai tindakan preventif pada PTM dan penyakit infeksi.Abstract: CERDIK behavior is a preventive measure so that the elderly remain healthy, fit and free from non-communicable diseases (NCDs) and infectious diseases. The aim of the service is to increase CERDIK knowledge and behavior, prevent and avoid the occurrence of NCDs and infectious diseases in the elderly. The activity method is in the form of counseling and health checks taking place in Sumberporong Village for 3 months (June-August 2022), involving 35 elderly people. Activity results; there was an increase in knowledge and behavior in carrying out CERDIK behavior among participants. Participants' knowledge during the pre-test was 60% good and post-test was 85% good. During the health examination, there was a decrease in the average blood pressure from (148.05/90.34 mmHg) to (138.35/82.94 mmHg), the average blood sugar level from (164.8mg/dL) to (152.74mg/dL), and the average total cholesterol level from (195.34 mg/dL) to (180.32 mg/dL). Conclusion: The community service activities of the CERDIK Behavior Movement succeeded in increasing knowledge and healthy living behavior, as evidenced by a decrease in the average blood pressure and blood glucose levels in activity participants. It is hoped that the elderly will continue to carry out CERDIK behavior as a preventive measure against NCDs and infectious diseases.
Co-Authors Ainul Haqi Fatkhul K.A, Moh Anami, Puthut Arief Bachtiar Arif, Taufan Astuti, Erlina Atoy, Lena Budiono . Budiono Budiono Budiono Budiono Dian Yuniar Syanti Rahayu Dwipajati, Dwipajati Dyah Widodo Dzurrotun Nafiah Erlina Suci Astuti Hanifatus Sabira Astrid Herawati, Tutik Ira Rahmawati Ira Rahmawati Kasiati Kasiati, ., Kasiati, Kissa Bahari Kurniasari, Fitriana Lucia Retnowati Lukky jayadi Maharani, Dhinda Salsabil Marsaid Merinda, Diajeng Misbah, St. Rachmi Mochammad Fitri Atho&#039;illah Mohammad Afandi Mustayah . Mustayah Mustayah Naya Ernawati Ni Wayan Dwi Rosmala Nurul Pujiastuti Rahayu, Dian Yuniar Syanti Rifa Aulia rini, dewi sartiya Sa’adah, Nabila Nida Siti Jannatun Aliya Siti Munawaroh Siti Nur Arifah Siti Nuryatul Badriyah Solikhah, Fitriana Kurniasari Sujono, Annisa Juliani Sulastyawati Sulastyawati Sulastyawati, Sulastyawati Tahir, Rusna Tri Anjaswarni Tri Cahyo Sepdianto Tri Johan Agus Yuswanto Trisnanto, Puguh Yudho Tyas, Maria Ciptaning Yanti, Dina Dama Yuni Candra Eka Putri Purnaning Yuniar, Dian