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The Effect of Comprehensive Sexual Education on Adolescent Behavior in Using Contraception : A Systematic Review Dzakiyyah, Nurul; I'tishom, Reny
Journal of Community Medicine and Public Health Research Vol. 6 No. 1 (2025): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v6i1.53684

Abstract

Adolescence is a transition period from childhood to adulthood. This period is crucial because there are many physical and psychological changes. One issue that is quite rife in Indonesia is teenage pregnancy, which will ultimately lead teenagers to have abortions. The case above proves that it is essential to equip adolescents with the knowledge and skills to make responsible choices. Comprehensive Sexual Education (CSE) is believed to help solve this problem and achieve the Sustainable Development Goals (SDGs) by 2030, when CSE also conveys the importance of contraception and its benefits. The lack of systematic reviews of studies that highlight the effect of implementing Comprehensive Sexual Education on current contraceptive use makes researchers interested in conducting this systematic literature review. This research uses a Systematic Literature Review (SLR) using PICO (Population, Intervention/Issue, Comparison/Context, Outcome), and Boolean operators are used to facilitate searching studies. PRISMA flowcharts were used in this research until two studies were included in the analysis. Literature quality assessment was conducted using the quality assessment tool for quantitative studies from EPHPP (Effective Public Health Practice Project). Two cross-sectional studies were based in the United States. The sample sizes in studies range from 5000 to 7000. The results of this study show that comprehensive sexual education influences the use of contraceptives today, although it is not very significant. However, there are still many biases in this research. There is a need to conduct randomized controlled trials or multicenter cohort studies that use the same evaluation parameters to strengthen future systematic review research.
New Paradigm of Gastric Pathogenesis: The Important Role of Gastric Microbiota Miftahussurur, Muhammad; Savitri, Camilia Metadea Aji; I'tishom, Reny; Rejeki, Purwo Sri; Rezkitha, Yudith Annisa Ayu; Yamaoka, Yoshio
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 23, No 1 (2022): VOLUME 23, NUMBER 1, April 2022
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.874 KB) | DOI: 10.24871/231202262-66

Abstract

Microbiota was deemed essential as it involved in energy metabolism, nutrient absorption, intestinal immune system maturation, and pathogen protection. Gastrointestinal microbiome played essential roles in human body, such as immune response regulation, pathogen colonization, and few other diseases.  The relation between gastric microbiota and host were difficult to explore for years due to unculturable microbes. Stomach with its acid production was presumed to be sterile and unfavorable for bacterial growth until the discovery of Helicobacter pylori. It dominates the stomach as it was estimated to colonize almost 50% global population. H. pylori infection was linked to the development of chronic gastritis and recognized as a definite carcinogen. There was a probability that the alteration of gastric microbiota likely influenced gastric immunobiology and possible gastric diseases. Recent studies showed that five phyla consist of Firmicutes, Bacteroidetes, Actinobacteria, Fusobacteria and Proteobacteria have been discovered in stomach mucosa which might contribute to the pathological process. In addition, genera such as Lactobacillus, Escherichia-Shigella, Lachnospiraceae, Burkholderia and Nitrospirae were considered to have a role on gastric carcinogenesis.
Deteksi Dini Kanker Cerviks pada Pekerja Migran Indonesia di Malaysia Asmalinda, Wita; Widjayanti, Yhenti; I'tishom, Reny; Corniawati, Inda; Syahnural, Syahnural
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.16661

Abstract

ABSTRAK Kanker serviks diderita oleh hampir 1,4 juta wanita di seluruh dunia dan merupakan kanker reproduksi wanita terbanyak ke-2. Di Indonesia angka kejadian kanker serviks adalah  14,1 per 100.000 Tujuan pengabdian Masyarakat (PKM) Internasional meningkatkan pengetahuan dan kesadaran para pekerja migran Indonesia di Malaysia terhadap deteksi dini kanker serviks. Permasalahan yang dialami oleh para perempuan pekerja migran Indonesia (PMI) di Malaysia adalah tingkat pengetahuan dan kesadaran untuk melakukan deteksi dini kanker serviks masih rendah. Metode yang dilakukan adalah  edukasi dan skrining kanker serviks yang dilakukan dalam 3 tahap yaitu perencanaan, pelaksanaan dan evaluasi. Tahap perencanaan dengan melakukan koordinasi tim PKM yang terdiri atas doctor ilmu kedokteran, dokter spesialis obgyn,  bidan dan  perawat kesehatan reproduksi dan pihak mitra yaitu LSM Sharing, penyusunan media pembelajaran dan identifikasi kebutuhan belajar mitra PKM. Tahap pelaksanaan yaitu pemberian edukasi dan skrining dilakukan  hari minggu tanggal 27 Mei 2024 di Sekolah Indonesia Kuala Lumpur diikuti oleh 102 PMI yang berusia 14 – 63 tahun. Pemberian edukasi dilakukan dengan 2 metode yaitu konseling dan ceramah dengan menggunakan media power point dan e-booklet. Metode konseling dilakukan secara individu untuk 21 perempuan PMI yang teridentifikasi memiliki resiko tinggi untuk menderita kanker serviks. Edukasi dengan metode ceramah dilakukan untuk seluruh PMI. Hasil evaluasi menunjukkan peningkatan pengetahuan dan kesadaran perempuan PMI maupun keluarga tentang pentingnya deteksi dini kanker serviks.  Pihak KBRI diharapkan memfasilitasi layanan kesehatan untuk melakukan deteksi dini  kanker serviks baik berupa tes IVA maupun pap smear secara rutin minimal 1 tahun sekali bagi para pekerja yang telah berusia >15 tahun dan telah melakukan hubungan seksual. Kata Kunci: Deteksi Dini, Kanker Serviks, Kesehatan Reproduksi, Pekerja Migran  ABSTRACT  Cervical cancer affects nearly 1.4 million women worldwide and is the 2nd most common female reproductive cancer. In Indonesia, the incidence of cervical cancer is 14.1 per 100,000. The International Community Service aimed to increase the knowledge and awareness of Indonesian migrant workers in Malaysia regarding the early detection of cervical cancer. The problem experienced by female Indonesian migrant workers in Malaysia was that the level of knowledge and awareness regarding early detection of cervical cancer was still low. The method used was education and cervical cancer screening which was carried out in 3 stages, namely planning, implementation, and evaluation. The planning stage involved coordinating the International Community Service team consisting of a doctor of medical science, an ob-gyn specialist, midwives,   a reproductive health nurse, and Non-Government organizations of Sharing, preparing learning media, and identifying the learning needs of International Community Service partners. The implementation stage, namely providing education and screening, was carried out on Sunday 27 May 2024 at the Kuala Lumpur Indonesian School, attended by 102 Indonesian migrant workers aged 14 - 63. Providing education was carried out using 2 methods, namely counseling and lectures using PowerPoint and e-booklet media. The counseling method was carried out individually for 21 female Indonesian migrant workers who were identified as having a high risk of suffering from cervical cancer. Education using the lecture method was conducted for female Indonesian migrant workers and their families. The evaluation results showed an increase in knowledge and awareness of female Indonesian migrant workers and their families about the importance of early detection of cervical cancer. The Indonesian Embassy is expected to facilitate health services to carry out early detection of cervical cancer in the form of VIA tests and regular Pap smears at least once a year for workers who are >15 years old and have had sexual relations.. Keyword: Early Detection, Cervical Cancer, Reproductive Health, Migrant Worker
PEMBERDAYAAN KADER KESEHATAN REPRODUKSI MELALUI PEMERIKSAAN MIKROPENIS DAN HIPOSPADIA SISWA SDN MODEL BANYUWANGI KABUPATEN BANYUWANGI I'tishom, Reny; Agustinus, Agustinus; Rezkiawan, Ditto; Indarto Susilo, Rahadian; Syahrizal Pasaribu, Wanly; Lionardi, Samuel; Putri Handini, Lika; Melka Parmanto, Cristian; Susanto, Natasha; Maulana Ishom Putra, Wildan; Setiono, Budi
Jurnal Abdi Insani Vol 11 No 2 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i2.1587

Abstract

Cases of micropenis and hypospadias are like the tip of the iceberg, as many parents are yet to identify and be aware enough to have their child's abnormalities checked by a doctor. Micropenis and hypospadias abnormalities can be well managed if detected before puberty, but parents' long-term ignorance can lead to infertility, malignancy, and urinary dysfunction in their children. Education aims to increase parents' knowledge and awareness to detect genital abnormalities in boys, so they can be addressed as early as possible. So far, there is no data on micropenis cases, hypospadias cases, or the average penis length in elementary school students, thus genital examinations in elementary school students are crucial for screening and obtaining accurate data. Activity Method: Parents and teachers will be asked to take a pre-test, then attend education sessions on micropenis and hypospadias, followed by discussions and Q&A sessions. A post-test will be conducted to test the participants' understanding of the education. Participants who agree for their sons to undergo physical and genital examinations will be examined in the school health unit (UKS). Results: A total of 39 male students participated with an average age of 10.77 ± 1.05 years. Cases of phimosis were found in 3 individuals, buried penis in 5 individuals, high-placed testes in 2 individuals, and varicocele in 1 individual. No cases of micropenis or hypospadias were found. The average penis length was 6.76 ± 1.78 cm, the right testis volume was 4.10 ± 2.10 ml, and the left testis volume was 4.13 ± 2.19 ml. Conclusion: Although no cases of micropenis and hypospadias were found in students, other genital abnormalities such as phimosis, buried penis, high-placed testes, and varicocele were detected.
Effects of red dragon fruit (hylocereus polyrhizus) skin extract on lead acetate toxicity in the morphology of balb/c mice (mus musculus) spermatozoa Raharjo, Rahmawati; Sudjarwo, Sri Agus; I'tishom, Reny
Folia Medica Indonesiana Vol. 53, No. 4
Publisher : Folia Medica Indonesiana

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Abstract

Red dragon fruit skin extract is used as an antioxidant to lead acetate toxicity. This study aimed to prove the difference in morphology of mice testicular spermatozoa exposed to lead acetate. Twenty-five mice were divided into 5 groups (5 mice per group). K- group was the control group without lead acetate and dragon fruit skin extract administration, K + group was treated with 8 mg/KgBW lead acetate administration for 14 days, P1 group was treated with the administration of 8 mg/KgBW lead acetate for 14 days + 250 mg/kgBW red dragon fruit skin extract for 21 days, P2 group was treated with the administration of 8 mg/KgBW lead acetate for 14 days + 500 mg/kgBW red dragon fruit skin extract for 21 days, and group P3 was a treatment group with the administration of 8 mg/KgBW lead acetate for 14 days + 1000 mg/kgBW red dragon fruit extract for 21 days. The results showed that there was significant difference (P<0.05) in normal sperm morphology among K-, K +, P1, P2, and P3. In conclusion, the administration of red dragon skin extract at a dose of 500 mg/kgBW (P2) is the optimal one which can be used as therapy to increase motility, morphology, and concentration of mice spermatozoa exposed to lead acetate.
Effects of lycopene on spermatozoa morphology in balb/c mice exposed to 2-methoxyethanol (2-me) Sitaresmi, Sandra Dewi; I'tishom, Reny; Mustika, Arifa
Folia Medica Indonesiana Vol. 53, No. 4
Publisher : Folia Medica Indonesiana

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Abstract

The compound of 2-methoxyethanol (2-ME) is one of toxic materials that potentially damage male reproductive organs. This compound can enter the body by various means of direct contact through the skin, respiratory and digestive tract. This compound can cause oxidative stress in spermatozoa which is the main cause of spermatozoa dysfunction. Lycopene, also known as red pigment, is an antioxidant class of carotene. Lycopene has antioxidant activity twice stronger than beta carotene and ten times stronger than vitamin E. Thus, the lycopene reaction as an antioxidant in the body is better than vitamin A, C, E, and other minerals. This study was conducted to determine the effects of lycopene on spermatozoa morphology in mice exposed to 2-ME. The study was conducted on 30 mice, divided into 5 groups. The K-group was the control group without 2-methoxyethanol and lycopene, the K + group was the group with 200 mg/kg BW 2-methoxyethanol on days 1-5, and the P1, P2 and P3 groups were the ones with 200 mg/kg BW 2-methoxyethanol on days 1-5 and lycopene doses of 5, 10 and 20 mg/kg BW on days 6-35. 2-ME was given intraperito-neally and lycopene was given per sonde. On day 36, the mice were sacrificed and the epididymis and vas deferens were removed for morphological examination of spermatozoa. The observations were performed using a microscope with 1000x magnification. The results showed that there was significant difference. In the morphology of spermatozoa, the administration of lycopene increases normal morphological percentage of spermatozoa in mice exposed to 2-ME.
In vitro fertility test of human spermatozoa membrane protein fertilin beta antibody in mice (mus musculus balb/c) as immunocontraceptive candidate I'tishom, Reny; Soebadi, Doddy M; Hinting, Aucky; Lunardhi, Hamdani; Yudiwati, Rina
Folia Medica Indonesiana Vol. 52, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

One of the materials as potential candidates immunocontraception material is spermatozoa. Fertilin beta is spermatozoa membrane protein and is found only in mature spermatozoa and ejaculate, which serves as an adhesion molecule. Spermatozoa membrane protein that is used as an ingredient immunocontraception candidate, must have specific criteria that the specificity of spermatozoa, the role of antigen in the fertilization process, which includes the formation of immunogenicity sufficient antibody response has the potential to block fertilization. Antibodies against spermatozoa affect the stages before fertilization of the reproductive process and can hinder the development of the embryo after fertilization. Until now very little research data spermatozoa membrane protein as an ingredient immunocontraception are up to the test of experimental animals. The research objective is to prove the role of the resulting antibody induction of antibodies fertilin beta protein in the membrane of human spermatozoa induce agglutination and reduce motility thus reducing the number of in vitro fertilization. Research conducted at the IVF Laboratory, Department of Biology of Medicine, Faculty of Medicine, University of Airlangga. This research includes: Test the potential of antibody protein beta fertilin membrane of human spermatozoa and inhibit the role of antibodies in vitro fertilization in mice (Mus musculus Balb/c). In vitro studies have resulted in fertilization figure of 25% is smaller than the number that is equal to control fertilization of 58.7%, whereas previously the spermatozoa were incubated first with a beta membrane protein antibody fertilin human spermatozoa. While the percentage of inhibition of sperm to fertilize an oocyte by 33.75%. Potential imunokontraseptif considered effective if it decreased significantly (P <0.05) than the numbers fertilization in the treatment group compared with the control group. This shows fertilin beta membrane protein antibody has the ability to inhibit human spermatozoa to fertilize oocytes that reduce the number of fertilization.
Expression of Melanoma Antigen Genes A11 and A12 in Non-Small Cell Lung Cancer Mastutik, Gondo; Rahniayu, Alphania; , Isnin Anang Marhana; Amin, Mochamad; Trianto, Heru Fajar; I'tishom, Reny
Folia Medica Indonesiana Vol. 59, No. 4
Publisher : Folia Medica Indonesiana

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Abstract

Highlights: 1. In this study, new primers designed using the semi-nested polymerase chain reaction (PCR) method were utilized to identify MAGE-A11 and MAGE-A12 expressions in specimens collected from core biopsy, forcep biopsy, and bronchoalveolar lavage. 2. The histopathological analysis revealed positive expressions of MAGE-A11 and MAGE-A12 in specimens diagnosed with non-small cell lung cancer (NSCLC) as well as in specimens with no malignant cells. 3. This study provides evidence indicating that the detection of messenger ribonucleic acid (mRNA) of MAGE-A11 and MAGE-A12 by nested reverse transcription PCR can improve the accuracy of lung cancer diagnosis. Abstract The melanoma antigen gene (MAGE) belongs to the group of cancer-testis antigens that are exclusively expressed in germ cells but may be re-expressed in cancer cells. The highly expressed MAGE-A subfamily in lung cancer may potentially be a diagnostic and prognostic biomarker. This study aimed to identify MAGE-A11 and MAGE-A12 expressions in lung tumors obtained from core biopsy, forceps biopsy, and bronchoalveolar lavage specimens. A cross-sectional observational study was conducted on 90 patients clinically diagnosed with lung tumors. These patients received core biopsy, forceps biopsy, and bronchoalveolar lavage interventions after ethical approval was obtained. The complementary deoxyribonucleic acid (cDNA) quality was assessed by the polymerase chain reaction (PCR) of glyceraldehyde-3-phosphate dehydrogenase (GAPDH). The assessment was performed to ascertain if all specimens exhibited positive PCR amplification of the GAPDH gene. MAGE-A11 and MAGE-A12 were identified through a semi-nested reverse transcription PCR. The positive results were detected by measuring the PCR products, with MAGE-A11 and MAGE-A12 at base pairs (bp) of 858 and 496 in the first and second rounds, respectively. The expressions of MAGE-A11 and MAGE-A12 were observed in 3 (3.33%) and 40 (44.44%) out of 90 specimens, respectively. The prevalence rate of non-small cell lung cancer (NSCLC) was 31.11% (28/90). Among these cases, 3.57% (1/28) showed the expression of MAGE-A11, while 32.14% (9/28) exhibited the expression of MAGE-A12. Sixty-two (68.89%) out of 90 patients were diagnosed with no tumor cell malignancy. Out of 62 cases, 2 (3.23%) exhibited the expression of MAGE-A11, while 31 (50%) demonstrated the expression of MAGE-A12. MAGE-A11 and MAGE-A12 were detected in NSCLC and certain specimens with a pathological diagnosis that indicated the absence of malignant cells. In conclusion, MAGE A11 and MAGE A12 have potential markers to improve the pathological diagnosis of lung cancer. Further investigation is necessary to explore the expression of MAGE-A in correlation with lung cancer progression.
Effect of Ethanol Extract of Date Palm Fruit (Phoenix dactylifera. L) on Spermatozoa Concentration of BALB/c Mice (Mus Musculus) Exposed to 2-Methoxyethanol Yassin, Tita Rudini; Yaudiwati, Rina; I'tishom, Reny
Folia Medica Indonesiana Vol. 56, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

Antioxidants are important compounds for the human body because they function to capture free radicals causing degenerative diseases. Flavonoid and phenolic compounds in dates have antioxidant activity that can inhibit the increase in lipid peroxide and protein oxide. This study aims to prove the increase in the concentration of mice (Mus musculus) spermatozoa given ethanol extract dates and exposed to 2-methoxyethanol. Experimental animals used 35 mice (Mus musculus), divided into 5 groups (7 mice per group). The negative control group (K-) was the control group without administration of 2-methoxyethanol and date ethanol extract, the positive control group (K+) was given 200 mg/kg 2-methoxyethanol + CMC 0.5%, the treatment group 1 (P1) was given 200 mg/kg BW 2-methoxyethanol + 3.5 mg/gBW of ethanol extract dates, treatment group 2 (P2) were given 200 mg/kg BW 2-methoxyethanol + 7 mg/gBW of date palm ethanol extract, and treatment group 3 (P3) were given 200 mg/kg 2-methoxyethanol + 10.5 mg/gBW of ethanol extract dates. The results showed there were significant differences in spermatozoa concentrations between the positive control group (K+) and the negative control group (K-), treatment group 1 (P1) and treatment groups 2 and 3. mice (Mus musculus) exposed to 2-methoxyethanol.
Nigella sativa extract improves seminiferous tubule epithelial thickness in lead acetate-exposed balb/c mice Diana, Alis Nur; I'tishom, Reny; Sudjarwo, Sri Agus
Folia Medica Indonesiana Vol. 53, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

Lead that enters the body may lead to increased production of ROS (Reactive Oxygen Species) that may affect reproductive system. Black cumin (Nigella sativa) extract contains high antioxidant, tymoquinone, that may be used to suppress oxidative stress induced by lead in animal experiments. This study aimed to prove that black cumin (Nigella sativa) extract improves the thickness of seminiferous tubular epithelium in Balb/c mice exposed to lead (Pb) acetate. This study used post-test only control group design. The subjects in this study were 30 Balb/c male mice (Mus musculus), divided into 5 groups. K-group: control group without lead acetate and black cumin extract, K+ group: group with 50 mg/kgBW of lead acetate for 28 days, P1 group: treatment group with 50 mg/kgBW of lead acetate for 28 days + 0.3 mg/gBW of black cumin extract for 21 days, P2 group: treatment group with 50 mg/kgBW of lead acetate for 28 days + 0.6 mg/gBW of black cumin extract for 21 days, and P3 group: treatment group with 50 mg/gBW of lead acetate for 28 days + 1.2 mg/gBW black cumin extract for 21 days. The results showed that the mean ± standard deviation of the highest thickness of seminiferous tubular epithelium was 45.80 ± 2.73 in the group that was exposed to acetate + 0.6 mg/gBW of black cumin (P2), and the lowest was 32.75 ± 4.07 in the group that was exposed to lead acetate (K+). The results were then analyzed by Anova test. The results showed that there was significant differences in the thickness of seminiferous tubular epithelium between P1, P2, P3 and K+. In conclusion, black cumin extract administration was proved to improve the thickness of seminiferous tubular epithelium in lead (Pb) acetate-exposed Balb/c mice (Mus musculus).
Co-Authors , Isnin Anang Marhana A. Marlinata Abadiyah Zakiah Kustantina Abdurachman Abdurachman Addia Salsabila Ade Septiari Rahman Adha, Ahmad Zaidan Ni'am Abu Aditiawarman Aditiawarman, Aditiawarman Agustinus Agustinus Ahmad Basori Ahmad Ricardo Silalahi Ahmad Ricardo Silalahi Ahmad Ricardo Silalahi Alphania Rahniayu Ami Ashariati Anak Agung Istri Dalem Cinthya Riris Anak Agung Istri Dalem Cinthya Riris Anak Agung Renjani Kanya Kumari Andi Yasmin Wijaya Andri Rezano Anggi Dearni Silalahi Annas, Jimmy Yanuar Anny Setijo Rahaju, Anny Setijo Arif Rananda Arifa Mustika Arrasy Khawarizmi Ashon Sa’adi Aslama, Fathiy Zakaria Asmalinda, Wita Astri Dewayani Atmaja, Maxwell Aucky Hinting Ayik Rochyatul Jannah Ayik Rochyatul Jannah Azarine Ariqoh Arysanti Bahyshidqi Bambang Purwanto Caesariska Deswima Christian Christopher Sunnu Clara Alverina Daniel Widiyanto David Setyo Budi Diana, Alis Nur Dianita, Karina Putri Dienanta, Savira Butsainah Dita Mega Utami Ditto Rezkiawan Doddy M Soebadi Dwiki Noni Armyta Dzakiyyah, Nurul Ebnudesita, Faiza Rahma Eddy Bagus Wasito Era Fazira Etik Yuliarini Widodo Evy Wulandari Evy Wulandari Faiza Rahma Ebnudesita Faiza Rahma Ebnudesita Faizah Sugiarto Fatimah, Nurmawati Fedik Abdul Rantam Feranita Kumalasari Fitri Indah Pratiwi Fitria Nengsih Gondo Mastutik Hamdani Lunardhi Hanik Badriyah Hidayati,* Mohammad Hasan Machfoed,* Kuntoro,** Soetojo,*** Budi Santoso,**** Suroto,***** Budi Utomo****** Hanna Tabita Hasianna Silitonga Hendy Hendarto HERAWATI, LILIK Herley Windo Setiawan Hermina Novida, Hermina Heru Fajar Trianto Hudi Winarso Inda Corniawati Indarto Susilo, Rahadian Indra Alfaray, Ricky Intan Indah Permatasari IRWANTO Isnin Anang Marhana James Alfedo Jannah, Ayik Rochyatul Jefry Albari Tribowo Jihadna Prima Santika Ruslan Musanip Kartika Afrida Fauzia Kevin kevin Khaerunnisa, Siti Kumalasari, Feranita Kusumaningrum, Selvina Cindy Lionardi, Samuel Lionardy Yodianto Lukman Hakim Magfira Febrianty Lacindung Margiana, Ria Maria Magdalena Awi Maulana Ishom Putra, Wildan Melka Parmanto, Cristian MOCHAMAD AMIN Mochamad Amin Mochammad Abdul Aziz, Mochammad Abdul Mohammad Anam Al-Ari Mohammad F. Qorib Mohammad Fathul Qorib Mohammad Subkhan Muhammad Miftahussurur Mustafa, Mohammad R. Nathania Nathania Nathania Nathania Nathania, Nathania Nila Kurniasari Ninik Darsini Nurul Jannatul Wahidah Nurul Jannatul Wahidah Nurwasis Nurwasis Nyilo Purnami Purnama, Michael Purwanti, Dwi Puspitasari, Renny N. Putri Handini, Lika Qurnianingsih, Ema Raden Mohamad Herdian Bhakti Rafida Anshori Raharjo, Rahmawati Rejeki, Purwo Sri Reryd Arindany Wiryawan, Reryd Arindany Ria Margiana Ria Margiana Rima Wirenviona RINA YUDIWATI BM, RINA Rizaldi, Fikri Rize Budi Amalia Rizkiliano, Ibrahim Hanif Rochmah Kurnijasanti Rossy Sintya Marthasari S.Pd. M Kes I Ketut Sudiana . Safira Nur Izzah Salsabila Rahma Nurani Putri Salsabila, Unik Hanifah Sandra Dewi Sitaresmi Sari, Gadis Meinar Savira Butsainah Dienanta Savira Butsainah Dienanta Savitri, Camilia Metadea Aji Selvina Cindy Kusumaningrum Setiono, Budi Shahnaz Azzahra Sitaresmi, Sandra Dewi Siti Khaerunnisa Soebadi, Doddy Soetojo Soetojo Sofia Zahra Kamila Sri A. Sudjarwo Sri Agus Sudjarwo Sri Purwaningsih Sri Ratna Dwiningsih Steven Sheng Looi Sudana, Nathan Kunta Sudjarwo, Sri A. Suhartono Taat Putra Sunaryo Hardjowijoto Supardi Supardi Susanti, Nurul Fatimah Susanto, Natasha Suyono, Seso Sulijaya Syahnural, Syahnural Syahrizal Pasaribu, Wanly Syarifah, Anis Satus Tanojo, Tjahjo Djojo Tjahjo Djojo Tanojo Tjahjo Djojo Tanojo Trianto, Heru Fajar Trimitasari, Kurnia Tutus Rachkutho Vania Islamey Kusuma wahjoe djatisoesanto Wahyul Anis Widjayanti, Yhenti Widya Juwita WINARTO Winona May Hendrata Yassin, Tita Rudini Yaudiwati, Rina Yohana djurumana Yoshio Yamaoka, Yoshio Yudith Annisa Ayu Rezkitha, Yudith Annisa Ayu Yuliawati, Tri Hartini Zuhria, Ismi