Tarigan, Amira Permatasari
Department Of Pulmonology And Respiratory Medicine, Faculty Of Medicine, Universitas Sumatera Utara/Universitas Sumatera Utara Hospital, Medan

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KETEPATAN PEMERIKSAAN RADIOLOGI DAN BTA APUSAN LANGSUNG DENGAN KULTUR DALAM DIAGNOSIS TUBERKULOSIS PARU DI MEDAN S*, Erfiyani; Tarigan**, Amira Permatasari
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 9 No 3 (2015): Jurnal Ilmiah PANNMED Periode Januari-April 2015
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

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Abstract

Lung tuberculosis is one of transmitted diseases which are caused by Mycobacterium tuberculosis throughnuclei droplet. Diagnosis for lung tuberculosis is usually detected by the examination of direct sputumremoval, thorax photo, and Culture. The type of the research was descriptive study by using diagnostic testand the samples consisted of sputum and thorax photo. The sputum was taken accidentally, in the morning,and accidentally which was examined by using Ziehl Nelsen method and culture. The objective of theresearch was to find out the effectiveness of examining direct BTA removal and radiology which werecompared with Culture. The samples were taken from Private Practice of Tuberculosis Specialists in Medanand in BP4, Medan which had fulfilled inclusive criteria, radiology examination and three times of phlegmtaking for direct BTA removal and culture were performed; after that, radiology diagnostic test for directBTA removal was compared with Culture. 60 samples on direct removal method indicated the value ofsensitivity of 59.38%, specificity of 92.86%, value of positive prediction of 90.48%, value of negativeprediction of 66.7%, ratio of positive likelihood of 8.31, and ratio of negative likelihood of 0.44. Radiologymethod indicated sensitivity of 62.63%, specificity of 82.14%, the value of positive prediction of 80.77%,value of negative prediction of 67.65%, ratio of positive likelihood of 3.67, and ratio of negative likelihood of0.42. Of the 21 samples, positive BTA which underwent minimum lung damage of 4 (6.7%), moderatedamage of 9 (15.0%), and wide damage of 5 (8.3%). The result of the research showed that radiologyexamination indicated that the value of sensitivity was higher than direct removal method, compared withculture as gold standard in BTA examination.That clinical benefit was bigger in direct removal method canbe seen from the value of positive prediction which was higher than radiology method so that it isrecommended that both examination techniques be used to diagnose lung tuberculosis
EFEKTIVITAS METODE CERAMAH DAN DISKUSI KELOMPOK TERHADAP PENGETAHUAN DAN SIKAP TENTANG KESEHATAN REPRODUKSI PADA REMAJA DI YAYASAN PENDIDIKAN HARAPAN MEKAR MEDAN Tarigan, Amira Permata Sari
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 10 No 2 (2015): Jurnal Ilmiah PANNMED Periode September-Desember 2015
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

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Abstract

The problems of the adolecent’s reproductive health show an escalation year by year. Based on the survey carried out in Yayasan Pendidikan Harapan Mekar Medan in February of 2010, found 4 (four) cases of Unwanted Pregnancy in 2009-2010 and there were 8 (eight) cases of unwanted pregnancy within 5(five) last year (2005 to 2010). One of the factors assumed to be causing of the problem was lack of adolescent’s knowledge about reproductive health. This study aimed to analyze the effectiveness of lecturing and group discussion methods on adolecent’s knowledge and attitudes regarding to reproductive health in Yayasan Pendidikan Harapan Mekar Medan in 2010. This type of research was the true experimental pretest-posttest control group design. Population were students of the Yayasan Pendidikan Harapan Mekar Medan. Sample of 90 people who were divided into three groups: experimental group I were treated with lecturing method as many as 30 people, experimental group II were treated with group discussions method as many as 30 people and a control group without treatment as many as 30 people. The results showed that the highest mean difference of knowledge score (6,30) occurred in the group treated through extension with group discussion methods with standart deviation of 2,96, while the mean difference of the score in the group treated through extension with lecturing methods was 4,03 with standart deviation of 2,14. In terms of the variable of attitude, the treatment of extension with group discussion methods showed a higher score improvement (13,60) with standart deviation of 7,77 compared to the score improvement of the group treated through extension with lecturing methods which reached 7,87 with standard deviation of 5,73. The result of ANOVA test and Tamhane’s T2 test further showed that the group discussion methods was effective in improving the knowledge and attitude about reproductive health among adolescents  in Yayasan Pendidikan Harapan Mekar Medan.The health promotor is suggested to applied group discussion method when carrying out the extension on health in order to make the result desired can be optimally achieved.
KETEPATAN PEMERIKSAAN BTA APUSAN LANGSUNG DAN METODE KONSENTRASI DENGAN KULTUR DALAM MENDIAGNOSIS TUBERKULOSIS PARU DI MEDAN Rahmah, Lestari; Tarigan, Amira Permatasari; M. Sinaga, Bintang Yinke
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 9 No 1 (2014): Jurnal Ilmiah PANNMED Periode Mei-Agustus 2014
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

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Abstract

  Introduction: Tuberculosis diagnostic, using microscopic examination of direct smear of acid-fast bacili (AFB) from the spectrum of lung tuberculosis suspect is still important criteria today, but the sensitivity of this method is low enough, especially in the samples which contain a small number of bacteria. Culture is stronger, but it takes long time, high cost, and it is not conducted in all laboratories. BTA microscopic examination can use direct smear and concentration method. Staining technique which is usually used in microscopic examination is Ziehl Neelsen. The sensitivity of direct smear method tends to be low and can be increased by using concentration method because bacteria can be easily found. Objective of the research: The objective of the research was to find out the effectiveness of direct smear examination of AFB , and concentration method was compared with culture. Materials and Method: The samples consisted of 60 sputum samples from the patients of lung tuberculosis suspects who visited BP4 Medan and from private practices of tuberculosis specialists, and the samples had fulfilled inclusive criteria. Microscopic examination of acid-fast bacilli using direct smear and concentration method with Petroff method, using Ziehl Neelsen staining and culture with Lowenstein Jensen was conducted. Then we performed diagnostic test for direct smear and concentration method to compare it with culture. Result of the research: AFB examination with concentration method had sensitivity of 68.75%, specificity of 82.14%, the value of positive prediction of 81,48%, the value of negative prediction of 69.70%, ratio of positive likelihood of 3.85, and ratio of negative likelihood of 0.38, compared with culture method examination  in finding BTA in sputum of lung tuberculosis suspects. The result of microscopic examination of direct smear method had the sensitivity of 59.38%, specificity of 92.68%, the value of positive prediction of 90.48%, the value of negative prediction of 66.67%, ratio of positive likelihood of 8.31, and ratio of negative likelihood of 0.44, compared with culture method examination in finding BTA in sputum of lung tuberculosis suspects. Conclusion: The ability of acid-fast bacilli  examination of concentration methodsin diagnosis oflung tuberculosisis 9.37% higher thanthe directsmear but direct smear method gives bigger clinical benefit in diagnosing lung tuberculosis, compared with concentration method
Hubungan Polimorfisme Gen ACTN-3 (R577X) dengan Daya Ledak Otot pada Siswa Sekolah Sepakbola di Medan Hutahaean, Martina Evlyn Romauli; Tarigan, Amira Permata Sari; Ardinata, Dedi -
Jurnal Kedokteran Brawijaya Vol 30, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.02.8

Abstract

Gen ACTN-3 merupakan gen yang mengkode sebuah protein sarkomer yang hampir secara keseluruhan diekspresikan dalam serat otot cepat dan menghasilkan daya ledak otot. Daya ledak (power) adalah kemampuan otot untuk mengatasi tahanan beban dengan kekuatan dan kecepatan tinggi dalam suatu gerakan yang utuh. Daya ledak merupakan komponen penting dalam olahraga sepakbola. Variasi genotif (polimorfisme) ACTN-3 (R/X) cenderung memiliki daya tahan yang lebih baik. Tujuan penelitian ini untuk menganalisis hubungan antara varian genotif ACTN-3 (polimorfisme) dan daya ledak otot. Subjek penelitian ini adalah siswa sekolah sepakbola berusia 11-14 tahun yang berjumlah 33 orang. Daya ledak otot diukur menggunakan tes standing broad jump. Varian genotif (polimorfisme) gen ACTN-3 diidentifikasi menggunakan PCR-RFLP dari sampel sel bukal. Uji Fisher Exact digunakan untuk mengetahui hubungan antara polimorfisme gen ACTN-3 dengan daya ledak otot. Hasil studi menunjukkan varian genotif ACTN-3 yang memiliki alel R cenderung menunjukkan daya ledak otot kategori diatas rata-rata dan tinggi, sementara varian genotif yang memiliki alel X lebih banyak menunjukkan daya ledak otot dalam tingkat rata-rata. Penelitian ini menunjukkan bahwa secara statistik ada hubungan signifikan antara polimorfisme gen ACTN-3 dengan daya ledak otot pada siswa sekolah sepakbola kota Medan (p<0,001) dengan kekuatan korelasi kuat (c=0,623).
The Relationship Between Level of Transforming Growth Factor - β with Pulmonary Fibrosis in Post Pulmonary Tuberculosis in Medan Christine, Tamara; Tarigan, Amira Permatasari; Nainggolan, Nuryunita; Zaluchu, Fotarisman
Jurnal Respirologi Indonesia Vol 40, No 1 (2020)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v40i1.90

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Background: Untreated or undertreated, pulmonary tuberculosis could cause severe complications until death. After treatment, residual lesions might occur. The presence of residual lesions is varied, including: fibrosis, cavity, bronchiectasis and calcification. Transforming growth factor-β (TGF-β) is a cytokine associated with lung inflammation, which plays a role in lung fibrosis. However, only a few studies have assessed the serum level of TGF-β in post-treatment tuberculosis patients. The main objective of this study was to determine the relationship between TGF-β levels and pulmonary fibrosis in patients with pulmonary tuberculosis. Methods: Among 51 patients that had undergone anti-tuberculosis treatment were observed, consisting of 31 men, 20 women. Of all patients, there were 26 people with a smoking history, including 25 men and 1 woman. All patients had been recovered, confirmed by clinical state, laboratory and radiology examination. The ELISA test was performed to measure TGF-β level, while chest X-ray was used to evaluate for the occurence of pulmonary fibrosis. Results: The mean level of TGF-β in patients with lesion (+) was 7628.02 pg/mL (SD: ±4928.38) while the mean level of TGF-β in patients with lesion (-) was 2315.11 pg/mL (SD: ±505.83). Statistical test showed a significant relationship between TGF-β level and fibrosis lesion (P
Salat Dhuha Improves Blood Pressure: A Randomized Controlled Trial Boy, Elman; Lelo, Aznan; Tarigan, Amira Permatasari; Machrina, Yetty; Yusni, Yusni; Harahap, Juliandi; Sembiring, Rosita Juwita; Syafril, Santi; Sumartiningsih, Sri
Media Ilmu Keolahragaan Indonesia Vol 11, No 2 (2021): December 2021
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/miki.v11i2.34225

Abstract

The prevalence of hypertension increases with age, more than 1 in every two elderly has hypertension, dominated by women. The primary prevention of hypertension is a worldwide public health concern. Salat dhuha is a moderate-intensity physical activity. Salat 2 movement cycles demonstrated improved systolic and diastolic blood pressure in adults. Our study purpose was to assess the effect of 2 and 8 movement cycles (rakaat) of salat dhuha to improve systolic and diastolic blood pressure in healthy Muslim elderly women. Muslim elderly women in a government senior residence (aged 60-74 years) participated in a 6 weeks controlled trial. We completed formal physical, clinical, and blood assessments before admission. Participants with hypertension history were excluded. The participants were randomized into 2 groups. The intervention group performed 8 rakaat of salat dhuha (n=13) and the control group performed 2 rakaat of salat dhuha (n=13). Two participants were dropped out of this study. At baseline and at the end of 6 weeks, a blood pressure examination is recorded. Parametric and nonparametric methods were used to analyze the data. The baseline characteristics of the two groups of participants were homogeneous. Compared to the control, the 8 rakaat of salat dhuha achieved a significant reduction in systolic and diastolic blood pressure (P0.05) at the end of the 6-weeks period. The findings show that salat dhuha has significant potential to improve blood pressure.
PERNAFASAN PURSED LIP BREATHING MENINGKATKAN SATURASI OKSIGEN PENDERITA PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) DERAJAT II Amira Permata Sari Tarigan; Juliandi Juliandi
Jurnal Online Keperawatan Indonesia Vol 1 No 2 (2018): JURNAL ONLINE KEPERAWATAN INDONESIA
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Chronic Obstructive Pulmonary Disease (COPD) is one of the main causes of morbidity and mortality throughout the world. According to WHO, COPD is currently the fifth cause of death worldwide. COPD sufferers need action in the form of pulmonary rehabilitation which aims to control, reduce symptoms and increase functional capacity optimally so that patients can live independently and be useful to the community. The purpose of this study was to look at the effect of breath pursed lip breathing exercises on oxygen saturation of patients with second degree COPD. This type of research is pre experimental design, with one group pre test - post test design. Polpulasi in this study were all patients with grade II COPD in H. Adam Malik Hospital Medan with a total sample of 36 people. The average oxygen saturation before anf after pursed lip breathing exercise were 96,72 % and 98,11 %. The results of this study indicated that there was an influence of pursed lip breathing exercise on oxygen saturation of patients with second degree COPD (P value=0.001, α=0,05) It was recommended that health workers in charge of COPD Police at Adam Adam Malik Hospital have the ability and time to train COPD patients in pursed lip breathing exercises to maintain oxygen saturation in COPD patients within normal limits.
FAKTOR-FAKTOR YANG MEMENGARUHI KEPATUHAN DIET PASIEN GAGAL GINJAL KRONIK YANG MENDAPAT TERAPI HEMODIALISA DI RUANG HEMODIALISA RSUD Dr. PIRNGADI KOTA MEDAN TAHUN 2015 Amira Permata Sari Tarigan; Endang Susilawati; Chandra F Zendrato
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 10 No. 3 (2016): Jurnal Ilmiah PANNMED Periode Januari - April 2016
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.848 KB) | DOI: 10.36911/pannmed.v10i3.114

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Chronic kidney failure patients treated by hemodialysis therapy should be consistent in participating in dieting program in order to forestall the incidence of nutrition deficiency, liquid and electrolyte imbalance, and the incidence of the excessive accumulation of metabolism residual. Compliance in dieting program is one of the factors which contribute to the success or failure in hemodialysis therapy. The objective of the research was to find out some factors which influenced compliance in dieting of chronic kidney failure patients who got hemodialysis therapy in Hemodialysis Room of RSUD dr. Pirngadi, Medan. The research used descriptive method with cross sectional design. The samples were 35 respondents, taken by using purposive sampling technique. The instruments of the research were questionnaires and food recall. The result of the research showed that 19 respondents (54.3%) did not quite understand the instruction, 26 respondents (74.3%) had good interaction, 21 respondents (60%) lack of support, 31 respondents (88.6%) did not comply with dieting program, and 4 respondents (11.4%) complied with dieting program. The factor which influenced the compliance of the majority of patients was interaction quality. Patients had good understanding in instruction, good interaction quality, and family support. Only a small number of patients complied with dieting. Patients’ awareness of diet is very important. The majority of patients did not comply with dieting program.
HUBUNGAN KELUHAN PERNAPASAN : SESAK NAPAS, KELETIHAN ( FATIQUE ) DAN BATUK DENGAN KUALITAS TIDUR PASIEN PENYAKIT PARU Ulfa hasanah; Amira Permatasari; Evi Karota
Jurnal Ners Indonesia Vol 6, No 1 (2016)
Publisher : Fakultas Keperawatan, Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.445 KB) | DOI: 10.31258/jni.6.1.45-49

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Penyakit Paru merupakan salah satu penyebab kematian dimasyarakat. Lima penyakit paru utama yangmenjadi penyebab kematian adalah infeksi paru, Penyakit Paru Obstruksi Kronis (PPOK), TB Paru, KankerParu dan Asma. Penyakit pernapasan tersebut umumnya mempengaruhi tidur. Kualitas tidur yang burukpada klien dengan PPOK disebabkan karena sesak napas, batuk dan produksi secret yang berlebihan. PenderitaAsma karena adanya batuk, sesak napas dan mengi pada malam hari sehingga mengakibatkan kualitastidur menurun. Tidur yang tidak adekuat dapat mengakibatkan gangguan fisik dan psikologi.Penelitian ini bertujuan untuk melihat hubungan keluhan pernapasan sesak napas, keletihan (fatique), batukdengan kualitas tidur pasien penyakit Paru di Rumah Sakit Umum Daerah Arifin Achmad Pekanbaru. Penelitianini merupakan penelitian analitik correlation dengan desain cross sectional dengan jumlah sampelsebanyak 56 orang. Penelitian ini menggunakan kuesioner yang terdiri dari karakteristik responden, keluhanpernapasan meliputi sesak napas, keletihan (fatique), dan batuk.Mayoritas klien mempunyai kualitas tidur yang buruk (66%). Hasil analisis menunjukkan hubungan sesaknapas dengan kualitas tidur menunjukkan hubungan yang kuat dengan nilai korelasi r = 0,652 dan nilai signifikansi0.000 (<0,005). Hubungan keletihan (fatique) dengan kualitas tidur menunjukkan hubungan yangsedang dengan nilai korelasi r = 0,447 dan nilai signifikan 0,001. Hubungan batuk dengan kualitas tidurmenunjukkan hubungan yang kuat dengan nilai korelasi r = 0,686 dan nilai signifikan 0,000.Hasil penelitian ini menunjukkan batuk mempunyai hubungan yang kuat dengan kualitas tidur. Perawatperlu memberikan perhatian khusus kepada klien dengan sesak napas, keletihan (fatique) dan batuk sehinggadapat memberikan tindakan keperawatan yang tepat untuk mengeliminasi faktor- faktor tersebut.
An evaluation of short-acting β2-agonist prescriptions and associated clinical outcomes in asthma management in Indonesia – the SABINA Indonesia study Wiwien Heru Wiyono; Muhammad Amin; Susanthy Djajalaksana; Amira Permatasari Tarigan; Febrina Susanti; Hisham Farouk; Helyanna Helyanna
Jurnal Respirologi Indonesia Vol 42, No 2 (2022)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v42i2.295

Abstract

Background: Asthma is a chronic inflammatory disease, therefore inhaled corticosteroid (ICS) should be as the cornerstone of asthma treatment. However patients tend to rely on short-acting β2-agonist (SABA) due to immediate symptom relief and underuse ICS, thereby undertreating the underlying inflammation. As part of the multi-country SABA use IN Asthma (SABINA) III study, we aimed to describe SABA prescription patterns and asthma-related clinical outcome in Indonesia.Methods: Cross-sectional study in asthma patients (> 12 years old) during August 2019 –  January 2020. Disease characteristic, prescribed asthma treatment in the 12 months before the study visit, and clinical outcomes, were recorded during a single visit and entered into an electronic case report form.Results: Of 219 patients recruited, the mean number of SABA canisters prescribed was 4 canisters per year. SABA over-prescription (≥ 3 canisters/year) seen in 37% patients, and was greater in moderate-to-severe vs mild asthma (40% vs 17.9%). 47.5% of patients had at least 1 severe exacerbation; and 7.3% of patients had ≥3 severe exacerbations, in the past 12 months. Almost half of the patients (40.2%) were prescribed oral corticosteroids (OCS). Overall, the well-, partly, and uncontrolled patients were 41.6%, 37.4%, and 21%, respectively.Conclusion: SABA over-prescription occurs in approximately one third of asthma patients, especially among moderate-to-severe patients and almost half of asthma patients experienced at least 1 severe exacerbation in the previous year. This highlights a public health concern and the need to improve asthma care by aligning with global recommendations including reducing SABA over-reliance in Indonesia
Co-Authors Afiatika Ahsani Afniwati Agus Dwi Susanto Ahsani, Afiatika Andika Pradana Andika Pradana Andika Pradana Andika Pradana Andriani, Rizki Apriani, Fitri Ardinata, Dedi - Armi Mawaddah Aznan Lelo Bayani, Sri Caecilia Marliana Chandra F Zendrato Christine, Tamara Dalimunthe, Muhammad Bayhaqi Damayanti, Siti Darmawan, Nengah Deneuve, Olivia Monica Dewi Elizadiani Suza ELMAN BOY Elmeida Effendy Endang Susilawati Endang Susilawati Endy Todo Sirait Erna Mutiara Erna, Mutiara Evi Karota Fajrinur Syarani Febrina Susanti Firdaus, Ruby Fotarisman Zaluchu, Fotarisman Ghamal Arif Hanafiah Girsang, Isah Masdiana Harahap, Juliandi Helyanna Helyanna Hisham Farouk Hutabarat, Eva Susanti Debora Jefri, Budi Jubilette Windy Hutabarat Juliandi Juliandi Kawati, Salma Merda Listyoko, Aditya Sri Lucia Aktalina M. Sinaga, Bintang Yinke Marini Puspita Sari Martina Evelyn R.H Maryaningsih, Maryaningsih Miranda, Melly Monica, Nanda Soraya Muhammad Amin Nahrisyah, Putri Nainggolan, Nuryunita Nani Andriani Nasution, Nurromsyah Nasution, Syafiah Amalina Noni Novisari Soeroso Nurul Citta Banu Putri Nuryunita Nainggolan Orita Satria Ozar Sanuddin Pandia, Pandiaman Pandiaman Pandia Pandiaman Pandia Pandiaman, Pandia Pendiaman Pandia Pinem, Agung Haganta Pohan, Indah Triana Sari Putra, M Yusuf Adira Putri C Eyanoer Putri Chairani Eyanoer, Putri Chairani Putri Eyanoer Raffael, Frans Rahmah, Lestari Ramadhani, Adini Arifah Ratna Akbari Ganie, Ratna Akbari Resti, Riska Rhinsilva, Ella Rianti Tarigan Rifda Hayati Rika Endah Nurhidayah Rina Amelia Rocky Malindo Sidabutar S*, Erfiyani Salma Merda Kawati Samoedro, Erlang Santi Syafril, Santi Saragih, M. Khairul Aswin Sembiring, Rosita Juwita Septiani Waruwu Shilvanna Litania Sihombing, Benny Simanjuntak, Donal Anjar Sinaga, Sudirman Parningotan Sri Sumartiningsih Susanthy Djajalaksana Syahrani, Fajrinur Syarani, Fajrinur Tambunan, Adrian Nurrachman Tari Mediyanti Tarigan, Setia Putra Taufik Ashar Tri Setia Negara Sinulingga Ulfa hasanah Vera, Yeni Wahyuni, Arlinda Sari Wilson Arthur Zein Wina Elizabeth Octaria Saragih Wiwien Heru Wiyono Yahwardiah Siregar Yessi Andriani Zainal Yetty Machrina Yusni Yusni Zulkarnain Zulkarnain Zulkarnain Zulkarnain