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ANALISIS DETERMINAN KEJADIAN TUBERKULOSIS PARU Fitrianti, Tri; Wahyudi, Arie; Murni, Nani Sari
Jurnal 'Aisyiyah Medika Vol 7, No 1: Februari 2022 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v7i1.782

Abstract

Latar Belakang: RSUD Talang Ubi adalah salah satu rumah sakit yang ada di Provinsi Sumatera Selatan. Data TB Paru  RSUD Talang Ubi tahun 2018 berjumlah  236 orang,  tahun 2019 berjumlah 91 orang dan meningkat pada tahun 2020 menjadi 121 orang. Tujuan: Untuk  mengetahui determinan kejadian tuberkulosis paru di RSUD Talang Ubi Kabupaten Penukal Abab Lematang Ilir tahun 2021.  Metode: Penelitian ini menggunakan desain case control. Populasi kasus dalam penelitian adalah 121 orang penderita TB paru dan populasi kontrol adalah pasien yang pernah dirawat di RSUD Talang Ubi Kabupaten Penukal Abab Lematang Ilir selama tahun 2020 dengan diagnosa selain TB paru. Sampel dalam penelitian berjumlah 93 responden kasus dan 93 responden kontrol. Teknik pengambilan sampel dengan purpossive sampling. Uji statistik yang yang digunakan adalah uji chi square (tingkat kemaknaan 95%, α 0,05), dan  regresi logistik berganda. Hasil: Ada hubungan yang signifikan antara usia (p=0,026), tingkat pendidikan (p=0,024), pekerjaan (p=0,037), sanitasi lingkungan (p=0,018), kontak erat dengan penderita (p=0,005), praktik hygiene (p=0,013), kebiasaan merokok (0,001). Pada analisis multivariat menunjukan bahwa kebiasaan merokok merupakan faktor yang paling dominan mempengaruhi  kejadian TB paru di RSUD Talang Ubi Kabupaten Penukal Abab Lematang Ilir dengan nilai OR 2,538. Saran: Peneliti berharap pada petugas kesehatan di RSUD Talang Ubi Kabupaten Penukal Abab Lematang Ilir dapat mengedukasi pengunjung tentang bahaya dan dampak rokok bagi kesehatan terutama bagi fungsi paru yang akhirnya dapat menyebabkan seseorang mengalami kejadian TB paru. Kata Kunci: Tuberkulosis Paru, Faktor Predisposisi
ANALYSIS OF THE INCIDENCE OF DENGUE FEVER (DHF) IN THE WORKING AREA OF THE TALANG UBI HEALTH CENTER, PALI REGENCY IN 2025 Ni Putu Yanti; Nani Sari Murni; Gema Asiani; Yusnilasari; Indriany
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 10 No. 2 (2025): Cendekia Medika: Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v10i2.524

Abstract

The Dengue virus is a virus that can transmit disease, as its transmission is carried out by disease-carrying vectors, namely the Aedes aegypti and Aedes albopictus mosquitoes, through biting humans. The primary cause of the increase in DBD cases is the low level of DBD prevention behavior. There has been a fluctuation in the incidence of dengue fever in the service area of the Talang Ubi Health Center in PALI District, with 38 cases in 2022, increasing to 66 cases in 2023, and decreasing again to 43 cases in 2024. The objective of this study is to analyze the incidence of dengue fever (DBD) in the service area of the Talang Ubi Health Center. The research method used is analytical with a case-control study design. The study was conducted in the service area of the Talang Ubi Health Center in PALI District from April to May 2025. The research design was case-control. The population was 61,428 people living in the working area of Talang Ubi Health Center in PALI Regency. The sample was divided into 43 case group respondents and 43 control group respondents.  The case group was DHF patients in the working area of Talang Ubi Community Health Center in PALI Regency from January to December 2024. Meanwhile, the control group was people in the working area of the Talang Ubi Community Health Center of PALI Regency who were not diagnosed with Dengue Fever (DHF).  The sampling technique used was purposive sampling. Bivariate analysis used Chi-Square test, multivariate analysis used multiple logistic regression test, and univariate analysis was the first step in the data analysis process. The results showed the p value of knowledge 0.825, attitude 1.000. Water storage 0.004, garbage disposal system 0.093, home environmental conditions 0.093, cadre support 0, 049.  The conclusion is that there is a relationship between water reservoirs, garbage disposal systems, home environmental conditions and cadre support. The most dominant factor is the cadre support variable compared to other factors (OR 2.98). In preventing dengue fever cases, good cooperation between the community and health workers is essential in order to create a clean and safe environment that is free from such cases.
ANALYSIS OF FACTORS AFFECTING MEDICATION ADHERENCE IN TYPE 2 DIABETES MELLITUS PATIENTS Marina Dwi Putri; Nani Sari Murni; Prima Cakra Rendana; Arie Wahyudi; Anif Budiyanto
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 10 No. 2 (2025): Cendekia Medika: Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v10i2.530

Abstract

Diabetes mellitus type 2 is a chronic metabolic disease characterized by hyperglycemia due to impaired insulin secretion, insulin action, or both. Medication adherence is a crucial factor in achieving optimal glycemic control and preventing complications. This study aims to analyze various factors associated with medication adherence among type 2 diabetes mellitus patients at Peninjauan Health Center, Ogan Komering Ulu Regency, in 2025. A cross-sectional analytical study was conducted involving 73 patients selected through quota sampling. Data were collected via interviews using structured questionnaires, including the Medication Adherence Rating Scale-10 (MARS-10), Hensarling Diabetes Family Support Scale (HDFSS), and Diabetes Obstacles Questionnaire (DOQ). The variables studied included age, gender, education level, employment status, income, disease duration, family support, and healthcare provider support. Data analysis was performed using chi-square tests and multivariate logistic regression. The results showed that 53.4% of respondents were adherent to medication. Bivariate analysis indicated significant associations between medication adherence and age (p=0.041), education level (p=0.042), employment status (p=0.034), disease duration (p=0.026), family support (p=0.003), and healthcare provider support (p=0.002). Multivariate analysis identified healthcare provider support as the dominant factor influencing medication adherence (p=0.001; OR=5.289; 95% CI: 1.929–14.503). These findings conclude that healthcare provider support plays a critical role in improving medication adherence among type 2 diabetes mellitus patients. It is recommended that healthcare providers enhance their support and communication strategies to promote optimal adherence behavior
DETERMINANTS OF ADHERENCE TO TAKING MEDICATION IN PULMONARY TUBERCULOSIS PATIENTS Fitratul Harits; Nani Sari Murni; Lilis Suryani
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 10 No. 2 (2025): Cendekia Medika: Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v10i2.533

Abstract

Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis bacteria that most often affects the lungs and even other organs. WHO stated that in 2021 there will be 10 million people infected with pulmonary Tb each year, and 1.5 million people die each year. Based on the results of the Basic Health Research conducted by the Research and Development Agency of the Ministry of Health of the Republic of Indonesia in 2018, there were 1,017,290 cases of pulmonary Tb in Indonesia. The effects of patient non-adherence in Tb treatment can increase the risk of morbidity, mortality and drug resistance both in patients and in the wider community. The purpose of this study was to analyze various factors associated with adherence to taking medication in patients with pulmonary Tb in the work area of the Tanjung Baru Health Center, Ogan Komering Ulu Regency in 2025. This study is a type of observational analytic research using a quantitative approach and cross-sectional design. The research was conducted in the work area of the Tanjung Baru Health Center, OKU Regency in May-June 2025. The population in this study were all Tb patients, both suspected and confirmed pulmonary Tb in the work area of the Tanjung Baru Health Center in 2024, totaling 67 people. The research sample that has met the inclusion and exclusion criteria was obtained as many as 45 respondents. The results showed that several independent variables such as family income, family support, knowledge and attitude of respondents were significantly associated with medication compliance (Pv<0.05). Other variables such as respondents' age, gender, education level, employment status and duration of taking medication were not associated with adherence to taking medication (Pv>0.05). Suggestions to improve efforts to manage Pulmonary TB disease by optimizing health promotion activities by cadres and health workers regarding Pulmonary TB disease and its treatment. Remind patients about the importance of taking medicine regularly and regularly according to recommendations. Remind patients that compliance in taking Lung TB drugs can minimize the risk of complications and drug resistance and increased transmission of Lung TB disease.
Analisis Determinan Kejadian Diare pada Balita di Puskesmas Celikah Kota Kayuagung Kabupaten Oki susilawati; Sari Murni, Nani; Harokan, Ali
Avicenna: Jurnal Ilmiah Vol. 20 No. 1 (2025): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v20i1.6956

Abstract

Background: The occurence of diarrhea in children at 2021 is around 1.22 billion in the world and approximately 3,350 children die every day. Out of the 15 Southeast Asian countries, Indonesia is ranked 12th in terms of diarrhea mortality in toddlers, with 8,600 deaths each year. This study aims to analyze the determinants of diarrhea incidence in the Celikah Health Center work area, Kayuagung City, Ogan Komering Ilir Regency from April to May 2024. Method: This study is quantitative with a cross-sectional design, the study population was 2533 toddlers, a sample of 96 respondents. The sampling technique is purposive sampling. Data analysis is univariate, bivariate, and multivariate tests. Results : The results of the statistical test analysis using the Chi-Square statistical test and multiple logistic regression. From the results of the multivariate statistical test, the dominant factor in the incidence of diarrhea was education (p = 0.000; OR = 6.568). Conclusion : The results of the study showed a significant relationship between the age of respondents, nutritional status of children, occupation, education, attitude, and clean water sources with the incidence of diarrhea. Keywords : Diarrhea, Determinants, Public Health Centers
Analisis Faktor Sanitasi Lingkungan yang Berhubungan dengan Kejadian Diare Sumadi, Alan; Sari Murni, Nani; Wahyudi, Arie; Harokan, Ali
Avicenna: Jurnal Ilmiah Vol. 20 No. 1 (2025): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v20i1.6963

Abstract

Background: Data from the South Sumatra Provincial Health Office in 2022 showed that the incidence of diarrhea per 1,000 population of all ages was 270 cases. The impact of low sanitation coverage is a decrease in the quality of the living environment, contamination of drinking water sources, and an increase in the transmission of environmental-based diseases such as diarrhea. Metodh:This study aims to analyze environmental sanitation factors related to diarrhea in Pulau Geronggang Village, Pedamaran Timur District, Ogan Komering Ilir Regency in 2024. This study is quantitative with a cross-sectional design, the population of this study is all families living in Pulau Geronggang Village, Pedamaran Timur District, namely 309 families, a sample of 174 respondents. The sampling technique is purposive sampling. Data analysis is univariate, bivariate, and multivariate tests. Result:the statistical test analysis using the Chi-Square statistical test and multiple logistic regression where the results showed a significant relationship between age (0.001), socio-economic (0.010), knowledge (0.000), availability of clean water (0.010), behavior (0.000), and type of toilet (0.010). There is no relationship between gender (0.167), quality of clean water (0.167), availability of toilets (0.167), waste management (0.410), and availability of SPAL (0.605). From the results of the multivariate statistical test, the dominant factor in the incidence of diarrhea is behavior (p = 0.000; OR = 13.086).Conclussion: It is expected that the relevant government can add programs and develop regional progress, especially in the Pedamaran Timur sub-district, both to improve health and economic and socio-cultural standards and the availability of clean water for the community in the area Keywords : diarrhea, determinants, environmental sanitation
Perubahan Bermakna Pengetahuan dan Sikap Setelah Diberikan Edukasi Kesehatan Tentang Rokok dan Dampaknya: Edukasi Kesehatan Tentang Rokok dan Dampaknya Sayati, Dewi Sayati; Putri Aulia Salsabila; Nani Sari Murni
Khidmah Vol 7 No 2 (2025): Khidmah
Publisher : IKesT Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52523/khidmah.v7i2.558

Abstract

Prevalensi merokok terus meningkat khususnya pada usia remaja. Hal ini berdampak pada kematian di usia muda sehingga perlu dilakukan upaya pencegahan. Usia remaja yang merupakan usia anak SMP dapat menjadi awal dalam melakukan edukasi tentang rokok dan dampaknya. Kegiatan pengabdian masyarakat ini dilakukan di salah satu SMP negeri yang ada di Palembang. Kegiatan berupa edukasi tentang rokok dan dampaknya pada 17 siswa laki-laki. Perubahan pengetahuan dan sikap para siswa diukur menggunakan kuesioner yang diisi sebelum dan sesudah dilakukan edukasi. Hasil kegiatan pengabdian masyarakat diperoleh terdapat perbedaan bermakna pengetahuan dan sikap sebelum dan setelah dilakukan edukasi. 100% siswa mengalami peningkatan pengetahuan dan perubahan sikap ke arah positif setelah diberikan edukasi. Edukasi ini perlu dilakukan secara berkesinambungan agar para siswa dapat selalu diingatkan tentang rokok dan dampaknya sehingga mereka tidak melakukan perilaku merokok.
SOSIALISASI TENTANG PELAYANAN KESEHATAN PEDULI REMAJA TAHUN 2023 Deviliawati, Atma; Nani Sari Murni; Dewi Sayati
Khidmah Vol 7 No 1 (2025): Khidmah
Publisher : IKesT Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52523/khidmah.v7i1.520

Abstract

Pendekatan yang diterapkan dalam menguraikan ruang lingkup kesehatan reproduksi adalah pendekatan siklus hidup, dengan demikian, masalah kesehatan reproduksi pada setiap fase kehidupan dapat diperkirakan, yang bila tidak ditangani dengan baik dapat berakibat buruk pada masa kehidupan selanjutnya. Jika remaja berhasil mengatasi masalah-masalah yang dihadapi dan kepercayaan pada kemampuannya mengatasi permasalahan tanpa bantuan orang dewasa, maka kebahagiaan akan semakin meningkat dan meletakkan tujuan sesuai dengan apa yang ia mampu capai. Termasuk juga permasalahan yang muncul pada saat remaja telah memasuki masa pubertas. Program Pelayanan Kesehatan Reproduksi Remaja (PKPR) merupakan program hasil penjabaran misi program keluarga berencana nasional, bertujuan membantu remaja agar memiliki pengetahuan, kesadaran, sikap dan prilaku kehidupan yang sehat dan bertanggung jawab melaui promosi, advokasi, komunikasi, informasi, edukasi, konseling, pelayanan dan dukungan kegiatan yang bersifat positif. Tujuan dari sosialisasi ini mengedukasi siswi tentang pengetahuan pemanfaatan program PKPR. Metode yang digunakan dengan memberikan sosialisasi secara langsung dan membagikan leaflet. Kegiatan dilaksanakan pada tanggal 23 Desember 2023. Hasil sosialisasi didapatkan dari 57 responden yang berpengetahuan kurang tentang pemanfaatan PKPR terjadi peningkatan pengetahuan. pengetahuan sebanyak 53 responden (93%) berpengetahuan baik dan 4 responden (7%) berpengetahuan kurang. Menunjukkan bahwa ada peningkatan pengetahuan tentang PKPR sesudah dilakukan sosialisasi. Disarankan sekolah bekerja sama dengan pihak terkait untuk selalu melakukan sosialisasi dan edukasi tentang program-program kesehatan reproduksi.
ANALISIS KINERJA PEGAWAI NEGERI SIPIL (PNS) DINAS KESEHATAN KOTA PRABUMULIH TAHUN 2023 Fitri, Lisa; Sari Murni, Nani; Wahyudi, Arie
Jurnal Kesehatan Tambusai Vol. 4 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i3.17502

Abstract

Capaian kinerja Pegawai Negeri Sipil (PNS) Dinas Kesehatan Kota Prabumulih di tahun 2022 yang lalu, belum dapat mencapai nilai sangat baik (data nilai kinerja PNS Dinas Kesehatan per Januari 2023). Tiga variabel yang mempengaruhi sumber daya manusia dalam mencapai hasil kegiatan atau kinerja, yaitu faktor individu, faktor psikologis, dan faktor organisasi. Faktor individu terdiri atas 3 (tiga) kelompok yaitu kemampuan, demografi (usia, jenis kelamin, pendidikan),  dan latar belakang seseorang.  Salah satu faktor psikologis adalah motivasi.  Beberapa faktor yang dapat mempengaruhi pencapaian kinerja seorang PNS yakni usia, jenis kelamin, masa kerja, bimbingan dan pelatihan pegawai yang telah di ikuti, gaji dan insentif serta motivasi pimpinan diunit kerja. Penelitian ini bertujuan melakukan analisis kinerja PNS Dinas Kesehatan Kota Prabumulih tahun 2023. Desain penelitian ini adalah kuantitatif dengan pendekatan cross sectional.  Populasi pada penelitian ini adalah semua PNS di Dinas Kesehatan Kota Prabumulih  yang berjumlah 52 orang. Sampel dalam penelitian ini adalah total populasi. Pengumpulan data menggunakan kuesioner dan dilakukan wawancara. Analisis data bivariat menggunakan uji Chi-square. Hasil penelitian diperoleh bahwa ada hubungan antara motivasi (nilai p 0,000), insentif (nilai p 0,000), beban kerja (nilai p 0,001), dan kepemimpinan (nilai p 0,000) dengan kinerja pegawai, namun tidak terdapat hubungan antara umur (nilai p 0,405), jenis kelamin (nilai p 0,123), dan masa kerja (nilai p 0,721) dengan kinerja pegawai.  Simpulan penelitian adalah ada hubungan antara motivasi, insentif, beban kerja, dan kepemimpinan dengan kinerja pegawai, namun tidak terdapat hubungan antara umur, jenis kelamin, dan masa kerja dengan kinerja pegawai.
HUBUNGAN POLA MAKAN DAN AKTFITAS FISIK DENGAN KEJADIAN RHEUMATOID ARTHRITIS PADA LANSIA DI POLI LANSIA PUSKESMAS TEBING GERINTING KABUPATEN OGAN ILIR TAHUN 2024 Herlina, Herlina; Rahutami, Syntia; Murni, Nani Sari
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.28232

Abstract

Penderita rheumatoid arthritis di Indonesia mencapai 7,30%. Angka kejadian rheumatoid arthritis di Propinsi Sumatera Selatan terus mengalami peningkatan setiap tahunnya. Seiring meningkatnya usia, angka kejadian rheumatoid arthritis juga semakin meningkat. Hal serupa terjadi pula di Puskesmas Tebing Gerinting Kabupaten Ogan Ilir yang selama 3 tahun terakhir mengalami peningkatan kejadian rheumatoid arthritis pada lansia.  Penelitian ini bertujuan diketahuinya pola makan dan aktifitas fisik dengan kejadian rheumatoid arthritis pada lansia di Poli Lansia Puskesmas Tebing Gerinting Kabupaten Ogan Ilir  tahun 2024. Desain penelitian ini adalah kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh lansia yang berkunjung ke poli lansia Puskesmas Tebing Gerinting tahun 2023 berjumlah 2.083 orang. Sampel dalam penelitian ini berjumlah 95 responden. Teknik pengambilan sampel menggunakan purposive sampling. Pengumpulan data menggunakan kuesioner. Analisis data bivariat menggunakan uji Chi-Square, dan multivariat menggunakan uji regresi logistic berganda. Hasil penelitian menunjukan ada hubungan pola makan (nilai p 0,005), dan aktivitas fisik (nilai p 0,014) dengan kejadian rheumatoid arthritis pada lansia di poli lansia Puskesmas Tebing Gerinting Kabupaten Ogan Ilir. Faktor dominan yang berpengaruh dengan kejadian rheumatoid arthritis pada lansia adalah pola makan (nilai p 0,04, OR 2,01). Kesimpulan penelitian ini adalah terdapat hubungan antara pola makan dan aktifitas fisik dengan kejadian rheumatoid arthritis pada lansia. Saran dari penelitian ini adalah diharapkan kepada pihak Puskesmas Tebing Gerinting lebih meningkatkan kembali edukasi kesehatan tentang pola makan dan aktifitas fisik yang tepat dalam upaya pencegahan terjadinya rheumatoid arthritis pada lansia, baik melalui program Posbindu PTM atau Posyandu lansia.
Co-Authors Abdillah, Novandra Aditia Warman Akhmad Dwi Priyatno Amalia, Dike Rizky Anif Budiyanto Arie Wahyudi Atma Deviliawati Atma Deviliawati Ayu Anggia Trida Ayyuhumah Amalia Baharudin, Kemas Bebbi Arisya Kesumaputri Bella Putri Lanida Chairil Zaman Chairil Zaman Debby Utami Siska Ariani Dewi Sayati Dewi Sayati Dewi Suryanti Dian Eka Anggreny Dian Eka Anggreny Dianita Ekawati Elvira Noviany Elyana, Wina Enggar Prasetyo, Enggar Erlina Febriyanti Erma Gustina Esti Yulianty Fitratul Harits Fitri, Lisa Fitrianti, Tri Gema Asiani Gema Asiani Hamyatri Rawalilah Hamyatri Rawalillah Harokan, Ali Herlina Herlina Hermanto Hermanto Hermanto Iche Andriyani Liberty, Iche Andriyani Ichramsyah A. Rahman Ihsan Firmansyah Indra Gusti Mansur Indriany Laniessa Rinarthani Liana, Yunita Lilis Suryani Lilis Suryani Lilis Suryani Lilis Suryani Lilis Suryani Lilis Suryani Linda Marni M Prima Cakra Randana Mardianita, Mardianita Marina Dwi Putri Marlina Marlina Mewikha Renni Misdiana, Misdiana Mohamad Sadikin Monita Septidwina Muhamad Tito Aristian Muhammad Amin Muhammad Prima Cakra Randana Muhammad Prima Cakra Randana Muhammad Prima Cakra Randana Nanik Lestari Ni Putu Yanti Nova Heroine Novika, Novika Nyayu Ela Eliza Pangestika, Hanggayu Peniza Suliati Pepti Herlin Prima Cakra Rendana Putri Aulia Salsabila Rahutami, Syntia Retno Marlangen Riana Puspa Rica Ratna Sari Rikasari, Dian Rina Seftiana Rinaningsih Rinaningsih Rosnita Rosnita Santi Rosalina Santi Rosalina Sarah Maya Monalisa Siti Zumiati SRI RAHAYU Sumadi, Alan Suwandi, Welly Swara Abdi N Syafriati, Nyayu Eka Syahril Efendi Syntia Rahutami Tania Ovelina Tri Sartika Wahyudi, Arie Welly Suwandi Winda Sari Kesuma Wulan Agustin Wulandari, Fitri Wahyuni Yuniartina Yunita Liana Yusi Marlioka Yusnilasari Yusnilasari Yusnilasari Yusnilasari Yusnilasari