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Sanyoto, Didik Dwi
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PERBEDAAN GANGGUAN KESEIMBANGAN DITINJAU BERDASARKAN KARAKTERISTIK PASIEN PASCA STROKE DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Sandaga, Putri Noor; Siddik, Muhammad; Sanyoto, Didik Dwi; Hayati, Azka; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14568

Abstract

Abstract: Stroke causes weakness and results in balance disorders and can affect functional activities. The research aims to determine whether there are differences in balance disorders in post-stroke patients based on patient characteristics. The research was conducted using observational analysis methods and a cross-sectional design. The primary data used is the results of observations of the Berg Balance Scale questionnaire assessment. The research population was post-stroke patients at the Medical Rehabilitation Polytechnic. Number of samples in the period November-December 2023 using purposive sampling technique. The results of the study did not show a relationship between balance disorders in terms of gender, age, stroke onset, lesion location, Brunstrom stage, history of attacks, comorbidities and history of therapy in post-stroke patients. From the results of the study, no relationship was found between mobility impairments based on the characteristics of post-stroke patients at the medical rehabilitation clinic at Ulin District Hospital, Banjarmasin. Keywords: Balance disorders, post-stroke, Berg Balance Scale. Abstrak: Stroke menyebabkan kelemahan dan mengakibatkan gangguan keseimbangan serta dapat mempengaruhi aktivitas fungsional. Penelitian bertujuan mengetahui apakah terdapat perbedaan gangguan keseimbangan pada pasien pasca stroke yang ditinjau berdasarkan karakteristik pasien. Penelitian dilakukan dengan metode analisis observasional dan desain potong lintang. Data primer yang digunakan adalah hasil pengamatan penilaian kuesioner Berg Balance Scale. Populasi penelitian adalah pasien pasca stroke di Poli Rehabilitasi Medik. Jumlah sampel pada periode November-Desember 2023 dengan teknik purposive sampling.  Hasil penelitian tidak di dapatkan hubungan antara gangguan keseimbangan ditinjau dengan jenis kelamin,usia,onset stroke,letak lesi,stadium brunnstrom,riwayat serangan,komorbid dan riwayat terapi pada pasien pasca stroke. Dari hasil penelitian tidak didapatkan hubungan antara gangguan mobilitas ditinjau berdasarkan karakteristik pasien pasca stroke di poli rehabilitasi medik RSUD ulin Banjarmasin. Kata-kata kunci: Gangguan keseimbangan, pasca stroke, Berg Balance Scale.
PERBEDAAN GANGGUAN MOBILITAS DITINJAU BERDASARKAN KARAKTERISTIK PASIEN PASCA STROKE DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Luthfiyyah, Rifaa; Siddik, Muhammad; Sanyoto, Didik Dwi; Hayati, Azka; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14569

Abstract

Abstract: Stroke results in limited mobility. Mobility impairment due to stroke affects functional activities. The research aims to determine whether there are differences in mobility impairment in post-stroke patients based on patient characteristics. The method used is observational analysis with a cross-sectional design. The data used is primary data from examination observations using the Functional Ambulation Category questionnaire. This research targets the population of post-stroke patients at the Medical Rehabilitation Clinic. Number of samples in the period November-December 2023 using purposive sampling technique. The results of the study did not show a relationship between mobility impairment in terms of gender, age, stroke onset, lesion location, Brunstrom stage, history of attacks, comorbidities and history of therapy in post-stroke patients. From the results of the study, no relationship was found between mobility impairments based on the characteristics of post-stroke patients in the medical rehabilitation clinic at Ulin District Hospital, Banjarmasin. Keywords: Mobility disorders, post-stroke patients, Functional Ambulation Category Abstrak: Stroke mengakibatkan keterbatasan mobilitas. Gangguan mobilitas akibat stroke mempengaruhi aktivitas fungsional. Penelitian bertujuan mengetahui apakah terdapat perbedaan gangguan mobilitas pada pasien pasca stroke yang ditinjau berdasarkan karakteristik pasien. Metode yang digunakan adalah analisis observasional dengan desain potong lintang. Data yang digunakan adalah data primer pengamatan pemeriksaan menggunakan kuesioner Functional Ambulation Category. Penelitian ini menargetkan populasi pasien post stroke Poli Rehabilitasi Medik. Jumlah sampel pada periode November-Desember 2023 dengan teknik purposive sampling.  Hasil penelitian tidak di dapatkan hubungan antara gangguan mobilitas ditinjau dengan jenis kelamin,usia,onset stroke,letak lesi,stadium brunnstrom,riwayat serangan,komorbid dan riwayat terapi pada pasien pasca stroke. Dari hasil penelitian tidak didapatkan hubungan antara gangguan mobilitas ditinjau berdasarkan karakteristik pasien pasca stroke di poli rehabilitasi medik RSUD Ulin Banjarmasin. Kata-kata kunci: Gangguan mobilitas, pasien pasca stroke, Functional Ambulation Category.
PROFIL PENDERITA KANDIDIASIS KUTIS DI POLIKLINIK KULIT DAN KELAMIN RSUD ULIN BANJARMASIN PERIODE 2017-2021 Saida, Noorsabila; Hadi, Sukses; Sanyoto, Didik Dwi; Essary, Erika Dewi; Wydiamala, Erida
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14566

Abstract

Abstract: Cutaneous candidiasis is a skin infection caused by the Candida fungus. Various predisposing factors for candidiasis include low environmental hygiene, high levels of humidity, poor ventilation, and the presence of comorbidities in sufferers that weaken the immune system. This research aims to find out the profile of cutaneous candidiasis sufferers in the Skin and Venereology Polyclinic at RSUD Ulin Banjarmasin for the 2017 - 2021 period. This research method is descriptive observational using medical records and electronic data. The results of this study show that the total number of cases of cutaneous candidiasis was 123 patients, with the most cases occurring in 2017 (32.5%). Women accounted for the majority of cases (65,9%) and the largest age group was 0 - 5 years (35.0%). Most of the patients came from the Banjarmasin area (65,0%) and most jobs are unemployed (35.8%). The most common classification (location of lesions) is intertriginous (60.2%) and the most common type of treatment is topical (58,5%). The conclusion of this study is that the number of cases for the 2017 - 2021 period was 123 patients, the most cases were in 2017, gender was female, age range 0 - 5 years, came from the Banjarmasin area, jobs are unemployed, location of the lesion was intertriginous, and type of treatment topical antifungal. Keywords: cutaneous candidiasis, fungal infections, Candida, Ulin Hospital Abstrak: Kandidiasis kutis ialah infeksi pada kulit yang disebabkan oleh jamur Candida. Berbagai faktor predisposisi penyakit kandidiasis antara lain faktor rendahnya higienitas lingkungan, tingginya tingkat kelembaban, ventilasi yang kurang, dan adanya penyakit penyerta dari penderita yang melemahkan sistem kekebalan tubuh. Peneltian ini bertujuan untuk mengetahui bagaimana profil penderita kandidiasis kutis di Poliklinik Kulit dan Kelamin RSUD Ulin Banjarmasin periode 2017 - 2021. Metode penelitian ini ialah observasional deskriptif dengan menggunakan rekam medis dan data elektronik. Hasil penelitian ini menunjukkan total keseluruhan kasus kandidiasis kutis adalah 123 pasien, dengan kasus terbanyak terjadi di tahun 2017 (32,5%). Perempuan jadi kasus terbanyak (65,9%) dan kelompok usia terbanyak ialah 0 - 5 tahun (35,0%). Sebagian besar pasien berasal dari daerah Banjarmasin (65,0%) dan pekerjaan terbanyak adalah tidak bekerja (35,8%). Klasifikasi (lokasi lesi) tersering ialah di intertriginosa (60,2%) dan jenis pengobatan terbanyak ialah topikal (58,5%). Kesimpulan penelitian ini adalah jumlah kasus periode 2017 - 2021 sebanyak 123 pasien, kasus terbanyak ada di tahun 2017, jenis kelamin perempuan, rentang usia 0 - 5 tahun, berasal dari daerah Banjarmasin, pekerjaan tidak bekerja, lokasi lesi di intertriginosa, dan jenis pengobatan antijamur topikal. Kata-kata kunci: kandidiasis kutis, infeksi jamur, Candida, RSUD Ulin
The influence of perception on community behavior in managing household waste and toilet activities on the banks of the Martapura River, Banjar regency Iqra, Muhammad; Wydiamala, Erida; Sanyoto, Didik Dwi; Herawati, Herawati; Istiqomah, Ermina
Science Midwifery Vol 12 No 6 (2025): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i6.1814

Abstract

Martapura River, as one of the main rivers in South Kalimantan Province, plays a vital role in the lives of the people in Banjar Regency. However, many residents still dispose of household waste directly into the river and use floating latrines for bathing, washing, and defecating (MCK), a practice that continues to this day. Misperceptions can trigger behaviors that do not support river preservation and increase pollution. This study aims to analyze the influence of perceptions on community behavior in waste management and MCK activities. The research employs a quantitative approach with a cross-sectional design involving 100 respondents from communities along the Martapura River selected through purposive sampling. Data were statistically analyzed using the Structural Equation Modeling (SEM) with a 95% confidence level. Result showed that the community perceptions on waste management and MCK (bathing, washing and toilet) activities have a significant influence on their behavior (p-value <0.001).
Analysis of Risk Factors Associated with Maternal Mortality for the Period of 2022-2023 in City X Ariati, Haji; Noor, Meitria Syahadatina; Sanyoto, Didik Dwi; Al Audhah, Nelly; Musafaah, Musafaah
Journal La Medihealtico Vol. 5 No. 6 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i6.1830

Abstract

Maternal mortality rate as an indicator of The maternal mortality rate is an indicator of the nation's health status and a component of the development index and quality of life for a long time. MMR in South Kalimantan in 2023 was recorded as 145 deaths per 100,000 KH. X is the city that has the highest MMR in the last two years, namely 131 per 1000,000 KH in 2022 and 131 per 1000,000 KH in 2022 and 145 per 100,000 KH in 2023. To determine the relationship between age, parity, medical history, education level, income, family support and mortality, education, income, family support with maternal mortality in the period 2022-2023 in X City. This study used a case control design. The research subjects consisted of 87 respondents in the working area of the X City Health Office. X city. Data analysis chi square test and multiple logistic regression test. The results of the study The results showed that the most dominant variables associated with maternal mortality in X City is the most dominant in sequentially starting from the most dominant is the history of disease (10.234), age (7.757), parity (6.327), family support (4.874), income (1.309), and education level (1.206). (1,206). There is an association between age, parity, history of illness, and, family support but no association of education level and income with maternal mortality for the period 2022-2023 in X City.
SWOT Analysis at The Lambung Mangkurat Medical Center Clinic in Banjarbaru Alin, Dhemes; Sanyoto, Didik Dwi; Iskandar, Iskandar
Jurnal Berkala Kesehatan Vol 10, No 2 (2024): JURNAL BERKALA KESEHATAN
Publisher : Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i2.19135

Abstract

Lambung Mangkurat Medical Center (LMMC) Banjarbaru Clinic has only focused on providing health services without any evaluation of achievements. The facilities and infrastructure are inadequate to support health services. Additionally, financial governance and Human Resources (HR) management are not yet optimal. The purpose of this study is to analyze SWOT at the Lambung Mangkurat Medical Center (LMMC) Clinic as a guide for running a better and more focused. This type of research using quantitative methods with descriptive observational design. The object of this research is the LMMC Banjarbaru Clinic. This research was carried out in March 2024 at the LMMC Clinic in Banjarbaru. Quantitative analysis was obtained by SWOT (Strength, Weakness, Opportunity, Threat) analysis. Based on the results of this study there was the LMMC clinic in quadrant 1, which means this position supports an aggressive strategy where the clinic has opportunities and strengths.
Analisis Faktor Yang Berhubungan Dengan Kejadian Anemia Pada Remaja Putri SLTA Wilayah Kerja UPTD. Puskesmas Tamiang Layang Mardini, Heni; Sanyoto, Didik Dwi; Ringoringo, Harapan Parlindungan; Audhah, Nelly Al; Kania, Nia
An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal) Vol 12, No 1 (2025): AN-NADAA JURNAL KESEHATAN MASYARAKAT (JUNI)
Publisher : Universitas Islam Kalimantan Muhammad Arsyad Al Banjari Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31602/ann.v12i1.14433

Abstract

Anemia adalah kondisi di mana jumlah sel darah merah menurun dan kadar hemoglobin kurang dari nilai normal. Wanita pada usia remaja adalah kelompok usia yang berisiko tinggi menderita anemia. Anemia tertinggi di Kabupaten Barito Timur di di wilayah kerja UPTD Puskesmas Tamiang Layang sebesar 61,46%. Mengetahui hubungan antara kejadian anemia pada remaja putri  di SLTA wilayah kerja UPTD Puskesmas Tamiang Layang Penelitian bersifat observasional analitik menggunakan pendekatan cross sectional dengan populasi 447 orang didapatkan 103 orang sebagai sampel menggunakan teknik purposive Sampling. Instrumen penelitian adalah kuesioner. Variabel terikat:anemia. Variabel bebas: pengetahuan, sikap, asupan suplemen zat besi, pendapatan orang tua, dan pendidikan ibu. Analisis bivariat menggunakan chi square dan multivariat menggunakan regresi logistik berganda Hasil penelitian menunjukkan terdapat hubungan antara Pengetahuan (p=0,000), sikap(p=0,000), Asupan Suplemen Zat Besi (p=0,000), Pendapatan  orang tua(p=0,003), dan pendidikan ibu (p=0,000). Variabel pengetahuan paling berhubungan dengan kejadian anemia pada remaja putri. (Exp(B)= 23,560). Pengetahuan, sikap, asupan suplemen zat besi, pendapatan orang tua, dan pendidikan ibu adalah variabel yang paling berhubungan dengan kejadian anemia. Kata Kunci : Anemia, Asupan suplemen zat besi, Pendapatan orang tua, Pengetahuan, Pendidikan Ibu, dan sikap
Analisis faktor yang berhubungan dengan kepesertaan jaminan kesehatan nasional Riana, Riana; Sanyoto, Didik Dwi; Ilmi, Bahrul; Febriana, Silvia Kristanti Tri; Herawati, Herawati
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.855

Abstract

Background: National health insurance is a program that is able to increase the achievement of Universal Health Coverage (UHC) and can help create optimal health levels. As for the data on national health insurance participation in Banjar Regency, which is still low, national health insurance participation in the Martapura 1 Health Center working area is still below 50% of the total population. Purpose: To analyze factors related to participation in national health insurance. Method: This study is quantitative with an observational analytical cross-sectional research design. The study was conducted in the Martapura 1 Health Center Working Area. The sampling technique used probability sampling technique with the cluster proportional random sampling method and the number of samples was 110 respondents. Data analysis used univariate, bivariate, and multivariate analysis. Bivariate analysis used the chi-square test and multivariate analysis used multiple logistic regression test. Results: There is no relationship between geographic accessibility and national health insurance participation (p-value = 0.300). However, there is a relationship between perception (p-value = 0.000), family support (p-value = 0.000), income (p-value = 0.047), and information accessibility (p-value = 0.029). The most dominant related variable is the family support variable with an Exp (B) value of 6.891. Conclusion: There is no relationship between geographic accessibility and national health insurance participation. However, there is a relationship between perception, family support, income, and information accessibility and the most dominant relationship is family support with national health insurance participation. Suggestion: The public is expected to be more concerned and think positively about the national health insurance program and actively participate. The Health social security agency needs to strengthen socialization, especially through social media.   Keywords: Family Support; Income; Information Accessibility; National Health Insurance; Perception.   Pendahuluan: Jaminan kesehatan nasional (JKN) adalah program yang mampu meningkatkan pencapaian Universal Health Coverage (UHC) dan dapat membantu menciptakan derajat kesehatan yang optimal. Adapun pada data kepesertaan JKN di Kabupaten Banjar yang masih rendah kepesertaan JKN yaitu di wilayah kerja Puskesmas Martapura 1 masih mencapai dibawah 50% dari total jumlah penduduk. Tujuan: Untuk menganalisis faktor yang berhubungan dengan kepesertaan jaminan kesehatan nasional. Metode: Penelitian ini bersifat kuantitatif dengan desain penelitian observasional analitik cross sectional. Penelitian dilakukan di Wilayah Kerja Puskesmas Martapura 1. Teknik pengambilan sampel menggunakan teknik probability sampling dengan metode cluster proporsional random sampling dan jumlah sampel sebanyak 110 responden. Analisis data menggunakan analisis univariat, bivariat, dan multivariat. Analisis bivariat menggunakan uji chi-square dan analisis multivariat menggunakan uji regresi logistik ganda. Hasil: Tidak terdapat hubungan antara keterjangkauan geografi dengan kepesertaan JKN (p-value=0.300). Namun, ada hubungan antara persepsi (p-value=0.000), dukungan keluarga (p-value=0.000), pendapatan (p-value=0.047), dan aksesibilitas informasi (p-value=0.029). Adapun variabel yang berhubungan paling dominan adalah variabel dukungan keluarga dengan nilai Exp (B)= 6.891. Simpulan: Tidak terdapat hubungan antara keterjangkauan geografi dengan kepesertaan JKN. Namun, ada hubungan antara persepsi, dukungan keluarga, pendapatan, dan aksesibilitas informasi serta hubungan paling dominan pada dukungan keluarga dengan kepesertaan JKN. Saran: Masyarakat diharapkan lebih sadar dan berpikir positif terhadap program JKN serta aktif menjadi peserta. BPJS kesehatan perlu memperkuat sosialisasi, khususnya lewat media sosial.   Kata Kunci: Aksesibilitas Informasi; Dukungan Keluarga; Jaminan Kesehatan Nasional; Pendapatan; Persepsi.
HUBUNGAN MOTIVASI DAN PERSEPSI TENTANG KEPEMIMPINAN DIREKTUR RUMAH SAKIT TERHADAP KEPUASAN KERJA PERAWAT RSUD RATU ZALECHA MARTAPURA ., Khairunnisa; Ariffin, Syamsul; Adenan, Adenan; Sanyoto, Didik Dwi; Musafaah, Musafaah
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 7 No 1 (2025)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v7i1.210

Abstract

Nurse job satisfaction will greatly affect the fulfillment of nursing care duties so that services to patients will be provided optimallyRatu Zalecha Martapura Regional General Hospital is known based on preliminary studies on 45% of nurses explaining that there is no appreciation, recognition and complaints about working conditions that require extra precision and responsiveness so that work fatigue sometimes arises and a feeling of laziness at work. The purpose of this study was to determine the relationship between motivation and perceptions of nurses about the leadership of Hospital Directors on Job Satisfaction of Inpatient Nurses at Ratu Zalecha Martapura Regional Hospital. The design of this study used an analytic observational method with a cross sectional approach. The research subjects were all inpatient nurses with a total of 163 nurses (totality sampling), using a questionnaire instrument through the fisher exact test and chi-square test. The results showed that nurses' work motivation was high (84.0%), nurse leadership perceptions were combination oriented (52.8%), nurse job satisfaction was high (82.8%), the relationship between motivation and nurse job satisfaction (p value = 0.000), the relationship between perceptions of leadership on job satisfaction (p value = 0.020). In conclusion, there is a partially significant relationship between motivation and nurses' perceptions of the leadership of the Hospital Director on the job satisfaction of inpatient nurses at Ratu Zalecha Martapura Regional General Hospital.
Evaluating The Impact Of Professional Caregiver Performance Factors On Outpatient Satisfaction Kurniasari, Annisa; Istiqomah, Ermina; Sanyoto, Didik Dwi; Illiandri, Oski; Jun Chen, Hana W; Nugroho, Adi
Jurnal Kesehatan Manarang Vol 11 No 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i1.1454

Abstract

The performance of professional caregivers and patient satisfaction are closely interrelated and mutually influential. As a primary indicator of dental healthcare quality, patient satisfaction is shaped by the comparison between service expectations and the actual care received. Satisfaction increases with excellent performance and decreases with poor performance. This study analyzed the association between key performance factors—specifically promptness, attitude, and communication of professional caregivers—and patient satisfaction in the Outpatient Unit of Gusti Hasan Aman Dental and Oral Hospital. An analytic observational design with a cross-sectional approach was employed, involving 105 patients selected through accidental sampling. Chi-square tests revealed significant associations between attitude (p = 0.000) and communication (p = 0.000) in service and patient satisfaction. However, no significant association was found between promptness (p = 0.331) and patient satisfaction. Multiple logistic regression analysis further confirmed the importance of attitude (p = 0.016) and communication (p = 0.005) in service as factors related to patient satisfaction, with communication emerging as the most dominant factor (OR = 6.064; 95% CI: 1.711–21.490). The analysis also considered respondent characteristics such as age, gender, type of healthcare financing, and education level. In conclusion, attitude and communication in service were significantly associated with patient satisfaction, with communication being the most influential factor.
Co-Authors Adenan Adenan, Adenan Adi Nugroho Airlangga, Dimas Ikhsan Alin, Dhemes Ariati, Haji Ariffin, Syamsul Armelin, Armelin Arsyiana, Fathia Asnawati Asnawati Bahrul Ilmi Cibro, Impana DEWI SARTIKA Dona Marisa, Dona Edi Hartoyo Eko Suhartono Ermina Istiqomah, Ermina Essary, Erika Dewi Fakhrurrazy Fakhrurrazy Fayujana, Astri Meliani Hadi, Sukses Hadiqo, Nafisatul Harapan Parlindungan Ringoringo, Harapan Parlindungan Hayati, Azka Herawati Herawati Husaini Husaini Husna Dharma Putera, Husna Dharma Iqra, Muhammad Iskandar Iskandar Istiana Istiana Istiqamah, Ermina Jun Chen, Hana W Khairunnisa ., Khairunnisa Kurniasari, Annisa Luthfiyyah, Rifaa Mardini, Heni Marhaeni, Wulandewi Meitria Syahadatina Noor Muhammad Reyzaldy Rahim Muljanto, Selli Musafaah Musafaah Nelly Al Audhah Nelly Al Audhah Nia Kania Oski Illiandri Prasetyo, Okky Putri, Aulia Aurora Raflia Rahmiati Rahmiati Riana Riana, Riana Rohimah Rohimah Rosihan Adhani, Rosihan Saida, Noorsabila Sandaga, Putri Noor Sari, Nanda Haliza Savira Angelia Savitri, Dwiana Sekartaji, Hapsari Lintang Sibarani, Besty Siddik, Muhammad Silapurna, Endah Labati Silvia Kristanti Tri Febriana Siti Kaidah Triawanti Triawanti Triawanti, Wibowo, Inka Rya Wydiamala, Erida Zairin Noor