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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) MNJ (Malang Neurology Journal) Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Journal of Health Sciences Jurnal Kajian Ilmiah Kesehatan Dan Teknologi (JKIKT) Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesian Journal of Hospital Administration Jurnal Pengabdian Masyarakat dalam Kesehatan Jurnal Promotif Preventif Epidemiology and Society Health Review (ESHR) Pancasakti Journal Of Public Health Science And Research Majalah Ilmiah Olahraga (MAJORA) JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Jurnal Kesehatan komunitas Indonesia JHeS (Journal of Health Studies) Academic Hospital Journal Medicosphere Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat
Yanasta Yudo Pratama
Fakultas Kedokteran Universitas Islam Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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The Correlation of Education, Work, and Mother's Age with The Completeness of Basic Immunization in Toddlers at Puskesmas Kuok-Riau in Period of January-June 2013 Yanasta Yudo Pratama; Sifa Anisa Yaoma; Bambang Edi Susyanto
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 1 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i1.920

Abstract

Immunization prevents some dangerous diseases for children. Completeness of basic immunization is influenced by several factors. This study aims to determine the relationship between education, occupation, and maternal age with the completeness of basic immunization. This type of research is descriptive quantitative analytic with cross sectional method. This research was conducted in July 2013 at the Kuok-Riau Public Health Center. The number of samples is 75 and selected by non-probability sampling. Immunization status at the age of 30, 67.3% completed basic immunization and 32.7% did not complete basic immunization. For mothers aged 30 years, 30.4% completed basic immunization and 69.68% did not complete basic immunization. For mothers with education <9 years, 37.9% did not graduate and 62.1% graduated. For mothers with 12 years of education, 67.4% graduated and 32.6% did not graduate. For working mothers, 68.3% completed and 31.7% did not. Housewives, 41.2% completed and 58.8% did not. The results of correlation analysis with Chi-Square test obtained p-value 0.005 (p<0.05), education with immunization, p-value 0.017 (p<0.05), work status with immunization, p-value 0.022 (p<0 ,05). There is a relationship between maternal educational status, maternal employment status, and maternal age with immunization status.
Maternal factors associated with low birth weight infants Choironi, Emi Azmi; Pratama, Yanasta Yudo; Asya, Kahaya Ainin; Adnan, Muhammad Luthfi; Kuntari, Titik; AbuHilail, Hamza Sameeh Abd El Qader
JHeS (Journal of Health Studies) Vol. 9 No. 2 (2025): September
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.3976

Abstract

Indonesia has the second-highest prevalence of low birth weight (LBW) babies in ASEAN countries. Various factors contribute to this high incidence. This study examined the association between gestational weight gain (GWG), pre-pregnancy body mass index (BMI), and antenatal care (ANC) visits frequency towards LBW in a region of Indonesia with a high prevalence of LBW. This is an analytical observational study using cross-sectional design with utilizing medical records data, conducted in June-August 2022. We analyzed 78 medical records of pregnant women who gave term-singleton birth. Main independent variables were gestational weight gain, pre-pregnancy BMI, and ANC frequency. Data analysis was performed using statistical package program, including descriptive statistics, bivariate and multivariate analyses to explore associations between those factors and LBW occurrence. The mean of infant birth weight was 3115.4± 465.2 grams. Low birth weight proportion was 11.5%. More than 90% of subjects follow frequency of ANC visits for K1 and K4, but only a third of participants meet K6 ANC visit recommendation. Approximately half of the subjects (48.7%) had inadequate GWG. Bivariate analysis revealed a strong association between insufficient GWG and LBW (OR = 10.4, 95% CI = 1.233–87.74, p=0.013). However, pre-pregnancy BMI and ANC frequency showed no association with LBW. Inadequate gestational weight gain is significantly linked to an elevated risk of LBW. Emphasizing the appropriate quantity of ANC visits and regular monitoring of maternal weight gain throughout pregnancy is crucial to mitigate the risk of LBW.
Association between Gender and Occupation with Hypercholesterolemia Risk among Hypertension Population: A Cross-sectional Study: A Case Report Adnan, Muhammad Luthfi; Pratama, Yanasta Yudo
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 9 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Metabolic syndrome is one of the major global health problems. Hypertension and hypercholesterolemia are indicators in the diagnosis of metabolic syndrome. However, the analysis of the relationship between risk factors for hypercholesterolemia in the hypertensive population needs further study. This study aims to analyze the risk factors for hypercholesterolemia in hypertensive patients. This cross-sectional study was conducted at Depok 2 Community Healthcare Center with a focus on adult hypertensive patients. The results of blood pressure measurements, total cholesterol examinations, and participant characteristics were then analyzed using the Chi-Square test. 117 hypertensive patients were analyzed in this study with the majority being women (60.7%), elderly (70.1%), and household-based occupancy (70.1%). The majority of participants were diagnosed with grade I hypertension (53.8%) and hypercholesterolemia (59%). Women have higher risk of developing hypercholesterolemia than men (OR 3.38 (95% CI 1.555 – 7.361); p = 0.002), and non-household based occupancy were protective factor from hypercholesterolemia (OR 0.327 (95% CI 0.144 – 0.742); p = 0.008). Gender and occupation are risk factors for hypercholesterolemia in the hypertensive population. Education at the household level is needed for early detection of the risk of metabolic syndrome in the general population.
Acupuncture in the Treatment of Resistant Hypertension: A Narrative Review of Efficacy and Safety Pratama, Yanasta Yudo; Amelia, Vica Hilda; Mubarak, Muhammad Hamza; Adnan, Muhammad Luthfi
Pancasakti Journal Of Public Health Science And Research Vol 5 No 3 (2025): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v5i3.2004

Abstract

Resistant hypertension (RH) is a critical concern due to persistent uncontrolled blood pressure despite multiple medications, and its association with severe cardiovascular and renal complications. This narrative review aims to critically analyze existing research on acupuncture as an adjunctive treatment for RH, synthesizing evidence on its mechanisms and effects on clinical outcomes like blood pressure control and quality of life. A literature search was conducted from April to May 2025 across Google Scholar, PubMed, and ScienceDirect, using variations of keywords combination: resistant hypertension, acupuncture, electro-acupuncture, management, antihypertension, blood pressure. We found there is limited evidence for acupuncture application for RH management, even application for hypertension has been widely studied. Acupuncture is safety for hypertension management and has limited adverse event. In conclusion, acupuncture is a promising, generally safe complementary treatment for resistant hypertension, offering benefits beyond blood pressure reduction and improving quality of life, particularly for patients facing medication challenges. However, further rigorous, standardized research is needed to fully establish its role alongside conventional therapies.
Cortisol as Biomarker for Stress, Depression, And Physical Activity Among Medical Student: A Systematic Review Pratama, Yanasta Yudo; Rismayanthi, Cerika; Rahayu, Atikah
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 32 No. 1 (2025)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v32i1.2609

Abstract

Cortisol is one of the most commonly used stress biomarkers. Stress and depression are increasing in young people, especially among college students, especially medical students. Physical activity has been recommended for stress and depression relief, but its effect on cortisol has not been confirmed. This study aims to analyze cortisol measurements for stress, depression, their physical activity among medical student. This literature search utilized PubMed and Google Scholar, combining the keywords "cortisol", "stress", “depression”, “physical activity”, and "medical student" in publications from 2010 to 2025. Ten (10) studies that met our criteria. Most studies use saliva cortisol measurement to assess stress conditions. Our findings suggest cortisol as a measure of stress in medical students, but its contribution to the development of stress and depression remains unclear. There is no correlation between physical activity and cortisol in stress condition. Cortisol measurements can provide an objective test and reflect stress in medical students, but they do not adequately assess acute and stress-related cortisol release. Further studies are needed to assess the effectiveness of cortisol measurements.
Perbandingan Mutu Pelayanan Kesehatan Terhadap Kepuasan Pasien Rawat Inap: Sebuah Tinjauan Sistematis Sumadi, Andrias Feri; Pratama, Yanasta Yudo
Jurnal Promotif Preventif Vol 7 No 4 (2024): Agustus 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i4.1329

Abstract

Penelitian mengenai kualitas pelayanan kesehatan pasien di berbagai fasilitas kesehatan dipengaruhi oleh sumber pembiayaan sudah banyak dilakukan. Hal tersebut ditemukan juga di Unit Rawat Inap rumah sakit di Indonesia terhadap kepuasan pasien. Berbagai data menunjukkan bahwa terdapat perbedaan kualitas pelayanan pasien JKN dan pasien umum. Penelitian ini bertujuan untuk memperoleh gambaran perbandingan mutu pelayanan kesehatan pasien JKN dan non JKN yang ditinjau dari 5 dimensi (servqual) terhadap kepuasan pasien rawat inap rumah sakit di Indonesia. Penelitian ini merupakan tinjauan sistematik yang bersumber pada database Google Scholar, PubMed, Sciencedirect, JSTOR, dan ProQuest menggunakan kata kunci yang mencerminkan parameter PICO. Kata kunci tersebut digabungkan menggunakan boolean sesuai dengan database. Hasil pencarian diinklusi dan dieksklusi kemudian dinilai kualitasnya dengan critical appraisal, diekstraksi dan dianalisis untuk memperoleh hasil penelitian untuk menjawab pertanyaan penelitian. Hasil penelitian jurnal diperoleh 11 artikel yaitu delapan artikel menyatakan bahwa ada perbedaan dan empat artikel menyatakan tidak ada perbedaan kualitas pelayanan kesehatan pasien JKN dan Non-JKN terhadap kepuasan. Tidak terdapat perbedaan kualitas pelayanan kesehatan terhadap kepuasan pasien JKN dan non-JKN dikarenakan dalam keempat artikel menunjukan pernyataan tingkat kepuasan pasien JKN dan non-JKN sangat menyatakan puas dalam pelayanan kesehatan
Cohort Study in Outcome and One-Year Mortality of Acute Stroke Patient in Academic Hospital Universitas Gadjah Mada Maskuri, Fajar; Tyas, Humaera Elphananing; Talirasa, Nimitta; Wiastuti, Arni; Akhsani, Fathiya; Pratama, Yanasta Yudo
Academic Hospital Journal Vol 6, No 1 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i1.94520

Abstract

Background: Stroke is still becoming one of the most common non-communicable diseases in Indonesia. Sample Registration System survey in 2016 showed that in Indonesia stroke has become the most common cause of death at all age, about 19.9%. 4 Research conducted by Novbakht found that age, sex, BMI, type of stroke, family history of stroke, hyperlipidaemia, diabetes, and severity of stroke was related and increased the mortality rate. 6 Academic Hospital Universitas Gadjah Mada had not conducted this type of research, so that researcher wanted to know the one-year mortality rate after stroke, factors that related to mortality, and to improve the quality of stroke treatment at Academic Hospital Universitas Gadjah Mada.Objective: To know one-year mortality rate in acute stroke patients in Academic Hospital Universitas Gadjah Mada by looking for the acute stroke characteristic, outcome of stroke patients, and risk factors that cause mortality in stroke patients.Method: This is an analytic research using retrospective cohort study through data collection of acute stroke patients (patients with <5 days stroke onset) during July 2019 until June 2022 then we followed up the condition in the first year after stroke by using medical records, direct examination, or via telephone or video call. Mortality rates were assessed one year after stroke and the predictors of death were evaluated using the cox proportional hazard model.Result: One-year mortality after stroke in our study were related to age (>67 years old) (OR=2,29; 95% CI 1,18-4,46; p=0,015) and the severity of stroke was related to higher NIHSS score (NIHSS score during admission 16-42, (OR=38,49; 95% CI 8,92-166,0; p<0,001)) and ICU admission ((OR=8,01; 95% CI 4,03-15,90; p<0,001)).  Conclusion: An association was found between stroke severity and one-year outcomes of acute stroke patients with old age (>67 years), high NIHSS scores, and ICU admissions
Characteristics of Trauma Patients Who Died at UGM Academic Hospital (RSA UGM) Prananingrum, Febriana; Tyas, Humaera Elphananing; Caswita, Aditya Bagas; Dewa Rachmat, Radyan Artha; Widyastuti, Rina; Lestari, Ade Febrina; Darwito, Darwito; Pratama, Yanasta Yudo
Academic Hospital Journal Vol 6, No 1 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i1.94712

Abstract

BACKGROUND : Trauma becomes the main health problem worldwide due to its high mortality rate. Traffic accidents are a trauma with a high incidence and death rate in Indonesia, specifically in Yogyakarta. Factors causing trauma-related death are the lack of hospital infrastructure, the lack of quality human resources, the lack of standardization of trauma management, and the limited number of hospitals providing comprehensive trauma services. This research aims to identify the characteristics of trauma patients who died while receiving medical treatment at UGM Academic Hospital and to analyze the mortality of patients according to the trimodal distribution to prepare this hospital to become a trauma center hospital.METHOD : This quantitative descriptive research used a cross-sectional method. Data were taken from medical records of patients admitted to the ER of UGM Academic Hospital in 2018-2023 based on predetermined inclusion and exclusion criteria. The research was conducted from March to November 2023.RESULT : This research involved 58 patients consisting of 42 (72.4%) male and 16 (27.6%) female patients. The most common cause of death was brain injury (63%), followed by spinal cord injury (13.7%), multi-organ failure and sepsis (8.6%), cardiac and respiratory arrest (6.8%), and comorbidities patients (6.8%).CONCLUSION : The majority of trauma patients who died at the UGM Academic Hospital are male and aged 60-80 years with the main cause of death of brain injury. The patient dies at the late death stage based on trimodal distribution of death time.
Pneumonia COVID-19 pada Anak dengan Penyakit Jantung Bawaan Asianotik: Sebuah Laporan Kasus Az Zahra, Afifah; Pratama, Yanasta Yudo; Febrina Lestari, Ade; Tyas, Humaera Elphananing; Dewi Sitoresmi Ayuningtyas, Raden Rara; Choironi, Emi Azmi
Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat Vol. 1 No. 1 (2023)
Publisher : Fakultas Kedokteran, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/bikkm.vol1.iss1.art5

Abstract

Anak sebagai salah satu populasi beresiko tinggi terinfeksi COVID-19. Kasus rawat inap COVID-19 pada anak di Indonesia terus meningkat dan lebih besar persentasenya dibanding negara lain. Anak-anak dengan penyakit komorbid dapat memperparah gejala COVID-19 hingga menyebabkan kematian. Tujuan penulisan artikel ini adalah untuk melaporkan kasus Pneumonia COVID-19 disertai dengan Penyakit Jantung Bawaan (PJB) asianotik untuk mendiskusikan kemungkinan diagnosis banding lain sebagai pemahaman dalam melakukan pengelolaan pasien dengan lebih optimal. Anak perempuan 13 tahun 6 bulan dirujuk ke Rumah Sakit Akademik Universitas Gadjah Mada dengan keluhan utama sesak napas sejak 3 hari sebelum masuk rumah sakit, disertai nyeri perut, mual, muntah, dan berat badan susah naik beberapa bulan ini. Pasien memiliki gangguan jantung PJB asianotik ASD secundum dan VSD subaortic berdasarkan hasil echocardiography. Pemeriksaan fisik ditemukan penurunan saturasi, murmur holosistolik, dan nyeri tekan abdomen regio kanan dan kiri. Selama perawatan sesak semakin bertambah. Selama perawatan ditemukan leukositosis, neutrofilia, peningkatan NLR test, peningkatan PPT, penurunan APTT, hiponatremia, hipoksemia, hipoksia, alkalosis respiratorik, dan tes PCR positif Covid-19. Gambaran rontgen dada menunjukkan pneumonia dextra dan kardiomegali. Pasien dipasang ventilator mekanik selama perawatan di ruang isolasi PICU. Setelah 2 hari perawatan pasien mengalami henti jantung hingga meninggal. Anak dengan komorbid dan peningkatan CRP yang terinfeksi COVID-19 menyebabkan gejala yang berat dan serius. Telah dilaporkan seorang anak perempuan 13 tahun 6 bulan yang meninggal karena COVID-19. Meskipun pandemik COVID-19 sudah mereda, perlu meningkatkan kewaspadaan yang tinggi terhadap virus maupun bakteri lain terutama bagi populasi yang rentan terinfeksi.
Efektivitas Bubuk Kayu Manis (Cinnamommum Burmanii) Untuk Pengendalian Lalat Rumah (Musca Domestica) Mohamad, Sri Wahyunita; Boekoesoe, Linjte; Ayini, Nur; Pratama, Yanasta Yudo; Machfud, Achmad Ali
Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat Vol. 2 No. 1 (2024)
Publisher : Fakultas Kedokteran, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/bikkm.vol2.iss1.art4

Abstract

Latar Belakang: Lalat rumah (Musca domestica) merupakan salah satu vektor yang banyak di Indonesia, dan cara penularannya yang sangat sederhana dan terjadi secara mekanis. Di mana lalat rumah ini menyebarkan parasit melalui kontak langsung dengan Host tanpa disertai Perkembangbiakan parasit dalam tubuh lalat tersebut. Insektisida alami salah satu cara mengendalikan Lalat rumah menggunakan Kayu manis Tujuan: Penelitian ini bertujuan untuk mengetahui Efektivitas Bubuk Kayu manis (Cinammomum burmanii) pada Konsentrasi 8%, 10%, 12% dengan waktu pengamatan setelah 1x24 jam. Metode: Penelitian ini menggunakan metode Eksperimental Murni dengan Rancangan Acak Lengkap (RAL). Sampel penelitian sejumlah 45 ekor lalat rumah dengan 5 lalat rumah pada masing-masing kosnentrasi yang digunakan yaitu 8%, 10%, dan 12% dengan 3 kali pengulangan diamati setelah 1x24 jam. Hasil: Jumlah kematian lalat rumah pada konsentrasi 8 persen saringan bubuk kayu manis dengan pengulangan:jumlah ekor yang mati yakni (I: 1 ekor; II: 1 ekor; III: 2 ekor) dengan persentase kematian lalat 26%, sedangkan pada konsentrasi 10% dengan pengulangan:jumlah ekor yang mati (I: 3 ekor; II: 3 ekor; III: 4 ekor), serta pada konsentrasi 12% dengan pengulangan:jumlah ekor yang mati yakni (I:5 ekor; II:4 ekor; III:5 ekor). Hasil uji One-Way ANOVA menunjukkan nilai signifikansinya 0,001 (p-value <0,05), yaitu dan konsentrasi yang paling efektif pada bubuk kayu manis untuk pengendalian lalat rumah yaitu pada konsentrasi 12% Simpulan: Saringan bubuk kayu manis (Cinammomum burmani) efektif untuk pengendalian lalat rumah (Musca domestica). Konsentrasi bubuk kayu manis untuk pengendalian lalat rumah yang paling efektif adalah 12%
Co-Authors AbuHilail, Hamza Sameeh Abd El Qader Achmad Yasin Mustamin Achmad Yasin Mustamin Achmad Yasin Mustamin Adnan, Muhammad Luthfi Adnan, Muhammad Luthfi Afnia, Pangestika Nur Afridhia Bidari Fachrudin Afridhia Bidari Fachrudin Akhsani, Fathiya Amelia, Vica Hilda Andita Rahmanda Annisa Tristifanny Arijadi, Desi Asya, Kahaya Ainin Atikah Rahayu Ayini, Nur Ayu Dewi Mahila, Niufti Az Zahra, Afifah Bambang Edi Susyanto Boekoesoe, Linjte Budiastuti, Ernadita Cahyaningrum, Yeny Dyah Caswita, Aditya Bagas Cerika Rismayanthi Clarista Ardelia Rahardjo Clarista Rahardjo Darwito, Darwito Dewa Rachmat, Radyan Artha Dewi Sitoresmi Ayuningtyas, Raden Rara Dyah Suryani Elyn Arlinda Emi Azmi Choironi Erlina Marfianti, Erlina Evicennianing Tyas, Rosyida Fajrul Falah Farhany Febrina Lestari, Ade Febrina Sucihati Futihatul Baidho Hamza AbuHilail Handayani, Lina Hidayat, Muhammad Syamsu Ichlasul Amalia Kurniawan Dwi Saputra Lana Unwanah Lestari, Ade Febrina Lina Handayani Machfud, Achmad Ali Mardiyoko, Ibnu Margono Margono Marwan Rosada Marwati, Tri Ani Maskuri, Fajar Miftahurrahmi, Rofifah Miranti Dewi Pramaningtyas Mohamad, Sri Wahyunita Mubarak, Muhammad Hamza Muhammad Luthfi Muhammad Luthfi Muhammad Yusrin Al Gifari Mutiara Annisa Nadia Rachma Nirwingsyah Nailul Husna Naufal Arif Ismail Ning Tyas, Humaera Elphananing Nurmasitoh, Titis Prananingrum, Febriana Purwadi Sujalmo Rissa Widyasworo Hartanti Rochmi Isnaini Rismawanti Rochmi Isnaini Rismawanti Rochmi Rismawanti Rofifah Miftahurrahmi Rosita Purwanto Rosita Yunanda Purwanto Rosita Yunanda Purwanto Rosita Yunanda Purwanto Sameeh Abd El Qader AbuHilail, Hamza Santoso, Griselda Elisse Sava Nuraida, Aisha Senjarani, Baiq Bening Sifa Anisa Yaoma Sitti Djannah Solikhah Solikhah Sri Wahyunita Mohamad Sri Wahyunita Mohamad Sukarno, Rizky Triutami Sulistyawati Sulistyawati Sumadi, Andrias Feri Sunarti Sunarti Suryalfihro Al-Ghozi, Yasfi Talirasa, Nimitta Titik Kuntari Tri Ani Marwati Tri Ani Marwati Tri Ani Marwati Tri Ani Marwati Tri Ratnaningsih Tri Wulaningrum Trismadani Erlina Putri Tristifany, Annisa Tyas, Humaera Elphananing Usman, Muhammad Alvin Ramadhan Wahyuningsih - Wandira Lalitya Wandira Lalitya Wandira Lalitya Wiastuti, Arni Widyasari, Vita Widyastuti, Rina Yaltafit Abror Jeem