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Analysis Of The Role Of Management In The Implementation Of CP DBD In Inpatient Children At Hospital X Ristiyana, Lia Sarita; Jati, Sutopo Patria; Arso, Septo Pawelas
Eduvest - Journal of Universal Studies Vol. 4 No. 8 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i8.1635

Abstract

This study investigates the implementation of clinical pathways (CPs) for pediatric Dengue Hemorrhagic Fever (DHF) inpatients at Hospital X, a Type C hospital in Indonesia, focusing on the role of management in CP development and compliance. Clinical pathways aim to enhance hospital efficiency, quality of care, and patient satisfaction. However, the study identified several issues in CP implementation, including incomplete documentation, lack of socialization and training among staff, and inadequate managerial involvement in CP development and oversight. Data were collected through in-depth interviews with attending physicians, nurses, pharmacy staff, and medical management, along with analysis of 53 pediatric DHF CPs. Results showed that CP compliance rates were below 80%, and the hospital's organizational role in CP development, as assessed by the ICPAT dimension 6 instrument, was insufficient. Key areas of non-compliance included lack of evidence of clinical governance, integration with other hospital initiatives, and adequate support for CP documentation and variation reporting. Recommendations include increasing management involvement, providing comprehensive training for staff, and implementing regular CP evaluations. The findings highlight the need for stronger multidisciplinary collaboration and hospital management support to optimize CPs, ensure compliance, and improve service quality.
Factors Affecting Nurse Response Time in Handling Traffic Accident Cases in the Emergency Room of District Semarang Lestari, Ayu Fina; Arso, Septo Pawelas; Jati, Sutopo Patria
Eduvest - Journal of Universal Studies Vol. 4 No. 11 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i11.1736

Abstract

The emergency department (ED) of a hospital plays a crucial role in managing emergency cases, including initial examination, resuscitation, and stabilization. Timely and precise intervention in the ED is vital, as prompt treatment can reduce mortality by up to 30%. Conversely, delayed response times can lead to permanent disability or death. An emergency is defined as a clinical situation requiring immediate medical action to save lives and prevent disability. In this study, the majority of patients (over 80%) admitted to the ED were victims of traffic accidents, including motorcycle, car, bicycle, and pedestrian incidents, while the remainder involved falls, impacts with objects, and violence-related injuries. This research utilized a total sampling method, where all members of the population were included as samples. The study results indicate that training significantly improves nurse response times in handling traffic accident cases in the ED of Semarang Regency Hospital. Additionally, triage skills have a significant positive impact on nurse response times, as does the work environment. However, the workload was found to have an insignificant positive effect on response times. These findings underscore the importance of training, triage proficiency, and a supportive work environment in enhancing nurse response times in emergency situations, particularly in traffic accident cases. Further research may explore additional factors influencing response times and the potential for improving patient outcomes in emergency settings.
Challenges and Implementation of Drug Inventory Control in Hospitals: Literature Review Syahidah, Putri Nadya; Sriatmi, Ayun; Arso, Septo Pawelas
Eduvest - Journal of Universal Studies Vol. 4 No. 11 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i11.44768

Abstract

One of the most important hospital management functions is the management of pharmaceutical drug logistics. Drug planning is the process of selecting the type and quantity of drugs required for procurement. Various managerial theories can be used to analyze drug control in pharmaceutical installations, and three research journals on pharmaceutical drug logistics control in hospitals are used for this literature review. The results of the analysis show that there are four methods in drug control: EOQ (economic purchase amount), ABC (better control at all times), ROP (point of repurchase), and VEN (vital, essential, and non-essential). One way to help pharmaceutical logistics stock inventory be more efficient, efficient, and responsive to patient needs and service dynamics is to apply one or a combination of these four methods. Good drug stock management can ensure optimal inventory control, improve service quality, reduce costs, and better manage risks.
Improving Students' Oral Hygiene Through School Dental Health Program: A Meta-Analysis Wijaya Hermawan, Gandha; Shaluhiyah, Zahroh; Arso, Septo Pawelas
Journal of Maternal and Child Health Vol. 9 No. 6 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.06.01

Abstract

Background: Oral health is a vital component of overall well-being. The School Dental Health Program (UKGS) is designed to enhance students' oral hygiene through education and health promotion initiatives. This study conducted a systematic review of the literature to evaluate the effectiveness of the UKGS program in improving oral hygiene among students. Subjects and Method: The literature search was conducted in November 2024 using the PubMed, Scopus, and Google Scholar databases. The search employed keywords such as “School Dental Health Program,” “UKGS,” “oral hygiene,” “dental health,” “students,” “school,” “intervention,” “health education,” and “effectiveness.” Studies were included if they evaluated the effectiveness of the UKGS program in improving students' oral hygiene, were published in either Indonesian or English, and utilized quantitative or qualitative research designs. Studies were excluded if they did not address the UKGS program, were not relevant to the research question, used non-empirical methods, or were published before 2010. Due to time constraints, a total of 14 articles were selected for analysis. These studies explored various factors affecting the effectiveness of the program, including the frequency and duration of implementation, educational methods used, support from parents and teachers, and students’ socioeconomic backgrounds. Results: The UKGS program has the potential to enhance students' knowledge, attitudes, and practices related to oral hygiene. However, its effectiveness is influenced by several key factors, including the involvement of parents and teachers, the use of engaging and interactive educational methods, and access to dental health services. Based on these findings, the study offers several recommendations to improve the future effectiveness of the UKGS program. These include increasing the frequency and duration of program implementation, incorporating more interactive and engaging educational approaches, and addressing existing gaps in access to dental health services. Conclusion: The UKGS Program has great potential in improving students' oral hygiene. However, to achieve optimal results, the program needs to be well-designed and consistently implemented by considering various factors that influence its effectiveness. By implementing the recommendations mentioned, it is hoped that the UKGS program can be more successful in improving oral health among students.
INCREASING YOUTH INVOLVEMENT IN MOTHER AND CHILD HEALTH PROGRAMS IN THE WORK AREA OF PONCOL PUBLIC HEALTH CENTER: PENINGKATAN KETERLIBATAN REMAJA DALAM PROGRAM KESEHATAN IBU DAN ANAK DI WILAYAH KERJA PUSKESMAS PONCOL Nandini, S.KM., M.Kes, Nurhasmadiar; Budiyanti, Rani Tiyas; Fatmasari, Eka Yunila; Arso, Septo Pawelas; Jati, Sutopo Patria
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 5 No. 2 (2023): DECEMBER 2023
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/dc.V5.I2.2023.76-81

Abstract

Latar belakang: Remaja memiliki peran yang penting dalam pelaksanaan program kesehatan, salah satunya berkaitan dengan penggunaan teknologi oleh remaja dalam media penyebaran informasi dan komunikasi kesehatan khususnya terkait kesehatan ibu dan anak dengan sasaran para ibu milenial. Tujuan: Tujuan kegiatan ini adalah untuk meningkatkan peran serta remaja dalam upaya peningkatan kesehatan ibu dan anak.. Metode: Kegiatan dilaksanakan pada bulan Juli sampai dengan Oktober 2022 di wilayah kerja Puskesmas Poncol. Tahapan kegiatan antara lain koordinasi, FGD, dan sosialisasi kepada remaja yang berasal dari karang taruna di wilayah kerja Puskesmas Poncol. Hasil: Kegiatan ini dilaksanakan dalam beberapa tahap. Pada tahap FGD, didapatkan hasil bahwa remaja masih kurang dilibatkan dalam kegiatan yang berkaitan dengan kesehatan ibu dan anak, namun mereka memiliki keinginan untuk berkontribusi dalam upaya tersebut. Sehingga dibutuhkan penekanan dan penjelasan mengenai peran apa saja yang dapat dilakukan oleh para remaja. Kegiatan sosialisasi dilaksanakan dengan menjelaskan peran remaja dalam kesehatan ibu dan anak, isu kesehatan ibu dan anak yang perlu menjadi perhatian, dan lain sebagainya. Kegiatan sosialisasi dihadiri oleh perwakilan dari 10 kelompok Karang Taruna di wilayah kerja Puskesmas Poncol. Kesimpulan: Kegiatan terlaksana dengan baik pada seluruh tahapannya. Respon remaja cukup baik, meskipun beberapa kelurahan hanya mengirimkan beberapa perwakilan saja akibat permasalahan waktu dan agenda. Mereka berharap terdapat pendampingan lebih lanjut untuk sasaran kesehatan remaja ke depannya.
Assessing the Impact of Visual Educational Interventions on User Adoption of Electronic Medical Records in the Inpatient Ward of RSUD Dr. Soeselo, Tegal Regency Prihati, Eko; Arso, Septo Pawelas; Agushybana, Farid
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.679

Abstract

Aims: Electronic medical records (EMRs) are information systems used to store and manage patients' medical information electronically. Despite being a well-established technology, their implementation often faces resistance, particularly in terms of users' readiness to adapt to new technologies. This study aims to evaluate the acceptance of EMRs among healthcare professionals in the inpatient installation of RSUD Tegal. Methods: The study employed a Quantitative Pre-Experimental method with a One group Pre-test Post-test experimental design. It assessed changes or differences in user acceptance by examining attitudes and behavioral intentions of users before and after learning through video-based instruction. Pre-test and post-test questionnaires were used for data collection. Results: Data analysis revealed an Asymp.Sig. value of 0.000, which is less than 0.05. This indicates that Ho (the null hypothesis) is rejected, suggesting a difference in the average results of the Pre-test on the six variables related to user acceptance of EMRs. Similarly, the Friedman Test Post-test yielded an Asymp. Sig. value of 0.000, also less than 0.05. This further supports the rejection of Ho, indicating a difference in the average results of the six variables. Additionally, the influence of video-based learning on behavioral intentions to use EMRs was determined with a Wilcoxon Signed Ranks Test, resulting in an Asymp.sig (2-tailed) value of 0.000. Conclusion: The study found that there is an increase in behavioral intentions to use EMRs after learning through video-based methods.
Systematic review: Application of lean management in improving service efficiency in hospitals in Indonesia Sari, Emy Novita; Arso, Septo Pawelas; Jati, Sutopo Patria
Indonesian Journal of Multidisciplinary Science Vol. 3 No. 2 (2023): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/ijoms.v3i2.679

Abstract

Patient satisfaction is affected by the quality of care provided by hospitals. Background: According to the Indonesian Ministry of Health in 2022, the waiting time in Indonesian hospitals is still far from ideal. Lean can be used as a method to solve this problem. Lean is a systematic approach to eliminate waste and improve efficiency. Lean Hospital aims to improve the quality of patient care by reducing waiting time. This study aims to determine the effect of lean management on the efficiency of hospital services in Indonesia. This study was a systematic review and meta-analysis using the PRISMA diagram. The search for articles was based on the eligibility criteria of the PICO model. P = Hospital Management; I = Hospitals that Implement Lean Management; C = Hospitals that Do Not Implement Lean Management; O = Service Efficiency. The articles used were from 4 databases, namely: Google Scholar, Portal Garuda, PubMed, and Researchgate. With keywords including "Lean" AND "service efficiency" AND "hospital" AND "cross sectional". The articles were analyzed using the PRISMA diagram and the Review Manager application. The implementation of Lean hospital services can significantly improve efficiency, as indicated by an odds ratio of 2.43, consistent with previous studies. The p-value in the heterogeneity test is less than 0.05, indicating no heterogeneity problem.
Factors influencing health worker compliance in implementing patient safety goals in Indonesia: Systematic review Gani, Martinus Satya; Arso, Septo Pawelas; Dwiantoro, Luky
Indonesian Journal of Multidisciplinary Science Vol. 3 No. 2 (2023): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/ijoms.v3i2.680

Abstract

The compliance rate of health workers in patient safety is not fully good at 68.7% and the implementation of patient safety in Indonesia is not optimal at 74.2% whereas in 2016 in Indonesia there were still 31 cases related to patient safety. To determine the factors that affect the compliance of health workers in the implementation of patient safety goals using a systematic review approach. This study uses a systematic review method from 9 studies using a quantitative approach commonly called a meta-analysis. The search for the source of this research data uses PRISMA flow charts from several databases such as Google Scholar, garuda portal, ProQuest, and Elsevier. Where published in the last 10 years (2013-2023). 25 variables were the same in the study between one researcher and another, namely age, gender, marital status, number of dependents, length of work, nurse knowledge, nurse motivation, supervision, nursing, organizational influence, educational status, compliance behavior, ability, supervisor support, fellow nurse support, workplace comfort, employment status, motivation, perception, nurse compliance, 6 patient safety goals, patient safety culture, patient identification, patient safety events, and patient fall prevention. The average P-Value value is 0.180, the minimum value of P-Value = 0.000, and the maximum value of P-Value = 0.995. 8 dominant factors influence health workers in implementing patient safety goals. 8 dominant factors influence health workers in implementing patient safety goals, namely knowledge, length of work, nurse work motivation, nurse perception, stress level and workload, nurse compliance, organizational influence, and supervisor support.
Analisis Kebijakan Dana Desa untuk Program Desa Tanggap COVID-19 di Desa Leyangan dengan Pendekatan Segitiga Kebijakan Rohmah, Virda Inzatur; Arso, Septo Pawelas; Budiyanti, Rani Tiyas
Jurnal Kebijakan Kesehatan Indonesia Vol 11, No 2 (2022): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.73721

Abstract

Coronavirus Disease 2019 (COVID-19) dideklarasikan sebagai pandemi global pada tahun 2020. Pemerintah Indonesia mengambil langkah mitigasi dan menetapkan beberapa kebijakan agar penanganan COVID-19 mempunyai payung hukum yang legal. Dengan diterbitkannya Surat Edaran Menteri Desa PDTT Nomor 8 Tahun 2020, Dana Desa diprioritaskan untuk upaya penanggulangan pandemi COVID-19 melalui program Desa Tanggap COVID-19. Desa Leyangan merupakan salah satu desa dengan dengan kasus COVID-19 terbanyak di Kecamatan Ungaran Timur. Serapan dana desa untuk penanggulangan COVID-19 sudah cukup besar yaitu sebanyak 44,6% dari total keseluruhan dana desa Leyangan.  Tujuan penelitian adalah untuk menganalisis kebijakan pengelolaan dana desa pada Program Desa Tanggap COVID-19 di Desa Leyangan dari aspek konten, konteks, proses dan aktor kebijakan. Desain penelitian menggunakan metode kualitatif dengan pendekatan deskriptif melalui indepth interview (wawancara mendalam). Penelitian dilakukan terhadap 9 responden yang terlibat dalam kebijakan dana desa. Kebijakan dana desa untuk pelaksanaan Desa Tanggap COVID-19 di Desa Leyangan belum optimal. Hal ini disebabkan oleh beberapa hal, yaitu: belum terdapatnya standar pelaksanaan dan target capaian yang terukur pada kebijakan terkait; masih terdapat pemerintah desa maupun masyarakat yang kurang menerapkan protokol kesehatan; kurangnya partisipasi anggota tim Tanggap COVID-19.  Diperlukan advokasi kepada pemerintah desa membuat standar pelaksanaan program dan target capaian yang terukur, serta penetapan regulasi yang jelas dan spesifik terkait pencegahan dan penanganan COVID-19 terutama di tingkat desa sesuai dengan kondisi di Kabupaten Semarang.
Scoping Review: Marketing Strategy of In Vitro Fertilization (IVF) Prabandani, Dyah Ayu; Winarni, Sri; Arso, Septo Pawelas
Journal of Social Research Vol. 2 No. 12 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i12.1552

Abstract

IVF or In Vitro Fertilization (IVF) is a new service program so to increase consumer or patient interest, a marketing strategy is needed that can increase the number of consumers themselves. This research uses the scoping review method to determine the marketing of test tube babies or IVF by formulating questions using the concepts P (Indonesia and Overseas), C (Marketing Strategy), and C (IVF). The results show that the promotion of In Vitro Fertilization (IVF) services is more efficient by using promotions on social media, distributing brochures, collaborating with ob-gyn doctors, and placing advertisements on websites related to IVF or IVF services. Promotion of IVF or IVF services is carried out to increase the number of users or patients who use these services. Several promotional media are considered capable of attracting customers to use IVF or IVF services, including promoting on social media, distributing brochures, collaborating with ob-gyn doctors, and placing advertisements related to IVF or IVF services on websites.
Co-Authors Ade Kurniasari Ade Yuny Afriyanty Adhinda Nur Prativi, Adhinda Nur Aditya Kusumawati, Aditya Aditya Nugraha Agung Budi Prasetijo Agung Budi Prasetijo, Agung Budi Ahmad Saroni Aini Nur Santi Aini Soeyono Ainur Rahma Alifa Nasyahta Rosiana Amad Mochamad Amalia Alifah Amirul Mukminin ANGELINE DEWI SUHENDRO Anggia Nuaristia Dewi Anneke Suparwati Antono Suryo Putro Antono Suryoputro Antono Suryoputro Apoina Kartini Apriliana Susilowati, Apriliana Arie Sulistiyoningrum Arie Sulistiyoningrum Arina Noor Eka Rachmawati Aris Puji Widodo Ariyani, Ima Astuti, Sri Widi Ayu Dyah Pramesti Ayun Sriatmi Bella Sarwestri Lestari, Bella Sarwestri Bernadette Teni Febriana Budiyono Budiyono Budiyono, Shabrina Putri Caesar al Ahmed Daminggo Cahya Tri Purnami Chandrika Fahira Quamila Chotijah Karimah Christanto, Yonathan Ardhana Christanto Christiana Nindya Timur Cika Hanjani Pratiwi Daru Lestyanto Dea Devita Dea Devita Dewi Susilowati Diah Eka Novitasari Dian Febrina Hutauruk Dian Widyaningrum Diantika, Aulia Haerda Dwiantoro, Luky Dyah Ayu Prabandani, Dyah Ayu Edlin Shufi Adam Eka Yunila Fatmasari Eka Yunila Fatmasari Eka Yunila Fatmasari, Eka Yunila Eko Prihati Elyarna Shania Wahyudi Endang Fatmawati Eri Virdasari Etik Nindiya Setiya Ningrum Fachrudin, Nur Millati Hanifah Farid Agushybana Farid Farid Agushybana Fauzia, Rista Afriani Feny Widiyastuty Feny Widiyastuty Fidyanti Shabrina Junjungsari Fila Mulia Citra Permata Abadi Firman Firman Firsa Olivia Susan Gabrina Selvi Yanuarista Gani, Martinus Satya Hanifah Iskhia Dilla Hanun, Hafida Zahara Hanwaring Puri, Citra Hapsari, Ika Sulistyaningrum Hartini Hartini Harwanto, Tri Hela Ayu Ramadhan Husna, Eriana Mayasari Ika Sulistyaningrum Hapsari Indah Mutiara Puspita Sari Indana Aziza Putri Indrawati, Chaterina Ria Wahyu Indriani, Cynthia Rizky Irmawati, Refiola Irvine Nahla Anggraini Ismal Wahyu Isna Nurul Khomariah Iwan Yunianto J. Sugiarto Jafar Arifin, Jafar Jhovia Aloedya Pramana Jhovia Aloedya Pramana Joyo Minardo Kartika Yufi Aruming Melati Kawidian Putri Bayu Alam Khansa Maghfira Djatnika Kholidah, Miskiyatul Kholifatun Islami Lestari, Ayu Fina Lestari, Marselli Widya Lilis Setiyaningrum Lina Hanifah Linda Ayu Mustikasari Listia Ayuni Nur Afifah Luky Dwiantoro Lutfy Laksita Pranandari M. Abdurrahman Shidiq Made Weni Juliani Wismantari Madya Sulisno Madya Sulisno Mahabara Yang Putra Martha Irene Kartasurya Mat Zudi Mateus Sakundarno Adi, Mateus Sakundarno Matius Sakundarno Adi Maudy Ritra Andini Maya Chrisdita Megawati Megawati Mei Tika Isdarini Meitrika Damayanti Melati, Ayu Sekar Mira Puspaningsih Mokhammad Aji Edo Susanto mufakhhir, Abdulaziez Muh, Fauzi Muhammad Farras Razin Perdana Muhammad Hasib Ardani Muhammad Hasib Ardani Murni Murni Mustikasari, Linda Ayu Nadia Dela Ayunda Nadzifah, Zalfa Naili Farida Nandini, S.KM., M.Kes, Nurhasmadiar Nisrina Aliftya Nissa Farzana Koesoemahardja Nopriwan Nopriwan Nugraha, Ega Nur Kurniawati Nurahmada, Dewi Nurdiyansyah, Andi Karisma Nurhasmadiar Nandini Nurhasmadiar Nandini Nurjazuli Nurjazuli Nurma Katrinnada Purwandari Nurul Balqis Shofiana Nurul Rizki Fitria Palawa Pangeran Hidayat Putra Paramita, Deskania Anggia Penggalih Mahardika Herlambang Prihati, Eko Prisma Armaya Priyadi Nugraha P Puri, Citra Hanwaring Putri Asmita Wigati Putri Asmita Wigati Putri, Farah Afanindya Jessedanta Putri, Maria Novencia Dwi Armita Rachel Karimah Raditya Noriski Rani Tiyas Budiyanti Rido Muid Riambodo Rika Rejeki Rina Yuliyanti Risa Rahayu Rista Afriani Fauzia Afriani Ristiyana, Lia Sarita Ritkha Aulia Fulansari Rizki Pamulat Sari Rohmah, Virda Inzatur Rosaningtyas, Wahyu Fajar Sabrilla Putri Gotama Salsabila Az Zahra Salsabilla Rushda Amrina Sari, Emy Novita Setyaningrum, Dian Setyarini, Reni Silavati, Yuni Adhita Sinta Indi Astuti Sintia Mashitoh Solikin Solikin Solikin Solikin Sri Gama Apriani Sri Winarni Sri Winarni Sudiro Sudiro Sudiro Sudiro Sugeng Santoso Suryani Yuliyanti Susilaningrum, Rekawati Sutopo Patria Jati Suzanna Ratih Sari Syafira Risdanti Syafira Risdanti Syahidah, Putri Nadya Syahrul Hidayat Syifa Nur Fadhilah Syifa Sakinah Taufik Muhtarom Taufik Muhtarom Tio Dora Ultaria S. Tomi Konstantia Setiaji, Tomi Konstantia Tri Harwanto Tri Yuliastuti Untari Fajar Suryani Vienda Wirani Vinda Dwi Eriyanti WATI, DEWI KUSUMA Widyastuti, Rachma Dwi Wijaya Hermawan, Gandha Wildan Nur Aiman Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Yanti, Ni Luh Devi Yohana Yohana Yonasari, Estie yuliana setyarini Yuliani Setyaningsih Yuliani, Kasih Yulis Muktafi'ah Yulis Muktafiah Yuliyanti, Rina Yusfina Modesta Rua Zadrak Romeo Kermite Zahroh Shaluhiyah