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The Effectiveness of Various Physical Activities on Glycemic Control in Individuals with Prediabetes Mellitus in Semarang Municipality Arwani, Arwani; Widiyanto, Budi; Widiyati, Sri
Media Keperawatan Indonesia Vol 6, No 4 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.4.2023.268-276

Abstract

Currently, diabetes mellitus is a prevalence in Indonesia, with a rate of 2.1% based on relevant diagnoses or symptoms. It is estimated that by 2030, the number of individuals suffering form diabetes mellitus will reach 21.3 million. Conversely, the proportion of individuals with prediabetes is 2-4 times higher than those with diabetes. Physical activity has been identified as a preventive measure for prediabetes. Several studies have demonstrated the significant impact of physical activity on glycemic control. This study aimed to determine the effectiveness of different physical activities on glycemic control in prediabetic clients residing in Semarang municipality. A randomized control trials with a pretest-posttest design was conducted on 60 prediabetic clients using different treatments, including healthy/slow walking, brisk walking, and a combination of both slow and brisk walking. The data of the study were analyzed using univariate, and bivariate analysis using repeated ANOVA. All statistical analyses were carried out using SPSS version 22. The average level of glycemic control before intervention in the healthy walking group was 5.57%, which decreased to 5.46% after intervention. The combination group decreased from 5.93% to 5.78%, and the slowly walking group decreased from 5.74% to 5.71%. However, there was no significant effect of slowly walking on glycemic control (HbA1c levels). In contrast, brisk walking and the combination of slow walking and brisk walking had a significant effect on glycemic control (p<0.05). The combination of the physical activity group demonstrated the greatest impact on glycemic control (p<0.05).
Pemberian Senam Ergonomik untuk Menurunkan Tekanan Darah pada Lansia dengan Hipertensi Arwani, Arwani; Zulfa, Alfania; Karlina, Leni
Ners Muda Vol 4, No 3 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v4i3.13510

Abstract

Setiap tahun, jumlah lansia di Indonesia mengalami peningkatan. Namun semakin bertambahnya usia, proses penuaan akan berdampak terhadap berbagai aspek kehidupan, salah satunya yaitu aspek kesehatan. Lansia akan mengalami penurunan fungsi tubuh yaitu pada sistem kardiovaskuler terjadi penurunan elastisitas di jaringan perifer, pelebaran pembuluh darah dan arterosklerosis yang memicu terjadinya peningkatan prevalensi hipertensi pada lanjut usia. Penanganan hipertensi dapat dilakukan dengan modifikasi gaya hidup, salah satunya berolahraga. Senam ergonomik dapat dilakukan lansia hipertensi untuk menurunkan tekanan darah. Seorang Wanita berusia 56 tahun mengeluh nyeri daerah leher dan kepala akibat hipertensi tingkat 1 yang diderita sejak empat tahun lalu. Tekanan darah saat pengkajian sebelum ergonomic 1 adalah 160/100 mmHg, sebelum ergonomic kedua (140/90 mmHg), dan sebelum ergonomic ketiga (130/85 mmHg). Senam ergonomic dilakukukan kepada klien selama selama 3 kali dalam seminggu dengan durasi senam selama 30 menit per hari. Hasil implementasi memberikan dampak terjadi penurunan tekanan darah menjadi 140/90 mmHg (setelah ergonomic 1), 130/90 mmHg (setelah ergonomic 2), dan 130/80 mmHg (setelah ergonomic 3). Senam ergonomik dapat menurunkan tekanan darah pada lansia dengan hipertensi dan dapat dijadikan sebagai terapi komplementer atau terapi pelengkap dari terapi farmakologis.
Sosialisasi Rekam Medis dan Pencegahan Duplikasi Rekam Medis Pada Petugas Admisi Rumah Sakit Umum Anwar Medika Laila, Nisful; Huda, Nurul; Arwani, Arwani
Jurnal Abdimas Jatibara Vol 1, No 2 (2023): Jatibara Vol.1 No.2 Februari 2023
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jaj.v2i1.1411

Abstract

Improving the quality of human resources is closely related to education because education is the main effort that will be able to make human resources of high quality. Education will be successful if the condition of human resources is maintained in good health, therefore health is also an important factor to support efforts to improve the quality of human resources. Admissions must increase their knowledge and skills about medical records so that they can carry out their duties professionally and understand their role optimally. minimize duplication of medical record numbers.  The method used is health socialization and promotion by informants who have been selected according to the admissions office as the respondent.  the results obtained are the priority problems that occur in the numbering of medical record files. The problem that occurs in the numbering of medical record files is human error in employees who sometimes forget or are not careful in checking patient data in hospital applications (EHOS) which makes patient data not appear in application databases and computers which sometimes long and difficult to access when inputting medical record numbers and also patients who sometimes forget to bring their identity cards, causing missed communication to admissions officers, with fishbone diagrams and 5 whys, the root cause of the problem has been found, namely the lack of accuracy of admissions staff in inputting data, computers that are old and difficult to access as well as patients who forget to bring their identity cards which make the service long. 43 Solving the problem that must be done is to provide guidance or procedures to the admissions officer on how to check the hospital application (EHOS), strengthen human resources to be more thorough, and check repeatedly when registering a patient then if duplication has already occurred then the admissions officer must coordinate with the medical record officer to deactivate one of the medical record numbers that have not been registered for a long time and replace it with a newer one
Combination of Murottal Al-Qur'an, Asmaul Husna, Dhikr and Aromatherapy "Muasda" on Blood Pressure, Alpha Amylase Levels and Spiritual Wellbeing in Hypertension Clients Siti Rizki Amalia; Sudirman, Sudirman; Pujiastuti, Rr. Sri Endang; Suwondo, Ari; Arwani, Arwani
Window of Health : Jurnal Kesehatan Vol 6 No 1 (Januari 2023 )
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (538.341 KB) | DOI: 10.33096/woh.v6i1.183

Abstract

Hypertension is a non-communicable disease, but prevention is needed because it risks causing other body organs to be damaged organs, either directly or indirectly. The combination of “muasda” causes relaxation, giving derivatives in blood pressure, and alpha-amylase levels, and increasing spiritual well-being. This study aims to determine the effect of the muasda combination on blood pressure, alpha-amylase levels, and spiritual well-being in hypertensive clients. This research is a quasi-experiment using pre-test and post-test with a control group design. The number of samples in this study was 62 respondents divided into two groups, namely the intervention and control groups. In taking the sample, the researcher used simple random sampling. The intervention in this study was a muasda combination, given for seven consecutive days with a time of administration of 45 minutes. In the intervention group, respondents will receive a muasda combination and amlodipine. The control group received amlodipine from the public health center. In the intervention group, the mean decrease in systolic blood pressure was 35 mmHg or 11.7% (p = 0.000). The mean decrease in diastolic blood pressure was 24 mmHg or 8% (p = 0.000). The average decrease in alpha-amylase levels was 26.58 or 19% (p = 0.000). The average increase in spiritual well-being scores was 36.94 or 32% (p = 0.000). The muasda combination reduces blood pressure and alpha-amylase levels and increases spiritual well-being in hypertensive clients.
PANDANGAN ISLAM TERHADAP PRINSIP BERDAGANG: PERSPEKTIF ETIKA DAN KEBERKAHAN Veronika, Sindy; Arwani, Arwani
JURNAL DIALOKA: Jurnal Ilmiah Mahasiswa Dakwah dan Komunikasi Islam Vol. 3 No. 1 (2024): Vol 3 No 1 (2024) : Digital Enterpreneur
Publisher : Fakultas Dakwah dan Komunikasi Islam IAIN Syaikh Abdurrahman Siddik Bangka Belitung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32923/dla.v3i1.4382

Abstract

Studi ini mengeksplorasi pandangan Islam terhadap prinsip berdagang dari perspektif etika dan keberkahan. Dalam konteks globalisasi dan persaingan bisnis yang intens, keberkahan dan prinsip etika Islam menawarkan pandangan alternatifterhadap model bisnis yang berorientasi pada keuntungan semata. Penelitian ini menggunakan metode kuantitatif dengan pendekatan studi pustaka daring untuk menganalisis konsep etika dan keberkahan bisnis dalam Islam, dengan fokus pada hadis-hadis Rasulullah SAW, serta prinsip-prinsip yang mengatur perilaku bisnis yang terpuji dan perilaku yang tercela. Dari hasil penelitian, dapat disimpulkan bahwa kejujuran, keadilan, keamanan, toleransi, dan hak khiyar merupakan prinsip-prinsip utama dalam berdagang secara Islam yang menegaskan pentingnya integritas, tanggung jawab, dan perlindungan hak konsumen dalam setiap transaksi bisnis. Dengan menerapkan prinsip-prinsip ini, diharapkan dapat tercipta lingkungan bisnis yang adil, bermoral, dan berkelanjutan bagi semua pihak yang terlibat.
MANAJEMEN KURIKULUM DAN SISTEM PENILAIAN KURIKULUM BERBASIS KKNI : Studi Pada Program Studi Agrobisnis Universitas Wiralodra Indramayu Arwani, Arwani
Jurnal Pendidikan Educandum Vol. 3 No. 1 (2023): Jurnal Pendidikan Educandum
Publisher : Fakultas Pendidikan IAI Pangeran Dharma Indramayu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55656/jpe.v3i1.58

Abstract

This study aims to analyze the preparation, implementation and evaluation of curriculum development based on the Indonesian National Qualifications Framework (KKNI) at the Agribusiness Study Program, Wiralodra Indramayu University. This study uses a qualitative approach with descriptive analysis method. Interviews were conducted directly with informants, consisting of the Dean, Deputy Dean, Head of the Agribusiness Study Program. The results of observations and documentation were obtained from various studies of documents, manuscripts, and archives related to the IQF-based curriculum management. The data analysis technique uses data reduction, data display and verification. The results of this study indicate that: a) The curriculum of the Agribusiness Study Program at Wiralodra Indramayu University is in accordance with the applicable KKNI curriculum reference and every component of curriculum management consisting of planning, implementation and evaluation of the curriculum has been going well, although there are still shortcomings and weaknesses of each the process carried out; b) Development of curriculum management must pay attention to SOPs and regulations for the IQF curriculum, but in practice it is still not fully based on the IQF. Keywords: Curriculum Management, Indonesian National Qualifications Framework
PENGARUH KOMBINASI ACUPRESSURE dan BRISK WALKING TERHADAP KADAR GULA DARAH PUASA PASIEN DIABETES MELLITUS TIPE II Mahendra Wekoadi, Galih; Arwani, Arwani; Ari Murti Widigdo, Dwi
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i2.1627

Abstract

Diabetes mellitus is a disease that has a characteristic sign in the form of an increase in glucose levels exceeding the normal range. The prevalence of diabetes mellitus is increasing significantly. Currently, the management of diet, exercise, and the use of pharmacological therapy are options in the management of diabetes mellitus. In addition to these therapies, there are complementary therapies such as acupressure combined with brisk walking. The purpose of this study was to prove the combination of acupressure and brisk walking intervention in influencing fasting blood glucose levels. This research was a quasi-experimental study with a non-equivalent control group design with pre-test and post-test. This study had 76 respondents with type II diabetes mellitus who were divided into 4 groups and were taken using a consecutive sampling technique. This research was conducted in Bulu Health Center Work Area, Temanggung Regency on April, 7th 2021 – May 9th 2021. The pre-test and post-test difference test used the paired t-test and the Wilcoxon test. The difference test between groups used the Kruskal – Wallis test and continued with the Post Hoc Mann – Whitney test. This study showed that there were significant differences before and after treatment in all groups (p = 0.001). The results of statistical tests also showed that the combination of acupressure and brisk walking was the best treatment for reducing blood glucose levels (p < 0.05) compared to other treatments. Complementary therapy in the form of a acupressure and brisk walking combination is the most effective treatment in reducing blood glucose levels.
Pengaruh Simulasi Permainan Boardgame: Find the Notice Edusex Terhadap Daya Tarik dan Sikap Remaja Tentang Free Sex Oktavia, Jinhan Nur; Arwani, Arwani; Pertiwi, Estuasih Dyah; Widyawati, Melyana Nurul
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 23, No 2 (2024): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.23.2.100-105

Abstract

Latar belakang: Aktivitas seks tanpa perlindungan dapat berisiko menyebabkan HIV/AIDS dan Infeksi Menular Seksual (IMS), sangat mengkhawatirkan, terutama di kalangan remaja sampai dengan rentang usia produktif usia 15-30 tahun seperti terlihat dari 573 kasus HIV/AIDS dan 802 kasus IMS di Kota Malang. Meskipun upaya oleh Kementerian Kesehatan telah dilakukan, angka IMS dan HIV/AIDS tetap tinggi. Penelitian ini bertujuan untuk menganalisis pengaruh pemberian simulasi permainan BoardGame: Find the Notice Edusex terhadap daya tarik dan sikap remaja tentang seksual bebas.Metode: Penelitian ini menggunakan desain Quasi-Experimental dengan Non-Equivalent Pre-Test Post-Test with Control Group Design. Sampel dipilih melalui proportional random sampling berjumlah 34 responden untuk masing-masing kelompok intervensi dan kelompok kontrol. Analisis data yang digunakan pada penelitian ini adalah uji homogenitas Saphiro Wilk, paired t-test dan independent t-test. Penelitian ini menggunakan variabel independen yaitu Simulasi Permainan BoardGame: Find the Notice Edusex, dan variabel dependen yaitu Daya tarik dan sikap remaja tentang Free Sex. Instrumen yang digunakan pada penelitian ini adalah permainan BoardGame: Find the Notice Edusex, kuesioner daya tarik, kuesioner sikap, leaflet edukasi seksual.Hasil: Penelitian ditemukan bahwa Boardgame: Find the Notice Edusex sudah sesuai berdasarkan uji ahli sebanyak 91%. Terdapat pengaruh pemberian simulasi permainan BoardGame: Find the Notice Edusex terhadap daya tarik remaja dibandingkan dengan pemberian edukasi leaflet edusex (p=0,048) dan sikap remaja tentang free sex (p = 0,007).Simpulan: BoardGame: Find the Notice Edusex efektif digunakan sebagai media edukasi seksual terhadap daya tarik dan sikap remaja tentang free sex.Kata kunci: Boardgame; Daya Tarik; Sikap; HIV/AIDS; IMS ABSTRACTTitle: The Influence of Boardgame: Find the Notice Edusex on Attractiveness and Adolescent Attitudes About Free SexBackground: Sexual activity without protection can risk causing HIV/AIDS and Sexually Transmitted Infections (STIs), which is very worrying, especially among teenagers up to the productive age range aged 15-30 years as seen from 573 cases of HIV/AIDS and 802 cases of STIs in Malang City . Despite efforts by the Ministry of Health, STI and HIV/AIDS rates remain high. This research aims to analyze the effect of providing the simulation game BoardGame: Find the Notice Edusex on the attractiveness and attitudes of teenagers regarding sexual promiscuity.Method: This research uses a Quasi-Experimental design with Non-Equivalent Pre-Test Post-Test with Control Group Design. The sample was selected through proportional random sampling totaling 34 respondents for each intervention group and control group. Data analysis used in this research was the Shapiro Wilk homogeneity test, paired t-test and independent t-test. This research uses an independent variable, namely the Board Game Simulation Game: Find the Notice Edusex, and the dependent variable is the attractiveness and attitude of teenagers regarding Free Sex. The instruments used in this research were the Board Game: Find the Notice Edusex, attractiveness questionnaire, attitude questionnaire, sexual education leaflet.Result: Research found that Boardgame: Find the Notice Edusex was 91% appropriate based on expert testing. There was an effect of providing the simulation game BoardGame: Find the Notice Edusex on the attractiveness of teenagers compared to providing educational leaflets Edusex (p=0.048) and teenagers' attitudes about free sex (p = 0.007).Conclusion: BoardGame: Find the Notice Edusex is effectively used as a medium for sexual education regarding the attractiveness and attitudes of teenagers regarding free sex.Keywords: Boardgame: Attraction; Attitude; HIV/AIDS; STIs
Modified of The Heated Electric Foot Bath Basin For Blood Pressure and Quality of Live in Hypertension Patient Supardi, Supardi; Arwani, Arwani; Pujiastuti, Rr Sri Endang
Media Keperawatan Indonesia Vol 7, No 2 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.2.2024.120-131

Abstract

Hypertension has contributed as a trigger factor for death in all ages in Indonesia by 6.7%. One of the therapies in hypertensive patients is a warm water bath. Earth Leakage Circuit Breaker helps detect leakage currents, so foot soak therapy is effective for lowering blood pressure. The purpose is to develop the heated electric foot bath basin as an effort to lower blood pressure and improve quality of life in hypertensive patients. This research method is Research and Development with quantitative research design, using quasi-experimental design with pretest-posttest randomized control group design. The research was conducted at Pageruyung Health Center, Kendal Regency, with stratification random sampling. The results showed the effect of the heated electric foot bath basin in reducing systolic blood pressure from 157.67 to 147.17 and diastolic from 93.90 to 88.90. There was an effect of the heated electric foot bath basin on the quality of life of hypertensive patients, where the intervention group had a better quality of life (score 53.03) than the control group (score 43.73). Conclusion Heated Electric Foot Bath Basin developed by adding an ELCB (Earth Leakage Circuit Breaker) device was  able to improve the quality of life of hypertensive patients.
Integrasi Akhlaq Islami dalam Sistem Hukum Nasional untuk Meningkatkan Moralitas Publik Arwani, Arwani; Oktaviani, Nuni; Sofyana, Yudha
Tasyri' : Jurnal Muamalah dan Ekonomi Syariah Vol. 6 No. 1 (2024): Jurnal Tasyri': Jurnal Muamalah dan Ekonomi Syariah
Publisher : Fakultas Hukum dan Ekonomi Syariah Institut Agama Islam Pangeran Dharma Kusuma Indramayu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55656/tjmes.v6i1.248

Abstract

The integration of Islamic morals (akhlaq Islami) into the national legal system aims to enhance public morality through the enforcement of Islamic moral and ethical values. Akhlaq Islami, which includes principles of honesty, justice, and social responsibility, is considered crucial for application in various aspects of societal life, including the legal system. The implementation of akhlaq Islami in law can strengthen the moral foundation of society, increase legal awareness, and reduce crime rates. This integration also promotes the creation of a more harmonious and just social environment. This research is a qualitative study with a descriptive-analytical approach. The qualitative approach is used because this study focuses on an in-depth exploration of concepts, perceptions, and experiences related to the integration of akhlaq Islami in the national legal system. The research findings indicate that Indonesian society generally supports the integration of Islamic values into the legal system, as they believe that the principles of akhlaq Islami can improve individual morality and legal justice. Although there are concerns about inconsistency and discrimination, public support remains important. Legal education that integrates Islamic values can shape more ethical students, although its implementation is still limited. The main challenges are differences in interpretation, resistance from secular groups, and lack of political support, which require dialogue and cooperation. The role of religious scholars (ulama) and religious institutions is crucial in shaping legal policies that align with Islamic values.
Co-Authors Aat Ruchiat Nugraha Afifah Salsabila Afifah Salsabila Afikirtiani, Winda Ahilla Salma Alfaza Ahmad Baequny Ahmad Riadi Ahmad Riadi Alfaza, Ahilla Salma Anonim, Tri Ari Suwondo Arina Rihadatulaisy Sabila Arina Tina Salwa Bedjo Santoso Bedjo Santoso Kadri Budi Agus Cahyono Budi Widiyanto Cahaya Nugraheni Charis Kusnanto Chatarina Umbul Wahyuni Chyntia Haryana Dina Indrati Dyah Sulistyowati Diyah Fatmasari Dwi Ari Murti Widigdo Dwi Ari Widigdo DwiKurniadi, Septian Epf. Eko Yulipriyono Ermi Lilianda Alang Estuasih Dyah Pertiwi, Estuasih Dyah Fachry Abda El Rahman Fadhilah Rafi Musyaffa Fadhilah Rosyid Pradana Faruq, Muhammad Kholfan Fauzia, Fadhila Favian Agung Rizki Fitriyanti, Suci Abrelia Gusti Noorlitaria Achmad Hera Lusi Ayuandita Iis Sriningsih Ika Suciatmi Indar Widowati Irmalita Wigati Irmalita Wigati Irmawati Irmawati Irmawati Irmawati Jamhari Jamhari Jauhary, Ermilya Restiani Karlina, Leni Khairulisni Saniati Kharisma Anjar Nugraha Khothibul Umam Khotibul Umam Krisdiana Wijayanti Lestari, Shelvi Ovi Lucky Herawati Luh Komang Candra Dewi Lutfi Najib Mahendra Wekoadi, Galih Mardi Hartono Mardiyono Mardiyono Mardiyono, Mardiyono Marsum Marsum Martha Cintia Dewi Martha Cintia Dewi Melyana Nurul W Melyana Nurul Widyawati Mochammad Ali Ridho Fathoni Moh Hadi Subowo Mokhamad Iklil Mustofa Monika Herti Kurniasari Muhamad Jauhar Mustofa, Hery Nabila Salsabila Nawang Setyoningrum Nina Indriyawati Nina Indriyawati Nina Indriyawati, MNS. Nisful Laila Novi Indriani Nuni Oktaviani Nur Cahyo Hendro Wibowo Nur Khasanah Nurul Huda Oktavia, Jinhan Nur Prabowo, Rully Hadi Pujiastuti, Rr Sri Endang Pujiastuti, Rr. Sri Endang Putra, Riskiyana Sukandhi Riskiyana Sukandhi Putra RISMAN ABDI RAPIUDDIN Rizki, Favian Agung Rodhi Hartono Roro Sri Endang Pujiastuti Rosmiati Saleh Rr. Sri Endang Pujiastuti Rumbrawer, Daud Yusuf Sahrul Ramadhani Sahrul Widyastuti Shelvi Ovi Lestari Shobirun Shobirun Shofi Putri Lathifah Silvia Ekasari Simanjuntak, Veronica Siti Nur Luthfiana Siti Nuraini Siti Rizki Amalia Siti Rochjani Siti Syarashinta Cahyaningsih Siti Wahyuni Sofyana, Yudha Sri Endang Windiarti Sri Endang Windiarti Sri Lestari Sri Sumarni Sri Wahyuni Sri Widiyati Sri Widiyati, Sri Sudiharto Sudiharto Sudirman Sudirman Sudirman Sugih Wijayanti Sugih Wijayati Sugih Wijayati, Sugih Suharsono Suharto Suharto Suharyo Hadisaputro Sunarto Sunarto Supardi Supardi Supardi Supardi Suprihatin Suprihatin Supriyadi Supriyadi Supriyana Supriyana Suryati Kumorowulan Suryati Kumorowulan Suryo Pratikwo Susanti, Maria Suwando, Ari Syaiful Bakhri Syaiful Bakhri Ta&#039;adi Ta&#039;adi Ta'adi . Tri Nova Aprianti Tri Wiji Lestari Umi Margi Rahayu Umi Toifah Valentina, Alina Veronika, Sindy Viola Violentina Wahyu Rizqy Saputra Warijan Warijan Wekoadi, Galih Mahendra Wenty Dwi Yuniarti Wien Soelistyo Adi Wien Soelistyo Adi Yuliartini, Henny Zaenal Amirudin Zakiyah, Na'ilah Puti Zulfa, Alfania