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All Journal Gizi, Kesehatan Reproduksi dan Epidemiologi Kebijakan, Promosi Kesehatan dan Biostatiskik Lingkungan dan Kesehatan Kerja Jurnal Kesehatan Masyarakat Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Jurnal Kesehatan Lingkungan Journal of Degraded and Mining Lands Management Jurnal Biologi Tropis Indonesian Journal of Chemistry Journal of Health Promotion and Behavior Journal of Health Science and Prevention Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Jurnal Respirologi Indonesia Oto Rhino Laryngologica Indonesiana Jurnal Kesmas dan Gizi (JKG) Jurnal Respirasi (JR) Sumatera Medical Journal Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Randwick International of Social Science Journal Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Budapest International Research in Exact Sciences (BirEx Journal) MAHESA : Malahayati Health Student Journal Respiratory Science Indonesian Journal of Engagement, Community Services, Empowerment and Development (IJECSED) Narra J Britain International of Humanities and Social Sciences (BIoHS) Journal Britain International of Exact Sciences Journal (BIoEx Journal) Jurnal Impresi Indonesia Journal of Social Research JUMANTIK (Scientific Journal of Health research) Formosa Journal of Applied Sciences (FJAS) TROPHICO: Tropical Public Health Journal Miracle Journal Berita Kedokteran Masyarakat Proceeding Muhammadiyah International Public Health and Medicine Conference Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara The Journal of Society Medicine (JSOCMED) Jurnal Pengabdian Masyarakat dan Riset Pendidikan Jurnal Multidisiplin Indonesia Ophthalmologica Indonesiana Jurnal Pengabdian Masyarakat Ilmu Kesehatan International Journal of Health and Medicine Sevaka: Hasil Kegiatan Layanan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Pengabdian Ilmu Kesehatan
Taufik Ashar
Department Of Environmental Health, Faculty Of Public Health, Universitas Sumatera Utara, Jl. Universitas No. 21 Medan 20155
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Analisis Risiko Asupan Oral Pajanan Mangan dalam Air terhadap Kesehatan Masyarakat Ashar, Taufik
Kesmas Vol. 2, No. 3
Publisher : UI Scholars Hub

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Abstract

Mangan yang secara alami dapat ditemukan di air, tanah, dan udara adalah zat nutrisi esensial bagi manusia dan hewan. Asupan yang tidak mencukupi atau yang berlebihan dapat gangguan kesehatan. Pajanan kronik mangan pada dosis yang tinggi dapat mengakibatkan gangguan pada sistem saraf. Tujuan penelitian ini adalah mengetahui perkiraan risiko kesehatan akibat asupan mangan dari air sumur di wilayah penelitian. Penelitian dengan disain crossectional ini dilakukan terhadap masyarakat di wilayah sekitar TPA Rawakucing yang meliputi masyarakat yang bermukim di dalam kawasan (114 orang), dan di luar kawasan TPA (177 orang). Hasil penelitian menunjukkan rata-rata konsentrasi mangan dalam air sumur di wilayah sekitar TPA Rawakucing (4.3 mg/l; SD=2.8873 mg/l). Berbeda sevara bermakna dengan di luar TPA Rawakucing (0.300 mg/l; SD=0.1888 mg/l). (nilai p<0.05). Rata-rata besaran risiko (RQ) gangguan kesehatan akibat mengkonsumsi air yang mengandung mangan pada masyarakat yang tinggal di TPA Rawakucing (0.2347) dan yang tinggal di luar TPARawakucing (0.2955). Masyarakat yang tinggal di TPA berisiko gangguan kesehatan 8,12 kali lebih bedsar daripada yang tinggal di luar TPA(p<0.05) dengan OR=8.109 (95% CI = 2.668-24.650). Manganese that can be found ubiquitously in the air, soil, and water is an essential nutrient for humans and animals. Inadequate intake or over exposure can cause adverse health effects. Although manganese is an essential nutrient at low doses, chronic exposure to high doses may be harmful. Regardless, the nervous system has been determined to be the primary target organ with neurological effects generally observed. The objective of the study is to assess the health risk of manganese exposure from the well drinking water intake. This study was done in Final Disposal Site Rawakucing area and outside of this area. The number of subjects were 114 who lived inside the site and 177 who lived outside the area, respectively. Study design is cross-sectional with hypotheses testing. The result showed that the average manganese concentration was 4.3 mg/l (SD=2.8873), 0.300 mg/l (SD=0.1888) respectively. The result was significant different statistically (p<0.05) for manganese concentration from two study area. The average RQ showed 0.2347 (SD=0.5095) for RQ in Disposal Site Area and 0.2955 (SD=0.2465) for RQ outside Disposal Site Area. The result was statistically significantly different (p<0.05) for RQ value, with OR=8.109 (95% CI = 2.668-24.650).
Kromium, Timbal, dan Merkuri dalam Air Sumur Masyarakat di Sekitar Tempat Pembuangan Akhir Sampah Ashar, Taufik; Santi, Devi Nuraini; Naria, Evi
Kesmas Vol. 7, No. 9
Publisher : UI Scholars Hub

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Abstract

Tempat pembuangan akhir (TPA) sampah domestik dengan sistem penampungan terbuka sangat berisiko mencemari air tanah milik warga yang bermukim di sekitarnya melalui proses perlindian. Untuk mengetahui kandungan logam berat dalam air tanah di sekitar TPA, sebanyak 68 sampel air sumur gali (45 sumur Dusun I dan 23 sumur Dusun IV) dari Desa Namobintang Kecamatan Pancurbatu Kabupaten Deli Serdang, Sumatera Utara, telah dianalisis dengan inductively couple plasma atomic emission spectroscopy. Hubungan jarak sumur dengan konsentrasi kromium, merkuri, dan timbal diuji dengan Mann-Whitney, Spearman’s Correlation dan analisis regresi linier sederhana. Hasil penelitian menunjukkan konsentrasi kromium, timbal, dan merkuri (rerata ± deviasi standar, mg/L) masing-masing 0,036 ± 0,0096; 0,0003 ± 0,00018; dan 0,005 ± 0,0041 (Dusun I); 0,0370 ± 0,0115; 0,00026 ± 0,00013; dan 0,0070 ± 0,0069 (Dusun IV). Dari 68 sumur yang dianalisis, hanya ada 8 sumur yang konsentrasi timbalnya melebihi batas menurut Peraturan Kementerian Kesehatan Republik Indonesia Nomor 492/Per/IV/2010. Sementara itu, tidak ada korelasi jarak sumur gali ke TPA dengan konsentrasi kromium, merkuri, dan timbal dalam air sumur gali tersebut. Disimpulkan bahwa perlindian sampah di Namobintang tidak mencemari air sumur-sumur gali yang berjarak 84 meter atau lebih dari TPA. Dumping site of domestic wastes has potential risk to contaminate groundwater of the surrounding population through leaching process. To determine heavy metals (chromium, lead, and mercury) in groundwater at surrounding dumping site, a total of 68 dig well water samples (45 from Hamlet I and 23 from Hamlet IV) of Namobintang Village, Pancurbatu Sub-District of Deli Serdang Regency, North Sumatra, were analyzed using Inductively Couple Plasma Atomic Emission Spectroscopy. The relationship between the dig well distance and chromium, mercury, and lead content was tested by Mann-Whitney, Spearman’s Correlation and Simple Linier Regression. The result of this study showed that chromium, lead, and mercury concentrations (mean ± SD, mg/L) were 0.036 ± 0.0096; 0.0003 ± 0.00018; and 0.005 ± 0.0041 (Hamlet I); 0.0370 ± 0.0115; 0.00026 ± 0.00013; and 0.0070 ± 0.0069 (Hamlet IV). Of 68 dig well water samples analyzed, there were only 8 water samples that had lead concentrations exceeding the drinking water limit of Peraturan Kementerian Kesehatan Republik Indonesia Nomor 492/Per/IV/2010. Meanwhile, there was no correlation of dig well distance to dumping site and heavy metal concentrations in dig well water. The study concluded that solid waste leachate in Namobintang did not contaminate the dig wells water located at 84 meters or more from the dumping site.
The Impact of Obesity on Hypertension in Adults Aged 25-45 in Padang Lawas Regency in 2024 Siregar, Nur Khaidah; Ashar, Taufik; Lubis, Rahayu
Formosa Journal of Applied Sciences Vol. 3 No. 6 (2024): June 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjas.v3i6.9667

Abstract

One of the factors that influence the incidence of hypertension is obesity. The purpose of this study was to analyze the effect of obesity on the incidence of hypertension at the age of 25-45 years in Padang Lawas Regency in 2024. The research method used a case control design with a large sample size of hypertension and non-hypertension of 73 people each. Data analysis using logistic regression test. The results showed that obesity is a factor influencing the incidence of hypertension (OR = 6,056). It is necessary to conduct a public education campaign targeting young adults in Padang Lawas Regency, focusing on the importance of controlling the frequency of fat consumption, healthy types of fat, and associated obesity risks, as well as utilizing social media and holding special counseling sessions for food businesses.
Double-Lumen vs Small-Bore Pigtail Catheter for Pleural Effusion: Which is Superior? Siagian, Novi Andriani; Soeroso, Noni Novisari; Bihar, Syamsul; Ashar, Taufik
Jurnal Respirasi Vol. 11 No. 1 (2025): January 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.1.2025.39-46

Abstract

Introduction: Pleural effusion is associated with a high mortality rate. Tube thoracostomy remains the standard treatment. Despite this, double-lumen catheters, typically used for central venous access, are infrequently employed for pleural drainage. This study compared the characteristics of patients undergoing double-lumen catheter versus pigtail catheter placements for pleural effusion. Methods: A retrospective cross-sectional study was conducted on adult patients at Prof. Dr. Chairuddin Panusunan Lubis Universitas Sumatera Utara Hospital, Haji Adam Malik General Hospital, and St. Elisabeth Hospital, Medan, from September 2022 to April 2024. This study analyzed patient demographics and clinical presentations for those receiving either catheter type. Results: The mean age of patients with double-lumen catheters was 58.21 years old, while those with pigtail catheters averaged 54.9 years old. Patients with double-lumen catheters frequently presented with a combination of shortness of breath, cough, and chest pain, while those with pigtail catheters primarily reported shortness of breath. Both groups predominantly exhibited exudative pleural effusions. Radiological evaluations indicated moderate pleural effusion was most common in both groups, with thoracic ultrasound revealing fluid volumes between 500 and 2,000 cc. Conclusion: Double-lumen catheters are more frequently utilized for moderate to massive pleural effusion, whereas pigtail catheters are typically reserved for moderate cases. The choice of catheter depends on the patient's condition, the underlying cause of the effusion, and radiological findings.
Anaplastic Lymphoma Kinase (ALK) Rearrangement of Lung Adenocarcinoma among North Sumatera Population Putra, Muhammad Yusuf Adira; Soeroso, Noni Novisari; Syahruddin, Elisna; Suzanna, Evlina; Afiani, Dina; Ashar, Taufik; Lim, Darren Wan-Teck
Jurnal Respirasi Vol. 11 No. 1 (2025): January 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.1.2025.47-53

Abstract

Introduction: Lung cancer is a malignancy of the lung parenchyma or bronchi. Molecular targeted therapy directed at oncogene driver mutations, such as anaplastic lymphoma kinase (ALK), improves the prognosis of patients with non-small cell lung carcinoma (NSCLC). This study aimed to determine the characteristics of lung adenocarcinoma patients and the prevalence of ALK rearrangement among the North Sumatra population. Methods: This descriptive study used data from patients' formalin-fixed paraffin-embedded (FFPE) ALK examination results and medical records. The laboratory analyzed the patient’s FFPE for ALK fusion protein expression using the VENTANA anti-ALK (D5F3) procedure to determine the prevalence of ALK rearrangement. Results: Of the 34 subjects, it was revealed that the characteristics of lung adenocarcinoma patients were 18 patients aged >60 years old (52.9%), 26 male patients (76.4%), and 24 heavy smoker patients (70.6%). Based on the pathological tumor-node-metastasis (pTNM) stage, most samples were classified as stage IVA, with 24 cases (70.6%) showing the highest metastases to the pleura. There were 2 cases of ALK mutations obtained through immunohistochemical examination with a percentage of 5.8%. Conclusion: There are relatively few ALK rearrangement mutations in lung adenocarcinoma patients without screening. Additional research is needed to ascertain the distribution of lung adenocarcinoma patient characteristics associated with a higher prevalence of ALK rearrangement mutations.
Factors that Affected the Mortality Rate of Chronic Obstructive Pulmonary Disease Patients with Respiratory Failure Nahrisyah, Putri; Syarani, Fajrinur; Tarigan, Amira P; Ashar, Taufik
Jurnal Respirologi Indonesia Vol 45 No 1 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i1.805

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a significant health issue with high morbidity and mortality rates. However, risk factors for COPD, particularly in cases with type II respiratory failure, are not fully understood. This study analyzes factors influencing the mortality rate of COPD patients with type II respiratory failure. Methods: This observational study used a cross-sectional design, analyzing medical records of COPD patients with type II respiratory failure treated at H. Adam Malik General Hospital, Medan, from November 2021 to September 2022. A total of 42 patients met the inclusion criteria. Data analysis included descriptive statistics and inferential tests using the Chi-Square test and multiple logistic regression to identify the most dominant factors. Results: Among the 42 patients, the mortality rate was 50%. Variables such as gender, age, number of comorbidities, smoking habits, and history of exacerbations were not significantly associated with mortality. Patients who did not regularly use inhalers had a 19-fold higher mortality risk than those who did (P=0.004; OR=19.79; 95% CI=2.67-146.99). Length of stay was inversely associated with mortality, with each additional day reducing the risk by 0.77 times (P=0.011; OR=0.77; 95% CI=0.63-0.94). Conclusion: Routine inhaler use and length of stay are significant factors influencing the mortality rate in COPD patients with type II respiratory failure.
ASSOCIATION BETWEEN ESTROGEN LEVELS WITH INTRAOCULAR PRESSURE IN PRIMARY OPEN ANGLE GLAUCOMA PATIENT: Oral Presentation - Observational Study - Resident Rambe, Alvin; Sari, Masitha Dewi; Aldy, Fithria; Ashar, Taufik
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/697gtq43

Abstract

Introduction & ObjectivesThere are studies that state that estrogen deficiency can exacerbate visual disturbances in glaucomapatients. To determine the relationship between estrogen levels and intraocular pressure (IOP) inpatients with POAG. MethodsThis study used a case-control design in 30 POAG patients who came to the OphthalmologyPolyclinic at the University of North Sumatra Hospital and Network Hospital. The data collectionmethod in this study used a consecutive sampling technique starting from February 2022 until thesample was filled. The inclusion criteria in this study were all women with POAG who were ?40years old and willing to be the research sample. The exclusion criteria for this study were patientswith a history of secondary glaucoma or a history of optic nerve disease, a history of ocular surgery(except cataracts), a history of orbital trauma, menstrual disorders, or currently on hormonaltherapy, a history of systemic or autoimmune disease. Data is then collected and analyzed. ResultsOf the 30 patients with POAG, the majority were aged 45-65 years (46.7%) with an average age of55.87(±12.91) years and had suffered from POAG for an average of 1.62(±2.08) years. The averagepatient had an intraocular pressure of 25.07(±6.12) mmHg, MD -12.99(±8.28) dB, VCDR0.78(±0.13) mm, and estrogen levels 2.47(±2.11) pg/dL. There was no significant relationshipbetween estrogen levels and intraocular pressure (p=0.851). ConclusionThere was no significant association between estrogen levels and intraocular pressure in patientswith POAG.
FAKTOR-FAKTOR YANG MEMENGARUHI KADAR MERKURI (Hg) PADA AIR SUMUR PENDUDUK DI DESA TAMIANG KECAMATAN KOTANOPAN KABUPATEN MANDAILINGNATAL Siregar, Nurul Rahmah; Pandia, Setiaty; Ashar, Taufik
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 1 No 1 (2016): Vol.1 No.1. April 2016
Publisher : Universitas Aufa Royhan

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Abstract

Ground water could be contaminated by heavy metal Mercury (Hg), which could come from the activity of gold mining at the side of river flow. Waste with mercury content will flow to the river so could pollute wellwater along the watershed. The contamination of wellwater is affected by some factors.The objective of the research was to analyze some factors which influenced mercury (Hg) content in people’s wellwater at Tamiang Village, Kotanopan Subdistrict, Mandailing Natal District. The research used an analytic survey with cross sectional study. The samples of the research were the wellwater used as drinking water and the soil around these sites. The data were analyzed by using Mann-Whitney test and multiple linear regression tests.The result of the research showed that the highest mercury measured was 0,00207mg/l, Variables of the distance of polluting source from the wells (p = 0.000), and soil porosity (p = 0.000) influenced the mercury (Hg) content in wellwater, while the age of the wells (p = 0.183), well construction/physic (p >0.25), wellwater temperature (p = 0.760), and well depth (p = 0.594)did not have any influence on the mercury (Hg) content in wellwater. The multiple linear regression tests showed that the mercury content in wellwater was affected by the variable of the distance of the polluting source from the wells with coefficient value Exp (β) of 5.882E6 and the soil porosity with coefficient value Exp (β) of 5.317E-5.
Relationship between Sociodemographic Traits, Indoor PM2.5 Exposure, and Acute Respiratory Infection Risk in Aluminum Factory Communities, Deli Serdang Faridah Hanum Rajagukguk; Nurmaini Nurmaini; Taufik Ashar
International Journal of Health and Medicine Vol. 2 No. 4 (2025): October : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i4.547

Abstract

Acute Respiratory Infections (ARI) in the working area of Mulyorejo Public Health Center, where an aluminum factory is located, rank first among the ten most common diseases. This study aims to analyze the influence of sociodemographic characteristics and PM2.5 exposure on ARI complaints in the aluminum factory area of Payageli Village, Deli Serdang Regency. The cross-sectional observational study involved 160 housewives living within a radius of 10–1500 meters from the factory’s chimney. The analysis included univariate, bivariate, and multivariate methods. Results showed that 58.1% of respondents experienced ARI symptoms in the past month. The average ambient (outdoor) PM2.5 concentration measured from three sampling points was 12.3 µg/m³, which did not exceed the WHO standard (<15 µg/m³). The highest concentration was recorded in the southern direction (15.5 µg/m³). Bivariate analysis indicated that education (p = 0.010), direction of house location (p = 0.001), and indoor PM2.5 concentration (p = 0.006) were significantly associated with ARI. Multivariate logistic regression analysis showed that the most dominant factor influencing ARI was indoor PM2.5 concentration (p = 0.039), followed by education (p = 0.013) and direction of house location (p = 0.001). This study provides a scientific basis for air quality control and housing environment improvement to reduce the risk of environmentally related diseases in industrial zones.
Relationship Between Cigarette Smoke Exposure and Laryngeal Histopathology in Rattus novergicus Rats Nasution, Erizal Salam Putra; Herwanto, H. R. Yusa; Zahara, Devira; Aliandri, Aliandri; Lubis, Yuliani M.; Ashar, Taufik; Chrestella, Jessy
Jurnal Biologi Tropis Vol. 25 No. 4a (2025): Special Issue
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i4a.10804

Abstract

Smoking can cause health problems for both active and passive smokers because the toxic substances contained in it cause health problems, especially in the larynx, one of which is laryngeal cancer. Animal studies have shown histopathological changes in mice exposed to cigarette smoke, including increased immune cells and focal inflammation in these mice. The study aims to determine the relationship between cigarette smoke and the number of inflammatory cells, edema, hyperplasia, and dysplasia after exposure to cigarette smoke for 120 minutes in histopathological sampling at observations of 0, 10, 20, 30 and 40 days. This study used a true experimental design model with a post-test only group laboratory experimental design. The results of the study found a significant difference in the number of lymphocytes before and after exposure to cigarette smoke with p = 0.043. There was no significant change in the number of macrophages with p = 0.406 and eosinophils with p = 0.119. There were no histopathological changes, namely edema (p = 0.06), dysplasia (p = 0.126) and hyperplasia (p = 0.960). In conclusion, there is a relationship between cigarette smoke exposure and laryngeal histopathology in Rattus novergicus Rats.
Co-Authors Adida, Fiony Adri Deslita Situmorang Afiani, Dina Agung Haganta Pinem Ahmad Fandi Irfandi Alam Bakti Alam Bakti Keloko Alam Bakti Keloko, Alam Bakti Aliandri, Aliandri Amin, Mona N. Amira P. Tarigan Andika Pradana Andin Rizqika Aliunputri Andin Anggrainy, Putri Annisa Nasution Annisa Rizka Lestari Arfah Mardiana Lubis Ariantika, Ariantika Arifa Masyitah Panjaitan Arini Agustina Aritonang, Minarni ES. Asfriyati ,MKes Ayu Ulfah Nur Lubis Azmi Ervita Purnama Bambang Wispriyono Baros, Wan Andre Nugraha Baros Berta Kartina Bihar, Syamsul Br. Tobing, Netty Elida Bukit, Dhani Syahputra Chrestella, Jessy Chrestella, Jessy Dangana, Amos Darren Wan-Teck Lim Dealita Khairani Daulay Dedy Dwi Putra Delfi Delfitri Munir Delita Br Panjaitan Delvina Sinaga Dessy Irfi Jayanti Dessy Irfi Jayanti Destanul Aulia, Destanul Destanul Aulia, SKM., MBA., M.Ec., Ph.D Devi Nuraini Santi Devi Nuraini Santi Devira Zahara Dinda Sekar Mentari Dody usman dr. Surya Dharma MPH Dwisa Febrina Ritonga Eka Lestari Mahyuni Eka Purnamasari Elisna Syahruddin Erman Munir Erna Mutiara Erna Mutiara Erna Mutiara ERNA VERONIKA SINAGA Eva Valentine Br. Hotang Evawany Aritonang Evawany Y Aritonang Evi Naria evi naria Evi Naria EVLINA SUZANNA, EVLINA Evo Elidar Harahap fadhil munthe Fadillah Ismy Fajrinur Syarani Farhat, Farhat Faridah Hanum Rajagukguk Fathia Amanda Fatiyah Tul Khoir Nasution Fazidah Aguslina Siregar, Fazidah Aguslina Ferryan Sofyan Fithria Aldy Fransiska, Rosa Berlina Gerry Silaban Gerry Silaban Gerry Silaban Gifani Anastasya Gustina Fajarwati Sihombing H.R. Yusa Herwanto Hamidah Fadhilah Hamonangan Nainggolan Harahap, Pahala Hanafi Harahap, Putri Wulandari Hasbullah Hasbullah Hasbullah Hasbullah Henny Maisara Sipahutar Heru Santosa Herwanto, H R Yusa Herwanto, H. R. Yusa Herwanto, R. Yusa Herwanto, Yusa hiswani . Hiswani Hiswani Hiswani Hiswani Ida Rizkia ika surya agustiani Ikhsan Ibrahim Imerlyn A Silitonga Indirawati, Sri Malem indra cahaya Indra Chahaya Irma Damayanti Irnawati Marsaulina Irnawati Marsaulina Irnawati Marsaulina Ita Fitriyani Lubis Juanita Juanita Juanita Juanita Juanita Juita Asnipa Kananda, Vive Kezia Purba Khairiah . kiki agusty lamtiur junita bancin Launeta Maruyun Purba lidia oktavia Lim, Darren Wan-Teck Listyoko, Aditya S. Lita Andayani Lorensia Eninta Lubis, Rodiah Rahmawaty Lubis, Yuliani M Lubis, Yuliani M. lulu marbun Marlina Renta Juyanti Butarbutar Meirindany, Tina Melati Silvanni Nasution Melisah Pitri Siregar Merylanca Manalu Michico Eloista Br. Ginting Minar Indriasih Muhammad Harbi Praditya Muhammad Harbi Praditya Muhammad Syafii Mutiara Nauli Nadhira Marsha Audiva Harahap Nadia Arini Nahrisyah, Putri Nailatun Nadrah Namora Lumongga Lubis Nasution, Nurhalimah Naysya Vitianoza Noni Novisari Soeroso Noni Novisari Soeroso Nurhalimah Nasution nurma irama Nurmaini . Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nursiah, Siti olivia via Osareniro, Osakue E. Pahala Hanafi Harahap Pandia, Pandiaman Pandiaman Pandia Parinduri, Anggi Isnani Parluhutan Siagian Purba, Jenny Marlindawani Putra, Aldi Maulana Putra, Erizal Salam Putra, Muhammad Yusuf Adira Putra, Wahyu Medsa Yeltas R. Kintoko Rochadi Rahayu Lubis Rahayu Lubis Rahmi Wardani Rambe, Alvin Rambe, Andriana Yunita Murni Rambe, Andrina Yunita Murni Rasmaliah ,MKes Rasmaliah . reni indra aristi Rio Ferdi Yuandra riris lumban Risanti Febrine Ropita Situmorang Rizka Fiqih Ertika Rocky Malindo Sidabutar saddam musthofa Sagala, Irwan Pernandi Samuel Marganda Halomoan Manalu Sari, Masitha Dewi Setiaty Pandia, Setiaty Siagian, Novi Andriani Silvia, S Simanjuntak, Amran Simanjuntak, Saurma O S Simanjutak, Yohana Sinaga, Bintang YM. Sinulingga, Herison E. Siregar, Annisa Febriana Siregar, Kamal Basri Siregar, Nur Khaidah Siregar, Nurul Rahmah Siswahyudianto Sitepu, Rahmadani Siti Khadijah Siti Khadijah Nasution Siti Khadijah Nasution siti rahmah Siti Zahara Nasution, Siti Zahara Sitompul, Indah Sari sri dewi puspita Sufia Idya Sukma Hapsari Suriani Gultom Surya Darma Surya Dharma Surya Utama Syahrani, Fajrinur Syamsul Bihar Syarani, Fajrinur Tarigan, Amira P. Tarigan, Amira Permatasari Tarigan, Lina Tarigan, Setia Putra Tatiana, Melza Thomson Siahaan Tony Wibowo Tukiman Tukiman Tukiman Tukiman Tukiman Umi Salmah Utama, Surya Verarica Silalahi, Verarica Winni R.E Tumanggor Wirsal Hasan Wirsal Hasan Yenni Yulfida Harahap Yudhi Pratama Yuliani M. Lubis Yuslina FNB Siahaan Yusniar Yusniar Zahara, Devira Zikri Putra Lan Lubis Zulfendri Zurhayati, Zurhayati