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THE EFFECT OF CLINICAL PATHWAY TOWARD HOSPITAL’S QUALITY AND COST IN “RSUS” HOSPITAL BANDAR LAMPUNG Toki Himawati; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: One of the most appropriate policies to overcome the over budget is the quality control of cost control, the instrument is a clinical pathway, so that the hospital can perform service functions well and quality without experiencing financial loss. This research has a purpose to know how far is clinical pathway can be good as a tool of quality control of cost control at “RSUS” Hospital Bandar Lampung. Methods: The research used a qualitative research involved 35 informants comprised of shareholders, Board of Directors, Medical Committee, Provision of Care Services and Coder. Results: The results showed that in general, the informants agreed with the implementation of the clinical pathway because it can improve the quality of service, the certainty of procedures and can overcome the budget. Conclusion: RSUS Hospital has not fully use clinical pathway as a tool of quality control of cost control, thus over budget remains with low quality of service 
ACHIEVEMENT OF COMMUNITY HEALTH CENTER SEEN THROUGH ACCREDITATION RESULTS: CASE STUDY IN PUSKESMAS "X", IN SURABAYA Meily Arovi Qulsum; Kurnia Sari; Adang Bachtiar; KM Taufiq
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Accreditation and recognition of a Community Health Center (Puskesmas) are given by an independent accredited organization, established by the Minister of Health after comply the accreditation standards. The accreditation achievement in East Java is at most of main level 76.7%. Puskesmas "X" is one of Puskesmas in Surabaya which has been accredited with basic level of status in 2015. This study aims to provide a comprehensive overview of the issues affecting the achievement of Puskesmas accreditation. Methods: This research is a qualitative descriptive study with in-depth interview and document searching using an accreditation instrument standard. Results: Based on accreditation results, the planning of the health centre was less appropriate because it was not based on identification of need and expectation. The mobilization and implementation was not working well due to lack of human health resource. Monitoring, control, and performance appraisal of the health centre have not been done. Conclusions: The accreditation of the health center, the Puskesmas X, in Surabaya is not only assessed by the document but also by the processes and system implementation activities. Achievement of Puskesmas accreditation status represents as a description of Puskesmas management and the result will have an impact on Puskesmas performance, and service quality. 
ANTIMICROBIAL RESISTANCE CONTROL PROGRAM ON THE RATIONAL USE OF ANTIBIOTICS IN EKA HOSPITAL PEKANBARU, INDONESIA Rosinta Magdalena; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Antimicrobial resistance (AMR) threatens the effective prevention and treatment of an ever-increasing range of infections caused by bacteria, parasites, viruses and fungi. Rational use of antibiotics can reduce the emergence of antimicrobial resistance, cost of treatment, length of stay in hospitals, and improve health outcomes. This study aims to analyse the output of AMR control program implementation on the rational use of antibiotics in hospitals. Method: This research is a retrospective study, using descriptive analysis with Gyssens' algorithm. Data were assessed from the medical records of patients treated at Eka hospital in 2017. The number of samples 877, in the ICU wards amounted to 307 and Hopea B 570. The analysis was performed by assessing the suitability of antibiotic therapy. The results are presented in therapeutic terms: the antibiotics used and the percentage of use based on the Gyssens algorithm. Result:The results of data analysis found there is an increase in the rationality of the use of antibiotics on the unit ICU (67.77%), Hopea B (67.36%). There is a decrease in Patients Length of Stay (LOS) in ICU (26%), in Hopea B (58%). The level of antibiotic use without indication in ICU (8.82%). in the Hopea B ward (5.34%.). Attitude of non-compliance of doctors against hospital guidelines and inadequate monitoring of antibiotic therapy. In the case of prophylactic antibiotics remain unobserved because of the lack of pharmacists who can monitor their use. Conclusion: Eka Hospital has established an AMR Control program, but it has not been implemented properly. Continuous evaluation, awareness raising and understanding of doctors, the addition of monitoring officers (pharmacists), patient screenings and hospital staff on an ongoing basis, are worthy of consideration in order to improve the implementation of the program. 
QUALITY OF SERVICE OF OUTPATIENT UNIT IN BA HOSPITAL, INDONESIA Suvonalya Suvonalya; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The quality of healthcare services is crucial in the healthcare service organization to encourage every healthcare service organization to improve their healthcare service quality. This study aims to identify the description of the service quality of outpatient department in RSBA, East Jakarta, DKI Jakarta, Indonesia using the criteria of Malcolm Baldridge. Method: This research was a descriptive analytical study with cross-sectional study combined with qualitative and quantitative approaches (mix method). About 110 respondents were selected as sample. The data analysis employed were univariate, bivariate and multivariate analysis of multiple logistic regression test conducted by using SPSS statistic software for Windows. Result : There was a significatt influence of on workforce, and last focus on process and focus on the service quality of outpatient department of RSBA with p-value of < 0.05 and 9. In multiple logistic regression tests, the factors that had strong closeness were the leadership and the measurement analysis and knowledge management. Conclusion : The Healthcare quality of the outpatient department of RSBA needed improvement, especially on the focus on the customers and the process. The commitment of all elements in the hospital was requried. The well and correct service customers, appropriate to the medical treatment according to the standard operating procedures, the excellent service and the effort to meet the completeness of the hospital infrastructure were important aspects that should be undergone by RSAB to improve the hospital’s service quality. 
TRANSLATING FUTURE MILLENNIAL: STRUCTURING DISRUPTIVE HEALTHCARE Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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PERCEPTION OF WOMEN OF REPRODUCTIVE AGE TOWARDS LONG-ACTING CONTRACEPTIVE (LAC) COUNSELING OF FAMILY PLANNING COUNSELORS: A QUALITATIVE STUDY Asdawati Asdawati; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Long-acting contraceptive (LAC) is one kind of birth control method for preventing, spacing pregnancy or stopping the fertility for an extended period. Increasing the number of LAC user can be done by providing a good quality of LAC counseling. This study aims to explore the perception of reproductive woman in LAC counseling by family planning counselors. Methods: This study was a qualitative study with Rapid Assessment Procedure (RAP) design. This study conducted in Bontomatene, Selayar Island on April 2019. There were 6 samples that represent 3 samples used LAC and 3 samples used non-LAC. The in-depth interview was used to get the information and the interactive model analysis was used in analyzed the data. Results: 5 of 6 respondents mentioned when the family planning counselor explained LAC used native language was easier to understand. The counseling by family planning counselor was already good because the counselor explained in detail information about LAC, visited the house of respondents to give information and did not push the respondents to select contraceptive methods. Conclusions: The reproductive woman in Bontomatene, Selayar Island feel more comfortable with LAC counseling held by family planning counselor if using native language, explain in detail information and not force respondent to use LAC methods.
EFFECTIVENESS OF CAESAREAN SECTION CLINICAL PATHWAY TOWARDS HOSPITAL LENGTH OF STAY: A SYSTEMATIC REVIEW Maria Wahyu Daruki; Atik Nurwahyuni; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Improving quality and efficiency in hospital services can be done by using Clinical Pathway (CP). CP can decrease the hospital length of stay and cost. In indonsia, the increasing number of Caesarean Section (SC) affects to the Length of Stay (LOS) in hospital. This study aims to examine the effectiveness of clinical pathway in caesaren section to length of stay in the hospital. Methods: This study was a systematic review used PRISMA guidelines. Data obtained from Electronic journal databases Pubmed and ProQuest that published between 2014 until 2019 and used English language. By using keywords such as clinical pathway, childbirth labor, and length of stay to find the relevant journal. Results: The search found out 4,937, studies from 2 journal databases. The articles that not suitable with the criteria inclusion must be exclude. Totally, 6 studies were analyzed in this study. 1 study explained the affect of increasing length of stay in the National Health Insurance, 2 studies mentioned that CP was not affected to the length of stay in hospital and 3 studies mentioned that CP was reduced the length of stay in hospital. Conclusion: Clinical pathway in Caesarean section can reduced the length of stay in hospital. The hospital should implement the clinical pathway in caesarean section to increase the quality of hospital service and reduce the cost.
THE CHILD’S DENTAL TREATMENT WITH SEDATION: REASONS, DENTAL TREATMENT NEEDS, MEDICAL CONDITION, AND HISTORY OF DENTAL ANXIETY AMONG CHILDREN IN YARSI DENTAL HOSPITAL Mia Mariani; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The prevention and treatment of oral diseases in childhood and adolescence as the basis for good oral health throughout life is the aim of pediatric dentistry. The ability to care for the segment of the pediatric patients with fear and anxiety of dental treatment also with the medically compromised condition has become an important component of dental practice. Therefore, a need does exist for sedation services within the dentistry field. This study aimed to determine the reasons, dental treatment needs, medical condition, and history of dental anxiety in the analyzed group of pediatric patients.Methods: This was a cross-sectional study using secondary data from medical records data conducted by YARSI Dental Hospital from March to April 2019. About 30 data were eligible for this analysis. The dependent variable in this study was dental treatment with sedation. Independent variables consisted of reasons, dental treatment needs, medical condition, and history of dental anxiety. The data were analyzed using univariate and bivariate analysis.Results: In this study, there were 21 children (70%) doing dental treatment with sedation because of the need for dental treatment and intervention reason. There was a statistically significant interaction between reason and dental treatment with sedation with p-value = 0.023 < 0.05. Another finding, children with a history of dental anxiety were more likely to use dental treatment with sedation (43.3%). With p-value 0.935 > 0.05 there was no statistically significant interaction between the history of dental anxiety with dental treatment with sedation. This study also did not reveal a statistically significant correlation between the following variables: dental treatment needs (p=0.128) as well as children’s medical condition (p=0,091). Conclusions: Most of the correspondents were non-medically compromised children with a history of dental anxiety. The reasons they came to YARSI dental hospital were because of the need for dental treatment and intervention reason. Conservation was the most needed dental treatment. Of the 4 (four) variables studied, the highest influence was the relationship between reason with dental treatment with sedation.
A DEMOGRAPHIC PICTURE ON MEDICAL CHECK UP PATIENTS AND ITS ASSOCIATION WITH PATIENT SATISFACTION LEVEL AT X HOSPITAL IN WEST JAKARTA FOR THE PERIOD OF OCTOBER 2018- FEBRUARY 2019 Prisca Gisella; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Nowadays, the trend of non-communicable diseases is increasing around the world. The Sustainable Development Goals (SDG’S) sets the target to decrease number of mortality and morbidity from non-communicable diseases. One of the strategies to achieve the target is by doing medical check- up routine in the hospital. To do medical check-up is affecting by the patient satisfaction with the hospital services. The characteristic of patients can influence the patient to do medical check-up and will affect the satisfaction level with the hospital services. This study aims to examine the demographic characteristic of patients associated with patient’s satisfaction level in hospital “X”. Methods: This study was a quantitative study used cross-sectional method. The sample in this study was 502 patients during October 2018 to February 2019. The dependent variable in this study was patient’s satisfaction. The independent variables were age, gender, residential area, marital status, and patient status in hospital. The data was analysed in univariate and bivariate analysis used Chi-square. Results: The demographic characteristic of patients in hospital “X” were majority female, had aged 50 years and older, married, lived near hospital “X”, and actually old patient in the hospital. Bivariate analysis showed that age associated with patient’s satisfaction level (p value = 0.000, CI 95%). Meanwhile the other demographic characteristics were not statistically significant with patient’s satisfaction. Conclusion: This study showed that majority of the patients who did medical check-up in the hospital “X” had aged 50 years and older, married, lived near hospital “X”, and actually old patient in the hospital. The aged of the patient was statistically significant associated with patient’s satisfaction. Therefore, the medical check-up service of hospital “X” should be improved based on existing market segment.
HOW EFFECTIVE IS SIMULATION-BASED EDUCATION FOR IMPROVING THE NURSES’ KNOWLEDGE ON PEDIATRIC IV INSERTION: A SYNTHESIS FROM AWAL BROS HOSPITAL GROUP IN INDONESIA Retno Dewi Sulistyowati; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Simulation-based nursing education has been growing rapidly and becomes one of the most popular teaching methods for improving patient safety and patient care. One of the difficult Nursing skills to achieve is IV insertion. Due to the high complaints in the number of IV insertion attempts in the paediatric patients, the Nursing Corporate of Awal Bros Hospital Group organized an educational program emphasizing the team training, clinical decision- making and communication skills. These were the first internal education sessions using live rabbits and mannequins. This study aimed to evaluate the attitude of the participants, the self- confidence level and their change in the knowledge on clinical performance in Paediatric IV Insertion after attending the educational program. Methods: The training and education sessions were conducted at Awal Bros Hospitals in Bekasi Barat and Tangerang during March and April 2019. The participants included a total of 52 Nurses. Pre- and Post-tests consisting of 20 multiple choice questions were administered to the participant before and after the 3-day simulation-based training workshop in Bekasi Barat and after the 2-day simulation- based training workshop in Tangerang. The workshop also utilized rabbits for the participants to practice their hands-on skills. Results: A total of 52 Nurses working in different Nursing units were enrolled. The mean pre-test and post-test scores were 43.81 and 87.52 respectively. In the Statistics Test table, the value of Asymp. Sig (2-tailed) was 0,000. Because the value of sig 0,000 < 0.05 was according to the statistical tests we used, then there are significant differences between before training and after training. Conclusions: Participants had positive attitude toward this new training program. They stated that this technique was more exciting and effective compared to the “traditional” techniques such as lecture, power point presentations or Q&A that they attended. Significant improvement of the knowledge on clinical performance in Nurses participating in these training and education session was observed after the participation in this simulation-based educational program. Many expressed their higher self- confidence in doing IV insertion to the future patients, especially babies and children. More simulation- based education using pre- and post-tests are recommended.
Co-Authors - Afrizal Achir Y.S. Hamid Achmad A. Yusuf Achmad F. Kamal Ade Leana Adila Ramadhian, Elsa Adisasmito, Wiku Bakti Bawono Afriwardi Afriwardi Afrizal Alfiyyah, Arifah Almira Fanny Rahmasari Alya Pramesti Amin, Mustafa M. Amir, Arni Andani Eka Putra Andi A. Victor Anggi Parsaoran Hotmangatur Anhari Achadi Anwar Jusuf Ariadi Ariadi Ariani, Peny Arief Rosyid Hasan Ariescha, Putri Ayu Yessy Arifin, Achmad Armedy Ronny Hasugian Aryani, Ari Dwi Ascobat Gani Asdawati Asdawati Asdawati Asdawati Asdawati, Asdawati Assegaf, Tengku SDIS. Awan Dramawan Ayuningtyas, Tri Auri Putri Benedict Sulaiman Besral . Bob Andinata Br Ginting Munthe, Novita Brian Sri Prahastuti Budi A. Keliat Budi Anna Keliat Budi, Rocky Setya Budiharto Budiharto Budiharto Budiharto Candi, Cicilya Christian, Deyo Alfa Chudahman Manan Chudahman Manan Cicilya Candi Cicilya Candi Cicilya Candi Cicilya Candi Cicilya Candi Cicilya Candi Dadang Makmun Damayanti, Rizky Anggraita Darmani, Endang H. Daruki, Maria Wahyu Dasril Nizam Deden Hidayat Defrin Defrin Delmi Sulastri Denas Symond Desak Ketut Ernawati Devi Afni Dewa Ayu Dyah Widya Dewa Ayu Dyah Widya Dewi Citra Puspita Dewi Citra Puspita Dewi, Ni Putu Ayu Prima Deyo Alfa Christian DIAH ISKANDRIATI Dian Kusuma Dien Kurtanty Dini Widiarni Ditya, Tantri Puspa Dumilah Ayuningtyas Dwiana Ocviyanti Dwiana Ocviyanti Dwiantoro, Luky Dwiantoro, Luky Ede Surya Darmawan Ekorini Listiowati Elfrida Ratnawati Elina Waiman Elly Nurachmah Elly Usman Elsa Adila Ramadhian Elvi Zulka Emeraldy Chatra Ening Krisnuhoni Erdanela Setiawati Erika Agustina Kasdjono Erlina Burhan Erma Handayani Errol U. Hutagalung Esna Sipahutar Eva Chundrayetti Eva Decroli Faisal Yunus Farid Husin Farida Briani Sobri Ferdinal Ferry Finny Fitry Yani Firdawati Firdawati Firdawati, Firdawati Franciscus D. Suyatna Gabriella Suarez Pratiwi Ginting, Desideria Yosepha Ginting, Sukaria Susana Br. Gisella, Prisca Gumilang, Intan Gurendro Putro Habibah Muhiddin Hadi Pratomo Hadi Pratomo Hadiarto Mangunnegoro Hafizurrachman Hafizurrachman Hamidiyanti, Baiq Yuni Fitri Hardiyanti, Widya Harimat Hendarwan Harimat Hendarwan Harimat Hendrawan Hasan, Arief Rosyid Hasibuan, Syarif R. Helmi Helmi Hema Malini, Hema Hermansach, Rendra Hidayat, Deden Himawati, Toki Hsu Chong Jen Husna Yetti Ilyas, Jaslis Indah Puspitasari Intan Gumilang Intan Gumilang Pratiwi Ismail Hadisoebroto Dilogo Jendrius Jendrius Jeremy Romeo Partahi Jipri Suyanto Joserizal Serudji Junaiti Sahar Jusuf, Nelva K. Juwita Cresti Rahmaania K. Kusumaratna, Rina Keane, Arnold KM Taufiq KM. Taufiq Kurnia Sari Kurnia Sari Kurnia Sari Kurtanty, Dien Kusumawati, Leti Ratna lail, nurul husnul Laksono Trisnantoro Leana, Ade Lestari, Petra Ade Paramita Lestariningrum, Siti Leti Ratna Kusumawati Leti Ratna Kusumawati Lubis, Ramona DS. M. F. Aziz Machrumnizar Machrumnizar Machrumnizar, Machrumnizar Magdalena, Rosinta Malahayati Rusli Bintang Manik, Irfan Rohot Uli Marcellus Simadibrata Marcellus Simadibrata Mardiati Najib Mardiati Najib Maria Wahyu Daruki Maria Wahyu Daruki Mariani, Mia Maruni Wiwin Diarti Mayetti Mayetti Mazaya Shafa Ainan Dini Meily Arovi Qulsum Meily Arovi Qulsum Meiyanti Meiyanti, Meiyanti Melanie Vandauli Melanie Vandauli Menaldi Rasmin Merita Arini Mia Mariani Mieska Despitasari Mieska Despitasari Mudjiran Mudjiran Mudjiran Mudjiran Munir Munir Munir Munir Murdani Abdullah Murdani Abdullah Nana Mulyana Nana Muyana Naurah Nazhifah Neherta, Meri Nelly Tandiari Nelwati Nelwati Nelwati, Nelwati Ni N. Susanti Ni Putu Ayu Prima Dewi Ni Putu Ayu Prima Dewi Nikmatul Hidayah Nindya Rahmanida Nora Idiawati Novita Br Ginting Munthe Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nur Mala Sari Nur, Aqsha Nurani Purnama Sari Nurjati C. Siregar Nurwahyuni, Atik Nury Nusdwinuringtyas Nurzalia Safanta Octavianus Maranggi Oka Wilsen Joung Pane, Yunita S. Patria Wardana Yuswar Patriot Haryo Trenggono Permanasari, Vetty Yulianty Petra Ade Paramita Lestari Petra Ade Paramita Lestari Pramesti, Alya Pratita, Rasta Naya Prisca Gisella Prisca Gisella Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Purnamasari, Novita Purnawan Junadi Purnawan Junadi Pusparini Pusparini Puspita, Dewi Citra Putri Azzahroh Putri Ilham Sari Putri Ilham Sari Qulsum, Meily Arovi R. Susworo Rahmaania, Juwita Cresti Rahmad Gurusinga Rahmanida, Nindya Rahmanofa Yunizaf Rahmasari, Almira Fanny Rai Pandudita Rasta Naya Pratita Ratnawati Antaria Rendra Hermansach Renita Agustina Reny Ayu Damayanti Retno Dewi Sulistyowati Retno Dewi Sulistyowati Retno Sulistyo Wardani Riastuti Kusuma Wardani Riastuti Kusuma Wardani Ricky Fathoni Rima Semiarty Rina K. Kusumaratna, Rina K. Rina Kurniasri Kusumaratna Risely Sutarsa Limirang Ristrini , Ristrini Ristrini Ristrini Ristrini Ristrini Rizanda Machmud Rizky Anggraita Damayanti Rizky Anggraita Damayanti Robiana Modjo Rochani Istiawan Rosanti, Elvi Rosinta Magdalena Rosinta Magdalena Rosiyana Rosmala Atina Rusadi Rosna Meutia Rr Tutik Sri Hariyati Rusda, Muhammad Salsabila, Unik Hanifah Sari Mulyati Sari, Putri Ilham Sarwono Waspadji Septelia I. Wanandi Silvia Tarigan Silvia Tarigan Siti Lestariningrum Siti Lestariningrum Sjaaf, Amal Chalik Sobri, Farida Briani Soetrisno Soetrisno Sonar Soni Panigoro Sukaria Susana Br. Ginting Sukaria Susana Br. Ginting Sukhri Herianto Ritonga Sulaiman, Benedict Sulistyowati, Retno Dewi Suminar, Dian Laras Suranta, Roy Michael Susyana Tamin Suvonalya Suvonalya Suvonalya Suvonalya Suvonalya, Suvonalya Tandiari, Nelly Tantri Puspa Ditya Tantri Puspa Ditya Tarigan, Herri Novita Tarigan, Silvia Taufiq, KM Tauhidah, Sarah At Tiara Innotata Tinurbaya, Afriani Tjahjono D. Gondhowiardjo Tjandra, Sydney Tjen Dravinne Winata Toki Himawati Toki Himawati Trenggono, Patriot Haryo Trisetiawati, Lami Ukik Kusuma Kurniawan Ukik Kusuma Kurniawan Vandauli, Melanie Vetty Yulianty Permanasari Vetty Yulianty Permanasari Wahyu Sulistiadi Wahyuni, Sri Puji Widjajalaksmi Widjajalaksmi Widya, Dewa Ayu Dyah Widyasanti, Nisrina Windy Woro Paramyta Yopita Ratnasari Yuliarni Syafrita Yumnanisha, Defin A. Yusrawati Yusrawati Yuswar, Patria Wardana Yuyun Yuniar Yuyun Yuniar