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Evaluasi Pelayanan Kesehatan di Wilayah dengan Angka Kematian Bayi (AKB) Tinggi Asmi, Sarah Ayu Budi; Dewi, Arlina
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 8, No 1 (s) (2008): April
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v8i1 (s).1645

Abstract

Infant Mortality Rate (IMR) in Indonesia has been decrease but it is still high compared with the other ASEAN’s countries, the third higher rank in ASEAN, after Laos and Burma. Indirect causes of IMR include health services, relative difficult to be solved so it is still influence health status disparity of rural and urban area. High IMR regions should be more concerned, such as Pejawaran District which has a high IMR in 5years recent are 46,8/1.000 birth life on 2007, that is higher than national’s IMR are 26,9/1.000 birth life. The objective of this study is to evaluate health services (antenatal andperinatal care) in a high IMR region, Pejawaran District. This study use observational method with survey approach. The population is Pejawaran District ’s community. The samples are housewives who live at this district minimum 5 years and given birth minimum 1 life baby born. Ninety seven samples are selected by Lameshow formula of sample size and were selected by unproportional simple random from 3 villages that are selected by purposive sampling. The result are analyzed by descriptive analysis Generally, maternal-neonatal health care in Pejawaran district are good. There is needed an effort to make health cost and health care location more affordable and accessible for all Pejawaran ’s communities.Angka Kematian Bayi (AKB) di Indonesia telah menurun, tetapi masih tinggi dibandingkan anggota ASEAN lain yaitu peringkat ketiga setelah Laos dan Burma. Penyebab tidak langsung AKB termasuk pelayanan kesehatan relatif sulit ditanggulangi sehingga masih menimbulkan disparitas antarpedesaan-perkotaan. Daerah dengan AKB tinggi perlu lebih diperhatikan, seperti Kecamatan Pejawaran yang selalu tinggi dalam 5 tahun terakhir yaitu 46,8/1.000 kelahiran hidup pada tahun 2007, terlihat lebih tinggi dari AKB nasional yaitu 26,9/1.000 kelahiran hidup. Penelitian ini bertujuan untuk mengevaluasi pelayanan kesehatan (perawatan antenatal dan perinatal) di wilayah dengan AKB tinggi, yaitu Kecamatan Pej awaran. Penelitian ini menggunakan metode observasional pendekatan survei. Populasi penelitian adalah masyarakat Kecamatan Pej awaran, dengan sampel ibu rumah tangga yang pernah melahirkan minimal satu bayi lahir hidup dan tinggal di kecamatan ini minimal selama 5 tahun. Sampel sebesar 97 ditentukan berdasarkan rumus besar sampel Lameshow dan diambil secara unproporsional simple random dari tiga desa yang ditentukan secara purposive sampling. Data diolah dengan analisis deskriptif. Secara umum didapatkan hasil, pelayanan kesehatan maternal dan neonatal di Kecamatan Pejawaran cukup baik, biaya kesehatan dan lokasi tempat pelayanan kesehatan perlu diupayakan supaya lebih terj angkau dan tercapai bagi seluruh masyarakat Kecamatan Pej awaran.
Willingness to Pay for Maternity Waiting Homes in Rural Indonesia Dewi, Arlina; Supriyatiningsih, Supriyatiningsih; Sundari, Sri; Sugiyo, Dianita; Lellee, Ralph. J.
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.92122

Abstract

Distance to a health care facility has long been discussed as a key barrier to maternal health care utilization in rural areas.  Maternity Waiting Homes (MWHs) has been proved to the reductions of maternal mortality. The objective of this study was to investigate the pregnant women’s Willingness to Pay (WTP)  toward the maternity waiting homes (MWHs).  The cross-sectional study was conducted in two rural areas in South Sulawesi, Indonesia. The data were collected through survey which was distributed to pregnant women and their families. A total of fifty-one pregnant women and forty-nine families participated in the study as two groups of respondents. For the results of this study, there were 66.7% of pregnant women agreed if they should stay at MWHs. For a group of pregnant women, the amount of WTP which was capable to be paid was 100.000 IDR in a month. Moreover, for a group of family, the amount of WTP which they could pay for staying at MWH was 200.000 IDR in a month. The pregnant women’s acceptance to stay in MWH is good, but their willingness to pay is still very low.
The development of Hemodialysis Units in the Army Hospital Rudy Dwi Laksono; Titih Huriah; Arlina Dewi
International Journal of Science, Technology & Management Vol. 2 No. 2 (2021): March 2021
Publisher : Publisher Cv. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46729/ijstm.v2i2.178

Abstract

Patients with renal disease require special care.This study aims to develop a hemodialysis unit in the Army Hospital that require the act of washing the blood as a form to improve health services for patients with kidney failure. In this study, the majority of patients covered by the National Health insurance. Research methods namely method a case study with quantitative descriptive analysis.The results of this study show that the development of the hemodialysis unit will give a positive impact for the patient and for the hospital. The review will be the addition of hemodialysis machines, the addition of a new building, the addition of shift nurse can be seen that all these options will be profitable in the foreseeable future. This of course can make the best judgment for the Hospital in determining a decision for the sake of improving health care for the patient.
Pengaruh Range Of Motion (ROM) Angkle Terhadap Resiko Deep Vein Thrombosis (DVT) Pada Pasien Diabetes Mellitus Dengan Luka Ulkus: Literature Review Ayu, Yennyka Dwi; Dewi, Arlina
Jurnal Keperawatan Muhammadiyah Vol 6, No 3 (2021): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v6i3.5160

Abstract

Background: Diabetes Mellitus (DM) is the most chronic disease throughout the world which is a chronic metabolic disease due to pancreas that cannot produce enough insulin and the body cannot use effective insulin, as evidenced by the number of diabetes mellitus prevalence that can continue at any time increased. Diabetes mellitus is a metabolic disease which is very high risk of death. Patients with diabetes mellitus participate with thrombosis in blood vessels, one of which is diabetic foot ulcer. Thrombosis in patients with diabetic foot ulcers will increase thrombosis in the lower limbs that are part of venous thromboembolism, or Deep Vein Thrombosis (DVT). One effort to repair the wound can be done with practice. Exercise is one of the first management strategies proposed for new patients diagnosed with diabetes, because along with diet and policy modifications, exercise and exercise are important components of all diabetes intervention programs, which by doing exercises can help very much.Research Objectives: This literature review discusses the causes of deep venous thrombosis (DVT), causes of ulcer wounds and looks for the influence of the Angkle range of motion (ROM) on the risk of Deep Vein Thromosis (DVT) in patients with diabetes mellitus with ulcer wounds.Method: The literature database search method was conducted at Google Scholar and Pubmed. The literature used is literature that meets the inclusion criteria and published the last five years, is approved then selected and reviewed.Results: Final results There are 4 literatures that can be reviewed. Based on the literature conclusions, it can be found several exercises in patients with diabetes mellitus so as to increase diabetes, and can reduce the need for Deep Vein Thromosis (DVT). To find out the risk of Deep Vein thrombosis (DVT) can be determined by the D-Dimer test. If the D-Dimer test shows positive results, then the patient must use DVT
GAMBARAN KARAKTERISTIK PASIEN GAGAL JANTUNG USIA 45 – 65 TAHUN DI RUMAH SAKIT PKU MUHAMMADIYAH GAMPING SLEMAN Harigustian, Yayang; Dewi, Arlina; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 1 (2016): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.234 KB) | DOI: 10.18196/ijnp.v1i1.3419

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Heart failure is a disease that can caused death. About 5.1 million people in the United States had heart failure. In 2009, one in nine deaths caused by heart failure. In Indonesia, the prevalence of heart failure in 2013 was 0.13%, the estimated number of heart failure patients in Yogyakarta was 6,943 (0.25%). Based on data from 2007 indicated CHF Riskesdas the third cause of death in Indonesia after stroke and hypertension. The purpose of this study to determine the characteristics of heart failure patients in the Poly Heart Gamping Sleman PKU Muhammadiyah Hospital in September-November 2016. The study was conducted using a descriptive design. The sample was 32 respondents. Characteristics of patients with heart failure in Poly Heart PKU Muhammadiyah Hospital Gamping Sleman highest respondent's age range 61-65 years was 59.38%, the highest gender was female  53.12%, the last education was elementary 34.38%, the worst job many are civil servants was 31.25%, stage 2 was  93.75%. The conclusion of this study is that most of the respondents are at the age of 61-65 years old, the sex of the respondents is bigger than the male, the most recent primary school education, the work of most civil servants, and almost all respondents had heart failure stage 2. The results of this study are expected to be a reference to know the description characteristics of patients with heart failure so that prevention or intervention can be done to reduce the recurrence of patients with heart failure.
Fulfillment Of Safety And Comfort Needs In Urinary Catheter Patients : Literature Review Agustiani, Sirli; Dewi, Arlina
IJNP (Indonesian Journal of Nursing Practices) Vol 4, No 2 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2018.705 KB) | DOI: 10.18196/ijnp.v4i2.10243

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Background: Discomfort often occurs when catheter placement and also the removal of catheter. In health sector, nursing practice focus on patient quality and safety. Feeling safe is a form of feeling that if not controlled of anxiety. Using urinary catheter will affect to quality of life of patients such as physical, psychological, socio cultural, environmental and spiritual aspects.Objective: The aims of this study to describe how the fulfillment of safety and comfort needs in urinary catheter patients.Method: This study use literature review. The database were PubMed, Google Scholar and ProQuest. The search was restricted to English language articles and limited to last 5 years (2014-2019). Articles should be related to research. This study use main keywords experience AND “urinary catheter*”. Only fourteen journals met the eligbility criteria and were review by two researchers.Result: The Results of article that urinary catheter impact on several aspect of patients such as social aspect patient have limited social interaction, and difficult to adaptation. In psychological aspect, patient feel embarrassed, dissatisfaction, frustation, anxiety, and low self esteem. In physical aspect, patient feel blocking their movement, increase the risk of infection, painful, discomfort, and iritation. In other aspect, the patient has economic problem.Conclusion: The findings of articles show positive and negative impact for patient’s life when urinary catheter inserted. The review provides insight that can be useful for nurses in concerning patient’s need about safety and comfort especially patients with urinary catheters.
Evaluasi Pelayanan Kesehatan, Perilaku Masyarakat, dan Lingkungan di Wilayah dengan Angka Kematian Bayi (AKB) Tinggi Dewi, Arlina; Sulistyawati, Endang; Asmi, Sarah Ayu Budi; Arini, Merita
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v9i1.1585

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Recently, Pejawaran District has high IMR minimal 5 year and higher than national average. The aims of this research are to evaluate health care, community behavior, and environment in Pejawaran District. This research uses observational method with survey approach. The 97 sample are women who ever deliver the life baby and live in Pejawaran for 5 years. Maternal-neonatal health cares in Pejawaran are good, which are enough in available, acceptable-continuely, accessible, affordable, and good quality. Health behaviors are various and some components should be more concerned (proper washing hand, brushing teeth, “kadarzi”, birth attendance, health insurance and smoking). Illness behaviors are still low, especially mother knowledge. Sick role behaviors are various especially the community efforts to take medication. Achievement is good in the knowledge of health care places and the understanding of the rights of sick people although the understanding of the duties is low. Unfulfilled health housing component are ratio wide house with family members (22,7%), floor (51,5%), wall (49,5%), roof (3,1%), ventilation (66%), lighting (20,6%), and cages of animal (51,6%). Unfulfilled health basic sanitation are the drinking water source (100%), excreta disposals (87%), garbage bin (4,1%), andwaste water disposal (50,5%). The conclution are maternal-neonatal health care in Pejawaran District have fulled requirement; health related behaviors achievement are various, but mostly must be increased; and the majority environment archievement haven ’t fulled health requirements yet.Kecamatan Pejawaran memiliki AKB tinggi selama 5 tahun terakhir dan lebih tinggi dibanding rata-rata nasional. Tujuan penelitian ini adalah mengevaluasi pelayanan kesehatan, perilaku masyarakat, dan lingkungan di Kecamatan Pejawaran. Penelitian ini menggunakan metode observasional dengan pendekatan survei. Sampel sebanyak 97 yaitu ibu yang pernah melahirkan 1 bayi lahir hidup dan tinggal di Pejawaran minimal 5 tahun. Pelayanan kesehatan maternal-neonatal cukup tersedia, dapat diterima-berkelanjutan, mudah dicapai, dapat dijangkau, dan berkualitas. Perilaku sehat masyarakat bervariasi, komponen yang masih memerlukan perhatian adalah mencuci tangan dengan benar, menggosok gigi, kadarzi, penolong persalinan, asuransi kesehatan dan merokok. Perilaku sakit masih rendah khususnya pengetahuan ibu. Perilaku peran sakit beragam khususnya perilaku mencari kesembuhan. Pengetahuan adanya tempat pelayanan kesehatan dan kepemahaman terhadap hak orang sakit tercapai dengan baik walaupun kepemahaman terhadap kewajiban orang sakit masih rendah. Komponen rumah yang belum mencapat syarat kesehatan adalah kepadatan rumah (22,7%), lantai (51,5%), dinding (49,5%), langit-langit (3,1%), ventilasi (66%), pencahayaan (20,6%), dan kandang ternak (51,6%). Sanitasi dasar yang belum mencapat syarat kesehatan adalah sumber air bersih (100%), sarana pembuangan kotoran (87%), sarana pembuangan sampah (4,15%), dan sarana pembuangan limbah (50,5%). Kesimpulan yang diperoleh adalah pelayanan kesehatan maternal-neonatal Kecamatan Pejawaran sudah memenuhi syarat; cakupan perilaku masyarakat terkait kesehatan beragam, namun sebagian besar harus diperbaiki; dan cakupan komponen lingkungan sebagian besar belum memenuhi syarat kesehatan.
Kepuasan Pasien terhadap Komunikasi Dokter Pasien di Puskesmas Dewi, Arlina
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 2 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v9i2.1602

Abstract

Doctor patient communication is the important basis of diagnosis, therapy and preventive process. In a few cases in Primary, Care, most of doctrs do wrong diagnosis because of inhibition in communication. In a busy doctor practice, communication takes short time. Patient are dissatisfied to doctor care because of less attention and opportunity to express their feeling. The objective of this study is to determine the correlation between patient satisfaction and duration of doctor patient communication in Community Health Centre. The research method used cross sectional design with analytic type. The collected data using satisfaction questionnaire that filled directly by respondent and direct observation by researcher to duration of doctor patient communication. Sixty-four respondents selected at random from eight Community Health Centres in Primary Care where doctor care the patient. Spearman Correlation test is used to analyze the data. The study finds out that the duration of doctor patient communication is 2,96±1,27 minutes on average. Based on eight categories (greeting, non verbal, empathy, language, listening, giving information, summarizing, motivation) of patient satisfaction level, the highest score is empathy and the lowest score is greeting. Patient satisfaction score to female doctor is higher than male (p=0,026). There is moderate correlation (r=0,444, p0,005) between patient satisfaction and duration of doctor patient communication in Community Health Centre. In conclusion, there is moderate correlation between patient satisfaction and duration of doctor patient communication in Community Health Centre.Komunikasi dokter pasien merupakan landasan yang penting dalam proses diagnosis, terapi maupun pencegahan penyakit. Dalam beberapa kasus di Primary Care banyak dijumpai dokter yang keliru mendiagnosis karena adanya hambatan dalam komunikasi. Pada praktik dokter yang sibuk komunikasi yang terjadi hanya sangat singkat. Ketidakpuasan sebagian pasien terhadap layanan dokter karena merasa kurang diperhatikan dan tidak ada kesempatan dalam mengungkapkan perasaannya. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kepuasan pasien dengan durasi komunikasi dokter pasien di Puskesmas. Metode penelitian menggunakan rancangan cross sectional dengan jenis penelitian analitik. Pengumpulan data menggunakan kuisioner kepuasan yang diisi langsung oleh responden dan observasi langsung oleh peneliti terhadap durasi komunikasi dokter pasien. Enampuluh empat responden pasien terpilih secara acak dari delapan Puskesmas tempat dokter Primary Care memberikan pelayanan. Analisis data menggunakan uji Spearman Correlation. Hasil penelitian didapatkan rata rata durasi komunikasi dokter pasien 2,96±1,27 menit. Dari delapan komponen kategori (greeting, non verbal, empathy, language, listening, giving information, summarizing, motivation) tingkat kepuasan pasien yang tertinggi pada empathy dan yang terendah pada greeting. Skor kepuasan pasien terhadap dokter perempuan lebih tinggi daripada dokter laki laki (p= 0,026). Terdapat korelasi sedang (r = 0,444, p0,005) antara kepuasan pasien dengan komunikasi dokter pasien di Puskesmas. Dari hasil tersebut dapat disimpulkan bahwa terdapat hubungan sedang antara kepuasan pasien dengan komunikasi dokter pasien di Puskesmas.
Pemetaan Analisis Jabatan dan Penilaian Kinerja sebagai Dasar Pengembangan Sistem Remunerasi Hidayah, Nur; Dewi, Arlina
Berdikari: Jurnal Inovasi dan Penerapan Ipteks Vol 9, No 1 (2021): February
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/berdikari.v9i1.6500

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Job analysis and performance appraisals are the basis of developing a remuneration system consisting of fees for position, fees for service, and fees for people. Clinic Pratama receives payment for health services for patients participating in the National Health Insurance in the form of a capitation package. The capitation package distribution has not been regulated based on the position value index and performance appraisal according to the performance indicators of each employee’s detailed job descriptions, responsibilities and authorities. The purpose of this community service activity is to develop a remuneration system which can then be implemented in KPF as a strategy in human resource management facing the era of National Health Insurance (JKN) to achieve Universal Health Coverage (UHC). The method used is a qualitative method through a Focus Group Discussion (FGD) approach, interviews and documentation studies. The results of community service show that the Remuneration System can be developed based on Job Analysis and Performance Appraisals
EFEKTIFITAS KOMBINASI TERAPI MUSIK DAN TEKNIK RELAKSASI NAFAS DALAM TERHADAP PENURUNAN NYERI PASIEN POST KATETERISASI JANTUNG Nanik Sri Khodriyati; Arlina Dewi; Azizah Khoiriyati
Jurnal Kesehatan Karya Husada Vol 6 No 1 (2018): Jurnal Kesehatan Karya Husada
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.354 KB) | DOI: 10.36577/jkkh.v6i1.288

Abstract

Latar belakang : Tindakan kateterisasi jantung dapat menimbulkan ketidaknyamanan / nyeri, nyeri dapat diturunkanmenggunakan terapi musik dan teknik relaksasi nafas dalam. Terapi musik adalah Pemberian tindakan mandirikeperawatan menggunakan MP3 dan headphone dengan mendengarkan musik yang telah dipilih oleh responden sesuaistandar terapi musik selama 15 menit minimal satu kali dan teknik relaksasi nafas dalam adalah pemberian metodebernafas secara mendalam dengan frekuensi kurang dari 10 x/menit yang dilakukan sambil mendengarkan musikselama 15 menit dengan mengacu panduan kombinasi terapi musik dan relaksasi nafas dalam yang dibimbing olehpeneliti/asisten peneliti.Tujuan : Untuk menganalisis efektivitas kombinasi terapi musik dan teknik relaksasi nafas dalam terhadap penurunanintensitas nyeri pada pasien post kateterisasi jantung.Metode: Desain penelitian ini adalah quasi eksperimen dengan pre - post test with control group design, denganpendekatan consecutive sampling. Jumlah sampel 38 responden. Penilaian nyeri menggunakan Numeric Rating Scale(NRS), analisa data menggunakan uji statistik wilcoxon, dan mann-whitney.Hasil: Hasil uji statistik wilcoxon menunjukkan p value < 0.05 sehingga kombinasi terapi musik dan teknik relaksasinafas dalam secara signifikan dapat menurunkan intensitas nyeri pasien post kateterisasi jantung, kemudian dilakukananalisis perbedaan masing-masing variabel ditambah dengan protap rumah sakit sebagai kontrol dengan uji mannwhitney, hasil p value < 0.05 dan dilanjutkan uji mann-whitney tes untuk melihat perbandingan penurunan dua variabeldengan masing-masing p value < 0.05 dengan demikian secara statistik ada perbedaan antara kelompok intervensi dankelompok kontrol.Kesimpulan: Kombinasi terapi musik dan teknik relaksasi nafas dalam efektif dalam menurunkan nyeri pada pasienpost kateterisasi jantung.
Co-Authors A.A. Ketut Agung Cahyawan W Agus Tri Widiyantara Agus Tri Widiyantara, Agus Tri Agustiani, Sirli Amirul Mustofa ANNISA FIRDAUSI Arini, Merita Aris Suparman Wijaya Aris Suparman Wijaya, Aris Suparman Asmi, Sarah Ayu Budi Asri Bashir Astuti, Yurni Dwi Ayu, Yennyka Dwi azizah khoiriyati Basha, Muzaitul Akma Binti Mustapa Kamal Bekti, Nikma Kurnianingtyas Bekti, Nikma Kurnianingtyas Cahyani, Faridha Cherol Nelson Ering Della Mawros Dwita Della Mawros Dwita, Della Mawros Dewi, Trisna Setya Dharmayuda, Cokorda Gde Oka Dianita Sugiyo, Dianita Dwi Ambarwati, Dwi Dwi Nur Anggraeni Ekorini Listiowati, Ekorini Endang Sulistyawati Erni Rahmawati Fananie, Yasser Ahmad Fidela Firwan Firdaus Fidela Firwan Firdaus, Fidela Firwan Fradita Eka Sukardi Fradita Eka Sukardi, Fradita Eka Gofur Ahmad Harigustian, Yayang Idris, Desi Natalia Trijayanti Ietje Nazaruddin Kusuma Dewi, Dyah Tri Kusumo, Mahendro Prasetyo Lellee, Ralph. J. Mariska Urhmila, Mariska Merita Arini Minanton Murnani, Sari Nanik Sri Khodriyati Novita Kurnia Sari Novita Kurnia Sari Nugroho, Irfan Helmi Nur Hidayah Prakoso, Denny Anggoro R. Sapto Hendri Boedi Soesatyo Rudy Dwi Laksono Saputra, Rahmana Febri Sekarsiwi, Anggraini Respati Setyonugroho, Winny Sri Sumaryani Suhendar Sulaeman Sumardi Sumardi Supriyatiningsih, Supriyatiningsih Supriyatiningsih, Supriyatiningsih Suryanto, Farid Susanto Susanto Tendean, Angelia Friska Titih Huriah Veronica Retno Setyaningsih Warih Andan Puspitosari, Warih Andan Widyatmoko, Danar Wijaya, Adi Indra Wirasto, Anggit Yurni Dwi Astuti