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Improvement of Cadres' Skills and Knowledge to Provide Comprehensive Health Services for the Elderly Lilik Djuari; Linda Dewanti; Sulistiawati; Natasya Nurvita Brilianti; Farhan Nurdiansyah; Subur Prajitno
Folia Medica Indonesiana Vol. 59 No. 2 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v59i2.39896

Abstract

Highlights: Due to the increasing elderly population in Indonesia, this study must address the knowledge and skill gaps among health cadres in a number of Integrated Health Posts for the Elderly (Pos Layanan Terpadu Lanjut Usia/ Posyandu Lansia).  Through this study, the health cadres increased their knowledge and skills, enabling them to provide comprehensive health services for the elderly.  Abstract Numerous issues have arisen as a result of the large size and rapid growth of the elderly population, attesting to the need for serious efforts from all sectors to enhance their welfare. However, the health cadres at the Integrated Health Post for the Elderly (Pos Layanan Terpadu Lanjut Usia/ Posyandu Lansia) lacked the training that would have equipped them with the necessary knowledge and skills to carry out their duties. This study aimed to evaluate the significance of training for enhancing the cadres' knowledge and skills in providing comprehensive health services for the elderly. This study was quasi-experimental research with a pre-test and post-test design. The data analysis was performed using the Shapiro-Wilk test (p>0.05) and the Wilcoxon test (p<0.05). A total of 30 health cadres at Songgon Community Health Center were measured for their levels of knowledge and skills before and after the training. The training included filling out health evaluation charts, providing leaflets containing health counseling materials for the elderly, practicing exercise for the elderly, and singing an elderly marching song. Before filling out the health evaluation chart, the cadres had to measure the elderly's degree of independence as well as their mental, emotional, and nutritional status. The cadres also had to measure the weight, height, and blood pressure of the elderly. Prior to training, the cadres' knowledge of hospitalization referrals, independence, and physical exercise for the elderly was limited. The cadres' skills in filling out health evaluation charts, assessing mental, emotional, and nutritional status, measuring blood pressure, and instructing physical exercise were also inadequate. There was a significant difference in the knowledge and skills of the health cadres before and after training (p<0.05). In conclusion, there was an improvement in the health cadres' knowledge and skills regarding comprehensive health services for the elderly at the Posyandu Lansia.
SELF CARE MANAGEMENT DENGAN OUTPUT TERAPI PADA PASIEN HIPERTENSI DI DUA PUSKESMAS DI SURABAYA Rayhan Alma Shafannisa Heru; Linda Dewanti; Budi Baktijasa Dharmadjati
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 7, No 3 (2020): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Lambung Mangkurat University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v7i3.9562

Abstract

Hipertensi sebagai penyakit tidak menular merupakan masalah kesehatan global, terutama pada negara berkembang termasuk Indonesia yang dapat menyebabkan komplikasi kesehatan. Dua dari tiga kasus hipertensi gagal untuk mencapai tekanan darah yang optimal dan direkomendasikan untuk melakukan self care management. Penelitian ini bertujuan untuk mengevaluasi praktik self care management di fasilitas kesehatan primer dan hubungannya dengan dampak kesehatan melalui desain studi cross-sectional. Data karakteristik dan self care management diperoleh melalui kuesioner dan rekam medis. Seluruh pasien hipertensi yang mengunjungi dua fasilitas kesehatan primer dari Agustus 2019 hingga Februari 2020 direkrut sebagai partisipan. Dari 60 responden, mayoritasnya merupakan perempuan (74%) dan berusia >65 tahun (48.3%), memiliki indeks massa tubuh melebihi normal (55%), aktivitas fisik yang kurang (75%), dan tingkat stres sedang hingga berat (60%). Tidak ada hubungan antara IMT, aktivitas fisik, tingkat stress, dan tekanan darah mereka. Meskipun asupan mereka sudah dibatasi garam (self-rated), tidak memiliki kebiasaan merokok dan tidak konsumsi alkohol, faktor-faktor tersebut tidak berhubungan dengan tekanan darah mereka. Direkomendasikan untuk melakukan aktivitas fisik teratur, mengurangi berat badan, dan tingkat stres untuk meningkatkan dampak kesehatan mereka.
AGE, SEX, AND TYPES OF OCCUPATION WITH HISTOPATHOLOGICAL TYPES IN PATIENTS WITH OCULAR SURFACE SQUAMOUS NEOPLASIA (OSSN) IN A TERTIARY HOSPITAL IN SURABAYA, INDONESIA Stella Agatha Widjaja; Delfitri Lutfi; Linda Dewanti; Alphania Rahniayu; Fitria Kusumastuti
Majalah Biomorfologi Vol. 34 No. 2 (2024): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v34i2.2024.74-82

Abstract

Highlights The histopathological types of OSSN were significantly associated with age and occupation. The study's findings enhance the understanding of OSSN in Indonesia and emphasize the importance of UV exposure, occupation, and age in its development.   Abstract Background:  Ocular Surface Squamous Neoplasia (OSSN) is a spectrum of tumors affecting the conjunctiva and cornea, in which a more invasive type of OSSN has a higher recurrence rate. As a tropical country, Indonesia is constantly exposed to intense ultraviolet (UV) radiation, the main risk factor for OSSN. Despite this, there are very few studies regarding OSSN in Indonesia. Objective:  This study aimed to analyze the association between sociodemographic characteristics such as age, sex, and types of occupation (outdoor and indoor) and histopathological types of OSSN to fill the gap in research and contribute to early diagnostic strategies. Material and Method: Sociodemographic and histopathological data were extracted from the medical records of patients who were histopathologically diagnosed with OSSN at Dr. Soetomo General Hospital from 2017 to 2021. Data from 88 samples that met the inclusion and exclusion criteria were classified and analyzed with descriptive statistics and a two-sided Fisher's exact test using SPSS version 27.0 (IBM Corp., Armonk, N.Y., USA). Result: The exact test results of the two-sided fisher revealed a statistically significant relationship between age (p = 0.0004) and occupation type (p = 0.049) with histopathological types of OSSN. However, no significant association was found between sex and histopathological types of OSSN (p = 0.130). Conclusion: Age and occupation were found to have a significant association with the histopathological types of OSSN, reinforcing the need for further exploration of its strength and nature to be considered by future researchers.
MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING Febronia Martina Dua Lehang; Aditiawarman; Ivon Diah Wittiarika; Linda Dewanti
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 2 (2024): Indonesian Midwifery and Health Sciences Journal, April 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i2.2024.102-116

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Background: Preeclampsia-related maternal mortality is a persistent issue globally, including in Indonesia. The International Federation of Gynecology and Obstetrics (FIGO) recommends universal preeclampsia screening in obstetric services. In Indonesia's NTT Province, pregnant women are screened based on guidelines in the MCH book. Sikka Regency mandates midwives to use the KSPR and MCH manuals for risk factor screening In 2022, 154 out of 9,685 screened pregnant women exhibited signs of preeclampsia risk factors. Despite the reduction in maternal deaths in Sikka Regency, the number of deaths directly linked to preeclampsia increased from one in 2021 to four in 2022. Notably, at Watubaing Public Health Center, two cases of maternal death were specifically attributed to preeclampsia. This underscores a significant gap in midwives' perceptions and clinical practices, elevating maternal mortality risk. This study explores midwives' perceptions of preeclampsia screening. Method: Qualitative research with a phenomenological approach at Watubaing Public Health Center involved three informants selected through purposive sampling, meeting the inclusion criteria. Data collection, conducted from April to July 2023, comprised in-depth semi-structured interviews that were subsequently analyzed thematically. Results: Midwives' expressed divergent opinions on preeclampsia screening, yet a consensus prevailed on its crucial importance. Conclusion: Midwives' perceptions of preeclampsia screening in ANC services are significantly shaped by internal and external factors, including knowledge and experience.
THE CORRELATION OF ADOLESCENT KNOWLEDGE ABOUT FREE SEX PRACTICES WITH THE RISK OF CERVICAL CANCER ON THE MOTIVATION OF HPV VACCINATION AT JUNIOR HIGH SCHOOL 6 SURABAYA Arlean, Maria Agatha; Dewanti, Linda; Setyowati, Dewi
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 2 (2024): Indonesian Midwifery and Health Sciences Journal, April 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i2.2024.131-141

Abstract

Background: Cervical cancer had the second position as the leading cause of cancer towards woman in worldwide. The prevalence of cervical cancer in Indonesia reaches 23,4 cases from 100.000 population (Kemenkes RI, 2019). To enhance awareness and knowledge about HPV vaccination and cervical cancer, it is imperative to disseminate information through early health promotion regarding cervical cancer prevention, including HPV vaccination, and avoiding behaviors that may elevate the risk of cervical cancer, such as engaging in unprotected sexual activities. The aim of this study is to determine the correlation between adolescents' knowledge of "Free Sexual Practices with Cervical Cancer Incidence Risk" towards motivation for HPV vaccination at 6 Junior High School Surabaya. Method: The quantitative cross-sectional approach involved 304 students from grades 7, 8, and 9, selected through stratified sampling and was analyzed using the Spearman analysis test. Results: The majority (83.1%) of adolescents in grades 7, 8, and 9 demonstrated good knowledge (83.1%) regarding free sexual practices with the risk of cervical cancer incidence. A considerable number of adolescents (29.9%) in grades 7, 8, and 9 showed a moderate level of motivation. There is a significant correlation between the knowledge level regarding cervical cancer and the risk of cervical cancer incidence concerning motivation for HPV vaccination, with a p-value of 0.000 (p < 0.05). Conclusion: There is a correlation between the knowledge level regarding cervical cancer and the risk of cervical cancer incidence concerning motivation for HPV vaccination at 6 Junior High School Surabaya.
Does the Intensity of Gadget Use Impact Social and Emotional Development of Children aged 48-72 Months? Rukmana, Nabila Ilma Nisa; Ainy Fardana, Nur; Dewanti, Linda; Mujtaba, Farah
Al-Athfal: Jurnal Pendidikan Anak Vol. 7 No. 2 (2021)
Publisher : Islamic Early Childhood Education Study Program, Faculty of Tarbiyah and Education, UIN Sunan Kalijaga Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/al-athfal.2021.72-04

Abstract

Purpose –This study aims to analyze the correlation between the intensity of gadget use and the social-emotional development of children aged 48-72 months.Design/methods/approach – The Study uses quantitative research with a cross-sectional study. The sample includes 126 children using a simple random sampling technique at Al-Furqon Kindergarten and Bunda Ghifari Kindergarten Surabaya, Indonesia. The independent variable is the intensity of gadget use which is measured using a questionnaire. The dependent variable is the children’s social-emotional development as measured by the Questionnaire of Problems and Emotional Behavior.Findings – There is a significant correlation between the intensity of gadget usage and the social-emotional development of children aged 48-72 months (p-value < 0.05). High-intensity gadget use will increase their social-emotional development in the referral category, which means it requires treatment by the experts.Research implications/limitations - The result of this study supports the theory that high intensity of gadget usage on children will affect their social and emotional development. This study only focuses on children’s social and emotional development without examining another developmental variable that may affect the study results.Practical implications – Parents are expected to play a role in supervising and limiting the use of gadgets on children to avoid the negative impacts.Originality/value –This study contributes to the literature by showing the effect of gadget use on children’s social and emotional development. Paper type Research paper
Clinical Profile of Contact Dermatitis Patients at the Allergy-Immunology Division of Dermatology and Venereology Outpatient Clinic Gabriel Rio Widipriyatama; Damayanti; Dewanti, Linda; Anggraeni, Sylvia
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 2 (2023): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.2.2023.100-106

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Background: Contact dermatitis is an inflammatory skin response that can be caused by several things. This inflammatory reaction is most often caused by external compounds that become allergens or irritants to the body. Purpose: To evaluate the clinical profile of contact dermatitis patients at the allergy-immunology division of dermatology and venereology outpatient clinic of Dr. Soetomo general academic hospital. Methods: The sampling technique used in this study is a total sampling technique and was processed with Excel descriptively. Result: The most frequent age group diagnosed with contact dermatitis was the 20–45-year-old age group (45.5%). The most frequent gender was female (72.2%). The most frequent occupation was private employee (30.8%). The most frequent suspected causal factor was cosmetics (35.2%). Itching was the most common type of patient complaint (44.1%). Face was the most frequent location (30.8%). Erythematous macules were the most frequent clinical manifestation (45.9%). The diagnosis of contact dermatitis was divided into allergic contact dermatitis ACD (60.4%) and irritant contact dermatitis ICD (39.6%). The most frequent topical therapy was corticosteroid (53.2%). Meanwhile, the most systemic therapy is antihistamine (73.8%). Conclusion: ACD is more prevalent than ICD and is more prevalent in women between the ages of 20 and 45. The most prevalent occupation distribution is among private employees. Cosmetics are the most frequently suspected cause factor. Itch is the most common patient complaint. The face is where contact dermatitis occurs most frequently. Erythematous macules are the most frequent clinical symptom. Corticosteroids and antihistamines are the most commonly given medication.
Relationship Between Stress Level and Academic Grade in Medical Students of Universitas Airlangga Akbar, Tito Robbani; Fithriyah, Izzatul; Dewanti, Linda; Akbar Nyong husain
Jurnal Psikiatri Surabaya Vol. 13 No. 1 (2024): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i1.48630

Abstract

Introduction: Medical students have higher psychological pressure compared to students from other majors. Excessive levels of stress can cause physical and mental problems, lower self-esteem, and interfere with academic achievement. Stress has a significant correlation with academic grades. Objective:  This study aims to determine the relationship between stress levels and academic scores Methods: This research is an observational analytic study with a cross-sectional design to analyze the relationship between perceived stress scale and academic scores. Perceived Stress Scale were used to determine stress level and spearman correlation were used to correlate stress level with GPA Results: No variable with a Spearman correlation coefficient above 0.2 was found, so it can be seen that none of the variables has a correlation with GPA. But income per capita has a significant p-value. Discussion: The stress level score with the GPA score has a Spearman correlation of -0.089. The correlation shows an insignificant relationship. This shows that the level of stress shown through the Perceived Stress Scale does not have a significant effect on the academic scores of Airlangga University medical students. Sohail's research (2013) found similar results where most students with stress still passed the exam but there were a small number of students with severe stress who failed. This is different from the results of Kumar et al. (2014) who found that stress levels have a negative effect on academic performance. Conclusion: In this study, no correlation was found between stress levels and academic scores.    
DIFFERENTIATE FACTORS OF PREGNANT WOMEN WITH CHRONIC ENERGY DEFICIENCY OCCURRENCE IN BAJULMATI VILLAGE, WONGSOREJO DISTRICT, BANYUWANGI REGENCY 2019 Moediarso, Bisyamsi Nawaijaya; Budiono, Perthdyatama Syifaq; Fatihuddin, Mohammad Fata; En, Theophilus Tan Zhu; Rantam, Berli Arfani; Gunawan, Ayu Liana; Diani, Masyithoh Wahyu; Mogi, Anjelina Kristina; Rahmi, Koyuki Atifa; Khoirunnisa, Auliai; Rarasati, Birgitta Vania; Purwati, Cincin Hari; Dewanti, Linda; Nuswantoro, Djohar
Journal of Community Medicine and Public Health Research Vol. 1 No. 1 (2020): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.317 KB) | DOI: 10.20473/jcmphr.v1i1.20297

Abstract

Riskesdas result in 2013 showed that the prevalence of WUS population who were pregnant and at risk of CED was 24,2%. CED in pregnant women can cause abortion and premature birth, low birth weight babies and infant disability, children become malnourished and brain development is hampered, and children are at risk of developing metabolic diseases. In Bajulmati Village there were 15 pregnant women. 40% of 15 pregnant women suffer from CED. The purpose of this study was to determine differences between groups based on maternal age, maternal occupation, family income, previous pregnancy history, history of chronic illness, and maternal knowledge about nutrition in the incidence of pregnant women with CED in Bajulmati Wongsorejo Banyuwangi and differences in knowledge levels and attitudes towards behavior about nutrition after intervention. An observational analytic, cross sectional research design using questionnaires and observations. The sample selection technique uses total sampling technique. There were significant differences between groups based on family income in the incidence of CED in pregnant women and previous pregnancy history in the incidence of CED in pregnant women. Level of knowledge gained after the intervention was in the form of counseling to Prevent CED significantly.
THE DIFFERENCES OF THE DURATION OF FAMILY PLANNING PROGRAM REPORT BETWEEN USING GOOGLE SHEETS MEDIA AND MANUAL COUNTING METHOD AT PUSKESMAS SONGGON, SONGGON DISTRICT, BANYUWANGI REGENCY Erlangga, Wildan Anugrah; Septiana, Fitri Nurina; Arrianti, Emilia Eka; Qualisa, Prafidina; Hakim, Lukman; Meitavany, Estya Nadya; A'yunin, Ulinnuha Qurrota; Lamara, Ariikah Dyah; Fatimah, Niswah Silmi; Adi, Pandu Satriya; Dewanti, Linda
Journal of Community Medicine and Public Health Research Vol. 1 No. 2 (2020): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (692.36 KB) | DOI: 10.20473/jcmphr.v1i2.21700

Abstract

Based on the results of interviews with the coordinator of the family planning program at the Puskesmas Songgon, their data collection system was still written manually in the Kohort book which must then be classified and processed further to obtain processed data that describes the situation and conditions of the family planning program application in Songgon District. The aims of this research to determine the effectiveness and efficiency of the family planning program report duration between the use of Google Sheets media and the manual counting method at the Puskesmas Songgon. The implementation of the program were 23 May 2019 at Puskesmas Songgon Hall. This program was designed based on the needs of the field of family planning management at the Puskesmas Songgon. This program was created using a computer, the Google Sheets application, which is an application that resembles Microsoft Excel, but is managed by Google and accessed via a browser. It creates two types of formats, namely forms for data entry and automatic calculation reports. The results of this study, it can be seen that the program used by group 2 is 10 times more efficient in calculating the achievements of the family planning program.
Co-Authors A'yunin, Ulinnuha Qurrota Abu Rizal Dwikatmono Johan Adi, Pandu Satriya Aditiawarman Aditiawarman, Aditiawarman Ahmad Cholifa Fahruddin Ahmad Cholifa Fahruddin Ahmad Suryawan Akbar Nyong husain Akbar, Tito Robbani Alda Dini Wijayanti Alfi Syifa Darmastuti Alpha Fardah Athiyyah Alphania Rahniayu Amalia, Rize Budi Anandia Nafisah Putri Anang Endaryanto Andriati Andriati Anggraeni, Sylvia Anisa Ayu Maharani Anny Setijo Rahaju, Anny Setijo Arinaa Manasika Farida Ariobimo, Bonfilio Neltio Arlean, Maria Agatha Armadison, Sonia Yustisia Arrianti, Emilia Eka Arya Ivan Mahendra Arya Ivan Mahendra Arya Wiradewa Asra Al Fauzi atika Atika Anggarsari Audi Salman Faza Azwin Mengindra Putera Bagus Setyo Boedi Bagus Setyoboedi Benny Iswanto Pantoro Branandito Putra Brilianti, Natasya Nurvita Budi Amalia, Rize Budi Prasetyo Budiono, Perthdyatama Syifaq Bupu, Maria Camelia T. Chabib Fachry Albab Christian Susianto, Steven Cindy Zerlina Artanti Damayanti Dessy Putri Pratiwi Dessy Putri Pratiwi Dewi Ratna Sulistina Dewi Setyowati Dewi, Gusti Agung Ayu Ira Kencana Dharmadjati, Budi Baktijasa Dharmawati, Ira Dian Neni Naelasari Diani, Masyithoh Wahyu Dominicus Husada Dwi Retno Wulandari Eddy Bagus Wasito Eko Budi Koendhori, Eko Budi En, Theophilus Tan Zhu Erlangga, Wildan Anugrah erma nurlita sari Ernawati Ernawati Fardana, Nur Ainy Farhan Nurdiansyah Fatihuddin, Mohammad Fata Fatimah, Niswah Silmi Fatimah, Nurmawati Febriyana, Nining Febronia Martina Dua Lehang Firinda, Seif Fitria Kusumastuti Gabriel Rio Widipriyatama Gabriel Zean Ghifari, Adiarsya Gunawan, Ayu Liana H. M. S. Wiyadi Heny Arwati Husniyah, Barizatul Ivon Diah Wittiarika Izzatul Fithriyah Jayanti, Ratna Dwi Kamal, Imran H Kasiati Kasiati Khoirunnisa, Auliai Kinanthi, Monica Tiara Arum Kuntaman Kuntaman Laksana, Muhammad Ardian Cahya Laksmi Wulandari Lamara, Ariikah Dyah Lilik Djuari Lukman Hakim Lupita Ghilang Laraz Lutfi, Delfitri Maria Marind Desrianti Hutauruk Mas`udi, Achmad Fayyad Maytasya Dwinaqifah Meitavany, Estya Nadya Moediarso, Bisyamsi Nawaijaya Mogi, Anjelina Kristina Moses Tende Stephens Mujtaba, Farah Natasya Nurvita Brilianti Netti Herlina Ni Ketut Maya Purvitagiri Nida&#039;an Khafiya Ningrum, Astika Gita Nining Febriana Novi Dwi Ambarsari Nudy Purwanto, Putri Nur Anisah Rahmawati Nurdiansyah, Farhan Nuswantoro, Djohar Oscarhiny Firda Lorenzha Paladan, Triadi Putra Prasticha, Anggraini Dian Pratama, Mulia Pratiwi, Dessy Putri Puguh Oktavian Purwati, Cincin Hari Qonita Hanifah Qualisa, Prafidina Qurnianingsih, Ema Rahmawati, Nur Anisah Rahmi, Koyuki Atifa Ramadhan, Erlangga Lazuardi Rani Sidaryanti Rantam, Berli Arfani Rarasati, Birgitta Vania Rayanti Sagala Rayhan Alma Shafannisa Heru Reka Elvia Dirda Prasasta Romdhoni, Achmad Chusnu Rosantia Sarassari Rukmana, Nabila Ilma Nisa Sahudi Salman Aziz, Muhamad Abi Sampurna, Mahendra Tri Arif Septiana, Fitri Nurina Shuviatul Chasanah Silvia Salsabilah Simangunsong, Darmika Caroline Sitisalma Amirah Dzakiyyah Sri Utami Stella Agatha Widjaja Steven Christian Susianto Subagyo, Zaufy Verlieza Oktaviano Subur Prajitno Suharno, Novianto Edi Sulis Bayusentono Sulistiawati Sulistiawati Sulistiawati Sulistiawati Sulistiawati Surya, Prima Ardiansah T.Bupu, Maria Camelia Thirafi, Sacharissa Zerlina Tsarwah Triana Novitasari Visky Afrina Wahyul Anis Wahyunitisari, Manik Retno Wardhani, Indrayuni Lukitra Widati Fatmaningrum Wironegoro, Rio Wiwin Retnowati Woro Setia Ningtyas Yashinta, Yolanda Ayu Yusigania, Dinna