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All Journal Nurse Media Journal of Nursing Medali Jurnal : Media Dental Intelektual Dentika Dental Journal Jurnal Kesehatan Masyarakat LINK Jurnal Riset Kesehatan Majalah Kedokteran Gigi Indonesia ODONTO Dental Journal Jurnal Kesehatan Gigi JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Belitung Nursing Journal Indonesian Journal of Medicine Journal of Maternal and Child Health Proceedings of the International Conference on Applied Science and Health Global Health Management Journal International Journal of Nursing and Health Services (IJNHS) INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Media Karya Kesehatan Medica Hospitalia Health Information : Jurnal Penelitian Journal of Applied Health Management and Technology Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Journal of Research and Educational Research Evaluation Jurnal Health Sains MAHESA : Malahayati Health Student Journal International Journal of Advanced Health Science and Technology Quality : Jurnal Kesehatan Gemakes: Jurnal Pengabdian Kepada Masyarakat Jurnal Rumpun Ilmu Kesehatan Odonto dental journal Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Strada Jurnal Ilmiah Kesehatan (SJIK)
Diyah Fatmasari
Dosen Poltekkes Kemenkes Semarang
Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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The Ergonomic Intervention for Musculoskeletal Diseases and Pain among Oral Health Therapist Sunarjo, Lanny; Fatmasari, Diyah; Rahmadhani, Febby
Jurnal Kesehatan Gigi Vol. 11 No. 1 (2024): juni 2024
Publisher : Jurusan Kesehatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v11i1.11369

Abstract

Musculoskeletal diseases and pain (MSDs) is commonly occurred among oral health therapist due to improper working positions. This condition can lead to work-related accidents, lower job satisfaction, and increased healthcare costs. In order to address this issue, ergonomic interventions encompassing cognitive, physical, and organizational aspects have been recommended to prevent the occurrence of MSDs. This study aims to assess the effectiveness of ergonomic interventions, specifically using the "EI" model, in alleviating MSDs among oral health therapists.  The quality assessment related to pain utilized a validated standardized instrument. A purposive sample of 64 oral health therapists, working as dental assistants in Semarang, Indonesia, participated in the study. Data were gathered through a structured questionnaire incorporating the Nordic Body Map to identify the presence of pain. Additionally, a physiotherapist conducted an objective examination, assessing pain levels using the Visual Analog Scale (VAS). The results of the pain complaints test, as indicated by the Nordic Body Map, revealed a significant p-value of < 0.001, with ∆ mean = 2.19 for the intervention group and 0.91 for the control group. Similarly, the pain level test using the Visual Analog Scale demonstrated a p-value < 0.001, with ∆ mean = 30.38 for the intervention group and 14.91 for the control group. This suggests that the ergonomic model "EI" was significantly effective in reducing complaints of MSDs among oral health therapists.
Pediatric Specialty Dental and Oral Health Care Model on Oral Therapist Compliance and Child Anxiety Utomo, Suprih; Santoso, Bedjo; Fatmasari, Diyah; Aprillia, Zita; Ningtyas, Endah Aryati Eko
Jurnal Kesehatan Gigi Vol. 11 No. 2 (2024): Desember 2024
Publisher : Jurusan Kesehatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v11i2.11637

Abstract

Background: Oral Therapists in pediatric dentistry services are to provide oral health care contained in Kepmenkes Number HK.01.07/MENKES/1513/2022, with stages: Assessment, diagnosis, planning, implementation and evaluation. The implementation of service actions in hospitals, oral therapists only play a role in the intervention stage (assisting pediatric dental specialists), while at the stages of assessment, diagnosis, planning and evaluation in care services are carried out by general nurses (application of complete nursing care) this is because dental therapists do not yet have dental health care.Objective: To develop a pediatric dentistry oral health care model for dental therapist compliance and children's anxiety.Methods:  This research design uses R&D. The sample was divided into 2 groups, the oral health care model in pediatric patients with mesiodens tooth extraction cases as many as 10 respondents and dental therapists as many as 10 respondents on compliance. Analysis using the Wilcoxon test.Results: The oral health care model effectively reduces children's anxiety. The correlation value of R square is 0.583. The coefficient of determination (R Square) is 0.340, that the influence of the model implementation compliance variable by oral therapist on the variable child anxiety in the act of tooth extraction in mediocre cases is 34%. The F value was found to be 4.121 with a significance level of 0.077 (>0.05).Conclusion:  The oral health care model for pediatric tooth extraction with mesiodens cases is feasible and its application is effective in increasing the compliance of oral therapists, reducing children's anxiety in accepting pediatric tooth extraction.
Development of a Diabetes Mellitus Monitoring Information System in Health Monitoring and Health Decision Making Renata, Agnes Lia; Fatmasari, Diyah; Sukini, Sukini
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 6 No. 2 (2024): May
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/xqmb8f89

Abstract

Individuals with diabetes mellitus are more likely to experience acute and chronic health complications including oral diseases. However, there are still many of them who do not carry out routine controls and do not record the history of examination results, resulting in a lack of monitoring of their health. Information systems in the health sector can be utilized in managing health information as an effort to monitor risk factors that allow complications of oral and dental disease. In addition, there is no information system that focuses on monitoring dental health in patients with diabetes mellitus. The development of SIP DM-DENT Monitoring is focused on monitoring general health and dental health in patients with diabetes mellitus. This study aims to produce SIP DM-DENT Monitoring for people with diabetes mellitus that is feasible in monitoring health and providing health recommendations based on the results of their health checks, especially in controlling blood sugar and dental health. This research combines descriptive and analytical types of research called R&D to develop a new product output with the stages of information gathering, design making, expert validation, product testing and product results. The data collected is primary data using interview questionnaires and Linkert questionnaires. Sampling using purposive sampling technique obtained a sample of 35 respondents. The data obtained were analyzed using ICC test and descriptive statistics. The average result of the expert validation assessment was 85.76 with a decent category. The ICC test results show a p-value of 0.00 <0.05 which means the system is feasible to use. While in the product test assessment, the average respondent agrees that the system provides information and is easy to use. Based on this research, it shows that SIP DM-DENT Monitoring is feasible and effective in monitoring the health of people with diabetes mellitus and providing health recommendations for them.
Development and Optimization of an Ultrasound-Assisted Extraction Apparatus with Integrated Advanced Features for Enhanced Essential Oil Production Fatmasari, Diyah; Widyawati, Melyana Nurul; Amartha, Tecky Afifah Santy; Fathonah, Yayuk; Aquarista, Nita; Amalia, Dhanty Nurul
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 1 (2025): February
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/11vb2734

Abstract

The development of essential oil extraction techniques has seen significant advancements with the introduction of Ultrasound-Assisted Extraction (UAE) technology. UAE is known for its ability to accelerate chemical processes and improve the efficiency of essential oil extraction. However, to achieve optimal extraction quality and yield, precise control over various process parameters is required. This study focuses on enhancing the UAE extraction process by integrating modified features, including a temperature sensor, speed sensor, frequency regulator, temperature controller, stirrer, and cooler, into the extraction apparatus. Objective of this research is to develop a UAE-based extraction apparatus with advanced features that optimize the pre-treatment extraction process of essential oils. The research employs a Research and Development (R&D) approach to design and develop the UAE-based extraction apparatus. The apparatus is then tested to evaluate its performance in optimizing the extraction process. Experimental trials are conducted to assess the impact of each feature on the efficiency and quality of the extracted essential oils. The integration of the temperature sensor, speed sensor, frequency regulator, temperature controller, stirrer, and cooler allowed for better control over the extraction conditions, leading to higher yield and improved quality of the essential oils. The apparatus demonstrated its ability to consistently produce essential oils with higher purity and active ingredient concentrations compared to conventional methods. In conclusion, the development of the modified UAE-based extraction apparatus proves to be an effective solution for optimizing the essential oil extraction process
Dental Health Care Model In Premature Contact Patients With Partial And Complete Removable Denture Installation At Rsgm Semarang Muhammadiyah University Furqan, Muhammad; Santoso, Bedjo; Fatmasari, Diyah; Agung Bakhtiar, Dika; Sutomo, Bambang
Jurnal Health Sains Vol. 5 No. 9 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i9.1373

Abstract

Prosthodontic specialist dentistry services are services for the patient's rehabilitative needs with the aim of restoring the function of the oral cavity such as teeth and mucosa by paying attention to the comfort and anxiety of the patient during treatment. The complaints that often occur in premature contact patients with partial and complete denture installation are discomfort, pain, anxiety, and bad breath. There is no government policy in providing guidelines for dental and oral health care for patients specifically for prosthodontics. The preparation of a dental and oral health care model for premature contact patients with partial and complete dentures in hospitals. The design of this study uses Research and Development (R&D) with the Quasi experimental method with a pretest posttest control group design. The number of respondents was 10 dental and oral therapists, and 20 patients who used removable dentures with premature contact. Dental and oral therapist respondents were given a pretest, training, followed by a skill assessment by providing care services to patients, and ended with a posttest. Patients were given a pretest and posttest. The instrument of this research is a questionnaire that has been carried out validity and reliability. Le test de validation expert du modèle de soins dentaires et bucco-dentaires a obtenu des résultats décents avec une valeur p = 0.003 et son application a été efficace pour accroître les connaissances des thérapeutes dentaires et buccaux (p = 0,013), ameliorate l'attitude des thérapeutes dentaires et buccaux (p = 0.043), ameliorate les compétences des thérapeutes dentaires et buccaux (p = 0.01), réduire l'anxiété des patients (p = 0.001) et augmenter l'observance des patients (p = 0.001) Modèle de soins dentaires et bucco-dentaires pour les patients ayant un contact dentaire prématuré Les polyprothèses prothétiques amovibles sont efficaces pour améliorer les connaissances, l'attitude et les compétences des thérapeutes dentaires et buccaux, ainsi que pour réduire l'anxiété et améliorer l'observance du patient.
MOGIGU (MENGGOSOK GIGI ASYIK DENGAN LAGU) TO INCREASE BRUSHING TEETH OF THE ELEMENTARY SCHOOL Fatmasari, Diyah; Rasipin, Rasipin; Santoso, Bedjo; Supriyana, Supriyana; Utami, Wahyu Jati Dyah
Journal of Applied Health Management and Technology Vol. 1 No. 1 (2019): Oktober 2019
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v1i1.5306

Abstract

Tooth brushing programs that have been carried out in schools have not been able to change the brushing behavior of elementary school students, shown by OHI-S value = 1.3; DMF-T=1.09, def-t=1.78. Program improvement in behavioral aspects needs to be done to improve the dental health level of elementary school students. Behavioral changes are influenced by information. Information will be stored as much as 20% if delivered through visuals, 50% of the cost is delivered through audiovisual media and 70% if implemented in real practice.  Analyze the effectiveness of the audiovisual media model on tooth brushing habits of schoolchildren Method is Quasy experiment with pretest and posttest with control group design. The sample was divided into 2 groups, the audiovisual model in the intervention group, and the brushing program in the control group. The treatment was carried out for 21 days, the measurements were carried out pre-experiment, 25th and 35th days. Data were tested using the test freedman post hoc Wilcoxon, Man Whitney repeated, and Kruskal.  On the 25th-day measurement of significant changes in variable ways, long brushing teeth p<0.05. At the 35th day measurement, there was a significant change in the method variable, morning brushing teeth p<0.05. This model is effective against the formation of the habit of brushing teeth indicated by p<0.001. Mogigu  model’s has the potential as an alternative to brush your teeth together in school so that it can be applied in the School Dental Health Business. 
THE EFFECTIVENESS OF HENI’S DENTAL FLANNEL BOOK” ON INCREASING DENTAL HEALTH CARE AMONG EARLY CHILDHOOD EDUCATION PROGRAM Widyastuti, Nugraheni; Fatmasari, Diyah; Djamil, Masrifan
Journal of Applied Health Management and Technology Vol. 2 No. 2 (2020): April 2020
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v2i2.5575

Abstract

ABSTRACTOne of the factors causing dental caries is the lack of children's knowledge resulting in a lack of awareness of children in maintaining dental hygiene. To increase children's knowledge can be done by promoting dental health through child oral health education and mouth. The use of media is still less effective in health education that has been running, therefore the need for innovation and development is to use media innovation “Heni’s Dental Flannel Book”The study aimed to develop of “Heni’s Dental Flannel Book” media as a health education book and the effectiveness “Heni’s Dental Flannel Book” for increasing the dental health care of Early Childhood Education Programs.Research and Development (R & D), there are ten stages of research namely: information gathering, design models, validation expert, revision, product trial (Pre experiment with one group pre-test post-test, a sample of 15 children), revision, application trial (Quasi-experimental with pre-test and post-test nonequivalent control group design, a sample of 20 children in the intervention group and 20 children in the control group, final product revision, production of product. Data were tested using ANOVA, Shapiro Wilk, Wilcoxon test, Mann-Whitney test.The results showed “Heni’s Dental Flannel Book”is effective as an effort to increase dental and oral health care for Early Childhood Education Programs as indicated by a p-value<0.001. Children's knowledge is indicated by a p-value<0,000, a child's attitude is indicated by a p-value <0,000. There is a difference in the effectiveness of smart dental books and flipchart in increased dental and oral health care for children with a p-value<0,000.The conclusion is “Heni’s Dental Flannel Book” effectively improve children's knowledge and attitudes.Keywords : children in Early Childhood Education Programs , “Heni’s Dental Flannel Book”, dental health care.
INFLUENCE OF CADRE TRAINING IN INCREASING TOOTHBRUSHING ACTION IN PREGNANT WOMEN De Sena, Francisca Fatima; Santoso, Bedjo; Fatmasari, Diyah; Sunarjo, Lanny; Rahman, Waljuni Astu
Journal of Applied Health Management and Technology Vol. 2 No. 4 (2020): October 2020
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v2i4.5924

Abstract

ABSTRACTProblems on dental and oral hygiene are caused by poor dental and oral care. A viable strategy in changing the behavior of pregnant women is through dental hygiene counseling. We present solution for counseling with material which could be heeded by pregnant women. The aim of the research is to improve knowledge, attitude and action to take care of dental and oral hygiene, so that the target can do self-care to dental and oral hygiene. We implemented Research and Development (R&D) method comprising 5 stages, namely, information collection, design and build, expert validation and revision, model test and final model results. This was done with the subject in as much as 50 pregnant women. The sample used a purposive sampling technique. Data were tested using intraclass correlation coefficient and paired sample test. The results show that Primary Health Center cadre training is effective in improving the dental and oral hygiene action in pregnant women.
Pengaruh Aromaterapi Lemon Terhadap Pencegahan Postpartum Blues: Tinjauan Literatur Sistematis Maghfirotunnisa, Ridha; Widyawati, Melyana Nurul; Fatmasari, Diyah
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19946

Abstract

ABSTRACT The postpartum period (puerperium) is the period after childbirth that lasts up to 6 weeks. In general, it takes 3 months for the mother's reproductive organs to recover. Lemon aromatherapy has the main compounds linalool and limonene, has a positive effect on pain, anxiety, and mood. Lemon aromatherapy is effective in reducing pain and anxiety by affecting the limbic system, improving brain function, and providing neuroprotective effects through its antioxidant properties. To determine the use of lemon aromatherapy to prevent postpartum blues. The study design or method applied in this writing uses the literature review method, namely searching literature both domestically and internationally. A literature review of 1,181 articles produced 10 relevant studies discussing the benefits of lemon aromatherapy, including pain and anxiety. The research variables are lemon aromatherapy as the dependent variable and prevention of postpartum blues as the independent variable. Findings based on the literature review method showed that lemon aromatherapy can reduce pain and anxiety in postpartum mothers. Lemon aromatherapy can prevent postpartum blues. Keywords: Aromatherapy, Lime, Painful, Anxiety.  ABSTRAK Masa nifas (puerperium) adalah periode setelah persalinan yang berlangsung hingga 6 minggu. Secara general, membutuhkan waktu 3 bulan untuk pemulihan alat reproduksi ibu. Aromaterapi lemon memiliki senyawa utama linalool dan limonene, memiliki efek positif pada nyeri, kecemasan, dan suasana hati. Aromaterapi lemon efektif mengurangi nyeri dan kecemasan dengan memengaruhi sistem limbik, meningkatkan fungsi otak, dan memberikan efek neuroprotektif melalui sifat antioksidannya. Mengetahui pemanfaatan aromaterapi lemon untuk pencegahan postpartum blues. Desain studi atau metode yang diterapkan dalam penulisan ini menggunakan metode kajian pustaka, yaitu penelusuran pustaka baik dari dalam maupun luar negeri maupun dalam negeri. Kajian pustaka terhadap 1.181 artikel menghasilkan 10 studi relevan yang membahas manfaat aromaterapi lemon, meliputi nyeri dan kecemasan. Variabel penelitian yaitu aromaterapi lemon sebagai variabel dependent dan pencegahan postpartum blues sebagai variabel independent. Temuan berdasarkan metode kajian pustaka didapatkan hasil bahwa aromaterapi lemon dapat mengurangi nyeri dan kecemasan pada ibu postpartum. Aromaterapi lemon dapat mencegah postpartum blues. Kata Kunci: Aromaterapi, Lemon, Nyeri, Kecemasan.
Co-Authors Ade Ismail A.K Agus Suwandono Agustina Purba Ahmad Rizan Aprianda Silakhuddin Akhmad Kharis Nugroho Aldo, Mutia Perdana Hairun Nisa Alfi Maziyah Amalia, Dhanty Nurul Amartha, Tecky Afifah Santy Ani Subekti Ani Subekti Ani Subekti Aning Susilowati Aning Susilowati Aprillia, Zita Apriyanti, Lidya Dwi Aquarista, Nita Ari Suwondo Ari Suwondo Ari Suwondo Ariawan Soejoenoes Arlina Nurhapsari Arwani Arwani Arwani Aryadiva Prayoga Asmawati, Lilik Ayun, Quroti Bambang Sutomo, Bambang Bedjo Santoso Bedjo Santoso Kadri Benni Benyamin Bernadeta Trihandini Budi Darmawan Budiono Budiono Cahya Rosyida, Desta Ayu Citra Dewi Fitri Setiani Daniati, Nia Daniati De Sena, Francisca Fatima Desak Made Wenten Parwati Dewi, Filanti Kusuma Dewi, Hevny Kartika Dika Agung Bakhtiar Dinda Aprilia Rahmawati Diyan Wahyuningsih Djamil, Masrifan Djenta Saha Donny Kristanto Mulyantoro Dyaswara Tituk A.W Eksa Sinta Endah Aryati Eko Ningtyas Endah Aryati Eko Ningtyas Endah Aryati Eko Ningtyas Endah Aryati Ekoningtyas Endang Susilaningsih Erni Mardiati Erwid Fatchur R Erwid Fatchur Rahman Etri Probowati Fachry Abda El Rahman Fathonah, Yayuk Francisca Fatima De Sena Galuh Ayuning Suryo Hadi Hadi Hanik Maria Heni Pujiastuti Hermien Nugraheni Hevny Kartika Dewi Hutami, Rahma Rizki Ida Ariyanti Ihrom Fatma Saputri Ika Rosdiana Imam Djamaluddin Mashoedi Imam Djamaluddin Mashoedi Irma H.Y Siregar Irma H.Y Siregar Irmanita Wiradona Islami, Muhammad Rizqi Fauzi Iwan Dwi Prahasto Iwan Dwi Prahasto Joni Satria Julita Hendrartini Kris Adityawarman Kumala, Ferry Kun Aristiati Susiloretni Kurnia Budi Kurniawan Kurniati Puji Lestari Laksono Trisnantoro lely Surya Ningsih LINDA SEPTIANA Lutfiawaliah, Delvia Maghfirotunnisa, Ridha Mardiyono Mardiyono Mardiyono, Mardiyono Masrifan Djamil Masrifan Djamil Mateus Sakundarno Adi, Mateus Sakundarno Mayya Nailullathifah Melyana Nurul Widyawati Melyana Nurul Widyawati Mery Tresiana Effendi Muhammad Fiqih Sabilillah Muhammad Furqan, Muhammad Mutiah, Mar'atu Nadia Sari Nadia Sari Nindita Enhar Satuti Ningsih, Rastia Nugraheni Widyastuti Nugraheni Widyastuti Nur Farida Lismawati Nur Khafidhoh Nurhuda, Gusti Aprilisa Nurjanah, Fatihah Wari Nurul Jannah Octa Nana Erviana Quroti A&#039;yun Quroti A’yun Rahma Rizki Hutami Rahmadhani, Febby Rahman, Waljuni Astu Ramadhani, Yoga Rizki Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Ratnawati Hendari Ratnawati Hendari Renata, Agnes Lia Rezky Hidayati RISMAN ABDI RAPIUDDIN Rochman Mujayanto Roza, Safni Mulia Roziq, Mokhamad Ainu Rr. Sri Endang Pujiastuti Sadimin Sadimin Saha, Djenta Salikun Salikun Salsabila, Nanda Lutfia Saragih, Elv. Feedia Mona Satuti, Nindita Enhar Sembiring, Rinawati Setiadji Musthofa Shobirun Shobirun Siti Chumaeroh Soeharyo Hadisaputro Sri Rahayu Sri Sumarni Sri Wahyuni Sri Wahyuni M Sudirman Sudirman Sudirman Sudirman Suhartono, Suhartono Suharyo Hadisaputro Suharyo Hadisaputro Suharyo Hadisaputro Sukini, Sukini Sukmawati Sukmawati Supartinah Santoso Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana, Supriyana Suryati Kumorowulan Syarief Taufik Hidayat Theresia Febriana Christi Tyas Utami Tiara Widiatami Tri Johan Agus Yuswanto Tri Wiyatini Tri Wiyatini Tri Wiyatini, Tri Uswatun N.A Darjono Uswatun N.A. Darjono Utomo, Suprih W. Widjijono Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami, Wahyu Jati Dyah Wahyuningtyas, Miranda Gita Wahyuningtyas Waljuni A Rahman Waljuni Astu Rahman Widyastuti, Nugraheni Wulandari, Tesa Yulike Yessi Idha Martha Yodong ,