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Journal : Medula

Ensefalitis HIV Fitriyani Fitriyani; Anisa Zulfiya Rahmah
Medula Vol 13 No 5 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i5.787

Abstract

HIV encephalitis, also referred to as HIV-associated neurological disorder (HAND), includes a range of neurocognitive defects of varying severity following HIV infection. The clinical presentation of this condition varies from asymptomatic or minor neurocognitive impairment to severe dementia. HIV encephalopathy, also known as AIDS-dementia complex, lies at the most severe end of this spectrum. The diagnosis is based on a combination of clinical neuropsychiatric evaluation and radiological studies. Prompt and effective administration of antiretroviral therapy (ART) is the most effective therapy in managing HIV encephalitis. It has been reported that a 32-year-old male suffers from HIV AIDS with encephalitis. Patient Treated with hemiparese dextra, History of high fever, seizures, and loss of consciousness. The patient also has a history of pulmonary TB and has been taking OAT for the past 9 months. The patient also admitted that he had previously been infected with HIV but had never taken ARVs. From the physical examination found awareness of compos mentis, oral candidiasis in the mouth, and black spots all over the patient's body. There is no neck stiffness, there is parese N.VII and N.XII dextra and positive Babinsky on both legs. Organizational function and memory are impaired. On investigations, a reactive HIV Rapid test was obtained, anemia, leukocytopenia, lymphocytopenia, hyponatremia, hypokalemia, and the results of a CT scan of the head without contrast found hydrocephalus and a chest X-ray within normal limits. Patients were treated with dexamethasone, ranitidine, vitamin B12, and folic acid and were consulted by specialists in internal medicine and neurosurgery for management according to the field.
Diagnosis dan Tatalaksana Epilepsi Fitriyani Fitriyani; putri puspa devi; Ria Wahyu Januarti
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.822

Abstract

Epilepsy is defined as a brain disorder characterized by a tendency to cause continuous epileptic seizures with neurobiological, cognitive, psychological, and social consequences. The definition of epilepsy requires at least one epileptic seizure. In developing countries, the incidence of epilepsy is 61-124/100,000 children per year. The prevalence of epilepsy cases in Indonesia is 8.2 per 1,000 population with an incidence rate of 50 per 100,000 population. This study aims to systematically establish a diagnosis in a 42-year-old male patient so that the patient can be treated appropriately. The method used is case report with primary data analysis obtained through autoanamnesis, alloanamnesis, physical examination and supporting examination. A 42-year-old man came with complaints of recurrent seizures, a systematic anamnesis and physical examination were carried out to establish an etiologic diagnosis. The patient in this case was diagnosed with epilepsy. The patient in this case was diagnosed with epilepsy. The management given to this patient consisted of general management in the form of bed rest accompanied by monitoring of the patient's vital signs, and given medical therapy in the form of RL infusion XV gtt/min, gluconas ca drip/8 hours, KSR 3x1 tab, KCL drip 1 fls/8 hours, Phenytoin 1 ampoule/8 hours in 100 cc normosaline, and Folic Acid 2x1. To further support the diagnosis, the patient was advised to do an EEG examination.
Tuberkuloma : Sebuah Laporan Kasus Fitriyani, Fitriyani; Suwanda, Meyliana; Perdana, Aditya Andra; Mellisa, Stefani
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.872

Abstract

Intracranial tuberculoma is a rare but severe form of extrapulmonary tuberculosis with high mortality and morbidity rates. Early diagnosis and treatment are crucial determinants of tuberculoma prognosis. A 61-year-old female presented to the emergency department of RSAM with complaints of headache, nausea, and vomiting for the past 2 months prior to hospital admission. The patient had a history of weight loss for 5 months before hospitalization, a history of dry cough, and night sweats for the last 2 months before admission. Radiological examination via a head MRI revealed multiple lesions, with the largest measuring 1.7x1.3x1.8 cm in the left parietal cortical lobe and the right frontal lobe, suspected to be tuberculomas. A CT scan of the thorax showed multiple consolidations in the lateral segment of the right lower lobe with a long axis of 1.1 cm and in the anterior segment of the left lower lobe with a long axis of 1.6 cm, suspected of malignancy with concomitant active long-standing pulmonary tuberculosis and endobronchial spreading. The patient was treated with anti-tuberculosis drugs and corticosteroids. She was discharged with reduced headache and vomiting. The rare occurrence and atypical clinical manifestations, along with radiological characteristics, pose challenges in diagnosing tuberculomas. Establishing a diagnosis and initiating treatment as early as possible is crucial and key to the prognosis of tuberculomas.
Thrombolysis as a Treatment for Ischemic Stroke: A Case Report Fitriyani, Fitriyani; Fadilah, Aulia Nur; Nurhardita, Fika; Atthariq, M. Naufal; Archie, Avicenna M
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.891

Abstract

Stroke is defined as a neurological deficit caused by an acute focal injury to the central nervous system, whether in the brain, retina, or spinal cord, caused by blood vessels. More than 13.7 million people suffer strokes every year, and around 70% of strokes are ischemic strokes. A 66-year-old man came to the RSAM emergency room with complaints of decreased consciousness since 3 hours of SMRS and weakness of the left limb. Physical examination revealed a Babinsky reflex (-/+), and a CT scan of the head without contrast showed thromboembolism in the right middle cerebral artery. The patient was treated with thrombolysis and medical therapy. The patient was discharged after one week of hospitalization and then scheduled for re-control at the polyclinic, and the patient's National Institute of Health Stroke Score (NIHSS) score was assessed. A total score of 5 was obtained with the interpretation of mild neurological deficits, which concluded that the patient's clinical condition had improved. Establishing diagnosis and therapy as early as possible is important for the key prognosis of ischemic stroke. Thrombolysis is the right choice as a treatment for ischemic stroke in patients who meet the inclusion criteria.
Mielopati et causa Tumor Medula Spinalis : Laporan kasus Fitriyani, Fitriyani; Iskandar, Puji Fauziyyah
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.974

Abstract

Myelopathy is a description of a neurological deficit caused by spinal cord abnormalities. One of the conditions that can cause myelopathy is a spinal cord tumor. Spinal cord abnormalities based on type and location are assessed using the American Spinal Injury Association (ASIA) scale which is divided into grades A, B, C, and D. The prevalence of spinal cord tumors is 15% of all central nervous system tumors. Based on its location, spinal cord tumors are divided into intradural and extradural. Manifestations of spinal cord tumors consist of sensory, motor, and autonomic disturbances according to the location of the compression lesion. The diagnosis is made based on anamnesis, physical examination and supporting examinations. In patients with spinal cord tumors, radiological investigations can be carried out. The principle of management of spinal cord tumors is to remove the tumor to restore maximum neurological function. The choice of further management for spinal cord tumors is consulted with a neurosurgeon. The prognosis of spinal cord tumors depends on the severity of the patient. Case report Mrs. W, 41 years old with diagnosis myelopathy et causa tumor medula spinalis based on anamnesis and physical examination and supporting investigation given therapy NaCl 0,9% infusion 20 drops per minute, vit B12 3x1 tablet, sodium diclofenac 2 x 50 mg tablet, and consulted with neurosurgeon to obtain further management.
Hernia Nukleus Pulposus Lumbal: Sebuah Laporan Kasus Fitriyani, Fitriyani; Putri, Sezia Marina
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1010

Abstract

Lumbar herniated nucleus pulposus (HNP) is a condition where fibroblasts experience degenerative or external changes in the intervertebral disc and nucleus which can cause neurological symptoms due to compression of the dura mater or nerves. The prevalence of disc herniation is around 1 to 3% and increases with age up to age 80 years. It often occurs in men compared to women with a ratio of 2:1. Lumbar invertebral discs are complex structures that frequently experience axial loads. Due to the biomechanics of this structure and its avascular nature, lumbar disc herniation often occurs. A 65 year old woman came to the emergency room at RSAM with complaints of low back pain that radiated to the thigh, calf to the sole of the right foot, as if being pricked and getting worse since 3 weeks before entering the hospital. The patient works as a farmer and when working often carries heavy objects and the patient's working position is often bent. Denied history of falls. The patient did not complain of disturbances in BAK and defecation. From the results of the physical examination, Lasseque's test was positive on the right. A lumbosacral MRI radiological examination was carried out and the results showed multiple protruded discs in the L4-L5 and L5-S1 intervertebralis accompanied by a diffuse posterior herniated nucleus pulposus which was pressing on the anterior saccus thecalis and bilateral spinal roots. Patients are treated with medication and rehabilitation. HNP is the most common cause of lower back pain complaints in the elderly. Immediate treatment can impact the prognosis.
Meningoensefalitis TB Pada Laki-Laki Usia 20 Tahun dengan Human Immunodeficiency Virus : Sebuah Laporan Kasus Fitriyani, Fitriyani; Saragih, Andriani Dearta
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1029

Abstract

Meningoencephalitis is a neurological condition that contains both symptoms of meningitis and encephalitis – inflammation of the meninges (lining of the CNS) and inflammation of the brain tissue itself. Fever, headache, meningismus, changes in mental status, neurological deficits and/or seizures are symptoms of meningoencephalitis. Mycobacterium tuberculosis infection in the central nervous system can cause several diseases, one of which is meningitis. Meningitis is an inflammatory condition of the meninges caused by an infective agent. If this meningeal infection process affects the brain parenchyma, it is called meningoencephalitis. Meningoencephalitis patients who present with decreased consciousness should be considered whether they have tuberculous meningitis (TB), especially if there is a history of pulmonary tuberculosis, alcohol use, Human Immunodeficiency Virus (HIV) infection or other conditions associated with impaired immune response. The diagnosis of TB meningoencephalitis is often delayed due to late presentation of the clinical picture, resulting in high morbidity and mortality rates. TB meningoencephalitis is also associated with a high incidence of sequelae that persist for a long time and tends to have a poor prognosis, so immediate treatment or management is needed for patients. We report the clinical presentation and management of a case of a man with meningoencephalitis and a history of HIV disease. A 20 year old man with the main complaint of loss of consciousness and pain throughout the body. Additional complaints include fever, dizziness, trembling in both hands accompanied by nausea and vomiting since 8 days of SMRS. The patient was then taken to the emergency room at Abdul Moeloek Regional Hospital with complaints of loss of consciousness, body shaking and pain throughout the body. Cough (-), runny nose (-), vomiting (-), diarrhea (-), head trauma (-), coma consciousness. Previously the patient had been diagnosed with HIV. Physical examination showed meningeal stimulation (+), Management of meningoencephalitis using antibiotic therapy. Several neurological disorders can occur in Meningoencephalitis patients.
Miasthenia Gravis Pada Laki-Laki 60 Tahun dengan Community Acquired Pneumonia : Laporan Kasus Fitriyani, Fitriyani; Nur Azizah, Nabilah
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1030

Abstract

Myasthenia gravis is an autoimmune disease involving the neuromuscular junction (NMJ) of skeletal muscles. It clinically manifests as muscle weakness that worsens with activity or fatigue and improves after rest. It typically involves muscles of the eyes, throat, and extremities. The global epidemiology of myasthenia gravis (MG) affects 30 per 1 million people per year, with an incidence rate of 20 per 100,000 population. In men, the disease often occurs at the age of 60 years. Various conditions can trigger it such as infections, immunizations, surgeries, and medications. Pneumonia is a serious form of acute lower respiratory tract infection in lung parenchyma, encountered in about 15-20% of cases. Case: A 60-year-old male patient presented with complaints of shortness of breath, difficulty swallowing, difficulty opening eyelids, and productive cough. From the history, physical examination, and diagnostic tests, the diagnosis of myasthenia gravis and community-acquired pneumonia was established. The patient received therapy with pyridostigmine bromide 5 x 60mg, methylprednisolone injection 125mg every 12 hours, and levofloxacin injection 750mg every 24 hours.
Hidrosefalus Komunikans akibat Perdarahan Subaraknoid: Sebuah Laporan Kasus Fitriyani, Fitriyani; Adila, Naza Tsasbita Hayuning
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1031

Abstract

Hydrocephalus is one of the most common sequelae after subarachnoid hemorrhage, and is a major cause of high morbidity and mortality from this disease. Changes in cerebrospinal fluid (CSF) dynamics, obstruction of arachnoid granulations by blood products, and adhesions in the ventricular system are some of the mechanisms by which hydrocephalus occurs after subarachnoid hemorrhage. Inflammation, apoptosis, autophagy, and oxidative stress are important causes of hydrocephalus. Transforming growth factors, matrix metalloproteinases, and iron ultimately cause fibrosis and blockage. Surgery is the most common and efficient therapy, although there are risks from different surgical methods, including lamina terminalis fenestration, ventricle-peritoneal shunting, and lumbar-peritoneal shunting. Case report of a 46 year old male patient. A 46 year old man with severe cephalgia that comes and goes and interferes with activities throughout the head such as being pricked since 2 weeks of before coming to hospital. Other complaints of vomiting spraying, slightly black color 6x, fainting 2x for <15 minutes. Physical examination revealed stiff neck and Kernig's sign. CT scan showed subarachnoid hemorrhage filling the interhemispheric fissure, bilateral frontal cortical sulci, left temporal, suprasellar cisterna and Hydrocephalus communicans. In addition, hyponatremia was found, (133 mmol/L).
Herniasi Medula Spinalis Onset Lambat Pasca-Trauma Akibat Cedera Tulang Belakang Jatuh Rendah: Sebuah Laporan Kasus Fitriyani, Fitriyani; Ayu, Zahara; Rizqy, Afifah
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1057

Abstract

Traumatic spinal injuries (TSCI) are often caused by falls. Falls are the main cause of TSCI and high falls are becoming more common. Attention should not only be paid to the high incidence of falls, but also to the low incidence of falls due to the higher rate of neurological injuries and their prevalence in the elderly population. We report the case of a 68-year-old patient who experienced progressive deterioration of his neurological condition 1 month after a traumatic spinal cord injury due to a slip. Investigations revealed post-traumatic spinal cord herniation located at the cervical level. Exploration, decompression and repair were carried out immediately. Late-onset post-traumatic spinal cord herniation is a potentially reversible cause of neurological damage after spinal trauma and should be considered in all cases with late neurological damage after spinal trauma.
Co-Authors A Halim A.A. Ketut Agung Cahyawan W Abasir, Muttorik Alil Abd Basir Laupe Abd. Jamal Abdel-Raouf, Ahmed Mohamed Abdel-Hadi Abdul Hakim Abdul Hakim Abdul Halim Abdullah Abdullah abu, ilham Achmad Muhammad Satrio Wibowo Adam De Alvaroziq Ade Firmansyah Ade Irna Lestari Ade Putri Andriyani Adelina Fitri Adila, Fitri Adila, Naza Tsasbita Hayuning Adinda Ismira Adiwinoto, Bambang Adnan, Aditya Afifah Khairani Ananda Afifah, Nadia Adawiyah Agung Biworo Agung Wijoyo Agus Haryono Agus Yuwono Agustin, Indriyani Ahmad Fuadi Ahmad Fuadi Ahmad Khoiri Aidil, Aidil Aini, Nisa Nurul Ainii, Lathifah Qurrotu Aisyah, Ainayya Dinari Aji Saputra, Aji Akhdan Hadi Zahran Akhmadi Akhmadi Akram, Muhammad Rafi'i Ali Al-Kautsar, Muhammad Ibnu Alamin, Alan Nurril Alamsyah, Riza Taufik Alfina Dita Damayanti Alifvia Ridzky Hidayanti Alim, Wafa Allifafitri, Aissa AMALIA, MEGA Amanda, Olga Ambo Dalle Amelia, Rezi Amin, Fauzurrahman Al Amini, Fitria Amir, Rahmi Aulia Amirullah -, Amirullah Amroisa, Raden Ayu Neilan Amruloh, Dedeng Ananda Fitriliani Andi Hutami Endang, Andi Hutami ANDRIANUS KROBO Angelica, Irda Anggaraini, Marissa Anggela Pradiva Putri Anggita, Nia Anggreni, Devi Angraeni, Mita Anhar Januar Malik Ani Nur Aeni Anisa Zulfiya Rahmah Anisah Anisya, Adelia Safrani Anita, Cis Anjani, Ratna Anna Maria Oktaviani Aprila, Bord Nandre Apriliyanti, Gita Dwi Tamara Archie, Avicenna M Ardi Muthahir Ari Amir Alkodri Aria Gusti Arikarani, Yesi Arismunandar Arismunandar Arizahni, Keisyah Rifqah Arman Arman Arriziq, Muhammad A. Arza, Putri Aulia Asep Supena. Asfiana, Asfiana Ashan, Muh Dzulkifly Aslam Fatkhudin Asmiyenti Djaliasrin, Djalil Asrul, Ryan Andisky Asterina, Vina Asti Herliana, Asti Astriana Napirah Astuti, Rika Astuti Atin Supriatin, Atin Atthariq, M. Naufal Aulia Nur Fadilah Avilla Restu Farrel Awal Habibah Awallia, Jasmine Treezha Ayu, Zahara Ayuanda, Leila Nisya Aziz, Muhammad Thoriq Abdul Azizah, Nadia Azizul Dzikri, Muhammad Azkia Nur Shadrina Hayati Basriani, Basriani Betsheba, Betsheba Bilbina Iqlima Putri Binar Asrining Dhiani Bisma, I Gede Budi Prastiyo, Yulius Budisiswanto, Nurullah Bulan Wiranata Septiani Bunsit, Thanawit Burhan Ma'arif Bustomi, Mochammad Y. A. Cahyani, Ar’rum Dewi Pratiwi Cahyani, Putri Tri Cesa Ilham, Akbar Chandra Kirana Chandra Kirana Chatarina Umbul Wahyuni Chenny Seftarita Christianty, Maylani Christin Susilowati Cu, Vanness Cucun Sunaengsih, Cucun Dalfian, Dalfian Damayanti, Alfina Risma Daniel Akbar Wibowo Darmawanti, Retno Risti Darmayani, Dwi Shinta Darnia, Meriza Elpha Davit Nugraha Dayanti, Intan Rama Dede Kania Dela Nopiani Deli Deli Delly Maulana Delpiah Wahyuningsih Delya Heryani, Silvia Devi Anggraini Devi Anggreni Sy Devi Irawan Devi Lisnawati Devi Savitri Effendy, Devi Savitri Dewi ANGGRAENI Dewi Nurmalasari, Dewi Dewi, Alfa Yuliana Dewi, Maretta Kusala Dewi, Srinawati Dharma, Yokie Prasetya Dharmawita, Dharmawita Dhiya Fahdila Rahmah Dhyta, Lintang Diana, Asri Diana, R. Rachmy Didi Pramono Didin Rasyidin Wahyu Dila Yumerda Dinata, Fadel Ramadhan Iskandar Diviana, Bonsarika Diyas Puspandari Djamil, Adrian Rival Djunaidi Djunaidi Dwi Sutiningsih Dwiantoro, Mayang Dyah Kusbiantari Effendi, Darwin ellya helmud, ellya Ellyawati, Noor Elmayanti, Elmayanti Emilisia, Netania Endang Jumali Eri Deka Gustiar Erlindawati, Erlindawati Erwanto Etik Sulistyorini Eva Maulani Evi Deliana HZ Fadhilah, Astri Maisarah Fadilah, Alika Khansa Fadilah, Aulia Nur Fadillah, Putri Fadillah, Siska Nur Fahreza, Irgi Ahmad Fahrullah Fahrullah Fairuz, Paquita Balqis Natasha Fanlia Prima Jaya Fardiani, Risma Fasha, Anis Kumala Fatabuana, Anggi Ola Fathonie, Moch. Adam Sulthon Noor Fathurrahman, Irfai Fatiha, Kania Astri Fatimah Azzahra Fatkhur Rohman Fausiah, Sitti Fauzan . Fauzi, Rizki Fauzie Rahman Febrian, Ahmad Rafi’ Akmal Febrianti, Salsa Febryanti, Farah Festy Ladyani Mustofa Firanty Hafidzah Alqirany Firlanda, Zeni Reviza Safta Fithria, Fithria Fitria Riany Eris Fitriani, Nur Nadya Fitrianingsih Fitrianingsih Fitriyani, Aidil Fransisca, Luciana Giska Tri Putri Grace Phillandros Violetta Gulo, Novita Sari Gulo, Yarni Gunawan Aji Gunawan Gunawan H.M Yusuf, Zakaria Hadi, Muhammad Nadzar Hadma Yuliani Hafizh Nurkholish Hairil, Alta Halim, Nur Mutmainnah Hamam, Zaky Mufid Hamdi Akhsan Haris, Yusriana Harrizki Arie Pradana Hartati, Irma Haryono, Silvester Hasanah Hasanah Hasia Marto Haslam, Desy Sapitri Haslinda Haslinda Hasra, Sulvira Hayatul Ismi Hayaturrohman, Hayaturrohman Helandri, Joni Helmayanti, Handrini Hendri Hendri Hendriansyah, Hendriansyah Heni Pujiastuti Henny Pagoray, Henny Heru Satria Rukmana Hidayat, Deden Hidayat, Febryan Hidayat, Rafi Akbar Hidayatin, Titin Hikmawati, Fajar Hikmawati, Kitri Hisan, Khairatun Hotnidah Houtman Hubaybah, Hubaybah HUDA, NUR’AINUL MIFTAHUL Hunaina, Najma Hurriyaturrohman Hurriyaturrohman Husaini Husaini Husnari, Siti Husnul Khatimah Hutasuhut, Arti Febriyani Huyyirnah Huyyirnah I Made Astra Ibnu Sina Ida Ayu Putu Sri Widnyani Idam Ragil Widianto Atmojo Idroes, Ghalieb Mutig Ika Kristianti Ikrimah Sabina Triadi Ilma Amalia, Ilma Imbari, Salman Indra Lukmana Sardi Indra, Muhammad Panca Indriani Indriani Indriyanti Indriyanti, Indriyanti Indwiarti Ine Fausayana Insiano, Dewi Angraini Intan Priska Ira Restu Kurnia Irawan, Devi Irawan, Wildan Kautsar Irfai Fathurrahman Irma Palupi Irpan Jamil Irsan Hardi Irvani, Asep Irvan Isfihani, Isfihani Iskandar Arifin Iskandar, Puji Fauziyyah Isnanto, Burham Isrok’atun, Isrok’atun Iswadi Bahardur Izzatul Ummah Jaka Wijaya Kusuma Jamilatusoleha, Sulsin Jannah, Mardiatul Japar, M. JHELANG ANNOVASHO Jhonet , Aswan Joko Purwanto Joko Siswanto Judijanto, Loso Juhanto, Asrijun Julia Julia Julianti, Eka Tri Juwita, Nadya Rahma Kasmianti Kasmianti Kaso, Nurdin Kemas Imron Rosadi Keristin, Usnia Wati Kevin, Mochammad KHADAFI, MUHAMMAD Khaerunnisa Nur Fatimah Syahnur Khairalla, Mahmoud Khairiyah Khairiyah Khairunnisa, Iim Khalid, Zikrul Khalidin Khalidin Khasanah, Maulidatul Kheru, Akhmad Khoeriyah, Nurul Khoiriyah, Eneng Liah Kholilah, Devi Khusairi, Juwanda Kinasih, Larasati S. Kirani, Ratna Kistiono Kistiono Krisna, Titing Kristiani, Rheza Dwi Kurniasari Kurniasari Kurniasari Kurniasari Kurniawan Kurniawan Kurniawati Mutmainah Kusno Kusno Kusuma, Nur Intan La Ode Reskiaddin La Sunra, La Sunra Larasati Sekar Kinasih Latief, Tsabit latief, Wawan Laurentinus, Laurentinus Lazuardy Syahrul Darfiansa Lestari, Nurlita Lestari, Rahma Tiara Letifa Rahmadani Lia Dwi Prafitri Lia Nur Anggraini Lika Bernadina Liman Liman, Liman Lingga, Rahmad Lira Hayu Afdetis Mana Listiandoko, Raden Edwin Savero Listriasdy, Listriasdy Listyowati Puji Rahayu Lukmanul Hakim M Ilham M, Festy Mahanani M. Faizal Al-Aziz M. Firyal Azhar Ma'arif, Burhan Madiyoh, Abdulhakim Maharany, Ridha Ayu Mahtari, S Maling, Yerius Maman Suryaman Mandala, Zulhafis Mappatadang, Andi Siti Nurhaliza Mardaya, Mardaya Mardiyanah Nasta Marfu’ah, Sri Maria Fransiska Darlen Mariatul Kiftiah Marini . Marini Marini Marisa Marisa Marjannah, Marjannah Martogi Simalango, Eka Yuliana Maryono Maryono Maulani Bilgis, Ade Maulidar, Putri Mawaddah Mawaddah, Mawaddah Mawardi, Anjali Fitrah Maya Rahayu Mega Utami Basra Melati Suci Mayasari Melati Suci Mayasari, Melati Suci Melissa Dwi Mayang Sari Mellisa, Stefani Melly Ariska Miftahul Jannah Milatun Khanifah Mimelientesa Irman Minatriyani, Minatriyani Miriam, S Misnawati Misnawati Miswan Miswan Miza Nina Adlini Mohamad Agung Rokhimawan Mubin, Nurul Muda, Nurhali Muhajir, Muhammad Al Muhamad Faizul Amirudin Muhamad Ibnu Sina Muhammad Abrar Muhammad Alfian, Muhammad Muhammad Fadhil Muhammad Hasan Ma’ruf Muhammad Himmatur Riza Muhammad Ilhamsyah Siregar Muhammad Kadir Muhammad Tahir Muharomah, Dewi Robiatun Muhlis Muhlis Muhtar Sofwan Hidayat Muin, Ince Maharani A. Mukhlis, Septian Mukmin, Taufik Mulqi, Kayla Rahma Mulvia, Rahmadhani Mulyadi, Ekky Mulyadi, Riham Kamus Munawir, Ahmad Munir, Nur Faidah Muntasiroh, Laily Mutiah, Rohiatul Muzakkir Muzakkir Nada Audrya Nadia Nadia Nadira Salwa Faizaty Nafitasari, Laela Kurnia Nahrawi, Ahmad Najah, Zulfatun Nashriyah Ummuhany Nasriani Nasriani Natalia , Nyoman Natasya, Carolina Navijay, Ahmad Na’imah, Na’imah Nensilianti Nensilianti Netania Emilisa Niken Ayu Pratiwi Nilam Cahyati Nildayanti, Nildayanti Nina Zuhana Ningrat, Muhamad Taufik Hadi Ningrum, Salsabila E.S. Nisa, Nita Haerun Noura Rizki Nova Apriyanti Simanungkalit Nova Karisma Novalia, Ratih Juwita Novi Puspitasari Novia Maulina Noviana Pratiwi, Noviana Novriani, Shinta Noza Aflisia, Noza Nugrahanti , Trinandari Prasetyo Nugroho, Arief Teguh Nunuk Aries Nurulita Nur Azizah Nur Azizah, Fitria Nur Azizah, Nabilah Nur Chabibah Nur, Muh. Nur, Riola Haya nuradi, nuradi Nuraeni, Orin Nuralpisah, Nuralpisah Nuranisa, Nisa Nurazizah, Siti Nurbayti, Nissa Nurfadillah, Mursidah Nurhakiki, M. Nurhamidah, Azkiya Nurhanurawati Nurhanurawati Nurhanurawati Nurhanurawati Nurhardita, Fika Nurindahsari, Yahdhiani Nurisa Ainulhaq Nurjannah Taklim Nurkhotimah, Uliyana Nurma Khusna Khanifa Nursanti, Fia Nurul Fadilah, Nurul NURUL HAYATI Nurul Ikhsan Nurwijayanti Obed Bida Octasari, Astrie P, Shinta Yulia Pamarta, Alma Abigail Pamungkas, Nurkhalimah Ery Panca Dewi Purwati, Panca Pangestu, Haifan Tri Buwono Joyo Panji Setyawan, Panji Pauzi, Iswari Pebi Amanda Rahmawati Perdana, Aditya Andra Perkasa, Eza Budi Permana, Muhammad Ilham Cahya Pitiporntapin, Sasithep Prasetio, Riki Dwi Prasetyo Prasetyo Pratama, Gilang Raka Pratama, Muhammad Virgi Prihartono, Nurhayati A Pujiono Pujiono Purbasary, Eleni Kenanga Purnama, Betseba Natalia Purnaning Dhian Isnaeni Purwani Setyaningrum, Retno Purwaningrum, Ratna Puspa, Tiara putri puspa devi Putri, Cindy Amelia Putri, Fitria Eka Putri, Maharani Putri, Pratiwi Hendro Putri, Pretty Gunadi Putri, Sarah Putri, Sezia Marina Putri, Tesha Dwi Putri, Yesi Queen Shinta Dewi Radiktyo Nindyo Sumarno Rahayu, Lutfi Indah Rahmadi Rahmadi Rahman, Adlian Fathur Rahman, Sarli Rahmat Hidayat Rahmatiah Rahmatiah Rahmattulah, Rahmattulah Rahmi Nurul Arapah Ramadhan, Fahreza Ramadhani, Aditya Rambe, Riani Rasilah, Rasilah Ratna Djuwita Raudhatul Jannah Razetha, Rara Reza, Reza Rezqi Malia Rezti, Rezti Rhamanda Ardiansyah Lubis Ria Wahyu Januarti Riana, Mirandha Ariesca Rifanka, Naura Irma Rika Anugrahaini, Savariana Rina Setyaningsih, Rina RINI RINI Rinny Saputri Rio Arif Pratama Risdiani, Risdiani Rismawat, Anisya Risnajayanti, Risnajayanti Risqi Dewi Aisyah Risti Kurnia Dewi Riyadi, Riyo Rizki Ramadhan Rizky Firmansyah Rizqy, Afifah Rofiaty, Rofiaty Rois, Rois Romadhon, Muhammad Dimas Romadiana, Parlia Rosdiana Rosdiana Rosdiana, Rina RR. Ella Evrita Hestiandari Rudi Sanjaya Ruqiah Ganda Putri Panjaitan Rustam Effendi Ruwiah Ruwiah, Ruwiah Ryzal Perdana Sabighoot , Yus Alvar Sabillah, Zita Andini Saepuddin Jahar, Asep Safiah, Cut Siti Safitri, Cut Fera Inong Safrika Safrika Saftari, Maya Sahril Nur Sahrul Salam, Pebri Dais Sahrul, Sahrul Salmin Dengo Salsabila Arvi Salsabila, Putri Pathia Salsadila, Oktavia Duwi Samosir, Agustinus Samsiarni, Samsiarni Samsul Alam Fyka Sandera, Tabah Sandi Ari Susiatmi, Sandi Ari Santiani Santiani Saputri, Meita Tria Saragih, Andriani Dearta Sari, Anggia Silva Sari, Arilda Fitria Sari, Delia Ratna Sari, Desi Solema Sari, Elsa Nurmala Sari, Mulyana Sari, Ria Kurnia Sari, Riri Tri Maya Sariwulan, Ratri Sartika, Nenden Suciyati Sarwindah Sarwindah Sarwindah, Sarwindah Sary , Cherry Arma Sasmita, Novi Reandy Selvia, Novi Sepdavayatie, Chossy Sephia, Elmarossa Dinda Seplyana, Desy Septanti, Rizky Wahyu Septian, Rudi Septiawan, Yudi Serlinda Ane Yulaicha Setiawati, Cut lilis Setiawati, Puspita Nur Setyarini, Dian Dwi Setyawan, Onny Shaufiah . Shefa Salsabila, Nazwa Siagian, Ira Ocktavia Siana Ria Sinta Petri Lestari Siregar, Robiatul Adawiyah Sirjon Sirjon Sistha, Cantika Widya Siti Fatonah SITI MARYAM Siti Nurdianti Muhajir Siti Nurohmah Sitokkonni, Joice Sjahriani, Tessa Sri Laksmi Pardanawati Sri Wahyuni Jamal Sri Yamtinah SRY WAHYUNI, SRY Suaidah Sri Dewi Sudarman Sudarman Sudiadnyan, Ni Putu Sudiadnyan Suharmanto Suhroji Adha Sukardi Weda, Sukardi Sulistiana, Umi Sulistyawati Sulistyawati Sumeilina, Sumeilina Suminah Suminah, Suminah Sunartini, Nina Supriadi, Mohammad Adi Surahman Surahman Suroyo Suroyo Suti, Shalsabilla Suwanda, Meyliana Suyidno Suyidno Syahputra, Hidayat Syam, Syahrani Syamsul Arifin Syarif, Rahmat Syarifah Balkis, Syarifah Syarifah Widya Ulfa Tahir, MUH Talbani Farlian Tanya, Rafa Tarrapa, Setrianto Tarso Rudiana, Tarso Taufik, Riza Taufiq A.Gani Taufiq Carnegie Dawood Tazkiah Ashfia, Tazkiah Tenriawaru, Andi Besse Teti Desyani Titi Savitri Prihatiningsih Toni Arifin Toyyibah, Imroatuth Tri Sugihartono Trisnadi Wijaya Tsalis, Masruro Rahma Tuljanah, Fatikha Tussadiah, Nurlaila Tusy Triwahyuni Umah, Rani Nur Umulhoir, Nida Usman Usman Utami, Githa Erizki Varlitya, Cut Risya Veithzal Rivai Zainal VEVI SURYENTI PUTRI, VEVI SURYENTI Vina Karina Putri Wahyu Ersila Wahyu Supartono Wahyudi Rahmat wahyuni wahyuni Wardi, Veri Waspada, Saifullah Wati, Ratna Mulia Widia Astuti Widyastuti, Novia Wijaya, Rizky Anasatya Wirawan Anggorotomo, Wirawan Woro Riyadina Wulandari, Nur Sekar Yandri, Lara Indah Yanuarti, Elly Yeffi Yeffi Masnarivan Yolivia, Shera Yudha Anggit Jiwantoro Yudhiono, Noor Fuadillah Yudhiyanto, Teguh Yuliansa, Erni Yuliant Sibaroni Yulita Yulita, Yulita Yunus , Muhamad Yusran, Sartiah Yuswardi yuswardi, Yuswardi Yuwaldi Away Yuyi Andrika Yuyi Andrika, Yuyi Zaharani, Alwida Zia Zahra Putri Zainab Zainab Zainal, Rah Zaitunah Subhan Zalukhu, Arifin S. Zanah, Laila Syamlatul Zaza Eza, Muslimah Zazkia, Aulia Dela Zen, Dini Nurbaeri Zulfa, Siti Ukhtiya Zulfayanti, Syifa Rahma