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OSTEOPOROSIS KNOWLEDGE, ATTITUDES, AND PRACTICES AMONG STUDENTS Subrata, Mariany Puspita; Girsang, Ermi; Manalu, Putranto
Kesmas Indonesia Vol 17 No 1 (2025): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2025.17.1.14181

Abstract

Prevention of osteoporosis at a young age is very necessary. Evidence suggests that modifying some lifestyle habits can help reduce the incidence of osteoporosis. However, limited research has been conducted to assess knowledge, attitudes, and lifestyles related to osteoporosis among young people. Good knowledge and attitude towards osteoporosis will result in real osteoporosis prevention actions. Therefore, this study aims to evaluate knowledge, attitudes and practices about osteoporosis in a group of students.This study was conducted using an analytical observational method using a cross-sectional design. The subjects of this study were 384 students of Universitas Prima Indonesia. Data were analyzed in univariate and bivariate forms. Bivariate analysis was used to see the difference in total scores of knowledge, attitudes and practices based on gender and field of science using the t-independent test and the Mann Whitney test. In analyzing the influence of knowledge and attitudes on the formation of practices, the Pearson product moment test was used. The results showed that the average knowledge (34.61 ± 4.77) and attitudes (28.57 ± 6.56) of students regarding osteoporosis were classified as moderate, student practices regarding osteoporosis were classified as poor (4.58 ± 2.24). The results of the bivariate test showed that there was a difference in the average total score of knowledge about osteoporosis between men and women (p = 0.021), health and non-health fields (p = 0.003). Furthermore, there was a correlation between attitudes and practices regarding osteoporosis (r: 0.144; p = 0.005). This study shows the need for the implementation of educational and awareness programs for students about risk factors and prevention of osteoporosis which must be designed based on the parameters of the health belief model.
Complaints of Low Back Pain in Tailors Santy Deasy Siregar; Putranto Manalu; Rapael Ginting; Victor Trismanjaya Hulu; Jeremia Chandra Partogi Siallagan
Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v18i3.39909

Abstract

Low back pain (LBP) is one of the musculoskeletal disorders as a result of incorrect ergonomics. The impact caused by low back pain is bad posture, stiffness, pinched nerve, and muscle weakness. This study aims to determine the relationship between ages, years of service, length of sitting, work posture, and the chair’s ergonomics with complaints of low back pain in tailors at Pasar Petisah, Kota Medan, with 35 workers based on inclusion and exclusion criteria. The research tools are interviews, observations, and filling out questionnaires. This sampling technique is used purposive sampling methods. Data were analyzed using the STATCAL application with a 5% chi-square test. Based on the result, we concluded that there is a long relationship between ages (p=0,02), years of service (p=0,04), length of sitting (p=0,01), and work posture (p=0,03) with the occurrence of low back pain tailors. Tailors in the Petisah Market in Medan City are at risk for complaints of low back pain based on age, long years of service, a risky length of sitting, and a risky work posture. If the workers ignore low back pain, the impact is the emergence of serious problems such as stiffness in the spine, fractures, pinched nerves, and can even cause death.
Cost Minimization Analysis of Analgesics for Tooth Extraction Lubis, Yolanda Eliza Putri; Rizky, Muhammad Irvan; Ginting, Chrismis Novalinda; Manalu, Putranto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.529

Abstract

Tooth extraction remains a common dental procedure in Indonesia owing to the increasing prevalence of oral health problems. Despite standard operating procedures and analgesics, pain management following tooth extraction remains a challenge. By analyzing different analgesic options and their associated costs, this study seeks to provide valuable insights for healthcare providers and patients in selecting the most effective and affordable pain management strategies. This study aimed to assess the cost-effectiveness of analgesic drugs for pain management after tooth extraction. This cross-sectional study was conducted on 92 patients who underwent dental extractions in Pabatu Hospital, Serdang Bedagai. Secondary data from the medical records were analyzed to assess patient demographics, diagnoses, analgesics used, pain levels, and treatment costs. Cost minimization analysis (CMA) was employed to compare the direct medical costs associated with different analgesics. The analysis highlighted that the combination of paracetamol and Na-diclofenac had the lowest average cost per patient (IDR 238,150.00), making it a financially viable option for both healthcare providers and patients. In contrast, the average cost of ibuprofen was significantly higher (IDR 433,954.97), suggesting that it may not be the best choice when considering both effectiveness and expense. Approximately 80% of the total direct medical costs for all three analgesics are attributed to procedure and treatment expenses, indicating that the choice of analgesics has a relatively small impact on overall costs. These findings advocate the use of cost-effective analgesic combinations in clinical practice, particularly in settings in which budget constraints are a concern.
Evaluating the Implementation of the Stunting Prevention Program at the Regional Technical Unit of Binjai Estate Health Center in Binjai City Manalu, Putranto; Br Ginting, Margaretha Febrina; Girsang, Ermi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24225

Abstract

Stunting remains a critical public health issue affecting the quality of human resources, particularly in Indonesia, where its prevalence remains high across various regions. According to the 2021 Indonesia Nutritional Status Survey (SSGI), the national stunting prevalence was 24.4%, with North Sumatra reporting 30.11% and Binjai City 21.7%, all of which exceed the WHO target of below 20%. These statistics underscore the urgent need for effective prevention strategies, particularly through nutritional interventions at the primary healthcare level. This study aims to evaluate the implementation of the stunting prevention program at the Regional Technical Implementation Unit of the Binjai Estate Community Health Center in Binjai City. The program components include nutrition education, regular monitoring of pregnant women and toddlers, and the provision of supplementary feeding. A qualitative descriptive approach was employed, utilizing in-depth interviews with healthcare personnel and field observations conducted in 2023. Findings indicate that although the program is generally well-implemented, several challenges persist. These include low community participation in outreach activities and persistent cultural myths that impede proper understanding of stunting. Nonetheless, there has been a noticeable increase in awareness regarding balanced nutrition among pregnant women and caregivers of toddlers. Monitoring is routinely conducted via the SIMPUS and SIP systems; however, long-term impact evaluation remains insufficient. In conclusion, while the stunting prevention program demonstrates promising outcomes, further improvements are necessary in enhancing community engagement, strengthening communication strategies, and developing a more robust evaluation system. Strengthening human resource capacity, improving inter-sectoral coordination, and expanding public access to accurate nutritional information are recommended to more effectively combat stunting Keywords: Stunting, Program Implementation, Primary Health Care, Nutrition Education,  Monitoring and Evaluation
The Effect of Cognitive Behavior Therapy on Self-Efficacy and Reducing Anxiety Levels in Hospitalized Patients Zalukhu, Fitri Kristianis; Girsang, Ermi; Manalu, Putranto
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 10, No 2 (2025)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v10i2.24678

Abstract

Self-efficacy refers to an individual’s belief in their ability to successfully manage and overcome challenging situations. It is a key factor that can help patients effectively cope with anxiety. Anxiety is a common emotional response experienced by patients during hospitalization, and high levels of anxiety can negatively impact comfort, the healing process, and overall quality of life. Psychological interventions such as Cognitive Behavioral Therapy (CBT) have been shown to improve self-efficacy and significantly reduce anxiety. This study aimed to evaluate the effect of CBT in enhancing self-efficacy and reducing anxiety levels in hospitalized patients. A quasi-experimental design with a control group and pre-test post-test measurements was used. The study involved 45 respondents, selected through a saturated sampling technique, meaning all eligible participants who met the inclusion criteria were included. Data were analyzed using the Wilcoxon signed-rank test. The results showed that all respondents in the intervention group had consistently high self-efficacy before and after CBT. CBT significantly improved patients’ confidence in managing their treatment period (p-value 0.000) and meaningfully reduced their anxiety levels (p-value 0.000). In contrast, the control group showed no change in self-efficacy (p-value 1.000) and experienced a slight increase in anxiety (p-value 0.257). These findings highlight the positive impact of CBT in helping patients feel stronger, calmer, and more in control during hospitalization. CBT is recommended as part of a holistic and compassionate approach to patient care in clinical settings.
Exploring the Role of Psychosocial Factors in Medication Compliance among Gonorrhea Patients Maler, Tangge; Hamdi, Sintiya; Manalu, Putranto; Girsang, Ermi; Suhartina
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 37 No. 2 (2025): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikkk.V37.2.2025.98-105

Abstract

Background: Gonorrhea is a globally prevalent sexually transmitted infection (STI) that continues to present a serious public health challenge, particularly in light of the increasing threat of antimicrobial resistance. Effective disease management depends significantly on patient adherence to prescribed treatments. However, suboptimal adherence is frequently reported, which undermines control efforts and contributes to the emergence of drug-resistant Neisseria gonorrhoeae strains. Purpose: This study aimed to identify factors influencing medication adherence among patients diagnosed with gonorrhea. Methods: A cross-sectional study was conducted involving 74 participants. Data were collected through structured questionnaires assessing five variables: knowledge of gonorrhea, family support, perceived stigma, self-efficacy, and treatment adherence. Univariate analysis using descriptive statistics was performed to summarize demographic characteristics and key variables. Chi-square tests were used to determine the association between predictor variables and treatment adherence. Results: The findings showed that 86.5% of participants had good knowledge regarding gonorrhea, while 56.6% reported insufficient family support. Most respondents (81.1%) did not experience perceived stigma, and 64.9% reported high self-efficacy. Overall, 64.9% of participants adhered to their treatment regimen. Bivariate analysis revealed significant associations between treatment adherence and knowledge (p = 0.007; OR = 6.111), family support (p = 0.008; OR = 4.821), perceived stigma (p = 0.001; OR = 7.571), and self-efficacy (p = 0.001; OR = 7.200). Conclusion: The results underscore the importance of psychosocial factors in enhancing medication adherence. Targeted interventions addressing knowledge, family support, stigma, and self-efficacy are essential to improving treatment outcomes and reducing gonorrhea transmission.
Dampak Kualitas Udara Dalam Ruangan Terhadap Kejadian ISPA di Kecamatan Medan Denai, Kota Medan Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Butar-Butar, Erika Fatrecia Marsaulina; Hafizah, Nandani Zakia; Manalu, Putranto
Jurnal Kesehatan Lingkungan Indonesia Vol 24, No 3 (2025): Oktober 2025
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.70451

Abstract

Latar Belakang: Tingginya angka kejadian Infeksi Saluran Pernapasan Akut (ISPA) di Kecamatan Medan Denai diduga kuat berkaitan dengan buruknya kualitas udara dalam ruangan, khususnya di kawasan padat penduduk. Penelitian ini bertujuan untuk menganalisis hubungan antara berbagai parameter kualitas udara dalam ruangan dengan kejadian ISPA di wilayah tersebut.Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sampel terdiri dari 300 responden dari rumah-rumah di area padat penduduk Kecamatan Medan Denai yang dipilih menggunakan teknik purposive sampling. Data mengenai parameter fisik dan kimia kualitas udara serta status ISPA dikumpulkan melalui pengukuran langsung, kuesioner, dan observasi. Data dianalisis menggunakan uji chi-square.Hasil: Ditemukan hubungan signifikan antara kejadian ISPA dengan suhu udara, kelembapan, laju ventilasi, kadar SO2, NO2, CO, dan paparan asap rokok (p<0,05). Hasil analisis menunjukkan bahwa laju ventilasi yang buruk meningkatkan risiko ISPA sebesar 26,4 kali (RR=26,430), kelembapan yang tidak sesuai standar meningkatkan risiko 43,8 kali (RR=43,84), dan paparan asap rokok meningkatkan risiko 5,5 kali (RR=5,550). Sementara itu, tingkat pencahayaan, kadar timbal (Pb), formaldehida (HCHO), dan volatile organic compounds (VOC) tidak menunjukkan hubungan yang signifikan.Simpulan: Kualitas udara dalam ruangan yang tidak memenuhi standar, terutama laju ventilasi yang buruk, secara signifikan meningkatkan risiko kejadian ISPA di Kecamatan Medan Denai. Pemilik rumah direkomendasikan untuk secara aktif meningkatkan sirkulasi udara dengan cara membuka jendela dan pintu secara teratur untuk memastikan pertukaran udara yang memadai. Selain itu, penting untuk mengendalikan sumber polusi di dalam rumah, seperti tidak merokok di dalam ruangan, serta menjaga suhu dan kelembapan pada tingkat yang ideal untuk meminimalkan risiko penyakit pernapasan. Edukasi dan pemantauan berkala oleh pemerintah juga diperlukan untuk meningkatkan kesadaran masyarakat. ABSTRACT Title: The Impact of Indoor Air Quality on the Incidence of Acute Respiratory Infections (ARIs) in Medan Denai Sub-district, Medan CityBackground: The high incidence of Acute Respiratory Infections (ARIs) in the Medan Denai Sub-district is strongly suspected to be associated with poor indoor air quality, particularly in densely populated areas. This study aimed to analyze the relationship between various indoor air quality parameters and the incidence of ARIs in the region.Method: This research employed an analytical observational design with a cross-sectional approach. The sample comprised 300 respondents from households in densely populated areas of Medan Denai Sub-district, selected using purposive sampling. Data on physical and chemical air quality parameters and ARI status were collected through direct measurements, questionnaires, and observations. The data were analyzed using the chi-square test.Result: A significant relationship was found between the incidence of ARIs and air temperature, humidity, ventilation rate, levels of SO₂, NO₂, CO, and exposure to tobacco smoke (p < 0.05). The results indicate that poor ventilation increases the risk of ARIs by 26.4 times (RR = 26.43), non-standard humidity increases the risk by 43.8 times (RR = 43.84), and exposure to tobacco smoke increases the risk by 5.5 times (RR = 5.55). Conversely, lighting levels, lead (Pb), formaldehyde (HCHO), and volatile organic compounds (VOCs) showed no significant association.Conclusion: Substandard indoor air quality, especially poor ventilation, significantly increases the risk of ARIs in Medan Denai Sub-district. Homeowners are advised to actively improve air circulation by regularly opening windows and doors to ensure adequate air exchange. Furthermore, controlling indoor pollution sources, such as refraining from smoking indoors, and maintaining optimal temperature and humidity levels are crucial to minimizing the risk of respiratory diseases. Public education and regular monitoring by government agencies are essential to raise awareness and promote healthier indoor environments.
Improving Inpatient Services with the Quality Function Deployment Method Sembiring , Jessyca; Girsang, Ermi; Manalu, Putranto
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 9 No 2 (2025): Medical Technology and Public Health Journal September 2025
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v9i2.5806

Abstract

Improvements in the quality of inpatient care are needed to reduce overcrowding, increase patient engagement, make care more efficient, and empower patients toward self-care. These improvements can result in better patient outcomes, increased patient satisfaction, and more efficient delivery of healthcare. This is a quantitative study involving 98 respondents who have used inpatient services at the Royal Prima Hospital between December 2022 and January 2023. Data collection was based on the Servqual method and Kano models. The analysis results show that the smallest gap score (-0.12) is attributed to the number of medical personnel in the reliability dimension, whereas the largest gap score (0.09) is attributed to the physical appearance of doctors and staff in the tangibles dimension. Of the 23 attributes analyzed, 3 belonged to category A (attractive), 15 belonged to category O (one-dimensional), and 5 belonged to category M (must-be). The main technical responses that need to be addressed to improve service quality are hospital development, increased cooperation, and organizing education and training.
Improvement of Patients’ Knowledge, Attitude, and Practice on Tuberculosis Treatment Using Video and Leaflet Dameria, Dameria; Hulu, Victor Trismanjaya; Siregar, Santy Deasy; Manalu, Putranto; Samosir, Frans Judea; Rambe, Fadilah Ummul Choiriyah; Hasibuan, Nadilla
Jurnal Promosi Kesehatan Indonesia Volume 18 No.2 Agustus 2023
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.18.2.79-88

Abstract

Background: The effectiveness of Tuberculosis (TB) treatment outcomes for patients is currently suboptimal, posing a significant challenge to comprehensive efforts aimed at eradicating the disease. To address this problem, several studies have proposed that the implementation of health education initiatives have the potential to enhance treatment adherence and behavior of patients. Therefore, this study aims to assess the efficacy of health education programs using video and leaflet modalities.Method: This was a quasi-experimental study with a non-randomized pretest-posttest control group design. The sample population consisted of 85 TB patients at the Kenanga Health Center, Tegal Sari Mandala II, Medan Denai District, Medan City in 2022. Furthermore, the samples size was obtained using a purposive sampling method, involving 64 patients, which were evenly divided into two groups, namely intervention and control. The controls and intervention groups were educated using leaflet and video media, respectively. Pre-test and post-test were given to all the participants using the same instrument. A post-test was administered on the twenty-fifth day, where the materials were the same as those used at the pre-test stage. The data collected in this study were analyzed using the Wilcoxon, Mann-Whitney, and N-Gain tests.Results: There were significant differences between knowledges, attitudes, and practices of the participants before and after being given the interventions. Furthermore, knowledges, attitudes, and practices scores increased after the interventions were administered. Based on the results, health education using video (N-Gain score of 76.82) improved behavior of TB patients compared to the use of leaflet (N-Gain score of 49.74). After being educated, people with TB were expected to exhibit higher treatment adherence and adoption of healthy lifestyles.
Psychological Impact of COVID-19 on Healthcare Workers: A Systematic Review Victor Trismanjaya Hulu; Suharni Pintamas Sinaga; Achmad Rifai; Frans Judea Samosir; Putranto Manalu
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.625 KB) | DOI: 10.30604/jika.v6i1.469

Abstract

During the COVID-19 pandemic, many health workers working in hospitals experienced psychological problems and stress while serving patients because of their high risk of contracting COVID-19. This study explores the main findings from the literature examining the psychological impact of COVID-19 on healthcare workers. This study uses a systematic review method using the PRISMA statement. A systematic search was carried out to obtain relevant articles from three databases, namely Scopus, PubMed, and Google Scholar, published in the English version. The investigation of articles started from identifying, sorting, checking the feasibility and eligibility of the studies and including qualitative synthesis. This article's inclusion criteria were English-language articles and full text on studies assessing the psychological impact of COVID-19 on healthcare workers. There were 1429 articles found and eleven studies of which were analyzed, namely ten studies using a cross-sectional design, one study using a retrospective cohort design. The psychological impact experienced by health workers included fear of being infected with COVID-19; fear of contracting oneself, friends, and relatives; fear of being alienated by others; fear of being stigmatized by others; worrying about personal and family health; worrying about being quarantined or isolated; fear of close contact with patients at high risk of infection; fear of experiencing high insomnia; fear of experiencing acute stress disorders and psychological stress. The study concluded that health workers serving patients in hospitals face tasks full of pressure, worry, anxiety, and high fear of being infected with COVID-19. Health workers are in dire need of health protection as well as special recovery programs that aim to improve psychological well-being during the COVID-19 pandemic.  Abstrak: Selama masa pandemi COVID-19, banyak tenaga kesehatan yang bekerja di rumah sakit mengalami gangguan psikologis dan stres saat melayani pasien karena besar risiko mereka terinfeksi COVID-19. Penelitian ini bertujuan untuk mengeksplorasi temuan utama dari literatur yang meneliti tentang dampak psikologis COVID-19 pada petugas kesehatan. Penelitian ini menggunakan metode systematic review dengan menggunakan pernyataan PRISMA. Untuk memperoleh artikel yang relevan maka dilakukan pencarian secara sistematis dari tiga database yaitu Scopus, PubMed dan Google Scholar yang diterbitkan dalam versi bahasa Inggris. Penyelidikan artikel dimulai dari tahap identifikasi, pemilahan, kelayakan dan studi yang memenuhi syarat dan termasuk sintesis kualitatif. Kriteria inklusi adalah artikel berbahasa Inggris dan full text tentang studi yang menilai dampak psikologis COVID-19 pada petugas kesehatan. Dari tiga database diperoleh 1429 artikel dan sebanyak 11 (sebelas) studi diantaranya dianalisis dimana sepuluh studi yang menggunakan desain cross-sectional dan satu studi yang menggunakan desain kohort retrospektif. Dampak psikologis yang dialami oleh tenaga kesehatan meliputi takut terinfeksi COVID-19, takut tertular terhadap diri sendiri, teman dan kerabat, takut dijauhkan oleh orang lain, takut distigmatisasi oleh orang lain, khawatir tentang kesehatan pribadi dan keluarga, khawatir akan dikarantina atau diisolasi, takut kontak dekat dengan pasien berisiko tinggi terinfeksi, takut mengalami insomnia yang tinggi, takut mengalami gangguan stres akut dan tekanan psikologis. Penelitian menyimpulkan petugas kesehatan yang melayani pasien di rumah sakit selalu diperhadapkan dengan pekerjaan yang penuh dengan tekanan, khawatir, cemas dan rasa takut yang tinggi terinfeksi COVID-19. Petugas kesehatan sangat membutuhkan perlindungan kesehatan serta program khusus pemulihan yang bertujuan untuk meningkatkan kesejahteraan psikologis selama pandemi COVID-19.
Co-Authors Achmad Rifai Addin Amrulah Aditya Bastanta Guru Singa Aditya Kurnia , Muhammad Ali Napiah Nasution Aminuyati Asri Noor Aulia, Yuli Binarwan Halim Boas, Richie Ray Barry Br Ginting, Margaretha Febrina Buenita Sinurat Buenita, Buenita Butar-Butar, Erika Fatrecia Marsaulina Chinintya, Dwi Putri Chrismis Novalinda Ginting Chrismis Novalinda Ginting Damanik, Marco Frans Hernandes Dameria Dameria DAMERIA DAMERIA Dameria Gultom Dameria Gultom Deasy Siregar, Santy Desi Lustiyani Putri Ndruru Efendy Pakpahan Ellista Anatasia Sinaga Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Eva Ellya Sibagariang Fadilla Ripta Fahmi Syahpreza Tarigan Frans Judea Samosir Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Girsang, Ermi Girsang, Ermi Gunarto Sinaga Hafizah, Nandani Zakia Hakim, Mia Amara Hamdi, Sintiya Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Hasibuan, Nadilla Hulu, Victor Trismanjaya Hutagalung, Priscilla Grace J irza Haicha Pratama Isabella Silalahi , Marlinang Janas, Dhyta Nurhasanah Jeremia Chandra Partogi Siallagan Judea Samosir, Frans Kalimah, Kalimah Linda Suryani Sihaloho Maler, Tangge Mangatas Silaen Masryna Siagian Meyliana Ginting Milka Rositi Sianipar Mita Sahara Nadapdap, Marshall Jeremia Nasution, Ali Napiah Nasution, Sri Lestari Ramadhani Nurhafsyah Daulay Pane, Putri Yunita Panjaitan, Hajijah I. L. Perry Boy Chandra Siahaan Putri Marlinang Manalaksak Hutajulu Putri Yunita Pane Putri Yunita Pane Putri, Faradiba Fatillah Rambe, Fadilah Ummul Choiriyah Rapael Ginting Reh Malem Br Karo Ribka Rusiani Pardede Ripta, Fadilla Rizki Luthfita Sari Rizky, Muhammad Irvan Sabarina Tarigan , Rimma Samosir, Frans Judea Santy Deasy Siregar Sembiring , Jessyca Siagian, Masryna Sijabat, Vina Helsa Laora Silalahi, Marlinang I. Simangunsong, Pahala Maringan J. Simangunsong, Pahala Maringan Jubel Sinaga, Megasilvia Sinaga, Suharni Pintamas Sindy Andari Sinurat, Jhon Patar Sitanggang, Rido Aliberto Sri Lestari Ramadhani Nasution Subrata, Mariany Puspita Suhartina Sweeta Silaban , Ray Tan Suyono Tan Suyono Tarigan, Nita Kastrina Thomson Parluhutan Nadapdap, Thomson Parluhutan Ulina Karo Karo Ulina Karokaro Vera Prianggi Hutabarat Victor Trismanjaya Hulu Villia Sitepu Vina Helsa Laora Sijabat Virgin Tursulawati Panggabean Wau, Herbert Wela Tresia Nababan Wicaksana, Praja Dwi Widya Yanti Sihotang Wulan Indah Damanik Yani Sri Ningsih Yolanda Eliza Putri Lubis Yoridha Aulia Sinuraya Zalukhu, Fitri Kristianis Zendrato, Victorwan Novri