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All Journal Jurnal Kedokteran Brawijaya Jurnal Kesehatan Andalas Indonesian Journal of Tropical and Infectious Disease MNJ (Malang Neurology Journal) Paediatrica Indonesiana Majalah Kesehatan FKUB Indonesian Journal of Chemistry Jurnal Respirologi Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Narra J Pediatric Sciences Journal
Agustin Iskandar
Departemen Patologi Klinik Dan Kedokteran Laboratorium, Fakultas Kedokteran, Universitas Brawijaya / RSUD Dr Saiful Anwar, Malang
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Earth & Planetary Sciences Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Cut-off Value of HSPG for Early Marker of Plasma Leakage in Adult Dengue Patient Settrin Chenderawasi; Rahajuningsih Dharma; Herdiman T. Pohan; Beti Ernawati Dewi; Rianto Setiabudy; Suhendro Suhendro; Aryati Aryati; Hardi Darmawan; Leonard Nainggolan; Agustin Iskandar
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 30 No. 3 (2024)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v30i3.2221

Abstract

Plasma leakage is a state of increased vascular permeability due to loss of interendothelial junction and focal adhesion. Endothelium glycocalyx plays a major role in the pathogenesis of plasma leakage. Proteoglycans glycocalyx consists of heparan sulfate (HSPG) around 50-90%. Plasma leakage in dengue infection can be fatal and early detection is essential. This study aimed to determine the optimal cut-off value of HSPG levels for early marker of plasma leakage in dengue infection. The study was a retrospective cohort study as a part of the Community Based Dengue Study of the Faculty of Medicine, University of Indonesia, which was conducted between February 2010 and January 2011. Subjects were recruited by consecutive sampling. Dengue infection was confirmed by conventional PCR serotyping. Subjects were categorized into 2 groups, i.e. those with and without plasma leakage. Plasma leakage was confirmed by hemoconcentration or hypoalbuminemia or USG results. The level of HSPG was measured using the ELISA method from the first until the third day of the hospital admission. A total of 40 subjects were involved in this study, consisting of 21 with leakage and 19 without leakage. The optimal cut-off level of HSPG as a marker of early plasma leakage in dengue infection patients on the 1st day, 2nd day, and 3rd day was was 2179.73 pg/mL, 2538.66 pg/mL, and 1294.06 pg/mL, respectively. HSPG could as an early marker of plasma leakage in dengue infection with an optimal cut-off value for each of the first 3 days of the patient's fever. A pediatric study was recommended to obtain the optimal cut-off value for HSPG.
Tinjauan Literatur: SITOKIN SEBAGAI PREDIKTOR MORTALITAS CORONAVIRUS DISEASE-19 (COVID-19): A SYSTEMATIC REVIEW Iskandar, Agustin; Hartanti, Khoirunisah Dwi
Majalah Kesehatan Vol. 11 No. 1 (2024): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2024.011.01.8

Abstract

Peningkatan kadar sitokin berperan pada terjadinya badai sitokin yang menyebabkan sindrom distres nafas dan kerusakan organ sehingga banyak studi yang mengungkapkan hubungan peningkatan sitokin terhadap keparahan Coronavirus Disease-19 (COVID-19). Sitokin yang dilaporkan berhubungan dengan keparahan penyakit ternyata tidak selalu terbukti berhubungan dengan mortalitas pada COVID-19. Kami melakukan review hubungan sitokin dengan mortalitas COVID-19 dan potensinya sebagai biomarker prediktor mortalitas COVID-19. Review literatur secara sistematik dilakukan pada database PubMed dan ScienceDirect. Kata kunci yang digunakan adalah ‘cytokine’, ‘mortality’, ‘COVID-19’, dan ‘predictor’. Hanya studi observasional yang membahas hubungan antara sitokin dengan mortalitas pada COVID-19 yang masuk sebagai kriteria inklusi. Didapatkan 15 artikel yang relevan dan melaporkan hubungan sitokin dengan mortalitas COVID-19. Peningkatan kadar sitokin IL-6 berhubungan pada mortalitas pada sepuluh studi. Peningkatan TNF-α dan IL-8 memiliki hubungan dengan mortalitas dan dilaporkan pada empat studi. Peningkatan IL-10 berhubungan dengan mortalitas pada tiga studi. Beberapa sitokin lain diungkapkan hubungannya dengan mortalitas tetapi hanya terbukti pada satu studi, antara lain peningkatan kadar IFN-γ, IL-1β, dan MCP-1. Dapat disimpulkan, sitokin IL-6 berhubungan dengan mortalitas pada COVID-19. Sitokin  TNF-α, IFN-γ, IL-8, IL-10, IL-1β, dan MCP-1 tidak banyak dilaporkan hubungannya dengan mortalitas pada COVID-19. Akan tetapi sitokin tersebut memiliki hubungan dengan keparahan penyakit COVID-19 sehingga memiliki potensi untuk diteliti lebih lanjut sebagai prediktor mortalitas pada COVID-19.
PERBEDAAN GAMBARAN PEMERIKSAAN DARAH LENGKAP PRE DAN PASCA TERAPI TUBERKULOSIS FASE INTENSIF PADA PEDIATRI Iskandar, Agustin; Olivianto, Ery; Syahfitri, Rininta; Maisaroh, Luluk; Ludytajati, Ferine; Aprilia, Andrea
Majalah Kesehatan Vol. 11 No. 1 (2024): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2024.011.01.4

Abstract

Tuberculosis (TBC) merupakan penyakit kronis yang banyak ditemui di Indonesia. Terapi yang diperlukan untuk mengeradikasi bakteri penyebab TBC (Mycobacterium tuberculosis) membutuhkan waktu setidaknya 6 bulan, yaitu 2 bulan fase intensif diikuti 4 bulan fase lanjutan. Selama ini, monitoring hasil terapi dilakukan setelah fase intensif dengan melakukan pemeriksaan mikrobiologis. Namun, pemeriksaan mikrobiologis kurang sensitif dan lebih sulit dilakukan khususnya pada anak sehingga diperlukan pemeriksaan lain yang lebih sederhana. Penelitian ini bertujuan untuk mengetahui profil hematologi yaitu profil eritrosit, leukosit, dan trombosit pre dan pasca terapi fase intensif obat antituberkulosis pada anak. Penelitian observasional analitik berdesain kohort prospektif dilakukan terhadap 90 pasien anak. dengan TBC paru maupun ekstra paru di Poli Kesehatan Anak RSUD dr. Saiful Anwar (RSSA) Malang pada Februari hingga Desember 2018. Hasil penelitian menggambarkan bahwa pada pasca terapi, jumlah leukosit (p = 0,036), neutrofil (p = 0,020), trombosit (p = 0,008), dan PCT (p = 0,015) lebih rendah namun jumlah limfosit (p = 0,037) lebih tinggi; sedangkan monosit, hemoglobin, indeks eritrosit, RDW, dan MPV tidak berbeda bermakna. Sekalipun demikian, jumlah leukosit, neutrofil, trombosit, plateletcrit (PCT) yang menurun serta jumlah limfosit yang lebih tinggi tidak berkorelasi dengan respons terapi pada TBC anak. Kesimpulan penelitian ini adalah terdapat penurunan leukosit, neutrofil, trombosit, PCT, dan peningkatan limfosit akan tetapi tidak berhubungan dengan respons pengobatan.
EFEK PEMBERIAN THYMOQUINONE TERHADAP JUMLAH SEL MAKROFAG PADA PARU TIKUS YANG DIINFEKSI BAKTERI Mycobacterium tuberculosis Angelina, Aina; Iskandar, Agustin; Rambe, Annisa Fadhila Aurelia; Kusuma, Ihda Dian; Dewi, Rose Khasana; Olivianto, Ery
Majalah Kesehatan Vol. 11 No. 3 (2024): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2024.011.03.1

Abstract

Penyakit tuberkulosis merupakan salah satu penyebab kematian terbanyak di dunia. Hal ini karena  banyaknya kasus resistensi OAT. Imunomodulator dapat meningkatan sistem imun dan membantu pengobatan tuberkulosis. Thymoquinone adalah salah satu komponen aktif dari jintan hitam yang dapat digunakan sebagai imunomodulator. Penelitian ini bertujuan mengetahui efek thymoquinone terhadap jumlah sel makrofag pada paru tikus (Rattus norvegicus) model tuberkulosis yang diamati secara mikroskopis. Tikus dibagi menjadi sepuluh kelompok yaitu lima kelompok perlakuan 14 hari dan lima kelompok perlakuan 21 hari. Tikus diinokulasi oleh bakteri Mycobacterium tuberculosis  secara intra-trakeal. Thymoquinone diberikan per oral pada kelompok perlakuan dengan tiga dosis berbeda (25 µg/kgBB, 50 µg/kgBB, dan 75 µg/kgBB).  Pengamatan jumlah sel makrofag dilakukan dengan pulasan imunohistokimia menggunakan antibodi CD68. Hasil penelitian ini menunjukkan bahwa pemberian thymoquinone pada dosis 50 µg/kgBB dapat meningkatkan jumlah sel makrofag pada paru tikus model TB. Hasil analisis oneway ANOVA menunjukkan perbedaan signifikan pada kelompok perlakuan 21 hari (p =  0,007;α < 0,05) sedangkan pada kelompok perlakuan 14 hari tidak didapatkan perbedaan signifikan. Kesimpulan penelitian ini ialah pemberian thymoquinone selama 21 hari dapat meningkatkan jumlah sel makrofag pada paru tikus yang diinokulasi bakteri Mycobacterium tuberculosis.
Correlation Analysis between Ratio of C-Reactive Protein/Albumin and Severity of Dengue Hemorrhagic Fever in Children Iskandar, Agustin; Norwahyuni, Yuyun; Aryati, Aryati; Aprilia, Andrea
Indonesian Journal of Tropical and Infectious Disease Vol. 9 No. 3 (2021)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v9i3.29108

Abstract

Dengue Hemorrhagic Fever (DHF) is a dengue infection which can cause shock and leads to mortality. Hypoalbuminemia is a marker of plasma leakage in DHF and correlated with severity of in fl ammatory response triggered by infection, including DHF. C-Reactive Protein (CRP) is a proin fl ammatory marker that also increases in DHF. This study aims to determine a correlation of CRP/albumin ratio with severity of DHF. Cross sectional study on pediatric patients diagnosed as DHF at Saiful Anwar Malang Hospital was done in July-December 2016. CRP levels were examined using immunoturbidimetry method, while albumin was examined by using Bromocresol Green (BCG) method. Correlation of CRP/albumin ratio with DHF severity was analyzed by using Pearson correlation test.The result showed that there were signi fi cant diff erences in CRP levels and CRP/albumin ratios in the Dengue Shock Syndrome (DSS) and non-DSS group (p = 0.002, p = 0.001, α<0.05). There was no signi fi cant diff erence in albumin level in the same group (p = 0.207, α <0.05). Positive correlation found in CRP and CRP/albumin ratio (r = 0.46, r = 0.49, α <0.01). On the contrary the negative correlation was found in albumin (r = -0.21, α <0.01). This is presumably because albumin is an acute phase protein which will decrease along with the severity of infection. In contrast, CRP will increase during the critical phase of infection. It can be concluded that the CRP/albumin ratio was positively correlated with DHF severity, as well as CRP levels, but not positively correlatedwith albumin. 
HOMA-IR value in predicting retinal microvascular dysfunction Prayitnaningsih, Seskoati; Yuniasih, Kristina; Kautsarani, Intan; Hamid, Aulia A.; Iskandar, Agustin
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.1732

Abstract

Obesity and retinal microvasculature dysfunction are linked and impact visual acuity. The aim of this study was to determine the relationship between the HOMA-IR score and the presence of vascular dysfunction (perfusion index and flux index) of the optic nerve head (ONH) of the retina in obese patients and to determine its diagnostic performance to predict vascular dysfunction. A case-control study was conducted in 2022 involving individuals from obese and non-obese groups. Insulin resistance was measured using the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) score using the levels of insulin and fasting glucose. Optical coherence tomography angiography (OCT-A) was performed to evaluate the flux index and capillary perfusion of ONH. The correlation between HOMA-IR, flux index, and capillary perfusion was assessed using Pearson’s correlation, and the diagnostic performance of HOMA-IR, including sensitivity, specificity, and the area under the curve (AUC), was measured. Logistic regression was used to identify the association between the HOMA-IR cutoff score with the presence of retinal microvascular dysfunction. A total of 80 individuals were included from each obese and non-obese group. The HOMA-IR score showed significant negative correlations with the perfusion of the superior (p<0.001), inferior (p<0.001), and outer (p=0.008) regions of the retinal of ONH. For the flux index, the HOMA-IR score had significant negative correlations with the superior (p=0.001), inferior (p<0.001), nasal (p=0.003), and outer (p=0.035) regions of ONH of the retina. The receiver operating characteristic (ROC) curve analysis for the HOMA-IR score at a cutoff value of 5.51 demonstrated an area under the curve (AUC) of 0.819, with a 95% confidence interval (CI) ranging from 0.727 to 0.912, suggesting its effectiveness in detecting vascular dysfunction. Multivariate logistic regression revealed a significant association between the HOMA-IR cutoff score of 5.51 with capillary perfusion of the superior (p=0.005) and nasal region (p=0.043), as well as the flux index of the inferior (p=0.013) and outer (p=0.022) regions of the ONH. These findings suggest that HOMA-IR is a promising biomarker for predicting retinal microvascular dysfunction in obese patients.
Analisis Hubungan Sequential Organ Failure Assessment (Sofa) Score Dengan Mortalitas Pasien Sepsis Iskandar, Agustin; Siska, Fran
Andalas Journal of Health Vol. 9 No. 2 (2020): Online June 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i2.1221

Abstract

Sepsis merupakan kondisi disfungsi organ mengancam nyawa yang diakibatkan oleh disregulasi sistem imun pejamu terhadap infeksi dan Sequential Organ Failure Assessment (SOFA) score merupakan suatu skoring untuk menilai kegagalan organ terkait sepsis. Peningkatan SOFA score diasosiasikan dengan outcome pasien yang lebih buruk.  Tujuan: Menganalisis korelasi SOFA score dengan mortalitas pada pasien sepsis. Metode: Desain penelitian adalah kohort prospektif yang dilakukan di RSU Dr Saiful Anwar dari Maret 2018 hingga Juni 2019. Kriteria diagnosis sepsis ditegakkan berdasarkan The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). Perhitungan SOFA score dilakukan dalam 2 hari pertama perawatan pasien sepsis di rumah sakit. Analisis data dilakukan pada p < 0,05. Hasil: Didapatkan 85 pasien sepsis dengan luaran meninggal sebanyak 72,94% sedangkan 28,06% membaik. Terdapat perbedaan bermakna antara SOFA score yang meninggal dan yang hidup (p=0,015).  SOFA score dipakai untuk memprediksi kematian, didapatkan area under the curve (AUC) 0,74 (p=0,009), dengan cut off point optimum 7. Pada total SOFA score lebih tinggi dari sama dengan 7, didapatkan RR= 3.8, p=0.028. SOFA score merupakan parameter untuk menilai kegagalan organ pada pasien sepsis, dimana total SOFA score yang lebih tinggi dikaitkan dengan peningkatan risiko kematian. Simpulan: SOFA score pada kelompok yang meninggal lebih tinggi daripada yang sembuh. Pasien sepsis dengan SOFA score lebih besar sama dengan 7 memiliki risiko 3,8 kali lebih besar untuk meninggal.Kata kunci: risiko kematian, sepsis, SOFA score
Gambaran Infeksi Nontuberculous Mycobacteria (NTM) pada Penderita Suspek TB Paru Menggunakan Multiplex PCR (MPCR)-Universal Lateral Flow Assay (ULFA) Kit Akbar, Putri Wulan; Iskandar, Agustin; Astuti, Tri Wahju; Indriana, Kristin
Jurnal Kesehatan Andalas Vol. 9 No. 3 (2020): Online September 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i3.1394

Abstract

Infeksi paru akibat Nontuberculous Mycobacteria (NTM) dan Mycobacterium tuberculosis (MTB) dapat memberikan gambaran klinis yang serupa sehingga berpotensi menyebabkan kesalahan diagnosis dan terapi. Pemeriksaan Multiplex PCR (MPCR)-Universal Lateral Flow Assay (ULFA) merupakan pemeriksaan berbasis molekuler untuk mendeteksi gen rpoB, IS1660 dan mtp40 yang dapat digunakan untuk membedakan infeksi NTM dari infeksi TB. Tujuan:  Mendapatkan gambaran infeksi NTM menggunakan MPCR-ULFA pada penderita terduga TB paru. Metode: Penelitian ini merupakan studi deskriptif dengan pendekatan potong lintang yang dilaksanakan sejak April sampai Juli 2019. Sebanyak 39 sampel sputum dari pasien terduga TB paru dari RSUD Kanjuruhan Kepanjen, Kabupaten Malang diperiksakan apusan BTA, GeneXpert dan MPCR-ULFA. Hasil: Sebanyak 5 sampel (12,8%) sputum dari pasien terduga TB paru terdeteksi sebagai NTM positif menggunakan pemeriksaan MPCR-ULFA. Empat dari lima sampel (80%) tersebut memiliki kesesuaian dengan hasil GeneXpert dan apusan BTA, yakni MTB negatif.  Pemeriksaan molekuler baik GeneXpert maupun MPCR-ULFA keduanya mendeteksi keberadaan gen rpoB dari Mycobacterium. Metode MPCR-ULFA mengamplifikasi 3 gen target sekaligus (IS1660, mtp40 dan rpoB) sehingga dapat mendeteksi infeksi NTM atau MTB. Simpulan: Prevalensi NTM pada pasien terduga TB paru di RSUD Kanjuruhan Kepanjen menggunakan MPCR-ULFA mencapai 12,8%. Sebanyak 80% dari NTM positif memiliki hasil pemeriksaan GeneXpert dan apusan BTA negatif.Kata kunci: GeneXpert, MPCR-ULFA, NTM, suspek TB paru
Identifying key clinical markers for congenital cytomegalovirus infections: a PCR-confirmed case-control study Corebima, Brigitta IRV; Iskandar, Agustin; Sulistijono, Eko; Amalia, Najwa; Fauziah, Dina; Sanjaya, Hayyu Rafina
Paediatrica Indonesiana Vol. 65 No. 3 (2025): May 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.3.2025.463-70

Abstract

Background Congenital cytomegalovirus (CCMV) infection is the leading cause of congenital infections worldwide. Clinical manifestations of CCMV are highly variable and make the clinical diagnosis difficult, especially in settings where advanced diagnostic tools are not available. Objective To identify a cluster of clinical manifestations indicative of CCMV and analyze for correlations with PCR-confirmed diagnoses. Methods This case-control study was conducted at a tertiary care hospital in Malang, East Java, and included 40 neonates clinically suspected to have CCMV. PCR specimens from urine or saliva were collected and analyzed to evaluate clinical manifestations of suspected CCMV. Demographic and clinical data were organized and analyzed using SPSS. Results Of neonates with suspected CCMV, 32.5% (n=13) had PCR-confirmed CCMV. The median age for PCR testing post-suspected CCMV was 8.50 (range 3.75 to 24.25) days. Significant correlations emerged between PCR-confirmed CCMV and symptoms such as microcephaly, jaundice, purpura, thrombocytopenia, acute liver injury, hepatomegaly, feeding difficulties, and anemia. However, seizures, low birth weight, ventriculomegaly, and intrauterine growth restriction did not show significant associations, indicating their limited utility as solitary markers for CCMV. The clinical symptoms associated with CCMV were confirmed by PCR, emphasizing the significance of certain sign and symptom clusters, such as microcephaly with thrombocytopenia (OR 41.60; P<0.001), or the traditional triad of jaundice, purpura, and hepatosplenomegaly/acute liver injury (OR 41.60; P<0.001). Conclusion Several clinical manifestations are significantly associated with PCR-confirmed CCMV infection, underscoring the diagnostic value of specific symptom combinations in identifying CCMV infection. These combinations are microcephaly and thrombocytopenia and the classic triad of jaundice, purpura, and hepatosplenomegaly/acute liver injury. 
A comparison of test duration for the clinical diagnosis of pediatric tuberculosis using Tuberculin Skin Test (TST) and Interferon Gamma Release Assays (IGRA) Olivianto, Ery; Iskandar, Agustin; Akmaly, Triyana Dian Dhuha; Mirza, Sarah Zoraya; Jahono, Maxie Felix
Pediatric Sciences Journal Vol. 6 No. 1 (2025): Available online : 1 June 2025
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v6i1.118

Abstract

Background: Tuberculosis (TB) remains a major global health challenge, particularly among children. Diagnosing pediatric TB is complicated due to nonspecific symptoms and the difficulty of obtaining sputum samples for microbiological confirmation. Immunological tests, such as the tuberculin skin test (TST) and interferon-gamma release assays (IGRAs), are commonly used to support diagnosis. However, TST has several limitations, including the need for multiple patient visits and potential cross-reactivity with Bacillus Calmette-Guérin (BCG) vaccination. This study aimed to compare the efficiency of IGRA and TST in terms of turnaround time and patient compliance. Methods: A diagnostic time comparison study was conducted in pediatric patients with suspected pulmonary or extrapulmonary TB at Saiful Anwar Hospital, Malang. Patients underwent both TST and IGRA testing. The time required to obtain results and patient compliance was recorded and analyzed. o Results: A total of 94 pediatric patients were included, with 17 diagnosed with extrapulmonary TB and 77 with pulmonary TB. IGRA demonstrated a significantly shorter turnaround time (25.43 ± 6.31 hours for pulmonary TB, and 25.58 ± 6.37 hours for extrapulmonary TB) compared to TST (50.16 ± 6,93 hours for extrapulmonary TB and 50.34 ± 7.16 hours for pulmonary TB). Additionally, IGRA provided higher positivity rates in both pulmonary and extrapulmonary TB cases. Conclusion: IGRA offers a faster and more convenient alternative to TST for diagnosing pediatric TB. Despite its higher cost, the efficiency and single-visit requirement of IGRA makes it a preferable diagnostic tool in clinical settings, especially for children suspected of having TB.
Co-Authors Aditya Sri Listyoko Agustina Tri Endharti Aina Angelina Akmaly, Triyana Dian Dhuha Alim, Fathi Nabila Amalia, Najwa Anik Widijanti Aprilia, Andrea Aris Widayati Aryati Aryati Aryati Aryati Aryati Aryati Beti Ernawati Dewi Carla Pramudita Susanto Catur Suci Sutrisnani Corebima, Brigitta IRV Deasy Ayuningtyas Tandio Dewi, Rose Khasana Dian Nugrahenny Dina Fauziah Edi Widjajanto Eko Sulistijono Eko Sulistijono Ery Olivianto Fran Siska Hambiah Hari Oki Hambiah Hari Oki Hamid, Aulia A. Hardi Darmawan Hartanti, Khoirunisah Dwi Herdiman T. Pohan Ihda Dian Kusuma Indriana, Kristin Jahono, Maxie Felix Joko Agus Gunawan Karima, Karima Kautsarani, Intan Khadafi Indrawan Kristin Indriana Leonard Nainggolan Lindayanti Sumali Loeki Enggar Fitri Ludytajati, Ferine Maisaroh, Luluk Mayashita, Dearikha Karina Mirza, Sarah Zoraya Mufidatun Hasanah Muhammad Anshory Muhammad Anshory, Muhammad Mulyohadi Ali Mustika Dewi Nada Putri Pranidya Norwahyuni, Yuyun Novi Khila Firani Novi Kurnianingsih Nur Permatasari Nur Samsu Prameswari, Asri Pranidya, Nada Putri Pratama, Gusti Rajendra Yoga Putri Wulan Akbar Rahajuningsih Dharma Rambe, Annisa Fadhila Aurelia Rianto Setiabudy Riskawati, Yhusi Karina Rosari, M Angelina de Sanjaya, Hayyu Rafina Saptadi Yuliarto Seskoati Prayitnaningsih Settrin Chenderawasi Siska, Fran Sudjari Sudjari Suhendro Suhendro Syahfitri, Rininta Syahrul Chilmi Tri Wahju Astuti, Tri Wahju Triwahju Astuti Wafi, Muhammad Wihastuti TA Yeni Ayu Prihastuti Yeni Ayu Prihastuti Yuanita Mulyastuti Yuniasih, Kristina