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Korelasi Asupan Zat Besi dan Protein dengan Kadar Ferritin Serum Ibu Hamil di Kabupaten Waled dan Sukabumi Gumilang, Lani; Judistiani, Tina Dewi; Nirmala, Sefita Aryuti; Wibowo, Ari
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 2 (2021): HIGEIA: April 2021
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i2.44805

Abstract

erritin is a measure of iron deficiency. Ferritin is a protein that is important in iron metabolism. Under normal conditions, ferritin stores iron which can be recovered for use as necessity. A cross-sectional study with correlational analysis design was carried out as part of the cohort study of pregnant women with the title Role of Vitamin D in Reducing Maternal and Infant Mortality in West Java. The number of samples was adjusted to the allocation of available funds, and successfully recruited as many as 150 pregnant women consecutively from the working area of Al Mulk and Waled General Hospital. The relationship between iron intake and serum ferritin levels was obtained p = 0.009, OR = 5,181; IK = - (2,881-0,410). The relationship between protein intake and serum ferritin content was obtained p = 0,041, OR = 0,142; IK = (0,084-3,823). There is a significant relationship between protein intake and iron intake with serum ferritin levels. Low intake of protein and iron significantly related to low serum ferritin levels as a risk factor. Keywords: Iron, Protein, Ferritin Serum, Pregnant Woman
The Relationship of Age, Parity and Body Mass Index as Risk Factors to the Incidence of Uterine Myoma in Dr. Hasan Sadikin General Hospital Nurul Ilma; Dian Tjahyadi; Tina Dewi Judistiani
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Uterine myoma is a benign gynecological tumor which is commonly occurred in women. The incidence of uterine myoma in the world is 20–35% while in Indonesia is about 2.4–11.7%. Age, parity, and body mass index are correlated with the incidence of uterine myoma. This study aimed to determine the relationship among those factors towards uterine myoma, and to identify the prognostic value of body mass index in order to prevent uterine myoma.Methods: A case-control study was conducted to examine 394 medical records of patients with uterine myoma at Department of Obstetrics and Gynecology Dr. Hasan Sadikin General Hospital Bandung from 2006 to 2011.  The case group were 133 and the control group were 261. The data were the subject’s weight, height, age, and parity. The correlation among all variable and the occurrence of uterine myomas were conducted using multiple logistic regression analysis.Results: There was no different range of age between the two groups. The incidence rate ratio of parity was 2.254 (95% confidence interval:1.310–3.876), followed by body mass index>33.0 incidence rate ratio was 1.691 (95% confidence interval: 0.477–5.994). From the receiver operating characteristic curve, it could be seen that the cut-off points for body mass index was 20.44 kg/m², and the risk of uterine myomas scaled up as the increase of body mass index.Conclusions: Parity and BMI can affect the risk of uterine myomas. To prevent the incident of uterine myomas, parity must be limited and BMI must be below the cut-off points (20.44 kg/m²). DOI: 10.15850/amj.v2n3.485
Prevalence of Urinary Incontinence in Women aged 20–59 years in Community Dwellings Ratuafni Shafrina Wardani; Raden Tina Dewi Judistiani; Amillia Siddiq
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.743 KB) | DOI: 10.15850/amj.v4n2.1070

Abstract

Background: Urinary incontinene (UI) is the symptomof involuntary leakage of urine. Three types of urinary incontinence are stress UI, urge UI, and mixed UI. This study was aimed to determine the prevalence of urinary UI in women and to identify the most common type of UI.Methods: A descriptive study was conducted to 191 women age 20–59 in two villages in West Java, Indonesia. Subjects were visited door-to-door and interviewed using a standardized questionnaire for data collection. The study was conducted in February 2014. The variables of this study were age, parity, and the prevalence of urinary incontinence. The collected data were presented using frequency tabulation and percentage.Results: From 191 respondents, thirty eight subjects had UI. The prevalence of urinary incontinence was 19.90% which consisted of prevalence of stress UI (7.33%), urgency UI (9.43%), and mixed UI (3.14%). The prevalence of UI in 20–29 year age group was 3.23%, 30–39 year age group was 9.72%, 40–49 year age group was 27.69%, and 50–59 year age group was 52.17%. Prevalence of UI in nulliparous women was 5%, primiparous was 10.25%, multiparous with 2 childbirths was 23.61%, and multiparous with 3 childbirths or more was 26.67%.Conclusions: Prevalence of UI in women in community dwelling is 19.90%, which is higher than previous study from Indonesia and other Asian countries. Urgency UI is the most common type of UI. Prevalence of UI increases with age and parity. DOI: 10.15850/amj.v4n2.1070
PENGETAHUAN REMAJA PUTRI MENGENAI ANEMIA DEFISIENSI BESI DAN PENCEGAHANNYA DI KECAMATAN JATINANGOR Puspa Sari; Astuti Diah Bestari; Widi Pertiwi; Tina Dewi Judistiani
Dharmakarya Vol 8, No 4 (2019): Desember 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/dharmakarya.v8i4.21021

Abstract

Anemia defisiensi besi pada remaja putri masih menjadi masalah di Indonesia, termasuk di Kecamatan Jatinangor Kabupaten Sumedang. Berdasarkan penelitian yang dilakukan oleh peneliti pada tahun 2016 pada remaja putri di SMA Kecamatan Jatinangor, terdapat 45,2% remaja putri yang mengalami anemia defisiensi besi. Risiko dari anemia defisiensi besi pada jangka panjang yaitu ibu hamil dengan anemia, hal ini berdampak pada kesehatan bayi yang dilahirkan dari ibu tersebut. Beberapa faktor yang menjadi penyebab dari anemia defisiensi besi pada remaja putri, salah satunya adalah pengetahuan mengenai anemia dan pencegahannya masih kurang. Metode penelitian dan pengabdian masyarakat yang dilakukan adalah potong lintang, dengan jumlah sampel 69 remaja SMA di Kecamatan Jatinangor. Berdasarkan hasil survey melalui kuesioner, pengetahuan remaja mengenai anemia dan pencegahannya hanya 2 orang yang memiliki pengetahuan baik. Setelah diperolah hasil penelitian, dilakukan pengabdian masyarakat dengan memberikan pendidikan kesehatan mengenai anemia dan pencegahannya. Kesimpulan dari kegiatan pengabdian pada masyarakat ini adalah perlu dilakukan pendidikan kesehatan berkelanjutan guna meningkatkan pengetahuan remaja putri mengenai anemia dan pencegahannya. 
Evaluasi Pembentukan dan Pelatihan Kelompok Pendukung ASI di Desa Mekargalih dan Cipacing Kecamatan Jatinangor Kabupaten Sumedang Sri Astuti; Tina Dewi Judistiani; Ari Indra Susanti1
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 2 (2016)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (54.579 KB) | DOI: 10.22146/jkki.v5i2.30790

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ABSTRACTIntroduction: General health survey in Indonesia reported that in 2010 only around 15.3% mothers gave exclusive breastfeeding. This number was steadily decreasing when reaching district level. This led to increased prevalence of malnutrition until 11.7% among children under 6 months old that in the future will play a role in increasing children mortality rate. The objective of this study was to give counseling and training for breastfeeding support group and evaluate its impact on their knowledge regarding breastfeeding in Mekargalih and Cipacing Village, Jatinangor District, Sumedang Regency.Methods: Questionnaire regarding knowledge of breastfeeding was used prior to counseling and training among 100 mothers selected with purposive sampling. After counseling and training, knowledge was evaluated again using another questionnaire. Additional evaluation for breastfeeding support group was gained through in-depth interview.Result: There was significant increase of knowledge (p<0.05) after counseling and training for breastfeeding support group. Conclusion: Counseling and training for breastfeeding support group could provide better knowledge to encourage mothers to do exclusive breastfeeding. Keywords: exclusive breastfeeding, knowledge, support group ABSTRAKLatar Belakang: Survei kesehatan (Riskesdas) di tahun 2010 melaporkan bahwa hanya sekitar 15,3% ibu di Indonesia yang melakukan pemberian ASI eksklusif. Pada tahun 2013, ASI eksklusif dilakukan oleh 25,4% ibu di wilayah Jawa Barat. Angka ini semakin menurun terutama di tingkat kecamatan. Hal ini berperan dalam peningkatan prevalensi giz iburuk pada anak- anak di bawah 6 bulan yang akhirnya akan berdampak pada peningkatan angka kematian anak. Maka dari itu penelitian ini bertujuan untuk mengevaluasi pengetahuan dan pemberian ASI kelompok pendukung ASI yang dihasilkan dari pembentukan dan pelatihan terhadap kelompok pendukung ASI di Desa Mekargalih dan Cipacing, Kecamatan Jatinangor kabupaten SumedangMetode: Pengetahuan tentang pemberian ASI dari 100 orang dinilai menggunakan kuesioner selanjutnya para ibu diberikan pelatihan pemberian ASI serta pembentukan Kelompok Pendukung ASI (KP-ASI). Perubahan pengetahuan dinilai kembali menggunakan kuesioner. Evaluasi kelompok Pendukung ASI dalam menyusui dan menilai pelaksanaan pelatihan dalam menyiapkan kelompok pendukung ASI untuk menjadi fasilitator teman sebaya melalui wawacara mendalamHasil: Terdapat peningkatan yang signifikan pada pengetahuan (p<0.05) sebelum dan sesudah pelatihan dan pembentukan KP –ASI.Kesimpulan: Pembentukan dan pelatihan KP-ASI sangat mendukung untu mendorong para ibu melakukan pemberian ASI eksklusif. Kata kunci: ASI eksklusif, pengetahuan, KP-ASI
The Effect of Menopause Counseling by Counselor Midwives on Attitude and Reduction of Menopause Symptoms in Menopausal Mothers Ervin Rufaindah; Raden Tina Dewi Judistiani; Ahmad Rizal; Tita Husnitawati Madjid; Tuti Wahmurti; Farid Husin
JURNAL KEBIDANAN Vol 12, No 1 (2022): April 2022
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v12i1.8275

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Eighty percent (80%) of women complaint headache, sexual problem, tachycardia, hot flushes and insomnia, that are significantly decrease the quality of life. Objective of the research is to analyze how much the effect of menopause counseling from counselor midwife towards the attitude of menopause women and reduction of the symptoms. The study is quasi experiment with pre and post design. The samples were 40 respondents that were divided into two groups; 20 respondents were in intervention group who were given counseling from counselor midwife and 20 respondents were in control group that were given counseling from non counselor midwife. In each group counseling was given twice at intervals of 2 weeks, long counseling per client requirements. Measurement posttest mother's attitude menopause and the symptoms of menopause mother performed 4 weeks after the pretest. The instruments employed were MAMES (Multi-dimensional Attitudes Menopause Scale) questionnaire for measuring the attitude of menopause women and MRS (Menopause Rating Scale) questionnaire for measuring the symptoms experienced by menopause women. Non parametric and RR value were performed for statistical test. The result of study indicated that the attitude, the mother menopause who did not receive counseling by a midwife counselor, the risk of having a negative attitude 7 times compared with mothers who received counseling by a midwife counselor (RR 7.0). While menopause mothers who did not receive counseling by a midwife counselor, 2.5 times the risk of having symptoms degree rise or stay when compared with mothers who received counseling by a midwife counselor (RR 2.5). Based on the study, it was concluded that there was effect of counseling from counselor midwife towards the improvement of attitude of menopause women and decrease of menopausal symptoms.
TYT Curve : Pilot Study on Alternatives Standards of Reference to Determine Intrauterine Growth in Low Resource Setting In Indonesia Tina Dewi Judistiani; Tetty Yuniaty; Yessika Adelwin Natalia
International Journal of Integrated Health Sciences Vol 2, No 1 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Objective: To develop a new intrauterine growth curve based on local population for accurate intrauterine growth retardation (IUGR) infant identification. Methods: An observational analytic method was applied to develop Tina-Yessika-Tetty (TYT) curve derived from 13,405 neonatal anthropometric measurements taken from the medical record database of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. The infants included in this study were born during the period of January 1st, 2005 to December 31st, 2009. The new curve was then compared to the Lubchenco and Alisjahbana curves. Only 6,814 data met the inclusion and exclusion criteria.    Results: The mean birth weight in this study was lower compared to that of the Lubchenco and Alisjahbana studies. Comparison of the three curves showed that there was a significant difference among the three curves (R=0.998, R2=0.996, p<0.001), which indicates a probability for a newborn classification.Conclusions: TYT curve may be used as an alternative to identify IUGR immediately after birth, especially when detection during pregnancy is not available in low resource setting. A prospective study with a larger population is needed; However, this study has provided an evidence to support the need for timely evaluation for such growth chart as they change over time.    Keywords: Alisjahbana curve, intrauterine growth, Lubchenco curve, TYT curveDOI: 10.15850/ijihs.v2n1.271
Relationship between Maternal Vitamin D Level and Small for Gestational Age Infant in West Java, Indonesia Setyorini Irianti; Raden Tina Dewi Judistiani; Sylvia Rachmayati; Jusuf Sulaeman Effendi; Budi Setiabudiawan
Majalah Kedokteran Bandung Vol 52, No 3 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Small for gestational age (SGA) infants is one of the unfavorable outcomes of pregnancy that needs to be prevented. There are not many studies available on the association of maternal vitamin D levels during pregnancy and SGA infants. This study aimed to discover the association between maternal vitamin D level and SGA infants in West Java. A cohort study was performed from February 2018 to January 2019 by recruiting 304 pregnant women in Bandung, Cimahi, Waled, and Sukabumi, West Java Province, Indonesia. Of that number, 203 women were followed until the delivery date. Data were collected from the results of serial ultrasonography examinations and maternal vitamin D level measurements. Bivariate analysis and logistic regression were then performed to determine the relationship between variables. This study showed that 30 of 203 (14.78%) infants were born as SGA infants. The mothers of these SGA infants had a lower maternal vitamin D level at the beginning of the second trimester and smaller anthropometric measurements at the beginning of the third trimester. However, no significant difference was found between normal infants and SGA infants when the overall values for all trimesters were compared. It can be inferred that the maternal vitamin D level has a negative relationship with SGA infants in West Java, Indonesia. Further studies are required to prove the relationship between maternal vitamin Dl level and SGA infants.Hubungan Kadar Vitamin D Ibu dan Bayi Kecil Masa Kehamilan di Jawa BaratBayi kecil masa kehamilan (KMK) adalah luaran kehamilan yang perlu dicegah. Informasi tentang hubungan kadar vitamin D ibu dengan kejadian bayi KMK di Indonesia masih terbatas. Kadar vitamin D dan karakteristik ibu diduga berpengaruh dalam kejadian bayi KMK. Tujuan penelitian ini adalah mengetahui hubungan kadar vitamin D ibu dengan kejadian KMK pada bayi. Studi kohort dilakukan dari Februari 2018 hingga Januari 2019 dengan merekrut 304 ibu hamil di Bandung, Cimahi, Waled, dan Sukabumi, Provinsi Jawa Barat, Indonesia.  Dari jumlah 203 orang diantaranya berhasil diikuti sejak trimester satu hingga persalinan dan terpilih menjadi  subjek penelitian kasus kontrol. Pemeriksaan ultrasonografi, kadar vitamin D dan hemoglobin ibu dilakukan serial tiap trimester. Dilakukan analisis bivariat dan regresi logistik untuk menentukan hubungan antar variabel yang diteliti. Dari penelitian ini didapatkan sebanyak 30 dari 203 (14,78%) persalinan  dengan luaran bayi KMK.  Bayi KMK cenderung  mempunyai riwayat kadar vitamin  D yang lebih rendah pada awal trimester kedua dan hasil antropometri yang lebih rendah pada awal trimester tiga, namun secara statistik tidak berbeda signifikan. Simpulan penelitian ini bahwa kadar vitamin D ibu hamil memiliki korelasi negatif dengan bayi KMK. Penelitian lebih lanjut diperlukan untuk membuktikan hubungan antara kadar vitamin D ibu dan bayi KMK. 
Correlation of Maternal Serum Hepcidin, Soluble Transferrin Receptor (sTfR) and Cholecalciferol with Third Trimester Anemia: Findings from A Nested Case-control Study on A Pregnancy Cohort Raden Tina Dewi Judistiani; Sefty Mariany Samosir; Setyorini Irianti; Benny Hasan Purwara; Budi Setiabudiawan; Johannes Cornelius Mose; Budi Handono
The Indonesian Biomedical Journal Vol 12, No 4 (2020)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v12i4.1252

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BACKGROUND: Cholecalciferol, hepcidin, and soluble transferrin receptor (sTfR) interaction play an essential role in iron hemostasis. Anemia in pregnancy contributes to morbidity and mortality both for the mother and baby. In this study, we assessed the correlation between hepcidin, sTfR and cholecalciferol in third trimester maternal anemia. We aimed to find the cut-off for hepcidin and sTfR.METHODS: A case-control study involving 56 pregnant women in each anemia and healthy group was nested on a previous larger cohort study in Indonesia. Serum hepcidin, sTfR and cholecalciferol level were measured by enzyme-linked immunosorbent assay (ELISA) method.RESULTS: Serum hepcidin and sTfR level were significantly higher in case group, while serum cholecalciferol level has no difference between the two groups. New cut-off points were found for hepcidin (<15.93 ng/mL) and sTfR level (>2234.45 ng/mL). Low level of hepcidin (OR=5.32) and high level of sTfR (OR=8.28) increase the risk of anemia. High level of sTfR (adjusted OR=4.725; CI 95%=1.730-12.904; p=0.02) was the most important factor contributes to anemia, followed by the low level of hepcidin (adjusted OR=3.677; CI 95%=1.363-9917; p=0.01).CONCLUSION: The high level of sTfR is the most important factor related to anemia in the third trimester, followed by the low level of hepcidin. Low cholecalciferol level tends to favor the incident of anemia. The new cut-off point of third trimester sTfR and third trimester hepcidin were established in this study and may be useful for risk assessment and treatment monitoring for anemia in pregnancy.KEYWORDS: anemia, cholecalciferol, hepcidin, pregnancy, soluble transferrin receptor
GANGGUAN GIZI BALITA DI DESA MEKARGALIH KECAMATAN JATINANGOR - SUMEDANG: MASALAH KESEHATAN MASYARAKAT Tina Dewi Judistiani; Annisa Fauziah; Sri Astuti; Anita Yuliani; Puspa Sari
Jurnal Sistem Kesehatan Vol 1, No 2 (2015): Volume 1 Nomor 2 Desember 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.373 KB) | DOI: 10.24198/jsk.v1i2.12830

Abstract

Penanggulangan gangguan gizi balita membutuhkan tindak lanjut yang terencana hingga level layanan primer. Data dasar dibutuhkan untuk menilai besarnya beban masalah tersebut. Penelitian deskriptif  potong lintang  dilakukan  bulan Maret 2015  di Desa Mekargalih Kecamatan Jatinangor, yang termasuk wilayah asuhan Program Studi Diploma 4 Kebidanan Fakultas Kedokteran Unpad.    Telah dikumpulkan data primer antropometri, usia dan jenis kelamin balita usia 3-5 tahun. Analisis indikator merujuk pada kurva World Health Organization-National Center for Health Statistics (WHO-NCHS) sesuai SK Menkes RI no 1995/Menkes/SK/XII/2010.Hasil penelitian menunjukkan komposisi balita 3-5 tahun  di Desa Mekargalih terdiri atas 65 (38,9%) anak laki laki dan 102 (61,1%) anak perempuan. Besar masalah gizi buruk-kurang mencapai 10,8%,  wasting  7,8% dan  stunting sebesar 16,2%.  Perbandingan proporsi  balita yang mengalami gangguan gizi  antara balita  perempuan terhadap laki-laki adalah : 12,8% vs 7,7% (gizi buruk-kurang),  18,6% vs 12,3% (stunting). Proporsi wasting  pada balita perempuan lebih rendah   (7,9% vs 9,2%). Simpulan :   Gangguan gizi balita usia 3-5 tahun di Desa Mekargalih Kecamatan Jatinangor merupakan masalah kesehatan masyarakat tingkat sedang. Balita perempuan lebih rentan mengalami gangguan gizi. Perlu diupayakan  perbaikan gizi  terpadu bagi tiap individu dengan pendampingan tenaga kesehatan.Kata Kunci :  Balita, masalah kesehatan masyarakat, status gizi
Co-Authors Abdullah, Sakina Ahmad Rizal Akhmad Yogi Pramatirta, Akhmad Yogi Amillia Siddiq, Amillia Ani Kusumastuti Anita Deborah Anwar Anita Yuliani Anita Yuliani, Anita Annisa Fauziah Annisa Fauziah, Annisa Aprianti, Wulan Tanti Ari indra Susanti Ari Wibowo Astuti Diah Bestari Ayu Alia Bakhtiar Bakhtiar Benny Hasan Purwara Budi Handono Budi Setiabudiawan Budi Setiabudiawan Budi Setiabudiawan Budi Setiabudiawan Chalid, Maisuri Tadjuddin Dani Setiawan Dany Hilmanto Devi Nurlaelasari Dewi Marhaeni Diah Herawati Dhea Nevira Khairunnisa Dian Nurlaela Dian Tjahyadi Dini Hidayat Dini Saraswati Handayani Effendi, Jusuf Endang Sutedja Fani, Regina Chintya Farid Husin Farid Husin Febriani, Dwi Bahagia Fedri Ruluwedrata Rinawan Firman Fuad Wirakusumah Hadyana Sukandar Heryawan, Iwan Intan Karlina Irman Permana Irna Kurnia Aprillani Johannes Cornelius Mose Jusuf Sulaeman Effendi Khairunnisa, Dhea Nevira Lani Gumilang Linasari, Desy Lulu Eva Rakhmilla, Lulu Eva Madjid, Tita Husnitawati Martini, Neneng Mastiur Julianti Meita Dhamayanti Meita Dhamayanti Merry Wijaya Muh. Nasrum Massi Neli Sunarni Neneng Martini Neneng Martini NURUL AZIZAH Nurul Ilma Nurul Ilma, Nurul Oki Suwarsa Pajajaran, Badar Muhammad Puspa Sari Puspa Sari Puspa Sari Puspa Sari, Puspa Rahmiati, Lina Ramdhan, Muhammad Raihan Ranti Febriyani Ratuafni Shafrina Wardani Regina Chintya Fani Reni Ghrahani Ridha Wahyuni, Ridha Rina Masadah Rizki Nadiya Putri Rosalina, Phang Rufaindah, Ervin Sari Puspa Dewi Sefita Aryuti Nirmala Sefty Mariany Samosir Setyorini Irianti Sri Astuti Sri Astuti Sri Astuti Sri Hastuti, Tuti Sri Rahayu Sumawan, Herman Sunjaya, Deni i Kurniad Syahril, Rizalinda Sylvia Rachmayati Tan, Zaki Miftah Nalalindra Tetty Yuniati Tetty Yuniati Tetty Yuniaty Timoty Krisna Sukoco Tita H Madjid Tita Husnitawati Madjid Tri Hanggono Achmad Turyadi Turyadi, Turyadi Tuti Wahmurti Wahyu Nuraisya Wardani, Ratuafni Shafrina Widi Pertiwi Windi Nurdiawan Wiryawan Permadi Wulan Tanti Aprianti Yessika Adelwin Natalia Yuni Susanti Pratiwi Zahrotur R Hinduan