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Karakter Anak Pra Sekolah dengan Pola Asuh Orang Tua Ethyca Sari; Tri Nurkristina; Untung Sujianto
Jurnal Keperawatan Vol 14 No 2 (2022): Jurnal Keperawatan: Juni 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

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Interaksi antara orang tua dan anak akan memberikan stimulasi  yang baik sehingga  anak merasakan adanya bimbingan , diperhatikan  tumbuh kembang, serta menanamkan nilai-nilai positif , baik dalam tingkah laku maupun pengetahuan untuk berkembang dengan baik dimana adanya penguatan positif. oleh orang tua . Pembentukan karakter anak prasekolah mencerminkan karakter anak  prasekolah tersebut diantaranya tentang kejujuran, kedisiplinan , keberanian serta perilaku atau kebiasaan yang baik. Tujuan penelitian ini untuk mengetahui karakter anak prasekolah dengan pola asuh orang tua. Metode penelitian yang digunakan adalah penelitian deskriptif korelasi dengan rancangan cross sectional. Teknik sampling menggunakan purposive sampling. Sampel penelitian 100 responden anak TK di wilayah kecamatan Bubutan Surabaya . Uji statistik yang dipergunakan adalah Chi Square dengan tingkat kemaknaan p<0.05. Pengumpulan data menggunakan kuisioner untuk pola asuh orang tua dan Karakter anak dengan lembar observasi . Hasil penelitian menunjukan bahwa pola asuh yang terbanyak demokratis 48 responden ( 48%) dengan karakter anak cukup sebanyak 67 responden ( 67%). Dari hasil uji statistic dengan menggunakan Chi Square menunjukan hasil p value 0.259 yang artinya tidak ada hubungan karakter anak prasekolah dengan pola asuh orang tua.  Kesimpulan bahwa karakter anak tidak hanya ditinjau dari pola asuh orang tua tetapi bisa karena faktor keturunan, pendidikan maupun pengalaman serta lingkungan.
Diagnostic Study on Identification Method of Enterobacteriaceae Directly from Blood Culture Ciptaningtyas, V. Rizke; Hapsari, Rebriarina; Kristina, Tri Nur; Winarto, Winarto
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 6, No 2 (2015): July-December 2015
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.744 KB) | DOI: 10.30659/sainsmed.v6i2.599

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Introduction: The provision of rapid diagnosis results from positive blood cultures is important for clinical management of sepsis. Using conventional method as a reference method in laboratory, time needed for bacterial identification are 24 hours longer because it has to deal with primary isolation step. Objectives: This study investigated the accuracy of direct inoculation technique of bacteria from positive blood culture vials to biochemical test tubes without primary isolation step to identify Enterobacteriaceae, second most common causative agent of sepsis.Methods: The study was conducted at the Microbiology Laboratory Medical Faculty of Diponegoro University. This is a diagnostic study. As the study sample, blood cultures in BACTEC bottles from Dr. Kariadi General Hospital Semarang with bacterial growth in it. Inclusion criteria was Gram-negative rod bacteri, staining results from BACTEC blood culture bottles, and as a exclusion criteria, there are more than one colony found on blood agar and Mac Conkey agar and showed positive result in oxidation test. Identification of bacteria based on biochemical table of Enterobacteriaceae. Data were analyzed with a 2x2 table.Results: Thirty two samples included in this study. Ten samples (31%) were excluded. Twenty one from twenty two (95%) study samples accurately identified to the genus level by direct inoculation method.Conclusion: The results showed that the direct inoculation method provides an acceptable genus identification, with a potential saving of 24 hours compared with conventional methods.
The Relationship between Characteristics of Cerebospinal Fluid and Tuberculous Meningitis detected using Real Time PCR Masfiyah, Masfiyah; Subakir, Subakir; Kristina, Tri Nur
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2016): January - June 2016
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (695.17 KB) | DOI: 10.30659/sainsmed.v7i1.999

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Introduction: Tuberculosis (TB) carries a high morbidity and mortality, however, its diagnosis can be difficult due to low concentration of bacteria in the cerebrospinal fluid (CSF). Although increased CSF protein, decreased CSF glucose; cerebrospinal fluid (CSF) pleocytosis with mononuclear cells predominance are commonly used to diagnose TB infection, they show inconsistent results.Objectives: To analyze the relationship between several characteristics of the CSF and TB meningitis.Methods: This is an observational research, with a cross sectional design, 27 patients with TB meningitis and or meningoencephalitis with Thwaites diagnostic score ≤ 4 obtained from mecidal records. The definitive diagnosis of TB meningitis was made using the Ziehl Neelsen (ZN) staining and or culture TB, or polymerase chain reaction (PCR) amplification with the target in IS6110, Ziehl-Neelsen staining (ZN) culture method. Characteristics of CSF including increased CSF protein, decreased CSF glucose, cerebrospinal fluid (CSF) pleocytosis with mononuclear cells predominance and the CSF abnormalities were evaluated in the laboratory of molecular microbiology of Medical Faculty, Diponegoro University/dr Kariadi General Hospital, Semarang. The statistical analysis used was prevalent ratio (RP).Results: Over 27 patients, 12 (44.4%) were diagnosed with definite TB meningitis. Statistical analysis showed that prevalence ratio of the increased levels of protein CSF was 3.143 (95% CI: 0.502 to 19.692), decreased glucose levels was 1.750 (95% CI: 0.501 to 6.112), pleocytosis with a predominance of mononuclear cells was 2.5 (CI 95% : 1.238 to 5.048), whereas the CFS abnormality was RP 2.2 (95% CI: 1.087 to 4.454).Conclusion: This study has shown that pleocytosis with mononuclear cells predominance and CFS abnormalities have a positive relationship with definite TB meningitis.
Hubungan Persepsi Perawat Tentang Karakteristik Pekerjaan Dengan Kepatuhan Dalam Pendokumentasian Asuhan Keperawatan Ageng Abdi Putra; Sri Rejeki; Tri Nur Kristina
Jurnal Keperawatan Notokusumo Vol. 4 No. 1 (2016): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Background: Nursing documentation is very important, however the implementation is often ignored especially in the aspect of completeness, accuracy, and quality of documentation. Work characteristics is the identification of the various dimensions of work such as the nature and types of tasks, professional behaviors and attitudes to achieve optimal performance. Method: Observational study with cross sectional approach. Samples were 62 nurses in the inpatient department indistricht hospitals in Mataram. Result: Perception of nurses on their job characteristics were good (72.6% ) , whereas the adherence in nursing documentation were also categorized as good (90.3 %). Statistical test correlation using pearson product moment showedweak and significant association (r = 0.306; p = 0.016). Skill variety, taks identity and significance have association with compliance, while otonomy and feedback have not related to compliance. Conclusion: There is a relationship between nurse's perceptions of their job characteristics with compliance in nursing documentation. of nursing care. The management need to adjust the characteristics of nursing characteristic including reward and warning.
Korelasi Antara Jumlah Cd4 Dengan Global Longitudinal Strain Ventrikel Kiri Pada Penderita Human Immunodeficiency Virus Pratama, Yanuar Surya; Chairunnisa, Andita; Bahrudin, Udin; Uddin, Ilham; Nugroho, Mochamad Arif; Sofro, Muchlis Achsan Udji; Kristina, Tri Nur
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.326 KB) | DOI: 10.36408/mhjcm.v8i1.495

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Latar Belakang: Jumlah CD4 merupakan parameter penting pada penderita HIV dan berhubungan dengan peningkatan risiko disfungsi sistolik. Hingga saat ini, korelasi antara jumlah CD4 dengan parameter global longitudinal strain (GLS) sebagai indikator fungsi sistolik subklinis masih belum jelas. Metode: Penelitian ini merupakan studi observasional dengan metode belah lintang. GLS ventrikel kiri diperiksa menggunakan ekokardiografi dua dimensi. Jumlah CD4 baseline dan nadir diperoleh dari rekam medis sedangkan jumlah CD4 aktual dan CD4 percentage (CD4%) diperiksa menggunakan metode flow cytometry. Hasil: Total 37 pasien HIV asimptomatik mengikuti penelitian dengan rerata umur 31,95± 7,54 tahun dan median durasi penggunaan ARV adalah 34 bulan. Median CD4 baseline dan CD4 nadir adalah 272 sel/uL dan 223 sel/uL, sedangkan rerata CD4 aktual dan CD4% adalah 516,08±252,03 sel/uL dan 19,66±7,97 %. Semua subyek penelitian memiliki fungsi sistolik normal. Rerata GLS ventrikel kiri adalah 17,02±0,71. GLS ventrikel kiri berkorelasi positif dengan CD4 aktual (r=0,43; p=0,008) dan CD4% (r=0,349; p=0,034). Penderita HIV dengan jumlah CD4 aktual ?400 sel/uL memiliki GLS ventrikel kiri yang lebih baik dibandingkan dengan yang <400 sel/uL (p=0,022). Kesimpulan: Jumlah CD4, terutama CD4 aktual dan CD4 percentage berkorelasi dengan disfungsi sistolik subklinis yang diukur dengan global longitudinal strain pada penderita HIV asimtomatik. Hal ini mungkin dapat menjelaskan peran CD4 terhadap patogenesis gagal jantung pada penderita HIV.
Effectiveness of Sucralphate and Platelet-Rich Plasma Combinations For Vascular Endothelial Growth Factor (VEGF) Expression In Diabetic Ulcer Healing Syaropi Simanjuntak, Victor Jeremia; Yuniati, Renni; Prajoko, Yan Wisnu; Hario Seno, Heri Nugroho; Kristina, Tri Nur
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.862

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Background: Diabetic ulcer is one of the most feared chronic infections due to Diabetes Mellitus because it can lead to amputation and death. Aim: To prove the effectiveness of sucralfate and platelet-rich plasma (PRP) combination for Vascular Endothelial Growth Factor (VEGF) expression in diabetic ulcer healing. Methods: This research is an experimental study of Phase I Clinical Trial with post-test only group design. There were 20 patients with diabetic ulcers divided into two groups, namely the treated group that was given sucralfate and PRP therapy and the control group was given standard therapy of normal saline drainage and gauze covered. Parameters were VEGF expression levels, wound area after being given therapy, and side effect from the treatment. Data on VEGF expression levels were obtained by means of examination with the Quantikine Human VEGF-ELISA Quantikine, R&D System, Inc, Minneapolis. The measurement of the wound area was assessed based on several criteria, namely grade 0 (no change), grade 1 (wound size reduced to less than of the previous wound), grade 2 (wound size was reduced to less than of the previous wound, but granulation was visible), and grade 3 (wound has closed completely). Result: In unpaired t-test, the mean VEGF expression was 98.18+10.96 in the treatment group and 66.69+23.79 in the control group which showed significant difference in VEGF expression levels (p = 0.003). In Mann-Whitney test, the mean wound area was 0.68+0.40 in the treatment group and 0.77+0.67 in the control group which showed that there was not any significant difference in wound area (p = 0.152). There were no side effects in both study group. Conclusions: The combination of sucralfate and PRP can increase VEGF levels significantly in diabetic ulcer patients but does not show a different effect in reducing wound area compared to standard treatment. The combination did not cause any side effects in the study subjects, as well as those using standard treatment.
Pengetahuan Ibu Primigravida tentang Preeklamsia di Nusa Tenggara Barat Novyanti, Baiq Mira; Kristina, Tri Nur; Sudarmiati, Sari
Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.5.2.2022.238-245

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Introduction: Preeclampsia causes of the most maternal mortality rate in Indonesia. One of factors that lead to high rates of preeclampsia is the lack of knowledge of the mother. Low knowledge can result in mothers not being able to recognize the signs and symptoms of preeclampsia early. The study of maternal knowledge about preeclampsia in Eastern Indonesia is limited, so this study aims to determine the knowledge of primigravida mothers about preeclampsia in Eastern Indonesia.Methods: This research is quantitative descriptive. Respondents in this study were 90 primigravida mothers who did examinations at the Pratama Asy-Syfa clinic and the Ampenan health center in Mataram City. The sampling method used purposive sampling, data collection with questionnaires that had been tested for validity and reliability, and distributed through Whatsapp groups using google form.Results: The knowledge score with the knowledge level classification was good as many as 19 people (31.7%), 33 people (55%), and 8 people lacking (13,3%).Conclusion: Most of the primigravida mothers have sufficient knowledge but there are still those who have less knowledge, so efforts are needed to increase the knowledge of primigravida mothers about preeclampsia. Keywords: Pregnant Women, Knowledge, Attitude.
The Effect of Physical Exercise on Quality of Life of Breast Cancer Survivors: A Systematic Review Jadmiko, Arief Wahyudi; Kristina, Tri Nur; Sujianto, Untung; Prajoko, Yan Wisnu; Dwiantoro, Luky; Widodo, Aris Puji
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exercise generally improves the quality of life (QoL) in adult populations especially for patients with chronic health problems such as breast cancer. The purpose of this study was to investigate the effect of physical exercise/activity on the quality of life of breast cancer survivors. Subjects and Method: This was a systematic review study that used articles from online data­bases, such as  PubMed, Science Direct, ProQuest dan Medline, which was published from 2000 to 2021. The author used keywords of “physical exercise”, “physical activity”, “quality of life”, “breast cancer survivor”. The dependent variable was quality of life. The independent variable was physical exercise/ activity. As many as 5 articles were selected for this study from 837 articles located in South Korea, Iran, Malaysia, and China.Results: Moderate or high levels of physical activity had positive relationship on the quality of life related to overall physical health among breast cancer survivors.Conclusion: Moderate to high physical activity improve the quality of life among breast cancer survivors.Keywords: physical exercise, physical activity, quality of life, breast cancer survivor Correspondence: Arief Wahyudi Jadmiko. Nursing Department, Faculty of Health, Universitas Pembangunan Nasional Veteran Jakarta. Jl. Raya Limo Depok 16515 West Java, Indonesia Email: ariefw­jadmiko­@gmail.com. Mobile: 085647213628. ORCID ID https://orcid.org/0000-0002-9691-0986.Indonesian Journal of Medicine (2021), 06(04): 377-386https://doi.org/10.26911/theijmed.2021.06.04.03
PEMBERIAN VIRGIN COCONUT OIL UNTUK MENINGKATKAN JUMLAH DAN MOTILITAS SPERMATOZOA: STUDI PADA TIKUS WISTAR DENGAN DIET TINGGI LEMAK Asmarita Jasda; Winarto Winarto; Tri Nur Kristina
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 37 No. 2 (2014)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v37i2.4020.160-167

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ABSTRACTObesity is one of several causes of infertility in men, this accurs because off changes lifestyle, accurring in the diet. Consuming foods high in cholesterol and fatty foods can trigger obesity. High-fat diet can increase the production of free radicals that have a negative impact on the quality and amount of sperm motility. Virgin Coconut Oil contains lauric acid and polyphenols, which can capture free radicals. Objective of this study was to prove that Virgin Coconut Oil administration might increase the number and motility of spermatozoa in Wistar rats with high-fat diet (HFD). The study using Randomized Posttest Only Control Group Design. Thirty male Wistar rats aged 2 months and weighing 150-200 grams were divided into 5 groups: negative control (normal diet), positive control (HFD), first treatment group (HFD with VCO 1 ml/day), second treatment group (HFD with VCO 1.2 ml /day), and third treatment group (HFD with VCO 2 ml/day). The mean number of sperm in three treatment groups increase compared to the positive control group (375 million/ml), P1 (566.67 million/ml), P2 (510 million/ml) and P3 (500 million/ml), however statistically was went significant (p = 0.1). The mean percentage of sperm motility in the 3 treatment groups increase compared to the positive control group, P1 (43.33%), p2 (36%) and P3 (32.50%). however, statistically was not sinificant (p = 0.2). Virgin Coconut Oil cannot increase the number and motility of spermatozoa in male Wistar rats with hig-fat diet (p > 0.05).Keywords: high fat diet, virgin coconut oil, sperm number, sperm motilityABSTRAKSalah satu penyebab infertilitas pada pria adalah obesitas, ini terjadi karena adanya perubahan gaya hidup, terjadi pada pola makan. Mengonsumsi makanan berkolesterol tinggi dan berlemak dapat mencetuskan terjadinya obesitas. Diet tinggi lemak dapat meningkatkan produksi radikal bebas yang dapat berdampak buruk pada kualitas jumlah dan motilitas spermatozoa. Virgin coconut oil (VCO) mengandung asam laurat dan polifenol yang memiliki fungsi menangkap radikal bebas sehingga diharapkan mampu meningkatkan jumlah dan motilitas spermatozoa. Penelitian ini bertujuan untuk membuktikan pemberian virgin coconut oil dalam meningkatkan Jumlah dan motilitas spermatozoa pada tikus Wistar yang diberi diet tinggi lemak (DTL). Penelitian menggunakan Posttest Only Randomized Control Group Design. Tiga puluh tikus jantan Wistar umur 2 bulan dan berat 150-200 gram, dibagi menjadi 5 kelompok: kontrol negatif (pakan normal), kontrol positif (DTL), perlakuan I dengan DTL dan VCO 1 ml/hari, perlakuan II VCO 1,2 ml/hari dan perlakuan III VCO 2 ml/hari. Hasil penelitian menunjukkan bahwa rerata jumlah spermatozoa pada 3 kelompok perlakuan menunjukkan peningkatan dibanding kelompok kontrol positif (375 jt/ml), P1(566,67jt/ml), P2 (510 jt/ml) dan P3 (500 jt/ml). Analisis uji statistik untuk rerata jumlah spermatozoa pada semua kelompok tidak berbeda bermakna (p=0,1). Rerata presentase motilitas spermatozoa pada tiga kelompok perlakuan juga menunjukkan peningkatan dibanding kelompok kontrol positif, P1 (43,33%), P2 (36%) dan P3 (32,50%). Namun uji statistik tidak bermakna (p=0,2). Pemberian VCO tidak dapat meningkatkan jumlah dan motilitas spermatozoa pada tikus jantan Wistar yang diberi diet tinggi lemak (p > 0.05). [Penel Gizi Makan 2014, 37(2): 161-167]Kata kunci : diet tinggi lemak, virgin coconut oil, jumlah motilitas spermatozoa
A Model of Interprofessional Education in the Community with Family Health Approach: Perspectives from Indonesia Asmara, Fatikhu Yatuni; Kristina, Tri Nur; Afifah, Diana Nur; Bakrie, Saekhol; Dewi, Dian Puspita; Widyandana, Doni; Mawardi, Fitriana; Pamungkasari, Eti Poncorini; Lestari, Endang
Jurnal Keperawatan Soedirman Vol 20 No 1 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.1.10479

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There is no standardized model of interprofessional education (IPE) that is performed in community settings. This study aimed to develop and acquire suggestions for a model of IPE implementation in such environments. This study employed educational design research (EDR) with a qualitative research approach. Step 1 (Analysis and Exploration) was carried out through focus group discussions (FGDs) with students and instructors to explore their experiences with the IPE program, which then proceeds to Step 2 (Design and Construction) by developing a draft model. Eventually, Step 3 (Evaluation and Reflection) was carried out by conducting in-depth interviews with experts to obtain suggestions for the draft model. This study revealed three key themes from FGDs: 1) preparedness of students and families, 2) Coordination, and 3) Students’ assessments. Based on in-depth interviews, the experts provided suggestions categorized into four themes: 1) Characteristics of Participants, 2) Detailed preparation and implementation, 3) Student assessment, and 4) Former thematic definition of health problems. The IPE model in a community setting was perceived as a positive learning experience, and several recommendations were added to increase its effectiveness. Further research is recommended to facilitate broader implementation of the model widely
Co-Authors Adhuri, Iesha Kinanthi Ageng Abdi Putra Agus Santoso Alifiati Fitrikasari Andra Novitasari Andria Pragholapati Anggit Prasetyo Mituhu Anggit Prasetyo Mituhu Anna Annisa Aarts Antari, Arlita Leniseptaria Ari Budi Himawan Ariani, Resti Arief Wahyudi Jadmiko Aris Puji Widodo Aryu Candra Ashaeryanto Ashaeryanto Awal Prasetyo Bakrie, Saekhol Chairunnisa, Andita Devi Nurmalia Dewi, Dian Puspita Dian Puspita Dewi Diana Nur Afifah, Diana Nur Dinar, Kintania Lutfiah Doni Widyandana Dwiantoro, Luky Eli Ermawati Elingga Widi Pangestu Endang Lestari Endang Sri Lestari Erni Suprapti Ethyca Sari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Fatikhu Yatuni Asmara Firdaus, Iftinan Nida Firman Fuad Wirakusumah Fitria Handayani Fitriana Hangujiwat, Puspo Palupi Yekti Hardian Hardian Hario Seno, Heri Nugroho Hendro Wahjono Ika Pawitra Miranti Ilham Uddin Job FM Metsemakers Lathifa Putry Fauzia, Lathifa Putry Lestariningsih Lestariningsih Lestariningsih Lestariningsih Luky Dwiantoro M Martono Diel Madya Sulisno Madya Sulisno Madya Sulisno Mardiana, Sri Siska Marloes A van Bokhoven Masfiyah Masfiyah, Masfiyah Mawardi, Fitriana Mochamad Arif Nugroho Mora Claramita Muchlis Achsan Udji Sofro N. Juni Triastuti Nadia Dwi Rahmawati Novyanti, Baiq Mira Nur Patria Tjahjani Nur Setiawati Dewi Nur Wahyu Puspitasari Nuryanto Nuryanto Pratama, Yanuar Surya Purnomo, Luluk R Vivi Meidianawaty Rebriarina Hapsari Renni Yuniati Riski Dwi Utami Saekhol Bakri, Saekhol Saiful Ridlo Sari Sudarmiati Sri Rejeki Sri Wahyudati Subakir Subakir Sudaryanto Sudaryanto Surya Akbar Syaropi Simanjuntak, Victor Jeremia Tissa Octavira Permatasari Titi Savitri Prihatiningsih Tri Hartiti Tri Indah Winarni Tridjoko Hadianto, Tridjoko Tunik Saptawati Udadi Sadhana, Udadi Udin Bahrudin, Udin Untung Sujianto V. Rizke Ciptaningtyas Wahyu Hidayati Wahyu Hidayati Widyandana Widyandana Winarto - Winarto Winarto Winarto Winarto Wirananda, Abdi Yan Wisnu Prajoko Yayi Suryo Prabandari Yoni Syukriani Zulfa Atabaki, Zulfa ‪Arlina Dhian Sulistyowati‬