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All Journal Nurse Media Journal of Nursing VISIKES Jurnal Berkala Epidemiologi Indonesian Journal of Tropical and Infectious Disease JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) JMM (Jurnal Masyarakat Mandiri) Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Sarwahita : Jurnal Pengabdian Kepada Masyarakat Journal of Community Empowerment for Health Indonesian Journal of Electrical Engineering and Computer Science Abdimasku : Jurnal Pengabdian Masyarakat Media Gizi Kesmas Jurnal Pengabdian Masyarakat dalam Kesehatan Indian Journal of Forensic Medicine & Toxicology Jurnal Kesehatan Tambusai Jurnal Pengabdian dan Peningkatan Mutu Masyarakat (JANAYU) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal of Social Research
Laura Navika Yamani
Department Of Epidemiology, Biostatistics, Population Studies And Health Promotion, Faculty Of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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THE PRELIMINARY STUDY OF ANTIOXIDANT ACTIVITY FROM XYLO-OLIGOSACCHARIDE OF CORNCOB (ZEA MAYS) HYDROLYSIS PRODUCT WITH ENDO-β-XYLANASE ENZYME Yamani, Laura Navika; Kristanti, Alfinda Novi; Puspaningsih, Ni Nyoman
Indonesian Journal of Tropical and Infectious Disease Vol 3, No 2 (2012)
Publisher : Institute of Topical Disease

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.817 KB)

Abstract

Xylo-oligosaccharide derived from corncob hemicellulose has been reported to possess antioxidant activity. In order to assess the effective scavenging of xylo-oligosaccharide, we conducted in vitro studies based on self-made xylo-oligosaccharide with DPPH (2,2diphenyl-1-picrilhydrazil) method. Xylo-oligosaccharide was prepared with enzymatic hydrolysis. The enzyme used for hemicellulose hydrolysis was endo-β-xylanase enzyme from PC-01 isolated bactrerium. PC-01 isolated bacterium used in this study was Pacet hot spring which was isolated from East Java. Endo-β-xylanase enzyme is an extracelluler enzyme. There was about 0.199 U/mL after purification and dialysis process. Hydrolisis product of hemicellulose A and B from corncob were analyzed with TLC (Thin Layer Chromatography) and HPLC (High Performance Liquid Chromatography). This analysis showed that hydrolysis product of hemicellulose B had a lot of xylo-oligosaccharide hydrolysis product of hemicellulose than Xylo-oligosaccharide hydrolysis product of hemicelluloses A. Xylo-olygosaccharide was analyzed as on antioxidant activity. Xylo-oligosaccharide hydrolysis product ofhemicellulose B (IC = 48.96) has higher antioxidant activity than Xylo-oligosaccharide hydrolysis product of hemicellulose A (IC 50 50 = 92.302). The toxicity of xylo-oligosaccharide can be calculated by the value of LC 50 (Lethality concentration). LC of xylooligosaccharide derived from corncob hemicellulose was 400 ppm so that xylo-oligosaccharide has anti tumor activity because xylooligosaccharide has LC 50 < 1000 ppm.
Evaluation of the Acute Flaccid Paralysis Surveillance System of Polio Free in East Java, Indonesia, 2019 Alya Hanifa Rasyidi1 , Anik Suroiyah2 , Laura Navika Yamani3
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13515

Abstract

Background: Proving that the wild polio virus no longer exists in Indonesia, the symptoms must be found thatresemble polio. These symptoms are found in patients with AFP (Acute Flaccid Paralysis). AFP surveillanceis an observation made of all cases of acute paralysis or AFP in children aged <15 years who are vulnerableto polio. The priority problem that is still found in the East Java Provincial Health Office regarding AFPsurveillance is the reduction in the discovery of non-polio AFP cases and adequate specimens.Aims: The purpose of this study was to analyze the implementation of AFP surveillance activities in the EastJava Province Health Office in 2019.Methods: Data collection was carried out by primary and secondary to study the AFP surveillance overview.Primary data were obtained from in depth interviews with AFP surveillance program holders in East JavaProvincial Health Office. Secondary data is processed using Microsoft Office Excel, Epi Info and QuantumGIS.Results: The result is in 2019 the rate of non-polio AFP and the percentage of adequate specimens in EastJava Province has under the target. In 2019 there was a decrease compared to the previous year, the nonpolio AFP rate was 1.64 and the percentage of adequate specimens was 56.2%. Only as many as six districts/ cities in East Java Province had pass these two indicators.Conclusion: The lack of visits and reports from both the hospital and the community is one of causativefactor. Intensive and routine AFP surveillance is needed to monitor the emergence of polio cases
EVALUASI PELAKSANAAN SISTEM SURVEILANS HEALTHCARE ACQUIRED INFECTIONS (HAIS) DI RSU HAJI SURABAYA TAHUN 2020 Aulia Rosyida; Laura Navika Yamani; Dwiono Mudjianto
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2021)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2.4773

Abstract

Healthcare Acquired Infections (HAIs) or nosocomial infections are infections that occur in patients during hospitalization. HAIs are classified into 4 namely Catheter-Associated Urinary Tract Infection, Surgical Site Infection, Ventilator-Associated Pneumonia, and Blood Stream Infection. The purpose of this study is to evaluate the implementation of the HAIs surveillance sistem. The research method used is a descriptive evaluation study with an observational research design. The data sources used are the Reports and dissemination of HAIs Surveillance at RSU Haji Surabaya in 2019-2020. The results showed that HAIs cases at RSU Haji Surabaya in 2020 were 0.03%. The problems in the implementation of HAIs surveillance are the accuracy and completeness of data reports, implementation support facilities, and employee participation in training has not been running optimally, application bundle items are under repair, and job rotation for employees. Conclusion : the implementation of HAIs surveillance activities is in accordance the Regulation of the Peraturan Menteri Kesehatan Republik Indonesia Number 27 of 2017 Tentang  Pedoman Pencegahan  Dan Pengendalian Infeksi  di Fasilitas Pelayanan Kesehatan, but the implementation still running unoptimally, researchers recommend the implementation of reward and punishment activities for surveillance officers as a solution to improve the sistem surveillance.
IMPROVING HIGH SCHOOL STUDENT’S KNOWLEDGE ABOUT COVID-19 AND ITS VACCINATIONS Laura Navika Yamani; Erni Astutik; Siti Qamariyah Khairunisa; Yasmin Nihayatun Nadzifah; Novia Indah Puspitasari
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 4 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

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Abstract

Introduction: COVID-19 continues to be a global problem. Surabaya is among the cities hit by COVID-19. Lack of information and awareness of COVID-19 and its vaccination in teenagers might have impacted their preventative behavior and belief in COVID-19 vaccination. This study examined differences in high school students' understanding of COVID-19 and its vaccination before and after the intervention. Methods: The quasi-experimental design was utilized in this study, which took place between September and December of 2021. PowerPoint materials (webinar), videos, and pocketbooks about COVID-19 and its vaccination were the educational community initiatives. Students in grades 10-12 at SMA 4 Muhammadiyah Surabaya, MA Mamba'ul Hisan Gresik, and SMA Negeri 1 Sidoarjo participated in the study, and 160 students completed the pre-test and post-test. The study variables were knowledge, student characteristics (gender, age, class, and school origin), and parental characteristics (age, education, and occupation). The paired t-test was used to evaluate the univariable and bivariable data. Results: With an average pre-test value of 7.09 and a post-test value of 7.94, there was a difference of high school students' understanding of COVID-19 before and after the intervention (p < 0.001). Furthermore, there was also a difference of knowledge about COVID-19 vaccination (p < 0.001), with an average pre-test value of 5.87 and a post-test value of 7.03. Conclusion: There are considerable differences in students' knowledge of COVID-19 disease and its vaccination before and after the intervention. In order to prevent COVID-19, community service activities involving the distribution of information (webinars), videos, and pocketbooks could help them gain more knowledge.
Health Literacy: Transisi Pandemi-Endemi Covid-19 pada Guru dalam Akselerasi Pemahaman Siswa di Kecamatan Bulak Surabaya Fariani Syahrul; Annis Catur Adi; Riris Diana Rachmayanti; Eny Qurniyawati; Siti Shofiya Novita Sari; Arina Mufida Ersanti; Laura Navika Yamani; Daniel Christanto; Faradillah Rahmy Savitri
ABDIMASKU : JURNAL PENGABDIAN MASYARAKAT Vol 6, No 1 (2023): Januari 2023
Publisher : LPPM UNIVERSITAS DIAN NUSWANTORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/ja.v6i1.981

Abstract

Penurunan kasus COVID-19 memunculkan isu kesiapan Indonesia menghadapi COVID-19 yang awalnya berstatus pandemi menjadi endemi. Oleh karena proses transisi menuju endemi itu artinya bukan berarti kasus COVID-19 tidak ada sama sekali tapi tetap kasus itu akan ada. Kondisi ini membuat masyarakat harus bersiap untuk terus berdampingan dengan COVID-19. Tujuan kegiatan untuk akselerasi pemahaman guru terhadap kondisi pergesaran pandemi menuju endemi sebagai upaya preventif pasca pandemi COVID-19. Kegiatan inti berupa edukasi kepada guru Sekolah Dasar (SD) dan Sekolah Menengah Pertama (SMP) dengan media buku saku dan materi dalam bentuk digital. Buku saku sebagai bahan saat guru melakukan edukasi pada anak didik dilengkapi dengan materi dalam bentuk digital. Hasil penilaian pengetahuan sebelum dilakukan edukasi (pre-test) mempunyai rata-rata 71,44. Rata-rata nilai pengetahuan meningkat saat post-test, yaitu 78,67. Evaluasi kehadiran yaitu 45 guru yang hadir dari 50 guru yang diundang (90%). Kegiatan ini telah memberikan kontribusi peningkatan pengetahuan guru SD dan SMP terkait pemahaman kondisi pergeseran pandemi menuju endemi, sehingga diharapkan guru SD dan SMP bisa melakukan edukasi kepada anak didik sebagai upaya preventif pasca pandemi COVID-19.
IMPLEMENTASI PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA SEBAGAI SOLUSI PRIORITAS MASALAH KESEHATAN MASYARAKAT DI KAMPUNG RUMBUT Rifky Chandra Wirayudha; Laura Navika Yamani
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 2 (2023): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i2.13852

Abstract

Abstrak: Kegiatan Praktek Kerja Lapangan bertujuan untuk menerapkan seluruh pengetahuan serta keterampilan yang didapatkan selama proses pembelajaran dan untuk membantu dalam penyelesaian permasalahan kesehatan masyarakat. PKL yang dilaksanakan di Kelurahan Pasir Gunung Selatan Kota Depok. Kegiatan ini ditujukan untuk menyelesaikan prioritas masalah kesehatan dan meningkatkan kualitas kesehatan masyarakat setempat. Pengabdian diawali secara door to door di RW 009 kelurahan Pasir Gunung Selatan yang dibantu oleh 14 orang kader kesehatan didapatkan prioritas masalah adalah perilaku merokok masyarakat. Berdasarkan akar penyebab masalah, ditemukan bahwa penyebab masalah dari tingginya perilaku merokok di RW 009 Kelurahan Pasir Gunung Selatan terdiri dari beberapa faktor. Dari hasil observasi diperoleh perencanaan program BAWA BATOK (Bersama Wujudkan Kp. Rumbut Sehat Tanpa Rokok) untuk mengurangi dampak permasalahan kesehatan masyarakat tersebut. Indikator target capaian tercapai 100% dengan peserta antusias untuk mengikuti acara, masyarakat teredukasi tentang bahaya dan dampak merokok serta fasilitas kesehatan yang tersedia, dan terwujudnya lingkungan RW 009 yang sehat dan bebas asap rokok dengan adanya kawasan tanpa rokok.Abstract: Field Work Practice activities aim to apply all the knowledge and skills acquired during the learning process and to assist in solving public health problems. Street vendors held in Pasir Gunung Selatan Village, Depok City. This activity is aimed at solving priority health problems and improving the health quality of the local community. The service began door to door at RW 009, Pasir Gunung Selatan sub-district, assisted by 14 health cadres, the priority problem was the smoking behavior of the community. Based on the root causes of the problem, it was found that the cause of the problem from the high smoking behavior in RW 009 Pasir Gunung Selatan Village consisted of several factors. From the observation results, it was found that the BAWA BATOK (Together Realizing Kp. Healthy No-Smoking) program planning was carried out to reduce the impact of these public health problems. The target indicator for achieving 100% was achieved with enthusiastic participants participating in the event, educating the public about the dangers and effects of smoking as well as available health facilities, and creating a healthy and smoke-free RW 009 environment with a smoke-free area.  
Detection of Tuberculosis in Toddlers and its Risk Factor at East Perak Health Center Surabaya Alifa Salsabila Azzahrain; Anisa Nur Afifah; Laura Navika Yamani
JURNAL KESEHATAN LINGKUNGAN Vol. 15 No. 2 (2023): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v15i2.2023.92-98

Abstract

Introduction: Tuberculosis is a contagious disease that can grow fast due to its transmissibility through aerosols. One of the countries with the highest tuberculosis rates is Indonesia with a case fatality rate of 11.59%. This study's objective was to examine the relationship between the physical condition of the house and the immune system and the incidence of tuberculosis in toddlers in Surabaya. Methods: This study used an analytic survey research design with a case control research methodology. The case population consisted of pediatric patients aged 0-5 years who were clinically diagnosed with pulmonary tuberculosis. The Chi-Square test was used to analyze bivariate data with a confidence level of 0.05 (α = 5%). Results and Discussion: The physical condition of the house that influenced the incidence of tuberculosis in toddlers were room temperature (p = 0.009; OR = 8.300; CI = 1.480-46.936) and room humidity (p = 0.000; OR = 7.600; CI = 1.609-35.906) while the immune system that affected the incidence of tuberculosis in toddlers were history of tuberculosis sufferers in the family (p = 0.018; OR = 6.000; CI = 1.266-28.498) and exclusive breastfeeding (p = 0.003; OR = 10.000; CI = 1.998-50.042). Conclusion: Houses with inadequate room temperature and humidity have an increased risk of tuberculosis development. Moreover, tuberculosis risk factors include a history of exclusive breastfeeding and a family history of tuberculosis. Health promotion by community health centers is expected to increase awareness of pediatric tuberculosis.
Correlation between Knowledge and Attitudes with COVID-19 Prevention Behavior in High School Students in Surabaya Raya, East Java, Indonesia Yasmin Nihayatun Nadzifah; Laura Navika Yamani; Erni Astutik; Siti Qamariyah Khairunisa; Novia Indah Puspitasari
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2023): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v6i2.3330

Abstract

The SARS-CoV-2 virus that causes COVID-19 continues to mutate, with some forming new, relatively more dangerous variants. Surabaya Raya including Surabaya, Sidoarjo, and Gresik is the most affected areas by the COVID-19 pandemic, especially in East Java Province. One of the reasons for the increase in COVID-19 cases is due to inappropriate COVID-19 prevention behavior. Knowledge and attitudes are important factors that can influence a person's behavior. This study aims to analyze the relationship between knowledge and attitudes toward COVID-19 prevention behavior in high school students. This type of research used analytic observational with a cross-sectional design. The subjects in this study were 176 students from SMA 4 Muhammadiyah Surabaya, SMA Negeri 1 Sidoarjo, and MA Mamba'ul Hisan Gresik who had filled in the questionnaire. The dependent variable in this study is COVID-19 prevention behavior. The independent variables in this study included gender, history of being infected with COVID-19, knowledge, and attitudes. Data were analyzed using the chi-square test. The variables studied that are related to COVID-19 prevention behavior in high school students are knowledge (p = 0.027; PR = 0.48) and attitudes (p = 0.000; PR = 6.83). The variables studied that did not have a relationship were gender (p = 0.537) and a history of being infected with COVID-19 (p = 0.974). Knowledge and attitudes are significantly related to COVID-19 prevention behavior, but not to gender and history of COVID-19 disease. Community service is one of the important efforts in improving the knowledge, attitudes, and behavior of high school students. Keywords: COVID-19, Knowledge, Attitude, Behavior.
Immunization Program Intervention Training in Stunting Prevention Effort in Sampang Regency, Madura Island, East Java Kurnia Dwi Artanti; Arief Hargono; Laura Navika Yamani; Farah Fadhilah; Taufiq Hidayat Hasan
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.80680

Abstract

Introduction: Stunting is still a major health problem in Indonesia. Sampang Regency was one of the districts that experienced an increase in the prevalence of stunting. According to the 2018 Riskesdas data, one in three babies under two years old (baduta) and babies under five years old (toddlers) in Indonesia are in the stunting category. The intervention was needed to increase the number of immunization to prevent stunting. This activity aimed to identify the barrier to increasing Universal Coverage Immunization (UCI) to solve the immunization problem using the Human Centered-Design (HCD) method. Methods: The method used is a qualitative method using HCD with in-depth interviews, which is a method used to explore problems from the community side. This activity was involved by the head of the epidemiology and immunization section, the program holders of the Sampang district health office, coordinating midwives and immunization coordinators at selected health centers regarding immunization program interventions, namely exploring immunization problems from the community. The number of informants were six people in every public health center. The HCD intervention method has several steps: Persona, Journey of Map, Quote, Findings and Suggestions. The data analysis technique used a description of every HCD step. Results: The results from the intervention were that every public health center is known to have a different picture related to portraits of community members who are influential in implementing the immunization program. Conclusions: This program showed that health was not only the responsibility of the government or the health program holders but everyone. The recommendations from the HCD training at the two public health centers agreed to re-advocate the immunization program to relevant stakeholders.
Correlation Between Climate Variations and Rotavirus Diarrhea in Under-Five Children in Sidoarjo District Year 2016 – 2019 Selena Vita Amanda; Laura Navika Yamani; Zayyin Dinana; Aussie Tahta Maharani; Erni Astutik; Noerfitri Noerfitri
JURNAL KESEHATAN LINGKUNGAN Vol. 15 No. 3 (2023): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v15i3.2023.174-182

Abstract

Introduction: Rotavirus infection is one of the main causes of severe diarrhea and dehydration in toddlers. Climate variation is one of the factors that influence the outbreak of infectious diseases. This study aimed to clarify the relationship between climate variations and the incidence of rotavirus diarrhea among patients at the Soerya Mother and Child Hospital, Sidoarjo District in 2016 – 2019. Methods: This study used an ecological study with the Pearson correlation test. Rotavirus infection data was taken from the Viral Diarrhea Laboratory, Institute of Tropical Diseases, Universitas Airlangga, which was derived from fecal samples of patients with acute gastroenteritis with the unit of analysis at the individual level living in Sidoarjo district. Meanwhile, climate variation data were obtained from the Meteorology, Climatology, and Geophysics Agency Indonesia official website with units of analysis at the population level. Results and Discussion: The number of rotavirus diarrhea for 48 months as many as 149 cases with an average air temperature of 28.2℃, rainfall of 191.4 mm², humidity of 77.31%, and wind speed of 2.82 knots. There was a weak correlation between rainfall and the incidence of rotavirus diarrhea (p=0.01 r=0.367) and a weak correlation with humidity (p=0.016; r=0.347). Meanwhile, the air temperature (p=0.909 r=0.017) and wind speed (p=0.272 r=-0.162) had no relationship with the incidence. Conclusion: Rainfall and high humidity are factors associated with the prevalence of rotavirus diarrhea in children under-five years in the Sidoarjo District.
Co-Authors Abdullah, Salsabilla Putri Kinanti Aldiyan, Aldiyan Alfinda Novi Kristanti Alifa Salsabila Azzahrain Alpha Fardah Athiyyah Aman, Nor Farahiyah Ana Bilah, Aisah Nur Andy Darma Anisa Nur Afifah Annis Catur Adi Arief Hargono Arina Mufida Ersanti Astutik, Erni Aulia Rosyida Aussie Tahta Maharani Ayuningtyas , Nurul Bilah, Aisah Nur Ana Chatarina Umbul Wahyuni Choirunnisa’ , Aulia Cita Rosita Sigit Prakoeswa Citra Nurina Prabiantissa Daniel Christanto DINAR ADRIATY Dini Setyowati, Dini Dwi Wahyu Indriati, Dwi Wahyu Dwiono Mudjianto El-Haq, Dhea Adelia Eny Qurniyawati Faradillah Rahmy Savitri Farah Fadhilah Fariani Syahrul Farizd, Miftah Fitria, Anisa Lailatul Fuzi, Siti Fatimah Zaharah Mohamad I Gusti Made Reza Gunadi Ranuh Ika Nur Pratiwi Ira Puspitasari Iswahyudi Juniastuti Juniastuti Kurnia Dwi Artanti LAILATUL MAGHFIROH Maftahatul Hakimah, Maftahatul Maharani, Aussie Tahta Mahendra, Victoria Lucky Manas, Nor Hasmaliana Abdul Maulana, Firdausy Kurnia Medhi Denisa Alinda, Medhi Denisa Mudjianto, Dwiono Nadzifah, Yasmin Nadzifah, Yasmin Nihayatun Nanang Fakhrur Rozi Ni Nyoman Puspaningsih, Ni Nyoman Noerfitri, Noerfitri Novia Indah Puspitasari Novia Indah Puspitasari Nursalam Nursalam Pawanis, Zulfayandi Pratiwi, Eskarani Tri Puput Ade Wahyuningtyas Puspitasari, Novia Indah Putri , Maurilla Shafira Qona'ah , Arina Qona'ah, Arina Ramoo, Vimala Ratna Wahyuni Rifky Chandra Wirayudha Riris Diana Rachmayanti Rosyidah, Aisyatur Salsabila , Annisa Clara Sari, Siti Shofiya Novita Selena Vita Amanda Sigit Ari Saputro Sita Febriany Siti Qamariyah Khairunisa, Siti Qamariyah Siti Shofiya Novita Sari Sudarmo, Subijanto Marto Taufiq Hidayat Hasan Yasmin Nihayatun Nadzifah Yasmin Nihayatun Nadzifah Ya’akob, Harisun Yusoff, Nor Ida Madiha ZAFIRAH, AMALIA NUR Zayyin Dinana