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All Journal International Journal of Public Health Science (IJPHS) Tropical Medicine Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN snimed Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia International Journal of Advances in Intelligent Informatics Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Pharmascience Belitung Nursing Journal JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Majalah Farmaseutik SISFO Jurnal Ilmu Kefarmasian Indonesia Jurnal Kesehatan Indonesia Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Journal of Community Empowerment for Health Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Wellness And Healthy Magazine Jurnal Integrasi Kesehatan dan Sains Indonesian Journal of Global Health research Intan Husada : Jurnal Ilmiah Keperawatan Generics: Journal of Research in Pharmacy Journal of Information Systems for Public Health Berita Kedokteran Masyarakat Media Informasi Jurnal Sistem Informasi Gema Kesehatan Academic Hospital Journal Generics : Journal of Research in Pharmacy Jurnal Info Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Lutfan Lazuardi

Faculty Of Medicine, Public Health And Nursing, Gadjah Mada University, Yogyakarta, Indonesia

Author-ID : 305419

Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Education Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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INTEGRASI SISTEM INFORMASI: AKSES INFORMASI SUMBER DAYA FASILITAS KESEHATAN DALAM PELAYANAN RUJUKAN Lazuardi, Lutfan; Sanjaya, Guardian Yoki; Hanifah, Nimah; Prakosa, Hendri K.
SISFO Vol 6 No 1 (2016)
Publisher : Department of Information Systems, Institut Teknologi Sepuluh Nopember

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Di era Jaminan Kesehatan Nasional (JKN), utilisasi pelayanan kesehatan semakin tinggi melalui pelayanan rujukan berjenjang. Sayangnya ketersediaan informasi sumber daya fasilitas kesehatan menyebabkan pelayanan rujukan dan kegawat-daruratan kurang optimal. Disisi lain, teknologi informasi dan komunikasi dapat memfasilitasi pelayanan rujukan melalui penyediaan informasi sumber daya fasilitas kesehatan di suatu wilayah. Penelitian ini bertujuan untuk merancang sistem informasi terintegrasi untuk mendukung pelayanan rujukan dan kegawat-daruratan medis di DI Yogyakarta. Penelitian dilakukan secara kualitatif untuk menganalisa kebutuhan informasi sumber daya fasilitas kesehatan, merancang integrasi antar sistem informasi secara elektronik, serta penyediaan layanan informasi sumber daya fasilitas kesehatan bagi pengguna. Sebagian besar fasilitas kesehatan, baik layanan primer maupun rumah sakit sudah memiliki sistem informasi elektronik. Sistem informasi terintegrasi dikembangkan untuk mengumpulkan data sumber daya fasilitas kesehatan, dengan mengintegrasikan berbagai macam sistem yang digunakan melalui teknologi web service.

Faktor-Faktor Yang Berpengaruh Terhadap Kejadian Tuberkulosis Pada Wanita di Kabupaten Cilacap Provinsi Jawa Tengah Sumarna, Nana; Rintiswati, Ning; Lazuardi, Lutfan; Lazuardi, Lutfan
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol 4 No 2 (2015): Jurnal Ilmu Kesehatan Bhakti Husada
Publisher : Sekolah Tinggi Ilmu Kesehatan Kuningan

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Background : Tuberculosis (TB) is disease a second major cause of deaths worldwide among infectious diseases, killing nearly 2 million people each year. The variety of problems will arise if the woman was suffering TB especially who are married, pregnant, and have children. Her role as a housewife who had to carry out physical or mental care of children while taking care of her husband will be disturbed. The prevalence of smear positive pulmonary Tuberculosis (TB) in 6 region health center in Cilacap District at 2012, women higher than men.Objective : To know probability of pregnancy, marital status, parity, physical activity, level of education, level of knowledge, the kitchen smoke pollution, history contact with TB patient, residential density, ventilation against TB incidence in women.Method : The type of research was observational analytical case-control design. Sample is 102 people consisting of as many as 51 cases and 51 control. Sampling is done with proportional random sampling techniques. Data were analyzed with the univariabel, bivariabel analysis, and multivariable. Results : Pregnancy (OR 1.2 95% CI 2.4-23.7 p0.04), parity (OR 3.5, 95% CI 1.3-9.7 p 0.01), history of contacts (OR 3.8 95% CI 1.4-10.4 p 0.01) ventilation (OR 2.4 95% CI 7,5-23.7 p 0.00) as a risk factor for the occurrence of TB in women. Conclusion : The incidence of TB in women in Cilacap District a more probable or risk greater in women who were pregnant, high parity, had a history of contacts, and stay at home with the bad ventilation.

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DATAMINING PERESEPAN ELEKTRONIK DI PELAYANAN KESEHATAN PRIMER: POTENSI PENGEMBANGAN SISTEM PENDUKUKUNG KEPUTUSAN KLINIS Sanjaya, Guardian Y.; Harry, Sunandar; Lazuardi, Lutfan; Faizah, Noor
Seminar Nasional Informatika Medis (SNIMed) 2012
Publisher : Magister Teknik Informatika, Universitas Islam Indonesia

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Salah satu aspek monitoring dan evaluasi pelayanan kesehatan terkait persepan obat. Peresepan obat tidak rasional seperti polifarmasi, penggunaan antibiatik yang berlebih serta pemberian suplemen obat telah lama diketahui sebagai salah satu permasalahan kualitas pelayanan kesehatan. Sebagai badan kesehatan dunia, WHO sendiri telah memBerikan guidance terhadap mekanisme evaluasi ini sejak tahun 1993, mengingat dampak negatif baik secara klinis maupun sosio-ekonomi yang ditimbulkan. Sistem persepan elektronik yang akhir-akhir ini banyak diimplementasikan di beberapa fasilitas kesehatan berpotensi dalam memudahkan proses evaluasi ini. Bahkan, jika dikembangkan lebih lanjut, peresepan obat elektronik dapat ditingkatkan dengan mengkombinasikan sistem pendukung keputusan seperti peringatan terhadap alergi, penyesuaian dosis obat, peringatan interaksi obat dan atau kesesuaian jenis obat dengan formularium. Salah satu pendekatannya adalah kecerdasan buatan melalui konsep knowledge discovery from database (KDD). Untuk melihat potensi tersebut, paper ini menilai pola peresepan obat dengan bantuan aplikasi datamining Alphaminer dari E-business Technology Institute, the University of Hongkong. Terdapat 52.572 kunjungan pasien yang teridentifikasi pada 3 fasilitas kesehatan primer dalam kurun waktu 2010 sampai 2012. Sebanyak 8.580 (16,3%) kunjungan tidak diresepkan obat. Selebihnya, diberikan resep dengan variasi jumlah obat antara 1 sampai 18 obat dengan nilai median 4. Walaupun dibatasi pada 10 besar penyakit (karena keterbatasan aplikasi datamining yang digunakan), dapat dilihat pola pemberian obat pada diagnosis yang dimaksud. Banyaknya warna pada tiap-tiap bar menunjukkan jenis obat yang sering diresepkan, sedangkan lebar/tebal warna menunjukan seringnya obat tersebut diresepkan pada kasus diagnosis yang sama. Dengan pola tersebut, decision support system untuk peresepan obat dapat dikembangkan, namun terbatas pada fungsi suggestion. Fungsi lain seperti pengecekan dosis obat, interaksi antar obat, interaksi antar obat dan kondisi fisik umpamanya belum dapat dilakukan dan lebih tepat jika menggunakan pendekatan role-based (knowledge-based). Selain itu, nonknowledge-based ini juga terkendala validitas peresepan obat yang dilakukan di fasilitas kesehatan primer. Namun demikian, evaluasi terkait pola persepan obat tetap dapat dilakukan dan bahkan diperluas dengan variabel-variabel lainnya seperti kelompok umur, jenis jaminan kesehatan pasien dan dokter yang memberikan resep. Konsep datamining memiliki potensi dalam mengembangkan sistem pendukung keputusan klinis pada peresepan elektronik. Namun demikian, potensi ini harus diimbangi dengan pengetahuan peresepan obat yang rasional, dalam upaya peningkatan validitas sistem.

Pengembangan e-learning untuk persiapan uji kompetensi ners indonesia (UKNI) Nugroho, Tri Adi; Haryanti, Fitri; Lazuardi, Lutfan
Wellness And Healthy Magazine Vol 1, No 2 (2019): August
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/well.46122019

Background: The era of globalization bring nursing education institutions in Indonesia run nursing education process varies with the quality control system education that goes well, but not optimal so that the quality of graduates is very diverse. One of the efforts to realize the improvement of the quality and equity of health workers is to improve the quality control of graduates through the competency test. Meanwhile, the utilization of information and communication technology (ICT) -based e-learning is a new paradigm in health education. The need for nurses prepares for a competency test into an opportunity for universities to take advantage of ICT-based e-learning for nurse competency test preparation. Methods: This study is action research. Stages of research begin with needs analysis through interviews, observation and focus group discussion involving three lecturers and 14 participants UKNI. The results of the needs analysis are used as a reference in designing the prototype e-learning. E-learning prototype evaluation was performed using the theory of the Technology Acceptance Model (TAM). Results: The prototype eLearning developed in accordance with the needs analysis include: the accessibility of e-learning, quality of information, human resources and management content. The results of the evaluation of the prototype e-learning on perceived usefulness, 51.8% of respondents strongly agree and 47% agree, while the perceived ease of use, 42.9% of respondents strongly agree and 56% of respondents agreed. Conclusions: The need for the development of e-learning for UKNI preparation is the substitution, meaning that learning is done through the internet entirely. The evaluation results usefulness respondents perceived the prototype e-learning was helpful. The results of the evaluation of perceived ease of use of respondents feel the ease operate prototype e-learning.

Hubungan Kondisi Lingkungan Fisik Rumah Dengan Kejadian Tuberkulosis Paru Di Jawa Barat (Analisis Data Riskesdas 2013) Ahmad Zacky Anwary; Lutfan Lazuardi; Mubasysyir Hasanbasri; Faisal Mansur; Bagian Prodi Kesehatan Masyarakat, FKM UNISKA; Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM; Bagian PKMK, Fakultas Kedokteran UGM
Jurnal Kesehatan Indonesia Vol 6 No 3 (2016): Juli
Publisher : HB PRESS

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Tuberculosis (TB) is one of the pulmonary infectious diseases become a global threat, given the number of occurrences of cases, especially in Indonesia as one of the countries included in the 22 countries with major problems of tuberculosis disease (high-burden countries). Besides being the source of transmitting, one of the factors that can also affect the occurrence of pulmonary TB disease is the house physical environment (such as ventilation, natural lighting, flooring, and density of residential house) that does not qualify as a healthy home. Including the type of observational research with cross sectional study design. The target population is the population in West Java and the household members aged 15 years and above who became suspected pulmonary TB patients were successfully recorded/interviewed in Riskesdas 2013. There are some physical house environment variables significantly associated with the incidence of pulmonary TB in West Java that is the kitchen ventilation variable with an Odds Ratio (OR) of 1160, family room ventilation variable with OR 1.122, badroom natural lighting variable with OR 1148, and kitchen natural lighting variable with OR 1124. By knowing the variables that have a significant relationship to the occurrence of pulmonary tuberculosis so that people can pay more attention the efforts to improve the house physical environment into a better house.

DEVELOPMENT OF A PROTOTYPE OF MALARIA CLINICAL DIAGNOSTIC DECISION SUPPORT SYSTEM Sudarta Yabesman Harefa; Lutfan Lazuardi; Anis Fuad
Tropical Medicine Journal Vol 1, No 2 (2011): Tropical Medicine Journal
Publisher : Pusat Kedokteran Tropis

Introduction : Malaria is a public health problem that still causes mortality, particularly in high risk population. Kabupaten Nias is one of the malaria endemic areas. Malaria diagnosis is mainly determined according to physical examination, despite the fact that laboratory examination is the gold standard of malaria diagnosis. To help health workers in diagnosing malaria accurately, it is necessary to develop a decision support system for malaria diagnosis.Objectives: To develop a prototype of malaria diagnostic decision support system.Methods: It was a descriptive study with action research design to explore each phase in the development of a prototype of malaria diagnostic decision support system. Participants of the study consisted of 5 general practitioners in RSU Gunungsitoli and 2 nurses in Puskesmas Gunungsitoli.Results: The study created an application model of computer-based malaria diagnostic decision support system designed using PHP programming language and MySQL database. This system worked by entering malaria clinical symptoms into the expert system, and data of symptoms were processed by the expert system to determine diagnosis and medical advice that was useful to assist health staff in making decision.Conclusion: Malaria diagnostic decision support system that had been developed attracted the interest of health workers and help them in diagnosing malaria clinically.Keywords: diagnostic decision support system, prototype, malaria, computer application, Gunungsitoli

KEBIJAKAN PEMERINTAH DAERAH DALAM MENINGKATKAN SISTEM RUJUKAN KESEHATAN DAERAH KEPULAUAN DI KABUPATEN LINGGA PROVINSI KEPULAUAN RIAU Ignasius Luti; Mubasysyir Hasanbasri; Lutfan Lazuardi
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Ignasius Luti1, Mubasysyir Hasanbasri2, Lutfan Lazuardi21 Dinas Kesehatan Kabupaten Lingga, Kepulauan Riau2 Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran,Universitas Gadjah Mada, YogyakartaABSRACTBackground: One of the critical issues in the development ofnational health care is the limited accessibility to health services.Such problems also occur in Linga District of KepulauanRiau Province. It is caused by many factors, such as geographicallocation, cost, number of health personnel and conditionof health care facilities, such as health centers and theirnetworks which are not accessible to the public. Several attemptshave been made, for example, by improving the statusof sub-health centers to be health centers, health centers tobe treatment centers, assinging health workers both medicaland paramedical, improving health financing and making budgetpolicies. However, its implementation has not been maximal.In accordance with the above background, it would requirea study on the role of local government policy in improvingthe referral system which is useful to know the problemsin the field, so that in the future a variety of improvement canbe done.Objective: To determine the referral system in the islandsarea of Linga District.Methods: This was a case-study research. The researchsubjects were head of health centers / health center doctors,nurses/midwife assistants, ambulance drivers/sea ambulancedrivers, patient families, community figures, jamkesmas/Jamkesda managers, head of health care section/head ofhealth office, director of local hospital/mobile hospital and emergencyroom nurses. The variables in this study were independentvariable (referral system) and dependent variable (ambulanceservice). The research location was in Linga Districtof Kepualauan Riau Province.Results: The results showed that policy efforts of the LingaGovernment District in improving the referral system had existed.The existing financing policy had encompassed twoaspects both from the demand side (medical expenses) andfrom the supply side (a system that supported health care).The process of referral from primary care to advanced serviceshad been going well although there was still lack as theunavailability and completeness of services. Most of the healthworkers had received training; there were also specialist doctors(in collaboration with the faculty of medicine), but networkingin the referral process was done partially and notintegrated.Conclusion: The health referral system in Linga District hadrun pretty well, but did not fully involve community participationin an integrated service system. The local government in thiscase Linga District Health Office needs to revitalize as well asaccelerate the development of Desa Siaga (alert villages) readinessto increase community participation in the developmentof a referral system.Keywords: policy, referral systems, islands, ambulance service

ANALISIS UNTUK PENERAPAN KEBIJAKAN: ANALISIS STAKEHOLDER DALAM KEBIJAKAN PROGRAM KESEHATAN IBU DAN ANAK DI KABUPATEN KEPAHIANG Iswarno Iswarno; Mubasysyir Hasanbasri; Lutfan Lazuardi
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Background: Maternal, neonatal and child health (MNCH)program is a national priority programs in health development.In 2006 the Ministry of Health to provides the largest budgetallocation to the KIA programs. This policy was taken in orderto accelerate the decline in maternal mortality and infant throughthe implementation of the making pregnancy safer strategy(MPS) with focus on some activities that are considered to becost effective. MNCH sustainability of the program dependson political commitment and support from stakeholders in theregion. Therefore, stakeholder analysis is important for theimplementation of policy to support the MNCH program.Objectives:Assessing the political commitment of the localgovernment to MNCH program in Kepahiang Regency.Methods: This research is a descriptive, qualitative designwith a case study. Unit of analysis is a research MNCH programstakeholder. How do the data with the brainstorming, depthinterviews, reports and documents, and direct observation.Results: Political commitment of the local government tomaternal, neonatal and child health program is still low, this isevidenced by the lack of budget allocation maternal, neonataland child health program. Essentially all stakeholders agreeand support the program. The involvement of local stakeholdersin the process of planning and budgeting programs is still lacking.Coordination among health agencies with key stakeholders inthe planning and budgeting also are not running well, so oftenthere are differencesin understanding the program. Besidesthe quality planning activities are still considered low, and thereis still weak advocacy capacity of health district office.Conclusion: The small budget allocation for the programshows the commitment to maternal, neonatal and child healthprogram of the local government is still low. This problem wasmore due to the quality of the program planning (design) that isnot well-developed. Also the role and involvement ofstakeholders in the planning process is still lacking.Keywords: Stakeholder, MNCH policy

Analisis determinan ketersediaan dokter spesialis dan gambaran fasilitas kesehatan di RSU pemerintah kabupaten/kota Indonesia (analisis data rifaskes 2011) Heri Priyatmoko; Lutfan Lazuardi; Mubasysyir Hasanbasri
Jurnal Kebijakan Kesehatan Indonesia Vol 3, No 4 (2014)
Publisher : Center for Health Policy and Management

Determinants of specialist availability in public hospitals: analysis of 2011 RifaskesABSTRACT Background:Indonesia still faces theproblem of unequal distribution of specialist doctors. The ratio of health workers per 100.000 population has not met the target. In 2008, the ratio of health workers to medical specialist per 100.000 population amounted to 7,73 compared to the target which is 9. Some areas of development in underserved areas, such as low economic power, lack of hospital system capacity and hospital medical equipment, have been neglected by government. Engagement of stakeholder to improve hospital quality system is a critical element to contribute to the policy of specialist doctors dsitribution, typically to increase the number of specialist doctors practising in rural and remote areas. Objective: To assess the determinants ofavailability of specialist doctors in government/public hospitals and to find out the correlation of variable factors. Methods: A cross sectional design was adopted for this study, in which 7 factors were chosen to assess determinant of availability of specialist doctors using a Health Facilities Research (Rifaskes) conducted Bay the HealthMinistry in 2011 and to describe availibility of hospital facilities in the Indonesian public hospitals. Results: Bivariate analysis indicated that level of district, hospital accredited, BLU versus Non-BLU, remuneration, hospital facilities, dan GNP significantly affect to the number of specialist doctors (p <0,05). Logistic regression indicated that the strongest predictors of availibility specialist is accredited public hospital with 12 standard of care (odds ratio 9,32 ; 95% CI: 1,2-72,4) ; p < 0.03). Level of district have significantly associated to availibility specialist in public hospital (odds ratio 2,15 ; (95% CI: 1,36-3,39) ; p = 0,001). Conclusion: The current study makes an important contribution to the literature in finding the determinants of distribution of specialist doctors in public hospital in Indonesia to address maldistribution between urban and rural barriers. Additional research is needed to examine preference to choose rural location and the incorporation of other retention strategies, such as medical educationinitiatives, community and professional support, differential rural fees and alternate funding models. Keywords: Availability,specialist doctors, specialistic facilities

Co-Authors A.A. Ketut Agung Cahyawan W Abdul Wahab Adi Wibowo Agus Kharmayana Rubaya Agustina, Luthfi Ahmad Zacky Anwary Ahmed, Ashir Amalia, Ichlasul Anai, Akane Andaru Dahesihdewi Andri Gustiadi Anindya Wirasatriya Anis Fuad Anna Wahyuni Widayanti Apriyanto, R. Hendri ARIEF KURNIAWAN NUR PRASETYO Aris Setyawan Arjuna, Tony Astutiany, Denny Auliyah, Fitratun Bagian PKMK, Fakultas Kedokteran UGM Bagian Prodi Kesehatan Masyarakat, FKM UNISKA Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM Bekti Sukoco Buti Azfiani Azhali Chairun Wiedyaningsih Chatarina Setya Widyastuti Chin, Wei Hong Citra Indriani Doko, Karmelia Intany Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Edy Purwanto Eni Susanti Faisal Mansur Faizah, Noor Faradiba Faradiba Fathur Rahman Filirida, Meidina Fitri Haryanti GRACE SHALMONT, GRACE Guardian Y. Sanjaya Guardian Yoki Sanjaya Hanifah, Nimah Happy Indah Kusumawati Hari Kusnanto Hari Kusnanto Harry, Sunandar Hartono Hartono Heri Priyatmoko Heryawan, Lukman Hidayah . Hidayati, Ani Hizriansyah I Ketut Agung Enriko Ignasius Luti Ikeda, Subaru Iswarno Iswarno Ivanawati, Anselma Katrina Feby Lestari Khudazi Aulawi Kikuchi, Kimiyo Kubota, Naoyuki Kurnianingsih Kurnianingsih, Kurnianingsih Kusnanto, Hari Kusnanto, Hari Latifa, Ken Inayati Lucia Kris Dinarti Maruf, Rafiqul Islam Mubasysyir Hasanbasri Muhammad Thesa Ghozali Muhammad Zaini Nakashima, Naoki Nastiti Anggraini Ni'mah Ning Rintiswati Ning Rintiswati Nishikitani, Mariko Nugroho, Tri Adi Nurholis Majid, Nurholis Oktaviani, Zakiyah Pawa, Ira Deseilla PRADNYA SRI RAHAYU, PRADNYA SRI Prakosa, Hendri K. Prasetyawati, Dini Prastowo, Muhammad Yogie Pratama, Rio Aditya Purnama, Mia Raharjo, Untoro Dwi Rahmadewi, Pama Ratmasari, Dewi Resna, Riksa Wibawa Riris Andono Ahmad Rochady Setianto Rosady, Dony Septriana saeni, muhriati - Sari, Permata Satibi Satibi Satibi Satibi Sato, Yoko Satrisno, Hary Setiawan, Mohammad Yusuf Shinta Prawitasari Siswanto Sastrowijoto Sri Werdati, Sri Sudarta Yabesman Harefa Sugiyanto, Nida Alhusna Sumarni Sumarni Sumunar, Dimas Sunardi, Paul Supriati, Titi Suriadi, Widyastuti Susi Ari Kristina Sutaryana, Beni Mulyadi Sutriana, Vivi Ninda T. Satoto, Tri Baskoro T. Satoto, Tri Baskoro T. Satoto, Tri Baskoro Tita Bariah Siddiq Tjahjono Kuntjoro Tri Baskoro Tunggul Satoto Tyas, Reni Trianing Wasilah Rochmah Widyandana Widyandana Wiwin Lismidiati Wulandari, Hanifah Yodi Mahendradhata Yohanes Yohanes Yokota, Fumihiko Zhu, Ningxin

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