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HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN DIARE PADA ANAK USIA 12-24 BULAN DI PUSKESMAS TERJUN KECAMATAN MEDAN MARELAN TAHUN 2014 henny oktaviani siregar; Rahayu Lubis; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Diarrhea is a global problem with the high rates of morbidity and mortality in children in the world. To achieve optimal growth and protect infant from disease like diarrhea mother should give an exclusive breastfeeding to the infant.The purpose of this research was to determine the associated between exclusive breastfeeding with the incidence of diarrheain children aged 12-24 months at Puskesmas Terjun, Medan Marelan in 2014. Method of research conducted is cross sectional analytic approach.,This sample is 105 children aged 12-24 months.The independent variable is the Exclusive Breastfeeding and the dependent variable is the incidence of diarrhea. The sampling technique used in this study was accidental sampling. The research instrument was a questionnaire. Analysis of data through two stages, univariate data were analyzed descriptively and bivarate data were analyzedusing chi square test with 95% confidence interval (CI). The study results were obtained proportion of diarrhea in Puskesmas Terjun is as much as 61%. The highest proportion of children who have a mother with age <35 years old is 63,8%, a high education level (65,7%), not working mothers (51,4%), low knowledge (76,2%), children <18 months (54,3%), male gender (55,2%), PMT (supplementary feeding) ≤6 months (73,3%), complete immunization (81,9%), and not exclusive breastfeeding (73,3%). Bivariate results indicate a significant association between maternal education level (p = 0,003), occupation (p = 0,001) level of knowledge (p = 0,014), PMT (p = 0,001), the completeness of immunization (p = 0,022) and breastfeeding exclusive (p = 0,001) with the incidence of diarrhea. It is recommended to mothers in Puskesmas Terjun, Medan Marelan to give the infants exclusive breastfeeding until 6 months old to reduce morbidity and mortality due to diarrhea. Keywords: Characteristics,Exclusive breastfeeding, Diarrhea
KARAKTERISTIK PENDERITA MIOMA UTERI RAWAT INAP DI RUMAH SAKIT TENTARA TK-IV 01.07.01 PEMATANGSIANTAR TAHUN 2014 sheyna zein; Rahayu Lubis; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Uterine myoma is a benign neoplasm on the myometrium layerconsists of cells of smooth muscle tissue and connective tissue fibroids which the literature also known as leiomyomas or fibroids. It the most common occurrence in women of childbearing age. In Indonesia, the proportion of myoma uterine 2.3% - 11.7% of all gynecological patientstreated. This study is aimed to determine the characteristics of patients with myoma uterine in the Tentara Tk-IV 01.07.01 Hospital Pematangsiantar 2014. Kind of this study is descriptive with case series design. Population and sample were 82 data patients (total sampling). Data was analyzed descriptively by using Chi-square and Fisher's Exact. The results showed the proportion of patients with uterine myoma highest in the age group 41-50 years 70.7%, Bataknese 55.4%, Senior High School  47.6%,  Housewives 32.9%, Marriage 97.6%, Abnormal Bleeding 48.8%, Multiparities 46.3%, Not Pregnant 98.8%, Hemoglobin>12 g% (53.7%), Intramural myomas type (47.6%), Total Hysterectomy (58.5%), Average Lenght of Stay 6 days. The results of test statistically were not significant differences age based on the type of myoma uterine (p=0.547), age based on the main complaints (p = 0.900), occupationbased on the main complaints (p=0.936), type of myoma uterine based on parity (p=0.478), The main complaintbased on parity (p = 0.709), hemoglobin levels based on the type of myoma uterine (p=0.116), treatment based on the type of uterine myoma (p=0.762). Expected to women who have risk factors for the occurrence of uterine myoma, especially women aged 41-50 years and who frequently gave birth (multiparity) in order to be bette to maintain their health with healthy diet and regular check-up for early detection of the possibility of the discovery uterine myoma. To Tentara HospitalTk-IV 01.07.01 recommended to complementary recording medical records which related uterine myoma such as age of menarche.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENDERITA HIV/AIDS MENGONSUMSI OBAT ANTIRETROVIRAL (ARV) DI KLINIK VOLUNTARY COUNSELING AND TESTING (VCT) RSUP H. ADAM MALIK MEDAN TAHUN 2014 nanda safira; Rahayu Lubis; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT The success of Antiretroviral Therapy (ART) depends on maintaining a high level of adherence, at least 95% of all doses shouldn’t be forgotten. Non-adherence is associated with the emergence of resistance to HIV that can allow HIV remains replicate. The cumulative number of people who were eligible for ART but not yet started the therapy at Adam Malik Hospital in Medan is 993 people out of 3.525 people (28%), and cumulative number of absentees and failed to follow-up>3 months were 711 people out of 2.532 people (28%) up to April 2015. This research is Cross Sectional study in order to know the factors associated with adherence to ARV consumption towards HIV-infected individuals at Adam Malik Hospital. The sample size was 65 people by consecutive sampling. Data collected through medical records, observation and an interview using questionnaires. Data analysis included descriptive study, Chi Square, Exact Fisher, and Logistic Regression by using STATA software. The result shown that adherence was 28 patients (43,08%) and non-adherence was 37 patients (56,92%). The variables which associated to adherence are job, saturation, stigma at health services, and health insurances. Results of logistic regression test showed that saturation p=0,080 with Prevalence Ratio (PR) 6,20, health insurance (p=0,015; PR 5,00;), and job (p=0,062; PR 0,216) which had dominant association with adherence to ARV consumption at Adam Malik Hospital in Medan. The adherence at Adam Malik Hospital was not optimal, it’s necessary to find a way out to reduce the saturation such as modern HIV treatment which could work well with adherence below 95% so the chances of the adherence in patients HIV/AIDS consuming ARV could be increased.. Keywords: adherence, saturation, health insurance, job
KARAKTERISTIK PENDERITA HIV/AIDS DI RSUD DR. DJASAMEN SARAGIH PEMATANGSIANTAR TAHUN 2013–2014 janni togumaito; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 5 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT AIDS (Acquired Immune Deficiency Syndrome) is specific illness (syndrome) collecting caused by damaging immune system which is related to HIV (Human Immunodeficiency Virus). Prevalance rate of AIDS in Indonesia in 2014 was 23,48 with CFR of AIDS was 1,67.   The main purpose of this research is to know characteristic of HIV/AIDS patients.This research is descriptive study with case series design. The population and sample was all HIV/AIDS patients as many as 145 cases. Type of data collected is secondary data which is analyced by chi square-test. The result of research showed the characteristic based on highest demograhy social with the age 30-39 years (49,0%), male (72,4%), Senior High School passed (55,2%), enterpreuner (53,1%), married (66,9%), Pematangsiantar Living (57,9%), highest infection transmission of heterosexual (65,5%), Clinic with no opportunity Infection (OI) (54,5%), Tuberculosis as OI type (48,5%), number of CD4<200 (60,0%), stop therapy phase (64,1%), alive living (76,6%). It is faound that no significant and different proportion between age and infection transmission (p=0,372), sex and last living (p=0,297), work status and infection transmission (p=0,172), marrige status and infection transmission (p=0,190). There is significant difference proportion between sex and infection transmission (p<0,001), and also clinic and last living (p<0,001). It is suggested for society to be faithful to one person as living mate to prevent transmission through heterosexual in promiscuity, to public figure especially to public religion to get involved in morality education for education for society. It is suggested for staff of HIV/AIDS Poly clinic to monitor patient obedience in consuming ARV and to record information more detail about type of opportunity infection of patients. It is suggested to local government to close prostitution place in Bukit Maraja. Keywords: Characteristic, HIV/AIDS
HUBUNGAN FAKTOR SOSIODEMOGRAFIS DAN FAKTOR KEHAMILAN DENGAN KEJADIAN BAYI BERAT LAHIR RENDAH (BBLR) DI RSIA SRI RATU MEDAN TAHUN 2014 dian sari zendrato; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2016): jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract Low birth weight infant is a newborn baby whose weight at birth less than 2500 gram regardless of gestational age. Low birth weight infant contributes to neonatal mortality as an indicator of a nation's community health status. World Health Organization (WHO) in 2010 reported a prevalence of low birth weight infant in the world in the period 2005-2010 is 15%. In Indonesia, the prevalence of low birth weight infant in 2013 is 10.2%. To determine the sociodemographic factors and pregnancy associated with low birth weight infant in RSIA Sri Ratu Medan in 2014 conducted the study with a population of 874 people and the sample totaled 106 data of mothers who gave birth in RSIA Sri Ratu Medan. This research is an analytic survey with cross sectional design was followed by univariate and bivariate analyzes. The results showed there are three variables that relate in the incidence of low birth weight is the work of women (p = 0.003), history of maternal disease (p = 0.032) and gestational age (p = 0.001). Other variables that maternal age (p = 0.084), spacing pregnancies (p = 0.628), parity (p = 0.398), maternal education (p = 0.074), and complications of pregnancy (p = 0.227) had no significant difference with  low birth weight infant.  The conclusion from this study that there is an employment relationship mother, maternal medical history, and gestational age with low birth weight infant in RSIA Sri Ratu Medan in 2014. No relation between  maternal age, parity, spacing pregnancies, maternal education and pregnancy complications with low birth weight infant in RSIA Sri Ratu Medan in 2014. Health workers are expected to provide counseling for pregnant women about the risks of low birth weight and impact caused by the LBW . For pregnant women are expected to plan properly pregnancy , especially in terms of age during pregnancy , reduced physical activity that can interfere with pregnancy , a routine check-up to prevent complications of the disease history has ever experienced , as well as maintain a healthy pregnancy so that pregnancy can achieve the right time. The hospital is expected to complete the recording of the card status in the capital such as hemoglobin levels. Keywords: low birth weight, sociodemographic and pregnancy factors, RSIA Sri Ratu Medan
KARAKTERISTIK PENDERITA HIV/AIDS DI RSUD DR. DJASAMEN SARAGIH PEMATANGSIANTAR TAHUN 2013–2014 Janny Togumaito Butarbutar; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

AIDS (Acquired Immune Deficiency Syndrome) is specific illness (syndrome) collecting caused by damaging immune system which is related to HIV (Human Immunodeficiency Virus). Prevalance rate of AIDS in Indonesia in 2014 was 23,48 with CFR of AIDS was 1,67. The main purpose of this research is to know characteristic of HIV/AIDS patients. This research is descriptive study with case series design. The population and sample was all HIV/AIDS patients as many as 145 cases. Type of data collected is secondary data which is analyced by chi square-test. The result of research showed the characteristic based on highest demograhy social with the age 30-39 years (49,0%), male (72,4%), Senior High School passed (55,2%), enterpreuner (53,1%), married (66,9%), Pematangsiantar Living (57,9%), highest infection transmission of heterosexual (65,5%), Clinic with no opportunity Infection (OI) (54,5%), Tuberculosis as OI type (48,5%), number of CD4<200 (60,0%), stop therapy phase (64,1%), alive living (76,6%). It is faound that no significant and different proportion between age and infection transmission (p=0,372), sex and last living (p=0,297), work status and infection transmission (p=0,172), marrige status and infection transmission (p=0,190). There is significant difference proportion between sex and infection transmission (p<0,001), and also clinic and last living (p<0,001). It is suggested for society to be faithful to one person as living mate to prevent transmission through heterosexual in promiscuity, to public figure especially to public religion to get involved in morality education for education for society. It is suggested for staff of HIV/AIDS Poly clinic to monitor patient obedience in consuming ARV and to record information more detail about type of opportunity infection of patients. It is suggested to local government to close prostitution place in Bukit Maraja.   Keywords: Characteristic, HIV/AIDS
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN UMUR MENARCHE PADA SISWI SMP NEGERI 1 SEI RAMPAH KAB. SERDANG BEDAGAI TAHUN 2016 balqis fadillah; Rahayu Lubis; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Menarche was the first menstruation cycle experienced by women. While early menarche first menstruation occured is under the age of 12 years. Based on the result oh Health Research Association (Riskesdas) in 2010, that 5,2 % of children in 17 provinces in Indonesia experienced menarch under the ages of 12 years. Early menarch is a risk factor for malignant disease. The purpose of  this research was to determine the factors-factors related with the ages of menarche in female students of  SMP Negeri 1 Sei Rampah  in 2016. This research is an observational study with cross sectional research design. Age of menarche is a dependent variable in this study, while the diet, nutritional status, physical activity, and age of menarche mother is an independent variable Sample was many 114 students were taken by purposive sampling. The research instrumen used was a questionnare as well as  the scale of measuring instruments and gauges. Univariat data were analyzed descriptive andbivariat data were analyzed using the chi square test with 95 % CI. The result showed prevalence of early menarche in SMP Negeri 1 Sei Rampah in 2016  the highest of the ages normal menarche is (67,5%), and early menarch is (32,5%). The average ages og menarch is 11,89 years with the highest ages of menarch is 13 years and lowest is 10 years. The highest of the responden is bad habit diet (65,8%), not obest nutritional status (87,7%), enough fisic activity (64,9%), and mother’s ages of menarch is normal (79,8%). The result of bivariate analysis, generally there is a significant relationship habit diet (p=0,017), nutritional status (p=0,007), physical activity (p=0,003), mother’s ages of menarche (p=0,0001). It is suggested to students of SMP Negeri 1 Sei Rampah who have early menarche to maintain healthy lifestyle so that risk factors for malignant disease such as ovarian cancer, breast cancer, utery myomas, menopause can be minimized.
Analisis Pengetahuan dan Sikap tentang HIV/AIDS dan Bahaya Narkoba pada Siswa Laki-laki MAN 1 Medan Tahun 2016 nur azizah; Sori Muda Sarumpaet; Rahayu Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Human Immunodeficiency Virus continues to be a global public health problem, there are 36,9 million people living with HIV by two millions new infections in 2014. The percentage of drug users living with HIV by 18,8%. The causes of AIDS 15,2% because of injecting drug, while HIV patients was 7,7% in Indonesia. Prevention of HIV/AIDS and the dangers of drugs can be done by improving knowledge and attitudes. This study aims to determine the level of knowledge and attitudes about HIV/AIDS and the dangers of drugs in MAN 1 Medan students. This type of research was analytic survey with cross sectional design. The population were all male students of XI MAN 1 Medan. The samples were 132 students. The sampling technique was using Simple Random Sampling. The collected data were primer data which analyzed with Fisher's Exact test. The results of the univariate analyzed were level of HIV/AIDS knowledge was enough (38.6%), the knowledge of the dangers of drugs was less (43.2%), the attitude of HIV/AIDS was less (71.2%) and the attitude of the dangers of drugs was good (96.2%) in MAN 1 Medan. The Fisher’s Exact test result showed that there was a significant relationship between knowledge and attitudes about HIV/AIDS (p=0,020), there was no significant relationship between knowledge and attitudes about dangers of drugs (p=1,000), there was no significant relationship between knowledge about HIV/AIDS and knowledge about dangers of drugs (p=0,735), there was no significant relationship between attitudes about HIV/AIDS and attitudes about dangers of drugs (p=0,764). Average knowledge of HIV/AIDS and the dangers of drugs students are enough. Expected to the head master to improve students’ knowledge and attitudes about HIV/AIDS and the dangers of drugs in MAN 1 Medan through health education such as schools cooperate with the community health centre or BNN to do counseling about HIV/AIDS and the dangers of drugs at least once in a semester.   Keywords: HIV/AIDS, Drug, level of knowledge, attitude
Faktor-Faktor yang Berhubungan dengan Kelengkapan Imunisasi Dasar pada Batita di Desa Hutaimbaru Kecamatan Halongonan Kabupaten Padang Lawas Utara Tahun 2016 Zuriatina Chairani Nainggolan; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Immunization remains a public health problem in North Padang Lawas District, because the basic immunization coverage is low and has not achieved Universal Child Immunization (UCI) in most of these areas. One of them Hutaimbaru village with basic immunization coverage amounted to 30%  in 201. This research is an analytic observational (non-experimental) with cross sectional study design, aimed to analyze the factors related to the completeness of basic immunization by toddlers on Hutaimbaru subdistricts Halongonan in 2016. The study population was all mother who had a toddler in the village of the Hutaimbaru subdistrict Halongonan and sampling done by total sampling. Data were collected using a questionnaire and analyzed using Chi-square test and multiple logistic regression test. Immunization coverage complete of the result of this study was 48.6%.  The results evidence that the variables have a significant related (p<0,05) on the completeness of immunization in toddlers in the Hutaimbaru village of the subdistrict  Halongonan 2016  is  the age variable (p= 0,008), education (p. = 0,0001), occupation (p= 0,0001), and parity (p= 0,001), when the unrelated variables (p<0,05) is a variable place of birth (p= 0,110) and the distance of a residence with health care (p= 0,364). The results of multiple logistic regression test, the variables have a significant  most related on the completeness of immunization in toddlers in the Hutaimbaru village of the subdistrict  Halongonan in 2016  is education (Exp {B}= 7,280). Implementation of the integrated health system should apply first date alone each month, so that mothers more easily remember, or Implement s system of “Jemput Bola” in providing basic immunization, given the extensive settlements Hutaimbaru village is not so wide, and they can be easy to reach. Keywords: Immunization, Hutaimbaru, Toddlers
KARAKTERISTIK PENDERITA MIOMA UTERI RAWAT INAP DI RSUD DELI SERDANG LUBUK PAKAM TAHUN 2013-2015 yuli anti sipayung; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Uterine myoma are also known as fibromioma, fibroids, or leiomyomas are benign neoplasm derived from uterine smooth muscle and connective tissue on it.  Most of them was found with an estimated incidence of 20% -40% in women during reproductive years. In Indonesia, uterine myoma was found 2.4% - 11.7% of all gynecological patients were treated. In Deli Serdang Hospital Lubuk Pakam there are 78 cases of uterine myoma during 2013-2015. The research is descriptive with case series design. Population and sample were 78 data (total sampling) by using secondary data obtained from medical records of patients with uterine myoma. The results showed the proportion of patients with uterine myoma highest age 35-44 years old 44.9%, Javanese 66.9%, senior high school 35.9%, housewives 75.6%, married status 88.5%. menarche age > 12 years was 37.2%, multiparous parity47.4%, type of submucosal fibroids 25.6%, having more than one complaint 42.3%, hemoglobin <12 g/dl (79.5%), hysterectomy 55, 1%, the average length of stay 8 days, discharged under medical treatment 93.6%, government funding source 92.3%. The proportion aged based on the type of uterine myoma highest age > 44 years old. The proportion of patients with uterine myoma with the type of submucous fibroids, abnormal bleeding 60%, hemoglobin <12 g/dl (85%) and hysterectomy55%, the type of intramural fibroids having more than one complaint 81.8%, hemoglobin <12 g/dl (72.7%) and  hysterectomy 54.5%, the type of subserosal fibroids having more than one complaint 50% and conservative treatment 50%, the type of multiple fibroids having more than one complaint 88.9%, hemoglobin <12 g/dl 88.9% and hysterectomy 77.8%. It was suggested that women who have risk factors for uterine myoma especially women in the reproductive age and multiparity to maintain in their health with a healthy diet and regular check-up for early detection of the possibility of the discovery of uterine myoma. For Deli Serdang Hospital Lubuk Pakam to complete data in the medical record including menarche age of patients, parity, and the type of myoma uteri. Keywords: uterine myomas, Characteristics of Patients
Co-Authors Adelia Sembiring Alam Bakti Keloko Alam Bakti Keloko, Alam Bakti Andin Rizqika Aliunputri Andin Ariantika, Ariantika Armaliza Permata Sari Asfriyati ,MKes Badaruddin Badaruddin balqis fadillah David Royson Simbolon Debora Sianipar Denny Darlis Destanul Aulia, Destanul Destanul Aulia, SKM., MBA., M.Ec., Ph.D dian sari zendrato Efrida Sirait Elfalini Warnelis Emmy Yustina Eny Qurniyawati Erna Mutiara Erna Mutiara Etti Sudaryati Evawany Yunita Aritonang Fachry Abda El Rahman Fahmi, Ismail Fariani Syahrul FBA Ummiyah Gomaa Nasr, Nayla Mohamed Hasanal Bolqia Siregar Helsa Nasution henny oktaviani siregar Heru Santoso Hiswani hiswani . Hiswani Hiswani Hodriani Hodriani Huzaipah, Annisa Amalia Ida Yustina Ika Dewi Purba IKBAL Andrian MALAU Indah, Nur Fikrah Sri Inung Wijayanto Isna Hanim janni togumaito Janny Togumaito Butarbutar Jayanti Dian Eka Sari, Jayanti Dian Jemadi Jemadi . Jemadi, Jemadi Juanita Juanita Junaidi Junaidi Khairani, Fatya Lastiar Christina Marpaung Liana Rosa Lim, Darren Wan-Teck Lita Sri Andayani Lubis, Sri Novita Luthfiah Mawar M. Agung Rahmadi Maulidia Rahima Utami Merina Panggabean Muhammad Budi Setio Raharjo Mutiara Nauli Nadhiratul Syaputri nanda safira Noni Novisari Soeroso Novelisa Lumbanraja Nur Azizah Nurmaini Nurmaini Nurmala Berutu Parida Hanum Perry Boy Chandra Siahaan Pratiwi, Tika Ayu R.Kintoko Rochadi Rahmulyani, Rahmulyani Rasmaliah Rasmaliah . Rasmaliah Rasmaliah Rasmaliah, Rasmaliah Rasmaliah, Rasmaliah Ratu Afrienny Ribka Sagala Rina Hudaya Risfandi, Marsal Riska Juliana M Rusmalawaty Santi Martini sheyna zein Shinta Andria Chairani Sinaga, Budi Junarman Sinaga, Budi Junarman Siregar, Kamal Basri Siregar, Nur Khaidah Sori Muda Sarumpaet Sormin, Cynthia Sri Malem Indirawati Sri Rahayu Sanusi Taufik Ashar Veni Theresia Sigalingging Wati, Evi Erlinda Yulfi, Hemma yuli anti sipayung Yustina, Emmy Zulfendri Zulhaida Lubis Zuriatina Chairani Nainggolan