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Faktor-faktor yang mempengaruhi terjadinya TB paru pada pasien HIV/AIDS Perry Boy Chandra Siahaan; Rahayu Lubis; Hiswani Hiswani
Jurnal Kesmas Prima Indonesia Vol. 3 No. 2 (2019): Edisi Juli
Publisher : Fakultas Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.575 KB) | DOI: 10.34012/jkpi.v3i2.558

Abstract

WHO pada tahun 2014, diperkirakan terdapat 126 per 100.000 penduduk kasus kejadian TB HIV secara global. Sebanyak 12 provinsi telah ditetapkan sebagai daerah prioritas intervensi HIV dan perkiraan jumlah penderita HIV/AIDS di Indonesia sekitar 190.000 hingga 400.000. Jenis penelitian ini adalah observasional analitik dengan desain studi kasus kontrol. Populasinya adalah 316 Odha TB Paru dan HIV non Tuberkulosis yang berkunjung ke RS H. Adam Malik Medan. Sampel terdiri dari 63 kasus dan 63 kontrol, diambil dengan teknik consecutive sampling, dan data dianalisis menggunakan regresi logistik berganda pada = 5%. Hasil penelitian menunjukkan bahwa CD4 pada OR=4,102 (95%CI;1,511-11,135), IMT pada OR=7,920 (95%CI;3,507-17,888), kadar hemoglobin pada OR=2,465 (95%CI;1,044- 5.820 dan riwayat keluarga dengan TB paru pada OR=5.463 (95%CI;2,039-14,631) berpengaruh terhadap kejadian TB paru pada penderita TB Paru HIV/AIDS. Variabel yang berpengaruh signifikan terhadap kejadian tuberkulosis paru pada penderita HIV/AIDS Tuberkulosis Paru adalah riwayat keluarga dengan tuberkulosis paru. Ada pengaruh antara CD4, IMT, kadar hemoglobin dan riwayat keluarga TB paru terhadap kejadian TB paru pada pasien HIV/AIDS. Memberikan waktu kepada pasien HIV/AIDS dalam rangka meningkatkan penyuluhan gizi dan pasien HIV/AIDS menjadi lebih baik dan berpesan kepada masyarakat/pasien memperhatikan status gizi pasien HIV/AIDS dan memahami hubungannya dengan tuberkulosis paru dan riwayat keluarga dengan kondisi tuberkulosis paru.
Faktor-Faktor Yang Berhubungan Dengan Obesitas Pada Siswa/i Kelas VII Dan VIII Di SMP Negeri 34 Medan Tahun 2014 Ratu Afrienny; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Obesity is a condition where a person has a weight heavier than their ideal weight because of a build up of fat in his body. SUSENAS 2004 data show that obesity in children has reached 11%. The purpose of this study was to determine the factors associated with obesity in children SMP 34 Medan in 2014This research is an observational anality with cross sectional approach. Sample of 100 students were taken by purposive sampling. The research instrument used was a questionnaire as well as the scales of measuring instruments gauges, direct observation. Univariate data were analyzed descriptively and bivariate data were analyzed using the chi square test with 95% CI.The results were obtained proportion of obesity prevalence in SMP 34 field as much as 56%. The highest proportion of respondents were in the age 11-13 years (69%), female gender (62%), Batak tribe (40%), Islam (94%), self-employed parents (68%), the pattern of unhealthy lifestyle (51%), not excess eating (65%), light activity (72%), there was no family history (68%) and high economic status (80%). Bivariate results indicate a significant relationship between age (p = 0.014), physical activity (p = 0.035) and family history (p = 0.002) with the incidence of obesity.It is suggested to student of SMP Negeri 34 Medan who are obese to maintain a healthy lifestyle and increasing physical activity in order to minimize risks associated with obesity later in life.Keywords: Obesity, Age, fisic activity, family history
KARAKTERISTIK PENDERITA EPILEPSI RAWAT INAP DI RSUP HAJI ADAM MALIK MEDAN TAHUN 2011-2013 Efrida Sirait; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Abstract Epilepsy is a chronic brain disorder that recurrent seizure. In the world epilepsy have 80%, have alot of in the developing countries. Based on the World Health Organization (WHO) report in 2006, the incidence of epilepsy in Europe and North America ranges from 24- 53 per 100.000 per year.  Based on data the Association of Physician Spesialist Nerve (PERDOSSI) patient with active epilepsy in 2012 reached 1,8 million of the total population.This research done to know the chracteristic epilepsy patient who are taken treatment in Haji Adam Malik General Hospital Medan in 2011-2013. Descriptive study with case series followed by statistical analysis. Located in RSUP Haji Adam Malik Medan for Juli-Agustus 2014. The population are 126 and sample are all patient epilepsy who are hospitalized   ( total sampling) Epilepsy patient with the highest proportion in the age group 0-11 years (47,6%), male gender (52,5%), Islam (62,7%), not attending school (43,6%), other work ( 77,8%), unmarried status (84,9%), outside Medan (61,9%), family tie ( 92,9%), no head trauma (68,3%),  classification of primary generalized seizure (79,4%), seizure frequency 1-3x/days (65,9%), no aura (53,2%), long treatments that take about 6 days and condition that come back for treatment (73,0%). From the result of statistical analysis there were significant differences between age and classification of seizure ( p=0,029), and employment and classification of seizure (p=0,006). There is no significant difference between sex with the classification of seizure ( p= 0,136), and education with classification of seizure (p=0,136). Statistical analysis seizure frequency with classification of seizure and classification of attacks while returning state can not be tested. Recommended to the Haji Adam Malik General Hospital Medan to complete the recording on the card status such as etnic group, and precipating factors. Saving the card status well, because 16,7% of the card unknown. People with epilepsy are expected to obey take medicine as directed by doctor and keep a healthy diet an personal higiene. To communities should be care  healtiness, specially children. Keywords : Epilepsy, Patient Characteristic
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
Publisher : 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
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

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.
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 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 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 Parida Hanum Perry Boy Chandra Siahaan Pratiwi, Tika Ayu Putri, Rina Ayu R.Kintoko Rochadi Rasmaliah Rasmaliah . Rasmaliah Rasmaliah Rasmaliah, Rasmaliah Rasmaliah, Rasmaliah Ratu Afrienny Ribka Sagala Rina Hudaya 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 Syahruni, Maghfira Taufik Ashar Veni Theresia Sigalingging Wati, Evi Erlinda Yulfi, Hemma yuli anti sipayung Yustina, Emmy Zulfendri Zulhaida Lubis Zuriatina Chairani Nainggolan