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All Journal International Journal of Public Health Science (IJPHS) Majalah Kedokteran Bandung Jurnal Kebijakan Kesehatan Indonesia Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Kesehatan Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Kesehatan Andalas Jurnal Administrasi Kesehatan Indonesia STOMATOGNATIC- Jurnal Kedokteran Gigi The Indonesian Biomedical Journal Sari Pediatri Jurnal Kesehatan Paediatrica Indonesiana Jurnal Penelitian Kesehatan Suara Forikes Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Kesehatan Komunitas Jurnal Kesehatan Medika Saintika JCES (Journal of Character Education Society) Indonesian Journal of Cardiology Jurnal Endurance: Kajian Ilmiah Problema Kesehatan B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah JURNAL KESEHATAN PERINTIS Buletin Ilmiah Nagari Membangun NERS Jurnal Keperawatan JIK- JURNAL ILMU KESEHATAN Jurnal Ilmu Keperawatan Jiwa Oto Rhino Laryngologica Indonesiana Majalah Kedokteran Andalas Jurnal Ilmu dan Teknologi Kesehatan Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Asia Pacific Fraud Journal Jurnal Bidan Cerdas Health and Medical Journal Human Care Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal 'Aisyiyah Medika Andalas obstetrics and gynecology journal Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Science Midwifery Indonesian Journal of Global Health research Indian Journal of Forensic Medicine & Toxicology Mitra Raflesia (Journal of Health Science) Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks JOURNAL LA MEDIHEALTICO Jurnal Ilmu Kesehatan Indonesia (JIKSI) Andalas Dental Journal JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Jurnal Ilmu Kesehatan Masyarakat Riset Informasi Kesehatan Elevate : The International Journal of Nursing Education, Practice and Research Jurnal Sains, Teknologi dan Kesehatan (Medical Scientific Journal) MESINA Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Rizanda Machmud
Andalas University
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PERILAKU REMAJA TERHADAP PENGGUNAAN ORTODONTI CEKAT PADA SISWA SMA DON BOSCO PADANG Addientya Maykeza; Rizanda Machmud; Lendrawati Lendrawati
Andalas Dental Journal Vol 2 No 1 (2014): Andalas Dental Journal
Publisher : Faculty of Dentistry Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.243 KB) | DOI: 10.25077/adj.v2i1.110

Abstract

Nowadays, the shifting of fixed orthodontic function becomes a lifestyle is more popular than before. The study is purpose to determine a relationship between teenager behaviour (knowledge, attitudes, and action) to fixed orthodontic appliance.This study using cross sectional study design. The sample was a high school students of Don Bosco Padang, Sumatera Barat. The number of samples are 90 people, that chosen by proportionate stratified random sampling technique. The data was collected by using a questionnaire to measure the level of knowledge, attitude and action. Data analysis using Chi-Square test. The result showed there was no significant relationship between teenager knowledge, attitude, and action with fixed orthodontic application in high school students of Don Bosco Padang. The conclusion from this study is that most of high school students of Don Bosco Padang have a high knowledge, positive attitude, and good action about fixed orthodontic treatment
Perbedaan Daya Hambat Obat Anestesi Lokal Lidocaine 2% dan Articaine 4% Terhadap Pertumbuhan Bakteri Porphyromonas Gingivalis Secara In Vitro Fairuza Muharammy; Rizanda Machmud; Surya Nelis
Andalas Dental Journal Vol 4 No 2 (2016): Andalas Dental Journal
Publisher : Faculty of Dentistry Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (483.67 KB) | DOI: 10.25077/adj.v4i2.159

Abstract

Porphyromonas gingivalis is a gram-negative anaerobic bacteria which is an oral normal microflora located in subgingival area.This bacteria can cause inflamation and delayed wound healing after dental invasive procedures. Lidocaine 2% and articaine 4% are the most used anaesthetic agents in dentistry. Both of these agents have been studied for having antibacterial effect in certain concentrations. This will open the possibility of using local anaesthetic agents as antibacterial agent in dental invasive procedures to prevent infection after procedures. The purpose of this study is to analyze the difference inhibition of local anaesthetics drug lidocaine 2% and articaine 4% on the growth of Porphyromonas gingivalis bacteria in vitro. The study subject was pure culture of Porphyromonas gingivalis ATCC 33277 divided by two group, one group with lidocaine 2% and other with articaine 4%. This study was experimental laboratory with post test only control group design. The mean of inhibitions were obtained by measuring inhibition zone formed around paper discs with caliper in milimeter scale. The result showed Inhibition rate lidocaine 2% had greater rate than articaine 4% in inhibiting the growth of Porphyromonas gingivalis bacteria in vitro.The conclusion was lidocaine 2% was more effective than articaine 4% in inhibiting the growth of Porphyromonas gingivalis bacteria in vitro.
HUBUNGAN KUALITAS KOMUNIKASI DOKTER DAN DOKTER GIGI DENGAN LOYALITAS PASIEN Yashinta Octavian Setyanda; Rizanda Machmud; Abdi Setya Putra
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 7, Nomor 2, Desember 2020
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v7i2.594

Abstract

Era globalisasi telah menciptakan tantangan bagi semua jenis industri untuk berkompetisi, termasuk industri rumah sakit. Pembentukan hubungan yang kuat dengan pelanggan hingga terciptanya loyalitas merupakan faktor kunci bagi rumah sakit untuk dapat meningkatkan market share dan keunggulan kompetitif yang berkelanjutan. Menurut beberapa literatur, loyalitas pelanggan rumah sakit dipengaruhi oleh berbagai macam faktor, diantaranya komunikasi dokter. Penelitian ini ditujukan untuk menganalisis hubungan kualitas komunikasi dokter dengan loyalitas pasien di ruang rawat inap RS Izza Cikampek. Penelitian ini menggunakan pendekatan kuantitatif yang bersifat analitik dengan desain penelitian berupa cross sectional kepada 400 orang pasien.  Hasil penelitian menunjukkan bahwa terdapat hubungan antara kualitas komunikasi dokter dengan loyalitas pasien di RS Izza Cikampek (p=0,000, OR=9,503). Oleh sebab itu sangat penting bagi manajemen untuk mengevaluasi dan meningkatkan kualitas komunikasi dokter agar dapat menyelesaikan masalah penurunan  loyalitas pasien terhadap rumah sakit tersebut.
Analisa Kepuasan Pasien Terhadap Mutu Pelayanan Keperawatan Vera Sesrianty; Rizanda Machmud; Fitra Yeni
JURNAL KESEHATAN PERINTIS Vol 6 No 2 (2019): DESEMBER 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal)
Publisher : LPPM UNIVERSITAS PERINTIS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (531.455 KB) | DOI: 10.33653/jkp.v6i2.317

Abstract

Mutu pelayanan dari suatu rumah sakit adalah salah satu faktor yang membuat pasien untuk datang kembali berobat karena perasaan puas yang diterimanya atau bahkan tidak akan pernah datang lagi. Berdasarkan SPMRS kepuasan pasien RS Islam Ibnu Sina Bukittinggi masih <90%. Tujuan penelitian ini adalah untuk mengetahui kepuasan pasien terhadap mutu pelayanan keperawatan berdasarkan harapan dan persepsi pasien. Disain digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel 92 orang. Penelitian ini akan mengukur kesenjangan (gap) antara pelayanan yang telah diberikan oleh rumah sakit terhadap harapan dari pasien itu sendiri. dari pengukuran tersebut akan diketahui tingkat kepuasan terhadap mutu pelayanan keperawatan yang diberikan oleh rumah sakit tersebut. Skala pengukuran terdiri dari aspek mutu pelayanan keperawatan dimensi Servqual yaitu : Tangible Reliability, Responsiveness, Assurance, dan Empathy, data dianalisis dengan menggunakan Gap Analysis. Hasil dari penelitian ini menunjukkan pasien puas terhadap mutu pelayanan keperawatan pada dimensi, reliability assurance dan empaty, dan tidak puas pada dimensi tanggible dan responsiveness. Hal ini menunjukkan bahwa pelayanan keperawatan yang diberikan RS Islam Ibnu Sina Bukittinggi telah memenuhi harapan pelanggan, diharapkan kepada perawat terus memberikan pelayanan yang baik sehingga meningkatkan citra positif rumah sakit
The Effect of Comprehensive Caring Training on Caring Behavior of Nurses Gusni Fitri; Rizanda Machmud; Vetty Priscilla
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 4 (2020): Oktober 2020
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.509 KB)

Abstract

Raden Mattaher General Hospital, Jambi Province is a referral hospital and there are still unfriendly nurses and talkers, taking action in a hurry. This indicates that there is still a lack of caring behavior in patients. This study aims to identify the effect of comprehensive caring training on caring behavior of nurses at Raden Mattaher Regional General Hospital Jambi Province. This research was conducted in the Class 3 Inpatient Room. The time of the study was 15 January - 11 April. The statistical test that was carried out to see the average difference between observations was also carried out a statistical test of the mean difference between groups with the GLM analysis repeated measures with the simple firs model. The population in this study were 165 nurses in the third class inpatient room. The sample consisted of 22 respondents. The results of the study showed that there was a significant effect (< 0.05) of comprehensive caring training on the knowledge, attitudes and skills of nurse caring behavior at the Raden Mattaher Regional General Hospital, Jambi Province. It is hoped that there will be material on the form of caring behavior that can be easily read by nurses and carried out periodic supervision.
Karakteristik dan Pengetahuan Seks Pranikah pada Remaja Mike Ayu Wulandari; Rizanda Machmud; Agus Sri Banowo
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 4 (2021): Oktober 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i4.1463

Abstract

Seks pranikah pada remaja sudah sampai pada tingkat yang menghkawatirkan di kota-kota besar di Indonesia. Faktor-faktor yang menyebabkan perilaku seks pranikah yaitu faktor pengetahuan, dukungan sosial dan keluarga, religiusitas, teknologi dan nilai budaya. Seks pranikah terjadi pada berbagai suku, agama dan kebudayaan. Minang merupakan suku yang berfalsafah Adat Basandi Syarak, Syarak Basandi Kitabullah. Atau adat yang didasarkan /ditopang oleh syariat agama islam Agama islam dalam kitabnya mengharamkan kegiatan zina. Tujuan dari penelitian ini untuk mengetahui faktor yang berhubungan dengan perilaku seks pranikah pada remaja di SMA N Kota Bukittingi. Metode: metode penelitian menggunakan metode cross sectional dan sampel pada penelitian ini 147 remaja. Pengumpulan data menggunakan kuesioner dan data diuji dengan Chi-Square (α<0,05). Hasil uji univariat karakteristik remaja sebagian besar remaja berumur 16 tahun 49.0 % dan 17 tahun (27.9%), jenis kelamin responden adalah perempuan (58.5%), umur pertama memiliki pacar pada umur 14 tahun (29.9%), pengetahuan responden baik (63.3%), perilaku responden yang tidak menyimpang (53.74%). Hasil uji statistic analisis pengetahuan yang baik berperilaku tidak menyimpang sebanyak 40.1%. Hasil uji statistic diperoleh nilai p=.464 maka, dapat disimpulkan bahwa tidak ada hubungan antara pengetahuan dengan perilaku seks pranikah pada remaja di ranah minang.
Maternity references on the maternal mortality: decision-making pattern perpective Nur Fadjri Nilakesuma; Rizanda Machmud
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 2, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol9.Iss2.art5

Abstract

Background: The Research is motivated by the high rate of maternal mortality in the city of Padang. One reason is the delay in the decision making of referral. The pattern of referrral by a midwife decision making is a complicated process that starts with the process of problem identification, problem-solving alternative search, and evaluation of these alternatives.Objective: The purpose of this study is to identify background reference maternity in cases of maternal mortality regarding decision making patterns of midwives in the city of Padang. Methods: This study was a qualitative study using phenomenology. Data collection was done in the work area of Andalas, Kuranji, Pauh, and Nanggalo from May-August 2016. The selection of informants used snowball sampling technique. Qualitative data were collected through in – depth interviews, and secondary data were collected through document review. Analyzed using a fixed comparison method according to Glaser and Strauss.Results: The result of the study shows that the identification of risk factors performed during antenatal care makes midwives decide to refer to hospitals. However, the referral was rejected by the hospital because there was no emergency alert to the mother. When an emergency occurs during labor, the midwife immediately refers to the patient but tends to be in an unstable patient state. Sothe midwife is blamed for not indicating on time. The decision patterns of midwives in referring maternal mothers to maternal mortality cases are influenced by screening of emergency risk factors, the principle of referral and post-referral impacts.Conclusion: Limitations of authority, identification of risk factors, and post-referral impacts make the midwife utterly wrong in making a referral decision.
HUBUNGAN KOMPETENSI PERAWAT PENANGGUNG JAWAB ASUHAN (PPJA) DENGAN KUALITAS HANDOVER PASIEN DI INSTALASI RAWAT INAP RSUP DR. M.DJAMIL PADANG TAHUN 2020 Ari Sukma Nela; Rizanda Machmud; Mira Susanti
Jurnal Endurance Vol. 6 No. 1 (2021): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.92 KB) | DOI: 10.22216/jen.v6i1.130

Abstract

The primary nursing method is expected to be a solution to improve the quality of handovers during the patient's treatment period. The competence of a PPJA is very decisive in coordinating any handover activities carried out while the patient is treated. This study aims to analyze the relationship between PPJA competence and the quality of patient handovers at Dr. M. Djamil Padang in 2020. The study used descriptive correlation with a cross sectional design. The sample was 170 nurses staff. The result of the analysis showsed that the proportion of nurses who assess the quality of handovers is good at 53.5%. The results of this study prove that there is a relationship between PPJA competence, knowledge aspects, skills aspects, attitude aspects, and clinical judgment aspects with the quality of patient handovers (p <0.05). The most dominant factor related to the quality of patient handovers was PPJA skills. Hospital management is advised to improve PPJA competence by providing trainings that can improve PPJA competence.
HUBUNGAN KOMPETENSI PERAWAT PENANGGUNG JAWAB ASUHAN (PPJA) DENGAN KUALITAS HANDOVER PASIEN DI INSTALASI RAWAT INAP RSUP DR. M.DJAMIL PADANG TAHUN 2020 Ari Sukma Nela; Rizanda Machmud; Mira Susanti
Jurnal Endurance Vol. 6 No. 1 (2021): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.92 KB) | DOI: 10.22216/jen.v6i1.130

Abstract

The primary nursing method is expected to be a solution to improve the quality of handovers during the patient's treatment period. The competence of a PPJA is very decisive in coordinating any handover activities carried out while the patient is treated. This study aims to analyze the relationship between PPJA competence and the quality of patient handovers at Dr. M. Djamil Padang in 2020. The study used descriptive correlation with a cross sectional design. The sample was 170 nurses staff. The result of the analysis showsed that the proportion of nurses who assess the quality of handovers is good at 53.5%. The results of this study prove that there is a relationship between PPJA competence, knowledge aspects, skills aspects, attitude aspects, and clinical judgment aspects with the quality of patient handovers (p <0.05). The most dominant factor related to the quality of patient handovers was PPJA skills. Hospital management is advised to improve PPJA competence by providing trainings that can improve PPJA competence.
OMPHE-VIA (Obedient Male Partner in Health-Education and Engagement for Visual Inspection with Acetic Acid Examination) Model Was Solution to Save Cervical Cancer Ferdinal Ferry; RIzanda Machmud; Soetrisno Soetrisno; Adang Bachtiar
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.286-294.2023

Abstract

Background: VIA screening is very suitable for developing countries such as Indonesia, because the technique is easy, simple, low cost/cheap, high sensitivity, fast and accurate for early detection of cervical cancer. The coverage of early detection in Indonesia is <5% so that many cases of cervical cancer are found to be at an advanced stage and often cause death in women.Methods: This study uses a mix-method study approach with a sequential exploratory approach. The research was carried out sequentially with qualitative methods first (interviews and FGDs), then continued with quantitative methods. In this study, the sampling technique used was multi-stage random sampling in 7 selected sub-districts.Results: The variable perception of vulnerability with a good perception of vulnerability have a 2.64 times greater risk of carrying out an VIA examination. In multivariate modeling, knowledge is the most dominant variable because it has the largest POR of 6.3, which means the N-Gain value is in the medium category with a fairly effective interpretation of the effectiveness of the module, namely an increase in knowledge of 63.86% after being given education using the OMPHE-VIA module. Conclusion: Based on the implementation of the OMPHE-VIA module, it was found that there was an increase in the average value of knowledge, before and after the education was given. It was also found that there was a significant difference in knowledge, and husband's support, construct between before and after the education was given using the OMPHE-VIA module.
Co-Authors - Afrizal A. Aziz Djamal Abdi Setya Putra Abdiana Abdiana Abdiana, Abdiana Adang Bachtiar Addientya Maykeza Adelin, Prima Adrial Adrial, Adrial Afrizal Afrizal Afrizal Afrizal Amelin, Fitrisia Amrin Alkamar Andani Eka Putra Anna Faluzi ANNISA WAHYUNI Apriyeni, Emira Ari Sukma Nela Ariadi, Ariadi Ariescha, Putri Ayu Yessy arif, yulastri Arina Widya Murni Artha Budi Susila Duarsa Astiena, Adila Kasni Audia Tria Putri Ayu Nurdiyan Aziz Djamal Azrimaidaliza Basok, Buhari Bestari Jaka Budiman Bobby Indra Utama Br Ginting Munthe, Novita Candra Deni Mairosa Cantika Dinia Zulda Dally Rahman DEDI FATRIDA Defriman Djafri Defrin, Defrin Delfilaura, Asyifa Delmi Sulastri Denas Symond Desmiwarti Desmiwarti Desmiwarti Desmiwarti Desy Nofita Sari Devi Gusmaiyanto Dewi Susanti Dhyna Lidya Lestari Dia Rofinda, Zelly Dia Dian Pertiwi Dolly Irfandy Dorisnita Dorisnita Dorisnita Dorisnita dorisnita, dorisnita Dwiana Ocviyanti Edi Efian Edison Edison Effy Huriyati Efrida Efrida Eko Setiawan Ekowati Rahajeng Elly Usman Elyasina Elyasina Emeraldy Chatra Eny Yantri Erlina Burhan Esi Afriyanti Evi Hasnita Ezalina, Ezalina Fachry Abda El Rahman Fadila, Zurayya Fairuza Muharammy Fakhri, Muhamad Fathiyyatul Khaira Fathiyyatul Khaira, Fathiyyatul Fauziah Elytha Febrina, Raissa Fenty Anggraini Ferdinal Ferry Ferry, Ferdinal Finny Fitri Yani Finny Fitry Yani Firdawati Firdawati, Firdawati Fitra Dini Fitra Gusfriyanto Fitrayeni Fitrayeni Hamzah, Prima Kurniati Hardisman Harinal Afri Resta Harmawati Harum Nurdinah Haryadi Mangkuto Hasmiwati Hendriani, Intania Dwiputri Hendriati, Hendriati Herman, Deddy Husna Yetti Huvaid, Sevilla Ukhtil Ida Rahmah Burhan Indah Edranovi Putri Indah Syafira Praja Irvan Medison Irvan Medison Irvan Medison Irwanto, Engga Lift Isnati Isnati Isniati Jafril Jafril Jendrius Jendrius Kamal Kasra Kuswardani Susari Putri Lendrawati Lendrawati Leona, Denada Florencia Lili Fajria Lindesi Yanti Linosefa Linosefa M. Abduh Firdaus Mahata, Liganda Endo Mahathir, Mahathir Mahyuni, Eni Maryeti Maryeti Masrul Masrul Mayetti Mayetti Melinda Noer Mery Febriyeni Mike Ayu Wulandari mimi rosiska Mira Susanti Monalisa Monalisa Mudjiran Muhamad Ivan Munthe, Novita Br Ginting Murniwati Murniwati Murniwati Murniwati Nasman Puar Neherta, Meri Nelmi Silvia Nelwati, Nelwati Nency Agustia Nilakesuma, Nur Fadjri Nita Afriani Nopriadi . Novi Yudia Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nurmaines Adhyka, Nurmaines Nursyirwan Effendi, Nursyirwan Nursyrwan Effendi Nurulia Muthi Karima Nusyirwan Effendi Nuzulia Irawati P.A Kodrat Pramudho Prof. Syed Mohamed Aljunid Prof. Syed Mohammed Aljunid Putri Nelly Syofiah Putri Nilam Sari Putri Sri Lasmini Putri Sri Lasmini, Putri Sri R Nona Millani Rahayuningsih, Atih Rahmad Gurusinga Rahmat Syawqi Rasyid, Hauda El Ratna Lestari Habibah Rena Regina Erwin Reni Prima Gusty Renty Ahmalia Rika Sarfika Rima Berlian Putri Rima Semiarty Rima Suryani Rina Jumita Rismawati Yaswir Riza Yefri Rizki Rahmadian Rohim, Muhamad Fatchur Rosdiyanto, Rosdiyanto Rosfita Rasyid Roslaili Rasyid Rosmeri Rosha Rosmery Rosmery Rulifa Syahroel Russilawati, Russilawati Sari, Nur Mala Sari, Yulia Margaretta Soetrisno Soetrisno Soetrisno Soetrisno Suci Rahmasari Sukri Rahman Surya Nelis Susi Erianti Suspenti Dewi Syafrawati Syahredi Adnani Utami, Sherly Putri Vera Sesrianty Vitro Darma Yusra Vivi Syofia Sapardi Wahyuni, Annisa Widayat Alviandi Widiya Wati Yan Edward Yandrizal Yandrizal Yanni, Mefri Yantri Maputra Yashinta Octavian Setyanda Yaslinda Yaunin Yefri Zulfiqar Yenita . Yolazenia Yolazenia Yonrizal Nurdin Yudhia Fratidhina Yulia Efni Yulia Margaretta Sari Yuliarni Syafrita Yunarti Yunarti Yundari, Yundari Yuniar Lestari Yuriko Andre Yurniwati Yurniwati Yusrawati Yusrawati