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A Cohort Retrospective Study of Framingham Score and ECG Abnormality among Coal Mining Workers Anandita, Faizal Ablansah; Firdaus, Isman; Gani, Rino Alvani; Werdhani, Retno Asti; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Introduction. ECG is widely used for detecting cardiovascular disease in coal mine worker’s medical check-up. As the study has proven, coal mine workers have a double cardiovascular risk from their workplace hazard and their own medical risks as individuals. An early detection and risk assessment method is needed to predict ECG abnormalities in the future. This study will analyze the relationship between ECG abnormality and Framingham Risk Score on coal mine workers’. Methods. We examine ECG result from medical check-up of male coal worker during 2018 and 2021. Using Minnesota Code, we determine ECG abnormality categories in the 2021 result, then compare it with coal handling type worker and Framingham Score in 2018 as the main medical factor. Results. Among 755 male coal workers with normal ECG in 2018, 158 (20,9%) were found with ECG abnormalities in 2021. Cohort’s multivariate study shows that type of coal worker is considered a determinant, but Framingham risk score still has the highest influence (p multivariate
The Importance of Occupational Health Service in the Era of VUCA and the Dissemination of Related Research Results Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Worldwide have been facing the era of dynamic life with the rapidly changing global situation for decades. This era is colored by volatility, uncertainty, complexity, and ambiguity (VUCA) situation that is aggravated by the COVID-19 pandemic. We have all experienced the VUCA situation with the COVID-19 Pandemic that has lasted over 2 years. The United Nations Development Programme (UNDP)1 report should be a common reference for dealing with situations that are not just uncertain but also called “uncertainty complexes”. So-called because its dimensions take on a new form that has never been seen before in human history. The complexity of such uncertainties includes global instability and Anthropocene inequality, the acceleration of social transformation to cope with global pressures, and widespread and intensive polarization1. The experience of facing the VUCA era and the COVID-19 Pandemic can be a provision to turn these uncertainties into expected ones. One such opportunity is made possible by keeping productive communities through the strengthening of occupational health services. Strengthening occupational health to improve the productive age group health status is a driver of productivity through efforts to prevent and control occupational and environmental health hazards2. Better occupational health services with the occupational medicine best practices are a potent strategy to overcome the raised new emerging and re-emerging potential health hazards. The shifting of the workplace and working hours across time zones are good examples of new emerging potential health hazards. The workplace shifts from the office to “working from home” or “working from anywhere” has become a common thing to implement in various sectors. Changes in the workplace lead to potential health hazards and consequent changes, including ergonomics and psycho-social health risks. The ergonomic risks of working from home and teleworking lead to an increase in work-related musculoskeletal disorders3,4. The psycho-social climate at work also changed. Studies showed psycho-social changes in the workplace during the COVID-19 Pandemic that also cause mental and emotional disorders5. From these studies, we can see that there are changes in Occupational Health risks that need to be controlled. The spread of COVID-19 in the workplace is another form of an unavoidable increase in biological risk amid efforts to defend the economic situation from uncertain threats. Controlling the spread of COVID-19 in the workplace is a good example of the importance of occupational health services6. In the VUCA era, the Occupational Health approach should be continuously improved and promptly adjusted in times to make more effective responses. Research and development of occupational medicine good practices are essential in occupational health services. Then, research results and good practices developed should be published and shared to gain broader beneficiaries. To contribute further, the Indonesian Occupational Medicine Association in collaboration with the Universitas Indonesia and Krida Wacana Christian University-Jakarta, published a journal entitled Occupational & Environmental Journal of Indonesia. We expect this journal to increase the contribution of researchers in the field of health, especially occupational medicine and the environment, through their published research.
The Vigilance Screening Tool in The Workplace: Scoping Review Sugiarta, Iwan; Fitriani, Dewi Yunia; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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VIGILANCE SCREENING TOOLS IN THE WORKPLACE: SCOPING REVIEW ABSTRACT Background: Vigilance performance examination is currently used widely in many disciplines, neurophysiology, sleep medicine, psychology to its application to workers whose daily activities require prime vigilance. A more objective inspection of vigilance has not yet become a routine screening examination for workers to detect decreased vigilance as part of a fit-to-work assessment, but only in the form of research / study using a partial sampling technique. The aim is to provide an overview of vigilance screening tools in the workplace, its terminologies and how the process of maintaining quality such as calibration and validation. Methods: A literature search was independently conducted from the Pubmed database. We are looking for only articles that meet the following criteria: discussions on the terminology of vigilance, or research on workers that use vigilance examination tools, or research that develops its examination tools. Results: Three articles were found that specifically discussed the term vigilance, 30 studies on workers that used vigilance performance examination tools, and 15 studies discussing the development of these tools. The definition of vigilance is still not firmly established and has been used interchangeably and leading to confusion. Workplace research has used product-based smart devices rather than dedicated hardware, as well as a number of studies that have focused on tools development. Conclusion: Vigilance is the capability to be aware of potentially relevant or capability to be sensitive to unpredictable changes in one's environment including a quantitative and a temporal dimension. Although vigilance testing may not pinpoint the exact cause of vigilance decrement, using it as a screening tool in workplace holds great potential. Smart-device-based tools are relatively easy to obtain and inexpensive, but face enormous challenges related to calibration issues, validation issues, manufacturer's service of life, and firmware updates. It's important to consider vigilance screening tools with low-cost, portable, robust, future-proof, and easily validated with clear calibration or validation methods. Keywords: alertness, neuropsychological tests, psychomotor performance, reaction time, vigilance
Examining the Chelating Effectiveness of Dimercaptosuccinic Acid and Ethylenediaminetetraacetic acid Calcium Disodium in Patients with Lead Poisoning : An Evidence-Based Case Report Alfares, Heru; Rafsanzani, Reza A; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Evidence Based Case Report: Examining the Chelating Effectiveness of Dimercaptosuccinic Acid and Ethylenediaminetetraacetic acid Calcium Disodium in Patients with Lead Poisoning Heru Alfares1, Reza A. Rafsanzani1, Muchtaruddin Mansyur2 1 Occupational Medicine Specialist Study Program, Faculty of Medicine, Universitas Indonesia, Jakarta, 2 Dept. of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, ABSTRACT Background: Lead environmental and occupational exposures harm workers’ health, both acute and chronic lead poisoning. Chelation therapy is one of the treatments for lead poisoning using several chelating agents available, including ethylenediaminetetraacetic acid (EDTA), dimercaptosuccinic acid (DMSA), dimercaptopropanesulfonate (DMPS), and 2,3-dimercaptopropanol or British Anti Lewisite (BAL). However, the use of these chelating agents varies and lacks standardised guidelines for lead poisoning cases. Objective: To determine whether DMSA can be a better chelating agent than EDTA in treating lead poisoning among workers. Methods: This study conducted a literature search using evidence-based databases focusing on clinical questions using the “PICO” method. The author searched the relevant articles using the following databases: “PubMed,” “Cochrane Library,” and “EMBASE.” The keywords used included “lead poisoning,” “lead intoxication,” “EDTA” (MESH Term), “Ethylenedinitrilotetraacetic,” “edetic acid” (MESH Term), “succimer” (MESH Term), “Dimercaptosuccinic Acid,” along with their synonyms combined with Boolean operators. Inclusion criteria comprised studies involving adult populations aged >18 years, non-pregnant individuals, therapeutic research areas, systematic reviews/meta-analyses of randomised controlled trials or clinical trials, written in English, and with full-text availability. Exclusion criteria included articles with incomplete data or inaccessible full-text. Results: Based on the analysis of two reviewed literatures, the author obtained insights into the effectiveness of using DMSA compared to EDTA in cases of lead poisoning. DMSA can be administered orally, providing better chelation therapy efficacy than EDTA in treating lead poisoning. It effectively alleviates lead poisoning symptoms and reduces blood lead levels better than EDTA. Conclusion: DMSA can be considered an alternative chelating agent of choice for treating lead poisoning in workers. Keywords: Lead poisoning, Lead intoxication, EDTA, Ethylenedinitrilotetraacetic, succimer, Dimercaptosuccinic Acid.
Factors Affecting Superoxide Dismutase Activity in Railway Workers in Jakarta, Indonesia Winata, Vera; Ilyas, Muhammad; Kekalih, Aria; Wibowo, Suryo; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Introduction. Railway workers are exposed to many occupational health risk factors that may cause oxidative stress. Superoxide dismutase (SOD) activity is one of the response biomarkers of oxidative stress. Methods. A cross-sectional study was conducted from July-October 2021. Eighty-four participants were included in this study. Data about participants’ characteristics, physical activity intensity as measured by the Global Physical Activity Questionnaire (GPAQ) version 2, and stress levels as measured by Holmes-Rahe Stress Inventory were collected using Google Forms. The physical examination yielded data on blood pressure, ear condition, and waist circumference. Blood Superoxide dismutase activity and HbA1c levels were determined using the spectrophotometry assay method. Univariate, bivariate, and multivariate analyses were done using the chi-square test and logistic regression. Results. The proportion of administrative workers with high SOD activities was 78.6% compared to train drivers (33.3%). Administrative workers were 7.1 times more likely to have high SOD activity than train drivers (aOR = 7.1, p-value Conclusion. The train company administrative workers exhibited higher Superoxide Dismutase activity than train drivers. Future study and occupational health programs are needed to investigate occupational factors affecting oxidative stress to prevent potential health disorders.
PENGEMBANGAN ALAT UKUR BEBAN KERJA MENTAL PERAWAT DALAM INTERAKSI ASUHAN KEPERAWATAN Mediawati, Ati Surya; Nurachmah, Elly; Mansyur, Muchtaruddin; Eryando, Tries
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 1, No 2 (2016)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.627 KB) | DOI: 10.32419/jppni.v1i2.20

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ABSTRAKKetika melakukan asuhan keperawatan, perawat perlu berinteraksi dengan klien. Interaksi dapatdilaksanakan dengan baik apabila perawatannya mampu beradaptasi dengan beban kerja mentalyang dimanifestasikan ke dalam gejala fi sik, psikologis, dan perilaku yang ditampilkan. Tujuanpenelitian: mengembangkan alat ukur beban kerja mental saat berinteraksi dengan klien dalampemberian asuhan keperawatan. Metode: Penelitian menggunakan metode deskriptif analitis. Alatukur dikembangkan dengan menggunakan pendekatan interpretasi terhadap skala interval danskala ordinal yang diisi oleh 596 partisipan yang diproses melalui sebelas case processing data.Penelitian dilaksanakan di provinsi Jawa Barat, Jawa Tengah, Sumatra Barat, dan Sulawesi Selatan.Validitas dan reliabilitas variabel persepsi Teruji (p=0,996 sebelum interaksi dan p=0,993 setelahinteraksi), observasi (p=0,844 sebelum interaksi, p=0,711) orientasi (p=0,711), identifi kasi (p=0,769),eksplorasi (p=0,773), resolusi (p=0,820), setelah interaksi (p=0,772), angket klien (p=0,64). Hasil:Hasil pengujian model Con fi rmatory Factor Analysis (CFA) melalui program Lisrel menghasilkanp-value=0,150 (p>0,05) dan RMSEA=0,075 (RMSEA<0,1). Diskusi: Diperlukan dukungan regulasisebagai implikasi dalam penggunaan alat ukur. Simpulan: alat ukur ini vaild dan reliabel sebagaiinformasi diagnostik pengukuran beban kerja mental.Kata Kunci: alat ukur, beban kerja mental, interaksi.ABSTRACTNurses in providing nursing care need to interact with clients. Such interaction can be successfullyperformed if the treatment can adapt to mental workload which is manifested into physical,psychological and behavioral symptoms. Objectives: developing a mental workload instrumentwhen interacting with clients in providing nursing care. Methods: It employed a descriptive analyticmethod. The instrument was developed by employing the approach to the interpretation of scaleinterval and ordinal scale which were fi lled by 596 participants and processed through 11 caseprocessing data. The research was conducted in the provinces of West Java, Central Java, WestSumatra and South Sulawesi. Validity and reliability of the perception variables were tested (p=0.996before the interaction and p=0.993 after the interaction), observation (p=0.844 before the interaction,p=0.711), orientation (p=0.711), identifi cation (p=0.769), exploration (p=0.773), resolution (p=0.820),after the interaction (p=0.772), client questionnaire (p=0.64). Results: The results of Con fi rmatoryFactor Analysis (CFA) usingLisrel software indicated p-value=0.150 (p>0.05) and RMSEA=0.075(RMSEA <0.1). Discussion: Regulatory support is needed as an implication for the use of theinstrument. Conclusion: This instrument is valid and reliable to measure mental workload fordiagnostic information.Keywords: instrument, mental workload, interaction.
Passive smoker exposure as a risk factor of otitis media with effusion in children Rizaldi, Riza; Tamin, Susyana; Dwi Restuti, Ratna; Suwento, Ronny; Parmaditya Pamungkas, Indra; Mansyur, Muchtaruddin
International Journal of Public Health Science (IJPHS) Vol 13, No 3: September 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i3.23692

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Otitis media with effusion (OME) is a middle ear disorder often found in children and can cause hearing loss, delayed language acquisition, and behavioral disorders. Cigarette smoke exposure is one of the environmental factors that may raise the incidence of OME. This study aimed to identify the prevalence of OME and the risk of cigarette smoke to OME using urinary cotinine level examination, along with the characteristics of smoking history in the family. This cross-sectional study included 398 children aged 0-14 who underwent history taking, questionnaire completion, ear/nose/throat (ENT) examination, and tympanometry. OME patients based on ENT and tympanometry examination underwent urinary cotinine examination using lateral flow chromatographic immunoassay technique. Of the 398 children, five children were diagnosed with OME. The prevalence rate of OME was 1.3%. No OME patients were exposed to cigarette smoke based on urine cotinine levels of >200 ng/mL. However, based on history taking, one of five patients with OME is a passive smoker, with characteristics of active smoking history in the family one person (the father). In conclusion, there was no proportion of positive urinary cotinine levels in children with OME.
Child rearing workplace policy for working mothers: A scoping review Deandra, Fadhila Iswi; Februhartanty, Judhiastuty; Mansyur, Muchtaruddin
World Nutrition Journal Vol. 8 No. i1 (2024): Volume 08 Issue 1, August 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i1.0014

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Introduction: Straddling work and childcare harms working moms' health, potentially their children too. To address this, child rearing workplace policies are needed. These would promote work-life balance and ensure both mothers' and children's well-being, ultimately protecting pregnant and parenting women at work. Objective: This study aims to explore the gaps between available child rearing workplace policy for working mothers and the implementation on the field while taking its implications into account. Methods: We reviewed literature from PubMed electronic database. Predefined keywords were developed and chosen. Relevant articles were filtered according to the inclusion and exclusion criteria. Furthermore, all articles were reviewed independently and those that match were included and charted through Microsoft Excel based on each articles’ characteristics. Results: There are 13 workplace policies related to childcare for working mothers in the included articles. The most common policy was paid maternity leave. Other frequently mentioned policies included lactation support and facilities, flexible work arrangements, and daycare facilities. All policies have different implementation rates and implications to both working mothers and their children. Conclusion: Supportive child rearing policies at work benefit everyone: employers, employees, and their families, leading to a better nutritional and health status, hence increase overall quality of life.
HUBUNGAN ANTARA FAKTOR INDIVIDU DAN PEKERJAAN DENGAN KEJADIAN LOW BACK PAIN PADA OKUPASI TERAPIS DI INDONESIA As’ari, Mahrus; Mansyur, Muchtaruddin; Hanna, Henny; Iskandar, Dede
Seroja Husada: Jurnal Kesehatan Masyarakat Vol. 1 No. 5 (2024): Seroja Husada: Jurnal Kesehatan Masyarakat
Publisher : Seroja Husada: Jurnal Kesehatan Masyarakat

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Mahrus As’ari, Hubungan antara Faktor Individu dan Pekerjaan dengan Kejadian Low Back Pain pada Okupasi Terapis di Indonesia Tesis. Program Studi Ilmu Kesahatan Masyarakat, Sekolah Pascasarja Universitas Muhammadiyah Prof. DR. HAMKA. Juli 2023 Low Back Pain merupakan salah satu jenis penyakit MSDs (Musculloskeletal Disorders) yang banyak dialami para tenaga kesehatan di usia produktifnya, salah satunya adalah Okupasi Terapis. Okupasi terapis adalah salah satu jenis tenaga Kesehatan yang banyak melibatkan aktivitas fisik selama melaksanakan pekerjaanya dan berisiko mengalami gangguan kesehatan salah satunya adalah low back pain. Tujuan dari penelitian ini adalah untuk mengetahui gambaran kejadian low back pain, serta faktor-faktor yang berpengaruh terhadap terjadinya low back pain pada okupasi terapis di Indonesia. Data tersebut diperoleh melalui kuesioner online. Penelitian ini berjenis cross-sectional dengan menggunakan instrumen Baseline Risk Identification of Ergonomic Factor (BRIEF) Survey yang mempertimbangkan postur, gaya, durasi, dan frekuensi. Kuesioner faktor individu dan NBM (Nordic Body Map) digunakan untuk mengukur risiko dan dampak keluhan nyeri yang muncul pada area punggung bawah (low back pain). Untuk mengidentifikasi variabel yang berpengaruh terhadap munculnya low back pain dihitung menggunakan model regresi logistik berganda. Sampel penelitian berjumlah 314 okupasi terapis, dengan persentase perempuan berjumlah 53,5% dan laki-laki sebesar 46,5. Hasil penelitian menemukan bahwa 215 orang (68,5%) mengalami low back pain sedangkan 99 orang (31,5%) tidak mengalami keluhan low back pain. Variabel yang berpengaruh signifikan pada kejadian low back pain adalah riwayat LBP sebelumnya 9 sig 0,00, postur janggal sig 0,00, IMT sig 0,013 dan masa kerja sig 0,00 yang dikontrol oleh variabel confounding yaitu jenis kelamin, kebiasaan merokok, kebiasaan olahraga, posisi kerja, posisi tidak bergerak dan usia. Berdasarkan hasil penelitian low back pain merupakan risiko yang nyata banyak terjadi kepada okupasi terapis di Indonesia yang dapat menimbulkan dampak terhadap produktifitas kerja, intervensi kepada pasien, dan kualitas hidup bagi okupasi terapis yang terdampak.
Family Caregivers' Lived Experiences for Post-Stroke Patients: A Qualitative Study Rosina Tarigan; Setyowaty; Rr. Tutik Sri Hariyati; Salim Harris; Debie Dahlia; Muchtaruddin Mansyur
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 1 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i1.16238

Abstract

Stroke survivors in Indonesia depend on their families to meet their daily needs. Therefore, the function of family caregivers in stroke patients is essential in helping to meet their needs. This study aims to determine family caregivers' lived experiences for post-stroke patients. The study design was a qualitative descriptive phenomenology with a sample of 6 participants recruited by purposive sampling. Instruments include semi-structured questions, field notes, and a voice recorder. Data was analysed using the thematic content analysis method. This study was conducted from October 2021 to February 2022 at the Gisting Health Center, Tanggamus Regency, Lampung Province, Indonesia. The study found three main themes and seven sub-themes. The themes were knowledge of stroke (sub-themes: stroke disease and stroke management), seeking treatment (sub-themes: following community habits, drug therapy according to what is felt useful, alternative therapies produced by factories), and Difficulty in taking care (sub-themes: difficulties caring for patients at home and efforts to solve the difficulties). In conclusion, caregivers have Difficulty taking care of post-stroke patients at home and in the community. Nurses can participate as nurses in community health centres and family health nurses in providing comprehensive care and educating caregivers on how to take care of post-stroke patients properly.                                                                                                                                                                   
Co-Authors Abdulmuthalib Abdulmuthalib Agung Waluyo Agus Kharmayana Rubaya Agus Setiawan Ahmad Eru Ahmad Fuady Ahmad Thohir Hidayat Al Rasyid Alfares, Heru Alida Harahap Amiliana M. Soesanto Anandita, Faizal Ablansah ANDI WIJAYA Angela BM Tulaar Antari R. Harmani Anung Sugihantono Aria Kekalih As’ari, Mahrus Bambang hermani Bertha Pangaribuan Birahmatika, Fitya Safira C Khoe, Levina Cosphiadi Irawan Dahlia, Debie - Damajanti R. Syarif Damayanti Rusli Sjarif Deandra, Fadhila Iswi Dede Iskandar, Dede Dede Kusmana Dewi Sumaryani Soemarko Dewi Yunia Fitriani Djajadiman Gatot Djoko Priyatno, Djoko Djumhana Atmakusumah, Djumhana Dwi Restuti, Ratna Edrial Eddin Efta Yudiarsah, Efta Elida Ilyas Elly Nurachmah Endang Susalit Erni Sulistiawati Eryando, Tries Fatma Afira Fauzia, Khalida Ferial H. Idris Ferius Soewito Hajar, Siti Sarah Hanna, Henny Haryono Haryono Helda Khusun Henny Permatasari Herman, Rustika Hilman Syarif Houweling, Tanja A I Dewa Gede Ugrasena I. Wijaya, Rita Ina S Timan, Ina S Ina Susianti Timan Irawan Yusuf Isman Firdaus Jamhari Jamhari Jan S Purba, Jan S Judhiastuty Februhartanty Juli Dwi Prasetyono Jusuf Misbach Kusuma Dewi, Dian Leonard Ivan Melana Lim Weng Kong, Lim Weng Lugyanti Sukrisman Malik, Safarina G. Mediawati, Ati Surya Merci Monica br Pasaribu Mochtar, Iqbal Moh. Khotibul Umam Muhammad Ilyas Mulyana Mulyana Murti Andriastuti, Murti Ninik Mudjihartini Novi Silvia Hardiany Nuri Purwito Adi Nurjati Chaeranie Siregar, Nurjati Chaeranie Nurlita, Hera Nurul Ratna Mutu Manikam Nuryati Chairani Ong Choon Kiat, Ong Choon Pandelaki, Jacub Parmaditya Pamungkas, Indra Poppy Fitriyani Pramesthi, Indriya Laras Prasetyono, Juli Dwi Puji Lestari, Shanti Rafsanzani, Reza A Ratna Dwi Restuti Retno Asti Werdhani Riadi Wirawan Rianto Setiabudy Richardus, Jan H Rino Alvani Gani Rizaldi, Riza Ronny Suwento, Ronny Rosina Tarigan Rr. Tutik Sri Hariyati Rusli, Noer Triyanto Sahala Panggabean Salim Harris Sarwono Waspadji Semiramis Zizlavsky SEPTELIA INAWATI WANANDI Setyowaty sigid sudaryanto, sigid Sigit Mulyono Simanjuntak, Ernawati Siti Annisa Nuhonni Sudigdo Satroasmoro, Sudigdo Sugiarta, Iwan Sukman Tulus Putra, Sukman Tulus Sulistomo, Astrid Suroto Suroto Suzanna Immanuel Tamin, Susyana Tantut Susanto Teguh Budiharjo, Teguh Teguh Ranakusuma The Bin Tean, The Bin Tirza Z. Tamin Trevino A. Pakasi Umi Fahmida Wahidin, Wahidin Wibowo, Suryo Winata, Vera Windarso, Sarjito Eko Yati Afiyanti Yoga Yuniadi