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Evaluasi Penggunaan Metode Prechtl untuk Menilai Kualitas Gerakan Spontan Bayi Muda Sehat: Pengalaman RSU Dr. Soetomo Surabaya Ahmad Suryawan; Komang Ayu Witarini; Risa Etika; Fatimah Indarso; Irwanto Irwanto; Moersintowati B. Narendra; Sylviati M. Damanik
Sari Pediatri Vol 9, No 6 (2008)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.375 KB) | DOI: 10.14238/sp9.6.2008.363-9

Abstract

Latar belakang. Penilaian kualitas gerakan spontan pada bayi dengan metode “General movements (GMs)”dari Prechtl mempunyai validitas tinggi untuk memprediksi risiko gangguan perkembangan anak. MetodeGMs masih relatif baru di Indonesia, sehingga dibutuhkan evaluasi aspek praktikalnya untuk dapatdiaplikasikan secara optimal.Tujuan. Mengetahui kondisi paling optimal untuk menilai kualitas gerakan spontan bayi muda sehatmenggunakan metode GMs dari Prechtl.Metode. Dilakukan rekaman video secara berurutan pada bayi yang memenuhi kriteria inklusi lahir sehat,cukup bulan, tanpa risiko, dan mendapat persetujuan tertulis dari orangtua, lahir di RSU Dr Soetomo-Surabaya pada kurun waktu Desember 2006-Januari 2007. Teknik perekaman dilakukan sesuai standarisasiPrechtl, dengan berbagai variasi waktu dan kondisi. Analisis video rekaman dilakukan secara persepsiGestalt oleh salah satu peneliti, yang sebelumnya telah mendapat kursus dan sertifikat metode GMs.Parameter aspek praktikal untuk evaluasi digolongkan: optimal dan tidak optimal.Hasil. Tidak didapatkan penolakan dari orang tua untuk seluruh 56 bayi yang memenuhi kriteria inklusi.Tiga (5,4%) video yang tidak dapat dianalisis karena faktor kesalahan teknis perekaman. Kualitas GMslebih optimal untuk dianalisis apabila perekaman dilakukan pada waktu siang hari dibandingkan waktupagi (p=0,026) atau malam (p=0,045), dan dilakukan 30 menit sebelum waktu minum, dibandingkan 30menit sesudahnya (p=0,032). Tingkat kesulitan analisis tidak berbeda bermakna apabila perekamandilakukan di tempat yang khusus dibandingkan dilakukan di boks (p=0,156) atau inkubator (p=0,466).Kesimpulan. Metode Prechtl dapat diterapkan dengan praktis dan optimal apabila pengambilan videodilakukan pada waktu siang hari dan 30 menit sebelum waktu minum. Tempat pengambilan rekamantidak mempengaruhi segi kepraktisannya
Gambaran Klinis dan Karakteristik Neonatus dari Ibu Terkonfimasi Covid-2019 di Rumah Sakit Dr. Soetomo Risa Etika; Kartika Darma Handayani; Setya Mithra Hartiastuti; Virani Diana; Aminuddin Harahap; Oktavian Prasetya; Melinda Masturina
Sari Pediatri Vol 22, No 5 (2021)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.5.2021.285-9

Abstract

Latar belakang. Penyakit Coronavirus 2019 (COVID-19) merupakan penyakit yang pertama kali dilaporkan di Wuhan, China dan telah menyebar ke seluruh dunia. Data ibu hamil dan bayi baru lahir belum banyak dipublikasikan.Tujuan. Untuk mendeskripsikan gambaran dan karakteristik klinis neonatus yang lahir dari ibu dengan infeksi severe acute respiratory syndrome-coronavirus (SARS-CoV-2) perinatal.Metode. Penelitian ini merupakan penelitian retrospektif yang dilaksanakan di ruang perawatan neonatal intensive care unit (NICU) Rumah Sakit Umum Daerah Dr.Soetomo Surabaya pada tanggal April - Oktober 2020. Populasi adalah neonatus yang lahir dari ibu terkonfimasi COVID-19 di di Rumah Sakit Dr. Soetomo Surabaya. Data diperoleh dari rekam medik.Hasil. Total terdapat 109 ibu dengan hasil pemeriksaan positif reverse transcription - polymerase chain reaction (RT PCR) COVID-19, dan hanya 2 bayi dengan hasil RT-PCR COVID-19 positif. Usia rata-rata ibu hamil 28±5,9 tahun. Duapuluh sembilan bayi (26,61%) lahir kurang bulan. Cara persalinan didominasi oleh sectio caesaria sebanyak 64 ibu hamil (58,72%). Terdapat 23 bayi (21,11%) lahir dengan berat badan lahir <2500 gram dan 3 bayi dengan hasil negatif RT-PCR COVID-19 meninggal.Kesimpulan. Saat ini belum terbukti adanya penularan secara vertikal COVID 19, sementara itu transmisi horizontal diperkirakan sebagai sumber infeksi pada neonatus. Penerapan protokol kesehatan terbukti efektif mencegah infeksi terhadap neonatus. 
Profil Kematian Neonatus di RSUD dr. Soetomo Shanty Djajakusli; Agus Harianto; Risa Etika; Martono TU
Sari Pediatri Vol 18, No 6 (2017)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp18.6.2017.474-80

Abstract

Latar belakang. Upaya menurunkan angka kematian neonatus belum optimal sesuai dengan yang ditargetkan MDG’s 2015, yaitu menurunkan angka kematian neonatus menjadi 23/1000 kelahiran hidup. Tujuan. Mengetahui profil kematian neonatus berdasarkan faktor maternal, faktor neonatal, sosio-demografi, keadaan klinis neonatus lahir hidup, usia ≤ 7 hari, sampai 28 hari serta mengetahui penyebab kematian neonatus dini dan neonatus lanjut.Metode. Penelitian deskriptif dilakukan di ruang Intensif Instalasi Rawat Darurat, Gedung Bedah Pusat Terpadu dan ruang Intermediate Neonatal SMF Ilmu Kesehatan Anak RSUD dr. Soetomo. Penelitian dimulai 1 September 2014 sampai 28 Februari 2015. Pengumpulan data menggunakan Lembar Pengumpul Data Perinasia Pusat, setiap neonatus yang dirawat kemudian meninggal dimasukkan kematian neonatus dini maupun lanjut, dicatat keadaan klinis, serta faktor risiko dari ibu dan neonatus.Hasil. Dari 807 kelahiran neonatus didapatkan 101 (12,5%) kematian neonatus terdiri dari 63 (7,8%) kematian neonatus dini dan 38 (4,7%) kematian neonatus lanjut. Kematian neonatus dini dan lanjut ditemukan paling banyak pada neonatus BBL ≥2500 g (34,9% dan 50%) , laki-laki (61,9% dan 71,1%), tunggal (95,2% dan 199%) dan sesuai masa kehamilan (79,4% dan 84,2%) serta usia ibu 20-25 tahun (82,5% dan 71,1%). Sesak (95,2% dan 86,8%) dan sepsis (66,7% dan 63,2%) merupakan keadaaan klinis neonatus pada usia ≤ 7 hari sementara keadaan klinis kematian neonatus lanjut sampai usia 28 hari terutama sesak (100%), sepsis (84,2%), dan pneumonia (52,6%).Kesimpulan. Profil penyebab kematian neonatus yang sering ditemukan adalah sepsis, prematuritas, asfiksia, dan kelainan bawaan.
Knowledge, Family Support and Self-Reliance Capital when Caring for Low Birth Weight Babies Erlina Suci Astuti; Nursalam Nursalam; Shrimarti Rukmini Devy; Risa Etika
Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.119 KB) | DOI: 10.20473/jn.v14i1.12734

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Introduction: Low birth weight (LBW) infants are very susceptible to illness.LBW treatment with the principle of preventing infection is very important athome. The purpose of this study was to determine the relationship betweenmaternal knowledge and family support with the prevention of infection at home.Methods: This study used a correlation design. The samples were 160 motherswho had low birth weight infants with inclusion criteria mothers give birth tobabies weighing less than 2,500 grams with ages 0-2 months. The samples wereobtained through purposive sampling. The dependent variable was the mother&#39;sability to prevent infection while the independent variable was the mother&#39;sknowledge and family support. The instruments used were questionnaires. Thisresearch analyzed using Spearman Rho.Results: The results showed that there was a strong correlation betweenknowledge and the ability to prevent infection in treating low birth weight (r =0.696; p = 0.00) and that there was a moderate correlation between familysupport and infection prevention ability when treating a low birth weight (r =0.54. p = 0.000).Conclusion: Factors of maternal knowledge about infection prevention andfamily support need to be considered in increasing the ability of mothers to carefor babies with LBW. The factor of maternal knowledge about prevention ofinfection has a strong correlation value when compared to family support factors.Further research is needed on the model of increasing maternal knowledge aboutLBW infants during home care. 
Pengaruh Perawatan Metode Kanguru Terhadap Respon Fisiologis Bayi Berat lahir Rendah Rahayu Catur Ria Wati; Risa Etika; Esti Yunitasari
Pediomaternal Nursing Journal Vol. 5 No. 2 (2019): VOLUME 5 NO 2 SEPTEMBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v5i2.13333

Abstract

Introduction: Low Birth Weight Babies (LBWB) is one of the causes of the high Neonatal Mortality Rate in Indonesia. This occurs because LBWB has non-optimal temperature regulation centers, thin-brown and subcutaneous fat tissue, inadequate muscle growth, and organ immaturity. Kangaroo Care (KC) is expected to be an effective and efficient solution to keep LBW in a stable condition. This study aimed to determine the effect of KC on the physiological responses of LBWB.Methods: This study is a pre-experimental design with one group pretest-posttest research design. The sample was obtained with a total sampling technique and the size was 21 LBWB. The independent variable in this study was KC; carried out for 3 days with a frequency of 2 times a day and 90 minutes per KC. Meanwhile, the dependent variable was the physiological responses of LBWB which consisted of temperature, heart rate, and oxygen saturation. The instrument used was KC observation sheets with Wilcoxon signed rank test for the data analysis.Results: The study showed that the temperature increased from 36.50C to 36.90C; the heart rate increased from 135 x/minute to 147 x/minute; the oxygen saturation increased from 93% to 98%. The results of the Wilcoxon signed rank test on the pretest-posttest data revealed that the temperature p = 0.002, heart rate frequency p = 0.001, and oxygen saturation p = 0.000. The increased physiological responses were still in the range of normal.Conclusion: The KC can maintain the stability of LBWB physiological responses. By that, it is recommended for parents to continue KC as a home-care for LBWB until the weight reached 2500 grams.
Faktor Risiko Kejadian Ikterus Neonatorum Nimas Anggie Auliasari; Risa Etika; Ilya Krisnana; Pudji Lestari
Pediomaternal Nursing Journal Vol. 5 No. 2 (2019): VOLUME 5 NO 2 SEPTEMBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v5i2.13457

Abstract

Introduction: Neonatal jaundice is a clinical manifestation in neonates characterized by yellow coloration of the skin and sclera due to the accumulation of excess unconjugated bilirubin production in the tissues. Based on the data in the NICU of Dr. Soetomo Hospital, 46.8% of 844 neonates had neonatal jaundice. Therefore, this study is intended to analyze the risk factors associated with the incidence of neonatal jaundice.Methods: This study used observational analytic method with case control approach. There are 84 neonates used as samples taken with sequential sampling. The independent variables are ABO incompatibility, prematurity, Low Birth Weight, asphyxia, and history of Diabetes Mellitus from the mother. Whereas, the dependent variable is neonatal jaundice. The data are in the form of secondary data from neonates and the mothers, analyzed using the Contingency coefficient with α = 0.05.Results: 85.7% of ABO incompatibility neonates had neonatal jaundice (p = 0.048, OR = 6.833), 57.4% of premature neonates had neonatal jaundice (p = 0.028, OR = 3.077), 42.4% of LBW neonates had neonatal jaundice (p = 0.032, OR = 0.346), 60% of asphyxia neonates had neonatal jaundice (p = 0.500), 85.7% of mother with DM history had neonatal jaundice (p = 0.048, OR = 6.833).Conclusion: There is a relationship between ABO incompatibility, prematurity, LBW, history of DM and neonatal jaundice while there is no relationship between asphyxia and the incidence of neonatal jaundice in Dr. Soetomo Hospital.
Assessment of the quality of general movements in newborn infants: a tool to predict developmental disorders at an early age Ahmad Suryawan; Bambang Permono; Komang Ayu Witarini; Risa Etika; Fatimah lndarso; Moersintowarti B. Narendra
Paediatrica Indonesiana Vol 48 No 5 (2008): September 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.968 KB) | DOI: 10.14238/pi48.5.2008.292-8

Abstract

Background Nowadays, quality assessment of general movements(GMs) in infants can be used as a tool to predict developmentaloutcome. Until now, there is no published study in this field inIndonesia.Objectives The aim of this study was to evaluate the quality ofGMs of newborn infants.Methods A prospective study was done at neonatal ward, Dr.Soetomo Hospital in Surabaya, between December 2006 andJanuary 2007. A single supine position video recording of newbornsat GMs preterm and writhing age was made using Precthl's method.Infants were chosen consecutively among singletons above 28week gestational age. The quality of GMs was assessed by meansof Gestalt perception by one of the authors, who had been trainedand certified in GMs. GMs were classified into: normal-optimal,normal-suboptimal, mildly-abnormal, and definitely-abnormal.Correlation tests were used to assess the relationship betweenperinatal conditions and the quality of GMs.Results 106 videos were recorded, and 100 were assessedcompletely. Abnormal GMs were found in both 35 pretermage (normal-optimal 2.9%; normal-suboptimal 28.6%; mildly-abnormal45. 7o/o; definitely-abnormal22.9o/o) and 65 writhing age(3.1 o/o; 41.5%; 41.5%; 13.8%, respectively) (P=0.285). There wasa weak negative correlation between birth weight and the qualityofGMs (r=-0.20, P=0.044).Conclusions The quality ofGMs in Indonesian newborn infants inour study was predominantly abnormal, which puts these infantsat high risk for later developmental disorders. The lower theinfants'birth weight, the more likely for abnormal GMs.
The use of score for neonatal acute physiology perinatal extention II (SNAPPE II) in predicting neonatal outcome in neonatal intensive care unit Mia R A; Risa Etika; Agus Harianto; Fatimah Indarso; Sylviati M Damanik
Paediatrica Indonesiana Vol 45 No 6 (2005): November 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.6.2005.241-5

Abstract

Background Scoring systems which quantify initial risks have animportant role in aiding execution of optimum health services by pre-dicting morbidity and mortality. One of these is the score for neonatalacute physiology perinatal extention (SNAPPE), developed byRichardson in 1993 and simplified in 2001. It is derived of 6 variablesfrom the physical and laboratory observation within the first 12 hoursof admission, and 3 variables of perinatal risks of mortality.Objectives To assess the validity of SNAPPE II in predicting mor-tality at neonatal intensive care unit (NICU), Soetomo Hospital,Surabaya. The study was also undertaken to evolve the best cut-offscore for predicting mortality.Methods Eighty newborns were admitted during a four-month periodand were evaluated with the investigations as required for the specifi-cations of SNAPPE II. Neonates admitted >48 hours of age or afterhaving been discharged, who were moved to lower newborn care <24hours and those who were discharged on request were excluded. Re-ceiver operating characteristic curve (ROC) were constructed to derivethe best cut-off score with Kappa and McNemar Test.Results Twenty eight (35%) neonates died during the study, 22(82%) of them died within the first six days. The mean SNAPPE IIscore was 26.3+19.84 (range 0-81). SNAPPE II score of thenonsurvivors was significantly higher than the survivors(42.75+18.59 vs 17.4+14.05; P=0.0001). SNAPPE II had a goodperformance in predicting overall mortality and the first-6-daysmortality, with area under the ROC 0.863 and 0.889. The best cut-off score for predicting mortality was 30 with sensitivity 81.8%,specificity 76.9%, positive predictive value 60.0% and negativepredictive value 90.0%.Conclusions SNAPPE II is a measurement of illness severity whichcorrelates well with neonatal mortality at NICU, Soetomo Hospital.The score of more than 30 is associated with higher mortality
Analytical study of inflammatory cytokines and immunoglobulin expression following dust mite allergen exposure in pregnant mice Risa Etika; Subijanto Marto Sudarmo; Suwarno Suwarno; Muhammad Pradhika Mapindra; Muhammad Pradhiki Mahindra
Paediatrica Indonesiana Vol 61 No 6 (2021): November 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.6.2021.336-42

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Background Allergen tolerability due to allergic immune reactions could be transferred through the placenta from maternal to fetal circulation. Hence, a further investigation regarding the tolerability following mite allergen exposures is desirable. Objective To evaluate various doses of mite allergens and cytokines associated with Th1, Th2, and Treg cells with regards to possible allergic tolerance in neonatal mice. Methods This study used an experimental design with a post-test only control group, to assess the effect of mite allergens on pregnant BALB/C mice and their newborns. In this study female BALB/C mice aged 10 weeks were mated with male mice, then pregnant BALB/C mice were exposed to allergens at 4 weeks gestation. During pregnancy, pregnant females’ blood specimens were taken to measure cytokines and immunoglobulins. Meanwhile, neonatal blood specimens were taken at 2 weeks postnatally to measure cytokines and immunoglobulins. Blood specimens from pregnant BALB/C mice and their newborns were evaluated using ELISA kits for the following cytokines: interleukin (IL)-2, interferon (IFN)-γ, interleukin (IL)-4, IL-5, IL-10, TGF-β1, as well as immunoglobulins (Ig)G-1, IgG-2a, IgG-2b, IgG3 subclass, IgM, IgA, and IgE. The case group was the group that received high and low doses of exposure, while the control group did not get exposure. Results In response to low dose mite allergen exposure, there were significant increases of IL-2, IFN-y, and IL-4, IL-5, and TGF-β1 in mothers and neonates. Pregnant mices that received high doses of allergens, however, had significant increases in IL-5 and TGF-B1; results were likewise for their offspring. Mothers and neonates, had significantly increased expression of IgG subclasses after a low dose of dust mite allergen. Following a ten-fold increase in allergen dose, the mothers showed significant increases in IgA, IgM, IgE, and IgG subclasses, whereas in neonatal mice, those immunoglobulin levels were not significantly different from control mice. Conclusion Exposure to mite allergens can trigger regulatory functions of Th1, Th2, and Tregs cells to activate their cytokines, except IL-10. The regulatory function of Tregs is dominated by TGFβ in maternal and neonatal mice, at low and high doses. Th1 cytokines express cytokines during exposure only to low-dose allergens and Th2 cells regulate IL-5 levels to both low- and high-dose allergens.
Seropositivity of Anti-Rubella Antibodies as A Marker for Rubella Infection in Infants at High Risk of Congenital Deafness Nyilo Purnami; Risa Etika; Martono Martono; Puspa Wardhani
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 26, No 2 (2020)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i2.1479

Abstract

Hearing loss in newborns or congenital deafness can be caused by the development of several parts of the auditorysystem. Congenital deafness is often associated with infections, such as Toxoplasmosis, Rubella, Cytomegalovirus (CMV),and Herpes (TORCH). Deafness is very difficult to be early detected. Therefore, simple but fast methods are needed. Earlydetection is based on the Newborn Hearing Screening (NHS) program. Otoacoustic Emission (OAE) and AutomatedAuditory Brainstem Response (AABR) checks are raw materials for early detection. Congenital deafness often occurs withpregnancy infections with viruses such as Rubella. Rubella infection during pregnancy, especially during the first trimester,often causes Congenital Rubella Syndrome (CRS). Rubella infection often occurs with other causes, such as Toxoplasma,CMV, and Herpes. A Serological test can be used as one of the diagnostics of this infection. This study used single RubellaIgG and IgM antibodies and double antibodies test as a marker for the infection. The authors wanted to correlate theserological examination of this infection with the auditory function. Rubella infection was detected with single serologicalanti-Rubella IgG and IgM and double multiple Rubella and TORCH serological tests. Also, the auditory function wasassessed using the OAE and AABR test in this research. The result showed 35 (77.7%) patients with positive Rubellaserological tests among 45 NICU patients at Dr. Soetomo Hospital. There were number of patients was 12 (34.2%) patientswith a single positive serological test and 23 (65.7%) patients with positive multiple TORCH serological tests. The number ofpatients with Rubella negative infection was 10 (22.2%). There were 11 (31.4%) patients of positive Rubella infections withpositive hearing loss and 24 (68.6%) patients with negative hearing loss. From the results of the study, 35 patients were athigh risk of disturbance and the statistical analysis showed that there were no significant serological differences in Rubellapositive with hearing loss (p=0.087). Hearing loss in NICU infants has a high risk of factors causing Rubella infection andother related causes. In most Rubella positive serological tests IgG was found, which can be due to maternal factors.Serology tests need to be repeated for confirmation under the surveillance program. How to follow-up the patients anddefine the next laboratory test after six months remain a great challenge. The efforts need to be strengthened in surveillanceprograms.
Co-Authors . Suwarno Aditiawarman Aditiawarman, Aditiawarman AGUS HARIANTO Agus Sulistyono Ahmad Suryawan Aldika Akbar, Muhammad Ilham Alexander Leonard Caesar Josediputra Alit Utamayasa Aminuddin Harahap Aprilawati, Dwi Aprilia Indra Kartika Aprilia Laraswati Armawa, Syihab Armedian Oktaviani Puspaningrum Bambang Permono Bambang Purwanto Bangkit Putrawan Basuki, Setio Chiquita Febby Pragitara Denai Wahyuni Desy Jein Rimelda Masombe Devina Callista Ayungga Dina Angelika Dominicus Husada Dwiyanti Puspitasari, Dwiyanti Eighty Mardiyan K, Eighty Elisia, Latiful Erlina Suci Astuti Ernawati Ernawati Esti Yunitasari Fatchul Wahab Fatimah Indarso Fatimah Indarso Fatimah lndarso HERAWATI, LILIK Herlisa Anggraini Hermanto Tri Joewono Ilya Krisnana, Ilya Irwanto Irwanto Irwanto, Irwanto Ismoedijanto Iwan S. Handoko Izzati, Dwi Jenica Hillary Eka Firnanda MCRP Jianti Fina Lestari Kartika Darma Handayani Kartina, Leny Komang Ayu Witarini Mahiroh, Hodimatum Mahrus A Rahman, Mahrus A Martono Martono Martono Tri Utomo Martono TU Melinda Masturina Mellisa Kristanti Hosea, Mellisa Kristanti Mia R A Moersintowarti B. Narendra Moersintowati B. Narendra Muhammad Pradhika Mapindra Muhammad Pradhiki Mahindra Muhammad Reza Muhammad Reza Ni Made Mertaniasih Nimas Anggie Auliasari Ningrum, Astika Gita Nurmeyda Lentina Nursalam, Nursalam Nyilo Purnami Oktavian Prasetya Pamarga Priyambodo Pudji Lestari Puspa Wardhani Rahayu Catur Ria Wati Rize Budi Amalia Rizky Arisanti Maharani Roedi Irawan Rohma, Annisa Nur Ruth A. Alexander Salsabila Hansa Kamal Sampurna, Mahendra Tri Arif Sari, Ernita Sari, Trias Kusuma Sarmanu, Sarmanu Setya Mithra Hartiastuti Shanty Djajakusli Shrimarti Rukmini Devy Sudarmo, Subijanto Marto Sunny Mariana Samosir Syamsul Arifin Sylviati M Damanik Sylviati M. Damanik Talitha Y. Aden Teddy Ontoseno Tuti Herawati Virani Diana Woro Setia Ningtyas Yulida Mufidah