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Analysis of Determinants of Tuberculosis in Stunted Toddlers in Rambipuji, Jember Wiwien Sugih Utami; Yunita Armiyanti; Adinda Putri Yusri Amrina
Journal of Agromedicine and Medical Sciences Vol 10 No 1 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i1.46500

Abstract

Tuberculosis (TB) and stunting remain serious health problems in Indonesia. Stunting can impact a child's ability to resist infections, including TB. Stunted toddlers are more vulnerable to contracting TB compared to those with normal nutritional status. This research aims to explore the relationship and influence of TB risk factors on the occurrence of TB in stunted toddlers. This research is an analytical descriptive research with a cross sectional design. The research sample consisted of 183 stunted toddlers from eight villages in the Rambipuji sub-district, Jember. The research procedures included interviews, direct observations, and TB examinations in children. Interviews were conducted with the parents/guardians of the child respondents. Observations and direct measurements were performed to determine the physical characteristics of the respondents' living environments, including household density, ventilation area, natural lighting, humidity, and room temperature. The diagnosis of TB in children was established based on a scoring table for childhood TB. From the research findings, 15 children tested positive for TB (8.2%). Bivariate analysis showed a value of p <0.05 for nutritional status, close contact, household density, ventilation, and natural lighting factors. Multivariate analysis revealed significant results for close contact (p=0.000; OR=39.563), household density (p=0.015; OR=9.659), and nutritional status (p=0.029; OR=6.718) as risk factors. In conclusion, it can be inferred that the risk factors associated with TB occurrence in stunted toddlers include nutritional status, close contact history, household density, ventilation, and natural lighting. The factors influencing TB occurrence in stunted toddlers are close contact history, household density, and nutritional status. Keywords: risk factor, stunted toddler, tuberculosis
The Relationship Between Personal Hygiene and The Prevalence of Tinea Unguium Infection Among Farmers in Jember District Mufida, Diana Chusna; Himma, Alyatul; Agustina, Dini; Armiyanti, Yunita; Sofiana, Kristianningrum Dian
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 18 No 1 (2024): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v18i1.7514

Abstract

Tinea unguium is an infection of the nail caused by dermatophyte fungi. Nails infected with the fungus will be discolored, thick, and brittle. Personal hygiene is one of the risk factors that can affect tinea unguium. This study aimed to determine the relationship of personal hygiene to the prevalence of tinea unguium infection in farmers in the Jember Regency. The benefits of research can be used as a source of information about the importance of maintaining personal hygiene to avoid fungal infections that cause tinea unguium. This study used an analytic observational method with a cross-sectional approach. This research was conducted from August to December 2023 in 10 districts of Jember Regency. The population in this study were all farmers in Jember Regency. The sample in this study was calculated by the Slovin formula and obtained from as many as 100 farmers who met the inclusion and exclusion criteria. Sampling using mixed methods sampling. The statistical analysis used is Cramer's V test α = 0.05. The results of this study show a significant relationship between personal hygiene and the prevalence of tinea unguium in farmers in Jember Regency with a p-value of 0.004 (0,004<0,05).
Analisis spasial infeksi Cryptosporidium spp. terhadap penggunaan sumber air bersih pada balita stunting di Kabupaten Jember Utami, Wiwien Sugih; Pangestu, Ahmad Yudho Hadi; Purwandhono, Azham; Maududie, Achmad; Armiyanti, Yunita; Hermansyah, Bagus
Majalah Geografi Indonesia Vol 38, No 2 (2024): Majalah Geografi Indonesia
Publisher : Fakultas Geografi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mgi.93422

Abstract

Abstrak. Cryptosporidium spp. adalah parasit intestinal yang secara global ditularkan melalui air (waterborne diseases), dengan banyak kejadian wabah di dunia yang dilaporkan terkait dengan sumber air konsumsi. Mayoritas penyakit ini tidak bergejala (asimptomatis) pada orang dewasa dengan rute penularan dari orang-ke-orang, hewan-ke-orang, melalui air dan makanan. Namun infeksi ini menyebabkan diare kronis hingga malnutrisi pada kelompok rentan yaitu balita dan merupakan faktor risiko terjadinya stunting.  Salah satu media transmisi Cryptosporidium spp. adalah air bersih yang dikonsumsi dan digunakan sehari-hari. Tujuan penelitian adalah untuk menganalisis risiko sumber air bersih yang digunakan sehari-hari terhadap infeksi Cryptosporidium spp. pada balita stunting secara spasial di Kabupaten Jember. Penelitian ini dilakukan pada populasi balita stunting di Kecamatan Kaliwates, Panti, Rambipuji dan Sukorambi Kabupaten Jember menggunakan desain cross sectional. Analisis spasial moran index dan nearest neigbor index (NNI) digunakan untuk mengetahui pola persebaran infeksi Cryptosporidium spp. terhadap suatu wilayah. Uji chi-square dilakukan untuk mengetahui hubungan faktor risiko sumber air  bersih  dengan infeksi Cryptosporidium spp. Hasil penelitian menunjukkan bahwa 18 dari 528 (3,41%) balita stunting diketahui terinfeksi Cryptosporidium spp. Nilai moran index menunjukkan adanya pola persebaran mengelompok (clustered) dengan autokorelasi positif di Kecamatan Sukorambi sedangkan daerah lainnya memiliki pola yang acak (random). Hasil NNI di Kecamatan Sukorambi menunjukkan pola yang acak, sedangkan 3 kecamatan lain menunjukkan pola menyebar (dispersed). Jenis sumber air bersih menunjukkan korelasi terhadap infeksi Cryptosporidium spp. Pola spasial infeksi Cryptosporidium spp. di Kecamatan Sukorambi dan korelasinya dengan jenis sumber air bersih ini menunjukkan bahwa pola infeksi ini cenderung mengelompok (clustered) karena penggunaan sumber air bersih yang sama pada penduduk di kecamatan ini yaitu sumber mata air alami yang digunakan bersama-sama seluruh warga, meskipun jarak antar penggunanya tidak berdekatan atau acak sesuai hasil NNI. Di 3 kecamatan lain, pola spasial cenderung menyebar (dispersed) karena penggunaan sumber air yang berbeda dan tidak digunakan secara bersama-sama. Kesimpulan, infeksi Cryptosporidium spp. cenderung meningkat pada sumber air bersih yang digunakan secara bersama-sama. Perlu edukasi pada kelompok masyarakat agar mengolah dulu air yang digunakan sebelum dikonsumsi untuk mengurangi risiko penyebarannya.Abstract. Cryptosporidium spp . are intestinal parasites that are transmitted worldwide by water(waterborne disease), with many of the reported outbreaks in the world associated with sources of drinking water. Most cases of the disease are asymptomatic in adults, and transmission is person-to-person, animal-to-person, waterborne, and foodborne. However, the infection causes chronic diarrhea and malnutrition in vulnerable children under the age of five and is a risk factor for stunting. One of the modes of transmission of Cryptosporidium spp . is through clean water, which is consumed and used daily. The study aimed to spatially analyze the risk of daily clean water sources on Cryptosporidium spp. infection among stunted children in Jember Regency. This study was conducted on a population of stunted young children in Kaliwates, Panti, Rambipuji and Sukorambi sub-districts of Jember Regency using a cross-sectional design. The Moran and NNI index were used to determine the distribution pattern of infection in a region. Chi-squared test was conducted to determine relationship between risk factors of clean water source and Cryptosporidium spp. It was found that 18 out of 528 (3.41%) stunted infants were known to have Cryptosporidium spp. infection. The Moran index value shows a clustered distribution pattern with positive autocorrelation in the Sukorambi sub-district, while the other areas show arandom pattern. The results of the NNI in Sukorambi sub-district show a random pattern, and 3 other sub-districts show adispersed pattern. The spatial pattern of Cryptosporidium spp . infection in Sukorambi subdistrict and its correlation with the type of clean water source shows that this infection pattern tends to cluster because the population in this subdistrict uses the same clean water source, natural springs, which are shared by all residents, although the distance between users is not close or random according to NNI results. In the other three sub-districts, the spatial pattern tends to be more dispersed due to the use of different water sources that are not shared. In summary, there is a tendency for the incidence of Cryptosporidium spp. to increase in shared water supplies. There is a need to educate community groups to treat the water they use prior to consumption in order to reduce the risk of its spread.Submitted: 2024-01-22  Revisions:  2024-09-11 Accepted: 2024-09-25 Published: 2024-09-25
Correlation of Intestinal Protozoa Infection with the Nutritional Status of Toddlers Aged 12–59 Months in Jember Regency, East Java, Indonesia Ardyansyah, Rizky Robeth; Armiyanti, Yunita; Astuti, Ida Srisurani Wiji; Hermansyah, Bagus; Utami, Wiwien Sugih; Sulistyaningsih, Erma
Althea Medical Journal Vol 11, No 2 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n2.3191

Abstract

Background: Intestinal protozoan infection is a problem faced by the global community at all ages. In toddlers, it can cause problems in the form of decreased nutritional status, which is often found in developing countries such as Indonesia. The purpose of this study was to determine the correlation between intestinal protozoa infection and the nutritional status of toddlers.Methods: An observational study with a cross-sectional approach was conducted in October–December 2022 on 45 children aged 12–59 months in Sucopangepok Village, Jelbuk District, Jember Regency, East Java, Indonesia using, consecutive sampling techniques and a total sample size. Nutritional Status was measured based on body weight to body length using the WHO Anthropometric Calculator. Stool examination used the direct smear method and modified Ziehl-Neelsen staining. Data was analyzed using the Cramer's V test. The p-value less than 0.05 was considered statistically significant.. Results: The incidence of wasted children was 15.6% and severely wasted was 2.2%. Intestinal protozoan infection had an incidence of 15.6%. The species detected were Giardia lamblia (6.7%), Cryptosporidium parvum (6.7%), and Blastocystis hominis (2.2%). Statistical analysis showed there was no correlation between intestinal protozoan infection and nutritional status (p= 0.441; r = 0.191).Conclusions: There is no correlation between intestinal protozoan infection and the nutritional status of toddlers. However, comprehensive collaboration between the government and the community needs to be improved, as well as healthy lifestyles for toddlers which also need to be encouraged to overcome nutritional problems in children under five  old and prevent intestinal protozoa infections.
Physical Water Quality and Intestinal Protozoa Contamination on Household Water in Ajung District, Jember Regency Dicky Setiawan; Wiwien Sugih Utami; Laksmi Indreswari; Yunita Armiyanti; Bagus Hermansyah
Jember Medical Journal Vol. 1 No. 1 (2022)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (640.261 KB) | DOI: 10.19184/jmj.v1i1.155

Abstract

Intestinal protozoa infections are still a major health problem in worldwide. The prevalence of intestinal protozoa infections are relatively high in countries facing lack of safe drinking water and lack of suitable sanitation facilities. Lack of sanitation facilities, open defecation, and contamination of environmental feces can make water quality worse, both in terms of physically, chemically, and biologically. Physical water quality is poor when the household water used daily does not meet the standard parameters of the physical water quality standard. The purpose of this study was to determine the relationship between physical water quality and intestinal protozoa contamination in household water in Ajung District, Jember Regency. This type of research is an observational analytic study with a cross sectional research design. The research method used is the correlation method, namely the relationship between physical water quality and intestinal protozoa contamination in household water. The population in this study is household water in Ajung District, Jember Regency. Data analysis consisted of univariate analysis to see the distribution and percentage of temperature, total dissolves solid, color, odor, and intestinal protozoa contamination in household water, and then bivariate analysis using the Chi-square test to analyze physical water quality and intestinal protozoa contamination. The conclusion is there is a relationship between physical water quality and intestinal protozoa contamination in household water.
PERBANDINGAN KONTAMINASI PROTOZOA USUS SUMUR GALI DENGAN SUMUR POMPA TANGAN BERDASARKAN KONDISI FISIK DI KECAMATAN JELBUK KABUPATEN JEMBER Syamsuddin, Alif Fazduani; Bagus Hermansyah; Jauhani, M. Afiful; Armiyanti, Yunita; Utami, Wiwien Sugih
Jurnal Kesehatan Vol 17 No 1 (2024): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v17i1.30977

Abstract

Diarrhea is still a significant problem for people around the world. Diarrhea, a water-borne disease, can be caused by one type of parasite, namely intestinal protozoa. Intestinal protozoa can contaminate water sanitation if their hygiene is not maintained properly. This study’s purpose was to comparison of protozoal intestinal contamination of dug wells with hand pump wells based on physical conditions in Jelbuk District, Jember Regency. This study is an observational analytic study with a cross-sectional design. This study used primary data on the physical condition of dug wells and hand pump wells. The sedimentation method obtained primary data on intestinal protozoa contamination by microscopic detection. This study obtained 36 well water samples consisting of 30 dug wells and 6 hand pump wells. Entamoeba histolytica found in 4 dug wells (11.1%) is the type of intestinal protozoa that contaminates. This study concludes that there is a difference in contamination between dug wells and hand-pumped wells because the intestinal protozoan type Entamoeba histolytica is only found in dug well, but statistically, there is no difference in contamination between dug wells and hand-pumped wells.
Stall Sanitation Associated with Cryptosporidium sp. Infection on Calf and Cattle Farmer Ramadhani, Rafindra; Nurdian, Yudha; Rachmawati, Dwita Aryadina; Utami, Wiwien Sugih; Armiyanti, Yunita; Hermansyah, Bagus; Rahardjo, Angga Mardro
Jurnal Medik Veteriner Vol. 5 No. 2 (2022): October
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jmv.vol5.iss2.2022.178-187

Abstract

Increasing the cattle population can increase the amount of the waste. Poor management of cage sanitation has the risk of causing a decrease in the health conditions of cattle farmers, such as: diarrhea, nausea, vomiting, and itching, as many as 50% of cattle with diarrhea are infected with Cryptosporidium sp. The highest infection of Cryptosporidium sp. in cattle found in calves. The calf can excrete 1í—1010 oocysts of Cryptosporidium sp. per day. Cryptosporidium sp. also has the potential to cause zoonotic infections that are transmitted from animals to humans. The study aims was to determine the relationship between stall sanitation and Cryptosporidium sp. to calf and cattle farmer. The type of this research was analytic observational with a cross sectional approach conducted in Jatian Village, Pakusari, Jember during October 2021 - March 2022. The primary data was obtained through interviews and observations. The feces of calves and cattle farmer were collected and examined using sedimentation method and modified Ziehl-Neelsen (MZN) staining method. The statistical test used is the chi-square test. The results showed that the prevalence of Cryptosporidium sp. in calves by 14,3% and on cattle farmer by 4,8%. The bivariate analysis showed that that stall location and waste handling were associated with Cryptosporidium for calf (p≤0.05), and there were no variables that were significantly related to infection in cattle farmers (p>0,05). Cryptosporidium sp. in calves and humans can be caused by several factors, such as environmental factors and hosts. Preventive measures such as maintaining a clean environment including cowshed sanitation and personal hygiene need to be taken to reduce the risk of Cryptosporidium infection from calves to humans, and vice versa.
Correlation between Sanitation of Cow Stalls on Flies Density and Cryptosporidium sp. Manifestations Drajad, Rahadinda Mutia Dhamar; Nurdian, Yudha; Astuti, Ida Srisurani Wiji; Utami, Wiwien Sugih; Armiyanti, Yunita; Hermansyah, Bagus
Jurnal Medik Veteriner Vol. 6 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jmv.vol6.iss1.2023.21-28

Abstract

The purpose of this study was to determine the correlation of stall sanitation on fly density and Cryptosporidium sp. presence on housefly. This study type was observational with a cross sectional approach in Jatian Village, Pakusari District, Jember Regency on December 2021 - February 2022. Data type was primary data that obtained using interview and observation. The correlation test that used was contingency coefficient test. The results showed that 77,5% of the stall had high fly density. Prevalence of Cryptosporidium sp. on housefly was 10%. Statistical analysis showed that cattle manure handling affected fly density (p≤0,05) with low correlation (r=0,384), meanwhile air vents affected Cryptosporidium sp. presence on housefly (p≤0,05) with low correlation (r=0,359). Farmers were suggested to keep the stall sanitation optimal to prevent Cryptosporidium transmission to humans.
Risk Factor Analysis of Cryptosporidium sp. Contamination in Dairy Cow Milk in Jember, Indonesia Sa'bani, Begawan; Hermansyah, Bagus; Sofiana, Kristianningrum Dian; Armiyanti, Yunita; Utami, Wiwien Sugih
Jurnal Medik Veteriner Vol. 7 No. 1 (2024): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jmv.vol7.iss1.2024.177-186

Abstract

This study aimed to determine the factors influencing Cryptosporidium sp. contamination in dairy cow milk in Jember. This study used an observational analytic design with a cross-sectional approach. The number of samples in this study was 30 cow farmers, using a purposive sampling technique. Data sources were obtained from questionnaire interviews, observation sheets, and laboratory examination results of milk samples. Data were then analyzed using univariate, bivariate, and multivariate analysis. Bivariate analysis used the Kruskal-Wallis comparison test, and multivariate analysis used the logistic regression test. The results showed Cryptosporidium sp. contamination in the milk of dairy cows by 6.7%. Most of the cow farmers in Jember had sufficient knowledge (40%), milking hygiene was categorized as sufficient (70%), and equipment sanitation was sufficient (66.7%). The statistical analysis showed no significant relationship between farmers' knowledge and equipment sanitation and Cryptosporidium sp. contamination (p > 0.05). There was a significant relationship between milk hygiene and Cryptosporidium sp. contamination in dairy cow milk in Jember (p < 0.05). In conclusion, milking hygiene was a risk factor affecting Cryptosporidium sp. contamination in dairy cow milk in Jember.
Increased Interleukin-4 in Farmers With Ascariasis in Rural Jember Rahmadhan, Adiz Dwiputra; Armiyanti, Yunita; Hermansyah, Bagus; Helianti, Dina; Nurdian, Yudha
Jurnal ILMU DASAR Vol 22 No 1 (2021)
Publisher : Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jid.v22i1.15921

Abstract

Ascaris lumbricoides is nematode which often infest human in the world. The infestation of A. lumbricoides in the human will trigger the formation of Th2 immune responses through increased interleukin-4 released by innate immune cells. Th2 immune response generates B lymphocyte cells to produce IgE antibodies to eliminate A. lumbricoides. Therefore, IL-4 is a marker of Th2 immune response. The purpose of this study was to determine the prevalence of ascariasis and an increase of IL-4 in planters infested with A. lumbricoides as a marker of Th2 immune response. Our study was observational analytic with cross sectional design. 230 planters who were willing to be involved in the study gave stool samples for the diagnosis of ascariasis. 20 people who were positive for ascariasis and 20 people who were negative selected randomly for blood plasma samples. IL-4 levels in blood plasma were measured using ELISA. Differences in IL4 levels between positive and negative ascariasis were analyzed by the Mann Whitney statistical test with p value ≤ 0.05. The prevalence of ascariasis among planters in rural area of Jember was 16,52% which was included low prevalence. Univariate analysis showed that the mean and median levels of IL-4 ascariasis were greater than those of healthy planters. Mann Whitney test results showed that there were differences in levels of IL-4 between ascariasis and healthy planters (p≤0.05). Increased levels of IL-4 in planters with ascariasis indicate that A. lumbricoides infection triggers the formation of Th2 immune response as a mechanism for eliminating A. lumbricoides. Keywords: Interleukin-4, A. lumbricoides, Th2 immune response.
Co-Authors Achmad Maududie Adinda Putri Yusri Amrina Adrial Adrial Ahmad Hasbi Al-Muzaky Ahmad Hasbi Al-Muzaky Ahmad, Shabrina Izzata Afiyati Ali Machrus Amrina, Adinda Putri Yusri Andriani, Made Prasanti Angga Mardro Raharjo Anisah Ardiana Anthia Ayu Nandira Ardyansyah, Rizky Robeth Aulya Rahmi Ayundasari, Asti Ayundasari, Asti Azham Purwandhono Aziz , Ayu Munawaroh Aziz, Ayu Munawaroh Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Brillian Adexa Yudinda Cholis Abrori, Cholis Cicih Komariyah Desi Dwi Cahyani Diana Chusna Mufida Dicky Setiawan Dina Helianti Dini Agustina Drajad, Rahadinda Mutia Dhamar Dwita Aryadina Rachmawati Edi Widjajanto Elly Nurus Sakinah Elvia Rahmi Marga Putri Enny Suswanti ENNY SUSWATI Eny Nurmaida Epafroditus Sanjaya Adiguna Erfan Efendi Erma Sulistyaningsih Erma Sulistyaningsih Evi Umayah Ulfa Febrianti, Zahrah Fitri, Nadya Eka Fitriyah, Ainun Nadiratul Ghaiska Najma Amnur Hanu Neda Septian Heni Fatmawati Hermansyah, Bagus Hidayat Teguh Wiyono Himma, Alyatul Ida Srisurani Wiji Astuti Ika Rahmawati Sutejo Imtiyaz, Andi Hilman Irawan Fajar Kusuma Ivan Iqbal Baidowi Jauhani, M. Afiful Kartika Senjarini Kholifaturrohmah, Sakinatus Sariroh Kholifaturrohmy, Muhammad Rizqi Komang Yunita Wiryaning Putri Kristianningrum Dian Sofiana Laily Nurhayati Laksmi Indreswari Leersia Yusi Ratnawati Loeki Enggar Fitri M. Ali Shodikin Mash’ab Zirrun Al-Qomah Mei Diastutik, Vike Mirawati Moh Mirza Nuryady, Moh Mirza Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Alif Taryafi Nabil Athoillah Nabila Putri Anissa Nanda Nuramna Nidya Husna Kholidah Nihayah Lukman Nisrina Salsabila Firmansyah Nita Alfianti Nizar Fiska Bayu Agustian Nuri Nurmaida, Eny Nurmaida, Eny Nurus Saffana Yulianto Pangestu, Ahmad Yudho Hadi Primadana, Aditya Rachmawati, Dwita Aryadina Rahardi, Verdian Rahardjo, Angga Mardro Rahmadhan, Adiz Dwiputra Rahmawati, Iis Rahmi, Aulya Ramadanti, Novi Awalia Ramadhani, Rafindra Ratnawati, Leersia Yusi Rezza Putri Mahartika Rini Riyanti Risyanto, Chusnul Aulia Arisny Putri Rohmah, Etik Ainun Rosita Dewi Sa'bani, Begawan Saiful Akhyar Lubis Salsabilla, Safira Putri Nur Saputra, Antonius Dwi Sheilla Rachmania, Sheilla Sugeng Setyo Utomo, Sugeng Setyo Sulistyaningsih, Erma Syamsuddin, Alif Fazduani Teguh Wahju Sardjono Teguh Wahju Sardjono Tohari, Achmad Ilham Widhiasari Normaningtyas Wiwien Sugih Utami Wulandari, Lindi Priyantika Tri Yoga Setyo Yudha Nurdian Yudha Nurdian Yudi Wicaksono Zahrah Febianti Zulaikha Rizqina Rahmawati