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Five Years Study of Recurrent Febrile Seizure Risk Factors Indriani, Ausi; Risan, Nelly Amalia; Nurhayati, Titing
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.519 KB) | DOI: 10.15850/amj.v4n2.1086

Abstract

Background: Nearly one-third of febrile seizure patients suffered recurrent febrile seizures.  Several risk factors contribute to this recurrence, namely young age, family history of febrile seizures, low body temperature and rapid duration of fever before onset of seizures. Recently, the types of seizure and gender have been stated increasing risk of this recurrence. The objectives of this study was to identify the  risk factors of recurrent febrile seizures.Methods: A descriptive study was carried out by retrieving data from inpatient medical records during the period of January 1st, 2009 to December 31st, 2013 at one of the top referral hospitals in West Java, Indonesia.  Variables of this study were the first febrile seizure age, gender, type of febrile seizure, a family history of febrile seizure, a family history of epilepsy, body temperature when febrile seizure occurred and duration of fever before onset of seizure. The collected data were tabulated by frequency and percentage and displayed in tables.Results: Out of 154 patients with febrile seizures 58 suffered recurrent febrile seizures. Forty three percent had a first febrile seizure at the age of under12 months, 72% were male, 46% had fever less than 24 hours before the onset of seizure, 65% had complex febrile seizures, 28% had positive family history of febrile seizures, and 5% had positive family history of epilepsy. Conclusions: The risk factors for recurrent febrile seizures are young age, male, rapid duration of fever before onset of seizure and complex febrile seizure. DOI: 10.15850/amj.v4n2.1086
Correlation between Mid Upper Arm Muscle Area/Size and Muscle Strength Bin, Tan Yong; Vitriana, Vitriana; Nurhayati, Titing
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.069 KB)

Abstract

Background: Muscle area/size reflects the true magnitude of muscle tissue changes. Muscle strength is an active tension generated by muscle that depends on its capacity to exert force on an object. The relation between the quantity of muscle area and the amount of muscle strength is suggested. The aim of this study was to analyze the correlation between mid-upper arm muscle area/size and muscular strength.Methods: This analytic study with ten subjects (medical students) who met the inclusion and exclusion criteriawas conducted at the Faculty of Medicine Universitas Padjadjaran in Jatinangor campus from 22th of April to 1st of November 2014. A skinfold calliper was used to measure triceps skinfold while a measuring tape measured the mid-upper arm circumference and a dynamometer measured the muscle strength. A formula was used to determine the mid-upper arm muscle area/size using mid-upper arm circumference and triceps skinfold. The collected data were analyzed statistically using correlation test and simple linear regression.Results: There was a strong correlation between mid-upper arm muscle area/size and muscular strength (correlation cooefficient 0.746). Moreover, the higher the Body Mass Index, the stronger the muscle strength was to some point. If the BMI was more than 25 kg/m2, this findings did not occurred.Conclusions: There is a strong positive correlation between mid-upper arm muscle area/size and arm muscle strength. [AMJ.2016;3(4):590–5]
Improvement of Near Vision for Low Vision Patients in National Eye Healthcare Center Cicendo Eye Hospital 2010-2011 Enoch, Muhammadnur Rachim; Musa, Ine Renata; Nurhayati, Titing
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.276 KB)

Abstract

Background: “Low vision” is a term used refer to a person having a visual acuity of less than 6/18 (20/60) to light perception (LP). People with low vision can still be treated to perceive or see objects, although several limitations occur.  Treatments for people with low vision include either optical or non-optical devices. This research aims to reveal visual acuity for near vision that can serve as corrective benchmark after devices for near vision are given.Methods: This is a retrospective descriptive research, using medical records from  the National Eye Healthcare Center, Cicendo Eye Hospital, for the period of August 2010–September 2011 as the subject of the research. Approximately 475 patients were listed, 263  female and 212  male. The number of  patients with low vision given with corrective device for near vision were 81 patients.Results: The result showed that visual acuity was corrected after corrective devices  for near vision with the size of 1–10 M were given.Conclusions: The highest of overall corrections or improvements for near vision are  the one under the category of “severe visual impairment”.Key words: low vision, optical devices, visual acuity  Peningkatan Penglihatan Jarak Dekat Pada Penderita“ Low Vision” di RS Mata Nasional Cicendo 2010–2011 LatarBelakang: "Low vision" adalah istilah yang mengacu pada seseorang yang memiliki ketajaman visual kurang dari 6/18 (20/60) dengan persepsi cahaya. Orang dengan low vision masih dapat diobati untuk melihat benda meskipun dengan berbagai keterbatasan. Pengobatan terhadap penderita low vision meliputi perangkat optik atau non-optik.. Penelitian ini bertujuan untuk menggambarkan ketajaman visual penglihatan dekat yang dapat berfungsi sebagai pedoman perbaikan setelah perangkat diberikan.Metode: Penelitian ini merupakan penelitian deskriptif retrospektif dengan menggunakan rekam medis dari Pusat Mata Nasional Kesehatan, RS Mata Cicendo, periode Agustus 2010–September 2011 sebagai subjek penelitian. Sekitar 475 pasien yang terdaftar terdiri atas 263 perempuan dan 212 laki-laki, 81 diantaranya diberikan perangkat korektif untuk penglihatan dekat.Hasil: Ketajaman visual dapat diperbaiki setelah dilakukan pemberian perangkat korektif untuk penglihatan jarak dekat dengan ukuran 1–10 M.Simpulan: Peningkatan penglihatan jarak dekat terbaik adalah pada kelompok low vision yang termasuk kategori “gangguan penglihatan berat”.Kata kunci: low vision, perangkat optik, ketajaman visual DOI: 10.15850/amj.v1n2.355
Characteristics of Patient with Benign Paroxysmal Positional Vertigo in Dr. Hasan Sadikin General Hospital Bandung from 2009‒2013 Kirana, Intan Datya; Dewi, Yussy Afriani; Nurhayati, Titing
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.48 KB)

Abstract

Background: Benign Paroxysmal Positional Vertigo (BPPV) is a vestibular disorder marked by episodes of vertigo and triggered by a change in the head position. It is characterized by short yet severe episodes of vertigo and possibly accompanied by nausea and vomiting. The BPPV is usually idiopathic and foundamong people aged 46‒50 years old. There are pharmacological and non pharmacological treatment used for BPPV. Non-pharmacological treatment includes Epley, Semont, Lempert, Forced Prolonged Position, andBrandt-Daroff maneuvers and pharmacological onebenzodiazepine and antihistamines. This study aimed to examine the characteristics of patient with BPPV based on their complaint and prescribed treatment.Methods: This was a descriptive-retrospective study conducted on April–June 2014 using secondary data from medical records of patient with BPPV in Dr. Hasan Sadikin General Hospital Bandung from 2009‒2013. The variables include gender, age, occupation, accompanying disease, complaints, supporting examinations, and treatment.Results: There were 74 subjects; 66.22% were female and 33.78% were male. Most of patients with BPPV aged around 41‒50 years old (39.19%). Furthermore, 93.24% had a major complaint of headache and spinning sensation, and >60% nausea and vomiting. The most prescribed therapy was Betahistine (86.49%). Meanwhile, a maneuver of non-pharmacological treatment was rarely done (8.11%).Conclusions: The BPPV occurs more in older women. The major complaint is headache and spinning sensation affected by the head position and accompanied by nausea and vomiting. Lastly, non-pharmacological treatment is rarely performed in handling patient with BPPV. [AMJ.2016;3(2):275–9]DOI: 10.15850/amj.v3n2.800
Pengetahuan dan Sikap Tenaga Kesehatan Terhadap Pengelolaan Limbah Medis Padat pada Salah Satu Rumah Sakit di Kota Bandung Maharani, Annisa Fitri; Afriandi, Irvan; Nurhayati, Titing
Jurnal Sistem Kesehatan Vol 3, No 2 (2017): Volume 3 Nomor 2 Desember 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.291 KB) | DOI: 10.24198/jsk.v3i2.15008

Abstract

Limbah medis padat memiliki risiko terhadap kesehatan seperti penularan penyakit. Tenaga kesehatan di rumah sakit rentan terhadap risiko pengelolaan limbah medis. Penelitian ini bertujuan untuk mengetahui gambaran dan hubungan pengetahuan dan sikap tenaga kesehatan terhadap pengelolaan limbah medis padat. Penelitian ini merupakan observasional komparatif yang dilakukan pada tenaga kesehatan di salah satu RSKIA Kota Bandung pada bulan Agustus 2016. Metode penelitian adalah cross-sectional dengan metode sampling propotional random sampling. Jumlah sampel sebanyak 159 responden. Terdapat 56,6% tenaga kesehatan yang memiliki pengetahuan baik, 25,8% sedang dan 17,6% memiliki pengetahuan kurang. Diketahui pula 82,4% tenaga kesehatan memiliki sikap yang baik dan 17,6% sikap kurang baik terhadap pengelolaan limbah medis padat. Hubungan antara pengetahuan pengelolaan limbah medis padat dengan tenaga kesehatan dokter dan non dokter (p < 0,001) sedangkan sikap pengelolaan limbah medis padat tidak memiliki hubungan dengan tenaga kesehatan dokter dan non dokter (p = 0,300). Dokter memiliki pengetahuan dan sikap terhadap pengelolaan limbah medis padat lebih baik dibandingkan non dokter. Terdapat hubungan antara pengetahuan pengelolaan limbah medis padat dengan tenaga kesehatan tetapi tidak terdapat hubungan antara sikap terhadap pengelolaan limbah medis padat dengan tenaga kesehatan.Kata Kunci: Limbah medis padat, pengelolaan, pengetahuan, sikap
The Profile of Dietary Patterns and Physical Activity in Preventing Metabolic Syndrome Khairani, Astrid Feinisa; Nurhasanah, Nurhasanah; Rahman, Putri Halleyana A; Septrina, Rani; Nurhayati, Titing; Luftimas, Dimas Erlangga; Usman, Hermin Aminah; Bashari, Muhammad Hasan; Laraswita, Sarah; Labibah, Salma Nur; Nadiah, Zahra; Apriliani, Ardhia Rizki; Nugraha, Marwan Agung; Khafifah, Dinda Salsa; Anjani, Gebby Reviana; Meinarni, Retno; Mustika, Rika; Ramdhani, Muhammad Farid
JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA Vol 4, No 1 (2019): Promote a More Active and Healthier lifestyle Through Physical Education
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (758.058 KB) | DOI: 10.17509/jpjo.v4i1.15069

Abstract

Indonesia merupakan negara yang mengalami kenaikan kejadian obesitas, hipertensi dan diabetes setiap tahunnya. Keadaan ini membuat meningkatnya prevalensi sindrom metabolik. Sindrom metabolik adalah kombinasi dari sejumlah kondisi, yaitu hipertensi, hiperglikemia, hiperkolesterolemia, hipertrigliserida dan peningkatan ukuran lingkar perut. Asupan energi dan pola makan yang berlebihan, peningkatan kejadian obesitas, aktivitas fisik sedentari dan riwayat risiko penyakit menjadi faktor resiko sejumlah kondisi penyebab terjadinya sindom metabolik. Kabupaten Pangandaran merupakan salah satu daerah pesisir pantai di Provinsi Jawa Barat yang secara demografis dimungkinkan tingginya konsumsi garam yang dapat memicu hipertensi. Pola makan dan aktivitas fisik yang tidak baik bagi kesehatan serta rendahnya tingkat pengetahuan dan kesadaran tentang bahaya sindrom metabolik memengaruhi jumlah kejadian sindrom metabolik. Pengabdian masyarakat ini dilakukan sebagai upaya preventif melalui pengisian kuisioner untuk mengetahui pola makan dan aktivitas fisik masyarakat kecamatan Cijulang Kabupaten Pangandaran serta pengukuran lingkar perut untuk mengetahui prevalensi resiko terjadinya sindrom metabolik. Dari 544 responden rata-rata berusia 30 tahun, 129 orang mempunyai lingkar perut yang tidak normal, 47% mengkonsumsi manis setiap hari 32% mengkonsumsi asin setiap hari dan 56% tidak olahraga setiap hari.
Aktivitas Fisik yang Tinggi Dapat Mengatasi Obesitas Sentral Nurhayati, Titing; Halleyana, Putri; Feinisa, Astrid
JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA Vol 3, No 2 (2018): Empowering all student to active live and healthy through physical education
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (646.99 KB) | DOI: 10.17509/jpjo.v3i2.12640

Abstract

The As a developing country with various backgrounds, Indonesia is facing a double burden malnutrition problem, underweight and overweight, in all range of age. Besides focusing on malnutrition as one of unfinished business of the MDGs,  overweight or well-known as obesity is one of the risk factors of chronic diseases such as Diabetes and  Hypertension  which mentioned in Sustainable Development Goals (SDGs). One of the causes of obesity is the unbalance between diet and physical activity. Obesity can be classified based on body mass index, waist circumference, and the ratio of waist/hip circumference.  Waist circumference is needed to classify central obesity.  The aim of this study was to determine the correlation between physical activity and waist circumference. This study was performed using crossectional design towards resident of Cijulang sub-district of Pangandaran, West Java. Data were obtained using a GPAQ and additional questionnaire by interview method. The result of the analysis of the data using the gamma test indicated that there is a significant correlation between physical activity and waist circumference (p0   ,0001) with a moderate correlation coeffi cient (r=0,444). This suggests that h igher physical activity was significantly associated with normal waist circumference (80 cm female and 90 cm male).  AbstrakSebagai negara berkembang dengan latar belakang penduduk yang  sangat beragam, Indonesia menghadapi tantangan double burden of   nutrition yaitu permasalahan underweight dan overweight pada hampir semua usia. Selain perlu terus memberikan perhatian yang memadai terhadap penanganan isu kekurangan gizi (malnutrition) yang juga merupakan salah satu unfinished business of the MDGs, overweight atau lebih sering dikenal dengan obesitas merupakan faktor resiko penyakit kronis seperti diabetes dan hipertensi. termasuk di dalam kerangka pembicaraan Sustainable Development Goals (SDGs). Salah satu penyebab obesitas adalah tidak seimbangnya asupan makanan dengan aktivitas fisik.  Obesitas dapat diklasifikasikan berdasarkan index masa tubuh, lingkar pinggang, dan rasio lingkar pinggang/pinggul. Khususnya untuk obesitas sentral dibutuhkan pengukuran lingkar pinggang. Tujuan dari penelitian ini adalah untuk melihat hubungan antara tingkat aktivitas fisik dengan lingkar pinggang. Penelitian ini menggunakan desain penelitian potong lintang pada masyarakat Kecamatan Cijulang Pangandaran Jawa Barat. Data diperoleh menggunakan kuisoner GPAQ dan tambahan lain dengan metode wawancara. Hasil analisis korelasi menggunakan uji gamma antara aktivitas fisik dengan lingkar pinggang menunjukan nilai signifikan (p 0.0001) dengan nilai korelasi (r=0,444) sedang. Sehingga dapat disimpulkan bahwa tingginya tingkat aktivitas fisik berbanding lurus dengan lingkar pinggang normal (80cm pada wanita dan 90cm pada pria). 
Effects of Moringa Leaf Extract and Moderate Intensity Exercise on Histopathological Appearance and Autophagy Gene Expression Gunadi, Julia Windi; Jatnika, Danti Dja; Astrid, Stephanie; Lucretia, Teresa; Ray, Hamidie Ronald Daniel; Goenawan, Hanna; Tarawan, Vita Murniati; Nurhayati, Titing; Lesmana, Ronny
JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA Vol 6, No 1 (2021): Opportunities from The Sport and Health Education to Improve Quality of Life
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.012 KB) | DOI: 10.17509/jpjo.v6i1.30149

Abstract

The prevention of liver disease could be conducted through preventive strategies, such as antioxidants and exercise. Moringa leaf extract has substances that could act as antioxidant, while exercise is also known protecting the liver from disease by changing hepatic metabolism and autophagy. This study aimed to investigate the effect of moringa leaf extract and moderate intensity exercise on histopathological appearance and autophagy gene expression of wistar rat liver. The method used in this study was animal experiment using 24 male wistar rats divided into 4 groups, including control group, moringa group, exercise group, and moringa + exercise group. Moringa leaf extract was given in low dose (5.7 mg/kgW) per oral, 5 times a week, for 4 weeks. Meanwhile, the 20 m/minute treadmill exercise was given for 30 minutes per day, 5 times a week, for 4 weeks. Results showed a significant change on histopathological scoring in exercise group (p=0.011) compared to control group. Increased autophagy gene expression was found in moringa + exercise group compared to control group (LC3 0.90 fold; p62 0.87 fold). In summary, this study presented that moderate intensity exercise induced changes on histopathological appearance of wistar rat liver that might be associated with physiological inflammation. Moringa, with its antioxidant properties, combined with increased autophagy might improve histopathological changes in moringa + exercise group.
Comparison of Gastrocnemius Muscle Strength between Basketballs and Non-basketball Player Titing Nurhayati; Sharmili Mohanan; Marietta Shanti Prananta
Althea Medical Journal Vol 6, No 4 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v6n4.1724

Abstract

Background: Basketball is one of the best aerobic-predominant exercises and the most important muscle used in this sport is the gastrocnemius muscle. This muscle plantar flexes the ankle when the knee is extended to maintain the balance and to stabilize the body during vigorous movements. Furthermore, the gluteus, quadriceps, hamstrings, and calves may get activated when running up and down the court and jump in the air when doing basketball training. This study was conducted to compare the gastrocnemius muscle strength in basketball and non-basketball players.Methods: This analytical study was to measure the gastrocnemius muscle strength in basketball (n=16) and non-basketball (n=16) players, using hand-held dynamometer (HHD). Gender, weight, height, Body Mass Index (BMI) and maximal gastrocnemius muscle strength were recorded and compared between groups. The study was conducted from August to October 2013 in the Faculty of Medicine, Universitas Padjadjaran.Results: The maximal gastrocnemius muscle strength showed no significant differences both in basketball and non-basketball players for females and males with p-value 0.092 and 0.711, respectively.Conclusions: There is no significant difference in gastrocnemius muscle strength between basketball and non-basketball players in males as well as in females. Presumably, there are other muscles that take parts to develop leg power by doing the right weight-training exercises.
Improvement of Near Vision for Low Vision Patients in National Eye Healthcare Center Cicendo Eye Hospital 2010-2011 Muhammadnur Rachim Enoch; Ine Renata Musa; Titing Nurhayati
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.276 KB)

Abstract

Background: “Low vision” is a term used refer to a person having a visual acuity of less than 6/18 (20/60) to light perception (LP). People with low vision can still be treated to perceive or see objects, although several limitations occur.  Treatments for people with low vision include either optical or non-optical devices. This research aims to reveal visual acuity for near vision that can serve as corrective benchmark after devices for near vision are given.Methods: This is a retrospective descriptive research, using medical records from  the National Eye Healthcare Center, Cicendo Eye Hospital, for the period of August 2010–September 2011 as the subject of the research. Approximately 475 patients were listed, 263  female and 212  male. The number of  patients with low vision given with corrective device for near vision were 81 patients.Results: The result showed that visual acuity was corrected after corrective devices  for near vision with the size of 1–10 M were given.Conclusions: The highest of overall corrections or improvements for near vision are  the one under the category of “severe visual impairment”.Key words: low vision, optical devices, visual acuity  Peningkatan Penglihatan Jarak Dekat Pada Penderita“ Low Vision” di RS Mata Nasional Cicendo 2010–2011 LatarBelakang: "Low vision" adalah istilah yang mengacu pada seseorang yang memiliki ketajaman visual kurang dari 6/18 (20/60) dengan persepsi cahaya. Orang dengan low vision masih dapat diobati untuk melihat benda meskipun dengan berbagai keterbatasan. Pengobatan terhadap penderita low vision meliputi perangkat optik atau non-optik.. Penelitian ini bertujuan untuk menggambarkan ketajaman visual penglihatan dekat yang dapat berfungsi sebagai pedoman perbaikan setelah perangkat diberikan.Metode: Penelitian ini merupakan penelitian deskriptif retrospektif dengan menggunakan rekam medis dari Pusat Mata Nasional Kesehatan, RS Mata Cicendo, periode Agustus 2010–September 2011 sebagai subjek penelitian. Sekitar 475 pasien yang terdaftar terdiri atas 263 perempuan dan 212 laki-laki, 81 diantaranya diberikan perangkat korektif untuk penglihatan dekat.Hasil: Ketajaman visual dapat diperbaiki setelah dilakukan pemberian perangkat korektif untuk penglihatan jarak dekat dengan ukuran 1–10 M.Simpulan: Peningkatan penglihatan jarak dekat terbaik adalah pada kelompok low vision yang termasuk kategori “gangguan penglihatan berat”.Kata kunci: low vision, perangkat optik, ketajaman visual DOI: 10.15850/amj.v1n2.355
Co-Authors . SETIAWAN Achadiyani Achadiyani Adjat Setiadjati Rasjad Aliva Tamara Adelaine Ambrosius Purba Ambrosius Purba Anjani, Gebby Reviana Annisa Fitri Maharani Apriliani, Ardhia Rizki Arima Kurnia Sari Dewi Nurcahyani Astrid Feinisa Khairani Astrid, Stephanie Atika Hana Ilyasa Ausi Indriani Bashari, Muhammad Hasan Bela Ita Karina Bin, Tan Yong Defi Ardia Pramesti Dian M Sari Dian M Sari Dika Widia Nur Azizah Dimas Erlangga Luftimas Dimas Erlangga Luftimas Dwi Andini Faisal Faisal Feinisa, Astrid Gaga Irawan Nugraha Gunadi, Julia Windi Hafiz Aziz Halleyana, Putri Hanna Goenawan Hermin Aminah Usman Indriani, Ausi Ine Renata Musa Intan Datya Kirana Irvan Afriandi Irvan Afriandi Jatnika, Danti Dja Julia Windi Gunadi Karima Akhlaqunnisa Khafifah, Dinda Salsa Kirana, Intan Datya Labibah, Salma Nur Lala Yuliani Laraswita, Sarah Leva B Akbar Lola Ilona Lolinhandary, Karen Maharani, Annisa Fitri Marietta Shanti Prananta Meinarni, Retno Muhammad Naseh Sajadi Muhammad Rafi Muhammadnur Rachim Enoch Muhammadnur Rachim Enoch Nadiah, Zahra Nadifah Diana Zalia Naura Mardhiyah Nelly Amalia Risan Nelly Amalia Risan, Nelly Amalia Nova Sylviana Nugraha, Marwan Agung Nurhasanah Nurhasanah Nurunnisa Sholeha Letto Panji Fortuna Hadisoemarto Putri Halleyana Putri Tessa Radhiyanti Raden Andri Primadhi Rahman, Putri Halleyana A Ramdhani, Muhammad Farid Rani Septriana Rani Septrina Ray, Hamidie Ronald Daniel Reni Farenia Rika Mustika Risqi Dwi Putra Ronny Lesmana Setiawan Setiawan Shadrina Affifa Azzahra Sharmili Mohanan Siti Nur Fatimah Tan Yong Bin Teresa Lucretia, Teresa Vani S Mohani Vita Murniati Tarawan Vita Murniati Tarawan Vita Murniati Tarawan Lubis Vitriana Vitriana Vitriana Vitriana Yuni Susanti Pratiwi Yussy Afriani Dewi Yussy Afriani Dewi