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The Effect of Personality Traits and Stress on Life Satisfaction in Medical Student of Sebelas Maret University Kusprasetyo, Wahyu Tri; ., Maryani; Probandari, Ari Natalia
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 1 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Higher life satisfaction in medical students produce health services were better in the future. One of the determining factors in life satisfaction is a personality traits. Extrovert and introvert personality can be used as consideration in choosing a policy approach to the education system in favor of life satisfaction. Also, stress in the medical education is very common. The high stress causes a decrease in academic performance and life satisfaction. The level of life satisfaction is one indicator of success in an educational institution. This study aimed to determine the effect of personality type and stress to the level of life satisfaction FK UNS Physician Education students. Methods: This research was using descriptive analytic cross-sectional approach. The study was conducted at the Faculty of Medicine UNS. Respondents were students FK UNS from 2013 to 2015. A sample of 260 students selected using stratified random sampling based on year entrance and selected according to the student identification numbers. Measuring instruments were Perceived Stress Scale (PSS), Eysenck Personality Inventory (EPI) and the Satisfaction With Life Scale (SWLS). Students were gathered in a room then got explanation and welcomed to fill out the questionnaire independently. Furthermore, the data was performed normality test and then analyzed by Pearson correlation test, followed by multiple linear regression analysis (α = 0,05). Results: Pearson correlation test results (0.139) show there is a very weak positive correlation between extrovert personality traits with a level of life satisfaction (p = 0.025). While there is a strong (-0.656) negative relationship between stress and the life satisfaction (p < 0.00). There is no multicollinearity relationship between these variables. Conclusions: Stress has a strong negative correlation to life satisfaction after personality trait’s variable has been controlled Keywords: Stress, Personality Traits, Life Satisfaction, Medical Education
The Difference in Junior Doctors Knowledge of Patient Safety Based on Experiences of Operative Stations at Medical Faculty of Universitas Sebelas Maret. Mini Thesis,Faculty of Medicine, Sebelas Maret University, Surakarta Novarianto, Justinus Kurniabudhi; Probandari, Ari Natalia; Moelyo, Annang Giri
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 2 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Medical students are the key of the future of patient safety culture, yet it development still focused on the staff level, administratives, and other medical professionals. The patient safety system is designed for more efficient and easier recording of errors, to prevent and mitigate the risks and errors of medical procedure.  Surgical procedure are one of the riskiest medical procedure. The experience in surgical stations might increase the junior doctors knowledge on patient safety. This research aimed to study the difference in junior doctors knowledge on patient safety based on the experience in surgical stations. Methods: This research used an analytical observational approach with cross sectional design. The study was conducted in RSUD Dr. Moewardi Surakarta on October 2015. The subject of this research are junior doctors in RSUD Dr. Moewardi Surakarta who met the inclusion and exclusion criterias determined by the researcher. Sampling technique used in this study was the total sampling method. The total sample of the study were 226 junior doctors. Data collected from the questionnaire on knowledge of patient safety filled by the samples, the questionnaire has gone through validation and reliability testing phase. Collected data was then analyzed with independent t-test and multivariate linear regression test. Results: The result of independent t-test showed that there was statistically insignificant relationship between the experience of operative stations and the knowledge on patient safety (p=>0,102). The result of multivariate linear regression test showed that there was difference in the quesionnary score between the junior doctors that have went through operative stations and those who have not, with the decrease of 0,787 points on samples questionary score with more experience on operative stations, even though it was not statistically significant (p=0,525). Conclusions: The level of knowledge regarding patient safety of junior doctors with more operative station experiences are not higher compared to those with fewer operative station experiences. Keywords: patient safety, junior doctor. clerkship, patient safety education, medical education
The Interprofessional Education (IPE): The Community Outcomes of Health Services within Collaboration Practices in Faculty of Medicine Sebelas Maret University Toman, Kevin Pieter; Probandari, Ari Natalia; Randita, Amandha Boy Timor
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 2 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Interprofessional Education (IPE) is a collaborative practice with two or more health professions that each studying the role of each health profession to improve collaboration and quality of health care. This study aimed to determine the outcomes of interprofessional approach, medical and midwifery students, based on the public perception of the health services using community-based IPE learning method. Methods: This study was a qualitative research, conducted in Puskesmas Sangkrah in January 2016. The subject of the research were patients and their families who received medical care in Faculty of Medicine Sebelas Maret University IPE program in December 2015. The sampling technique was purposive sampling with typical type of sample. The data was taken by using the in-depth interview on the subject with the amount of data retrieval determined by saturation data. The research instrument is the researcher himself. Interview guidelines referring to instruments Attitudes Toward Health Care Teams (ATHCT) Scale were translated and modified. Data were analyzed using thematic content analysis. Results: The outcomes of health services by interprofessional education learning method in faculty of medicine sebelas maret university, it was obtained the category of comprehensive of care, continuity of care, communication between team and patient, and team collaboration. Conclusions: The community founds the outcome of health services with interprofessional education is good. Through public perception, we obtained two perceptions of interprofessional education, it was found that good health care can be obtained through the implementation of a good IPE by implementing patient-centered care and good communication among the health care team with the patients and their families, and also among members in the healthcare team.Keywords: community, interprofessional education (IPE), outcome   
Student Perceptions towards Supporting Learning Factors in Skills Lab Fawzia, Farha Naily; Probandari, Ari Natalia; Suyatmi, .
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Clinical skills competence is one of areas of competence to be achieved by graduate of medical education institutions. As an effort to achieve clinical skills competency for the students, Medical Faculty of Universitas Sebelas Maret (UNS) establishs Skills Lab. In learning clinical skills, there are various components that can support learning. Therefore this study aimed to explore students’ perceptions of the supporting learning factors in the Skills Lab. Methods: This study was a qualitative research which conducted in Medical Faculty of Universitas Sebelas Maret on October-November 2016. The study participants were the second year, third year, and fourth year students of Medical Faculty of Sebelas Maret University. The method of collecting data was by focus group discussion (FGD) and in-depth interview. The data was analyzed by content anaylis. Data validation using triangulation method, peer debriefing, and member checking. Result: There are various factors influencing on learning in Skills Lab. Several factors were found in this study was instructor, curriculum, students, modules, infrastructure, and system in Skills Lab. According to student, an instructor must have a good character, good communication and interpersonal skills, competence in science, and have the appropriate skills and methods in teaching. In supporting learning, Skills Lab and blocks curriculum should be integrated and aligned. In addition, curriculum also has to be up to date with the development of the medical world. Students themselves have an influence in creating an effective learning. Students ideally should have motivation, adequate prior knowledge, and the attitudes and behavior in both the teaching and learning activities. Modules as well as infrastructure in the Skills Lab also act as a support when such facilities are available and adequate. System in Skills Lab is equally important. Various supporting activities such as monitoring-evaluation activities, and training of instructors need to be improved. Conclusion: In the perspective of a student, there are various factors that influence learning, including the instructors, curriculum, students, modules, infrastructure, and system in the Skills Lab. Keywords: supporting learning factors, Skills Lab, skills learning 
Competency Achievement of Community Medicine at Tutorial Discussion, Analysis Congruence Faculty Learning Objective and Achieved Learning Objective Pratama, Henry Aldezzia; Probandari, Ari Natalia; Timor Randita, Amandha Boy
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The high rate of remediation at Community Medicine Block still occur in Medical School Universitas Sebelas Maret, which has the vision and mission of producing graduates who are community oriented. On the block, the learning activities in the form of tutorial discussions, lectures support, skills lab, and field lab. Tutorial discussions can be considered as a core in the model of Problem Based Learning (PBL). In the tutorial discussions, students will look for their own learning goals, known as the Achieved Learning Outcome (ALO), while the faculty to design Faculty Learning Objective (FLO) is expected to achieve student. This study aims to determine the description of the achievement of community medical competence with the analysis FLO and ALO congruence in tutorial process. Methods: This research is descriptive qualitative research. This research was conducted at the Faculty of Medicine, Universitas Sebelas Maret Surakarta in September-November 2016. This study used a total sampling on report tutorial of the 2nd scenario of Community Medicine, as many as 20 reports. Data were collected through Examining records (checking of documents). Data analysis was performed through discourse analysis. Result: Researchers obtained 15 statements tutorial, with 11 reports softfile and 4 reports hardfile. The congruence of FLO and ALO varied on each FLO. Two FLO achieved 100% by a group tutorial, whereas in other FLO, there is group with ALO only partially met by FLO. There is 1 FLO majority is not reached. ALO about family physicians appear on the 12 of report which actually not listed in FLO. Conclusion: The achievement of FLO varies in each FLO, with also found ALO incongruent with FLO in the majority of the group tutorials. Further research on the factors that influence the achievement of FLO and other aspects of learning in the block needs to be done to determine competency achievement. Evaluation should always be done either on the side of the scenario, tutors, and students for achievement of learning objectives tutorial. Keywords: ALO, FLO, congruence, tutorial, competency
Service Quality from Patient’s Perspective between Normal Delivery and Cesarean Section Purbayanto, Yassin Oki; Probandari, Ari Natalia; Afifah, Zulaika Nur
Nexus Kedokteran Komunitas Vol 6, No 1 (2017): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: The differences of indication, procedures, and post delivered care between normal delivery and cesarean section are estimated to make a difference in service quality from patients perspective. This study aimed to compare service quality from patient’s perspective on normal delivery and cesarean section in PKU Muhammadiyah Surakarta Hospital. Method: This research used an observational analytic study with cross sectional approach. Minimum respondents amount (n=100) were calculated based on Cohen, Manion, and Morrison table. Respondents were recruited from Annisa ward in PKU Muhammadiyah Surakarta Hospital and only 97 respondents were participated and appropriated with restricion criteria during Desember 2015 until January 2016. Service quality from patient’s perspective measured by Quality Impact score (QI). Service quality from patient’s perspective as dependent variable and delivery methods as independent variable were analyzed using Mann – Whitney. Result: There was no significance difference of service quality between normal delivery and cesarean section (p=0.064)based on Mann – Whitney result. Conclusion: There was no significance difference of service quality between normal delivery and cesarean section in PKU Muhammadiyah Surakarta Hospital. Keywords: service quality  from patients perspective, normal delivery, cesarean section
A Comparison of Recovery Times Using Aldrete Score Between General Anesthesia Propofol and Ketamine Dewi, Putu Ayu Apriliani Trisna; Suprapromo, R.Th; Probandari, Ari Natalia
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Intravenous anesthesia is an anesthetic agent that is administered intravenously, the advantages of using intravenous anesthetic agent is more convenient for patients and a short onset duration and recovery time. Propofol and ketamine are two intravenous anesthetic agent that is often used as an anesthetic induction or as the induction and maintenance of anesthesia in shor time surgical. After surgical procedure, patient must be kept under clinical observation at all times in a recovery facility until patient have reached normal level of consciousness. Level of consciousness after surgary can be measured by using Aldrete score that includes skin tone, respiration, circulation, level of consciousness and motor activity. The time required to recover fully normally ≤ 15 minutes. The objective of this study was to determine and to compare the recovery state between usage of general anesthesia propofol and ketamin. Methods: An analytical observational cross sectional study was conducted with both general anesthetics propofol and ketamin as independent variable and recovery state as dependent variable. Subjects recruited for this study were patients who underwent curatage surgery under intravenous anesthetics at Dr. Moewardi Regional General Hospital, Regional General Hospital of Ngipang, and Amanah Ibu Mother and Children Hospital. Subjects were selected using consecutive sampling technique. For the purpose of this study, recovery characteristics were measured using Aldrete score and were obtained after transported to a recovery room. Total subjects were 72, which were 36 subjects as propofol group and 36 subject as ketamin group. Statistical analyses were assessed by Chi square test using IBM SPSS 22.0. Results: This study found that 94,4% patients receiving propofol gained full recovery and 63,9% patients receiving ketamin gained full recovery as well. The statistical results stated that the p value is 0.001 (<0.05). Hence, statistically  there was a significant difference between usage of general anesthesia propofol and ketamin. Conclusions: These findings statistically significant difference between usage of general anesthesia propofol and ketamin Keywords: aldrete score, recovery times, propofol, ketamin 
Metformin increases protein expression of Bax and p21 in WiDr cancer cell line Mahanani, Melani Ratih; Budiani, Dyah Ratna; Probandari, Ari Natalia
Nexus Kedokteran Translasional Vol 4, No 1 (2015): Nexus Kedokteran Translasional
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Colorectal cancer is malignancy in the gastrointestinal tract which leads to high morbidity and mortality rates globally. Colorectal cancer is the fourth highest cancer in Indonesia. 5-Fluorouracil (5-FU) is the first choice of chemotherapy for treating colorectal cancer but this therapy isless effective due to severeadverse effects. Metformin, a biguanidediabetes drug, has a potential anticancer, which is able to inhibit growth of some cancer cell lines like breast cancer, prostate cancer, hepatocellular cancer, and nasopharynx cancer. The aim of this study was to investigate protein expression ofBax (pro apoptotic protein) and p21 (cell cycle inhibitor) on colorectal cancer cell line treated with metformin. Methods: This study was a laboratory experimental study with the posttest only control group design. WiDrcancer cell line was cultured in RPMI1640 medium supplemented with 10% fetal bovine serum, 100 U penicillin and 100 µg/ml streptomycin and incubatedin 5% CO2for 48 h at 37 ° C.Following day, cellswere treated with medium only, 7.68 mM5-FU and various doses of metformin(20, 10 and 5 mM) respectively. Protein expression of Bax and p21 was assessed by using immunocytochemistry staining against monoclonal antibodies antihuman Bax and p21.Intensity staining of each cell group was cytological scored and statistically analyzed by using Kruskal Wallis test. Results:Higher intensity score of Bax immunostaining was observed in WiDr cell line treated with three doses of metformin, compared to that of incontrol WiDr cell line and reached significantly difference with p= 0,00. Interestingly, these intensity scores of immunostaining were higher than the intensity score of immunostaining in WiDr cell line with 5-FU treatment. Moreover, administration of metformin increased intensity staining score against p21 monoclonal antibody with negatively dose dependent manner. WiDr cell line administered with 5 mM metformin had the highest intensity score of immunostaining but the intensity score was lower than the intensity score of immunostaining in WiDr cell line with 5-FU treatment. Conclusion: Metformin up regulates protein expression of Bax and p21 in WiDr cancer cell line and may become a promising anticancer. Further investigation is required to confirm the up regulation of both proteins. Keywords: Bax,colorectal cancer, metformin, p21 
Kebiasaan Makan, Aktivitas Fisik, dan Indeks Massa Tubuh Mahasiswa S-1 UNS Nurkhopipah, Aisyah; Probandari, Ari Natalia; Anantanyu, Sapja
Indonesian Journal of Human Nutrition Vol 4, No 2 (2017)
Publisher : Jurusan Gizi, Fakultas Kedokteran, Universitas Brawijaya Malang

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Abstract

 AbstrakBagian penting dari mahasiswa adalah mereka mengalami masa transisi kuat dengan perubahan lingkungan yang ditandai dengan pola makan yang tidak sehat dan kurang aktivitas fisik yang menempatkan mahasiswa pada risiko yang lebih besar dari kenaikan berat badan . Kelebihan berat badan dan obesitas terjadi pada mahasiswa, menurut Centers for Disease Control (CDC), prevalensi obesitas pada mahasiswa laki-laki adalah 29,5% dan pada mahasiswa perempuan sebesar 32,6%. Tujuan penelitian ini adalah untuk menganalisis hubungan kebiasaan makan dan aktivitas fisik dengan Indeks Massa Tubuh  mahasiswa  S-1 UNS. Jenis penelitian observasional analitik dengan pendekatan Cross Sectional. Subyek penelitian ini adalah seluruh mahasiswa program studi S-1 UNS pada tahun 2016 yaitu sejumlah 24.826 orang. Data dianalisis dengan chi square dan regresi logistic multinomial. Hasil uji korelasi chi square, menunjukkan bahwa Kebiasaan Makan tidak berhubungan secara signifikan dengan IMT Normal - Kurus ataupun IMT Normal - Gemuk (p = 0,193 & p = 0,446), sedangkan Aktivitas Fisik mempunyai hubungan yang signifikan dengan IMT Normal - Gemuk (p = 0,029), tetapi tidak berhubungan dengan IMT normal-kurus.(p= 0,655).Kata Kunci : Kebiasaan Makan; Aktivitas Fisik; mahasiswa; IMTAbstractThe important part of the students is that they experience a strong transition period with environmental changes characterized by an unhealthy diet and lack of physical activity that puts students at greater risk of weight gain. Overweight and obesity occurs in college students, according to the Centers for Disease Control (CDC), the prevalence of obesity in male students is 29.5% and in female students 32.6%. The purpose of this study was to analyze the relationship between eating habits and physical activity with the body mass index of S-1 UNS students. Type of observational analytic research with Cross Sectional approach. The subjects of this study are all students of S-1 UNS program in 2016 that is 24,826 people. Data were analyzed by chi square and multinomial logistic regression. The result of chi square correlation test showed that Eating Habits did not correlate significantly with Normal BMI - Thin or Normal BMT - Overweight (p = 0,193 & p = 0,446), whereas Physical Activity had significant relation with Normal BMT – Overweight  (p = 0,029 ), But not related to normal BMI-thin (p = 0.655)..Keywords: Eating Habits; Physical Activity; student college; BMI
Hubungan Pengetahuan Gizi Ibu dan Pola Pemberian MP – ASI dengan Perkembangan Motorik anak stunting usia 12 – 24 bulan di Kota Kupang Loaloka, Meirina Sulastri; Hanim, Diffah; Probandari, Ari Natalia
Jurnal Gizi dan Kesehatan Vol 3, No 1 (2016)
Publisher : Program Studi Ilmu Gizi Pascasarjana Universitas Sebelas Maret

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Latar Belakang : Pengetahuan Gizi ibu merupakan salah satu faktor yang mempengaruhi tumbuh kembang anak. Anak stunting terjadi karena kurang zat gizi dalam jangka lama pada masa janin hingga 2 tahun pertama kehidupan seorang anak. Pola pemberian MP – ASI terlalu dini dapat mengganggu pemberian ASI eksklusif serta meningkatkan angka kesakitan pada bayi. Stunting merupakan keadaan malnutrisi kronik yang berkaitan dengan perkembangan otak anak. Hal ini disebabkan oleh adanya keterlambatan kematangan sel – sel saraf terutama bagian cerebellum yang merupakan pusat koordinasi gerak motorik.Metode : Jenis penelitian ini adalah observasional analitik dengan menggunakan desain cross sectional. Subjek penelitian ini adalah anak stunting usia 12 – 24 bulan. Subjek diambil dengan menggunakan teknik total sampling sebanyak 92 anak. Teknik pengumpulan data dengan wawancara langsung, dan pengisian kuesioner pengetahuan gizi, pola pemberian MP – ASI dan perkembangan motorik anak. Data dianalisis dengan uji chi square dan regresi logistik dengan tingkat kepercayaan 95 % ( α = 0,05) dan di olah dengan SPSS 17,0 for windows.Hasil : Jumlah anak stunting berdasarkan status gizi TB/U sebanyak 67 bertubuh pendek (72, 8 % ) dan sangat pendek berjumlah 25 (27,2 % ) dari total anak yang berjumlah 92. Pengetahuan gizi ibu memiliki hubungan dengan perkembangan motorik anak stunting usia 12 – 24 bulan. Pengetahuan gizi ibu yang kurang memiliki risiko sebesar 342 kali dapat mengalami perkembangan motorik anak yang abnormal menurut test Denver II dibandingkan dengan pengetahuan gizi ibu yang baik. Pola pemberian MP – ASI meliputi jumlah asupan, frekuensi pemberian MP – ASI dan Pemberian MP–ASI tidak memiliki hubungan dengan perkembangan motorik anak stunting usia 12 – 24 bulan.Simpulan : Terdapat hubungan yang bermakna antara pengetahuan gizi ibu dengan perkembangan motorik anak stunting usia 12 – 24 bulan.Kata Kunci : Pengetahuan Gizi Ibu, Pola Pemberian MP – ASI, Perkembangan Motorik anak stunting usia 12 – 24 bulan.
Co-Authors ., Maryani Afifah, Zulaika Nur Aini, Zahratul Aisyah Nurkhopipah, Aisyah Anika Candrasari Antonius Setyo Wibowo Apriliananda, Alifa Rizka Ardian, Junendri Argyo Demartoto, Argyo Arsita Eka Prasetyawati BESMAYA, BENAZIER MARCELLA Bhisma Murti Budiani, Dyah Ratna Budiyanti Wiboworini Damayanti, Sintia Dewi Martha Indria Dewi, Dwi Hananta Dewi, Putu Ayu Apriliani Trisna Didik Tamtomo, Didik Diffah Hanim Dwi Ariono Endang Surani, Endang Eti Poncorini Pamungkasari Fawzia, Farha Naily Fika Khulma Sofia Fitria Rahma Nurharyani Hanifa, Ainun Hanifah, Ainun Hema Dewi Anggraheny Ida Srisurani Wiji Astuti Indarto, Dono Indrawati, Fika Lilik Khomisah, Nuril Alfiatul Kusmadewi Eka Damayanti Kusnandar, K Kusprasetyo, Wahyu Tri Larasati, Meirina Dwi Mahanani, Melani Ratih Meirina Sulastri Loaloka Merry Tiyas Anggraini Moelyo, Annang Giri Mohammad Fanani Muchammad Syamsulhadi Murti, Paulus Wisnu Kuncoro MUTHMAINAH . Novarianto, Justinus Kurniabudhi Nur Hafidha Hikmayani Pratama, Henry Aldezzia Purbayanto, Yassin Oki Purwaningtyas, Niniek Quraisy, Cut Cahaya Rani Saifa Alhajd Randita, Amandha Boy Timor Randita, Amandha Boy Timor Reviono Reviono ROCHIMA RIDHA HIDAYAH Sapja Anantanyu, Sapja Sariwulan, Dewi Retno Setyani, Rizka Ayu Sogen, Maria Dolorosa P. Sohan, Verry Gunawan Sri Mulyani Sri Sulistyowati Sumardiyono Sumardiyono Suminah Suminah, Suminah Suprapromo, R.Th Suroto Suroto Suyatmi, . Timor Randita, Amandha Boy Toman, Kevin Pieter Vitri Widyaningsih Wahyu Gito Putro Yundari, Yundari Yusup Subagio Sutanto