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All Journal Jurnal Gizi dan Pangan Medula Juke Jurnal Media Gizi Indonesia (MGI) Sari Pediatri Journal of Medicine and Health Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Ilmu Kedokteran dan Kesehatan JURNAL ILMIAH KESEHATAN SANDI HUSADA Community Development Journal Jurnal Ilmiah Biologi Eksperimen dan Keanekaragaman Hayati (J-BEKH) JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences JK Unila (Jurnal Kedokteran Universitas Lampung) Nursing and Health Sciences Journal (NHSJ) International Journal of Advanced Health Science and Technology Journal Of World Science Jurnal Sylva Lestari JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Journal of Midwifery Science: Basic and Applied Research Jurnal Keperawatan Profesional (KEPO) International Journal of Health, Engineering and Technology Jurnal Ilmu Kesehatan dan Gizi Majority Jurnal Ilmiah Kesehatan Sandi Husada Journal of Medicine and Health JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Nemui Nyimah Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Reni Zuraida
Universitas Lampung
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Hubungan Citra Tubuh dengan Status Gizi pada Mahasiswi Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Lampung Marzon, Mafalda; Zuraida, Reni; Oktafany, Oktafany; Berawi, Khairun Nisa
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.910

Abstract

In adolescence, health and nutrition have an important role in determining health and nutritional status in the next phase of the life cycle. The prevalence of abnormal nutritional status in Lampung Province is 24.91% for late adolescence aged 19 years and 35.97% for aged 20-24 years, while normal nutritional status for those aged 19 years is 75.09% and those aged 20-24 year amounted to 64.03% according to Riskesdas 2018. This occurs because there are factors that can influence nutritional status, such as body image. This study aims to determine the relationship between body image and nutritional status. The research design used in this research is analytical with a cross sectional approach, with a simple random sampling technique. There were 116 respondents obtained using the unpaired comparative categorical analytical formula. In this study there were 2 variables, namely body image and nutritional status. Body image variables are measured by MBSRQ (Multidimensional Body Self Relations Questionnaire) and body image variables are measured by body mass index. The data collected was analyzed univariately and bivariately with Chi-Square. The results of the univariate test showed that abnormal nutritional status was 65.5%, while normal nutritional status was 34.5%. In terms of body image, 20.7% of respondents had a positive body image and 79.3% had a negative body image. Based on bivariate analysis, there is a relationship between body image and nutritional status (p = 0.023). From the research results, it can be concluded that there is a significant relationship between body image and the nutritional status of students in the Medical Education Study Program, Faculty of Medicine, University of Lampung.
Homeostasis Tubuh Nasyafa, Syabila Febrilia; Saputra, Oktadoni; Zuraida, Reni
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.941

Abstract

The body has mechanisms at the cellular level to maintain internal balance, called dynamic balance. Even though the external environment undergoes changes, the body continues to operate to prevent deviation from this balance. Environmental changes can affect internal systems, so homeostasis is needed to prevent damage to cells, tissues and organs through regulatory mechanisms. Homeostasis regulation involves local control (paracrine and autocrine responses) as well as reflex control involving the nervous and endocrine systems. Homeostasis is a basic concept of physiology that plays an important role in maintaining internal stability and adaptive responses in the body. The importance of homeostasis lies in the fact that the body's cells and tissues can only remain alive and function efficiently if their internal conditions are maintained properly. All organ systems depend on each other to maintain homeostasis, and changes in one system can affect other body systems. Homeostasis includes the body's ability to maintain a stable internal environment despite changes such as temperature, air, atmospheric oxygen, carbon dioxide levels, physical activity, exposure to toxins, disease, drug therapy, fever, and diet. Disruption of homeostasis can cause dysfunction and loss of control of organs in the body. Several physiological systems are regulated by homeostasis, such as thermoreceptors which regulate body temperature and the role of homeostasis in the endocrine system to regulate hormonal balance and hormone regulation in the body. Homeostasis is influenced by several constant conditions, including body temperature and body fluid balance, which are maintained within predetermined limits (the so-called homeostatic range). Examples of other variables are the pH of the extracellular fluid, the concentration of sodium, potassium and calcium ions, and blood sugar levels. Homeostasis is an automatic process and mechanism carried out by living creatures to maintain constant conditions so that their bodies can function normally, even though changes occur in the environment inside or outside the body.
PENDEKATAN HOLISTIK PADA NY. M UMUR 59 TAHUN DENGAN DIABETES MELLITUS TIPE 2 MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS TANJUNG SARI NATAR Yahmal, Putri; Zuraida, Reni
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.973

Abstract

Data from the International Diabetes Federation (IDF) in 2021, the number of people with Diabetes Mellitus (DM) in the world reached 537 million adults. Indonesia is ranked 7th with 10.7 million. Lampung Province in 2021 there is an increase in the prevalence of DM to 88,518 people. The aim of application of Evidence Based Medicine (EBM) based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on the patient problem solving framework with a patient centered and family approach. This study analysis is a case report. Primary data were obtained through anamnesis (autoanamnesis), physical examination and home visits to complete family data, psychosocial and environmental data. Assessment was done based on holistic diagnosis from the beginning, process and end of the study quantitatively and qualitatively. Patient Mrs. M, 59 years old has internal risks, the patient rarely exercises, physical activity is relatively light, taking medicine irregularly, overweight nutritional status, Nutritional Adequacy Level (TKG) is less, still consuming foods that are not recommended for DM patients (consumption of fried foods), and lack of knowledge. Management of patients is holistic and comprehensive, patient-centered, family approach, and community-based in literature based on EBM. Patients were intervened with material in the form of power points. Patients experienced an increase in knowledge by 50 points, a decrease in blood sugar levels by 103 mg/dL and changes in patient behavior to consume food according to TKG.
Penatalaksanaan Holistik pada Anak Usia 3 Tahun dengan Skabies Melalui Pendekatan Kedokteran Keluarga di Puskesmas Tanjung Sari Natar Ilmyasri, Siti Amalya; Putri, Sisy Rizkia; Zuraida, Reni
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1067

Abstract

Scabies is a dermatological disorder caused by the parasitic mite Sarcoptes scabei which is capable of digging tunnels in the skin and causing itching that gets worse at night. The aim of this study is to apply family doctor services based on evidence-based medicine to patients by identifying risk factors, clinical problems, and patient management based on a framework for solving patient problems using a patient centered and family approach. This study is a case report. The data obtained were primary data obtained through alloanamnesis, physical examination, and home visits and secondary data obtained from the patient's medical records. Patients and their families have poor personal hygiene. The patient's family has insufficient knowledge about scabies, the habit of using towels together, and there is no regular schedule for washing and changing bed sheets, pillowcases and blankets. After carrying out holistic and comprehensive management using a family medicine approach, patient evaluation results were obtained in the form of increased knowledge of the patient's family regarding scabies, reduced complaints, and changes in behavior in maintaining personal and environmental hygiene.
Penatalaksanaan Holistik Pasien Anak Usia 5 Tahun Dengan Tb Paru Melalui Pendekatan Dokter Keluarga Di Wilayah Puskesmas Alkautsar, Ahmad; Zuraida, Reni
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1112

Abstract

Tuberculosis cases in children at 2022 reach 1.1 million in the world and 100,726 cases in Indonesia. Management of Tuberculosis in children needs holistic treatment with a family doctor approach to achieve Tuberculosis elimination targets. The aim of this study is  to apply the principles of family medicine services to patients  and carry out holistic management based on the patient problem found with patient-centered approach, family focused, and community oriented based on Evidence Based Medicine. This study is a case report with Primary data obtained through history taking, physical examination and home visits to complete family, psychosocial and environmental data. Secondary data was obtained from the patient's medical record. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study. Diet and health behavior of patients classified as lacking. Knowledge about Tuberculosis disease and the implementation of healthy behavior in the family still poorly. After the intervention, there was an improvement in the diet and the patients diet behavior. Then there is an increase in knowledge through pretest and posttest as well as improvement in family life patterns to become healthier.  After holistic management was carried out based on the problems identified through family doctor approach, there was an increase in knowledge, nutritional intake, and better healthy behavior.
Penatalaksanaan Holistik Pada Ny. T Umur 56 Tahun dengan Carpal Tunnel Syndrome Melalui Pendekatan Kedokteran Keluarga di Puskesmas Natar Marga, Muhammad Panji; Zuraida, Reni
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1119

Abstract

Carpal Tunnel Syndrome (CTS) is a clinical syndrome that arises due to the depression of the median nerve in the carpal tunnel (tunnel carpal) on the wrist, which causes pain, numbness, and tingling in the distribution of median nerve. CTS risk factors include obesity, monotonous wrist activity, pregnancy, genetic offspring, and rheumatic inflammation. So it is necessary to handle proper and carried out holistically with a family medicine approach to achieve the success of therapy. The purpose of this study was to implement the service of an evidence-based medicine based family doctor in patients by identifying risk factors, clinical problems, and patient management based on a framework for solving patient problems with the Patient Centered and Family Approach approach. This study is a case report. The data obtained are primary data obtained through autoanamnesis, alloanamnesis, physical examination, and home visits and secondary data obtained from the patient's medical record. Patient Ny. T 56 years old comes with complaints of thumb, index finger, and middle finger of the right hand feels numb since one month ago. Patients also often complain of his fingers feel like shock and spread to the arms, until lately the patient cannot hold or hold objects. Patients work as washerwashers who work daily to wash and make the same movements repeatedly. Clinically the patient is diagnosed with CTS. Furthermore, management, intervention and evaluation are carried out. After holistic and comprehensive management, patients experience increased knowledge about their disease, and complaints of numbness in patients are reduced.
Penatalaksanaan Holistik Pada Tn. B Usia 50 Tahun dengan Ulkus Diabetikum Melalui Pendekatan Kedokteran Keluarga di Puskesmas Rawat Inap Tanjung Sari Salsabila, Dea Muthia; Zuraida, Reni
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1129

Abstract

Diabetes Mellitus is a metabolic disorder characterized by chronic hyperglycemia. Diabetic ulcer is a state of ulcer, infection, and/or tissue damage, which is associated with neurological disorders and peripheral vascular disease in the lower extremities. The family approach in the management of diabetic ulcers and Diabetes Mellitus helps to identify factors that influence both clinically, personally and psychosocially in the family so that management will be more comprehensive. The purpose of this study was to application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework using a patient-centered and family approach. This study is a case report. Primary data were obtained through anamnesis (autoanamnesis), physical examination, supporting examination and physical environment. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. The patient complained of an open wound on the leg, numbness on both left, frequent urination and easy thirst. The patient has been diagnosed with DM since 2019. The patient was diagnosed with DM based on history, physical examination and supporting examinations. Knowledge of patients and families about the disease they suffer is lacking. After the intervention, the patient showed clinical improvement and there was a change in behavior. In the quantitative assessment, there was an increase in all aspects assessed, namely knowledge, diet and physical activity. Diagnosis and management of these patients is carried out in a holistic and comprehensive manner, patient center, family appropriate with regular DM treatment according to EBM is needed in order to control blood sugar by changing the patient's behavior so as to prevent other complications from arising.
Penatalaksanaan Holistik Pasien Diabetes Melitus Pada Wanita Usia 52 Tahun Di Puskesmas Sukamaju Melalui Pendekatan Kedokteran Keluarga Gantarialdha, Nadya; Zuraida, Reni
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1140

Abstract

Diabetes Mellitus is a degenerative disease with a high prevalence and increasing every year. There is a possibility that there will be an increase in the number of people with Diabetes Mellitus in the future, so that comprehensive management must be carried out which is expected to prevent complications and improve the quality of life of patients. Application of evidence-based medicine-based services to patients by identifying risk factors, clinical problems, and patient management based on a patient-centered problem-solving framework with a patient-centered, family-focused, and community-oriented approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits to assess the physical environment. The assessment is based on a holistic diagnosis of the initial, process, and final studies qualitatively and quantitatively. After the intervention, there was an increase in the knowledge of patients and their families regarding the importance of controlling health workers, taking medication regularly, eating patterns and physical activities that are suitable for people with Diabetes Mellitus. Holistic management has been carried out using the family doctor approach, Mrs. S, 52 years old with Type 2 Diabetes Mellitus adjusted based on initial holistic diagnostics. The interventions carried out have increased patient and family knowledge regarding the importance of control to health workers, regular drug consumption, dietary patterns and physical activity as indicated by improvements in the final holistic diagnostic.
Variable Effect Analysis of Household Characteristics, Family Aware of Nutrition (Kadarzi) and Environmental Sanitation as Risk Factors for Stunting Events (Comparative Study of Agricultural and Non-Agricultural Family in the Regency of South Lampung Regency, 2022) Berawi, Khairunisa; Pramudyawati, Yustika; Kurniawaty, Evi; Bakri, Samsul; Zuraida, Reni
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 4 (2022): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i4.7125

Abstract

This study aims to analyze the effect of household characteristics, Kadarzi and environmental sanitation as risk factors for stunting in a comparative study of agricultural and non-agricultural families in South Lampung district. This study uses primary data obtained from questionnaires, that are data of family characteristics, Kadarzi and environmental sanitation from 198 household samples and secondary data, that are data of stunting toddlers and agricultural and non-agricultural areas in South Lampung district in 2022. To achieve the purpose of research, the research method used is observational analytic with a cross sectional approach. The research was conducted from July 2022 to September 2022. The results showed that on the household characteristics variable, variables that had a significant effect were family occupation and family income, while variables that had no significant effect were parents’ education, nutritional knowledge, and gender of children. On the Kadarzi variable, variables that had a significant effect were the behavioral variables of Kadarzi and exclusive breastfeeding, while variables that had no significant effect were variables of weight measurement, various foods, iodized salt and nutritional supplements. On the environmental sanitation variable, the variables that have a significant effect are family latrines, sewerage and agricultural and non-agricultural zones, while variables that have no significant effect are variables of clean water sources and trash bins.
Helminthiasis and Factors Affecting Nutritional Status of Pregnant Women at Karang Anyar Health Center Jati Agung, South Lampung: Helminthiasis dan Faktor yang Mempengaruhi Status Gizi Ibu Hamil di Puskesmas Karang Anyar Jati Agung Lampung Selatan Hardianto, Devina; Suwandi, Jhons Fatriyadi; Zuraida, Reni; Setyaningrum, Endah
Jurnal Ilmiah Biologi Eksperimen dan Keanekaragaman Hayati (J-BEKH) Vol. 11 No. 1 (2024)
Publisher : Department of Biology Faculty of Mathematics and Natural Sciences Universitas Lampung in collaboration with The Indonesian Association of Biology (PBI) Lampung Branch.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jbekh.v11i1.363

Abstract

Nutrition in pregnancy is needed for fetal growth and development. Insufficient nutrition has the risk of causing Chronic Energy Deficiency (CED). The CED rate among pregnant women in Indonesia is 17.3% and in Lampung Province it is 13.6%. Nutritional status is influenced by nutritional intake and helminthiasis infection. Apart from that, there are other factors such as social determinants of health, namely economics, education, employment and age. This research uses a cross-sectional research design. The research sample was 86 pregnant women. Data collection was carried out using a questionnaire, measurement of Upper Arm Circumference (MUAC), and examination of feces using the formol ether sedimentation method. Bivariate analysis used chi square, Fisher, and Mann Whitney. The results of the study showed that there was a significant relationship between helminthiasis (p = 0.009), education (p = 0.023), and per capita income (p < 0.001) with the nutritional status of pregnant women. Meanwhile, for other variables (knowledge about helminthiasis, preventive behavior, age, and occupation) there was no significant relationship (p > 0.05). Helminthiasis is related to the nutritional status of pregnant women, so active screening is needed for the incidence of helminthiasis in pregnant women in the working area of the Karang Anyar Community Health Center, Jati Agung District, South Lampung Regency.
Co-Authors - Sulyaprilawati Achfisti, Sayidina Umar Achmad, Bilal Ajeng Defriyanti Pusparini Alfhad, Haekal Ali Khomsan Alkautsar, Ahmad Ananda Christie Angelin Andana, Luthfi Shiba Angraini, Dian I Anis Permanasari Anthia Vradinatika Anwari, Riski Handiani Aprilliana, Ety Ari Wahyuni Astiti, Feni ASY SYADZALI ATIKA RAHMAWATI Audiani, Syafira Alifia Ayu Aprilia Ayu Paramita, Nadhea Balqis, Fatimah El Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Berawi, Khairunisa Betta Kurniawan, Betta Budiarti, Khusnul Rohmah Catur Ariwibowo Catur Ariwibowo Dadang Sukandar Dani Kartika Sari Daulay, Suryani Agustina Desmayanti Eka Saputri Desmayanti Eka Saputri Desta Stallaza Alifka Dewi Nur Fiana Dian I Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dieni Septiawati Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Ebti Rizki Utami Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Emantis Rosa Endah Setyaningrum, Endah Ety Apriliana Eveline Margo, Eveline Fadilah, Arifah Afkar Faridah Alatas Fauziah Lubis Fayola, Diva Firmansyah, Jaya Fitria Saftarina Fitria, Aghniya Rizqy Fitria, Saftarina Gantarialdha, Nadya Gemayangsura, Gemayangsura Giok Pemula Gustiar, Husaini Hadi Riyadi Hamidah, Hasna Hanna Mutiara, Hanna Happy, Terza Aflika Hardianto, Devina Hasanah, Sabila Huwaidy, Alwan Hibban Al Ilmyasri, Siti Amalya Indah Anita Dewi, Indri Windarti Intanri Kurniati Irawati, Nur Ayu Virginia Iswandi Darwis Ivantirta, Ian Izzah, Asiah Nurul Jausal, Anisa Nuraisa Jessica Putri Anumpitan Jhons Fatriyadi Suwandi Kartika, Juspeni Keumala Hayati Khairun Nisa Khairun Nisa Kurniawaty, Evi Lantani Nafisah Heviana Larasati, Ratri Mauluti Listiani, Farida Lucky Indar Wigati Luthfi Aulia Oktofani M. Agung Prasetya Adnyana Yoga M.Rizki Fathurrohim Maharani, Jihan Azita Manik, Ipan Jeremia Marga, Muhammad Panji Marzon, Mafalda Meiyanti Mellisa, Stefani Monica Dwi Hartanti, Monica Dwi Mubina, Jundi Fathan Muhammad Abdul Ghoni Sutardi Muhammad Ricky Ramadhian Muhammad Yusha Akbar Mukhlis Imanto Mukti, Bagas Nadia, Elisabet Alva Nailul Azizah Nasyafa, Syabila Febrilia Nisa Arifah Novi Nurhayati, Novi Novianty, Detty Nurlis Mahmud Nurtandhee, Mutiara Oktadoni Saputra Oktadoni Saputra, Oktadoni Oktafany, Oktafany Oktarlina, Razmi Zakiah Oktavia, Rizwiki Pambelo, Adli Sutan Pemula, Giok Prambudi Rukmono Pramudyawati, Yustika Puspita, Anjar Junia Putri, Cindy Aisyah Putri, Nedhea Mutiara Putri, Sisy Rizkia Putri, Tiara Triwansa Putu Arya Indira Prameswari Qonita, Adzrok Qurotulnguyun, Lutfia Radinal Mauludi Rahmadani, Letifa Rahmawati, Ona Rahmayani, Fidha Ramadhana Komala Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratna, Maya Ganda Reni Agustin Revika Gina Luthfiya Rika Lisiswanti Rizki Arisandi Rudiyanto, Waluyo Salsabila, Dea Muthia Samsul Bakri Samsul Bakri Samsul Bakri Saputra, Dicky Ardian Setiorini, Anggi Shinta Nareswari, Shinta Shoafa Marwah Sihombing, Dewi Patresia Siregar, Wanda Feranti Siti mutmainnah Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharmanto Surriandari, Latifah Dwi Susianti Susianti Susianti Susianti Susianti, Susianti Susmalini, Susmalini Sutanto Sutanto Sutarto Sutarto Sutyarso Sutyarso Syafni, Alma Nazelia Syahrul Hamidi Nasution TA Larasati Tasya Putri Atma Utami Raka Tondi Rosalinda Mandalahi Tri Umiana Soleha Tsanya, Nayla Priyanka Dara Tutik Ernawati Ukhron Novansyah Vermitia Veronica Debora W, Dyah Wulan Sumekar R. W., Dyah Wulan Sumekar R. Wido Gamani Wiwi Febriani Wuryaningsih Dwi Sayekti Yahmal, Putri Yaktiworo Indriani Yaktoworo Indriani Yoga, M. Agung Prasetya Adnyana Yohana Yulia Puspita Sari Yunianto, Andi Eka Zahran, Muhammad Alif Zakiah Zakiah Zamahsjari Sahli Zefanya Angie