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All Journal Jurnal Kedokteran Brawijaya Jurnal Anestesi Perioperatif Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Damianus Journal of Medicine Global Medical and Health Communication IJFAC (Indonesian Journal of Fundamental and Applied Chemistry) JPSriwijaya Sari Pediatri Biomedical Journal of Indonesia Science and Technology Indonesia Syntax Literate: Jurnal Ilmiah Indonesia Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) International Journal of Retina SRIWIJAYA JOURNAL OF MEDICINE Economics and Finance in Indonesia Oto Rhino Laryngologica Indonesiana Majalah Anestesia dan Critical Care Majalah Kedokteran Andalas Majalah Patologi Indonesia Jurnal Biomedika dan Kesehatan Bioscientia Medicina : Journal of Biomedicine and Translational Research Medica Hospitalia Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health) Jurnal Aisyah : Jurnal Ilmu Kesehatan Sriwijaya Journal of Surgery Indonesian Journal of Global Health research Eureka Herba Indonesia Jurnal Pengabdian Masyarakat: Humanity and Medicine JOURNAL LA MEDIHEALTICO Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal Of World Science Jurnal Penyakit Dalam Indonesia IJRETINA - International Journal of Retina
Muhammad Irsan Saleh
Bagian Farmakologi, Fakultas Kedokteran, Universitas Sriwijaya, Palembang, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Terapi Bekam: Efek Anti Peradangan dalam Pengobatan Tradisional Wahyuni, Dian; Legiran, Legiran; Saleh, Irsan; Salim, Eddy Mart
Jurnal Biomedika dan Kesehatan Vol 7 No 3 (2024)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2024.v7.374-390

Abstract

This comprehensive literature review consolidates findings from 11 diverse scholarly articles exploring the efficacy of cupping therapy as an anti-inflammatory intervention. The review encompasses studies investigating various clinical applications and experimental models to delineate the therapy's anti-inflammatory effects. The research method utilized the Publish or Perish application to access databases such as PubMed, Scopus, and Google Scholar. The screening process was based on predetermined inclusion and exclusion criteria. Article quality was assessed using the Crowe Critical Appraisal Tool (CCAT). Standard forms were used to extract important information from articles: Authors’ name, Year; Research title; Population; data; Findings. Data were analyzed narratively to generate thematic synthesis. The reviewed studies revealed significant outcomes across multiple domains. Clinical trials demonstrated the efficacy of cupping therapy in managing pain in osteoarthritis and idiopathic menorrhagia. Narrative reviews and experimental studies highlighted its potential in sports injury management and its influence on changes in local blood flow. Additionally, investigations provided insights into its immunomodulatory effects in cancer patients, allergic asthma models, and inflammatory conditions like acute herpes zoster. Synthesizing these findings emphasized the diverse anti-inflammatory effects of cupping therapy across various health conditions, elucidating its mechanisms and potential applications. The therapy exhibited promising outcomes in pain management, inflammation reduction, and modulation of immune responses.
Effect of Garlic (Allium Sativum) Extract on Hemoglobin Levels in Chronic Hemodialysis Patients Ramadhan, Philosophia; Alif Fathur Rachman, Muhammad; Ali, Zulkhair; Effendi, Ian; Novadian, Novadian; Suprapti, Suprapti; Saleh, Irsan
Journal of World Science Vol. 2 No. 1 (2023): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v2i1.129

Abstract

CKD patients undergoing hemodialysis have increased inflammatory biomarkers. Anemia in CKD is associated with an advanced degree of inflammation while undergoing chronic hemodialysis. Garlic (Allium sativum) has anti-inflammatory and antioxidant effects, which are expected to improve the degree of inflammation in CKD patients. This study aims to assess the effect of garlic extract on hemoglobin levels in patients undergoing chronic hemodialysis. This study was an experimental study with a double-blind, randomized clinical trial design. This study was a crossover, randomized, placebo-controlled, double-blind trial. The study subjects were 40 stages 5 CKD patients undergoing chronic hemodialysis, randomly divided into two groups, namely the group that received 1000 mg of garlic extract per day (2x500 mg) for six weeks and the group that received a placebo, then a 2-week wash-out period. And after that, the two groups were given alternate treatment. Statistical analysis was carried out using the SPSS version 25.0 program. A total of 40 subjects participated in the study, 57.5% male. The mean age of the subjects was 48.6 (26-59) years. The results showed that there was a significant difference in Hb levels in the garlic group (p = 0.047), where the increase in Hb was from 10.2 (9.2–11.8) mg/dl to 10.23 (8.9–11.6) mg/dl while in the placebo group, there was a decrease in Hb from 10.18 (9.6 – 11.2) mg/dl to 10.05 ± 0.52 mg/dl. Garlic extract can reduce levels of inflammation which can then increase hemoglobin levels.
Correlation of Vitamin D and Antimullerian Hormone Level in Infertile Women with Polycystic Ovary Syndrome and Obesity Usman, Fatimah; Saleh, Irsan; Effendi, Kms. Yusuf; Putra, Hadrians Kesuma; Abadi, Adnan; Siahaan, Salmon Charles Pardomuan Tua; Kesty, Cindy; Rizda, Dian Permata; Stevanny, Bella; Lestari, Peby Maulina
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.723

Abstract

Introduction: Increasing amount of research indicates that women with PCOS are more likely to have a shortage in vitamin D with abnormally high anti-Müllerian hormone (AMH) levels. This study aims to assess the correlation between vitamin D and Anti-Mullerian Hormone (AMH) levels in infertile women with polycystic ovarian syndrome (PCOS) and obesity. Method: This observational cross-sectional study examined all obese women with PCOS who sought infertility treatment at Dr. Mohammad Hoesin Hospital Palembang from August 2021 to November 2021. PCOS diagnosis was determined using the Rotterdam criteria. All research subjects underwent a physical examination and transvaginal ultrasound to evaluate body mass index (BMI) and polycystic ovary morphology. Blood samples were collected to evaluate their testosterone, AMH, and vitamin D levels. Statistical analysis was performed using the Spearman correlation test with IBM® SPSS Statistics version 24. Results: Thirty infertile women with PCOS and obesity were included in the study, with average age of 31.17±4.48 years and average BMI of 33.45±2.67 kg/m2. The majority of the subjects had polycystic ovary morphology (86.7%) and oligomenorrhea (76.7%). No correlation between BMI and vitamin D as well as AMH levels was found in infertile women with PCOS and obesity. The Spearman test showed moderate negative correlation (p = 0.011. r = -0.458) between vitamin D and AMH levels in infertile women with PCOS and obesity. Conclusion: There is a moderate negative correlation between vitamin D and AMH levels among infertile women with PCOS and obesity. Further research is required to comprehend the role of vitamin D in female fertility.Korelasi Vitamin D dan Kadar Hormon Anti-Müllerian pada Wanita Infertil dengan Sindrom Ovarium Polikistik dan ObesitasAbstrakPendahuluan: Semakin banyak penelitian melaporkan bahwa wanita dengan PCOS cenderung mengalami defisiensi vitamin D dengan penignkatan kadar hormon anti-Müllerian (AMH). Penelitian ini bertujuan untuk mengkaji hubungan vitamin D dan kadar AMH pada wanita infertil dengan sindrom ovarium polikistik (SOPK) dan obesitas.Metode: Penelitian ini merupakan studi observasional potong lintang terhadap seluruh wanita infertil dengan SPOK dan obesitas yang di RSUP Dr. Mohammad Hoesin Palembang pada bulan Agustus 2021 hingga November 2021. Diagnosis SOPK ditegakkan berdasarkan kriteria Rotterdam. Seluruh subjek penelitian menjalani pemeriksaan fisik dan ultrasonografi transvaginal untuk menilai indeks massa tubuh (IMT) dan morfologi ovarium polikistik. Sampel darah dikumpulkan dari semua wanita untuk mengukur kadar testosteron, AMH, dan vitamin D. Analisis statistik dilakukan dengan menggunakan uji korelasi Spearman menggunakan IBM® SPSS Statistics versi 24.Hasil: Tiga puluh wanita infertil dengan SOPK dan obesitas dilibatkan dalam penelitian ini dengan usia rata-rata 31,17±4,48 tahun dan rata-rata IMT 33,45±2,67 kg/m2. Mayoritas subjek memiliki morfologi ovarium polikistik (86,7%) dan oligomenore (76,7%). Tidak ada korelasi antara IMT dan vitamin D maupun kadar AMH pada wanita infertil dengan SOPK dan obesitas. Uji Spearman menunjukkan korelasi negatif sedang (p=0.011.r=-0.458) antara kadar vitamin D dan AMH pada wanita infertil dengan SOPK dan obesitas. Kesimpulan: Kadar vitamin D berkorelasi negatif dengan kadar AMH pada wanita infertil dengan SOPK dan obesitas. Penelitian lebih lanjut diperlukan untuk memahami peran vitamin D pada kesuburan wanita.Kata kunci: Anti-Müllerian Hormone, Indeks Massa Tubuh, Obesitas, Sindrom Ovarium Polikistik, Vitamin D
MicroRNA-21 Expression in Prostate Cancer: A Systematic Review Ulfa, Maria; Murti, Krisna; Saleh, Irsan; Handayati, Debby
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6042

Abstract

Prostate cancer is the second most prevalent and fourth largest cause of death for men globally. Meanwhile, in Indonesia, prostate cancer ranks and is the fourth leading cause of death. Molecular studies continue to be conducted to understand the molecular heterogeneity, both genetic and epigenetic, that affects the progression of prostate cancer, one of which is the role of microRNA. This study aims to analyze the expression profile of microRNA-21 associated with the development and aggressiveness of prostate cancer. Comprehensive search into three databases; PubMed, Cochrane Library, and Science Direct was performed by authors. The study that best met the inclusion criteria was chosen from among duplicates. The QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies) tool was used to assess the risk of bias before the relevant data were retrieved for analysis. There were eleven studies that included a variety of sample sources, sample size and methods. Although a number of the studies had unclear standard reporting, the research overall quality was acceptable. For the results, Prostate cancer samples showed a significantly higher expression level of miR-21 than controls in ten of the studies, and was linked to cancer aggressiveness. In one study, the expression of miR-21 did not significantly increase, despite the use of extracellular vesicle isolation samples.
Flavonoid as Anti-Candida Agents Susilawati, Susilawati; Anwar, Chairil; Saleh, Irsan; Salni, Salni
IJFAC (Indonesian Journal of Fundamental and Applied Chemistry) Vol 8, No 2 (2023): June 2023
Publisher : IJFAC (Indonesian Journal of Fundamental and Applied Chemistry)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24845/ijfac.v8.i2.88

Abstract

Vulvovaginal candidiasis is the second most common cause of vaginitis after bacterial vaginosis with at least 75 – 80% of women have had one episode of VVC in their lifetime. Their prevalent resistance to most commonly used antifungal agents makes their treatment a challenge to physicians. Flavonoids have been shown to possess potent anti-Candida properties which can inhibit the growth and proliferation of Candida species through various mechanisms, including inhibition of fungal cell wall synthesis, disruption of fungal cell membrane integrity, and interference with fungal cell signaling pathways. Their potency makes them potential candidates for the development of antifungal agents for the treatment of candidiasis, alone or in combination with existing antifungal drugs. The review aims to explore the mechanisms by which flavonoids inhibit the growth and proliferation of Candida species, including the inhibition of fungal cell wall synthesis, disruption of fungal cell membrane integrity, and interference with fungal cell signaling pathways.
Korelasi Kadar Serum Albumin terhadap Massa, Kekuatan Otot dan Performa Fisik pada Usia Lanjut di Poliklinik Geriatri Rsmh Palembang Riviati, Nur; Legiran; Saleh, Irsan; Indrajaya, Taufik; Dharma, Surya; Reagen, Muhammad; Yuniarti, Fifi; Rasidi, Syafran; Lubis, Fadhyl Zuhry; Indra, Bima
Bahasa Indonesia Vol 22 No 1 (2023): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v22i1.4233

Abstract

Introduction: Sarcopenia is a common problem found in the elderly. It is characterized by loss of muscle mass, muscle strength, and/or low physical performance. Currently, there’s little research on the association between serum albumin and muscle mass, muscle strength, and physical performance in the elderly, especially in Indonesia. This study aimed to find the correlation between serum albumin and muscle mass, muscle strength, and physical performance in the elderly. Method: A cross-sectional study was conducted from July 2022 to December 2022 towards elderly patients (>60 years) from the geriatric polyclinic at RSUP Moh. Hoesin Palembang. Serum albumin was examined for its correlation with muscle mass, muscle strength, and physical performance using Spearman’s test. Result: 41 elderly patients were included in this study (mean age 70.75 ± 7 years, 56.1% women). Correlation analysis showed that there’s a significant positive correlation between serum albumin with muscle strength (r=0.354, p=0.012) and a negative correlation with physical performance (r=-0.5, p <0.001). In comparison, there was no significant correlation between serum albumin and muscle mass (r=- 0.05, p=0.367). Conclusion: Muscle strength and physical performance have a significant correlation with serum albumin in the elderly. Therefore, even in the normal range, lower serum albumin is closely related to sarcopenia in the elderly. Key Words: albumin, muscle mass, muscle strength, physical performance, sarcopenia.
The Effect of Centella asiatica Cream on Transforming Growth Factor Beta 1 in Acute Wounds Ulfa, Maria; Iskandar, Elza; Erna, Riani; Saleh, Irsan
Jurnal Kedokteran Brawijaya Vol. 34 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Centella asiatica contains triterpenoids with anti-inflammatory, antioxidant, and antifibrotic properties and has long been used in wound healing. Previous studies suggest that Centella asiatica may reduce TGF-β1 expression, which is implicated in scar and keloid formation. Given the pleiotropic role of TGF-β in wound healing being required in the inflammatory phase and downregulated during proliferation this study employed an acute wound model to represent normal healing and to evaluate the effect of Centella asiatica extract on TGF-β1 expression. This study aimed to evaluate the effects of topical Centella asiatica cream application at concentrations of 0.5%, 1%, and 2% on TGF-β1 levels in acute wound healing in Wistar rats. An experimental posttest-only control group design was conducted at the Pharmacology Laboratory, Animal House and Biotechnology Laboratory, Faculty of Medicine, Universitas Sriwijaya. Five groups were studied, consisting of one untreated group, three groups treated with Centella asiatica cream at concentrations of 0.5%, 1%, and 2%, respectively, and one group treated with placebo, with five rats in each group. Data were analyzed using  One-way ANOVA, and Post Hoc LSD tests. Results showed the highest TGF-β1 levels in the placebo group and the lowest in the 1% Centella asiatica cream group. Significant differences were found between the 1% Centella asiatica cream group and the untreated  (P 0.026), placebo, and 2% Centella asiatica cream groups (p 0.008).  In conclusion, the Centella asiatica cream concentration of 1% was the most effective in reducing TGF-β1 levels in acute eyelid wound healing in Wistar rats.
Potency of Leaf Water Extract Karamunting (Rhodomyrtus tomentosa) for Enhancing GLUT4 Translocation in Diabetic Rats Saleh, Irsan; Sutandar, Vivi Hendra; Amrina; Ningrum, Evi Dodik Novita; Sinaga, Ernawati
Science and Technology Indonesia Vol. 11 No. 2 (2026): April
Publisher : Research Center of Inorganic Materials and Coordination Complexes, FMIPA Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26554/sti.2026.11.2.742-749

Abstract

Insulin resistance and damage in the pancreas are associated with type 2 diabetes, which is a chronic disease affecting health, with 422 million people affected in 2016 and 1.5 million deaths related to diabetes in 2012. Several proinflammatory mediators, such as TNF-a andIL-6, may be involved in insulin resistance in T2DM. GLUT4 is one of the glucose transporters that help promote glucose uptake. GLUT4 activation is insulin-dependent in regulating glucose uptake. Karamunting (Rhodomyrtus tomentosa (Ait.) Hassk.) leaf water extract consists of alkaloids, flavonoids, triterpenoids, saponins, and tannins. This study proposes to investigate the potential of karamunting (R. tomentosa) leaf water extract to enhance glucose uptake by modulating GLUT4 translocation in the serum and skeletal muscle of diabetic rats. The dose variations used in this study were 100 mg/kgBW, 200 mg/kgBW, and 400 mg/kgBW. Based on the results, oral administration of karamunting water extract increases GLUT4 expression in serum. It increases GLUT4 mRNAlevels in the skeletal muscle of the diabetic rat. It decreases TNF-a and IL-6 expression, with a 100 mg/kg BW dosage being the most effective. Meanwhile, 100 mg/KgBW is the most effective dosage for decreasing HOMA IR. These results indicate that karamunting (R. tomentosa) leaf water is antidiabetic by lowering TNF-a, IL-6, and HOMA IR in diabetic rats while increasing GLUT4.
Co-Authors Abdi Wijaya Abdulwahab Hakimi Ade Suryaman Aditiawati Aditiawati Adnan Abadi, Adnan Adrian, Ronny Ahmad Rasyid ahmad rasyid, ahmad Ahmad, Zen AK Ansyori Akmal, Reza Ali Ghanie Ali Ghanie Ali Ghanie Alif Fathur Rachman, Muhammad Alvilusia, Alvilusia Alwi Shahab Amir Fauzi Amir Fauzi Amrina Andi Putra Siregar Anggeria, Septa Anita Tursia Ansyori, AK Anwar, Chairil Arlis Karlina Aseptianova Aseptianova Athiah, Medina Ayeshah A Rosdah Azhari Azhari Banun, Syahri Bastian Bastian Bastian Bintang Arroyantri Prananjaya Chairil Anwar Chakra, Aerul Dalillah Dalillah Dessy Adhriyani, Dessy Dian Wahyuni Dwi Handayani Dwi Handayani Dwirini Retno Gunarti Eddy Mart Salim Eddy Mart Salim Eddy Mart Salim Eddy Mart Salim, Eddy Mart Eeng Yoneska Effendi, Ian Effendi, Kms. Yusuf Efman EU Manawan Efman Manawan Efrieni Yusuf Ella Amalia, Ella Elza Iskandar, Elza Emilia Eny Rahmawati, Eny Ernawati Sinaga Erwin Sukandi Erwin Sukandi Evi Lusiana Fatmawati Fatmawati Ferdi, Roni Ferry Usnizar Fransisca Srioetami Tanoerahardjo Fransisca Srioetami Tanoerahardjo Fransisca Srioetami Tanoerahardjo Fuad Bakry Gita Dwi Prasasty Hafizzanovian, Hafizzanovian Handayati, Debby Heni Maulani, Heni Herdana, Nova Hermansyah Hu, Owen Ian Effendi Iche Andriyani Liberty, Iche Andriyani Ika Kartika Imran Saleh Indra, Bima Indrajaya, Taufik Irfannuddin Irfannuddin Irfanuddin Irfanuddin Istiqomah, Amelia Izzah, Puspita Nurul Jayawarsa, A.A. Ketut Joko Marwoto Jusak Nugraha Kamaluddin Kamaluddin Kartini Wulan Kemas Ya'kub Rahadiyanto Kemas Ya'kub Rahadiyanto Kemas Ya'kub Rahadiyanto Kendenan, Margaretha Kesty, Cindy Kms Yusuf Effendi Krisna Murti kurniati, nova Kusrini, Ida Kusuma Harimin, Kusuma Larasati, Veny Legiran Legiran Leni Wijaya, Leni Lubis, Fadhyl Zuhry Makbruri Amin Margaretha Kendenan Maria Ulfa Mediarty Medina Athiah Mega Sary Mezfi Unita Mudinillah, Adam Muhamad Ayus Astoni Muhammad Hadi Wijaya Muhammad Haryadi Ade Kurnadi Nadia Karimah Amalia Zulfadli Ningrum, Evi Dodik Novita Nita Parisa Nova Herdana Nova Kurniati Nova Kurniati Nova Kurniati Nova Kurniati Novadian Novadian Novadian, Novadian Nugroho, Suroso Adi Nur Riviati, Nur Nuswil Bernolian Oktariana, Desi Pahlawan, M Kaisar Patwa Amani, Patwa Peby Maulina Lestari, Peby Maulina Phey Liana Poedji Loekitowati Hariani Purwoko, Izazi Hari Puspa Zuleika, Puspa Putra, Hadrians Kesuma Rachmat Hidayat RACHMAT HIDAYAT Radiyati Umi Partan Rahadiyanto, Kemas Ya'Kub Rahadiyanto, Kemas Ya’kub Ramadhan, Philosophia Ramzi Amin Ramzi Amin, Ramzi Rasidi, Syafran Ratih Pratiwi Reagen, Muhammad Reza Akmal Riani Erna Riani Erna, Riani Rieke Cahyo Budi Utami Rizal Zainal Rizani Amran Rizda, Dian Permata Rizki Andini Nawawi Ronny Adrian Rostika Dewi Rukiah Chodilawati Rukiah Chodilawati Sabri Prihantika Safyudin Salmon Charles Pardomuan Tua Siahaan Salni Salni Salni Salutondok, Welly Sari, Febrina Sary, Mega Sastradinata, Irawan Shahab, Alwi Soenarto Kartowigno Sri Nita Sri Nita Sri Nita, Sri Stevanny, Bella Subandrate Sudarto Sudarto Sulfa Esi Warni Suprapti Suprapti Suprapti Suprapti Surya Dharma Susilawati, Susilawati Sutandar, Vivi Hendra Syamsu Indra Syifa Alkaf Tanoehardjo, Francisca Srioetami Tanoehardjo, Francisca Srioetami Tanzil, Iswadi Tati Lahmuddin, Tati Tatit Nurseta Taufik Indrajaya Taufik Indrajaya Taufik Indrajaya Taufik Indrajaya Taufik Indrajaya Tengku Arfi Sulaiman Theodarus, Theodarus Theodorus Theodorus Tiara Fatrin Triwani Triwani Triwani Triwani Tursia, Anita Usman Said, Usman Usman, Fatimah Widyastuti Wina Safutri Wresnindyatsih Wresnindyatsih, Wresnindyatsih Yeni Agustin Yenny Dian Andayani Yesi Astri Yudhie Tanta Yulia Farida Yahya Yundari, Yundari Yuniarti, Fifi Zen Ahmad Zen Hafy Ziske Maritska Zulfadli, Nadia Karimah Amalia Zulfiawan, Zulfiawan Zulkarnain Musa, Zulkarnain Zulkhair Ali Zulkhair Ali Zulkhair Ali Zulkifli Zulkifli Zulkifli Zulkifli