E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri
Department Of Internal Medicine, Faculty Of Medicine University Of Indonesia-Cipto Mangunkusumo Hospital, Jakarta

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Heart Rate Variability as a Prognostic Tool for Palliative Patient : A Literature Review Charlex, Harold Jefferson Matthew; Ardani, Yanuar; Shatri, Hamzah
International Journal of Cell and Biomedical Science Vol 2 No 5 (2023)
Publisher : Stem Cell and Cancer Research (SCCR)

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Abstract

Introduction: Heart rate variability (HRV) is the fluctuation in the interval between two heartbeats. Decreased HRV indicates less flexibility of the autonomic nervous system (ANS) to physiological changes and is associated with poorer disease progression and mortality in several diseases. We reviewed conditions where HRV can be utilized as a predictive tool for palliative patients. Methods: We performed a comprehensive search in PubMed, ScienceDirect, and Google Scholar to find articles related to HRV and prognosis for cancer-related disorders, cardiovascular disease, and sepsis. 41 relevant articles were selected and reviewed. Results: ANS changes due to chronic cancer pain and metastastic bone cancer can be detected by HRV analysis and increased vagal activity is related with longer survival on advanced cancer patients. Lower HF is a risk factor for shorter life expectancy of metastatic or recurrent breast cancer. SDNN and RMSSD reduction correlates with poorer survival in NSCLC and metastatic brain cancer. Increased risk of stroke was observed in patients with lower RMSSD and SDNN. Reductions of both scores and LF were associated with two times increased risk of myocardial infarction and higher mortality one year after stroke. A decrease in HRV is related to mortality but is not specific to cardiovascular disease. SDNN and HF are HRV parameters that are most consistently correlated with sepsis and can predict mortality within 30 days of hospitalization. Conclusion: HRV analysis helps in assessing the prognosis of diseases. Typically, reduced HRV is linked to worse outcomes and increased mortality rates in conditions such as cancer, cardiovascular disease, and sepsis.
Efek Hipnoterapi untuk Meningkatkan Kualitas Hidup pada Pasien Penyakit Ginjal Kronik: Suatu Laporan Kasus Berbasis Bukti Chairani, Aisha Putri; Putranto, Rudi; Shatri, Hamzah; Marbun, Maruhum Bonar Hasiholan; Faisal, Edward; Irvianita, Vinandia; Martina, Diah
Jurnal Penyakit Dalam Indonesia Vol. 12, No. 1
Publisher : UI Scholars Hub

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Chronic Kidney Disease (CKD) is a condition of kidney damage with a decrease in glomerulus filtration rate of 60 ml/min/1.73 m3 for a duration of more than three months. CKD is closely related to the patient’s quality of life because the patient must carry out various lifestyle restrictions to slow the progression of kidney damage. Lifestyle restrictions often cause problems in the psychosocial field that increase the severity of symptoms and decrease kidney function faster. This evidence-based case review was compiled to determine the effectiveness of hypnotherapy in improving the quality of life of CKD patients. Literature searches were conducted in four databases, namely PubMed, Cochrane, EMBASE, and Scopus. There are three literatures that fit the eligibility criteria. The critical review was conducted using guidelines created by the Centre for Evidence-Based Medicine, University of Oxford. Hypnotherapy consistently shows improved quality of life in the form of decreased symptoms of anxiety, depression, drowsiness, fatigue, and improved social functioning and relationships with family. Hypnotherapy can be considered a complementary therapy in the management of CKD patients with minimal side effects by considering the patient’s accessibility and preferences.
Validation and adaptation of the Indonesian version of thyroid cancer quality of life questionnaire Pramono, Laurentius Aswin; Shatri, Hamzah; Subekti, Imam; Prihartono, Nurhayati Adnan; Hatma, Ratna Djuwita; Kurniawidjaja, Meily; Prasetyo, Sabarinah; Kurniawan, Felicia
Medical Journal of Indonesia Vol. 34 No. 2 (2025): June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.257639

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BACKGROUND The rising incidence of thyroid cancer in Indonesia has become a public health concern. This study was aimed to evaluate the validity of the thyroid cancer-quality of life-Indonesian version (ThyCa-QoL-ID). METHODS This cross-sectional study involved translating the original ThyCa-QoL questionnaire from English to Indonesian (T1), which was then back-translated into English (T2). The T2 questionnaire was compared with the original ThyCa-QoL questionnaire to refine T1, resulting in T3. The T3 questionnaire underwent cognitive and transcultural validation through individual assessment and focus group discussions with 10 doctors and 10 nurses at Cipto Mangunkusumo Hospital and St. Carolus Hospital, and 5 patients with thyroid cancer from St. Carolus Hospital. This process ensured cultural, language, and literacy adaptation processes for patients across different age groups. RESULTS The ThyCa-QoL questionnaire demonstrated validity, with all questions showing correlation calculation (r) above the r table. Test-retest reliability was measured by calculating the intraclass correlation coefficient for each question on the ThyCa-QoL questionnaire. The reliability test can be seen in the value of Cronbach’s alpha (0.915), exceeding the standard Cronbach’s alpha value standard (0.6). CONCLUSIONS The ThyCa-QoL-ID was confirmed as a valid and reliable tool for assessing the QoL of patients with thyroid cancer in Indonesia.
The Association of Anxiety and Depression with the Quality of Life of Inflammatory Bowel Disease Patients Simanjuntak, Tiroy Sari Bumi; K, Marcellus Simadibrata; Shatri, Hamzah; Abdullah, Murdani
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 26, No 1 (2025): VOLUME 26, NUMBER 1, April, 2025
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/261202519-27

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Background: Inflammatory Bowel Disease (IBD), which is chronic and often recurrent, causes psychological changes in patients. This puts IBD patients at a higher risk of developing various mental disorders, especially anxiety and depression. IBD patients who had symptoms of anxiety or depression tended to show a lower quality of life than patients without those symptoms.Methods: This research uses a cross-sectional design. Data collection was carried out using primary data obtained through interviews with IBD patients who were undergoing outpatient treatment from October to December 2023. Anxiety and depression were measured using the Hospital Anxiety Depression Scale (HADS) and quality of life for IBD patients was measured using the Inflammatory Bowel Disease Questionnaire 9 (IBDQ-9). These questionnaires have been translated into Indonesian and validated. The research sample is an accessible population that has passed the inclusion and exclusion criteria using unpaired numerical analytical sample calculations. The sample used in this research was 172 subjects.Results: In the multivariate analysis, after controlling for confounding variables, the fully adjusted prevalence ratio (PR) for anxiety symptoms was 1.182 (CI: 1.061–1.317, p = 0.002). Similarly, the fully adjusted PR for depression symptoms was 1.221 (CI: 1.075–1.386, p = 0.002).Conclusion: Anxiety and depression are more strongly associated with a decline in the quality of life of IBD patients based on the IBDQ-9 after controlling for confounding variables.Keywords: Anxiety, depression, IBD, quality of life
Peran Prediktif IL-6, IL-10, dan TNF-α Plasma terhadap Gagal Ginjal Akut pada Pasien dengan COVID-19 Derajat Sedang dan Berat Gathmyr, Dewi; Bonar, Maruhum Bonar H; Susilo, Adityo; Harimurti, Kuntjoro; Nainggolan, Ginova; Tagor, Alvin; Shatri, Hamzah; Lesmana, Cosmas Rinaldi Adithya; Amin, Zulkifli
Jurnal Penyakit Dalam Indonesia Vol. 12, No. 2
Publisher : UI Scholars Hub

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Introduction. Acute kidney injury (AKI) is associated with higher mortality rate in COVID-19 patients due to inflammation and immune dysregulation. This study aimed to correlate serum levels of IL-6, IL-10, and TNF-α with serum creatinine changes and their roles to predict incidence of acute kidney injury (AKI) in patients with moderate and severe COVID-19. Methods. This prospective cohort study was conducted among patients with moderate to severe COVID-19 in Pertamina Central Hospital Jakarta, Indonesia during November 2020 to January 2021. All serum levels of cytokines (IL-6, IL-10, and TNF-α) and creatinine were collected on the first day and seventh day of hospitalization. They might be collected earlier if the patients died or discharged early. AKI was defined as deterioration in serum creatinine or urine output based on Kidney Disease Improving Global Outcomes (KDIGO) guideline. The correlation between cytokine and creatinine serum level changes were analyzed using Spearman test. Receiver operator characteristic curve was calculated to explore predictive roles of cytokines on AKI incidence. Results. A total of 43 patients were included in the study, with a mean age of 59.3 years (SD 12.59), and the majority were male (74%). The incidence of AKI was 7%. Serum creatinine changes were correlated with serum levels changes IL-10 (r= -0.343; p=0.024), but not for IL-6 (r=-0.198; p=0.202) and TNF-α (r=-0.129, p=0.409). Meanwhile, serum TNF-α level on the first day was able to predict AKI incidence on the seventh day of hospitalization (AUC 85%; p=0.045; 95% CI=0.737 to 0.963). Conclusions. TNF-α on the first day is potential to be predictor on AKI incidence on the seventh day in moderate and severe COVID-19 patients.
Faktor-Faktor yang Berhubungan dengan Gejala Depresi pada Pasien Insomnia Usia Lanjut di Rawat Jalan Pratiwi, Amalia Nur; Wahyudi, Edy Rizal; Kusumaningrum, Profitasari; Shatri, Hamzah; Rinaldi, Ikhwan; Gani, Rino Alvani; Wijaya, Ika Prasetya; Susilo, Adityo; Renaldi, Kaka
Jurnal Penyakit Dalam Indonesia Vol. 12, No. 3
Publisher : UI Scholars Hub

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Introduction. The elderly population is increasing globally, including in Indonesia, where 10.7% of the population in 2020 were elderly. Insomnia is a common health issue among older adults and has been identified as a predictor of depression. This study aims to identify factors associated with depressive symptoms in elderly outpatients with insomnia. Methods. This cross-sectional study was conducted in 2024 on patients aged ≥60 years at the outpatient unit of Cipto Mangunkusumo Hospital (RSCM), Jakarta, Indonesia, using consecutive sampling to select participants. Elderly patients were screened using the Pittsburgh sleep quality index (PSQI), and those with a score >5 (indicating insomnia) were included as study subjects. Data were collected through interviews, covering sociodemographic characteristics, level of loneliness, duration of insomnia, depressive symptoms [Geriatric Depression Scale–15 (GDS-15) items], functional status [Barthel Activities of Daily Living (B-ADL)], cognitive status [Mini-Mental State Examination (MMSE)], nutritional status [Mini Nutritional Assessment (MNA)], and chronic diseases [Cumulative Illness Rating Scale for Geriatrics (CIRSG) score]. Results. The study included 209 elderly subjects with insomnia, with a mean age of 72.88 (SD 6.98) years, and a depression prevalence of 6.7%. Bivariate analysis showed significant associations between dependency (PR 5.24; 95% CI 1.50 – 18.29), malnutrition (PR 11.54; 95% CI 4.77 – 27.92), and chronic disease with a CIRSG score ≥9 (PR 4.15; 95% CI 1.18 – 14.50) and depressive symptoms in elderly patients with insomnia. No significant associations were found between sociodemographic factors, loneliness, duration of insomnia, or cognitive status and depression. Multivariate logistic regression analysis revealed a statistically significant association between malnutrition and depressive symptoms (p < 0.001). Conclusions. There is a significant association between malnutrition and depressive symptoms in elderly outpatients with insomnia. Further cohort studies are recommended to explore the causal relationship between malnutrition and depression in elderly patients with insomnia.
Pengaruh Heart Rate Variability terhadap Kesintasan Pasien dengan Kanker: Laporan Kasus Berbasis Bukti Kosasih, Kartika Anastasia; Raniah, Nida; Putranto, Rudi; Rajabto, Wulyo; Shatri, Hamzah; Faisal, Edward; Poespitasari, Vinandya Irvianita
Jurnal Penyakit Dalam Indonesia Vol. 12, No. 3
Publisher : UI Scholars Hub

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Depression, anxiety, and poor outcomes in cancer are possibly mediated by autonomic dysfunction. Autonomic disfunction found in cancer patients can cause increase in sympathetic tone and decrease in cardiac muscle vagal tone. Heart rate variability (HRV) is a non-invasive index for measuring vagal response and a potential stress response in autonomic dysfunction. In patients with cancer, high vagal tone measured by HRV is significantly correlated with increased overall survival. This evidence-based case report aims to investigate the role of HRV as a prognostic factor in cancer patients. Literature search was done by two authors on five databases: Pubmed, Cochrane Library, EMBASE, ProQuest dan MEDLINE (EbscoHost) in accordance with clinical question. Articles were selected using inclusion and exclusion criteria, then critical review was performed. Quality of the studies was evaluated using the Center of Evidence-Based Medicine, University of Oxford guideline. Two systematic review and four cohort study was included. Increased HRV index is consistently correlated with increased overall survival (OS) in cancer patients. One meta-analysis study found that OS is significantly longer in group with higher HRV (Hazard ratio, HR = 0.70, IK95% 0.60 – 0.82, p < 0.001, I2 = 27%). In conclusion, HRV can be used as a prognostic factor in advanced stage cancer patients. Increased HRV is associated with better OS.
Sarcopenia is Associated with Poor Performance Status in Indonesian Patients with Hepatocellular Carcinoma Koncoro, Hendra; Hasan, Irsan; Lesmana, C Rinaldi; Aditama, Humala Prika; Salamah, Thariqah; Rizka, Aulia; Wahyudi, Edy Rizal; Shatri, Hamzah; Teng, Wei
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 23, No 1 (2022): VOLUME 23, NUMBER 1, April 2022
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (614.006 KB) | DOI: 10.24871/231202217-23

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Background: Sarcopenia has a notable impact on the prognosis of hepatocellular carcinoma (HCC). The prevalence of sarcopenia in patients with HCC is relatively high, with studies reporting rates between 39% and 41.7%. A substantial proportion of individuals diagnosed with HCC also exhibit muscle wasting and reduced muscle function. This study aims to determine the prevalence of sarcopenia in Indonesian patients with HCC (based on the Japanese Socuety of Hepatology (JSH) JSH criteria) and to examine its correlation with poor performance status.Methods: We performed a cross-sectional study of 85 HCC patients between January and October 2021). The skeletal muscle index at L3 (L3 SMI) was measured on CT scans (applying JSH cut-offs for sarcopenia). Clinical data, including Eastern Cooperative Oncology Group (ECOG) performance status, were collected. Bivariate analyses and logistic regression were performed to identify factors associated with sarcopenia.Results: A total of 85 HCC patients (median age: 52 years) were included in the analysis. Sarcopenia was observed in 49.4% of the cohort. Bivariate analysis revealed a statistically significant association between sarcopenia and an ECOG performance status of 2+ (p = 0.003), as well as a MELD-Na score of ≥15 (p = 0.023). In multivariate analysis, poor ECOG-PS remained independently associated with sarcopenia (adjusted OR 4.17; 95% CI 1.50–11.56, p = 0.006).Conclusion: Sarcopenia is highly prevalent among Indonesian HCC patients, and it is strongly associated with poor ECOG performance status. 
Effectivity of Extracorporeal Shock Wave Lithotripsy (ESWL) and Stenting vs. Stenting Only for Difficult Common Biliary Duct Stones: A Retrospective Analysis Maulahela, Hasan; Rumagesan, Djahalia; Abdullah, Murdani; Makmun, Dadang; Renaldi, Kaka; Simadibrata, Marcellus; Shatri, Hamzah; Fauzi, Achmad; Tandan, Manu
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 24, No 1 (2023): VOLUME 24, NUMBER 1, April, 2023
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/241202323-29

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Background: Endoscopic retrograde cholangiopancreatography (ERCP) alone may not be sufficient for treating difficult common bile duct stones. To address this challenge, several other modalities exist, including extracorporeal shock wave lithotripsy (ESWL) and biliary stent placement. This study aims to investigate the effectiveness of ESWL following biliary stent placement, in comparison to biliary stent placement alone , in the treatment of difficult common bile duct stones.Methods: A retrospective cohort study was conducted using medical record data from the Gastrointestinal Endoscopy Center Registry of Dr. Cipto Mangunkusumo General National Hospital. This study evaluated 126 subjects with difficult bile stones, who were divided into two groups: one group received biliary stent placement alone, while the other underwent extracorporeal shock wave lithotripsy (ESWL) following biliary stent placement. The effectiveness of each treatment was assessed based on the rate of complete clearance of bile stones.Results: Of the total participants, 72 underwent ESWL following biliary stent placement, while 54 received biliary stent placement alone. The rate of complete stone clearance was 69.1% in the ESWL group and 64.8% in the stent-only group. However, the addition of ESWL as an adjuvant therapy did not result in a statistically significant improvement (p = 0.703; 95% CI: 0.816–1.351). Normal body mass index was a factor that influences the effectiveness of ESWL after biliary stent placement (p = 0.002).Conclusion: The ESWL procedure as adjuvant therapy following biliary stent placement has the same level of effectiveness as biliary stent placement alone.
Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel Disease Parhusip, Santi Sumihar Rumondang; Rengganis, Iris; Simadibrata, Marcellus; Abdullah, Murdani; Shatri, Hamzah; Yunihastuti, Evy; Wibowo, Heri
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 24, No 1 (2023): VOLUME 24, NUMBER 1, April, 2023
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/241202341-48

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Background: Inflammatory bowel disease (IBD) is an autoimmune disease that is influenced by food, an important factor in accelerating its clinical disease activity because of intestinal inflammation trough formation of antigen-antibody complex. Food-specific IgG examination can identify the types of person foods consumes that are maybe responsible for disease activity. It is useful in treating IBD without risking malnourishment as it is tailored to the individual immune profile.Method: This is a cross-sectional study involving 113 patients diagnosed with IBD by colonoscopy. Examination of serum IgG specific for 220 types of foods was performed using ELISA and immuno-array techniques. Disease clinical activity was assessed using the Mayo index and Crohn's disease activity index.Results: The highest proportion of dietary IgG in Crohn's disease was peas (100%), barley (97.9%), eggs (95.9%), milk (81.6%), and corn (75.5%); while in ulcerative colitis it was barley (98.4%), peas (96.8%), egg whites (92.2%), corn (82.8%), and prunes (78.1%). In ulcerative colitis, there was a weak negative correlation between cashew nuts IgG (r = -0.347; p = 0.041) and chickpeas IgG (r = -0.473; p = 0.017) with clinical disease activity; while in Crohn's disease, a weak positive correlation with disease activity was seen in barley (r = 0.261; p = 0.042).Conclusion: There was a weak negative correlation between cashew and chickpea-specific IgG antibodies with clinical activity of ulcerative colitis, and a weak positive correlation between barley-specific IgG antibodies and Crohn's disease clinical activity. 
Co-Authors -, Arles - -, Darmadi Achmad Fauzi Adhiatma, Kresna Aditama, Humala Prika Aditya Wardhana Adityo Susilo, Adityo Adli, Mizanul Agung, Ratih Arianita Agus Siswanto Agus Sudiro Waspodo Agustinus, Taolin Ahadini, Putri Aliya Aida Lydia Alexander, Reinaldo Ali Sakti Ali Sakti, Ali Alvina Widhani, Alvina Andhika Rachman Andri Sanityoso Andri Sanityoso Andru, Gestana Anggono, Rendi F. Angraeni, Sri Anna Ariane Anwar, Bariani Ardani, Yanuar Ari Fahrial Syam Arif Mansjoer Arif Sejati Arles - - Aryadi Kurniawan Aryadi Kurniawan Asir, Taufik Rizkian Atmakusumah, Tubagus Djumhana Aulia Rizka, Aulia Azri Nurizal, Azri Azzaki Abubakar Azzaki Abubakar, Azzaki Bernard Agus Sakti Dhaki Bernard Agus Sakti Dhaki, Bernard Agus Sakti Birry Karim Bonar, Maruhum Bonar H Browijoyo, Isa A. Budi Sampurna Budi Sampurna Bundjali, Muhammad Trihatmowijoyo C Rinaldi A Lesmana C. Martin Rumende, C. Martin Ceva W. Pitoyo Chairani, Aisha Putri Charlex, Harold Jefferson Matthew Cleopas Martin Rumende Cleopas Martin Rumende Cleopas Martin Rumende Cophiadi Irawan Cosphiadi Irawan Dadang Makmun Damayanti Sekarsari Darmadi - Dedi Wihanda, Dedi Dewi Gathmyr Diah Martina, Diah Dian R. Sawitri, Dian R. Diana Sunardi Dicky L. Tahapary Dika Sinulingga Dono Antono Dwi Lestari Partiningrum Dyah Purnamasari Dyah Purnamasari E Mudjaddid E Mudjaddid, E E. Mudjaddid E. Mudjaddid, E. Mudjaddid Eddy Mart Salim Eddy Mart Salim, Eddy Mart Edi Mulyana Edi Mulyana, Edi Edward Faisal Edward Faisal Edward Faisal Edward Faisal Edy Rizal Wahyudi Eka Ginanjar Elizabeth Yasmine Elizabeth Yasmine, Elizabeth Em Yunir Em Yunir Em Yunir, Em Endang Susalit Endy Novianto Endy Novianto, Endy Erlita, Diana Erni J. Nelwan, Erni J. Esa, Dekta Filantropi Evy Yunihastuti Fahmi Razi Darkuthni Faisal, Edward Fauzar, Fauzar Felicia Kurniawan, Felicia Ferliani Ferliani Ferliani Ferliani, Ferliani Ferry Tigor P Purba Ferry Tigor P Purba, Ferry Tigor P Fiastuti Witjaksono Findy Prasetyawati Findy Prasetyawati, Findy Firsyada, Fajar Fita Fitrianti Fitrianti, Fita Funay, Prijander L B Ginova Nainggolan Ginova Nainggolan Grecia Rachmaningrum Gurmeet Singh Habibah Hanum Nasution Habibah Hanum Nasution, Habibah Hanum Harahap, Agnes S. Harry Isbagio Harry Isbagio Harry Yusuf Hasan Maulahela Hatma, Ratna Djuwita Hendra Koncoro Henry Ratno Diono Silalahi Henry Ratno Diono Silalahi, Henry Ratno Diono Heri Wibowo Heru Sundaru Heru Sundaru Ibrahim, Febiansyah Idrus Alwi Idrus Alwi Idrus Alwi Ika P Wijaya, Ika P Ika Prasetya Wijaya Ikhwan Rinaldi Ilyas, Mohammad Imam Subekti Imelda Maria Loho, Imelda Maria Indra, Suwito Irawan, Cophiadi Iris Rengganis Irman Firmansyah Irsan Hasan Irvianita, Vinandia Ivona Oliviera, Ivona Jeger, Dian P. Juferdy Kurniawan Kaka Renaldi Katarina, Matilda Kemal Fariz Kalista, Kemal Fariz Ken Ayu Mastini Ken Ayu Mastini, Ken Ayu Kosasih, Kartika Anastasia Kumalawati, July Kuntjoro Harimurti Kurniawidjaja, Meily Kusuma, Ni Nyoman Indirawati Kusumaningrum, Profitasari Laurentius Aswin Pramono Leonard Nainggolan Lianda Siregar Linda Armelia Lindrawati Tjuatja Lugyanti Sukrisman Luhuna, Muslimah Lusiani Lusiani Lusiani Lusiani, Lusiani Lutfiah, Evah M Bonar Marbun Mansur, M. Tasrif Marbun, M Bonar Marbun, Maruhum Bonar Hasiholan Marcellus Simadibrata K Margaluta, Ariansah Marthino Robinson Marthino Robinson Martin, Cleopas Maruhum B.H. Marbun Maruhum Bonar HM, Maruhum Bonar Masyur, Muhtaruddin Megantara, Marcelino A. Melinda Harini Melinda Harini Mizanul Adli Muhadi Muhadi Muhadi Muhadi Muhadi Muhadi, Muhadi Muhammad Ali Apriansyah Muhammad Ali Apriansyah, Muhammad Ali Muhammad Yamin Muhammad Yamin Murdani Abdullah Murdani Abdullah Murdani Abdullah Nadia Ayu Mulansari, Nadia Ayu Nanda N. Muhammad Nanda N. Muhammad, Nanda N. Nasrun, Martina W. Nikko Darnindro Noorwati Sutandyo Noorwati Sutandyo Noorwati Sutandyo Nunuk Mardiana, Nunuk Nurfitria, Nandika Oryza Gryagus Prabu Parhusip, Santi Sumihar Rumondang Parlindungan Siregar Parlindungan Siregar Petrin Redayani Lukman S Poespitasari, Vinandya Irvianita Pradana Soewondo Pratiwi, Amalia Nur Prihartono, Nurhayati Adnan Prijander Lombardia Funay Pringgodigdo Nugroho, Pringgodigdo Puranto, Rudi Purba, Ferry Tigor P. Purwita Wijaya Laksmi Puspadina, Shafira Putranto, Rud Rachmaningrum, Grecia Raniah, Nida Rasco Sandy Sihombing Rasco Sandy Sihombing, Rasco Sandy Ratih Arianita Agung Reinaldo Alexander Ricardo, William Ricky Rino A Gani RM. Suryo Anggoro Rooshoeroe, A. G. Rudi Putranto Rudy Hidayat Rumagesan, Djahalia Rumende, Cleopas Martin Martin Rustam, Musfardi S.Pd. M Kes I Ketut Sudiana . Sabarinah Prasetyo Sabrina Chusnul Chotimah Sally Aman Nasution Salman Paris Harahap Salman Paris Harahap, Salman Paris Sarwono, Sugeng J. Saskia Aziza Nursyirwan, Saskia Aziza Sepmeitutu, Iwandheny Siahaan, Billy Stinggo Sihwastuti, Sihwastuti Simanjuntak, Tiroy Sari Bumi Sinulingga, Dika Sinulingga, Dika I. Siti Setiati Siti Taqwa Fitria Lubis, Siti Taqwa Fitria Soejono, C. H. Suhendro Suwarto Suhendro Suwarto, Suhendro Sukamto Koesnoe Sukamto Koesnoe Sumariyono Sumariyono Sumariyono Suwito Indra Suzanna Immanuel Tagor, Alvin Tahir, Andi Cahaya Tanadi, Caroline Tandan, Manu Taolin Agustinus Taufik Rizkian Asir Tedjasukmana, Deddy Teguh Harjono Karjadi, Teguh Harjono Telly Kamelia Teng, Wei THARIQAH SALAMAH, THARIQAH Tjhin Wiguna Tresia Fransiska U Tambunan Tri Juli Edi Tarigan Triyanta Yuli Pramana Tubagus Djumhana Atmakusumah Valy Wulani, Valy Veronica, Raja Merlinda Victor, Hildebrand Hanoch Vinandia Irvianita Virnanda Amu, Ivan Wardoyo, Elizabeth Y Wika Hanida Wika Hanida, Wika Wulani, Vally Wulyo Rajabto Wuryantoro Wuryantoro, Wuryantoro Yanuar Ardhani Yustar Mulyadi Yusuf, Harry Zubairi Djoerban Zubairi Djoerban Zubairi Djoerban Zulkifli Amin Zulkifly, Steven