Mei Neni Sitaresmi
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta

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Hubungan Kadar Timbal Darah dengan Tingkat Inteligensi Anak Dewi Mutiati Ratnasari; Mei Neni Sitaresmi; Nenny Sri Mulyani
Sari Pediatri Vol 18, No 4 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp18.4.2016.265-9

Abstract

Latar belakang. Timbal telah terbukti neurotoksin. Kadar timbal yang tinggi dalam darah dihubungkan dengan inteligensi yang rendah pada anak, tetapi sampai saat ini belum ada laporan hubungan kadar timbal dalam darah dengan inteligensi anak di Indonesia khususnya Yogyakarta.Tujuan. Mengetahui hubungan kadar timbal darah dengan tingkat inteligensi anak.Metode. Penelitian potong lintang terhadap anak di 7 Sekolah Dasar kelas 1 dan 2 Inklusi di Yogyakarta pada bulan Januari 2013. Subyek penelitian diperoleh secara purposive sampling. Kriteria inklusi adalah anak dengan 5 peringkat tertinggi dan 5 peringkat terendah yang bersedia mengikuti penelitian. Kriteria eksklusi adalah anak dengan sindrom Down, hiperaktif, autis, dan adanya gangguan pendengaran. Inteligensi ditentukan berdasarkan Wechsler Intelligence Scale for Children timbal dalam darah diperiksa dengan alat atomic absorption spectrophotometry. Data dianalisis dengan menggunakan uji independent t-test, uji chi-square, dan uji Fisher.Hasil. Didapatkan 80 anak (40 anak dengan inteligensi tinggi dan 40 anak dengan inteligensi rendah) diikutsertakan dalam penelitian ini. Rerata kadar timbal dalam darah anak dengan inteligensi tinggi 4,09 µg/dL (SB 0,50) lebih rendah dibandingkan dengan rerata kadar timbal dalam darah anak dengan inteligensi rendah 7,08 µg/dL (SB 0,61, IK95%: 1,429-4,555). Kadar timbal dalam darah ≥5 µg/dL lebih banyak dijumpai pada anak dengan inteligensi rendah dibandingkan dengan anak dengan inteligensi tinggi (75% vs 45%; p=0,006). Hasil analisis bivariat faktor luar didapatkan faktor lain yang memengaruhi tingkat inteligensi anak adalah stimulasi, tingkat pendidikan ibu dan sosial ekonomi (p=<0,001, p=0,001, dan p=0,001).Kesimpulan. Anak dengan inteligensi rendah mempunyai kadar timbal darah yang lebih tinggi dibandingkan anak dengan inteligensi tinggi.
Paternal and maternal age at pregnancy and autism spectrum disorders in offspring Luh Putu Rihayani Budi; Mei Neni Sitaresmi; I Gusti Ayu Trisna Windiani
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.887 KB) | DOI: 10.14238/pi55.6.2015.345-51

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Background The prevalence of autism spectrum disorders (ASDs) has increased 10 times over the past half century, while paternal and maternal age at pregnancy has also increased. Studies looking for an association between paternal or maternal age at pregnancy and ASDs in offspring have not been conclusive. Objective To assess for possible associations between paternal and maternal age at pregnancy and ASDs in offspring. Methods This case-control study had 50 case and 100 control subjects, each case was matched for age and gender to two controls. Case subjects were obtained by consecutive sampling of patients aged 18 months to 7 years who visited the Developmental Behavioral & Community Pediatrics Outpatient Clinic and private growth and development centers from January to April 2013, while control group were children of the same age range and same gender who visited pediatric outpatient clinic at Sanglah Hospital mostly due to acute respiratory tract infection, without ASDs as assessed by the DSM-IV-TR criteria. We interviewed parents to collect the following data: maternal and paternal age at pregnancy, child’s birth weight, history of asphyxia, hospital admission during the neonatal period, pathological labor, maternal smoking during pregnancy, paternal smoking, and gestational age. Data analysis was performed with Chi-square and Fisher’s exact tests. Results Multivariable analysis showed that higher paternal age at pregnancy was associated with ASDs in offspring (OR 6.3; 95%CI 2.0 to 19.3; P 0.001). However, there was no significant association between maternal age during pregnancy and the incidence of ASDs. Asphyxia and paternal smoking were also associated with higher incidence of ASDs in the offspring (OR 10.3; 95%CI 1.9 to 56.5; P 0.007 and OR 3.2; 95%CI 1.5 to 6.9; P 0.003, respectively). Conclusion Paternal age >=40 years increased the risk of ASDs in offspring by 6.3 times. In addition, paternal smoking increased the risk of ASDs in offspring by 3.2 times and asphyxia increased the risk of ASDs in offspring by 10.3 times.
Accuracy of the Indonesian child development pre-screening questionnaire Syahperlan Wendi Simangunsong; Soeroyo Machfudz; Mei Neni Sitaresmi
Paediatrica Indonesiana Vol 52 No 1 (2012): January 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.79 KB) | DOI: 10.14238/pi52.1.2012.6-9

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Background Early stimulation, detection and intervention areimportant for child development and are recommended in theearly years of childhood for optimal results. The Indonesianchild development pre-screening questionnaire, Kuesioner PraSkrining Perkembangan (KPSP), has been widely used in publichealth centers (PHC) and community health centers (CHC)in the country. Howevei; the accuracy of this test has not beenadequately assessed.Objective To assess the diagnostic value of KPSP as a prescreeningtool for child development compared to that of theDenver II developmental screening test.Methods We conducted a KPSP diagnostic study, using theDenver II test as a gold standard for comparison. Subjects werechildren aged 3 to 60 months. They were recruited from one ofthree settings: hospital, community (child care centers) or schools(kindergarten).Results Of 210 children recruited, 182 were included in ourstudy. The overall sensitivity, specificity, positive predictive value(PPV), negative predictive value (NPV) and accuracy of KPSPwere 68.8%, 86.6%, 64.7%, 88.6% and 81.9%, respectively. Thecomparison of diagnostic value based on age groups showed betterresults in the 3 - 24 month group than that of the older group.Sensitivity, specificity and accuracy of the younger group vs. theolder group were 92.3% vs. 60.0%, 78.6% vs. 87.5% and 85.2%vs. 81.3%, respectively.Conclusion The accuracy of KPSP compared to Denver II testwas good for the 3 - 24 month age group. However, this toolshould be revised for the older age group. [Paediatr lndones.2012;52:6-9].
Risk factors of developmental delay: a community-based study Mei Neni Sitaresmi; Djauhar Ismail; Abdul Wahab
Paediatrica Indonesiana Vol 48 No 3 (2008): May 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.314 KB) | DOI: 10.14238/pi48.3.2008.161-5

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Background Developmental delay is a common problem inchildren. Early detection of this disorders is mandatory in orderto provide early interventions. Identification of the risk factors isimportant for strategic intervention.Objective To identify risk factors of developmental delay inchildren under five years old.Metlwds A community-based study of developmental screeningwas conducted, in Bambanglipuro, Bantul district, Province ofYogyakarta, between September and October 2007. Developmentalscreening was performed using a Kuesioner Pra Skrining Perkembangan(KPSP).Results Out of 632 children aged 3 to 60 months, 407 (64%) hadnormal development, 81 (28%) doubtful and 43 (8%) suspecteddevelopmental delay. A number of factors identified as the riskof suspected developmental delay were undernourished (OR 2.3,95%CI 1.1 ; 4.8) , low birth weight (OR 2.6, 95%CI 1.1 ; 6.1), loweducational level of mother (O R 2.5, 95%CI 1.3; 4.9) , workingmother (O R 1.8, 95%CI 1; 3.5), and poor socio-economic status(SES) families (OR 2.7, 95%CI 1.3; 5.4). Multivariate logisticregression analysis showed that poor SES was the strongest riskfactor of suspected developmental delay (adjusted OR 2.8, 95%CI1.4;5.7) .Conclusions Poverty, low maternal educational level andintrauterine malnutrition during as well as malnutrition duringinfant period are risk factors of developmental delay. Integratedstrategies should be conducted to solve the problems to preventmore children suferred from developmental delay.
Lipid profiles in smoking and non-smoking male adolescents Sigit Prastyanto; Mei Neni Sitaresmi; Madarina Julia
Paediatrica Indonesiana Vol 54 No 4 (2014): July 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.355 KB) | DOI: 10.14238/pi54.4.2014.232-5

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Background The prevalence of smoking in adolescentstends to increase. Smoking is associated with a higher risk ofdyslipidemia.Objective To compare the lipid profiles of tobacco-smoking andnon-tobacco-smoking male adolescents.Methods We performed a cross- sectional study in three vocationalhigh schools in Yogyakarta from January to April 2011. Dataon smoking status, duration of smoking and number cigarettesconsumed per day were collected by questionnaires. We randomlyselected 50 male smokers and 50 male non-smokers as the studysubjects.Results Mean differences between smokers and non-smokerswere 44.5 (95%CI 28. 7 to 60.1) mg/dL for triglyceride levels; 8.0(95% CI 1.0 to 14.9) mg/dL for low density lipoprotein (LDL)cholesterol; 11.8 (1.1 to 22.4) mg/dL for total cholesterol and -5.7mg/dL (95% CI -8.8 to -2.6) for high density lipoprotein (HDL)cholesterol. Mean differences (95% CI) between smokers whohad engaged in smoking for > 2 years and those who had smokedfor :S:2 years were -18.1 (95% CI -33 .9 to -2.3) mg/dL for totalcholesterol; -49.4 (95% CI -67.2 to -3 1.5) mg/dL for triglycerides.Mean differences between those who smoked > 5 cigarettes/dayand :s:5 cigarettes per day were -18 .4 (95% CI -32.8 to -4.1) mg/dL for total cholesterol and -29.1 (95% CI -53.6 to -4.6) mg/dLfor triglycerides.Conclusion Smoking more than 5 cigarettes/day significantlyincreases total cholesterol, LDL cholesterol, and triglyceridelevels, as well as reduces HDL cholesterol levels; while smokingmore than 2 years significantly increases total cholesterol andtriglyceride levels
PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIAN ISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATEN KAPUAS Mayae Hugo; Ova Emilia; Mei Neni Sitaresmi
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.4916

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PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIANISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATENKAPUASMayae Hugo, Ova Emilia,Mei Neni SitaresmiABSTRACTBackground: Acute respiratory infections (ARI) is one of themain causes of disease burden in developing countries,and 40-60% patients visits at the health center. Riskesdes analysis report the under–five children who suffer fromupper respiratory tract infection prevalence 42.8%. ARI occurrence is affected by many factors, includingenvironmental factors. Little attention has been given to indoor air pollution particularly for people in ruralareas, although the known particles of smoke in the room known as the most influential factors on the health ofchildren where children spend most of their time indoorsObjective: To know whether smoke exposure inside the house is a risk factor toward non pneumonia ARI amongunder-five children.Method: This was a study using a case control study design. Subjects were under-five children aged 12-59 monthsold in Kapuas District taken by non probability sampling method. Sample size was 106, divided into two groupsnamely case (n=53) and control (n=53). Data analysis used univariate analysis, bivariate analysis, and multivariateanalysis with logistic regression.Result: Non pneumonia ARI had a 2.7 time greater risk of contracting under-five children exposed by smokeinside their house (95%CI=1.16-6.60). Multivariate analysis proportion of house condition which was not reallyhygienic, member of family who contracted ARI, bad nutritional status had a significant relationship to nonpneumonia ARI among under-five children.Conclusion: Non pneumonia ARI among under-five children had a significant relationship to smoke exposureinside the house.Keywords: non pneumonia ARI, smoke exposure inside the house, under-five children   ABSTRAKLatar Belakang: Infeksi saluran pernapasan akut (ISPA) merupakan salah satu penyebab utama beban penyakit dinegara berkembang. Terdapat 40-60% kunjungan pasien di pusat layanan kesehatan. Analisis Riskesdesmelaporkanprevalensi anak-anak balita yang menderita infeksi saluran pernapasan atas 42,8%. Kejadian ISPA dipengaruhioleh banyak faktor, termasuk faktor lingkungan. Sedikitnya perhatian yang diberikan terhadap polusi udara dalamruangan terutama bagimasyarakat di daerah pedesaan,meskipun partikel yang berasal dari asap di dalam ruangandikenal sebagai faktor yang paling berpengaruh pada kesehatan anak di mana anak-anak menghabiskan sebagianbesar waktu mereka di dalam ruangan.Tujuan: Untuk mengetahui apakah paparan asap di dalam rumah merupakan faktor risiko terhadap non pneumoniaISPA pada balita.Metode: Penelitian ini merupakan penelitian dengan menggunakan disain penelitian kasus kontrol. Subyekpenelitian adalah balita berusia 12-59 bulan di Kabupaten Kapuas diambil dengan metode non probabilitysampling. Jumlah sampel adalah 106, dibagi menjadi dua kelompok yaitu kelompok kasus (n=53) dan kelompokkontrol (n=53). Analisis data yang digunakan analisis univariat, analisis bivariat, dan analisis multivariat denganregresi logistik. Hasil dan Pembahasan: ISPA non pneumonia memiliki risiko 2,7 kali lebih besar menjangkiti anak yang terpaparasap di dalam rumah mereka (95% CI=1,16-6,60). Proporsi analisis multivariabel kondisi rumah yang tidak benarbenarhigienis, anggota keluarga yang terjangkit ISPA, status gizi buruk memiliki hubungan yang signifikan terhadapISPA non pneumonia pada balita.Kesimpulan: ISPA non pneumonia pada balita memiliki hubungan yang signifikan terhadap paparan asap di dalamrumah.Kata kunci: ISPA non pneumonia, paparan asap di dalam rumah, balita
Pengaruh Asfiksia terhadap Ukuran Kepala Anak Usia 6 Bulan - 2 Tahun di Rumah Sakit Umum Provinsi Nusa Tenggara Barat Melati Inayati Albayani; Djauhar Ismail; Mei Neni Sitaresmi
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.37941

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Background: In developing countries is estimated at about 120 million babies born asphyxiated at birth. Among these who can survive 20% to 30% had mental disorder, cerebral palsy or developmental abnormality due to the small size of head circumference (microcephaly).Objective: To determine the effect of asphyxia on the head circumference size of children age 6 months - 2 years.Method: A matched case-control study design was conducted from May – June 2014. The population of the study was all children age 6 months - 2 years who visited the Growth development clinic of General Hospital of West Nusa Tenggara Province. The cases were children who have microcephaly and the controls were children with normocephaly. From sample size which was calculated by hypothesis testing two populations proportions are obtained a sample of 72 respondents with 36 cases and 36 controls. Bivariate analysis used chi-square (χ2) McNemar and multivariable analysis with logistic regression (conditional logistic regression) with a significance level of p <0.05 and 95% confidence intervals.Result and Discussion: Microcephaly was present in 83 % of the children with asphyxia, compared with 36 % of the controls. The children with asphyxia tent to have microcephaly compared to children without asphyxia (OR = 5,00; 95% CI: 1,36-18,32). Results of multivariable analysis showed that there was a statistically significant effect between asphyxia with head circumference size by controlling the low birth weight variable (OR = 5,00; 95% CI: 1,36-18,32).Conclusion: History of asphyxia increases the risk of microcephaly compared with non-asphyxia in children aged 6 months - 2 years.Keywords: asphyxia, head circumference, children aged 6 months-2 years
Risk factors for malnutrition in under-five children: one year after the Yogyakarta earthquake Neti Nurani; Mei Neni Sitaresmi; Djauhar Ismail
Paediatrica Indonesiana Vol 51 No 6 (2011): November 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi51.6.2011.327-31

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Background Malnutrition in children under the age of five remains a major health problem, since half of mortality cases in this age group involve malnutrition. The 2006 earthquake caused destruction of physical, biological and socio-economic environments, potentially leading to malnutrition in Yogyakarta children.Objective To identify the prevalence and risk factors of malnutrition in Yogyakarta children under five years of age, one year after the 2006 earthquake.Methods We conducted a cross-sectional study among children aged 0 to 60 months in the Bambanglipuro Subdistrict, Bantul Regency, Yogyakarta from September to October 2007. Nutritional status was determined using weight for height Z-scores, according to the WHO 2006 Child Growth Standards.Results Out of 666 subjects, we found severe malnutrition, undernutrition, normal weight, and overweight status in 1.7%, 4.8%, 88.6% and 4.8%, respectively. By multivariate analysis, risk factors for malnutrition were not having been weighed during the previous three months (OR 0.35; 95% CI 0.1 to 0.8) and having acute respiratory infection in the previous two weeks (OR 1.99; 95% CI 1.1 to 3.8)Conclusion One year following the 2006 earthquake, acute respiratory infection in the previous two weeks and unmonitored growth in the previous three months were risk factors for malnutrition in children under five years.
Behavioral parent training for ADHD children: a mixed methods study Hari Wahyu Nugroho; Mei Neni Sitaresmi; Indria Laksmi Gamayanti
Paediatrica Indonesiana Vol 57 No 3 (2017): May 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (64.826 KB) | DOI: 10.14238/pi57.3.2017.145-8

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Background Management of ADHD requires multimodal treatments. Parental participation is one of the most important factors for effective ADHD treatment.Objective To investigate the effectiveness of behavioral parent training combined with routine clinical care, in reducing ADHD symptoms in children.Methods Quantitative and qualitative methods were combined in this study. This study was conducted at 3 growth and developmental clinics in Central of Java, on June-July 2016. The quantitative aspect was assessed by comparing ADHD quotient scores at pre- and post-intervention, while the qualitative aspect by intensive parental interviews. Parents of children with ADHD were randomized with block random sampling. In the treatment group, parents received behavioral training for 7 weeks, along with weekly routine clinical care for their children. The control group received only routine clinical care of the children. Six parents in the treatment group were randomly selected for intensive interviews.Results A total of 67 parents with their children were involved. Both groups’ ADHD quotient scores improved post-intervention. The treatment group ADHD quotient score was reduced from 120.53 to 116.41 (effect size Cohen’s d 0.68). The control group ADHD quotient score was reduced from 121.74 to 119.83 (effect size Cohen’s d 0.23). Mean difference post-intervention in both group was not significant (p=.161). After behavioral parent training, communication between parents and children increased and parents’ capability in directing their children’s daily activity increased.Conclusion Behavioral parent training can not enhacing effectiveness of routine clinical care to reduce ADHD symptoms in children.
Sleep disorders in children with attention-deficit/hyperactivity disorder Medina Permatawati; Agung Triono; Mei Neni Sitaresmi
Paediatrica Indonesiana Vol 58 No 1 (2018): January 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.176 KB) | DOI: 10.14238/pi58.1.2018.48-52

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Background Attention-deficit/hyperactivity disorder (ADHD) is a neurobehavioral abnormality that commonly occurs among children. Sleep disorders are comorbid with ADHD. Sleep disorders in Indonesian children with ADHD have not been widely studied.Objective To understand the proportion and factors that influence sleep disorders in children with ADHD. Methods This cross-sectional study involved 54 children aged 3-14 years who had been diagnosed with ADHD by a pediatric growth and development consultant using DSM-5 criteria. The subjects were consecutively selected from March to August 2017 at the Child Development Polyclinic, Dr. Sardjito Hospital, Yogyakarta. Sleep data were collected using the Sleep Disturbances Scale for Children (SDSC) and the Children’s Sleep Hygiene Scale (CSHS).Results Of the 54 children with ADHD (46 males and 8 females), 35 (64.8%) experienced sleep disorders. The majority (26 subjects, 48.1%) had the disorder of initiating and maintaining sleep. Children with the combined (inattention and hyperactive-impulsive) type of ADHD experienced significantly greater sleep disturbance compared to the inattention type or hyperactive-impulsive type (OR=3.750; 95% CI 1.133 to 12.41; P=0.027). Poor sleep hygiene was also significantly associated with more severe sleep disorders (r=-0.383, P=0.004).Conclusion The proportion of sleep disorder in children with ADHD is relatively high, with the majority having a disorder of initiating and maintaining sleep. Children with combined type ADHD experience a higher amount of sleep disorder than those with either the inattention or hyperactive-impulsive types of ADHD. Children with poor sleep hygiene have significantly more severe sleep disorders.
Co-Authors Abdul Wahab Ade Febrina Lestari Afrilia Intan Pratiwi Agung Triono Agung Triono, Agung Akhmadi Akhmadi Albaaza Nuady Albayani, Melati Inayati Albayani, Melati Inayati Alifah Anggraini, Alifah Anggraeni Budi Lestari Anita E. Heywood Anjarsari Haspitaningrum Arhana, Arhana Ari Prayitno, Ari Arief Tarmansyah Iman Aries Suparmiati Azwar Aruf Barida, Iram Budi Santosa Chandini Raina MacIntyre Cissy B. Kartasasmita Cissy B. Kartasasmita Damroni, Rais Aliffandy Dewi Mutiati Ratnasari Dina Rismawati Diyah Rakanita Undang Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djelantik, I.G.G. Dominicus Husada Dwi Prasetyo Dwi Prasetyo Elisabeth Siti Herini Elsa Maimon Ema Madyaningrum Endah Mayang Sari Faisal Husien Ferry Andian Sumirat Firda Ridhayani Fithia Dyah Puspitasari Fithia Dyah Puspitasari, Fithia Dyah Fitri Haryanti Gatot Irawan Sarosa Gatot Irawan Sarosa, Gatot Irawan Hanifah Oswari Hari Wahyu Nugroho Hartono Gunardi Haspitaningrum, Anjarsari Hindra Irawan Satari, Hindra Irawan Holly Seale I Gusti Agung Trisna Windiani Indria Laksmi Gamayanti Indria Laksmi Gamayanti Iram Barida Iskandar, Kristy Ismoedijanto Jamil, Muhammad Dawam Jarir Atthobari Julitasari Sundoro Kartika Handayani Kartika Handayani Kurniasari, Yulinda Kurniasari, Yulinda Kurniawati Arifah Kusnandi Rusmil Kusuma Ayu Rachmasari Laksono, Bima Adi Lely Lusmilasari, Lely Lestari, Ade Febrina Luh Putu Rihayani Budi Madarina Julia Maddepunggeng, Martira Mayae Hugo Mayae Hugo Medina Permatawati Mohammad Juffrie Mohammad Juffrie Mohammad Juffrie, Mohammad Mooiindie, Khansadhia Hasmaradana Muhammad Dawam Jamil N Nurlaila Nastiti Kaswandani Nenny Sri Mulyani Neti Nurani Novilia Sjafri Bachtiar Nugrahanto, Andika Priamas Nurlaila, N Ova Emilia Paramastuti, Avianti Pradipta, Afradilla Hanum Prasetyo, Ashadi Puji Lestari PUJI LESTARI Purwanta Purwanta Rachmasari, Kusuma Ayu Raihan Raihan, Raihan Ramdaniati, Sri Ratih Wulandari Ratih Wulandari Ratni Indrawanti Retna Siwi Padmawati Ridhayanti, Firda Rini Mulia Sari Risalia Reni Arisanti Roni Naning Rosana, Elvira Sari, Endah Mayang Sari, Shinta Kusumalarna Setyo Handryastuti, Setyo Shinta Kusumalarna Sari Shyrien Amalina Sigit Prastyanto Siti Helmyati Soedjatmiko Soedjatmiko Soedjatmiko Soeroyo Machfudz Sri Rezeki Hadinegoro, Sri Rezeki Sri Rezeki S. Hadinegoro Sri Rezeki S. Hadinegoro, Sri Rezeki S. Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih, Sulistyaningsih - Sumadiono Sumadiono Sunartini Sunartini, Sunartini Sundari, Ririn Isma Supriyati Susetyowati Syafriyal Syafriyal, Syafriyal Syahperlan Wendi Simangunsong Syawitri P. Siregar Syifa Armenda Timoti, Joshua Tony Arjuna Tunjung Wibowo Tunjung Wibowo Wahyu Damayanti Wibowo, Anton Sony Widyaningrum, Rahmah Yati Soenarto Zakiuddin Munasir Zakiudin Munasir Zulala, Nuli Nuryanti