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

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Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study Mei Neni Sitaresmi; Holly Seale; Anita E. Heywood; Retna Siwi Padmawati; Yati Soenarto; Chandini Raina MacIntyre; Jarir Atthobari
Paediatrica Indonesiana Vol 62 No 5 (2022): September 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.5.2022.333-40

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Abstract Background Rotavirus is a leading cause of hospitalized diarrhea cases in Indonesia. Despite the rotavirus vaccine being recommended by the Indonesian Pediatric Society since 2011, it has yet to be been included in the Indonesian national immunization program (NIP) schedule. Objective To explore maternal knowledge of and attitudes towards rotavirus diarrhea, as well as barriers to vaccine acceptance in Yogyakarta, Indonesia. Methods We conducted 26 in-depth interviews in two districts (rural and urban areas) of Yogyakarta Province, Indonesia. Participants included women in their third trimester of pregnancy and mothers of infants younger than 14 weeks. We then proceeded with thematic analysis. Results Participants did not perceive diarrhea as being a priority health problem. Very few had heard of rotavirus diarrhea or were aware of vaccine availability. While participants would accept vaccinating their children against rotavirus, some key barriers impacted vaccine use. As the rotavirus vaccine is not included in the Indonesian NIP, parents perceived it as not essential. Parents were concerned about the safety and benefit of the vaccine due to its perceived newness. Other concerns were cost and halal status. Participants expressed a need for more information on the vaccine's effectiveness and safety, with their primary healthcare providers (HCPs) considered to play the most important role in vaccine acceptance. Conclusions In Yogyakarta, Indonesia, awareness of the seriousness of rotavirus disease and the availability of the rotavirus vaccine is low. Its newness, safety, efficacy, and cost, and doubts about its halal status, were barriers to vaccine acceptance. Information and recommendations from HCPs play an essential role in vaccine acceptance.
A case report of multiple relapses of Henoch-Schonlein purpura Afrilia Intan Pratiwi; Sumadiono Sumadiono; Mei Neni Sitaresmi
Paediatrica Indonesiana Vol 63 No 2 (2023): March 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.2.2023.134-8

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Henoch-Schonlein Purpura (HSP) is an acute immunoglobulin A (IgA)–mediated disorder characterized by generalized vasculitis. HSP commonly occurs in children. The annual worldwide incidence is 13-20 per 100,000 children under 17 years of age.1–3 It is characterized by non-thrombocytopenic palpable purpura mostly located on the dependent parts like lower extremities and buttocks, arthralgia/arthritis, bowel angina, and hematuria/proteinuria. HSP pathophysiology is not yet completely understood. Genetic factors are thought to drive the fundamental susceptibility and clinical manifestations. Proposed triggering factors include upper respiratory tract infections, medications, vaccinations, and malignancies. Disease course is usually benign and self-limited. Even though the prognosis is generally good, recurrences or relapses are common within 1 year of initial presentation.4
Engaging stakeholders to strengthen the local actions for stunting prevention and control in Lombok Barat Mei Neni Sitaresmi; Tony Arjuna; Siti Helmyati; Budi Santosa; Supriyati Supriyati
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.80762

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The determinants of stunting are complex and multisectoral. It is essential and challenging to increase stakeholders’ engagement of the relevant multisector partners in stunting prevention and control. This article aimed to describe the stakeholders’ engagement process in the stunting prevention and control programs in Lombok Barat, Indonesia. This descriptive study was conducted with multisector stakeholders as the study population in Lombok Barat District, Indonesia from August – Desember 2022. Data were collected through observations and documents. Data analysis was done descriptively. This study showed that stakeholders’ engagement is a continuous activity to raise their awareness concerning the stunting issues and encourage them to be actively involved in the programs. Needs assessment and internal planning development, lobbying and advocacy, raising leader commitment, development planning and strategies, and capacity building were accomplished in this study to engage related stakeholders in the stunting interventions in Lombok Barat. The stakeholders who should be involved in the programs are not limited to the stakeholders from the health sector, but must include inter-sectoral stakeholders due to the complexity of the stunting determinants. Moreover, it is necessary to develop key messages to increase the stakeholders’ engagement according to their own needs. Additionally, leadership, leaders’ awareness of health issues as well as their commitment were identified as the main social capital for community action in the stunting prevention and control efforts.
Childhood Masturbation: A Case Report and Literature Review for Treatment Ade Febrina Lestari; Mei Neni Sitaresmi; Firda Ridhayani
Academic Hospital Journal Vol 5, No 1 (2023)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v5i1.81830

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Background: Masturbation is normal sexual behavior. However, masturbation in childhood is rarely discussed in the research. Childhood masturbation or gratification disorder, is characterized by self-stimulation of genitalia in prepubescent children. However, childhood masturbation often stops if the child is distracted, and spontaneous recovery within two years in most cases Generally, no drug therapy is required for childhood masturbation unless it is very frequent or excessive and it affects the daily functionality of the child. Regarding the treatment of childhood masturbation, we highlight the fact that evidence-based therapy for childhood masturbation is lacking due to unclear standard guidelines on it. We need a path of therapy that can help doctors in the management of childhood masturbation. Case: Here we reported two cases of excessive childhood masturbation from a 3-year-old and a 10-month-old female patient who were brought by their mother to the outpatient clinic pediatric, Academic Hospital, Universitas Gadjah Mada, Indonesia, with a complaint of stretching by flexing the legs and rubbing on her genital part Risperidone as one of the drug therapies for this case and present a good outcome. Additionally, this article also provides literature reviews on childhood masturbation treatment that may guide clinicians in its evaluation and management. Conclusion:  We conclude that behavioral treatment is the common strategy for childhood masturbation.  The treatment, as well as behavioral and drug therapeutic strategies, should be considered to achieve an effective outcome.
STUDI EKSPLORASI PERAWATAN BERPUSAT PADA KELUARGA DI RUANG PERISTI RSUD KEBUMEN N Nurlaila; Mei Neni Sitaresmi; Lely Lusmilasari
Jurnal Ilmiah Kesehatan Keperawatan Vol 11, No 3 (2015): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v11i3.114

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The involvement of the family for baby care in the NICU can be done through family-centered care. Hal ini penting untuk membantu bayi risiko tinggi beradaptasi dengan lingkungan ekstrauterin. It is essential to help high-risk infants adapt to the extrauterine environment. Manfaat perawatan berpusat pada keluarga di NICU banyak ditemukan namun penerapannya di pelayanan kesehatan Indonesia masih terbatas. The benefits of family-centered care in the NICU are found but its application in Indonesia is still limited health services. Penelitian sebelumnya mengungkapkan salah satu tantangan penerapan perawatan berpusat apda keluarga adalah perbedaan persepsi tenaga kesehatan dan keluarga tentang perawatan berpusat pada keluarga. Previous studies revealed that one of the challenges of the implementation of family-centered care are differences in perception of health workers and families.Tujuan: Untuk mengeksplorasi persepsi tenaga kesehatan dan keluarga mengenai perawatan berpusat pada keluarga dalam perawatan bayi risiko tinggi di RSUD Kebumen.tHtThis study is to explore the perceptions of health professionals and families on family-centered care in the treatment of high-risk infants in hospitals Kebumen. Metode: Penelitian dilakukan di ruang PERISTI RSUD Kebumen selama periode Juli 2014-Agustus 2014 menggunakan desain penelitian kualitatif dengan pendekatan fenomenoloThe study was conducted at room PERISTI Kebumen Hospital during the period July 2014-August 2014 using a qualitative research design with a phenomenological approach. Partisipan penelitian adalah 6 perawat, 6 keluarga bayi dan 2 orang dokter spesialis anak yang dipilih dengan tehnik purposive sampling. Metode pengumpulan data menggunakan tekhnik wawancara mendalam, observasi dan studi dokumentasi. Study participants were 6 nurses, 6 families, and 2 pediatricians selected by purposive sampling technique. Methods of data collection techniques using in-depth interviews, observation and documentation. Analisis data yang dilakukan dalam penelitian ini menggunakan teori Coallizi. Data analysis was performed in this study using the theory Coallizi with OpenCode 3.6.2.0 version software.The result show that  Perceptions of health workers on family-centered care is care that involves families. Keluarga memiliki persepsi bahwa keterlibatan keluarga dalam perawatan bayi bermanfaat bagi bayi, keluarga, dan tenaga kesehatan. Health workers and families have the perception that family involvement in infant care beneficial for babies, families, and health professionals. Implementasi perawatan berpusat pada keluarga meliputi keterlibatan keluarga dalam perawatan bayi, pemberian informasi, dan persetujuan tindakan. Implementation of family-centered care includes family involvement in infant care, provision of information, and approval actions. Dukungan dalam perawatan bayi berasal dari rumah sakit, tenaga kesehatan, dan keluarga. Barriers to implementation of family-centered care is the unavailability of the family waiting room. Support comes in baby care from hospitals, health professionals, and families. Keywords: family-centered care, high-risk infants
Effect of care for child development training on cadres’ knowledge, attitude, and efficacy in Yogyakarta, Indonesia Akhmadi, Akhmadi; Sunartini, Sunartini; Haryanti, Fitri; Madyaningrum, Ema; Sitaresmi, Mei Neni
Belitung Nursing Journal Vol. 7 No. 4 (2021): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1521

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Background: Stunting is a common malnutrition problem among children in the world. The Care for Children Development (CCD) intervention is a strategy to reduce stunting. Objective: This study aimed to identify the effect of culturally modified CCD training on the knowledge, attitude, and efficacy (KAE) of cadres about stunting in the community.Methods: We conducted a community-based study with a quasi-experimental research design using a comparison group. The study was conducted from March 2018 to February 2019 at three Public Health Centers in Yogyakarta, Indonesia. The total participants were 69 in the intervention group and 53 in the comparison group. Cadres in the intervention group received two days of training on a culturally modified CCD guideline. In contrast, cadres in the comparison group received a brief explanation (a one-day training) on that program. The nurses from three public health centers were facilitators in this training. Knowledge and self-efficacy were assessed using a modified Caregiver Knowledge of Child Development Inventory and General Self-efficacy Scale, respectively. Data were analyzed using Mann-Whitney U and Wilcoxon tests.Results: All 122 cadres completed the training. In the intervention group, CCD training significantly increased cadres’ knowledge (median score 14 vs. 11), attitude (58 vs. 55), and efficacy (30 vs. 28), all with p <0.001. In the comparison group, the short explanation of CCD significantly improved cadres’ knowledge (median score 12 vs. 10) and efficacy (29 vs. 27) but not their attitude. The delta or change in score before and after CCD training for cadres’ attitude in the intervention group was significantly higher than that of the comparison group (3.78 vs. 0.72; p = 0.050). Conclusion: A culturally modified CCD training significantly improves cadres’ KAE in the intervention group and cadres’ knowledge in the comparison group. The learning delivery methods with demonstrations and role-plays significantly improved the cadres’ attitudes as health educators for stunted mothers in the community. For sustainability, community health nurses should regularly collaborate with cadres to improve the nutritional status of children in their area.
Clinical Profile of Impaired Hearing in Children with Autism Spectrum Disorder (ASD) at UGM Academic Hospital Lestari, Ade Febrina; Sitaresmi, Mei Neni; Wibowo, Anton Sony; Sari, Shinta Kusumalarna; Ridhayanti, Firda
Academic Hospital Journal Vol 6, No 2 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i2.98785

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Background: Hearing tolerance is impaired in children with Autism Spectrum Disorder (ASD), which can affect social and academic functioning. This study aims to describe the clinical profile of hearing impairments in children with ASD and determine the prevalence of such impairments. Method: A cross-sectional study was conducted at Academic Hospital UGM on pediatric ASD patients aged 18 months to 12 years who underwent hearing exams like BERA (brain-evoked response auditory) and/or audiometry. ASD severity was assessed using the Childhood Autism Rating Scale (CARS) and a questionnaire on demographics and comorbidities, followed by BERA tests. Results:  A total of 41 ASD children were obtained, with 31 children (76%) being boys and an average diagnosis age of 3.3 years (±1.3 SD). Hearing loss was suffered by 4 children (10%) and 37 children (90%) did not experience hearing loss. Sound sensitivity and degree of ASD correlated with head banging (p=0.01), and male gender correlated with hearing loss (P=0.006). CARS score was statistically associated with sound sensitivity (p=0.041) and degree of ASD (<0.001). Conclusion: Children diagnosed with ASD face an increased susceptibility to communication impairments which can be attributed to hearing impairments. This issue warrants particular attention in the context of ASD, highlighting the necessity for thorough screening of hearing capabilities.
ENHANCING KNOWLEDGE AND AWARENESS FOR MEASLES AND RUBELLA ELIMINATION TO PREVENT CONGENITAL RUBELLA SYNDROME IN KULON PROGO AND GUNUNGKIDUL REGENCIES Herini, Elisabeth Siti; Triono, Agung; Iskandar, Kristy; Indrawanti, Ratni; Sitaresmi, Mei Neni; Nuady, Albaaza; Prasetyo, Ashadi; Paramastuti, Avianti; Nugrahanto, Andika Priamas; Mooiindie, Khansadhia Hasmaradana; Damroni, Rais Aliffandy; Timoti, Joshua
The Indonesian Journal of Public Health Vol. 19 No. 3 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i3.2024.442-452

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Introduction: Measles-Rubella (MR) Vaccination coverage is important in eliminating Congenital Rubella Syndrome (CRS). In 2023, Kulon Progo and Gunungkidul Regencies recorded 98.59% and 97.63%, respectively. We conducted campaign activities, introduced the Measles-Rubella (MR) vaccine, and implemented educational efforts crucial for controlling measles, rubella and CRS. A collaborative educational program was organized to improve the quality of promotive and preventive education provided to health workers and elementary teachers. Aims: To enhance the knowledge of health workers and elementary teachers regarding measles, rubella, CRS and elimination strategies in Kulon Progo and Gunungkidul Regency. Methods: This study employed a quasi-experimental, non-randomized design with no control group. The participants were selected from all primary health care centers and selected elementary schools in Kulon Progo and Gunungkidul Regency. Before and after a multi-modal educational program, knowledge of participants was measured using questionnaire and analyzed using Wilcoxon signed-rank test. Results: We included 72 health workers and 8 elementary teachers in Kulon Progo and Gunungkidul Regency. The results indicated an increase in knowledge among health workers regarding these topics. However, elementary teachers did not demonstrate statistically significant improvements in knowledge level, likely due to the small number of participants and a general lack of knowledge about these subjects among teachers. Conclusion: Multi-modal intervention enhanced the knowledge of health workers and elementary teachers about measles, rubella, CRS, elimination strategies of these diseases in two regencies of the Special Region of Yogyakarta. Therefore, it is essential that public health authorities should prioritize continuous and accessible education programs for them
Acupressure intervention for children: A scoping review Ramdaniati, Sri; Sitaresmi, Mei Neni; Haryanti, Fitri; Iman, Arief Tarmansyah
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3524

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Background: Acupressure is a popular form of complementary nursing among adults. It stimulates the body’s self-healing processes by enhancing energy flow, or “chi,” along meridian channels. Acupressure can address many health issues and is also used on children because it is painless and straightforward. Although acupressure has existed for centuries, research on its applications for children remains limited. Objective: This review aimed to categorize and synthesize the research conducted over 30 years on acupressure in children. Design: A scoping review Data Source: The databases searched were PubMed, ProQuest, Scopus, ScienceDirect, Wiley, Medline EBSCO, and Google Scholar. The inclusion criteria were original peer-reviewed articles in English or Indonesian that used acupressure as an intervention for children in any setting from 1991 until March 2022 and were updated until March 2024. Review Methods: This review followed the Joanna Briggs Institute Manual Methodologies. Subsequently, the retrieved articles were imported into the EndNote program version 20. Based on the identification results, 2924 articles were obtained, and 76 articles were retained. The review decision process was depicted in a PRISMA flow diagram. Results: Of the 76 articles, 72% came from the Asian continent, 66% were published within the past ten years, and 59% were randomized controlled trials. Acupressure was most used (48%) by school-age children (7-12 years), with commonly targeted points being Neiguan (P6), Zusanli (ST36), Hegu (LI4), Yintang (Extra1), and auricular acupoints. Acupressure on children can be administered by acupuncturists, nurses, doctors, caregivers, and parents, offering six main benefits: alleviating nausea and vomiting, relieving pain, decreasing anxiety, relieving fatigue, increasing visual function, and increasing weight and height. Conclusion: Acupressure offers numerous advantages for children with various conditions. Healthcare and nursing professionals should consider using it as a complementary intervention to address issues and problems in healthy and sick children. However, further studies are needed to evaluate its effectiveness.
Adverse events following immunization (AEFIs) in health workers who receive COVID-19 vaccination at Academic Hospital Universitas Gadjah Mada, Yogyakarta Ade Febrina Lestari; Mei Neni Sitaresmi; Anjarsari Haspitaningrum; Kusuma Ayu Rachmasari; Ratih Wulandari; Shinta Kusumalarna Sari; Firda Ridhayani
Indonesian Journal of Pharmacology and Therapy Vol 4 No 1 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada and Indonesian Pharmacologist Association or Ikatan Farmakologi Indonesia (IKAFARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijpther.6860

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COVID-19 is a new viral infection that has become a global pandemic, resulting in extremely high mortality and morbidity rates worldwide, including in Indonesia. Vaccination is one of the strategies for preventing COVID-19 infection promoted by the World Health Organization (WHO) to reduce COVID-19 morbidity and mortality. The Indonesian government supports the implementation of vaccination and conducts mass vaccination as a strategy to overcome the pandemic in Indonesia. The high immunization coverage resulted in increased use of vaccines, and events following immunization (AEFI) also increased. Reports on follow-up AEFI are needed as government policy references and information for the public. This study aims to describe the following events after the COVID-19 vaccine immunization and the incidence of the infection post vaccination. The study design was a cross-sectional study using primary and secondary data. The data were analyzed descriptively and statistically using Chi Square method by identifying association between demographic data and AEFI incidence. A total 131 respondents were included. Most respondents experienced AEFI after giving the first (77.1%) or second (71.9%) vaccine with the Sinovac vaccine. However, all reported mild AEFI. Most reported AEFIs were pain (48.8% and 49.6%), hungry (37.4% and 10.0%), and drowsiness (32.1% and 23.7%) after the first and the second vaccine. In conclusion, the prevalence of AEFI in the first and the second dose of inactivated COVID-19 vaccine is higher than that reported in the clinical trial study although the all AEFIs are considered as mild.
Co-Authors Abdul Wahab Ade Febrina Lestari Ade Febrina Lestari Afradilla Hanum Pradipta Afrilia Intan Pratiwi Agung Triono Agung Triono, Agung Akhmadi Akhmadi Akhmadi Akhmadi Albayani, Melati Inayati Albayani, Melati Inayati Alifah Anggraini, Alifah Anggraeni Budi Lestari Anita E. Heywood Anjarsari Haspitaningrum Arhana, Arhana Ari Prayitno 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 Fitri Haryanti Gatot Irawan Sarosa Gatot Irawan Sarosa Hanifah Oswari Hari Wahyu Nugroho Hartono Gunardi 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 Kusnandi Rusmil Kusuma Ayu Rachmasari Lely Lusmilasari, Lely Lestari, Ade Febrina Luh Putu Rihayani Budi Madarina Julia Martira Maddepunggeng 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 Nuady, Albaaza Nugrahanto, Andika Priamas Nurlaila, N Ova Emilia Paramastuti, Avianti Prasetyo, Ashadi PUJI LESTARI Puji Lestari Purwanta Purwanta Raihan Raihan Ramdaniati, Sri Ratih Wulandari Ratni Indrawanti Retna Siwi Padmawati Ridhayanti, Firda Rini Mulia Sari Roni Naning Rosana, Elvira Sari, Endah Mayang Sari, Shinta Kusumalarna Setyo Handryastuti 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 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