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Mitigasi Kesehatan Anak: Optimalisasi Air Bersih, Sanitasi, Nutrisi Mewujudkan Generasi Tangguh Bebas Stunting R. A. Helda Puspitasari; Ayu Dewi Nastiti; Dwining Handayani; Erik Kusuma
ABDI: Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol 6 No 4 (2024): Abdi: Jurnal Pengabdian dan Pemberdayaan Masyarakat
Publisher : Labor Jurusan Sosiologi, Fakultas Ilmu Sosial, Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/abdi.v6i4.916

Abstract

Stunting merupakan suatu keadaan dimana terjadinya pertumbuhan dan perkembangan yang terhambat dikarenakan kekurangan gizi ataupun kekurangan akses kebersihan lingkungan pada anak. Kabupaten Pasuruan menempati urutan nomor 3 di Jawa Timur dengan prevalensi stunting 30,7% dan Desa Pager pada tahun 2024 menyumbang peningkatan prevalensi stunting sebesar 10%. Rendahnya penggunaan air bersih, sanitasi dan penyediaan nutrisi di area pertanian Desa Pager menjadi fokus pada pengabdian kali ini karena bakteri, virus, parasit yang tersebar melalui air yang terkontaminasi dapat mengganggu penyerapan nutrisi dalam tubuh anak. penyelesaian masalah yang diajukan adalah Pengembangan Desa Binaan (Probang Debi) yang akan diimplementasikan pada Mitra, yakni penekanan angka kejadian stunting melalui optimalisasi penggunaan air bersih, sanitasi dan nutrisi dalam mewujudkan generasi tangguh bebas stunting di area pertanian Desa Pager melalui program Mitigasi Kesehatan Anak. Program yang ditawarkan dalam kegiatan ini yaitu berupa pembentukan tim mitigasi, KIE dan juga kegiatan pelatihan. Dalam pelaksanaannya warga sangat antusias dan menerima kegiatan tersebut, dimana hal tersebut dapat dilihat dari keaktifan warga dalam mengikuti setiap kegiatan yang dilaksanakan. Hasil evaluasi kegatan menunjukkan terdapat perubahan yang siginifikan dalam hal pengetahuan dan perilaku warga terkait dengan stunting dan cara pencegahannya.
PENURUNAN NYERI PADA PASIEN POST EPISIOTOMI DENGAN MENGGUNAKAN KOMPRES DINGIN DI KLINIK SAHARA KOTA PASURUAN: PAIN REDUCTION IN POST EPISIOTOMY PATIENTS USING COLD COMPRESS AT SAHARA CLINIC, PASURUAN CITY Nafi'a, Abidatun; Puspitasari, R.A Helda; Kurnianto, Syaifuddin; Kusuma, Erik
Jurnal Abdimas Pamenang Vol. 4 No. 1 (2026): Jurnal Abdimas Pamenang - JAP
Publisher : STIKES Pamenang Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jap.v4i1.355

Abstract

Latar Belakang: Persalinan merupakan proses alami yang dihadapi oleh ibu hamil, di mana pengeluaran bayi dan plasenta dari rahim dapat menyebabkan tekanan pada jaringan perineum. Tindakan episiotomi dilakukan untuk mencegah robekan perineum yang lebih parah, namun dapat menimbulkan nyeri yang mempengaruhi kenyamanan ibu. Tujuan: Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan ibu post episiotomi dengan masalah nyeri serta menilai efektivitas kompres dingin dalam menurunkan nyeri setelah tindakan episiotomi. Metode: Pengabdian masyarakat ini dilakukan melalui metode penyuluhan atau pendidikan kesehatan kepada 20 orang ibu post episiotomi dengan menggunakan media leaflet yang berisikan informasi mengenai episiotomi dan penggunaan kompres dingin. Selain edukasi, dilakukan praktik langsung penggunaan kompres dingin sebagai intervensi. Hasil: Pengabdian masyarakat ini menunjukkan bahwa sebanyak 80% peserta mengalami penurunan nyeri menjadi kategori ringan setelah intervensi. Selain itu, 85% peserta menunjukkan peningkatan pengetahuan yang baik terkait manajemen nyeri post episiotomi. Kesimpulan: Kompres dingin terbukti efektif dalam menurunkan intensitas nyeri pada pasien post episiotomi. Intervensi ini merupakan alternatif terapi nonfarmakologis yang aman dan mudah diterapkan untuk mendukung kenyamanan ibu selama masa pemulihan. Dengan penerapan kompres dingin dapat membantu mempercepat proses penyembuhan dan meningkatkan kualitas hidup ibu pascapersalinan. Abstract Background: Childbirth is a natural process faced by pregnant women, where the release of the baby and placenta from the uterus can cause pressure on the perineal tissue. Episiotomy is performed to prevent more severe perineal tears, but can cause pain that affects the mother's comfort. Objective: This community service aims to increase the knowledge of post-episiotomy mothers with pain problems and assess the effectiveness of cold compress in reducing pain after episiotomy. Method: This community service was carried out through a health education or counseling method to 20 post-episiotomy mothers using leaflets containing information about episiotomy and the use of cold compress. In addition to education, direct practice of using cold compresses as an intervention was carried out. Results: This community service showed that 80% of participants experienced a decrease in pain to the mild category after the intervention. In addition, 85% of participants showed a good increase in knowledge regarding post-episiotomy pain management. Conclusion: Cold compress have been proven effective in reducing pain intensity in post-episiotomy patients. This intervention is a safe and easy-to-implement non-pharmacological therapy alternative to support maternal comfort during recovery. The application of cold compress can help speed up the healing process and improve the quality of life of postpartum mothers.
EFEKTIVITAS EDUKASI KESEHATAN DAN TERAPI PIJAT LAKTASI DALAM MENINGKATKAN PENGETAHUAN DAN MENGURANGI PERMASALAHAN MENYUSUI TIDAK EFEKTIF PADA PASIEN MASTITIS DI KLINIK SAHARA KOTA PASURUAN : THE EFFECTIVENESS OF HEALTH EDUCATION AND LACTATION MASSAGE THERAPY IN INCREASING KNOWLEDGE AND REDUCING BREASTFEEDING PROBLEMS IS NOT EFFECTIVE IN MASTITIS PATIENTS AT THE SAHARA CLINIC IN PASURUAN CITY Zahroh, Anisatuz; Puspitasari, R. A Helda; Kurnianto, Syaifuddin; Kusuma, Erik
Jurnal Abdimas Pamenang Vol. 4 No. 1 (2026): Jurnal Abdimas Pamenang - JAP
Publisher : STIKES Pamenang Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jap.v4i1.363

Abstract

Latar Belakang: Menyusui tidak efektif merupakan masalah yang sering dialami oleh ibu postpartum dan dapat menyebabkan komplikasi seperti mastitis, yaitu peradangan pada jaringan payudara yang menimbulkan nyeri dan ketidaknyamanan. Tujuan: Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan ibu postpartum tentang terapi pijat laktasi dalam mengatasi masalah menyusui tidak efektif pada pasien mastitis. Metode: Pengabdian dilaksanakan di Klinik Sahara Kota Pasuruan dengan sasaran 20 ibu postpartum yang mengalami menyusui tidak efektif, termasuk 5 orang dengan mastitis. Metode pelaksanaan meliputi ceramah, diskusi, dan demonstrasi langsung terapi pijat laktasi. Hasil: Hasil pengabdian menunjukkan peningkatan signifikan terhadap pengetahuan ibu menyusui mengenai terapi pijat laktasi, dengan tingkat pemahaman mencapai 80% setelah edukasi. Peserta menunjukkan antusiasme dan partisipasi aktif selama kegiatan berlangsung. Pemberian edukasi yang tepat dan informasi yang akurat mengenai manfaat pijat laktasi terbukti meningkatkan pemahaman ibu dalam mengatasi kesulitan menyusui akibat mastitis. Kesimpulan: Terapi pijat laktasi efektif dalam meningkatkan pengetahuan ibu postpartum mengenai upaya mengatasi menyusui tidak efektif akibat mastitis. Pijat laktasi dapat dijadikan alternatif terapi nonfarmakologis yang aman dan bermanfaat dalam mendukung keberhasilan menyusui serta kesehatan ibu dan bayi. Abstract   Background: Ineffective breastfeeding is a common problem experienced by postpartum mothers and may lead to complications such as mastitis, which is an inflammation of breast tissue that causes pain and discomfort. Objective: This community service activity aimed to improve postpartum mothers’ knowledge about lactation massage therapy in overcoming ineffective breastfeeding among patients with mastitis. Methods: The activity was conducted at Sahara Clinic, Pasuruan City, involving 20 postpartum mothers who experienced ineffective breastfeeding, including 5 mothers diagnosed with mastitis. The implementation methods included lectures, discussions, and direct demonstrations of lactation massage techniques. Results: The results showed a significant improvement in mothers’ knowledge about lactation massage therapy, with the level of understanding reaching 80% after the educational session. Participants demonstrated enthusiasm and active participation throughout the activity. Providing accurate information and proper education about the benefits of lactation massage proved effective in increasing mothers’ understanding of how to overcome breastfeeding difficulties caused by mastitis. Conclusion: Lactation massage therapy is effective in improving postpartum mothers’ knowledge about efforts to overcome ineffective breastfeeding due to mastitis. It can serve as a safe and beneficial non-pharmacological alternative therapy to support successful breastfeeding and promote maternal and infant health.
The Effect of Abdominal Massage and Fecal Elimination Exercises in Treating Constipation in Stroke Patients: Case Report Alfina Damayanti Kurnia; Erik Kusuma; Evy Aristawati
Health and Technology Journal (HTechJ) Vol. 2 No. 2 (2024): April 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i2.153

Abstract

Impaired physical mobility in stroke sufferers can cause constipation, which will cause effects such as hemorrhoids, rectal prolapse, and even increased intracranial pressure. Abdominal Massage and exercises elimination of feces elimination exercises are non-pharmacological strategies that can overcome this problem of constipation. The study aimed to determine the effect of abdominal massage therapy and exercise in the elimination of feces in overcoming constipation, which is characterized by controlling fecal output, bowel complaints, fecal consistency improved, bowel movement frequency improved, and intestinal peristalsis improved. The method used is a case study, a sample in a case study. This is a stroke patient who is constipated. Data collection uses techniques, interviews, and observations. The Constipation Analysis Scale instrument was used to assess the degree of constipation. Abdominal massage therapy and fecal elimination exercises are given once a day when you wake up for 30 minutes. The research results showed that respondents have no complaints about defecation, the stool consistency is soft, and there is increased intestinal peristalsis after being given intervention. Abdominal massage therapy and fecal elimination exercises can overcome this constipation in stroke sufferers. This intervention can be used as a possible non-pharmacological action that can be applied as a treatment to treat constipation and facilitate bowel movements instead of using laxatives. This intervention is educational and can be done anywhere without requiring medical assistance.
Optimizing Early Detection of TIA: A Literature Review of Clinical and Technological Screening Methods Eko Prasetya Widianto; Syaifuddin Kurnianto; Arista Maisyaroh; Erik Kusuma
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.371

Abstract

Transient Ischemic Attack (TIA) is a critical predictor of future stroke, yet it is frequently underrecognized due to its transient and often mild neurological manifestations. This literature review aims to synthesize clinical and technological approaches for early screening and detection of TIA, emphasizing strategies aligned with timely intervention and stroke prevention. A systematic search was conducted across PubMed, Scopus, and Google Scholar, identifying 94 articles. Following PRISMA guidelines, 10 studies were selected based on inclusion criteria related to early detection, emergency response, and digital health interventions. The analysis yielded three major themes: (1) the clinical relevance of early recognition of subtle neurological symptoms, (2) the role of emergency medical services and prehospital screening tools, and (3) the emergence of mobile health (mHealth) and telemedicine platforms in supporting early TIA detection. Findings indicate that while TIA symptoms are transient, they signal a significant risk of subsequent stroke, underscoring the need for prompt and accurate assessment. Technological innovations such as mobile applications and teleconsultation enhance traditional diagnostic methods but face challenges in implementation, including disparities in digital access and limited public awareness. In conclusion, integrating clinical vigilance with scalable technological solutions holds promise for improving early TIA detection, particularly in resource limited or remote settings. It is recommended that health systems invest in training emergency responders and adopt validated digital tools into prehospital protocols. Future research should focus on clinical validation and real-world integration of mHealth platforms to support global stroke prevention efforts.
Reducing Maternal Mortality Rate Through Utilization of Agricultural Products and Antenatal Care with Agronursing Perspective: Upaya Penurunan Maternal Mortality Rate Melalui Pemanfaatan Hasil Pertanian dan Antenatal Care di Wilayah Agronursing Puspitasari, R.A. Helda; Handayani, Dwining; Kusuma, Erik; Dewi Nastiti, Ayu
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 2 (2023): November 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i2.102

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In Indonesia, the number of deliveries assisted by health personnel is still relatively low. Pregnancy checks (Antenatal Care = ANC) can motivate pregnant women to give birth to health workers. This study aims to determine the role of ANC in selecting birth attendants. This cross-sectional study used secondary data from the KKG Project Benefit Evaluation Survey (Family Health and Nutrition)—efforts to Reduce Maternal Mortality Rate Through Utilization of Agricultural Products and Antenatal Care in Agronursing Areas. Maternal Mortality Rate (MMR) is the death of a woman during pregnancy or 42 days after giving birth. Indonesia is a country with a significant increase in the number of maternal mortalities of 359/100,000. This achievement still needs to catch up to the 2024 Millennium Development Goals (MDGs) target, which is 183/100,000 KH, so this has made Indonesia experience a crisis in maternal health services. The low readiness of the mother to fulfill nutritional quality and conduct antenatal care can be a big problem in the birth process. Therefore, it is important to carry out socialization to reduce the maternal mortality rate by utilizing agricultural products to improve maternal nutrition through antenatal care. The purpose of doing community service for pregnant women is to reduce the Maternal Mortality Rate in Indonesia. Community empowerment is carried out by conducting lectures between researchers and participants.
STRENGTHENING THE STRATEGIC ROLE OF NEWBORN CARE CULTURE IN TENGGER TRIBE SOCIETY IN REDUCING INFANT MORTALITY RATE BASED ON TRANSCULTURAL NURSING Puspitasari, R.A. Helda; Handayani, Dwining; Dewi Nastiti, Ayu; Kusuma, Erik; Rahmawati, Iis
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.73970

Abstract

Introduction: The Tengger Tribe is an indigenous tribe in the Bromo Mountains, Pasuruan Regency. The community still strongly upholds customs and traditions in their daily lives, for example in caring for newborns, they have a unique way that has been passed down from their ancestors. The specific objective of this study is to obtain a picture of the meaning and significance of the health experience of the Tengger Tribe mountain community in caring for newborns by identifying the health characteristics of the Tengger Tribe community, identifying factors related to the behavior of handling health problems in newborns qualitatively.   Method: The research design used is qualitative with an ethnographic approach.   Result: Infant growth and development are influenced by environmental factors, these factors can be permanent or temporary, thus affecting the speed and quality of growth and development. Proper newborn care is intended for the child's physical growth including providing adequate and proper nutrition, protection against disease. The culture of newborn care in the Tengger tribe consists of exclusive breastfeeding, cutting the umbilical cord, baby massage, the role of midwives, the use of herbal plants as medicine for babies..   Conclusion: The behavior of cultural traditions in the Tengger community is generally good and very supportive of health. For further researchers, they can develop typical plants of the Bromo Tengger mountains that can be used for treatment when babies are sick.   Keywords: culture; baby care; Tengger; infant mortality rate; transcultural.
The Relationship Between Patients’ Perceptions of Nurses’ Therapeutic Communication with Service Satisfaction and Self-Care Levels Among Inpatients Kusuma, Erik; Kurniawan, Dicky Endrian; Kurnianto, Syaifuddin; Widianto, Eko Prasetya; Wibowo, Suhendra Agung; Paraswati, Mareta Deka
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.72534

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Introduction: Nurses’ therapeutic communication is a key element in enhancing patients’ experiences during hospitalization; however, its simultaneous impact on service satisfaction and self-care remains underexplored, particularly in regional hospitals in Indonesia. This study aims to analyze the relationship between patients’ perceptions of nurses’ therapeutic communication and their service satisfaction and self-care levels among inpatients.Methods: A cross-sectional analytical study was conducted on 110 patients at the inpatient ward of a type C hospital. Data were collected using the Nurse–Patient Communication Questionnaire (NPCQ; 15 items), a validated 7-item modified Patient Satisfaction Questionnaire (PSQ-18), and the Self-Care Ability Scale (SCAS; 12 items). Spearman’s correlation and simple linear regression analyses were performed, with statistical significance set at p < 0.05.Results: Patients reported high perceptions of therapeutic communication (mean = 48.2/60), high service satisfaction (mean = 28.6/35), and moderate to high self-care ability (mean = 36.8/48). Therapeutic communication demonstrated a strong positive correlation with service satisfaction (r = 0.68, p < 0.001) and a moderate-to-strong correlation with self-care (r = 0.59, p < 0.001). Regression analysis revealed that therapeutic communication explained 45% of the variance in satisfaction and 34% of the variance in self-care. Notably, while respect and information clarity scored highest (means = 3.6–3.8), patient involvement in care decisions was the lowest-rated dimension (mean = 2.7).Conclusion: Therapeutic communication serves as a dual-impact clinical competency that enhances both emotional satisfaction and functional self-care. These findings call on hospital administrators and nursing educators to institutionalize communication training as a core, measurable component of nursing practice, not as a soft skill, especially in resource-constrained settings.
AI CHATBOT FOR HEALTH EDUCATION BY NURSES: PATIENT ACCURACY AND ACCEPTANCE Erik Kusuma; Dicky Edrian Kurniawan; Bagus Dwi Cahyono; Ainul Fitriyah
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.72820

Abstract

Introduction: AI-based chatbots are increasingly used in healthcare to deliver automated patient education due to their ability to provide instant responses and process large volumes of data. Despite their potential, concerns regarding accuracy, patient trust, and regulatory issues continue to limit their full integration into clinical practice. This systematic review evaluates the accuracy, acceptance, and effectiveness of chatbots in supporting nurse-led education. Methods: Adhering to PRISMA guidelines, a systematic search of five databases (2019–2024) identified 17 relevant studies. Data extraction focused on study design, chatbot interventions, evaluation metrics, and key findings. Results: The analysis revealed that chatbot accuracy ranged from 60% to 90%, with rule-based systems (92%) outperforming machine learning models (83%). Patient acceptance was moderate: 68% of users expressed willingness to use chatbots, but only 42% fully trusted their recommendations. Trust increased by 30% when chatbot responses were validated by healthcare professionals. Conclusions: AI chatbots can effectively address routine inquiries and reduce nurses’ workload; however, their limited emotional intelligence and contextual adaptability reduce their effectiveness compared to nurse-led education. Key challenges remain in terms of accuracy, trust, and regulation. Future research should focus on personalization, AI–human collaboration, and the development of ethical frameworks to ensure safe and effective implementation.
Effects of deliberate practice and self-efficacy on clinical skills performance in a fundamental nursing course Erik Kusuma; Syaifuddin Kurnianto; Eko Prasetya Widianto; Mareta Deka Paraswati; Suhendra Agung Wibowo
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.700

Abstract

Clinical skill deficits among vocational nursing students compromise patient safety, particularly when conventional training lacks structured feedback mechanisms. This study investigated the effects of a deliberate practice intervention and self-efficacy on clinical skills performance. A quasi-experimental pretest–posttest control-group design was conducted with 60 second-semester diploma nursing students, who were allocated via matched sampling to the experimental (n=30) or control (n=30) groups. The experimental cohort completed an eight-session deliberate practice program (90 minutes per week for four weeks), while the control group received standard instruction. Blinded assessors evaluated psychomotor skills using a validated Objective Structured Clinical Examination checklist, and self-efficacy was measured with the General Self-Efficacy Scale. Intervention fidelity was rigorously maintained through protocol checklists. The experimental group demonstrated significantly superior post-intervention clinical skills scores compared to controls (mean difference = 12.47, 95% CI [8.40, 15.60], p < .001). Self-efficacy independently predicted skill performance (β = 0.29, p = .008). Combined, the intervention and self-efficacy explained 58.3% of the variance in clinical performance (adjusted R² = 0.55, p < .001). Structured deliberate practice substantially enhances clinical competency in vocational nursing students, with self-efficacy functioning as a critical complementary predictor. Nursing educators should systematically integrate deliberate practice frameworks with targeted confidence-building strategies to optimize psychomotor skill acquisition and strengthen patient safety outcomes.
Co-Authors Aditya, Ronal Surya Ainul Fitriyah Al Rafi Afzaal Fazl , Rab Alfina Damayanti Kurnia Alif Alwi Apriana Rahmawati Arista Maisyaroh Astuti, Anggia Ayu Devi Nastiti Ayu Devi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti Ayu Dewi Nastiti, Ayu Dewi Ayu Nastiti Ayu Novitasari, Bunga Bagus Dwi Cahyono Bayu Herlambang Chika Adinda Difia , Lestari Dewi Nastiti, Ayu Dicky Edrian Kurniawan Dwi Cahyono, Bagus Dwining Handayani Dwining Handayani Dwining Handayani Dwining Handayani Dwining Handayani Echa Putra , Prakassyah Eko Prasetya Widianto Endrian Kurniawan, Dicky Evy Aristawati Evy Aristawati Fitriyah, Ainul Handayani, Dwining Handayani, Dwining Handayani Heri Suroso, Heri Herlambang, Bayu Iftia Yasmin , Ghinnanafsi Indah Setyowati Indari Jihan Yafi Dzakiyyah Khilyatun Nisa , Nugraheni Mani'ah Mellow , Kusmiyana Mareta Deka Paraswati Mareta Deka Paraswati Mochammad , Alfiansyah Muhammad Daffa Alvin , Ekananda Nafi'a, Abidatun Nasriati, Ririn Niken Aulia , Septiana Nurul Huda Puspitasari, R. A Helda R. A. Helda Puspitasari R.A. Helda Puspitasari Rahmawati, Iis Rakhmatika, Via Rega Ayu , Darasuta Rizky Angga , Pratama Siti Karimatul Kamila Siti Nurwinda Sugiono, Atik Tri Pratiwi Suhendra Agung Wibowo Suhendra Agung Wibowo Syaifuddin Kurnianto Syaifuddin Kurnianto Tirsa , Febiyanti Toha, Muhammad Tri Clarinda, Mutiara Tsai, Mei-Ling Viyata Chanifiah Utami Wibowo, Suhendra Agung Yahya Tfeil Yenny Perwitosari Yuni Asri Zahra Fadia Siti , Halizah Zahroh, Anisatuz