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Pengaruh pelatihan kader yandu lansia dalam menciptakan desa ramah dan sehat bagi lansia di Desa Purwobinangun, Sleman Sumarni Sumarni; Adi Heru Sutomo; Cempaka Tursina; Purwanta Purwanta; Ade Indah Wahdini; Nanda Kusumaningrum
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
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.41273

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Merapi eruption can cause a psychological traumatic for elderly such as depression, increasedisability, and decrease quality of life. We need to train the cadres to make an elderly care village. The aim of this study is to know the influence of cadre training in knowledge and skill for elderly healthiness. This study uses secondary data from community research on May until September 2018 in Desa Purwobinangun, Sleman. The target is cadres and 80 elderlies in Desa Purwobinangun, Sleman. The instruments in this study such as Module Ramah dan Sehat Lansia, Geriatric Depression Scale (GDS), Mini Mental State Examination(MMSE), questionnaire about knowledge and skills of a traditional games, and questionnaire about early detection and treatment in old age health. The data will be shown in quantitative data. After trained, the average value of the knowledge of coping with local cultural wisdom games, social and religious support, brain gymnastics, and friendly elderly increased by 30 points, 50 points, 40 points, and 50 points respectively.Changes in the average value of the skills of elderly yandu cadres in tackling local cultural wisdom games, social and religious support, brain gymnastics, and friendly elderly have increased by 17.12 points, 19.18 points, 28.68 points, and 27.58 points. For changes in the trend of health problems, the elderly who are not hypertensive increased by 7 people, for the elderly who have diabetes mellitus there was no change in the number before and after training, while the elderly who experienced depression fell by 18 people. For the elderly who experience cognitive impairment decreased by 18 people and elderly who have high quality of life increased by 22 elderly. Yandu training for the elderly can improve the knowledge and skills of the elderly yandu cadre in the management of health problems in the elderly. Cadres empowerment can increase knowledge and skill of cadre to treat health problem in elderly
The influence of smoke haze on the incidence of pneumonia in under-five children in Pontianak Ika Muthya Anggraini; Adi Heru Sutomo; Sukandarrumidi Sukandarrumidi
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (546.2 KB) | DOI: 10.22146/bkm.6910

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Smog effects on pneumonia in under-five children in Pontianak CityPurposeThe purpose of this study was to discover the influence of smoke haze on the incidence of pneumonia in under-five children in Pontianak.MethodsAn ecological study was conducted using time trend analysis, with correlation and multiple linear regression analysis on data of under-five children diagnosed with pneumonia following primary health care diagnosis meeting WHO criteria in Integrated Management of Childhood Illness (MTBS) in Pontianak from January 2010 to January 2014. ResultsThe study found that smoke haze had no direct effects on the incidence of pneumonia in under-five children in Pontianak. Instead, pneumonia in under-five children is influenced by seasons, while smoke haze is also affected by the season, especially during the dry season.ConclusionPneumonia disease in under-five children was influenced by seasons. In the dry season, NO2 content in the air undergoes photochemical reactions that increase O3 levels, while in the rainy season, pneumonia is affected by rainfall and wind velocity that causes air to become moist. The smoke haze generated by forest and land fires in the form of gases and particles has no direct effects on pneumonia in under-five children. Further research to decrease O3 levels in the air, especially in the dry season needs to be done. In addition, policies related to the reduction of hotspots in the dry season also need to be done by the government to minimize the risk factors of pneumonia events.Pneumonia disease in under-five children was influenced by seasons. In the dry season, NO2 content in the air undergoes photochemical reactions that increase O3 levels, while in the rainy season, pneumonia is affected by rainfall and wind velocity that causes air to become moist. The smoke haze generated by forest and land fires in the form of gases and particles has no direct effects on pneumonia in under-five children. Further research to decrease O3 levels in the air, especially in the dry season needs to be done. In addition, policies related to the reduction of hotspots in the dry season also need to be done by the government to minimize the risk factors of pneumonia events.
Work stress, age, and years of service with feeling of work fatigue among nurses at Grhasia hospital Yogyakarta Angelina Candra Dewi; Agus Surono; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.642 KB) | DOI: 10.22146/bkm.8569

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Work stress, age, and years of services with work fatigue among nurses at mental hospital of Grhasia YogyakartaPurposeThis research aimed to find associated factors of working stress, age, and working length with fatigue feelings among nurses at mental hospital of Grhasia Yogyakarta. MethodsA cross-sectional study was conducted using data sheets, job stress questionnaire, and KAUPK2 questionnaire given to 55 nurses. Research data were analyzed using Pearson product moment and multiple linear regression tests. ResultsWork stress correlated with work fatigue feelings with value r=0.454, p-value<0.05, age correlated with feelings of work fatigue with value r=0.334, p-value<0.05, and working relationship with feelings of work fatigue with value r=0.361, p-value<0.05. The results of multiple regression analysis indicated that job stress and work period have a significant relationship and are the factors that most play a role in determining feelings of work fatigue among nurses (R2=0.275, p=0.000).ConclusionThere was a correlation between work stress, age, and work period with feelings of work fatigue among nurses, and there were influences simultaneously between work stress and work period with feeling of work fatigue. It is recommended for hospitals to conduct recreational activities or rotate work for senior and less productive nurses with junior and productive nurses. This policy aims to eliminate boredom and work fatigue. In addition, nurses are expected to perform and improve healthy lifestyles, by performing routine medical check ups, eating food with a balanced diet and getting adequate rest.
Causes of musculoskeletal complaint on carving crafters in Bantul Rahmat Hidayat; Widodo Hariyono; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.493 KB) | DOI: 10.22146/bkm.9818

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Causes of musculoskeletal complaint on carving crafters in BantulPurposeThe purpose of this study was to determine the factors causing musculoskeletal disorders in furniture carvers in Bantul. These factors are age, length of service, work stress and smoking habit.MethodsA cross-sectional study was conducted by distributing questionnaires to 56 respondents in a furniture carving business in Bantul. The independent variables were age, years of service, work stress, and smoking habits, while the dependent variable was a musculoskeletal disorder. Measurement of musculoskeletal disorder used a questionnaire, and Nordic Body Map while work stress measurement used a work stress indicator questionnaire.ResultsThe study found that there was a significant correlation between age and work stress with musculoskeletal complaints in furniture craftsmen in Bantul, while the working period and smoking habit did not significantly influence the musculoskeletal disorder in furniture crafters in Bantul.ConclusionAge and occupational stress are factors that affect musculoskeletal complaints, while the habit of work and smoking habit did not have a significant effect on the occurrence of musculoskeletal complaints in furniture crafters in Bantul. Work rotation and workspace design need to be done properly to minimize the risk of musculoskeletal problems in furniture crafters in Bantul.
Komitmen manajemen, pengetahuan K3, perilaku K3, dan kecelakaan kerja pada perawat di RS PKU Muhammadiyah Yogyakarta Anggit Pratiwi; Widodo Hariyono; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.383 KB) | DOI: 10.22146/bkm.11907

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Management commitment, occupational safety and health knowledge and behavior, and work accidents among nurses in a private hospital in YogyakartaPurposeThis study aimed to determine the relationship between management commitment, knowledge and behavior of occupational safety and health on nursing work accidents in RS PKU Muhammadiyah. MethodsThis cross-sectional study involved 73 nurses as research subjects. Data were analyzed using simple and multiple linear regression tests. ResultsThere was a significant negative relationship between each variable of management commitment, safety and health knowledge, safety and health behavior, and occupational accidents. When analyzed collectively there was a strong relationship between management commitment, knowledge and behavior of occupational safety and health and occupational accidents. ConclusionThis study suggests that the management of PKU Muhammadiyah Yogyakarta hospital can maintain the results achieved in the prevention of occupational accidents, increase supervision of hazard factors that may occur in the workplace, incorporate aspects of occupational safety and health in each Standard Operating Procedure, and post written rules of occupational safety and health in each work area. Management is recommended to provide health and safety training to nurses and socialization of occupational safety and health on a regular basis.
Indeks standar pencemar udara dan faktor meteorologi pada kejadian ISPA Angki Irawan; Adi Heru Sutomo; Sukandarrumidi Sukandarrumidi
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (638.049 KB) | DOI: 10.22146/bkm.12669

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Latar belakang: ISPA merupakan suatu penyakit dengan gejala batuk bernapas cepat, dan pendek, kesulitan dalam bernapas yang bukan disebabkan hidung tersumbat. Tingginya kejadian ISPA di Provinsi Riau disebabkan oleh kabut asap. Pada tahun 2014 selama bulan Januari 2014 terdapat 22.000 warga terserang ISPA. Berdasarkan data Dinas Kesehatan Kota Pekanbaru jumlah penderita ISPA sebanyak 48.390 orang sejak ditetapkannya status tanggap darurat kabut asap. Sedangkan pada tahun 2015, laporan data Dinas Kesehatan secara online dilaporkan bahwa selama periode 29 juni sampai dengan 18 oktober 2015 jumlah penderita ISPA sebanyak 14.208 orang. Penelitian ini bertujuan untuk menjelaskan  hubungan antara Indeks Standar Pencemar Udara (ISPU) dan faktor meteorologi dengan kejadian ISPA di Kota Pekanbaru mulai Januari 2011 sampai bulan Desember 2015Metode: Penelitian ini menggunakan desain studi ekologi. Populasi adalah kejadian ISPA selama tahun 2011-2015 di wilayah Kota Pekanbaru.Hasil: Terdapat hubungan antara variabel ISPU dan meteorologi dengan kejadian ISPA baik secara statistik maupun grafik/time-trend.  Analisis dengan dua model regresi yaitu Regressi Poisson dan Binomial Negatif. Model terbaik dengan nilai AIC dan BIC terkecil dipilih untuk menjelaskan kontribusi variabel ISPU dan meteorologi terhadap kejadian ISPA. kejadian ISPA dengan kejadian ISPA satu bulan sebelumnya, PM10 pada bulan yang sama, SO2 satu bulan sebelumnya, CO pada bulan yang sama, CO satu bulan sebelumnya, O3 satu bulan sebelumnya, NO2 pada bulan yang sama, NO2 satu bulan sebelumnya, suhu pada bulan yang sama, kelembaban satu bulan sebelumnya, kecepatan angin pada bulan yang sama, radiasi matahari pada bulan yang sama, dan titik api pada bulan yang sama merupakan variabel prediktor yang berpengaruh terhadap kejadian ISPA.Kesimpulan: Pola kejadian ISPA mengikuti fluktuasi ISPU dan meteorologi. PM10 pada bulan yang sama, SO2 satu bulan sebelumnya, CO pada bulan yang sama, CO satu bulan sebelumnya, O3 pada bulan yang sama, NO2 pada bulan yang sama, NO2 satu bulan sebelumnya, kelembaban satu bulan sebelumnya, dan radiasi matahari pada bulan yang sama memiliki pola hubungan positif dengan peningkatan kejadian ISPA di Kota Pekanbaru. Hasil penelitian ini menunjukkan bahwa perlunya Dinas Kesehatan Kota Pekanbaru mempertimbangkan faktor kualitas udara (ISPU) dan meteorologi dalam kegiatan program penanggulangan ISPA.
Keberadaan jentik dan kejadian demam berdarah dengue Apriyani Apriyani; Adi Heru Sutomo; Sitti Rahmah Umniyati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (561.281 KB) | DOI: 10.22146/bkm.12704

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Latar belakang: Penyakit demam berdarah dengue adalah penyakit yang disebabkan oleh virus dan ditularkan lewat nyamuk dan merupakan salah satu masalah kesehatan masyarakat di Indonesia, yang cenderung semakin luas penyebarannya sejalan dengan meningkatnya mobilitas dan kepadatan penduduk. Provinsi dengan IR demam berdarah dengue tertinggi tahun 2013 yaitu Bali sebesar 168,48, DKI Jakarta sebesar 104,04, dan DI Yogyakarta sebesar 95,99 per 100.000 penduduk. Selama dua tahun terakhir, kasus demam berdarah dengue tertinggi terdapat di Kabupaten Bantul yakni pada tahun 2014 sebanyak 622 kasus dan tahun 2015 sebanyak 1417 kasus. Salah satu kecamatan yang endemis demam berdarah dengueyaitu Kecamatan Banguntapan. Berdasarkan data Dinas Kesehatan Kabupaten Bantul, terjadi peningkatan kasus sebanyak tiga kali lipat dari tahun 2014 ke tahun 2015 yakni 93 kasus menjadi 282 kasus. Determinan penyakit demam berdarah dengue adalah sanitasi lingkungan dan keberadaan jentik Aedes Sp. Penelitian ini bertujuan untuk menganalisis hubungan antara sanitasi lingkungan dan keberadaan jentik Aedes Sp. dengan penyakit demam berdarah dengue di Kecamatan Banguntapan Kabupaten Bantul.Metode: Penelitian ini merupakan jenis penelitian observasional dengan rancangan case control yang mengkaji hubungan antara efek tertentu dengan faktor risiko. Jumlah sampel pada penelitian adalah 52 kelompok kasus dan 52 kelompok kontrol. Analisis data dilakukan dengan uji chi-square α = 0,05.Hasil: Hasil analisis bivariat didapatkan pengelolaan sampah padat (p=0,002 ; OR=3,73; CI 1,46-9,76), TPA (p=0,003; OR=3,6; CI 1,38-9,70), pengurasan TPA (p=0,001; OR=4,09; CI 1,54-11,4), keberadaan jentik Aedes sp (p=0,000; OR=4,42; CI 1,66-12,31), keberadaan jentik di dalam rumah (p=0,019; OR=3,12; CI 1,07-9,84), keberadaan jentik di luar rumah (p=0,038; OR=2,67; CI 1,94-7,96), keberadaan breeding place di luar rumah (p=0,005; OR=3,50; CI 1,31-9,81) berhubungan secara statistik terhadap kejadian demam berdarah dengue. Hasil analisis multivariat diperoleh variabel keberadaan jentik di luar rumah (p=0,020; OR=17,29; CI 1,57-190,07).Kesimpulan: Faktor risiko yang paling berhubungan dengan kejadian demam berdarah dengue adalah keberadaan jentik Aedes sp. di luar rumah.
Hubungan kualitas udara hasil pembakaran avtur dengan gangguan fungsi paru pekerja di bandara Supadio Pontianak Zuzun Nazila; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 6 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (10498.392 KB) | DOI: 10.22146/bkm.23904

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Air quality of aviation building and disturbed lung function of workers in Supadio Airport PontianakPurposeThis study aimed to determine the relationship of air quality aviation fuel combustion products with impaired lung function in workers in Pontianak Supadio International Airport.MethodsThis research was an observational study using a cross-sectional approach involving 60 people. Sampling technique used total sampling. The statistical analysis used Fisher exact and logistic regression tests, with significance level of p < 0.05 and 95% confidence interval and odds ratios. ResultsBased on bivariate analysis from 36 samples the results were: NO2 variable (p = 0.04), SO2 (p = 0.15), dust (p = 0.25), age (p = 0.20), working period (p = 0.08), nutritional status (p = 0.09), and smoking habits (p = 0.03). ConclusionThere is significant correlation between the variables of NO2 and smoking habits with impaired lung function, while the variables: SO2, dust, age, working period and nutritional status had no significant correlation with lung function disorders.
HUBUNGAN PENGETAHUAN ERGONOMI DAN SIKAP KERJA PADA PERAWATAN LUKA DENGAN KELUHAN MUSCULOSKELETAL DISORDERS (MSDs) PADA PERAWAT DI RSU dr. H. KOESNADI BONDOWOSO Ishana Balaputra; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 9 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (631.437 KB) | DOI: 10.22146/bkm.25623

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Ergonomics knowledge and work posture of nurses on wound care with musculoskeletal disorder in dr. H. Koesnadi BondowosoPurposeThe purpose of this paper was to determine the association between knowledge of ergonomics and work attitude on wound care with complaints of musculoskeletal disorders in hospital nurses. MethodsA cross-sectional study was conducted involving questionnaires distributed to 29 nurses working in the surgical and internal departments who met the inclusion and exclusion criteria. ResultsThere was no significant correlation between sex, age, and education level with musculoskeletal disorder (p> 0.05). Knowledge of ergonomics, work attitude, and length of service were associated with musculoskeletal disorder. ConclusionsEducation and training on proper ergonomics and work posture should be introduced in the workplace to reduce the risk of musculoskeletal disorder among the nurses working in different settings
Analisis komitmen manajemen terhadap kesiapsiagaan menghadapi bencana gempa bumi di RSUD Dr. M. Yunus Bengkulu Ika Ambar Trisnawati; Agus Surono; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019): Proceedings the 5th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1109.233 KB)

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Latar Belakang : Kota Bengkulu merupakan daerah rawan terhadap bencana karena terletak pada pertemuan lempeng tektonik Samudera Hindia dan lempeng tektonik Asia yang menyebabkan rawan bencana gempa bumi dan tsunami. Rumah sakit dapat menjadi tidak berfungsi disaat keadaan darurat apabila terjadi kegagalan struktural ataupun ketidaksiapan tim pelayanan kesehatan dalam menyelamatkan nyawa orang yang menjadi korban saat bencana gempa terjadi. Komitmen manajemen rumah sakit merupakan suatu hal yang sangat penting dalam keberhasilan melaksanakan kegiatan kesiapsiagaan dalam menghadapi bencana gempa bumi di rumah sakit.Tujuan Penelitian : Mengkaji komitmen manajemen dilihat dari aspek kebijakan yang dibuat, pengalokasian pembiayaan serta sarana dan prasarana dalam pelaksanaan kesiapsiagaan menghadapi bencana gempa bumi di RSUD Dr. M. Yunus Bengkulu. Metode Penelitian : Penelitian ini merupakan penelitian kualitatif dengan rancangan penelitian studi kasus. Pelaksanaan penelitian dilakukan dengan wawancara mendalam, telaah dokumen, dan observasi lapangan. Penentuan subyek penelitian dilakukan dengan menggunakan teknik purposive sampling. Responden terdiri dari 12 responden dari RSUD Dr. M. Yunus Bengkulu, 2 orang dari BPBD dan 1 orang dari Dinas Kesehatan Provinsi Bengkulu.Hasil Penelitian: RSUD Dr. M. Yunus Bengkulu telah melaksanakan upaya kesiapsiagaan bencana internal rumah sakit sejak tahun 2016. Secara keseluruhan pelaksanaan program kesiapsiagaan menghadapi bencana di RSUD Dr. M. Yunus Bengkulu sudah berjalan, akan tetapi dukungan manajemen dari aspek pembiayaan  masih belum maksimal. Komitmen atau dukungan manajemen dari aspek penyediaan sarana dan prasarana ditunjukkan dengan tersedianya fasilitas, SDM, sarana dan prasarana yang menunjang kesiapsiagaan rumah sakit dalam menghadapi bencana gempa bumi.  Penyediaan fasilitas, SDM, dan sarana prasarana ini masih perlu ditingkatkan lagi oleh pihak manajemen RSUD Dr. M. Yunus Bengkulu.Kesimpulan: Manajemen RSUD Dr. M. Yunus Bengkulu berkomitmen dalam pelaksanaan kesiapsiagaan menghadapi bencana gempa bumi yang ditunjukkan dengan sudah ada kebijakan yang mengatur tentang kesiapsiagaan bencana di rumah sakit. Akan tetapi dukungan dari aspek pembiayaan belum maksimal sehingga menghambat setiap kegiatan, peningkatan SDM, penyediaan fasilitas serta sarana prasarana yang dibutuhkan. Jajaran manajemen perlu melakukan koordinasi dan menjalin kerjasama secara tertulis dengan Dinas Kesehatan, Dinas Sosial dan BPBD dalam menyusun kebijakan dan pembiayaan untuk kesiapsiagaan rumah sakit dalam menghadapi bencana gempa bumi di RSUD Dr. M.Yunus Bengkulu.
Co-Authors - Sudiyono - Sudiyono . Norlatifah Abu Tholib Aman Ade Indah Wahdini Agus Surono Agus Suwarni Angelina Candra Dewi Anggit Pratiwi Angki Irawan Anjarie Dharmastuti Anwar, Sufyan Apriyani Apriyani Arifin Arifin Ariyanto Nugroho Baiq Liana Widiyanti Carla R. Marchira Carla R. Marchira Cempaka Tursina Dina Merisa Damanik Dyah Suryani Enda Silvia Putri Endang Tri Wahyuni Ernawati Ernawati Eva Flourentina Kusumawardani Fitriana Fitriana Hariyono, Widodo Hariyono, Widodo hartono hartono Husin, Hasanuddin Ig. L. Setyawan Purnama Ika Ambar Trisnawati Ika Muthya Anggraini Ika Muthya Anggraini Indwiani Astuti Ishana Balaputra Iswanto Iswanto Iswanto Iswanto Itza Mulyani Joko Subandono Khayan Khayan Mahar Agusno Marniati Marniati Marniati, Marniati Mora Claramita Mulyani, Itza Nanda Kusumaningrum Nasution, Annio Indah Lestari Norlatifah, . Norlatifah, . Nur Alifa Istiani Phuspa, Sisca Mayang Purnama, Setyawan Purwanta Purwanta Putri, Enda Silvia Putri, Suci Eka Rahmat Hidayat Reni Wijayanti Sarto Setiadi Setiadi Setiadi, Setiadi Setiarni, Sri Marisya Setiarni, Sri Marisya Sitti Rahmah Umniyati Soeyoko Soeyoko Soeyoko Soeyoko Solikhah Solikhah Sri Marisya Setiarni Sri Mukti Suhardini, Sri Mukti Sri Puji Ganefati Su Ritohardoyo Suci Eka Putri Sudarmadji Sudarmadji SUDARMAJI SUDARMAJI Sukandarrumidi Sukandarrumidi Sukandarrumidi Sukandarrumidi Sumardiyono Sumardiyono Sumarni Sumarni Susi Iravati Susi Iravati Susi Iravati Suyitno Suyitno Syahirul Alim Tanto Kusworo Thaharuddin Thaharuddin, Thaharuddin Triatmi Dyah Wahyuning Wahyu Pamungkasih Widodo Hariyono Widodo Hariyono Widodo Hariyono Widya Asmara Windi Wulandari Yayi Suryo Prabandari Yulia Dewi Irawati Yulia Rina Wijaya Yulia Rina Wijaya Yuni Wijayanti Zuzun Nazila