Claim Missing Document
Check
Articles

Primary Malignant Peritoneal Mesothelioma Mimicking Ovarian Carcinoma: A Case Report Highlighting the Importance of Immunohistochemistry Rio Hendra; Tofrizal; Hera Novianti; Yessy Setiawati
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 3 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i3.1212

Abstract

Background: Primary malignant peritoneal mesothelioma (PMPM) is an uncommon and aggressive malignancy arising from the mesothelial lining of the peritoneal cavity. The diagnosis of PMPM is often challenging due to its rarity, nonspecific clinical presentation, and histologic similarities to other malignancies, particularly adenocarcinomas. Immunohistochemistry plays a crucial role in differentiating PMPM from metastatic adenocarcinoma, which is essential for accurate diagnosis, appropriate treatment, and prognostication. Case presentation: We present the case of a 43-year-old female who presented with abdominal distension, ascites, and weight loss, initially raising suspicion of ovarian carcinoma. However, histopathological examination of the omental tissue revealed a proliferation of epithelial cells with papillary and glandular-like growth patterns. Immunohistochemical staining demonstrated strong positivity for calretinin, a mesothelial marker, while staining for estrogen receptor (ER) and progesterone receptor (PR) was negative, effectively ruling out an ovarian or endometrial origin. The diagnosis of PMPM, epithelioid subtype, was confirmed. Conclusion: This case underscores the challenges in diagnosing PMPM and highlights the critical role of immunohistochemistry in differentiating it from metastatic adenocarcinoma. Accurate diagnosis is essential for determining appropriate management strategies and providing prognostic information.
Ekspresi Protein Sitoplasmik SOCs2 pada Adenokarsinoma Kolorektal: Studi Imunohistokimia Azmal, Nita Afriani; Intan, Shinta Ayu; Tofrizal, Tofrizal
Jurnal Kesehatan Andalas Vol. 11 No. 1 (2022): Online March 2022
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v11i1.1982

Abstract

 Inflammatory cytokines have a role in triggering cell signals in colorectal cancer. They increase signaling pathways into cells via the Janus kinase pathway (JAK) - signal transducer and activator of transcription (STAT) -suppressor of cytokine signaling (SOCs) JAK-STAT. SOCs2 protein is a cytoplasmic protein that can inhibit activation of JAK-STAT pathway so that it prevents cascade of signals into the nucleus. This protein is thought to have decreased in adenocarcinoma colorectal. Objectives: To reveal the expression of SOCs2 protein in 37 paraffin block samples in Anatomy Pathology Department Medical Faculty Andalas University. Methods: Data were taken from medical records and histopathology was assessed by HE. SOCs2 expression was evaluated by immunohistochemistry using SOCs2 polyclonal antibody (bs-1896R). Cytoplasmic expression was counted using Image J software. Results: The average of age was 56.57 years, 21 samples (55.8%) were male, depth of invasion was mostly in the tunica muscularis (T3), and 7 cases of malignancy (18.9%) were poorly differentiated. SOCs2 expression was  5 cases (13.5%).   Conclusion: There was SOCs2 expression in a small proportion of colorectal adenocarcinoma.Keywords:  SOCs2 protein, cytoplasmic inhibitor, JAK-STAT, cell signaling
Pengaruh Pemberian Mesenchymal Stem Cells Wharton's Jelly terhadap Ekspresi Gen Sirtuin 1 pada Tikus Model Alzheimer Aizah, Havina Nurul; Yanis, Amel; Ali, Hirowati; Tofrizal, Tofrizal; Ilmiawati, Cimi; Arisanty, Dessy
Jurnal Kesehatan Andalas Vol. 12 No. 1 (2023): Online March 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v12i1.2140

Abstract

Mesenchymal Stem Cells Wharton's Jelly (MSC-WJ) has become a new hope for Alzheimer's disease due to its capability to suppress Amyloid-beta (Aβ) plaques formation. It is found that people with Alzheimer's disease have a lower expression of Sirtuin-1 because of the oxidative stress that was produced by Aβ plaques. Objective: To observe the Sirtuin-1 gene in Alzheimer's disease rat models that AlCl3 was inducing after being given MSC-WJ. Methods: This was an experimental study with a post-test-only control group design, including three groups with a total sample of 18 samples of Alzheimer RNA rat models. Group-1without AlCl3 and MSC-WJ; Group-2 with AlCl3; Group-3 AlCl3 and MSC-WJ. Mean value of the Sirtuin-1 gene was obtained by the Image-J application using a semiquantitative method which was then tested using the One Way ANOVA test. The study was significant if the p-value < 0,05. Results: This study found that the mean ± standard error value of the Sirtuin-1 gene in three groups were 0.18±0.04; 0.16±0.03; and 0.36±0.06 respectively. The statistical test showed a significant difference between the three groups (p = 0.014). Conclusion: There was an increased Sirtuin 1 gene expression in Alzheimer’s rat Model after being given Mesenchymal Stem Cells Wharton’s Jelly.Keywords:  Alzheimer, MSC-WJ, Sirtuin-1
Pengaruh Pemberian Mesenchymal Stem Cells Wharton’s Jelly terhadap Ekspresi Gen PPAR-γ pada Tikus Alzheimer Putri, Nabila Priscilla; Ali, Hirowati; Tofrizal, Tofrizal; Darwin, Eryati; Susanti, Restu; Hasmiwati, Hasmiwati
Jurnal Kesehatan Andalas Vol. 12 No. 2 (2023): Online July 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v12i2.2142

Abstract

The increased production of beta-amyloid marks Alzheimer's disease. PPAR-γ shows involvement in Alzheimer's disease. PPAR-γ Gene is suspected to reduce beta-amyloid plaques and reduce inflammation and oxidative stress in Alzheimer's disease. Mesenchymal Stem Cells Wharton's Jelly (MSC-WJ) is expected to increase the PPAR-γ Gene expression. Objective:  To observed the PPAR-γ Gene expression in Alzheimer's Mice. Methods: The mice are induced using AlCl3 and were given MSC-WJ. This study was an experimental study with a post-test-only control group design on 18 samples of RNA from Alzheimer's mice that were divided into 3 groups. Negative control group (K-), positive control group (K+), and experimented group (P). The mean of PPAR-γ gene expression was obtained by comparing the PPAR-γ gene with the GAPDH gene. This study used semiquantitative methods using ImageJ. Data analysis was used with the Kruskal-Wallis test. It is significant if the value is <0,05. Results: The mean ratio of PPAR-γ gene expression that was obtained in K-, K+, and P were 0.12, 0.06, and 0.08, respectively. There were significant differences between each group, with a p-value of 0,023 (p<0,05). Conclusion: Giving MSC-WJ could increase the PPAR-γ gene expression. Further study using real-time PCR is highly needed to increase the MSC-WJ treatment in patients with Alzheimer's disease.Keywords:  Alzheimer disease, MSC-WJ, PPAR- γ
Efek Human Bone Marrow Mesenchymal Stem Cells Terhadap Deposisi Kolagen Pada Kulit Tikus Luka Bakar Full Thickness Diabetes Melitus Aljassri, Resti Karunia; Revilla, Gusti; Zulfadli Syahrul, Muhammad; Yerizel, Eti; Saputra, Deddy; Tofrizal, Tofrizal
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 1 (2025): Maret 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i1.1333

Abstract

Latar Belakang: Kulit berfungsi sebagai pelindung tubuh manusia dan rentan mengalami kerusakan, salah satunya luka bakar. Luka bakar disebabkan oleh trauma panas atau dingin yang memiliki risiko morbiditas dan mortalitas yang tinggi. Diabetes melitus dapat menghambat penyembuhan luka bakar dengan memperpanjang inflamasi, mengganggu proses re-epitelisasi, sintesis, dan proliferasi fibroblas. Human Bone Marrow Mesenchymal Stem Cells (hBM-MSCs) dapat mempercepat penyembuhan luka bakar pada kulit. Objektif: Penelitian ini bertujuan untuk mengetahui efek hBM-MSCs terhadap deposisi kolagen pada penyembuhan luka bakar dengan diabetes melitus. Metode: Penelitian ini dilakukan secara post-test only control group design. Penelitian ini menggunakan 30 blok parafin yang berisikan jaringan kulit luka bakar full thickness tikus diabetes melitus yang diterminasi pada hari ke-3, ke-7, dan ke-14. Terdiri dari kelompok kontrol dan perlakuan. Jaringan kulit dibuatkan preparat histologis dengan pewarnaan Picro Sirius Red untuk menilai deposisi kolagen. Data dianalisis menggunakan uji T-Independent. Hasil: Hasil penelitian menunjukkan terjadi peningkatan deposisi kolagen pada kulit tikus luka bakar full thickness diabetes mellitus setelah diberikan hBM-MSCs. Analisis statistik deposisi kolagen pada hari ke-3 dan ke-7 tidak menunjukkan peningkatan yang signifikan, sedangkan hari ke-14 terlihat peningkatan yang signifikan. Kesimpulan: hBM-MSCs berpotensi meningkatkan deposisi kolagen pada kulit luka bakar tikus diabetes melitus.
Mycosis Fungoides dengan Gambaran Klinis Eritroderma yang Menyerupai Dermatitis Seboroik Tofrizal; Mayorita, Pamelia; Aini, Julpa Nurul; Nelzima, Maisyah; Oktora, Meta Zulyati
Scientific Journal Vol. 4 No. 2 (2025): SCIENA Volume IV No 2, March 2025
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/sciena.v4i2.200

Abstract

Mycosis fungoides (MF) merupakan limfoma T-sel kulit primer yang paling sering ditemukan, termasuk dalam kategori Cutaneous T-cell Lymphomas (CTCL). MF ditandai dengan proliferasi sel T epidermotropik yang sebagian besar terdiri dari sel CD4+. Penyakit ini memiliki perjalanan klinis yang umumnya lambat, diawali dengan lesi berupa patch atau plak eritematosa yang secara bertahap dapat berkembang menjadi tumor atau eritroderma pada stadium lanjut. Eritroderma, yang melibatkan lebih dari 80% permukaan kulit, sering kali sulit dibedakan dari dermatitis inflamasi lainnya, seperti dermatitis seboroik, psoriasis, atau penyakit sistemik lainnya. Oleh karena itu, pengenalan dini dan diagnosis akurat sangat penting untuk menentukan terapi yang tepat dan memperbaiki prognosis pasien. Laporan ini memaparkan kasus seorang pria berusia 53 tahun dengan gejala eritroderma yang awalnya menyerupai dermatitis seboroik. Pemeriksaan fisik dan laboratorium awal menunjukkan adanya lesi kulit meluas disertai skuama kasar, sehingga diduga eritroderma akibat Cutaneous T-cell Lymphoma (CTCL). Hasil biopsi eksisi kulit mengungkapkan infiltrasi sel limfosit atipikal yang menunjukkan epidermotropisme dan pembentukan Pautrier microabscesses, yang mengarah pada diagnosis MF. Pemeriksaan imunohistokimia menunjukkan hasil positif untuk CD3 dan CD4, yang semakin memperkuat diagnosis tersebut. Pasien direncanakan menjalani kemoterapi sebanyak enam siklus, namun pada saat akan menjalani kemoterapi siklus ketiga, kondisi pasien memburuk dengan penurunan kesadaran akibat hiponatremia dan komplikasi lain, hingga akhirnya meninggal dunia. Diagnosis MF pada tahap awal sering kali menjadi tantangan karena manifestasi klinisnya yang menyerupai penyakit kulit inflamasi lainnya. Oleh karena itu, kombinasi pemeriksaan klinis, histopatologi, dan imunohistokimia sangat diperlukan untuk membedakan MF dari diagnosis banding lainnya. Penatalaksanaan yang tepat dan pemantauan jangka panjang menjadi kunci dalam memperbaiki prognosis pasien, terutama pada stadium lanjut MF yang memerlukan terapi sistemik agresif.
Efek Pemberian Larutan Ekstrak Akar Kayu Kuning terhadap Histopatologi Ginjal Mencit yang Diinduksi D-Galaktosa Zehan Afifa Yusran; Biomechy Oktomalio Putri; Miftah Irramah; Tofrizal; Liganda Endo Mahata; Novita Ariani
Jurnal Kesehatan Masyarakat Indonesia (JKMI) Vol. 2 No. 3 (2025): April
Publisher : Publikasi Inspirasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62017/jkmi.v2i3.4113

Abstract

D-galactose is a reducing sugar that induces oxidative stress by increasing the production of Reactive Oxygen Species (ROS) and Advanced Glycation End-products (AGEs), processes also associated with aging. Akar kayu kuning (Arcangelisia flava Merr.) extract contains antioxidant compounds that neutralize free radicals and mitigate oxidative stress. This study aimed to evaluate the effect of akar kayu kuning extract on the histopathological alterations of the kidneys in D-galactose-induced mice (Mus musculus). A true experimental study with a post-test-only control group design was conducted using 25 mice, divided into five groups: a negative control, a positive control (administered D-galactose at 150 mg/kgBW), and three experimental groups that received akar kayu kuning extract at doses of 250 mg/kgBW, 500 mg/kgBW, and 750 mg/kgBW following D-galactose induction. Kidney tissues were stained with hematoxylin and eosin (HE), and the extent of histopathological damage was quantified using ImageJ software. Statistical analysis using the Kruskal-Wallis test revealed significant differences between the experimental groups and the positive control (p < 0.05). The findings demonstrate that akar kayu kuning extract significantly reduces kidney histopathological damage in D-galactose-induced mice, highlighting its potential as a natural antioxidant for preventing oxidative stress-related renal impairment.
Pengaruh Pemberian Blastocystis sp. Terhadap Gambaran Histopatologi Usus Tikus Berdasarkan Modifikasi Kriteria Barthel Manja Aqilah, Giffary Zahida; Nofita, Eka; Ariani, Novita; Renita Rusjdi, Selfi; Tofrizal, Tofrizal; Abdiana, Abdiana
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 2 (2025): Juni 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i2.1096

Abstract

Latar Belakang: Blastocystis sp. adalah parasit protozoa usus ditemukan di saluran usus manusia dan hewan. Gambaran terkait Blastocystis sp. seperti mual, anoreksia, diare, dan dikaitkan dengan kejadian Inflammatory Bowel Disease dan Irritable Bowel Syndrome. Patogenitas Blastocystis sp. masih kontravesi. Tujuan dari penelitian ini untuk melihat reaksi inflamasi di usus (sekum dan kolon) yang ditimbulkan Blastoystis sp. melalui perubahan histopatologi berdasarkan modifikasi kriteria Barthel Manja. Objektif: Penelitian ini bertujuan untuk melihat reaksi inflamasi di usus (sekum dan kolon) yang ditimbulkan Blastocystis sp. melalui perubahan histopatologi berdasarkan modifikasi kriteria Barthel Manja. Metode: Jenis penelitian ini adalah penelitian true eksperimental dengan rancangan posttest-only control design. Sampel penelitian adalah 21 tikus galur Wistar jantan, yang dibagi menjadi 3 kelompok (PI, PII, dan K). Kelompok PI diinokulasikan oral dosis 105. Kelompok PII diinokulasikan oral Blastocystis sp. dosis 104. Kelompok K diberikan normal saline tanpa pemberian Blastocystis sp. Hasil Penelitian: Hasil penelitian menunjukkan terdapat pengaruh pemberian Blastocystis sp. terhadap edema submukosa, infiltrasi sel PMN, dan kerusakan epitel di kolon. Tidak berpengaruh terhadap hiperplasia sel goblet di kolon dan sekum. Skor akhir menunjukkan Blastocystis sp. tidak berpengaruh terhadap inflamasi usus berdasarkan modifikasi kriteria Barthel Manja. Kesimpulan: Pemberian Blastocystis sp. hanya berpengaruh terhadap edema submukosa, infiltrasi sel PMN, dan kerusakan epitel di kolon.
Investigating the Landscape of Programmed Death-Ligand 1 (PD-L1) in Thymic Tumors: Implications for Histopathological Classification and Staging Rio Hendra; Noza Hilbertina; Henny Mulyani; Tofrizal; Afriani; Husna Yetti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 7 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i7.1338

Abstract

Background: Thymic epithelial tumors (TETs) are uncommon malignancies originating in the mediastinum, characterized by considerable histopathological diversity and variable clinical trajectories. Programmed Death-Ligand 1 (PD-L1), an immune checkpoint protein, is implicated in mechanisms of tumor immune evasion. This study aimed to investigate the correlation between PD-L1 immunoexpression and distinct histopathological types, as well as the Masaoka-Koga stage, in TETs. Methods: This cross-sectional investigation analyzed 29 archival cases of TETs diagnosed between January 2019 and December 2024 at the Anatomical Pathology Laboratory of Dr. M. Djamil General Hospital Padang. Samples were procured via consecutive sampling from formalin-fixed paraffin-embedded (FFPE) tumor tissues. Histopathological classification was reassessed according to the WHO 2021 criteria. PD-L1 expression was evaluated immunohistochemically and quantified using the Tumor Proportion Score (TPS). Masaoka-Koga staging was determined from clinical records. Statistical analysis of correlations was performed using the Chi-square test. Results: PD-L1 immunoexpression was detected in the preponderance of cases. Low positive PD-L1 expression (TPS 1-49%) was observed in 82.8% of TETs, while high positive expression (TPS ≥50%) was noted in 10.3%. Thymic carcinoma constituted the most prevalent histopathological category (51.7%), and the majority of patients (91.7%) presented at an advanced Masaoka-Koga stage. Statistical analysis did not demonstrate a significant correlation between PD-L1 expression levels and histopathological type (p=0.195). Furthermore, no significant association was identified between PD-L1 expression and Masaoka-Koga stage (p=0.800). Conclusion: This study indicated that while PD-L1 is frequently expressed in TETs within this cohort, its expression level did not exhibit a significant correlation with specific histopathological subtypes or the Masaoka-Koga clinical stage. Further investigations incorporating larger sample sizes are warranted to delineate the precise role of PD-L1 within the complex biological spectrum of thymic neoplasms.
Unraveling the Angiogenic Landscape in Endometrioid Endometrial Carcinoma: VEGF Expression, Histopathological Differentiation, and Lymphovascular Invasion as Key Players Mustika Sari; Aswiyanti Asri; Tofrizal; Henny Mulyani; Syamel Muhammad; Husna Yetti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 7 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i7.1340

Abstract

Background: Endometrioid endometrial carcinoma (EEC) is a prevalent gynecological malignancy whose prognosis is influenced by factors including histopathological grade and lymphovascular invasion (LVI). Angiogenesis, crucial for tumor growth and metastasis, is significantly mediated by vascular endothelial growth factor (VEGF). This study aimed to investigate the expression of VEGF in EEC and its correlation with histopathological differentiation and LVI. Methods: This observational analytical study employed a cross-sectional design using 36 archival paraffin block samples of EEC diagnosed between January 2022 and December 2024 at the Anatomical Pathology Laboratory of Dr. M. Djamil General Hospital Padang. Cases were selected via simple random sampling from a population of 59. Histopathological grade (Grade 1, 2, or 3 based on FIGO architectural and nuclear criteria) and LVI (negative, focal, or substantial) were re-evaluated from Hematoxylin-Eosin (H&E) stained slides. VEGF expression was assessed by immunohistochemistry, scored semiquantitatively based on the percentage of positive tumor cells and staining intensity, and categorized as low or high. Data were analyzed using Chi-square tests, with p<0.05 considered statistically significant. Results: The mean age of patients was 54.36 years, with the highest prevalence in the 51-60 age group (41.7%). Grade 3 tumors were most common (38.9%), followed by Grade 2 (33.3%) and Grade 1 (27.8%). LVI was present in 47.2% of cases, predominantly focal (38.9%). High VEGF expression was observed in 58.3% of EEC cases. A statistically significant association was found between high VEGF expression and higher histopathological grade (p=0.000), with 66.7% of Grade 3 tumors showing high VEGF expression. No significant association was found between VEGF expression and LVI (p=0.080). Conclusion: High VEGF expression significantly correlated with higher histopathological grades in EEC, suggesting its role in tumor aggressiveness and dedifferentiation. However, a significant association with LVI was not established in this cohort. VEGF expression warrants further investigation as a potential prognostic biomarker and therapeutic target in EEC.
Co-Authors Abdiana Abdiana, Abdiana Afdal Afdal Afriani Afriani, Nita Aini, Julpa Nurul Aizah, Havina Nurul Aljassri, Resti Karunia Alvarino Alvarino Amel Yanis Aqilah, Giffary Zahida Ariani, Novita Ariani, Yuliza Arnofyan, Budi Pratama Asri, Ennesta Aswiyanti Asri Aswiyanti Asri Athika Rahmawati Avit Suchitra Azmal, Nita Afriani Cimi Ilmiawati, Cimi Daan Khambri Deddy Saputra Deddy Satriya Putra Desmawati Desmawati Dessy Arisanty Devianti, Loli Djong Hon Tjong Dwi Yanti Fioni Putri Dwisari Dillasamola Elli Firdamila Elmatris Sy Endrinaldi Ennesta Asri Erkadius Erkadius Eryati Darwin Eryati Darwin Eti Yerizel Fachry Abda El Rahman Fadhilah, Maisarah Fadil Oenzil Fadila, Srigunda Arisya Fadillah Fadillah Fajriza Yona Fesdia Sari Firdamila, Elli Gardenia Akhyar Gusti Revilla Hafni Bachtiar Handriyani, Fitri Nur Hasmiwati Henny Mulyani henny Mulyani Hera Novianti Hirowati Ali, Hirowati Husna Yetti Intan, Shinta Ayu Kamelia, Muthia Khotimah, Rifqoh Kusumardani, Dini Lubis M Mahata, Liganda Endo Maliza, Rita Mayorita, Pamelia Miftah Irramah Muhammad Idris Muhammad Nazri Janra Mustika Sari Naqia, Masyithah Nelzima, Maisyah Nita Afriani Nofrita Nofrita Novianti, Hera Novita Ariani Noza Hilbertina Noza Hilbertina, Noza Nur Afrinin Syah Nuzulia Irawati O ktora, Meta Zulyati Oktora, Meta Zulyati Perisnawati, Pemi Putra Santoso Putri Amran, Fajriana Anggun Putri, Biomechy Oktomalio Putri, Nabila Priscilla R. Zuryati Nizar Rahmadian, Rizki Rahmi Ramadhani Rauza Sukma Rita Raymond, Benni Restu Susanti Ria Oktavia Ria Oktavia Rina Gustia Rio Hendra Robby Jannatan Rony Rustam Runky Pebranka Rusnita, Dewi RZ Nizar Safnita, Dewi Salmiah Agus Salmiah Agus Salmiah Agus Salmiah Agus Selfi Renita Rusjdi, Selfi Selly Alinta Syukri Setiawatu, Yessy Sisca Dwi Yarni Siti Nurhajjah SRI LESTARI Sri Lestari Sri Wahyuni Handayani Sri Wahyuni Handayani, Sri Wahyuni Suci Rahmadhani Sukri Rahman Syamel Muhammad Tiffany, Begum Utama, Bobby Indra Yarni, Sisca Dwi Yenita . Yenita Yenita Yenny Raflis Yerizal, Eti Yessy Setiawati Yessy Setiawati Zehan Afifa Yusran Zulfadli Syahrul, Muhammad