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Effect of Preoperative Embolization on the Intraoperative Bleeding during Posterior Stabilization in Thoracolumbal Fracture Cases at Prof. Dr. R. D Kandou Hospital Manado Nathaniel Pali; Tommy Suharso; Richard Sumangkut; Billy Karundeng; Djony E. Tjandra; Yuansun Khosama; Windy M. V. Wariki
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.44759

Abstract

Abstract: Embolization is a technique to stop or prevent bleeding by inserting an object, such as an air-filled membrane (balloon), or an embolic material such as foam into a blood vessel to block the blood flow. This study aimed to prove that preoperative embolization might affect and reduce the amount of intraoperative bleeding during the posterior stabilization procedure for thoracolumbal vertebrae fracture. A quasi-experimental method was chosen for this study, and samples were not taken at random. Samples were patients with thoracolumbal vertebrae fracture who underwent the posterior stabilization procedure. Samples were divided into two groups, treated with and without preoperative embolization groups. The treatment was given 24-48 hours before posterior stabilization procedure. The intraoperative bleeding was measured in milliliters. The resulys showed that the average intraoperative blood loss was 283.3 mL, meanwhile of the untreated group was 583.3 mL. The one-way t-test resulted in a p-value of 0.004 at 5% of significance. In conclusion, preoperative embolization could reduce the amount of blood loss during intra-operative posterior stabilization in patients with thoracolumbar vertebral fractures. Further research on preoperative embolization in patient who will undergo posterior stabilization surgery of the thoracolumbal region due to fracture, either mechanically or generatively, is needed. Keywords: preoperative embolization; intraoperative blood loss
Gambaran kesiapsiagaan siswa SMA Lokon St. Nikolaus Tomohon terhadap bencana erupsi gunung berapi Adrian Jonathan Angir; Windy Mariane Virenia Wariki; Dina Victoria Rombot
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 10 Nomor 2 Tahun 2022
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Volcanic eruptions can cause health problems. To prepare for a volcanic eruption disaster, knowledge, attitudes, and actions are needed which are important components of preparedness. This study aims to describe the preparedness of Lokon St. Nikolaus Tomohon highschool students on the eruption of Mount Lokon. This research is descriptive in nature with a cross-sectional research design which was carried out in October-December 2022. This study used a simple random sampling method and obtained 173 respondents who met the inclusion and exclusion criteria. The instrument used was a student preparedness questionnaire for volcanic eruptions. The level of preparedness of Lokon St. Nikolaus Tomohon in the good category totaling 152 students (87.9%), based on age characteristics in the good category there are 19 years old with a total of 2 students (100%), based on gender characteristics in the good category there is female gender totaling 90 students (90.9 %), and based on the characteristics of the region of origin in the good category, there are other regions with a total of 55 students (90.2%). Keywords: preparedness, volcanic eruption
Gambaran pengetahuan, sikap, dan tindakan mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi terhadap kesiapsiagaan bencana alam Nahdiyah Taha; Ronald I. Ottay; Windy Mariane Virenia Wariki
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 10 Nomor 2 Tahun 2022
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Natural disasters are frequent events in Indonesia. The occurrence of natural disasters will result in various kinds of damage, losses, and even health problems. Lack of knowledge about disaster preparedness will affect a person's attitude and actions in dealing with disasters. It takes special expertise of medical students who will become a competent doctor in health services during natural disasters. This study aims to determine the description of knowledge, attitudes, and actions of students of the Medical Education Study Program, Faculty of Medicine, Sam Ratulangi University towards natural disaster preparedness. This is a descriptive study with a cross sectional design with a sampling technique using simple random sampling. The research instrument used a questionnaire (Google form). Total respondents who participated in this study were 116 respondents. The results showed that Medical Education students of the Faculty of Medicine, Sam Ratulangi University mostly had high knowledge of disaster preparedness as much as 61.2%, a positive attitude towards disaster preparedness as much as 63.8%, and were able to take action on disaster preparedness as much as 71.6%. From the result of this study, it can be concluded that Medical Education Students of the Faculty of Medicine, Sam Ratulangi University have high levels of knowledge, positive attitudes, and capable actions in natural disaster preparedness. Keywords: Disaster preparedness, knowledge, attitude, practice
Gambaran pengetahuan, sikap, dan tindakan mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi terhadap kesiapsiagaan bencana alam Nahdiyah Taha; Ronald I. Ottay; Windy Mariane Virenia Wariki
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 10 Nomor 2 Tahun 2022
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Natural disasters are frequent events in Indonesia. The occurrence of natural disasters will result in various kinds of damage, losses, and even health problems. Lack of knowledge about disaster preparedness will affect a person's attitude and actions in dealing with disasters. It takes special expertise of medical students who will become a competent doctor in health services during natural disasters. This study aims to determine the description of knowledge, attitudes, and actions of students of the Medical Education Study Program, Faculty of Medicine, Sam Ratulangi University towards natural disaster preparedness. This is a descriptive study with a cross sectional design with a sampling technique using simple random sampling. The research instrument used a questionnaire (Google form). Total respondents who participated in this study were 116 respondents. The results showed that Medical Education students of the Faculty of Medicine, Sam Ratulangi University mostly had high knowledge of disaster preparedness as much as 61.2%, a positive attitude towards disaster preparedness as much as 63.8%, and were able to take action on disaster preparedness as much as 71.6%. From the result of this study, it can be concluded that Medical Education Students of the Faculty of Medicine, Sam Ratulangi University have high levels of knowledge, positive attitudes, and capable actions in natural disaster preparedness. Keywords: Disaster preparedness, knowledge, attitude, practice
Hubungan Antara Aktivitas Fisik dan Status Gizi dengan Kualitas Hidup Kesehatan Siswa SMP dan SMA Linna L. J Minggu; Jimmy Posangi; Windy M. V. Wariki; Aaltje E. Manampiring
eBiomedik Vol. 10 No. 1 (2022): eBiomedik
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ebm.v10i1.37320

Abstract

Abstract: Physical activity is useful for improving the quality of life of students' health, and the quality of health life is determined by nutritional status.. Quality of life in adolescents is influenced by various factors including physical health, psychological health, self-perception, parental relationships, financial, environmental and social relationships. The purpose of this study was to analyze the relationship between physical activity, nutrition status with the health quality of life of junior and senior high school students in Kotamobagu City.This study is an analytical study with a cross-sectional approach. This research was conducted in Kotamobagu City in September-November 2021. The research sample consisted of 403 junior and senior high school students in Kotamobagu City. The data obtained were analyzed by univariate, and bivariate. Physical activity with physical health with p value = 0.05, physical activity with psychology with p value = 0.02, physical activity and social with p value = 0.02, physical activity with environment with p value = 0.01. The results showed nutrition status with physical health with p value = 0,9, nutrition status with psychology with p value = 0,5, nutrition statuswith social with p value = 0,5, nutrition status with environment with p value = 0,1. Physical activity is correlated with the health quality of life and nutrition status is not correlated with the health quality of life of junior and senior high school students in Kotamobagu City from the domains of physical, psychological, social and environmental health.Keywords: Health Quality of Life; Nutrition Status; Physical ActivityAbstrak: Aktifitas fisik bermanfaat untuk meningkatkan kualitas hidup kesehatan siswa, dan kualitas hidup kesehatan ditentukan oleh status gizi. Kualitas hidup pada siswa dipengaruhi oleh berbagai faktor antara lain kesehatan fisik, kesehatan psikologis, persepsi diri, hubungan orang tua, finansial, lingkungan dan hubungan sosial. Tujuan penelitian ini yaitu untuk menganalisis hubungan antara aktifitas fisik, status gizi dengan kualitas hidup kesehatan siswa SMP dan SMA di Kota Kotamobagu.Penelitian ini merupakan penelitian analitik dengan pendekatan potong lintang. Penelitian ini dilaksanakan di Kota Kotamobagu pada bulan September-November 2021. Sampel penelitian berjumlah 403 siswa SMP dan SMA di Kota Kotamobagu. Aktivitas fisik dengan kesehatan fisik dengan nilai p= 0,05, aktivitas fisik dengan psikologi dengan nilai p= 0,02, aktivitas fisik dengan sosial dengan nilai p= 0,02, aktifitas fisik dengan lingkungan dengan nilai p= 0,01. Hasil penelitian menunjukkan status gizi dengan kesehatan fisik dengan nilai p= 0,9, status gizi dengan psikologi dengan nilai p= 0,5, status gizi dengan sosial dengan nilai p= 0,5, status gizi dengan lingkungan dengan nilai p= 0,1. Aktifitas fisik berhubungan dengan kualitas hidup kesehatan dan tidak ada hubungan antara status gizi dengan kualitas hidup kesehatan siswa SMP dan SMA di Kota Kotamobagu dari domain kesehatan fisik, psikologi, sosial dan lingkungan.Kata Kunci: Aktifitas Fisik; Kualitas Hidup Kesehatan; Status Gizi.
Hubungan Antara Aktivitas Fisik dan Status Gizi dengan Kualitas Hidup Kesehatan Siswa SMP dan SMA Linna L. J Minggu; Jimmy Posangi; Windy M. V. Wariki; Aaltje E. Manampiring
eBiomedik Vol. 10 No. 1 (2022): eBiomedik
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ebm.v10i1.37320

Abstract

Abstract: Physical activity is useful for improving the quality of life of students' health, and the quality of health life is determined by nutritional status.. Quality of life in adolescents is influenced by various factors including physical health, psychological health, self-perception, parental relationships, financial, environmental and social relationships. The purpose of this study was to analyze the relationship between physical activity, nutrition status with the health quality of life of junior and senior high school students in Kotamobagu City.This study is an analytical study with a cross-sectional approach. This research was conducted in Kotamobagu City in September-November 2021. The research sample consisted of 403 junior and senior high school students in Kotamobagu City. The data obtained were analyzed by univariate, and bivariate. Physical activity with physical health with p value = 0.05, physical activity with psychology with p value = 0.02, physical activity and social with p value = 0.02, physical activity with environment with p value = 0.01. The results showed nutrition status with physical health with p value = 0,9, nutrition status with psychology with p value = 0,5, nutrition statuswith social with p value = 0,5, nutrition status with environment with p value = 0,1. Physical activity is correlated with the health quality of life and nutrition status is not correlated with the health quality of life of junior and senior high school students in Kotamobagu City from the domains of physical, psychological, social and environmental health.Keywords: Health Quality of Life; Nutrition Status; Physical ActivityAbstrak: Aktifitas fisik bermanfaat untuk meningkatkan kualitas hidup kesehatan siswa, dan kualitas hidup kesehatan ditentukan oleh status gizi. Kualitas hidup pada siswa dipengaruhi oleh berbagai faktor antara lain kesehatan fisik, kesehatan psikologis, persepsi diri, hubungan orang tua, finansial, lingkungan dan hubungan sosial. Tujuan penelitian ini yaitu untuk menganalisis hubungan antara aktifitas fisik, status gizi dengan kualitas hidup kesehatan siswa SMP dan SMA di Kota Kotamobagu.Penelitian ini merupakan penelitian analitik dengan pendekatan potong lintang. Penelitian ini dilaksanakan di Kota Kotamobagu pada bulan September-November 2021. Sampel penelitian berjumlah 403 siswa SMP dan SMA di Kota Kotamobagu. Aktivitas fisik dengan kesehatan fisik dengan nilai p= 0,05, aktivitas fisik dengan psikologi dengan nilai p= 0,02, aktivitas fisik dengan sosial dengan nilai p= 0,02, aktifitas fisik dengan lingkungan dengan nilai p= 0,01. Hasil penelitian menunjukkan status gizi dengan kesehatan fisik dengan nilai p= 0,9, status gizi dengan psikologi dengan nilai p= 0,5, status gizi dengan sosial dengan nilai p= 0,5, status gizi dengan lingkungan dengan nilai p= 0,1. Aktifitas fisik berhubungan dengan kualitas hidup kesehatan dan tidak ada hubungan antara status gizi dengan kualitas hidup kesehatan siswa SMP dan SMA di Kota Kotamobagu dari domain kesehatan fisik, psikologi, sosial dan lingkungan.Kata Kunci: Aktifitas Fisik; Kualitas Hidup Kesehatan; Status Gizi.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PREEKLAMPSIA DI RSUP Prof. Dr. R. D. KANDOU MANADO Vemy Tamaledu; John Johannes Ezechiel Wantania; Windy Mariane Virenia Wariki
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 1 (2023): APRIL 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i1.13091

Abstract

Preeklampsia adalah penyebab utama kesakitan dan kematian ibu serta perinatal, terjadi pada 2-3 dari semua kehamilan. Preeklampsia dapat mengakibatkan kecacatan serta kematian pada ibu dan bayinya. Secara global, preeklampsia menyumbang 76.000 kematian ibu, 500.000 kematian bayi setiap tahun, dan penyebab umum kedua kematian ibu. Preeklampsia disebabkan oleh beberapa faktor diantaranya, riwayat preeklampsia sebelumnya, usia ibu, riwayat hipertensi, dan riwayat kegemukan. Riwayat preeklampsia sebelumnya dapat menjadi sarana untuk skrining preeklampsia, terutama di lokasi sumber daya yang terbatas. Usia diatas 35 tahun terjadi degeneratif pembuluh darah akibat perubahan sruktur dan fungsi yang terkait dengan perubahan tekanan darah, sehingga berisiko mengalami preeklampsia, sedangkan usia muda (<20 tahun) proses maturasi organ belum sempurna. Wanita dengan hipertensi, terjadi peningkatan insiden preeklampsia. Kegemukan dapat mempengaruhi perfusi plasenta, akibat perubahan metabolis seperti hiperlipidemia hiperinsulinemia, hyperleptinemia. Tujuan penelitian untuk mengetahui hubungan riwayat preeklampsia sebelumnya, usia ibu, riwayat hipertensi, dan riwayat kegemukan dengan preeklampsia. Metode yang digunakan yaitu kuantitatif dengan rancangan observasional analitik dan pendekatan cross sectional. Populasi yaitu semua ibu hamil yang dirawat dengan preeklampsia. Besar sampel 55 orang dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa terdapat hubungan bermakna antara riwayat preeklampsia sebelumnya, usia ibu, dan riwayat hipertensi dengan preeklampsia, dan tidak terdapat hubungan riwayat kegemukan sebelum hamil dengan preeklampsia. Kesimpulan penelitian ialah riwayat preeklampsia sebelumnya, usia ibu dan riwayat hipertensi merupakan variabel yang memiliki hubungan bermakna dengan preeklampsia di RSUP Prof. Dr. R. D. Kandou Manado, serta faktor yang paling dominan berhubungan dengan preeklampsia ialah riwayat hipertensi. Disarankan untuk memahami tentang penyebab, pencegahan dan tatalaksana preeklampsia.
FOOD ENVIRONMENT OF JUNIOR HIGH SCHOOLS IN TOMOHON CITY, INDONESIA Ishak Halim Octawijaya; Windy Mariane Virenia Wariki; Ai Hori; Masao Ichikawa
The Indonesian Journal of Public Health Vol. 17 No. 3 (2022): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (10087.112 KB) | DOI: 10.20473/ijph.v17i3.2022.377-384

Abstract

Introduction: In Indonesia, child obesity is increasing, and children take a substantial amount of daily calorie from food consumption at school. Methods: This paper describes school food environment in Tomohon City, North Sulawesi Province. We conducted on-site observation and interview with food vendors at 20 junior high schools, describing the food environment by availability and sales of foods and beverages at schools in urban and rural areas. Rice or noodle meals and deep-fried snacks were sold in all schools. Result: The availability and sales of industrial sweets and sugar-sweetened beverages were greater in urban than rural areas, whereas those of fruits were greater in rural areas. Oily and sugary foods and beverages are widely available and consumed by students at schools in the city of Indonesia. Conclusion: Such school food environments and dietary habits should be improved in the effort of halting the increasing prevalence of child obesity.
HUBUNGAN ANTARA KONFLIK PERAN GANDA DAN LINGKUNGAN KERJA DENGAN KINERJA TENAGA KESEHATAN WANITA DI RSUD PROF. Dr. H. ALOEI SABOE Fidya Lestari Putri Abubakar; Windy Mariane Virenia Wariki; Jeini Ester Nelwan
Jurnal Kesehatan Tambusai Vol. 4 No. 2 (2023): JUNI 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i2.16120

Abstract

Kinerja dan sumber daya manusia dalam hubungannya dengan sarana pelayanan kesehatan merupakan salah satu domain yang banyak mendapatkan perhatian serius. Upaya peningkatan kinerja tenaga kesehatan sangat penting, terutama di rumah sakit yang merupakan tempat rujukan bagi masyarakat ketika sakit. Tujuan penelitian ini adalah untuk menganalisis hubungan konflik peran ganda dan lingkungan kerja dengan kinerja tenaga kesehatan wanita di RSUD Prof. Dr. H. Aloei Saboe. Penelitian ini merupakan pendekatan kuantitatif dengan desain cross sectional yang dilaksanakan di RSUD Prof. H.  Dr. Aloei Saboe pada Agustus 2022. Kriteria inklusi sampel penelitian adalah tenaga kesehatan wanita yang sudah menikah, berprofesi sebagai bidan dan perawat aktif, dan berusia terbanyak 39-44 tahun. Teknik pengambilan sampel menggunakan non-probability sampling. Data diambil dengan menggunakan kuisioner. Data dianalisis secara univariat dan bivariat dengan menggunakan uji korelasiPearson correlation. Total 81 tenaga kesehatan yang berpartisipasi dalam studi ini. Paling banyak responden adalah perawat wanita berusia antara 39-44 tahun dan berpendidikan sarjana. Hasil uji  korelasi pearson menunjukkanterdapat hubungan yang kuat kearah positif (r=0.601) dengan nilai signifikansi p <0,001 antara konflik peran ganda dan kinerja tenaga kesehatan wanita, begitu juga terdapat hubungan kuat yang berarah positif (r=0.641) dengan nilai signifikansi p<0.001antara variabel lingkungan kerja dan kinerja tenaga kesehatan wanita di RSUD Prof. Dr. H. Aloei Saboe. Tenaga kesehatan wanita yang mengalami konflik peranganda secara signifikan berhubunagn dengan meningkatnya kinerja. Selain itu,kinerja yang baik ini juga secara signifikan ditunjang dengan lingkungan kerja yang baik.
HEALTH EFFECTS OF SECONDHANDSMOKE DURING PREGNANCY ON MATERNAL AND PERINATAL OUTCOMES IN TOMOHON CITY, NORTH SULAWESI, INDONESIA Daichi Suzuki; Windy Mariane Virenia Wariki; Ishak Halim Octawijaya; Adrian Umboh; Erika Ota
The Indonesian Journal of Public Health Vol. 18 No. 2 (2023): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v18i2.2023.179-193

Abstract

Introduction: A study conducted in 31 countries described that over 60% of women and children are exposed to SHS outside. Aims: was to explore the association of secondhand smoke (SHS) exposure on maternal and perinatal outcomes in highland settings in Indonesia. Methods: The retrospective cross-sectional survey was used a random sampling method with 52-items of the questionnaire included information of women and infants. This study conducted with the community health center and all seven public health centers in Tomohon city, North Sulawesi, Indonesia, from May to October 2017. The participants were women who had given birth and were exposed to SHS during pregnancy. Their health condition was measured before and after pregnancy, the gestational week at birth, birth weight and height, and perinatal health conditions of the infants. Result: Among 234 women who completed the questionnaire and were included in the analysis. The 97% of household active smokers had a chance to smoke outside the house. Also, approximately 70% of women (162/234) reported exposure to SHS from active household smokers during pregnancy. Maternal secondhand smoke (SHS) exposure during pregnancy was significantly associated with the risk of reduction of birth weight (p = 0.02). Moreover, infants’ birth weight of mothers exposed to SHS outside the house was significantly less than those exposed to SHS only inside (p = 0.03).  Conclusion: Further research is required to focus on public smoke-free strategies to protect women and children’s health from SHS in Indonesia.
Co-Authors Aaltje E Manampiring Aaltje E Manampiring Aaltje E. Manampiring Aaltje E. Manampiring Aaltje E. Manampiring Abram Babakal Adam, Avelia Gustia Anastasya Adrian Jonathan Angir Adrian Umboh Ai Hori Alan Hopni Sasube Ari Astram B H. R. Kairupan Billy Karundeng Bogar, Bryan D. Bolang, Alexander Budi Setiawan Christof Toreh Daichi Suzuki Dalema, Anggreani Sintia Dewi Indra Purwanti Dhanny E. P. Lagarense Dina Rombot Djony E. Tjandra Doda, Diana V.D. Doda, Diana Vanda Daturara Eko Arianto Erika Ota Fidya Lestari Putri Abubakar Fitriya Adam Frelly Kuhon Frelly V. Kuhon Frendy Wihono Goni, Angelina Grace D. Kandou Grace Korompis Gustaaf A. E. Ratag Gustaaf Ratag Harsali F. Lampus Henry M. F. Palandeng Herlyani Khosama Hessyani Raranta Idris Sudin Iftitah M. P. Sonda Ishak Halim Octawijaya Ishak Halim Octawijaya Jehosua S. V. Sinolungan Jehosua, Seilly Yunita Jimmy Posangi Jimmy Posangi John Johannes Ezechiel Wantania Karel Pandelaki Korompis, Grace Esther Caroline Lampus, Harsali Fransiscus Lotulung, Cindy Celine Lucyana Leonita Pongoh Manoppo, Firginia M Manoppo, Jeannete I Ch Manoppo, Jeannette I. Ch. Masao Ichikawa Mercy Taroreh Moh Yudawan Prasetya Momole, Ansye Grace Nancy Mukhran Mokodompit Nathaniel Pali Nelwan, Ester Jeini Ngantung, Denny Nico Lumintang Nova Hellen Kapantow Novie H. Rampengan Novita Tombokan Paskah Thalia Lengkong Pasla, Gersom Figo Chrystianto Paulus Oroh Pertiwi, Junita Maja Porajow, Zwingly C. J. G. Repi, Noviano B. Richard Sumangkut Rizal Tumewah Ronald I. Ottay Ruitan, Lidia S. Sapulete, Margareth Rosalinda Sigit Wicaksono Silaban, Natalina Simangunsong, Natasya Glory Meicharisty Stivan Manopo Sumanti, Kevin Marvil Supit, Injilia Chintami Surotinoyo, Celline Vanessa Laurina Tandililing, Sherly Tangkudung, Yesika Merzy Indah Tommy Suharso Torondek, Julia Tumboimbela, Melke Vemy Tamaledu Wangean, Yati Suriani Warouw, Finny William William Wiradarma, Elbert Wulan P. J. Kaunang Wullur, Raetasya Rachelea Rinda Wurangian, Prisilia Karina Yuansun Khosama Zeinevaltines Tampian Zwingly Christian Porajow