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Characteristics of the Indonesian Pilgrims Mortality due to Cardiovascular Disease Sakti, Ali; Alwi, Idrus; Muhadi, Muhadi; Shatri, Hamzah
Jurnal Penyakit Dalam Indonesia Vol. 6, No. 4
Publisher : UI Scholars Hub

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Introduction. Cardiovascular disease is one of the health problems in Indonesian pilgrims and has become the main cause of death for pilgrims in the past 3 years. Most of them are considered high risk for cardiovascular disease. Some of those risk factors are predicted to have strong association with the pilgrims mortality rate. This study is meant to seek for risk factor associated with the pilgrims mortality rate. Methods. Observational study method of the Indonesian pilgrims in 2017 was conducted to assess the characteristics of Indonesian pilgrims who follow the hajj in 2017 as well as the characteristics of pilgrims who died from cardiovascular disease. Result. The proportion of mortality from cardiovascular disease was 49.2% of all deaths in the Indonesian hajj pilgrims in 2017. Generally, pilgrims are in the category of high risk. Pilgrims who died from cardiovascular disease are mostly aged over 60 years (76.7%) with cardiovascular risk factors including hypertension (53.4%) and obesity (37.3%), and pilgrims with the final wave departure time (53%). Conclusios. The proportion of deaths from cardiovascular disease in the Indonesian pilgrims in 2017 is 49.2%. The characteristics of pilgrims who died with the cause of cardiovascular disease are generally age more than 60 years, pilgrims with hypertension, obesity, and final departure time.
Diagnostic Value and the Role of Inferior Vena Cava DiameterCollapsibility Index to Evaluate Dry Weight in HemodialysisPatients Yussac, Muhammad Artisto Adi; Dharmeizar, Dharmeizar; Abdullah, Murdani; Antono, Dono; Muhadi, Muhadi
Jurnal Penyakit Dalam Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Introduction. In daily clinical practice, fluid status in Hemodialysis (HD) patients is well correlated with dry weight calculation. Dry weight calculation is commonly practiced by clinical observation, which is not accurate. Because of these, few methods has been suggested to calculate the dry weight non-invasively. Bioelectrical Impedance Analysis (BIA) is widely available in overseas but not readily available in all dialysis center in Indonesia, while inferior vena cava diameter is a relatively inexpensive method, and readily available in all dialysis center because it can be performed with ultrasonography (USG) instrument. Methods. A cross-sectional study was performed in a group of regular HD patients at the Haemodialysis Unit, Cipto Mangunkusumo Hospital in Jakarta, June 2011. Dry weight was evaluated with bioelectrical impedance analysis, while the inferior vena cava collapsibility index was evaluated using USG performed by two different observer. Results. We have recruited 30 HD patients, in which 18 (60%) of the subjects were overload according to the bioelectrical impedance analysis, while 21 (70%) were overload according to the inferior vena cava collapsibility index. The mean age of the subjects is 52 years old with the minimum 24 and maximum 69 years. In this research, we found negative correlation (r = -0.957, P<0.0001) between inferior vena cava colapsibility index and BIA. We found a 94.4% sensitivity and 66.7% specificity for inferior vena cava colapsibility index. Both of USG operators showed a κ coefficient value of 0.92, which reflected a very strong agreement between them. Conclusions. The inferior vena cava colapsibility index have a good role as a screening method in determining dry weight in dialysis patients
Use of Clinical Parameters and Strain Echocardiography to Predict Stenosis Severity based on Gensini’s Score in Stable Coronary Artery Disease Sejati, Arif; Alwi, Idrus; Muhadi, Muhadi; Shatri, Hamzah
Jurnal Penyakit Dalam Indonesia Vol. 6, No. 3
Publisher : UI Scholars Hub

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Introduction. In patient with stable coronary artery disease (CAD), severity of stenosis is closely related to prognosis. It is known that several clinical parameters and recently-developed strain echocardiography can predict severity of stenosis. Assessment of clinical parameters, altogether with strain echocardiography is expected to make better prediction. This study aim to determine whether clinical factors, i.e. age, sex, diabetes, typical angina, and history of myocardial infarction, and strain echocardiography parameter, i.e. global longitudinal strain (GLS), can predict severity of coronary artery stenosis measured with Gensini score,and to further develop a prediction model based on significant parameters. Methods. This is a cross-sectional study taken at Dr. Cipto Mangunkusumo National Central General Hospital during period March – May 2019. Patient with stable CAD scheduled to undergo coronary angiography is recruited consecutively. Bivariate analysis using chi-square is performed to each predictor. Significant predictors are further analysed using backward stepwise logistic regression. A prediction model is then developed based on significant predictors by multivariate analysis. Results. The study group include 93 subjects. Significant predictors on bivariate analysis include diabetes melitus (OR 2.79; 95% CI:1.08-7.23), history of myocardial infartion (OR 4.04; 95% CI:1.51-10.80), typical angina (OR 5.01; 95% CI:1.91-13.14), and GLS ≥-18.8 (OR 30.51; 95% CI:10.38-89.72). Significant predictors on multivariate analysis are typical angina (OR 4.48; 95% CI:1.39-14.47) and GLS ≥18.8 (OR 17.30; 95% CI:5.38-55.66). Predicton model is not developed because there are only two significant predictors. Conclusions. Typical angina and GLS are predictors of stenosis severity in patient with stable CAD. Age, sex, diabetes, and history of myocardial infarction are not significant predictors. A prediction model can not developed because there are only 2 significant predictors.
Faktor-Faktor yang Memengaruhi Kualitas Hidup Pasien Gagal Jantung Kronik Fraksi Ejeksi Terjaga (HFpEF) Rawat Jalan di RSUPN Dr. Cipto Mangunkusumo Pratama, Derin Anugrah; Nasution, Sally Aman; Muhadi, Muhadi; Mansjoer, Arif; Alwi, Idrus; Purnamasari, Dyah; Lydia, Aida; Tahapary, Dicky Levenus
Jurnal Penyakit Dalam Indonesia Vol. 11, No. 1
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Introduction. The prevalence of heart failure in Indonesian adults is 1.5%, at least half of which categorized as heart failure with preserved ejection fraction (HFpEF). Quality of life assessment plays an important role in the management of heart failure, one of the tools widely used is the Minnesota Living with Heart Failure (MLHF) questionnaire. In Indonesia, there is still no data regarding risk factors that affect the quality of life of HFpEF patients. This study aimed to determine the quality of life profile of HFpEF patients and the relationship between the risk factors (age, hypertension, DM, smoking, and obesity) on the quality of life of HFpEF patients. Methods. A cross-sectional study was conducted. Data was collected from adult HFpEF (based on echocardiography in the last 6 months) patients (>18 years old) who visited the Cardiology Clinic at Cipto Mangunkusumo Hospital from January 2022 to December 2023. Quality of life was measured using the MLHF questionnaire. Bivariate analysis was performed to find the relationship between risk factors (age, gender, hypertension, DM, smoking, and obesity) and patients’ quality of life. Multivariate analysis was performed for hypertension, DM, gender, and age variables. Results. Out of 206 subjects, 72.33% of patients were dominant in the physical domain items, and 27.67% of patients were dominant in the emotional domain items. The majority of patients dominant in physical items had overall good quality of life. The majority of patients dominant in emotional items also had good quality of life. No significant relationship was found between the dominant domain item and the quality of life in HFpEF patients. We also found that there was no significant relationship between socio-demographic factors and risk factors for dominant domain items. However, there was a significant relationship between age (p=0.005), gender (p=0.001), and smoking history (p=0.001) with the quality of life in HFpEF patients. Adult patients had a poorer quality of life compared to elderly patients (OR= 0.33 [95% CI 0.17-0.66]). No significant relationship was found between hypertension, diabetes mellitus, dyslipidemia, and obesity with the quality of life in HFpEF patients. Conclusions. There is a statistically significant relationship between age, gender, and smoking history with the quality of life in HFpEF patients. Meanwhile, there is no significant relationship between hypertension, diabetes mellitus, and obesity with the quality of life in HFpEF patients.
ANALISIS HUKUM PERKAWINAN ANTARA ORANG PENGIDAP HIV/AIDS DALAM MUZAKARAH MUI No. 18 TAHUN 1996 (Studi Kasus Di KDS Soloplus) Muhadi, Muhadi
Jurnal Al-Hakim: Jurnal Ilmiah Mahasiswa, Studi Syariah, Hukum dan Filantropi Vol. 1 No. 2 November 2019
Publisher : Fakultas Syariah, Universitas Islam Negeri Raden Mas Said Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (429.239 KB) | DOI: 10.22515/alhakim.v1i2.2332

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Marriage is one of the religious orders for people who are able to do it immediately. Marriage is one of the Sunnatullah that applies to all of its creatures, especially humans. Marriage of HIV positive people is certainly different from marriage of healthy people in general, HIV positive household life is not as smooth as marriage in general, they will face different situations with normal partners, such as stigma and discrimination, the threat of contracting a virus from a partner, and boredom in taking ARV drugs. The purpose of this study was to know the household life of people living with HIV / AIDS in KDS Soloplus and the relevance of the marriage in Muzakarah MUI review No. 18 of 1996. This research is a qualitative field study. Data collection techniques using observation, interviews, and documentation. Data Analysis Techniques using descriptive analysis. The results of this study indicate that the household situation of people living with HIV / AIDS in the Soloplus peer group there are several problems that have been successfully observed and investigated including saturation of ARV drugs, fear of viruses that can infect their partners, adherence to religion, stigma and discrimination, and prohibitions on marriage people with HIV. Keywords: Marriage; Marriage of PLWHA; Household Situation of PLWHA Couples.   Abstrak Pernikahan adalah salah satu perintah agama bagi orang-orang yang dapat melakukannya dengan segera. Pernikahan adalah salah satu Sunnatullah yang berlaku untuk semua makhluknya, terutama manusia. Perkawinan orang HIV positif tentu berbeda dengan perkawinan orang sehat pada umumnya, kehidupan rumah tangga HIV positif tidak semulus perkawinan pada umumnya, mereka akan menghadapi situasi berbeda dengan pasangan normal, seperti stigma dan diskriminasi, ancaman tertular virus dari pasangan, dan kebosanan dalam minum obat ARV. Tujuan dari penelitian ini adalah untuk mengetahui kehidupan rumah tangga orang yang hidup dengan HIV / AIDS di KDS Soloplus dan relevansi perkawinan dalam tinjauan Muzakarah MUI No. 18 tahun 1996. Penelitian ini adalah studi lapangan kualitatif. Teknik pengumpulan data menggunakan observasi, wawancara, dan dokumentasi. Teknik Analisis Data menggunakan analisis deskriptif. Hasil penelitian ini menunjukkan bahwa situasi rumah tangga orang yang hidup dengan HIV / AIDS dalam kelompok sebaya Soloplus ada beberapa masalah yang telah berhasil diamati dan diselidiki termasuk saturasi obat ARV, takut virus yang dapat menginfeksi pasangan mereka, kepatuhan terhadap agama, stigma dan diskriminasi, dan larangan menikah orang dengan HIV. Kata kunci: Perkawinan; Perkawinan ODHA; Situasi Rumah Tangga Pasangan ODHA.  
Dampak Rekrutmen Pantarlih terhadap Efektivitas Data dan Pengelolaan Anggaran Biaya pada Pilkada 2024 di Provinsi Lampung Masthuroh, Masthuroh; Hasbullah, Hasbullah; Muhadi, Muhadi; Nurahman, Dwi
Business and Enterpreneurship Journal (BEJ) Vol 5, No 2 (2024)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/bej.v5i2.1613

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This study aims to analyze the impact of the recruitment of the Voter Data Update Committee (Pantarlih) on the effectiveness of voter data management and budget costs in the 2024 Regional Head Election (Pilkada) in Lampung Province. Pantarlih plays an important role in ensuring accurate and up-to-date voter data, which is the basis for implementing the Pilkada. In addition, this study also examines the influence of the Pantarlih recruitment process on efficient and targeted budget management. The study was conducted using qualitative methods through in-depth interviews with stakeholders and analysis of related documents. The results of the study indicate that a selective and professional recruitment process has a positive impact on the effectiveness of voter data management and budget use, which in turn improves the quality of Pilkada implementation in Lampung Province. Keywords: Pantarlih, 2024 Pilkada, Lampung Province, Voter Data, Budget Managemen
Hubungan Kepuasan Kerja Dengan Turnover Intention Pada Perawat Pegawai Negeri Sipil Dan Tenaga Kontrak Di Rumah Sakit Umum Daerah Talisayan Mukaromah, Siti; Muhadi, Muhadi
Jurnal Keperawatan Wiyata Vol. 5 No. 1 (2024): Volume 5 Nomor 1 Tahun 2024
Publisher : Program Studi Ilmu Keperawatan ITKes Wiyata Husada Samarida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35728/jkw.v5i1.1319

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Niat berhenti turnover intention pegawai yang tinggi adalah ukuran yang umum digunakan untuk mengukur permasalahan mendasar suatu organisasi. Kepuasan kerja merupakan satu diantara beberapa penyebab turnover intention dimana pegawai merasa tidak puas dengan berbagai aspek seperti pendapatan, beban pekerjaan, pengawasan dll. Penelitian ini adalah penelitian deskriptif analitik, yang dilakukan untuk mengetahui bagaimana hubungan kepuasan kerja dengan turnover intention perawat Pegawai Negeri Sipil  dan Tenaga kontrak di RSUD Talisayan, dilakukan dengan pendekatan crosssectional. Responden yang dilibatkan adalah seluruh perawat dengan jumlah 39 orang, dilaksanakan bulan November sd Desember 2023. Cara pengambilan data melalui kuisioner yang terdiri dari kepuasan kerja dan turnover intention. Untuk pengolahan data menggunakan uji chi-square SPSS 23 dengan nilai signifikansi kurang 0.05. Hasil penelitian menunjukkan bahwa  secara umum  perawat merasa puas dan  keinginan untuk meninggalkan pekerjaannya cukup rendah, diketahui  dari variabel kepuasan kerja yang  tidak puas 18 perawat (46,15%)  puas 21 perawat 53,84% dan untuk variabel turnover intention  tinggi ada 16 perawat 41,02% rendah 23 perawat 67,65%. Hasil uji crosstabs menunjukkkan nilai asymp.sig 0.00 atau p kurang 0.05 maka dapat disimpulkan Ho ditolak dan Ha diterima atau terdapat hubungan yang signifikan antara kepuasan kerja dengan turnover intention pada perawat PNS dan tenaga kontrak di RSUD Talisayan. Dalam penelitian ini saran yang dapat disampaikan pada pihak manajemen dalam upaya mencegah peningkatan turnover intention di RSUD Talisayan sebaiknya membuka ruang diskusi dengan pegawai sehingga jika ada keinginan atau harapan juga permasalahan dari pegawai dapat segera tersampaikan dan diupayakan untuk dicarikan solusinya.
Faktor Determinan Turnover Intention Perawat di Rumah Sakit Islam Surabaya Qanitah, Qanitah; Muhadi, Muhadi; Indahyati, Emilya
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 2 (2022): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v17i2.209

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The turnover rate in RSI Surabaya for the last 5 years, namely 2017-2021, has increased by an average of 18.14%. High turnover rates can have a negative and positive impact on hospitals. The occurrence of turnover begins with the desire to leave, the desire to leave work can be caused by several factors including individual factors and job satisfaction factors. This study aims to determine individual determinants and job satisfaction related to nursing turnover intention at RSI Surabaya. The method used in this study is a quantitative analytical approach with a cross-sectional design, and sampling technique with simple random sampling and the sample in this study was 126 nurses. Data analysis used univariate and bivariate tests (correlation tests of Kendall's tau-b). The Results nurses who work at RSI Surabaya feel quite satisfied with job satisfaction (the job itself, salary, promotion opportunities, supervision, and co-workers). The incidence of nurse turnover intention at RSI Surabaya is included in the moderate category. The determinant factor of individuals related to the turnover intention of nurses at RSI Surabaya is the marital status with a significant value of 0.021, while the determinant factor of job satisfaction related to turnover intention in RSI is satisfaction with salary, with a significant value obtained of 0.027. The more unmarried nurses, the higher the turnover intention, and the lower the level of satisfaction with the salary, the higher the turnover intention.
PEMBERIAN IZIN POLIGAMI OLEH PENGADILAN DIKARENAKAN ALASAN MENAMBAH KETURUNAN (Studi Putusan Nomor 445/Pdt.G/2021/Pa.Gdt) Muhadi, Muhadi; Sukardi, Dina Haryati; Yusman, Yusman
Jurnal Hukum Malahayati Vol 4, No 2 (2023)
Publisher : Universitas Malayati

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Pertimbangan hakim yang paling dominan dalam memutus perkara tentang izin poligami karena Termohon tidak keberatan dan memberi izin kepada Pemohon untuk berpoligami, dan telah ada persetujuan dari Termohon sebagai isteri Pemohon, baik secara lisan maupun tertulis diatas materai, maka alasan poligami Pemohon telah dapat memenuhi ketentuan Pasal 5 ayat (1) huruf a Undang-undang Nomor 1 tahun 1974 yang telah diganti oleh Undang-undang Nomor 16 Tahun 2019 jo. Pasal 41 huruf (b) Peraturan Pemerintah Nomor 9 Tahun 1975 jo. Pasal 58 ayat (1) huruf a dan ayat (2) Kompilasi Hukum Islam; Pemohon untuk mengajukan izin poligami karena Termohon selaku isterinya sudah sulit untuk bisa hamil lagi, sehingga sulit kemungkinan untuk dapat menambah keturunan, maka Majelis Hakim berpendapat hal ini telah sesuai dengan Pasal 4 ayat (2) huruf c Undang-undang Nomor 1 Tahun 1974 yang telah diubah dengan Undang-Undang Nomor 16 Tahun 2019 tentang Perkawinan jo. Pasal yang memperbolehkan Pengadilan memberikan izin kepada suami yang akan beristeri lebih dari seorang apabila isteri tidak dapat melahirkan keturunan, dengan penafsiran bahwa Termohon tidak dapat melahirkan keturunan (lagi). Dengan menghindari hal-hal yang tidak diinginkan apabila permohonan poligami tersebut ditolak, maka majelis hakim lebih memilih untuk mengabulkan permohonan tersebut karena seseorang datang ke Pengadilan adalah untuk mencari keadilan, kepastian hukum (melegalkan statusnya) dan kemanfaatannya.
Tinjauan Yuridis Implementasi Prinsip-Prinsip Good Governance Terhadap Pelayanan Publik Di Dinas Kependudukan dan Pencatatan Sipil Kabupaten Lampung Selatan Muhadi, Muhadi
Jurnal Hukum Malahayati Vol 5, No 1 (2024)
Publisher : Universitas Malayati

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ABSTRAKDalam Undang – Undang Nomor 25 Tahun 2009 Tentang Pelayanan Publik, bahwa setiap penyelenggara pelayanan publik baik yang memberikan pelayanan kepada masyarakat secara langsung maupun tidak langsung wajib menyusun, menetapkan dan menerapkan Standar Pelayanan sebagai tolak ukur dalam penyelenggaraan pelayananan di lingkungan masing – masing. Sebagaimana kita ketahui bahwa berdasarkan pasal 1 Undang-undang Nomor 25 Tahun 2009 tentang pelayanan publik, mengartikan pelayanan publik sebagai kegiatan dalam rangka pemenuhan kebutuhan pelayanan sesuai dengan peraturan perundang-undangan bagi setiap warga negara dan penduduk atas barang, jasa dan/atau pelayanan administrasi yang disediakan penyelenggara pelayanan publik. Berbicara penyelenggara pelayanan publik, Dinas Kependudukan dan Pencatatan Sipil merupakan salah satu institusi penyelenggara pelayanan publik sehingga secara written rule wajib menyusun standar pelayanan publik. Dinas Kependudukan dan Pencatatan Sipil merupakan penyelenggara pelayanan yang memiliki domain fungsi pelayanan bidang administrasi kependudukan dan pencatataan sipil. Pelayanan yang diberikan bersifat pelayanan administrasi kepada masyarakat. Sebagaimana kita ketahui bahwa urusan administrasi kependudukan dan pencatatan sipil merupakan salah satu urusan wajib yang harus dikelola dan ditangani secara baik oleh pemerintah. Sebagaimana amanat dalam Pasal 20 Undang-Undang Nomor 25 Tahun 2009, bahwa dalam penyusunan penetapan Standar Pelayanan Publik wajib dilakukan dengan mengikutsertakan masyarakat dan pihak-pihak terkait.. Berdasarkan hal tesebut maka dalam penyusunan standar Pelayanan Publik, Dinas Kependudukan dan Pencatatan Sipil wajib mengikutsertakan masyarakat dan perwakilan tokoh masyarakat dalam proses penyusunan standar pelayanan  sehingga Pelayanan dapat dilaksanakan dengan baik dan konsisten sesuai aturan yang sudah disepakati bersama.Kata Kunci : Perlindungan Hukum, Pelayanan Publik,, Kependudukan Dan Pencatatan Sipil
Co-Authors Adawiyah, N. R. Adli, Mizanul Agus Marzuki Aida Lydia, Aida Ainun Fitriani alfiah alfiah Ali Sakti, Ali Andhika Rachman Angesti, Dyan Arif Mansjoer Arif Sejati Bangun, Edy Iwan Bay, Amimul Ummah Bayudi, Flori Cosphiadi Irawan Darmawan, Dimas Bayu Dewi Karya Dharmeizar Dharmeizar Dicky Levenus Tahapary Dina Haryati Sukardi Dirayati, Fadhilah Djumala Machmud, Djumala Dono Antono Dwi Kumara Dwi Nurahman, Dwi Dyah Purnamasari E Mudjaddid, E E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Edi Prasetyo Eka Ginanjar Erimansyah, Erimansyah Faidin Faidin Furkan Furkan Hairudin, Hairudin Haris Riadi Harmaini Harmaini Hasbullah Hasbullah Hecta, Junior Herman, Juli Idrus Alwi Ika Prasetya Wijaya Ikhwan Rinaldi Imam Munajat Nurhartonosuro Indahyati, Emilya Ino Susanti Jarir, Jarir Joko Legowo Khairina Khairina, Khairina Khomsah, Ali Kuntjoro Harimurti Kusuma, Andhika Wira Laksmana, Ivan Mardhi Lestari H, SD Fuji Mailani, Rindi Malagano, Tahura Masthuroh, Masthuroh Mekuo, Andi Mohamad Akbar Muhammad Artisto Adi Yussac Muhammad Hasanudin, Muhammad Muhammad Zulkifli, Muhammad Murdani Abdullah Nurhadi, Satrio Nurhartonosuro, Imam Munajat Nurhartonosuro, Imam Munajata Nurhatonosuro, Imam Munajat Prameswari, Syanindita Pratama, Derin Anugrah Prihartono, Nurhayati Adnan Puryanti, Puryanti Putra, Erwin Wisnu Qanitah, Qanitah Rajuna, Rajuna Rismiyanto, Rismiyanto RR. Ella Evrita Hestiandari Rudi Putranto Rudy Hidayat Saitya, Imaduddin Sally A Nasution, Sally A Sally Aman Nasution, Sally Aman Sari, Diah Pravita Setiawan, Dyan Solly Aryza Sri Utaminingsih Sujatmiko, Puput Sindong Arief Sukamto Koesnoe Supryanto, Try Yogaswara, Reza Yuningsih, Yuyun Yusman, Yusman Z, Efrita Arfah