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Anxiety Levels of Severe COVID-19 Patients at Haji Adam Malik Hospital Medan in 2022 Nurul Citta Banu Putri; Tarigan, Amira Permatasari; Pendiaman Pandia; Andika Pradana; Putri Chairani Eyanoer; Elmeida Effendy
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 2 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i2.11941

Abstract

Background: The COVID-19 pandemic is affecting the healthcare system and causing psychological changes, not only among healthcare professionals but also among citizens. These psychological changes are caused by depression, fear, anxiety, or insecurity. This study aims to investigate the anxiety level of severe COVID-19 patients who were treated at Haji Adam Malik General Hospital Medan in 2022 Method: This research is a descriptive observational study at the Department of Pulmonology and Respiratory Medicine Haji Adam Malik Hospital Medan from January 2022 until several samples were fulfilled. Sampling was done by consecutive sampling technique by filling Google Form questionnaire. The Hospital Anxiety and Depression Scale (HADS) questionnaire consists of seven items which can breakdown into anxiety subscales. The detail scores for every item ranged from zero to three. Score three indicated the highest level of anxiety. A total subscale score of >8 points out of 21 indicates significant anxiety symptoms. Data were analyzed descriptively to find out the frequency distribution of research subjects based on research sample characteristics. Results: From 36 research samples, 23 samples (63.9%) were male, and 13 samples (36.1%) were female. On anxiety levels, it was found that HADS-A scores were severe in  21 patients with severe COVID-19 (58.3%) and moderate levels in 15 patients (41.7%) with severe anxiety levels. Conclusion: Anxiety levels appear to be significantly increased in patients with severe COVID-19
Bacterial Contamination on The First-Year Internal Medicine Residents’ Scrubs at H. Adam Malik Medan General Hospital Lubis, Muhammad Allif Syafrin; Armon Rahimi; Restuti Hidayani Saragih; Putri Chairani Eyanoer
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 3 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i3.12490

Abstract

Background: The doctor’s white coat was known to be a source of nosocomial infection. Despite many studies’ results have shown the presence of bacterial contamination on the doctor's white coat, there was little research about bacterial contamination on the doctor's scrub. This study aims to investigate bacterial contamination on the scrubs of first-year residents of the Internal Medicine Department worn for one shift (17 hours). Method: This is a descriptive study on the first-year residents' scrubs which was conducted in January - February 2021 at H. Adam Malik Medan General Hospital. Samples were taken from the sleeves and pockets of the scrubs and programmed software was used to identify the amount, percentage of bacterial contamination, and bacterial species. Data were analyzed using the SPPS version 21. Result: Of the 31 first-year residents' scrubs that met the inclusion criteria, 79 colonies (50,6%) of bacterial contamination was found on the sleeves and 77 colonies (49,4%) in the pockets of the scrubs. Bacteria found on the scrubs are coagulase-negative Staphylococcus, Bacillus sp., Staphylococcus aureus, Acinetobacter Iwoffli, Pantoea sp., Acinetobacter baumanii, Klebsiella pneumaniae, Oligella ureolytica, and Pseudomonas stutzeri with the most common bacterial colonies found both in sleeves and pockets were coagulase- negative Staphylococcus (220.935 ± 180.56 and 289.09 ± 181.57). Conclusion: Bacterial contamination was found mainly on the sleeves of the scrubs with coagulase-negative Staphylococcus as the most contaminating bacteria and this should be taken into consideration as this strain could cause severe infection, especially in immunocompromised patients.
Factors Associated with the Severity of COVID-19 at H. Adam Malik Hospital, Medan, Indonesia Destylya, Dyana; Bintang Yinke Magdalena Sinaga; Siagian, Parluhutan; Eyanoer, Putri Chairani
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 4 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i4.14389

Abstract

Background: Several studies have shown an association among laboratory values, comorbidities, and the severity of COVID-19. This study aimed to find the factors associated with the severity of COVID-19 patients in Adam Malik Hospital. Method: This is a descriptive study with a cross-sectional design. The subjects were COVID-19 patients from December 2020 to April 2021 whose data were in the form of secondary data obtained from their medical records. The inclusion criteria were patients diagnosed with COVID-19 based on RT-PCR while the exclusion criteria were incomplete medical record data. Statistical analysis was conducted via the following tests Kruskal Wallis Test, Kolmogorov Test, and Chi-Square based on the data category. Results: A total of 110 subjects were enrolled in this study. Most subjects were male (55.45%) with age >40 years old (66.36%). The laboratory values of lymphocyte count, NLR, D-dimer, procalcitonin, ferritin, fibrinogen, and CRP were significantly associated with the severity of COVID-19. Also, there were several comorbidities statistically associated with the severity of COVID-19, including hypertension, diabetes mellitus, coronary artery disease, renal disease, and HIV (p <0.05). Conclusion: Lymphocyte count, NLR, CRP, procalcitonin, D-dimer, fibrinogen, ferritin, and comorbidities including diabetes mellitus, hypertension, HIV, coronary disease, and renal disease, were associated with the severity of COVID-19.
The Characteristics of The General Population in Medan Undergoing Lung Cancer Screening with NARU Febiyanti, Mica; Tarigan, Setia Putra; Soeroso, Noni Novisari; Eyanoer, Putri Chairani
Journal of Society Medicine Vol. 3 No. 10 (2024): Oktober
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i10.165

Abstract

Introduction: Indonesia introduced the NARU lung cancer screening form to assess individual risk levels for lung cancer, classifying them as low, medium, or high risk. This study aimed to analyze the characteristics of low, medium and high risk groups in Medan city. Methods: A quantitative, descriptive cross-sectional design was used, involving 100 individuals from primary health care facilities across 11 areas, who were evaluated using the 9-question NARU form. Evaluation concluded the individuals into low, medium, and high risk of lung cancer. Results: The  majority of the responded high-risk group for lung cancer, the majority were males aged 45-65 years. They had no personal or family history of cancer but were active smokers, worked in carcinogenic environments, and did not live in homes or environments with carcinogenic risks. Additionally, they had a history of COPD and/or TB. In the moderate-risk group, both males and females aged 45-65 years were included, with no personal or family cancer history. They were passive smokers, did not work in carcinogenic environments, and did not live in homes or environments with carcinogenic risks. None had a history of COPD or TB. In the low-risk group, the majority were females under 45 years. They had no personal or family cancer history, were non-smokers, did not work in carcinogenic environments, and did not live in homes or environments with carcinogenic risks. They also had no history of COPD or TB. Conclusion: The study concluded that in Medan, 48% of the population fell into the moderate-risk group for lung cancer, while 31% were in the low-risk group, and 21% were classified as high risk.
The relationship of antihypertensive medication adherence and hypertension knowledge to quality of life in hypertensive patients Wahyuni, Arlinda Sari; Eyanoer, Putri Chairani; Ritarwan, Kiking; Fujiati, Isti Ilmiati; Panjaitan, Alfred Johnatan; Sirait, Asima Rodiarta; Sekali, Oktaviani Karo; Elisabeth, Elisabeth; Ribawanto, Muhammad Rafif; Fachrezi, Muhammad Alfian; Faradila, Devita; Salsabila, Anisa; Risqin, Muhammad Anas Fatah; Nababan, Windika
Jurnal Prima Medika Sains Vol. 6 No. 2 (2024): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i2.5861

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Patient non-adherence to antihypertensive medication is a significant risk factor for increased morbidity and mortality in individuals with hypertension. Hypertension, a prevalent cardiovascular condition, is classified as a degenerative disease. Consistent antihypertensive treatment is crucial for improving patient quality of life. This study employed a cross-sectional survey design. The sample consisted of hypertensive patients who presented at the Belawan Health Center between July 22 and 26, 2024. Consecutive sampling was used to recruit 75 participants. Data were collected via interviews regarding participant characteristics and the administration of the Morisky Medication Adherence Scale-8 (MMAS-8), Hypertension Fact Questionnaire (HFQ), and World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaires to assess medication adherence, hypertension knowledge, and quality of life, respectively. Analysis revealed strong positive correlations between medication adherence and quality of life (ρ = 0.677, p < .001), and between hypertension knowledge and quality of life (ρ = 0.700, p < .001). Furthermore, both medication adherence and hypertension knowledge significantly predicted quality of life (F = 53.704, p < .001). Multiple linear regression analysis (Y = 30.488) indicated that a one-unit increase in adherence was associated with a 2.680-unit increase in quality of life (p < .001), and a one-unit increase in knowledge was associated with a 2.704-unit increase in quality of life (p < .001). In conclusion, there are strong positive correlations between both medication adherence and hypertension knowledge with the quality of life of hypertensive patients at the Belawan Health Center.
Clinical Spectrum and Factors Associated to Post Covid Syndrome in Healthcare Workers Sinaga, Joshua Princeman; Sinaga, Bintang Yinke Magdalena; Siagian, Parluhutan; Eyanoer, Putri Chairani; Samodra, Yoseph Leonardo
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.844

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Background:Post-COVID Syndrome (PCS) is a newly recognized condition reported by approximately 45% of individuals following COVID-19 infection. This syndrome is estimated to affect the health-related quality of life in 10–30% of affected individuals. Objective:To examine the characteristics of Post-COVID Syndrome among healthcare workers at Adam Malik Hospital. Methods:This study employed a cross-sectional descriptive design. Data were collected using structured questionnaires administered to healthcare workers at Adam Malik Hospital who had contracted COVID-19 between 2020 and 2022. Results:A total of 120 participants were included in the study. The sample was predominantly female (78.3%), with the youngest age group (19–30 years) comprising 37.5% of participants. Most participants had direct exposure to patient care (78.3%) and were confirmed COVID-19 positive in 2021 (42.5%). Notably, 45.0% of participants were unvaccinated, 20.9% had a history of hospitalization, and 78.3% experienced mild COVID-19 infections. Hypertension was identified as the most common comorbidity. Participants were categorized as experiencing Acute PCS (43.9%) or Chronic PCS (56.1%), with both groups exhibiting similar predominant symptoms, including fatigue, persistent cough, memory impairment, and cognitive difficulties. Statistically significant associations were identified between PCS and variables such as sex (p=0.004, OR=0.27), age (p=0.015, OR=4.46), severity of prior COVID-19 infection (p=0.040, OR=1.77), vaccination status (p<0.001, OR=3.82), and the presence of comorbidities (p=0.025, OR=2.53). Conclusion:Post-COVID Syndrome is characterized by multifactorial etiologies and heterogeneous clinical manifestations. Factors such as gender, age, vaccination status, comorbid conditions, and severity of prior infections were significantly associated with PCS outcomes. Gender-related differences, potentially influenced by immune response, hormonal mechanisms, and antibody production, appear to contribute to variations in PCS manifestations. These findings underscore the need for further research to elucidate the epidemiology, clinical presentations, and pathological mechanisms underlying this emerging post-viral condition.  Keywords:Post-COVID Syndrome; healthcare workers; COVID-19; clinical manifestations; post-viral sequelae
Comparison of The Effectiveness Between Fentanyl and Ketamine as Adjuvant Epidural Analgesia with Ropivacaine In Post Operation of The Lower Extremity Pratama, Mhd. Rizki; Ihsan, Mhd.; Hamdi, Tasrif; Eyanoer, Putri Chairani
JAI (Jurnal Anestesiologi Indonesia) Vol 17, No 1 (2025): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.64228

Abstract

Background: One typical side effect that frequently follows surgery is pain. Lower limb surgery procedures can cause tissue and nerve damage. When compared to systemic opioids, epidural analgesia provides better postoperative analgesia. Adjuvants extend and intensify sensory blockage, which increases the effectiveness of local anesthesia. They also cause the dose of local anesthetic drugs to be reduced.Objective: To determine the comparative effectiveness of adjuvant fentanyl compared with ketamine and ropivacaine as adjuvant epidural analgesia in post-lower extremity surgery patients.Methods: The purpose of this randomized controlled experiment is to compare the efficacy of ketamine and fentanyl as adjuvant epidural analgesia in postoperative lower extremities when combined with ropivacaine. In this study, two groups of patients were given epidural anesthesia: the first group received ropivacaine 0.25% with 125 mcg of fentanyl adjuvant, while the second group received ropivacaine with 0.25% with ketamine 10 mg. The double-blind technique was used to select a total sample of 29 individuals from each group based on inclusion and exclusion criteria. The assessment of pain scores, hemodynamics, treatment-related side effects, and bromage scores was used to test both groups.Result: The T5 assessment showed a substantial difference in the pain scores at rest. With a total of 14 side effects, blood pressure and pulse rate fluctuations were the most common, accounting for 20% of the side effects. Despite this, patients in the ropivacaine + ketamine adjuvant group continued to experience hemodynamic stability and comfort. There were two side effects in the fentanyl combination group, with nausea being the most common. Between the therapy groups, there was no difference in the recovery of the bromage score (p>0.05).Conclusion: Ropivacaine-ketamine has favorable effectiveness as an analgesia adjuvant compared to ropivacaine-fentanyl.
Measurement of Visceral Adipose Tissue using Abdomen CT scan As A Predictor of Type 2 Diabetes Mellitus at H. Adam Malik General Hospital Medan Nasution, Duma Ratna Sari; Putri Chairani Eyanoer; Pase, M Aron; Lubis, Netty Delvrita
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 7 No. 1 (2025): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v7i1.15891

Abstract

ABSTRACT Background: Obesity is a condition where the BMI is ≥ 25 kg/m2. Deposition of visceral adipose tissue (VAT) in obese conditions is a predictor of the incidence of type 2 diabetes mellitus. CT scan is an accurate measurement of VAT. A cut-off point value is needed to determine the stratification of VAT at risk for type 2 DM. Method: Cross-sectional study of patients undergoing CT scans of the abdominal area at the Radiology Installation of H. Adam Malik General Hospital, Medan during February 2024. Some of the data was taken from the Master of Clinical Medicine study in 2022. Data was collected in the form of examination BMI, waist circumference, DM risk score, and VAT volume in patients examined by abdominal CT scan at L4 level. The DM risk score was obtained using the ADA diabetes risk score questionnaire. VAT volume measurement using 3D segmentation tools. Results: Of the 116 patients studied, the number of samples was 53,4% male and 46,6% female. High DM risk score proportion of 59,5 %. The most frequent DM risk score was 5. Spearman’s correlation is used too. The best cut-off point between sensitivity 44.93% and specificity 80,85% is 1.311,9 cm3. The accuracy of CT scan as a predictor of type 2 DM is good (AUC 0.7). The positive predictive value (PPV) is 77,50%, and the negative predictive value (NPV) is 50%. The positive likelihood ratio value (LR +) is 2,34 and the negative likelihood ratio value (LR -) is 0,68. Conclusion: VAT measurement using abdominal CT scan as a predictor of type 2 DM has good accuracy. Keywords: Visceral adipose tissue, cut off, diabetes mellitus, body mass index, waist circumference, abdominal CT scan
Effect of Ethanol Extract of Rosella Flower Petals (Hibiscus sabdariffa L.) on Healing Cut Wounds in White Rats (Rattus norvegicus) Pratiwi, Ade Dwi; Siahaan , Jekson Martiar; Anto, Endy Juli; Eyanoer, Putri Chairani
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.718

Abstract

Background: Wounds are skin disorders in the form of damage to continuity due to a pathological process, if not treated properly it can cause serious complications such as failure to heal and chronic problems due to untreated wound infections, especially post-operative infections and scar tissue. The next problem is that excessive antibiotics can cause side effects and increase the risk of antimicrobial resistance and delay wound healing. So a new strategy is needed with herbal-based therapy that has the effect of treating infections and does not cause side effects in patients. Subjects and Method: The research was conducted with a post test only randomized control group design to test macroscopic observations of the average size of the wound length, hyperemia and swelling in 30 white Wistar rats (Rattus norvegicus) after receiving ethanol extract of rosella petals (Hibiscus sabdarifa L.). The dependent variables of the study were wound closure time, hyperemia and wound swelling. The independent variable of the research was varying doses of ethanol extract of rosella flower petals (Hibiscus sabdarifa L.) 6%, 12% and 15%. The parameters assessed are the length of the wound and the macroscopic assessment of the wound. Data were analyzed using the Kruskal-Wallis test, p<0.05 was considered statistically significant. Results: Administration of Hibiscus sabdariffa L. 6%, 12% and 15% ethanol extract gel on the 12th day resulted in a significant acceleration of the wound healing process (p=0.024). There was a significant difference between negative control (Mean=3,281 mm ; SD=1,681 mm), positive control (Mean=2,813 mm ; SD=1,106 mm), 6% Rosella flower petal extract gel (Mean=2,916 mm ; SD=1,224 mm ), 12% (Mean=1,290 mm ; SD=1,098 mm), and 15% (Mean=1,035 mm ; SD=0.952 mm) (p=0.024), in the macroscopic assessment there was no significant difference in the wound healing process on day 3, 6, 9, 12 and 15 except for signs of swelling on days 6 (p=0.038) and 9 (p=0.038) which had a significant difference compared to controls. Conclusion: Administration of Hibiscus sabdariffa L. 15% ethanol extract gel had the fastest time in wound closure and healing (Mean=1.035 mm ; SD=0.952 mm) for 12 days (p=0.024), the longest time in wound closure and healing was the negative control (gel placebo) (Mean=0.976 mm ; SD=1.103 mm) namely for 15 days (p=0.158). Keywords: Wound healing, Roselle, Gel Ekstrak Etanol, Hyperemia
Effect of Ethanol Extract of Suruhan Leaves (Peperomia Pellucida L. Kunth) on Blood Sugar Levels and Macroscopic Wounds in Male White Rats of the Wistar Strain (Rattus norvegicus) Diabetic Ulcer Model Hakim, Enggrek Pelita; Siahaan, Jekson Martiar; Anto, Endy Juli; Eyanoer, Putri Chairani
Indonesian Journal of Medicine Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.2.733

Abstract

Background: High blood sugar levels can cause diabetes mellitus (DM), which currently means more than one in 10 adults live with diabetes, with the biggest risk factor being obesity. Wound healing in DM patients will be hampered and increase the incidence of diabetic ulcers in Indonesia by 12% and the risk of developing diabetic ulcers by 55.4%. Diabetic ulcers and gangrene cases in Indonesia are the most common cases found in hospitals. Mortality due to ulcers and gangrene ranges from 17-23%, while the amputation rate ranges from 15-30%. Therapeutic potential in the treatment of diabetic ulcers is possessed by suruhan leaves which have anti-inflammatory, antipyretic, antimicrobial and anticancer effects, as well as having analgesic effects. Subjects and Method: A total of 30 male white rats of the Wistar strain (Rattus norvegicus) were divided equally into control groups, negative control (STZ induction 40mg/kgBW), positive control (STZ induction 40mg/kgBW with metformin 50mg/kgBW/day), treatment group I (STZ induction 40mg/kgBW with ethanol extract of shrike leaves 40mg/kgBW), and treatment group II (STZ induction 40mg/kgBW). kgBB with ethanol extract of 80 mg/kgBB leaves). Next, blood sugar levels (KGD) and macroscopic examination of diabetic ulcer wounds are carried out. Data were analyzed using the Anova test. Results: The lowest blood sugar levels (183.83 ± 11.39), the lowest wound area (6.89 ± 0.86), and the highest percentage of excision wound healing (89.67 ± 1.37) were found in the positive control group. There was a significant relationship between groups of mean blood sugar levels, between groups of wound area, and between groups of healing percentage of excision area (P<0.05). Conclusion: Administration of ethanol extract of suruhan leaves (Peperomia pellucida L. Kunth) had an effect on reducing blood glucose levels and healing diabetic ulcer wounds in STZ-induced diabetic ulcer model mice.
Co-Authors -, Fadhlia Ade Rahmaini Adlin Adnan Agnes Juni Jelita Sitohang Agnes Laurensia Gea Alona, Ivana Alwi Thamrin Nasution Amaiappan, Jesvinder Andika Pradana Andika Pradana Andika Pradana Arlinda Sari Wahyuni Armon Rahimi Asnir, Rizalina Arwinati Athalia Famelinda Gracia Sinaga Atiyatul Amra, Aryani Azali, Chairul Nurdin Azizah Ghanie Icksan Bintang Yinke Magdalena Sinaga Bintang Yinke Magdalena Sinaga Bintang YM Sinaga Bintang YM Sinaga Budi Jefri Budi Wiweko Chairiza Muttaqien Dana Jauhara Layali David Albert Pardede Delfitri Munir Delfitri Munir Delores Elisabeth Sormin Destylya, Dyana Dina Octafrida Marpaung Dyana Destylya E. Tito Julianda Sinaga Eddy Bangun Elisabeth Elisabeth Elizabeth Napitupulu Elmeida Effendy Elok Ariyani Safitri Elva Susanty Elvita Rahmi Daulay Endy Juli Anto Endy Todo Sirait endyjulianto endyjulianto Eva Susanti Debora Hutabarat Evo Elidar Harahap Fachrezi, Muhammad Alfian FAHDI, FIRDAUS Fajrinur Syahrani Fajrinur Syahrani Fajrinur Syaran Fajrinur Syarani Fajrinur Syarani Fajrinur Syarani Faradila, Devita Farhat, Farhat Faried, Mukhamad Febiyanti, Mica Felisia Felisia Firdaus, Ruby Fransisco Sentosa Pakpahan Fujiati, Isti Ilmiati Ganda M. Leonard Samosir Ghazali Akhmad Putranta Ginting, Franciscus Hadi Suhendra Hafizhalaila Ammar Hakim, Enggrek Pelita Halawa, Pisces Alfred Dorifman Hamdi, Tasrif Harahap, Juliandi Haryuna, Tengku Siti Hajar Hasibuan, Mangain Hemma Yulfi Hendri Wijaya, Hendri Henny Maisara Sipahutar Herani Mutia Riandini Hidayat Hidayat Hulu, Dirga Agustina Hutagalung, Angeline Kory Ihsan, Mhd. Joshua Asley Juli Anto, Endy Juliandi Harahap Kadri, Alfansuri Kartini harahap Kembaren, Tambar kenvin rusli Kiking Ritarwan Listyoko, Aditya Sri Lubis, Muhammad Allif Syafrin Lubis, Netty Delvrita Maesyara Adinda Sari Maulidina Hsb, Putri Sari Mirna Risna Lovinanda Lubis Muhammad Ichwan Muhammad Zainul A Muntasir Abdullah Nababan, Windika Nasution, Duma Ratna Sari Nathasia Simanjuntak Netty Delvrita Lubis Netty Delvrita Lubis Noni Novisari Soeroso Noni Novisari Soeroso Noni Novisari Soeroso Nurdiansah, Firman Nurul Citta Banu Putri Nurul Ramadhani Nuryunita Nainggolan Octavia, Nur Afni Heryanti Pandia, Pandiaman Pandiaman Pandia Pandiaman Pandia Panjaitan, Alfred Johnatan Pardede, Sujahn Anto Parluhutan Siagian Parluhutan Siagian Parluhutan Siagian Pase, M Aron Pendiaman Pandia Perangin-angin, Gwanita Nawariantina Peter Peter Pratama, Mhd. Rizki Pratiwi, Ade Dwi Putri Maria Regina R.A Henny Anggriani Ramadhani, Adini Arifah Rambe, Andrina Yunita Murni Restuti Hidayani Saragih Ribawanto, Muhammad Rafif Rifda Hayati Rina Amelia Rina Yunita Ririe Fachrina Malisie Risqin, Muhammad Anas Fatah Rosita Juwita Sembiring Rusda, Muhammad Salsabila, Anisa Samodra, Yoseph Leonardo Sarah, Dewi Maya Sekali, Oktaviani Karo Selvy Wulandari Siahaan, Jekson Martiar Sikumbang, Rahmat Hidayat Simanjuntak, Novita Hasiani Simanullang, Putri Andriani Sinaga, Bintang Yinke Magdalena Sinaga, Joshua Princeman Sinaga, Sudirman Parningotan Sirait, Asima Rodiarta Siregar, Nondang Purnama Syamsul Bihar Syamsul Bihar Syamsul Bihar Syarani, Fajrinur Tampubolon, Johana Bonafide Tampubolon, Jonaha Bonafide Tarigan, Amira Permatasari Tarigan, Setia Putra Tri Setia Negara Sinulingga Urip Harahap Vera, Yeni Wahyuni, Arlinda Sari Wan Betty Pratiwi Yahwardiah Siregar Yessi Andriani Zainal Yunanda, Yuki Zainuddin Amir Zakirah, Sarah Chairani