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LATIHAN KETAHANAN EKSTREMITAS ATAS DAN SUPLEMENTASI PUTIH TELUR TERHADAP MASSA OTOT PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) Yessi Andriani Zainal; Amira Permatasari Tarigan; Pandiaman Pandia; Putri Chairani Eyanoer
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 6 No 3 (2023): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Malnutrisi mempunyai pengaruh negatif terhadap struktur, elastisitas, dan fungsi paru serta kekuatan, ketahanan otot pernafasan, dan akan berdampak pada penurunan kapasitas fungsional serta meningkatkan risiko mortalitas. Pemberian latihan ketahanan otot dan pemberian nutrisi pada pasien Penyakit Paru Obstruktif Kronis (PPOK) dapat meminimalisasi gejala, dan meningkatkan aktivitas sehari-hari. Studi klinis ini menggunakan desain quasi-experimental dengan satu kelompok pre-test post-test yang melibatkan 11 pasien PPOK stabil. Latihan selama 30 menit dilakukan empat kali seminggu selama satu bulan dengan tambahan asupan tujuh butir putih telur per latihan dalam diet. Responden mendapatkan instruksi latihan pada satu sesi di rumah sakit, setelah itu mereka harus melakukannya secara mandiri di rumah dan dipantau dengan telepon dan WhatsApp (WA) grup. Sebelum dan setelah penelitian selesai, massa otot kedua kelompok diukur menggunakan Carada Scan. Setelah diberikan latihan ketahanan ekstremitas atas, pada kelompok ini menunjukkan adanya peningkatan massa otot yang signifikan dari baseline 27,99±6,58 menjadi 30,0±7,23. Setelah menjalani program rehabilitasi paru, terdapat peningkatan massa otot yaitu menjadi 30,0±7,23. Kesimpulannya setelah dilakukan latihan ketahanan dan penambahan nutrisi putih telur dilaporkan bahwa terdapat manfaat yang signifikan terhadap pasien PPOK dengan bukti terdapatnya peningkatan massa otot. Kata kunci : latihan ketahanan ekstremitas atas, ppok, putih telurDOI : 10.35990/mk.v6n3.p230-239
Factor Influencing Mortality in Moderate - Severe Covid-19 Patients In Tertiary Hospital, Indonesia Faried, Mukhamad; Ginting, Franciscus; Kembaren, Tambar; Eyanoer, Putri Chairani
Journal of Society Medicine Vol. 2 No. 7 (2023): July
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.70

Abstract

Introduction: Covid-19 is highly contagious respiratory tract infection caused by infection of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). This infection has a case fatality rate in those with moderate – severe case up to 30%. This study aims to analyse factor influencing mortality in moderate to severe Covid-19. Method: This study was conducted using retrospective cohort study on moderate - severe Covid-19 patients who were treated in tertiary hospital in Medan, Indonesia, in March 2020-June 2022. Results: From 180 moderate – severe Covid-19 inpatients, up to 37,8% died. Factor that influences the mortality is the presence of comorbidity (P=0,001), such as hypertension and chronic kidney disease (CKD), high levels of neutrophil-lymphocyte Ratio (NLR), procalcitonin, c-reactive protein (CRP), D-dimer, and low levels of albumin with P values 0,016, 0,036, 0,001, 0,001, 0,001, 0,003, and 0,006 consecutively. Conclusion: It can be concluded that the demographic factors that are significantly related to the death of Covid-19 patients are the presence of comorbidities such as hypertension and CKD.
Self-Perception of Co-Assistant Students Regarding The Covid-19 Pandemic Chairiza Muttaqien; Putri Chairani Eyanoer; Ririe Fachrina Malisie; Hemma Yulfi
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 3 No. 2 (2021): 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 | Full PDF (542.746 KB) | DOI: 10.32734/jetromi.v3i2.5826

Abstract

Background: At the beginning of 2020, the world was shocked by a new type of coronavirus (SARS-CoV-2) whose disease was called Coronavirus disease 2019 (COVID-19). The research aims to determine the self-perception of Co-Assistant students regarding the COVID-19 pandemic. Method: The study was designed cross-sectional, which was conducted via sharing online links. Respondents must Co-Assistant students from a medical faculty in Indonesia and participated in the questionnaire filling between June 2020 and October 2020. This research is a descriptive study with a cross-sectional approach and conducted using primary data (online questionnaire Results: One hundred forty-nine students (149) of Co-Assistant students from several medical faculties all over Indonesia met the inclusive criteria. The samples were dominated by female respondents at 103 students (69.1%), while the male respondent accounted for only 46 students (30.9%). The first year of the Co-Assistant program with 94 respondents (63.1%) followed by the second year of the Co-Assistant program with 55 respondents (36.9%). The highest mean score in the fear zone came from the "first year of Co-Assistant program" group and the highest mean score in the learning and growth zone came from the "second year of Co-Assistant program" group. Conclusion: The highest mean score in the fear zone came from the "first year of Co-Assistant program" group and the highest mean score in the learning and growth zone came from the "second year of Co-Assistant program" group.
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

Abstract

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

Abstract

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.
Co-Authors -, Fadhlia Ade Rahmaini Adlin Adnan Alona, Ivana Alwi Thamrin Nasution Amaiappan, Jesvinder Andika Pradana Andika Pradana Andika Pradana Arieta, Lydia Arlinda Sari Wahyuni Armon Rahimi Asnir, Rizalina Arwinati 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 Delfitri Munir Delfitri Munir Delores Elisabeth Sormin Destylya, Dyana Dyana Destylya 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 Hamdi, Tasrif Harahap, Juliandi Haryuna, Tengku Siti Hajar Hasibuan, Mangain Hemma Yulfi Hendri Wijaya, Hendri Henny Maisara Sipahutar Herani Mutia Riandini Hidayat Hidayat 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 Muhammad Ichwan Muhammad Zainul A Muntasir Abdullah Nababan, Windika Nasution, Duma Ratna Sari 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 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 Salsabila, Anisa Samodra, Yoseph Leonardo Sarah, Dewi Maya Sekali, Oktaviani Karo Selvy Wulandari Siahaan, Jekson Martiar Sikumbang, Rahmat Hidayat Sinaga, Bintang Yinke Magdalena Sinaga, Joshua Princeman Sinaga, Sudirman Parningotan Sirait, Asima Rodiarta Siregar, Nondang Purnama Syamsul Bihar Syamsul Bihar Syamsul Bihar Syarani, Fajrinur Tarigan, Amira Permatasari Tarigan, Setia Putra Tri Setia Negara Sinulingga Vera, Yeni Wahyuni, Arlinda Sari Wan Betty Pratiwi Yahwardiah Siregar Yessi Andriani Zainal Yunanda, Yuki Zainuddin Amir Zakirah, Sarah Chairani