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PROFIL METABOLISME LIPID SIRKULASI SEBAGAI UPAYA DETEKSI DINI SINDROMA METABOLIK PADA WANITA USIA PRODUKTIF DI WILAYAH KERJA PUSKESMAS PAKUAN BARU Maharani, Citra; Enis, Rina Nofri; Herlambang, Herlambang; Syauqy, Ahmad; Puspasari, Anggelia; Shafira, Nyimas Natasha Ayu; Tarawifa, Susan; Halim, Rita
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

ABSTRACT Metabolic syndrome is a cluster of conditions that increases the risk of cardiovascular disease, diabetes mellitus, and stroke. Among the components of dyslipidemia, triglyceride levels and high-density lipoprotein (HDL) are important indicators in assessing cardiovascular disease risk, making these examinations useful for screening risk factors associated with metabolic syndrome. However, healthcare facilities are often unable to conduct these assessments independently, necessitating a referral system to more comprehensive healthcare services. Our community service team aims to facilitate this by conducting lipid profile examinations at Puskesmas Pakuan Baru as an early detection effort for metabolic syndrome in women of reproductive age. The activities carried out included lipid profile testing, blood pressure measurement, and education regarding metabolic syndrome. The results from 26 participants indicated that 23.07% had elevated triglyceride levels, 73.08% had low HDL levels, and 19.33% were hypertensive. Based on these findings, women of reproductive age already exhibit risk factors for metabolic syndrome, suggesting that lipid profile assessments should be incorporated into routine screening programs to prevent the onset of metabolic syndrome. ABSTRAK Sindroma metabolik merupakan kumpulan kondisi yang meningkatkan risiko penyakit kardiovaskular, diabetes mellitus dan stroke. Komponen dislipidemia yang menjadi indikator penting dalam penilaian risiko penyakit kardiovaskular antara lain kadar trigliserida dan high-density lipoprotein (HDL), sehingga pemeriksaan ini dapat dimanfaatkan untuk skrining faktor risiko sindroma metabolik. Namun, fasilitas pelayanan kesehatan belum dapat melakukan pemeriksaan tersebut secara mandiri sehingga perlu dilakukan sistem rujukan ke fasilitas kesehatan yang lebih lengkap. Tim pengabdian berupaya memfasilitasi hal ini dengan melakukan kegiatan pengabdian pemeriksaan profil lipid di Puskesmas Pakuan Baru sebagai upaya deteksi dini sindroma metabolik pada wanita usia produktif. Kegiatan yang dilakukan meliputi pemeriksaan profil lipid, pemeriksaan tekanan darah, dan edukasi terkait sindroma metabolik. Dari hasil pemeriksaan yang telah dilakukan pada 26 orang peserta didapatkan hasil 23,07 % peserta memiliki kadar trigliserida tinggi, 73,08 % memiliki kadar HDL yang rendah, dan 19,33% mengalami hipertensi. Berdasarkan hasil tersebut, wanita usia produktif sudah menunjukkan adanya faktor risiko sindroma metabolik, sehingga pemeriksaan profil lipid sebaiknya dapat dimasukkan sebagai program skrining rutin di masyarakat untuk mencegah terjadinya sindroma metabolik.
PEMERIKSAAN KADAR KOLESTEROL DARAH DAN KOMPOSISI LEMAK TUBUH PADA MASYARAKAT MENDALO INDAH DI KLINIK UNJA SMART SEBAGAI SKRINING AWAL HIPERKOLESTEROLEMIA Syauqy, Ahmad; Puspasari, Anggelia; Fairuz, Fairuz; Dewi, Hasna; Utami, Erisca Ayu
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 6 No. 1 (2023): MEDIC. Medical dedication
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/medicaldedication.v6i1.26745

Abstract

ABSTRACTMost people are reluctant to be screened hypercholesterolemia. The cause of the reluctance diverse, ranging from the aspect of cost, accessibility to the site inspection, the limitations of the infrastructure as well as aspects of time. It is necessary for community service activities to facilitate this. Activities was held on November 2, 2022, in the form of checks blood pressure and cholesterol levels in the general population who are visiting the Jambi City Governor’s Field during a car free day on Sunday, where on this day, people of the city of Jambi crowded been to Park Jomlo to exercise. The number of people who participated in this examination is 99 people. The examination was conducted using a digital cholesterol checks easy Tauch and after that, participants can consult with a team of dedicated and also receive treatment if their blood pressure and cholesterol levels exceed normal limits. From the implementation of the activity, the results that have normal cholesterol levels are 38 people (38.4%) and abnormal 61 people (61.6%), for examination of body fat composition, which has a percentage of normal body fat 12 people (12%) and abnormal 87 people (88%). While those who have normal visceral fat are 55 people (56%) and the abnormal is 44 people (44%). From the high abnormalities of cholesterol and body fat compositions have been carried out so that it is expected that there is an increase in awareness and understanding of the importance of hypercholesterolemia screening in society.Keywords: cholesterol, hypercholesterolemia ABSTRAKSebagian besar masyarakat enggan untuk melakukan skrining hiperkolesterolemia. Penyebab keengganan tersebut beragam, mulai dari aspek biaya, keterjangkauan ke lokasi pemeriksaan, keterbatasan sarana prasarana maupun aspek waktu. Untuk itu perlu dilakukan kegiatan pengabdian masyarakat untuk memfasilitasi hal tersebut. Kegiatan ini dilaksanakan pada tanggal 2 November 2022 diklinik UNJA Smart Mendalo. Peserta kegiatan ini berjumlah 99 orang yang berasal dari pegawai dan dosen UNJA serta masyarakat yang tinggal disekitar klinik UNJA Smart. Adapun bentuk kegiatannya berupa pemeriksaan tekanan darah, kadar kolesterol, dan komposisi lemak tubuh, konsultasi gratis dengan dokter sekaligus edukasi kesehatan serta juga mendapat pengobatan jika tekanan darah dan kadar kolesterolnya melebihi batas normal. Kegiatan ini akan menggunakan alat cek kolesterol digital easy tauch dan BIA merek omron. Dari pelaksanaan kegiatan didapat hasil yang memiliki kadar kolesterol normal sebanyak 38 orang (38,4 %) dan abnormal 61 orang (61,6%), Untuk pemeriksaan komposisi lemak tubuh , yang memiliki persentase lemak tubuh normal 12 orang (12%) dan abnormal 87 orang (88%). Sedangkan yang memiliki lemak visceral normal sebanyak 55 orang (56%) dan yang abnormal 44 orang (44%). Dari tingginya abnormalitas kadar kolesterol dan komposisi lemak tubuh telah dilakukan edukasi sehingga diharapkan ada peningkatan kesadaran dan pemahaman terhadap pentingnya screening hiperkolesterolemia di masyarakat.Kata kunci: kadar kolesterol, hiperkolesterolemia
ASESMEN KOMPOSISI LEMAK TUBUH, TEKANAN DARAH DAN PROFIL METABOLISME GLUKOSA SEBAGAI UPAYA DETEKSI DINI PENYAKIT KARDIOVASKULER PADA PENDUDUK USIA PRODUKTIF DI WILAYAH KERJA PUSKESMAS SIMPANG SEI DUREN Halim, Rita; Puspasari, Anggelia; Shafira, Nyimas Natasha Ayu; Tarawifa, Susan; Enis, Rina Nofri; Maharani, Citra; Syauqy, Ahmad
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 1 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/medicaldedication.v7i1.33930

Abstract

ABSTRACT Prevention of cardiovascular disease can be performed with early detection and management of underlying risk factors as announced by the Ministry of Health in GERMAS since 2016. Obesity, hypertension, type II diabetes mellitus are conditions which have a high probability for progressing to cardiovascular disease if not detected early and treated properly. Examination of body fat composition, blood pressure and fasting-glucose tests are relatively affordable tests to do which performed as prevention management to prevent those condition mention before. Early detection is related to early management and promise better prognosis, especially in the productive age population. Puskesmas simpang sungai duren have competence medical team who work in primary health services. Equipped with laboratory facilities, but the laboratory has not been able to facilitate the examination of venous blood glucose metabolites with the COD-PAP method. Body fat composition assessment has also only been done with simple anthropometric measurements that have not been done with BIA because tools are not available. Related to this, the service proposal team proposed organizing this service activity by carrying out body fat assessment with BIA, blood pressure screening and glucose metabolism profile with standardized methods. The results of the screening will then be used as the basis for personal consultation and data submission to partner health care facilities for follow-up. Screening of cardiovascular disease risk factors in service participants found a total of 25 people suffering from hypertension, 5 people suffering from fasting hyperglycemia and 50 people suffering from obesity. Body fat composition screening found that 57 people had low fat mass, 64 people were classified as over fat and 30 people had high visceral fat mass. Keywords: Screening; hypertension; obesity; blood glucose   ABSTRAK Salah satu upaya yang dapat dilakukan untuk mencegah penyakit kardiovaskuler adalah deteksi dini dan tatalaksana faktor risiko yang mendasari sebagaimana dicanangkan oleh kementrian kesehatan dalam GERMAS sejak tahun 2016. Beberapa kondisi memiliki probabilitas besar untuk berlanjut menjadi penyakit kardiovaskuler adalah obesitas, hipertensi, diabetes melitus (DM) tipe II apabila tidak dideteksi dini dan ditangani dengan baik. Upaya kesehatan preventif untuk mencegah ketiganya dengan deteksi dini berupa pemeriksaan komposisi lemak tubuh untuk mendeteksi obesitas sentral, pemeriksaan tekanan darah dan glukosa prandial merupakan pemeriksaan yang relatif terjangkau untuk dilakukan. Deteksi dini kondisi ketiganya terkait dengan tatalaksana dini dan pencegahan keberlanjutan kondisi menjadi lebih buruk terutama pada penduduk usia produktif. Puskesmas simpang sungai duren memiliki tenaga medis handal yang relevan terhadap layanan kesehatan primer. Dilengkapi dengan fasilitas laboratorium, akan tetapi laboratorium tersebut belum dapat memfasilitasi pemeriksaan metabolite glukosa darah vena dengan metode COD-PAP. Asesment komposisi lemak tubuh juga baru dilakukan dengan pengukuran antropometri sederhana belum dilakukan dengan BIA karena alat yang tidak tersedia. Terkait dengan hal tersebut tim pengusul pengabdian mengusulkan menyelenggarakan kegiatan pengabdian ini dengan melaksanakan asesemen lemak tubuh dengan BIA, skrining tekanan darah dan profil metabolisme glukosa dengan metode terstandar. Hasil skrining tersebut kemudian akan dijadikan dasar konsultasi personal maupun penyampaian data ke fasilitas layanan kesehatan yang menjadi mitra untuk ditindak lanjuti. Skrining faktor risiko penyakit kardiovaskuler pada peserta pengabdian didapatkan sejumlah 25 orang menderita hipertensi, 5 orang menderita hiperglikemia puasa dan 50 orang menderita obesitas. Skrining komposisi lemak tubuh didapatkan sejumlah 57 orang memiliki massa lemak yang rendah, 64 orang tergolong over fat dan 30 orang memiliki massa lemak viseral yang tinggi. Kata kunci: Skrining; hipertensi; obesitas; glukosa darah
THE EFFECTIVENESS OF ONLINE TUTORIAL DISCUSSIONS: PERCEPTIONS FROM MEDICAL STUDENTS Safira, Nyimas Natasha Ayu; Ekaputri Hz, Tia Wida; Aryanti, Nindya; Puspasari, Anggelia; Maharani, Citra; Enis, Rina Nofri; Tarawifa, Susan; Halim, Rita; Irlianissa, Mutiara
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 1 (2024): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v12i1.32571

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Background: Tutorial discussions are a form of implementing Problem-Based Learning (PBL) in medical education. Students' cognitive, motivational, and demotivating aspects determine the effectiveness of tutorial discussions. The COVID-19 pandemic has changed learning methods to online learning, and the implementation of online tutorial discussions can affect the effectiveness of discussions. Objective: This study aims to determine the effectiveness of online PBL tutorials at Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi (FKIK UNJA) Method: This is an observational study with a cross-sectional design, 260 students became respondents. Data was collected using a modified Tutorial Group Effectiveness Instrument (TGEI) Results: As many as 51.5% of students rated the implementation of online tutorial discussions as quite effective. Based on cognitive and motivational aspects, > 60% of students rated tutorial discussions as effective, while from demotivation aspects, 85% of students rated discussions as quite effective. Conclusion: The implementation of online tutorial discussions at FKIK UNJA was quite effective. In online tutorial discussions, positive elaborations are still formed among students. Students agree that the success of tutorial discussions is students' responsibility, and irresponsible group members when doing group assignments can reduce the effectiveness of discussions.
TC Genotype of rs17782313 Near MC4R Gene Increases Obesity Risk Maharani, Amrina; Puspasari, Anggelia; Maharani, Citra; Enis, Rina Nofri; Aurora, Wahyu Indah Dewi; Halim, Rita
Molecular and Cellular Biomedical Sciences Vol 9, No 3 (2025)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v9i3.655

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Background: The genetic variant rs17782313 near the melanocortin-4-receptor gene (MC4R) is one of the robust risk factors for obesity and may be linked to its effect on dietary intake, which has different effect sizes between populations. The association between rs17782313 and obesity and dietary intake has not yet been published with the population from Jambi Malay. This study was conducted to analyze the association of genetic variation of MC4R rs17782313 and dietary intake among the Jambi Malay population.Materials and methods: This study was an unmatched case-control study with 110 subjects, consisting of 55 obese and 55 non-obese individuals. All the subjects were Jambi Malay who reside in Jambi Province and are aged 19-60 years. The MC4R rs17782313 genotype was measured using the tetra amplification refractory mutation system-polymerase chain reaction (ARMS-PCR) method. Dietary data were collected through food recall and analyzed using the NutriSurvey. Bivariate and multivariate analyses were performed.Results: Bivariate analysis showed that subjects with TC genotype increased risk for obesity (p-value: 0.043; OR (95%CI): 3.044 (1.001-9.259). Multivariate analysis adjusted for age, gender and dietary intake, showed similar trends: the TC genotype increased the risk of obesity (p-value: 0.038; OR (95%CI): 3.376 (1.069-10.655). Dietary intake, including total calories, fat, carbohydrate, and protein intake, did not show a statistically significant association with the rs17782313 genotype in obese and non obese groups (p-value>0.05).Conclusion: The TC genotype of rs17782313 near the MC4R gene significantly increases the obesity risk in the Jambi Malay population, independent of dietary intake.Keywords: obesity, MC4R, rs17782313, Malay, Jambi
HUBUNGAN VARIASI GEN ADIPOQ rs266729 TERHADAP SINDROM METABOLIK Khairunnisa, Dhia Fairuz; Maharani, Citra; Puspasari, Anggelia; Kusdiyah, Erny
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Vol. 10 No. 2 (2025): Oktober
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/mtj.v10i2.2017

Abstract

COMMUNITY-BASED INTERVENTION MODEL FOR PREECLAMPSIA PREVENTION THROUGH RIVER FISH CONSUMPTION AND PERIODIC MATERNAL-FETAL MONITORING IN TAHTUL YAMAN, JAMBI Herlambang, Herlambang; Fitri, Amelia Dwi; Puspasari, Anggelia; Kusdiyah, Erny; Enis, Rina Nofri; Maharani, Citra; Shafira, Nyimas Natasha Ayu; Aurora, Wahyu Indah Dewi; Hasmita, Debby
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication (In Progress)
Publisher : Universitas Jambi

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Abstract

Preeclampsia is a leading cause of maternal and perinatal complications. Preventive strategies based on local food resources offer a sustainable approach aligned with the Sustainable Development Goals. This study describes a community-based intervention integrating nutrition, health education, and periodic monitoring among pregnant women in the Puskesmas Tahtul Yaman area, located along the riverside in Jambi. The intervention applied the Health Belief Model to enhance perceived benefits and reduce barriers, the Theory of Planned Behavior to strengthen attitudes and behavioral control, and Knowles’ Adult Learning Theory for contextual learning. Activities were conducted in two phases. In the first phase (gestational age 26–28 weeks, trimester 2), pregnant women attended sessions on preeclampsia and safe fish consumption, supported by cooking demonstrations using nutrient-dense river fish. They received fish-based meals twice weekly for six weeks. Maternal health was monitored through blood pressure, weight gain, and symptoms, while fetal well-being was assessed by ultrasonography. The second phase, eight weeks later (trimester 3), repeated maternal examination and ultrasonography for follow-up of pregnancy. None of the participants developed hypertension, fetal growth matched gestational age, and mothers showed improved knowledge of preeclampsia and its prevention, particularly through fish consumption. This community-driven model demonstrates the effectiveness of combining local nutrition, adult learning strategies, and regular maternal-fetal monitoring. It highlights a feasible, culturally sensitive, and sustainable approach to strengthen maternal health and prevent preeclampsia in resource-limited settings. Keywords:; community-based intervention; Health Belief Model; maternal health; preeclampsia prevention; river fish consumption
KNOWLEDGE TO PRACTICE: ENHANCING POSYANDU CADRES’ COMPETENCE IN METABOLIC SYNDROME SCREENING AND EDUCATION Puspasari, Anggelia; Maharani, Citra; Syauqy, Ahmad; Fitri, Amelia Dwi; Shafira, Nyimas Natasha Ayu; Enis, Rina Nofri; Kusdiyah, Erny; Delfira, Annissa; Hasmita, Debby; Amatullah, Afifah
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication (In Progress)
Publisher : Universitas Jambi

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Abstract

Metabolic syndrome (MS) is a growing public health problem, characterized by central obesity, high blood sugar levels, increased blood pressure, and lipid profile disorders that can increase the risk of cardiovascular disease. This community service activity was carried out to strengthen the competence of Posyandu cadres in the Tahtul Yaman Community Health Center (Puskesmas) work area in Jambi City in conducting early detection and providing education about MS. The program was implemented through three main stages: module development, module-based training, and direct mentoring in the field. The training module was designed by integrating the Health Belief Model (HBM) approach and andragogy principles, so that the learning process was more participatory and oriented towards the cadres' real-life experiences. A total of 15 cadres from nine Posyandus actively participated in this activity. Evaluation was carried out through pre- and post-tests to assess knowledge gains, and the Direct Observation of Procedural Skills (DOPS) method to measure practical skills. The results showed a significant increase in knowledge scores, with the pass rate increasing from 73.33% to 100% after the training. Cadres were able to implement screening procedures according to standards and explain the examination results well. However, the communication-education aspect still needs strengthening to make health messages more easily accepted by the public. Overall, this program has proven effective in increasing the capacity of Posyandu cadres as the frontline of promotive and preventive health services at the community level.
STRENGTHENING HEALTH CADRES THROUGH STRUCTURED TRAINING FOR COMMUNITY-BASED OBESITY SCREENING Maharani, Citra; Puspasari, Anggelia; Syauqy, Ahmad; Fitri, Amelia Dwi; Shafira, Nyimas Natasha Ayu; Perkasa, Tengku Arief Buana; Hasmita, Debby
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication (In Progress)
Publisher : Universitas Jambi

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Abstract

Obesity is a major risk factors for non-communicable diseases, and its prevalence continues to increase in Indonesia. Community Health Centers, as primary healthcare providers, play a crucial role in obesity prevention through the empowerment of local health cadres. This community service aimed to enhance cadres’ knowledge and skills in early obesity detection. The program was implemented through a structured training consisting of material delivery and hands-on anthropometric measurement sessions, followed by field visits to Posyandu to evaluate cadres’ practical skills in performing anthropometric assessments. A total of 15 Posyandu cadres from the working area of Tahtul Yaman Community Health Center participated in this activity. The results showed a significant increase in knowledge, with median scores rising from 90 (range 50–100) in the pre-test to 100 (range 80–100) in the post-test (p = 0.007). The proportion of cadres achieving the passing score also increased from 53.3% to 100% (p = 0.006). Field observations indicated that most cadres were able to perform anthropometric examinations independently and in accordance with standard procedures. These findings suggest that structured training combined with practical field reinforcement may contribute to improving cadres’ competencies, thereby supporting their role in sustainable, community-based obesity prevention efforts. Keywords: Obesity screening; Health cadres; Anthropometry; Community health center.
Co-Authors Ahmad Hamim Sadewa Ahmad Syauqy Ahmad Syauqy Alya Dwiva Juhari Amalia, Fenny Amatullah, Afifah Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri, Amelia Dwi Amelia Minarfah Anati Purwakanthi, Anati Annissa Delfira Arif, Cut Wulan Armaidi Darmawan Aryanti, Nindya Asro Hayani Harahap Ave Olivia Rahman Betty Marlina Budi Justitia Charles Apul Simanjuntak Citra Maharani Citra Maharani Devy Afriyanti dewi, hasna Dhea Assyifa Effendi, Ian Ekaputri, Tia Wida Elfiani Elfiani Elfiani Erny Kusdiyah Esa Indah Ayu, Esa Indah Fairuz, Fairuz Farrah Balqis Fitriyanti Gading, Patrick Wiliam Hana Nurul Qur’ani Harahap, Asro Hayani Hasmita, Debby Herlambang Herlambang HERLAMBANG HERLAMBANG Herlambang Herlambang Herlambang Herlambang Huntari Harahap Ika Setyawati Irawan Anasta Irlianissa, Mutiara Iskandar, Mirna Marhami Ismi Nurwaqiah Ibnu Khairunnisa, Dhia Fairuz Maharani, Amrina Mus, Rosdiana Nadilla Sitepu Neldi, Vina Nindya Aryanty Nurul Fitriani Nyimas Natasha Ayu Shafira Nys. Natasha Ayu S Pramudji Hastuti Priskila, Loury Rina Nofri Enis Rini Kartika Rita Halim Rita Halim S, Nys. Natasha Ayu Simanjuntak, Charles Apul Suhaimi, Novadian Suprapti Suprapti Susan Tarawifa Suzan, Raihanah Syatria Esa Putra Syukur, Astian Nathaniel Tarawifa, Susan Tarigan, Nadir Putra Indra Tengku Arief Buana Perkasa Tia Wida Ekaputri Utami, Erisca Ayu Virginsia, Sonya Vivekanantharasa, Raveenthiran Wahyu Indah Dewi Aurora Widyawati, Dwi Zulkhair Ali