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Improving Inpatient Services with the Quality Function Deployment Method Sembiring , Jessyca; Girsang, Ermi; Manalu, Putranto
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 9 No 2 (2025): Medical Technology and Public Health Journal September 2025
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v9i2.5806

Abstract

Improvements in the quality of inpatient care are needed to reduce overcrowding, increase patient engagement, make care more efficient, and empower patients toward self-care. These improvements can result in better patient outcomes, increased patient satisfaction, and more efficient delivery of healthcare. This is a quantitative study involving 98 respondents who have used inpatient services at the Royal Prima Hospital between December 2022 and January 2023. Data collection was based on the Servqual method and Kano models. The analysis results show that the smallest gap score (-0.12) is attributed to the number of medical personnel in the reliability dimension, whereas the largest gap score (0.09) is attributed to the physical appearance of doctors and staff in the tangibles dimension. Of the 23 attributes analyzed, 3 belonged to category A (attractive), 15 belonged to category O (one-dimensional), and 5 belonged to category M (must-be). The main technical responses that need to be addressed to improve service quality are hospital development, increased cooperation, and organizing education and training.
Aktivitas fisik dan psikologis pada pasien chronic kidney disease yang menjalani hemodialisis: A literature review Pangaribuan, Resmi; Tarigan, Almina Rospitaria; Anggeria, Elis; Girsang, Ermi; Gea, Saharman
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1315

Abstract

Background: Chronic kidney disease (CKD) is a condition in which kidney function gradually declines or is even lost completely. This decline in kidney function can lead to fluid and metabolic waste accumulation in the body, which, if not properly managed, can progress to end-stage kidney failure, requiring renal replacement therapy in the form of dialysis or a kidney transplant. For patients with chronic kidney disease (CKD), the presence of caregivers and family members is the most important source of support. Purpose: To determine the physical and psychological impact of CKD on patients undergoing hemodialysis. Method: This literature review utilized databases such as PubMed, Google Scholar, and Science Direct and included articles published between 2020 and 2024. Inclusion criteria included studies discussing physical activity, quality of life, and psychological aspects in CKD patients undergoing hemodialysis. Studies not available in English or Indonesian, as well as studies not relevant to the topic, were assessed in this review. The search yielded 14 articles, which were selected through keyword selection. Results: Physical activity is an important treatment and prevention measure for chronic kidney disease. The concept of "exercise as medicine" emphasizes that exercise not only helps improve physical function and muscle strength but also provides positive benefits in slowing the progression of chronic diseases. Conclusion: Physical activity such as aerobic exercise, resistance training, and other light exercise can reduce levels of depression and anxiety, improve sleep quality, and enhance perceived quality of life. Suggestion: More longitudinal studies and randomized controlled trials (RCTs) are needed in Indonesia or other developing countries to assess the effectiveness of physical activity-based programs on the psychological aspects of CKD patients.   Keywords: Chronic Kidney Disease; Hemodialysis; Psychological; Physical Activity.   Pendahuluan: Gagal ginjal kronis adalah suatu kondisi ketika fungsi ginjal secara bertahap menurun atau bahkan hilang sepenuhnya. Turunnya fungsi ginjal dapat menyebabkan penumpukan cairan dan sisa metabolisme dalam tubuh yang apabila tidak ditangani dengan baik akan berkembang menjadi gagal ginjal stadium akhir, membutuhkan terapi pengganti ginjal berupa dialisis atau transplantasi ginjal. Bagi pasien gagal ginjal kronis, kehadiran perawat dan keluarga merupakan sumber dukungan yang paling utama. Tujuan: Untuk mengetahui aktivitas fisik  dan psikologis pada pasien chronic kidney disease yang menjalani hemodialisis. Metode: Penelitian literature review menggunakan database dari pubmed, google scholar dan science direct, artikel diterbitkan antara 2020-2024. Kriteria inklusi yang digunakan mencakup studi yang membahas aktivitas fisik, kualitas hidup, dan aspek psikologis pada pasien PGK yang menjalani hemodialisis. Studi yang tidak tersedia dalam bahasa Inggris atau Indonesia, serta yang tidak relevan dengan topik, dikecualikan dari review ini. Pencarian yang diperoleh dari seleksi penilaian dan kata kunci sebanyak 14 artikel. Hasil: Aktivitas fisik merupakan pengobatan dan tindakan pencegahan yang penting untuk penyakit. Konsep “olahraga sebagai obat” menekankan bahwa olahraga tidak hanya membantu meningkatkan fungsi fisik dan kekuatan otot, tetapi juga memberikan manfaat positif untuk memperlambat perkembangan penyakit kronis. Simpulan: Aktivitas fisik seperti latihan aerobik, resistensi, dan latihan ringan lainnya mampu menurunkan tingkat depresi dan kecemasan, meningkatkan kualitas tidur serta persepsi kualitas hidup. Saran: Diperlukan lebih banyak studi longitudinal dan uji coba terkontrol secara acak (RCT) di Indonesia atau negara berkembang lainnya untuk menilai efektivitas program berbasis aktivitas fisik pada aspek psikologis pasien CKD.   Kata Kunci: Aktivitas Fisik; Chronic Kidney Disease; Hemodialisis; Psikologis.
Lingkungan, pekerjaan, dan manusia berkontribusi pada kejadian kecelakaan kerja Tua, Vridian Mangara; Girsang, Ermi; Samosir, Frans Judea
Buletin Kedokteran & Kesehatan Prima Vol. 1 No. 2 (2022): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v1i2.3135

Abstract

Penyebab kecelakaan diakibatkan oleh banyak hal faktor-faktor yang terjadi di lingkungan kerja, yang dalam keadaan yang menguntungkan dapat secara signifikan meningkatkan kemungkinan bahaya menjadi operasional, dan akibatnya menyebabkan kecelakaan kerja. Penelitian ini penting dilakukan untuk mengetahui jawaban pekerja dan perusahaan tentang kecelakaan kerja di PT. Berkat Karunia Phala. Studi ini adalah studi kuantitatif yang menggunakan pendekatan cross-sectional. Data dikumpulkan dari 72 karyawan melalui kuesioner dianalisa dengan uji Chi Square serta uji regresi logistik. Pengujian chi square menjelaskan hasil bahwasanya kejadian kecelakaan kerja berhubungan dengan lingkungan kerja (0,038), pekerjaan (0,045), manusia (0,032). Sedangkan hasil dari uji regresi menunjukkan bahwa karyawan yang bekerja baik 4,2 kali lebih mungkin terhadap kejadian kecelakaan kerja. Studi ini meyimpulkan faktor lingkungan, pekerjaan, dan manusia berkontribusi signifikan pada kejadian kecelakaan kerja. Disarankan melakukan pelatihan K3 secara berkala agar pekerja lebih sadar akan pentingnya fungsi dan tujuan K3 dalam mencegah cedera ringan atau fatal terkait pekerjaan, dan memasang petunjuk atau tanda peringatan K3 di lokasi penambangan marmer.
Gastritis in medical students: An analysis of contributing factors Kesuma, Farah Shyfa; Girsang, Ermi; Nasution, Ali Napiah; Putri, Riri Virzan; Anggraini, Tri Lidya
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.6363

Abstract

Gastritis, defined as inflammation of the stomach lining, can arise from various factors, including Helicobacter pylori infection, stress, poor dietary habits, and the use of certain medications. Medical students represent a population particularly susceptible to gastritis due to high academic pressure, irregular eating patterns, and smoking habits. This study aimed to analyze the risk factors for gastritis among medical students at Prima Indonesia University. This study employed a cross-sectional design involving 123 medical students. Data were collected through questionnaires, and statistical analysis was performed using SPSS version 27. The majority of the study subjects were 21 years old (61.8%) and female (74.8%). Irregular eating habits (82.1%), coffee consumption (74%), and academic stress (79.7%) were prevalent among the subjects. More than half of the subjects had a history of gastritis (57.7%). The risk factors significantly associated with gastritis included female sex (OR=2.362; 95% CI: 1.030-5.414), irregular eating patterns (OR=3.707; 95% CI: 1.385-9.918), coffee consumption (OR=2.569; 95% CI: 1.126-5.861), and academic stress (OR=3.062; 95% CI: 1.227-7.638). Age did not significantly affect the risk of gastritis. Females were found to be more susceptible to gastritis than males, possibly due to hormonal influences and lifestyle factors. Irregular eating patterns and coffee consumption increased the risk of gastritis; however, smoking habits did not show a significant association. Academic stress was identified as an important risk factor, as it can increase gastric acid production. The risk factors significantly associated with gastritis among medical students were female sex, irregular eating patterns, coffee consumption, and academic stress.
Sociodemographic and knowledge profile of patients with type 2 diabetes mellitus at Royal Prima General Hospital Naibaho, Iren Theresia Melati Br; Lister, I Nyoman Ehrich; Girsang, Ermi
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7178

Abstract

This study utilized a descriptive design with a cross-sectional approach, conducted from April to May 2024 at Royal Prima General Hospital, Medan. A total sampling technique was employed, including all 64 registered T2DM patients. Sociodemographic and knowledge data were collected via questionnaire and analyzed using univariate analysis to generate frequency distributions and percentages. The findings revealed that the majority of respondents were aged ≥45 years (62.5%), male (53.13%), had a low education level (≤9 years of schooling) (53.13%), and were unemployed (51.56%). Nevertheless, a majority of patients (62.5%) possessed a good level of knowledge regarding their disease. The profile of T2DM patients is consistent with that of a socioeconomically high-risk population. The high level of knowledge observed in the majority of patients may not guarantee optimal disease management due to potential structural and economic barriers. Therefore, intervention strategies for T2DM must be multifaceted, moving beyond education to address socioeconomic obstacles that impede the translation of knowledge into effective self-care behaviors.
Factors associated with dietary adherence among patients with type 2 diabetes mellitus at Royal Prima General Hospital Turnip, Modesto Lam Ulido Putra; Girsang, Ermi; Mukti, Ade Indra; Anggraini, Wenti; Rosar, Naufal; Nardi, Leo; Nelda, Fitri; Djohan, Djohan; Cisca, Anita Merry
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7691

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a significant health issue in Indonesia, where management relies heavily on patient dietary adherence. However, adherence levels are often suboptimal. This study aimed to identify the factors associated with dietary adherence among T2DM patients at a major hospital in Medan, Indonesia. Methods: This cross-sectional study was conducted in December 2024 at Royal Prima General Hospital, involving 64 T2DM patients selected through total sampling. Data on demographic characteristics, knowledge, family support, and healthcare provider (HCP) support were collected via structured questionnaires. Dietary adherence was the dependent variable. Data were analyzed using chi-square tests and multivariate logistic regression. Results: A slight majority of patients (53.1%) were adherent to their diet. Multivariate analysis identified age as the most dominant predictor, with patients aged ≥45 years being 18.9 times more likely to be adherent than younger patients (AOR = 18.935, p=0.004). Male gender was also a significant predictor of higher adherence (AOR = 7.652, p=0.01). Paradoxically, good knowledge (AOR = 0.161) and HCP support (AOR = 0.109) were significantly associated with lower odds of adherence. Education and employment status showed no significant association. Conclusion: Age is the most critical factor influencing dietary adherence among T2DM patients in this cohort, with older individuals demonstrating significantly better compliance. Interventions should specifically target younger patients and women, who are at higher risk for non-adherence.
Cognitive Behavioral Therapy for Diabetic Patients Mendrofa, Trisman Basri; Girsang, Ermi; Nasution, Sri Lestari Ramadhani; Ginting, Chrismis Novalinda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (753.302 KB) | DOI: 10.30604/jika.v7i1.825

Abstract

Improving self-care in T2DM patients is critical so that patients can achieve targeted blood glucose levels to prevent complications and independently perform daily tasks to improve their quality of life and life satisfaction. Psychological intervention is believed to be able to change a person's behavior towards a better direction in disease control and prevention. This study measures the impact of Cognitive-Behavioural Therapy (CBT) interventions on the self-care management of T2DM patients. This quasi-experimental study used a pretest-posttest with a control group design. The research subjects were divided into two groups, namely the intervention group (35 people) and the control group (35 people). The study was conducted at the Tello Primary Health Center in April 2021. The data were analyzed using the t-dependent test (?=0.05). The results of the study showed that in the intervention group, there were differences in the self-care management of T2DM patients before and after being given CBT, which included eating patterns (p less than 0.001; 95%CI -6.663-(-4.796)), physical activity (p less than 0.001; 95% CI -5.344-(-4.370)), and attitude (p= less than 0.001; 95%CI -13.086-(-10.114)). In the control group, there was no difference in the self-care management of T2DM patients, which included eating patterns (p= 0.083; 95%CI -0.183-0.012), physical activity (p= 0.058; 95%CI -0.291-0.005), and T2DM patients attitudes (p= 0.094; 95%CI -0.225-0.003). This means that CBT effectively improves the self-care management of T2DM patients.Abstrak: Peningkatan perawatan diri pada pasien DM tipe 2 sangat penting dilakukan agar pasien dapat mencapai kadar glukosa darah yang ditargetkan untuk mencegah komplikasi dan secara mandiri melakukan tugas sehari-hari sehingga meningkatkan kualitas hidup dan kepuasan hidup mereka. Intervensi psikologis dipercaya mampu mengubah perilaku seseorang ke arah yang lebih baik dalam pengendalian dan pencegahan penyakit. Studi ini bertujuan mengukur dampak intervensi Cognitive–behavioural therapy (CBT) terhadap manajemen perawatan diri pasien DM tipe 2. Quasi-experimental study ini menggunakan desain pretest-posttest with control group design. Subjek penelitian dibagi ke dalam dua kelompok yaitu kelompok intervensi (35 orang) dan kelompok kontrol (35 orang). Penelitian dilakukan di Puskesmas Tello pada bulan April tahun 2021. Data dianalisis menggunakan uji t-dependent (p=0,05). Hasil studi menunjukkan bahwa pada kelompok intervensi terdapat perbedaan manajemen perawatan diri pasien DM tipe 2 sebelum dan sesudah diberikan CBT yang meliputi pola makan (p kurang dari 0,001; 95%CI -6,663-(-4,796)), aktivitas fisik (p kurang dari 0,001;95%CI -5,344-(-4,370)), dan sikap (p kurang dari 0,001; 95%CI -13,086-(-10,114)). Sedangkan pada kelompok kontrol, tidak terdapat perbedaan manajemen perawatan diri pasien DM tipe 2 yang meliputi pola makan (p= 0,083; 95%CI -0,183-0,012), aktivitas fisik (p= 0,058;95%CI -0,291-0,005), dan sikap pasien DM (p= 0,094; 95%CI -0,225-0,003). Artinya CBT efektif dalam meningkatkan manajemen perawatan diri pasien DM tipe 2.
Prevalence and Determinants of Drug Adherence in Type 2 Diabetes Mellitus Patients Mendrofa, Tuho Konsultasi; Girsang, Ermi; Nasution, Sri Lestari Ramadhani; Ginting, Chrismis Novalinda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.951 KB) | DOI: 10.30604/jika.v7i1.873

Abstract

Compliance with type 2 patients with DM in taking medication is an important key in maintaining blood glycemic levels and preventing complications. This study was conducted to determine the prevalence and to investigate the determinants of medication adherence in type 2 patients with DM. A total of 250 types 2 patients with DM who visited Pulau Tello Health Center, South Nias Regency, were involved in this cross-sectional study. Collecting data using questionnaires and patient medical records. The results showed that the motivational variables (p= less than 0.001; PR= 2; 95%CI 1.560-2.668), family support (p= less than 0.001; PR = 4.2; 95%CI 2.827-6.496), individual coping (p = less than 0.001; PR=1.9; 95%CI 1.409-2.267), and income (p= less than 0.001; PR=1.7; 95%CI 1.346-2.258) were associated with medication adherence in type 2 patients with DM. family is the dominant variable that influences medication adherence in type 2 patients with DM. Patients with DM who does not adhere to medication are 7.8 times more likely to have poor support than patients who adhere to medication.Abstrak: Kepatuhan pasien DM tipe 2 dalam mengonsumsi obat menjadi kunci penting dalam menjaga glikemik darah dan pencegahan komplikasi. Studi ini dilakukan untuk mengetahui prevalensi dan menyelidiki determinan kepatuhan minum obat pada pasien DM tipe 2. Sebanyak 250 orang pasien DM tipe 2 yang berkunjung di Puskesmas Pulau Tello, Kabupaten Nias Selatan dilibatkan dalam studi cross-sectional ini. Pengumpulan data menggunakan kuesioner dan rekam medis pasien. Hasil penelitian menunjukkan bahwa variable motivasi (p= kurang dari 0,001; PR= 2; 95%CI 1,560-2,668), dukungan keluarga (p= kurang dari 0,001;PR = 4,2; 95%CI 2,827-6,496), koping individu (p= kurang dari 0,001; PR=1,9; 95%CI 1,409-2,267), dan pendapatan (p= kurang dari 0,001; PR= 1,7; 95%CI 1,346-2,258) berhubungan dengan kepatuhan minum obat pasien DM tipe 2. Dukungan keluarga merupakan variabel yang dominan berpengaruh terhadap kepatuhan minum obat pada pasien DM tipe 2. Pasien DM yang tidak patuh minum obat 7,8 kali kecenderungannya memiliki dukungan yang kurang baik dibanding dengan pasien yang patuh minum obat.
Analysis of Risk Factors for Chronic Kidney Disease in Young Adults at Rasyida Kidney Hospital, Medan, in 2024 Gultom, Yosephine Octaviana; girsang, Ermi; Mukti, Ade Indra
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i10.62248

Abstract

Chronic kidney disease (CKD) is a global health problem with a high economic burden and significant mortality. In Indonesia, the prevalence of CKD continues to rise, while cardiometabolic factors such as hypertension and diabetes, as well as certain infections (e.g., hepatitis B), are thought to contribute to disease progression in young adults. To determine the association between age, sex, hypertension, diabetes mellitus, and hepatitis B with CKD stage, and to identify the most influential factors in young adult patients. This was a retrospective study of medical records from patients aged 19-44 years at Rasyida Kidney Specialty Hospital, Medan, in 2024 (total sampling; n = 121). The dependent variable was CKD stage (stages 4-5). Univariate analysis was performed to describe patient characteristics; bivariate analysis (Fisher’s exact test) was used to assess the association between each factor and CKD stage; and multivariate logistic regression was used to determine independent predictors of advanced CKD. Of the 121 patients, 57% (69) were male, and the majority were aged 33-44 years (62.8%, n = 76). Stage 2 hypertension was present in 55.4% (67) of patients. A history of diabetes was found in 22.3% (27), with 18.2% (22) classified as prediabetic. Hepatitis B was identified in 10.7% (13). Bivariate analysis showed significant associations between CKD stage and hypertension (p < 0.001), diabetes (p < 0.001), and hepatitis B (p = 0.004), but no significant associations for sex (p = 0.052) or age (p > 0.05). Multivariate regression confirmed hypertension (p < 0.001), diabetes (p < 0.001), and hepatitis B (p= 0.033) as independent predictors of advanced CKD. In young adults, CKD stage is strongly associated with hypertension particularly stage 2 as well as diabetes mellitus and hepatitis B, while age and sex show no significant association. These findings highlight the importance of blood pressure screening and control, strict glycemic management, and hepatitis B treatment to slow CKD progression. Further studies are recommended to include lifestyle and metabolic factors such as BMI, dyslipidemia, salt intake, smoking, family history, and treatment adherence.
The Potential of Tamarillo (Solanum betaceum) Peel as an Antioxidant by Radical Scavenging DPPH and Antiaging by Collagenase Inhibition Liena, Liena; Fioni, Fioni; Siregar, Lidya; Girsang, Ermi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 4: Desember 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i4.2504

Abstract

Background: The skin aging process, which is impacted by various variables, including genetics, advancing age, environmental conditions, and lifestyle choices, has emerged as a significant concern in skincare. Signs of skin aging, such as decreased firmness and elasticity and the appearance of fine lines and discoloration, have raised significant concerns. The link between free radicals and skin aging has been the subject of in-depth research, while collagenase activity has also been found to influence skin aging. The natural antiaging potential of herbal plants has been widely studied to overcome this problem, one of which is tamarillo (Solanum betaceum). Objectives: This study aimed to examine the antioxidant and antiaging properties of S. betaceum Peel Extract (SBPE). Method: Tamarillo peel was extracted using the maceration method. The antioxidant test was analyzed by trapping 2,2-diphenyl-1-picrylhydrazyl (DPPH), and the antiaging test was analyzed by collagenase inhibitory activity. Results: SBPE showed vigorous DPPH scavenging activity (IC50: 60.91 ± 0.36 ?g/mL), while SBPE also showed moderate collagenase inhibitory activity (IC50: 121.47 ± 2.32 ?g/mL). Conclusion: SBPE has high antioxidant activity and moderate antiaging activity.
Co-Authors ., Saprilliani AA Sudharmawan, AA Achmad Noerkhaerin Putra Adelia Adelia, Adelia Adrian Adrian Adrisya Lubis, Putri Anggie Afni Kartika, Ajeng Agatha, Callista Della Agung Abadi Kiswandono Ahmad Nasir Pulungan Akbarinda, Zsizsi Amanda, Silvia Rizki Anggita, Nindi Dwi Anggraini, Tri Lidya Anggraini, Wenti Anjasari, Melati Salsabila Arianti, Rahmi Aris, Anita Armansyah, Adek Aulia, Dinda Rahmah Bangun, Henny Arwina Binarwan Halim Boas, Richie Ray Barry Br Pelawi, Riri Sri Hagana BT Hasan, Riyani Susan Bu'ulolo, Christian Siuwandy Butar-Butar, Erika Fatrecia Marsaulina Cahya, Septian Dwi Candra Rukmana Dalimunthe Cenggono, Melise Chiuman, Linda Cisca, Anita Merry Damanik, Marco Frans Hernandes Daulay, Ayu Sasmita Dedek Sucahyo Devi Arista Djohan Djohan Dwi Siswanta Edlin, Edlin Edy Fachrial Elis Anggeria Elisabeth, Mariska Elizabeth, Riana Elvira, Cut Eprina Intami Farrasizdihar, Diaz Febrianty, Novita Dwi Fioni, Fioni Geeta, Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Gabby Gabriela Ginting, Sopianita Healthy Gultom, Yosephine Octaviana Gusnawati, Gusnawati Hadiprasetyo, Dhanar Septyawan Hafizah, Nandani Zakia Halima, Piyanto Hamdi, Sintiya HAMSI, QURATUL AINI Handayani, Rr. Anisa Siwianti Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Harjanti, Mathelda Weni Hartantio, Agnes Haryanti, Mathelda Weni Hasan Basri Nasution, Muhammad Hermansyah Aziz Hilal, Zaimah HILMAN TADJOEDIN, HILMAN Hutagalung, Caroline Febrina Idariani, Idariani Irwan, Mulia irza Haicha Pratama Isabela Silalahi, Marlinang Johannes Bastira Ginting Juanda, Lidya Sari Juniva Laila Sihombing, Juniva Laila Kaban, Lyta Imanti Kalimah, Kalimah Kesuma, Farah Shyfa Khoironissa, Analita Kosasih, Putri Peggy Yanti Kusumaningrum, Tri Siwi Leli Khairani Lestari Ramadhani Nasution, Sri Lie, Sukirman Liena, Liena Liester, I Nyoman Ehrich Lister, I Nyoman Ehrich Lister, I Nyoman Ehrich Lister, Nyoman Ehrich Lubis, Nurul Sri Finna Maler, Tangge Mare A, Fauzan Margareta Pratiwi Marisca Evalina Gondokesumo, Marisca Evalina Maulidin, Muhammad Mawarni, Evi Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Michael Michael Milka Rositi Sianipar Minati, Tengku Nanda Edwina Mukti, Ade Indra Mutia, Maya Sari Naibaho, Iren Theresia Melati Br Napiah Nasution, Ali Napiah, Ali Nardi, Leo Nasuition, Ali Napiah Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Nasution, Sri Lestari Natali, Oliviti Natalia Desvalentina Lase NELDA, FITRI Nindya, Faradhina Salfa Noviana, Amelia Nst, Sri Wahyuni Nurul Hidayat Aprilita Oktaviani, Emma Parapat, Winny G I Poernomo, Dwi Hery Putranto Manalu Putri, Dara Maulidya Putri, Nadya Nazimuddin Putri, Riri Virzan RAHMAT, DENI Rahmiana Zein Raif, M. Rahmad Ramadhani, Sri Lestari Rapael Ginting Rehulina Br Purba, Farida Resmi Pangaribuan Rosar, Naufal Roza Erda Rushe, Rhesiwenny Saharman Gea Salovetian, Marcelino Samosir, Frans Judea Santy Deasy Siregar Sari Mutia, Maya Sari, Diah Sekar Saufa, Zahra Qisthi Sembiring , Intan Permata Sari br. Sembiring , Jessyca Silaen, Mangatas Simanjorang, Delpini Siregar, Lidya Siregar, Lusyana Siregar, Novalina Sitanggang, Rido Aliberto Sitompul, Fernades Sri Juari Santosa Sri Lestari Ramadhani Nasution Stephan, Weldy Subang Aini Nasution Subrata, Mariany Puspita Suhartina Suhartina Suhartina, Suhartina Sumiati Sumiati Suryana, Kresna Dharma Suyono, Tan Suyono, Tan Takasenserang, Oktaviana Takashi Hayashita Tambunan, Gempita Cahaya Aulia Tambunan, Ridhona Tarigan, Almina Rospitaria Tarigan, Gracia Hosanna Evelyn Teresa Liliana Wargasetia Triharsiwi, Dwi Nur Tua, Vridian Mangara Turnip, Modesto Lam Ulido Putra Vonikartika, Arie - WAHYU WIDOWATI Wahyuni Br Nababan, Agata Wau, Herberd Wibowo, Satrio Haryo Benowo Widodo, Wahyu Setia Widya Yanti Sihotang Wienaldi, Wienaldi Wijaya, Cindy Eka Yolanda Eliza Putri Lubis Yulidar Yulidar Yusuf, Lydia Zahiroh, Fadhilah Haifa Zebua, Sawato Zelvia, Sindy Zulkarnain Chaidir