Bernie Endyarni Medise
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Indonesia Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta

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Profil Asupan Minum pada Anak Prasekolah di Daerah Urban dan Rural di Indonesia dan Faktor-faktor yang Memengaruhinya Titis Prawitasari; Bernie Endyarni Medise; Diana Sunardi; Dewi Friska; Erfi Prafiantini; Rizki Yusrini Pohan; Budi Wiweko
Sari Pediatri Vol 22, No 4 (2020)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.4.2020.236-42

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Latar belakang. Asupan minum yang kurang akan berdampak terhadap performa fisik dan kognitif serta dapat menimbulkan manifestasi klinis, seperti pusing, lesu, dan gangguan konsentrasi. Anak memiliki proporsi cairan tubuh yang lebih tinggi dibandingkan dewasa. Hingga saat ini belum ada data mengenai kecukupan asupan minum anak prasekolah di Indonesia.Tujuan. Mengetahui kecukupan asupan minum anak prasekolah di daerah urban dan rural di Indonesia.Metode. Penelitian dengan desain potong lintang dilakukan pada bulan Januari-Maret 2016 di Jakarta dan Maluku pada anak usia 36-72 bulan. Perhitungan jumlah cairan dilakukan dengan mencatat jumlah yang diminum dalam 7 Day-Fluid Diary Record. Asupan minum total ditentukan berdasarkan jumlah yang dikonsumsi dari semua kategori dan sesuai dengan angka kecukupan gizi (AKG) 2019.Hasil. Sebanyak 585 anak mengikuti penelitian ini dengan median asupan minum adalah 1133,1 (85-2991,4) mL/hari dan jenis asupan paling tinggi adalah air putih. Subjek yang tinggal di daerah urban mempunyai faktor risiko lebih rendah untuk mengalami asupan minum yang kurang (RR=0,580; 95%IK: 0,418-0,807; p=0,001). Demikian pula semakin muda usia subjek, maka semakin kecil kemungkinan untuk mengalami kejadian asupan minum yang kurang (RR =0,497; 95%IK: 0,356-0,694; p=0,000).Kesimpulan. Rerata asupan minum anak usia prasekolah di Indonesia sedikit lebih rendah dari anjuran AKG. Anak prasekolah berusia ≥54 bulan dan anak yang tinggal di area rural lebih berisiko mengalami kekurangan asupan minum.
Gambaran Masalah Psikososial pada Remaja dengan Thalassemia Mayor dan Diabetes Mellitus Tipe-1 Bernie Endyarni Medise; Naela Fadhila; Tjhin Wiguna; Zakiudin Munasir; Jose R.L Batubara; Pustika Amalia Wahidiyat; H.F. Wulandari; Rosalina Dewi Roeslani
Sari Pediatri Vol 22, No 2 (2020)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.2.2020.83-91

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Latar belakang. Thalassemia dan diabetes mellitus tipe-1 (DM tipe-1) merupakan penyakit kronik yang banyak didapatkan pada anak dan remaja di Indonesia. Adanya penyakit kronik pada remaja dapat berisiko meningkatkan terjadinya masalah psikososial 2-6 kali dibandingkan populasi sehat. Masalah psikososial pada remaja sulit dikenali sehingga perlu dilakukan evaluasi secara rutin. The strengths and difficulties questionnaire (SDQ) adalah instrumen yang praktis dan mudah digunakan untuk mendeteksi masalah tersebut. Tujuan. Mengetahui besaran masalah psikososial pada remaja dengan penyakit kronik di RS. Cipto Mangunkusumo, Jakarta. Metode. Desain potong lintang pada 140 remaja (100 thalassemia mayor dan 40 DM tipe-1), usia 10-18 tahun. Subyek diminta untuk mengisi kuesioner SDQ (laporan mandiri). Hasil. Prevalensi total skor abnormal pada remaja thalassemia mayor adalah 8%, dan DM tipe-1 adalah 15%. Tidak ada skor abnormal pada aspek perilaku pro-sosial kedua penyakit, dan aspek hubungan dengan teman sebaya DM tipe-1. Tidak didapatkan perbedaan bermakna antara diagnosis penyakit, jenis kelamin, dan tingkat pendidikan subyek pasien DM terhadap luaran hasil SDQ. Kesimpulan. Masalah psikososial lebih banyak didapatkan pada remaja DM tipe-1 dibandingkan thalassemia mayor.
Faktor yang Memengaruhi Penurunan Cakupan Imunisasi pada Masa Pandemi Covid-19 di Jakarta Sreshta Mukhi; Bernie Endyarni Medise
Sari Pediatri Vol 22, No 6 (2021)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.6.2021.336-42

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Latar belakang. Pandemi Covid-19 sangat memengaruhi pelayanan imunisasi di seluruh dunia. Tenaga kesehatan dialihkan untuk pelayanan Covid-19 dan orangtua merasa takut membawa anaknya untuk imunisasi ke fasilitas kesehatan sehingga menurunkan cakupan imunisasi. Penurunan cakupan imunisasi akan meningkatkan kejadian penyakit yang dapat dicegah dengan imunisasi (PD3I). Jakarta sebagai ibukota negara adalah kota dengan populasi terbesar dan juga kasus Covid-19 terbanyak di Indonesia.Tujuan. Mengetahui faktor-faktor yang memengaruhi penurunan cakupan imunisasi di Jakarta dari sudut pandang orangtua dan tenaga kesehatan.Metode. Penelitian potong lintang menggunakan kuesioner disebarkan kepada tenaga kesehatan (dokter spesialis anak, dokter umum, perawat, bidan, kader) dan orangtua di Jakarta pada bulan Agustus hingga September 2020. Hasil di evaluasi menggunakan SPSS.Hasil. Sebanyak 125 tenaga kesehatan dan 145 orangtua mengikuti penelitian ini. Tenaga kesehatan menghadapi masalah seperti adanya peraturan pemerintah untuk menghentikan sementara pelayanan imunisasi, kurangnya alat pelindung diri (APD), tenaga kesehatan terinfeksi Covid-19 dan tenaga imunisasi dialihkan untuk pelayanan Covid-19. Masalah pada orangtua antara lain keraguan untuk membawa anaknya imunisasi karena takut tertular Covid-19 dari tenaga kesehatan ataupun pasien lain, Posyandu ditutup, adanya peraturan PSBB dan masalah transportasi.Kesimpulan. Penurunan cakupan imunisasi pada masa pandemi Covid-19 disebabkan oleh multi faktor yang harus diminimalisasi untuk mengurangi kejadian PD3I.
Role of Denver II and Development Quotients in the management of several pediatric developmental and behavioral disorders Titi Sularyo; Bernie Endyarni; Tri Lestari H; Tirza Z. Tamin; Gitayanti Gitayanti
Paediatrica Indonesiana Vol 52 No 1 (2012): January 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (116.195 KB) | DOI: 10.14238/pi52.1.2012.51-56

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Background Autism spectrum disorder (ASD) and attention deficitand hyperactivity disorder (ADHD) are nowadays becoming moreand more frequently found. Parents are worried of the possibilitythat their children suffer from them. Growth and developmentclinics (GDC) should be able to deliver professional services. Thusa practica~ applicable, objective, valid, reliable, and able to measuredevelopment quotient (DQ) values instrument is needed.Objective To find out whether the Denver II instrument andDQ values can be used in the management of children with ASDandADHD.Methods A study was carried out on cases of children withASD, multisystem development disorder (MSDD), pervasivedevelopment disorder - n ot otherwise specified (PDD-NOS), andattention deficit and hyperactivity disorder (ADHD), consistingof history taking, physical examination, establishing diagnosis,therapy, evaluation, and follow-up. The Denver II instrumentwas used and DQ values in all development streams established.The study was done at the GDC of Hermina Depok Hospital inJuly 2008 - June 2009.Results It revealed that results of the Denver II as seen on thefilled Denver II form showed "typical" features related to kind ofdisorder as far as category ofDQ value, dissociation, global delayeddevelopment (GDD) as well as abnormality of the test behaviorwere concerned. It also revealed that establishing the diagnosesby the use of the Denver II and DQ values gave exactly the samediagnoses as when using the conventional way by the expert.Conclusion The Denver II instrument with DQ values can beused in the management of ASD and ADHD cases. [Paediatrlndones. 2012;52:51-6].
Detection of childhood developmental disorders, behavioral disorders, and depression in a post-earthquake setting Yogi Prawira; Intan Tumbelaka; Ali Alhadar; Erwin Hendrata; Renno Hidayat; Dave Anderson; Trevino Pakasi; Bernie Endyarni; Rini Sekartini
Paediatrica Indonesiana Vol 51 No 3 (2011): May 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.612 KB) | DOI: 10.14238/pi51.3.2011.133-7

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Background Disasters, including earthquakes, may strike abruptly without warning. Children may develop psychological damage resulting from experiencing an overwhelmingly traumatic event. They may feel very frightened during a disaster and demonstrate emotional and behavioral problems afterwards.Objective To evaluate the presence of developmental disorders, behavioral disorders, and depression in children after the earthquake at Padang and Pariaman on September 30th, 2009.Methods This was a cross􀁘sectional study using the developmental pre screening questionnaire (KPSP), Pediatric Symptoms Checklist-17 (PSC-17), and Child Depression Inventory (CDI) in children after the Padang and Pariaman earthquake (September 30th, 2009), in Sungai Limau and Sungai Geringging District, Pariaman Region, West Sumatera. Our study was conducted October 15th to November 28th, 2009.Results There were 172 children screened using the KPSP. Forty-two (25%) children scored 7􀁘8 (reason for concern), 18 (10%) children scored <7 (suspected to have a developmental disorder), and the remainder scored as developmentally appropriate. Behavioral disorder screening was perfonned in 339 children using the PSC􀁘 17. Internalizing disorder alone was suspected in 58 (17%) children, externalizing disorder alone in 26 (7.7%), and attention􀁘defidt disorder alone in 5 (1.5%). Eight (2.4%) children were suspected to have both internalizing and attention􀁘defidt disorders, 4 (1.2%) children externalizing and attention􀁘defidt disorders, 22 (6.5%) children internalizing and externalizing disorders, and 15 (4.4%) children all three disorders. From 4 9 children who underwent depression screening using CDI, 15(30.6%) children were suspected to have depression. Conclusion After the Padang and Pariaman earthquake, we found 10% of subjects screened were suspected of having a developmental disorder. The most connnonbehavioral disorder found was internalizing disorder. Possible depression was found in 30.6% of children surveyed. Traumatized children are at risk for developing post traumatic stress disorder. 2011;5' :133-7]. 
Effects of a structured educational intervention on metabolic control of type-1 diabetes mellitus patients Bernie Endyarni; Jose RL Batubara; I Boediman
Paediatrica Indonesiana Vol 46 No 6 (2006): November 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (397.339 KB) | DOI: 10.14238/pi46.6.2006.260-5

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Background Children with type-1 diabetes face not only short-term complications but also long-term microvascular andmacrovascular complications. Therefore, a continuing medical careand education to reach blood glucose near normal range is abso-lutely required. An addition of behavioral educational interventionto intensive diabetes management resulted in improved metaboliccontrol and quality of life.Objective To determine the effects of a structured educationalintervention to parents and patients with type-1 diabetes mellituson their knowledge and patient metabolic control.Methods In this interventional study with pretest-posttest designat Department of Child Health, Medical School, University of Indo-nesia, a total of 21 patients with the age between 8 and 18 yearsand their parents were assigned to follow a structured educationalprogram over period of 6 months. During the 6 intervention ses-sions, some procedures were applied: obtaining HbA1c at initial,3 rd and 6 th month using HPLC procedure, classroom teaching pro-gram, small group discussions, role-playing and pre-posttests.Results The mean HbA1c level in the 21 children and adoles-cents at initial, 3 rd and 6 th month were 10.05% (SD 2.67%), 10.28%(SD 2.23%) and 10.01% (SD 2.67%), which showed no significantchanges (P>0.05). After 6 educational sessions, the result showedsignificant changes in both parents’ (P<0.05) and patients’ knowl-edge (P<0.05). Patients’ diabetes-related knowledge had a mod-erate correlation (r=-0.632; P=0.02) , but parents’ diabetes-relatedknowledge had no significant correlation (r=-0.348; P=0.122) withpatient mean HbA1c level.Conclusion A structured educational intervention used in this studyis able to improve parents’ and patients’ diabetes-related knowl-edge significantly. Patients’ diabetes-related knowledge had a sig-nificant correlation with metabolic control
Duration of watching TV and child language development in young children Silva Audya Perdana; Bernie Endyarni Medise; Erni Hernawati Purwaningsih
Paediatrica Indonesiana Vol 57 No 2 (2017): March 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.599 KB) | DOI: 10.14238/pi57.2.2017.99-103

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Background Many factors contribute to language development in children. About 5-8% of children in Indonesia experience delayed language skills. Young children need appropriate stimulation for optimal development. Children who watch television (TV) for long periods of time may receive less two-way interaction, the appropriate stimulation for learning. As such, shorter duration of the appropriate stimulation may impede language development in small children.Objective To assess for an association between duration of watching TV and language development in young children.Methods This cross-sectional study was done with primary data collected from questionnaires. Subjects, aged 18 months to 3 years, were from a Jakarta-area community health center (Puskesmas) Jatinegara and the Pediatric Growth and Development Clinic, Cipto Mangunkusumo Hospital, Jakarta. Their language development was tested using the Developmental Pre-screening Questionnaire (Kuesioner Pra Skrining Perkembangan, KPSP) and the Early Language Milestone (ELM Scale 2) test.Results From a total of 84 subjects, 47 (56%) had normal and 37 (44%) had delayed language development. Duration of watching TV was categorized as <4 hours per day or >4 hours per day. Children who watched TV >4 hours/day (OR 4.4; 95%CI 1.68 to 11.7; P=0.002), and children who watched both Indonesian and English language TV programs (OR 14.7; 95%CI 1.77 to 123.0; P=0.004) had higher risk of language delay. Other variables such as sex, first age exposed to TV, use of gadgets, and TV in the bedroom had no significant associations with delayed language development.Conclusion Children who watch TV >4 hours/day had four times higher risk of developing language delay. In addition, those who watch TV programs in both Indonesian and English, also have a 14.7 higher risk of delayed language development.
Maternal attitude and child interest in various play activities before and after mother-child play sessions Soedjatmiko Soedjatmiko; Hartono Gunardi; Rini Sekartini; Bernie Endyarni Medise; Ikhsan Johnson; Yulianti Wibowo; Ray Wagiu Basrowi
Paediatrica Indonesiana Vol 57 No 6 (2017): November 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.381 KB) | DOI: 10.14238/pi57.6.2017.316-22

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Background Play stimulates children's growth and development. When mothers and their children play, a positive attitude from the mother and adequate interest from the child is required. Little is known about the play activities that effectively stimulate such positive maternal attitude and child interest. Objective To assess for associations between various play activities with maternal attitude and child interest before and after mother-child play sessions. Methods Pre-post intervention questionnaires were distributed to mothers before and after playing with their children. Children were aged 1-5 years, from two play sites (in Surabaya and Makassar), and included using purposive sampling. Eight types of toys/play activities were provided. The allocated time for answering the 17-question survey was 15 minutes. Average scores before and after the mother-child play sessions were analyzed using paired T-test. Results We collected 264 valid questionnaires, 235 in Surabaya and 29 in Makassar. Improvement of maternal attitude after the mother-child play session was found in 132 mothers [mean diff. 0.07 (SD 0.42); 95%CI -0.117 to -0.015; P=0.011]. Play activities with significant improvements in maternal attitude were jigsaw puzzle [mean diff. 0.09 (SD 0.66); 95% CI 0.007 to 0.167;P= 0.033), Lego blocks (mean diff.-0.10 (SD 0.69); 95%CI -0.186 to -0.018; P=0.017), mini-gardening (mean diff. -0.15 (SD 0.75); 95%CI -0.238 to -0.057; P=0.002), sandbox [mean diff.-0.24 (SD 0.83); 95%CI -0.339 to – 0.138; P < 0.001], fishing [mean diff. -0.17 (SD 0.68); 95%CI -0.253 to -0.088; P < 0.001], and animal figurines [mean diff. -0.21 (SD 0.75); 95%CI -0.3 to -0.117;P <0.001]. Improvement of child interest was found in 161 children [mean diff. 0.20 (SD 0.52); 95%CI -0.264 to -0.116; P<0.001]. Play activities with significant improvements in child interest were jigsaw puzzle, Lego blocks, origami, mini-gardening, fishing, and animal figurines. Conclusion Some mother-child play activities, but not all, significantly improve both maternal attitude and child interest toward play.
Growth and Development in Preterm Infants: What is The Long-Term Risk? Bernie Endyarni Medise
Amerta Nutrition Vol. 5 No. 1SP (2021): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i1SP.2021.27-33

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ABSTRACT Background: Indonesia comes in the fifth for the greatest number of preterm births. Preterm infants may inflict various complication as the result of underdeveloped immunity, affecting their growth and development in the long run until they reach adult phase. Such complications could be prevented through adequate nutrition fulfillment. Purpose: This article aimed to elaborate the characteristics of growth and development of premature babies, long term effect on the development and the impact of immunity and gut health of preterm infants in supporting their growth and development. Methods: References cited in this article were obtained from the latest primary literature within the last 10 years. Discussion: The rate and ability of infants to perform catch-up growth depends on the birth weight and gestation age, at which the lower birth weight and lower gestational age had slower rate. Brain structures that of preterm infants differ compared to the term, and these changes give rise to various clinical outcomes, including long term emotional, behavioral changes, cognitive and executive functioning. Immature immune system in preterm infants reduces the protective ability by innate and adaptive immunity in overcoming pathogens compared to term infants, including gut microbiota prematurity which affects nutrition absorption and growth and development catch up ability. Appropriate and adequate nutrition supplementation has shown beneficial effects in promoting the growth of normal gut flora, which allow better absorption of nutrition and therefore enhancing growth rate and supporting the development of preterm infants. Conclusions: Optimal growth and development of preterm infants are supported by sufficient nutrition supplementation to support the growth of gut microbiota, facilitating the catch-up growth and development of premature infants and immune system maturity.
Laporan Kasus Berbasis Bukti : Prevalensi dan Faktor-Faktor yang Berpengaruh terhadap Masalah Kesehatan Jiwa pada Remaja selama Pandemi Corona Virus Disease 2019 (COVID-19) Lina Ninditya; Bernie Endyarnie Medise
Sari Pediatri Vol 24, No 2 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.2.2022.127-33

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Latar belakang. World Health Organization (WHO) menetapkan Corona virus disease 2019 (COVID)-19 sebagai pandemi pada Maret 2020. COVID-19 telah menyebar dengan sangat cepat ke berbagai belahan dunia karena sangat infeksius. Hal ini mendorong pemerintah mengeluarkan beberapa kebijakan guna mengontrol penyebaran COVID-19 seperti penutupan sekolah maupun pembatasan sosial. Dampak kebijakan tersebut dan adanya ketakutan terhadap infeksi COVID-19 diperkirakan berdampak negatif terhadap kesehatan jiwa terutama pada kelompok rentan yaitu remaja.Tujuan. Mengetahui apakah ada kaitan antara pandemic COVID-19 dengan masalah jiwa pada remaja.Metode. Dilakukan pencarian di PubMed, Google Scholar, dan Cochrane dengan menggunakan kata kunci “depression”,”mental health”,”adolescent”, “COVID-19”. Hasil pencarian dievaluasi menggunakan kriteria eksklusi dan inklusi. Selanjutnya dilakukan telaah kritis dengan memerhatikan validitas, kepentingan, dan penerapan pada pasien terhadap artikel lengkap dari studi yang terseleksi.Hasil. Diperoleh satu studi yang relevan dengan pertanyaan klinis dan memenuhi kriteria inklusi and eksklusi. Luaran dari studi ini memperlihatkan bahwa prevalensi masalah kesehatan jiwa cukup tinggi pada remaja selama pandemi COVID-19. Kesimpulan. Angka kejadian depresi dan ansietas lebih tinggi pada kelompok perempuan, populasi yang tinggal di pedesaan, dan murid yang lebih senior. Namun, studi ini belum dapat membuktikan apakah pandemi COVID-19 menyebabkan masalah kesehatan jiwa pada remaja.
Co-Authors Ali Alhadar Aman Bhakti Pulungan, Aman Bhakti Antonius H Pudjiadi, Antonius H Arief, Wresty Badriul Hegar Syarif Benedictus Bermanshah, Evita Karianni Budi Wiweko Corrie Wawolumaja Dania Mirza Ramadhanty Dave Anderson Dewi Anggraeni Dewi Friska Dharma Asih, Ni Ketut Susila Diana Sunardi Elina Waiman Erfi Prafiantini Erni Hernawati Purwaningsih, Erni Hernawati Ervira Wahyuni Erwin Hendrata Ganda Ilmana Gitayanti Gitayanti H.F. Wulandari Hanifah Oswari Hartono Gunardi Hartono Gunardi Hartono Gunardi Hartono Gunardi Hartono Gunardi Hikari Ambara Sjakti, Hikari Ambara I Boediman Ikhsan Johnson Ikhsan Johnson Intan Tumbelaka Irawan Mangunatmadja Irene Yuniar, Irene Ismi Citra Ismail, Ismi Citra Jessica Ferdi Jessica Ferdi Joedo Prihartono Jose RL Batubara Kartika Erida Brohet Kholisah Nasution Krishna Adi Wibisana Lee, Hee Jae Lenora Mohd. Ishak Lina Ninditya Liza Pratiwi M. Azharry Rully Sjahrullah M. Ramdhani Yassien Marie Christabelle Muhammad Faizi, Muhammad Muhammad Prasetio Wardoyo Muzal Kadim Naela Fadhila Nastiti Kaswandani Novie Amelia Chozie Nuri Purwito Adi Olfriani, Ciho Priscilla, Birgitta Priyono, Harim Pustika Amalia Wahidiyat Putri Maharani Tristanita Marsubrin Ray Wagiu Basrowi Ray Wagiu Basrowi Renno Hidayat Retnaningdyah, Windri Reza, Maulana Okta Rini Mulia Sari Rini Sekartini Rini Sekartini Rini Sekartini Rini Sekartini Rini Sekartini Rizki Yusrini Pohan Roro Rukmi Windi Perdani, Roro Rukmi Rosalina Dewi Roeslani Saptawati Bardosono Saptawati Bardosono Setyo Handryastuti Silva Audya Perdana Soebadi, Amanda Soedjatmiko Soedjatmiko Soedjatmiko Soedjatmiko Soedjatmiko Soedjatmiko Soesanti, Frida Sreshta Mukhi Sreshta Mukhi Sukamto Koesnoe Suzy Maria Thandavarayan, Rajarajan Amirthalingam Tirza Z. Tamin Titi Sularyo Titis Prawitasari, Titis Tjhin Wiguna Tjhin Wiguna Trevino Pakasi Tri Lestari H Wahyuni Indawati, Wahyuni Wahyuni, Luh Kurnia Wangke, Lydia Wardani, Amanda Saphira Wawaimuli Arozal Wirahmadi, Angga Yoga Devaera Yoga Devaera, Yoga Yogi Prawira Yulianti Wibowo Yulianti Wibowo Zakiudin Munasir Zakiudin Munasir Zizlavsky, Semiramis