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The clinical value of systemic immune-inflammation index (SII) and prognostic nutritional index (PNI) for predicting the occurrence of metastasis in patients with lung cancer Biutifasari, Verna; Hardjono, Ellen Angelique; Adiwinoto, Ronald Pratama; Hadi, Janto Poernomo
JURNAL INDONESIA DARI ILMU LABORATORIUM MEDIS DAN TEKNOLOGI Vol 7 No 1 (2025): Advances in Biomarkers, Therapeutics, and Probiotics: Recent Updates in Medical L
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/ijmlst.v7i1.5628

Abstract

Systemic immune-inflammation index (SII) and prognostic nutritional index (PNI) serve as simple and practical tests that help indicate inflammatory and nutritional status to some extent. Lung cancer stands out as the most common contributor to cancer-related mortality globally. It is associated with an unfavorable prognosis. Most patients diagnosed with lung cancer have metastasis at the time of diagnosis. Prognostic heterogeneity of cancer patients causes the need for more prognostic biomarkers. This study aimed to evaluate the clinical value of SII and PNI in predicting metastasis in lung cancer patients. SII and PNI provides a prognostic value in lung cancer. Retrospective cross-sectional research was conducted in this study involving 138 data from medical records at the Inpatient and Outpatient Department of Pulmonology, RSPAL dr. Ramelan Surabaya in April 2019 to July 2023. Kolmogorov-Smirnov test, contingency coefficient test, and ROC analysis were done to analyze the data obtained. Patients with metastatic lung cancer had higher SII than those without metastasis. The group of patients with metastasis had an average SII of 5391.34 and a PNI of 40.11. The group of patients without metastasis had an average SII of 2849.52 and PNI of 43.05. Lung cancer metastasis was correlated significantly with SII but not with PNI. The cut-off value was determined using the ROC curve. The cut-off value for SII was 2198.54 (68.5% sensitivity and 58.7% specificity) and for PNI was 42.2 (62% sensitivity and 54.3% specificity). SII was correlated with lung cancer metastasis and may be a promising indicator predicting of metastasis. PNI showed no significant correlation with lung cancer metastasis.
Psychological Stress and Seborrheic Dermatitis Outcomes: Insights from a Clinical Cohort in Southeast Asia Brilliant , Fahridho Ramadhana; Biutifasari , Verna; Widjajanto , Hendra; Utami , Prawesty Diah; Adiwinoto, Ronald Pratama
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 6 No. 1 (2025): June
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v6i1.278

Abstract

Seborrheic Dermatitis (DS) is a chronic skin disease that often occurs in areas rich in sebaceous glands, characterized by erythematous patches, plaques, and scales. Psychological factors, especially stress, will affect sebum production and colonization of Malassezia spp being the main cause of seborrheic dermatitis. Stress can increase skin inflammation and worsen DS symptoms. The severity of DS was assessed by the Seborrheic Dermatitis Area Severity Index (SDASI), while stress was measured by the Perceived Stress Scale (PSS). PSS is designed to measure the level of stress in everyday life. SDASI scale used to assess the severity of seborrheic dermatitis. The purpose of the study was to analyze the relationship between the level of stress measured using the Perceived Stress Scale (PSS) with the severity of seborrheic dermatitis evaluated through the Seborrheic Dermatitis Area Severity Index (SDASI). The study involved 51 patients who met the inclusion and exclusion criteria. Data collection was conducted through PSS questionnaires totaling 14 questions and SDASI assessment to measure the severity of DS. The results showed that most patients experienced very severe stress (88.2%) and the severity of severe SDASI (74.5%). The correlation between PSS and SDASI showed a p value of 0.010 (p < 0.05), which showed significant results between the level of stress with the severity of DS with correlation efficiency of 0.359..Stress can worsen the condition of seborrheic dermatitis in which an increase in PSS values is obtained.
Peranan Gut-Brain Axis (Gba) Pada Autism Spectrum Disorder (Asd) : Studi Literatur Wahyu Prasasti Mutiadesi; Ronald Pratama Adiwinoto
Jurnal Adijaya Multidisplin Vol 3 No 03 (2025): Jurnal Adijaya Multidisiplin (JAM)
Publisher : PT Naureen Digital Education

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

LATAR BELAKANG: Autism Spectrum Disorder (ASD) merupakan suatu gangguan neurodevelopmental dengan melibatkan berbagai macam gejala serta tingkat keparahan dimana setiap individu dapat memiliki karakteristik dan gejala yang berbeda-beda dengan tingkat keparahan yang beragam. ASD umumnya ditandai oleh kesulitan dalam berinteraksi sosial, kesulitan dalam berkomunikasi, serta perilaku yang berulang dan terbatas. Prevalensi global ASD menurut World Health Organization (WHO) telah meningkat secara signifikan dalam beberapa dekade terakhir dengan perkiraan prevalensi sekitar 1 dari 160 anak. Penyebab pasti ASD belum sepenuhnya dipahami hingga saat ini, namun beberapa penelitian terbaru telah menunjukkan bahwa Gut-Brain Axis (GBA) yang merupakan sistem komunikasi kompleks yang menghubungkan saluran pencernaan dengan otak melalui jalur biokimia dan neural diduga memainkan peran penting dalam manifestasi ASD.TUJUAN: Mengetahui peran GBA pada manifestasi ASD sehingga didapatkan implikasi potensial yang dapat bermanfaat dalam pengembangan pendekatan terapeutik baru yang dapat berfokus pada modulasi GBA sebagai manajemen pengelolaan kondisi ASD. METODE: Studi literatur dengan menarik suatu kesimpulan dari sumber data yang diseleksi dari beberapa jurnal baik nasional maupun internasional yang terbit pada tahun 2012–2022. HASIL: GBA memegang peranan penting pada kejadian ASD serta berkontribusi pada gejala-gejala neurologis dan perilaku yang terkait dengan kondisi ini.DISKUSI: Beberapa keadaan yang ditemukan terkait GBA pada individu dengan ASD adalah perubahan komposisi mikrobioma saluran cerna, perubahan produksi metabolit mikrobioma saluran cerna, perubahan permeabilitas usus, serta keadaan inflamasi yang menjadi faktor kontributor yang signifikan dalam perkembangan dan manifestasi ASD.KESIMPULAN: Dapat dilakukan pengembangan terapeutik baru melalui pendekatan GBA untuk manajemen ASD.
Evaluasi Terapi Antibiotik pada Pasien yang Didiagnosis Sepsis di ICU RSUD dr. Mohamad Soewandhie berdasarkan Metode Gyssens Ristanti, Safira; Adiwinoto, Ronald Pratama; Wijaya, Rike Andy; Putro, Saptono
Jurnal Kedokteran Meditek Vol 31 No 3 (2025): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i3.3536

Abstract

ABSTRACT In the high-stakes world of Intensive Care Units (ICUs), the judicious application of empirical antibiotic therapy is crucial for managing sepsis in critically ill patients, as its misuse is often linked with unfavorable patient outcomes. Thus, timely and precise treatment strategies are indispensable. This study was designed to evaluate the rationality of such treatments among sepsis patients at RSUD Dr. Mohamad Soewandhie between January 2021 and September 2024. Using an observational and descriptive approach, researchers scrutinized secondary data from 120 patient medical records, with expert reviewers employing the Gyssens method to assess treatment rationality. Findings revealed that 60% of patients received appropriate empirical antibiotic therapy, most commonly intravenous Ceftriaxone. Alarmingly, culture and antibiotic sensitivity tests were conducted on only 18 patients, yielding 11 positive results, and among these were 19 gram-negative and 2 gram-positive bacterial isolates, with a troubling 67.9% being multidrug-resistant organisms (MDRO). Despite the empirical therapy's rationality, the study noted a concerning mortality rate of 81.67%, possibly owing to delays in obtaining culture results and the use of outdated local guidelines for antibiotic therapy in sepsis management, highlighting gaps in existing approaches. Keywords:Empirical Antibiotic Therapy, Intensive Care Unit, Sepsis, Septic Shock, Gyssens Method
Neutrophil–lymphocyte ratio as a predictor of dengue hemorrhagic fever severity in Indonesian pediatric patients: A Single-center retrospective study Dewi, I Gusti Ayu Ajeng Widia Kencana; Adiwinoto, Ronald Pratama; Rokhmadhoni Pikir, Rizqi; Rusli, Christina; Biutifasari, Verna; Diah Utami, Prawesty
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.104

Abstract

Dengue hemorrhagic fever (DHF) is a significant health burden in Indonesia, necessitating reliable prognostic markers for early clinical intervention. The neutrophil‒lymphocyte ratio (NLR) has emerged as a potential biomarker for disease severity assessment, although its utility in pediatric populations requires further validation. This study aimed to to determine the relationship between the neutrophil‒lymphocyte ratio and DHF severity grade in pediatric patients and evaluate its potential as a prognostic indicator for clinical decision-making. This retrospective cross-sectional study analyzed 111 pediatric patients aged 5-14 years who were diagnosed with DHF at RSPAL Dr. Ramelan, Surabaya, between January 2022 and December 2024. Patients were classified according to the WHO severity grades (I-IV), with the NLR calculated from complete blood counts obtained during days 3-6 of illness. Statistical analysis with Spearman's rank correlation was used to examine the relationship between the NLR and disease severity. The study population predominantly demonstrated Grade I DHF (56.8%), followed by Grade II DHF (20.7%), Grade III DHF (18.0%), and Grade IV DHF (4.5%). Patients with lower severity grades (I-II) predominantly presented low NLR values (<1) in 46.0% and 47.8% of cases, respectively, whereas those with higher severity grades (III-IV) primarily presented normal NLR values (1-3) in 65.0% and 60.0% of cases, respectively. Spearman's correlation analysis revealed no statistically significant relationship between the NLR and DHF severity (ρ = 0.120, p = 0.208). The neutrophil‒lymphocyte ratio has limited utility as a standalone predictor of DHF severity in pediatric patients. These findings suggest the need for alternative biomarkers or composite indices for accurate prediction of pediatric DHF severity.
Upaya peningkatan kesadaran ancaman kanker serviks melalui konseling skrining berbasis inspeksi visual asam asetat (IVA) Al Hasan, Hafidz Ramadhan; Adiwinoto, Ronald Pratama; Ariewibawa, Fariz Atiqi; Sianipar, Habel Ryan Annerico; Sudiarta, Ketut Edy; Herdiyantini, Mita
Jurnal Lentera Kesehatan Masyarakat Vol. 4 No. 2 (2025): Jurnal Lentera Kesehatan Masyarakat
Publisher : PT. Lentera Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69883/fgp8pp39

Abstract

Kanker serviks masih menjadi masalah kesehatan masyarakat yang signifikan, terutama di negara berpenghasilan rendah dan menengah, sehingga upaya skrining (deteksi dini) risiko kanker serviks, salah satunya berupa IVA(Inspeksi Visual Asam asetat) penting untuk upaya. Penelitian ini bertujuan mengevaluasi dampak intervensi konseling berbasis Model Keyakinan Kesehatan (Health Belief Model) dalam meningkatkan pengetahuan dan kemauan guru serta staf sekolah untuk menjalani skrining kanker serviks dengan metode Inspeksi Visual Asam Asetat (IVA). Intervensi berupa sesi konseling dilaksanakan di delapan sekolah, dan pengetahuan serta sikap peserta diukur sebelum dan sesudah edukasi. Data hasil penelitian disajikan dalam bentuk tabel, diagram dan dianalisis dengan uji statistik paired-student's T test. Hasil menunjukkan adanya peningkatan skor pengetahuan yang signifikan secara statistik, dari 65,2 ± 12,4 menjadi 84,7 ± 9,8 (p < 0,001). Persentase peserta yang menyatakan kesediaan untuk menjalani skrining IVA juga meningkat dari 58,3% menjadi 87,5% (p = 0,003). Namun demikian, cakupan skrining aktual hanya naik dari 12% menjadi 14% (p = 0,08), masih jauh dari target partisipasi sebesar 70%. Kesimpulan penelitian ini adalah diperlukan strategi komprehensif yang tidak hanya fokus pada peningkatan pengetahuan, tetapi juga mengatasi hambatan psikologis, budaya, dan akses pelayanan. Pendekatan multifaset yang melibatkan edukasi berkelanjutan, dukungan sosial, peran aktif tenaga kesehatan masyarakat, serta peningkatan aksesibilitas layanan skrining diyakini dapat mendorong partisipasi lebih luas. Kesimpulannya, intervensi konseling dapat meningkatkan kesadaran dan kemauan, namun dampaknya terhadap cakupan skrining masih terbatas sehingga perlu didukung langkah strategis yang lebih menyeluruh.
The Frequency of Fast-Food Consumption and the Habit of Using Gadgets and Playing Games as Risk Factors for Childhood Obesity Zunnahri, Salsabila Qurrotul Aini; Sulistiawati, Sulistiawati; Athiyyah, Alpha Fardah; Fatmaningrum, Widati; Adiwinoto, Ronald Pratama
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I22025.135-141

Abstract

Highlights: No relationship between the frequency of fast-food consumption as a risk factor for obesity in elementary school children. This result was based on interviews with students of Rangkah VII Elementary School during their daily life activities and their tendencies. No relationship between the habit of playing gadgets and games as a risk factor for obesity in elementary school children. This result was based on interviews with students of Rangkah VII Elementary School during their daily life activities and their tendencies.   Abstract Introduction: Obesity is defined as the result of excessive fat accumulation caused by an energy imbalance, and it poses significant health risks. The contributing factors to be considered in this instance are the frequent consumption of fast food and reduced physical activity, which result from the increased use of gadgets and games. This study aimed to investigate the correlation between the aforementioned factors and the prevalence of obesity among elementary school children. Methods: The heights and weights of 112 participants were measured to calculate their body mass index (BMI). The respondents were interviewed directly about their fast-food consumption habits over a one-week period and their daily use of gadgets and games. This study employed bivariate analysis to examine the relationships between variables in a sample, using the Chi-Square test with odds ratio determination, a 95% confidence interval, and a significance level of 0.05, as implemented in the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 29. Results: The chi-square test showed p>0.05, indicating no significant relationship between fast-food consumption or gadget use and obesity in elementary school children. Conclusion: There was no association between the frequency of fast-food consumption and the habit of playing gadgets and games as a risk factor for obesity in elementary school children.
Enhancing Knowledge and Awareness of Routine Hypertension Control and Medication in Panjang Jiwo, Surabaya Zenjaya, Kellyn Trycia; Adiwinoto, Ronald Pratama; Vivien Earlyanti, Callista; Abdul Azis, Bima; Fathir Fadhilah, Yahdiyan; Dinda Umardy, Fairuziah; Dewindra Candra Puspita, Amalia; Kurnia Cahya, Sekar; Nelya Rindayu, Dinnara; Roanna Gabrielle, Vania
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 1: JUNE 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i1.7381

Abstract

Background: The Tenggilis Public Health Center (Puskesmas Tenggilis) is devoted to implementing Community Health Efforts (UKM) to ensure the provision of high-quality healthcare services, focusing on the measurement, monitoring, and supervision of local health problems. A Self-Assessment Survey (Survey Mawas Diri” (SMD) in Indonesian language) was conducted in Panjang Jiwo Village, Surabaya, revealing hyperten”sion as a primary health issue. Characterized by a systolic blood pressure ?140 mmHg and a diastolic pressure ?90 mmHg, hypertension remains widespread, with many residents unaware of the necessity for lifelong medication adherence and routine blood pressure monitoring. Methods: To address this health challenge, a thorough analysis was conducted, examining the root causes through the "man, method, machine, and material" framework. This approach informed the development of a targeted intervention strategy. Results:The intervention involved designing and distributing a Hypertension Calendar, providing an accessible means for residents to record their blood pressure readings and track medication adherence throughout the year. The calendar serves as a useful tool during healthcare visits, fostering enhanced dialogue between patients and healthcare providers regarding hypertension management. Conclusions: The introduction of the Hypertension Calendar aims to empower individuals with essential knowledge and tools for effective hypertension management, ultimately contributing to improved health outcomes in the Panjang Jiwo community. Key words: Hypertension; Community Empowerment; Public Health; Health Promotion; Health Education
Patent ductus arteriosus and pulmonary hypertension in a fifteen-year-old boy with congenital rubella syndrome and cerebral palsy: a case report Putri, Jeanaya Hedya Alfara; Haris, Ivana Angelica; Nahdah, Jaudah; Putri, Jenniefer Clarissa; Hamdy, Irza Hasanal; Pikir, Rizqi Rokhmadhoni; Adam, Olivia Mahardani; Adiwinoto, Ronald Pratama
Pediatric Sciences Journal Vol. 6 No. 1 (2025): Available online : 1 June 2025
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v6i1.96

Abstract

Introduction: Congenital Rubella Syndrome (CRS) is characterized by congenital cataracts, congenital heart disease (CHD), hearing loss, and developmental delay. It is caused by maternal rubella infection during pregnancy, transmitted transplacentally or via respiratory droplets. CRS carries a high risk of morbidity and mortality, with approximately 10–20% of affected infants dying within the first year of life. This case report describes a 15-year-old boy with CRS who developed pulmonary hypertension (PH) due to a persistent patent ductus arteriosus (PDA). Case Description: A 15-year-old boy presented with progressive abdominal distension over one week. Initially suspected of having nephritic syndrome, further evaluation revealed bilateral congenital cataracts, non-cyanotic CHD in the form of PDA, sensorineural hearing loss, and developmental delay, fulfilling criteria for CRS. The patient also exhibited delayed motor milestones (walking at age seven) and limb rigidity suggestive of cerebral palsy (CP). Echocardiography confirmed PDA (0.4 cm) with severe tricuspid and aortic regurgitation, and chest X-ray demonstrated cardiomegaly with PH. The PDA was successfully closed using an Amplatzer Duct Occluder (ADO) via catheterization. Conclusion: This case underscores the importance of early diagnosis and intervention in CRS patients with PDA to prevent irreversible pulmonary vascular disease. Despite a very late PDA closure at age 15, the patient achieved hemodynamic improvement and maintained functional capacity, highlighting that catheter-based closure remains feasible and beneficial even in adolescence. Multidisciplinary care, including timely cardiac intervention and neurodevelopmental support, can improve quality of life in CRS survivors.
THE INTRAUTERINE DEVICE (IUD) USE AND BACTERIAL VAGINOSIS INCIDENCE, INSIGHTS FORM 2023 STUDY IN A SURABAYA, INDONESIA Biutifasari, Verna; Eka Fitriani Hafel; Prasetyadi , Frans O.H.; Adiwinoto, Ronald Pratama; Hardjono, Ellen Angelique
Indonesian Midwifery and Health Sciences Journal Vol. 9 No. 3 (2025): Indonesian Midwifery and Health Sciences Journal, July 2025
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v9i3.2025.243-254

Abstract

Background: The Intrauterine device (IUD) is one of the most widely used and effective long-term contraceptive methods, with a success rate exceeding 99%. However, prolonged copper IUD use has been associated with an increased risk of bacterial vaginosis (BV), with users reportedly 1.28 times more likely to develop BV than users of other contraceptive methods.This study aims to assess the association between IUD usage and the incidence of BV.  Methods: This cross-sectional analytic observational study included 50 participants using IUDs, recruited from three public health centers in Surabaya between May and December 2023. Vaginal swab samples from suspected BV cases were examined independently by two observers. Data were analyzed using the Chi-square test to assess associations and Cronbach's Alpha to evaluate inter-observer reliability, with significance set at p < 0.05.  Results: Most BV cases were found among women aged 30–39 years (40%) and among users of non-hormonal IUDs (76%). Based on Nugent scoring, 26 participants (52%) were diagnosed with definitive BV. The association between IUD use and BV incidence was not statistically significant (p = 0.090). Inter-observer reliability was high, with a Cronbach’s Alpha of 0.963. Conclusion: The study concludes that IUD use is not significantly associated with the occurrence of bacterial vaginosis, based on Nugent score evaluation.
Co-Authors Abdul Azis, Bima ADAM, OLIVIA MAHARDANI Adisyahputra, Vega Adnyana , I Made Dwi Mertha Agung Dwi Wahyu Widodo Agung Pranoto Agustin, Renny Al Hasan, Hafidz Ramadhan Alpha Fardah Athiyyah Amin, M. Shadiqul ANNISA ULLYA RASYIDA Ariewibawa, Fariz Atiqi Artha Budi Susila Duarsa Arundani, Prima Astrid Kusuma Avelline, Kendraadine Dheayu Baita, Etina Noor Biutifasari, Verna Brilliandinda Ichsasqia Sidqi Auliayahya Brilliant , Fahridho Ramadhana Cahya Yudha Laksmana Putra Chendikia Abrian Putra Perdana Chonifa Wahyurini da Cruz , Zito Viegas Devanda, Kasilda Pasha Dewi, I Gusti Ayu Ajeng Widia Kencana Dewindra Candra Puspita, Amalia Diah Utami, Prawesty Diana, Adawiyah Putri Diarnasa Zihara Safira, Lavenda Dinda Umardy, Fairuziah Distyvanya, Shakira Azzahra Dwinka Syafira Eljatin Dwitama Adiwinoto, Robert E.J.T, SIHNING Effendi, Muchiddin Andri Setyo Eka Fitriani Hafel Erina Yatmasari Ersanda Nurma Fathir Fadhilah, Yahdiyan Febri Endra Budi Setyawan Florentina Sustini Graciela, Anne Maria Hadi, Janto Poernomo Hadi, Rifqi Athaya Vinanta Hamdy, Irza Hasanal Hardiono Hardiono, Hardiono Hardjono, Ellen Angelique Haris, Ivana Angelica Hayati, Khofifah Bela Rachmanu Helda Dwiana Sari HENDRATA ERRY ANDISARI2 Herdiyantini, Mita Heru Nurdianto Hibatullah, Faiz Nur Hidajat, Boerhan Izzah Al Nabilah Jongky Hendro Prajitno Kalada, Elisabeth Chelsea Uma Ketut Edy Sudiarta Kharizmatika Kresnamurti, Angelica Kurnia Cahya, Sekar Larassanti, Levina Lauwis, Keziah Queency Liliawanti Liza Yudistira Yusan Lutfian, Lutfian Made Ayu Mira Cyntia Dewi Made Peni Juliana Maliku Nurrochman Widandi Manata Wijaya Sasmita Martono, Alicia Stevina Maulana Muchammad Aunun Najib Maulana, Sidik Maylisca Theresia Mulya Diprasta, Made Medina, Nadra Odifa Meiriyanti Dhita Mentari Nata Kusuma Michael Bramantya Michelle Madeline Maydavania Miranda, Stefani MOCHAMAD ALVIRIO NEDYA RIZKA Muhammad Kalaznykov MUHAMMAD RIZAL Nahdah, Jaudah NANDA ABIGAIL Nelya Rindayu, Dinnara Ni Luh Gede Sudaryati Norholila Nugraheni, Pramita Anindya Oki Nugraha Putra Oktavia, Reza Mardiana Ayu Peppy Nawangsasi Peter Gunawan Tandean Pikir, Rizqi Rokhmadhoni Poerwanto, Eka Pramudita Riwanti Prasasti, Vincentia Prasetya, Hanung Prasetyadi , Frans O.H. Purmata, Andrew Theo William Chris Putra, Fabianus Yvan Marino Cahaya Putra, Oki Nugraha Putri, Fernita Naomi Putri, Ida Ayu Govinda Lazenobia De Sanjaya Putri, Jeanaya Hedya Alfara Putri, Jenniefer Clarissa Putri, Nadya Aisyah Sasqia Raharja, Febrila Tarisa Rahmadita, Annisa Putri Rantika, Rheina Hasna Raza, Syed Meesam Renata Prameswari Retno Budiarti Retno Budiarti Riami Ristanti, Safira Roanna Gabrielle, Vania Robert Dwitama Adiwinoto Rokhmadhoni Pikir, Rizqi Rr. MUTIARA DEVANIA SAMARA QALBA Rusli, Christina S. Soedarsono Sadya Wendra SAES, JOVITASARI ELVIANA PUTRI Safira, Vita Sandy, Emy Noviana Santoso, Clara Cindy Ateng Saptono Putro Setyawan, Yuswanto Sianipar, Habel Ryan Annerico Soedarsono Soedarsono Soelistijo, Soebagijo Adi Sri Umijati STEFANUS DJONI HUSODO Sudiarta, Ketut Edy Sulistiawati Sulistiawati Sulistiawati Sulistiawati Sulistio, Timothy Sunur, Vincentius William Sylvia Rizki Tamam Jauhar Tasalina Yohana Parameswari Gustam Titong Sugihartono Ubaid, Angling Febriani Ariqoh Ulwani, Qulistan Balqis UNTARI, NI KOMANG SRI DEWI Usman Hadi Utami , Prawesty Diah Utami, Rina Mega Vivien Earlyanti, Callista Wahyu Prasasti Mutiadesi Wahyu Prasasti Mutiadesi Widati Fatmaningrum Widjajanto , Hendra Wijaya, Jennifer Wijaya, Rike Andy Wijayaningrum, Lena Zeeva, Evane Jovanie Zenjaya, Kellyn Trycia Zunnahri, Salsabila Qurrotul Aini