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All Journal Jurnal Media Gizi Indonesia (MGI) KACANEGARA Jurnal Pengabdian pada Masyarakat Amerta Nutrition JFIOnline Jurnal Kesehatan JURNAL PENELITIAN KESEHATAN Poltekita : Jurnal Ilmu Kesehatan Jurnal Ilmiah Tatengkorang Jurnal Teknokes Community Empowerment Berkala Penelitian Hayati International Journal of Advanced Health Science and Technology Edukasi Masyarakat Sehat Sejahtera (EMaSS) Analis Kesehatan Sains (e-Journal) Jurnal Rakat Sehat : Pengabdian Kepada Masyarakat Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia Jurnal Pengabdian Kesehatan Beguai Jejama Frontiers in Community Service and Empowerment Journal of Nutrition Explorations
Juliana Christyaningsih
Department Of Medical Laboratory Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Effect of Balanced Nutrition Education using The Emodemo Method on Knowledge and Attitude of Obesity Adolescents at SMA Negeri 1 Krian Sidoarjo Firda Amalia Pratiwi; Annas Buanasita; Juliana Christyaningsih; Nur Hatijah
Journal of Nutrition Explorations Vol. 1 No. 3 (2023): August
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v1i3.320

Abstract

Obesity is a condition of excessive accumulation of body fat tissue which will cause disease. Obesity can be defined as a result of overeating. This study aims to determine the effect of balanced nutrition education using the emodemo method on the knowledge and attitudes. This research is a quantitative Pre-Experimental with the type of pre-test and post-test One Group Design, data collection using questionnaires. The sample of this research is 34 respondents using Proportional Random Sampling technique. Statistical tests used the Wilcoxon Signed Runk Test to determine the effect before and after being given counseling using the emodemo method module game assembling donut rings on the level of knowledge and attitudes about balanced nutrition. The level of knowledge of obese adolescents by 8.8% increased to 85.3%. While the attitude level of obese adolescents was 82.4% increasing to 88.2%. There is an effect of balanced nutrition education using the emodemo method on the knowledge and attitudes of obese adolescents. Schools can provide healthy canteens that provide balanced nutritious meals for adolescents.
Organoleptic Test and Iron Level Test Tofu Moringa meatballs as an alternative snack for Teenage Girls Zida Shabrina Akmalia; Juliana Christyaningsih; Nur Hatijah; Annas Buanasita
Journal of Nutrition Explorations Vol. 2 No. 1 (2024): February
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v2i1.334

Abstract

Many teenage girls in Indonesia suffer from anemia, prompting exploration into alternative dietary interventions. Moringa leaves, known for their high iron content, offer a potential solution. This study aimed to formulate tofu meatballs enriched with moringa flour, evaluating their iron content and organoleptic qualities as a feasible iron supplement for adolescent girls. Three tofu meatball formulations were tested: F1B with no added moringa flour, F2B with 5 g, and F3B with 10 g. Iron content was assessed using ICP-OES, and organoleptic tests were conducted. Statistical analysis included the Kruskal-Walli’s test, with Mann-Whitney test for significant differences. Results revealed F2B had the highest iron content at 1.34 mg/100 g, followed by F1B at 1.06 mg/100 g, and F3B at 1.23 mg/100 g. However, iron levels per serving fell short of the 10% daily requirement. While F1B was preferred for taste, aroma, color, and texture, F2B and F3B were still acceptable. Future improvements could involve using boiled moringa leaves and seasoning to enhance organoleptic qualities.
Antidiabetic Effect of Noni Fruit and Moringa Leaves Extract on Blood Glucose Level, Hepatic and Pancreatic Histological Features of Diabetic Mice Utomo, Ratno Tri; Christyaningsih, Juliana; Rahmawati, Hanifa; Meidayana, Ema; Wulandari, Meisa; Oktavianingsih, Yulis; Andriyani, Nurul
Jurnal Kesehatan Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i1.3619

Abstract

One of the chronic diseases with high blood glucose levels is a characteristic of Diabetes Mellitus. Utilization of herbal ingredients needs to be developed to reduce blood sugar levels in diabetes, and one of them is by using moringa leaf extract and noni fruit. This study aimed to analyze the effect of a combination of moringa leaf extract and noni fruit on blood glucose levels and tissue cytology in diabetic mice. The study was a randomized pretest-posttest control group design using 28 male mice divided into seven groups. The data analysis showed the lowest decrease in blood glucose levels in the group of diabetic mice given noni fruit and moringa leaf extract at a dose of 150mg/20g BW/oral/day for two weeks. The results of histological examination of liver and pancreas tissue showed no tissue is damaged.
ANALISA KADAR TIMBAL DALAM DARAH TUKANG BECAK DI WILAYAH SURABAYA UTARA Christyaningsih, Juliana
Analis Kesehatan Sains Vol. 12 No. 2 (2023): Analis Kesehatan Sains
Publisher : Politeknik Kesehatan Kementerian Kesehatan Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/anakes.v12i2.86

Abstract

Lead (Pb) is one of the heavy metals with high toxicity which can pollute an environment and affect survival. Lead that enters the body is excreted into the bones, teeth and hair. A small amount of Pb, stored in the brain. 99% of lead binds to erythrocytes. The purpose of this study was to analyze the levels of lead (Pb) in the blood of pedicab drivers at Jembatan Merah, North Surabaya. This type of research is a type of descriptive research conducted at the Toxicology Laboratory, Campus of Technology, Medical Laboratory of the Surabaya Polytechnic, Surabaya Center for Standardization and Industrial Services from October 2022 to May 2023. The research sample was 20 venous blood of pedicab drivers at the Red Bridge in North Surabaya with the following criteria: has an age of more than 30 years and has a service life of more than 2 years and then tested using the Atomic Absorption Spectrophotometry (AAS) method. The results of the 20 samples showed that blood lead levels in pedicab drivers in the North Surabaya Region were still within the normal threshold set by WHO in 2021, namely <5 µg/dl or 0.05 mg/L.
PELATIHAN KOMPETENSI KADER POSYANDU LANSIA ABIMANYU POLKESBAYA Christyaningsih, Juliana; Luthfi Rusyadi; Mujayanto; Inne Soesanti; Minarti; Nuning; Marina Pengge; Riezky Faisal Nugroho; Taufiqurrahman
Edukasi Masyarakat Sehat Sejahtera (EMaSS) : Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 1 (2024): Januari
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37160/emass.v6i1.267

Abstract

Saat ini, negara Indonesia telah memasuki masa dimana mayoritas penduduknya berada dalam kelompok dengan lanjut usia. Dikarenakan adanya keterbatasan fisik pada lansia, sebagian besar lansia di Indonesia tidak mampu hidup sendiri dan memerlukan bantuan orang lain pada setiap aktivitasnya. Dampaknya, semakin rendahnya kualitas hidup lansia di Indonesia telah menyebabkan proses pembangunan negara terhambat. Seiring berjalannya waktu, pemerintah telah melakukan sejumlah langkah untuk mengatasi isu-isu yang dihadapi oleh lansia. Salah satu solusi yang diimplementasikan adalah program posyandu lansia. Dari upaya tersebut masih didapati beberapa kendala seperti kurangnya keaktifan pengurus maupun lansia sekitar untuk mengikuti dan mengaktifkan layanan posyandu lansia. Berdasarkan penelitian-penelitian sebelumnya, peningkatan jumlah pemanfaatan Layanan posyandu lansia dapat dilakukan dengan melakukan upaya pendampingan kader posyandu. Berasal dari masalah tersebut, dilakukan kegiatan pengabdian masyarakat dalam bentuk penyuluhan kader posyandu lansia Abimanyu Polkesbaya. Saat kegiatan dilaksanakan, telah dipaparkan sebuah penyuluhan dengan metode ceramah dan diskusi mengenai pentingnya kesehatan pada lansia dan kepengurusan posyandu lansia.
PEMERIKSAAN DENYUT NADI, TEKANAN DARAH, DAN GLUKOSA DARAH DI POSYANDU LANSIA ABIYOSO POLKESBAYA Ervi Husni; Tatarini Ika Pipit Cahyani; Sherly Jeniawaty; Dina Isfentiani; Ani Media Harumi; Ira Puspitasari; Ira Rahayu Tiyar Sari; Yuni Ginarsih; Dwi Purwanti; Ulfa Hidayah; Puspita Zella Wigati; Luthfi Rusyadi; Juliana Christyaningsih; Melania Rizerda Pebianti
Edukasi Masyarakat Sehat Sejahtera (EMaSS) : Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 2 (2024): Juli
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37160/emass.v6i2.400

Abstract

Upaya pemeliharaan kesehatan lansia dilakukan sejak lansia berusia 60 tahun dengan tujuan untuk menjaga agar tetap hidup sehat, berkualitas, dan mandiri. Kesehatan fisik dan mental menjadi faktor penting yang perlu diperhatikan pada lansia. Kegiatan pengabdian kepada masyarakat yang diselenggarakan pada tanggal 6 September 2023, berlokasi di Poltekkes Kemenkes Surabaya, dihadiri 38 lansia. Alat yang digunakan untuk pemeriksaan tekanan darah dan denyut nadi menggunakan alat tensimeter sedangkan pemeriksaan glukosa darah acak menggunakan alat point of care. testing (POCT). Hasil yang didapat adalah lansia yang ikut program ini terbanyak 68% berjenis kelamin perempuan, selain itu ada 12 dari 26 (32%) lansia memiliki memiliki tekanan darah tinggi. Terdapat 1 dari 38 (3%) lansia memiliki denyut nadi di atas batas normal dan 3 dari 38 (8%) lansia dengan kadar glukosa darah di atas batas normal. Hal ini menunjukkan bahwa kondisi kesehatan lansia harus tetap dipantau anggota keluarga lainnya agar lansia selalu sehat, Kata kunci: Denyut nadi, tekanan darah lansia, kadar glukosa darah, Posyandu lansia Abiyoso Polkesbaya
Intervensi Ekstrak Daun Moringa oleifera, Cyclea barbata, Centella asiatica untuk Meningkatkan Perkembangan Fetus dan Kadar Protein Darah pada Model Mencit Bunting dengan Malnutrisi: Moringa oleifera, Cyclea barbata, Centella asiatica Leaves Extract Intervention Ability to Improve Fetus Development and Blood Protein Levels in Malnutrition Pregnant Model Mice Christyaningsih, Juliana; Hatijah, Nur; Halimah, Husnul
Amerta Nutrition Vol. 8 No. 3 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3.2024.376-382

Abstract

Background: Pregnant women experiencing chronic energy deficiency are at risk of giving birth to low birth weight and premature (stunted) babies. Objectives: In an effort to prevent stunting, the study investigates the effects of a 1:1:1 ratio of Moringa oleifera, Cyclea barbata, and Centella asiatica leaf extract on fetal growth and blood protein levels. Methods: This research used a laboratory experimental approach with 25 adult female Mus musculus Balb/C mice as a model of malnourished pregnancy, was divided into 5 groups: pre-test, positive control, negative control, placebo and test group. Moringa oleifera, Cyclea barbata, and Centella asiatica leaf extracts are administered to the test group and positive control in 1:1:1 ratio. Results: The study results indicated that in pregnant mice without malnutrition receiving a mixture of Moringa oleifera, Cyclea barbata, and Centella asiatica leaf extracts, the average fetal body length was 9.7% higher and their weight was 7.4% heavier than pregnant mice with experiencing chronic energy deficiency. Conclusions: The administration of Moringa oleifera, Cyclea barbata, and Centella asiatica leaf extract can contribute to improving fetal development and blood protein levels. However, its effectiveness is more pronounced in normal pregnancies than in pregnancies with chronic energy deficiency as it can prevent stunting.
Interactive Support in The Tambak Wedi Village Area of Surabaya City to Avoid Stunting Christyaningsih, Juliana; Nur Kholifah, Siti; Ariyanti, Ida; Retno Puspitadewi, Teresia; Suyanto, Beny; Hindaryani, Nurul; Rahmawati, Laili; museyaroh, museyaroh
Frontiers in Community Service and Empowerment Vol. 3 No. 3 (2024): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v3i3.74

Abstract

ABSTRACT Stunting remains a serious challenge for Indonesian society. The 2018 basic health research reported that the prevalence of stunting among toddlers reached 30.8%. The impact of stunting is not only on physical growth but also on cognitive development and the risk of diseases in adulthood. Community service plays a crucial role in supporting government efforts to address stunting through nutrition education, infant and child feeding practices, sanitation, hygiene, and family economic empowerment. Based on this, the involvement of higher education institutions is necessary to improve public health through an approach of interprofessional collaboration and interprofessional education designed in community service activities that focus on empowering communities through integrative assistance. This community service is carried out in 2024, located in Tambak Wedi Village, Surabaya. The activities conducted include training and assistance in the production of processed foods based on moringa leaves and fish, health education on healthy living behaviors, guidance on parenting and breastfeeding/MPASI, training for early detection of high-risk pregnancies for families, and checking hemoglobin and protein levels for pregnant women in a state of chronic energy deficiency who receive supplementary feeding based on moringa leaves and fish. At the beginning of the community service activities, the results of health and laboratory examinations were as follows: several mothers were found to have a mid-upper arm circumference (MUAC) below 23.5 cm, which may indicate a risk of chronic energy deficiency (CED). Pregnant women were still found with hemoglobin levels below 11 g/dL, indicating anemia during pregnancy. Additionally, protein levels in pregnant women were found to be 6.2 g/dL, and there was one stunted child and seven children in a pre-stunting condition. Following up on the results of the initial health examination, interventions were carried out for pregnant women with chronic energy deficiency and toddlers at risk of stunting by providing snacks made from moringa and fish for two weeks. The Surabaya Hebat cadres also received a refresher on early detection screening for high-risk pregnant women INDEX TERMS Stunting, Moringa leaves and fish, Tambak Wedi
Kolesterol dan Tekanan Darah Lansia di Posyandu Abiyoso Polkesbaya Christyaningsih, Juliana; Rusyadi, Luthfi; Minarti, Minarti; Mamik, Mamik; Pestariati, Pestariati; Mutiarawati, Diah Titik; Suliati, Suliati; Sasongkowati, Retno; Woelansari, Evy Diah; Suhariyadi, Suhariyadi; Istanto, Wisnu; Endarini, Lully Hanni; Museyaroh, Museyaroh
JURNAL RAKAT SEHAT (JRS) : Pengabdian Kepada Masyarakat Vol 2 No 2 (2023): Jurnal Rakat Sehat: Pengabdian Kepada Masyarakat
Publisher : UPPM Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jrs.v2i2.35

Abstract

As people age, the physical state of the human body will gradually deteriorate due to a decrease in the quantity of cells present, leading to a gradual reduction in functionality referred to as the aging process. In elderly humans (aged more than 60 years) excessive cholesterol levels and high blood pressure are one of the causes of diseases such as heart disease which has been recognized by WHO as the number one cause of death in the world. The buildup of fatty deposits on the linings of blood vessels has the potential to lead to obstructions within the blood vessels. The objective of this initiative is to enhance understanding regarding the hazards associated with cholesterol. This outreach effort took place in July 2023, conducted at Posyandu Abiyoso, Surabaya Health Polytechnic. The activity consists of several processes 1). conducting a survey of the location of the Abiyoso posyandu of the Surabaya Health Polytechnic, 2). Opening registration and taking participants' personal data, 3) conducting participant health interviews, 4). Checking cholesterol levels and blood pressure of participants. From the community service activities carried out, it was found that 42 of the 65 (64.6%) participants who took part in the examination at the integrated service post had high cholesterol levels, and 60 of the 65 (92.3%) participants had high blood pressure or hypertension. By conducting health checks on cholesterol levels and blood pressure, there is an expectation that the society will come to realize and comprehend. the dangers of hypertension and hypercholesterolemia so that the community can prevent the occurrence of sustainable diseases.
Program literasi, senam hipertensi, dan pemeriksaan kesehatan lansia di Posyandu Abiyoso Polkesbaya Christyaningsih, Juliana; Supriyatin, Endah; Rusyadi, Luthfi; Sumasto, Hery; Pengge, Nuning Marina; Hindaryani, Nurul; Rokhmalia, Fitri; Islaha, Maria; Sholikah, Mar'atus; Pebianti, Melania Rizerda
KACANEGARA Jurnal Pengabdian pada Masyarakat Vol 8, No 2 (2025): Mei
Publisher : Institut Teknologi Dirgantara Adisutjipto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28989/kacanegara.v8i2.2549

Abstract

Seiring bertambahnya usia, lansia dapat mengalami penurunan fungsi tubuh baik secara fisik maupun psikologis. Penurunan fungsi tersebut dapat menjadikan lansia lebih rentan terhadap penyakit seperti penderita hipertensi dan Diabetes Melitus. Aktivitas fisik seperti senam hipertensi merupakan upaya yang dapat berperan dalam mengelola tekanan darah, meningkatkan kesehatan jantung serta berperan dalam relaksasi bagi lansia, selain itu, budaya literasi juga dapat membantu lansia dalam meningkatkan daya ingat. Kegiatan pengabdian masyarakat dalam kegiatan posyandu lansia dilaksanakan pada tanggal 3 Januari 2024 di gedung Poltekkes Kemenkes Surabaya dan diikuti oleh 50 lansia. Alat dan bahan yang digunakan dalam kegiatan ini antara lain tensimeter untuk mengukur tekanan darah serta menggunakan Point Care of Test (POCT) untuk mengukur glukosa darah. Pada kegiatan ini lansia diikuti dengan karakteristik 70% partisipan berjenis kelamin perempuan dengan 32% partisipan memiliki tekanan darah yang tinggi serta 10% partisipan memiliki kadar glukosa darah yang tinggi.
Co-Authors ., Pestariati Adin Bhagawanti Poernomo Adistya Dwi Cantika Ahmad Yudianto Ainur Rifda Kurnia Puspita Sari Ainur Wachidah Choirun Niza Aisya Eliarosa Amiliya Antika Dewi Amirah Putri Zerlina Andriyani, Nurul Ani Intiyati Ani Media Harumi Ani Media Harumi Anita Dwi Anggraini Annas Buanasita Astuti Setiyani Astuti Setiyani Ayu Puspitasari Ayunis Naba'ur Rhodiyah Azfa Alifatun Nayla Bambang Hadi Sugito Briansky, Sabira Alvayogi Christ Kartika Rahayuningsih Christ Kartika Rahayuningsih Darjati Deddy Adam Dedi Kurniawan Demes Nurmayanti Deswita Aulia Pristanti Devi Eka Ratnasari Devi Puspitasari Diah Titik Mutiarawati Dian Shofiya Dwi Purwanti Dyah Purbosari Dwi Pitaloka Edy Haryanto Endarini, Lully Hani Endarini, Lully Hanni Endro Yulianto Ersanto, Novi Ervi Husni, Ervi Evi Yunita N Evi Yunita Nugrahini Evy Diah Woelansari Fahin Izza Faradyna Putri Az-Zahra Ferry Kriswandana Fika Nur Septianingtias Filisia Luna Andyana Firda Amalia Pratiwi Ginarsih, Yuni Hadi Suryono Halimah, Husnul Handayati, Anik HANIFA RAHMAWATI Haqqi, Faishol Harianto Notopuro Hermiyanti, Pratiwi Hilmi Yumni Hindaryani, Nurul Husnul Halimah I Dewa Gede Hari Wisana Ida Ariyanti, Ida Imam Sarwo Indah Lestari Indah Lestari Indah Lestari, Indah Inne Soesanti Ira Puspita Sari Ira Puspitasari Ira Puspitasari Ira Rahayu Tiyar Irwan Sulistio Isfentiani, Dina Islaha, Maria Isnaini, Dian Isnanto Istanto, Wisnu Jayeng Wijayanti, Erlyna Karina, Lidya Karina, Lidya Kasiati Khambali, Khambali Khristine Saputri Kiaonarn Ongko Waluyo Kiaonarni O.W Kiaonarni OW Kristiningsih, Elly Kuswanto, Muhammad Laili Rahmawati, Laili Lembunai Tat Alberta Lembunai Tat Alberta, Lembunai Tat Lieliek Soetjiatie Liliek Soetjiatie Liliek Soetjiatie Lully Hani Endarini Lully Hani Endarini Luthfi Rusyadi M. Zakarahman Makruf, Anang Mamik Mamik Mamik Mamik Marina Pengge Maulidyah Aisyah Putri Nadifah Meidayana, Ema Meisya Argia Sisviani Deva Melania Rizerda Pebianti Melina Sari MINARTI Minarti Minarti Minarti Minarti Mohd Nazil Salleh Mujayanto Mujayanto Muna Setia Madihah Museyaroh, Museyaroh Mutiarawati, Diah Titik N. S. Widodo Nadia Salsabila Nastiti, Aliffah Nurria Novita, Devy Nugroho, Riezky Faisal Nuning Nuning Marina Pengge Nur Hatijah Nur Hatijah Nur Hatijah Nur Kholifah, Siti Nurwening TW Nuswantari, Atika Oktavianingsih, Yulis P, Teresia Retna Patcharanee Pavadhgul Pebianti, Melania Rizerda Pengge, Nuning Marina Pojor Srirejeki Eka Lestari Purwanti, Dwi Puspita Zella Wigati Puspitadewi, Teresia Retna Puspitasari, Erlita Qonita Salsabilla Amara Sherly Amri Queen Khoirun Nisa' Mairo Rahayu Sumaningsih Rahayuningsih, Christ Kartika Ratna Sari Ratno Tri Utomo Regina Raiza Retno Puspitadewi, Teresia Retno Sasongko Wati Retno Sasongkowati Retno Sasongkowati Rihlah Sa'idah Rika Yulia Rokhmalia, Fitri Rusmania, Liya Safrudin, Samsul Saktiyani, Fisari Sari, Ira Rahayu Tiyar Sasongkowati, Retno sherly jeniawaty Sherly Jeniawaty Sholikah, Mar'atus Siagian, Hotmaida Siti Alfiah Siti Mar'atus Slamet Wardoyo Sri Sulami Endah Astuti SRI UTAMI Sri Utami Sugihani Suhariyadi Suhariyadi Suhariyadi Suhariyadi Suliati Suliati Suliati Suliati Suliati Suliati Suliati Sulistyowati, Dwi Wahyu Wulan Sumasto, Hery Supriyatin, Endah Suyanto, Beny Tatarini Ika Pipitcahyani Taufiqurrahman Taufiqurrahman Teta Puji Rahayu Tjipto Rini Toni Watoyani Trisnania, Iid Dani ulfa hidayah Umul Annisa Fadhila Utomo, Ratno Tri Vernanda Arsya Nabilla Veronica, . Veronica, . Wahyurianto, Yasin Win Darmanto Wisnu Istanto Wisnu Istanto Wulandari, Meisa Yohanes Kambaru W Yusianti Silviani Zida Shabrina Akmalia