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Sri Lestari Ramadhani Nasution
Universitas Prima Indonesia
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ENCOUNTERING BARRIERS: INSIGHTS ON HEALTH PROMOTION IMPLEMENTATION IN COMMUNITY HEALTH CENTERS Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Manalu, Putranto; Anggita, Nindi Dwi; Febrianty, Novita Dwi; Sianipar, Milka Rositi
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 10 No. 1 (2026): Volume 10, Nomor 1, February 2026
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jiituj.v10i1.32537

Abstract

Community Health Centers (Puskesmas) are crucial in promoting health and empowering communities to maintain their health independently. Despite their importance, health promotion programs have faced significant challenges, leading to suboptimal implementation. This study aims to analyze the implementation of health promotion programs at Puskesmas and identify the barriers faced by implementers. Qualitative research with a case study design was conducted at four Community Health Centers in Serdang Bedagai Regency from December 2021 to March 2022. In-depth interviews involved the heads of the Community Health Centers, the responsible individuals for health promotion programs at the centers, and community health cadres. A total of 12 participants underwent in-depth interviews to deeply explore information regarding policy aspects, funding, facilities, and human resources. Additionally, data were collected through observation and documentation. Data analysis followed the protocol developed by Miles and Huberman. The study results indicate that implementing health promotion at Community Health Centers has not been optimal due to barriers such as program funding availability, inadequate supporting facilities, and a shortage of competent human resources. This research contributes to the existing literature by providing a detailed examination of the specific challenges faced by Puskesmas in implementing health promotion programs. It emphasizes the need for targeted interventions to strengthen these centers' operational capabilities. To ensure optimal outcomes, stakeholders must focus on adequate budget allocation, the provision of supporting facilities, and training for program implementers.
Aqueous and n-Hexane Fractions of Eruca sativa Differentially Target Glycemic Control and Pancreatic Islet Protection in Diabetic Rats Nasution, Sri Lestari Ramadhani; Tamarin, Tamarin; Purba, Amelia Salsabila; Suhartina, Suhartina; Sihotang, Widya Yanti
The Indonesian Biomedical Journal Vol 18, No 1 (2026)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v18i1.3994

Abstract

BACKGROUND: The search for novel antidiabetic agents that simultaneously lower blood glucose and protect pancreatic β-cells is crucial. While Eruca sativa is known for its antidiabetic properties, the specific contribution of its solvent fractions to different therapeutic targets remains poorly understood. Therefore, this study was conducted to identify how different fractions selectively target glycemic control or pancreatic islet integrity.METHODS: Twenty-five male Wistar rats were rendered diabetic by a single intraperitoneal injection of 45 mg/kg streptozotocin. Diabetic animals were divided into five groups (n=5): diabetic control, positive control (0.45 mg/kg glibenclamide), and three treatment groups receiving n-hexane, ethyl acetate, or aqueous fractions of 400 mg/kgBW E. sativa for 14 days. Phytochemical screening was performed to identify bioactive profiles. Blood glucose was monitored periodically, and pancreatic tissues were assessed using a histopathological scoring system (0–4) and islet area measurement.RESULTS: Aqueous fraction showed the most potent antihyperglycemic activity, significantly reducing blood glucose (208.8±36.02 mg/dL) compared to the diabetic control (419.6± 117.11 mg/dL). Conversely, the n-hexane fraction provided superior pancreatic protection, maintaining the highest islet area (19,109.81±7,549.98 µm²) and the best histopathological score (2.8±0.8) among all treatment groups. Phytochemical screening revealed a distinct distribution of compounds, with flavonoids concentrated in the aqueous fraction and terpenoids in the n-hexane fraction.CONCLUSION: This study demonstrates that therapeutic efficacy of E. sativa is fraction-specific, driven by its distinct phytochemical profiles. The aqueous fraction is the most effective for rapid glycemic control, significantly reducing blood glucose levels. Conversely, the n-hexane fraction provides superior pancreatic protection, as evidenced by the highest islet area and improved histopathological scores. These findings suggest that E. sativa possesses a dual-target potential; while the aqueous fraction excels in antihyperglycemic action, the n-hexane fraction is more potent for pancreatic islet preservation. KEYWORDS: Eruca sativa, diabetes mellitus, histopathology, pancreatoprotective, solvent fractions, antihyperglycemic
The Role of Health Workers in Managing Degenerative Diseases in the Elderly at the Negeri Lama Community Health Center: A Case Study Dhyta Nurhasanah Janas; Ermi Girsang; Sri Lestari Ramadhani Nasution
The International Journal of Medical Science and Health Research Vol. 30 No. 1 (2026): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/4sh2rn33

Abstract

Introduction: The increasing elderly population in Indonesia presents significant challenges in managing degenerative diseases, particularly in primary health care facilities with limited resources. This study aims to explore the role of health workers in managing degenerative diseases in the elderly at the Negeri Lama Community Health Center. Methods: This research employed a qualitative approach with a case study design. Data were collected through in-depth interviews with seven informants (elderly cluster officers, non-communicable disease program holders, doctors, pharmacists, and nutritionists), observation, and documentation. Data analysis used thematic analysis with source triangulation, method triangulation, member check, and audit trail to ensure data validity. Results: Health workers performed curative roles through integrated medical services including comprehensive examinations, diagnosis, medication provision (amlodipine, metformin, glimepiride, simvastatin, allopurinol), pharmaceutical and nutritional counseling, and referral systems. Preventive roles were implemented through routine health screenings using E-pus and P-care applications, counseling on healthy lifestyles, education on balanced nutrition, and lifestyle modifications. Challenges included complex disease complications (multimorbidity), unpredictable drug shortages from the District Health Office, limited diagnostic facilities, declining memory and cognitive function in the elderly, low health literacy, irregular visits, unstable internet networks, poor road conditions, flooding, geographical distance, and economic constraints. Communication patterns applied were patient-centered with specific adjustments for the elderly including louder volume, slower speech, simple language, and family involvement in the education process. Interprofessional collaboration involved medical records staff, elderly cluster officers, pharmacists, and nutritionists working according to standard operating procedures. Discussion: The findings align with previous research emphasizing comprehensive geriatric assessment, the effectiveness of pharmacist counseling in improving medication adherence, the importance of family support in chronic disease management, and the impact of geographical and economic barriers on healthcare access. The study highlights the need for integrated approaches addressing both clinical and social determinants of health in elderly care. Conclusion: Health workers at the Negeri Lama Community Health Center have implemented comprehensive curative and preventive roles despite various challenges. Improvements are needed in logistics management systems, development of educational media, strengthening interprofessional collaboration, innovation in education methods, and family and community support to optimize health services for the elderly with degenerative diseases.
ANALYSIS OF THE INFLUENCE OF WORKPLACE ENVIRONMENTAL HEALTH CONDITIONS ON THE QUALITY OF HEALTH SERVICES AND PATIENT SATISFACTION AT EVI MARELAN PRIMARY CLINIC Akhyar Al Fauzi Lubis; Ermi Girsang; Sri Lestari Ramadhani Nasution
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 02 (2026): Volume 11 No. 2, Juni 2026 Release
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i02.45728

Abstract

Clinics are healthcare facilities that provide medical services to the community. This study aims to analyze the influence of workplace environmental health conditions, healthcare service quality, and human resource (HR) competence on patient satisfaction at Evi Primary Clinic. Despite being accredited and having a strong vision, the clinic still receives complaints regarding suboptimal services and facilities.Using a quantitative analytic correlational design with a cross-sectional approach, this study examined variable relationships at a single point in time. The population included all patients visiting the clinic within one month, with data collected through questionnaires and interviews. A total sampling technique was applied, and the data were analyzed using univariate, bivariate (Chi-Square), and multivariate (Discriminant Analysis) methods.Results show that HR competence significantly influences healthcare service quality, with a coefficient of 0.806 (p = 0.000), and also impacts patient satisfaction (coefficient 0.609; p = 0.000). Most respondents (62.8%) rated HR competence as fair, and 19.9% as good. Workplace environmental conditions and health facilities also significantly influence service quality (coefficient 0.639; p = 0.000) and patient satisfaction (coefficient 0.527; p = 0.000). Multivariate analysis further revealed that facilities affect service quality with a coefficient of 0.748.In conclusion, HR competence, healthcare facilities, and service quality all significantly affect patient satisfaction. A comprehensive approach is needed to enhance staff competence, improve infrastructure, and optimize service procedures. These strategies are essential for achieving high patient satisfaction and realizing the clinic’s mission of delivering excellent healthcare.
Evaluating SIMPUS Implementation at Teladan Community Health Center: a HOT-Fit Framework Analysis Sri Lestari Ramadhani Nasution; Ermi Girsang; Ahmad Fuadi Nasution
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25522

Abstract

Community Health Centers are required to implement a Community Health Center Information System (SIP) in accordance with Minister of Health Regulation No. 31 of 2019. Medan Teladan Community Health Center has implemented various information systems, one of which is e-Puskesmas, but still found obstacles. This study aims to evaluate the implementation of the Management Information System (SIMPUS) at Medan Teladan Community Health Center using the Human Organization Technology (HOT)-Fit method. This type of research is descriptive qualitative research. The study was conducted at Medan Teladan Community Health Center starting from December 2024 - July 2025. Informants in this study were 5 people consisting of the head of the community health center and medical record officers as key informants, registration officers, SP2TP officers and pharmacy service officers as supporting informants. Data analysis was carried out by data reduction, data presentation and drawing conclusions to identify relevant finding patterns in each aspect of HOT-Fit. The results of the study obtained an evaluation of the implementation using the HOT-Fit method on the human aspect, the user side has problems with input errors, where around 60% of informants reported data input. Organizational aspects, the organizational structure is in place, monitoring and evaluation have been carried out and guidelines for using the information system are in place even though they only adopt those from the Ministry of Health. Technology aspects, the quality of the system is still not optimal because the system has not been integrated with all programs and frequent server disruptions or data bridging failures, differences were also found between drug data in the system and actual stock in the pharmacy warehouse. Net benefit aspects, this system has succeeded in reducing dependence on manual processes and increasing data accuracy, but data integration across all programs is still an obstacle. It is recommended to the Medan City Health Office to encourage the integration of information systems between programs into one platform and ensure server stability. Keywords: System evaluation, information system, HOT-Fit
Performance Evaluation of Internal Verifier in Reducing Pending Inpatient Claims of BPJS Kesehatan at Muhammadiyah Hospital North Sumatra 2022 Amalia Hasibuan; Ermi Girsang; Sri Lestari Ramadhani Nasution
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25036

Abstract

This study evaluates the effectiveness of internal verifiers at Muhammadiyah Hospital North Sumatra in minimizing delayed inpatient claims submitted to BPJS Kesehatan, Indonesia's national health insurance agency. A mixed-methods sequential explanatory design was employed, combining quantitative data from 2020 (prior to verifier recruitment) and 2022 (post-recruitment) with qualitative insights from interviews with internal verifiers, coders, and other stakeholders, as well as a review of claim files processed by the hospital's BPJS Unit. Interview protocols were adapted from a 2018 study at Koja Hospital, North Jakarta, and data were analyzed using the Miles and Huberman approach, with findings integrated across methods. Source triangulation ensured validity and reliability. Results showed that internal verifiers significantly reduced the proportion of delayed claims despite an overall increase in submissions, with the highest rate of pending claims dropping from 25.6% in 2020 to 17.9% in 2022. Of the 2022 delays, 31.2% were due to BPJS Kesehatan system errors or confirmation processes, indicating that only two-thirds stemmed from hospital-related issues. Qualitative analysis identified key contributors to delays, including diagnostic coding errors, inconsistent understanding among BPJS verifiers, incomplete documentation, limited staff knowledge, and human resource inaccuracies. The presence of internal verifiers improved claim management and hospital revenue by increasing eligibility and accelerating approvals. To further optimize claim processing, strategies such as enhancing coding accuracy, improving staff competency, ensuring documentation completeness, and adopting electronic systems with supportive incentives are recommended. Keyword: Internal verifier, pending claims, performance
Intervention of Bse Health Promotion on Knowledge, Attitudes, and Practices Among Women in Upt Puskesmas Matsum, Medan, 2026 Nurhafizah Nurhafizah; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57215

Abstract

Pendahuluan: Secara global, data WHO tahun 2022 menunjukkan bahwa kanker payudara merupakan tantangan kesehatan yang serius dengan 2,3 juta kasus baru dan 685.000 kematian. Di Indonesia, angka ini juga sangat mengkhawatirkan dengan catatan 68.858 kasus baru atau sekitar 16,6% dari total seluruh jenis kanker di tanah air. Tujuan: Untuk mengetahui pengaruh intervensi promosi kesehatan tentang SADARI sebagai deteksi dini kanker payudara terhadap pengetahuan sikap dan perilaku pada wanita usia subur di wilayah kerja Puskesmas Matsum Kota Medan. Hasil: Hasil studi menunjukkan adanya perbedaan rerata yang nyata antara kelompok eksperimen dan kelompok kontrol dalam hal tingkat pengetahuan, sikap, serta perilaku terkait metode SADARI. Secara spesifik, intervensi promosi kesehatan terbukti efektif dalam meningkatkan pemahaman responden, membentuk cara pandang yang lebih positif, dan mendorong perubahan perilaku konkret dalam melakukan pemeriksaan payudara sendiri secara mandiri setelah diberikan edukasi. Kesimpulan: Penelitian di wilayah kerja Puskesmas Matsum Kota Medan menyimpulkan bahwa pemberian promosi kesehatan memberikan dampak yang signifikan terhadap upaya deteksi dini kanker payudara pada wanita usia subur.
Analysis of Activity-Based Costing (ABC) Implementation For Inpatient Operational Cost Control in 2025 Ongky Harianto; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57414

Abstract

Rumah sakit membutuhkan informasi biaya yang akurat untuk menetapkan tarif layanan, menyusun anggaran, dan mengendalikan biaya operasional. Pada RS Pratama Krayan, penetapan tarif rawat inap masih berisiko menimbulkan distorsi biaya karena belum sepenuhnya menggunakan pendekatan berbasis aktivitas.Penelitian ini bertujuan menganalisis penerapan Activity Based Costing (ABC) dalam pengendalian biaya operasional rawat inap di RS Pratama Krayan, Kalimantan Utara, Tahun 2025.Penelitian menggunakan metode deskriptif kuantitatif dengan pendekatan studi kasus. Data dikumpulkan melalui dokumentasi dan wawancara, kemudian dianalisis dengan tahapan ABC, yaitu identifikasi aktivitas, pengelompokan biaya ke dalam cost pool, penetapan cost driver, perhitungan tarif aktivitas, dan pembebanan biaya ke masing-masing kelas rawat inap untuk memperoleh unit cost. Hasil penelitian menunjukkan terdapat sembilan aktivitas biaya utama dengan total biaya operasional rawat inap sebesar Rp 2.744.000.000. Tarif aktivitas dihitung menggunakan cost driver berupa hari rawat inap, luas ruangan, dan konsumsi listrik. Perhitungan ABC menghasilkan unit cost rawat inap per hari sebesar Rp 179.494 pada kelas VIP, Rp 107.782 pada Kelas I, Rp 88.608 pada Kelas II, dan Rp 86.881 pada Kelas III. Seluruh hasil tersebut lebih rendah dibandingkan tarif yang berlaku, dengan penurunan sebesar 48,7% pada VIP, 46,1% pada Kelas I, 50,8% pada Kelas II, dan 42,1% pada Kelas III. Penerapan ABC mampu menghasilkan informasi biaya rawat inap yang lebih rinci, proporsional, dan transparan, sehingga dapat digunakan sebagai dasar evaluasi tarif dan pengendalian biaya operasional rumah sakit.
Evaluasi hambatan waktu penyediaan dokumen rekam medis elektronik di RS Murni Teguh Medan Sri Lestari Ramadhani Nasution; Hafiz Hawari Siregar; Maco Chan Adnan; Ermi Girsang
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.4670

Abstract

The impact of errors in storing medical records causes delays for officers in searching for medical record documents so that services at the polyclinic are hampered. It is necessary to control the incidence of incorrect insertion of medical record documents so that the incidence of incorrect insertion of medical record documents can be reduced. Electronic Medical Record (RME) is a form of health information service that is computerized and recorded. Health service facilities that implement RME in an effort to improve the quality and quality of services. This research is a qualitative research, case study design which aims to evaluate the timing of providing electronic medical record documents for outpatients at Murni Teguh Hospital. Determination of research subjects using purposive sampling technique. The research subjects consisted of the Director of Murni Teguh Hospital, the head of the Medical Record Installation as the main informant, the Patient Registration Officer, and 3 medical record staff as triangulation informants. In collecting data, researchers conducted in-depth interviews, direct observation and document studies. Data analysis was carried out using interactive models, data reduction processes, verification and drawing conclusions. In this study, it was found that the time required to provide electronic medical record documents for outpatients at Murni Teguh Hospital was a minimum of 4 minutes, a maximum time of 9 minutes with an average time needed to provide electronic medical record documents was 6.6 minutes. Obstacles encountered are errors during use, as well as HR who still do not understand the use of electronic medical record systems. By providing electronic medical record documents, the work of the patient medical record department becomes more efficient, makes it easier for officers to search for patient medical records and the benefits that patients get are shorter waiting times.
EVALUASI PELAYANAN JAMINAN KESEHATAN MELALUI MOBILE JKN DI POLI GIGI RUMAH SAKIT HAJI MEDAN TAHUN 2022 Sri Lestari Ramadhani Nasution; Ahmad Affandi; Ermi Girsang
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.4929

Abstract

Health service is a concrete form of public service. Mobile JKN is an application made by BPJS Health to make it easier for participants to obtain services. The aim of the research is to evaluate health insurance services through mobile JKN at the Dental Clinic of Haj Hospital Medan in 2022. The research method is qualitative and quantitative design (Mix Methode). The research was conducted at the Dental Polyclinic at Haji Hospital Medan in May 2023. A qualitative research sample of 10 participants came to dental polo, a quantitative sample of 100 respondents came to dental polo. Collecting data with questionnaires and in-depth interviews. The results of the study, the majority of respondents who came to the dental polyclinic were aged 36-45 years (late adulthood) totaling 26 respondents (26%), health insurance services through mobile JKN are not good enough (20-55) as many as 55 respondents (55%). Participants who haven't used mobile JKN don't even know about mobile, don't know the convenience with mobile JKN, don't know the benefits of mobile JKN, participants are not interested in using mobile JKN because they haven't received education about mobile JKN. Participants who use mobile JKN assume that the JKN car program is an application that is used to register for health services without having to come to the hospital, the JKN mobile application simplifies and reduces queues at the hospital so that participants also assume that mobile JKN helps in health services, using mobile JKN makes it easier and saves time as well as efficiently and effectively.
Co-Authors Achmad Noerkhaerin Putra Adrian Adrian Agnes Yohana Kristino Ahmad Affandi Ahmad Fuadi Nasution Akbarinda, Zsizsi Akhyar Al Fauzi Lubis Alexander Angkasa Ali Napiah Nasution Amalia Hasibuan Amanda, Silvia Rizki Angela Elisabeth Anggita, Nindi Dwi Anggraini, Tri Lidya Anita Merry Cisca Anjasari, Melati Salsabila Antje Irmella Tarigan Ari Putra Simatupang Arie - Vonikartika Ariyani Ariyani Arum Grahini Kusumadewi Astari Wardiah Aulia, Dinda Rahmah Awanis Awanis Ayu Anggraini Bangun Binarwan Halim Butar-Butar, Erika Fatrecia Marsaulina Buulolo, Netralman T.N Chrismis N. Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Christina Delina Br Pintubatu Christine Christine Christine Wijaya Christine Yennyanti Clinton Antony Clinton Antony Crismis Novalinda Ginting Cyintia Ginting Darnedy Fatwa Mely Santy Daulay, Ayu Sasmita Dessy Angraeni Siregar Dewi Purwanti Dewi Sartika Dhyta Nurhasanah Janas Diaz Farrasizdihar Dicca Brentazzoly Br Tarigan Disti Amanda Putri Doli Catur Utomo Duha, Kristin Berlianta Dzul Akbar Insani Erawati, Suci Erisman Hondro Ermi Ginting Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ernawati Hondro Ervineco Limestan Farhan Fachrizal Farrasizdihar, Diaz Febby Maulina Febrianty, Novita Dwi Ferdinan, Klaus Fitri Nelda Friska SR Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Sopianita Healthy Girsang, Ermi Girsang, Erni Gontana, Tiffany Gusbakti Gusbakti Hafiz Hawari Siregar Hafizah, Nandani Zakia HAMSI, QURATUL AINI Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Hesti Despita Siregar HILMAN TADJOEDIN, HILMAN Hulu, Welpin Ibnu Rushd Idariani, Idariani Insani, Dzul Akbar irza Haicha Pratama Ismar, Elza Fahliza Jennifer Tiosanna Johannes Bastira Ginting John Handy Mendrofa Juanda, Lidya Sari Juwita Hotmida Sitorus Kaban, Lyta Imanti Kangga, Elizabeth Kartika, Ferina Kenny Halim Kezia Debora Khainir Akbar Kristino, Agnes Yohana Leli Khairani Liani Br Ginting Liena, Liena Liester, I Nyoman Ehrich Lisa Yunita Marnas Lister, I Nyoman Ehrich Lubis, Nurul Sri Finna M. Ridho Fitra Alamsya Maas Lubis Maco Chan Adnan Mangatas Silaen Manurung, Charles Mare A, Fauzan Maria Seri Arihta Maulidin, Muhammad Meliala, Yose Marselius A.P. Melysa, Melysa Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Milka Rositi Sianipar Molek, Molek Morgan, Julian Muhammad Ari Pratama Muhammad Chairul Muhammad Faridz Syahrian Muhammad Insan Andika Muhammad Maulidin Muhammad Maulidin Muhammad Rinaldy Muryadi, Elvaro Islami Nadia Zenni Andari Nadratul Ulya Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Natali, Oliviti Nerseri Barus Nova Larysca Manik Nurhafizah Nurhafizah Oliviti Natali Ongky Harianto Ongky Harianto Padma Sekar Ayu Putri Prahasta Pane, Reybka Cindy Sitorus Parapat, Winny G I Paulina, Elsa Piety Kristiani Wau Predy Roy Suranta Ginting Primanita Novi Andriati Purba, Amelia Salsabila Putranto Manalu Putri Satriani Dachi Putri, Monica Putri, Nadya Nazimuddin Rahmad Fitrianto Rapael Ginting Reh Malem br Karo Restin Julianti Zebua Revina, Monica Reynel Putri Pratiwi Wau Rezeki, Naomi Grace Ria Hartaty Roza Erda Rushe, Rhesiwenny S. Shelly Hazlina Hararap Saud Parulian Harianja Sawato Zebua Setia Budi Simbolon, Boyke Marthin Sinaga, Ade Sindy Zelvia Sinta Ayu Setiawan Sintiya Hamdi SITI AMINAH Sitompul, Fernades Stiven Elsafarindo Suci Erawati Suhartina Suhartina Suhartina Suhartina Suhartina Suhartina, Suhartina Sulistijanto, Eddy Suryana, Kresna Dharma Suyono, Tan Syahputra, Ari Denggan Syahrian, Muhammad Faridz Tamarin, Tamarin Tan Suyono Tan Suyono Tarigan, Gracia Hosanna Evelyn Tarigan, Setia Budi Thomson Parluhutan Nadapdap, Thomson Parluhutan Tiorismasni Zai Tommy Adhi Wijaya Tuho Konsultasi Mendrofa Vonikartika, Arie - Waoziduhu Ndruru Widya Yanti Sihotang Wienaldi, Wienaldi Wika Hanida Winda Tri Mutia Winvi, Feli Clarisa Yeni Puspawani Yohana Candra Andini Hutabarat Yuke Armika Yuliani Yuliani Yuliani, Riski Yurlina Zai Zai, Yurlina Zebua, Sawato Zelvia, Sindy Zendrato, Arisman