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Analisis Efektivitas-Biaya Kombinasi Antihipertensi Oral Pasien Hipertensi Rawat Jalan di Rumah Sakit Umum Daerah Tugurejo Semarang Periode 2007 Cost-Effectiveness Analysis of Combined Use of Oral Antihypertensive Outpatient Hypertension in Regional Gener Timur, Willi Wahyu; Andayani, Tri Murti; Aribawa, Riyanta
Jurnal Sains Medika Vol 4, No 2 (2012)
Publisher : Fakultas Kedokteran UNISSULA

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Background: Analysis of cost-effectiveness is an analysis which comparing therapy effective with its cost. In thisresearch, therapies effective are compared between combination of oral anti-hypertension with cost that paidby patient. This research aims to identify the combination of oral anti-hypertension, which cost is the most costeffectiveon hypertension patient in RSUD Tugurejo Semarang, period 2007.Design and Methods: This research was a non-experimental using descriptive non-analytic, data collectionperformed in retrospective from medical record of patient of hypertension in RSUD Tugurejo Semarang, period2007. Research subject was hypertension patient, which used two combinations that were anti-hypertension andusing similar anti-hypertension, at least during 3-month period. Hypertension effective measured by calculatingpatient amount that blood pressure achieved the target during 2 month, after therapy performed. Costeffectiveness seen based on average cost-effectiveness ratio (ACER) value.Results: The result of analysis of cost-effectiveness using anti-hypertension on hypertension patient in RSUDTugurejo Semarang, period 2007 for 44 cases has fulfilled the criterion. Female patients were 25 cases and malepatients were 19 cases. The most used combination of oral anti-hypertension was class combination of diuretic-ACEI (angiotensin converting enzyme inhibitor) for 36,36%. Cheapest direct medical cost wascombination ofACEI–Beta blocker for Rp. 23.250,10. The biggest therapy effectiveness there was at combination of ACEI –diureticfor 46,88%.Conclusion: The most cost-effective is ACEI – diuretic with ACER value for 623,06 (Sains Medika, 4(2):124-133).Latar Belakang: Analisis efektivitas-biaya merupakan analisis yang membandingkan antara efektivitas terapidengan biaya yang dikeluarkan. Pada penelitian ini efektivitas terapi kombinasi antihipertensi oral dibandingkandengan biaya yang dikeluarkan oleh pasien. Penelitian ini bertujuan untuk mengetahui kombinasi antihipertensioral yang paling cost-effective pada pasien hipertensi rawat jalan di RSUD Tugurejo Semarang periode 2007.Metode Penelitian: Penelitian ini bersifat non-eksperimental dengan menggunakan rancangan deskriptif nonanalitik.Pengambilan data dilakukan secara retrospektif dari rekam medik pasien rawat jalan penderita hipertensidi RSUD Tugurejo Semarang periode 2007. Subyek penelitian adalah pasien yang memenuhi kriteria inklusi yaituberjumlah 44. Kriteria inklusi adalah pasien yang menggunakan 2 kombinasi antihipertensi oral dan menggunakanantihipertensi yang sama selama paling tidak 3 bulan. Efektivitas antihipertensi diukur dengan menghitung jumlahpasien yang tekanan darahnya mencapai target yaitu < 140/90 mmHg, selama 2 bulan setelah terapi. Efektivitasbiaya dilihat berdasarkan nilai average cost-effectiveness ratio (ACER).Hasil Penelitian : Hasil penelitian menunjukkan bahwa kombinasi antihipertensi oral yang paling banyak digunakanadalah kombinasi golongan angiotensin converting enzyme inhibitor (ACEI)-diuretik sebesar 36,36%. Biaya mediklangsung yang paling murah adalah kombinasi ACEI – beta blocker sebesar Rp. 23.250,10. Efektivitas terapi palingbesar terdapat pada kombinasi ACEI-diuretik sebesar 46,88%.Kesimpulan: Kombinasi paling cost-effective adalah ACEI-diuretik dengan nilai ACER sebesar 623,06 (Sains Medika,4(2):124-133).
ANALISIS PERSPEKTIF PEMBELAJARAN DAN PERTUMBUHAN DALAM MENGUKUR KINERJA INSTALASI FARMASI RSUD X DENGAN PENDEKATAN BALANCED SCORE CARD Sulistyaningrum, Indriyati Hadi; Satibi, .; Andayani, Tri Murti
MAJALAH FARMASI DAN FARMAKOLOGI Vol 17, No 3 (2013)
Publisher : Universitas Hasanuddin

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Pengukuran kinerja menggunakan Balanced Scorecard pada perspektif pembelajaran dan pertumbuhan menawarkan solusi pengukuran kinerja yang lebih menyeluruh dan komprehensif dalam suatu organisasi publik di antaranya Rumah Sakit. Penelitian ini bertujuan untuk mengetahui kinerja Instalasi Farmasi RSUD  X yang  ditinjau pada perspektif pembelajaran dan pertumbuhan dengan pendekatan Balanced Scorecard. Objek penelitian ini adalah Instalasi Farmasi RSUD X sebagai salah satu Rumah Sakit Pemerintah milik Pemerintah Daerah. Penelitian ini merupakan penelitian deskriptif non eksperimental. Data diperoleh secara prospektif. Data kualitatif diperoleh melalui kuesioner dan wawancara mendalam dengan Kepala Instalasi Farmasi RSUD X Data kuantitatif diperoleh melalui observasi langsung. Dari hasil penelitian dengan menggunakan Balanced Scorecard ,  Kinerja perspektif pembelajaran dan pertumbuhan: a. Human Capital: Semangat Kerja Karyawan tinggi sebesar 78%, Produktivitas Langsung belum baik karena adanya beban administrasi yang tinggi b. Organization Capital: Budaya Organisasi, Leadership, Teamwork menunjukkan hasil sangat tinggi yaitu 86%. Information Capital : Teknologi Informasi, Database yang digunakan di  Instalasi Farmasi RSUD X sedang dikembangkan Sistem Informasi Manajemen. Network perlu memiliki jaringan komunikasi dengan pasien selain telepon seperti jaringan internet karena belum memiliki jaringan komunikasi yang baik dengan customer. Sehingga dapat ditarik kesimpulan bahwa kinerja Instalasi Farmasi RSUD X termasuk dalam kriteria cukup baik, dengan beberapa saran dan perbaikan yang perlu dilakukan.
CUSTOMERS PERSPECTIVE IN PERFORMANCE ASSESSMENT OF PHARMACY INSTILLATION OF RSUD X WITH BALANCED SCORECARD Sulistyaningrum, Indriyati Hadi; Satibi, Satibi; Andayani, Tri Murti
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26532/sainsmed.v5i2.346

Abstract

Balanced Scorecard performance measurement (financial perspective, customer perspective, internal business perspective, and learning and growth perspective) offers a more thorough and comprehensive evaluation in a public organization such as a hospital. The object of this study was the Department of Pharmacy of RSUD X. This study was descriptive non-experimental. The data were obtained retrospectively and prospectively. The qualitative data were obtained through questionnaires. The quantitative data were obtained through direct observation, surveys. From the research using the Balanced Scorecard data gathering, it has been found that: performance customer perspective showed that the average patient satisfaction was 88% of patients. They were satisfied with the service of the Department of Pharmacy, and the average growth of customers has increased by 10% each month. In conclusions, the working performance of the department of pharmacy was included in a good criteria, with some suggestions and improvements that need to be taken into consideration.
Perspektif Customer dalam Mengukur Kinerja Instalasi Farmasi RSUD X dengan Pendekatan Balanced Scorecard Customer’s Perspective in Performance Assessment of Pharmacy Instillation of RSUD X with Balanced Scorecard Sulistyaningrum, Indriyati Hadi; -, Satibi; Andayani, Tri Murti
Jurnal Sains Medika Vol 5, No 2 (2013)
Publisher : Fakultas Kedokteran UNISSULA

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Abstract

Pengukuran kinerja menggunakan Balanced Scorecard pada perspektif pembelajaran dan pertumbuhan menawarkan solusi pengukuran kinerja yang lebih menyeluruh dan komprehensif dalam suatu organisasi publik di antaranya Rumah Sakit. Objek penelitian ini adalah Instalasi Farmasi RSUD X. Penelitian ini merupakan penelitian deskriptif non eksperimental. Data diperoleh secara prospektif. Data kualitatif diperoleh melalui kuesioner. Data kuantitatif diperoleh melalui observasi langsung. Dari hasil penelitian dengan menggunakan Balanced Scorecard pada kinerja perspektif customer menunjukkan bahwa : rata-rata kepuasan pasien 88% pasien menyatakan puas terhadap pelayanan Instalasi Farmasi Rumah Sakit, rata-rata pertumbuhan pelanggan mengalami peningkatan rata-rata 10% tiap bulannya. Sehingga dapat ditarik kesimpulan bahwa kinerja Instalasi Farmasi RSUD X termasuk dalam kriteria baik, dengan beberapa saran dan perbaikan yang perlu dilakukan.Balanced Scorecard performance measurement (financial perspective, customer perspective, internal business perspective, and learning and growth perspective) offers a more thorough and comprehensive evaluation in a public organization such as a hospital. The object of this study was the Department of Pharmacy of RSUD X. This study was descriptive non-experimental. The data were obtained retrospectively and prospectively. The qualitative data were obtained through questionnaires. The quantitative data were obtained through direct observation, surveys. From the research using the Balanced Scorecard data gathering, it has been found that: performance customer perspective showed that the average patient satisfaction was 88% of patients. They were satisfied with the service of the Department of Pharmacy, and the average growth of customers has increased by 10% each month. In conclusions, the working performance of the department of pharmacy was included in “good criteria”, with some suggestions and improvements that need to be taken into consideration.
Willingness to Pay Pelayanan Konseling Apoteker di Apotek di Kecamatan Polokarto Tahun 2016 Harlianti, Mariska Sri; Andayani, Tri Murti; Puspandari, Diah Ayu
Pharmacon: Jurnal Farmasi Indonesia Vol 15, No 1 (2018)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/pharmacon.v15i1.7247

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Counseling is one part of the clinical pharmacy service at the pharmacy that is the responsibility of the pharmacist to achieve therapeutic goal. Community needs for counseling have increased so that the active participation of pharmacists is needed through the provision of professional services. This research needs to be done to find out the amount of counseling services by pharmacists who are willing to be paid by patients with a WTP (Willingness to Pay) value parameter. In addition, the value of WTP can also describe the indirect benefits felt by the community towards counseling services by pharmacists at the pharmacy. This research is a descriptive observational research through a survey. The study was conducted at the pharmacy in the Polokarto sub-district of Sukoharjo regency in January – February 2016 with pharmacy visitor respondents who received counseling services by pharmacists. A total of 82 patients participated in this study. The amount of WTP is determined based on the average WTP value chosen by the patients with the payment card method. The result showed that the average WTP value of pharmacist counseling services at pharmacies in Sukoharjo regency was Rp. 15,892. 
KUALITAS HIDUP PADA PASIEN DIABETES MELITUS TIPE 2 RAWAT JALAN DI RUMAH SAKIT UMUM TIDAR MAGELANG anas, yance; astuti r, widi; andayani, tri murti
e-Publikasi Ilmiah Fakultas Farmasi Unwahas Semarang JURNAL ILMU FARMASI DAN FARMASI KLINIK VOL. 5 NO. 1 JUNI 2008
Publisher : e-Publikasi Ilmiah Fakultas Farmasi Unwahas Semarang

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ABSTRACTDiabetes Mellitus is a chronicle disease that gives effect to patient well being. Moreover, a complication suffering gives negative effect to the patient. The aim of this research is to identify the life quality of Diabetes Mellitus (type 2) sufferer and the characteristic relating to it quality of life. This research applied descriptive design and performed on the visitors of Policlinic of the interior disease on Tidar Hospital of Magelang during Juli – August 2007. The inclusion criterion is the visitors when this research performed, entering 18 years old or more, of Diabetes Mellitus Type 2, any agreement of informed consent and filled up the questionnaire. The sample taking is done by accidental sampling. To measure the life quality is used a questionnaire of Diabetes Quality of Life (DQOL), then it continued by measure the quality of life of any patients that involved therapeutic satisfaction, the effect of therapy, the anxiety of diabetes, the anxiety of social problem and the quality of life in general. Every question is measured by the Likert Scale of 5. Of the 50 analyzed patients, 46% is female and 54% is male, with the biggest rate of age is 60-69 years old.The treatment of DM type 2 in Tidar Magelang general hospital for 50 patients who do treatment in the house have good rate life of score. It is 0,599 (it means the quality of life is higher). The lowest score of therapeutic effect is 0,588. Moreover, the highest score of anxiety to the diabetes is 0,616. The male patients and the patient with long duration show the low quality of life. Accordance with the correlation test of Spearman and Kendall is obtained that there was no significant correlation between the patient characteristic and it quality of life. Key word : the quality of life, Diabetes Mellitus Type 2, Tidar Hospital of Magelang
KERASIONALAN PENGGUNAAN OBAT BEBAS DAN OBAT BEBAS TERBATAS COMMON COLD DALAM UPAYA SWAMEDIKASI OLEH MASYARAKAT DI KECAMATAN GAJAHMUNGKUR KOTA SEMARANG budiarti, aqnes; sakti, dharmika wijaya; andayani, tri murti
e-Publikasi Ilmiah Fakultas Farmasi Unwahas Semarang JURNAL ILMU FARMASI DAN FARMASI KLINIK VOL. 4 NO. 1 JUNI 2007
Publisher : e-Publikasi Ilmiah Fakultas Farmasi Unwahas Semarang

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ABSTRACTThe research about rationality of using over the counter drugs common cold for self medication in district of Gajahmungkur Semarang has been carried out. Data gotten from the result of field survey which is using the questioners that has been filled by Gajahmungkur’s people. Data will be analyzed with non analytical descriptive method. Based on the survey result, knowing that people in Gajahmungkur’s district choosing OTC drugs especially analgetic, antihistamin and decongestan (66,4%). The evaluation of rationality of using drugs for common cold has result: 1) Drugs of choice for common cold is correct. 2) Correct patient are 92,1%. 3) Correct dosage form 96,0%. 4) The most adverse drugs happens is sleepy (53,4%). Key words: Drugs rationality, common cold, self medication, people in district of Gajahmungkur Semarang
EVALUASI KERASIONALAN PENGOBATAN DIABETES MELITUS TIPE 2 PADA PASIEN RAWAT INAP DI RUMAH SAKIT BHAKTI WIRA TAMTAMA SEMARANG TAHUN 2006 arifin, ibrahim; prasetyaningrum, erna; andayani, tri murti
e-Publikasi Ilmiah Fakultas Farmasi Unwahas Semarang JURNAL ILMU FARMASI DAN FARMASI KLINIK VOL. 4 NO. 1 JUNI 2007
Publisher : e-Publikasi Ilmiah Fakultas Farmasi Unwahas Semarang

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ASTRACTDiabetes melitus is metabolic disease characterized hiperglikemia that caused disparity of insulin secretion, insulin activity or both. WHO had predicted there were increasing of diabetes mellitus patients in next time, included in Indonesia. This study aim to know and evaluate the rational of in patients diabetes mellitus type 2 medication in Bhakti Wira Tamtama Hospital Semarang at 2006. This study is non experimental research that analyzed by non analytical descriptive method. Data were collected retrospectively from medical record comprised patient identity, diabetes melitus type 2 medication, and rational antidibetic usage. Data obtained were analysed with Standard of Perkeni 2006. The result of this study showed that 34 in-patient diabetes mellitus type 2 in Bhakti Wira Tamtama Hospital Semarang at 2006 were 40-50 years old (47,06%). Diabetes mellitus type 2 patients comprised 18 men and 16 women, 8 cases (23,52 %) were diabetes mellitus type 2 without additional diseases and 26 cases (76,47%) diabetes mellitus type 2 with additional diseases. Patients had diagnosis appropriate were 94,12 %, drug choise appropriate were 100 %, which biguanid metformin usage were 15 patients (46,87%). Dosis appropiate 100%, patient appropriate 100%, while drug interaction had happened to 1 case, that was antidiabetic and thiazid diuretic. Key words: Rational evaluation, diabetes mellitus type 2, Bhakti Wira Tamtama Hospital Semarang
ANALISIS BIAYA TERAPI PASIEN DIABETES MELITUS RAWAT INAP Dyah, Ria Istamining; Wahyono, Djoko; Andayani, Tri Murti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 4, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.257

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Diabetes melitus merupakan penyakit kronis yang membutuhkan banyak biaya, maka analisis biaya menjadi hal yang penting untuk dipertimbangkan. Tujuan penelitian ini untuk mengetahui komponen biaya, rata-rata biaya keseluruhan, dan mengetahui apakah terdapat korelasi antara faktor pasien dan jenis obat terhadap biaya total, antara jenis pembiayaan dan kelas perawatan terhadap biaya medis langsung pada pasien diabetes melitus rawat inap di RSUD Dr. Moewardi Surakarta. Penelitian menggunakan rancangan deskriptif non eksperimental yang berasal dari pasien kelompok 1 (JAMKESMAS + PKMS + tidak mampu) dan kelompok 2 (ASKES PNS + Umum + Kerjasama), data diambil secara retrospektif dari catatan medik pasien dengan diagnosis utama diabetes melitus dengan penyakit penyerta yang memenuhi kriteria inklusi selama periode Januari sampai dengan Desember 2010, catatan bagian keuangan RSUD Dr. Moewardi Surakarta untuk mengetahui biaya serta rincian penggunaan obat dari bagian instalasi farmasi. Pengambilan sampel menggunakan teknik simple random sampling. Uji chisquare digunakan untuk mengetahui hubungan antara faktor pasien, jenis obat, jenis pembiayaan, dan kelas perawatan terhadap biaya total. Hasil penelitian menunjukkan bahwa komponen biaya yang menyusun keseluruhan biaya adalah biaya medis langsung. Rata-rata biaya pengobatan total pada pasien kelompok 1 adalah Rp 4.127.180 dan pada pasien kelompok 2 adalah Rp 3.828.282. Komponen biaya terbesar pada pasien kelompok 1 adalah biaya laborat (27,02%), biaya obat (25,74%), dan biaya tindakan (17,20%), sedangkan pada pasien kelompok 2 komponen biaya terbesar adalah biaya obat (27,54%), biaya laborat (23,02%), dan biaya tindakan (19,00%). Hasil uji chisquare menunjukkan ada hubungan antara lama waktu perawatan (LOS) dengan biaya pengobatan diabetes melitus di RSUD Dr. Moewardi Surakarta. Kata kunci: analisis biaya, diabetes mellitus
Economic evaluation of antibiotic usage for cesarean section in PKU Muhammadiyah Yogyakarta Hospital Andayani, Tri Murti; Sudjaswadi, Riswaka
INDONESIAN JOURNAL OF PHARMACY Vol 16 No 2, 2005
Publisher : Faculty of Pharmacy Universitas Gadjah Mada, Yogyakarta, Skip Utara, 55281, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.18 KB) | DOI: 10.14499/indonesianjpharm0iss0pp70-75

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In the developed countries, the incidence of cesarean section year by year increases by 7 –10 %. There have been various kinds of cesarean section in several hospitals. In PKU Muhammadiyah Yogyakarta hospital, the incidence of cesarean section in 2001 increased up to 21 %. There are also various kinds of antibiotics used to deal with cesarean section cases which caused various kinds of medical cost. Therefore, identification of antibiotics cost, which used to deal with cesarean section in PKU Muhammadiyah Yogyakarta hospital was studied.The study was performed by epidemiological survey of cesarean section via patient’s medical record, medicinal cost for treatment and surgery, and patient’s invoice in the year 2000. The study involved recording identification of patients and physicians identities, antibiotics and other medicines used, surgical equipment, cesarean section indications, pharmacy and other cost, duration of staying related to cesarean section.Results showed that the majority of cesarean section has prolonged labour (26%). The majority of antibiotics used in cesarean section is Sulbenicillin injection with Klindamicin oral (31%) and Amoxicillin/potassium clavulanate injection with Amoxicillin oral (23%). Cost of antibiotics were 12.5% - 44.4% of pharmacy expenses and 6.7% - 14.8% of total expenses. No correlation between antibiotics cost and hospital stays.Key words : cost, antibiotic, cesarean section
Co-Authors . Satibi Abror, Nurul Ambianti Achmad Fudholi admaja, wika Ahmad H. Asdie, Ahmad H. Aisyah, Noor Ali Ghufron Mukti Amalia Amalia Amelia Lorensia Aqnes Budiarti Arfania, Maya Arini, Yovita Dwi Artemisia, Rahma Ayuning Siwi, Mayang Aditya Azalea, Metty dharmika wijaya sakti Diah Ayu Puspandari, Diah Ayu Didik Setiawan Dinaryanti, Pratiwi Dini, Intan Rahmania Eka Djoko Wahyono Dwiningrum, Arissa Dyah, Ria Istamining Endang Suparniati, Endang Endang Yuniarti Endarti, Dwi Endarti, Dwi erna prasetyaningrum Etikasari, Ria Farida, Yeni Fidiawan, Arie Fidiawan, Arie Firmansyah, Ferdy Fita Rahmawati Fitri, Elny Fredie Irijanto Haninditya, Beta Haninditya, Beta Hari Kusnanto Haris, Restu Nur Hasanah Haris, Restu Nur Hasanah Herri S Sastramihardja, Herri S Herri S. Sastramihardja I Dewa Putu Pramantara Ibrahim Arifin Ika Puspitasari Imaniar Noor Faridah Inayati Inayati Indriyati Hadi Sulistyaningrum Irnayanti, Irnayanti Iwan Dwiprahasto Jaelani, Abdul Khodir Jaelani, Abdul Qadir Jarir At Thobari Kartika Widayati Katadi, Syaiful Katadi, Syaiful Khoirunnisa, Sudewi Mukaromah Kusharwanti, A.M Wara Kusumawati, Dhiyan L. Endang Budiarti, L. Endang Larasati, Laksmy Anggun Larasati, Laksmy Anggun Lingga Ikaditya, Lingga Makmur, Rahmat Makmur, Rahmat Maranatha, Daniel Marasabessy, Hadija Mariska Sri Harlianti, Mariska Sri Mayasari, Gita Mohamed Izham Mohamed Ibrahim, Mohamed Izham Mohamed Mpila, Deby Afriani Mufarrihah, Mufarrihah Mukti, Ali Gufron Mulyani, Risya Munawaroh, Farida Muslimah Muslimah Nanang Munif Yasin Neneng Ratnasari Norcahyanti, Ika Nugraheni, Ambar Yunita Nugraheni, Diesty Anita Nurcahya, Bekti Meilani Nuryanti, Tety Octavia, Mega Oktaviani, Devi Pahriyani, Ani Parmasari, Megawati Partini Partini, Partini Pinzon, Rizaldy T Primadiamanti, Annisa Primadiamanti, Annisa Purnamasari, Vina Purnomo, Luthfan Budi Puspitasari, Candra Eka Ramadhani, Syahrizal Ramadhani, Syahrizal Rina Herowati Riswaka Sudjaswadi Riyanta Aribawa Rizaldy Pinzon Rokhman, Rifqi Rukminingsih, Fef S, I Dewa Putu Pramantara Safnurbaiti, Dwi Putri Saharuddin, Tria Saputra Sammulia, Suci Fitriani Sampurno Sampurno Sari, Rafika Mutia Sarifudin, Barbara Azalya Sarifudin, Barbara Azalya Satibi - Satibi Satibi Setyawan, Irfanianta Arif Shera, Okke Putri Sugiyanto Sugiyanto Sukengtyas, Dyah Atmi Tri Sulistiawaty, Endang Sunarti Sunarti Susi Ari Kristina Suwendar Suwendar Umi Athijah Wahyudi, Mariana widi astuti r Willi Wahyu Timur Yance Anas Yopi Rikmasari, Yopi Yusriana, Chinthia Sari Zullies Ikawati