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Personal hygiene genitalia wanita Made Hermina Laksmi; Ni Made Dwi Puspawati; Aurelia Stephanie; Putu Gde Hariwangsa
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.2 KB) | DOI: 10.15562/ism.v13i3.1461

Abstract

Since the beginning, genital hygiene has become a concern for women susceptible to infections of the urinary tract and reproductive system where the vagina is an unsterile organ related to external exposure and close to the anus. Several problems related to the personal hygiene of female genitalia arise due to a lack of understanding and literature discussing this matter. This literature review will discuss the normal flora of the female genitalia and procedures for daily vaginal care, which aims to increase understanding of female genital personal hygiene.   Sejak dahulu hygiene genetalia sudah menjadi perhatian kaum wanita, karena wanita sangat rentan terkena infeksi traktus urinarius dan sistem reproduksi dimana vagina merupakan organ yang tidak steril yang berhubungan dengan dunia luar serta berdekatan dengan anus. Beberapa masalah terkait personal hygiene genitalia wanita timbul akibat kurang pemahaman dan sedikitnya literatur yang membahas tentang hal ini. Tinjauan pustaka ini akan membahas mengenai flora normal genitalia wanita dan tata cara perawatan vagina sehari-hari yang bertujuan untuk meningkatkan pemahaman terhadap personal hygiene genitalia wanita.
Perbandingan kerusakan saraf perifer melalui pemeriksaan elektroneuromiografi pada kusta tipe multibasiler I Dewa Made Rendy Sanjaya; Luh Made Mas Rusyati; Ketut Kwartantaya Winaya; I Komang Arimbawa; I Gusti Ayu Agung Praharsini; Ni Made Dwi Puspawati
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1523

Abstract

Background: Leprosy is a bacterial infection that is still a neglected disease. This disease leads to peripheral neuropathy despite routine treatment. Moreover, early detection of peripheral neuropathy in leprosy patients is very important. ENMG is known to have fairly good sensitivity and specificity in detecting it. Therefore, this study aims to determine the relationship between type 2 leprosy reactions and the risk of peripheral neuropathy through ENMG examination. Methods: The study design was a prospective, cross-sectional observational study. The research was conducted in July-September 2022 at Prof. dr. I G.N.G. Ngoerah General Hospital, Denpasar. The sample will be selected based on inclusion and exclusion criteria and then divided into two groups as a group with type 2 leprosy reaction and a group without type 2 leprosy reaction. The data were analyzed using SPSS version 25. The analysis was carried out in the form of descriptive and analytical analyses. The analytical analysis used is fisher's exact. Results: This study obtained 20 samples with an average age of 36.2±13.3 years. There were 40% of patients with type 2 leprosy reactions. All patients had polyneuropathy with 30% axonal type polyneuropathy and 70% mixed type. Bivariate analysis showed that there was no significant relationship between type 2 leprosy reaction to the type of peripheral neuropathy and the number of nerves involved based on ENMG examination (p=0.64). Conclusion: From this study, it can be concluded that there was no statistically significant relationship between the type 2 leprosy reaction to the type of peripheral neuropathy and the number of nerves involved based on the ENMG examination.   Latar belakang: Kusta merupakan infeksi bakteri yang masih menjadi  penyakit terbengkalai. Penyakit ini dapat menimbulkan terjadinya neuropati perifer meskipun telah melakukan pengobatan yang rutin. Untuk itu deteksi dini neuropati perifer pada pasien kusta sangat penting. ENMG diketehui memiliki sensitivitas dan spesifisitas yang cukup baik dalam mendeteksi hal tersebut. Maka dari itu, penelitian ini bertujuan untuk mengetahui hubungan antara reaksi kusta tipe 2 dengan resiko neuropati perifer melalui pemeriksaan ENMG. Metode: Disain penelitian ini merupakan observasional prospektif, potong lintang. Penelitian dilakukan pada bulan Juli-September 2022 di RSUP Prof. dr. I G.N.G. Ngoerah, Denpasar. Sampel akan diseleksi berdasarkan kriteria inklusi dan eksklusi kemudian di bagi menjadi dua kelompok yaitu, kelompok dengan reaksi kusta tipe 2 dan kelompok tanpa rekasi kusta tipe 2. Data dianalisis menggunakan SPSS versi 25. Analisis yang dilakukan berupa analisis deskriptif, dan analitik. Analisis analitik yang digunakan berupa fisher’s exact. Hasil: Pada penelitian ini mendapatkan 20 sampel dengan rata-rata berusia 36,2±13,3 tahun. Terdapat 40% pasien dengan reaksi kusta tipe 2. Seluruh pasien mengalami polineuropati dengan 30% merupakan polineuropati tipe aksonal dan 70% tipe campuran. Analissi bivariat menunjukkan tidak ditemukannya hubungan yang signifikan antara rekasi kusta tipe 2 terhadap jenis nauropati perifer dan jumlah saraf yang terlibat berdasarkan pemeriksaan ENMG (p=0,64). Simpulan: Dari penelitian ini dapat disimpulkan bahwa tidak ditemukannya hubungan yang signifikan secara statistik antara rekasi kusta tipe 2 terhadap jenis nauropati perifer dan jumlah saraf yang terlibat berdasarkan pemeriksaan ENMG.
PROFIL PASIEN HIV DENGAN KOINFEKSI INFEKSI MENULAR SEKSUAL LAINYA DI POLIKLINIK KULIT DAN KELAMIN RSUP PROF. DR. I.G.N.G. NGOERAH DENPASAR PERIODE TAHUN 2019-2021 Murti, Nyoman Indra Karunia; Puspawati, Ni Made Dwi; Indira, I Gusti Ayu Agung Elis; Hostiadi, Michael; Krisnaputri, Nandya Putu
E-Jurnal Medika Udayana Vol 12 No 4 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i04.P04

Abstract

Human Immunodeficiency Virus (HIV) adalah sebuah virus yang menyerang sistem kekebalan tubuh manusia. Virus ini menyebabkan individu yang terinfeksi lebih rentan terhadap infeksi lainnya. Risiko penularan HIV tertinggi adalah melalui hubungan seksual. Hingga saat ini, HIV masih menjadi masalah besar di dunia, tidak terkecuali di Indonesia. Infeksi HIV seringkali diserta dengan koinfeksi penyakit menular seksual lainya. Pada studi ini dilakukan studi cross-sectional, dimana pasien HIV dengan koinfeksi penyakit menular seksual lainya yang datang ke poliklinik kulit dan kelamin divisi infeksi menular seksual di RSUP Prof Dr. I.G.N.G. Ngoerah periode tahun 2019-2021 akan didata. Hasil penelitian ini menunjukkan bahwa pada pasien HIV dengan infeksi menular seksual lainya, jenis kelamin terbanyak adalah laki-laki dengan jumlah lebih dari dua kali lipat wanita. Kelompok usia terbanyak adalah usia 16-30 tahun yang masih merupakan usia produktif. Jenis koinfeksi penyakit menular seksual pada penderita HIV terbanyak adalah kondiloma akuminata. Pada penelitian ini, individu HIV dengan stadium 2 merupakan penderita terbanyak. Beberapa temuan pada penelitian ini memiliki kemiripan data dengan penelitian-penelitian serupa, namun beberapa hasil temuan pada penelitian ini mungkin berbeda dengan temuan pada beberapa penelitian-penelitian di negara lain, kemungkinan akibat perbedaan demografis dan jumlah sampel penelitian yang terbatas. Kata kunci : Human Immunodeficiency Virus, infeksi menular seksual.
CHARACTERISTICS OF DERMATOPHYTOSIS PATIENTS AT DERMATOVENEROLOGY CLINIC OF RSUP SANGLAH DENPASAR DURING THE PERIOD OF 2017-2019 Natih, Sintha Aprillia Gita; Wardhana, Made; Puspawati, Ni Made Dwi; Karmila, IGAA Dwi
E-Jurnal Medika Udayana Vol 11 No 2 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i02.P04

Abstract

Dermatophytosis is a desases that caused by dermatofita from the family of arthrodermatacecae. There are six types of dermatofitosis based on the lesi location ; which are tinea korporis, tinea kruris, tinea pedis, tinea kaptisis, tinea unguium, tinea barbae and tinea kapitis. tinea korporis and tinea kruris are the most common happens in the dermatifita deases. This research conduct with a descriptive retrospektif method using secondary data from the patient book registration at dermatovenerology clinic of RSUP Sanglah Denpasar during the period of 2017-2019. the data collection base on the criteria of age, sex, old or new patient, type of dermatophytosis and the type of theraphy. during the researc, 123 data were meet the criteria of age, sex,old or new patient, type of dermatophytosis and the type of therapy. Thus, the data analyzed deskriptifly. the highest percentage obtained are tines corporis (33,6%) age group range 1-14 years old (25,4%) 15-24 years old (25,4%), male (55,0%), old patient (51,6%), combination theraphy (54,1%) Keywords : Dermatophytosis, Tinea, Descriptive
Prevalensi dan Karakteristik pada Pasien Sifilis Okuler di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. I.G.N.G. Ngoerah Periode 2018-2020 Puspawati, Ni Made Dwi; Triatmakusuma, Yogi; Mahariski, Pande Agung
Al Qalam: Jurnal Ilmiah Keagamaan dan Kemasyarakatan Vol. 17, No 6 : Al Qalam (November 2023)
Publisher : Sekolah Tinggi Ilmu Al-Qur'an (STIQ) Amuntai Kalimantan Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35931/aq.v17i6.2857

Abstract

Sifilis merupakan suatu infeksi menular seksual (IMS) yang disebabkan oleh Treponema pallidum. Kondisi ini dapat menimbulkan komplikasi apabila tidak mendapatkan penanganan yang cepat dan tepat. Salah satu komplikasi yang perlu diperhatikan adalah sifilis okuler. Minimnya studi epidemiologi sifilis okuler di Indonesia membuat kewaspadaan para klinisi tergolong kurang sehingga penelitian penting untuk dilakukan untuk menekan angka morbiditas. Tujuan: Penelitian ini dilakukan untuk mengetahui prevalensi dan karakteristik pasien sifilis okuler yang berkunjung ke Poliklinik Kulit dan Kelamin RSUP Prof. Dr. IGNG Ngoerah. Metode: Studi deskriptif obsevasional yang dilakukan ini memanfaatkan data sekunder dari rekam medis pasien sifilis okuler yang menjalani pengobatan di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. IGNG Ngoerah Denpasar selama periode Januari 2018–Desember 2020. Seluruh pasien yang berkunjung saat periode penelitian dilibatkan dalam penelitian ini (total sampling) dan dilakukan eksklusi apabila data rekam medis tidak lengkap. Analisis data dilakukan dengan perangkat lunak SPSS versi 20. Hasil: Terdapat 595 pasien sifilis yang merupakan kasus baru dan hanya ditemukan lima kasus sifilis okuler. Kasus sifilis okuler didominasi oleh pasien laki-laki (8%) dan kelompok usia produktif (60%). Sebagian besar pasien merupakan pekerja swasta (80%) dan berasal dari luar Bali (60%). Seluruh pasien belum menikah dan 80% di antaranya adalah heteroseksual. Diketahui bahwa 40% pasien memiliki status HIV positif dan seluruh pasien sifilis okuler mengalami sifilis stadium sekunder. Kesimpulan: Terjadi peningkatan kasus sifilis yang sangat drastis bila dibandingkan dengan penelitian periode sebelumnya di RSUP Prof. Dr. IGNG Ngoerah Denpasar. Penelitian lebih lanjut masih dibutuhkan untuk mentelaah faktor risiko lain yang mungkin berperan dalam terjadinya sifilis okuler.
Serum Interleukin-6 Levels are Positively Correlated with the Severity of Acne Vulgaris Triatmakusuma, Yogi; Praharsini, I Gusti Ayu Agung; Darmaputra, I Gusti Nyoman; Winaya, Ketut Kwartantaya; Karna, Ni Luh Putu Ratih Vibriyanti; Puspawati, Ni Made Dwi
Journal La Medihealtico Vol. 5 No. 1 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i1.1056

Abstract

Acne vulgaris is a chronic inflammatory disease that affects the pilosebaceous unit. This disease occurs on the skin of the face, body, back, and other areas of the body, and can leave scars on the skin which can be temporary or permanent. Recent data shows that the inflammatory process is the initial process in the pathogenesis of acne, several pro-inflammatory cytokines, one of which is interleukin 6 (IL-6), which plays a role in acne vulgaris. Analytical observational study with a cross-sectional approach. The research was carried out from February - November 2023 at the Skin and Venereology Polyclinic, RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar and the Clinical Pathology Laboratory of Prof IGNG Ngoerah Hospital. The sample consisted of 47 samples of patients with acne and 20 samples without acne aged 8 - 45 years who were selected through consecutive sampling according to inclusion and exclusion criteria. A sample of 3 milliliters of venous blood is taken which will then be checked for IL-6 with an ELISA kit. Data analysis with SPSS version 24 and p value <0.05 is significant. The mean IL-6 serum levels in the acne group was 110.2 ± 88.3 pg/ml while in the non-acne group it was 26.7 ± 23.7 pg/ml. There was a significant difference in the category of IL-6 levels in the acne and non-acne groups (95% CI 55.1 - 155.3, p<0.001). The correlation analysis of IL-6 levels with the severity of acne was strongly positive (r=0.951, p<0.001).
Characteristics of skin aging at the Dermatology and Venereology Outpatient Unit at Prof. dr. I Goesti Ngoerah Gde Ngoerah General Hospital, Denpasar from January to December 2019 Tiara Evangelista; Ni Made Dwi Puspawati; Luh Made Mas Rusyati; I Gusti Ayu Agung Praharsini
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 6, Issue 2 (December 2023)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v6i1.33

Abstract

Background: Skin aging is a complex biological process influenced by intrinsic and extrinsic factors. In addition, national data regarding skin aging is still scant. This research was carried out to learn the characteristics of skin aging at the Dermatology and Venereology outpatient unit of Prof. Dr. I G. N. G. Ngoerah General Hospital, Denpasar, in January-December 2019. Methods: This research is a quantitative descriptive study with a cross-sectional design. Sampling was carried out by total sampling with research subjects consisting of skin-aging patients at the Dermatology and Venereology Outpatient Unit of Prof. dr. I G. N. G. Ngoerah General Hospital in January-December 2019. The data collected consists of age, gender, smoking history, alcohol consumption history, body mass index, usage of sunscreen, duration of sun exposure, and Glogau scale classification. Descriptive analysis was carried out using SPSS ver. 23. Results: Twenty cases of skin aging were included. Most cases of skin aging were in the age group of 36-45 years old, all of whom were female, all of whom had no history of smoking, all of whom had no history of alcohol consumption, most body mass index classification was overweight, most do not use sunscreen, the duration of the sun exposure is mostly 30 minutes-6 hours, and the highest classification of the Glogau scale is group III. Conclusion: In this study, body mass index, usage of sunscreen, and duration of sun exposure are the main factors affecting skin aging.
Serpentine supravenous hyperpigmentation (SSH) in nasopharyngeal carcinoma patient on docetaxel and carboplatin chemotherapy: a case report Sutiawan, Indry Salonika; Puspawati, Ni Made Dwi; Martalova AJ, Adelia; Setyono, Alfred; Devi, Putu Akopita; Setyawati, Ni Kadek
Indonesian Journal of Biomedicine and Clinical Sciences Vol 56 No 2 (2024)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v56i2.13006

Abstract

Serpentine supravenous hyperpigmentation (SSH) is a rare but unique side effect of intravenous anticancer. It manifests as linear hyperpigmentation eruption on the skin that radiates along the superficial vein accompanied by mild pain and/or itch. This SSH does not cause systemic alterations, however, most patients complained about its cosmetic effects. The diagnosis of SSH can be made clinically, although histopathological examinations can aid in excluding differential diagnoses. We reported a case of SSH found in a nasopharyngeal cancer patient during docetaxel and carboplatin chemotherapy. It is a potentially alarming interface dermatitis that is not lot reported in the literature. It was reported, the patient tolerated the second and third cycles well with less severe side effects when premedicated with 250 mL NaCl 0.9% bolus intravenously before and after chemotherapy sessions, 10 mg cetirizine every 24 hr orally, and desoximetasone cream 0.25% every 12 hr topically added.
Hubungan Polimorfisme Toll-Like Receptor 2 Dan Sifilis Okular Puspawati, Ni Made Dwi; Indira, I Gusti Ayu Agung Elis; Permana, Aditya
Seminar Ilmiah Nasional Teknologi, Sains, dan Sosial Humaniora (SINTESA) Vol. 7 (2024): PROSIDING SINTESA
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/snts.v7i.3535

Abstract

Sejak pandemi HIV terjadi peningkatan kasus sifilis okular. Hal ini perlu menjadi perhatian karena penyakit ini terutama dijumpai pada kelompok usia produktif, adanya risiko penyulit berupa gangguan penglihatan bahkan kebutaan, dan yang terpenting sampai saat ini pengobatan lini pertama untuk sifilis okular belum tersedia di Indonesia. Untuk itu sangat penting mengetahui faktor risiko yang mempengaruhi kejadian tersebut. Sifat genetik juga dapat berperan penting sebagai faktor risiko sifilis okular. Beberapa polimorfisme gen diperkirakan menjadi faktor risiko endogen terjadinya sifilis okular salah satunya adalah polimorfisme Toll-like receptor 2 (TLR2). TLR memegang peranan kunci dalam garis pertahanan pertama melawan patogen karena kemampuannya untuk mengenali pathogen-associated molecular patterns (PAMP). Saat ini telah diidentifikasi 10 TLR pada manusia yaitu TLR1 sampai TLR10. Beberapa TLR sangat spesifik dalam mengenali dan mengikat beberapa ligan tertentu, seperti TLR2 yang secara spesifik mengenali dan berikatan dengan lipoprotein bakteri. Treponema pallidum, adalah agen penyebab sifilis yang membran luarnya berupa lipoprotein sebagai penentu virulensi. Saat T. pallidum masuk kedalam tubuh host maka akan mengekspresikan banyak lipoprotein, kemudian merangsang sel imun bawaan melalui TLR2. Sehingga polimorfisme pada TLR2 diduga dapat merusak respon imun bawaan terhadap lipopeptida dan lipoprotein spirochetal. Suatu penelitian mendapatkan polimorfisme pada gen TLR2 berhubungan dengan penurunan respons terhadap stimulasi lipoprotein T47L dari T. pallidum dan secara signifikan berhubungan dengan neurosifilis dan sifilis okular. Perlu dilakukan penelitian lebih lanjut untuk mengetahui pengaruh polimorfisme TLR 2 sebagai faktor risiko kejadian sifilis okular.
The Landscape of Condyloma Acuminata and Concomitant STIs in Denpasar: A Retrospective Analysis with Implications for Public Health Strategies Ni Putu Wina Widyastuti; Ni Made Dwi Puspawati; I Gusti Ayu Agung Elis Indira; Aditya Permana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 8 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i8.1345

Abstract

Background: Condylomata acuminata (CA) is a prevalent sexually transmitted infection (STI). Research into the risk factors and characteristics associated with CA is crucial for developing effective prevention strategies. This study aimed to determine the prevalence and characteristics of CA patients at Prof. Dr. I.G.N.G. Ngoerah General Hospital in Denpasar, Bali, Indonesia. Methods: A retrospective cross-sectional study was conducted using medical records of CA patients attending the STI and Dermatology Clinic at Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, from January 2021 to December 2023. Data collected included patient visit status, age, gender, occupation, education, concomitant STIs, sexual orientation, marital status, and use of protective measures. Data were processed descriptively. Results: Of 284 CA patients, 69.7% were male and 30.3% were female. The mean age was 28.99 ± 11.38 years. Married individuals constituted 41.5% of cases. Private employees were the predominant occupation (34.2%). Fifty percent of patients had no concomitant STIs, while HIV was present in 37.7% of the total sample (75.4% of those with any concomitant STI). A significant proportion (49%) reported not using protective measures during sexual intercourse. Conclusion: The prevalence of CA at Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, was 40 per 1000 visits during the study period. CA was predominantly observed in adult males who were married, heterosexual, had completed high school, worked as private employees, and did not use protective measures during sexual intercourse. These findings underscore the need for targeted public health interventions.
Co-Authors Aditya Permana Aditya Permana Aditya Permana Anak Agung Gde Putra Wiraguna Andrew Wicaksono Andrew Yoshihiro Wirya Andrew Yoshihiro Wirya Ariana Ariana Aurelia Stephanie Darmaputra, I Gusti Nyoman Devi, Putu Akopita Dewi Gotama Dewi Gotama Elice Wijaya Elis Indira, I Gusti Ayu Agung Firly Clarissa Suyanto Gotama, Dewi Herman Saputra Herman Saputra Herman Saputra I Dewa Made Rendy Sanjaya I Gde Nengah Adhilaksman I Gde Nengah Adhilaksman Sunyamurti Wirawan I Gusti Ayu Agung Dwi Karmila I Gusti Ayu Agung Elis Indira I Gusti Ayu Agung Praharsini I Gusti Ayu Agung Praharsisni I Gusti Ayu Agung Sattwika I Gusti Ayu Sattwika I Gusti Nyoman Darmaputra I Ketut Agus Somia I Komang Arimbawa Ida Ayu Trisna Dewi Ida Ayu Uttari Priyadarshini Indah, Made Sanitca Indira, I Gusti Ayu Agung Elis Intaran, Kadek Devi Aninditha Jordaniel Setiabudi Ketut Kwartantaya Winaya Ketut Wida Komalasari Krisnaputri, Nandya Putu Luh Made Mas Rusyati Luh Made Shanti Maheswari Made Hermina Laksmi Made Martina Windari Made Sanitca Indah Made Sanitca Indah Made Swastika Adiguna Made Wardhana Mahariski, Pande Agung Marrietta Sugiarti Sadeli Martalova AJ, Adelia Martina Windari Michael Hostiadi Michael Hostiadi, Michael Mudita, Tritya Murti, Nyoman Indra Karunia Natih, Sintha Aprillia Gita Ni Kadek Setyawati, Ni Kadek Ni Luh Putu Ratih Vibriyanti Karna Ni Putu Candra Nirmalasari P Ni Putu Wina Widyastuti Nyoman Suryawati Nyoman Yoga Maya Pramita Nyoman Yoga Maya Pramita Pande Agung Mahariski Pemana, Aditya Prima Saraswati Sanjiwani Sudarsa Putu Ayu Dewita Ganeswari Putu Gde Hariwangsa Ricky Fernando Maharis Rikcy Fernando Maharis Sattwika, I Gusti Ayu Setyono, Alfred Sissy Sissy Sissy Sissy, Sissy Sutiawan, Indry Salonika Tiara Evangelista Triatmakusuma, Yogi Tritya Mudita Tritya Mudita Vanessa Vijayamurthy Winaya, Ketut Kwartantaya Wirya, Andrew Yoshihiro