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KARAKTERISTIK PENDERITA HOSPITAL ACQUIRED PNEUMONIA DAN VENTILATOR ASSOCIATED PNEUMONIA YANG DISEBABKAN Acinetobacter baumannii DI INTENSIVE CARE UNITRSUP SANGLAH DAN POLA KEPEKAANNYA TERHADAP ANTIBIOTIK SELAMA NOVEMBER 2014 – JANUARI 2015 Sherly Yunita; Dewa Made Sukrama
E-Jurnal Medika Udayana vol 4 no 11(2015):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

CHARACTERISTICS OF HOSPITAL ACQUIRED PNEUMONIA DAN VENTILATOR ASSOCIATED PNEUMONIAPATIENTS CAUSED BY Acinetobacter baumanniiIN THE INTENSIVE CARE UNIT RSUP SANGLAH AND SENSITIVITY PATTERN TO ANTIBIOTIC DURING NOVEMBER 2014 – JANUARI 2015Nowdays, the persistence of high antibiotics resistance cause increase morbidity pneumonia due to Acinetobacter baumanniiinfection.A. baumannii infection was susceptible to Intensive Care Unit (ICU) patients. This study was purposed to determine the characteristics of Hospital Acquired Pneumonia (HAP)and Ventilator Associated Pneumonia (VAP)patients in the ICU with sputum specimen positive A. baumannii in Sanglah hospitaland sensitivity pattern to antibiotics.This research used a descriptive epidemiological design. Data in this study used secondary data, culture results of sputum specimen in the Clinical Microbiology Installation Sanglah hospital and medical records of patients during November 2014 until January 2015.Two HAPpatients and five VAPpatients had characteristics were 57.14% male and 42.86% female, mean age was 52 years and 42.86% patients in group above 65 years old. Antibiotics that sensitive against A. baumannii including Amikacin (80%), Ampicillin/Sulbactam  (100%), Cefoperazone/Sulbactam (60%), Trimethoprim/Sulfamethoxazole (60%), and Colistin (83,33%). While antibiotics were resistant including Cephalosporin generation III, Carbapenem, Gentamicin (60%), Levofloxacin (80%) and Amoxicillin/Clavulanic Acid (100%).It can be concluded that characteristics of HAP and VAPpatients with positive A. baumannii were male and female with age above 65 years old. Generally, resistant to betalaktam antibiotics and highly sensitive to polymyxin.
PROFIL PENDERITA HEMOPTISIS PADA PASIEN RAWAT INAP RSUP SANGLAH DENPASAR PERIODE JUNI 2013-JULI 2014 Ema Surya Pertiwi; Sukrama Dewa
E-Jurnal Medika Udayana Vol 5, No 11 (2016): E-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Hemoptisis atau batuk darah merupakan darah atau dahak yang bercampur darah dandibatukkan dari saluran respirasi. Tujuan penelitian ini adalah untuk mengetahui profil penderitahemoptisis pada pasien rawat inap di RSUP Sanglah periode Juli 2013 sampai dengan Juni 2014.Metode yang di gunakan adalah deskriptif secara retrospektif menggunakan rekam medis pasien rawatinap dengan gejala hemoptisis di RSUP Sanglah periode Juli 2013 sampai dengan Juni 2014. Hasilpenelitian menunjukkan bahwa sejak Juli 2013 sampai dengan Juni 2014 di dapatkan 78 pasien rawatinap dengan gejala hemoptisis. Sebagian besar pasien adalah laki-laki dengan kelompok usia terbanyakyaitu 21-30 tahun. Sementara distribusi frekuensi berdasarkan riwayat pendidikan terbanyak yaitu tidaktamat SD, dan merupakan perokok sebanyak 49%. Etiologi utama dari hemoptisis di RSUP Sanglahadalah tuberkulosis paru. Pada penelitian ini di dapatkan angka kematian pasien sebesar 7,7% dari totalkejadian hemoptisis.
POLA BAKTERI PADA PASIEN KAKI DIABETIK DAN RESISTENSINYA TERHADAP ANTIBIOTIK DI RUMAH SAKIT UMUM PUSAT SANGLAH PERIODE 1 JANUARI 2017 – 28 FEBRUARI 2018 Sonia Elvira Salim; I Dewa Made Sukrama; Ni Nengah Dwi Fatmawati; Made Agus Hendrayana
E-Jurnal Medika Udayana Vol 9 No 10 (2020): Vol 9 No 10(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2020.V09.i10.P17

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Diabetes adalah salah satu penyakit kronis di dunia. Diabetes sendiri jika tidak segera ditangani dapat menyebabkan berbagai komplikasi, kaki diabetik merupakan salah satu komplikasinya. Dimana pada umumnya kaki diabetik ini disebabkan oleh adanya infeksi bakteri. Adanya ketidaktepatan pemberian antibiotik pada pasien kaki diabetik menyebabkan terjadinya resistensi antibiotic pada beberapa bakteri. Oleh karena itu pola bakteri dan resistensinya terhadap antibiotik pada pasien kaki diabetik perlu diketahui. Tujuan dari penelitian ini untuk mengetahui pola bakteri pada pasien kaki diabetik dan resistensinya terhadap antibiotik di Rumah Sakit Umum Pusat Sanglah pada periode 1 Januari 2017 – 28 Februari 2018. Potong lintang deskriptif digunakan pada penelitian ini. Pengumpulan data menggunakan teknik total sampling, dimana semua data uji kultur pasien kaki diabetik yang ada pada buku Registrasi Pemeriksaan Pasien Laboratorium Klinik Mikrobiologi RSUP Sanglah pada periode 1 Januari 2017 - 28 Februari 2018 digunakan pada penelitian ini. Sebanyak 118 data hasil kultur bakteri pada pasien kaki diabetik ditemukan pada buku Registrasi Pemeriksaan Pasien Laboratorium Klinik Mikrobiologi RSUP Sanglah periode 1 Januari 2017 - 28 Februari 2018, dengan 84 isolat bakteri yang berhasil tumbuh. Bakteri klebsiella pneumoniae ssp pneumonia, proteus mirabilis, acinetobacter baumannii merupakan tiga bakteri yang mendominasi. Bakteri-bakteri yang ditemukan juga resisten terhadap beberapa antibiotik. Kata kunci: Kaki Diabetik, Antibiotik, Pola Bakteri, Pola Resistensi
KARAKTERISTIK BAKTERI Pseudomonas aeruginosa DAN POLA KEPEKAANNYA TERHADAP ANTIBIOTIK DI INTENSIVE CARE UNIT (ICU) RSUP SANGLAH PADA BULAN NOVEMBER 2014 – JANUARI 2015 I Gusti Ayu Mas Putri Dharmayanti; Dewa Made Sukrama
E-Jurnal Medika Udayana Vol 8 No 4 (2019): Vol 8 No 4 (2019): Vol 8 No 4 (2019): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Pseudomonas aeruginosa merupakan salah satu bakteri gram negatif yang paling sering diisolasi dari pasien di ruang ICU. Prevalensi resistensi mikroorganisme terhadap antibiotik juga lebih tinggi pada isolat pasien ICU dibandingkan dengan pasien non-ICU, termasuk pada P. aeruginosa. Penelitian ini dilakukan untuk mengetahui karakteristik P. aeruginosa dan pola kepekaannya terhadap antibiotik di ICU RSUP Sanglah. Sehingga, pencegahan dan penanganan terhadap infeksi P. aeruginosa pada pasien di ICU menjadi efektif. Penelitian ini menggunakan rancangan studi epidemiologi deskriptif untuk mengetahui karakteristik P. aeruginosa dan pola kepekaannya terhadap antibiotik. Materi penelitian ini adalah data sekunder hasil kultur berbagai spesimen pasien RSUP Sanglah dari Instalasi Mikrobiologi Klinik RSUP Sanglah selama November 2014-Januari 2015. Lima belas isolat P. aeruginosa selama periode waktu tersebut diidentifikasi berdasarkan jenis spesimen yakni isolat dari spesimen urin 13%, pus 20%, sputum 33%, dan spesimen lain-lain 33% Berdasarkan jenis kelamin, laki-laki 73% dan perempuan 27% Berdasarkan usia pasien, usia balita 33%, usia dewasa 27%, usia lansia 13%, dan usia manula 27%. Isolat-isolat tersebut masih sensitif terhadap kolistin (100%), siprofloksasin (100%), sefepim (100%), piperasilin-tazobaktam (87%), amikasin (82%), meropenem (64%), levofloksasin (64%), seftazidim (55%) dan sefoperazon-sulbaktam (57%), dan sudah resisten terhadap ampisilin (90%), amoksisilin-asam klavulanat (88%), dan imipenem (63%). Penelitian tentang pola kepekaan P. aeruginosa terhadap antibiotik perlu dilakukan dalam periode waktu yang lebih lama dan berkala untuk menjadi pedoman penggunaan antibiotik empiris. Pedoman ini diperlukan oleh para klinisi untuk memilih antibiotik yang tepat untuk mengeradikasi P. aeruginosa pada kasus infeksi. Kata kunci: Pseudomonas aeruginosa, intensive care unit, pola kepekaan
SIMVASTATIN GENERIK DAP. Rasmika Dewi; DG. Diah Dharma Santhi; DM Sukrama; AA. Raka Karsana
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 20, No 2 (2014)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v20i2.1076

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This study aims to know and determine the lipid profile in patients with hyperlipidemia who consumed Generic Simvastatin comparedwith its patent product contained in the Formularium at Sanglah Hospital. The observations made, were the measurement of the totalcholesterol and low-density lipoprotein (LDL) before and after the drug administration. A total of 30 subjects who met the inclusioncriteria, were divided into two (2) groups, each group consist of 15 persons, the first group was given 20 mg generic Simvastatin(1 tablet daily) for 15 days and Group II given 20 mg patent Simvastatin (1 tablet daily) for 15 day. After 15 days, their blood sampleswere taken and examined for total cholesterol and LDL. Once the data were collected, statistical analysis was done by using the normalitytest, homogeneity and t. Statistical analysis using p-value less than or equal to 0.05 was the limit of significance. The statistical analysisshowed that the data was normally distributed and homogeneous (p≥0.05). The T-test showed that there were significant differencesin the levels of total cholesterol and LDL serum samples before and after the administration of generic simvastatin and patents the(sig.=0.000). However, there was no significant difference in decreased levels of totall cholesterol samples between the generic Simvastatinand patent (sig=0.365 with α=0.05 level). Besides this, there was also no significant difference in the decreased levels of LDL betweengeneric Simvastatin and the patent one (sig=0.372 with α=0.05 level).
PENINGKATAN SEL OSTEOBLAST MANDIBULA TIKUS WISTAR JANTAN SETELAH PEMBERIAN FERMENTASI TEH KOMBUCHA Ni Wayan Arni Sardi; I Dewa Made Sukrama; Bagus Komang Satriyasa
Interdental: Jurnal Kedokteran Gigi Vol. 14 No. 2 (2018): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v14i2.376

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Osteoblasts are bone-forming cells to grow and play a role in regulation of bone metabolism, including alveolar bone. Imbalance of osteoblasts number in bone formation may lead loss of bone mass, which is causes osteoporosis. Reactive Oxygen Species (ROS) is an oxidant that take important roles in osteoclast activation, osteoclastogenesis and activation of osteoblasts inhibition. Kombucha tea has antioxidant effects. This study was conducted to determine Kombucha tea fermented on 14 days make the osteoblasts in the mandibular bone of male wistar rat more numerous.This research was a purely experimental method with Randomized Post Test Control Group Design. Subjects consisted of ten of three – month male wistar rats were divided into 2 groups. Control group received aquadest for 30 days, on the other hand the treatment group were treated by 8 ml of Kombucha tea for 30 days. On the 31st day, rats were euthanized for tissue sampling and histological preparation of mandibular bone and subjected for HE staining. The test results based on comparison between the control group and treatment group with independent t-test showed that there were significant differences in osteoblasts number in mandibular bone of wistar rats (p<0.05). Kombucha tea contain epicatechin gallate (ECG) that stimulate osteoblasts differentiation and inhibit induction of Receptor Activator Of Nuclear Factor-κB Ligand (RANKL). Further more, Epigallocatechin gallate (EGCG) and theaflavin (TF) detoxify molecules of ROS and enhance osteoblastogenesis. This study concluded that administration of Kombucha tea fermented on 14 days make osteoblasts in the mandibular bone of wistar rat more numerous.
Hubungan Tingkat Konsumsi Karbohidrat Dengan Kejadian Karies Pada Anak Taman Kanak-Kanak Tunas Wijaya, Desa Tonja, Kecamatan Denpasar Utara Putu Aprilyana Eka Astuti; Mia Ayustina Prasetya; I Dewa Made Sukrama
Bali Dental Journal Vol. 1 No. 2 (2017): June 2017
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v1i2.10

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Penyakit gigi dan mulut yang sering dijumpai pada anak-anak yakni karies. Salah satu penyebab karies adalah konsumsi karbohidrat yang tinggi. Konsumsi karbohidrat yang tinggi ditemukan pada anak prasekolah, yang disebabkan karena kegemaran mengonsumsi makanan yang manis-manis. Tujuan penelitian ini untuk mengetahui hubungan antara tingkat konsumsi karbohidrat dengan kejadian karies pada anak TK Tunas Wijaya DesaTonja, Kecamatan Denpasar Utara. Penelitian ini menggunakan desain analytic cross sectional, dengan jumal sampel sebanyak 81 orang. Tingkat konsumsi karbohidrat diketahui dengan pengisian kuisioner recall selama dua hari oleh orang tua sampel dan dianalisi menggunakan aplikasi Nutri Survey. Sedangkan pemeriksaan rongga mulut sampel dilakukan untuk mengetahui ada atau tidaknya karies. Berdasarkan uji statistic dengan uji Chi-Square didapatkan nilai<0,5 yakni terdapat hubungan yang bermakna antara tingkat konsumsi karbohidrat terhadap kejadian karies. Dimana sampel dengan tingkat konsumsi karbohidrat ≥60%, 13 orang (46,4%) diantaranya mengalami karies dan 4 orang (7,5%) lainnya tidak mengalami karies. Sedangkan pada sampel dengan tingkat konsumsi karbohidrat <60%, 15 orang (53,6%) diantaranya mengalami karies dan 49 orang (92,5%) lainnya tidak menglami karies.
Perbandingan indeks plak setelah konsumsi buah apel fuji (Malus pumila) dan buah apel manalagi (Malus sylvestris mill) pada anak usia 9 dan 10 tahun di SD Negeri 1 Dalung Dik Megaputri Handayani; I Dewa Made Sukrama; L.W. Ayu Rahaswanti
Bali Dental Journal Vol. 2 No. 1 (2018): January 2018
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v2i1.27

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Background: Primary prevention of oral health problems need to be carried by applying the habit of plaque control to the children. Plaque control can be done naturally by chewing solid and fibrous food, such as apples. Objective: The aim of this study was to determine the plaque index before and after chewing Manalagi and Fuji apples. Methods: This study is an experimental research which used Pre-Post Test Control Group Design on children aged 9 to 10 years old. The sampling technique was using simple random sampling on 32 children and divided into 2 groups. Group 1 was chewing 100 grams of Fuji apples as the control group and group 2 was chewing 100 grams of Manalagi apples as the tested group. Results: The result from Paired Sample T-test shows that there was a significant difference of mean plaque index before and after chewing Fuji apples and Manalagi apples (p<0,05). The result from Independent Sample T-test shows that there was a significant difference of mean plaque index value between the group who was chewing Manalagi apples and group who was chewing Fuji apples (p<0,05). Conclusion: The conclusion of this study is that both of chewing Fuji apples and Manalagi apples are effective in reducing plaque accumulation, where chewing Manalagi apples shows higher efficacy in reducing plaque accumulation compared with chewing Fuji apples.
Jus Apel Manalagi (Malus Sylvestris Mill) menghambat pertumbuhan Streptococcus mutans in vitro Dewi Anggraini; I Dewa Made Sukrama; Ni Kadek Fiora Rena Pertiwi
Bali Dental Journal Vol. 2 No. 1 (2018): January 2018
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v2i1.28

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Background: Manalagi apple (malus sylvestris mill) is a popular fruit consumed by the people of Indonesia. Objective: This study aims to determine the inhibition of manalagi apple juice on the growth of streptococcus mutans with a concentration of 60%, 80%, 100%. Methods: This study was an experimental study using disc diffusion method by using 5 samples in each treatment groups namely manalagi apple juice concentration of 60%, 80%, 100%, the positive control group (vancomicyn 30µg), and a negative control group (aquades sterile) data analysis using kruskal-wallis test and mannwhitney test. Results: From the Shapiro-wilk test result showed that the data were normally distributed to a concentration of 80% and 30μg vancomycin with p = 0.314 and not normally distributed to a concentration of 60% with a value p = 0.006 and a concentration of 100% with a value of p = 0.000. This study shows that manalagi apple juice at all concentrations have antibacterial activity against the growth of streptococcus mutans. 100% concentration is the concentration that is still able to inhibit the growth of Streptococcus mutans. Conclusions: The conclusion of this study proves that the manalagi apple juice have antibacterial activity against the growth of streptococcus mutans.
Uji efektifitas antibakteri ekstrak buah jeruk nipis (Citrus aurantifolia) terhadap pertumbuhan Streptococcus mutans in vitro Putu Wiswananta Parama; I Dewa Made Sukrama; Steffano Aditya Handoko
Bali Dental Journal Vol. 3 No. 1 (2019): January 2019
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v3i1.136

Abstract

Introduction: Lime fruit has been used by the society in order to prevent and cure many disease that caused by bacteria, fungus and virus infection. Lime (Citrus aurantifolia) contain some active compounds such as alkaloid, flavonoid, steroid, triterpenoid, saponin, tannin and phenolic that can inhibit the growth of bacteria. Streptococcus mutans is a Gram-Positive, facultative anaerobe bacteria that caused dental caries. The aim of this study is to know whether lime (Citrus aurantifolia) extract has an effect on Streptococcus mutans growth in vitro. Method: An experimental research has been done using Post Test Only Control Group Design method with lime (Citrus aurantifolia) extract that its antibacterial effectivity was tested on Streptococcus mutans ATCC 35668. The test method used was Kirby-Bauer disc diffusion on Muller Hinton blood agar media. The lime extract on this research obtained using maseration method with methanol 98% as the solvent. The concentration created was 40%, 60%, and 80%. Positive control used was Vancomycin and the negative control used was methanol 98%. Result: The result is inhibition zone that formed around the extract disc was increased with enchancement of the extract concentration. The average of inhibition zone in 40%; 60%; 80% concentration is 14,2; 19,6; 22,6 mm. Statistical test One Way ANOVA showed that p<0.05 that mean there is a significant difference in every extract concentration that inhibit Streptococcus mutans growth in vitro. Conclusion: Lime fruit extract (Citrus aurantifolia) with a concentration of 40%, 60%, and 80% can inhibit the growth of Streptococcus mutans in vitro.
Co-Authors AA. Raka Karsana Adinda Putra Pradhana Amin, Yusuf Sidang Anak Agung Ngurah Jaya Kusuma Anggita Ratri Pusporini Astawa N. M., Astawa N. Astawa P., Astawa Bagus Komang Satriyasa Cokorda Agung Wahyu Purnamasidhi Darren Junior Dennis Yulianto Desak Gde Diah Dharma Santhi Dewa Ayu Fony Prema Shanti Dewa Ayu Putu Rasmika Dewi Dewa Gede Agung Widyadnyana Dewa Ngurah Suprapta Dewa Putu Satria Juristiasa Dewi Anggraini Dik Megaputri Handayani Ekaputra Ekaputra, Ekaputra Ema Surya Pertiwi Gema Zakharian Hendrawan, Gresya Hervina Hervina I D.P. Kartika Pratiwi I Dewa Ayu Agung Warmadewanthi I Dewa Gde Mayun Permana I Gede Purna Weisnawa I Gusti Agung Ayu Anjani Kartika Dewi I Gusti Agung Dyah Ambarawati I Gusti Ayu Fienna Novianthi Sidiartha I Gusti Ayu Mas Putri Dharmayanti I Gusti Ngurah Kade Mahardika I Ketut Agus Somia I Ketut Suwiyoga I Komang Hotra Adiputra I M. Sumarya, I M. I Made Bakta I Made Gustama Heryawan I Made Jawi I Made Reza Pramudya I Made Sathya Vijayananda I Nengah Sujaya I NYOMAN MANTIK ASTAWA I Wayan Adi Pranata I Wayan Arya Biantara I Wayan Muda Suta Arta I Wayan Putu Sutirta Yasa I Wayan Suardana I Wayan Suranadi I. K. Sukardika I.K. Suata Ichlazul Ma’ruf Ida Bagus Nyoman Putra Dwija Ida Bagus Putra Manuaba Ida Sri Iswari Jerry K. Sukardika Kadek Diana Harmayani Kadek Tresna Yuwana Ketut Suryana Ketut Tuti Parwati Merati KOMANG AYU NOCIANITRI Komang Ayu Witarini Komang Januartha Putra Pinatih Luh Wayan Ayu Rahaswanti Made Agus Dwianthara Sueta Made Agus Hendrayana Mantik AN Mia Ayustina Prasetya N. Adiputra Ni Kadek Fiora Rena Pertiwi Ni Kadek Lyming Lestari Ni Luh Putu Harta Wedari Ni Made Adi Tarini Ni Made Ayu Aryati Dinarini Ni Made Susilawathi Ni Nengah Dwi Fatmawati Ni Nengah Dwi Fatmawati Ni Nyoman Puspawati Ni Nyoman Sri Budayanti Ni Wayan Arni Sardi NYOMAN SEMADI ANTARA Pramitasuri, Tjokorda Istri Putra, I Dw. Gd. Bayu Artha Pratama Putu Anda Tusta Adiputra Putu Aprilyana Eka Astuti Putu Bagus Redika Janasuta Putu Kintan Wulandari Putu Wiswananta Parama Raka-Sudewi A. A. Reny Rosalina Rian Ka Praja Rudi Wisaksana Saranova, Hilda Saraswati P. Yogita Satoto D., Satoto Sherly Yunita Sieny Veronica Sonia Elvira Salim Sri Maliawan Steffano Aditya Handoko SUMARNO Suryadi N. T., Suryadi N. Susilawathi, Ni Made Tjokorda Gde Agung Senapathi Tjokorda Gde Bagus Mahadewa W. A., W. Wahyu Hidayati Wayan Redi Aryanta Wibisana, I Dewa Nyoman Adi Ningrat Winatha, I Gde Pangestu Putrama Wira Guna, I Gede Bhima Wiryana M., Wiryana Yan Ramona