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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina journal of internal medicine E-Jurnal Medika Udayana International Journal of Integrated Health Sciences Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Mutiara Medika: Jurnal Kedokteran dan Kesehatan INDONESIAN JOURNAL OF PHARMACY The Indonesian Biomedical Journal Paediatrica Indonesiana JBN (Jurnal Bedah Nasional) Jurnal Penyakit Dalam Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran Majalah Patologi Indonesia Bioscientia Medicina : Journal of Biomedicine and Translational Research Gema Wiralodra Neurologico Spinale Medico Chirurgico Journal of Clinical and Cultural Psychiatry Bioscientia Medicina : Journal of Biomedicine and Translational Research The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Eduvest - Journal of Universal Studies IJRETINA - International Journal of Retina Ophthalmologica Indonesiana International Journal of Psychology and Health Science

I Gde Raka Widiana

Departemen Penyakit Dalam, Fakultas Kedokteran, Universitas Udayana, Denpasar, Indonesia

Author-ID : 284083

Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Variasi dan Komplikasi Tekanan Darah Pasien Gagal Ginjal Terminal yang Menjalani Hemodialisis Reguler di RSUP Sanglah Denpasar Semadhi, Putu Gitanjani Mahadewi; Widiana, I Gde Raka; Merati, Ketut Tuti Parwati; Kumbara, Cokorde Istri Yuliandari Krisnawardani
E-Jurnal Medika Udayana Vol 12 No 2 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i02.P13

ABSTRACT Introduction: Intradialytic hypertension and intradialytic hypotension in end-stage renal disease patients undergoing regular hemodialysis are the two factors that can increase the mortality risk associated with cardiovascular disease. Aim: To know the blood pressure variability, frequency of hypertension and hypotension intradialytic, also symptoms. Method: The research’s design is observational based on primary data through six times blood pressure observation and symptom observation. It’s also based on secondary data through medical records. There are 100 respondents who have met the inclusion and exclusion criteria. Results: The majority of respondents are male (62%), 51-50 years old (31%), with pre-dialytic and dry weight around 51-70 kg (61% and 60%), PNC as the etiology (56%), and mostly 1-5 years undergoing hemodialysis (44%). The variability has shown there’s a drop of blood pressure average from pre-hemodialysis to the fourth hour of hemodialysis by 11.03 mmHg, afterwards the blood pressure average increased on post-hemodialysis by 2.98 mmHg. According to statistics, the systolic blood pressure’s coefficient of variation is 16.6%, p< 0.001, the maximum value is 148.57 mmHg, the minimum value is 137.54 mmHg. The frequency of intradialytic hypertension is 19% and intradialytic hypotension is 32%. Lastly, the most common symptom is muscle cramp (13%). Conclusion: There’s a significant difference among blood pressure during hemodialysis with coefficient of variation 16,6%. The frequency of intradialytic hypertension is 19% and hypotension intradialytic is 32%. And the most common symptom is muscle cramp (13%). Keywords: intradialytic hypertension, intradialytic hypotension, blood pressure variability

HUBUNGAN ANTARA SKOR KELAINAN ANATOMI SINUS PARANASAL DAN KAVUM NASI DENGAN SINUSITIS PARANASAL MENURUT GAMBARAN CT-SCAN SINUS PARANASAL PADA PASIEN DENGAN KLINIS SINUSITIS Maria, Dessy; Asih, Made Widhi; Margiani, Ni Nyoman; Widiana, I Gede Raka; Patriawan, Putu; Laksminingsih, Nyoman Srie
E-Jurnal Medika Udayana Vol 11 No 5 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i05.P10

Sinusitis adalah proses peradangan dari satu atau lebih pada membran mukosa sinus paranasal. Penyebab utama terjadinya sinusitis adalah gangguan drainase dan patensi kompleks ostiomeatal (KOM). Variasi anatomi hidung dan sinus paranasalis menjadi faktor predisposisi terhadap kejadian sinusitis. Tujuan penelitian adalah menilai hubungan antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis paranasal menurut gambaran CT-scan sinus paranasal pada pasien dengan klinis sinusitis. Penelitian ini dirancang sebagai penelitian observasional analitik dengan pendekatan cross sectional retrospektif pada pasien dengan klinis sinusitis di RSUP Sanglah Denpasar pada tahun 2020-2021. Sampel penelitian berjumlah 60 orang dengan usia di atas 21 tahun yang diambil secara consecutive sampling dari rekam medis yang memenuhi kriteria inklusi. Analisis sinusitis dan skor kelainan anatomi sinus paranasal dan kavum nasi masing-masing dilakukan oleh seorang Radiolog Konsultan dilanjutkan dengan analisis data. Dari hasil uji beda proporsi antara kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis maupun antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis didapatkan tidak ada hubungan dengan nilai p>0,05. Pada hasil uji korelasi multivariat antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis setelah dikontrol dengan umur, jenis kelamin dan riwayat alergi secara statistik tampak tidak berhubungan dengan nilai p yang didapat semuanya >0,05. Tidak tampak korelasi antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis menurut gambaran CT-scan sinus paranasal pada pasien dengan klinis sinusitis dengan nilai p 0,105. Masih diperlukan perbaikan metode penelitian lebih lanjut dengan desain penelitian analitik menggunakan rancangan prospektif.

HUBUNGAN SHIFT MALAM TERHADAP PENYAKIT REFLUKS GASTROESOFAGUS PADA PERAWAT DI RUMAH SAKIT UMUM PUSAT SANGLAH Handayani, Putu Novi; Kumbara, Cokorde Istri Yuliandari Krisnawardani; Widiana, I Gde Raka; Merati, Ketut Tuti Parwati
E-Jurnal Medika Udayana Vol 12 No 1 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i01.P14

Gastroesophageal reflux disease is one of the most frequently diagnosed gastrointestinal diseases in the world with a prevalence that continues to increase every year. There are several studies state that night shifts can increase the risk of GERD. One group of workers who often undergo night shift rotation are nurses who work in hospitals. This study aims to determine the correlation between night shift work and gastroesophageal reflux disease among nurses. This study is an analytical study with a cross-sectional design. The data collection technique was carried out by purposive sampling by distributing questionnaires to 161 nurses on duty at Single Hospital which were divided into 85 Inpatient Installation nurses who worked night shifts and 76 Outpatient Nurses who worked morning shifts. This study found a significant correlation between night shift work and gastroesophageal reflux disease (p value = 0.013; Prevalence Ratio = 3; 95% Confidential Interval 1.18-7.84) by the chi square test. Furthermore, by the logistic regression analysis of night shift and GERD, the AOR (Adjusted Odd Ratio) was 3.61 with 95% CI (1.05-12.52) and other variable like age, gender, BMI and fast food consumption habits on GERD did not shown any significant result. There is a significant correlation between night shift work and gastroesophageal reflux disease. Nurses who undergo night shifts have a 3.61 times higher risk of experiencing GERD. Keywords : Night Shift Work, Gastroesophageal Reflux Disease, Nurse

PERBEDAAN ANTARA KADAR TROPONIN T PLASMA DAN SKOR GLOBAL LONGITUDINAL STRAIN EKOKARDIOGRAFI SEBELUM DAN SETELAH HEMODIALISIS PADA PASIEN HEMODIALISIS REGULER Dharma Laksmi, Ni Made; Pradnyana DS, Bagus Ari; Widiana, I Gede Raka
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.P06

ABSTRAK Latar Belakang:Sebagaimana diketahui bahwa proses hemodialisis sangat erat kaitannya dengan peningkatan angka kematian yang disebabkan oleh kondisi kardiovaskuler. Kematian pada pasien hemodialisis (HD) tidak hanya disebabkan oleh proses aterosklerosis klasik. Proses HD diduga terkait dengan perubahan hemodinamik dan juga gangguan perfusi koroner yang mengakibatkan stunning miokard. Walaupun mayoritas kematian pada pasien HD disebabkan oleh penyakit kardiovaskuler, namun sebagian besar pasien tersebut (>50%) masih memiliki fraksi ejeksi atau ejection fraction (EF) yang baik. Ekokardiografi global longitudinal strain (GLS) dan pemeriksaan high sensitivity troponin T jantung (hs Troponin T) diharapkan dapat mendeteksi dini disfungsi ventrikel kiri subklinis dan cedera miokard yang dipicu oleh proses HD.Metode:Penelitian ini merupakan penelitian observasional dengan desain before-after dengan random number sampling. Sebanyak 60 pasien menjalani HD reguler 2 kali per minggu dengan EF ? 50% di RS Prof. dr. I.G.N.G. RSUD Ngorah. Skor GLS dengan transtorakal ekokardiografi (TTE) dua dimensi speckle-tracking echocardiography (STE) dan hs Troponin T plasma yang diukur segera sebelum dan sesudah HD.Hasil:Pada penelitian ini didapatkan perbedaan nilai rerata skor GLS yang bermakna sebelum dan sesudah hemodialisis (-21,04 ± 3,65 hingga -17,60 ± 3,17) dengan selisih -3,43 (IK 95% -3,978 - (-2,894), p <0,001). Namun tidak terdapat perbedaan bermakna rerata hs Troponin T sebelum dan sesudah HD (0,105 ± 0,142 ng/ml menjadi 0,104 ± 0,158 ng/ml) dengan selisih 0,001 (IK 95% -0,008 - 0,103, p 0,800) . Selain itu, tidak ditemukan hubungan signifikan antara perubahan hs Troponin T dan perubahan GLS (r = 0,071, r2 0,005, p 0,588). Pada analisis multivariat ditemukan adanya korelasi yang bermakna yang menunjukkan adanya korelasi positif dan kuat (r = 0,730) antara volume ultrafiltrasi, riwayat gagal jantung kronis Kelas Fungsional (Fc) I-II, dan penggunaan penyekat beta terhadap perubahan GLS. Kejadian HD dikaitkan dengan perubahan GLS melalui volume preload (ultrafiltrasi) dan didukung oleh gagal jantung kronis dan penggunaan penyekat beta. Kata Kunci : Hemodialisis., Global Longitudinal Strain., hs Troponin T., Preload., Gagal Jantung Kronis, Penyekat Beta.

The Psychometric Hepatic Encephalopathy Score for Diagnosis of Minimal Hepatic Encephalopathy in Liver Cirrhosis Patient Kumbara, Cokorde Istri Yuliandari Krisnawardani; Wibawa, I Dewa Nyoman; Widiana, I Gde Raka
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 25, No 1 (2024): VOLUME 25, NUMBER 1, April, 2024
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/251202440-46

Introduction: The psychometric hepatic encephalopathy score (PHES) is a tool that can be considered as a gold standard for detecting minimal hepatic encephalopathy (MHE) in liver cirrhosis patients. The PHES must be standardized based on the local healthy population before it can be used. The purpose of this study is to standardize the PHES with Indonesian local populations and set the cutoff point of PHES so it can be used to detect MHE in liver cirrhosis patients.Methods: PHES were administered to all enrolled subjects, which are healthy subjects and cirrhosis without overt encephalopathy subjects. The PHES consists of 5 psychometric tests. The influencing factors of PHES were assessed, and equations were developed to predict the expected result of each test. Diagnosis of MHE was built upon the deviation from the normal range value of PHES.Results: In total, 236 subjects participated in this research. The influencing factors of PHES of this study were age and education years. With the cutoff point of PHES less than -4, the prevalence of MHE was 37.7%, of which 7.6%, 50%, and 50% had Child-Turcotte-Pugh (CTP) grade A, B, and C respectively.Conclusions: The standardized version of PHES can be used to diagnose MHE in Indonesian liver cirrhosis patients. The PHES in this study were affected by age and education years. MHE was diagnosed if the PHES was less than -4. The incidence of MHE was found to increase along with the increase of the liver disease severity

Differences of Retinal Nerve Fiber Layer and Ganglion Cell Layer-Inner Plexiform Layer Thickness in Patients without Diabetes Mellitus, with Diabetes Mellitus Type 2 without Diabetic Retinopathy and with Diabetic Retinopathy Sukmawati, Nurindah; Suryathi, Ni Made Ari; Andayani, Ari; Pantjawati, Ni Luh Diah; Widiana, I Gde Raka; Yuliawati, Putu; Juliari, IGAM
International Journal of Retina Vol 8 No 1 (2025): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2025.vol008.iss001.314

Introduction : Prevention of Diabetic Retinopathy (DR) require an examination method that can identify earliest damage before clinical symptoms observed. This study aimed to determine the novel and objective way to detect those damage through RNFL and GCL-IPL thickness. Method : This analytical cross sectional study research conducted at the eye polyclinic and the Diabetic Center of IGNG Ngoerah Hospital, Denpasar. This study comparing the difference in thickness of RNFL and GCL-IPL in patients without DM, with Type 2 DM without DR and with DR in average and each quadrant thickness through Kruskal Wallis and One Way Anova test. Result : The sample was 59 people which then divided into three groups, namely 20 samples in the group without DM, 19 samples in the DM group without DR and 20 samples with DR. The samples were then examined for RNFL and GCL-IPL and the results were compared between groups. The mean age of the subjects were 58.80±9.65 years old. In the RNFL measurement, it was found that there were differences in values between groups in all quadrants except the temporal quadrant (p=0.518). After covariate analysis by variables of age, HbA1c, blood pressure, visual acuity, IOP and axial length, the results change with the nasal and inferior quadrants as the only found significant. In the GCL-IPL analysis there were significant differences between groups, especially in the superotemporal, temporal and inferotemporal quadrants (p<0.005). These results remained after being controlled by covariate analysis. Conclusion : This study proved a neurodegeneration process that occured focally in certain areas that can be detected through the RNFL and GCL-IPL measurement modalities. These examinations were expected to be useful in terms of screening both primary and secondary in patients with type 2 DM.

Effect in Pain Scale of Trocar Insertion, Onset, and Duration of Anesthesia of Subtenon Anesthesia without Premedication Compared with Premedication in Pars Plana Vitrectomy: A Randomized Controlled Trial Andayani, Ari; Agrasidi, Putu Anindya; Sutyawan, I Wayan Eka; Widiana, I Gde Raka; Widnyana, I Made Gede; Pemayun, Cok Istri Dewiyani
International Journal of Psychology and Health Science Vol. 3 No. 2 (2025): International Journal of Psychology and Health Science (April - June 2025)
Publisher : Greenation Publisher & Yayasan Global Research National

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/ijphs.v3i2.810

Effect in Pain Scale of Trocar Insertion, Onset, and Duration of Anesthesia of Subtenon Anesthesia without Premedication Compared with Premedication in Pars Plana Vitrectomy: A Randomized Controlled Trial. Background: Pars plana vitrectomy (PPV) has traditionally been performed under general anesthesia. However, in recent years, regional anaesthetic techniques such as subtenon block have gained popularity due to their safety and effectiveness, reducing the risk of severe complications associated with needle-based blocks. Patients and Methods: This randomized controlled trial (RCT) was conducted between November 2023 to March 2024 at a tertiary teaching hospital in Indonesia. A total of 30 patients undergoing vitrectomy were randomized assigned to one of two groups: with premedication or without premedication. The primary outcomes evaluated were the pain scale during trocar insertion, the onset of anesthesia, and the duration of anesthesia. Statistical analyses were performed using the Mann-Whitney U test and ANCOVA. Results: No significant differences were observed between the two groups regarding the pain scale during trocar insertion, the onset of anesthesia, or the duration of anesthesia (p<0.001). However, after adjusting for diagnosis and type of the therapy, the group without premedication demonstrated a significantly longer duration of anesthesia. Conclusion: Subtenon anesthesia without premedication represents a viable alternative for pars plana vitrectomy. It offers practical benefits, such as eliminating the need for fasting and intravenous line placement, while maintaining patient and operator comfort.

The Temporal Windows of Glycemic Injury: Association of Early and Late First-Week Hyperglycemia with Retinopathy of Prematurity in Low-Birth-Weight Infants Dharmi Lestari, Ni Putu; I Wayan Eka Sutyawan; Putu Junara Putra; I Gde Raka Widiana; Siska; Putu Yuliawati
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 9 (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.v9i9.1379

Background: Retinopathy of prematurity (ROP) is a leading cause of childhood blindness, driven by aberrant retinal vascular development in preterm infants. While hyperglycemia is a recognized risk factor, its impact may vary depending on its timing relative to the biphasic pathogenesis of ROP. This study aimed to generate a hypothesis regarding the differential association of hyperglycemia on postnatal day 1 versus day 7 with the incidence of ROP in a high-risk neonatal population. Methods: We conducted a retrospective, cross-sectional, hypothesis-generating study at Prof. Dr. I.G.N.G. Ngoerah General Hospital. Medical records of 68 preterm (<37 weeks gestation) and low-birth-weight (<2500 grams) infants who underwent ROP screening were reviewed. The exposures of interest were hyperglycemia (blood glucose >125 mg/dL) on postnatal day 1 (D1) and day 7 (D7). The primary outcome was the diagnosis of any stage of ROP. Statistical analysis involved Chi-square tests and exploratory multivariate logistic regression to adjust for select confounders. Results: Of the 68 infants included (mean gestational age 30.5 ± 2.2 weeks, mean birth weight 1447.5 ± 373.0 grams), 11 (16.2%) were diagnosed with ROP. Hyperglycemia was present in 29.4% of infants on D1 and 13.2% on D7. In logistic regression analysis, a strong statistical association was observed between hyperglycemia and ROP for both D1 (Adjusted Odds Ratio [AOR] = 55.7; 95% Confidence Interval [CI]: 5.1–611.0; p=0.001) and D7 (AOR = 74.5; 95% CI: 9.0–613.4; p<0.001). However, the profoundly wide confidence intervals indicate significant statistical instability and imprecision. Conclusion: This study found a strong, albeit statistically imprecise, association between hyperglycemia on both the first and seventh day of life and the incidence of ROP. These findings support the hypothesis that the timing of glycemic dysregulation may be critical, potentially impacting different phases of ROP pathogenesis. The results, while preliminary, underscore the need for larger, prospective studies to confirm these associations and elucidate the role of glycemic control in ROP prevention.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i9.1379

Renoprotective Effects of Hydroxychloroquine and Folinic Acid via ET-1 and NLRP3 Modulation in Reducing Tubular Injury in A Rabbit Model of Methanol-induced Acute Kidney Injury Prayuda, Prayuda; Widiana, I Gde Raka; Suega, Ketut; Kandarini, Yenny; Winarti, Ni Wayan; Purwanto, Bambang
The Indonesian Biomedical Journal Vol 17, No 4 (2025)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v17i4.3747

BACKGROUND: Methanol intoxication is associated with significant morbidity and mortality, particularly when acute kidney injury (AKI) developed. Emerging evidence implicates Endothelin-1 (ET-1) and Nucleotide-binding domain leucine-rich repeat-containing pyrin receptor 3 (NLRP3) inflammasome in renal injury, but their roles in methanol-induced AKI remain unclear. To date, no studies have examined whether hydroxychloroquine or folinic acid, which are known to modulate ET-1 and NLRP3 signaling, could mitigate renal injury in this setting. This study evaluated their therapeutic effects in a rabbit model of methanol-induced AKI.METHODS: The animals subjects were randomly assigned to four groups: control group receiving aquabidest, folinic acid group receiving 2 mg/kg body weight (BW) intraperitoneal folinic acid, hydroxychloroquine group receiving 30 mg/kg BW oral hydroxychloroquine phosphate, and combination group receiving both folinic acid and hydroxychloroquine at the same dosages. Histopathological evaluation of tubular injury scores and immunohistochemical analysis of ET-1 and NLRP3 expression were then conducted.RESULTS: Expressions of ET-1, NLRP3, and tubular injury scores were significantly lower in the hydroxychloroquine, folinic acid, and combination therapy groups compared to the control group (p<0.001). Expression of ET-1 was lowest in folinic acid group (59.38±0.71%), followed by combination group (62.23±1.98%) and hydroxychloroquine group (62.43±1.81%), compared to control group (72.14±1.02%). Expression of NLRP3 was lowest in combination group (58.94±1.05%), followed by folinic acid and hydroxychloroquine group, which showed equal values (60.57±1.38%), compared to control group (72.15±1.02%). Tubular injury scores were also lowest in combination group (27.07±3.16%), followed by hydroxychloroquine group (45.29±1.75%) and folinic acid group (48.38±2.49%), compared to control group (77.15±1.66%).CONCLUSION: Expression of ET-1 and NLRP3, as well as tubular injury scores, are significantly lower in all treatment groups compared to control, suggesting hydroxychloroquine and folinic acid demonstrated renoprotective effects in methanol-induced AKI, likely through modulation of ET-1 and NLRP3 pathways.KEYWORDS: methanol intoxication, acute kidney injury, hydroxychloroquine, folinic acid, endothelin-1, NLRP3 inflammasome, experimental animal models, rabbits

Co-Authors A. A. G. Oka, A. A. G. Ade Sinyo Aristantrisna Adnyani, Ni Made Dwi Agrasidi, Putu Anindya Ake, Anselmus Anak Agung Chris Tedy Pramana Anak Agung Gde Oka Anak Agung Wiradewi Lestari and N. Sutarka Anwar Santoso Ari Andayani Ariani, Ni Ketut Putri Arlene Elizabeth Padang Aslesa Wangpathi Pagehgiri Bagus Ngurah Putu Arhana Bambang Purwanto Budi Suprapti Christopher Ryalino Cokorda Bagus Jaya Lesmana Dedi Silakarma Desak Putu Puteri Diah Rahtini Desy Permatasari Dewa Nyoman Putra Adiwinata Dewi Catur Wulandari Dharmi Lestari, Ni Putu Djodi Sidartha E. Elyshanti Elizabeth Haryanti Elysanti Dwi Martadiani Feliciano Pinto, Feliciano Firman Parulian Sitanggang Firman Sitanggang Gede Andi Aditya Gede Sukma Pranata Darma Gede Wira Mahadita Gede Wirya Kusuma Duarsa Handayani, Putu Novi Hendra Koncoro Hendra S Hendra Salim Hizkia Robinson Junsen Lumban Gaol I Dewa Agung Sutanjaya Giri Nugraha I Dewa Nyoman Wibawa I G. N. Anom-Supradnya I G. N. M. Sugiana I Gede Aditya Krishna Santhi I Gede Hendra Sucipta I Gusti Agung Trisna Windiani I Gusti Kamasan Arijana I Gusti Ngurah Ketut Budiarsa I Gusti Ngurah Made Suwarba I Gusti Rai Putra Wiguna I K. Sudartana I Ketut Suastika I Ketut Suwiyoga I Ketut Wiargitha I Ketut Widiana I Made Adi Satria Darma I Made Agus Endra Permana I Made Arimbawa I Made Ayusta I Made Gede Widnyana I Made Kardana I Nengah Sujaya I Nengah Wiadnyana Steven Christian I Nyoman Adi Putra I Nyoman Semadi I Nyoman Wiryawan I Putu Budhiastra, I Putu I Putu Gede Budiana, I Putu Gede I Putu Gede Eka Ariawan Suyasa, I Putu Gede Eka Ariawan I Wayan Eka Sutyawan I Wayan Gede Jayanegara I Wayan Juli Sumadi I Wayan Putu Sutirta Yasa I Wayan Sudhana I Wayan Wita I Wayan Yudiana IBN Mahendra Ida Bagus Gede Suparyatha Ida Bagus Putra Pramana Ida Safitri IKG Suandi Imam Effendi Indira Prawita Martani Inez Kartika Jetty Kalembang Jod Loekman Jodhi S Loekman Jodi Sidharta Loekman Jodi SL Juliari, I Gusti Ayu Made Juliari, IGAM K Suwitra K. Suwitra Kadek Budi Santosa Ketu Suwitra Ketut Mulyadi Ketut Putu Yasa Ketut Rina, Ketut Ketut Suarta Ketut Suega Ketut Suwitra Ketut Tuti Parwati Merati Komang Ayu Witarini Kristianto, Bobby Kumbara, Cokorde Istri Yuliandari Krisnawardani Kusuma, Anak Agung Ngurah Jaya Kusumadjaja, I Made Agus Luh Gede Yuliadewi NS Luh Yeni Laksmi Luh Yeni Laksmini Made Agus Dwianthara Sueta Made Asih MADE RATNA SARASWATI . Made Satria Yudha Dewangga Made Widhi Asih Mahardani, Putu Nandika Tungga Yudanti Mahautama, I Gusti Agung Putra Maria, Dessy Marleen MOCHAMMAD THAHA Moestikaningsih ** Moestikaningsih . Monica Sampurna Ngakan Gede Dwija Hermawan Ni Made Amelia R. Dewi Ni Made Ari Suryathi Ni Made Dharma Laksmi Ni Made Putri Suastari Ni Nengah Dwi Fatmawati Ni Nyoman Margiani Ni Putu Sriwidyani Ni Wayan Anantika Riani Ni Wayan Winarti Noviantari, I Gusti Agung Ratna NP Veny Kartika Yantie Nyoman Maharmaya Nyoman Paramita Ayu Nyoman Srie Laksminingsih Nyoman Sutarka, Nyoman Oka Udrayana Ommy Agustriadi Pande Made Wisnu Tirtayasa Pande Putu Yuli Anandasari Pantjawati, Ni Luh Diah Patriawan, Putu Paulus Wiyono Pemayun, Cok Istri Dewiyani PITIKA ASPR Poerwono Rahardjo Pradnyana DS, Bagus Ari Prayuda, Prayuda Purnama Purnama Putrawati Triningrat, Anak Agung Mas Putu Astri Novianti Putu Ayu Saraswati Putu Junara Putra Putu Yuliawati Rahayu, Ni Kompyang Raka-Sudewi A. A. Reny Setya Pratiwi Duarsa Rully Roesli Santoso, Ivon Indriyanti Satrio Ryandi Semadhi, Putu Gitanjani Mahadewi Setiawan, I Gede Budhi Setiawan, I Kadek Agus Sianny Herawati Silvester Kristian Taopan Siska Sitanggang, Firman Parulian Soetjiningsih Soetjiningsih Suastika, Arresta Vitasatria Sudaryat S Sudjana, Karismayusa Sukartini Djelantik, Anak Agung Ayu Sukmawati, Nurindah Sutyawan, I Wayan Eka Tianing - Trianto Trianto Triningrat, A.A. Mas Putrawati W Sudhana W. G. Jayanegara Wayan Aryadana Wayan Aryadana Wayan Sudana Wayan Sudhan Wayan Sudhana Wilayadi, Ni Wayan Mirah Wiradharma, Ketut Gede Y. Saskia-Javi Yenny Kandarini Yoga Putra Yuliawati, Putu Yuriawantini - Zulfariska, Nony

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