Garuda - Garba Rujukan Digital

p-Index From 2020 - 2025

4.478

P-Index

This Author published in this journals

All Journal BALI MEDICAL JOURNAL (BMJ) Buletin Udayana Mengabdi E-Jurnal Medika Udayana Jurnal Kedokteran Diponegoro MNJ (Malang Neurology Journal) The Indonesian Biomedical Journal JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Plastik Rekonstruksi Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia Cermin Dunia Kedokteran Jurnal Neuroanestesi Indonesia Cermin Dunia Kedokteran

I Wayan Niryana

Bagian SMF Ilmu Bedah RSUP Sanglah Fakultas Kedokteran Universitas Udayana

Author-ID : 2936114

Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Other

Published : 47 Documents Claim Missing Document

Claim Missing Document

Articles

1 2 3 4 5

Faktor risiko yang mempengaruhi outcome pada pasien cedera kepala di RSUP Sanglah, Bali, Indonesia pada tahun 2018-2019 I Gede Sutawan; Sri Maliawan; I Wayan Niryana
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Background: Head injury or capitis trauma is a blunt/sharp force to the head or face resulting in temporary or persistent cerebral dysfunction. From a socio-economic point of view, the prognostic model by looking at baseline data on admission is an important factor in supporting cost-effective clinical decisions. This study aims to evaluate the risk factors that influence outcomes in head injury patients at Sanglah Hospital, Bali, Indonesia, in 2018-2019.Method: Prospective cohort study to see the effect of risk factors for head injury patients (exposure) with the outcome in the form of unfavorable conditions within 7 days. This research was conducted at the Surgery Department and Emergency Room Sanglah Hospital Denpasar- Bali for 6 months from September 2018-February 2019. Data were analyzed using SPSS version 16 for Windows.Results: Some of the factors significantly associated with and risk factors for the unfavorable outcome within 7 days in head injury patients who were treated at Sanglah General Hospital in 2018-2019 were hypotension, initial GCS 3-8, anisocoria pupil reflex, hypoxia, focal lesions, midline shift, and length of time operation ? 6 hours (p<0.05). Hypotensive blood pressure is the most dominant risk factor for the unfavorable outcome within 7 days of head injury patients admitted to Sanglah General Hospital (Adjusted OR: 5.4; 95% CI: 2.47-12.07; p=0.000).Conclusion: Hypotensive blood pressure is the most dominant risk factor for the unfavorable outcome within 7 days of head injury patients treated at Sanglah General Hospital in 2018-2019. Latar belakang: Cedera kepala atau trauma kapitis merupakan kekerasan tumpul/tajam pada kepala atau wajah yang berakibat disfungsi serebral sementara atau menetap. Dari sudut pandang sosioekonomi, model prognostik dengan melihat data awal saat masuk rumah sakit merupakan faktor penting dalam mendukung keputusan klinis yang cost-effective. Penelitian ini bertujuan untuk mengevaluasi faktor risiko yang mempengaruhi outcome pada pasien cedera kepala di RSUP Sanglah, Bali, Indonesia pada tahun 2018-2019Metode: Studi kohort prospektif untuk melihat pengaruh faktor resiko yang dimiliki pasien cedera kepala (exposure) dengan hasil luaran (outcome) berupa kondisi unfavourable dalam 7 hari. Penelitian ini dilakukan di Bagian Bedah FK UNUD/SMF Bedah Saraf RSUP Sanglah, Denpasar-Bali dan Instalasi Rawat Darurat RS Sanglah Denpasar-Bali selama 6 bulan dari bulan September 2018-Februari 2019. Data dianalisis menggunakan SPSS versi 16 untuk Windows.Hasil: Beberapa faktor yang berhubungan secara bermakna dan menjadi faktor risiko terjadinya outcome unfavorable dalam 7 hari pada pasien cedera kepala yang dirawat di RSUP Sanglah tahun 2018-2019 adalah hipotensi, GCS awal 3-8, reflek pupil anisokor, hipoksia, fokal lesi, midline shift, dan lama waktu tindakan operasi ? 6 jam (p<0,05). Tekanan darah hipotensi merupakan faktor risiko yang paling dominan terhadap outcome unfavorable dalam 7 hari pasien cedera kepala yang dirawat di RSUP Sanglah (Adjusted OR: 5,4; 95% IK: 2,47-12,07; p=0,000)Kesimpulan: Tekanan darah hipotensi merupakan faktor risiko yang paling dominan terhadap outcome unfavorable dalam 7 hari pasien cedera kepala yang dirawat di RSUP Sanglah tahun 2018-2019.

Neutrophil-Lymphocyte Ratio (NLR) as an output-outcome predictor in moderate-severe head injury at Sanglah General Hospital, Denpasar, Indonesia Melissa Krisanty; Tjokorda Gde Bagus Mahadewa; I Wayan Niryana; I Nyoman Semadi; I Gede Suwedagatha; I Gusti Agung Bagus Krisna Wibawa
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Background: This prospective cohort study aims to determine the best cut point value and the ability to predict Neutrophil Lymphocyte Ratio (NLR), analyze the most dominant factors, and the direct influence of the NLR to output and outcome in moderate and severe trauma to the head injury at Sanglah General Hospital, Denpasar, Indonesia.Methods: This study was an observational analytic with a prospective cohort design. The subjects of this study were head injury patients over 16 years old with Glasgow Coma Scale (GCS) ? 12 who visited and were treated at Sanglah General Hospital, Denpasar, Indonesia. Patients less than 16 years old, history of alcohol intoxication, stroke, metabolic disease, and multiple traumas were not included as research subjects. Data were analyzed using SPSS version 20 for Windows.Results: The research conducted on 49 respondents found that the best cut-off point of NLR was 6.05 has the most significant predictor (OR=7.6; p=0.001) and dominant (OR=64.97; p=0.002) factors to the output-outcome predictor in moderate-severe head injury. In addition, this cut-off value (6.05) also has a direct influence (x-value=0.523) in the occurrence of output and outcome unfavorable in moderate-severe head injury.Conclusion: the cut-off NLR values of 6.05 became the dominant predictor that directly affected the output and outcome unfavorable in moderate-severe head injury.

Description of hydrocephalus knowledge in pregnant woman at Puskesmas 1 Denpasar Utara Made Indra Erlangga Prathiwindya; I Wayan Niryana; Tjokorda Gde Bagus Mahadewa; Sri Maliawan
Intisari Sains Medis Vol. 13 No. 1 (2022): (Available Online : 1 April 2022)
Publisher : DiscoverSys Inc.

Background: Hydrocephalus is a pathological brain disorder resulting from increased cerebrospinal fluid without or with elevated intracranial pressure resulting in widening of the space where cerebrospinal fluid flows. Maternal environment such as experiencing infection during pregnancy, consuming alcohol and drugs, lifestyle such as obesity, diabetes, or hypertension, and lack of examinations in preparing for prenatal care and low socioeconomic status affect the risk factors for congenital hydrocephalus. The purpose of this study is to to determine awareness and knowledge level among pregnant women towards hydrocephalus. Methods: This descriptive research was conducted with a cross-sectional method using consecutive sampling as a sampling technique. 106 Pregnant Women at Puskesmas I Denpasar Utara was involved in completing the survey regarding Hydrocephalus during this research. For the collecting data using a questionnaire filled directly by each respondent containing 9 questions and then analyzed using the software Statistical Package for the Social Sciences (SPSS). Results: This study was participated by 106 respondents and figured that approximately 84,9% among the total number of respondents have a good knowledge of hydrocephalus while the rest, 15,1% are still at a low level with common characteristics of the respondents, including the age of 24 years old (age group 19-25), multipara (59.4%), with a college education background (45.3%), and working as a housewife (59.4%). Conclusion: This study conveys good knowledge about hydrocephalus in pregnant women, especially those who have a good level of education.

Prognostic value of red cell distribution width-to-platelet ratio in mortality of major burn in Sanglah Hospital Bali Nyoman Siska Ananda; I Gusti Putu Hendra Sanjaya; Sianny Herawati; Agus Roy Rusly Hariantana Hamid; I Made Suka Adnyana; I Wayan Niryana
Intisari Sains Medis Vol. 13 No. 1 (2022): (Available Online : 1 April 2022)
Publisher : DiscoverSys Inc.

Introduction: The mortality rate in Sanglah Hospital due to major burns is quite high. The ratio of red cell distribution width (RDW) and platelet (PLT) (RPR) as a prognostic marker of mortality in major burns has never been studied in Indonesia. Calculations of RPR are easy, widely available and cost-efficient.Method: This study was retrospective observational case-control, with 60 patients with major burns consisting of 30 cases and 30 controls. Samples were taken from the Sanglah Hospital Medical Record Unit from April 2019 to April 2021. Cases were samples with mortality after day seven, while controls were samples that survived. RDW and PLT value on day seven are associated with the incidence of mortality.Results: The mean of RPR in the case group was higher than in the control group. RPR mean of the control group was 0.0559, and the case group was 0.0947 (p<0.001). The increase of RPR in the case group was 40.97%. Statistical analysis showed that high RPR was a significant mortality risk factor in patients with major burns (OR = 21.36; p < 0.001).Conclusion: High RPR is a prognostic marker of mortality in major burns at Sanglah Hospital.

Validasi skor Coagulopathy of Severe Trauma (COAST) dalam memprediksi Acute Trauma Coagulopathy (ATC) di Rumah Sakit Umum Pusat Sanglah Denpasar Putu Chandra Wibawa; I Gede Suwedagatha; I Wayan Niryana
Intisari Sains Medis Vol. 13 No. 2 (2022): (In Press : 1 August 2022)
Publisher : DiscoverSys Inc.

Introduction: The Coagulopathy of Severe Trauma (COAST) score is a scoring system that predicts the clinical condition of ATC. The COAST score has a high specificity of 96% and a sensitivity of 80% at a cut-oﬀ 3, which can accurately predict coagulopathy and has a significant outcome. This study tested the validity of the Coagulopathy of Severe Trauma (COAST) scoring in predicting Acute Traumatic Coagulopathy (ATC) at the Sanglah Central General Hospital (RSUP) Denpasar. Method: Observational study with diagnostic test and cross-sectional design carried out from December 1, 2020 to February 28, 2021. Patients suspected of ATC are patients who present with a history of trauma with an increase of two out of three, namely, Prothrombin Time (PT) >18 seconds, Activated Partial Thromboplastin Time (aPTT) >36 seconds, and International Normalized Ratio (INR) >1.6. Samples were excluded if they refused to participate in the study, had severe head injury, concomitant severe systemic disease, had blood clotting disorders or were taking blood thinning drugs, burn patients, and pregnant patients. The COAST score was assessed based on the components of the trapped assessment, blood pressure, temperature, chest decompression, and abdominal/pelvic injury. COAST scores were analyzed using ROC curves and diagnostic tests, as well as logistic regression tests. The value of p <0.05 indicates a significant result. Results: This study involved 60 patients with 10 ATC positive patients and the remaining 50 ATC negative. Significant differences (p<0.05) on the incidence of ATC were found in the variables of age, ISS score, trapped, chest decompression, abdominal/pelvic injury, systolic blood pressure, PT, aPTT, INR, and COAST score. ROC curve analysis showed a COAST score with a cut-off value of 2.5 (60% sensitivity; 88% specificity; p=0.01; 95% CI 0.555-0.965). The results of the diagnostic test cut-off score of 2.5 COAST scores with an OR of 11.00 (p=0.003; 95% CI 2.392-50.589). Multivariate analysis of COAST scores with the incidence of ATC showed a significant relationship (p=0.002). Conclusion: The COAST score is a valid scoring system to predict ATC at Sanglah Hospital Denpasar with a good level of sensitivity and specificity, with a cut off of 2.5. Pendahuluan: Skor Coagulopathy of Severe Trauma (COAST) merupakan sistem skor yang memprediksi kondisi klinis ATC. Skor COAST memiliki spesifisitas tinggi 96% dan sensitifitas 80% pada cut-oﬀ ≥3, yang dapat secara tepat memprediksi koagulopati dan memiliki hasil yang secara signifikan. Penelitian ini menguji validitas skoring Coagulopathy of Severe Trauma (COAST) dalam memprediksi Acute Traumatic Coagulopathy (ATC) di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar. Metode: Studi observasional dengan uji diagnostik dan desain cross-sectional yang dilaksanakan mulai 1 Desember 2020 sampai 28 Februari 2021. Pasien terduga ATC adalah pasien yang datang dengan riwayat trauma dengan peningkatan dua dari tiga yaitu, Prothrombin Time (PT) >18 detik, Activated Partial Thromboplastin Time (aPTT) >36 detik, dan International Normalized Ratio (INR) >1,6. Sampel dieksklusi apabila menolak keikutsertaan dalam penelitian, mengalami cedera kepala berat, penyakit sistemik berat bersamaan, menderita gangguan pembekuan darah atau mengonsumsi obat pengencer darah, pasien luka bakar, dan pasien hamil. Skor COAST dinilai berdasarkan komponen penilaian terjebak, tekanan darah, suhu, dekompresi dada, dan abdomen/pelvis injuri. Skor COAST dianalisis dengan kurva ROC dan uji diagnostik, serta uji regresi logistik. Nilai p<0,05 menunjukan hasil bermakna. Hasil: Penelitian ini melibatkan 60 pasien dengan 10 pasien ATC positif dan 50 sisanya ATC negatif. Perbedaan signifikan (p<0,05) terhadap kejadian ATC didapatkan pada variabel usia, skor ISS, terjebak, dekompresi dada, abdomen/pelvis injuri, tekanan darah sistolik, PT, aPTT, INR, dan skor COAST. Analisis kurva ROC menunjukan skor COAST dengan nilai cut-off 2,5 (sensitivitas 60%; spesifisitas 88%; p=0,01; CI95% 0,555-0,965). Hasil uji diagnostik nilai cut-off 2,5 skor COAST dengan OR 11,00 (p=0,003; CI95% 2,392-50,589). Analisis multivariat skor COAST dengan kejadian ATC menunjukan hubungan signifikan (p=0.002). Kesimpulan: Skor COAST merupakan sistem skoring yang valid untuk memprediksi ATC di RSUP Sanglah Denpasar dengan tingkat sensitivitas dan spesifisitas yang baik, dengan cut off ≥2,5.

Kranioplasti untuk Kasus Cedera Kepala Wayan Niryana; Dewa Putu Wisnu Wardhana; Heru Sutanto Koerniawan; Sri Maliawan
Cermin Dunia Kedokteran Vol. 45 No. 8 (2018): Dermatologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v45i8.744

Seiring kemajuan teknik operasi bedah saraf, jumlah pasien cedera kepala yang mampu selamat pasca-kraniektomi dekompresi meningkat signifikan. Pasien-pasien tersebut selanjutnya akan menjalani kranioplasti untuk memperbaiki defek kranium. Keuntungan lain prosedur kranioplasti antara lain: menyediakan proteksi otak, pencegahan, atau eliminasi kolapsnya hemisfer otak atau herniasi serebri yang disebut sindrom pasca-trepanasi. Hingga saat ini belum ada material ideal untuk kranioplasti. Advances in neurosurgery techniques will increase decompressive craniectomy survivors significantly. These patients will undergo cranioplasty to correct the cranium defects. Cranioplasty has other advantages: to provide brain protection, to prevent, or to eliminate brain hemisphere collapse or cerebral herniation called post trephine syndrome. There is no truly ideal material for cranioplasty until now.

PENYULUHAN KESEHATAN TENTANG PENTINGNYA MENGGUNAKAN HELM SAAT BERKENDARA DENGAN SEPEDA MOTOR S. Maliawan; N. Golden; T.G.B. Mahadewa; I.W. Niryana; D.P.W. Wardhana; S. Awyono; K.K. Putra
Buletin Udayana Mengabdi Vol 23 No 2 (2024): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/BUM.2024.v23.i02.p10

In the year of 2020, 100.028 cases of traffic accident were noted in Indonesia, according to data from the Traffic Corps of the Republic of Indonesia Police (Korlantas Polri). To reduce poor long-term outcome of head injury, a need of appropriate prevention is needed. One easy and effective way to do this is to drive safely according to the traffic guidelines to hinder accident and to wear a helmet. Usage of helmet could effectively protect agains severe and lethal head injury. The basis of university education is the tri dharma which includes education, research, and community service. Bedah Saraf Bersama Masyarakat held by Neurosurgery Residency Programme in FK UNUD / RSUP Sanglah created a health promotion as a form of community service. Health promotion on the importance of using helmet while riding a motorcycle was conducted at PRO 2 RRI FM. Our goal is to educate about the potential for head injuries while driving a motor vehicle and educate the public about the importance of using a helmet when riding a motorcycle. Keywords : Head injury, helmet, health promotion, motorcyc

RESUSITASI OTAK PADA PASIEN CEDERA KEPALA BERAT DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR TAHUN 2020 Dwikinta, Made Anindya; Mahadewa, Tjokorda Gde Bagus; Maliawan, Sri; Niryana, I Wayan
E-Jurnal Medika Udayana Vol 13 No 2 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i02.P15

ABSTRACT Head injury is a serious problem worldwide and causes morbidity and mortality at a young age. The increase in the number of severe head injuries continues to occur along with the number of accidents. This study aimed to examine the characteristics of brain resuscitation in patients with a severe head injury. Descriptive research with cross-sectional research method and the data obtained as many as 35. Data processing using SPSS and displayed in a distribution table according to the variables. This study found that patients with severe head injuries were most often at the age of >45 years, namely 18 people (51.4%), and male sex was more common than women as many as 24 people (68.6%). The most common GCS was found with GCS 3-5 as many as 21 people (60%). The brain resuscitation regimen in patients with a severe head injury was given crystalloid solution (0.9% NaCl, Ringer's lactate) in 35 people (100%), mannitol 20% in 22 people (62.9%), and phenytoin in 33 people (94.3%). The GOS value of all patients with severe head injury with a GOS value of 1 or died (100%). Most deaths from severe head injury patients were in the first <48 hours as many as 27 people (77.1%) Keywords : brain resuscitation, traumatic brain injury, severe head injury.

SKOR GLASGOW COMA SCALE (GCS) SEBAGAI FAKTOR RESIKO TERHADAP LAMANYA MASA RAWAT INAP PADA PASIEN EPIDURAL HEMATOMA (EDH) DI RSUP SANGLAH PERIODE 2018-2019 Mardliyah, Mumtazah; Niryana, I Wayan; Maliawan, Sri; Mahadewa, Tjokorda Gde Bagus
E-Jurnal Medika Udayana Vol 11 No 9 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i9.P11

Cedera kepala merupakan salah satu masalah penting dalam dunia kesehatan yang harus dihadapi oleh petugas kesehatan. Epidural Hematoma (EDH) merupakan jenis yang paling banyak menjadi perhatian para klinisi dan peneliti karena frekuensi kejadiannya yang tinggi. Kondisi awal pasien pada saat datang ke rumah sakit akan mempengaruhi lamanya masa rawat inap pasien di rumah sakit, diantaranya tingkat kesadaran pasien yang dapat diukur dengan Glasgow Coma Scale (GCS). Penelitian ini bertujuan untuk mengetahui skor GCS sebagai faktor resiko terhadap lamanya masa rawat inap pada pasien Epidural Hematoma (EDH) di RSUP Sanglah periode 2018-2019. Penelitian ini merupakan penelitian observasional analitik dengan menggunakan metode kohort retrospektif dengan jumlah sampel sebanyak 81 orang yang diambil dari data sekunder pasien EDH yang dirawat di RSUP Sanglah periode 2018-2019. Berdasarkan hasil penelitian, ditemukan adanya hubungan bermakna antara Skor GCS dengan lama masa rawat inap (p = 0.000), dengan relative risk ( RR= 3.385), dan adanya hubungan yang bermakna antara ada tidaknya tindakan operasi dengan lama masa rawat inap (p = 0.000), dengan relative risk ( RR= 5.288). Pada penelitian ini menunjukkan skor GCS beresiko mempengaruhi lama masa rawat inap pada pasien EDH. Kata kunci: GCS, EDH, lama masa rawat inap .

KARAKTERISTIK KLINIS CEDERA KEPALA PADA PEDIATRI DI RSUP SANGLAH DENPASAR TAHUN 2020 Gunawan, Made Favian Budi; Maliawan, Sri; Mahadewa, Tjokorda Gde Bagus; Niryana, I Wayan
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.P16

Head injury is one of many emergency cases in pediatric with high mortality cases. The incidence of pediatric head injury in the world, is in the range of 47-280 per 100,000 inhabitants and a total of more than 3 million cases of head injury in children occur each year. This study aims to find out more about the clinical characteristics of head injuries in children, especially patients treated at Sanglah Hospital Denpasar in 2020. This study was conducted using a cross-sectional descriptive method using secondary data in the form of patient medical records. From the results of the research conducted, it was obtained as many as 86 cases, with the conclusion that the most cases were in the group of adolescent patients, in the age range of 13-18 years (62.8%), with the most mechanism of injury due to traffic accidents without the use of helmets (47.7%), then the most frequent GCS values ??were in the range 14-15 which were classified as mild head injury (55.8%), the most common complaint was headache (79.1%), the most common skull fractures were linear fractures (41 ,9%) and intracranial lesions with the most frequency were epidural hematomas (46.5%). The findings of this study are expected to be used as a basis for further research in pediatric head injury and to increase community awareness about child safety.

Co-Authors A.A Davyn Anantha Ade-Chandra - Agung Aditya Arnaya Agung Bagus S. Satyarsa Agus Roy Rusly Hariantana Hamid Anne Saputra Bangun, Kristian Gerry Raymond Sinarta Budiarta, Ida Bagus D.P.W. Wardhana Dewa Ayu Wahyu Diantari Dewa Ngurah Suprapta Dewa Putu Wisnu Wardhana Dwijo Anargha Sindhughosa Dwikinta, Made Anindya Ellintang Charisma Dewi Gitari, Ni Made Gunawan, Made Favian Budi Gusti Ngurah Agung Adi Paramartha Hamid, Agus Roy I Gde Made Satya Wangsa Satya Wangsa I Gede Sutawan I Gede Suwedagatha I Gusti Agung Bagus Krisna Wibawa I Gusti Lanang Ngurah Agung Artha Wiguna I Gusti Ngurah Purnomo I Gusti Putu Hendra Sanjaya I Made Bagus Wirawan I Made Jawi I Made Stepanus Biondi Pramantara I Made Suka Adnyana I Made Sukarya I Nyoman Semadi I Putu Eka Widyadharma I Putu Gede Cahya Giartha Putra I Putu Yuda Prabawa I W. Sudarsa I Wayan Putu Sutirta Yasa Ida Bagus Yudha Prasista J Sasongko K.K. Putra Kevin Kristian Putra Koerniawan, Heru Sutanto Kusuma, Gede Febby Pratama LOELITA MARCELIA LUMINTANG, LOELITA MARCELIA Made Agus Dwianthara Sueta Made Indra Erlangga Prathiwindya Made Suka Adnyana Manuaba, Ida Bagus Tjakra Wibawa Mardliyah, Mumtazah Marthinson Andrew Tombeng Melissa Krisanty Moses Kharisma Setyawan Ni Luh Putu Julita Yanti Ni Putu Ayu Pande Arista Dewi Ni Putu Sri Wulandari Ni Putu Sriwidyani Nyoman Golden Nyoman Siska Ananda Prayoga, I Gusti Ngurah Agung Aditya Putu Anda Tusta Adiputra Putu Ayu Indra Shanti Wardani Putu Chandra Wibawa Putu Diahpradnya Oka Partini Putu Eka Mardhika Putu Pramana Suarjaya Raka-Sudewi A. A. S. Awyono Sanjaya, Feliani Sanjaya, Hendra Sianny Herawati Sista Satyarsa, Agung Bagus Sista Sri Maliawan Suryawisesa, Ida Bagus Made Tham Hong Yuan Thomas Eko Purwata Tjokorda Gde Bagus Mahadewa Wibawa, Ida Bagus Adiguna Yasa, I Nyoman Wawan Tirtha

Title

Found 47 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 47 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 47 Documents
Search