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All Journal Medicina E-Jurnal Medika Udayana Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Sari Pediatri Paediatrica Indonesiana Molecular and Cellular Biomedical Sciences (MCBS) Bali Journal of Anesthesiology Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education ISM (Intisari Sains Medis) : Jurnal Kedokteran Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of Public Health and Pharmacy Jurnal Kedokteran Meditek Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Dyah Kanya Wati

Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Indonesia Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta

Author-ID : 295459

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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THE EFFECT OF STRESS DURING ONLINE LEARNING ON MEDICAL STUDENT’S LEARNING ACHIEVEMENT IN COVID-19 PANDEMIC Putu Nandika Tungga Yudanti Mahardani; Sri Darmayani; Dyah Kanya Wati; Maria Elisabeth Sylvinna Wasi Elannor; Ketut Wulan Ari Kartika Ardhaputri; Andreliano Yosua Rompis
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.60615

Background: Medical students are a population that is considered vulnerable to experience stress during the COVID-19 pandemic, especially with the heavy learning load and changes in the learning system that were initially carried out face-to-face. Currently, there are limited data regarding the stress of studying online in medical students and their effect on learning achievement. This study aimed to determine the stress effect of studying online in medical students on their academic achievement.Methods: This study was an analytic observational study with a cross-sectional approach. 112 samples were obtained from students of Bachelor of Medicine and Medical Doctor in one of the universities in Bali with the instruments that were distributed via Google Form. Primary data collection was carried out using the Medical Student Stressor Questionnaire (MSSQ) questionnaire, while secondary data collection was obtained from the average score of three-block exams done online during the COVID-19 pandemic.Results: The stress level of medical students in online learning was dominated by high stress (55.4%) with the majority cause due to Academic Related Stressor (ARS). There is a significant relationship (p = 0.021) between the incidence of stress and learning achievement in students (-0.217, 95% CI -0.39 to -0.03). The learning system preference that was chosen by the students is dominated by a 50% online learning system and 50% offline as much as 27.7%.Conclusion: The results indicated that there is a high level of stress among medical students. There is a correlation between stress events and medical student’s achievement during online learning.

Perbedaan pemberian cairan isotonis dan hipotonis terhadap osmolalitas plasma pada penderita gangguan intrakranial akut di RSUP Sanglah, Denpasar, Bali Wayan Sulaksmana Sandhi Parwata; I Nyoman Budi Hartawan; I Gusti Ngurah Suwarba; Ida Bagus Suparyatha; Dyah Kanya Wati
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Acute intracranial disturbance can lead to increased occurrence of cardiovascular activity that will lead to a decrease of sodium reabsorption in the kidney. The proper selection of liquid on acute intracranial disorders can help reduce damage to brain tissue. This study aims to determine differences in plasma osmolality levels in patients with acute intracranial disorders who get isotonic or hypotonic fluid.Methods: A cross-sectional observational study was carried out among 60 patients aged 1 month-12 years who experienced acute intracranial disturbance in Sanglah General Hospital during 2017. The difference in plasma osmolality in each group was tested using Mann-Whitney due to the data were not normally distributed. There was a significant difference in osmolality levels in the group receiving isotonic fluid compared with hypotonic (p <0.001)Results: Males were predominant in the isotonic group (66.7%) and hypotonic (70%). Good nutritional status was found in both groups (90%; 83.33%). Encephalitis is the most common cause of acute intracranial disturbance, namely 14 (46.67%) cases of istononic groups and 12 (40%) cases of hypotonic groups. The median value (IQR) of plasma and sodium osmolality levels that obtained isotonic fluid showed a difference in values of 139(6) mEq/L and 287(20) mOsm/kg H2O in isotonic and 132 (7) mEq/ L and 273(16) mOsm/kg H2O in hypotonic. There was a significant difference in osmolality levels in the group receiving isotonic fluid compared to hypotonic (p<0.001)Conclusion: There are differences in levels of osmolality in patients with acute intracranial disorders who get isotonic fluid compared to groups that get hypotonic fluid.

Gambaran umum berbagai faktor keterlambatan pemberian nutrisi enteral pada pasien anak di Ruang Rawat Intensif Anak, RSUP Sanglah, Denpasar, Bali Ni Luh Sri Apsari; I Gusti Lanang Sidiartha; I Nyoman Budi Hartawan; Dyah Kanya Wati; Ida Bagus Gede Suparyatha
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Enteral nutrition is the primary choice in pediatric patients who do not experience gastrointestinal disorders. Many factors inhibit the achievement of enteral nutrition in pediatric patients treated in intensive care. This study aims to determine the overview of various factors that may result in delays enteral nutrition administration in critically ill pediatric patientsMethods: An observational cross-sectional analytic study was carried out on secondary data of medical records among children who were treated in pediatric intensive care unit at Sanglah Hospital throughout 2016. Delay in enteral nutrition was assessed if there was enteral nutrition administration more than 2x24 hours since first admission. Factors assessed include gender, age, PELOD, diagnosis, invasive breathing aids, impaired motility, gastrointestinal bleeding, and hemodynamic instability. Data were analyzed using the SPSS version 20 software program whereas P value <0.05 was considered statistically significant.Results: From the 115 samples, there were 69 (60%) males and 46 (40%) females. About 50 samples (43,5%) experienced delayed enteral nutrition. Significant variables related to the delay in enteral nutrition after multivariate analysis were gastrointestinal motility disorders (p = 0,004, OR 9,082, 95% IK 2,827 â€“ 29,171), and gastrointestinal bleeding (p = 0,0001; OR 14,317; IK 95 % 4,087 â€“ 50,155).Conclusion Intestinal motility disorders and gastrointestinal bleeding are known as a contributing factor in the delay of enteral nutrition administration in PICU Sanglah Hospital, Denpasar, Bali.

Korelasi kadar laktat dengan Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPE II) pada neonatus yang dirawat di NICU RSUP Sanglah, Bali, Indonesia I Gede Deden Susma Sugara; I Wayan Dharma Artana; Ketut Suarta; Soetjiningsih Soetjiningsih; Ni Putu Siadi Purniti; Dyah Kanya Wati; Made Sukmawati; Made Kardana
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Infant mortality rate is one of the indicators of public health degree that determines the human development index. Various attempts were made to early detect the problems, one of which was by assessing the severity of neonatal disease using Score for Neonatal Acute Physiology Perinatal Extension-II (SNAPPE II) which was associated with lactate levels as a metabolic response and organ dysfunction due to critical illness that were suffered at the Neonatal Intensive Care Unit (NICU).Methods: A cross-sectional analytic study was conducted among 48 critically ill neonates treated at the Sanglah Hospital Denpasar NICU. Samples were selected from affordable populations by consecutive sampling. Data analysis was performed by Saphiro-Wilk data normality test, correlation analysis using the Pearson correlation coefficient, significant results if the value of p <0.05. Data were analyzed using SPSS version 17 for Windows.Results: Most of the respondents were males (67%), the mean of neonatal gestational age was 33 (Â± 3,2) weeks with the median neonatal age at lactate sampling being 24 (24-48) hours. The average age of the mother at delivery was 24 (21-40) years. The mean lactate level in critically ill neonatal patients admitted to the NICU was 3.2 (Â± 0,5) mmol / L. The mean SNAPPE II score on the subject was 32 (20-42). There was a significant positive correlation between the levels of lactate and the severity of the disease in critically ill neonates in the NICU assessed by SNAPPE II (r = 0.45; p = 0.004).Conclusion: Lactate levels has a moderate positive correlation with the severity of the disease in critically ill neonates in the NICU assessed by SNAPPE II

Encapsulated liposome toward anthocyanin in Pectin-Based Dry Jelly as a management in pediatric obesity Management: a literature review Putu Nandika Tungga Yudanti Mahardani; Komang Diah Kurnia Kesumaputri; I Gede Wikania Wira Wiguna; Dyah Kanya Wati
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Background: In the globalization era, the high number of obesities is happened to the teenagers because of the unhealthy life-style. Obesity in the teenagers or pediatric obesity is important to be handled because it can trigger another complication that happened in the early age. This study aims to collect and analyze any source related to anthocyanin (ASN) from purple sweet potato (Ipomoea batatas L) as modality of obesity that is packaged as dry jelly.Methods: A literature search strategy was conducted to obtained eligible source of study such as books and journals from Google Scholar, Research Gate, and PubMed. The criteria of eligible literature used in this study were articles published on 1981-2019 from different type of study. About 73 literature were used as references regarding the potency of ASN from purple sweet potato (Ipomoea batatas L) as the modality for obese people.Results: ASN in the purple sweet potato has anti-obesity effect by decreasing the a-glucosidase enzyme and a-amylase, increasing glucagon-like-peptide-1 and peptide YY, changing the size of adipose cell, decreasing the lipogenic activity and inflammation, increasing the lipolysis and Î²-oxyanion adipose cell, as well as increasing the concentrate of brain-derived neutrophil factor in a brain. To increase the bioavailability of ASN, it has to be done the encapsulation with liposome base.Â Modality is packaged in the dry jelly form with pectin base as a formulation in powder form taken orally. The modality consumption is 24 mg/kg of weight, however, after eating, the obese people tend to give the weight decreasing effect and cross section attractive to target modalities.Conclusion: According to the studies, the ASN from purple sweet potato and package in Pectin-Based Dry Jelly could be used as a novel strategy in managing the pediatric obesity.

Asosiasi sikap dan pengetahuan orang tua terhadap perilaku dalam menangani anak saat diare di Kecamatan Seririt, Kabupataen Buleleng, Bali tahun 2018 Putu Andrie Setiawan; Ryan Tan; Derryl Komala Putra; Andy Halim; Nelvina Ginting; Maria Pricilla Siboe; Dyah Kanya Wati
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Introduction: To date, diarrhea is still a global burden that implicate children especially in development country. Seririt, as aÂ peripheral subdistrict in Buleleng regency, Bali face this problem also. The knowledge and the attitude of parents is really important to reduce morbidity and mortality of dehydration to be caused by diarea.Objective: This research was aimed to knowing the association of parents knowledge and attitude to behaviour when facing diarrhea.Method: Cross-sectional method with consecutive sampling method was used to answer the objective. This research has done in 2018 of August at community health canter (Puskesmas) Seririt 1, Buleleng Regency, Bali Province. Collected data was analysed with SPSS version 17 for Windows.Result: A statistically significant result was found between attitude and behaviour (p= 0,000; 95%CI=1,484-9,387). Contrary, insignificant result was found among attitude and parent behaviour when face diarrhea (p=0,093; 95% CI=0,900-3,155).Conclusion: Parrents knowledge associate to parent behaviour, in other hand attitude does not associate to parent behaviour.Â Â Pendahuluan: Diare saat ini masih merupakan permasalahan utama pada balita. Hal ini juga merupakan masalah yang diahadapi didaerah perifer utamanya di Kecamatan Seririt, Kabupaten Buleleng, Bali. Pengetahuan dan sikap orang tua saat menangani diare berperan untuk mengurangi kesakitan dan kematian utamanya akibat dehidrasi.TujuanÂ : Tujuan dari penelitian ini adalah untuk mencari tahu asosiasi pengetahuan dan sikap terhadap perilaku orang tua saat anak mengalami diare di Kecamatan Seririt, Kabupaten Buleleng, Bali.MetodeÂ : Metode potong lintang dan consecutive sampling diterapkan pada penelitian ini. Penelitian dilaksanakan pada bulan Agustus 2018 di Puskesmas Seririt 1, Buleleng. Data yang Â sudah dikumpulkan dianalisis dan disajikan dalam tabel dan narasi menggunakan perangkat lunak SPSS 17 for Windows.HasilÂ : Secara statistik terdapat perbedaan antara tingkat pengetahuan dengan perilaku (p= 0,000; IK=1,484-9,387). Sedangkan, tidak didapatkan perbedaan antara sikap dan perilaku subjek sehari-hari (p=0,093; IK=0,900-3,155).KesimpulanÂ : Terdapat hubungan yang bermakna antara tingkat pengetahuan orang tua terhadap perilaku saat menghadapi anak dengan diare. Namun, hal ini berbanding terbalik dengan sikap orang tua yang dinyatakan tidak berhubungan secara statistik terhadap perilaku saat anak mengalami diare.

Validitas modified Pediatric Early Warning System/Score di Rumah Sakit Umum Pusat Sanglah I Made Karma Setiyawan; Dyah Kanya Wati; I Nyoman Budi Hartawan; Ida Bagus Gede Suparyatha; Made Pande Lilik Lestari
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Early identification of patient at risk influence the chance of appropriate management and thus patient’s outcome. Pediatric Early Warning System/Score (PEWS) was developed to evaluate patient clinical development while hospitalized. Sanglah General Hospital has implemented PEWS to evaluate early clinical deterioration since 2015 in accordance with quality control program, even though it is not validated yet.Methods: A single-center, cross-sectional analytic observational study was conducted in pediatric ward Sanglah General Hospital in 2019. The scores ranged from 0 to 9 and were assessed in the 6 to 8 hours prior to unplanned intensive care transfer. Cut-off point, sensitivity, and specificity of modified PEWS was obtained in terms of unplanned intensive care transfer.Results: Amongst 200 children at pediatric ward, 22 children (11%) had unplanned intensive transfer. The most common intensive consultation problems were respiratory failure (63.6%), followed by decrease of consciousness (22.8%) and shock (13.6%). Median of time to clinical deterioration occured within 6 days of hospitalization (range, 1- 41). Majority clinical deterioration event was found in hematology oncology group. The AUC score was 0,99 (95% CI, 0,99 - 1) with the optimal cut-off point on score ? 4 (sensitivity 95,5% and spesificity 100%).Conclusion: Modified PEWS at Sanglah General Hospital is a valid instrument in identifying early clinical deterioration in children. Prospective clinical evaluation of modified Sanglah General PEWS is needed to determine improvement quality of care and patient outcomes. Latar Belakang: Identifikasi pasien yang berisiko mengalami perburukan klinis sejak dini dapat mempengaruhi pemberian tatalaksana yang akan meningkatkan luaran. Instrumen Pediatic Early Warning System/Score (PEWS) disusun untuk mengetahui perkembangan klinis dari pasien selama perawatan di rumah sakit. RSUP Sanglah menerapkan deteksi dini perburukan klinis menggunakan instrumen PEWS yang dimodifikasi sejak tahun 2015 dalam menjalankan Gugus Kendali Mutu (GKM), namun belum tervalidasi.Metode: Penelitian observasi analitik, single-center, menggunakan desain potong lintang yang dilakukan di ruang perawatan anak RSUP Sanglah pada tahun 2019. Skor memiliki rentang 0 sampai 9 dan dinilai saat 6-8 jam sebelum terjadinya pemindahan ke perawatan intensif yang tidak terencana. Titik potong, sensitivitas dan spesifisitas skor modified PEWS didapatkan terkait perburukan klinis yang memerlukan perawatan intensif tidak terencana.Hasil: Sebanyak 22 anak (11%) dari 200 anak yang dirawat di ruang perawatan memerlukan perawatan ruang intensif tidak terencana. Penyebab terbanyak dilakukannya konsultasi untuk perawatan intensif adalah gagal napas (63,6%) diikuti oleh penurunan kesadaran (22,8%) dan syok (13,6%). Median waktu terjadinya perburukan klinis didapatkan setelah 6 hari perawatan (rentang, 1- 41). Mayoritas perburukan klinis didapatkan pada kelompok diagnosis hematologi onkologi. Nilai AUC skor modified PEWS RSUP Sanglah didapatkan sebesar 0,99 (IK 95%, 0,99-1) dengan titik potong optimal pada skor ? 4 (sensitivitas 95,5%, spesifisitas 100%).Kesimpulan: Skor modified PEWS RSUP Sanglah merupakan instrumen yang valid dalam mengenali perburukan klinis pada anak sejak awal. Evaluasi klinis secara prospektif menggunakan skor PEWS tersebut diperlukan untuk melihat perbaikan dalam hal kualitas perawatan dan luaran pada pasien.

Karakteristik Pasien yang Dirawat di Unit Gawat Darurat Anak Rumah Sakit Umum Pusat Prof. Dr. I.G.N.G. Ngoerah Denpasar Dyah Kanya Wati; Ida Bagus Suparyatha; I Nyoman Budi Hartawan; Khema Metta Wijaya
Sari Pediatri Vol 24, No 4 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.4.2022.222-31

Latar belakang. Jumlah pasien anak yang berkunjung ke ruang gawat darurat terus mengalami peningkatan setiap tahunnya. Studi mengenai analisis data pelayanan gawat darurat penderita anak dengan kegawatan medik dari aspek lama tunggu dan kematian pasien di IGD masih terbatas.Tujuan. Penelitian ini bertujuan untuk mengevaluasi karakteristik dan luaran, serta gambaran epidemiologi dari penderita anak dengan kegawatdaruratan medik yang datang ke IGD anak RSUP Prof Dr. I.G.N.G Ngoerah Denpasar.Metode. Penelitian ini merupakan penelitian deksriptif retrospektif dengan data dari rekam medis pasien anak yang dirawat di IGD RSUP Prof Dr. I.G.N.G Ngoerah pada periode Februari – Juli 2022 menggunakan metode konsekutif sampling. Analisis deksriptif dilakukan dengan program SPSS.Hasil. Total jumlah sampel yang dikumpulkan dalam penelitian ini adalah 867 sampel. Karakteristik dasar pasien anak yang berkunjung ke ruang gawat darurat adalah mayoritas berjenis kelamin laki – laki, berusia 1 – 5 tahun, memiliki status gizi normal, skor pSOFA < 8 (99,7%), kematian dalam 24 jam terjadi pada 1,3% dan lama waktu tunggu pasien di triase setelah diagnosis ditegakkan adalah segera (90,2%). Keluhan utama yang paling sering dijumpai adalah ganggun sistem pernapasan, febris, dan gangguan sistem pencernaan. Diagnosis terbanyak adalah infeksi COVID-19 (10,4%) dan leukemia (10,3%).Kesimpulan. Infeksi COVID-19 masih merupakan diagnosis tersering di IGD, walaupun begitu pasien dengan keganasan (terutama leukemia) memiliki prevalensi yang cukup besar dibandingkan penyakit lainnya pada pasien pediatri yang memerlukan perawatan di IGD. Mayoritas pasien yang datang ke IGD anak RSUP Prof Ngoerah memiliki tingkat keparahan penyakit yang rendah berdasarkan pSOFA dan lama tunggu yang pendek setelah diagnosis ditegakkan. Kematian dalam 24 jam hanya terjadi pada sebagian kecil pasien.

Efikasi TENS untuk Mengatasi Nyeri Punggung dan Lutut dengan Penyebab Non-Spesifik: A Systematic Review Putu Nandika Tungga Yudanti Mahardani; Komang Diah Kurnia Kesumaputri; Visakha Karuna Wijaya; Dyah Kanya Wati
Jurnal Kedokteran Meditek Vol 28 No 2 (2022): MEI-AGUSTUS
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v28i2.2334

Nyeri muskuloskeletal menjadi masalah kesehatan utama yang menyerang para petani maupun profesi lainnya akibat beban fisik dan durasi kerja yang tinggi. Dengan keterbatasan modalitas terapi saat ini, Transcutaneous Electrical Nerve Stimulation (TENS) dapat menjadi terapi fisik yang potensial. Systematic review ini bertujuan untuk mengkaji efikasi TENS pada nyeri muskuloskeletal dengan penyebab non-spesifik di dua lokasi tubuh tersering, yaitu punggung dan lutut berdasarkan hasil Visual Analogue Scale (VAS). Pencarian studi Randomized Controlled Trial (RCT) dilakukan dengan menggunakan standardisasi Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Dari 1734 studi, diperoleh 16 studi RCT yang menilai efikasi TENS ditinjau dari nilai VAS dengan rincian 8 studi (181 pasien) pada regio lutut dan 8 studi (278 pasien) pada regio punggung. Rata-rata penurunan VAS pada regio lutut sebesar 46,50% dan regio punggung sebesar 49,81%. Penggunaan terapi TENS selama 30 menit dengan frekuensi rendah (<50 Hz) ataupun tinggi (>50 Hz) sudah dapat memberikan repons terapi. Lamanya durasi, tingginya frekuensi terapi, dan penggunaan TENS dalam bentuk kombinasi tidak sejalan dengan efikasi TENS. TENS memberikan efikasi yang baik terhadap nyeri punggung dan lutut dan memiliki keunggulan karena sifatnya yang portabel, mudah digunakan, dan murah.

Correlation between Laboratory Turnaround Time in Pediatric Emergency Departement and Length of Stay Pratiwi, Putu Diah; Wati, Dyah Kanya; Hartawan, I Nyoman Budi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 4, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

A quick and precise diagnosis is essential in hospital services, especially in the emergency department. In condition with high volume patients, perfomance of laboratory usually decreases. Studies which identify directly the delay of laboratory examinations in emergency department in relation to length of stay in wards have not been conducted. We did correlative study using secondary data obtained from medical records. Inclusion criteria was child, age range from 29 days to 12 years old who needed supporting laboratory examinations, directly admitted to wards or PICU after getting treatments in emergency department. Exclusion criteria was child with growth and developmental problem, malnutrition, immuncompromised condition, incomplete medical records data, and child died in the emergency department. Average patient in 2016 was 3,6 yeras old and in 2017 was 2 yeras old, mostly boys. Mostly with chief complaints of infections Analysis in 2017 showed correlation coefficient of 0.466 which means there was strong association between laboratory turnaround time and length of stay and statistically significant (p 0.03). multivariate analysis shown there was strong correlation between laboratory turnaround time and length of stay and if the predictive value increased by one unit, the length of stay would increase 6,5%.

Co-Authors Abdul Latief Abdul Latief Adnyana, I Gusti Agung Ngurah Sugitha Anak Agung Ngurah Ketut Putra Widnyana Andreliano Yosua Rompis Andy Halim Anlidya Permatasari Gunawijaya Antonius Pudjiadi Antonius Pudjiadi Artini, Ni Wayan Noni Arya Krisna Manggala Aurelya, Anira Rema Ayu Setyorini Mestika Mayangsari Bagus Ngurah Putu Arhana BNP Arhana Cempaka, Putu Mas Vina Paramitha Clearesta, Kartika Eda Defranky Theodorus Derryl Komala Putra Desak Made Widiastiti Arga Dewi Sutriani Mahalini Djoko, Sri Wahyuni Eka Gunawijaya Estina, Vania Catleya Fajaryani, Putu Ayu Putri Felicia Anita Wijaya Gusti Ayu Nyoman Yulia Sitta Dewi Haning, Joy Aprianis Harsika Sari, Ni Wayan Diah Intan I Gde Doddy Kurnia Indrawan I Gede Deden Susma Sugara I Gede Wikania Wira Wiguna I Gusti Ayu Putu Eka Pratiwi I Gusti Ayu Sri Darmayani I Gusti Lanang Sidiartha I Gusti Ngurah Made Suwarba I Gusti Ngurah Made Suwarba I Gusti Ngurah Sanjaya Putra I Made Bakta I Made Jawi I Made Kardana I Made Karma Setiyawan I Nengah Gandi Karyadi I Nyoman Budi Hartawan I NYOMAN MANTIK ASTAWA I Wayan Darma Artana I Wayan Dharma Artana I Wayan Dharma Artana, I Wayan Dharma I Wayan Gustawan Ida Bagus Gede Suparyatha Ida Bagus Subanada Jumantini, Ni Komang Pasek Nurhyang Ketut Dewi Kumara Wati Ketut Suarta Ketut Suarta Suarta Ketut Tuti Parwati Merati Ketut Wulan Ari Kartika Ardhaputri Khema Metta Wijaya Komang Ayu Witarini Komang Diah Kurnia Kesumaputri Komang Diah Kurnia Kesumaputri Luh Putu Diah Virayanti Luh Putu Putri Sanjiwani Made Gede Dwi Lingga Utama Made Gede Dwi Lingga Utama Made Michel Kresnayasa Made Pande Lilik Lestari Made Sukmawati Made Wiryana Manggala, Arya Krisna Maria Elisabeth Sylvinna Wasi Elannor Maria Pricilla Siboe Nelvina Ginting Ni Luh Sri Apsari Ni Made Ary Sarasmita Ni Putu Siadi Purniti Novita Purnamasari Assa Nyoman Gina Henny Kristianti Pande Made Nova Armita Sari, Pande Made Nova Putri, Ni Kadek Dwi Pramana Putu Andrie Setiawan Putu Aryani Putu Diah Pratiwi Putu Diah Pratiwi Putu Indah Budi Apsari Putu Nandika Tungga Yudanti Mahardani Putu Nandika Tungga Yudanti Mahardani Putu Nandika Tungga Yudanti Mahardani Retayasa Retayasa Ryan Tan Silvia Sudarmadji Siska Permanasari Sinardja Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Sukarta, Ni Kadek Yusthiani Suparyatha, Ida Bagus Gede Susanto, Yohanes Sutriani Mahalini, Dewi Visakha Karuna Wijaya Wayan Sulaksmana Sandhi Parwata

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