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All Journal Buletin Udayana Mengabdi E-Jurnal Medika Udayana Health Science Journal of Indonesia E-Jurnal Udayana Medica The Indonesian Biomedical Journal Indonesian Journal of Cardiology Indonesian Journal of Medicine ISM (Intisari Sains Medis) : Jurnal Kedokteran Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Archives of The Medicine and Case Reports Journal of Global Pharma Technology

Anak Agung Wiradewi Lestari

Departemen Patologi Klinik, Fakultas Kedokteran, Universitas Udayana, RSUP Sanglah, Bali, Indonesia

Author-ID : 306089

Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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CORRELATION BETWEEN SERUM LEVEL GALECTIN-3 AND EARLY REMODELLING INDICATOR OF LEFT VENTRICLE IN PATIENT WITH ACUTE MYOCARDIAL INFARCTION DURING PRE-PERCUTANEOUS CORONARY INTERVENTION I Nyoman Indrawan Mataram; Wayan Aryadana; AA Wiradewi Lestari
Jurnal Kardiologi Indonesia Vol 40 No 1 (2019): Indonesian Journal of Cardiology: January-March 2019
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v40i1.799

Background: Coronary heart disease (CHD) is a leading cause of death worldwide. Acute coronary syndrome (ACS) is a spectrum of CHD. Left ventricle remodelling is one of the complication with the bad outcome either short-term or long term. Early remodelling process (within 0-72 hours) post infarction can be assessed by circulating biomarker (Galectin-3), echocardiography, coronary angiography, and clinically. Objective: The aim of study is to know the correlation between serum level of Galectin-3 and early remodelling indicator in patient with acute myocardial infarction during pre-percutaneous coronary intervention. The parameters are LVEDV, LVEF, diastolic function component, TIMI flow, MBG, and presence of acute heart failure. Materials and Methods: This cross sectional study was conducted in Sanglah General Hospital during March-May 2018. A 62 sample was determined consecutively. Results: Bivariate analysis with Spearman correlation shows Galectin-3 correlated with LVEDV (r = 0,808; p= 0,000), E/eâ€™ average (r = 0,297; p = 0,019), E/A ratio (r = 0,261; p= 0,041), and MBG (QuBE) (r = 0,647; p = 0,000). No correlation was found between Galectin-3 and LVEF Teich (r = -0,213; p= 0,097), LVEF Biplane (r = -0,226; p = 0,077), LAVI (r = 0,301; p = 0,170), eâ€™septal (r = -0,079; p = 0,539), eâ€™lateral (r = -0,092; p = 0,476), and TR Vmax (r=0,068; p=0,600). Chi square analysis shows no association between Galectin-3 and diastolic dysfunction left ventricle (OR= 1,032, p= 0,966, CI95%= 0,239-4,462), TIMI flow (OR= 1,032, p= 0,966, CI95%= 0,239-4,462), MBG score (OR= 0,264, p= 0,197, CI95%= 0,031-2,259), and acute heart failure (OR=0,577, p= 0,476, CI95%= 0,127-2,617). Multivariat analysis with multiple linear regression shows an increase in Galectin-3 has been proven associated independently with LVEDV, LAVI, E/eâ€™ average, and E/A ratio. Multiple logistic regression shows Galectin-3 has not been proven independently with diastolic dysfunction, TIMI flow, MBG score, and acute heart failure. LVEDV is the best outcome that can be explained as its value influenced by constant, BMI, and Galectin-3 (R2 = 0,509). Conclusion: Galectin-3 correlated with LVEDV, average E/eâ€™, E/A ratio, and MBG (QuBE). There is an independent association between Galectin-3 and LVEDV, LAVI, average E/e, and E/A ratio. Early remodelling process within 0-72 hours post infarction was happened pre-PCI. Anti-remodelling (including anti failure) during early phase is strongly recommended in order to prevent worse outcome in short and long term. Keywords: Galectin-3, early remodelling left ventricle, acute myocardial infarction, percutaneous coronary intervention.

GALECTIN-3, MMP-9 AND ST-2: BIOCHEMICAL MARKERS IN CARDIOVASCULAR DISEASES Anak Agung Wiradewi Lestari
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 24, No 3 (2018)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v24i3.1421

Galectin-3 is a reasonably stable biomarker. It can be detected even before the onset of heart failure occurs. Heart Failure (HF) is one of the complications of AMI as well as one of the major cardiovascular parameters. One study showed that elevated levels of Galectin-3 that persisted up to 3-6 months of the follow-up period in patients with heart failure were associated with a poorer prognosis. Many studies explain that the role of Galectin-3 is strong in cardiac remodeling/fibrosis and the occurrence of heart failure. Inhibition of Galectin-3 by pharmacological agents has been shown to be able to the prevent that cardiac fibrosis process, particularly in patients with advanced heart failure. Since its discovery as a gene product induced by cardiomyocyte stretch in vitro, ST2 has emerged as a powerful player with IL-33 in modulating ventricular function and remodeling via effects on apoptosis, inflammation and myocardial fibrosis. Clinically, measurement of sST2 appears promising as a biomarker for remodeling and outcome across the AHA HF Stages. Circulating levels of sST2 are strongly related to short and long-term post-discharge mortality in acute coronary syndromes and HF, as well as markers of cardiac structure and function. Current pre-clinical and clinical documentation strongly support MMP-9 as a panel member in the biomarker list to diagnose or treat the pathophysiology of post-MI ventricular remodeling and congestive heart failure. Based on the evidence provided, further prospective studies are required to assess the prognostic value of MMP-9 for post-MI remodeling, particularly in comparison with traditional markers.

ROLE OF IMMATURE/TOTAL NEUTROPHIL RATIO, LEUKOCYTE COUNT AND PROCALCITONIN IN DIAGNOSING NEONATAL SEPSIS I A Putri Wirawati; Aryati Aryati; A A Wiradewi Lestari
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 24, No 2 (2018)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v24i2.1319

Neonatal sepsis is a clinical syndrome of systemic disease, accompanied by bacteremia that occurs during infants in the first month of life. A late diagnosis might increase mortality. The presence of bacteria growth in blood cultures is a definitive diagnosis. Unfortunately, culture results are usually obtained of a long time. The study aimed to analyze sensitivity and specificity of the manual I/T ratio, automatic I/T ratio, leukocyte count and procalcitonin (PCT) to diagnose neonatal sepsis. This study used a cross-sectional design, from the NICU room in Sanglah General Hospital, Denpasar. There were 59 patients who met the study criteria. Along with blood culture as the gold standard in determining diagnosis of sepsis and with I/T ratio cut-off of 0.2, the sensitivity of manual I/T ratio was 69.2%, specificity 83.9%, PPV 63.9%, NPV 87% and likelihood ratio was 3.06. While the sensitivity of automatic I/T ratio was 47.6%, specificity 85.8%, PPV 55.1%, NPV 81.4% and likelihood ratio was 2.25. Based on the normal range of leukocyte count (9.1 - 34 x 103/μl), sensitivity of leukocyte count was 59%, specificity 71.5%, PPV 46.7%, NPV 80.9% and likelihood ratio was 1.59. With PCT cut-off 0.5 ng/mL, the obtained sensitivity of PCT was 64.3%, specificity 85.8%, PPV 64.3%, NPV 85.8% and likelihood ratio was 3.13.

PERAN DOKTER SPESIALIS PATOLOGI KLINIK DALAM AKREDITASI RUMAH SAKIT (The Role For Clinical Pathologist in Hospital Accreditation) Anak Agung Wiradewi Lestari
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 21, No 1 (2014)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v21i1.1267

The hospital accreditation of 2012 version assessment, performed through the evaluation of the implementation of hospitalaccreditation standards. It’s consisting of four (4) standards groups. The laboratory service is one component of the Assessment ofPatients (AOP) chapters. The role of Clinical Pathologist in this accreditation can be internal as well as external. In the laboratoryservices standard, there are 13 sections each with element of judgment. Some of the challenges are still encountered in the meeting forthe accreditation standards include the need for an agreement between the Clinical Pathologist and the Physician, perhaps even the roleof the Indonesian Association of Clinical Pathologist and Laboratory Medicine (IACPLM) to determine the values of which one has thecritical value, that should be reported by the laboratory to physician. In addition, most laboratories currently in Indonesia do not havea reference value corresponding to the population and geography. This would be the task of the specialist (us) together/IACPLM to beable to formulate the reference value or discuss it with the Hospital Accreditation Committee in order to obtain the same perception ofthe reference value. But considering the determination of the reference value is not a simple matter and this will require cost as well.Another challenge is controlling the laboratory equipment used in wards, such as Point of Care Testing (POCT) devices. Most POCTis used in wards is not provided by the laboratory. The hospitals should regularly receive reports and review the quality control of thereference laboratory. But so far, most of the reference laboratories do not report the results of quality control to the hospital laboratory.In one assessment standard, stated that the hospitals should have access to contact an expert of diagnostics specialist such concernedto parasitological, virological, or toxicological. The question is whether the Clinical Pathologist can not be regarded as an expert inparasitological and virological diagnostics?

PENDERITA DENGAN HEMOKROMATOSIS PRIMER Kadek Mulyantari; A.A.Wiradewi Lestari; A.A.N. Subawa; Tjokorda Gede Oka; Sudewa Djelantik
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 18, No 2 (2012)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v18i2.1014

Primary Hemochromatosis is a hereditary disease that occurs predominantly in man. Among men, clinical signs and symptomsfrequently appears on 40 years until more than 60 years of age. Meanwhile, the signs and symptoms among women appear on 50 yearsof age or after menopause. It is a very rare case in children or young adult. Secondary hemochromatosis can be differentiated fromprimary hemochromatosis based on existence of other underlying disease and secondary hemochromatosis often occurs in patient withmultiple blood transfusions. The diagnosis of primary hemochromatosis is confirmed by chromosomal test and liver biopsy to confirmthe liver damage caused by excessive iron accumulation. The main treatment of primary hemochromatosis is phlebotomy. The purposeof this method is to remove overload iron in body. In this case, the patient was man, unmarried, 51 years old, Australian. Four yearsago, he had complained about arthropathies, chronic asthenia, depression, decreased of concentration and sexual desire. Laboratoryevaluation revealed Ferritin level 2126 ug/L and transferrin saturation always more than 99%. Liver function tests also increasedsignificantly. Some of his family’s members have the same disease as he has. He was diagnosed as primary hemochromatosis and hadperformed phlebotomy routinely. After phlebotomy has done, he recovered based on clinical and laboratorial findings.

QUALITY OF STORED RED BLOOD Anak Agung Wiradewi Lestari; Teguh Triyono; Usi Sukorini
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 23, No 3 (2017)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v23i3.1209

Telah diketahui bahwa selama penyimpanan, sel darah merah mengalami sejumlah perubahan yang mempengaruhi viabilitas dankemampuannya untuk membawa oksigen ke jaringan. Perubahan tersebut digolongkan menjadi perubahan biomekanik dan biokimia.Perubahan biomekanik yang terjadi adalah perubahan membran sel. Selama penyimpanan, sel darah merah mengalami perubahanmorfologi secara pesat, dari bikonkaf menjadi echinocytes dengan tonjolan dan akhirnya menjadi spheroechinocytes. Hilangnya kesatuansel darah merah tersebut menyebabkan pelepasan hemoglobin (hemolisis) dan pembentukan mikropartikel yang dapat menyebabkankomplikasi transfusi. Pelepasan hemoglobin (Hb) dan mikropartikel bebas menyebabkan peningkatan penggunaan Nitric Oxide (NO),sebuah molekul sinyal penting yang berperan dalam aliran darah dan dapat merangsang terjadinya inflamasi. Perubahan kimia lainnyayang dapat terjadi adalah penurunan glukosa dan penumpukan asam laktat, penurunan kalium, kepekatan adenosine triphosphate (ATP)dan 2,3-diphosphoglycerate (DPG). Tidak semua kerusakan sel akibat penyimpanan ini bersifat eryptotic. Penurunan kalium bersifatpasif (suhu yang dingin menyebabkan pompa pertukaran natrium/kalium menjadi tidak aktif). Penurunan DPG juga bersifat pasif,terkait dengan perubahan kekhasan enzim diphosphoglycerate mutase/diphosphoglyceratephosphatase dan penurunan pH. PenurunanNO terjadi karena larutnya NO bersama dengan Hb yang dilepaskan saat hemolisis. Hb plasma lebih cepat bereaksi dengan NO,dibandingkan dengan Hb dalam sel darah merah. Berkurangnya NO ini berperan dalam keadaan patologis yang terjadi sehubungandengan pemberian darah simpan termasuk dalam hal pengangkutan oksigen oleh Hb. Perubahan akibat penyimpanan ini reversibel bilasel darah merah tersebut ditransfusikan kembali ke dalam peredaran. Tolok ukur utama yang dikontrol secara rutin untuk penyimpananRBC adalah 0,8–1% hemolisis, 75% in-vivo survival dalam waktu 24 jam setelah transfusi, volume dan kadar hemoglobin sel darahmerah. Tolok ukur tersebut memang sangat berguna, namun, perubahan biokimia yang berhubungan dengan fungsi vaskular jugaharus dipertimbangkan. Perubahan yang terjadi selama penyimpanan tersebut akan reversibel melalui upaya peningkatan kualitaspenyimpanan, atau menambahkan larutan additive.

KONFIRMASI FLU BABI A/H1N1 MENGGUNAKAN PCR A.A. Wiradewi Lestari; I.A. Putri Wirawati; Tjok Gde Oka
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 16, No 2 (2010)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v16i2.979

Swine Influenza (2009 H1N1) is a new influenza virus causing illness in people. This new virus was first detected in the United Statespeople, April 2009. This virus probably spread the same way worldwide from person-to-person much as the regular spreading of commonseasonal influenza viruses. A 13 years old male entered the hospital with fever, cough and sore throat. Before he was hospitalized, hehad travelled to Batam for four (4) days. A PCR test from throat and nasal swabs were taken, and found positive for influenza A andswine H1 (as confirmed case for swine influenza A/H1N1). After taking oseltamivir for 5 days and the second PCR test negative, thepatient is released from the hospital.

PREVALENSI DAN KARAKTERISTIK REAKSI TRANSFUSI DARAH DI RUMAH SAKIT UMUM PUSAT SANGLAH I Wayan Agus Surya Pradnyana; Anak Agung Wiradewi Lestari; Sianny Herawati; AAN Subawa
E-Jurnal Medika Udayana Vol 11 No 6 (2022): Vol 11 No 06(2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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

Transfusi darah merupakan proses pemberian darah atau komponen darah dari donor ke penerima, transfusi darah yang sesuai memainkan peran penting dalam layanan kesehatan modern. Reaksi transfusi didefinisikan sebagai kejadian apa pun yang terjadi sebagai akibat dari pemberian produk darah, dapat selama atau setelah pemberian produk tersebut. Gambaran gejala reaksi transfusi adalah parameter penting dalam menentukan suatu kejadian reaksi transfusi. Penelitian ini dilakukan untuk mengetahui data prevalensi dari reaksi transfusi dan karakteristik penderita reaksi transfusi berdasarkan usia, jenis kelamin, produk darah dan tingkat keparahan dari gejala reaksi transfusi di RSUP Sanglah Denpasar Bulan Januari 2018 hingga Juni 2019. Penelitian ini bersifat retrospektif dengan menggunakan data sekunder formulir monitoring transfusi pasien reaksi transfusi berupa usia, jenis kelamin, produk darah yang ditransfusi, dan gejala reaksi transfusi di RSUP Sanglah Denpasar bulan Januari 2018 hingga Juni 2019. Terkumpul sebanyak 88 sampel yang memenuhi kriteria inklusi dan eksklusi. Jumlah total pasien yang menerima transfusi darah di Rumah Sakit Sanglah dari Januari 2018 hingga Juni 2019 adalah 21.918. Ada 111 (0,5%) kasus reaksi transfusi dengan rentang usia terbanyak yaitu 19-29 tahun 17 kasus (19,3%) dan kelompokiterendah yaitu rentang usiai 50-59 tahun 13 kasus (14,8%). Reaksi transfusi lebih banyak terjadi pada laki - laki dengan jumlah 47 kasus (53,4%), dan produk darah yang paling tinggi angka penggunaannya yaitu packed red blood cell (PRC) dengan jumlah penggunaan 72/28.405 (0,0025%) mengakibatkan terjadinya reaksi transfusi, sedangkan terendah fresh frozen plasma (FFP) dengan kasus terjarang 1/2185 transfusi (0,0004%). Berdasarkan usia dan gejala reaksi, maka tingkat keparahan gejala reaksi transfusi darah terbanyak yaitu reaksi transfusi sedang dengan jumlah 42 kasus (47,7%). Kata kunci: Reaksi Transfusi Darah., Prevalensi., Karakteristik Pasien

EFEKTIFITAS TUBEX SEBAGAI METODE DIAGNOSIS CEPAT DEMAM TIFOID Krisna Yoga Pratama; Wiradewi Lestari
Intisari Sains Medis Vol. 2 No. 1 (2015)
Publisher : DiscoverSys Inc.

Typhoid fever is caused by Salmonella typhii or Salmonella paratyhpii. Many diagnostic methods have been developed to find the fastest, easiest, and cheapest way to achieve the highest sensitivity and specificity. A method that can diagnose fast and good sensitivity and specificity is TUBEX test. TUBEX test is a serologic test that detects immunoglobulin M against specific antigen O9 S.typhii. This test use semiâ€quantitative agglutination competitive method with colored particle.

Gambaran pemeriksaan serologi, darah lengkap, serta manifestasi klinis demam berdarah dengue pasien dewasa di RSUP Sanglah Denpasar periode Januari sampai Desember 2016 Ni Made Stithaprajna Pawestri; D.G.D. Dharma Santhi; Anak Agung Wiradewi Lestari
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background: A serological test of anti-dengue, complete blood count (CBC), and clinical manifestations routinely assesed in patients with dengue hemorrhagic fever (DHF).Aim: This study aimed to determine the description of the serological test, the CBC test, and clinical manifestations of DHF.Method: Research design used cross-sectional descriptive study with the non-experimental retrospective method, using medical records data of adult DHF patients at Sanglah Hospital Denpasar. The sample of the study was adult DHF impatient from January to December 2016.Result and Conclusion: Of the 110 samples, the study revealed 71 (65%) men and 39 (35%) women. As from serology, 16 (14,5%) primary infection and 94 (85,5%) secondary infection were detected. CBC test results in both primary and secondary infections showed variative value. Some of the variables with the highest number of samples in abnormal value were thrombocytes (decreased, 100% both primary and secondary infection), as against in leucocytes (decreased, 81.25% in primary infection, 48.94% in secondary infection). Haematocrit is normal for both infections. Clinical manifestations were varied such as fever and torniquet (+) are most prominent (100% both primary and secondary infections), the most prominent bleeding is in the gums (75% in primary infection, 57.69% in secondary infection), and the other clinical sign such as hepatomegaly, pleural effusion, hypoalbuminemia, cold skin, restlessness, and shock were rare observed.Â Latar Belakang: Pemeriksaan serologi anti dengue, darah lengkap, dan klinis mutlak dilakukan pada pasien demam berdarah dengue (DBD). Tujuan: Penelitian ini dilakukan untuk mengetahui gambaran pemeriksaan serologi, darah lengkap dan manifestasi klinis.Metode: Rancangan penelitian descriptive cross-sectional dengan metode retrospektif non-eksperimental, menggunakan data rekam medis pasien DBD dewasa di RSUP Sanglah Denpasar. Sampel penelitian adalah 110 pasien DBD dewasa rawat inap periode Januari-Desember 2016.Hasil dan Kesimpulan: Dari 110 sampel didapatkan 71 (65%) laki-laki dan 39 (35%) perempuan. Dari pemeriksaan serologi, didapatkan 16 (14,5%) pasien infeksi primer dan 94 (85,5%) infeksi sekunder. Hasil pemeriksaan darah lengkap baik pada infeksi primer maupun sekunder menunjukkan semua variabel memiliki nilai yang bervariasi. Beberapa variabel dengan jumlah sampel paling banyak pada nilai tidak normal yaitu trombosit (menurun, 100% baik infeksi primer maupun sekunder), leukost (menurun, 81,25% pada infeksi primer, 48,94% pada infeksi sekunder), hematokrit cenderung normal pada kedua infeksi, manifestasi klinis yang bervariasi, demam dan torniquet (+) yang paling menonjol (100% baik infeksi primer maupun sekunder). Selain itu, perdarahan yang paling menonjol adalah pada gusi (75% pada infeksi primer, 57,69% pada infeksi sekunder). Klinis lain seperti hepatomegali, efusi pleura, hipoalbuminemia, kulit dingin, gelisah dan syok jarang teramati.

Co-Authors Aakash Aakash Airin Que Anak Agung Ayu Lydia Prawita Anak Agung Ayu Yuli Gayatri Anak Agung Gde Bisma Sanjaya Anak Agung Ngurah Subawa Anak Agung Putri Satwika Aryana, I Gusti Ngurah Wien Aryati Aryati Bagus Anom Sudiada Bagus Ari Pradnyana Dwi Sutanegara Budi Santosa Budi Santosa Cong, Tzeto Han Desak Gde Diah Dharma Santhi Dewi, Ni Made Ratih Purnama Dharayani, Luh Anandita Diah Pradnya Paramita Edward Kurnia Setiawan Limijadi, Edward Kurnia Setiawan Eka Wiratnaya Ekarini Katharina Yunarti Nabu Ekarini Katharina Yunarti Nabu Endrawati KJ Felim, Jethro Gde Ary Putra Kamajaya Gede Wira Mahadita Giri, Kadek Gede Bakta Haneetha Yogarajah I A Putri Wirawati I Gde Raka Widiana I Gst Agung Dwi Mahasurya I Gusti Ngurah Wien Aryana I Gusti Putu Suka Aryana I Kadek Arya Candra I Ketut Suyasa I Nyoman Astika I Nyoman Hery Sumertayasa I Nyoman Indrawan Mataram I Nyoman Santa Wijaya I Nyoman Wande I Nyoman Wande I Putu Sidhi Rastu Karyana I Putu Yuda Prabawa I Wayan Agus Surya Pradnyana I Wayan Putu Sutirta Yasa I Wayan Suryanto Dusak I.A. Putri Wirawati Ida Ayu Ari Utami Ida Bagus Putu Putrawan Indrayani, Pande Kadek Putri Rahayu Intan Astariani Ketut Gede Mulyadi Ridia Ketut Siki Kawiyana Ketut Suega Komang Agus Widhy Utama Putra Komang Septian Sandiwidayat Krisna Yoga Pratama Made Ayu Widyaningsih Made Dyah Khrisnadewi Made Kris Budiman Made Wirabhawa Mahartini, Ni Nyoman Mardiyah Hayati Michael Ferdinand Milaviwanda, Luh Komang Ayu Nabu, Ekarini Katharina Yunarti Ni Gusti Ayu Putu Lestari Santika Dewi Ni Kadek Mulyantari Ni Ketut Rai Purnami Ni Komang Krisnawati Ni Luh Gede Yoni Komalasari Ni Luh Putu Pranena Sastri Ni Made Stithaprajna Pawestri Prabawa, I Putu Yuda Putu Astawa Putu Ayu Krisna Cahyaning Putri Putu Gde Hari Wangsa Putu Putri Titamia Saraswati Putu Ugi Sugandha R. A.T. Kuswardhani Sagung Novita Widyaningrat Sianny Herawati Sianny Herawati Sri Darmawati Sudana, I Nyoman Gde Sudewa Djelantik Teguh Triyono Thaha .. Tjok Gde Oka Tjokorda Gede Oka Triningrat, Anak Agung Mas Putrawati Usi Sukorini Vera Akmilia Wande IN Wayan Aryadana Wayan Giri Putra Wijaya Kusuma Wira Gotera Wirawati, Ida Ayu Putri Yenny Kandarini

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