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Journal : E-Jurnal Medika Udayana

GAMBARAN KARAKTERISTIK PASIEN ACUTE MYELOID LEUKEMIA DI RSUP SANGLAH DENPASAR TAHUN 2018 I Made Bagus Cahya Wibawa; A. A. Ngurah Subawa; I Wayan Putu Sutirta Yasa; Ni Nyoman Mahartini
E-Jurnal Medika Udayana Vol 10 No 6 (2021): Vol 10 No 06(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i6.P08

Abstract

Acute Myeloid Leukemia (AML) merupakan salah satu keganasan hematologi dengan jumlah penderita terbanyak di dunia. Insiden AML meningkat setiap tahunnya secara global. Penelitian ini bertujuan mengetahui karakteristik pasien AML di Bagian Penyakit Dalam RSUP Sanglah Denpasar tahun 2018. Penelitian dilakukan dengan metode deskriptif menggunakan studi potong lintang. Penelitian dilaksanakan pada bulan Maret - September 2019. Sampel penelitian ini sebanyak 34 rekam medik pasien AML yang dirawat inap di RSUP Sanglah tahun 2018. Data dianalisis menggunakan perangkat lunak Microsoft Excel untuk mendapatkan karakteristik pasien AML berdasarkan usia, keluhan utama, jenis kelamin, kadar hemoglobin, jumlah leukosit, jumlah trombosit, persentase blast, dan diagnosis berdasarkan FAB. Hasil penelitian menunjukkan frekuensi tertinggi pasien AML diperoleh pada kelompok usia 41-60 tahun (35,29%) dan didominasi jenis kelamin laki-laki (58,82%). Keluhan utama tersering yang dialami adalah badan lemah (55,88%). Berdasarkan hasil pemeriksaan darah lengkap, kebanyakan pasien AML ditemukan mengalami anemia sedang dengan kadar hemoglobin 8-10 g/dL (58,82%), jumlah leukosit >50.000/mm3 atau hiperleukositosis (47,06%), dan trombositopenia grade IV dengan jumlah trombosit <25.000/mm3 (38,24%). Berdasarkan pemeriksaan sumsum tulang, frekuensi terbanyak ditemukan pada pasien AML dengan persentase sel blast 30-39% (38,24%) dan tipe AML M4 atau Acute Myelomonocytic Leukemia (44,12%). Hasil penelitian ini berguna untuk penelitian lanjutan karena dapat memberi gambaran tentang karakteristik pasien AML di RSUP Sanglah Bali tahun 2018. Perlu dilaksanakan penelitian lebih lanjut untuk mengetahui hubungan antar variabel. Kata Kunci: Acute Myeloid Leukemia, Gambaran Karakteristik
TINGGINYA KADAR LOW DENSITY LIPOPROTEIN (LDL) DAN TRIGLISERIDA PADA KEJADIAN DIABETIC FOOT ULCER (DFU) DI RUMAH SAKIT UMUM PUSAT SANGLAH PERIODE JANUARI-DESEMBER 2014 Ni Kadek Nita Utami; A.A. Ngurah Subawa; I W.P. Sutirta Yasa
E-Jurnal Medika Udayana Vol 6 No 2 (2017): E-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Diabetes Melitus tipe 2 merupakan bentuk tersering dari DM yang memiliki karakteristik yaitu terjadinya gangguan pada sekresi insulin dan insulin resisten. Komplikasi tersering dari DM adalah diabetic foot ulcer (DFU) yang ditandai dengan munculnya ulkus pada ekstremitas bawah yang dapat berujung pada amputasi apabila tidak tertangani dengan baik. Penderita DFU biasanya memiliki kadar kolesterol yang tidak terkendali dalam jangka waktu yang lama, yang dapat menyebabkan kerusakan endotel pada sistem vaskuler. LDL dan trigliserida merupakan substansi organik yang berperan dalam metabolic factor dan vascular changes terbentuknya gangren pada pasien DFU. Tujuan dari penelitian ini adalah untuk mengetahui hubungan tingginya LDL dan trigliserida pada kejadian DFU di RSUP Sanglah periode Januari-Desember 2014. Penelitian ini merupakan penelitian observasional analitik dengan design study cross sectional dengan mengambil data rekam medis penderita DM tipe 2, kemudian data yang telah dikumpulkan tersebut dianalisis dengan program SPSS. Sebanyak 160 data subyek dianalisis dalam penelitian ini. dengan uji chi square didapatkan hasil yang signifikan pada kadar LDL dan trigliserida dengan nilai p 0,001 dan 0,011. Dapat disimpulkan bahwa tingginya  kadar LDL dan trigliserida memiliki hubungan pada kejadian DFU di Rumah Sakit Umum Pusat Sanglah periode Januari-Desember 2014
GAMBARAN HEPATOTOKSISITAS (ALT/AST) PENGGUNAAN OBAT ANTI TUBERKULOSIS LINI PERTAMA DALAM PENGOBATAN PASIEN TUBERKULOSIS PARU RAWAT INAP DI RSUP SANGLAH DENPASAR TAHUN 2014 I Gede Juliarta; Ni Kadek Mulyantari; I Wayan Putu Sutirta Yasa
E-Jurnal Medika Udayana Vol 7 No 10 (2018): Vol 7 No 10 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Hepatotoksisitas merupakan keadaan dimana sel-sel hati mengalami kerusakan karena zat-zat kimia yang bersifat toksik. Penggunaan Obat Anti Tuberkulosis (OAT) dalam pengobatan Tuberkulosis (TB) paru menjadi salah satu penyebab tersering hepatotoksisitas. Dalam tes fungsi hati, indikator yang sering digunakan untuk menilai derajat hepatotoksisitas adalah kadar SGPT/SGOT. Tujuan penelitian ini adalah untuk mengetahui gambaran hepatotoksisitas (SGPT/SGOT) penggunaan OAT di RSUP Sanglah. Metode yang digunakan dalam penelitian ini adalah deskriptif potong lintang. Sampel yang digunakan adalah pasien TB paru yang dirawat inap di RSUP Sanglah pada Januari 2014 sampai Desember 2014. Instrumen yang digunakan dalam penelitian ini adalah data rekam medik. Hasil penelitian ini yaitu dari 71 sampel penelitian didapat prevalensi hepatotoksisitas sebesar 22,5% dengan mayoritas jenis kelamin laki-laki (56,25%). Angka kejadian tertinggi pada kelompok umur 41-60 tahun (68,75%), 4). Berdasarkan kadar ALT, mayoritas derajat ringan, sedangkan berdasarkan AST, mayoritas derajat sedang. Kesimpulan dalam penelitian ini adalah sebagian besar sampel yang positif mengalami hepatotoksisitas OAT termasuk dalam kategori ringan. Kata kunci: tuberkulosis paru, hepatotoksisitas OAT, kadar SGPT/SGOT
KARAKTERISTIK HASIL UJI BAKTERI TAHAN ASAM (BTA) PADA PASIEN YANG DICURIGAI MENDERITA TUBERKULOSIS (TB) DI RSU SURYA HUSADHA TAHUN 2013 Intan Astariani; I Wayan Putu Sutirta Yasa; A.A. Wiradewi Lestari
E-Jurnal Medika Udayana vol 4 no 12(2015):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

CHARACTERISTIC OF TEST RESULT OF ACID-FAST BACILLUS (AFB) SMEAR AMONG PATIENTS WHOSUSPECT WITH TUBERCULOSIS IN SURYA HUSADHA HOSPITAL 2013Lung Tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis and still become the world problem until today. Indonesia placed the fifth rank as the country with tuberculosis and the prevalence was 285 cases in 100.000 people with the mortality rate 27 death in 100.000 people. To reduce the cases of tuberculosis, the best prevention and appropriate treatment become very important. The diagnosis of tuberculosis must define precisely, so it needs an accurate diagnostic method.Acid-fast bacillus (AFB) smeartest become the primary method to define tuberculosis diagnostic in developing country, but it has limitation in specificity and sensitivity. The aim of this research is to know the prevalence of test result of AFB smear among patients who suspect with tuberculosis in Surya Husadha Hospital 2013 and the characteristic of the patients. This research using cross sectional non-experimental method with secondary data from Laboratory of Surya Husadha Hospital. The sample was all the test result of acid-fast bacillus smear among patients who were tested in the Laboratory in 2013. Total of sample was 287. The result of this research was from 287 patients who had acid-fast bacillus smear in Laboratory of Surya Husadha Hospital in 2013, the patients who collected their sputum completely was 257 patients (89.55%) and non-completely sputum was 30 patients (10.45%). From the complete sputum, the positive result which is shows the prevalence of suspect tuberculosis was 31 patients (12.06%), negative result was 219 patients (81.21%), and the sample who needed retest was 7 patients (2.72%).
PERBEDAAN KADAR GLUKOSA KONSENTRAT TROMBOSIT PADA PENYIMPANAN HARI I, III, V DI UNIT DONOR DARAH PMI PROVINSI BALI / RSUP SANGLAH DENPASAR Luh Putu Sukma Diyanti; Sianny Herawati; I Wayan Putu Sutirta Yasa
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Stored platelets undergo a series of shape and functional modifications, which are commonly referred to as platelet storage lesions (PSLs). One of theparameters testedwereglucose. This study is to determinethe difference in averageglucose levelsof plateletconcentratesonthestorageI,III, V in  Unit Donor Darah PMI Privinsi Bali/ RSUP Sanglah Denpasar werepreparedJune-August 2014. The design isobservational analytic study. Samples weretaken usingsampling techniquesconsecutive sampling. Samplestested byClinical ChemistryEquipment(ROCHE, Cobas6000). From 18samples, obtained an averageglucose level on day I is 457.50 ± 37.57 g/dL. The averageglucose level on dayIII is 461.91±43.55 g/dLand the averageglucose levels on dayV is 460.91±40.56 g/dL. Data were analyzed usingOne WayANOVAshowedsignificantvalues(p-value) is 0.943, which means p>0.05. It showsthatH0 is acceptedthatthere is nodifference in averageglucose levelsof plateletconcentratesonthestorage on day I, III, and  V. Need futher research about factor affecting not significant differences from glucose level of platelet concentrate during storage
PERBEDAAN PENURUNAN TROMBOSIT PADA DEMAM BERDARAH DENGUE DERAJAT I DAN II DI RS BHAYANGKARA TRIJATA Putu Diani Wirayanti; I Wayan Putu Sutirta Yasa
E-Jurnal Medika Udayana vol 4 no 10(2015):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

THE DIFFERENCES  DECREASING PLATELET IN DENGUE HEMORRHAGIC FEVER GRADE I AND II AT BHAYANGKARA TRIJATA HOSPITALDengue hemorrhagic fever was presented by thrombocytopenia with hemoconcentration. The infectious disease caused by dengue virus which is transmitted by the bite of Aedes Aegypti. The degree of severity of dengue hemorrhagic fever is divided into four, namely grade I, II, III, and IV. This study aims to see the mean count of platelets in patients with dengue hemorrhagic fever grade I and II in Bhayangkara Trijata Hospital. Design of the study used cross sectional with study hipotesis is the decreasing platelet count of dengue hemorrhagic fever grade II higher than grade I in Trijata Bhayangkara Hospital. The data was took from the medical records of patients whom were diagnosed with dengue fever by a doctor at the Bhayangkara Trijata Hospital since June 2012 until October 2013. The study result showed the mean of platelet count in dengue hemorrhagic fever grade I was 103.000/mm3 and mean of platelet count dengue hemorrhagic fever grade II was 94.000/mm3. The independent sample t - test obtained p value = 0.244 then is obtained no significant results.
GAMBARAN UMUM HASIL PEMERIKSAAN DARAH LENGKAP PADA PASIEN TERINFEKSI VIRUS DENGUE PRIMER DAN SEKUNDER DI RSUP SANGLAH DENPASAR I Kadek Arya Candra; I Wayan Putu Sutirtayasa; Anak Agung Wiradewi Lestari
E-Jurnal Medika Udayana Vol 6 No 7 (2017): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

The diagnosis of primary or secondary Dengue virus infection is quite difficult because of the wide spectrum of symptoms and signs. Complete blood count testing may be the initial screening to determine diagnosis and therapy accurately. This study aimed to determine the general description of the results of a complete blood count includes the number of platelets, leukocytes, hematocrit, and hemoglobin in patients with primary and secondary Dengue virus infection. This was a descriptive cross-sectional study by taking data from medical record retrospectively with total sampling methode. Samples were patients with primary and secondary Dengue virus infection listed on Sanglah Denpasar Hospital during July 2013 - June 2014. The variables were analyzed by SPSS for Windows. The total sample were 202 peoples (46 primary-infected patients and 156 secondary-infected patients). The proportion of primary-infected patients and secondary-infected patients who has platelet count ?47.750 x 103/mL was 17.4% and 59.6%, the proportion of patients with leukocyte counts >3.965 x 103/mL was 30.4% and 55.8%, the proportion of patients with hematocrit >45.04% was 41.3% and 55.1%, and the proportion of patients with a hemoglobin level of >15.3 g/dL was 39.1% and 51.9%. It can be concluded that the majority of secondary-infected patients had lower platelet counts, but has the leukocyte count, hematocrit, and hemoglobin higher than the primary-infected patients. However, further research is needed to determine the relationship between the variables. Keywords: platelet, leukocyte, hematocrit, hemoglobin, primary and secondary Dengue virus infection.
APLASTIC ANEMIA Ni Made Dharma Laksmi; Sianny Herawati; Wayan Putu Sutirta Yasa
E-Jurnal Medika Udayana vol 2 no 7 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Aplastic Anemia describes a disorder of the clinical syndrome is marked by a deficiency of red blood cells, neutrophils, monocytes and platelets in the absence of other forms of bone marrow damage. Aplastic anemia is classified as a rare disease in developed countries the incidence of 3-6 cases / 1 million inhabitants / year. The exact cause of someone suffering from aplastic anemia also can not be established with certainty, but there are several sources of potential risk factors. Prognosis or course of the disease varies widely aplastic anemia, but without treatment generally gives a poor prognosis
GAMBARAN UMUM HASIL PEMERIKSAAN DARAH LENGKAP PADA PASIEN TERINFEKSI VIRUS DENGUE PRIMER DAN SEKUNDER DI RSUP SANGLAH DENPASAR I Kadek Arya Candra; I Wayan Putu Sutirtayasa; Anak Agung Wiradewi Lestari
E-Jurnal Medika Udayana Vol 6 No 7 (2017): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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

Abstract

The diagnosis of primary or secondary Dengue virus infection is quite difficult because of the wide spectrum of symptoms and signs. Complete blood count testing may be the initial screening to determine diagnosis and therapy accurately. This study aimed to determine the general description of the results of a complete blood count includes the number of platelets, leukocytes, hematocrit, and hemoglobin in patients with primary and secondary Dengue virus infection. This was a descriptive cross-sectional study by taking data from medical record retrospectively with total sampling methode. Samples were patients with primary and secondary Dengue virus infection listed on Sanglah Denpasar Hospital during July 2013 - June 2014. The variables were analyzed by SPSS for Windows. The total sample were 202 peoples (46 primary-infected patients and 156 secondary-infected patients). The proportion of primary-infected patients and secondary-infected patients who has platelet count ?47.750 x 103/mL was 17.4% and 59.6%, the proportion of patients with leukocyte counts >3.965 x 103/mL was 30.4% and 55.8%, the proportion of patients with hematocrit >45.04% was 41.3% and 55.1%, and the proportion of patients with a hemoglobin level of >15.3 g/dL was 39.1% and 51.9%. It can be concluded that the majority of secondary-infected patients had lower platelet counts, but has the leukocyte count, hematocrit, and hemoglobin higher than the primary-infected patients. However, further research is needed to determine the relationship between the variables. Keywords: platelet, leukocyte, hematocrit, hemoglobin, primary and secondary Dengue virus infection.
HUBUNGAN JENIS INFEKSI DENGAN DERAJAT KEPARAHAN PASIEN DBD DI RSUP SANGLAH DENPASAR TAHUN 2021 Milaviwanda, Luh Komang Ayu; Wande, I Nyoman; Putu Sutirta Yasa, I Wayan; Lestari, Anak Agung Wiradewi
E-Jurnal Medika Udayana Vol 13 No 4 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i04.P14

Abstract

DBD merupakan penyakit dengan kasus yang tinggi setiap tahunnya, termasuk di RSUP Sanglah Denpasar. Perawatan DBD masih bersifat suportif, sehinga perencanaan perawatan yang lebih dini tentunya akan memberikan prognosis yang lebih baik serta dapat mengurangi mortalitas. Penelitian ini dilakukan untuk meneliti hubungan jenis infeksi dengan derajat keparahan DBD di RSUP Sanglah agar dapat mengetahui prognosis pasien dan merencanakan perawatan lebih dini. Studi ini menggunakan desain cross-sectional dengan metode deskriptif untuk mengetahui prevalensi masing-masing jenis infeksi dan masing-masing derajat keparahan, serta metode analitik untuk mengetahui hubungan variabel jenis infeksi dengan variabel derajat keparahan. Sampel penelitian adalah pasien DBD yang dirawat di RSUP Sanglah pada periode Januari-Desember 2021 yang memiliki rekam medis lengkap dengan hasil tes darah dan tes serologi, pasien tidak mengkonsumsi obat-obatan imunosupresan, serta bukan merupakan pasien dengan immunocompromised. Dari 85 sampel, didapatkan prevalensi infeksi primer sebesar 18,8% dan infeksi sekunder sebesar 81,2%. Prevalensi derajat I sebesar 34,1%, derajat II sebesar 28,2%, derajat III sebesar 30,6%, dan derajat IV sebesar 7,1%. Didapatkan hubungan yang cukup bermakna antara jenis infeksi dengan derajat keparahan DBD. Infeksi sekunder ditemukan lebih banyak pada derajat ? II dengan nilai p adalah 0,001 dan 95% CI 1,6 – 4,4. Kata kunci : DBD, infeksi dengue, derajat keparahan.
Co-Authors Adhitya, Putu Gde Surya Agung Nova Mahendra Agung Wiwiek Indrayani Airin Que Ali Djamhuri Amaral, Meriana Barreto Ana Rahmawati Anak Agung Gede Sudewa Djelantik Anak Agung Ngurah Subawa Anak Agung Wiradewi Lestari Anak Agung Wiradewi Lestari, Anak Agung Anom Suardika Astini, Dewa Ayu Agung Alit Suka Bagus Komang Satriyasa Bastianus Alfian Juatmadja Benny Supono Calvin Jonathan Cokorda Agung Wahyu Purnamasidhi Cokorda Istri Dewiyani Pemayun D.P.G. Jananuraga Maharddhika Desak Gde Diah Dharma Santhi Dewa Ayu Putu Rasmika Dewi Dewi, Ni Kadek Ari Kusuma Dharayani, Luh Anandita Dharma Santhi, Desak Gde Diah Dina Sophia Margina Divasta, I G Mahapraja Fatqur Rochman Feliciano Pinto, Feliciano Ferbian Milas Siswanto Gde Ary Putra Kamajaya Gede Agus Eka Tirta Putra Gede Agus Suwiryawan Gusti Ngurah Sutapa Hamsu Kadriyan Haneetha Yogarajah I A Putri Wirawati I Dewa Made Sukrama I Gde Raka Widiana I Gde Suranaya Pandit I Gede Juliarta I Gede Widhiantara I Gst Agung Dwi Mahasurya I Gusti Agung Dyah Ambarawati I Gusti Agung Ngurah Radhitya Wijaya Radhitya Wijaya I Gusti Kamasan Arijana I Gusti Made Aman I Kadek Arya Candra I Kadek Septiawan I Ketut Agus Somia I Ketut Suastika I Ketut Suwiyoga I Made Ady Wirawan I Made Bagus Cahya Wibawa I Made Bakta I Made Dwikayana I Made Jawi I Made Oka Adi Parwata I Made Sudarmaja I Made Tomik Nurya Wardana I NYOMAN MANTIK ASTAWA I Nyoman Wande I Nyoman Wande I W. Sudarsa I Wayan Gede Artawan Eka Putra I Wayan Niryana I Wayan Rosiana I Wayan Sumardika I Wayan Wita I. B. T. Wibawa Manuaba, I. B. T. Wibawa I. B. Tjakra Wibawa Manuaba I. K. Widiana, I. K. I.A.A. Widhiartini I.B.GDE ANANTA MAHESVARA IBN Dwipayana Manuaba Ida Ayu Kemala Wasita Manuaba Ida Bagus Made Suryatika Ida Bagus Ngurah Ida Bagus Putra Manuaba Ida Bagus Verry Kusumaningrat Ida Bagus Wayan Kardika Ida Kurniawati, Ida IGA Ayu Ratih Pradnyadewi Ignatius Ferdi Yuatmadja Indah Pramita Indrayani, Pande Kadek Putri Rahayu Intan Astariani Kamayoga, I Dewa Gede Alit Karta Sawenda Ketut Siki Kawiyana Ketut Suega Ketut Suryana Ketut Tuti Parwati Merati Ketut Widyani Astuti Lesmana, Cokorda Agung Bagus Jaya Luh Putu Sukma Diyanti Made Ayu Widyaningsih Made Dyah Khrisnadewi MADE RATNA SARASWATI . Manuaba, Ida Bagus Tjakra Wibawa Melania Antonia Barreto Cerqueira Michael Christian Widjaja Milaviwanda, Luh Komang Ayu N. K. Niti Susila, N. K. Naw, Sin War Ni Gusti Ayu Putu Lestari Santika Dewi Ni Kadek Mulyantari Ni Kadek Nita Utami Ni Ketut Susilawati Ni Ketut Susilawati Ni Luh Candra Mas Ayuni Ni Luh Wayan Pani Ambarasari Ni Made Dharma Laksmi Ni Made Linawati Ni Nyoman Mahartini Ni Nyoman Mahartini Ni Nyoman Mahartini Ni Putu Sriwidyani Ni Putu Widya Nandasari Ni Wayan Ari Anindita Sari Ocktaviana Saputri, Legis Pande Ayu Naya Kasih Permatananda Pande Komang Gede Bayu Wikrama Permatasari, Anak Agung Ayu Putri Poniman, S. Prabasari, Pande Visca Gayatri pradnya wibawa, komang budhi Pratiwi, Cokorda Agung Pujawan, I Made Naris Purnamawati, Susy Puspa Negara, Anak Agung Gede Angga Putu Angga Wiradana Putu Astawa Putu Budhiastra Putu Diani Wirayanti Raka-Sudewi A. A. Romdhoni, Achmad Chusnu Rudi Wisaksana S. Herawati, S. Sagung Novita Widyaningrat Santosa, I Gusti Ngurah Putra Eka Sianny Herawati Sri Maliawan Sri Wahyuni Suryawisesa, Ida Bagus Made Swari, Kadek Gyna Yadnya Thaha .. Tirtha Yasa, I Nyoman Wawan Tjokorda Gde Agung Suwardewa Tjokorda Gede Oka Tri Pramartha, I Nyoman Valari, Putu Kavita Krisnina Wayan Suardana Widiyanti, I Gusti Ayu Wijaya Kusuma Yasa, I Nyoman Wawan Tirtha Yayang Christian Yenny Kandarini