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All Journal E-Jurnal Medika Udayana Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Bali Medika Jurnal Jurnal Penyakit Dalam Indonesia
I Nyoman Wande
Bagian SMF Patologi Klinik Fakultas Kedokteran Universitas Udayana/Rumah Sakit Umum Pusat Sanglah
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Low Serum Irisin as A Risk Factor of Sarcopenia in Elderly Aryana, I Gust Putu Suka; Putrawan, I.B.; Purnami, Ni Ketut Rai; Kuswardhani, R.A. Tuty; Astika, I Nyoman; Suastika, Ketut; Adiatmika, I Putu Gede; Jawi, I Made; Wande, I Nyoman
Jurnal Penyakit Dalam Indonesia Vol. 7, No. 4
Publisher : UI Scholars Hub

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

Abstract

Introduction. Sarcopenia is a condition characterized by a decrease in muscle mass accompanied by a decrease in strength and/or function. Sarcopenia is closely related to the aging process, but the mechanism of its occurrence is still not fully understood. Skeletal muscle is the largest organ in the human body, so the myokine produced through muscle contraction opens a new paradigm regarding the central role of muscles in regulating metabolism and other organ functions. One of the myokines that are currently found to affect physical activity is Irisin. This study aims to determine the role of low Irisin levels in serum as a risk factor for sarcopenia in the elderly. Methods. This case-control study was conducted in Denpasar City from January 2020 to October 2020. The sample was selected using purposive consecutive sampling with matching age and gender, with 54 subjects, 27 case groups, and 27 control groups aged ≥60 years. Sarcopenia status is enforced by the criteria of the Asian Working Group for Sarcopenia (AWGS). Irisin serum levels were measured by enzyme-linked immunosorbent assay (ELISA). Results. Based on 54 subjects, the mean age in cases was 69.79 (SD 5.00) years and controls 67.89 (SD 4.50) years (p = 0.152), the proportion of male:female both in cases and controls group was 9:18. The cut-off point value wass based on the irisin ROC curve 4.51 ng/L. Nutritional status (OR = 3.40 (95% CI = 1.11 - 10.40); p = 0.029) and irisin (OR = 25.30 (95% CI = 6,00 - 106.66); p = <0.001) had an effect on sarcopenia. Factors that purely influence sarcopenia were found in low irisin (OR = 103.41 (95% CI = 7.83 – 1,364.99; p = <0.001). Conclusions. Low Irisin level is a risk factor for sarcopenia in the elderly. Irisin could be considered for further investigation in an effort to become a target for both preventive and curative therapy for sarcopenia.
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.
HEMATOLOGICAL PROFILE OF HIV/AIDS PATIENTS AT UDAYANA UNIVERSITY HOSPITAL Prabasari, Pande Visca Gayatri; Wiradewi Lestari, Anak Agung; Wande, I Nyoman; Sutirta Yasa, I Wayan Putu
E-Jurnal Medika Udayana Vol 13 No 1 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i01.P12

Abstract

Human Immunodeficiency Virus (HIV) is a virus that will enter the body and infect white blood cells (lymphocytes), causing human immunity to decrease. Acquired Immune Deficiency Syndrome (AIDS) is the final stage that will appear after the HIV virus attacks the immune system, causing a variety symptoms. One of the complications that can be found in HIV / AIDS is hematological abnormalities such as anemia, thrombocytopenia, leukopenia and lymphopenia which can disrupt the quality of life of people with HIV / AIDS. The aims of this study to determine the hematological profile of people with HIV / AIDS such as the prevalence of anemia, thrombocytopenia, leukopenia, and lymphopenia. This study used a descriptive method with a cross-sectional approach involving 31 people. Data collection used medical records data at Udayana University Hospital. The results obtained from 31 people diagnosed with HIV/AIDS showed the majority were male at 71%, in the age group of 18-39 years at 45,1%, and in stage IV at 83,9%. Most HIV/AIDS patients experience a decrease in hemoglobin levels by 64.5%, a decrease in lymphocyte percentages by 54.8%, a normal platelet counts of 96.8%, and a normal leukocyte counts of 71%. It can be concluded that the prevalence of anemia is 64,5%, lymphopenia is 54.8%, thrombocytopenia is 3,2%, and leukopenia is 16.1% in people with HIV / AIDS.
GAMBARAN PROFIL LIPID DAN RASIO NEUTROFIL LIMFOSIT PADA PASIEN SINDROM KORONER AKUT DI RSUP SANGLAH TAHUN 2021 Dharayani, Luh Anandita; Yasa, I Wayan Putu Sutirta; Lestari, Anak Agung Wiradewi; Wande, I Nyoman
E-Jurnal Medika Udayana Vol 13 No 5 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i05.P07

Abstract

Sindrom koroner akut (SKA) merupakan kumpulan gejala yang dikarenakan jantung mengalami penurunan volume aliran darah akibat plak aterosklerosis. Plak ini dapat dipengaruhi oleh profil lipid pada pasien SKA. Untuk mengetahui karakteristik, gambaran profil lipid dan rasio neutrofil limfosit pasien sindrom koroner akut, telah dilakukan penelitian dengan menggunakan metode deskriptif cross-sectional. Lokasi penelitian ini dilaksanakan di RSUP Sanglah Denpasar menggunakan rekam medis sebagai data sekunder. Hasil penelitian menunjukkan 362 sampel dengan kesimpulan terbanyak jenis kelamin laki-laki. Kasus terbanyak terjadi pada pasien kelompok umur masa manula, yaitu >65 tahun, dengan diagnosa terbanyak pada STEMI. Berdasarkan profil lipid yaitu kolesterol total terbanyak kategori baik, LDL terbanyak kategori optimal, HDL terbanyak kategori rendah, dan trigliserida terbanyak kategori normal. Selanjutnya, rasio kolesterol total/HDL, rasio LDL/HDL, rasio trigliserida/HDL, dan rasio neutrofil limfosit termasuk kategori tinggi.
Hubungan Profil Lipid dengan Lama Rawatan dan Luaran Klinis Pasien Stroke Iskemik di RSUP Prof. Dr. I Goesti Ngoerah Gde Ngoerah Indrayani, Pande Kadek Putri Rahayu; Yasa, I Wayan Putu Sutirta; Lestari, Anak Agung Wiradewi; Wande, I Nyoman
E-Jurnal Medika Udayana Vol 13 No 07 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i07.P04

Abstract

Ischemic stroke is a neurological condition due to the blockage of cerebral arteries or veins, leading to disrupted blood flow and oxygen supply to the brain. One of the causes of ischemic stroke is abnormalities in lipid profile levels. This study aims to determine the correlation between lipid profiles with the length of stay and clinical outcomes in patients with ischemic stroke. This study is cross-sectional research using secondary data from ischemic stroke patients admitted to Prof. Dr. I Goesti Ngoerah Gde Ngoerah General Hospital between January 1, 2021, and January 31, 2023, who meet the inclusion and exclusion criteria. Out of 215 study subjects included in this research, 137 (63.7%) were male, and 78 were female. Additionally, 192 (89.3%) were aged ? 45 years, and 23 (10.7%) were <45 years. Spearman's analysis showed a weak negative correlation between the length of stay and total cholesterol levels (r = 0.174, p = 0.010), LDL (r = 0.152, p = 0.026), and HDL (r = 0.141, p = 0.039), but no significant correlation was found with triglyceride levels (r = 0.020, p = 0.767). The results of this study also indicated a correlation between clinical outcomes and total cholesterol (p = 0.029) and LDL (p = 0.039), but not with triglyceride levels (p = 0.090) and HDL (p = 0.115). However, further research with a cohort method is needed to establish a direct correlation between lipid profiles with length of stay and clinical outcomes in ischemic stroke patients. Keywords : Ischemic Stroke, Length of Stay, Outcome
PERBEDAAN KADAR KALSIUM DARAH PADA ATLET PANJAT TEBING DAN BUKAN ATLET DI KOTA DENPASAR: DIFFERENCE IN BLOOD CALCIUM LEVELS IN ATHLETES ROCK CLIMBING AND NOT ATHLETES IN DENPASAR CITY Putra, Kadek Agus Widya Adi; Wande, I Nyoman; Parwati, Putu Ayu
Bali Medika Jurnal Vol 5 No 2 (2018): Bali Medika Jurnal Vol 5 No 2 Desember 2018
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v5i2.40

Abstract

ABSTRAK Pendahuluan Cabang olahraga yang ditekuni atlet menentukan tingkat aktivitas fisiknya. Kebutuhan kalsium meningkat terutama pada individu yang melakukan aktivitas fisik (olahraga) yang cukup dan jenis olahraga yang dapat meningkatkan densitas tulang. Jenis olahraga yang dapat mempengaruhi kadar kalsium darah adalah olahraga yang membuat tubuh bekerja melawan gravitasi contohnya seperti olahraga panjat tebing. Tujuan Tujuan penelitian ini yaitu untuk mengetahui perbedaan kadar kalsium darah pada atlet panjat tebing dan bukan atlet di Kota Denpasar. Metode Penelitian ini menggunakan pendekatan cross sectional. Sampel yang digunakan sebanyak 15 orang atlet panjat tebing dan 15 orang mahasiswa STIKes Wira Medika Bali serta lingkungan sekitarnya. Hasil Hasil dari penelitian ini menunjukan bahwa pada responden atlet panjat tebing memiliki kadar kalsium darah normal sebanyak 15 orang (100%) sedangkan pada responden bukan atlet memiliki kadar kalsium darah normal sebanyak 14 orang ( 93.3%) dan kadar kalsium darah rendah sebanyak 1 orang (6.7%). Diskusi Hal tersebut dikaitkan dengan aktivitas fisik yang terstruktur dilakukan responden atlet panjat tebing dibandingkan dengan responden bukan atlet yang jarang melakukan aktifitas fisik. Simpulan Berdasarkan hasil uji Independent Sampel T-Test diperoleh p value sebesar 0.000 dimana p < 0.005 yang berarti H0 ditolakdan Ha diterima yaitu ada perbedaan kadar kalsium darah pada atlet panjat tebing dan bukan atlet di Kota Denpasar. Saran untuk responden bukan atlet memperhatikan pola makan dan aktifitas fisik untuk mencegah osteoporosis di masa tua. Kata kunci : Kadar Kalsium Darah, Atlet panjat tebing, Bukan atlet. ABSTRACT Introduction Athletic sports branches determine the level of physical activity. The need for calcium is increased especially in individuals who have sufficient physical activity (sports) and sports that can increase bone density. The type of exercise that can affect blood calcium levels is a sport that makes the body work against gravity such as rock climbing exercise. Purpose The purpose of this study is to determine the difference of blood calcium levels in athletes rock climbing and not athletes in Denpasar City. Method This research use cross sectional approach. The sample used as many as 15 people climbing athletes and 15 students STIKes Wira Medika Bali and the surrounding environment. Result The results of this study showed that athletes climbing rock climbs have normal blood calcium levels of 15 people (100%) whereas in non-athlete respondents have normal blood calcium levels as many as 14 people (93.3%) and low blood calcium levels of 1 person (6.7 %). Discuss It is associated with the physical activity of the athletes who are structured rock climbing compared with non-athletes who rarely do physical activity. Conclusion Based on the results of the Independent Samples T-Test obtained p value of 0.000 where p <0.005 which means H0 rejected and Ha accepted that there is a difference in blood calcium levels in athletes rock climbing and not athletes in Denpasar City. Suggestions for non-athlete responders pay attention to diet and physical activity to prevent osteoporosis in old age. Keywords: Blood Calcium Level, Climbing Athlete, Not athlete.
Hydatidiform Mole Pregnancy with Hyperthyroidism: A Case Report Dewi, Ni Made Ratih Purnama; Gotera, Wira; Lestari, Anak Agung Wiradewi; Herawati, Sianny; Wande, I Nyoman; Mulyantari, Ni Kadek; Sudana, I Nyoman Gde; Prabawa, I Putu Yuda
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 31 No. 3 (2025)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v31i3.2243

Abstract

Hyperthyroidism is a condition with excess biosynthesis and hormone secretion by the thyroid gland. One of the secondary causes of hyperthyroidism is hydatidiform mole pregnancy, which is included in Gestational Trophoblastic Disease (GTD). Hyperthyroidism in hydatidiform mole pregnancies occurs due to increased beta-Human Chorionic Gonadotropin (beta-hCG).  Increasing beta-hCG level affects stimulation of the thyroid gland, increasing thyroid hormone levels in the serum, which causes thyrotoxicosis. This case is such a rare case. A 22-years-old female, G1P0A0, came complaining of amenorrhea accompanied by vaginal bleeding with abdominal pain, nausea, vomiting and palpitations.accompanied by vaginal bleeding with abdominal pain, nausea, vomiting and palpitations. Physical examination showed tachycardia with a pulse rate of 120 beats per minute. Ultrasound examination of the abdomen showed an anteflexed uterus with a honeycomb appearance. Based on a series of tests, the patient has a hydatidiform mole pregnancy with a risk of impending thyroid storm, indicated by TSH suppression with increased fT4. Beta-hCG can cause hyperthyroidism through cross-reaction with TSH receptors. In patients with hyperthyroidism due to GTD, it is not characterized by the characteristic features often found in Graves' disease. Evacuation with curettage and medication was performed to reduce thyroid hormone and serum beta-hCG levels. Hyperthyroidism is an abnormality that can be found in hydatidiform mole pregnancies. It is important to carry out early detection by examining thyroid function in GTD, proper management, and regular monitoring of thyroid function and beta-hCG in pregnant female to provide comprehensive management and prevent complications that can be caused by hyperthyroidism.      
Inflammation Marker and Leukocyte Parameter Ratio on Erythropoiesis Activity of Pediatric Acute Lymphoblastic Leukemia Wande, I Nyoman; Linawati, Ni Made; Dewi, Pande Putu Ayu Patria; Ariawati, Ketut
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 31 No. 3 (2025)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v31i3.2395

Abstract

Acute leukemia is the most common malignancy found in children. A Complete Blood Count (CBC) examination can calculate the lymphocyte-to-leukocyte ratio, neutrophil-to-leukocyte ratio, and neutrophil-to-lymphocyte ratio to monitor the progress of Acute Lymphoblastic Leukemia (ALL). C-reactive protein is a marker of inflammation and can determine disease progression during treatment. The study's analytical design was observational, with a cross-sectional design conducted at the laboratory of the Clinical Pathology Faculty of Medicine, University of Udayana, and Ngoerah Hospital from March to August 2020. The study included 48 subjects, divided into three phases: induction, consolidation, and maintenance, in ALL patients. Specimen collection was collected in 2 tubes. Kolmogorov-Smirnov statistical analysis was used to assess normality, and homogeneity was evaluated with Levene’s test. The difference test was performed using the Kruskal-Wallis test. This study aimed to determine the relationship between parameters was performed with Spearman correlation. This study showed a strong correlation between hemoglobin levels and neutrophil/lymphocyte ratio (r= 0.358, p=0.015), hemoglobin and lymphocyte/leukocyte ratio (r= -0.287, p=0.048), hemoglobin and CRP (r= -0.493, p=0.000). Significant correlation between reticulocyte percentage and neutrophil/lymphocyte ratio (r= 0.505, p=0.000), neutrophil/lymphocyte ratio and CRP (r= -0.870, p=0.000), neutrophil/leukocyte ratio and lymphocyte/leukocyte ratio (r= 0.960, p=0.000). Significant correlations have been found between hemoglobin levels and the neutrophil/lymphocyte ratio (NLR), which is a measure of the lymphocyte/leukocyte ratio (LLeu-ratio), along with CRP. This relationship has been connected to inflammation in ALL patients following chemotherapy. CBC is an easy-to-use test to determine whether inflammation is present in ALL patients following chemotherapy.
The Concordance of Platelet Counts on Hematology Analyzer with Thrombocytopenia Sample with Platelet Clump Prabawa, I Putu Yuda; Lestari, Anak Agung Wiradewi; Wande, I Nyoman; Mahartini, Ni Nyoman; Herawati, Sianny; Cong, Tzeto Han
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 32 No. 1 (2025)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v32i1.2437

Abstract

Pseudo-thrombocytopenia is a pre-analytical issue commonly observed in clinical laboratory settings due to platelet aggregation or clumps. In cases of thrombocytopenia, it is essential to conduct a platelet count via Peripheral Blood Smear (PBS) to identify clumping and subsequently re-evaluate the platelet count. The examination of platelets can now be carried out through different methodologies offered by Hematology Analyzers, such as PLT-I, PLT-O, and PLT-F. The primary objective of this research was to evaluate the correlation and agreement of platelet count findings (PLT-I, PLT-O, and PLT-F) in samples displaying flagged platelet clumps between a Hematology Analyzer and PBS at Prof. dr. I.G.N.G. Ngoerah General Hospital, Bali. An analytical cross-sectional observational study was conducted on 71 samples of thrombocytopenia with platelet clump flagging on the Sysmex® XN-1000 Series Hematology Analyzer at Prof. dr. I. G. N. G. Ngoerah Hospital. SPSS version 26.0 and MedCalc were used to conduct statistical analysis. There was a significant difference in the PLT clump Fluorescence index (p = 0.001) between the sample groups with and without the clump, and there was a strong positive correlation of the PLT count results between the Hematology Analyzer (p <0.001) and PBS in the sample groups with and without the clump. The Bland-Altman mean bias was lowest in the sample group without clumps against PLT-I (0.39x103/ml; 95% LOA: -57.05-57.83) and highest in the sample group with a clump to PLT-F (105.38x103/ml; 95% LOA: -14.7-225.46). There is a strong positive correlation and concordance of platelet count results between the Hematology Analyzer and PBS. However, there is no concordance between the platelet count results from the Hematology Analyzer and PBS in the clump group.
The Correlation between HbA1c and MCP-1 Levels in Diabetic Retinopathy Patients Lestari, Anak Agung Wiradewi; Nabu, Ekarini Katharina Yunarti; Triningrat, Anak Agung Mas Putrawati; Wande, I Nyoman; Wirawati, Ida Ayu Putri; Mahartini, Ni Nyoman; Cong, Tzeto Han; Prabawa, I Putu Yuda
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 32 No. 1 (2025)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v32i1.2678

Abstract

Diabetic Retinopathy (DR) is a common microvascular complication of diabetes mellitus and a leading cause of vision loss. Persistent hyperglycemia plays a central role in the pathogenesis of DR by promoting chronic inflammation. Monocyte Chemoattractant Protein-1 (MCP-1), a key pro-inflammatory chemokine, is believed to mediate this process. This study aimed to investigate the correlation between glycemic control, as reflected by glycated hemoglobin (HbA1c) levels, and serum MCP-1 concentrations in patients with DR. A cross-sectional analysis was conducted involving 45 DR patients at Prof. dr. I. G. N. G. Ngoerah General Hospital. HbA1c levels were assessed enzymatically and reported in NGSP units, while serum MCP-1 concentrations were measured through ELISA and expressed in pg/mL. The correlation between the two parameters was evaluated using Spearman's rank correlation test, with significance determined at p <0.05.The participants consisted of 64.4% males and 35.6% females, with a mean age of 55.0±6.6 years. The median HbA1c was 9.5% (range: 5.9–12.3%), and the median MCP-1 level was 320.57 pg/mL (range: 32.34–605.41 pg/mL). A moderate positive correlation was identified between HbA1c and MCP-1 levels r = 0.45; p = 0.007). These findings indicate that increased blood glucose levels may coincide with elevated MCP-1, suggesting an ongoing inflammatory response contributing to DR progression. This study demonstrates a significant moderate positive correlation between HbA1c and serum MCP-1 in DR patients, suggesting that elevated blood glucose levels may contribute to increased MCP-1 expression. These findings support the potential role of MCP-1 as a biomarker of both poor glycemic regulation and inflammation in the progression of diabetic retinopathy.
Co-Authors Anak Agung Wiradewi Lestari Anak Agung Wiradewi Lestari, Anak Agung Aryana, I Gust Putu Suka Astika, I Nyoman Cong, Tzeto Han Dewi, Ni Made Ratih Purnama Dewi, Pande Putu Ayu Patria Dharayani, Luh Anandita I Ketut Suastika I Made Jawi I Putu Gede Adiatmika I Wayan Putu Sutirta Yasa Ida Bagus Putu Putrawan Indrayani, Pande Kadek Putri Rahayu Ketut Ariawati Mahartini, Ni Nyoman Milaviwanda, Luh Komang Ayu Nabu, Ekarini Katharina Yunarti Ni Kadek Mulyantari Ni Made Linawati Parwati, Putu Ayu Prabasari, Pande Visca Gayatri Prabawa, I Putu Yuda Purnami, Ni Ketut Rai Putra, Kadek Agus Widya Adi R. A.T. Kuswardhani Sianny Herawati Sudana, I Nyoman Gde Triningrat, Anak Agung Mas Putrawati Wira Gotera Wirawati, Ida Ayu Putri