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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana JURNAL BIOMEDIK Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Journal of Applied Studies in Language ISM (Intisari Sains Medis) : Jurnal Kedokteran Bali Dermatology and Venereology Journal Journal of Global Pharma Technology Journal of General Procedural Dermatology and Venereology Indonesia Bali Dermatology Venereology and Aesthetic Journal

Made Wardhana

Dermatology And Venereology Departement, Faculty Of Medicine, Udayana University, Sanglah General Hospital Denpasar, Bali-Indonesia

Author-ID : 412667

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Public Health

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High plasma H2O2 level and low plasma catalase level as risk factors for acne vulgaris Anak Agung Gde Putra Wiraguna; Made Wardhana; Made Kusuma Dewi Maharani
Bali Dermatology and Venereology Journal Vol. 2 No. 1 (2019)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bdv.v2i1.16

Background: In this recent time, ROS and oxidative stress have been said to play an important role in the pathogenesis of inflamed acne lesions. One example of ROS produced by neutrophil through phagocytosis is H2O2. Nevertheless, there is an enzymatic antioxidant which catalyses H2O2 called catalase. Imbalance of free radicals and antioxidants due to excessive ROS formation promotes the state of oxidative stress and inflammation of the acne lesion.Objective: This study aimed to determine plasma H2O2 and catalase level as a risk factor for acne.Methods: This matched-pair case-control observational analytic study involving 38 patients with acne and 38 patients without acne. Sampling was done using consecutive sampling which fulfils the inclusion and exclusion criteria and followed by matching with age and gender. H2O2 and catalase level measured on both groups. The analysis was done using SPSS.Results: H2O2 mean level in the case and control group, respectively 0.68 Â± 0.03 and 0.42 Â± 0.04 Âµmol/ml. High H2O2 level was determined from cut-off point >0.62 Âµmol/ml. High H2O2 was a statistically significant risk factor for acne vulgaris (p<0.001; 95% CI: 4.59-40.62; OR: 13.67). The mean level of catalase in the case and control group respectively 0.48 Â± 0.06 and 0.74 Â± 0.07 U/ml. Low catalase level was determined from the cut-off point <0.58 U/ml. Catalase was significant risk factor for acne vulgaris (p<0.001; 95% CI: 5.18-77.21; OR: 20.00).Conclusion: High levels of H2O2 plasma and low levels of catalase plasma is a risk factor of acne vulgaris.

Positive correlation of psoriasis vulgaris severity and HOMA-IR Made Wardhana; Made Swastika Adiguna; Putu Ayu Diah Nareswari
Bali Dermatology and Venereology Journal Vol. 2 No. 1 (2019)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bdv.v2i1.18

Background: Psoriasis vulgaris is a chronic inflammatory skin disease that its aetiology is still not completely known. A chronic inflammation in psoriasis can cause organ dysfunctions. Elevation of proinflammatory cytokines gives rise to insulin resistance by inhibiting insulin and glucose transport mechanism signals. Insulin resistance is the underlying pathogenesis of metabolic syndrome.Objective: This study aimed to undestand any correlation in the severity of psoriasis vulgaris with HOMA-IR.Methods: A cross sectional research involving 35 subjects with psoriasis vulgaris and 15 subjects without who met the selection criteria. HOMA-IR is a formula used to measure insulin resistance which calculates the fasting insulin value in Î¼U/ml x fasting glucose in mg/DL/405 taken from the blood veins of subjects. PASI score was used to determine psoriasis vulgaris severity.Results: This study shows that the HOMA-IR median value was higher in psoriasis subject than the subjects without psoriasis (p<0.05). The correlaton analysis shows a moderate positive correlation between psoriasis vulgaris severity and HOMA-IR (r= 0.427; p<0.05). The prevalence ratio was 8.57, which means psoriasis vulgaris subjects were 8.57 times more likely to have HOMA-IR compared to those without psoriasis vulgaris (p<0.05; 95%CI: 1.26-58.1).Conclusion: This study concludes that there is a moderate positive correlation between severity of psoriasis vulgaris and HOMA-IR values.

Korelasi kadar leptin serum terhadap derajat penyakit dermatitis atopik Gde Ngurah Arya Ariwangsa; Made Wardhana; Luh Made Mas Rusyati
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Atopic dermatitis (AD) is a chronic and residual skin inflammatory disease in which the symptoms include intense itching, chronic exacerbations and remissions, with multifactorial etiologies. The role of leptin in DA is closely related to polarization of T cells towards Th1 cells resulting in the release of pro-inflammatory cytokines.Methods: A cross-sectional study was conducted among 30 atopic dermatitis patients at Sanglah General Hospital in the period of July-August 2018. The leptin examination was carried out using the ELISA method. Data analysis were performed using SPSS version 25.0 software with the Spearman correlation test to determine the relationship between levels of serum leptin and the severity of atopic dermatitis based on SCORAD.Results: Most of the respondents were females (66.7%) with an average leptin level was 25.75 + 18.21 pg/dL. The results showed a significant negative correlation between the level of serum leptin and the severity of DA (SCORAD) (r: -0.127; p: 0.043). However, there was a significant positive correlation between pH of the skin and SCORAD (r: 0.810 and p: <0.001).Conclusions: There is a negative correlation between level of serum leptin and SCORAD but it has a strong positive correlation between the pH of the skin and SCORAD.

Karakteristik kanker kulit di Rumah Sakit Umum Pusat Sanglah Denpasar tahun 2015-2018 Made Wardhana; I Gusti Nyoman Darmaputra; I Gde Nengah Adhilaksman; Nyoman Yoga Maya Pramita; Ricky Fernando Maharis; Made Dwi Puspawati; I Gusti Ayu Agung Dwi Karmila; I Gusti Agung Ayu Praharsini; I Gusti Ayu Agung Elis Indira; Nyoman Suryawati
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Latar belakang: Prevalesi kanker kulit semakin meningkat di seluruh dunia. Walaupun insiden tertinggi pada kelompok berkulit putih, namun mengetahui epidemiologi dan tren penyakit dari kanker kulit diperlukan agar dapat menentukan pencegahan dan penanganan yang tepat.Tujuan: Untuk mengetahui karakteristik kanker kulit pada pasien yang telah dilakukan skin flap di Departemen Dermatologi dan Venereologi RSUP Sanglah.Metode: Penelitian ini merupakan studi deskriptif retrospektif dari catatan medis semua penderita kanker kulit yang memperoleh tindakan skin flap sejak Januari 2015 sampai dengan Desember 2019. Sampel diambil melalui total sampling. Karakteristik yang tercatat meliputi jenis kanker, jenis kelamin, umur, tipe kulit, pekerjaan, dan jenis flap yang dilakukan. Data yang terkumpul dianalisis secara deskriptif dengan program SPSS Ver21.Hasil: Terdapat 41 pasien kanker kulit yang memperoleh tindakan skin flap, terdiri dari 43,9% (n=16) BCC, 54,6% (n=10) melanoma, 21,9% (n=9) SCC, 9,8% (n=4) jenis kanker lain. Jenis flap yang umum digunakan yaitu simple advancement. Lokasi kanker paling umum ditemukan pada wajah dan kejadian kanker paling tinggi terjadi pada usia â‰¥50 tahun dan bekerja di luar ruangan.Simpulan: Kasus kanker tertinggi yaitu BCC dengan usia lebih dari 50 tahun dan bekerja di luar ruangan sebagai karakteristik paling umum pada semua kasus kanker.

Karsinoma sel basal tipe nodular yang diterapi dengan bedah eksisi elips dan anastesi tumesen I Gusti Nyoman Darmaputra; Made Wardhana; I Gde Nengah Adhilaksman; I Gusti Ayu Agung Elis Indira; Nyoman Suryawati
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Basal cell carcinoma (BCC) has a very slow-growing and rarely metastatic nature but tends to be locally invasive and relapse after therapy. Elliptical excision is one of the surgical procedures in the field of dermatology which is most often used with the application of tumescent techniques.Case Description: A woman, 64 years old, no. CM. 18.03.11.71, Balinese tribe, on July 30, 2018, came to the Dermatology and Venerology Polyclinic at Sanglah General Hospital with a frequent symptom of arising from wounds on the forehead. The lession began one year ago. Initially, it was a small reddish lump which was then felt more and more dilated as well as became blackish and accompanied by itching. Dermatology examination revealed hyperpigmentation, solitary, oval, 3x2cm, multiple erosion, firm boundary, round shape, 0.3-0.4 cm in diameter, covered in black crusting on top.Conclusion: The diagnosis of BCC determined on anamnesis, physical examination, dermoscopy, and histopathology regard with standard ellipse excision surgery.

Skin flap pattern in skin cancer at Sanglah General Hospital Denpasar, Bali-Indonesia Made Wardhana; IGN Darmaputra; I Gde Nengah Adhilaksman Sunyamurti Wirawan; Nyoman Yoga Maya Pramita; Rikcy Fernando Maharis; Ni Made Dwi Puspawati; IGAA Dwi Karmila; IGAA Praharsini
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: The prevalence of skin cancer is consistently increasing recently, an hence a more comprehensive management is necessary for patientsâ€™ satisfaction. Generally, skin cancer is categorized into several histological types, including melanoma, basalioma, squamous cell carcinoma (SCC), and several other less common types such as keratoacanthoma, pyogenic granuloma, and Bechet disease. In dermatology, the intervention is limited which only consists of infiltrative anesthesia, no involvement of other organs, and no attachment to the underlying tissue. Therefore, random skin flap frequently becomes the preferred option that involves advancement, rotation, transposition, and interpolation flap. This study aims to investigate the profile of skin cancer and flap pattern among patients undergoing skin flaps procedure at Dermatology and Venereology Department of Sanglah General Hospital, Denpasar.Â Method: This study included all skin cancer patients who underwent skin flap surgery. Samples collection was performed retrospectively using patientsâ€™ medical records from January 2015 - December 2018.Â Results: Over the study period, there were a total of 41 skin cancer patients who underwent skin flap surgery of whom 10 (54.6%) patients were diagnosed with melanoma, 16 patients with basalioma, 9 patients with SCC and the remaining included 3 cases of acanthoma and 1 Bechet disease. Regarding the flap types, simple advancement and its variances were performed in 6 melanoma, 11 basaliomas, 5 SCC and 4 keratoacanthoma cases. Transposition flap was performed in 2 melanoma, 3 basalioma, and 3 SCC cases; whereas rotation flap was performed in 2 melanoma and 2 basaliomas and SCC cases.Conclusion: From 41 skin cancer patients discovered, basalioma was the most frequent cases and advancement techniques were the most frequently performed flap surgery. Only 1 post-surgical infection was found after rotational flap procedure.Â Â Â

Transient Elastography sebagai Alat Skrining Kecurigaan Hipertensi Portal pada Penderita Sirosis Hepatis I Made Wisnu Wardhana; Gde Somayana; Ketut Mariadi; I Dewa Nyoman Wibawa
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background: Portal hypertension was causes by extensive fibrosis on liver cirrhosis. The diagnosis of portal hypertension can only be identified by invasive procedure. Transient elastography (TE) is a non-invasive examination to determine the level of liver fibrosis by liver stiffness (LS).Objective: Transient elastography is expected to predict the possibility of portal hypertension in liver cirrhosis.Methods: The study used a cross-sectional design, where data were analyzed using a receiver operating curve (ROC) to determine the area under the curve (AUC). Data was collected from 2015 to 2018 using consecutive sampling. Analysis were done using SPSS and Medcalc to determine the cut-off point that has the best sensitivity, specificity, positive likelihood ratio (+ LR) and negative likelihood ratio (-LR).Results: In this study we found 69 patients with hepatic cirrhosis which consisted of 57 men (82.6%) and 12 women (17.4%) with a mean age of 48.57. From 69 patients with cirrhosis, portal hypertension manifestations were found by endoscopy in 45 patients (65.2%), while 24 (34.8%) were absent. TE was examined to determine LS, where the lowest value was 11.0 kPa, the highest value was 75.0 kPa, with mean value of 29.89 kPa. AUC results for LS were 0.763 (95% CI 0.645-0.857, p <0.001). The best cut-off point for LS is above 17.5 kPa with a sensitivity of 82.22% (95% CI 67.9-92.0%), specificity 62.50% (95% CI 40.6-81.2%), + LR 2.19 (95% CI 1.3-3.7), and -LR 0.28 (95% CI 0.1-0.6).Conclusion: Transient elastography with liver stiffness above 17.5 kPa can be used as a screening tool to predict manifestations of portal hypertension in patients with liver cirrhosis.Â Latar belakang: Hipertensi portal adalah dampak fibrosis ekstensif pada sirosis hepatis. Dimana diagnosis hipertensi portal hanya dapat ditegakkan melalui prosedur invasif. Transient elastography (TE) merupakan pemeriksaan non invasif untuk mengetahui tingkat fibrosis hati dengan hasil berupa liver stiffness (LS).Tujuan: TE diharapkan dapat digunakan sebagai alat screening bagi penderita sirosis hepatis yang memerlukan tindakan endoskopi.Â Metode: Penelitian menggunakan desain potong lintang, dimana data dianalisis dengan menggunakan receiver operating curve (ROC) untuk menentukan area under curve (AUC). Data dikumpulkan dari tahun 2015 hingga 2018 secara konsekutif. Analisis menggunakan SPSS dan Medcalc untuk menentukan titik potong yang memiliki sensitivitas, spesifisitas, positive likelihood ratio (+LR) dan negative likelihood ratio (-LR).Hasil: Pada penelitian ini didapatkan 69 penderita sirosis hepatis yang terdiri dari 57 orang laki-laki (82,6%) dan 12 orang perempuan (17,4%) dengan rata-rata usia 48,57 tahun. Dari 69 penderita sirosis hepatis dilakukan dievaluasi dengan menggunakan endoskopi dimana didapatkan 45 orang (65,2%) mengalami manifestasi hipertensi portal, sedangkan 24 orang (34,8%) lainnya tidak. Kemudian dilakukan pemeriksaan TE untuk mengetahui LS, dimana didapatkan nilai terendah adalah 11,0 kPa, nilai tertinggi 75,0 kPa, dengan rata-rata 29,89 kPa. Analisis kurva ROC terhadap LS yang diperoleh dari TE, diperoleh hasil AUC 0,763 (95% CI 0,645-0.857, p<0,001). Titik potong untuk LS adalah >17,5 kPa dengan sensitivitas 82,22% (95% CI 67,9-92,0%), spesifisitas 62,50% (95% CI 40,6-81,2%), +LR 2,19 (95% CI 1,3-3,7), dan -LR 0,28 (95% CI 0,1-0,6).Simpulan: TE dengan LS>17,5 kPa dapat digunakan sebagai alat screening untuk memprediksi adanya manifestasi hipertensi portal dengan interpretasi sedang.Â

Keloid aurikularis dekstra yang diterapi kombinasi eksisi intralesi dan injeksi kortikosteroid dengan anestesi tumesen: sebuah laporan kasus Ida Ayu Intan Pratiwi; Made Wardhana
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Introduction: Keloid is a skin lesion due to overproduction of collagen and fibroblasts. Has predilection on high tension skin and there are various modalities in handling them. The purpose of this case report is to provide a perspective of auricular keloids treated by a combination of intralesional excision and corticosteroid injection with tumescent anaesthesia.Case: A 28-year-old woman who has a history of small nodules on the right ear that is getting bigger and bigger. Dermatological status shows the right auricular helix region obtained nodules brown, solitary, oval shape, size 5x7 cm, firm boundaries, regular edges, smooth surface and shiny. In palpation hard and fixed fixation is found. Patients were treated with a combination of intralesional excision and corticosteroid injection with tumesent anaesthesia. Corticosteroid injection used was triamcinolone acetonide as much as 0.4 cc intra-lesion on the 3rd day. Control on the 7th day the patient was in good condition and did not appear to have any complications with the condition of the post-surgical wound being treated.Conclusion: Management of auricular keloids by intralesional excision and corticosteroid injection after three days post-surgery provides the satisfactory clinical outcome of keloids.Â Pendahuluan: Keloid merupakan suatu lesi kulit oleh karena produksi berlebihan dari kolagen dan fibroblast. Memiliki predileksi pada kuit yang memiliki tegangan tinggi dan terdapat berbagai modalitas dalam penanganannya. Tujuan dari laporan kasus ini adalah memberikan perspektif keloid aurikularis yang diterapi kombinasi eksisi intralesi dan injeksi kortikosteroid dengan anestesi tumesen.Kasus: Seorang perempuan berusia 28 tahun yang memiliki riwayat bintil kecil pada telinga kanan yang makin lama makin membesar. Status dermatologis menunjukkan regio helix aurikularis dekstra didapatkan nodul berwarna kecokelatan, soliter, bentuk oval, ukuran 5x7 cm, batas tegas, tepi regular, permukaan halus dan mengkilat. Pada palpasi didapatkan kosistensi keras dan terfiksir. Pasien di berikan tatalaksana kombinasi eksisi intralesi dan injeksi kortikosteroid dengan anestesi tumesen. Injeksi kortikosteroid yang digunakan adalah triamcinolone acetonid sebanyak 0,4 cc intra lesi pada hari ke-3. Kontrol pada hari ke-7 pasien dengan kondisi baik dan tidak tampak suatu komplikasi apapun dengan kondisi luka paska bedah yang terawatt.Simpulan: Penanganan keloid aurikularis dengan teknik eksisi intralesi dan injeksi kortikosteroid tiga hari paska bedah memberikan luaran klinis keloid yang memuaskan.

Profil dermatitis kontak akibat kerja pada pekerja garmen di Kota Denpasar Made Wardhana; Made Martina Windari; I Gusti Ayu Agung Dwi Karmila; Ni Luh Putu Ratih Vibriyanti Karna; Ni Made Dwi Puspawati; I Gusti Ayu Agung Praharsisni; Luh Made Mas Rusyati; Nyoman Suryawati
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background: The development of the garment industry in Bali is increasing as a tourism supporting industry. As a consequence the number of garment and textile companies is growing in quantity and quality. According to data in the Denpasar City, there were around 125 large garment companies employing at least 100 workers. A small garment company as a home industry is almost five hundred. The impact of the development of the garment industry requires a lot of human resources by recruiting, opening jobs both for trained and untrained workers, most of whom are casual workers, without getting attention in terms of health. This research was conducted to collect data about the pattern of skin lesions (work-related contact dermatitis) in garment workers in Denpasar City because they do not have complete and accurate data.Methods: The method used in this study was a survey on three large garment companies in Denpasar with interviews and examinations of their skin disease patterns.Results: Total 288 workers included in this study consisted of 105 (36.5%) men and 183 (63.5%) women. From 288 respondents, 74 workers (25.7%) suffer from skin disorders related to their work. The occupational category that suffered the most was colouring workers of 30 people.Conclusion: The pattern of skin disease in garment workers by 25.7% suffering from DKAK. Disease categories are often workers who come into contact with colour materials.Â Latar Belakang: Perkembangan industri garment di Bali semakin meningkat sebagai salah satu industri penunjang pariwisata. Sebagai konsekuensi jumlah perusahan garmen dan tekstil semakin banyak secara kuantitas dan kualitas. Menurut data di kodya Denpasar, tercatat sekitar 125 perusahan garmen yang besar dengan memperkerjakan sedikitnya 100 orang pekerja. Perusahan garmen yang kecil sebagai industri rumah tangga hampir sebanyak lima rastusan. Dampak dari perkembangan industri garment membutuhkan banyak tenaga kerja dengan merekrut, membuka lapangan pekerjaan baik itu untuk pekerja yang terlatih maupun yang tidak terlatih, kebanyakan merupakan pekerja lepas, tanpa mendapat perhatian dari segi kesehatan. Penelitian ini dilakukan untuk mengumpulkan data tentang pola kelainaan kulit pada(DKAK) pekerja garmentÂ di Kodya Denpasar, karena belum memiliki data yang lengkap dan akurat.Metode: Metode yang digunakan pda penelitian ini adalah survelanse, pada 3 perusahan garment yang besar di Denpasar dengan wawancara dan pemeriksaan terhadap pola penyakit kulitnya.Hasil: Dari 288 pekerja yang di ikut sertakan dalam penelitian ini terdiri dari 105 (36,5%) laki-laki dan 183 (63,5%) perempuan. Dari 288 responden, sebanyak 74 pekerja (25,7%) yang menderita kelainan kulit yang berhubungan dengan pekerjaannya. Katagori pekerjaan yang paling banyak menderita adalah pada pekerja pencelupan (coloring) sebesar 30 orang.Simpulan: Pola penyakit kulit pada pekerja garment sebesar 25,7% menderita DKAK. Katagori penyakit sering adalah pekerja yang berhubungan kontak dengan bahan warna.

Mikrobiota usus pada dermatitis atopik Dewi Gotama; Made Wardhana; Adeline Santoso; Sissy Sissy
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Atopic dermatitis (AD) is a multifactorial disease caused by immune dysregulation, genetic susceptibility, environmental factors, and impaired barrier function. The health burden caused by this disease is significant and can impact psychological, social and financial costs, along with systemic comorbidities. Several studies have reported the gut microbiota in AD patients. Several studies have reported the gut microbiota in AD patients. The gut microbiota is thought to play an important role in the development of AD by regulating the immune system's maturation. Intestinal microbiota alteration affects the balance of the immune system through metabolites' production, which will cause the microenvironment to become inflamed. Currently, the close relationship between the gut microbiota and the development of the immune system, especially in maintaining the balance of Th-1 and Th-2 responses, is the rationale for providing probiotic supplements to prevent or treat allergic and atopic diseases. Dermatitis atopik (DA) merupakan penyakit multifaktorial yang diakibatkan disregulasi imun, suseptibilitas genetik, faktor lingkungan, dan gangguan fungsi barier. Beban kesehatan yang diakibatkan penyakit ini bersifat signifikan dan dapat berdampak pada kerugian psikologis, sosial, dan finansial, disertai komorbiditas sistemik. Terdapat beberapa studi yang telah melaporkan mikrobiota usus pada pasien DA. Mikrobiota usus diduga memainkan peran penting dalam perkembangan DA dengan meregulasi maturasi sistem imun. Alterasi mikrobiota usus mempengaruhi keseimbangan sistem imun melalui produksi metabolit, yang akan menyebabkan lingkungan mikro mengalami inflamasi. Saat ini hubungan erat antara mikrobiota usus dan perkembangan sistem imun, khususnya dalam menjaga keseimbangan respon Th-1 dan Th-2 menjadi dasar pemikiran pemberian suplemen probiotik untuk mencegah atau mengatasi penyakit alergi dan atopi.

Co-Authors Adeline Santoso Ana Rahmawati Anak Agung Gde Putra Wiraguna Anak Agung Gde Putra Wiraguna Ariana Ariana Ariana Ariana Batan, Putu Nila Wardhani Dewi Gotama Ermon Naftali Limbara Ermon Naftali Limbara Fresa Nathania Rahardjo Fresa Nathania Rahardjo Gde Ngurah Arya Ariwangsa Gde Somayana GK Darmaputra I Dewa Nyoman Wibawa I Gde Nengah Adhilaksman I Gde Nengah Adhilaksman I Gde Nengah Adhilaksman Sunyamurti Wirawan I Gusti Ayu Agung Dwi Karmila I Gusti Ayu Agung Elis Indira I Gusti Ayu Agung Praharsini I Gusti Ayu Agung Praharsisni I Gusti Nyoman Darmaputra I Ketut Mariadi I Ketut Suastika I.G.A. Karmila Ida Ayu Intan Pratiwi Ida Ayu Trisna Dewi IGAA Ratna Medikawati, IGAA Ratna IGN Darma Putra Ivana Sugiarto Ketut Suata Limbara, Ermon Naftali Luh Made Mas Rusyati Made Kusuma Dewi Maharani Made Kusuma Dewi Maharani Made Martina Windari Made Puspawati Made Swastika Adiguna Maharani, Made Kusuma Dewi Marrietta Sugiarti Sadeli Marrietta Sugiarti Sadeli Martima W Martina Windari Martina Windari Nareswari, Putu Ayu Diah Natih, Sintha Aprillia Gita Ni Luh Putu Ratih Vibriyanti Karna Ni Luh Putu Sri Widhiastuty Ni Made Dwi Puspawati Ni Putu Tiza Murtia Margha Nila Puspasari Nila Wardani Nila Wardhani Batan Nyoman Suryawati Nyoman Yoga Maya Pramita Nyoman Yoga Maya Pramita Pande Agung Mahariski Prima Sanjiwani Puspawati . Putu Ayu Diah Nareswari Putu Ayu Diah Nareswari Putu Kurniawan Dhana Rahardjo, Fresa Nathania Ratih Vebrianti Ricky Fernando Maharis Rikcy Fernando Maharis Sadeli, Marrietta Sugiarti Sissy Sissy Sunny Wangko Suryawati . Wiraguna, Swastika Adiguna

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