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All Journal BALI MEDICAL JOURNAL (BMJ) INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) PAEDAGOGY : Jurnal Ilmu Pendidikan dan Psikologi Cermin Dunia Kedokteran HEALTHY: Jurnal Inovasi Riset Ilmu Kesehatan Public Health and Preventive Medicine Archive Journal of Global Pharma Technology
I Gusti Agung Trisna Windiani
Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Udayana, Denpasar, Bali
Biochemistry, Genetics & Molecular Biology Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health Social Sciences Other

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Karakteristik anak yang mengalami child abuse dan neglect di RSUP Sanglah, Denpasar, Indonesia tahun 2015-2017 Made Ardinata; Soetjiningsih Soetjiningsih; I Gusti Ayu Trisna Windiani; I Gusti Agung Ngurah Sugitha Adnyana; Ida Bagus Putu Alit
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (358.225 KB) | DOI: 10.15562/ism.v10i2.404

Abstract

Background: Child abuse and neglect is any form of physical, emotional, sexual abuse, or neglect of children. Child abuse causes various consequences that are harmful to the child and the future of the nation. The purpose of this study was to determine the characteristics of children who experience child abuse at Sanglah Hospital Denpasar.Methods: A cross sectional study design was conducted using secondary data taken from medical records of the Forensic Medicine Department, Sanglah General Hospital Denpasar from January 2015 to December 2017. Data related to age, gender, origin, types of abuse, and perpetrator’s house were analyzed as percentage using SPSS version 17 software. Ethical clearance was carried out prior study conducted. Result: From 2015 to 2017, 173 subjects were recorded as child abuse. The age group of 13-15 years and 16-18 years is the highest age group that experiences child abuse which is 28.3% and 33.5%. Subjects of female sex were 56.0%. The highest distribution of subject origin comes from Denpasar area 20.8% and the highest education level of parents is 45.0% senior high school. Subjects who experienced physical violence and threats were 93.6%, sexual violence was 50.8%, and 1.7% experienced neglect. The perpetrators of child abuse are mostly people who are known to the victim. The perpetrator's or subject's house is the place where most physical, emotional, or sexual violence occurs, which is 72.2%, 69.7%, and 89.7% respectively.Conclutions: Most cases of Child abuse occur in the age group of 13-15 years and 16-18 years. Child abuse is more common in women; most of the perpetrators are people who are recognized. Home is the most common place of physical, emotional, or sexual violence.
Gambaran perkembangan kognitif dan bahasa pada anak usia di bawah 3 tahun di Taman Pengasuhan Anak (TPA)/(Daycare) Kota Denpasar, Bali I Gusti Istri Agung Widnyani; I Gusti Ayu Trisna Windiani; I Gusti Agung Ngurah Sugitha Adnyana; Soetjiningsih Soetjiningsih
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.199 KB) | DOI: 10.15562/ism.v11i1.539

Abstract

Background: Speech and language developmental disorders can affect various functions in learning difficulties. This often happens to children who are less stimulated because today, many parents work so that child care will be reduced. Therefore, the childcare park (TPA) can be a choice of place to leave the child so that it is expected to get proper stimulation according to age level. This study aims to assess the status of cognitive and language development in children under 3 years of age at the Denpasar City, Bali.Methods: A cross-sectional study was conducted to 48 children who were in 4 TPAs in Denpasar during February 2018. Variables assessed in this study included cognitive and language aspects using adaptive cognitive test (CAT) / clinical linguistic & auditory milestone scale questionnaires. (CLAMS) that is valid and reliable. The research data obtained were analyzed using SPSS software version 19 for Windows.Results: Most respondents were female (56.3%), mean age 19.5 ± 10.0 months, and have high levels of education for both fathers (87.5%) and mothers (91.7%). The Caput Scale results show that the average DQ CAT value is 98.1 ± 11.0, DQ CLAMS 92.1 ± 12.0, and FSDQ 95.1 ± 11.0. As many as 27.1% of children in TPA have abnormal FSDQ score. The FSDQ score of the respondent's characteristics showed that most of the normal values were obtained for male (76.2%), high education on fathers (78.5%) and mothers (77.2), as well as jobs as a civil servant for fathers (73.3) and mothers (78.6)Conclusion: About 27.1% of children experience cognitive and language impairment in TPA through CAT/CLAMS examination. In this regard, further assessment with a better research design is needed to find a causal effect. Latar Belakang: Gangguan perkembangan bicara dan bahasa dapat memengaruhi berbagai fungsi dalam kesulitan belajar. Hal ini sering terjadi pada anak yang kurang mendapat stimulasi dikarenakan saat ini banyak orang tua bekerja sehingga pengasuhan terhadap anak akan berkurang. Oleh karena itu Taman pengasuhan anak (TPA) dapat menjadi pilihan tempat untuk menitipkan anak sehingga diharapkan mendapatkan stimulasi yang baik sesuai dengan tingkat usia. Penelitian ini bertujuan untuk menilai status perkembangan kognitif dan bahasa pada anak di bawah usia 3 tahun di TPA Kota Denpasar, Bali.Metode: Penelitian ini menggunakan pendekatan potong lintang terhadap 48 anak yang berada pada 4 TPA di Denpasar pada bulan Februari 2018. Variabel yang dinilai pada penelitian ini meliputi aspek kognitif dan bahasa dimana menggunakan kuisioner cognitif adaptive test (CAT)/clinical linguistic & auditory milestone scale (CLAMS) yang sahih dan reliabel. Data penelitian yang diperoleh dianalisis menggunakan piranti lunak SPSS versi 19 untuk Windows.Hasil: Sebagian besar responden berjenis kelamin perempuan (56,3%), usia rata-rata 19,5±10,0 bulan, dan tingkat pendidikan yang tinggi baik pada ayah (87,5%) maupun ibu (91,7%). Hasil Caput Scale menunjukkan bahwa rata-rata nilai DQ CAT adalah 98,1±11,0, DQ CLAMS 92,1±12,0, dan FSDQ 95,1±11,0. Sebanyak 27,1% anak di TPA memiliki nilai FSDQ tidak normal. Nilai FSDQ karakteristik responden menunjukkan sebagian besar nilai normal diperoleh pada laki-laki (76,2%), Pendidikan tinggi ayah (78,5%) dan ibu (77,2), maupun pekerjaan PNS pada ayah (73,3) dan ibu (78,6)Simpulan: Anak yang mengalami gangguan fungsi kognitif dan bahasa di TPA sebanyak 27,1% melalui pemeriksaan CAT/CLAMS. Berkaitan dengan hal tersebut maka penilaian lebih lanjut dengan desain penelitian yang lebih baik diperlukan untuk mencari hubungan sebab akibat.
Time of colostrum discharge of more than six hours as a risk factor for physiological jaundice in neonates Ni Kadek Muliawati; I Gusti Ayu Trisna Windiani; Anak Agung Sagung Sawitri; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 7 No. 1 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i1.p09

Abstract

Background and purpose: Neonatal jaundice is both a physiological and pathological condition. Neonatal physiological jaundice occurs within 3-5 days after the baby is born. Publications about time of colostrum discharge and neonatal jaundice are still limited. This study aims to determine the risk time of colostrum discharge more than 6 hours to physiological jaundice in neonates. Methods: A case control study was conducted at the Sanglah General Hospital in Denpasar from August to December 2017. The number of cases was 55 neonates with physiological jaundice and the number of controls was 55 neonates without physiological jaundice. Cases and controls were selected by consecutive sampling. The occurrence of physiological jaundice was obtained by direct observation and the degree of jaundice was determined based on the division of Kramer's body zone. Neonates with the Kramer grades I and II at the age of 3-5 days were classified as experiencing physiological jaundice (as cases) and neonates with a Kramer grade of 0 at the age of 3-5 days were classified as not jaundice (as controls). Cases were matched with controls by sex and age of the neonates. Data on maternal socio-demographic characteristics, time of colostrum discharge, early breastfeeding initiation and 24-hour breastfeeding frequency were obtained by interview; data on jaundice was obtained by observation while mode of delivery, parity, history of pre-eclampsia, prematurity, neonatal birth weight, history of birth trauma (cephalic hematoma), history of asphyxia and major congenital abnormalities were obtained from medical records. Multivariate analysis with binary logistic regression was carried out to determine the adjusted odds ratio (AOR) time of colostrum discharge . Results: The characteristics of cases and controls were found to be similar in terms of maternal education, neonatal age and sex, parity and pre-eclampsia history. Significant time of colostrum discharge >6 hours was found to be associated with physiological jaundice with AOR=2.57 (95%CI: 1.04-6.37). In this study, variables that were not found to be the risk factors of physiological jaundice in neonates were: cesarean delivery (AOR=0.36; 95%CI: 0.09-1.41; p=0.14), breastfeeding frequency within 24 hours (AOR=2.20; 95%CI: 0.47- 10.23; p=0.31) and early breastfeeding initiation (AOR=0.71; 95%CI: 0.19-2.59; p=0.60) Conclusion: time of colostrum discharge >6 hours is a risk factor for neonatal jaundice. Efforts should be made to accelerate the release of colostrum in order to prevent neonatal jaundice.
High parity and chronic energy deficiency increase risk for low birth weight in Situbondo District Dyah Ekowati; Luh Seri Ani; I Gusti Ayu Trisna Windiani
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p07

Abstract

Background and purpose: The prevalence of low birth weight (LBW) in Situbondo District increased from 2.79% in 2008 to 5.85% in 2014. The highest prevalence in 2015 was found in Bungatan Subdistrict (11%). This study aims to determine risk factors of LBW in Bungatan Subdistrict, Situbondo. Methods: A case control study was conducted in Bungatan Subdistrict. A total of 60 infants born at the Bungatan Public Health Centre were included in the study. Cases were infants with LBW and controls were those with normal birth weight. All infants born with LBW were taken as cases (20 infants) while 40 controls were selected using a systematic random sampling. Data were collected from February to March 2016. Data were analysed using bivariate and multivariate technique with logistic regression test. Results: The majority of respondents were unemployed (80%), aged between 20-35 years during the pregnancy (53.33%), with parity of ≤3 (66.67%), low education level (61.67%), anemia during the pregnancy (68.33%), good nutritional status (75.00%), poor nutrition intake during the pregnancy (51.67%) and without pre-eclampsia (88.33%). Parity of >3 increased the risk of LBW (AOR=6.4; 95%CI: 1.66-24.75). Chronic energy deficiency increased the risk of LBW (AOR=5.6; 95%CI: 1.41-22.57). Conclusions: Parity of more than three and chronic energy deficiency increase the risk for LBW in Bungatan Public Health Centre, Situbondo District.
Risk factors for low birth weight infants in East Nusa Tenggara Khrispina Owa; I Wayan Gede Artawan Eka Putra; I Gusti Ayu Trisna Windiani
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p09

Abstract

Background and purpose: Low birth weight (LBW) is a major cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey indicated that neonatal mortality rate in East Nusa Tenggara was 26 per 1000 live births, 15% of which were caused by low birth weight. This study aims to understand the relationship between age of mother, birth spacing, chronic energy deficiency, presence of concomitant diseases, employment status, anemia, quality of antenatal care and traditional dietary restrictions on the incidence of LBW in Ende District, East Nusa Tenggara. Methods: A case control study was conducted at Ende District in 2015, with a total of 156 respondents. Cases were mothers giving birth to LBW infant (<2500 gram) and controls were mothers giving birth to normal weight infant (≥2500 gram). Case and control ratio was 1:1. Data were obtained from antenatal care records and interviews. Data were analysed using bivariate analysis and multivariate with logistic regression. Results: This study found that risk factors of LBW include age of mother <20 or ≥35 years (AOR=6.8; 95%CI: 1.87-25.0), traditional dietary restrictions (AOR=6.7; 95%CI: 1.71-26.8), birth spacing <2 years (AOR=6.5; 95%CI: 1.78-24.2), chronic energy deficiency (AOR=5.3; 95%CI: 1.38-21.0), being employe (AOR=4.6; 95%CI: 1.44-14.9), anemia (AOR=4.2; 95%CI: 1.37-13.1), malaria infection (AOR=3.9; 95%CI: 1.21-12.7) and low quality of antenatal care (AOR=3.5; 95%CI: 1.11-11.3). Conclusions: Age of mother <20 or ≥35 years, traditional dietary restrictions, birth spacing <2 years, chronic energy deficiency, maternal occupation, anemia, malaria infection and low quality of antenatal care are risk factors for LBW in the District of Ende.
Delayed access to treatment and frequency of acute respiratory infection as risk factors of severe pneumonia among children aged 12-59 months in Denpasar, Bali Dewa Ayu Ketut Sri Abadi; Dewa Nyoman Wirawan; Anak Agung Sagung Sawitri; I Gusti Ayu Trisna Windiani
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p13

Abstract

Background and purpose: Period prevalence of pneumonia among children in Indonesia increased from 2.1 in 2007 to 2.7 per 1000 children in 2013. The highest incidence was found among children aged 12-23 months. This study aims to examine association between delayed access to health care facilities and severity of children pneumonia. Methods: A case control study was conducted in Denpasar City. A total of 132 children were recruited to participate in this study, consisted of 44 cases and 88 controls. Cases were selected from 161 children with severe pneumonia who registered at Pulmonology Department of Sanglah General Hospital between January 2015 and April 2016. Controls were selected from 261 children aged 12-59 months with mild pneumonia who visited out-patient service at all community health centres in Denpasar City between January 2015 and April 2016. Cases and controls were matched by sex. Data were collected by interview with the parents in their houses. Data were analysed using multivariate analysis with logistic regression. Results: Risk factors associated to severity of pneumonia among children aged 12-59 months were delayed access to treatment for more than three days (AOR=2.15;95%CI: 1.39-3.32), non-health care facilities at first episode of illness (AOR=4.02; 95%CI: 1.53-10.61) and frequent episodes of respiratory infections (>4 times) over the last 6 months (AOR=5.45; 95%CI: 2.13-13.96). Conclusion: Delayed access to treatment, did not access healthcare facilities at first episode of illness, and high frequency of acute respiratory infections are risk factors of severe pneumonia among children.
Prevalence and determinants of pentavalent booster immunization in children aged three to five years in Denpasar, Bali Ni Rai Sintarini; Komang Ayu Kartika Sari; I Gusti Agung Trisna Windiani; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 7 No. 1 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i1.p05

Abstract

Background and purpose: Pentavalent booster immunization coverage in Denpasar City is reported to be relatively low. This study aims to determine the prevalence and determinants of pentavalent immunization uptake. Methods: A cross-sectional study was conducted in one banjar (hamlet) which was selected purposively in the work area of Public Health Centre (PHC) I West Denpasar, Bali Province. Banjar was selected with consideration of the diversity of local residents and migrants. All mothers who had children aged 3-5 years (138 people) in the banjar were chosen as respondents. Interviews were conducted in each respondent's house with variables included age, education, employment, parity, region of origin, knowledge on immunization, perception of susceptibility to and severity of disease, perceptions of benefits and barriers to immunization, sources of information, family support and acceptance of immunization. Data analysis was performed with poisson regression to determine the determinants of pentavalent booster immunization. Results: The majority of respondents were aged <30 years, high school education or above, unemployed, had 1-2 children and were from Bali. The proportion of respondents who reported that their children had been given pentavalent immunization in children aged three to five years was found to be 78.3%. Immunization prevalence was found to be higher in the population that originated from Bali (82.1%). Determinants of pentavalent immunization are perceptions of benefits (APR=4.78; 95%CI: 1.35-16.96) and more sources of information (APR=1.21; 95%CI: 1.04-1.41). Conclusion: The prevalence of pentavalent booster immunization is found to be lower than the average prevalence of the Bali Province but higher than the reported coverage of Denpasar City. The determinants of immunization acceptance was perception of high benefits and more sources of information. Information dissemination on the benefits of pentavalent booster immunization in children needs to be enhanced through health workers and various media to increase the coverage of pentavalent immunization.
Risk Factors of Low Birth Weight (LBW) among Infants at dr. R. Soedjono General Hospital East Lombok Yuliani; I Wayan Gede Artawan Eka Putra; I Gusti Ayu Trisna Windiani
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p08

Abstract

Background and purpose: The infant mortality rate related to low birth weight (LBW) in the East Lombok district increased from 18.0% in 2012 to 26.1% in 2013. This study aimed to identify the risk factors of LBW among infants in dr. R. Soedjono General Hospital, East Lombok. Methods: A case-control study was conducted in dr. R. Soedjono General Hospital involving 59 LBW and 118 normal weight infants as controls (1:2) which were selected by systematic random sampling. Secondary data regarding chronic energy deficiency and anemia were collected using medical records and delivery register. Data on maternal characteristics,birth spacing, access to antenatal care,  socioeconomic status, cigarette smoke exposure, wood smoke exposure and mosquito repellent exposure were collected through interviews. Data were analyzed using bivariate to determine crude OR and multivariate to calculate adjusted OR. Results: Characteristics of cases and controls was similar in terms of education, employment and maternal parity, but significantly different in age. Multivariate analysis showed that variables significantly associated with LBW were income with OR=2.3 (95%CI: 1.06-4.9), cigarette smoke exposure with OR=2.9 (95%CI: 1.31- 6.33), chronic energy deficiency with OR=3.1 (95%CI: 1.24-7.59) and maternal ages <20 years or >35 years with OR=3.2 (95%CI: 1.46-6.90). Wood smoke exposure and anemia were not significantly associated with LBW with OR=1.2 (95%CI: 0.44-2.88) and OR=1.1 (95%CI: 0.82-1.27). Conclusion: Risk factors associated with LBW among infants were low income, cigarette smoke exposure, chronic energy deficiency and mother’s age <20 years or >35 years.
Risk Factors of Neonatal Sepsis at Perinatology Unit Sanglah General Public Hospital Denpasar Kurniasih Widayati; Desak Putu Yuli Kurniati; Gusti Ayu Trisna Windiani
Public Health and Preventive Medicine Archive Vol. 4 No. 1 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i1.p12

Abstract

Background and purpose: Infant Mortality Rate (IMR) nationally in 2012 was 32 per 1000 live births and 29 per 1000 live births in Bali. This figure was higher than the target of the Millennium Development Goals (MDGs) in 2015 which amounted to 23 per 1000 live births. One of many factors that increase risk of infant mortality is neonatal sepsis. Research on neonatal sepsis has been done in Sanglah General Public Hospital but it was only a descriptive study. This study was conducted to determine the socio-demographic factors, clinical, environmental and invasive procedures associated with neonatal sepsis in the Sanglah General Public Hospital. Methods: The study design was a case control with a sample of 30 cases and 30 controls that were selected randomly by matching on birth month of the register book of 1 January to 31 December 2014 at the Perinatology Unit Sanglah Hospital. The case groups were patients who were diagnosed with sepsis, and the control groups were not the sepsis. Data were collected from medical records of patients using extraction form. Bivariate analysis was conducted to determine crude OR and multivariate logistic regression method to determine adjusted OR. Results: Bivariate analysis showed that factors that increase risk of neonatal sepsis were mothers who did not work or worked as laborers (OR=3.5; 95% CI: 1.1 to 11.7), low birth weight (LBW) babies (OR=6,6; 95% CI: 1.9 to 24.2), infant care in an incubator (OR=4.1; 95% CI: 1.2 to 14.3), infusion (OR=9.3; 95 % CI: 1.7 to 92.1) and the administration of oxygen (OR=7.0; 95% CI: 1.9 to 29.7). Multivariate analysis showed that the only variable significantly increases risk of sepsis was low birt weight (OR=20.2; 95% CI: 1.4 to 289.7). Conclusion: LBW was the risk factor of neonatal sepsis at Perinatology Unit, Sanglah General Public Hospital.
Maternal and Infant Risk Factors on The Incidence of Neonatal Asphyxia in Bali: Case Control Study Ni Nyoman Ayuk Widiani; Desak Putu Yuli Kurniati; I Gusti Ayu Trisna Windiani
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p02

Abstract

Background and purpose: Indonesia Demographic and Health Survey (IDHS) in 2012 showed neonatal mortality rate (AKN) in Indonesia amounted to 19/1000 live births. The causes were respiratory distress or asphyxia (35.9%), premature delivery, low birth weight (32.4%) and sepsis (12%). Neonatal asphyxia in the last 5 years at Sanglah Hospital in Denpasar relatively stagnant namely: 2010 (8.6%), 2011 (9.3%), 2012 (11.6%), 2013 (8.3%), and 2014 (11.3%). This study aims to identify risk factors of mothers and infants to neonatal asphyxia. Methods: The study design was a case control with a sample of 172 infants of 86 cases and 86 controls were selected randomly from the birth register at Sanglah Hospital in 2015 and matched by age of gestation. Cases were neonatal (0-28 days) born with asphyxia, while control were neonatal without asphyxia. Data analysis was performed using univariate, bivariate (chi square test) and multivariate using logistic regression. Results: The study finding showed that significant risk factors which increased the incidence of neonatal asphyxia were nuchal cord with adjusted OR (AOR)=6.55 (95% CI: 2.34 to 18.33); anemia during pregnancy with AOR=6.49 (95% CI: 2.21 to 19.03); prolonged labor with AOR=6.27 (95% CI: 1.37 to 28.70), low birth weight with AOR=3.85 (95% CI: 1.61 to 9.18); maternal age <20 years and >35 years with AOR=3.57 (95% CI: 1.48 to 8.61) and hypertension during pregnancy with AOR=2.40 (95% CI: 1.06 to 5.44). Conclusion: Mathernal and infant factors that increased risk of neonatal asphyxia were nuchal cord, anemia during pregnancy, prolonged labor, low birth weight, maternal age <20 years and >35 years and hypertension during pregnancy.
Co-Authors Abadi, Dewa Ayu Ketut Sri Adnyana, I Gusti Agung Ngurah Sugitha Agung Ngurah Sugitha Adnyana, I Gusti Anak Agung Ayu Windi Antari and R. Kusnandi Ardani, I Gusti Ayu Indah Ayu Indah Ardani, I Gusti Ayu Setyorini Mestika Mayangsari Budi Santoso Adji Desak Putu Gayatri Saraswati Seputra Desak Putu Kunti Wedayanti Desak Putu Yulita Kurniati Dewa Ayu Dini Primashanti Dewa Ayu Ketut Sri Abadi Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dewi, Ni Nyoman Gita Kharisma Djauhar Ismail Dyah Ekowati Eka Gunawijaya Ekawaty Lutfia Haksari Ekowati, Dyah Gusti Ayu Teja Devi Megapuspita Hapsari, Ida Ayu Nyoman Dian Permana Hendra Salim Hendrikus Gede Surya Adhi Putra I Gde Raka Widiana I Gede Ngurah Harry Wijaya Surya I Gusti Agung Ngurah Sugitha Adnyana I Gusti Ayu Endah Ardjana I Gusti Ayu Putu Eka Pratiwi I Gusti Istri Agung Widnyani I Gusti Lanang Sidiartha I Gusti Ngurah Sanjaya Putra I Made Arimbawa I Nyoman Budi Hartawan I NYOMAN MANTIK ASTAWA I Wayan Gede Artawan Eka Putra I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Gustawan Ida Bagus Putu Alit Ida Bagus Subanda Julitasari S Kadek Apik Lestari, Kadek Apik Khrispina Owa Khrispina Owa Komang Ayu Kartika Sari Kurniasih Widayati Lie Affendi Kartikahadi Luh Gede Ayu Putri Vebriany Widiaskara Luh Kadek Pande Ary Susilawati Luh Putu Rihayani Budi Luh Seri Ani Made Ardinata Made Supartha Maharini, Kadek Mei Neni Sitaresmi Muhammad Reza Muhammad Reza Muliawati, Ni Kadek NEGARA, NI WAYAN WIRAYANTI PUTRI Ni Kadek Muliawati Ni Nyoman Ayuk Widiani Ni Nyoman Sukarti Ni Putu Anggun Laksmi Ni Putu Siadi Purniti Ni Putu Veny Kartika Yantie, Ni Putu Veny Kartika Ni Rai Sintarini Novilia Sjafri Bachtiar PITIKA ASPR Pratiwi, Ni Luh Putu Sukma Putu Anindia Sekarningrum Putu Dian Savitri Irawan Putu Junara Putra Putu Vivi Paryati Ricky Theddy Rini Mulia Sari S. Soetjiningsih, S. S. Sotjiningsih SAK Indriyani Sawitri, Anak Agung Sagung Soetjiningsih - Soetjiningsih - Soetjiningsih - Soetjiningsih Soetjiningsih . Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Sri Maya Suwandi, Nyoman Defriyana Tristina Wardani TULUS, ANGELINA Widayati, Kurniasih Widiani, Ni Nyoman Ayuk Wiradharma Wiradharma Yuliani Yuliani Yuliani