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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina journal of internal medicine Sport and Fitness Journal Buletin Udayana Mengabdi INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES Health Science Journal of Indonesia Jurnal Farmasi Klinik Indonesia WMJ (Warmadewa Medical Journal) The Indonesian Biomedical Journal Molecular and Cellular Biomedical Sciences (MCBS) Jurnal Penyakit Dalam Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran JURNAL HUKUM PRASADA JURNAL ILKES (Jurnal Ilmu Kesehatan) Indonesian Journal of Global Health research Public Health and Preventive Medicine Archive Jurnal Penyakit Dalam Indonesia
R. A.T. Kuswardhani
Divisi Geriatri, Departemen Ilmu Penyakit Dalam, Universitas Udayana, Denpasar
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Perbandingankomposisitubuhpadakelompok lanjut usiasebelum dan setelah pelaksanaansenam tera diPanti Sosial Tresna WerdhaWana Seraya Denpasar Semadi, I Made Siswadi; Kuswardhani, RA Tuty
Medicina Vol 47 No 3 (2016): September 2016
Publisher : Medicina

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Abstract

Perubahan komposisi tubuh merupakan tanda penting proses penuaan. Salah satu upaya mempertahankan danmeningkatkan kesehatan padalanjut usia (lansia) adalah olahraga yang bersifat low impact, misalnyasenamtera.Tujuan penelitian ini adalahmengetahui perbandingankomposisi tubuh (berat badan, komposisi lemakdanototskeletal) kelompok lansia sebelumdan setelah pelaksanaan senamtera. Penelitian ini merupakan penelitianeksperimental dengan desainone grouppretestandpostest. Penelitiandiikutioleh 16 orang, dilakukan di Panti SosialTresna WerdhaWana Seraya Denpasar pada bulan Januari-Maret 2013. Subjekdiberikan latihan senam tera selama 8minggu dengan frekuensi 3 kali perminggu. Pemeriksaankomposisitubuhdilakukansebelumdansetelah perlakuan.Uji normalitas menggunakan uji Shapiro-Wilk, sedangkan uji komparasi menggunakan uji t berpasangan danWilcoxon rank test. Hasil analisis menunjukkanterdapat penurunanberat badan (51,37 vs 50,38 kg; P=0,007),persentase lemak tubuh total (36,37vs29,47%; P=0,005), persentase lemak viseral (10,19%vs7,12%; P=0,008),persentase lemak subkutan (24,57 vs 22,94%; P=0,138) dan otot skeletal (23,73 vs 23,68%; P=0,899), sertapeningkatan kekuatanotot(14,44vs15,53kg; P=0,358)setelah pelaksanaan senam tera. Disimpulkanbahwa terdapatpenurunan berat badan, persentaselemak total danviseral secarabermakna, namuntidakterdapat perubahan yangbermakna pada persentase lemak subkutan, otot skeletal serta kekuatan otot setelah pelaksanaan senam tera.[MEDICINA.2016;47(3):38- 41]Changing in body composition is important sign of aging process. Low impact exercise for example tera exercise isone effort to increase health status in elderly. The aim of this study was to compare the body composition (bodyweight, fat and skeletal muscle) in elderly before and after tera exercise. Thiswasaexperimental study withone grouppretest andpostest design.There was 16 subjects in WanaSraya Nursing Home Denpasar who participated in thisstudy. They did tera exercise for 8 weeks, 3 times a week. Body weight, fat, skeletal muscle composition and musclestrength were measured before and after intervention. Data normality was analysed using Shapiro-Wilk test,comparison of body compositions were analysed using pairedt-test andWilcoxon rank test. There were decrease ofbody weight (51.37 vs50.38 kg; P=0,007), total body fat percentage (36.37vs 29.47%; P=0.005), visceral fatpercentage (10.19%vs 7.12%; P=0.008), subcutaneous fat percentage (24.57 vs 22.94%; P=0.138) and skeletalmuscle(23.73 vs 23.68%; P=0.899) after tera exercise, while muscle strength was increase (14.44vs 15.53kg;P=0.358). It was concluded that tera exercise could significantly decrease body weight, total dan visceral fatpercentage, but no significant change in subcutaneus fat, skeletal muscle percentage, and muscle strength inelderly.[MEDICINA.2016;47(3):38-41]
KORELASI NEGATIF ANTARA CHARLSON COMORBIDITY INDEX DENGAN JUMLAH LIMFOSIT TOTAL DAN KADAR ALBUMIN PADA PASIEN GERIATRI Suastika, Ngakan Ketut Wira; Aryana, IGP Suka; Kuswardhani, RA Tuty
Medicina Vol 46 No 3 (2015): September 2015
Publisher : Medicina

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Abstract

Charlson comorbidity index (CCI) merupakan metode untuk memprediksi mortalitas denganmengklasifikasikan berbagai kondisi komorbid dan telah digunakan secara luas untuk mengukurbeban penyakit. Malnutrisi juga berhubungan dengan peningkatan angka mortalitas dan morbiditas.Jumlah total limfosit (total lymphocyte count/TLC) dan kadar albumin berhubungan dengan penurunanfungsi tubuh pada malnutrisi. Penelitian ini bertujuan untuk mengetahui korelasi antara CCI denganTLC dan kadar albumin pada pasien geriatri.Penelitian ini merupakan penelitian potong lintanganalitik yang dilakukan di RSUP Sanglah Denpasar pada bulan Juli 2013 sampai dengan Maret2014. Subyek penelitian adalah pasien geriatri yang menjalani perawatan di RSUP Sanglah Denpasar.Sampel didapat dengan cara consecutive sampling. Untuk mengetahui korelasi antara CCI denganTLC dan kadar albumin digunakan uji korelasi Spearman.Sebanyak 80 sampel termasuk dalampenelitian ini. Sebanyak 50 (62,5%) adalah laki-laki dan 30 (37,5%) adalah perempuan dengan medianumur 74,0 (66-98) tahun. Terdapat korelasi negatif kuat yang signifikan antara CCI dengan TLC (r =-0,791; P<0,0001) dan juga korelasi negatif kuat antara CCI dan kadar albumin (r = -0,844; P<0,0001).Disimpulkan terdapat korelasi negatif kuat antara CCI dengan TLC dan kadar albumin. [MEDICINA2015;46:170-3].The charlson comorbidity index (CCI) is a method for predicting mortality by classifying comorbidconditions has been widely utilized to measure burden of disease. Malnutrition is also related toincreased mortality and morbidity rate. Total lymphocyte count (TLC) and albumin level is related todecreased body function in malnutrition. The objective of this study was to determine the correlationbetween the CCI score with TLC and albumin levels in geriatric patients.This study was a crosssectionalanalytic study conducted in Sanglah Hospital from July 2013 to March 2014. Subjects of thisstudywere geriatric patients who hospitalized at Sanglah Hospital. Patients were collected byconsecutivesampling. Spearman correlation test was used to determine the correlation between CCIscorewith TLC and albumin level. A total of 80 samples were included in this study, of which 50(62.5%)was male and 30 (37.5%) was female with a median of age was 74 (66-98) years old. There wasasignificant strong negative correlation between the CCI score and TLC (r = -0.791; P<0.0001) and alsoasignificant strong negative correlation between the CCI and albumin level (r = -0.844; P<0.0001). Itwasconcluded that there is astrong negative correlation between  the CCI score with TLC and albuminlevels.[MEDICINA2015;46:170-3].
HUBUNGAN ANTARA OBESITAS SENTRAL DENGAN ADIPONEKTIN PADA PASIEN GERITARI DENGAN PENYAKIT JANTUNG KORONER Gotera, Wira; Suastika, Ketut; Santoso, Anwar; Kuswardhani, Tuty
journal of internal medicine Vol. 7, No. 2 Mei 2006
Publisher : journal of internal medicine

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Abstract

Obesity is rapidly becoming a global problem not only in developed countries but also in developing countries such asIndonesia. Visceral obesity (central obesity) is an importance risk for cardiovascular disease and recognition that adipose tissuecan be regarded as a large endocrine organ that secreted inflammatory and anti inflammatory molecules (adiponectin). This studyaims to know the correlation between central obesity and adiponectin in geriatric coronary heart disease (CHD) patients. Thisstudy was cross sectional analytic study of geriatric CHD at out and in patients in Sanglah hospital. Data are presented as groupmean ± SD and analyzed by t-test, chi-square, and Pearson correlation with SPSS 12 software. Forty five patients (35 males and10 females), 23 patient unstable angina pectoris, 14 patient acute myocardial infarction, and 8 patient stable angina pectoris wererecruited and examined. There was high prevalence of central obesity 51.1% (23 patients). Mean of log adiponectin weresignificantly difference between central obese and non central obese (1.80 ± 0.61 vs 1.09 ± 0.41 with p). Central obesity increasedrisk of hypoadiponectinemia 5 times than non central obesity (p=0.011, CI 95% 1.4-17.8). Waist circumference has negativecorrelation with log plasma adiponectin (R=-0.663, p<0.001). There was high prevalence of central obesity in geriatric coronaryheart disease patients. Central obesity increased risk of hypoadiponectinemia 5 times than non central obesity. Waistcircumference has negative correlation with plasma adiponectin. Increased of waist circumference will decrease of adiponectin(cardioprotective protein) and will increase risk of acute coronary syndrome in geriatric patients.
HUBUNGAN ANTARA ACTIVITIES SPECIFIC BALANCE CONFIDENCE SCALE DENGAN UMUR DAN FALLS PADA LANSIA DI POLIKLINIK GERIATRI RSUP SANGLAH DENPASAR Yuna Ariawan, IW; Kuswardhani, RA Tuty; Astika, IN; Suka Aryana, IGP
journal of internal medicine Vol. 12, No. 1 Januari 2011
Publisher : journal of internal medicine

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Abstract

Falls are a major health problem for elderly. Apart from the direct injuries resulting from falls, other long-term consequencesmay include disability, fear of falling, and loss of independence, which can have serious effects on people?s health and qualityof life. These risk factors are categorized into two distinct groups: intrinsic and extrinsic factors. Psychological factors, morecommonly referred to the ?fear of falling syndrome?, have been linked to signi! cant reductions of daily activities in fallersresulting in a loss of independence. The Activities-Speci! c Balance Con! dence (ABC) scale was used to measure con! dence incarrying out speci! c activities without falling or becoming unsteady. We conduct an analytic cross-sectional study to determineassociation between ABC scale with age and falls in elderly. Fifty two elderly outpatient, age over 60 years at Geriatric ClinicSanglah Hospital Denpasar on January 2010 recruited for this study. All subjects were asked questionnaire of ABC scale andhistory of falls. Health status was taken from physical examination and medical records. Data were analyzed using SPSSsoftware 17 version.There were 52 elderly outpatient consisted of 26 (50%) men, 26 (50%) women, age range 61 ? 87 years, mean 70.6 ±6.5 years, and 17.3% of them have history of falls. Total ABC scale mean were signi! cantly difference between women andmen (81.2 ± 14.1 vs 90 ± 12.8 p < 0.05); OA and without OA (80.5 ± 18.1 vs 88.6 ± 10.3 p < 0.05); and between faller and nonfaller(73.5 ± 13.6 vs 88.2 ± 12.9 p = 0.01). There was no signi! cant correlation between ABC scale and age. The ABC scalewith cut off 82.9 has signi! cantly association with falls p = 0.01; prevalence ratio = 7.0 95%CI 1.6 ? 49.8; 74.4% sensitivity,78% speci! city. As a conclusion we found lower total ABC scale has signi! cantly association with falls in elderly and has goodsensitivity and speci! city on scale below 82.9%.
PENATALAKSANAAN HIPERTENSI PADA LANJUT USIA Kuswardhani, RA Tuty
journal of internal medicine Vol. 7, No. 2 Mei 2006
Publisher : journal of internal medicine

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Abstract

The more increasing of life expectancy is more complex disease in elderly. One of cause disease in elderly is hypertension Theisolated systolic hypertension (ISH) the most risk factor in stroke, coronary failure, and coronary heart disease, their role ispredicted more their in the youth. The definition of hypertension is not change in the age : systolic blood pressure (SBP) 140mmHg, and or diastolic blood pressure (DBP) 90 mmHg. The Joint National Committee on Prevention, Detection, Evaluationand Treatment of high blood pressure (JNC VI) and WHO or International society of hypertension guidelines sub committeesagree that SBP and DBP, both are used to classify the hypertension. Patophysiology of blood pressure is not clear. The most effectof the mortal aging in the cardio vascular system includes the changing of compliance aorta and systemic vessels. The thickeningof aorta wall are major vessels are increasing while the elasticity of vessel is decreasing in aging. This changing brings thecompliance of aorta is decreasing and the major vessel, it causes the increasing of peripheral vascular resistance. Baroreceptorsensitivity is also changing in aging. The changing in the metabolism of baroreceptor reflex possibly can explain the existence thevariability pressure. The changing of vasodilatation adrenergic and vasoconstriction of adrenergic a in balance will tendvasoconstriction are will bring the increasing of peripheral vessel resistance and blood pressure. The management of hypertensionin the elderly includes behavior, exercise, and pharmacology therapy.
HUBUNGAN ANTARA SUDUT KELENGKUNGAN THORAK DAN SELISIH TINGGI BADAN UKUR DAN TINGGI BADAN HITUNG BERDASARKAN TINGGI LUTUT PADA PASIEN USIA LANJUT DI POLIKLINIK GERIATRI RUMAH SAKIT SANGLAH DENPASAR Wiryani, Cilik; Kuswardhani, Tuty; Aryana, Suka; Astika, Nyoman; -, Yanson; Widana, K
journal of internal medicine Vol. 11, No. 1 Januari 2010
Publisher : journal of internal medicine

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Abstract

Anthropometric measurements are part of the nutritional assessment which is an important component of health care.Measuring the individual!s stature with accuracy is very important because it is a basis for estimating basal energy expenditureand consequent nutrient needs and to calculate indices of nutrient status. However, common methods of nutritional anthropometricassessment are not entirely satisfactory for all elderly persons. Certain measurements such as stature may be difÞ cult to obtainbecause of postural changes, thinning of the disks of the spinal column, and diminution in the height of the vertebrae, all of whichare associated with aging.This study conducted to investigate the correlation between thoracic hyperkyposis with the difference of height calculatedwith WHO formula and actual height measurements in elderly patients among geriatric outpatient clinic, Sanglah hospital. Thisis a descriptive study at August 2008. Height was calculated with WHO formula. For men 59.01 + (2.08 x knee height) and forwomen 75 + (1.91 X knee height) - (0.17 X age) and compared with actual height measurements. Data analyzed with analyticdescriptive Spearman!s correlation.There were 91 elderly patients included, male 38 (41.8%), female 53 (58.2%). Mean of age was 70.61 years ± 5.75 SD,actual height measurements was 155.30 cm ± 9.37 SD, height calculated with formula was 160.35 cm ± 8.59 SD, knee heightwas 49.60 ± 3.39 SD, thoracic hyperkiposis was -17.210 ± -11.7 SD and the difference between height formula and actual heightmeasurements was 4.99 cm ± 5.84 SD.There were no correlation between thoracic hyperkyposis and the difference of heightcalculated with WHO formula and actual height measurement with r = 0.001, p = 0.993. There were no correlations betweenbetween thoracic hyperkyposis with the difference of height calculated with speciÞ c formula and actual height measurements inelderly patients among geriatric outpatient clinic, sanglah hospital
KORELASI ANTARA GERIATRIC NUTRITIONAL RISK INDEX DENGAN LAMA RAWAT PASIEN GERIATRI DI RUMAH SAKIT SANGLAH, DENPASAR Andriyasa, K; Kuswardhani, RA Tuty; Aryana, IGP Suka; Astika, N; Putrawan, IB
journal of internal medicine Vol. 12, No. 2 Mei 2011
Publisher : journal of internal medicine

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Abstract

Patients at risk of malnutrition are associated with a poor outcome. There are several tools that we can use to assess thenutritional status. European Society of Parenteral and Enteral Nutrition (ESPEN) guidelines and the French Program NationalNutrition Sante (PNNS) recommend Mini Nutritional Assessment (MNA) to detect the risk of under nutrition among elderlysubjects. The MNA which based on a Questionnaire does not use biological indicators. It is more adapted to the elderly at homeor nursing home setting than hospitalization. We want to evaluate the new tool Geriatric Nutritional Risk Index (GNRI) that moresimple than MNA to assess nutritional status and predict hospitalization outcomes in geriatric patients.This is a cohort study to evaluated correlation between GNRI score with length of stay in elderly patients. We evaluatednutritional status using Geriatric Nutritional Risk Index (GNRI) and Mini Nutritional Assessment (MNA) for elderly patientsthat admitted in Sanglah Hospital (Internal Department, class III) between February 2010 and April 2010. The patients werenutritionally assessed within 48 hours of hospital admission and studied in correlation to length of stay and in-hospital mortality.Fifty complete assessments were available for analysis. There are 32 male (62%) and 18 female (38%) with mean age are67.2 (60 ? 82) years old. GNRI score and MNA correlated inversely with length of stay in elderly patients (r = -0.67; p < 0.000)and (r = -0.44; p = 0.004) respectively. There are three fatal outcome (death) and all of cases with GNRI score grade 4 (majorrisk, GNRI score < 82) . GNRI score has a significant correlation with MNA score (r = 0.72; p < 0.000).In conclusion: Poor nutritional status as measured by GNRI was associated with a longer length of stay and increased inhospitalmortality. GNRI is a simple tool and has more significant correlation with hospitalization outcomes than MNA.
FAKTOR-FAKTOR YANG MENENTUKAN KEKUATAN GENGGAMAN TANGAN PADA PASIEN LANJUT USIA DI PANTI WREDHA TANGTU DAN POLIKLINIK GERIATRI RSUP SANGLAH - DENPASAR Putrawan, IB Putu; Kuswardhani, RA Tuty
journal of internal medicine Vol. 12, No. 2 Mei 2011
Publisher : journal of internal medicine

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Abstract

Handgrip strength is necessary for performing activities of daily living, which, in turn, are required to maintain functionalactivity. The purpose of this study was to determine anthropometric and personal factors that affect handgrip strength in groupsof nursing home and out patients of Sanglah Teaching Hospital Denpasar-Bali. Body weight and height, Waist Circumference(WC), Mid-Upper-Arm Circumference (MUAC) and triceps skinfold, scapula skinfold and supra iliaca skinfold were obtainedusing standard techniques. Body height was estimated from kneeheight. Handgrip was measured using a mechanical handgripdynamometer. A total of 38 male and 53 female aged 60 ? 82 years participated in the study. Both groups were statistically similarregarding all factors studied. Bivariate analyses showed that handgrip strength was associated with sex, age, WC, hemoglobin,albumin and body mass index in both of groups. Multiple linear regression analysis identified sex and WC (r = 0.39; p = 0.00),sex and age (r = 0.71; p = 0.00), as independent determinants of handgrip strength in both of groups. We conclude that womenhave a smaller handgrip strength than men. In addition, handgrip strength decreases with increasing age and decreasing WC.
KORELASI ANTARA OBESITAS SENTRAL DENGAN ADIPONEKTIN PADA LANSIA DENGAN PENYAKIT JANTUNG KORONER Aryana, IGPS; Kuswardhani, RA Tuty; Suastika, K; Santoso, A
journal of internal medicine Vol. 12, No. 2 Mei 2011
Publisher : journal of internal medicine

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Abstract

Obesity is rapidly becoming a global problem not only in developed countries but also in developing countries such asIndonesia. Visceral obesity (central obesity) is an importance risk for cardiovascular disease and recognition that adipose tissuecan be regarded as a large endocrine organ that secreted inflammatory and anti inflammatory molecules (adiponectin). This studyaims to know the correlation between central obesity and adiponectin in geriatric Coronary Heart Disease (CHD) patients.Thisstudy was cross sectional analytic study of geriatric CHD at out and in patients in Sanglah Hospital. Data are presented as groupmean ± SD and analyzed by t-test, chi-square, and Pearson correlation with SPSS 12 software.Forty five patients (35 males and 10 females), 23 patient unstable angina pectoris, 14 patient acute myocardial infarction,and 8 patient stable angina pectoris were recruited and examined. There was high prevalence of central obesity 51.1% (23patients). Mean of log adiponectin were significantly difference between central obese and non central obese (1.80 ± 0.61 vs 1.09± 0.41 with p). Central obesity increased risk of hypoadiponectinemia 5 times than non central obesity (p = 0.011, CI 95% 1.4- 17.8). Waist circumference has negative correlation with log plasma adiponectin (R = -0.663, p < 0.001).There was high prevalence of central obesity in geriatric coronary heart disease patients. Central obesity increased risk ofhypoadiponectinemia 5 times than non central obesity. Waist circumference has negative correlation with plasma adiponectin.Increased of waist circumference will decrease of adiponectin (cardioprotective protein) and will increase risk of Acute CoronarySyndrome in geriatric patients.
RISKS FOR PERIPHERAL ARTERIAL DISEASE IN THE ELDERLY WITH TYPE 2 DIABETES MELLITUS : Their Correlation with High Sensitivity C-reactive Protein and Ankle-Brachial Index Ayu Tuty Kuswardhani, Raden; Wita, Wayan; Bakta, Made; Santosa, Anwar
INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES Vol. 3, No. 2 Juli 2009
Publisher : Udayana University

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Abstract

The Indonesian elderly population has been projected to increase up to about four-fold inthree decades (1990-2020). As a consequence of this population trend, the increased prevalence ofdegenerative diseases would be inevitable; this would include the prevalence of peripheral arterialdisease.This study aims to identify the correlation of diverse risk factors, either traditional or nontraditional,with the ankle-brachial index scores, and the correlation of novel non-traditional riskfactor, e.i. high sensitive C-reactive protein with the prevalence of perioheral arterial disease in theelderly, age 60-80 years old, with type 2 diabetes mellitus.Among the 146 elderly patients with type 2 diabetes mellitus, and based on measurement ofthe ABI score, approximately 30.9% of them had PAD. Some traditional and non-traditional riskfactors having a significant correlation with the ankle-brachial index score, were age (r = -0.396, p <0.001 for right ABI; r = -0.509, p < 0.001 for left ABI), supine systolic blood pressure (r= -0.268, p =0.012 for right ABI; r = -0.267, p = 0.013 for left ABI), 2-hour post-prandial blood glucose (r= -0.252, p = 0.018 for right ABI), and hsCRP (r = -0.280, p = 0.011 for right ABI; r = -0.402, p <0.001 for left ABI); whereas other risk factors like obesity based on waist circumference and BMI,non-supine systolic blood pressure, fasting blood glucose, HbA1C, duration of diabetes, plasma lipidsdid not show statistically significant different odd ratios. After linear regression test for risk factorshaving significant correlations with ABI, age and hsCRP were found to influence the ABI scores.Based on a case-control study, risk factors which, to some extent, had statistically significant valuesas risk factors, include older age (? 70 years old; OR = 7.737 [CI = 2.515-23.805]; p < 0.001),relatively high supine diastolic blood pressure (? 90 mmHg; OR = 6.882 [CI = 0.789-60.060]; p =0.048), and high concentration of hsCRP (> 3 mg/L; OR = 4.420 [CI = 1.287-15.181]; p = 0.013).Among these statistically significant risk factors, after logistic regression test analysis, only the age ofthe patient appeared to have significant influence on the prevalence of PAD.In conclusion, this study demonstrates a negative correlation between hsCRP and ABI score;and high levels of hsCRP appeared to be a risk factor for PAD. The age of the patient, however,appeared to be the strongest risk factor for PAD.
Co-Authors A Santoso Anak Agung Ayu Ratih Hapsari Anak Agung Gede Angga Puspa Negara Anak Agung Mas Putrawati Triningrat Anak Agung Wiradewi Lestari Anwar Santosa Anwar Santoso Aryana, I Gust Putu Suka Astika, I Nyoman Baskoro Tri Laksono Budiana, I Nyoman Catarina Budi P Cilik Wiryani Cok I. I. Purwaningsih Cokorda Agung Wahyu Purnamasidhi Dewianti Dewianti Dewianti, Dewianti Diah Pradnya Paramita Dian Pritasari Jeger Dyah Pradnyaparmita Duarsa Gede Sukrawan I Gusti Agung Wilaja Putra I Gusti Putu Suka Aryana I Ketut Suastika I Made Ady Wirawan I Made Bakta I Made Jawi I Made Jawi I Made Siswadi Semadi I Nyoman Adi Putra I Nyoman Astika I Nyoman Wande I Nyoman Wande I Nyoman Wande I Putu Gede Adiatmika I Putu Gede Adiatmika I Wayan Mustika I Wayan Mustika I Wayan Mustika I Wayan Wita I. N. Astika I.D. G.A.E. Putra Ida Bagus N Maharjana Ida Bagus Putu Putrawan IGP Adiatmika IN Astika Iswara, Ni Putu Ayu Astri Prana IW Yuna Ariawan J. A. Pangkahila K Andriyasa K Widana Kadek Tresna Adhi Ketut Tirtayasa Lanawati Lanawati, Lanawati M. Ali Imron Made Nopriantha Made Nopy Diah Sundari Muhammad Irfan N Astika N. Adiputra N. K.S. Diniari Ngakan Ketut Wira Suastika, Ngakan Ketut Wira Ni Ketut Rai Purnami Ni Putu Ayu Astri Prana Iswara Ni Wayan Tianing Norlinta, Siti Nadhir Ollin Paramita, Diah Pradnya Purnami, Ni Ketut Rai Purwaningsih, Cok I. I. Putra, I Komang Wisuda Dwija Putu Ayu Indrayathi Putu Ayu Sani Utami Putu Mulya Kharismawan Putu Shely Prihastuti Rudy Rina Listyowati Rina Listyowati, Rina S. Indra Lesmana Saktivi Harkitasari, Saktivi Sawitri, Anak Agung Sagung Semaradana, Wayan Giri Putra Shelvy Florence Gousario Sri Kayati Widyastuti Sundari, Made Nopy Diah Surya Rini, Sandra Susy Purnawati Trisna Yuliharti Tersinanda Wahyuddin, Wahyuddin Wayan Giri Putra Wimpie I Pangkahila Wira Gotera Wirawan, I Made Budi Wisnu Wardhana Yanson - Yosef Samon Sugi