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1. Michael R, Anderson, Christina LJ, James CW, Meg AR. Anesthesia for patients undergoing orthopedic oncologic surgeries. J Clin Anesth [Internet]. 2010 [cited 2013 November 24]; 22:565-72. Available from: EBSCO. 2. Jacques EC, Bruce B, Brian AW, Michael LK. Anesthesia and postoperative
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LAMPIRAN
Lampiran 1. Ethical Clearance
100
Lampiran 2. Surat Diklat
101
Lampiran 3. Formulir isian untuk penelitian
FORMULIR ISIAN UNTUK PENELITIAN
Nama
: ……………………………………..
Jenis kelamin
: L / P *)
Umur/ Tempat, tanggal lahir
: ……………./ ……………………...
Catatan medik
: ……………………………………..
Diagnosis operasi orthopedi
: ……………………………………..
Jenis agen analgesik pasca operasi
: (Opioid / Non-opioid) *) ……….………………………….**)
Metode pemberian analgesik pasca operasi : …………………………………….. Dosis analgesik pasca operasi
: ……………………………………..
Analgesik intrabedah (jenis & metode)
: ……………………………………..
Lama pemberian analgesik pasca operasi
: …………………………...……hari
Catatan
: …………………………………….. ……………………………………… ……………………………………… ………………………………………
*) Coret salah satu **) Tulis jenis obat secara spesifik
102
Lampiran 4. Biodata mahasiswa
Identitas Nama
: Veryne Ayu Permata
NIM
: 220 101 101 30 182
Tempat/tanggal lahir
: Jombang, 11 Agustus 1992
Jenis kelamin
: Perempuan
Alamat
: Jl. Ki Hajar Dewantara 58 Jombang, Jawa Timur
Nomor HP
: +628563077007 / +6281234445082
E-mail
:
[email protected] [email protected]
Riwayat pendidikan formal 1. SD
: MI Mujahidin Parimono Plandi Jombang, Jawa Timur Lulus tahun 2004
2. SMP
: SMP Negeri 2 Jombang, Jawa Timur Lulus tahun 2007
3. SMA
: SMA Negeri 3 Jombang, Jawa Timur Lulus tahun 2009
4. FK UNDIP
: Masuk tahun 2010
