LAMPIRAN 1
DAFTAR RIWAYAT HIDUP
Nama : Fathimah Nurul Wafa Tempat/Tanggal Lahir : Jakarta/22 Februari 1994
Pekerjaan : Mahasiswa
Agama : Islam
Alamat : Jalan dr. Sumarsono No.18 Medan, Kompleks Dosen USU, Medan
Komp. Timah Blok CC V No. 35 Rt.05/12 Kota Depok- Jawa Barat
Orangtua
Ayah : Sigit Pramono
Ibu : Rufidah
Riwayat Pendidikan :
1. Taman Qur’an Nurul Fikri (1997-1999) 2. Sekolah Dasar Islam Pondok Duta (1999-2005) 3. Sekolah Menengah Pertama Islam Terpadu Nurul Fikri (2005-2008) 4. Sekolah Menengah Atas Negeri 1 Depok (2008-2011)
Riwayat Pelatihan :
1. Pelatihan Pengkaderan Tingkat III UKMI Ad-Dakwah USU 2. Pelatihan Basic Life Support TBM FK USU
Riwayat Organisasi :
LAMPIRAN 2
ETHICAL CLEARENCE
LAMPIRAN 3
LAMPIRAN 3
SURAT IZIN PENELITIAN
TAKSASI DANA PENELITIAN
LAMPIRAN 4
LAMPIRAN 4
DATA OUTPUT STATISTIK Frekuensi
Frequency Percent
65 4 2.8 2.8 88.9
Frequency Percent
Valid
jenis kelamin responden
Frequency Percent
Valid Percent
Valid laki-laki 103 71.5 71.5 71.5
perempuan 41 28.5 28.5 100.0
Total 144 100.0 100.0
gambaran histopatologi responden
Frequency Percent
Valid Percent
Cumulative Percent Valid WHO 1 (Keratinizing
Descriptive Statistics
N Minimum Maximum Mean
Std. Deviation
umur responden 144 16 82 48.10 13.268
umur berinterval 144 1.00 7.00 4.2639 1.31684 jenis kelamin responden 144 1.00 2.00 1.2847 .45286 gambaran histopatologi
responden 144 1.00 3.00 2.3264 .62388
LAMPIRAN 5
DATA INDUK
NO NAME SEX AGE
(years) WHO
1 Hendrikus B. Simbolon Laki-laki 46 Non- keratinizing SCC 2 Irna Siregar Perempuan 40 undifferentiated SCC 3 Arma Sihombing Laki-laki 30 keratinizing SCC
4 Maria E. Silitonga Perempuan 40 Undifferentiated Squamous cell carcinoma
5 Markus Jordan Laki-laki 29 Undifferentiated Squamous cell carcinoma
6 Boni Lucas Laki-laki 54 keratinizing SCC
7 Paijo Laki-laki 41 Malignan smear
8 Dadang Laki-laki 52 differentiated SCC
9 Yusra Perempuan 31 Undifferentiated Squamous cell carcinoma
10 Yoyok Laki-laki 62 keratinizing SCC
11 Ali Usman Nst Laki-laki 24 Undifferentiated Squamous cell carcinoma
12 andika lubis Laki-laki 46 Undifferentiated Squamous cell carcinoma
13 lubis Laki-laki 60 Non-keratinizing SCC
14 Ponirin Laki-laki 52 Belum dilakukan biopsi
15 Seh Umar Laki-laki 50 Non- keratinizing SCC
16 Yusra A Perempuan 34 Undifferentiated Squamous cell carcinoma
17 Nurminah Hrp perempuan 70 Undifferentiated Squamous cell carcinoma
18 Nuraimma perempuan 34 Undifferentiated Squamous cell carcinoma
19 Maria Sihotang Perempuan 45 Undifferentiated Squamous cell carcinoma
20 Erica Duha Perempuan 57 Undifferentiated Squamous cell carcinoma
21 Sormiah perempuan 56 Non- keratinizing SCC
22 Husmail Laki-laki 41 Undifferentiated Squamous cell carcinoma
23 Samsul Bahri Hasibuan Laki-laki 59 Undifferentiated Squamous cell carcinoma
tahun
25 Maras Laki-laki 41
tahun Non- keratinizing SCC
26 Rebo Laki-laki 55
tahun Non- keratinizing SCC
27 Serti Perempuan 35
tahun Non- keratinizing SCC 28 Ertidawati Perempuan 20 Undifferentiated Squamous cell
carcinoma
29 M. Ali Laki-laki 65 Undifferentiated Squamous cell carcinoma
30 Fatania Perempuan 49 Undifferentiated Squamous cell carcinoma
31 Gibson tampubolon laki-laki 47
tahun Non- keratinizing SCC (30/05/13)
32 Zaharuddin laki-laki 57
tahun Non- keratinizing SCC 33 Ramadan Lubis laki-laki 43 Undifferentiated Squamous cell
carcinoma 34 Manggarerak Manik laki-laki 43
tahun Non- keratinizing SCC
35 Ramli laki-laki 70
tahun Non- keratinizing SCC 36 Tuani Hasundungan Laki-laki 50 Undifferentiated Squamous cell
carcinoma
37 Suwardi Laki-laki 33
Tahun Non- keratinizing SCC
38 Tugiran Laki-laki 66
Tahun SCC
39 henas atmaja Laki-laki 59
Tahun Non- keratinizing SCC
40 Juriati Laki-laki 41
Tahun Keratinizing SCC 41 Edwin Laki-laki 51 Undifferentiated Squamous cell
carcinoma
42 Nurhayati Laki-laki 43
Tahun Non- keratinizing SCC 43 Agus Salim Laki-laki 50 Undifferentiated Squamous cell
carcinoma 44 dormiana br tarigan laki-laki 39 Non- keratinizing SCC 45 amat sukardi laki-laki 74 Undifferentiated Squamous cell
carcinoma 46 boslen simalamgo laki-laki 49 Non- keratinizing SCC 47 sinta manurung Perempuan 55
tahun Non- keratinizing SCC
tahun
49 suwardi laki-laki 34 NLaki-laki
50 gery simatupang Laki-laki 45 Non-keratinizing SCC 51 jamaludin laki-laki 58 Non- keratinizing SCC 52 Manaek Sianipar laki-laki 49 Undifferentiated Carcinoma
(19/12/13)
53 Harun Rangkuti laki-laki 46 Undifferentiated SC-Carcinoma (21/10/13)
54 Mangantar Pangaribuan laki-laki 37 Non-Keratinizing SCC (03/04/13) 55 Darwin M. Sihotang laki-laki 34 Undifferentiated Squamous cell
carcinoma (31/12/13) 56 Thomson Saminar laki-laki 56 Keratinizing SCC 57 M indra kurniawan Laki-laki 39 Undifferentiated Squamous cell
carcinoma
58 Sampliat Hutabarat Laki-laki 45 Undifferentiated Squamous cell carcinoma
59 Supardi Laki-laki 54 Non- keratinizing SCC
60 Arbak Marpaung Laki-laki 50 Non- keratinizing SCC
61 Jurludin laki-laki 53 SCC
62 Surianto Laki-laki 38 malignant smear
63 Legini Laki-laki 55 undifferentiated
64 Lizarto Harefa Laki-laki 48
Tahun Non- keratinizing SCC 65 Mangihut Lumban T Perempuan 42
Tahun Non- keratinizing SCC 66 Mudiah Hasibuan Perempuan 62 Undifferentiated Squamous cell
carcinoma
67 Perdamen Kataren laki-laki 41 Undifferentiated Squamous cell carcinoma
68 Abdullah laki-laki 36 Undifferentiated Squamous cell carcinoma
69 Anggiat M Simanjuntak laki-laki 41
tahun Non- keratinizing SCC 70 Brta Samosir Perempuan 52 Undifferentiated Squamous cell
carcinoma
71 Sanggal Laki-laki 79 Undifferentiated Squamous cell carcinoma
72 Jenda Malem Br Ginting Perempuan 65 Undifferentiated Squamous cell carcinoma
73 Rio Maraden Sibarani Laki-laki 39 Undifferentiated Squamous cell carcinoma (6/9/12) 74 Ali Usman Nasution Laki-laki 24 Undifferentiated Squamous cell
76 Manaik perempuan 50 Non- keratinizing SCC 77 Rinaldi laki-laki 54 Undifferentiated Squamous cell
carcinoma 78 Dormianna Br Tarigan perempuan 39 Non- keratinizing SCC 79 Amat Sukardi laki-laki 74 Undifferentiated Squamous cell
carcinoma 80 Boslen Simalang laki-laki 49 Non- keratinizing SCC 81 Yoel Christian Hutabarat laki-laki 17 Non- keratinizing SCC 82 Lukman Pasaribu Laki-laki non keratinizing SCC 83 Novita heni Sinaga Perempuan 21 non keratinizing SCC 84 Cipto Haryono Laki-laki 67 undifferentiated SCC
85 nursiam Perempuan 67 non keratinizing
86
Rosliana ginting Perempuan 57 non-keratining
87 andra putra Laki-laki 37 non keratinizing
88 maniar sitorus Perempuan 49 non keratinizing 89 arnol naibaho Laki-laki 26 non keratinizing
90 sukiwan Laki-laki 44 non keartinizing
91 lamsudin saragih Laki-laki 61 undifferentiated 92 rosida damanik Perempuan 41 non keratinizing 93 halma sembiring Perempuan 52 non-keratinizing SCC 94 Markus Jordan Laki-laki 31 non-keratinizing SCC 95 Angga Harahap Laki-laki 42 undifferentiated SCC 96 Makmur Nst Laki-laki 20 non-keratinizing SCC 97 Jamet Mankur laki-laki 82 un-differentiated SCC 98 Heppy Sitepu laki-laki 47 non-keratinizing SCC 99 Amansyah Tanjung laki-laki 40 non-keratinizing SCC 100 Abu Bakar laki-laki 27 non-keratinizing SCC 101 Jimut Saragih perempuan 66 non-keratinizing SCC
102 Hafiz laki-laki 42 undifferentiated
103 Abdul Hamid Munthe laki-laki 54 Non- keratinizing SCC 104 Rohman Sinaga laki-laki 41 Undifferentiated Squamous cell
carcinoma
105 Selamat Sujoko laki-laki 72 Keratinizing Squamous Cell carcinoma
106 Mangampiri Lumban
Tobing laki-laki 50
Undifferentiated Squamous cell carcinoma
107 Mashuri P laki-laki 67 Non- keratinizing SCC
109 Ngemani perempuan 74 Non- keratinizing SCC
110 Subah Pralogo laki-laki 48 Non- keratinizing SCC 111 Giat P. Simanjuntak laki-laki 52 Non- keratinizing SCC 112 M. Syarif Lubis laki-laki 50 Non- keratinizing SCC 113 Marsad Padang laki-laki 53 Non-keratinizing SCC 114 Pantul Liber Harianja laki-laki 46 Non- keratinizing SCC 115 Faminudin Lauli laki-laki 60 Undifferentiated Squamous cell
carcinoma
116 Paiman laki-laki 66 Undifferentiated Squamous cell carcinoma
117 Rahman Siregar laki-laki 41 Non- keratinizing SCC
118 M. Syahrizal laki-laki 24 Undifferentiated Squamous cell carcinoma
119 Nurasnah perempuan 43 Non- keratinizing SCC
120 Ruslin Tumanggor laki-laki 41 Undifferentiated Squamous cell carcinoma
121 Betsaida R. Sinaga perempuan 31 Keratinizing Squamous Cell carcinoma
122 Maruli Pardede laki-laki 65 Non- keratinizing SCC
123 Sabar laki-laki 47 Non- keratinizing SCC
124 Aripin laki-laki 17 Non- keratinizing SCC
125 Maluddin Hamid laki-laki 58 Non- keratinizing SCC
141
Melitina Dula perempuan 45 Undifferentiated Squamous cell carcinoma
Tarmizi Mahda laki-laki 16 Undifferentiated Squamous cell carcinoma
Robin Sitanggang laki-laki 53 Non- keratinizing SCC Rosmaniar perempuan 42 Non- keratinizing SCC
dantur manik Laki-laki 60
Keratinizing Squamous Cell carcinoma
manaf Laki-laki 41 Non- keratinizing SCC 132 samsul hanafiah Laki-laki 44 Undifferentiated Squamous cell
carcinoma 133 jhon efendi Laki-laki 52 Non- keratinizing SCC
134 manan Laki-laki 48 Non- keratinizing SCC
135 nurainun Perempuan 31 Non- keratinizing SCC
136 josti perempuan 35 Non- keratinizing SCC
138 m. ali Laki-laki 65 Undifferentiated
139 fataria perempuan 49 Non- keratinizing SCC
140 posman Laki-laki 69 Undifferentiated
141 ade aulia Laki-laki 45 Non- keratinizing SCC
142 tugirin Laki-laki 62 Non- keratinizing SCC
143 saksi Laki-laki 42 Undifferentiated
144 patimah perempuan 66 Undifferentiated
