19
66 DAFTAR PUSTAKA 1. American Cancer Society. Cancer Facts & Figures 2013Atlanta, Ga: American Cancer Society; 2013;5 2. Henley S.J, Singh S, King J, Wilson R, Ryeerson B, invasive cancer Incidence United States,2010. Center for Disease Control and Prevention.2014.(63).12.253-258. 3. Pusat data dan informasi depkes RI. Profil kesehatan Indonesia 2008.Jakarta: Departemen kesehatan republik Indonesia 4. Profil Kesehatan Kota Semarang tahun 2009. Semarang: Dinas kesehatan kota Semarang 5. Sarjadi, Trihartini, Pawitra I. Insiden kanker penduduk Semarang tahun 1990-1999. Semarang: Media Medika Indonesiana; 2001:36(1): 87-92 6. National comprehensive cancer network. NCCN Clinical Practice Guidelines in Oncology (NCCN guidelines) Ver 3.2013. Washington; 2012 7. Pallis AG, Mouzas IA. Adjuvant chemotherapy for colon cancer (Review). Anticancer research. 2006: 26: 4809-16 8. Johnson PW. A less toxic regimen of 5-fluorouracil and high-dose folinic acid for advanced gastrointestinal adenocarcinomas. British journal cancer. 1991: 64: 603-5

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Page 1: DAFTAR PUSTAKACTL dan sel-NK serta perkembangan massa tumor adenokarsinoma mamma mencit C3H. M Med Indones J. 2007;42(3):37-40. 15. Sumastuti R, Sonlimar M. Efek sitotoksik ekstrak

66

DAFTAR PUSTAKA

1. American Cancer Society. Cancer Facts & Figures 2013Atlanta, Ga:

American Cancer Society; 2013;5

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Incidence – United States,2010. Center for Disease Control and

Prevention.2014.(63).12.253-258.

3. Pusat data dan informasi depkes RI. Profil kesehatan Indonesia

2008.Jakarta: Departemen kesehatan republik Indonesia

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kota Semarang

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Guidelines in Oncology (NCCN guidelines) Ver 3.2013. Washington; 2012

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Anticancer research. 2006: 26: 4809-16

8. Johnson PW. A less toxic regimen of 5-fluorouracil and high-dose folinic

acid for advanced gastrointestinal adenocarcinomas. British journal cancer.

1991: 64: 603-5

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67

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LAMPIRAN

LAMPIRAN 1 : PERHITUNGAN DOSIS KONVERSI

1,2 Dimethylhidrazine

Dosis 30 mg/kgBB/minggu

Berat 20 gram = 6mg/ekor/minggu

Jumlah pemberian 16 kali

TOTAL = 16 kali x 6 mg x 40 ekor = 3.840 mg

5FU-Leucovorin (Rosswell Park Regiment)

Dosis pemberian kemoterapi (Konstanta konversi = 0.018)

BSA Tikus : BB Tikus = 200 gram = 0,2 kg - Panjang Badan Tikus : 20 cm

BSA = 10.5 (wt. in grams)2/3 = 0.03 m2

Dosis Leucovorin pada Tikus = 500 mg/m2 x 0.018 x 0.03 m2 = 0.27 mg

Dosis 5FU pada Tikus = 500 mg/m2 x 0.018 x 0.03 m2 = 0.27 mg

P. macrocarpa

Dosis ekstrak = 0.495 mg/hari

Konsentrasi larutan = 0.495 mg/ml

Jumlah tikus = 16 ekor

Lama perlakuan = 49 hari

Kebutuhan ekstrak Phaleria macrocarpa = 0.495 mg/ekor/hr x 16 ekor x 49 hari = 388.08 mg =784 cc

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LAMPIRAN 2. HASIL PENGAMATAN DENSITAS SEL NK DAN EKSPRESI

GRANZYM B

Tabel 9: Tabulasi data densitas Sel NK

Kel La1 La2 La3 La4 La5 Rataa Lb1 Lb2 Lb3 Lb4 Lb5 ratab rataNK

K 1 6 4 6 5 6 5.4 6 6 6 5 6 5.8 5.6

K 2 5 6 5 4 6 5.2 6 4 6 5 6 5.4 5.3

K 3 6 6 5 3 5 5 5 6 6 6 5 5.6 5

K 4 4 4 5 6 5 4.8 4 5 7 6 5 5.4 5.1

K 5 4 5 4 5 4 4.4 5 4 4 5 4 4.4 4.4

K 6 6 7 6 6 7 6.4 7 6 5 6 7 6.2 6.3

P1 1 10 7 10 10 8 9 8 9 10 10 8 9 9

P1 2 8 9 8 6 10 8.2 9 9 8 7 10 8.6 8.4

P1 3 8 8 8 8 8 8 9 8 7 8 8 8.8 8

P1 4 8 8 10 8 8 8.4 8 9 9 10 9 9 8.7

P1 5 9 10 8 8 10 9 8 10 8 8 9 8.6 8.8

P1 6 10 9 10 8 10 9.4 10 9 9 8 10 9.2 9.3

Tabel 10: Tabulasi data ekspresi granzym B

Kel La1 La2 La3 La4 La5 Rataa Lb1 Lb2 Lb3 Lb4 Lb5 ratab rataGR

K 1 10 8 11 10 8 9.4 10 9 10 9 9 9.4 9.4

K 2 12 12 11 9 10 10.8 11 12 10 11 10 10.8 10.8

K 3 12 10 10 8 10 10 11 10 10 9 10 10 10

K 4 10 10 10 12 12 10.8 11 10 11 11 11 10.8 10.8

K 5 9 11 11 10 9 10 9 11 11 10 9 10 10

K 6 11 9 10 11 11 10.4 12 9 10 11 10 10.4 10.4

P1 1 14 12 8 10 13 11.4 14 11 9 11 12 11.4 11.4

P1 2 12 10 10 14 10 11.2 12 11 10 13 10 11.2 11.2

P1 3 10 12 12 10 10 10.8 11 11 12 10 10 10.8 10.8

P1 4 12 10 13 10 11 11.2 12 12 13 12 11 11.2 11.2

P1 5 12 10 14 12 11 11.8 12 11 13 11 12 11.8 11.8

P1 6 13 12 10 12 12 11.8 12 12 11 13 11 11.8 11.8

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LAMPIRAN 3. FOTO PENELITIAN

Gambar 12. Gambar hewan coba sedang diinduksi 1,2-dimethylhidrazine (kanan)

Gambar 13. Gambar hewan coba sedang mendapat perlakuan (kiri)

Gambar 14. Gambaran makroskopis adenokarsinoma kolorektalyang sudah diisolasi ( kanan dan kiri)

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LAMPIRAN 4. ANALISIS STATISTIK

SEL NATURAL KILLER

Case Processing Summary

Cases

Included Excluded Total

N Percent N Percent N Percent

Sel_NK * Kelompok 12 100.0% 0 .0% 12 100.0%

EXPLORE

RATA DENSITAS SEL_NK

Kelompok N Mean Median Minimum Maximum Sum Variance Std. Deviation

Kontrol 6 5.283 5.200 4.4 6.3 31.7 .406 .6369

P1 6 8.700 8.750 8.0 9.3 52.2 .208 .4561

Total 12 6.992 7.150 4.4 9.3 83.9 3.463 1.8608

Tests of Normality

Kelompok

Kolmogorov-Smirnova Shapiro-Wilk

Statistic df Sig. Statistic Df Sig.

Sel_NK Kontrol .162 6 .200* .977 6 .936

P1 .167 6 .200* .987 6 .980

a. Lilliefors Significance Correction

*. This is a lower bound of the true significance.

Test of Homogeneity of Variance

Levene Statistic df1 df2 Sig.

Sel_NK Based on Mean .344 1 10 .570

Based on Median .328 1 10 .579

Based on Median and with

adjusted df

.328 1 8.765 .581

Based on trimmed mean .344 1 10 .571

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RATA –RATA DENSITAS SEL NK KELOMPOK KONTROL

RATA –RATA DENSITAS SEL NK KELOMPOK PERLAKUAN

.

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BOX PLOT KELOMPOK KONTROL DAN PERLAKUAN

UJI KOMPARASI DENGAN INDEPENDENT T TESTLevene's Test for Equality of Variances t-test for Equality of Means

95% Confidence Interval of the

Difference

F Sig. t dfSig. (2-tailed)

Mean Difference

Std. Error Difference Lower Upper

Sel_NK Equal variances assumed .344 .570 -10.683 10 .000 -3.4167 .3198 -4.1292 -2.7041

Equal variances not assumed -10.683 9.060 .000 -3.4167 .3198 -4.1394 -2.6939

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GRANZYM B

Case Processing Summary

Cases

Included Excluded Total

N Percent N Percent N Percent

Granzyme_B * Kelompok 12 100.0% 0 .0% 12 100.0%

EXPLORE

.

Tests of Normality

Kelompok

Kolmogorov-Smirnova Shapiro-Wilk

Statistic df Sig. Statistic df Sig.

Granzyme_B Kontrol .185 6 .200* .913 6 .459

P1 .201 6 .200* .912 6 .452

a. Lilliefors Significance Correction

*. This is a lower bound of the true significance.

Test of Homogeneity of Variance

Levene Statistic df1 df2 Sig.

Granzyme_B Based on Mean .952 1 10 .352

Based on Median .899 1 10 .365

Based on Median and with

adjusted df

.899 1 9.648 .366

Based on trimmed mean .950 1 10 .353

RATA EKSPRESI GRANZYM B

Kelompok N Mean Median Minimum Maximum Sum Variance Std. Deviation

Kontrol 6 10.233 10.200 9.4 10.8 61.4 .295 .5428

P1 6 11.367 11.300 10.8 11.8 68.2 .151 .3882

Total 12 10.800 10.800 9.4 11.8 129.6 .553 .7435

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RATA –EKSPRESI GRANZYM B KELOMPOK KONTROL

RATA –EKSPRESI GRANZYM B KELOMPOK PERLAKUAN

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BOX PLOT KELOMPOK KONTROL DAN PERLAKUAN

UJI KOMPARASI DENGAN INDEPENDENT T TESTLevene's Test for Equality of

Variances t-test for Equality of Means

95% Confidence

Interval of the Difference

F Sig. t dfSig. (2-tailed)

Mean Difference

Std. Error Difference Lower Upper

Granzyme_B Equal variances assumed .952 .352 -4.160 10 .002 -1.1333 .2724 -1.7404 -.5263

Equal variances not assumed

-4.160 9.053 .002 -1.1333 .2724 -1.7491 -.5176

UJI KORELASI DENGAN UJI PEARSON

Sel_NK Granzyme_B

Sel_NK Pearson Correlation 1 .819**

Sig. (2-tailed) .001

N 12 12

Granzyme_B Pearson Correlation .819** 1

Sig. (2-tailed) .001

N 12 12

**. Correlation is significant at the 0.01 level (2-tailed).

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LAMPIRAN 5. ETHICAL CLEARANCE