YAY YAYASAN KARYA K ARYA HUSADA HUSA DA KEDIRI KE DIRI KEPUTUSAN MENKUMHAM RI NOMOR : AHU-5902.AH.01.04. Tahun 2011
KOMISI ETIK PENELITIAN STIKES KARYA HUSADA KEDIRI Jl. Soea!no Ha""a No. # Tel$. %0&54' &99912 (a) &9&*** Pa!e Ke+,!, .",e-he+,!,.a/.,+
KETERANGAN KELAIKAN ETIK
No.
E PPM KH 3 2015
200#
Se"elah T, E", Penel,",an e$elaa!, +en6an eaa !an/an6an $enel,",an 7an6 +,uulan8 :
PEN PENAR ARUH UH PERA PERA ATAN UKA UKA ;EN ;ENAN AN MENUNA MENUNAKAN KAN ETA ETAH
Ju+ul $!o$oal
:
Ke"ua Penel,",
:
,+a ,/aana
P!o+,
:
S1 Ke$e!aa"an
In","u,
:
STIKES Ka!7a Hua+a Pa!e Ke+,!,
Te$ Te$a" a" Penel, Penel,",a ",an n
:
a>o!a a>o!a"o! "o!,u ,u S",e S",e Ka!7a Ka!7a Hua+a Hua+a Pa!e Pa!e Ke+,!, Ke+,!,
Maa +en6an ,n, en7a"aan >aha $enel,",an "e!e>u" "elah eenuh, 7a!a" e",.
Ke+,!,8 Ke"ua Ko,, E", Penel,",an8
T,n",n Ha!,7an,8 S.S,T.8 M.Ke. NIK. 0#&12*0200201 0#&12*0200201
FORMULIR ETIK PENELITIAN KESEHATAN ANIMAL RESEARCH
Naa $e>,>,n6 : 1. N. Mo/h. Ma?"u/hul Hu+a8 SK$.8M.Ke$.8S$.Ko 2. a@,ana N,"a u+7an",8 S.Ke$.8 N.8 M.Ke$
Naa $enel,", 1. ,+a ,/aana
1. Tujuan : o
Penel,",an
o
Pela",han "!a,n,n6
o
Pe>,aan
o
a,n-la,n : ...............................................................................................................
2. Waktu pn!"t"an :
a"u $enel,",an elaa 1 >ulan #. Data $%an &'(a :
S$e,e
: T,u $u",h (Rattus Novergicus)
Uu!
: &
Jen, ela,n : Jan"an
:&00-450 6!a
Julah
: 1*
). Ma*a!a$ t"k +an, -un,k"n akan "$aap" :
T,+a a+a8 a!ena ",u $u",h % Rattus norvegicus' e!u$aan alah a"u hean $e!/o>aan 7an6 $al,n6 e!,n6 +,6unaan +ala $enel,",an oleh a!ena e,l,, "!u"u!ana"o,8 ?,,olo6, +an h,"olo6, o!6an 7an6 e/a!a ,"ea", ha$,! aa +en6an o!6an anu,a. Sela,n ,"u8 ",u $u",h le>,h u+ah +,+a$a"an8 le>,h u+ah +,$el,ha!a8 le>,h /e$a" >e!e>an6 ena+, +eaa8 ",+a
e$e!l,ha"an $e!a,nan u,an +an uun7a le>,h u+ah >e!e>an6 >,a. /. P0'*u0 pn!"t"an 0kun*" p0!akuan3 '*"*3 an t"nakan4
P!oe+u! ",n+aan eua, +en6an SOP8 ",u +, $e!lauan >a,8 +, !aa" e/a!a "e!a"u!8 +o, en66unaan +o, aan & l. 5. 6a$a+a p'tn*"a! an &a0a -n,ata*" kja"an t0*(ut n+0" an 0a*a *ak"t paa $%an4 :
Se>elu +,lauan ",n+aan ,n,, $a+a $un66un6 ",u $u",8 un"u en6a"a, n7e!, $a+a hean aan +, lauan ana"e, "e!le>,h +ahulu eua, +en6an SOP 7. Pn,a!a-an t0a$u!u *n"0" atau '0an, !a"n4 a0" t"nakan +an, akan "!akukan :
Me>an+,n6an $en6alaan $enel,",an e>elun7a +en6an hal 7an6 >a!u 7an6 aan +,lauan. 8. 6a,a"-ana &a0a --"!"$ $%an +an, *$at9
a!a $e,l,han hean $e!/o>aan 7a,"u ",u an"an +en6an uu! & >ulan +an e,l,, >e!a" >a+an &50-400 6!a. T,u ",+a en6ala, "an+a-"an+a "!e e$e!", ",+a au aan +an ",+a a",? >e!6e!a. . ;"ka -n,,unakan $%an *ak"t j!a*kan "a,n'*a an *"apa +an, (0tan,,un, ja%a( -0a%atn+a. 6"!a -n,,unakan $%an *$at j!a*kan &a0a p-0"k*aan k*$atann+a.
a!a $ee!,aan hean +en6an /a!a o>e!@a, ea+aan hean e",a$ ha!,8 a+aah "an+a "!e8 ",+a au aan a"au $enu!unan >e!a". ;,a6noa n7e!, +an ,n?e, +an 7an6 >e!"an66un6 aa> e!aa" a+alah $enel,",. 1<. ;!a*kan &a0a pn&atatan *!a-a pn!"t"an3 t0-a*uk k *a-p"n, an k'-p!"ka*" ("!a aa.
Ko$l,a, 7an6 "e!a+, a+alah ,n?e, $a+a lua a!ena ",n+aan u!an6 ae$", +an l,n6un6an 7an6 o"o!. 11. 6a,a"-ana --p0!akukan $%an &'(a ("!a aa ,ja!a k *a-p"n,9
Melauan $e!aa"an lua e/a!a ,n"en,? +an ena6a e"e!,lan lua +an l,n6un6an an+an6 12. 6a,a"-ana &a0a -n,a-ankan $%an a,a0 t"ak -n,,an,,u !"n,kun,an *k"ta09
Hean +, "e$a"an $a+a an+an6 7an6 u+ah "e!e+,a8 a+, ",+a aan a$a, >e!el,a!an elua! 1#. H%an &'(a *t!a$ "p0,unakan3 apaka$ "-u*na$kan9 6a,a"-ana &a0a --u*na$kan $%an &'(a9
;,6unaan e>a6a, $aan "e!na8 a"au +, e>al,an e ala
RINGKASAN USULAN PENELITIAN
R"n,ka*an
ua a+alah ua"u ea+aan "e!$u"un7a on",nu,"a ua"u a!,n6an "u>uh8 7an6 +a$a" en7e>a>an "e!6an66un7a ?un6, "u>uh eh,n66a +a$a" en66an66u a",?,"a eha!,ha!,. ua "e!on"a,na, a+alah lua 7an6 "e!a+, a,>a" >en+a "aa 7an6 e,l,, ,, "aa a"au "u$ul 7an6 en6a,>a"an !uan7a a!,n6an ul," 7an6 ",+a un6,n +,lauan $enu"u$an lua +en6an ah,"an 7an6 "elah "e!$a$a! oleh >a"e!, a"au @,!u. Se/a!a "!a+,,onal eulah "anaan +an hean "elah +,6unaan un"u en/e6ah $e!a+an6an +an $en7e>uhan lua. Salah a"un7a "anaan 7an6 +a$a" +,a+,an e>a6a, $en6o>a"an lua a+alah 6e"ah >a"an6 "anaan 7o+,u (Jatropa multifida L). Tuuan $enel,",an ,n, 7a,"u un"u en6e"ahu, $en6a!uh $e!aa"an lua +en6an 6e"ah >a"an6 "anaan 7o+,u $a+a $!oe $en7e>uhan lua "e!>ua Penel,",an ,n, en66unaan hean u, ",u 7an6 +,>en"u +ua elo$o $e!lauan8 elo$o $e!"aa +en6an $e!lauan 6e"ah >a"an6 "anaan 7o+,u8 elo$o e +ua "an$a 6e"ah >a"an6 "anaan 7o+,u. ;,>ua" lua ,n,, $a+a $un66un6 ",u +en6an $anan6 lua ±2
/ +an e+alaan lua ± 2 +en6an en66unaan $,au >e+ah. ua +,lauan
$en,la,an e",a$ ha!, eua, ?ae $en7e>uhan lua8 7an, ,n?laa,8 $!ol,?e!a, +an a"u!a, +en6an e"en"uan e>uh ,a lua u+ah au $a+a ?ae a"u!a,.
Ka"a un/,: ua "e!on"a,na,8 e"ah >a"an6 "anaan 7o+,u
P0n+ataan an tana tan,an
=an6 >e!"an+a "an6an +, >aah ,n, : Naa
: I;A IAKSANA
Ja>a"an
: Maha,a
a6a,
: Ke"ua $elaana
Ju+ul $enel,",an
:
PENARUH PERAATAN UKA ;ENAN MENUNAKAN ETAH
Telah e>a/a8 en6,, +an en6e!", "en"an6 ,, ?o!ul,! ,n, +an >e!"an66un6 aa> "e!ha+a$ $elaanaan $enel,",an "e!e>u" +, a"a.
Ke+,!,8 Tan+a "an6an Ke"ua $elaana8
%I;A IAKSANA' NIM NIP.201401102
