FKG Unair - Undergraduate-Thesis-Writing-Manual

UNDERGRADUATE THESIS WRITING MANUAL
Faculty of Dental Medicine

Universitas Airlangga
UNDERGRADUATE THESIS
WRITING MANUAL
FACULTY OF DENTAL MEDICINE

UNIVERSITAS AIRLANGGA
FOREWORD
Glory be to God Almighty for all the blessings so that finally this book
is completed. This book, Undergraduate Thesis Writing Manual and e-
Article Writing Format, serves as the official guidelines for all faculty
members of the Faculty of Dental Medicine Universitas Airlangga in writing
and formatting undergraduate theses and/or scientific e-articles. This book
is expected to help ensuring uniformity of all undergraduate theses and
scientific e-articles written and/or published by the faculty.
Undergraduate thesis is a module that gives students learning
experiences in composing written scientific works by applying attitudes,
ways of thinking, and scientific methods to solve problems related to dental
medicine. E-article gives students opportunity to compose scientific
writings. Students are then expected to present and defend their works to
meet the requirements to obtain the bachelor degree.
We put great hope that this book will be useful for both students and
thesis advisers. Finally, we would also like to mention our gratitude to the
SP4 team and Research Proposal and Undergraduate Thesis Writing SOP
team for their invaluable contributions in the completion of this book.
Surabaya, December 2015

Dean,
Dr. R. Darmawan Setijanto, drg., M.Kes.

NIP. 196110051988031003
TABLE OF CONTENTS
Kata Pengantar ...........................................................................................

v
Keputusan Dekan Fakultas Kedokteran Gigi Universitas Airlangga
tentang Penyusun Pedoman Penulisan Skripsi dan Pedoman
Pembimbingan Skripsi Program Studi Sarjana Kedokteran Gigi ....... ix
Keputusan Dekan Fakultas Kedokteran Gigi Universitas Airlangga
tentang Pedoman Penulisan Skripsi Dan Pedoman Pembimbingan
Skripsi Program Studi Sarjana Kedokteran Gigi ................................... xiii
BAB 1 KERANGKA SISTEMATIKA PENULISAN PROPOSAL

SKRIPSI DAN SKRIPSI ................................................................... 1
A. Bagian Awal Penulisan Proposal Skripsi Dan Skripsi .... 2
1. Halaman Sampul Depan ............................................... 2
2. Halaman Sampul Dalam .............................................. 3
3. Halaman Pengesahan .................................................... 3
4. Halaman Penetapan Panitia Penguji ........................... 3
5. Halaman Ucapan Terima Kasih ................................... 4
6. Abstrak ............................................................................ 4
7. Halaman Daftar Isi ......................................................... 5
8. Halaman Daftar Tabel ................................................... 5
9. Halaman Daftar Gambar .............................................. 6
10. Halaman Daftar Lampiran .......................................... 6
11. Daftar Singkatan ............................................................ 6
B. Bagian Inti Penulisan Proposal Skripsi dan Skripsi ........ 6
Bab 1. Pendahuluan ............................................................ 6
1.1 Latar Belakang Masalah ............................... 7
1.2 Rumusan Masalah ......................................... 7
1.3 Tujuan ............................................................. 7
1.4 Manfaat ........................................................... 7
Bab 2. Tinjauan Pustaka ..................................................... 8
Bab 3. Kerangka Konseptual dan Hipotesis Penelitian .. 8
3.1 Kerangka Konseptual Penelitian ................ 8
3.2. Hipotesis (bila ada) ....................................... 8
Bab 4. Metode Penelitian ................................................... 9
4.1 Jenis Penelitian ............................................... 9
4.2 Rancangan Percobaan ................................... 9
4.3 Populasi ......................................................... 9
4.4 Sampel ............................................................. 9
4.5 Vari abel Penelitian ....................................... 10
vii
4.6 Definisi Operasional Variabel ..................... 10
4.7 Instrumen Penelitian ..................................... 10
4.8 Lokasi dan Waktu Penelitian ....................... 10
4.9 Bahan dan Alat .............................................. 10
4.10 Cara Kerja ....................................................... 11
4.11 Prosedur Pengambilan atau Pengumpulan
Data ................................................................. 11
4.12 Pengolahan dan Analisis Data .................... 11
Bab 5. Hasil Penelitian ....................................................... 11
5.1 Data Penelitian ............................................... 11
5.2 Analisis Hasil Penelitian .............................. 12
Bab 6. Pembahasan ............................................................ 12
Bab 7. Simpulan dan Saran ............................................... 12
C. Bagian Akhir ......................................................................... 13
1. Daftar Pustaka ................................................................ 13
2. Lampiran ....................................................................... 13
Bab 2 TATA PENULISAN, CARA MERUJUK DAN MENULIS

DAFTAR PUSTAKA UNTUK PROPOSAL SKRIPSI DAN
SKRIPSI ..........................................................................................
15
2.1 Tata Penulisan ....................................................................... 15
2.1.1 Bahasa dan Tanda Baca .......................................... 15
2.1.2 Kertas dan Sampul .................................................. 15
2.1.3 Pengetikan naskah .................................................. 15
2.1.4 Jarak tepi .................................................................. 16
2.1.5 Nomor halaman ...................................................... 16
2.1.6 Tabel dan Gambar .................................................. 16
2.2 Cara Merujuk ........................................................................ 17
2.2.1 Cara Mengutip Teks ............................................... 17
2.2.2 Cara Menulis Daftar Pustaka ................................ 17
LAMPIRAN ................................................................................................ 19
KEPUTUSAN
DEKAN FAKULTAS KEDOKTERAN GIGI
Nomor 164/UN3.1.2/2015
Tentang
PENYUSUN PEDOMAN PENULISAN SKRIPSI

PROGRAM STUDI SARJANA KEDOKTERAN GIGI

Menimbang : a. bahwa dalam rangka untuk menunjang kelancaran

pelaksanaan pendidikan dalam penulisan skripsi di Fakultas
Kedokteran Gigi Universitas Airlangga dipandang perlu
untuk menetapkan Penyusun Pedoman Penulisan Skripsi;
b. bahwa nama-nama yang tercantum dalam lampiran

Keputusan ini memenuhi syarat dan cakap dalam
menangani tugas tersebut;
c. bahwa berdasarkan pertimbangan
sebagaimana dimaksud pada huruf a dan b,
perlu membentuk Keputusan Dekan tentang
Penyusun Pedoman Penulisan Skripsi Program
Studi Sarjana Kedokteran Gigi.
Mengingat : 1. Undang-Undang Nomor 20 tahun 2003 tentang

Sistem Pendidikan Nasional;
2. Undang-Undang Republik Indonesia Nomor 29
tahun 2004 tentang Praktik Kedokteran;
tahun 2012 tentang Pendidikan Tinggi;
4. Peraturan Pemerintah Nomor 30 tahun 2006 tentang
Penetapan Universitas Airlangga sebagai Badan
Hukum Milik Negara;
5. Keputusan Menteri Pendidikan Nasional RI Nomor
232/U/2000 tentang Panduan Penyusunan
Kurikulum Pendidikan Tinggi dan Penilaian Hasil
Belajar Mahasiswa;
6. Keputusan Menteri Pendidikan Republik Indonesia
Nomor 045/U/2002 tentang Kurikulum Inti
Pendidikan Tinggi;
7. Keputusan Konsil Kedokteran Indonesia Nomor 22/
KKI/XI/2006 tentang Standar Pendidikan Profesi
Dokter Gigi;
8. Keputusan Konsil Kedokteran Indonesia Nomor 23/
KKI/XI/2006 tentang Standar Kompetensi Dokter
Gigi Indonesia;
9. PanduanPelaksanaanKurikulumNasionalPendidikan
Dokter Gigi Indonesia Berbasis Kompetensi tahun 2007
Konsil Kedokteran Indonesia;
10. Peraturan Rektor Universitas Airlangga Nomor
11/H3/PR/2009 tentang Peraturan Pendidikan
Universitas Airlangga;
09/H3/PR/2010 tentang Perubahan atas
Peraturan Rektor Universitas Airlangga Nomor
25/H3/PR/2011 tentang Perubahan Kedua
atas Peraturan Rektor Universitas Airlangga
Nomor 11/H3/PR/2009 tentang Peraturan
Pendidikan Universitas Airlangga;
5/H3/PR/2012 tentang Perubahan Ketiga atas
26/H3/KR/2011 tentang Organisasi dan Tata
Kerja Universitas Airlangga;
15. Keputusan Rektor Universitas Airlangga Nomor
1278/KR/2010 tentang Pengangkatan Dekan
dan Direktur Program Pascasarjana periode
2010-2015;
16. Keputusan Rektor Universitas Airlangga Nomor
2496/H3/KR/2011 tentang Penetapan
Kurikulum Program Studi pada Fakultas
Kedokteran Gigi Universitas Airlangga.
MEMUTUSKAN
Menetapkan : PENYUSUN PEDOMAN PENULISAN SKRIPSI

Pertama : Menugaskan kepada pengajar Fakultas Kedoketran
Gigi Universitas Airlangga yang namanya tercantum
dalam daftar terlampir, untuk menyusun Pedoman
Penulisan Skripsi Dan Pedoman Pembimbingan
Skripsi Program Studi Sarjana Kedokteran Gigi.
Kedua : Keputusan ini mulai berlaku pada tanggal ditetapkan
dengan ketentuan bahwa apabila dikemudian hari
ternyata terdapat kekeliruan dan atau kekurangan,
maka akan diperbaiki sebagaimana mestinya
Ditetapkan di : Surabaya
Pada tanggal : Desember 2015
Dekan,

NIP. 196110051988031003
LAMPIRAN KEPUTUSAN DEKAN FAKULTAS KEDOKTERAN GIGI
Nomor : /UN3.1.2/2015 Tanggal 15 Juli 2015
Tentang : Penyusun Pedoman Penulisan Skripsi dan Pedoman
Pembimbingan Skripsi Program Studi Sarjana
Kedokteran Gigi
Nara Sumber:
1. Dr. R. Darmawan Setijanto, drg., M.Kes.
2. Prof. Dr. Anita Yuliati, drg., M.Kes.
3. Devi Rianti, drg., M.Kes.
4. Dr. Ira Widjiastuti, drg., M.Kes., Sp.KG(K).
5. Wahjuni Widajati, drg., MS., Sp.Pros(K).
6. Maretaningtias Dwi Ariani, drg., M.Kes., Ph.D.
7. Titien Hary Agustantina, drg., M.Kes.
8. Udijanto Tedjosasongko, drg., Ph.D., Sp.KGA(K).
9. Yuliati, drg., M.Kes.
Dekan,

NIP. 196110051988031003
KEPUTUSAN
Nomor 165/UN3.1.2/2015
Tentang
PEDOMAN PENULISAN SKRIPSI


Menimbang : a. bahwa dalam rangka untuk menunjang kelancaran

pelaksanaan pendidikan dalam penulisan skripsi dan
pembimbingan skripsi Fakultas Kedokteran Gigi
Universitas Airlangga dipandang perlu untuk
menetapkan Pedoman Penulisan Skripsi dan Pedoman
Pembimbingan Skripsi;
b. bahwa untuk keperluan huruf (a) tersebut,

perlu membentuk Keputusan Dekan tentang
Pedoman Penulisan Skripsi dan Pedoman
Pembimbingan Skripsi Program Studi Sarjana
Kedokteran Gigi Fakultas Kedokteran Gigi
Universitas Airlangga.
Mengingat : 1. Undang-Undang Nomor 20 tahun 2003 tentang

Sistem Pendidikan Nasional;
tahun 2004 tentang Praktik Kedokteran;
tahun 2012 tentang Pendidikan Tinggi;
4. Peraturan Pemerintah Nomor 30 tahun 2006
tentang Penetapan Universitas Airlangga
sebagai Badan Hukum Milik Negara;
5. Menteri Pendidikan Nasional RI Nomor
232/U/2000 tentang Panduan Penyusunan
Kurikulum Pendidikan Tinggi dan Penilaian Hasil
Belajar Mahasiswa;
6. Keputusan Menteri Pendidikan RI Nomor 045/
U/2002 tentang Kurikulum Inti Pendidikan
Tinggi;
7. Keputusan Konsil Kedokteran Indonesia
Nomor 22/ KKI/XI/2006 tentang Standar
Pendidikan Profesi Dokter Gigi;
8. Keputusan Konsil Kedokteran Indonesia
Nomor 23/ KKI/XI/2006 tentang Standar
Kompetensi Dokter Gigi Indonesia;
9. Panduan Pelaksanaan Kurikulum Nasional
PendidikanDokterGigiIndonesiaBerbasisKomp
etensi tahun 2007 Konsil Kedokteran Indonesia;
09/ H3/PR/2010 tentang Perubahan atas
11/H3/ PR/2009 tentang Peraturan Pendidikan
25/H3/PR/2011 tentang Perubahan Kedua atas
5/H3/PR/2012 tentang Perubahan Ketiga atas
26/ H3/KR/2011 tentang Organisasi dan Tata
Kerja Universitas Airlangga;
15. Keputusan Rektor Universitas Airlangga
Nomor 1278/KR/2010 tentang Pengangkatan
Dekan dan Direktur Program Pascasarjana
periode 2010-2015;
16. Keputusan Rektor Universitas Airlangga
Nomor 2496/H3/KR/2011 tentang Penetapan
Kurikulum Program Studi pada Fakultas
Kedokteran Gigi Universitas Airlangga.
MEMUTUSKAN
Menetapkan : PEDOMAN PENULISAN SKRIPSI PROGRAM
STUDI SARJANA KEDOKTERAN GIGI
Pertama : Menetapkan Pedoman Penulisan Skripsi Program
Studi Sarjana Kedokteran Gigi sebagaimana tercantum
dalam Lampiran Keputusan ini.
Kedua : Pedoman Penulisan Skripsi berlaku untuk semua
mahasiswa dan dosen pembimbing Skripsi Program
Studi Sarjana Kedokteran Gigi Fakultas Kedokteran
Gigi Universitas Airlangga.
Ketiga : Keputusan ini berlaku sejak tanggal Desember
2015 dengan catatan apabila dikemudian hari
ternyata terdapat kekeliruan dan atau kekurangan
dalam penetapan ini akan ditinjau dan diperbaiki
sebagaimana mestinya.
Dekan,
Dr. R. Darmawan Setijanto, drg.,

M.Kes.
NIP. 196110051988031003
LAMPIRAN KEPUTUSAN DEKAN FAKULTAS KEDOKTERAN
GIGI
Nomor : 165/UN3.1.2/2015 TANGGAL 15 JULI 2015
Tentang : Pedoman Penulisan Skripsi Program Studi
Sarjana Kedokteran Gigi
Chapter 1
SYSTEMATICAL OUTLINE OF
PROPOSAL AND UNDERGRADUATE THESIS WRITING
Systematically, research proposal and undergraduate thesis are

outlined as the followings:
A. FRONT MATTER
The front matter of an undergraduate thesis is composed of:
1. Outer cover
2. Inner cover
3. Approval sheet
4. Board of examiners appointment sheet
5. Acknowledgment
6. Abstract
7. Table of contents
8. List of tables
9. List of figures
10. List of appendices
11. List of abbreviations
B. CONTENT
The content of an undergraduate thesis is composed of:
CHAPTER 1. INTRODUCTION
1.1 Background of the
Study
1.2 Statement of the
Problem
1.3 Objectives of the
Study
1.3.1 General
Objectives
1.3.2 Specific
Objectives
1.4 Significance of the
Study
BAB 2. LITERATURE REVIEW
BAB 3. CONCEPTUAL FRAMEWORK AND RESEARCH
HYPOTHESES
BAB 4. RESEARCH METHODS
BAB 5. RESULTS
5.1 Results of the Study
5.2 Results Analysis
BAB 6. DISCUSSION
BAB 7. CONCLUSION AND RECOMMENDATION
7.1 Conclusion
7.2 Recommendation
C. BACK MATTER
The back matter of an undergraduate thesis is composed
of:
1. References
2. Appendices
A. FRONT MATTER
1. Outer Cover
The outer cover is composed of the followings:
a. Title (Times New Roman 16, uppercase, bold, center aligned,
single spaced).
1. Functions to draw interest and reflect the issue in
discussion
2. Illustrates the main idea of the writing briefly and shortly
3. Is not more than 12 words, but not too short nor too
specific
4. Contains researched variables for the easing of
assessment and answering the proposed problem
b. Phrases ‘PROPOSAL SKRIPSI’ or ‘SKRIPSI’ (Times New
Roman 22, uppercase, bold, center aligned).
c. Logo of Universitas Airlangga (according to the statute of
Universitas Airlangga) center aligned with a diameter of 5.5
cm.
d. Word ‘Oleh’ followed by a colon [:] (Times New Roman 14,
sentence case, bold, center aligned).
e. Name of the student (Times New Roman 14, uppercase, bold,
underlined, center aligned).
f. Word ‘NIM’ and then followed by the student number (Times
New Roman 14, bold, center aligned).
g. Phrases ‘FAKULTAS KEDOKTERAN GIGI, UNIVERSITAS
AIRLANGGA, SURABAYA,’ completion year written one
below another (Times New Roman 16, uppercase, bold, center
aligned).
h. This page is bound in white softcover for proposals and
yellow hardcover for undergraduate theses (see: appendix 1a
and 1b).
i. The top spine of the bound mentions name and student
number; the middle part mentions the title; and the bottom
spine mentions the year of completion.
2. Inner Cover
The inner cover has the same content with the outer cover but
printed on an 80 gsm A4 paper. This is the first page numbered in
roman (i, ii, iii, iv, and so on) until the List of Appendices.
3. Approval Sheet
The approval sheet consists of:
a. Phrase LEMBAR PENGESAHAN (Times New Roman 12,
huruf uppercase, bold, center aligned).
b. Title (Times New Roman 16, uppercase, bold, center aligned).
c. Phrases PROPOSAL SKRIPSI or SKRIPSI (Times New Roman
20, uppercase, bold, center aligned).
d. Clause Diajukan Sebagai Salah Satu Syarat Untuk
Menyelesaikan
Pendidikan Dokter Gigi Di Fakultas Kedokteran Gigi
Universitas Airlangga Surabaya (Times New Roman 14,
capitalize each word, bold, center aligned).
e. Word Oleh followed by an semi colon [:] (Times New Roman
14, sentence case, bold, center aligned).
f. Student name (Times New Roman 14, uppercase, bold,
underlined, center aligned)
g. Word NIM followed by student number (Times New Roman
14, uppercase, bold, center aligned)
h. Word Menyetujui (Times New Roman 14, sentence case, bold,
center aligned)
i. Phrase Pembimbing Utama: lower left, followed with a column
for signature, full name with title, and NIP (Times New Roman 14,
bold, underlined).
j. Phrase Pembimbing Serta: lower right, in line with
Pembimbing Utama, followed with a column for signature, full
name with title, and NIP (Times New Roman 14, bold,
underlined).
k. Phrases FAKULTAS KEDOKTERAN GIGI, UNIVERSITAS
AIRLANGGA, SURABAYA and completion year (Times
New Roman 16, uppercase, bold, center aligned) (see:
appendix 3a and 3b).
4. Board of Examiners Appointment Sheet
The Board of Examiners Appointment Sheet consists of:
a. Phrase PENETAPAN PANITIA PENGUJI PROPOSAL
SKRIPSI atau SKRIPSI (Times New Roman 16, uppercase, bold).
b. Sentence Skripsi ini telah diuji pada [date] [month] [year]
(Times New Roman 14, bold, sentence case).
c. Phrase PANITIA PENGUJI PROPOSAL SKRIPSI or
SKRIPSI (Times New Roman 14, uppercase, bold).
d. Complete names and titles of all the proposal examiners in
the following order: Ketua Penguji/Pembimbing Utama (lead
examiner), Sekretaris Penguji/Pembimbing Serta (second
examiner), 3 (three) Anggota Penguji (members of the board
of examiners) (Times New Roman 14, bold, double space), see:
appendix 4a.
Complete names and titles of all the undergraduate thesis
examiners in the following order: Ketua Penguji, Sekretaris
Penguji, Anggota Penguji, Pembimbing Utama/Anggota
Penguji, Pembimbing Serta/Anggota Penguji (Times New Roman
14, bold, double space), see: appendix 4b.
5. Acknowledgment
Acknowledgment is only written for undergraduate thesis and
consists of the followings:
a. Statement of gratitude to all parties that contribute in the
completion of the undergraduate thesis, starting from the
dean, head of department, lead adviser and second adviser,
other units or institutions, other parties who could not be
named in person (consultants, lab technicians, and parents).
b. Phrase UCAPAN TERIMA KASIH (Times New Roman 12,
uppercase, bold, center aligned, double space).
c. No longer than 2 (two) pages of A4 paper.
d. Word Surabaya, [month] [year of completion] at the end of
the text (bottom right corner), and then continued with the
word Penulis under it. See: appendix 5.
6. Abstract
Abstract is only written for undergraduate thesis and consists of:
a. Word ABSTRACT (for abstract in English) and ABSTRAK
(for abstract in Bahasa Indonesia) (Times New Roman 12, bold,
center aligned).
b. Title of the abstract written at the center of the page, in
uppercase and bold. Title in English or other foreign
languages must be italicized.
c. Abstract is written in both English and Bahasa Indonesia with
no more than 250 words and contains a brief summary of the
entire work encasing the background, purposes, methods,
results and conclusions (Times New Roman 12, single space,
italicized for English and other foreign languages)
d. The content of the Bahasa Indonesia and the English versions
must be the same.
e. Part of the abstract about background must be identified with the
word Background: (for English) and word Latar Belakang: (for
Bahasa Indonesia), continued with Purpose: or Tujuan:;
Methods: or Metode:; Result: or Hasil:; and Conclusion: or
Simpulan:.
f. The last line of the abstracts are keywords written all in
English, starting with the word Keywords: (bold and
italicized) for abstract in English and the word Kata kunci:
(bold) for abstract in Bahasa Indonesia, see: appendix 6a and
6b.
7. Table of Contents
Table of contents consists
of:
a. All parts of the undergraduate thesis, including chapters, sub-
chapters, and sections along with the page numbers.
b. All chapter titles are in uppercase, while sub-chapters’ and
sections’ are capitalized.
c. Double space between chapters.
d. Single space between sub-chapters.
e. All chapter and sub-chapter titles must be the same with the
ones in the body of the writing.
f. Written in justified alignment, see: appendix 7.
8. List of Tables
List of tables consists of:
a. Table numbers, table titles, and page numbers.
b. Table titles taking more than 1 line are in single space.
c. Between one table title and another is given double space.
d. Table titles written in the list must be the same with the ones
in the writing.
e. Written in justified alignment, see: appendix 8.
9. List of Figures
List of figures consists of:
a. Figure numbers, figure titles, and page numbers.
b. Figure titles taking more than 1 line are in single space.
c. Between one figure title and another is given double space.
d. Figure titles written in the list must be the same with the ones
in the writing.
e. Written in justified alignment, see: appendix 9.
10. List of Appendices
List of appendices consists
of:
a. Appendix number, appendix title, and page number.
b. Appendix titles taking more than 1 line are in single space.
c. Between one appendix title and another is given double
space.
11. List of Abbreviations
List of abbreviations consists of all abbreviations used in the
writing, see: appendix 14
B. CONTENT
The content of the proposal or undergraduate thesis are as follow:
CHAPTER 1. INTRODUCTION
Introduction is the description of what the study is and why is it done. It
consist of background of the study, statement of the problems, objective of
the study, and significance of the study written as follow:
a. Introduction is the part of chapter 1 and numbered as page 1.
b. Word BAB 1 is written at the center, 3 cm from the top end of the
paper in uppercase and bold without period.
c. Chapter title PENDAHULUAN written in uppercase, bold, and
double space below BAB 1 without period.
d. Sub-chapter titles are given twice double space below the chapter
title, bold and with each word being capitalized.
1.1 Background of the Study (Latar Belakang)

Background of the study describes the gap between the theories and
real world phenomena. This part also describes what issues arise from
the gap and why they are important to be discussed in the academic
context.
1.2 Statement of the Problem (Rumusan Masalah)
Statement of the problem is a concise and clear statement of the
scope of the proposed problem(s) written as question without
question mark.
1.3 Objective of the Study (Tujuan)
This part states the observable and measurable objectives of the
proposal and/or the undergraduate thesis. Objective of the study
is categorized into:
1. General objective describes the targeted goals and
outcomes.
2. Specific objective describes the milestones of operational
goals in relation to the selected research variables.
1.4 Significance of the Study (Manfaat)
The significance refers to the contribution made by the study in
terms of science, so that it will be useful for the development of
science, technology, and art for the betterment of human
wellbeing.
CHAPTER 2. LITERATURE REVIEW

Literature review covers theory and previous studies being used as
references to conduct the study.
a. Word BAB 2 is written at the center, 3 cm from the top end of the
b. Chapter title TINJAUAN PUSTAKA written in uppercase, bold,
and double space below BAB 2 without period.
c. Sub-chapter titles are given twice double space below the
chapter title, bold and with each word being capitalized.
CHAPTER 3. CONCEPTUAL FRAMEWORK AND RESEARCH

HYPOTHESIS
b. Chapter title KERANGKA KONSEPTUAL DAN HIPOTESIS
PENELITIAN written in uppercase, bold, and double space below
BAB 3 without period.
c. Sub-chapter titles are given twice double space below the chapter
3.1 Conceptual Framework (Kerangka Konseptual Penelitian)

Consists of diagram or schematic of the interrelation of the
variables within the concept or paradigm of the research,
including previous studies.
3.2. Hypothesis (Hipotesis) (if any)
Hypothesis consists of scientific proposition derived from the
conceptual framework which serves as a preliminary answer to the
research problem.
CHAPTER 4. METHODS OF THE RESEARCH

b. Chapter title METODE PENELITIAN written in uppercase, bold,
Methods of the research cover the followings:

4.1 Types of Research (Jenis Penelitian)
Research for undergraduate thesis can be in form of descriptive or
explanative.
4.2 Research Design (Rancangan Percobaan)
Explanative research can be designed as randomized two-group
design, befor-after two-group design, solomon four group design,
or factorial design. In addition, it could also take form of
observational design, such as: crossectional, cohort, or case
control.
4.3 Population (Populasi)
Population is the generalized area of objects/subjects with the
predetermined quality and characteristic to be studied.
4.4 Sample (Sampel)
a. Sample is the representative part of the population.
b. Number of sample is decided using the number of
sample formula according to the research design.
c. Sampling technique is the method of sample extraction to be
used in the research.
4.5 Research Variable (Variabel Penelitian)
Research variable is an attribute or characteristic or value of a
person/object with a certain degree of variation, predetermined
by the researcher.
4.6 Working Definition of the Variables (Definisi Operasional
Variabel)
It is a description of the variable based on observable and
measureable features of the variable itself.
4.7 Research Instrument (Instrumen Penelitian)
It is the instrument used to measure the variable. Some of the
instruments are already established, while others have to be
designed by the researcher. Scales used for measurement are as
such: nominal scale, ordinal scale, interval scale, and ratio scale.
4.8 Location and Time of the Research (Lokasi dan Waktu

Penelitian)
Description of time and location of the research must be followed
with sufficient reasoning and justification.
4.9 Material and Equipment (Bahan dan Alat)
All the materials and equipment need to be stated and described
in details.
4.10 Work Flow (Cara Kerja)
Research with human subject, test animal, and/or listed biological
material must be submitted for ethical clearance. Work flow is
elaborated systematically, clear, and in appropriate order.
4.11 Procedure of Data Collection (Prosedur Pengambilan atau
Pengumpulan Data)
Procedure of data collection must be in accordance to the research
method and design.
4.12 Procedure of Data Analysis (Pengolahan dan Analisis Data)
The collected data then systematically analyzed to answer the
research question.
CHAPTER 5. RESULTS
b. Chapter title HASIL PENELITIAN written in uppercase, bold,
5.1 Research Data
This sub-chapter presents all results relevant to the objective and
hypothesis. Data can be presented in form of narration, counting
operation, curve, tables, or others.
5.2 Data Analysis

This sub-chapter presents only the data of the research. If
statistical analysis is used, then data analysis only presents the
final display showing the results. Print out of the statistical
processes is put as appendix.
CHAPTER 6. DISCUSSION
b. Chapter title PEMBAHASAN written in uppercase, bold, and
double space below BAB 6 without period.
Discussion chapter must at least include the followings:
a. Answer to the research question, or how the objective is obtained.
b. Meaning of the findings.
c. Dissemination of the findings to the specific group of sciences
d. Support or critique of an existing theory, modification of an
existing theory, or proposal for a new theory.
e. Description of further implication of the research findings,
including limitations and possible development in the future.
CHAPTER 7. CONCLUSION AND RECOMMENDATION

b. Chapter title CONCLUSION AND RECOMMENDATION
written in uppercase, bold, and double space below BAB 7
without period.
7.1 Conclusion (Simpulan)
Conclusion is not a summary. It must be directly related to the
problem statement and research objective.
7.2 Recommendation (Saran)
a. Based on result, discussion, and conclusion.
b. Should be in detail and operational statement, making it easy for
further research.
c. Can be directed to the university, government bodies, private
institutions, or other competent/related parties.
C. BACK MATTER
Back matter of the undergraduate thesis consists of:

1. References
a. Literature listed in the reference section must be cited inside
the text, and vice versa.
b. Literature to be used are textbooks and scientific articles
published within 5 years prior to the writing, with a
composition of 30% textbook and 70% scientific articles.
2. Appendix
Appendix consists of additional notes of information deemed
important for the research.
Chapter 2
WRITING FORMAT AND REFERENCING STYLE
2.1 WRITING FORMAT
2.1.1 Language and punctuation

Proposal and undergraduate thesis are written in academic Bahasa
Indonesia with the proper use of punctuation according to the
standardized format of Bahasa Indonesia (EYD).
2.1.2 Paper and cover

a. Body of the text uses white 80 gsm HVS A4 paper.
b. Outer cover uses yellow hardcover with embossed typing.
c. Inner cover uses white HVS paper with embossed typing.
2.1.3 Typing format

a. Texts are typed in double space and justified.
b. Title for graph, figure, table and schematic; references; and
abstract are typed in single space.
c. Font to be used in the text body is Times New Roman size 12 with
foreign words being italicized.
d. New paragraphs are indented 1 tab (5 characters).
e. Chapter body or sub-chapter title starts after 2 double space under
the chapter title.
f. Chapter body and the next sub-chapter title is to be given 3
spaces.
g. Sub-chapters are numbered as below (left-aligned):
1. .....................
1.1. ..................
1.1.2. ...............
1.1.2.1 ............
a. ................
1. ...............
2. ................
b. ...................
Numbering must not be more than 4 digits.
2.1.4 Margins
a. 3 cm top margin
b. 3 cm bottom margin
c. 4 cm left margin
d. 3 cm right margin
2.1.5 Page number

a. Front matter is numbered as lowercase Roman alphabet (i, ii, iii,
and so on). Pages with chapter title are numbered on the bottom
center, 4 spaces under the text. The rests of the text body are
numbered on the to-right corner.
b. Outer cover is not included in the numbering. Inner cover is
included, but the page number is not typed on the page.
c. Appendices are not numbered.
2.1.6 Tables and figures

a. Tables are numbered in Arabic according to the chapter in which
it is included, followed with the order of the table, also in Arabic
number. Example: Tabel 2.1 (the first table that appears in chapter 2).
b. Tables must be titled on top of it.
c. Figures are numbered in Arabic according to the chapter in which
it is included, followed with the order of the figure, also in Arabic
number. Example: Gambar 2.1 (the first figure that appears in
chapter 2).
d. Figures must be titled on the bottom.
e. Large tables or figures can be presented on larger folded paper.
f. Tables and figures taken from other sources must be cited.
2.2 REFERENCING STYLE

Faculty of Dental Medicine uses Harvard Referencing Style.
2.2.1 In-text citation
a. Write the name of the author, followed by the year of publication
and the page.
b. If more than one author are to be cited, the order follows the year
of publication (Smith 1991, p. 23; Brown 2003, p. 67).
c. State the page number whenever possible.
d. Details on in-text citation can be seen in Appendix 10.
2.2.2 Referencing
a. References only consists of literatures cited in the text.
b. References are alphabetically ordered based on the name of the
author.
c. Name of institution can be used as replacement for the author if
unavailable.
d. Details on referencing can be seen in Appendix 10.
Dekan,
Dr. R. Darmawan Setijanto, drg.,

M.Kes.
NIP. 196110051988031003
Lampiran 1a: Sampul Depan Proposal Skripsi (Soft Cover)
TEKNIK DISINFEKSI CETAKAN ALGINAT DENGAN INFUSA

DAUN SIRIH (Piper betle L.) 25% TERHADAP PERUBAHAN
DIMENSI
PROPOSAL SKRIPSI
Oleh:
TINA TOON
NIM : 020234567890
FAKULTAS KEDOKTERAN GIGI

SURABAYA
2015
Lampiran 19
Lampiran 1b: Sampul Depan Skripsi (Hard Cover)
TEKNIK DISINFEKSI CETAKAN ALGINAT

DENGAN INFUSA DAUN SIRIH (Piper betle L.)
25% TERHADAP PERUBAHAN DIMENSI
SKRIPSI
Oleh:
TINA TOON
NIM : 020234567890

SURABAYA
2015
20 Pedoman Penulisan Skripsi

Lampiran 2a: Sampul Dalam Proposal Skripsi

DENGAN INFUSA DAUN SIRIH (Piper betle
L.) 25% TERHADAP PERUBAHAN DIMENSI
PROPOSAL SKRIPSI
Oleh:
TINA TOON
NIM : 020234567890

SURABAYA
2015
Lampiran 21
Lampiran 2b: Sampul Dalam Skripsi

SKRIPSI
Oleh:
TINA TOON
NIM : 020234567890

SURABAYA
2015

Lampiran 3a: Halaman Pengesahan Proposal Skripsi
LEMBAR PENGESAHAN

PROPOSAL SKRIPSI
Disusun Sebagai Salah Satu Syarat Untuk

Menyelesaikan Pendidikan Sarjana Kedokteran Gigi di
Fakultas Kedokteran Gigi Universitas Airlangga
Surabaya
Oleh:
TINA TOON
NIM : 020234567890
Menyetujui
Pembimbing Utama Pembimbing Serta
(Dr. Syahrini, drg., Sp. Pros) (Dr. Fatin Shidqia, drg., M.Kes., Sp. Pros)
NIP: 195905051984032001 NIP: 195604301977032001

SURABAYA
2015
Lampiran 23
Lampiran 3b: Halaman Pengesahan Skripsi
LEMBAR PENGESAHAN

SKRIPSI
Disusun Sebagai Salah Satu Syarat Untuk Menyelesaikan

Pendidikan Sarjana Kedokteran Gigi di Fakultas
Kedokteran Gigi Universitas Airlangga Surabaya
Oleh:
TINA TOON
NIM : 020234567890
Menyetujui
Pembimbing Utama Pembimbing Serta
(Dr. Syahrini, drg., Sp. Pros) (Dr. Fatin Shidqia, drg., M.Kes., Sp. Pros)
NIP: 195905051984032001 NIP: 195604301977032001

SURABAYA
2015

Lampiran 4a: Penetapan Panitia Penguji Proposal Skripsi
PENETAPAN PANITIA PENGUJI PROPOSAL SKRIPSI

Skripsi ini telah diuji pada tanggal 12 Juni 2014
PANITIA PENGUJI PROPOSAL SKRIPSI

1. Dr. Syahrini, drg., Sp. Pros. (Ketua Penguji/Pembimbing Utama)
2. Dr. Fatin Shidqia, drg., M. Kes. Sp. Pros. (Sekretaris
Penguji/Pembimbing Serta)
3. Ahmad Rudiansyah, drg., Sp. Pros.(K) (Anggota Penguji)
4. Dias Anggana, drg., M.Kes., Sp. Pros. (Anggota Penguji)
5. Suradji, drg., M.Kes. (Anggota Penguji)
Lampiran 25
Lampiran 4b: Penetapan Panitia Penguji Skripsi
PENETAPAN PANITIA PENGUJI SKRIPSI

Skripsi ini telah diuji pada tanggal 5 Januari 2015
PANITIA PENGUJI SKRIPSI
1. Dr. Syahrini, drg., Sp. Pros. (Ketua Penguji/Pembimbing Utama)

2. Dr. Fatin Shidqia, drg., M. Kes. Sp. Pros. (Sekretaris
Penguji/Pembimbing Serta)
3. Ahmad Rudiansyah, drg., Sp. Pros.(K) (Anggota Penguji)
4. Dias Anggana, drg., M.Kes., Sp. Pros. (Anggota Penguji)
5. Suradji, drg., M.Kes. (Anggota Penguji)

Lampiran 5: Halaman Ucapan Terima Kasih
UCAPAN TERIMA KASIH
Puji syukur saya panjatkan pada Tuhan Yang Maha Esa atas segala rakhmat
dan karuniaNya sehingga skripsi ini dapat diselesaikan. Perkenankanlah
saya mengucapkan terima kasih yang sebesar-besarnya kepada :
1. ........ (nama dekan) selaku Dekan Fakultas Kedokteran Gigi Universitas
Airlangga yang telah memberi kesempatan untuk menempuh
pendidikan di Fakultas Kedokteran Gigi Universitas Airlangga.
2. ........ (nama ketua departemen) selaku Ketua Departemen yang telah
memberi ijin untuk pembuatan skripsi ………
3. ........ (nama pembimbing utama) ........
4. ........ (nama pembimbing serta) .........
5. ........ nama personal lain yang relevan dalam pembuatan skripsi
Penulis menyadari bahwa penulisan skripsi ini masih membutuhkan

penyempurnaan, oleh karena itu penulis mengharapkan saran dan kritik
yang membangun. Semoga skripsi ini dapat bermanfaat bagi semua pihak
yang memerlukan.
Surabaya, Januari 2015
Penulis
Lampiran 27
Lampiran 6a: Abstrak Bahasa Inggris (Abstract)
DISINFECTION TECHNIQUES OF ALGINATE IMPRESSIONS WITH

25% Piper betle L. INFUSUM OF DIMENSIONAL CHANGES
ABSTRACT
Background: Alginate was often used as an impression material. Dental cast of the
patient’s mouth could be a transmission’s agent of infection to dentist and dental
technicians. As a prevention of infection’s transmission to dental impressions, was
disinfected by spray or immersion techniques. 25% Piper betle L. infusum could be
used as disinfectant for this impression. Purpose: Knowing the dimensional
changes of alginate impressions after disinfected 25% Piper betle L. infusum either
by spraying or immersion techniques. Methods: Alginate impressions of a master
model of brass metal were made and disinfected with 25% Piper betle L. infusum
using the spray and immersion techniques for 10 minutes. Impressions were cast in
dental stone and the linear dimensional differences between the cylinders’ diameters
and the inter-cylinders distances were measured with a caliper. The results were
analyzed by ANOVA and LSD. Result: There were a statistically significant
differences the cylinders’ diameters and the inter-cylinders distances of alginate
impressions after disinfected by either spraying or immersion techniques, were
compared with the master model. Conclusion: The spray technique of 25% Piper
betle L. infusum produces smaller the dimensional changes of alginate impressions
than the immersion technique.
Key words: Disinfection, alginate impression, 25% Piper betle L. infusum, spray
technique, immersion technique

Lampiran 6b: Abstrak Bahasa Indonesia (Abstrak)
TEKNIK DISINFEKSI CETAKAN ALGINAT DENGAN INFUSA DAUN

SIRIH (Piper betle L.) 25% TERHADAP PERUBAHAN DIMENSI
ABSTRAK
Latar belakang: Alginat sering digunakan sebagai bahan cetak. Hasil cetakan
gigi dari mulut pasien dapat menjadi agen penularan infeksi terhadap dokter
gigi maupun teknisi laboratorium. Pencegahan penularan infeksi dilakukan
dengan pemberian disinfektan baik dengan cara disemprot atau direndam.
Infusa daun sirih 25% dapat digunakan sebagai disinfektan pada cetakan
alginat. Tujuan: Untuk mengetahui perubahan dimensi cetakan alginat setelah
didisinfeksi infusa daun sirih 25% baik dengan cara disemprot maupun
direndam. Metode: Cetakan alginat dicetakkan pada model master kuningan.
Hasil cetakan didisinfeksi menggunakan infusa daun sirih 25%, dengan cara
disemprot atau direndam, selama 10 menit. Cetakan alginat diisi gipsum,
kemudian dilakukan pengukuran dimeter silinder dan jarak antar silinder
menggunakan kaliper. Data penelitian dianalisis menggunakan ANOVA serta
LSD. Hasil: Terdapat perbedaan ukuran diameter silinder dan jarak antar
silinder pada model gipsum setelah didisinfeksi baik dengan cara disemprot
atau direndam, dibandingkan dengan model master. Simpulan: Disinfektan
infusa daun sirih 25% dengan teknik semprot menghasilkan perubahan dimensi
cetakan alginat yang lebih kecil dibandingkan dengan teknik direndam.
Kata kunci: Disinfeksi, cetakan alginat, infusa daun sirih 25%, teknik
semprot, teknik rendam
Lampiran 29
Lampiran 7: Halaman Daftar Isi
DAFTAR ISI
Halaman
Sampul Depan ........................................................................................ i
Sampul Dalam ........................................................................................ ii
Lembar Pengesahan ............................................................................... iii
Penetapan Panitia Penguji .................................................................... iv
Ucapan Terima Kasih ............................................................................ v
Abstract ..................................................................................................... vi
Abstrak .................................................................................................... vii
Daftar Isi .................................................................................................. viii
Daftar Tabel ............................................................................................ ix
Daftar Gambar ........................................................................................ x
Daftar Lampiran ..................................................................................... xi
Daftar Singkatan ..................................................................................... xii
BAB 1. PENDAHULUAN ..................................................................... 1

1.1 Latar Belakang Masalah ................................................................. 1
1.2 Rumusan Masalah ........................................................................... 3
1.3 Tujuan Penelitian ............................................................................ 3
1.3.1 Tujuan Umum .............................................................................. 3
1.3.2 Tujuan Khusus .............................................................................. 3
1.4 Manfaat Penelitian .......................................................................... 4
BAB 2. TINJAUAN PUSTAKA ............................................................ 5

2.1 Material Cetak ................................................................................. 6
2.2 Material Cetak Alginat ................................................................... 7
2.3 Disinfeksi .......................................................................................... 8
2.3.1 ..........................................................................................................
2.3.2 ..........................................................................................................
2.4 .............................................................................................................
2.5 Mekanisme aksi disinfeksi terhadap perubahan dimensi alginat
2.5.1 ..........................................................................................................
2.5.2 ..........................................................................................................
BAB 3. KERANGKA KONSEPTUAL DAN HIPOTESIS PENELITIAN

3.1 Kerangka Konseptual Penelitian ..................................................
3.2 Hipotesis Penelitian ........................................................................

BAB 4. METODE PENELITIAN ..........................................................
4.1 Jenis Penelitian ................................................................................
4.2 Rancangan Penelitian .....................................................................
4.3 Populasi ............................................................................................
4.3 Sampel ..............................................................................................
4.4 Variabel Penelitian ..........................................................................
4.5 Definisi Operasional Variabel .......................................................
4.6 Instrumen Penelitian ......................................................................
4.7 Lokasi dan Waktu Penelitian ........................................................
4.8 Bahan dan Alat ................................................................................
4.9 Cara Kerja .........................................................................................
4.10 Prosedur Pengambilan Data ........................................................
4.11 Pengolahan dan Analisis Data ....................................................
BAB 5. HASIL PENELITIAN ................................................................

Data Penelitian .......................................................................................
Analisis dan Hasil Penelitian ...............................................................
BAB 6. PEMBAHASAN .......................................................................
BAB 7. SIMPULAN DAN SARAN .....................................................

7.1 Simpulan ..........................................................................................
7.2 Saran ..................................................................................................
DAFTAR PUSTAKA ..............................................................................
LAMPIRAN ............................................................................................
Lampiran 31
Lampiran 8: Halaman Daftar Tabel
DAFTAR TABEL
Tabel 2.1 Komposisi bahan cetak alginat.................................................... 5

Tabel 2.2 Mekanisme kerja disinfektan pada mikroorganisme .. 9
Tabel 2.3 Mikroorganisme rongga mulut ................................................. 10
Tabel 2.4 Klasifikasi tanaman kemangi .................................................... 13
Tabel 5.1 Nilai rerata diameter silinder model gipsum hasil
pengisian cetakan alginat yang telah direndam dalam
ekstrak daunkemangi 5% (mm) ................................................ 31
Tabel 5.2 Hasil analisis uji ANAVA satu arah pada diameter
silinder model gipsum 32

Lampiran 9: Halaman Daftar Gambar
DAFTAR GAMBAR
Gambar 2.1 Daun kemangi (Ocimum basilicum L) ....................................... 15

Gambar 3.1 Kerangka konsep perubahan dimensi cetakan alginat
setelah didisinfeksi dengan ekstrak daun kemangi 5% .. 16
Gambar 4.1 Model master. 1. Analog gigi molar pertama kanan; 2.
Analog gigi kaninus kanan; 3. Analog gigi kaninus kiri;
4. Analog gigi molar pertama kiri ........................................... 20
Gambar 4.2 Beberapa alat dan bahan yang digunakan dalam
pembuatan ekstrak daun kemangi 5%. 1. Mesin
penggiling daun kemangi kering; 2. Daun kemangi
kering yang telah dihaluskan; 3. Rotary evaporator 24
Gambar 4.3 Beberapa alat dan bahan yang digunakan dalam
pembuatan sampel. 1. Model master; 2. Hasil cetakan
alginat dalam sendok cetak individu; 3. Pengisian
gipsum pada cetakan alginat................................................... 24
Gambar 4.4 Pencetakan adonan alginat pada model master
menggunakan sendok cetak individu 27
Lampiran 33
Lampiran 10: Cara Merujuk Daftar Pustaka Sistem Harvard
34
Book
Elements of the citation
Author(s) of book – family name and initials Year of publication, Title of book – italicised, Edition, Publisher,
Place of publication.
End Note and
In-text examples
Reference type Reference list example RefWorks (which
(penulisan sitasi di dalam naskah)
reference type?)
Single author Sophisticated searching techniques are Berkman, RI 1994, Find It fast: how Book
important in finding information (Berkman to uncover expert information on
1994, p. 25) any subject, HarperPerennial,
OR New York, pp. 20-5.
Berkman (1994, p. 25) claimed that …
OR
Berkman (1994, pp. 30-5) agrees that …
2 authors … from an engineering perspective (Cengel Cengel, YA & Boles, MA 1994, Book
& Boles 1994, p. 13) Thermodynamics: an engineering
OR approach, 2nd edn, McGraw
Pedoman Penulisan Skripsi
Cengel and Boles (1994, p. 13) found … Hill, London, pp. 10-6.
3 authors … as previously demonstrated (Reid, Reid, DH, Parsons, MB & Green, Book
Parsons & Green 1989, p. 76) CW 1989, Staff management
in human services: behavioral
research and application, Charles
C. Thomas, Springfield, pp.
73-9.
End Note and
Lampiran
In-text examples
reference type?)
4 or more authors … neck pain caused by whiplash (Jull et al. Jull, G, Sterling, M, Fallah, D, Book
2008, p. 15). OR Treleaven, J & O’Leary, S 2008,
Jull et al. (2008, p. 15) have argued … Whiplash headache and neck
pain: research-based directions
for physical therapies, Churchill
Livingstone, Edinburgh, pp.
10-9.
No author … already mentioned (Be, know, do: Be, know, do: leadership the Army Book
leadership the Army way 2004, p. 80). way 2004, Jossey-Bass, San
OR Francisco, pp. 71-82.
In Be, know, do: leadership the Army way Insert alphabetically into the
(2004, p. 80) there is an interesting example Reference List.
…
Multiple works … geology of Queensland’s national parks Willmott, WF 2004, Rocks and Book
by the same (Willmott 2004, p. 12; 2006, p. 103). landscapes of the national
author parks of southern Queensland,
Geological Society of
Australia, Queensland
Division, Brisbane, pp. 7-13.
Willmott, WF 2006, Rocks and
landscapes of the national parks of
central Queensland, Geological
Society of Australia,
Queensland Division,
35
Brisbane, pp. 100-14.

Order chronologically from in the
reference list.
End Note and
36
In-text examples
reference type?)
Multiple works … geographically speaking (Dawkins Dawkins, R 1996a, Climbing Mount Book
by the same 1996a, p. 23; 1996b, p. 67) Improbable, Viking, London,
author, published pp. 20-31.
in the same year Dawkins, R 1996b, River out of
Eden, Phoenix, London, pp.
61-9.
Order alphabetically by title in the
reference list
Two or more … rock formations (Dawkins 1996, p. 23; Dawkins, R 1996, Climbing Mount Book
works by different Willmott 2004, p. 12) Improbable, Viking, London.
authors pp. 20-31.
Willmott, WF 2004, Rocks and
landscapes of the national
parks of southern Queensland,
Geological Society of
Australia, Queensland
Division, Brisbane, pp. 7-13.
Book by an … in the case of an institution (Australian Australian Government Publishing Book

organisation or Government Publishing Service 1987, p. 11) Service 1987, Commonwealth
institution . printing and publishing manual,
2nd edn, A.G.P.S., Canberra,
pp. 11-8.
End Note and
Lampiran
In-text examples
reference type?)
Different … the meaning of educational research Pring, R 2004, Philosophy of Book
Editions (Pring 2004, p. 33). educational research, 2nd edn,
Continuum, London, pp. 29-
38.
The edition statement is placed
after the title of the work.
This is not necessary for a
first edition.
Edited book … some findings (ed. Sjostrand 1993, p. 99) Sjostrand, S (ed.) 1993, Institutional Edited book
OR change: theory and empirical
… optics defined (eds Pike & Sarkar 1986, findings, M.E. Sharpe, Armonk,
p. 67) N.Y, p. 99
Pike, ER & Sarkar, S (eds) 1986,

Frontiers in quantum optics,
Adam Hilger, Bristol, p. 99.
Book Series In defining permutation groups Bhattacharjee, M 1998, Notes of Book
Bhattacharjee (1998, p. 73) … infinite permutation groups,
Lecture notes in mathematics
no.1698, Springer, New York,
p. 73
37
Chapter in a book
38

Author(s) of chapter – family name and initials Year of publication, ‘Title of chapter – in single quotation marks’, in
Editor(s) of book (eds), Title of book – italicised, Edition, Publisher, Place of publication, Page numbers.
End Note and RefWorks

Reference type In-text examples Reference list example
(which reference type?)
Chapter in an Bernstein (1995, p. 243) Bernstein, D 1995, ‘Transportation Book section
edited book explained intelligent traffic planning’, in WF Chen (ed.), The civil
flows. engineering handbook, CRC Press, Boca
Raton, pp. 231-61.
Conference paper
Author(s) of paper – family name and initials Year of publication, ‘Title of paper – in single quotation marks’, Title of
published proceedings which may include place held and date(s) – italicised, Publisher, Place of Publication, Page number(s),
(viewed date-in-full, URL – if accessed electronically).

Published Bourassa (1999, p. 44) Bourassa, S 1999, ‘Effects of child care on Conference proceeding
conference paper emphasised … young children’, Proceedings of the third
annual meeting of the International Society
for Child Psychology, International
Society for Child Psychology, Atlanta,
Georgia, pp. 44-6.
Lampiran

Unpublished … estimating partner Bowden, FJ & Fairley, CK 1996, ‘Endemic Conference paper
conference paper change (Bowden and STDs in the Northern Territory:
Fairley 1996, p. 56) estimations of effective rates of
partner change’, paper presented to
the scientific meeting of the Royal
Australian College of Physicians,
Darwin, 24-25 June. pp. 51-9.
Journal Article
Author(s) of journal article – family name and initials Year of publication, ‘Title of journal article – in single quotation
marks’, Title of journal – italicised, Volume, Issue or number, Page number(s), (viewed date-in-full, URL – if accessed
electronically).

Journal articles Huffman (1996, p. 48) Huffman, LM 1996, ‘Processing whey Journal article
expanded on the theory … protein for use as a food ingredient’,
OR Food Technology, vol. 50, no. 2, pp. 49-52.
… uses for whey protein
(Huffman 1996, pp. 48.
39
0
4

Electronic journal … changes in resource Daniel, TT 2009, ‘Learning from simpler Electronic article in
article with page management (Daniel 2009, times’, Risk Management, vol. 56, no. EndNote
numbers p. 41) 1, pp. 40-44, viewed 30 January 2009, Journal article with
<http://proquest.umi.com/>. Electronic type chosen in
For an article retrieved from a database, Refworks.
it is sufficient to give the URL of the
database site.
Electronic journal … the discipline of art Donahue-Wallace, K & Chanda, J 2005, Electronic article in End
article without history (Donahue-Wallace ‘A case study in integrating the best Note
page numbers & Chanda 2005, p. 13) practices of face-to-face art history and Journal article with
online teaching’, Interactive Multimedia Electronic type chosen in
Electronic Journal of Computer-Enhanced Refworks.
Learning, vol. 7, no. 1, pp. 10-7, viewed
30 January 2009, <http://imej.wfu.
edu/articles/2005/1/01/index.asp>.
Thesis
Lampiran

Author of thesis – family name and initials Year of preparation of thesis, ‘Title of thesis – in single quotation marks’,
Award, Institution issuing degree, Location of institution.
Thesis Exelby (1997, p. 17) Exelby, HRA 1997, ‘Aspects of gold and Thesis
described the process … mineral liberation’, PhD thesis,
OR University of Queensland, Brisbane,
… processing gold (Exelby pp. 11-32.
1997, p. 17) The title is not italicised and is placed in
quotation marks.
Report
Author(s) of report – (person or organisation) Year of Publication, Title of report - italicised, Report number (if available),
Publisher/ Institution, Place of publication, (viewed date-in-full, URL - if accessed electronically).
Print report … in Queensland Mortimer, M. & Cox, M 1999, Contaminants Report
waterways (Mortimer & in mud crabs and sediments from the
Cox 1999, p. 177) Maroochy River, Environment technical
report no. 25, Queensland Department
of the Environment, Brisbane, pp. 167-
78.
41
42

Electronic report … young children’s Rathbun, AH, West, J & Hausken, EG 2003,
schooling (Rathbun, West Young children’s access to computers
& Hausken 2003, p. 5) in the home and at school in 1999 and
2000, NCES-2003-036, National
Center for Education Statistics,
Washington, DC, pp. 1-8, viewed 4
November 2003, <http://nces.ed.gov/
pubs2003/2003036.pdf>.
Newspaper and magazine article

Author(s) of article – family name and initials Year of publication, ‘Title of article – in single quotation marks’, Title of
newspaper – italicised, Day month, Page number(s).
Newspaper article ... as seen in the move Simpson, L 1997, ‘Tasmania’s railway goes Newspaper article
(print) to privatise the railway private’, Australian Financial Review, 13
(Simpson 1997, p. 10) October, p. 10.

Lampiran

Newspaper article … government has been Porteous, C 2007, ‘Rudd blamed for
(web) blamed for the water drought’, Courier Mail, 15 August, p.
shortage (Porteous 2007, 17, viewed 27 February 2009, <http://
p. 17). global.factiva.com/>.
For an article retrieved from a database,
it is sufficient to give the URL of the
database site.
Web page
Author(s) of page – (person or organisation) Year (page created or revised), Title of page - italicised, description of
document (if applicable), name of the sponsor of the page (if applicable), viewed date-in-full, URL.

Web page with … this agreement Albanese, A 2009, Fairer compensation for Web page
author (Albanese 2009, p. 43) air travellers, media release, 29 January,
Minister for Infrastructure, Transport,
Regional Development and Local
Government, pp. 41-9, viewed 30
January 2009, <http://www.minister.
infrastructure.gov.au/aa/releases/2009/
January/AA007_2009.htm>.
43
44

Web page with … in this subject guide University of Queensland Library 2009, Web page
corporate or (University of Queensland Mechanical engineering subject guide,
organisational Library 2009, p. 11) University of Queensland Library, pp.
author 10-9, viewed 6 February 2009, <http://
www.library.uq.edu.au/findits/findit.
php?title= Mechanical+Engineering>.
Web page with … it has been argued that Bliss, SE n.d., The effect of emotional intelligence Web page
no date of emotional intelligence on a modern organizational leader’s ability to
publication is a combination of make effective decisions, viewed 10 February
competencies (Bliss n.d.) 2008, <http://eqi.org/mgtpaper.htm>.
Patent
Author(s) of patent – family name and initials Year of issue, Title of patent- italicised, Number of patent including
country of issue.

Patent … gas insulated Cookson, AH 1985, Particle trap for Patent
transmission systems compressed gas insulated transmission
(Cookson 1985) systems, US Patent 4554399.
Standard
Lampiran

Corporate body issuing standard Year of publication, Title of standard- italicised, Number of standard including
identifier of issuing country or body, Publisher of standard, Place of publication.
Standard … steels are classified International Organization for Standard
(International Organization Standardization 1982, Steels -
for Standardization 1982) classification - part 1: classification of
steels into unalloyed and alloy steels
based on chemical composition, ISO 4948-
1:1982, International Organization for
Standardization, Geneva.
Map
Issuing body Year of publication, Title of map – italicised, Series (if available), Publisher, Place of publication.
Map … reading this map Department of Mines and Energy, Map
(Department of Mines and Queensland 1996, Dotswood, Australia
Energy, Queensland 1996) 1:100 000 geological series, sheet 8158,
Department of Mines and Energy,
Queensland, Brisbane.
45
Personal communication
46

Information obtained by interview, telephone call, letter or email should be documented in the text, but should NOT
be included in the list of References.

Personal When interviewed on 15 Do not include in the Reference List Personal communication
communication June 1995, Dr Peter Jones
explained that …
OR
This was later verbally
confirmed (P Jones 1995,
pers. comm., 15 June).
Lampiran 11a: Penilaian Naskah Proposal Skripsi
PENILAIAN NASKAH PROPOSAL SKRIPSI
JUDUL PROPOSAL SKRIPSI :

NAMA / NIM :
DEPARTEMEN :
Acuan nilai Nilai
No Unsur yang dinilai
maksimal penguji
1Judul 10
(Kesesuaian judul dan isi, singkat, jelas,
maksimal 12 kata)
2 Pendahuluan 25
(Relevansi latar belakang secara jelas)
3 Kerangka konseptual 35
(Relevansi landasan teori dengan konsep
penelitian)
4 Metode Penelitian 25
(Relevansi dengan variabel yang akan di
ukur)
5 Daftar Pustaka 5
(Konsistensi sesuai dengan sistem
Harvard)
TOTAL NILAI 100
Nama Penguji : .....................................................
Tanggal Ujian : .....................................................
Tanda Tangan : .....................................................
Lampiran 47
Lampiran 11b: Penilaian Ujian Proposal Skripsi
PENILAIAN UJIAN PROPOSAL SKRIPSI
JUDUL PROPOSAL SKRIPSI :

NAMA / NIM :
DEPARTEMEN :
Acuan nilai Nilai
No Unsur yang dinilai
maksimal penguji
1 Kelengkapan dan kejelasan materi dalam 25
penyajian
2 Cara presentasi 25
3 Kemampuan beragumentasi secara logis 50
dan obyektif dalam menjawab pertanyaan
TOTAL NILAI 100
NILAI AKHIR PROPOSAL SKRIPSI:
(Nilai Proses×30%) + (Nilai Naskah Skripsi×30%) + (Nilai Ujian Skripsi×40%)

= ......................
Nilai Huruf Nilai Angka

A ≥ 75,0 Nama Penguji .............................................
AB 70,0 – 74,9
B 65,0 – 69,9 NIP :
BC 60,0 – 64,9
C 55,0 – 59,9 Tanggal Ujian :
D 40,0 – 54,9
E < 40 Tanda Tangan :

Lampiran 11c: Penilaian Naskah Skripsi
PENILAIAN NASKAH SKRIPSI
JUDUL SKRIPSI :
NAMA / NIM :
DEPARTEMEN :
No Unsur yang dinilai Acuan nilai Nilai penguji

maksimal
1 Judul 5
(Kesesuaian judul dan isi, singkat, jelas,
maksimal 12 kata)
2 Abstrak 5
(Menggambarkan isi naskah singkat)
3 Pendahuluan 10
(Relevansi latar belakang secara jelas)
4 Kerangka konseptual 20
(Relevansi landasan teori dengan
konsep penelitian)
5 Hasil dan analisis data 20
(Relevansi data yang didapat dengan
statistik yang digunakan)
6 Pembahasan 30
(Relevansi antara permasalahan, hasil
lingkup penelitian dengan tinjauan
pustaka)
7 Simpulan 5
(Kesesuaian antara judul dengan
permasalahan)
8 Daftar Pustaka
(Konsistensi sesuai dengan sistem 5
Harvard)
TOTAL NILAI 100
Nama Penguji : .....................................................

Tanggal Ujian : .................................. ...................
Tanda Tangan : .....................................................
Lampiran 49
Lampiran 11d: Penilaian Ujian Skripsi
PENILAIAN UJIAN SKRIPSI
JUDUL SKRIPSI :
NAMA / NIM :
DEPARTEMEN :
No Unsur yang dinilai Acuan nilai Nilai

maksimal penguji
1 Kelengkapan dan kejelasan materi dalam 25
penyajian
2 Cara presentasi 25
3 Kemampuan beragumentasi secara logis 50
dan obyektif dalam menjawab pertanyaan
TOTAL NILAI 100
NILAI AKHIR SKRIPSI =
(Nilai Proses×30%) + (Nilai Naskah Skripsi×30%) + (Nilai Ujian Skripsi×40%)

= ......................
Nilai Huruf Nilai Angka

A ≥ 75,0 Nama Penguji :
AB 70,0 – 74,9
B 65,0 – 69,9 NIP :
BC 60,0 – 64,9
C 55,0 – 59,9 Tanggal Ujian :
D 40,0 – 54,9
E < 40 Tanda Tangan :

Lampiran 12: Penilaian Kegiatan Pelaksanaan Skripsi (Nilai Proses)
PENILAIAN KEGIATAN PELAKSANAAN

PROPOSAL SKRIPSI/SKRIPSI
JUDUL PROPOSAL SKRIPSI/SKRIPSI :

NAMA / NIM :
BAGIAN :
Acuan nilai Nilai

No Sasaran penilaian
maksimal pembimbing
1 Kejujuran 35
2 Inisiatif dan kreativitas 15
3 Disiplin 15
4 Tanggung jawab dan ketekunan 20
5 Kerjasama 15
TOTAL NILAI 100
Surabaya, ..............................
Pembimbing Utama/Serta
Proposal Skripsi/Skripsi
.................................................
NIP.
Catatan:
1. Penilaian tersebut di atas hanya diberikan oleh Dosen Pembimbing,
yaitu Pembimbing Utama dan Pembimbing Serta.
2. Nilai proses diperoleh dari
Pembimbing Utama + Pembimbing Serta = 2
Lampiran 51
Lampiran 13: Format Penulisan e-jurnal
KERANGKA SISTEMATIKA PENULISAN E- JURNAL
Secara berurutan kerangka penulisan e-jurnal seperti di bawah ini:

1. Jumlah kata dalam naskah e-jurnal maksimal 3000 kata.
2. JUDUL: menggambarkan isi pokok tulisan secara ringkas dan jelas,
ditulis dalam bahasa Indonesia dan Inggris
3. NAMA–NAMA PENELITI: disertai catatan tentang profesi, nama
departemen dari instansi tempat penulis bekerja
4. ABSTRAK: ditulis dalam bahasa Inggris dan bahasa Indonesia, tidak
lebih dari 250 kata, dan merupakan intisari seluruh tulisan, meliputi:
background, purpose, method, results, conclusion. Di bawah abstrak ditulis
3 – 5 kata kunci (key words). Abstrak dibuat satu paragraf.
5. PENDAHULUAN: meliputi latar belakang masalah, ringkasan tinjauan
pustaka, rumusan masalah serta tujuan penelitian dan harapan untuk
waktu yang akan datang.
6. BAHAN DAN METODE: berisi penjelasan tentang bahan dan alat yang
digunakan, waktu, tempat, teknik dan rancangan percobaan. Metode
harus dijelaskan secara singkat dan lengkap (ABC= accurate, brief and
clear).
7. HASIL: dikemukakan dengan jelas bila perlu dengan ilustrasi maksimal
4 bisa berupa gambar/grafik/diagram dan tabel. Hasil yang telah
dijelaskan dengan tabel atau ilustrasi tidak perlu diuraikan terlalu
panjang dalam teks.
8. PEMBAHASAN: menjelaskan posisi penelitian terhadap penelitian
sejenis yang sudah dilakukan. Pembahasan harus relevan dengan
permasalahan dan tujuan penelitian, diakhiri dengan paragraf
simpulan (tanpa sub judul simpulan) dan saran untuk pengembangan
hasil penelitian (jika ada).
9. UCAPAN TERIMA KASIH: ditujukan pada semua pihak yang membantu,
bila memang ada dan harus diterangkan sejelas mungkin. Ucapan terima
kasih diletakkan pada akhir naskah, sebelum daftar pustaka.
10. DAFTAR PUSTAKA: disusun dengan sistem Vancouver. Setiap nama
pengarang diberi nomor urut sesuai dengan urutan pemunculan dalam
naskah, dan mencantumkan :
a. Untuk buku: nama penulis, editor (bila ada), judul lengkap buku,
kota penerbit, penerbit, tahun penerbitan, volume, edisi dan
nomor halaman.

b. Untuk terbitan berkala: nama penulis, judul tulisan, judul terbitan
(disingkat sesuai dengan Index Medicus), tahun penerbitan, volume
dan nomor halaman.
c. Contoh penulisan daftar pustaka:
1. Anusavice KJ. Phillips’ science of dental material. 12th ed. St.
Louis: Elsevier Science; 2013. pp. 487-91.
2. Maldonado A, Swartz ML. Perry CF. An in vitro study of
certain properties of a glass ionomer cement. J Am Dent Assoc
2011; 96(2): 785-91.
Lampiran 53
Lampiran 14: Daftar Singkatan
SINGKATAN YANG PERLU DIKETAHUI ARTINYA
Singkatan Lengkapnya Artinya

Ante ante di atas, sebelumnya
post post setelahnya
art (arts) article (articles) artikel
cf confere bandingkan dengan
cf.ante confere ante bandingkan dengan hal
terdahulu
cf.post confere post bandingkan dengan hal yang
dikemukakan
chap. chapter bab
col column lajur
cp. compare bandingkan
c.s cum suis dan kawan-kawan
div. division bagian
ed editor, edited ,edision editor, dieditkan, edisi
ed.cit edition citato edisi yang telah dikutip
e.g. example gratia misalnya
et.al et alter dan yang lain
et.seq et sequentes dan berikutnya
etc. et cetera dan sebagainya
f. (ff) following halaman , baris berikutnya
fig. figure gambar
h. (hh) halaman halaman
ibid. (ib) ibidem yang sama
i.e id est ialah
infra infra di bawah
l. (ll.) live (lives) baris
loc.cit. loco citato pada halaman yang sama
n note catatan
n.d. note date tanpa tanggal (tahun)
n.m no name tanpa nama
n.p no place tanpa tempat
op.cit opere citato pada karangan yang sama
p. (pp.) page (pages) halaman
pt part bagian
r recto halaman kanan buku terbuka
sect (sec,) section seksi
ser. series seri

Singkatan Lengkapnya Artinya
st. stanza bait
sup supra di atas
trans (tr.) translated (translation) diterjemahkan (terjemahan)
v. verso halaman kiri buku terbuka
v. (vv.) verse (verses) sajak
v. vide lihat
viz videlicet ialah
vol. (vols) volume (volumes) jilid
Lampiran 55

FKG Unair - Undergraduate-Thesis-Writing-Manual

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UNDERGRADUATE THESIS WRITING MANUAL

Faculty of Dental Medicine

FACULTY OF DENTAL MEDICINE

Surabaya, December 2015

Dr. R. Darmawan Setijanto, drg., M.Kes.

Kata Pengantar ...........................................................................................

BAB 1 KERANGKA SISTEMATIKA PENULISAN PROPOSAL

Bab 2 TATA PENULISAN, CARA MERUJUK DAN MENULIS

PENYUSUN PEDOMAN PENULISAN SKRIPSI

DEKAN FAKULTAS KEDOKTERAN GIGI

Menimbang : a. bahwa dalam rangka untuk menunjang kelancaran

b. bahwa nama-nama yang tercantum dalam lampiran

Mengingat : 1. Undang-Undang Nomor 20 tahun 2003 tentang

Menetapkan : PENYUSUN PEDOMAN PENULISAN SKRIPSI

Dr. R. Darmawan Setijanto, drg., M.Kes.

Dr. R. Darmawan Setijanto, drg., M.Kes.

PEDOMAN PENULISAN SKRIPSI

DEKAN FAKULTAS KEDOKTERAN GIGI

Menimbang : a. bahwa dalam rangka untuk menunjang kelancaran

b. bahwa untuk keperluan huruf (a) tersebut,

Mengingat : 1. Undang-Undang Nomor 20 tahun 2003 tentang

Dr. R. Darmawan Setijanto, drg.,

Systematically, research proposal and undergraduate thesis are

1.1 Background of the Study (Latar Belakang)

CHAPTER 2. LITERATURE REVIEW

CHAPTER 3. CONCEPTUAL FRAMEWORK AND RESEARCH

3.1 Conceptual Framework (Kerangka Konseptual Penelitian)

CHAPTER 4. METHODS OF THE RESEARCH

Methods of the research cover the followings:

4.8 Location and Time of the Research (Lokasi dan Waktu

5.2 Data Analysis

CHAPTER 7. CONCLUSION AND RECOMMENDATION

Back matter of the undergraduate thesis consists of:

2.1 WRITING FORMAT

2.1.1 Language and punctuation

2.1.2 Paper and cover

2.1.3 Typing format

2.1.5 Page number

2.1.6 Tables and figures

2.2 REFERENCING STYLE

Dr. R. Darmawan Setijanto, drg.,

TEKNIK DISINFEKSI CETAKAN ALGINAT DENGAN INFUSA

FAKULTAS KEDOKTERAN GIGI

TEKNIK DISINFEKSI CETAKAN ALGINAT

FAKULTAS KEDOKTERAN GIGI

20 Pedoman Penulisan Skripsi

TEKNIK DISINFEKSI CETAKAN ALGINAT

FAKULTAS KEDOKTERAN GIGI

TEKNIK DISINFEKSI CETAKAN ALGINAT

FAKULTAS KEDOKTERAN GIGI

22 Pedoman Penulisan Skripsi

TEKNIK DISINFEKSI CETAKAN ALGINAT

Disusun Sebagai Salah Satu Syarat Untuk

Pembimbing Utama Pembimbing Serta

FAKULTAS KEDOKTERAN GIGI

TEKNIK DISINFEKSI CETAKAN ALGINAT

Disusun Sebagai Salah Satu Syarat Untuk Menyelesaikan

Pembimbing Utama Pembimbing Serta

FAKULTAS KEDOKTERAN GIGI

24 Pedoman Penulisan Skripsi

PENETAPAN PANITIA PENGUJI PROPOSAL SKRIPSI

PANITIA PENGUJI PROPOSAL SKRIPSI

PENETAPAN PANITIA PENGUJI SKRIPSI