english 3 sesi 2.punya velly.doc

Upload: khrisna-paramaartha

Post on 03-Jun-2018

215 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    1/22

    THE CORRELATION BETWEEN ACUTE OTITIS MEDIA AND UPPER

    RESPIRATORY TRACT INFECTION IN CHILDREN

    EVELYN . V . P . SNAK

    030.08.095

    MEDICAL FACULTY OF TRISAKTI UNIVERSITY

    JAKARTA

    2011

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    2/22

    PREFACE

    F!"# $% &''( )&*# #$ #+&*," -OD( %$! '/""* / "$ &* %*"+ 4&4/! $* #/.

    I )$'6 ',/ #$ #+&*," #$ 7

    1. D!. E/'*/ M&!$ &" "4/!"$!( )+$ +&" 6/ / #$ %*"+ 4&4/!

    2. A'' $% %!/*6" * M/6&' F&'# $% T!"&,# U*/!"#

    T+" 4&4/! " %&! %!$ 4/!%/# &*6 &/ #+/!/ &!/ & '$# $% "#&,/. Y$! !#" &*6

    "/"#$*" &!/ &/4#/6 #$ +/'4 / 4!$/ #+" 4&4/! #$ "$/#+* + /##/!. A*6 '&"#

    # *$# '/&"#( +$4/ #+" 4&4/! &* / "/%'' %$! &'' $% ".

    J&,&!#&( J' 2011

    E/'* V P S*&,

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    3/22

    CONTENTS

    P!/%&/........................................................................................................................................

    C$*#/*#".....................................................................................................................................

    A"#!......................................................................................................................................1

    C+&4#/! I 7 I*#!$6#$*......................................................................................................2

    C+&4#/! II 7 A. U44/! R/"4!$* T! I*%/#$*...............................................................3

    B. A#/ O##" M/6& ....................................................................................10

    C+&4#/! III 7 C$!!/'$* /#)//* A#/ O##" M/6& &*6 U44/! R/"4!$! T!

    I*%/#$* * C+'6!/*....................................................................................1

    C+&4#/! IV 7 C$*'"$*......................................................................................................1:

    R/%/!/*/"................................................................................................................................18

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    4/22

    ABSTRACT

    I*%&*#" &*6 $* +'6!/* &!/ 4!$*/ #$ 6//'$4* 44/! !/"4!$! #! *%/#$*"(

    )++ $%#/* !/"'# * /!&' $4'$*" "+ &" / $##" /6&. W/ /&'/6 ;23

    44/! !/"4!$! #! *%/#$* /4"$6/" * 112 +'6!/*

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    5/22

    U44/! R/"4!$! T! I*%/#$*" * +'6!/*. I# +&" //* %$*6 #+ 29? #$ 50? $% &''

    URI" 6//'$4 *#$ AOM. C$*"6/!* #+/ ///6*' ++ *6/*/ $% URI"( #+/ */! $%

    +'6!/* &%%/#/6 AOM $/" &" *$ "!4!"/. O* &/!&/( & +'6 $*/! #+&* 5 /&!" $%

    &/ +&" 2 #$ : /4"$6/" $% URI 4/! /&!( &*6 & +'6 #/*6* 6& &!/ & +&/ 4 #$ 1

    /4"$6/" 4/! /&!. B &/ 3( 80? $% +'6!/* +&/ +&6 '/&"# 1 /4"$6/ $% AOM. T+/ 4/&,

    &/ $% *6/*/ $% AOM " /#)//* ; &*6 18 $*#+". D/"4#/ #+/ %!//* $% #+/"/

    *%/#$*" &*6 #+/! '$"/ &""$$* )#+ URI"( #+/!/ +&" //* *$ "#6 #$ 6/ #+

    6/#/!*/" #+/ &/"4/% *6/*/ $% AOM &%#/! & URI .

    AOM $4'* URI )&" 6/%*/6 &" &* /4"$6/ $% AOM $!!* )#+* 21 6&"

    &%#/! $*"/# $% #+/ URI. AOM )&" 6/%*/6 / $*"/# $% "4#$"

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    6/22

    T+/ 44/! !/"4!$! #! *'6/" #+/ "*"/"( *&"&' 4&""&/"( 4+&!*( &*6

    '&!*. T+/"/ "#!#!/" 6!/# #+/ &! )/ !/+ %!$ #+/ $#"6/ #$ #+/ #!&+/&

    &*6 //*#&'' #$ #+/ '*" %$! !/"4!$* #$ #&,/ 4'&/. A* 44/! !/"4!$! #!

    *%/#$*( $! 44/! !/"4!$! *%/#$*( " &* *%/#$" 4!$/"" $% &* $% #+/

    $4$*/*#" $% #+/ 44/! &!)&.

    I*%/#$* $% #+/ "4/% &!/&" $% #+/ 44/! !/"4!$! #! &* / *&/6

    "4/%&''. E&4'/" $% #+/"/ & *'6/ !+*#" ( "*" *%/#$* *%'&$* $% #+/ "*"/"

    '$/6 &!$*6 #+/ *$"/( $$* $'6 *%'&$* $% #+/

    *&!/"( 4+&!*( +4$4+&!*( '&( &*6 #$*"'"( 4+&!*#" ( /4'$###"

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    7/22

    Causes

    S$/ $% #+/ $$* 4+$/*" %$! 44/! !/"4!$! *%/#$* &*6 #+/!

    !/"4/#/ *$* #/" &!/ #+/ %$''$)*7

    !+*$!"/"( 15 6&"

    !$4 A "#!/4#$$( 15 6&"

    *%'/*G& &*6 4&!&*%'/*G& !"/"( 1 6&"

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    8/22

    !/"4!$! "*#&' !" ( : 6&"

    4/!#""" ( :21 6&"

    64+#+/!&(110 6&" &*6

    E4"#/*B&!! !" ( ; )//," .

    Risk factors

    S$/ $$* !", %$!" %$! 44/! !/"4!$! *%/#$* &!/ 4+"&' $! '$"/

    $*# )#+ "$/$*/ )#+ & 44/! !/"4!$! *%/#$* 4$$! +&*6 )&"+* &%#/!

    $*# )#+ &* *66&' )#+ 44/! !/"4!$! *%/#$* '$"/ $*# )#+

    +'6!/* * & !$4 "/##*( "+$$'" $! 6&&!/ /*#/!" $*# )#+ !$4" $%

    *66&'" * & '$"/6 "/##*( "+ &"( #!&/'*( #$!"( !"/" "$,* $!

    "/$*6+&*6 "$,* "+ &"( HIV( $!&* #!&*"4'&*#( $*/*#&'

    */ 6/%/#"( '$* #/! "#/!$6 "/ &*6 &*$&' &*$!&'#/" &" * %&&'

    #!&&( 44/! &!)& #!&&( *&"&' 4$'4" .

    Symtoms

    W+/* !"/" *&6/ /''" $% #+/ !/"4!$! #!( #+/ #!/! *%'&$* &*6

    4!$6#$* $% ". T+" "#$* '/&6" #$ *&"&' $*/"#$*( & !** *$"/(

    "!+ #+!$( &*6 $+( )++ & '&"# 4 #$ 1 6&". F//!( )#+ &

    #/4/!!/ &" ++ &" 101 #$ 102 F ( " $$*. T+/

    +'6" #/4/!!/ & //* !"/ #$ 10 F . O#+/! #4&' "4#$" *

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    9/22

    +'6!/* *'6/ 6/!/&"/6 &44/##/( '/#+&!( &*6 & /*/!&' %//'* $% ''*/""

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    10/22

    I* 4+"&' /&*$* $% &* *66&' )#+ 44/! !/"4!$! *%/#$*( &

    6$#$! & '$$, %$! ")$''/* &*6 !/6*/"" *"6/ )&'' $% #+/ *&"&' ( /*'&!/6 '4+ *$6/" &!$*6 #+/ +/&6 &*6 */,( !/6*/""

    $% #+/ //"( &*6 %&&' #/*6/!*/""

    P$""'/ /!&' *%/#$* #&,* /!&' '#!/" )#+ *&"&' ")&(

    #+!$ ")&( $! "4#.

    P!$'$*/6 "4#$"( &" %*6* & "4/% !" &* 4!//*# **//""&!

    "/ $% &*#$#" .

    E&'$* $% &''/!/" &*6 &"#+& )++ &* &"/ '$* '&"#* $!

    *"&' "4#$".

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    11/22

    E*'&!/6 '4+ *$6/ &*6 "$!/ #+!$ &" #+/ 4!&! "4#$" #+ &

    / &"/6 E"#/*B&!! !" .

    T/"#* %$! #+/ H1N1

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    12/22

    N$*"#/!$6&' &*#*%'&$! 6!" "+ &" 4!$%/* &!/ +/'4%' * 6/!/&"*

    *&"&' "/!/#$*" &*6 $*/"#$*".

    N&"&' 4!!$4 &* / "/6 #$ !/6/ $+. M&* $+

    /6$*" &!/ $/!&'' &&'&'/ "+ &" 6/#!$/#+$!4+&*(

    &%/*/"* ( &*6 $6/*/ &'' +&/ "+$)* /*/%#" * !/6*

    $+ * 44/! !/"4!$! *%/#$*".

    H$*/ &* / "/6 * !/6* $+.

    S#/!$6" "+ &" &* / "/6 #$ !/6/ *&"&' $*/"#$*

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    13/22

    C$*$* /6$*" $*#&** &* $% #+/"/ $4$*/*#" &!/ &'"$

    )6/' &&'&'/ $/! #+/ $*#/!.

    A*#$#" &!/ "$/#/" "/6 #$ #!/ 44/! !/"4!$! *%/#$*" % & /!&'

    *%/#$* " ""4/#/6 $! 6&*$"/6. T+/"/ $*6#$*" & *'6/ "#!/4 #+!$(

    /!&' "*"#"( $! /4'$###". A*#!&'" & $&"$*&'' / !/$/*6/6

    6$#$!" * 4/*#" )+$ &!/ *$$4!$"/6 . T+/ #!/*

    6$#$! &* 6/#/!*/ )++ &*#$# )$'6 / #+/ /"# $4#$* %$! & 4&!#'&!

    *%/#$*. B/&"/ &*#$#" &!/ &""$/6 )#+ &* "6/ /%%/#" &*6 &* 4!$$#/

    /!&' !/""#&*/ &*6 "/$*6&! *%/#$*"( #+/ *//6 #$ / "/6 /! $"' &*6

    $*' *6/! #+/ 6!/#$* $% & #!/* 4+"&*.

    I*+&'/6 /4*/4+!*/ " "$/#/" "/6 * +'6!/* )#+ "//!/ "4&" $% #+/

    &!)&" &*6 * !$4 #$ !/6/ "4&" .

    B. ACUTE OTITIS #EDIA

    Definition of acute otitis media

    A* /&! *%/#$* " &* *%'&$* $% #+/ 66'/ /&!( "&'' &"/6

    /!&( #+ $!" )+/* %'6 '6" 4 /+*6 #+/ /&!6!. A*$*/ &* /# &*

    /&! *%/#$*( # +'6!/* /# #+/ $!/ $%#/* #+&* &6'#". T+!// $# $% %$!

    +'6!/* )'' +&/ '/&"# $*/ /&! *%/#$* #+/! #+!6 !#+6&. I* %( /&!

    *%/#$*" &!/ #+/ $"# $$* !/&"$* 4&!/*#" !* #+/! +'6 #$ & 6$#$!. T+/

    "/*#% *&/ %$! &* /&! *%/#$* " $##" /6& .

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    14/22

    Etiology of Acute Otitis Media

    B/!& &*6 !"/" &* &"/ $##" /6&. B/!& "+ &" S#!/4#$$"

    4*/$*&/ E#!*" %$!"

    S/&"$*&' &!$*". T+/!/ " 6/%*#/' &* *!/&"/6 *6/*/ $% $##" /6&

    6!* #+/ $'6/! $*#+". M$"# /4"$6/" &!/ 4!$/6/6 44/! !/"4!$!

    *%/#$*.

    > I*#!*" %$!"

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    15/22

    A/. T+/ *6/*/ $% $##" /6& 6*"+/" )#+ *!/&"* &/. S//!&'

    !/&"$*" & &$*# %$! #+" 7

    o W#+ *!/&"/6 &/( #+/ *6/*/ $% 44/! !/"4!$! *%/#$*"

    6*"+/".

    o S+$!#( "#!&+# /"#&+&* #/" * *%&*#" &*6 $* +'6!/* &''$) $!/

    !/&6 &/"" $% /!& #$ #+/ 66'/ /&!. *%&*#" )+$ &!/ %/6 * "4*/

    4$"#$* &!/ 4!$*/ #$ !/!#$* #+!$+ #+/ /"#&+&* #/ #$ #+/

    66'/ /&!.

    o A*6&*/ $% '4+$6 #""/ * +'6!/* &" $4&!/6 )#+ &6'#"

    4!$6/" $"#!#$* $% #+/ /"#&+&* #/.

    A''/!/". S)/''* $% $"& &!$*6 &*6 * #+/ /"#&+&* #/ &*

    4!/6"4$"/ #$ !/!!/*# 66'/ /&! *%/#$*".

    Risk factors of Acute Otitis Media

    U44/! !/"4!$! *%/#$*" 4!/6"4$"/ #$ / $##" /6&. E4$"!/ #$

    !$4" $% +'6!/* !/"'#" * $!/ %!//*# $'6"( &*6

    #+/!/%$!/ $!/ /&!&+/". E4$"!/ #$ &! )#+ !!#&*#"( "+ &" #$&$ "$,/(

    &'"$ *!/&"/" #+/ +&*/ $% $##" /6&. C+'6!/* )#+ '/%# 4&'/ $! D$)*

    "*6!$/ &!/ 4!$*/ #$ /&! *%/#$*". C+'6!/* )+$ +&/ /4"$6/" $% / $##"

    /6& /%$!/ " $*#+" $% &/ #/*6 #$ +&/ $!/ /&! *%/#$*" '/! * +'6+$$6

    .

    Symptoms of Acute Otitis Media

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    16/22

    Y$* +'6!/* )#+ $##" /6& & / !!#&'/( %""( $! +&/ 4!$'/"

    %//6* $! "'//4*. O'6/! +'6!/* & $4'&* &$# 4&* &*6 %''*/"" * #+/

    /&! . F//! & / 4!/"/*# * & +'6 $% &* &/. T+/"/ "4#$" &!/

    $%#/* &""$/6 )#+ "*" $% 44/! !/"4!$! *%/#$* "+ &" & !** $! "#%%

    *$"/( $! & $+.

    T+/ '64 $% 4" )#+* #+/ 66'/ /&! &"/" 4&* &*6 6&4/*" #+/

    !$*" $% #+/ /&!6!

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    17/22

    4!/""!/ * #+/ /&!. I# /&"!/" +$) %'/'/ #+/ /&!6! " 6%%/!/*# 4!/""!/"

    .

    Treatment of Acute Otitis Media

    I% &*#$#" &!/ *#/6( A$''* " "&'' !/$/*6/6 &" #+/ %!"# '*/

    #!//*#. T+" " "&'' 4!/"!/6 %$! 10 6&". A$# 10? $% +'6!/* 6$ *$#

    !/"4$*6 )#+* #+/ %!"# 8:2 +$!" $% #!//*#( &*6 &*#$# #+/!&4 & +&/

    #$ / +&*/6. E/* &%#/! &*#$# #!//*#( 0? $% +'6!/* &!/ '/%# )#+ "$/

    %'6 * #+/ 66'/ /&! )++ &* &"/ #/4$!&! +/&!* '$"" '&"#* %$! 4 #$ 3

    #$ ; )//,". I* $"# +'6!/*( #+" %'6 //*#&'' 6"&44/&!" "4$*#&*/$"'

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    18/22

    T+/ $!!/*/ $% AOM "+$)" &* /#/*"/ "/&"$*&' &!$*. I* #/4/!/ !/$*"(

    #+/ *6/*/ !/" &!/ ++/"# * #+/ )*#/!#/ &*6 '$)/"# 6!* #+/ "/! $*#+"(

    )++ 4&!&''/'" #+/ *6/*/ $% 44/! !/"4!$! *%/#$*". T+/ $!!/*/ $% AOM 4/&,"

    * #+/ $*/"# +'6!/*( )+$ "%%/! &* &/!&/ $% " #$ /+# !/"4!$! *%/#$*" 4/! /&!(

    &*6 # 6/!/&"/" !&46' &%#/! #+/ &/ $% 2 #$ 3 /&!"( )++ #/ &'"$ !/"4!$! *%/#$*"

    /$/ '/"" 4!/&'/*#. D!* #+/ %!"# /&!" $% '%/( $" &44/&! #$ +&/ $!/ !/"4!$!

    *%/#$*" #+&* !'"( &*6 #+/ *6/*/ $% AOM " &'"$ ++/! * $" .

    T+/ 4/&, &/ %$! AOM " /#)//* ; &*6 18 $*#+". M$!/ !//*# 6& +&/ "/"#/6

    #+ AOM /*/!&'' $!" &" & $4'$* $% !&' URI. 30? $% URI /4"$6/" * +'6!/*

    !/"'# * AOM( &*6 #+/ 6"/&"/ $!" $"# $%#/* * +'6!/* /#)//* ; &*6 11 $*#+" $%

    &/( &'#+$+ #+/"/ +'6!/* &!/ &" ""/4#'/ #$ URI &" +'6!/* * #+/ "/$*6 /&! $% '%/.

    C+'6!/* * #+/! #+!6 /&! $% '%/ & 4$""' +&/ & '$)/! *6/*/ $% AOM /&"/ #+/

    +&/ &'!/&6 6//'$4/6 4&!#&' *# #$ &* !$&' 4+$/*" &*6 ""//*#' 6$

    *$# +&/ & "#!$* *%'&$! !/"4$*"/ #$ *%/#$* .

    E/!6& '*&' /4/!/*/ '/&!' *6/" #+ AOM " '$"/' &""$/6 )#+

    44/! !/"4!$! #! *%/#$*". I* & "#6 $% 3;3 +'6!/* )#+ */)' 6&*$"/6 AOM(

    "4#$" $% 44/! !/"4!$! *%/#$* )/!/ 4!/"/*# * 9? $% #+/ 4/*#" #+/ #/ $%

    6&*$"". S//!&' "*" &*6 "4#$" #+ &!/ #!&6#$*&'' &""$/6 )#+ AOM( /..(

    %//!( 4!'/*# !+*#"( $+( 4$$! &44/##/( $#*( 6&!!+/&( &*6 #!/6*/""( +&/ //*

    "+$)* #$ / *"4/% #$ AOM # #$ / &"/6 #+/ $*!!/*# !&' *%/#$* .

    A*$#+/! "#6 &!!/6 $# * & 4/6! 6/4&!#/*# *'6/6 (52 &"/" $% AOM *

    +'6!/* "//* 6!* & ;/&! 4/!$6. T+/!/ )&" & "*%&*# $!!/'$* /#)//* AOM &*6

    '&$!$!6$/*#/6 /46/" $% !/"4!$! !"/"( /"4/&'' RSV /46/". S//!&'

    %$!" "+ &" $* &/( 6& &!/ #/*6&*/( &'/ /*6/!( */! $% "'*"( 4&""/

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    19/22

    "$,*( &*6 "+$!# 6!$* $% !/&"#%//6* +&/ //* 6/*#%/6 &" 4$!#&*# !", %$!"

    %$! AOM .

    H$)//!( # " /6/*# %!$ "//!&' "#6/" #+( * %( &'' $% #+/ &$/ !", %$!"

    %$! AOM 4!/6"4$"/ *66&'" #$ 44/! !/"4!$! *%/#$* )++( * #!*( &* /

    $*"6/!/6 #+/ $"# 4$!#&*# %$! 4!/6"4$"* #$ AOM. I* $"# &"/"( AOM &* /

    '/&!' !/&!6/6 &" & $4'$* $% & 4!//6* $! $*$#&*# 44/! !/"4!$! *%/#$*.

    T+" $*/4# )&" $!!$$!/6 & !//*# "#6 $% 59; *%&*#" $*#$!/6 %!$ !#+ #$ ;

    $*#+" $% &/. R/"4!$! #! *%/#$* )&" %$*6 &" #+/ $"# 4$!#&*# 4!/6#$! %$!

    AOM /&!' * '%/( */"#$*&' $#)/+* &'' $#+/! !", %$!"( *'6* 6& &!/

    #/*6&*/. T+/ !/ $% 6//'$4/*# $% AOM 6!* 44/! !/"4!$! *%/#$* " '&!/'

    6/4/*6/*# $* #+/ &/ $% #+/ +'6 &*6 4$#/*#&'' &'"$ $* #+/ #4/ $% !" &"* #+/

    *%/#$* .

    F$! $##" /6& #$ $!( /!& $'$*G/6 * #+/ *&"$4+&!* "# /*#/! #+/ 66'/

    /&! & #+/ /"#&+&* #/. N$!&''( /!& &!/ 4!//*#/6 %!$ /*#/!* #+/ 66'/ /&!

    #+/ '/6 /4#+/' #+ '*/" #+/ /"#&+&* #/. R/"4!$! !" *%/#$* 6"!4#" #+/

    $'&! ""#/ &*6 4&!" #+/ /&!" 4!&! /+&*&' 6/%/*"/ %!$ /!&'

    *&"$*. I* &66#$*( /"#&+&*#/ 6"%*#$* &* '/&6 #$ !/6/6 66'//&! 4!/""!/(

    )++ %$!/" "( *&"$4+&!*/&' "/!/#$*"( &*6 /!& *#$ #+/ 66'/ /&!. T+" !//"

    &* 6/&' '/ %$! /!&' "4/!*%/#$*. W/ %$*6 #+/ ++/"# *6/*/ $% AOM &%#/!

    URI #$ / /#)//* ; &*6 11 $*#+" $% &/. T+/ *!/&"/6 ""/4#'# #$ AOM * $*/!

    +'6!/* +&" //* 4$"#'/6 #$ / "/$*6&! #$ *&6// *$'$ !/"4$*"/ &*6 &

    "+$!#/!( "#!&+#/!( &*6 *&!!$)/! E"#&+&* #/. I# "#&*6" #$ !/&"$* #+ #+/ '$*/! +'6!/*

    &!/ 4!$#/#/6 %!$ /4$"!/ #$ ,*$)* &$6&'/ $##" /6& !", %$!"( #+/ '/! #+/ $*"/#

    $% AOM &*6 #+/ '$)/! #+/! '%/#/ *6/*/ .

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    20/22

    V!&' *%/#$* $% #+/ 44/! !/"4!$! #! !/"'#" * $*/"#$* $% #+/ *&"&' &*6

    *&"$4+&!*/&' $"&. C$*/"#$* * &*6 &!$*6 #+/ *&"$4+&!*/&' $!%/ $% #+/

    E"#&+&* #/ '/&6" #$ 6"%*#$* $% #+/ #/( )++ " $*"6/!/6 #+/ $"# 4$!#&*#

    %$! * #+/ 6//'$4/*# $% AOM. E"#&+&* #/ 6"%*#$* !/"'#" * 7

    I4&!/*# $% 4!/""!/ /'!$* /#)//* #+/ *&"$4+&!* &*6 #+/ 66'/ /&!

    D/!/&"/6 6!&*&/ *#$ #+/ *&"$4+&!* $% "/!/#$*" 4!$6/6 * #+/ 66'/ /&!

    L$"" $% 4!$#/#$* $% #+/ 66'/ /&! %!$ *&"$4+&!*/&' "/!/#$*".

    E/* #+/ *$!&' "#&/( #+/ "'&! $4/** %*#$* $% #+/ E"#&+&* #/ " 4$$!/! *

    +'6!/* #+&* * &6'#" #+" %*#$* 4!$/" )#+ *!/&"* &/ .

    CHAPTER IV

    CONC%USION

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    21/22

    I* $*'"$*( )/ %$*6 #+ +'6!/* %!$ ; #$ 11 $*#+" $% &/ )/!/ ++/"# !",

    %$! 6//'$4* A#/ O##" M/6& &%#/! U44/! R/"4!$* T! I*%/#$*. C+'6!/* &!/ $!/

    ',/' #+&* &6'#" #$ /# /&! *%/#$*" /&"/ /"#&+&* #/" &!/ "&''/! &*6 $!/ '//' *

    +'6!/* #+&* #+/ &!/ * &6'#". T+" &,/" # 6%%'# %$! %'6 #$ 6!&* $# $% #+/ /&!( //*

    *6/! *$!&' $*6#$*". I% #+/ /"#&+&* #/" &!/ ")$''/* $! '$,/6 )#+ " 6/ #$ &

    $'6 $! $#+/! !/"4!$! ''*/""( %'6 & *$# / &'/ #$ 6!&*. T+/ $#+/! !/&"$* /&"/ &

    +'6" */ ""#/ "*# &" /%%/#/ &" &* &6'#" /&"/ #" "#'' 6//'$4*. T+"

    &,/" # +&!6/! %$! +'6!/* #$ %+# *%/#$*".

    REFERENCES

    1. R/& K( L&!& A D( S&*//#& N( /# &''. I*6/*/ $% A#/ O##" M/6& &*6 S*"#"

    C$4'* U44/! R/"4!$! T! I*%/#$* 7 T+/ E%%/# $% A/. O%%&' J$!*&'

    $% #+/ A/!&* A&6/ $% P/6!". 200: P /'08( /110

  • 8/12/2019 ENGLISH 3 sesi 2.punya velly.doc

    22/22

    2. C+$*!// T( R/& K( -!&6 JJ( /# &'. V!&' 44/! !/"4$!$! #! *%/#$* &*6

    $##" /6& $4'$* * $* +'6!/*. C'*&' I*%/#$" D"/&"/ 2008 ;7

    81523