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2\f3\fs24\cf0\b0\i0\ul0\strike0 dan\f3\fs24\cf0\b0\i0\ul0\strike0 tanda\f3\fs24
\cf0\b0\i0\ul0\strike0 klinik,\f3\fs24\cf0\b0\i0\ul0\strike0 retinopati\f3\fs2
4\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\i0\ul0\strike0 diklasifikasika
n\f3\fs24\cf0\b0\i0\ul0\strike0 menjadi\f3\fs24\cf0\b0\i0\ul0\strike0 dua,\f3\
fs24\cf0\b0\i0\ul0\strike0 yaitu;\par\pard\plain\li2268\sl-415\f3\fs24\cf0\b0\i
0\ul0\strike0 retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\
i0\ul0\strike0 non-proliferatif\f3\fs24\cf0\b0\i0\ul0\strike0 dan\f3\fs24\cf0\
b0\i0\ul0\strike0 retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf
0\b0\i0\ul0\strike0 proliferatif.\f3\fs24\cf0\b0\i0\ul0\strike0 Lesi\f3\fs24\c
f0\b0\i0\ul0\strike0 di\par\pard\plain\li2268\sl-412\f3\fs24\cf0\b0\i0\ul0\stri
ke0 retina\f3\fs24\cf0\b0\i0\ul0\strike0 pada\f3\fs24\cf0\b0\i0\ul0\strike0 st
adium\f3\fs24\cf0\b0\i0\ul0\strike0 awal\f3\fs24\cf0\b0\i0\ul0\strike0 (retino
pati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\i0\ul0\strike0 nonproliferatif)\f3\fs24\cf0\b0\i0\ul0\strike0 ditandai\par\pard\plain\li2268\sl-4
15\f3\fs24\cf0\b0\i0\ul0\strike0 dengan\f3\fs24\cf0\b0\i0\ul0\strike0 adanya\f3
\fs24\cf0\b0\i0\ul0\strike0 mikroaneurisma,\f3\fs24\cf0\b0\i0\ul0\strike0 hemo
ragik\f3\fs24\cf0\b0\i0\ul0\strike0 titik,\f3\fs24\cf0\b0\i0\ul0\strike0 hemor
agik\f3\fs24\cf0\b0\i0\ul0\strike0 berupa\f3\fs24\cf0\b0\i0\ul0\strike0 lidah\
par\pard\plain\li2268\sl-412\f3\fs24\cf0\b0\i0\ul0\strike0 nyala\f3\fs24\cf0\b0\
i0\ul0\strike0 api,\f3\fs24\cf0\b0\i0\ul0\strike0 abnormalitas\f3\fs24\cf0\b0\
i0\ul0\strike0 mikrovaskular\f3\fs24\cf0\b0\i0\ul0\strike0 intraretinal,\f3\fs
24\cf0\b0\i0\ul0\strike0 serta\f3\fs24\cf0\b0\i0\ul0\strike0 ditemukannya\par\
pard\plain\li2268\sl-413\f3\fs24\cf0\b0\i\ul0\strike0 cotton\f3\fs24\cf0\b0\i\ul
0\strike0 wool\f3\fs24\cf0\b0\i\ul0\strike0 spots\f3\fs24\cf0\b0\i0\ul0\strike
0 .\f3\fs24\cf0\b0\i0\ul0\strike0 Makulopati\f3\fs24\cf0\b0\i0\ul0\strike0 dia
betik\f3\fs24\cf0\b0\i0\ul0\strike0 merupakan\f3\fs24\cf0\b0\i0\ul0\strike0 st
adium\f3\fs24\cf0\b0\i0\ul0\strike0 akhir\f3\fs24\cf0\b0\i0\ul0\strike0 dari\p
ar\sect\sected\sbknone\cols2\colno1\colw3550\colsr10\colno2\colw8340\pard\plain\
li2268\sl-415\f3\fs24\cf0\b0\i0\ul0\strike0 retinopati\par\pard\plain\li0\sl-415
\column\f3\fs24\cf0\b0\i0\ul0\strike0 tipe\f3\fs24\cf0\b0\i0\ul0\strike0 non\f3
\fs24\cf0\b0\i0\ul0\strike0 proliferatif\f3\fs24\cf0\b0\i0\ul0\strike0 yang\f3
\fs24\cf0\b0\i0\ul0\strike0 ditandai\f3\fs24\cf0\b0\i0\ul0\strike0 dengan\f3\f
s24\cf0\b0\i0\ul0\strike0 adanya\f3\fs24\cf0\b0\i0\ul0\strike0 dilatasi\par\se
ct\sected\sbknone\cols8\colno1\colw3290\colsr10\colno2\colw1210\colsr10\colno3\c
olw630\colsr10\colno4\colw1030\colsr10\colno5\colw1030\colsr10\colno6\colw1690\c
olsr10\colno7\colw650\colsr10\colno8\colw2300\pard\plain\li2268\sl-415\f3\fs24\c
f0\b0\i0\ul0\strike0 kapiler,\par\pard\plain\li0\sl-415\column\f3\fs24\charscale

x99\cf0\b0\i0\ul0\strike0 destruksi\par\pard\plain\li0\sl-415\column\f3\fs24\cf0
\b0\i0\ul0\strike0 dari\par\pard\plain\li0\sl-415\column\f3\fs24\cf0\b0\i0\ul0\s
trike0 dinding\par\pard\plain\li0\sl-415\column\f3\fs24\cf0\b0\i0\ul0\strike0 ka
piler,\par\pard\plain\li0\sl-415\column\f3\fs24\cf0\b0\i0\ul0\strike0 penyumbata
n\par\pard\plain\li0\sl-415\column\f3\fs24\cf0\b0\i0\ul0\strike0 dan\par\pard\pl
ain\li0\sl-415\column\f3\fs24\cf0\b0\i0\ul0\strike0 infark\par\sect\sected\sbkno
ne\cols5\colno1\colw4050\colsr10\colno2\colw1730\colsr10\colno3\colw1750\colsr10
\colno4\colw1110\colsr10\colno5\colw3220\pard\plain\li2268\sl-412\f3\fs24\cf0\b0
\i0\ul0\strike0 mikrovaskular.\par\pard\plain\li0\sl-412\column\f3\fs24\cf0\b0\i
0\ul0\strike0 Penyumbatan\par\pard\plain\li0\sl-412\column\f3\fs24\cf0\b0\i0\ul0
\strike0 mikrovaskular\par\pard\plain\li0\sl-412\column\f3\fs24\cf0\b0\i0\ul0\st
rike0 tersebut\par\pard\plain\li0\sl-412\column\f3\fs24\cf0\b0\i0\ul0\strike0 me
nyebabkan\par\sect\sected\sbknone\cols1\colno1\colw11900\pard\plain\li2268\sl-41
5\f3\fs24\cf0\b0\i0\ul0\strike0 keadaan\f3\fs24\cf0\b0\i0\ul0\strike0 hipoksia\
f3\fs24\cf0\b0\i0\ul0\strike0 ditingkat\f3\fs24\cf0\b0\i0\ul0\strike0 jaringan
\f3\fs24\cf0\b0\i0\ul0\strike0 sehingga\f3\fs24\cf0\b0\i0\ul0\strike0 berkemba
ngnya\f3\fs24\cf0\b0\i0\ul0\strike0 pembuluh\par\pard\plain\li2268\sl-412\f3\fs
24\cf0\b0\i0\ul0\strike0 darah\f3\fs24\cf0\b0\i0\ul0\strike0 baru\f3\fs24\cf0\b
0\i0\ul0\strike0 (neovaskularisasi)\f3\fs24\cf0\b0\i0\ul0\strike0 yang\f3\fs24
\cf0\b0\i0\ul0\strike0 merupakan\f3\fs24\cf0\b0\i0\ul0\strike0 ciri\f3\fs24\cf
0\b0\i0\ul0\strike0 stadium\f3\fs24\cf0\b0\i0\ul0\strike0 lanjut\f3\fs24\cf0\b
0\i0\ul0\strike0 dari\par\pard\plain\li2268\sl-415\f3\fs24\cf0\b0\i0\ul0\strike
0 retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 yang\f3\fs24\cf0\b0\i0\ul0\strike0
dikenal\f3\fs24\cf0\b0\i0\ul0\strike0 dengan\f3\fs24\cf0\b0\i0\ul0\strike0 ret
inopati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\i0\ul0\strike0 n
on-proliferatif.\f3\fs16\cf0\b0\i0\ul0\strike0 1,3\par\pard\plain\sl-200\par\par
d\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200
\par\pard\plain\sl-200\par\pard\plain\sl-298\par\pard\plain\li10086\sl-216\f4\fs
24\cf0\b0\i0\ul0\strike0 5\sect\sectd\sbkpage\pgwsxn11906\pghsxn16838\pard\plain
\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pa
rd\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-20
0\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-319\par\pard\pla
in\li2268\sl-221\f3\fs24\cf0\b0\i0\ul0\strike0 Retinopati\f3\fs24\cf0\b0\i0\ul0\
strike0 ini\f3\fs24\cf0\b0\i0\ul0\strike0 merupakan\f3\fs24\cf0\b0\i0\ul0\stri
ke0 komplikasi\f3\fs24\cf0\b0\i0\ul0\strike0 DM\f3\fs24\cf0\b0\i0\ul0\strike0
tersering\f3\fs24\cf0\b0\i0\ul0\strike0 pada\f3\fs24\cf0\b0\i0\ul0\strike0 ma
ta\f3\fs24\cf0\b0\i0\ul0\strike0 yang\par\pard\plain\li2268\sl-412\f3\fs24\cf0\
b0\i0\ul0\strike0 menyebabkan\f3\fs24\cf0\b0\i0\ul0\strike0 kebutaan.\f3\fs16\c
f0\b0\i0\ul0\strike0 1\f3\fs24\cf0\b0\i0\ul0\strike0 Retinopati\f3\fs24\cf0\b0\
i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\i0\ul0\strike0 paling\f3\fs24\cf0\b0\i0
\ul0\strike0 ditakuti,\f3\fs24\cf0\b0\i0\ul0\strike0 karena\par\pard\plain\li2
268\sl-415\f3\fs24\cf0\b0\i0\ul0\strike0 insidennya\f3\fs24\cf0\b0\i0\ul0\strike
0 yang\f3\fs24\cf0\b0\i0\ul0\strike0 cukup\f3\fs24\cf0\b0\i0\ul0\strike0 ting
gi\f3\fs24\cf0\b0\i0\ul0\strike0 dan\f3\fs24\cf0\b0\i0\ul0\strike0 prognosisny
a\f3\fs24\cf0\b0\i0\ul0\strike0 yang\f3\fs24\cf0\b0\i0\ul0\strike0 kurang\f3\f
s24\cf0\b0\i0\ul0\strike0 baik\f3\fs24\cf0\b0\i0\ul0\strike0 bagi\par\pard\pla
in\li2268\sl-412\f3\fs24\cf0\b0\i0\ul0\strike0 penglihatan.\f3\fs16\cf0\b0\i0\ul
0\strike0 6,7,8\f3\fs24\cf0\b0\i0\ul0\strike0 Prevalensi\f3\fs24\cf0\b0\i0\ul0\
strike0 DM\f3\fs24\cf0\b0\i0\ul0\strike0 di\f3\fs24\cf0\b0\i0\ul0\strike0 Ame
rika\f3\fs24\cf0\b0\i0\ul0\strike0 Serikat\f3\fs24\cf0\b0\i0\ul0\strike0 sebes
ar\f3\fs24\cf0\b0\i0\ul0\strike0 10,3\f3\fs24\cf0\b0\i0\ul0\strike0 juta\par\p
ard\plain\li2268\sl-415\f3\fs24\cf0\b0\i0\ul0\strike0 dengan\f3\fs24\cf0\b0\i0\u
l0\strike0 retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 sebesar\f3\fs24\cf0\b0\i0\
ul0\strike0 5,4\f3\fs24\cf0\b0\i0\ul0\strike0 juta.\f3\fs16\cf0\b0\i0\ul0\stri
ke0 1,9\f3\fs24\cf0\b0\i0\ul0\strike0 Prevalensi\f3\fs24\cf0\b0\i0\ul0\strike0
retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\i0\ul0\strike
0 di\par\pard\plain\li2268\sl-412\f3\fs24\cf0\b0\i0\ul0\strike0 Singapura\f3\fs
24\cf0\b0\i0\ul0\strike0 sebanyak\f3\fs24\cf0\b0\i0\ul0\strike0 35,0%,\f3\fs24
\cf0\b0\i0\ul0\strike0 dan\f3\fs24\cf0\b0\i0\ul0\strike0 di\f3\fs24\cf0\b0\i0\
ul0\strike0 Afrika\f3\fs24\cf0\b0\i0\ul0\strike0 17,9%.\f3\fs16\cf0\b0\i0\ul0\

strike0 10\f3\fs24\cf0\b0\i0\ul0\strike0 Diabetes\f3\fs24\cf0\b0\i0\ul0\strike0

merupakan\par\pard\plain\li2268\sl-415\f3\fs24\cf0\b0\i0\ul0\strike0 faktor\f3
\fs24\cf0\b0\i0\ul0\strike0 resiko\f3\fs24\cf0\b0\i0\ul0\strike0 utama\f3\fs24
\cf0\b0\i0\ul0\strike0 yang\f3\fs24\cf0\b0\i0\ul0\strike0 menyebabkan\f3\fs24\
cf0\b0\i0\ul0\strike0 kebutaan\f3\fs24\cf0\b0\i0\ul0\strike0 terbesar\f3\fs24\
cf0\b0\i0\ul0\strike0 di\f3\fs24\cf0\b0\i0\ul0\strike0 Amerika\par\pard\plain\
li2268\sl-412\f3\fs24\cf0\b0\i0\ul0\strike0 Serikat,\f3\fs24\cf0\b0\i0\ul0\strik
e0 yang\f3\fs24\cf0\b0\i0\ul0\strike0 juga\f3\fs24\cf0\b0\i0\ul0\strike0 meru
pakan\f3\fs24\cf0\b0\i0\ul0\strike0 penyebab\f3\fs24\cf0\b0\i0\ul0\strike0 uta
ma\f3\fs24\cf0\b0\i0\ul0\strike0 kebutaan\f3\fs24\cf0\b0\i0\ul0\strike0 pada\f
3\fs24\cf0\b0\i0\ul0\strike0 retinopati\par\pard\plain\li2268\sl-415\f3\fs24\cf
0\b0\i0\ul0\strike0 di\f3\fs24\cf0\b0\i0\ul0\strike0 seluruh\f3\fs24\cf0\b0\i0\
ul0\strike0 dunia\f3\fs24\cf0\b0\i0\ul0\strike0 dengan\f3\fs24\cf0\b0\i0\ul0\s
trike0 persentase\f3\fs24\cf0\b0\i0\ul0\strike0 4,8%.\f3\fs16\cf0\b0\i0\ul0\st
rike0 1,11\f3\fs24\cf0\b0\i0\ul0\strike0 Retinopati\f3\fs24\cf0\b0\i0\ul0\strik
e0 diabetik\par\pard\plain\li2268\sl-412\f3\fs24\cf0\b0\i0\ul0\strike0 menempat
i\f3\fs24\cf0\b0\i0\ul0\strike0 urutan\f3\fs24\cf0\b0\i0\ul0\strike0 keempat\f
3\fs24\cf0\b0\i0\ul0\strike0 setelah\f3\fs24\cf0\b0\i0\ul0\strike0 katarak,\f3
\fs24\cf0\b0\i0\ul0\strike0 glaukoma,\f3\fs24\cf0\b0\i0\ul0\strike0 dan\f3\fs2
4\cf0\b0\i0\ul0\strike0 degenerasi\par\pard\plain\li2268\sl-412\f3\fs24\cf0\b0\
i0\ul0\strike0 makula\f3\fs24\cf0\b0\i0\ul0\strike0 (AMD\f3\fs24\cf0\b0\i0\ul0\
strike0 =\f3\fs24\cf0\b0\i\ul0\strike0 age-related\f3\fs24\cf0\b0\i\ul0\strike
0 macular\f3\fs24\cf0\b0\i\ul0\strike0 degeneration\f3\fs24\cf0\b0\i0\ul0\stri
ke0 )\f3\fs24\cf0\b0\i0\ul0\strike0 secara\f3\fs24\cf0\b0\i0\ul0\strike0 globa
l.\f3\fs16\cf0\b0\i0\ul0\strike0 1\par\pard\plain\sl-200\par\pard\plain\sl-200\p
ar\pard\plain\sl-208\par\pard\plain\li2268\sl-222\f3\fs24\cf0\b0\i0\ul0\strike0
Retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\i0\ul0\strike0
sering\f3\fs24\cf0\b0\i0\ul0\strike0 terjadi\f3\fs24\cf0\b0\i0\ul0\strike0 k
elompok\f3\fs24\cf0\b0\i0\ul0\strike0 usia\f3\fs24\cf0\b0\i0\ul0\strike0 20\f3
\fs24\cf0\b0\i0\ul0\strike0 -\f3\fs24\cf0\b0\i0\ul0\strike0 60\f3\fs24\cf0\b0\
i0\ul0\strike0 tahun.\f3\fs24\cf0\b0\i0\ul0\strike0 Di\f3\fs24\cf0\b0\i0\ul0\s
trike0 negara\par\pard\plain\li2268\sl-412\f3\fs24\cf0\b0\i0\ul0\strike0 berkem
bang\f3\fs24\cf0\b0\i0\ul0\strike0 12%\f3\fs24\cf0\b0\i0\ul0\strike0 kasus\f3\
fs24\cf0\b0\i0\ul0\strike0 kebutaan\f3\fs24\cf0\b0\i0\ul0\strike0 disebabkan\f
3\fs24\cf0\b0\i0\ul0\strike0 DM.\f3\fs24\cf0\b0\i0\ul0\strike0 Resiko\f3\fs24\
cf0\b0\i0\ul0\strike0 ini\f3\fs24\cf0\b0\i0\ul0\strike0 jarang\par\pard\plain\
li2268\sl-415\f3\fs24\cf0\b0\i0\ul0\strike0 ditemukan\f3\fs24\cf0\b0\i0\ul0\stri
ke0 pada\f3\fs24\cf0\b0\i0\ul0\strike0 anak\f3\fs24\cf0\b0\i0\ul0\strike0 dib
awah\f3\fs24\cf0\b0\i0\ul0\strike0 10\f3\fs24\cf0\b0\i0\ul0\strike0 tahun\f3\f
s24\cf0\b0\i0\ul0\strike0 dan\f3\fs24\cf0\b0\i0\ul0\strike0 meningkat\f3\fs24\
cf0\b0\i0\ul0\strike0 setelah\par\pard\plain\li2268\sl-412\f3\fs24\cf0\b0\i0\ul
0\strike0 pubertas.\f3\fs16\cf0\b0\i0\ul0\strike0 12\par\pard\plain\sl-200\par\p
ard\plain\sl-200\par\pard\plain\sl-205\par\pard\plain\li2268\sl-222\f3\fs24\cf0\
b0\i0\ul0\strike0 Data\f3\fs24\cf0\b0\i0\ul0\strike0 resmi\f3\fs24\cf0\b0\i0\ul
0\strike0 jumlah\f3\fs24\cf0\b0\i0\ul0\strike0 penderita\f3\fs24\cf0\b0\i0\ul0
\strike0 retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\i0\u
l0\strike0 di\f3\fs24\cf0\b0\i0\ul0\strike0 Indonesia\f3\fs24\cf0\b0\i0\ul0\st
rike0 belum\f3\fs24\cf0\b0\i0\ul0\strike0 ada.\par\pard\plain\li2268\sl-415\f3
\fs24\cf0\b0\i0\ul0\strike0 Retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f
3\fs24\cf0\b0\i0\ul0\strike0 ini\f3\fs24\cf0\b0\i0\ul0\strike0 juga\f3\fs24\cf
0\b0\i0\ul0\strike0 belum\f3\fs24\cf0\b0\i0\ul0\strike0 didefinisikan,\f3\fs24
\cf0\b0\i0\ul0\strike0 sehingga\f3\fs24\cf0\b0\i0\ul0\strike0 kebutaan\f3\fs24
\cf0\b0\i0\ul0\strike0 yang\par\pard\plain\li2268\sl-413\f3\fs24\cf0\b0\i0\ul0\
strike0 disebabkan\f3\fs24\cf0\b0\i0\ul0\strike0 oleh\f3\fs24\cf0\b0\i0\ul0\str
ike0 penyakit\f3\fs24\cf0\b0\i0\ul0\strike0 ini\f3\fs24\cf0\b0\i0\ul0\strike0
juga\f3\fs24\cf0\b0\i0\ul0\strike0 masih\f3\fs24\cf0\b0\i0\ul0\strike0 dimasu
kkan\f3\fs24\cf0\b0\i0\ul0\strike0 dalam\f3\fs24\cf0\b0\i0\ul0\strike0 \u8221?
kebutaan\par\pard\plain\li2268\sl-415\f3\fs24\cf0\b0\i0\ul0\strike0 lain-\f3\fs2
4\cf0\b0\i0\ul0\strike0 lain\u8221?\f3\fs24\cf0\b0\i0\ul0\strike0 se\f3\fs24\cf
0\b0\i0\ul0\strike0 banyak\f3\fs24\cf0\b0\i0\ul0\strike0 28%.\f3\fs24\cf0\b0\i0

\ul0\strike0 Retinopati\f3\fs24\cf0\b0\i0\ul0\strike0 diabetik\f3\fs24\cf0\b0\

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ta\f3\fs24\cf0\b0\i0\ul0\strike0 RSU\f3\fs24\cf0\b0\i0\ul0\strike0 dr.\par\par
d\plain\li0\sl-412\column\f3\fs24\cf0\b0\i0\ul0\strike0 Soedarso\f3\fs24\cf0\b0\
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ke0 kasus\f3\fs24\cf0\b0\i0\ul0\strike0 dan\f3\fs24\cf0\b0\i0\ul0\strike0 kon
trol\f3\fs24\cf0\b0\i0\ul0\strike0 akan\f3\fs24\cf0\b0\i0\ul0\strike0 dicocokk

an\f3\fs24\cf0\b0\i0\ul0\strike0 (\f3\fs24\cf0\b0\i\ul0\strike0 matching\f3\fs2

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yang\f3\fs24\cf0\b0\i0\ul0\strike0 akan\f3\fs24\cf0\b0\i0\ul0\strike0 dipela
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f0\b0\i0\ul0\strike0 18,19\f3\fs24\cf0\b0\i0\ul0\strike0 Variabel\f3\fs24\cf0\b
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f0\b0\i0\ul0\strike0 69\f3\fs24\cf0\b0\i0\ul0\strike0 tahun,\f3\fs24\cf0\b0\i0
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plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-203\par\pard\plain\li2268\s
l-221\f3\fs24\cf0\b0\i0\ul0\strike0 Uji\f3\fs24\cf0\b0\i0\ul0\strike0 hipotesis
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ike0 menggunakan\f3\fs24\cf0\b0\i0\ul0\strike0 program\f3\fs24\cf0\b0\i0\ul0\st
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