Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Jurnal Respirasi Department of Pulmonology and Respiratory

Medicine, Faculty of Medicine, Universitas Airlangga


p-ISSN: 2407-0831 e-ISSN: 2621-8372 https://pulmo-ua.com
https://e-journal.unair.ac.id/JR

COVER PAGE

The rules of First Author, Corresponding Author, and Co-author


A manuscript ideally has first author, co-authors, and corresponding author. All authors’ names
exclude academic title. The corresponding author clearly has full responsibility for handling all stages
of pre-publication and post-publication which includes all stages of article process and publication.

I. First author:
1. Name : Yuly Rahmawati
2. Affiliation : Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Unair,
Surabaya, Indonesia
3. E-mail : tomblok27@gmail.com
4. Phone number (WhatsApp): 081384095784
5. ORCID ID : https://orcid.org/0000-0002-4098-6025
6. Contribution to this Manuscript: conceived the study; designed the experiments; gathered, analyzed, and
interpreted the data; made Tables and Figures; wrote the manuscript

II. Corresponding author:


1. Name : Ni Made Mertaniasih
2. Affiliation : Department of Clinical Microbiology, Faculty of Medicine, Unair, Surabaya
3. E-mail : nmademertaniasih@gmail.com
4. Phone number (WhatsApp): 081330511063
5. ORCID ID : https://orcid.org/0000-0002-0594-2385
6. Contribution to this Manuscript: reviewed, revised, and have approved the final version

III. Co- author:


1. Name : Soedarsono
2. Affiliation : Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Unair,
Surabaya, Indonesia
3. E-mail : ssoedarsono@gmail.com
4. Phone number (WhatsApp): 08113446702
5. ORCID ID : https://orcid.org/0000-0001-7317-5619
6. Contribution to this Manuscript: reviewed, revised, and have approved the final version

1. ETHICAL APPROVAL (FOR ORIGINAL ARTICLE)

“This research is an observational analytical study with a cross sectional research design
performed in Policlinic Tuberculosis Dr. Soetomo General Hospital Jl. Mayjend Prof. Dr. Moestopo
No. 6-8, Surabaya and Institute of Tropical Disease Universitas Airlangga from June 2021 to
December 2021. The research had ethical clearance agreement number 1795/KEPK/I/2020 and
applied strict health protocols.”

2. SUGGEST POTENTIAL REVIEWERS FOR YOUR SUBMISSION.


Use the field below to give us contact information for each suggested reviewer. Give us specific reasons for
your suggestion in the last field for each person. The journal may not use your reviewer suggestions, but your
help is appreciated and may speed up the selection of appropriate reviewers.
Note: Please suggest 2 (two) foreign reviewers and 2 (two) local reviewers.

Reviewers’ field:

No. 1:
Foreigner Reviewer 1
Full name
Division/Department
Institution
E-mail address
Phone number
Jurnal Respirasi Department of Pulmonology and Respiratory
Medicine, Faculty of Medicine, Universitas Airlangga
p-ISSN: 2407-0831 e-ISSN: 2621-8372 https://pulmo-ua.com
https://e-journal.unair.ac.id/JR
Reason

No. 2:
Foreigner Reviewer 1
Full name
Division/Department
Institution
E-mail address
Phone number
Reason

No. 3:
Local Reviewer 1
Full name
Division/Department
Institution
E-mail address
Phone number
Reason

No. 4:
Local Reviewer 1
Full name
Division/Department
Institution
E-mail address
Phone number
Reason

You might also like