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"Telah dilakukan penelitian untuk memeriksa obat-obat(go-iongahtranquilizer) dan Tnetabolitnya dari urine.Penelitian mi bertujuan untuk mencari cara isolasi danpeniurnian yang terbaik terhadap metabolit obat dari urine.Selain itu,"jugainenoániCara identifikasi yang cepat, sederhaiiadan ekonomis.Dengan métode mi urine dapat dianalisatanpa dihidrolisale'bih dahulu, tetapi dapat langsung diisoiasi dengan pelarutorganik (chloroform) dalamsuasana basa untuk obat-obatyang bersifat basa dan dalam suasana asain untuk obatobatyang bersifat asam, sedangkan untuk -pemurnian d.ilakukanekstraksi kembali dengan asam atau basa dengan tehnikkertas saring.Pada penelitian mi identifikasi metabolit obat dilakukandenganara reaksi warna dan khromatograf I lapisan tipis.Ternyata ekstrak yang diperoleh dari urine memberikan haciiyang dapat ditentukan scara kwalitatif.Disarankan pemeriksaan lebih lanjut dilakukan secara kwantitatif,juga terhadap metabolit obat dari jaringan tubuhlain secarakwlittif dan kwantitatifdegafl metode yangsama.

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An investigation to determine tranquilizer drugs and

their metabolites in urine has been carried out.

The objective of this investigation is to find the best method

of isolation and purification of drug metabolites in

urine, besides a rapid, simple and economical.

In this method, the urine can be analyzed without prior

hydrolisis.

Basic drugs can be isolated directly by organic solvent

(chloroform) in alkaline medium, where acid drugs in acid

medium. . . . .

Purification can be done by back-extraction with acid or

alkaline using filter paper.

In this work, identification of drug .metabolites were qualitatively

determined by colour reaction and thin layer

chromatography.

It is suggested to do the same method further examination

quantitatively and also to drug metabolites from other body

tissues."

"[ABSTRAKStaphylococcus spp. peragi manitol merupakan flora normal kulit terbanyak dan sering bersifat multiresisten, serta dapat menjadi salah satu penyebab healthcare associated infection (HAI). Di Indonesia, data mengenai Staphylococcus spp. peragi manitol yang resisten metisilin belum tersedia. Penelitian ini bersifat retrospektif untuk mengetahui pola kepekaan dan karakteristik genotipik (mecA dan tipe SCCmec I-V) flora normal Staphylococcus spp peragi manitol yang diisolasi dari pasien ICU Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo (RSUPNCM) tahun 2011, 2013 dan 2014. Dari 187 isolat, 15% di antaranya merupakan methicillin resistant Staphylococcus aureus (MRSA) yang sebagian besar resisten terhadap gentamisin (64,3%), klindamisin (50%), golongan fluorokuinolon (64,3-71,4%) dan tetrasiklin (57,1%). Sedangkan 55,6% merupakan Staphylococcus koagulase negatif resisten metisilin (MR-CoNS) yang sebagian besar resisten terhadap gentamisin (55%), fluorokuinolon (62,5-88,5%), eritromisin (91,3%), klindamisin (75%) dan rifampisin (82,7%). Resisten metisilin pada MRSA hampir semuanya disebabkan oleh gen mecA (96,4%), sedangkan pada MR-CoNS, gen mecA ditemukan pada 76,9% isolat. Tipe SCCmec yang paling banyak ditemukan pada kedua kelompok yaitu SCCmec tipe I. Dapat disimpulkan bahwa sebagian besar Staphylococcus spp. peragi manitol yang merupakan flora normal pasien yang dirawat di ICU RSUPNCM, merupakan pembawa gen mecA. Surveilens berkelanjutan dibutuhkan untuk mengetahui kecenderungan perubahan pola kepekaan dan pencegahan transmisi di fasilitas kesehatan.

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ABSTRACTStaphylococcus spp. mannitol fermenters are the most abundant skin normal flora. It is frequently resistant to many drugs and could become one of the causes of the healthcare associated infection (HAI). There is no data about Methicillin Resistant Staphylococcus spp. mannitol fermenters in Indonesia yet. In this restrospective study we aim to identify the susceptibility patterns and genotypic characteristics (mecA gene and SCCmec type I-V) of normal flora Staphylococcus spp. mannitol fermenters isolated from Intensive Care Unit patients of Cipto Mangunkusumo Hospital during 2011, 2013 and 2014. This study found that 15% of 187 isolates were methicillin resistant Staphylococcus aureus (MRSA) and mostly resistant to gentamycin (64,3%), clindamycin (50%), fluoroquinolone (64,3-71,4%) and tetracycline (57,1%). While 55,6% of the isolates were methicillin resistant coagulase negative Staphylococcus (MR-CoNS) and mostly resistant to gentamycin (55%), fluoroquinolone (62,5-88,5%), erithromycin (91,3%), clindamycin (75%) and rifampicin (82,7%). Methicillin-resistant on almost MRSA, carried mecA gene (96.4%), while in the MR-CoNS, mecA gene was found in 76.9% of all isolates. The most common SCCmec type found was SCCmec type I. Thus, mecA gene carrier Staphylococcus spp. mannitol fermenters were found as normal flora in intensive care patients of Cipto Mangunkusumo Hospital. Continuous surveillance is however, necessary to determine the tendency of changing susceptibility patterns and transmission prevention in health facilities.;Staphylococcus spp. mannitol fermenters are the most abundant skin normal flora. It is frequently resistant to many drugs and could become one of the causes of the healthcare associated infection (HAI). There is no data about Methicillin Resistant Staphylococcus spp. mannitol fermenters in Indonesia yet. In this restrospective study we aim to identify the susceptibility patterns and genotypic characteristics (mecA gene and SCCmec type I-V) of normal flora Staphylococcus spp. mannitol fermenters isolated from Intensive Care Unit patients of Cipto Mangunkusumo Hospital during 2011, 2013 and 2014. This study found that 15% of 187 isolates were methicillin resistant Staphylococcus aureus (MRSA) and mostly resistant to gentamycin (64,3%), clindamycin (50%), fluoroquinolone (64,3-71,4%) and tetracycline (57,1%). While 55,6% of the isolates were methicillin resistant coagulase negative Staphylococcus (MR-CoNS) and mostly resistant to gentamycin (55%), fluoroquinolone (62,5-88,5%), erithromycin (91,3%), clindamycin (75%) and rifampicin (82,7%). Methicillin-resistant on almost MRSA, carried mecA gene (96.4%), while in the MR-CoNS, mecA gene was found in 76.9% of all isolates. The most common SCCmec type found was SCCmec type I. Thus, mecA gene carrier Staphylococcus spp. mannitol fermenters were found as normal flora in intensive care patients of Cipto Mangunkusumo Hospital. Continuous surveillance is however, necessary to determine the tendency of changing susceptibility patterns and transmission prevention in health facilities.;Staphylococcus spp. mannitol fermenters are the most abundant skin normal flora. It is frequently resistant to many drugs and could become one of the causes of the healthcare associated infection (HAI). There is no data about Methicillin Resistant Staphylococcus spp. mannitol fermenters in Indonesia yet. In this restrospective study we aim to identify the susceptibility patterns and genotypic characteristics (mecA gene and SCCmec type I-V) of normal flora Staphylococcus spp. mannitol fermenters isolated from Intensive Care Unit patients of Cipto Mangunkusumo Hospital during 2011, 2013 and 2014. This study found that 15% of 187 isolates were methicillin resistant Staphylococcus aureus (MRSA) and mostly resistant to gentamycin (64,3%), clindamycin (50%), fluoroquinolone (64,3-71,4%) and tetracycline (57,1%). While 55,6% of the isolates were methicillin resistant coagulase negative Staphylococcus (MR-CoNS) and mostly resistant to gentamycin (55%), fluoroquinolone (62,5-88,5%), erithromycin (91,3%), clindamycin (75%) and rifampicin (82,7%). Methicillin-resistant on almost MRSA, carried mecA gene (96.4%), while in the MR-CoNS, mecA gene was found in 76.9% of all isolates. The most common SCCmec type found was SCCmec type I. Thus, mecA gene carrier Staphylococcus spp. mannitol fermenters were found as normal flora in intensive care patients of Cipto Mangunkusumo Hospital. Continuous surveillance is however, necessary to determine the tendency of changing susceptibility patterns and transmission prevention in health facilities., Staphylococcus spp. mannitol fermenters are the most abundant skin normal flora. It is frequently resistant to many drugs and could become one of the causes of the healthcare associated infection (HAI). There is no data about Methicillin Resistant Staphylococcus spp. mannitol fermenters in Indonesia yet. In this restrospective study we aim to identify the susceptibility patterns and genotypic characteristics (mecA gene and SCCmec type I-V) of normal flora Staphylococcus spp. mannitol fermenters isolated from Intensive Care Unit patients of Cipto Mangunkusumo Hospital during 2011, 2013 and 2014. This study found that 15% of 187 isolates were methicillin resistant Staphylococcus aureus (MRSA) and mostly resistant to gentamycin (64,3%), clindamycin (50%), fluoroquinolone (64,3-71,4%) and tetracycline (57,1%). While 55,6% of the isolates were methicillin resistant coagulase negative Staphylococcus (MR-CoNS) and mostly resistant to gentamycin (55%), fluoroquinolone (62,5-88,5%), erithromycin (91,3%), clindamycin (75%) and rifampicin (82,7%). Methicillin-resistant on almost MRSA, carried mecA gene (96.4%), while in the MR-CoNS, mecA gene was found in 76.9% of all isolates. The most common SCCmec type found was SCCmec type I. Thus, mecA gene carrier Staphylococcus spp. mannitol fermenters were found as normal flora in intensive care patients of Cipto Mangunkusumo Hospital. Continuous surveillance is however, necessary to determine the tendency of changing susceptibility patterns and transmission prevention in health facilities.]"

"Pemegang paten memiliki hak eksklusif untuk melaksanakan paten yang dimilikinya dan melarang pihak lain yang tanpa persetujuannya melaksanakan paten tersebut Hak eksklusif ini bagi pemegang paten meliputi hak untuk impor produk. Adanya peluang yang luas untuk mengimpor akan memberikan dampak buruk bagi industri farmasi dalam negeri.Penelitian ini akan membahas pengaturan hak eksklusif mengenai importasi terhadap kewajiban untuk melaksanakan paten serta pengaruhnya terhadap ketergantungan bahan baku obat.Penelitian ini merupakan penelitian yuridis-normatif, dimana penulis menggunakan dua pendekatan yaitu undang-undang dan konseptual. Selain itu, penulis menggunakan metode analisis kualitatif.Setelah melakukan perbandingan dan analisis, ternyata pengaturan hak eksklusif mengenai importasi masih sangat luas dan berpengaruh terhadap pelaksaan dan kewajiban pada pemegang paten. Agar dapat dilaksanakan dengan baik, maka pengaturan mengenai importasi perlu dibatasi dan perlu diatur lebih lanjut agar dapat mengurangi jumlah angka ketergantungan bahan baku obat dan dapat mengembangkan industry manufaktur farmasi di Indonesia.

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Patentee has the exclusive right to exploit its patents and prohibit the other party without the consent of the patent implementing these exclusive rights to the patentee includes the right to import products. The big of opportunities for import will affect the domestic pharmaceutical industry.

This research will discuss the regulation of exclusive right and its influence on the importation of raw material drug dependence.

This research is a normative and qualitative research, where the authors use two approaches, it?s from regulation and conceptual laws. In addition, the author uses the method of qualitative analysis.

After analyzing the problem in this research, I came to the conclusion that the regulation about exclusive right of importation is still very widespread and affect the implementation and obligations on patentee. In order to be implemented properly, then the regulation of importation should be limited and should be further arranged to be decrease the total number of raw material dependence and can develop manufacturing industry of drug and pharmaceutical in Indonesia."

"Industri Farmasi merupakan badan usaha yang memiliki izin dari Menteri Kesehatan untuk melakukan kegiatan pembuatan obat atau bahan obat. PT. Kimia Farma Plant Jakarta sebagai salah satu produsen obat memiliki kewajiban dan tanggung jawab untuk menghasilkan obat yang bermutu, aman dan berkhasiat.Gudang penyimpanan merupakan sarana pendukung dalam industri farmasi sebagai tempat penyimpanan yang juga bertanggung jawab dalam menjaga mutu raw material, packaging material dan finished goods dari segala kerusakan karena pengaruh lingkungan, serangga dan binatang pengerat dan lain-lain. Dalam memastikan gudang penyimpanan dapat melaksanakan perannya dengan baik maka diperlukan pengelolaan yang diatur sedemikian rupa sehingga material dan produk yang disimpan di dalamnya memiliki mutu yang terjamin.Menyadari akan pentingnya semua aspek yang berkaitan dengan mutu produk di industri farmasi khususnya dalam hal penyimpanan maka dilakukan PKPA di PT. Kimia Farma Tbk. Plant Jakarta untuk dapat mengetahui peran Apoteker dalam penyimpanan bahan baku obat, bahan kemas dan produk jadi di Gudang Penyimpanan PT. Kimia Farma Plant Jakarta.Berdasarkan hasil yang diperoleh selama pelaksanaan PKPA, peran Apoteker di Gudang Penyimpanan Kimia Farma Plant Jakarta diperlukan untuk menjamin mutu bahan baku obat, bahan kemas dan obat jadi sesuai dengan persyaratan yang telah ditetapkan oleh Badan POM pada CPOB 2018 sebelum didistribusikan.

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The Pharmaceutical Industry is a business entity that has permission from the Minister of Health to carry out drug manufacturing activities or medicinal materials. PT. Kimia Farma Plant Jakarta as one of the drug manufacturers has the obligation and responsibility to produce quality, safe and efficacy of drugs.

Storage warehouses are supporting facilities in the pharmaceutical industry as storage areas that are also responsible for maintaining the quality of raw materials, packaging materials and finished goods from all damage due to environmental influences, insects and rodents and others. In ensuring that the storage warehouse can carry out its role properly, management is needed in such a way that the materials and products stored in it have guaranteed quality.

Realizing the importance of all aspects related to product quality in the pharmaceutical industry, especially in terms of storage, PKPA was carried out at PT. Kimia Farma Tbk. Plant Jakarta to be able to find out the role of Pharmacists in the storage of raw materials, packaging materials and finished goods in the Storage Warehouse of PT. Kimia Farma Plant Jakarta.

Based on the results obtained during the implementation of PKPA, the role of Pharmacists in the Jakarta Farma Plant Chemical Storage Warehouse is needed to ensure the quality of raw materials for drugs, packaging materials and finished drugs in accordance with the requirements set by BPOM in CPOB 2018 before distribution."

"Industri farmasi wajib mengacu pada pedoman cara pembuatan obat yang baik (CPOB) dalam melaksanakan kegiatan produksi obat. Sehingga obat yang diterima konsumen termasuk obat yang bermutu yang tinggi. Sistem manajemen mutu dapat ditingkatkan melalui adanya audit mutu. Berdasarkan PerKa BPOM Nomor 34 Tahun 2018, departemen pemastian mutu atau Quality Assurance (QA) bertugas untuk memprakarsai pelaksanaan audit eksternal terutama audit terhadap pemasok. Pemasok yang telah sesuai dengan spesifikasi yang dibutuhkan perlu dimasukkan dalam daftar produsen yang disetujui. Setiap produsen yang masuk dalam approved vendor list (AVL) perlu dievaluasi secara. Tujuan laporan PKPA ini adalah untuk mengetahui dan memahami alur pelaksanaan audit eksternal produsen bahan awal sebagai pemastian telah memenuhi kriteria yang ditetapkan oleh PT. Harsen Laboratories. Laporan ini didasarkan Prosedur Tetap yang berlaku di PT. Harsen Laboratories dan dokumentasi pelaksanaan remote audit terhadap PT. XY yang telah dilakukan melalui video conference Zoom. Hasil penilaian kualifikasi terhadap PT. XY didapatkan nilai sebesar 3,0 yang masuk dalam kategori A dengan dua rekomendasi perbaikan. Sehingga dapat disimpulkan bahwa PT. XY direkomendasikan masuk kedalam daftar pemasok yang disetujui atau approved vendor list (AVL) di PT. Harsen Laboratories.

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The pharmaceutical industry must refer to the Good Manufacturing Practice (GMP) guidelines when carrying out its drug manufacturing activities. So that the drugs received by consumers include high quality drugs. The quality management system can be improved through a quality audit. Based on PerKa BPOM number 34 of 2018, the Quality Assurance (QA) department is tasked with initiating the implementation of external audits, especially supplier audits. Suppliers that meet the required specifications must be included in the list of approved manufacturers. Every manufacturer on the Approved Vendor List (AVL) must be thoroughly evaluated. The purpose of this PKPA report has been to discover and understand the flow of external audits of raw material producers as a guarantee that they have met the criteria set by PT. Harsen Laboratories. This report is based on standard procedures at PT. Harsen Laboratories and documentation of the remote audit implementation of PT. XY, which was carried out via zoom video conference. The results of the qualifications of PT. XY scored a value of 3.0, which falls into category A with two recommendations for improvement. Thus, it can be concluded that PT. XY has been recommended to be included in the Approved Vendor List (AVL) at PT. Harsen Laboratories."

"Mematuhi CDOB merupakan peranan yang sangat penting untuk memastikan bahwa bahan obat dan produk obat disimpan, dikelola, dan didistribusikan dengan standar yang tinggi untuk menjaga kualitas dan keselamatan. Gudang yang menerapkan CDOB membantu mempertahankan integritas bahan baku obat. Proses penyimpanan yang tepat, termasuk pengendalian suhu, kelembaban, dan penanganan yang benar, dapat mencegah perubahan kimia atau fisik yang dapat mempengaruhi kualitas dan keamanan bahan baku obat. Hal ini penting untuk memastikan bahwa bahan baku obat tetap efektif dan sesuai dengan spesifikasi yang ditetapkan. Penerapan CDOB di gudang pedagang besar farmasi bahan baku obat juga membantu membangun kepercayaan pelanggan. Pelanggan, seperti produsen obat jadi, membutuhkan jaminan bahwa bahan baku obat yang mereka beli aman, berkualitas, dan memenuhi persyaratan regulasi. Gudang yang memenuhi standar CDOB memberikan bukti komitmen terhadap kualitas dan keamanan produk, yang dapat meningkatkan kepercayaan pelanggan dan memperkuat hubungan bisnis. Metode pelaksanaan dilakukan secara kualitatif, yang dilakukan dengan melihat tinjauan pustaka dan wawancara secara langsung kepada yang bersangkutan terhadap gudang PBF Farmasia Inovasi Megatrading.PT . Farmasia Inovasi Megatrading memiliki ruang gudang dengan tiga jenis rak penyimpanan bahan baku obat yang meliputi rak A (Bahan Aktif Obat / Active Pharmaceuticals Inggredients), rak B (Bahan Vitamin, Mineral dan Ekstrak) dan rak C (Bahan Tambahan/ Eksipient). Selain itu terdapat juga beberapa ruangan khusus bahan baku obat seperti ruangan bahan baku obat beta laktam, ruangan bahan baku obat suhu terkontrol dan ruangan reject. Selain memperhatikan ruangan yang memadai, beberapa faktor juga sangat perlu diperhatikan karena juga sangat mempengaruhi kualitas bahan baku obat. Beberapa faktor ini bersumber kepada regulasi sediaan farmasi seperti CDOB (Cara Distribusi Obat yang Baik) untuk memastikan bahwa distribusi, penyimpanan, dan penanganan obat dilakukan dengan cara yang aman, terpercaya, dan sesuai dengan peraturan yang berlaku. Ruangan gudang bahan baku obat pada PT. Farmasia Inovasi Megatrading pada umumnya sudah sesuai dengan CDOB (Cara Distribusi Obat yang Baik), Namun pada sisi pencahayaan walaupun sudah merata dan memadai, belum diketahui satuan intensitas cahaya yang digunakan.

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Complying with the CDOB is a critical role in ensuring that drug substances and drug products are stored, managed, and distributed to high standards to maintain quality and safety. Warehouses that implement CDOB help maintain the integrity of medicinal raw materials. Proper storage processes, including controlling temperature, humidity, and correct handling, can prevent chemical or physical changes that can affect the quality and safety of medicinal raw materials. This is important to ensure that medicinal raw materials remain effective and comply with established specifications. The implementation of CDOB in the warehouses of pharmaceutical wholesalers of medicinal raw materials also helps build customer trust. Customers, such as finished drug manufacturers, need assurance that the drug raw materials they purchase are safe, of good quality and meet regulatory requirements. A warehouse that meets CDOB standards provides evidence of commitment to product quality and safety, which can increase customer confidence and strengthen business relationships. The implementation method was carried out qualitatively, which was carried out by looking at literature reviews and direct interviews with those concerned with the PBF Farmasia Innovation Megatrading.PT warehouse. Farmasia Innovation Megatrading has a warehouse space with three types of storage shelves for medicinal raw materials which include shelf A (Active Drug Ingredients / Active Pharmaceutical Ingredients), shelf B (Vitamins, Minerals and Extracts) and shelf C (Additional Ingredients/Excipients). Apart from that, there are also several special rooms for medicinal raw materials, such as the beta lactam medicine raw material room, the controlled temperature medicine raw material room and the reject room. Apart from paying attention to adequate space, several factors also really need to be considered because they also greatly influence the quality of medicinal raw materials. Some of these factors originate from pharmaceutical preparation regulations such as CDOB (Good Medicine Distribution Method) to ensure that the distribution, storage and handling of medicines is carried out in a safe, reliable manner and in accordance with applicable regulations. Drug raw material warehouse room at PT. Farmasia Innovation Megatrading is generally in accordance with CDOB (Good Method of Distribution of Medicines), however, in terms of lighting, although it is even and adequate, the unit of light intensity used is not yet known."

"Tujuan perencanaan kebutuhan obat terpadu di kota atau kabupaten adalah untuk mengoptimalkan dana obat melalui peningkatan koordinasi unit-unit kerja yang terkait dengan perencanaan obat sehingga perencanaan obat menjadi lebih efektif dan efisien dalam rangka meningkatkan mutu dan memperluas cakupan pelayanan kesehatan.Di kota Solok Sumatera Barat telah dibentuk Tim Perencanaan Obat Terpadu pada tahun 1999, Tim ini dibentuk berdasarkan Surat Keputusan Walikota Solok nomor 188.4513431SK-WSL/1999. Kenyataannya tim dimaksud belum dapat bekerja dengan baik hal ini terlihat belum sesuainya jumlah dan jenis obat untuk kebutuhan pelayanan kesehatan dasar di kota Solok.Adapun tujuan penelitian ini untuk mengetahui gambaran sistem mutu perencanaan kebutuhan obat terpadu untuk unit pelayanan kesehatan dasar di kota Solok tahun 2000, yang dilihat dengan pendekatan sistem pemasok, masukan, proses, keluaran, dan pelanggan.Penelitian ini dilakukan dengan memakai metoda kualitatif. Pengumpulan data dilakukan dengan wawancara mendalam kepada informan pemasok, Tim perencanaan obat terpadu, dan informan pelanggan, serta dilakukan penelusuran dokumen pada pencatatan obat yang ada.Dari hasil penelitian ini terlihat tingkat ketersediaan informasi (pemasok ) untuk perencanaan kebutuhan obat sudah baik, sudah ada tim perencanaan kebutuhan obat terpadu di kota Solok namun Surat Keputusan Walikota Solok mengenai pembentukan tim belum mencantumkan tugas dan fungsi personil secara, jelas dan tegas. Sedangkan tenaga yang terlibat dalam perencanaan kebutuhan obat terpadu sudah baik, terlihat dari pendidikan formal yang dimiliki, dan mereka telah mengikuti pelatihan pengelolaan obat. Tidak tersedianya dana untuk perencanaan kebutuhan obat terpadu. Data untuk perencanaan kebutuhan obat selalu tersedia, belum adanya mekanismen kerja secara tertulis, dan belum efektifnya koordinasi antara personil tim perencanaan obat terpadu, Panitia pengadaan obat telah mempergunakan lembar perencanaan kebutuhan obat untuk dasar pengadaan obat tahun 2000.Untuk terlaksananya perencanaan kebutuhan obat sesuai dengan jumlah, jenis dan pengadaannya tepat waktu perlu ditingkatkan pemahaman azas pengelolaan obat terpadu (pemberdayan daerah, koordinasi, keterpaduan) baik pada Pemerintah Kota Solok, maupun pada Tim perencanaan obat terpadu kota Solok.

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Quality System Analysis of Integrated Drug Need Plan for Basic Health Service Unit in Solok City in the Year of 2000The objectives of integrated drug need plan in the city or in the regency is to optimize the drug-fund through increase of job coordination units related to drug plan so that drug plan becomes more effective and efficient in increasing the quality and in extending the scope of public health serviceIn the city of Solok, West Sumatera has been formed by the integrated drug plan team in 1999. This team is formed based on the decision letter of Solok Mayor No. 188.4513431SK-WSLJ1999. In fact, intended team cannot operate well and this case is seen not accorded with the amount and sort of drugs for the basic health service need in SolokHence, this investigation intention is to know the system description of integrated drug need plan quality system for the basic health service unit in Solok in the year of 2000 can be seen by using the approach system (supplier, input, process, output, and customer).This observation is performed by using the quality method. Data collection is performed by using the deep interview ti the supplier's informant, integrated drug plan team, and customer informant, and the existed recordFrom this observation result is seen the level of information availability of well-needed drug plan, has provided the integrated drug need plan team in Solok, but the sion Letter of Solok Mayor concerning the formation team not mentioned about the task and function of personnel in detailed, clear, confirmed. While, the involved staffs in the integrated drug need plan has been good which can be seen from owned formal education, has followed the drug management training. The drugs are not provided for the integrated drug need plan. Data for the integrated drug plan is always provided, and unexisted mekanisme jobs in written and uneffectiveness of coordination among the team personnel integrated drug plan, and drug supply committee have utilized the sheet of drug need plan for the basic supply of need in 2000.In performing the plan of drug need in accordance with the amount and availability on time needs to increase the principle apprehension of integrated drug management (local empowerment, coordination, integration) either in Solok government or integrated drug plan team in SolokBibliography: 55 (1981-2001)"

"Penyalahgunaan NAPZA sudah menjadi masalah yang sering muncul di wilayah perkotaan. Masalah yang ditimbulkan akibat penyalahgunaan NAPZA berdampak luas bagi pengguna NAPZA. Upaya penanggulangan masalah akibat penyalahgunaan NAPZA adala dengan detoksifikasi dan rehabilitasi, namun kenyataannya masih banyak pengguna yang kembali menggunakan NAPZA karena tidak memiliki koping yang efektif dalam mengontrol keinginan untuk menggunakan. Hasil analisis menunjukkan bahwa asuhan keperawatan terkait koping individu tidak efektif dapat diberikan pada klien untuk mengontrol keinginan untuk menggunakan zat yang sering muncul.

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Drug abuse is a problem that often happen in the urban areas. The problems that arise as a result of drug abuse have wide impact for drug users. The effort to cope the problems that caused by drug abuse are detoxification and rehabilitation, but in fact there are still many users who use the drug again because they did not have effective coping to controlling their desire to use drugs. The analysis showed that the nursing care-related ineffective individual coping can be given to the client to control their desire to use drugs that often arise."