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"Dalam penelitian yang dilakukan di Lembaga Pemasyarakatan Klas IIA Bogor selama Februari ? Mei 2009 ini, pengabaian terhadap hak atas pelayanan kesehatan terhadap tahanan serta narapidana penderita TBC masih ditemukan. Penelitian ini menggunakan pendekatan kualitatif berbentuk deskriptif. Teknik pengumpulan data dilakukan dengan melakukan wawancara mendalam terhadap beberapa orang informan yang terdiri dari petugas maupun narapidana. Berdasarkan penelitian ini, ditemukan banyak kendala dalam proses pelayanan kesehatan bagi pasien penderita TBC di LP Bogor. Terlambatnya deteksi terhadap kasus TBC paru, rendahnya kualitas kesehatan penghuni, masalah overkapasitas, belum adanya ruang isolasi khusus bagi pasien penderita TBC paru, serta terbatasnya anggaran menjadi kendala yang dihadapi para petugas kesehatan dalam upaya penanggulangan terhadap penyakit TBC paru di Lembaga Pemasyarakatan Klas IIA Bogor. Namun yang menjadi hambatan dalam upaya penanggulangan terhadap penyebaran penyakit TBC di lingkungan LP Bogor ternyata bukan hanya disebabkan oleh minimnya fasilitas lapas, namun juga disebabkan karena lemahnya kualitas sumber daya manusia yang dimiliki baik oleh penghuni, maupun petugas lapas.

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In the research conducted at Bogor Penitentiary Class IIA in February - May 2009, negligence towards the inmates? rights to health care, including inmates suffering from TBC, is still found. This research uses descriptive - qualitative approach. Data is gathered through in-depth interview with inmates and wardens. This research finds a lot of hurdles in health care for inmates suffering from TBC in Bogor Penitentiary. Late detection, low general health level, overcapacity, the absence of special isolation unit, and very limited budget are the obstacles for the administrators. But that?s not all. Another contributing factor is the lack of quality in human resources both for the inmates and the wardens."

"Indonesia merupakan negara dengan keadaan geografi cenderung sering terjadi bencana alam. Demikian pula Jawa Barat yang mempunyai banyak gunung berapi yang masih aktif. Maka menjadi pertanyaan sudahkah Rumah Sakit Umum Daerah di wilayah Cirebon siap menghadapi bencana ?Penelitian ini bertujuan untuk mengetahui kesiapan Rumah Sakit Umum Daerah di Wilayah Cirebon dalam menghadapi bencana, dilakukan studi deskriptif dengan rancangan komparasi atas standar Baku terhadap keadaan 7 Rumah Sakit Umum daerah, melalui pendekatan kuantitatif data sekunder dan kualitatif.Informan dalam penelitian ini seluruh Direktur RUD dan seluruh Kepala Instalasi Instalasi Rawat Darurat se-Wilayah Cirebon. Digunakan analisa univariat dari data kuesioner kemudian dilakukan pembobotan sehingga dihasilkan skor kesiapan IRD, selanjutnya dilakukan analisa kesenjangan melalui wawancara mendalam dengan memperhatikan apa, siapa, mengapa, dimana, kapan dan bagaimana ketidaksiapan IRD.Hasil penelitian menunjukkan bahwa seluruh Rumah Sakit Umum Daerah di Wilayah Cirebon tidak siap menghadapi kegawat daruratan bencana/sehari-hari. Setelah dilakukan analisa kesenjangan maka yang menjadi alasan ketidak siapan adalah;Pertama: kurangnya dukungan para Direktur Rumah Sakit Umum Daerah terhadap Sistem penanggulangan Gawat Darurat Terpadu Bencana/Sehari-hari (SPGDT-B/S) yang disebabkan antara lain adalah kurangnya pemahaman akan SPGDT-B/S, kurangnya sosialisasi tentang standar klasifikasi IRD di Indonesia, standar kendaraan pelayanan medik dan yang penting juga adalah keterbatasan RSUD ermasuk Pemerintah Kota dan Kabupaten.Kedua: kurangnya kepedulian Kepala IRD selaku manajer penanggulangan kegawat daruratan terpadu bencana dalam mengelola sumber daya akibat kurangnya dukungan manajemen. Ketiga: kurangnya sosialisasi SPGDT-BIS serta dukungan akan kelengkapan sumber daya IRD dari Departemen Kesehatan Khususnya Direktorat Jenderal Pelayanan Medik.

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Indonesia is a state that geographically tends to face with natural disasters. So the question is, are general hospitals ready to face disasters?

This research aimed at knowing the readiness of General Hospital at Cirebon Regions in facing with disasters. This research is a descriptive study using comparative design based on the standard to the conditions of 7 General Hospital through qualitative and quantitative data approaches.

The informers in this research are all Directors of General Hospitals and all Head of Emergency Units at Cirebon regions. A uni-variant analysis is used generated from questionnaire data then scoring it to make level of readiness of emergency unit. Then a gap analysis was done through in-depth interview with take into consideration what, who, why, where, and when, and how the un-readiness of emergency unit.

The result of research shows that all general hospitals in Cirebon regions are not ready to face with daily emergency/disaster. After it is analyzed, the reason for unreadiness is due to:

First: lack of support from all director-of hospital to the Integrated System of Daily Emergency/Disaster Management (SPGDT-BIS) that caused by lack understanding to SPGDT-BIS, lack of socialization of standard classification of Emergency Unit in Indonesia, standard of medical service vehicle, and the important thing is lack of budget of general hospital including District and City Government.

Second: lack of attention of l-lead of Emergency Unit as manager of integrated emergency management in managing resources due to lack of support from management. Third: lack of socialization of SPGDT-BIS and support to the completeness of resources of emergency unit from Department of Health particularly from Directorate of Medical Services."

"The usage of phronesis as a term in the field of medicine aims at describing doctors as men of virtue. It is an obligation that they should put it into practice in their profession. In this article, I will present the idea standing behind the study and practice of medicine, that is, doctors or the candidates should have a holistic knowledge. One of those elements is that the field of medicine has a relation with other disciplines that work on the same material object, namely human beings. Other is that human beings are not machines -- which are unorganic, mindless and inactive. Avoiding mistreating course, assist doctors to be the men of virtue."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 169-173Dentist is a specialist who must treat all types of disorder practically, involving the stomatognathic system. Unfortunately not all society has recognized the dentist's value within the "Total Healt Care System". ln developed socieus, the dentist is required to be involved in handling the emergencies, although not all members of the profession seem adequately prepared to deal with them without physician's help. In other hand, we know that most patient come the dental clinic as out patients, and therefore if emergency cases occurs in a dental clinic, it requires emergency treatment immediately. This might be caused by the lack of consciousness; it is only a temporary condition where the patient usually recovers quickly after first aid has been administered. However, the dentist might also be confronted with a more serious condition, which may present a great risk for the patient's life such as anaphylactic shock. In this condition, the dentist must know precisely which step to take if there is an emergency case. This paper discussed about emergency situation in dental practice and its management, so that the dentist can manage emergency cases in the dental practice in order to avoid any harmful action for the patient's life."

"Masalah ketidaklengkapan pencatatan dan pelaporan keperawatan merupakan salah satu masalah di ruang IGD. Penelitian ini bertujuan memberikan gambaran pelaksanaan dokumentasi keperawatan di ruang IGD RS. Medistra Jakarta. Penelitian deskriptif sederhana ini menggunakan 30 sampel berupa dokumen asuhan keperawatan. Hasil penelitian pelaksanaan pendokumentasian intervensi keperawatan di IGD RS. Medistra Jakarta paling efektif (96.7%) dibanding hasil pendokumentasian pengkqiian (33.3%), diagnosa (46.7%), implmentasi (46.'?%), dan evaluasi (60%). Adapun hasil pendokumentasian pengkajian paling tidak efektif (96.7%) dibanding hasil pendokumentasian diagnosa (53.3%), intervensi (33%), implementasi (53.3%), dan evaluasi (40%). Peneliti merekomendasikan pelatihan dan penyegaran pendokumentasian keperawatan baik konseptual maupun keterampilan secara berkala dan berkesinambungan agar pendokumentasian keperawatan menjadi lebih baik."